SF 5187 Minnesota Senate · 2025-2026 Regular Session

Use of step therapy protocols prohibition for the treatment of neurological conditions

This Minnesota bill prohibits health insurance plans from using step therapy protocols to limit coverage for FDA-approved drugs treating neurological conditions. It directly affects people with neurological disorders and the health plans that cover them by requiring insurers to pay for these medications if they are on the plan's formulary and align with official medical guidelines. The law defines neurological conditions as any disorder causing neurological impairment and specifies that coverage cannot be denied based on step therapy if the drug is approved for the patient's specific condition and supported by clinical practice guidelines. The policy change will take effect on January 1, 2027, applying to any health plans offered, issued, or renewed on or after that date.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2026
Committee Review
Floor Vote
Governor
Introduced Apr 21, 2026 Last action Apr 22, 2026
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Full legislative history

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Total actions
3
Key actions
0
Committee
1
Apr 21, 2026
Committee
Referred to Commerce and Consumer Protection
upper
Apr 21, 2026
Introduced
Introduction and first reading
upper
1 primary · 1 co-sponsor

Sponsors