SF1998

SF1998 (Legislative Session 94 (2025-2026))

Dementia treatment medical services and prescription medications coverage requirement provision and step therapy requirements for medical assistance provision

Related bill: HF1269

AI Generated Summary

This bill mandates that health insurance plans in Minnesota provide coverage for medical services and prescription medications approved by the U.S. Food and Drug Administration (FDA) for the treatment or slowing of dementia. It also requires coverage for diagnostic testing to determine the effectiveness or appropriateness of such treatments. Additionally, the bill prohibits the use of step therapy protocols, which require patients to first try and fail on lower-cost treatments before accessing more expensive options, for dementia treatments. The bill proposes amendments to Minnesota Statutes and introduces new coding under Chapter 62Q.

Bill text versions

Introduction PDF file

Actions

Date	Chamber	Where	Type	Name	Committee Name
February 26, 2025	House	Floor	Action	Introduction and first reading
February 26, 2025	Senate	Floor	Action	Introduction and first reading
February 26, 2025	House	Floor	Action	Referred to	Commerce and Consumer Protection
February 26, 2025	Senate	Floor	Action	Referred to	Commerce and Consumer Protection
March 26, 2025	Senate	Floor	Action	Author added

Citations

[
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Amends existing law regarding step therapy requirements for medical assistance.",
      "modified": [
        "Changes how step therapy is applied, specifically exempting dementia treatment from step therapy protocols."
      ]
    },
    "citation": "256B.0625",
    "subdivision": "subdivision 13f"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "References the definition of step therapy protocol relevant to health plan coverage.",
      "modified": [
        "Specifies exclusion from step therapy for certain dementia treatments."
      ]
    },
    "citation": "62Q.184",
    "subdivision": "subdivision 1"
  }
]