Minnesota 2025-2026 Regular Session

Minnesota House Bill HF1487

Introduced
2/24/25  

Caption

Data on fully denied claims required to be submitted to the all-payer claims database, fee schedule for expanded access to data in the all-payer claims database established, and money appropriated.

Impact

The passage of HF1487 represents a significant shift in how healthcare claims data will be reported and utilized in Minnesota. By requiring the inclusion of specific details related to denied claims, such as denial reasons and claim line status, the bill seeks to enhance the granularity and utility of data available to the Department of Health. This could foster improvements in healthcare access and quality, as stakeholders will be better positioned to identify problematic areas in claim processing and reimbursement practices.

Summary

House File 1487 is a Minnesota legislative proposal that mandates the submission of data on fully denied healthcare claims to the state's all-payer claims database. The bill aims to improve healthcare transparency and accountability by establishing a specific fee schedule for accessing this data, thereby allowing better monitoring of denials that healthcare providers face. The information collected will serve various stakeholders, including researchers, policy makers, and healthcare providers, in understanding trends related to claim denials, potentially driving improvements in insurance practices and healthcare delivery.

Contention

Notably, concerns have been raised regarding data privacy and the potential for misuse of sensitive health information. The legislation includes provisions to protect individual privacy by ensuring that submitted data are de-identified and emphasizing that any analysis or reports published will not identify individual patients. Critics argue, however, that even with these safeguards, the possibility of reidentification exists, creating a tension between the goals of transparency and maintaining patient confidentiality. This debate underscores the challenges of balancing the benefits of greater data access with the imperative to protect individuals' private health information.

Companion Bills

MN SF2104

Similar To Data on fully denied claims requirement to be submitted to the all-payer claims database

Previously Filed As

MN SF2153

All-payer claims database sunset repeal

MN HF481

Data collected under the all-payer claims database and uses of this data modified, and commissioner of health required to study and report on systems used by health plan companies and third-party administrators to pay health care providers.

MN SF302

Disclosure of certain payments made to health care providers requirement; all-payer claims data provision modification; transparency of health care payments report requirement

MN HF926

Payments made to health care providers disclosure required, self-insurer governing provision added, all-payer claims data provision changed, and transparency of health care payments report required.

MN HF402

Health care entity transaction requirements established, health care transaction data reported, expiration date changed on moratorium conversion transactions, health system required to return charitable assets received from the state to the general fund, study required on regulation of transactions, and report required.

MN HF2961

Foster care licensing requirements modified for Tribal licensees, council membership expanded, required county performance added on child protection measures, Indian child welfare primary support grants modified, Indian Child Welfare Act compliance system review requirements modified, Indian child welfare compliance tracking database development and maintenance required, and money appropriated.

MN HF1436

Programs to address health and human services workforce shortage expanded and established, reports required, and money appropriated.

MN HF4464

Statewide landlord database created, and civil penalty created for failure to register with statewide landlord database.

MN HF1043

Task Force on Disability Services Accessibility and pilot project established, report required, and money appropriated.

MN SF5355

Clean water, climate-smart, and soil healthy farming goals establishment; pilot program to provide financial incentives for certain farming practices in southeastern Minnesota creation; fertilizer fee extension; data classification and collection requirement; appropriating money

Similar Bills

MN SF2104

Data on fully denied claims requirement to be submitted to the all-payer claims database

CA AB701

Warehouse distribution centers.

CA SB984

State boards and commissions: representation: appointments.

MN HF926

Payments made to health care providers disclosure required, self-insurer governing provision added, all-payer claims data provision changed, and transparency of health care payments report required.

MN HF4676

Disqualification of individuals subject to human services background studies with expunged criminal records prohibited.

MN SF4332

Disqualification prohibition of individuals subject to human services background studies with expunged criminal records

MN SF1048

Disqualification prohibition of individuals subject to human services background studies with expunged criminal records

CA AB931

Local boards and commissions: representation: appointments.