MN SF4502

Prohibits health plans from imposing any quantity limitations on coverage for home care nursing services for individuals who are dually enrolled in both a private health plan and Medical Assistance

Requires health plans to use the term "home care nursing services" consistently in all policy documents, utilization review policies, claims forms, and communications to enrollees and providers

Defines home care nursing services as ongoing, continuous nursing care ordered by a physician or advanced practice provider, delivered by RNs or LPNs, that is medically necessary and cannot be safely met through intermittent or visit-based services

Applies to individuals with dual coverage under private insurance and Minnesota Medical Assistance (Chapter 256B)

Quantity limit prohibition takes effect January 1, 2026 for new and renewed policies; terminology and definition requirements take effect August 1, 2026