1.1 A bill for an act
1.2 relating to health insurance; requiring coverage of cancer imaging and clinical
1.3 genetic testing; proposing coding for new law in Minnesota Statutes, chapter 62Q.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. [62Q.452] CANCER; CLINICAL GENETIC TESTING AND IMAGING.
1.6 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have
1.7the meanings given.
1.8 (b) "Clinical genetic testing" means germline multigene testing for an inherited mutation
1.9associated with an increased risk of cancer performed in accordance with evidence-based
1.10clinical practice guidelines.
1.11 (c) "Imaging" means evidence-based cancer imaging modalities performed in accordance
1.12with the most recent version of the National Comprehensive Cancer Network (NCCN)
1.13clinical practice guidelines.
1.14 Subd. 2.Coverage.(a) A health plan must include coverage for:
1.15 (1) imaging for enrollees with an increased risk of cancer, as determined by the NCCN;
1.16and
1.17 (2) clinical genetic testing for an inherited gene mutation that is recommended by a
1.18health care provider for enrollees with a personal or family history of cancer.
1.19 (b) The coverage required by this section is not subject to cost-sharing, including but
1.20not limited to deductible, co-payment, or coinsurance.
1Section 1.
25-00739 as introduced01/03/25 REVISOR RSI/MI
SENATE
STATE OF MINNESOTA
S.F. No. 1302NINETY-FOURTH SESSION
(SENATE AUTHORS: MANN, Boldon, Johnson Stewart and Dibble)
OFFICIAL STATUSD-PGDATE
Introduction and first reading02/13/2025
Referred to Commerce and Consumer Protection 2.1 Subd. 3.Application.If the application of subdivision 2, paragraph (b), before an enrollee
2.2has met the enrollee's health plan's deductible would result in: (1) health savings account
2.3ineligibility under United States Code, title 26, section 223; or (2) catastrophic health plan
2.4ineligibility under United States Code, title 42, section 18022(e), then subdivision 2,
2.5paragraph (b), applies to imaging and clinical genetic testing only after the enrollee has met
2.6the enrollee's health plan's deductible.
2.7 EFFECTIVE DATE.This section is effective January 1, 2026, and applies to health
2.8plans offered, issued, or renewed on or after that date.
2Section 1.
25-00739 as introduced01/03/25 REVISOR RSI/MI