1.1 A bill for an act
1.2 relating to insurance; setting requirements for calculating an enrollee's contribution
1.3 toward an out-of-pocket maximum or cost sharing; proposing coding for new law
1.4 in Minnesota Statutes, chapter 62Q.
1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. [62Q.491] CALCULATION OF ENROLLEE CONTRIBUTION TOWARD
1.7AN OUT-OF-POCKET MAXIMUM OR COST-SHARING REQUIREMENT .
1.8 (a) To the extent permitted by federal law, a health plan company must include any
1.9amounts paid by the enrollee or paid on behalf of the enrollee by another person when
1.10calculating an enrollee's overall contribution toward any out-of-pocket maximum or
1.11cost-sharing requirement under a health plan.
1.12 (b) For purposes of this section, "cost sharing" means any co-payment, coinsurance, or
1.13deductible.
1.14 EFFECTIVE DATE.This section applies to health plans offered, issued, or renewed
1.15on or after January 1, 2026.
1Section 1.
REVISOR RSI/ES 25-0151501/14/25
State of Minnesota
This Document can be made available
in alternative formats upon request
HOUSE OF REPRESENTATIVES
H. F. No. 1808
NINETY-FOURTH SESSION
Authored by Huot03/03/2025
The bill was read for the first time and referred to the Committee on Commerce Finance and Policy