SF1023

Senate Bill S.F. No. 1023 is a proposal that mandates health insurance plans in Minnesota to cover treatments for inherited metabolic diseases. These diseases are caused by genetic abnormalities that affect a person's metabolism. The bill specifically requires health insurance to include coverage for medical foods and specially formulated low-protein food products that are necessary for managing these conditions. Under this bill, these food products must be used under the direction of a physician and are not to include naturally low-protein regular foods.

The proposed legislation also stipulates that health plans should not apply any coverage limitations or requirements—like cost sharing or prior authorization—that are not imposed on other types of medical coverage within the same plan. Furthermore, the bill amends existing statutes to ensure that medical assistance programs also cover the necessary treatment for inherited metabolic diseases, aligning their coverage requirements with those mandated for private insurance plans under this new bill.