SF2075 (Legislative Session 94 (2025-2026))

Health plans coverage of the management and treatment of obesity requirement

Related bill: HF690

AI Generated Summary

This bill, S.F. No. 2075, introduced in the Minnesota Senate, mandates that health insurance plans cover the management and treatment of obesity. It includes the following key provisions:

  1. Definitions:

    • Intensive health behavior and lifestyle treatment: Evidence-based interventions for weight management, delivered in person or via telehealth.
    • FDA-approved obesity medication: Medications approved by the U.S. Food and Drug Administration for chronic weight management in patients with an obesity diagnosis.
    • Metabolic and bariatric surgery: Surgical interventions recognized by national and international obesity surgery organizations.
  2. Required Coverage:

    • Health insurance plans must cover the diagnosis and treatment of obesity, including:
      1. Intensive health behavioral and lifestyle treatment.
      2. Metabolic and bariatric surgery.
      3. FDA-approved obesity medication.
    • Coverage requirements for obesity medications cannot be more restrictive than FDA-approved indications for their use.
    • Coverage for obesity treatment must not be subject to different deductibles, copayments, or coinsurance rules than coverage for other medical conditions.
    • Plans can apply utilization management (such as prior authorization) but must do so consistently with how they assess other medical conditions.
    • Lifestyle and behavioral treatments may include evidence-based programs, recommended by entities like the Centers for Disease Control and Prevention (CDC) and delivered in-office, virtually, or in community-based settings for accessibility.

This bill ensures that obesity is treated as a chronic disease with the same coverage protections as other medical conditions. It seeks to improve patient access to necessary treatments and reduce barriers to care.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 02, 2025SenateFloorActionIntroduction and first reading
March 02, 2025SenateFloorActionReferred toCommerce and Consumer Protection
March 05, 2025SenateFloorActionAuthors added