Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF2075 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	25-00546 as introduced12/24/24 REVISOR RSI/BM
26	26	SENATE
27	27	STATE OF MINNESOTA
28	28	S.F. No. 2075NINETY-FOURTH SESSION
29	29	(SENATE AUTHORS: MANN)
30	30	OFFICIAL STATUSD-PGDATE
31	31	Introduction and first reading03/03/2025
32	32	Referred to Commerce and Consumer Protection 2.1 (1) intensive health behavioral and lifestyle treatment;
33	33	2.2 (2) metabolic and bariatric surgery; and
34	34	2.3 (3) FDA-approved obesity medication.
35	35	2.4 (b) Coverage criteria for FDA-approved obesity medications must not be more restrictive
36	36	2.5than the FDA-approved indications for FDA-approved obesity medications.
37	37	2.6 (c) Coverage under this section must not be different or separate from coverage for any
38	38	2.7other illness, condition, or disorder for purposes of determining deductibles, co-payment
39	39	2.8and coinsurance factors, benefit year maximums for deductibles and co-payment, and
40	40	2.9coinsurance.
41	41	2.10 (d) This section does not prohibit a plan from applying utilization management to
42	42	2.11determine the medical necessity for chronic disease of obesity treatment under this section
43	43	2.12if the appropriateness and medical necessity determinations are made in the same manner
44	44	2.13as appropriateness and medical necessity determinations are made to treat any other illness,
45	45	2.14condition, or disorder covered by a contract.
46	46	2.15 (e) Intensive health behavior and lifestyle treatment may include interventions certified
47	47	2.16by or recognized by the Centers for Disease Control and Prevention or recommended by
48	48	2.17current clinical standards of care. The services may be provided in office, virtual, or
49	49	2.18community-based settings to support patient access and needs.
50	50	2.19 EFFECTIVE DATE.This section is effective January 1, 2027, and applies to health
51	51	2.20plans offered, issued, or renewed on or after that date.
52	52	2.21 Sec. 2. Minnesota Statutes 2024, section 256B.0625, is amended by adding a subdivision
53	53	2.22to read:
54	54	2.23 Subd. 77.Management and treatment of obesity.Medical assistance covers obesity
55	55	2.24management and treatment. Medical assistance must meet the same requirements that apply
56	56	2.25to a health plan under section 62Q.474.
57	57	2.26 EFFECTIVE DATE.This section is effective January 1, 2026, or upon federal approval,
58	58	2.27whichever is later.
59	59	2Sec. 2.
60	60	25-00546 as introduced12/24/24 REVISOR RSI/BM