MN HF1859

Health plans must provide coverage for pasteurized donated human breast milk and human milk fortifiers if prescribed by a healthcare provider, effective January 1, 2020.

Coverage is required only for infants under six months of age who are medically unable to receive maternal breast milk, have below-healthy body weight, have high-risk congenital or acquired conditions, or conditions that may benefit from human breast milk as determined by the commissioner of health.

Milk must be obtained from a human milk bank meeting quality guidelines established by the commissioner of health and prescribed by a healthcare provider via written order.

Cost-sharing requirements such as co-pays, deductibles, and coinsurance must be the same as those for similar benefits, and health plans may still conduct utilization reviews for medical necessity.

Medical assistance programs, county-based purchasing plans under chapters 256B or 256L, and integrated health partnerships are included in the coverage requirements.