Minnesota Senate Bill SF2079

Minnesota 2023-2024 Regular Session

• Introduced: 2/27/23
• Refer: 2/27/23
• Refer: 2/26/24

Caption

Prompt payment requirements modification to health care providers

Impact

In its implementation, SF2079 would amend multiple statutes related to provider contracts and claims processing. Specifically, it stipulates that any contract amendments made by health plan companies must be disclosed to the providers at least 45 days before their effective date. Furthermore, providers must have the opportunity to terminate contracts if significant changes to fee schedules or other contractual obligations occur, thereby increasing transparency and allowing providers to make informed decisions.

Summary

SF2079 is a bill designed to modify existing healthcare payment requirements in Minnesota, specifically targeting how health care providers interact with health plans. The primary aim is to prohibit geographic discrimination against healthcare providers, allowing those within the same geographic area to contract as in-network providers. This seeks to ensure that providers are given equitable opportunities irrespective of their location, addressing disparities in access to network participation that can affect patient care availability.

Contention

One notable point of contention surrounding SF2079 could arise from the balance it seeks to achieve between healthcare providers and health plan companies. Proponents argue that the bill will foster a more equitable healthcare system by dismantling geographic barriers and ensuring timely payment for services. However, health plan companies may view the modifications as burdensome, potentially arguing that they could complicate administrative processes and financial planning.

Further_implications

The scheduling provisions also introduce a structured timeline wherein health plan companies must pay clean claims within 30 days, and if they fail to do so, they are mandated to pay interest on the delayed claims. This change aims to improve cash flow for healthcare providers, ensuring that they are compensated fairly and promptly for their services, which is crucial in maintaining the viability of healthcare practices.