SF3775 (Legislative Session 94 (2025-2026))
MinnesotaCare programs medical assistance coverage of abortion services prohibition, elimination of abortion as a health benefit for health plans other than large group plans, and State Employees Group Insurance Program inclusion of abortion prohibition
Related bill: HF4041
AI Generated Summary
Purpose
This bill changes whether abortion and abortion-related services must be covered by state health programs and plans. It aims to remove abortion coverage from Medical Assistance (MA) and MinnesotaCare, and restrict abortion coverage as a mandatory benefit for health plans, while making specific carve-outs and repealing certain existing requirements.
Main Provisions
- Abortion coverage in MA and MinnesotaCare:
- Eliminates coverage of abortions and abortion-related services in Medical Assistance (MA) and MinnesotaCare programs.
- State employee plans:
- Prohibits coverage of abortions and abortion-related services (including preabortion and follow-up care) in hospital/medical benefits for state employees under the State Employees Group Insurance Program (SEGIP).
- Health plan requirements and carve-outs:
- Amends Minnesota Statutes to make clear when the new restrictions apply to health plans. The bill creates exclusions so that:
- The restrictions do not apply to certain plans such as managed care organizations (MCOs) or county-based purchasing plans when they serve enrollees in public health care programs.
- The restrictions also do not apply to health plans that are not large group health plans.
- This means the abortion coverage prohibition is targeted mainly at large group plans; non-large group plans and some public program plans are exempt from the new restriction.
- Repeals of existing requirements:
- Repeals Minnesota Statutes 2024 section 62Q.524 subdivisions 4 and 5 (reimbursement provisions related to abortion coverage) and repeals Minnesota Statutes 2024 section 256B.0625 subdivision 16 (the MA abortion coverage mandate).
- Appendix note (what was previously required):
- The bill references repealed text that previously described how abortion coverage could be handled and reimbursed under certain conditions, which would no longer apply after this bill.
What Changes Compared to Current Law
- Abortion coverage is removed as a required benefit for MA and MinnesotaCare.
- Abortion coverage is prohibited in state employee health plans (SEGIP).
- Reimbursement mechanisms and mandates tied to abortion coverage are repealed.
- The reach of the restriction is narrowed by carve-outs, so not all plans are affected (non-large group plans and some public program plans may continue to set their own coverage decisions).
Potential Impacts
- Access to abortion services for enrollees in MA and MinnesotaCare could be reduced.
- Large group health plans would be the primary plans still subject to the new restriction; non-large group plans may retain more flexibility.
- State employee benefits would no longer include abortion coverage.
- Administrative changes will be needed to align with repealed sections and new exclusions.
Relevant Terms
abortion, abortion-related services, preabortion services, follow-up services, medical assistance (MA), MinnesotaCare, State Employees Group Insurance Program (SEGIP), large group health plan, non-large group health plan, health plan, mandatory health benefit, exclusions, repeal, reimbursement, commissioner of commerce, managed care organizations (MCOs), county-based purchasing plans, public health care program enrollees, 62Q.524, 256B.0625.
Bill text versions
- Introduction PDF PDF file
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| February 23, 2026 | Senate | Action | Introduction and first reading | ||
| February 23, 2026 | Senate | Action | Referred to | Commerce and Consumer Protection |
Citations
[
{
"analysis": {
"added": [],
"removed": [],
"summary": "Amends health benefits provisions to prohibit coverage of abortions or abortion-related services under state employee health plans; references to broader health plan offerings through sections 43A.22 to 43A.31.",
"modified": []
},
"citation": "43A.22",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Cites the range of statutes governing hospital and medical plans offered in Minnesota (43A.22 through 43A.31) in the context of self-insurance and quality-of-care considerations.",
"modified": []
},
"citation": "43A.22 to 43A.31",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Exclusions related to abortion coverage; outlines which plans are excluded from abortion coverage, with exceptions for certain public program enrollees and for non-large-group plans.",
"modified": []
},
"citation": "62Q.524",
"subdivision": "Subd. 3"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Reimbursement provisions for health plan companies related to the abortion coverage requirements; references to compliance and the Federal CFR framework.",
"modified": []
},
"citation": "62Q.524",
"subdivision": "Subd. 4"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Appropriation to reimburse health plan companies for providing coverage under the abortion-related requirements.",
"modified": []
},
"citation": "62Q.524",
"subdivision": "Subd. 5"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Abortion services language indicating Medical Assistance covers abortions and abortion-related services, including preabortion and follow-up services.",
"modified": []
},
"citation": "256B.0625",
"subdivision": "Subd. 16"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "Federal regulation cited for the reimbursement framework related to abortion coverage (Code of Federal Regulations Title 45, Section 155.170).",
"modified": []
},
"citation": "45 CFR 155.170",
"subdivision": ""
}
]Progress through the legislative process
In Committee