Coverage of medical services and prescription medications for the treatment of dementia required, and step therapy requirements for medical assistance modified.

Minnesota's HF 1269 requires health insurance plans to cover all FDA-approved medical services and prescription medications for treating dementia, including diagnostic tests to assess treatment effectiveness. It also prohibits health plans from using "step therapy" (requiring patients to try cheaper drugs first) for dementia treatments. The bill modifies prior authorization rules for certain medications, ensuring automatic 60-day coverage for brand-name mental health drugs when generics become available, and streamlines approval for oral liquid drugs used with feeding tubes. These changes apply to health plans offered in Minnesota starting January 1, 2026.