Minnesota 2023-2024 Regular Session

Minnesota Senate Bill SF1675 Compare Versions

Only one version of the bill is available at this time.

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	23	23-00712 as introduced12/02/22 REVISOR SGS/NS
24	24	SENATE
25	25	STATE OF MINNESOTA
26	26	S.F. No. 1675NINETY-THIRD SESSION
27	27	(SENATE AUTHORS: WIKLUND)
28	28	OFFICIAL STATUSD-PGDATE
29	29	Introduction and first reading02/16/2023
30	30	Referred to Health and Human Services 2.1tomography scans, positron emission tomography scans, magnetic resonance imaging scans,
31	31	2.2and mammographies.
32	32	2.3 (i) "Hospital" means an acute care institution licensed under sections 144.50 to 144.58,
33	33	2.4but does not include a health care institution conducted for those who rely primarily upon
34	34	2.5treatment by prayer or spiritual means in accordance with the creed or tenets of any church
35	35	2.6or denomination.
36	36	2.7 (j) "Medical or dental practice" means a business that:
37	37	2.8 (1) earns revenue by providing medical care or dental services to the public;
38	38	2.9 (2) issues payment claims to health plan companies and other payers; and
39	39	2.10 (3) may be identified by its federal tax identification number.
40	40	2.11 (k) "Outpatient surgical center" means a health care facility other than a hospital offering
41	41	2.12elective outpatient surgery under a license issued under sections 144.50 to 144.58.
42	42	2.13 Subd. 2.Requirement; current standard charges.The following medical or dental
43	43	2.14practices must make available to the public a list of their current standard charges, as reflected
44	44	2.15in the medical or dental practice's chargemaster, for all items and services provided by the
45	45	2.16medical or dental practice:
46	46	2.17 (1) hospitals;
47	47	2.18 (2) outpatient surgical centers; and
48	48	2.19 (3) any other medical or dental practice that has revenue of greater than $50,000,000
49	49	2.20per year and that derives the majority of its revenue by providing one or more of the following
50	50	2.21services:
51	51	2.22 (i) diagnostic radiology services;
52	52	2.23 (ii) diagnostic laboratory testing;
53	53	2.24 (iii) orthopedic surgical procedures, including joint arthroplasty procedures within the
54	54	2.25CPT code range of 26990 to 27899;
55	55	2.26 (iv) ophthalmologic surgical procedures, including cataract surgery coded using CPT
56	56	2.27code 66982 or 66984, or refractive correction surgery to improve visual acuity;
57	57	2.28 (v) anesthesia services commonly provided as an ancillary to services provided at a
58	58	2.29hospital, outpatient surgical center, or medical practice that provides orthopedic surgical
59	59	2.30procedures or ophthalmologic surgical procedures;
60	60	2Section 1.
61	61	23-00712 as introduced12/02/22 REVISOR SGS/NS 3.1 (vi) oncology services, including radiation oncology treatments within the CPT code
62	62	3.2range of 77261 to 77799 and drug infusions; or
63	63	3.3 (vii) dental services.
64	64	3.4 Subd. 3.Required file format and content.(a) No later than January 1, 2024, a medical
65	65	3.5or dental practice that is subject to this section must make available to the public, and must
66	66	3.6report to the commissioner, current standard charges using the format and data elements
67	67	3.7specified in the currently effective version of the Hospital Price Transparency Sample
68	68	3.8Format (Tall) (CSV) and related data dictionary recommended for hospitals by the Centers
69	69	3.9for Medicare and Medicaid Services. The data must be in the form of a comma separated
70	70	3.10values file which can be directly imported, without further editing or remediation, into a
71	71	3.11relational database table which has been designed to receive these files. The medical or
72	72	3.12dental practice must make the file available to the public in a manner specified by the
73	73	3.13commissioner and must report the file to the commissioner in a manner and frequency
74	74	3.14specified by the commissioner.
75	75	3.15 (b) A medical or dental practice must test its file for compliance with paragraph (a)
76	76	3.16before making the file available to the public and reporting the file to the commissioner.
77	77	3.17 Subd. 4.Price comparison tool.The commissioner shall use the information reported
78	78	3.18to the commissioner under subdivision 3 to develop and make available to the public a tool
79	79	3.19for the public to use to compare charges for a specific item or service across medical and
80	80	3.20dental practices that offer that item or service. The commissioner may contract with a third
81	81	3.21party for the development and operation of this tool. The price comparison tool must be
82	82	3.22made available to the public by July 1, 2024.
83	83	3Section 1.
84	84	23-00712 as introduced12/02/22 REVISOR SGS/NS