Commissioner of commerce required to defray costs to health plan companies for additional benefits.
Impact
If enacted, HF1158 mandates a structured approach for evaluating changes in health benefits and their associated costs. The commissioner must notify health plan companies about any changes that may lead to increased premiums and requires them to submit a report detailing the costs. The funding for these cost defrayals must come from legitimate sources, ensuring that any additional assessments do not unfairly burden the healthcare system or consumers. This provision is crucial for maintaining the financial stability of health plans while expanding benefits.
Summary
House File 1158 (HF1158) establishes requirements for the commissioner of commerce in Minnesota to defray costs incurred by health plan companies that arise from providing additional benefits. The bill modifies existing provisions of the Minnesota Statutes, specifically section 62J.26, to add a subdivision focused on the financial responsibilities that the commissioner must undertake to support health plans under specific conditions. This initiative particularly emphasizes compliance with actuarial standards when calculating eligible costs for reimbursement.
Contention
Discussions surrounding HF1158 may revolve around the implications of increased regulatory oversight on health plans and the financial responsibilities of the state. Advocates argue that the bill is a necessary step to ensure consumers receive enhanced benefits without detrimental impacts on the affordability of health insurance. Critics, however, may express concerns regarding the potential for budgetary strains on state resources due to the increased financial obligations imposed on the commissioner. The balance between supporting health plans and ensuring sustainable state expenditure is likely to be a point of contention.
Commissioner of commerce requirement to conduct an evaluation of existing statutory health benefit mandates under the process set forth in Minnesota Statutes
Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.
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.
Commissioner of commerce required to conduct an evaluation of existing statutory health benefit mandates under process set forth in Minnesota Statutes, section 62J.26; and money appropriated.