This bill mandates that all health plans in Minnesota cover pap tests and any subsequent diagnostic services deemed medically necessary by a healthcare provider based on the results of the pap test. It prohibits health plans from imposing any cost-sharing requirements, such as deductibles, co-payments, or coinsurance, for these services. Additionally, the bill restricts health plans from implementing review or referral limitations and quantity limitations on the coverage of these services. The commissioner of commerce is tasked with reimbursing health plan companies for the costs associated with this coverage, and an annual appropriation from the general fund is designated to support these reimbursements starting in fiscal year 2028.

Furthermore, the bill modifies existing language in the medical assistance program to include coverage for pap tests and related diagnostic services. It establishes that medical assistance must adhere to the same coverage requirements as health plans, with exceptions to ensure compliance with federal financial participation and to maintain coverage levels for enrollees. The effective date for these provisions is set for January 1, 2027, or upon federal approval, whichever occurs later.

Statutes affected:
Introduction: 256B.0625