Minnesota 2023-2024 Regular Session

Minnesota House Bill HF293 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		1.1 A bill for an act
2	2		1.2 relating to health; requiring medical and dental practices to make available to the
3	3		1.3 public their current standard charges; authorizing the commissioner of health to
4	4		1.4 establish a price comparison tool for items and services offered by medical and
5	5		1.5 dental practices; proposing coding for new law in Minnesota Statutes, chapter 62J.
6	6		1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
7	7		1.7 Section 1. [62J.826] MEDICAL AND DENTAL PRACTICES; CURRENT
8	8		1.8STANDARD CHARGES; COMPARISON TOOL.
9	9		1.9 Subdivision 1.Definitions.(a) The definitions in this subdivision apply to this section.
10	10		1.10 (b) "CDT code" means a code value drawn from the Code on Dental Procedures and
11	11		1.11Nomenclature published by the American Dental Association.
12	12		1.12 (c) "Chargemaster" means the list of all individual items and services maintained by a
13	13		1.13medical or dental practice for which the medical or dental practice has established a charge.
14	14		1.14 (d) "Commissioner" means the commissioner of health.
15	15		1.15 (e) "CPT code" means a code value drawn from the Current Procedural Terminology
16	16		1.16published by the American Medical Association.
17	17		1.17 (f) "Dental service" means a service charged using a CDT code.
18	18		1.18 (g) "Diagnostic laboratory testing" means a service charged using a CPT code within
19	19		1.19the CPT code range of 80047 to 89398.
20	20		1.20 (h) "Diagnostic radiology service" means a service charged using a CPT code within
21	21		1.21the CPT code range of 70010 to 79999 and includes the provision of x-rays, computed
22	22		1Section 1.
23		-	REVISOR SGS ~~H0293-1~~~~HF293 FIRST ENGROSSMENT~~
	23	+	REVISOR SGS/NS 23-0071212/02/22
24	24		State of Minnesota
25	25		This Document can be made available
26	26		in alternative formats upon request
27	27		HOUSE OF REPRESENTATIVES
28	28		H. F. No. 293
29	29		NINETY-THIRD SESSION
30		-	Authored by Elkins, Bahner and Her01/11/2023
31		-	The bill was read for the first time and referred to the Committee on Health Finance and Policy
32		-	Adoption of Report: Re-referred to the Committee on Commerce Finance and Policy02/01/2023
33		-	Adoption of Report: Amended and re-referred to the Committee on Health Finance and Policy02/15/2023 2.1tomography scans, positron emission tomography scans, magnetic resonance imaging scans,
	30	+	Authored by Elkins and Bahner01/11/2023
	31	+	The bill was read for the first time and referred to the Committee on Health Finance and Policy 2.1tomography scans, positron emission tomography scans, magnetic resonance imaging scans,
34	32		2.2and mammographies.
35	33		2.3 (i) "Hospital" means an acute care institution licensed under sections 144.50 to 144.58,
36	34		2.4but does not include a health care institution conducted for those who rely primarily upon
37	35		2.5treatment by prayer or spiritual means in accordance with the creed or tenets of any church
38	36		2.6or denomination.
39	37		2.7 (j) "Medical or dental practice" means a business that:
40	38		2.8 (1) earns revenue by providing medical care or dental services to the public;
41	39		2.9 (2) issues payment claims to health plan companies and other payers; and
42	40		2.10 (3) may be identified by its federal tax identification number.
43	41		2.11 (k) "Outpatient surgical center" means a health care facility other than a hospital offering
44	42		2.12elective outpatient surgery under a license issued under sections 144.50 to 144.58.
45		-	2.13 (l) "Standard charge" has the meaning given in Code of Federal Regulations, title 45,
46		-	2.14section 180.20.
47		-	2.15 Subd. 2.Requirement; current standard charges.The following medical or dental
48		-	2.16practices must make available to the public a list of their current standard charges, as reflected
49		-	2.17in the medical or dental practice's chargemaster, for all items and services provided by the
50		-	2.18medical or dental practice:
51		-	2.19 (1) hospitals;
52		-	2.20 (2) outpatient surgical centers; and
53		-	2.21 (3) any other medical or dental practice that has revenue of greater than $50,000,000
54		-	2.22per year and that derives the majority of its revenue by providing one or more of the following
55		-	2.23services:
56		-	2.24 (i) diagnostic radiology services;
57		-	2.25 (ii) diagnostic laboratory testing;
58		-	2.26 (iii) orthopedic surgical procedures, including joint arthroplasty procedures within the
59		-	2.27CPT code range of 26990 to 27899;
60		-	2.28 (iv) ophthalmologic surgical procedures, including cataract surgery coded using CPT
61		-	2.29code 66982 or 66984, or refractive correction surgery to improve visual acuity;
	43	+	2.13 Subd. 2.Requirement; current standard charges.The following medical or dental
	44	+	2.14practices must make available to the public a list of their current standard charges, as reflected
	45	+	2.15in the medical or dental practice's chargemaster, for all items and services provided by the
	46	+	2.16medical or dental practice:
	47	+	2.17 (1) hospitals;
	48	+	2.18 (2) outpatient surgical centers; and
	49	+	2.19 (3) any other medical or dental practice that has revenue of greater than $50,000,000
	50	+	2.20per year and that derives the majority of its revenue by providing one or more of the following
	51	+	2.21services:
	52	+	2.22 (i) diagnostic radiology services;
	53	+	2.23 (ii) diagnostic laboratory testing;
	54	+	2.24 (iii) orthopedic surgical procedures, including joint arthroplasty procedures within the
	55	+	2.25CPT code range of 26990 to 27899;
	56	+	2.26 (iv) ophthalmologic surgical procedures, including cataract surgery coded using CPT
	57	+	2.27code 66982 or 66984, or refractive correction surgery to improve visual acuity;
	58	+	2.28 (v) anesthesia services commonly provided as an ancillary to services provided at a
	59	+	2.29hospital, outpatient surgical center, or medical practice that provides orthopedic surgical
	60	+	2.30procedures or ophthalmologic surgical procedures;
62	61		2Section 1.
63		-	REVISOR SGS H0293-1HF293 FIRST ENGROSSMENT 3.1 (v) anesthesia services commonly provided as an ancillary to services provided at a
64		-	3.2hospital, outpatient surgical center, or medical practice that provides orthopedic surgical
65		-	3.3procedures or ophthalmologic surgical procedures;
66		-	3.4 (vi) oncology services, including radiation oncology treatments within the CPT code
67		-	3.5range of 77261 to 77799 and drug infusions; or
68		-	3.6 (vii) dental services.
69		-	3.7 Subd. 3.Required file format and content.(a) A medical or dental practice that is
70		-	3.8subject to this section must make available to the public, and must report to the commissioner,
71		-	3.9current standard charges using the format and data elements specified in the currently
72		-	3.10effective version of the Hospital Price Transparency Sample Format (Tall) (CSV) and related
73		-	3.11data dictionary recommended for hospitals by the Centers for Medicare and Medicaid
74		-	3.12Services (CMS). If CMS modifies or replaces the specifications for this format, the form
75		-	3.13of this file must be modified or replaced to conform with the new CMS specifications by
76		-	3.14the date specified by CMS for compliance with its new specifications. All prices included
77		-	3.15in the file must be expressed as dollar amounts. The data must be in the form of a comma
78		-	3.16separated values file which can be directly imported, without further editing or remediation,
79		-	3.17into a relational database table which has been designed to receive these files. The medical
80		-	3.18or dental practice must make the file available to the public in a manner specified by the
81		-	3.19commissioner and must report the file to the commissioner in a manner and frequency
82		-	3.20specified by the commissioner.
83		-	3.21 (b) A medical or dental practice must test its file for compliance with paragraph (a)
84		-	3.22before making the file available to the public and reporting the file to the commissioner.
85		-	3.23 (c) A hospital must comply with this section no later than January 1, 2024. A medical
86		-	3.24or dental practice that meets the requirements in subdivision 2, clause (3), or an outpatient
87		-	3.25surgical center must comply with this section no later than January 1, 2025.
88		-	3.26 Subd. 4.Price comparison tool.The commissioner shall use the information reported
89		-	3.27to the commissioner under subdivision 3 to develop and make available to the public a tool
90		-	3.28for the public to use to compare charges for a specific item or service across medical and
91		-	3.29dental practices that offer that item or service. The commissioner may contract with a third
92		-	3.30party for the development and operation of this tool. The price comparison tool must be
93		-	3.31made available to the public by July 1, 2024.
	62	+	REVISOR SGS/NS 23-0071212/02/22 3.1 (vi) oncology services, including radiation oncology treatments within the CPT code
	63	+	3.2range of 77261 to 77799 and drug infusions; or
	64	+	3.3 (vii) dental services.
	65	+	3.4 Subd. 3.Required file format and content.(a) No later than January 1, 2024, a medical
	66	+	3.5or dental practice that is subject to this section must make available to the public, and must
	67	+	3.6report to the commissioner, current standard charges using the format and data elements
	68	+	3.7specified in the currently effective version of the Hospital Price Transparency Sample
	69	+	3.8Format (Tall) (CSV) and related data dictionary recommended for hospitals by the Centers
	70	+	3.9for Medicare and Medicaid Services. The data must be in the form of a comma separated
	71	+	3.10values file which can be directly imported, without further editing or remediation, into a
	72	+	3.11relational database table which has been designed to receive these files. The medical or
	73	+	3.12dental practice must make the file available to the public in a manner specified by the
	74	+	3.13commissioner and must report the file to the commissioner in a manner and frequency
	75	+	3.14specified by the commissioner.
	76	+	3.15 (b) A medical or dental practice must test its file for compliance with paragraph (a)
	77	+	3.16before making the file available to the public and reporting the file to the commissioner.
	78	+	3.17 Subd. 4.Price comparison tool.The commissioner shall use the information reported
	79	+	3.18to the commissioner under subdivision 3 to develop and make available to the public a tool
	80	+	3.19for the public to use to compare charges for a specific item or service across medical and
	81	+	3.20dental practices that offer that item or service. The commissioner may contract with a third
	82	+	3.21party for the development and operation of this tool. The price comparison tool must be
	83	+	3.22made available to the public by July 1, 2024.
94	84		3Section 1.
95		-	REVISOR SGS ~~H0293-1~~~~HF293 FIRST ENGROSSMENT~~
	85	+	REVISOR SGS/NS 23-0071212/02/22