| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to health insurance; requiring coverage of cancer imaging and clinical |
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| 3 | 3 | | 1.3 genetic testing; proposing coding for new law in Minnesota Statutes, chapter 62Q. |
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| 4 | 4 | | 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 5 | 5 | | 1.5 Section 1. [62Q.452] CANCER; CLINICAL GENETIC TESTING AND IMAGING. |
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| 6 | 6 | | 1.6 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have |
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| 7 | 7 | | 1.7the meanings given. |
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| 8 | 8 | | 1.8 (b) "Clinical genetic testing" means germline multigene testing for an inherited mutation |
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| 9 | 9 | | 1.9associated with an increased risk of cancer performed in accordance with evidence-based |
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| 10 | 10 | | 1.10clinical practice guidelines. |
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| 11 | 11 | | 1.11 (c) "Imaging" means evidence-based cancer imaging modalities performed in accordance |
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| 12 | 12 | | 1.12with the most recent version of the National Comprehensive Cancer Network (NCCN) |
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| 13 | 13 | | 1.13clinical practice guidelines. |
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| 14 | 14 | | 1.14 Subd. 2.Coverage.(a) A health plan must include coverage for: |
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| 15 | 15 | | 1.15 (1) imaging for enrollees with an increased risk of cancer, as determined by the NCCN; |
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| 16 | 16 | | 1.16and |
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| 17 | 17 | | 1.17 (2) clinical genetic testing for an inherited gene mutation that is recommended by a |
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| 18 | 18 | | 1.18health care provider for enrollees with a personal or family history of cancer. |
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| 19 | 19 | | 1.19 (b) The coverage required by this section is not subject to cost-sharing, including but |
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| 20 | 20 | | 1.20not limited to deductible, co-payment, or coinsurance. |
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| 21 | 21 | | 1Section 1. |
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| 22 | 22 | | 25-00739 as introduced01/03/25 REVISOR RSI/MI |
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| 23 | 23 | | SENATE |
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| 24 | 24 | | STATE OF MINNESOTA |
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| 25 | 25 | | S.F. No. 1302NINETY-FOURTH SESSION |
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| 26 | 26 | | (SENATE AUTHORS: MANN, Boldon, Johnson Stewart and Dibble) |
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| 27 | 27 | | OFFICIAL STATUSD-PGDATE |
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| 28 | 28 | | Introduction and first reading02/13/2025 |
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| 29 | 29 | | Referred to Commerce and Consumer Protection 2.1 Subd. 3.Application.If the application of subdivision 2, paragraph (b), before an enrollee |
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| 30 | 30 | | 2.2has met the enrollee's health plan's deductible would result in: (1) health savings account |
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| 31 | 31 | | 2.3ineligibility under United States Code, title 26, section 223; or (2) catastrophic health plan |
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| 32 | 32 | | 2.4ineligibility under United States Code, title 42, section 18022(e), then subdivision 2, |
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| 33 | 33 | | 2.5paragraph (b), applies to imaging and clinical genetic testing only after the enrollee has met |
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| 34 | 34 | | 2.6the enrollee's health plan's deductible. |
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| 35 | 35 | | 2.7 EFFECTIVE DATE.This section is effective January 1, 2026, and applies to health |
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| 36 | 36 | | 2.8plans offered, issued, or renewed on or after that date. |
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| 37 | 37 | | 2Section 1. |
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| 38 | 38 | | 25-00739 as introduced01/03/25 REVISOR RSI/MI |
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