SF 1101 Minnesota Senate · 2025-2026 Regular Session

Augmentative and alternative communication systems coverage requirement provision and appropriation

This bill requires all health insurance plans in Minnesota to cover augmentative and alternative communication (AAC) systems - devices that help people with severe speech disabilities communicate - as well as related habilitation services (like speech therapy for using these devices). It mandates coverage for medically necessary AAC systems and therapy without separate financial barriers or limits, and prohibits denials based on disability. Health plans must report costs to the Commerce Commissioner, who will reimburse them for coverage added by the law (not existing coverage). The law takes effect January 1, 2026, applying to all health plans offered, issued, or renewed after that date.
Bill status in committee 1 of 4 stages cleared
Introduction
Feb 2025
Committee Review
Floor Vote
Governor
Introduced Feb 6, 2025 Last action Mar 9, 2026
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What changed between versions

Introduction 1st Engrossment · 4 edits · Mar 9, 2026
MODERATE
The bill was updated from its introduction to its first engrossment version, reflecting a one-year delay in the effective date of coverage requirements from 2026 to 2027. Additionally, the definition of eligible costs for state reimbursement was expanded to include repair and replacement services, and the baseline for calculating those costs was shifted to January 1, 2026, instead of 2025.
Scope change
The bill's applicability was delayed by one year, moving the start of mandatory coverage and related reimbursement calculations from January 1, 2026, to January 1, 2027.
TIMELINE

The effective date for the new coverage requirements and associated reimbursement rules was postponed from January 1, 2026, to January 1, 2027.

The baseline date used to determine a health plan's existing coverage (to calculate reimbursement eligibility) was moved from January 1, 2025, to January 1, 2026.

ELIGIBILITY

The definition of 'additional benefit' eligible for state reimbursement was expanded to explicitly include repair and replacement of communication systems, not just new purchases.

REQUIREMENT

The requirement for health plans to cover these systems was clarified to ensure it is provided 'in the same manner' as existing Minnesota Health Care Programs coverage.

Floor votes

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Full legislative history

Actions timeline

Total actions
4
Key actions
1
Committee
2
Mar 9, 2026
Upper · Passed
Comm report: To pass as amended and re-refer to Health and Human Services
upper
Feb 6, 2025
Committee
Referred to Commerce and Consumer Protection
upper
Feb 6, 2025
Introduced
Introduction and first reading
upper
1 primary · 2 co-sponsors

Sponsors