This bill mandates that health plans in Minnesota provide comprehensive coverage for infertility treatment and standard fertility preservation services, applicable to all plans offering maternity benefits. It ensures unlimited embryo transfers and limits completed oocyte retrievals to four, while maintaining that cost-sharing for infertility services aligns with maternity coverage. Additionally, the bill prohibits any differential limitations or exclusions on fertility medications compared to other prescription drugs. It also amends existing statutes to require medical assistance and MinnesotaCare to cover these infertility services, establishing reimbursement protocols and appropriating necessary funds from the general fund starting in fiscal year 2028.

Furthermore, the bill introduces new definitions related to infertility and fertility preservation, updates the religious objections section to allow eligible organizations to opt out based on religious beliefs, and specifies that medical assistance will continue to cover previously prescribed drugs for the remainder of the calendar year, even if removed from the formulary, under certain conditions. It mandates coverage for infertility diagnosis and treatment while ensuring compliance with existing health plan requirements, and includes appropriations for funding these provisions for fiscal years 2027, 2028, and 2029. The effective date for these changes is set for January 1, 2027, or upon federal approval, with the commissioner of human services responsible for notifying the revisor of statutes once federal approval is obtained.

Statutes affected:
Introduction: 62Q.679, 256B.0625