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Some Minnesota insurers are limiting home care nursing coverage. One lawmaker wants to stop that
The bill would bar health plans from capping covered nursing hours after families said limits forced some children toward hospitalization.
- Sen. Liz Boldon, DFL-Rochester, introduced legislation to bar health plans from capping home care nursing services for patients with complex medical needs. "Private health insurance companies must cover this care," Boldon said.
- Two health insurers, Medica and HealthPartners, have capped nursing hours for enrollees with supplemental Medical Assistance. The shift affects 200 to 250 Minnesota families, some hitting coverage limits this spring and forced to exhaust Waiver funds.
- Brandon and Emily Walter, parents of 5-year-old Chase, said their son requires 84 hours of nursing weekly. Families sacrifice precious Waiver dollars for non-medical needs like home modifications when insurance coverage ends.
- HealthPartners opposes the legislation, stating it will "significantly raise healthcare premiums for individuals and families." While the bill advanced in the Minnesota Senate, its House companion failed to pass out of committee.
- If enacted, the law would be retroactive to Jan. 1, 2026, ensuring coverage for children entitled to these services. Sen. Liz Boldon remains hopeful the measure will survive the conference committee process for Gov. Tim Walz.
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Some Minnesota insurers are limiting home care nursing coverage. One lawmaker wants to stop that
ST. PAUL — A Rochester lawmaker aims to reinforce a 2010 Minnesota law that requires health insurance to cover home care nursing services for people — often children — with complex medical needs. "Private health insurance companies must cover this care," said Sen. Liz Boldon, DFL-Rochester, chief author of SF 4502. "That is the law. They should be doing it." The issue, Boldon said, is that this year, two health insurers, Medica and HealthPartner…
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Leaning Left0Leaning Right7Center3Last UpdatedBias Distribution70% Right
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C 30%
R 70%
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