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 requires health insurance plans in Minnesota to cover all medical services and FDA-approved prescription medications used to treat or slow the progression of dementia. It also mandates coverage for diagnostic testing to determine the effectiveness of treatments for dementia. Additionally, the bill prohibits the use of step therapy protocols, which require patients to try and fail lower-cost treatments before accessing prescribed medications, for dementia-related treatments. The bill also modifies step therapy requirements for the state's Medical Assistance program.

Bill text versions

Introduction PDF file

Actions

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

Citations

[
  {
    "analysis": {
      "added": [
        "A specific requirement for dementia-related treatments and medications."
      ],
      "removed": [],
      "summary": "This bill modifies step therapy requirements for medical assistance under section 256B.0625, subdivision 13f.",
      "modified": [
        "Streamlines authorization process for dementia medications by eliminating step therapy protocols."
      ]
    },
    "citation": "256B.0625, subdivision 13f"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "The bill references step therapy protocol definitions under section 62Q.184, subdivision 1.",
      "modified": [
        "Clarifies the prohibition of step therapy protocols in the context of dementia coverage."
      ]
    },
    "citation": "62Q.184, subdivision 1"
  }
]