The bill amends Minnesota Statutes 2024, section 62M.07, subdivision 2, to prohibit prior authorization requirements for certain health services. Specifically, it maintains existing prohibitions on prior authorization for emergency services, outpatient mental health and substance use disorder treatments (excluding medications), antineoplastic cancer treatments (excluding medications), preventive services with high ratings from the United States Preventive Services Task Force, pediatric hospice services, and treatments through neonatal abstinence programs.

Additionally, the bill introduces a new provision that prohibits prior authorization for any service, item, or treatment for which a health plan company's liability would be equal to or less than $100 if approved. This change aims to streamline access to low-cost health services and reduce administrative burdens for both patients and healthcare providers.

Statutes affected:
Introduction: 62M.07