Inherited metabolic diseases coverage by health plans requirement provision

SF 1023 requires health insurance plans in Minnesota to cover medically necessary treatments for inherited metabolic diseases, including medical foods and low-protein modified food products. This directly affects individuals diagnosed with conditions like phenylketonuria (PKU) and their health insurance providers. The bill mandates that coverage cannot include special limitations such as cost-sharing, prior authorization, or delays specific to these treatments, requiring them to be covered similarly to other plan benefits. It defines "inherited metabolic disease" as a condition caused by an inherited metabolic abnormality and specifies "medical foods" as specially formulated products for dietary treatment under physician direction. The law applies to all health plans and aligns Medicaid coverage for these treatments with the same requirements.