Minnesota 2025-2026 Regular Session

Minnesota House Bill HF690 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1.1 A bill for an act
2	2	1.2 relating to health insurance; requiring health plans to cover the management and
3	3	1.3 treatment of obesity; amending Minnesota Statutes 2024, section 256B.0625, by
4	4	1.4 adding a subdivision; proposing coding for new law in Minnesota Statutes, chapter
5	5	1.5 62Q.
6	6	1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
7	7	1.7 Section 1. [62Q.474] MANAGEMENT AND TREATMENT OF OBESITY.
8	8	1.8 Subdivision 1.Definitions.(a) For purposes of this section, the terms defined in this
9	9	1.9subdivision have the meanings given.
10	10	1.10 (b) "Intensive health behavior and lifestyle treatment" means an evidence-based, intensive,
11	11	1.11multicomponent behavioral or lifestyle modification intervention that supports healthy
12	12	1.12weight management and is delivered in-person or through telehealth, as defined in section
13	13	1.1362A.673.
14	14	1.14 (c) "FDA-approved obesity medication" means any medication approved by the United
15	15	1.15States Food and Drug Administration (FDA) with an indication for chronic weight
16	16	1.16management in patients with an obesity diagnosis.
17	17	1.17 (d) "Metabolic and bariatric surgery" means any surgical intervention included in the
18	18	1.18most current American Society for Metabolic and Bariatric Surgery and International
19	19	1.19Federation for the Surgery of Obesity and Metabolic Disorders Guidelines on Indications
20	20	1.20for Metabolic and Bariatric Surgery.
21	21	1.21 Subd. 2.Management and treatment of obesity; coverage required.(a) A health plan
22	22	1.22must include coverage to diagnose and treat the chronic disease of obesity, including but
23	23	1.23not limited to:
24	24	1Section 1.
25	25	REVISOR RSI/BM 25-0054612/24/24
26	26	State of Minnesota
27	27	This Document can be made available
28	28	in alternative formats upon request
29	29	HOUSE OF REPRESENTATIVES
30	30	H. F. No. 690
31	31	NINETY-FOURTH SESSION
32	32	Authored by Howard02/13/2025
33	33	The bill was read for the first time and referred to the Committee on Commerce Finance and Policy 2.1 (1) intensive health behavioral and lifestyle treatment;
34	34	2.2 (2) metabolic and bariatric surgery; and
35	35	2.3 (3) FDA-approved obesity medication.
36	36	2.4 (b) Coverage criteria for FDA-approved obesity medications must not be more restrictive
37	37	2.5than the FDA-approved indications for FDA-approved obesity medications.
38	38	2.6 (c) Coverage under this section must not be different or separate from coverage for any
39	39	2.7other illness, condition, or disorder for purposes of determining deductibles, co-payment
40	40	2.8and coinsurance factors, benefit year maximums for deductibles and co-payment, and
41	41	2.9coinsurance.
42	42	2.10 (d) This section does not prohibit a plan from applying utilization management to
43	43	2.11determine the medical necessity for chronic disease of obesity treatment under this section
44	44	2.12if the appropriateness and medical necessity determinations are made in the same manner
45	45	2.13as appropriateness and medical necessity determinations are made to treat any other illness,
46	46	2.14condition, or disorder covered by a contract.
47	47	2.15 (e) Intensive health behavior and lifestyle treatment may include interventions certified
48	48	2.16by or recognized by the Centers for Disease Control and Prevention or recommended by
49	49	2.17current clinical standards of care. The services may be provided in office, virtual, or
50	50	2.18community-based settings to support patient access and needs.
51	51	2.19 EFFECTIVE DATE.This section is effective January 1, 2027, and applies to health
52	52	2.20plans offered, issued, or renewed on or after that date.
53	53	2.21 Sec. 2. Minnesota Statutes 2024, section 256B.0625, is amended by adding a subdivision
54	54	2.22to read:
55	55	2.23 Subd. 77.Management and treatment of obesity.Medical assistance covers obesity
56	56	2.24management and treatment. Medical assistance must meet the same requirements that apply
57	57	2.25to a health plan under section 62Q.474.
58	58	2.26 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
59	59	2.27whichever is later.
60	60	2Sec. 2.
61	61	REVISOR RSI/BM 25-0054612/24/24