The bill amends Minnesota Statutes 2024, section 62Q.545, to enhance the coverage of home care nursing services under health plans for individuals who are also enrolled in medical assistance. It mandates that health plans cover all prescribed, medically necessary home care nursing services, while allowing for cost-sharing requirements that do not impose a greater financial burden than those for similar services. Additionally, the bill prohibits health plans from imposing any quantity limitations on the coverage of these services.

The bill also includes provisions that require health plans to consistently refer to these services as "home care nursing services" in all related documentation and defines the criteria for what constitutes home care nursing services. This definition includes services that are ordered by qualified medical professionals, provided by licensed nurses, and necessary for maintaining or restoring health due to medical complexity. The effective date for the mandated coverage is retroactive to January 1, 2026, while the terminology provisions will take effect on August 1, 2026.

Statutes affected:
2nd Engrossment: 62Q.545