MN HF1041

Health plans must cover reconstructive breast surgery for patients diagnosed with ectodermal dysplasia who have congenitally absent breast tissue or nipples, effective January 1, 2020.

Health plans must provide coverage for scalp hair prostheses for hair loss caused by ectodermal dysplasias, limited to one prosthesis per benefit year and subject to standard cost-sharing requirements.

Health plans must cover dental treatments related to ectodermal dysplasias including bone grafts, dental implants, orthodontia, dental prosthodontics, and dental maintenance, with coverage being secondary if also covered under a separate dental plan.

Medical assistance and MinnesotaCare programs must provide coverage for treatment of ectodermal dysplasias meeting the same requirements as private health plans.

Defines ectodermal dysplasias as a genetic disorder involving absence or deficiency of tissues derived from the embryonic ectoderm; all coverage requirements apply to health plans offered, issued, or sold on or after January 1, 2020.