Caryn Addante Testifies on HF4053 "Health Care Coverage" for Abortion.

A bill for an act
relating to insurance; requiring health plan coverage of abortions and
abortion-related services; requiring medical assistance coverage of abortions and
abortion-related services; making conforming changes; amending Minnesota
Statutes 2022, sections 62D.02, subdivision 7; 62D.20, subdivision 1; 62D.22,
subdivision 5; 62Q.14; Minnesota Statutes 2023 Supplement, section 256B.0625,
subdivision 16; proposing coding for new law in Minnesota Statutes, chapter 62Q;
repealing Minnesota Statutes 2022, section 62A.041, subdivision 3.

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

Section 1. Minnesota Statutes 2022, section 62D.02, subdivision 7, is amended to read:
Subd. 7. Comprehensive health maintenance services. "Comprehensive health
maintenance services" means a set of comprehensive health services which the enrollees
might reasonably require to be maintained in good health including as a minimum, but not
limited to, emergency care, emergency ground ambulance transportation services, inpatient
hospital and physician care, outpatient health services and preventive health services.
deleted text beginElective, induced abortion, except as medically necessary to prevent the death of the mother,
whether performed in a hospital, other abortion facility or the office of a physician, shall
not be mandatory for any health maintenance organization.
deleted text end
new text beginEFFECTIVE DATE. new text endnew text beginThis section is effective January 1, 2025, and applies to health
plans offered, sold, issued, or renewed on or after that date.
new text end
Sec. 2. Minnesota Statutes 2022, section 62D.20, subdivision 1, is amended to read:
Subdivision 1. Rulemaking. The commissioner of health may, pursuant to chapter 14,
promulgate such reasonable rules as are necessary or proper to carry out the provisions of
sections 62D.01 to 62D.30. Included among such rules shall be those which provide minimum
requirements for the provision of comprehensive health maintenance services, as defined
in section 62D.02, subdivision 7, and reasonable exclusions therefrom. deleted text beginNothing in such
rules shall force or require a health maintenance organization to provide elective, induced
abortions, except as medically necessary to prevent the death of the mother, whether
performed in a hospital, other abortion facility, or the office of a physician; the rules shall
provide every health maintenance organization the option of excluding or including elective,
induced abortions, except as medically necessary to prevent the death of the mother, as part
of its comprehensive health maintenance services.
deleted text end
new text beginEFFECTIVE DATE. new text endnew text beginThis section is effective January 1, 2025, and applies to health
plans offered, sold, issued, or renewed on or after that date.
new text end
Sec. 3. Minnesota Statutes 2022, section 62D.22, subdivision 5, is amended to read:
Subd. 5. Other state law. Except as otherwise provided in sections 62A.01 to 62A.42
and 62D.01 to 62D.30, deleted text beginand except as they eliminate elective, induced abortions, wherever
performed, from health or maternity benefits,deleted text end provisions of the insurance laws and provisions
of nonprofit health service plan corporation laws shall not be applicable to any health
maintenance organization granted a certificate of authority under sections 62D.01 to 62D.30.
new text beginEFFECTIVE DATE. new text endnew text beginThis section is effective January 1, 2025, and applies to health
plans offered, sold, issued, or renewed on or after that date.
new text end
Sec. 4. Minnesota Statutes 2022, section 62Q.14, is amended to read:
62Q.14 RESTRICTIONS ON ENROLLEE SERVICES.
No health plan company may restrict the choice of an enrollee as to where the enrollee
receives services related to:

(1) the voluntary planning of the conception and bearing of childrendeleted text begin, provided that this
clause does not refer to abortion servicesdeleted text end;

(2) the diagnosis of infertility;

(3) the testing and treatment of a sexually transmitted disease; and

(4) the testing for AIDS or other HIV-related conditions.

new text beginEFFECTIVE DATE.new text end
new text beginThis section is effective January 1, 2025, and applies to health
plans offered, sold, issued, or renewed on or after that date.
new text end
Sec. 5. new text begin[62Q.524] COVERAGE OF ABORTIONS AND ABORTION-RELATED
SERVICES.
new text end
new text beginSubdivision 1. new text endnew text beginDefinition. new text endnew text beginFor purposes of this section, "abortion" means any medical
treatment intended to induce the termination of a pregnancy with a purpose other than
producing a live birth.
new text end
new text beginSubd. 2. new text endnew text beginRequired coverage; cost-sharing. new text endnew text begin(a) A health plan must provide coverage
for abortions and abortion-related services, including preabortion services and follow-up