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HF4347 • 2026

Quantity limits on coverage for home care nursing services prohibited, and home care nursing services defined.

Quantity limits on coverage for home care nursing services prohibited, and home care nursing services defined.

Passed Legislature

This bill passed both chambers and reached final enrollment, even if later executive action is not shown here.

Sponsor
Bierman, Scott, Curran, Huot, Koegel, Noor, Elkins, Reyer, Robbins, Johnson, P.
Last action
2026-04-13
Official status
Author added Johnson, P.
Effective date
Not listed

Plain English Breakdown

The plain English breakdown is still being put together. The official documents below are already here.

Bill History

  1. 2026-04-13 House

    Author added Johnson, P.

  2. 2026-04-07 House

    Author added Robbins

  3. 2026-03-23 House

    Author added Reyer

  4. 2026-03-18 House

    Author added Elkins

  5. 2026-03-16 House

    Introduction and first reading, referred to Commerce Finance and Policy

Official Summary Text

Quantity limits on coverage for home care nursing services prohibited, and home care nursing services defined.

Current Bill Text

Read the full stored bill text
A bill for an act

relating to health insurance; prohibiting quantity limits on coverage for home care

nursing services; defining home care nursing services; amending Minnesota Statutes

2024, section 62Q.545.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2024, section 62Q.545, is amended to read:

62Q.545 COVERAGE OF HOME CARE NURSING.

(a) Home care nursing services, as provided under section
256B.0625, subdivision 7
,

with the exception of section
256B.0654, subdivision 4
, shall be covered under a health

plan for persons who are concurrently covered by both the health plan and enrolled in

medical assistance under chapter 256B.

(b) For purposes of this section, a period of home care nursing services may be subject

to the co-payment, coinsurance, deductible, or other enrollee cost-sharing requirements that

apply under the health plan. Cost-sharing requirements for home care nursing services must

not place a greater financial burden on the insured or enrollee than those requirements

applied by the health plan to other similar services or benefits. Nothing in this section is

intended to prevent a health plan company from requiring prior authorization by the health

plan company for such services as required by section
256B.0625, subdivision 7
, or use of

contracted providers under the applicable provisions of the health plan.

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(c) Notwithstanding section 62J.26, a health plan must not impose any quantity limitation

on the coverage under this section.

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(d) Notwithstanding section 62J.26, a health plan must refer to all services meeting the

definition of home care nursing services in paragraph (e) as home care nursing services in

the health plan's policy, certificate, contract, or other evidence of coverage and related

documents, including but not limited to utilization review policies, claims forms, instructions,

and communications to enrollees and providers.

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(e) For purposes of this section, "home care nursing services" means ongoing, individual,

and continuous nursing services that are:

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(1) ordered by a physician, advanced practice registered nurse, or physician assistant;

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(2) provided by a registered nurse or licensed practical nurse acting within the provider's

scope of practice;

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(3) medically necessary to maintain, stabilize, or restore the recipient's health due to

medical complexity or the need for sustained skilled nursing assessment, intervention, or

monitoring; and

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(4) required for a duration or frequency that cannot be safely or effectively met through

intermittent, episodic, or visit-based nursing services.

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EFFECTIVE DATE.

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Paragraph (c) is effective January 1, 2026, and applies to policies

issued, offered, or renewed and causes of action accruing on or after that date. Paragraphs

(d) and (e) are effective August 1, 2026.

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