Minnesota Senate Bill SF1908

Minnesota 2023-2024 Regular Session

• Introduced: 2/20/23
• Refer: 2/20/23

Caption

Calculation of enrollee contribution toward and out-of-pocket maximum or cost sharing requirement establishment

Impact

This legislation is significant as it modifies existing frameworks within Minnesota Statutes, particularly in chapter 62Q. By enhancing the methodology of calculating enrollee contributions for out-of-pocket expenses, SF1908 could potentially lead to lowered immediate financial burdens on individuals requiring healthcare services. This may also influence the overall cost structures of health plans offered in the state, adjusting how health insurance providers define and communicate cost-sharing responsibilities to their customers.

Summary

SF1908 is an Act that relates to insurance in the state of Minnesota. The bill establishes requirements for calculating an enrollee's contribution toward an out-of-pocket maximum or cost-sharing requirement. Under the provisions of this bill, health plan companies are mandated to include any amounts that an enrollee has paid or that have been paid on behalf of the enrollee by another person when calculating their overall contribution to these financial metrics. This aims to enhance transparency and ensure that enrollees have a clearer understanding of their financial responsibilities regarding health insurance costs.

Contention

Notably, the bill may face contention regarding its implementation and how it aligns with federal health law requirements. While the bill seeks to promote fairness in the cost-sharing process, concerns could arise regarding the adequacy of the measures designed to ensure compliance with state and federal regulations on health insurance practices. Stakeholders, including insurance providers and consumer advocacy groups, may have differing perspectives on whether this change effectively balances costs among enrollees and the industry at large.