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Parents, advocates and sponsor press committee to clarify law after insurers cap private-duty nursing
Summary
Parents of medically complex children told a Minnesota conference committee that insurers have reclassified continuous private‑duty nursing as brief 'visits,' leaving children hospitalized and families appealing; a sponsor said a statutory clarification would restore 2010 intent and prevent cost‑shifting to Medicaid.
Parents of medically complex children urged members of a Minnesota conference committee to adopt a statutory clarification after commercial insurers this year began limiting coverage for continuous private‑duty nursing, testimony showed.
"Medica began referring to Gwen's 24 hour a day ICU level care as visits," said Nick Keys, who identified himself as the father of a 5‑year‑old, Guinevere. Keys told the committee his daughter was hospitalized March 3 and that "Medica's coverage cap took effect on March 31," reducing an assessed need of 127 hours per week to "240 hours per year," which he said "is not enough to keep a child like my daughter alive and safely at…
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