Minnesota 2025-2026 Regular Session

Minnesota House Bill HF2334

Introduced
3/13/25  

Caption

Dental organizations required to meet a loss ratio requirement.

Impact

The introduction of this bill is anticipated to enhance transparency in the dental insurance market, as it mandates that dental organizations report their loss ratios annually. If a dental organization fails to meet the 85% threshold, they are required to remediate their enrollees through means such as issuing direct rebates or increasing future benefit limits. This could lead to greater consumer satisfaction and possibly improved access to dental care as organizations are incentivized to operate more effectively within the parameters set by the bill.

Summary

House File 2334 is a legislative proposal aimed at regulating dental organizations in Minnesota. The bill establishes a requirement for these organizations to maintain a dental loss ratio of at least 85%. Essentially, this means that for every dollar collected in premiums, at least 85 cents must be spent on dental care services for enrollees. This measure is intended to ensure that consumers receive value for their dental premiums and reduce excessive profit margins that do not benefit enrollees directly.

Contention

While the bill has the potential to protect consumers and ensure fair treatment within the dental insurance market, there may be points of contention. Opponents could argue that the loss ratio requirement may limit the ability of dental organizations to allocate funds for operational costs and innovation in service delivery. Moreover, smaller dental organizations might struggle to meet these requirements compared to larger competitors, which could lead to market consolidation, reducing options available to consumers. The implications of such a bill could spark debate among stakeholders regarding the balance between consumer protection and business viability.

Companion Bills

MN SF1204

Similar To Dental organizations loss ratio met requirement provision

Previously Filed As

MN SF328

Manufacturers requirement to report and maintain prescription drug prices

MN SF287

Prescription contraceptives supply requirements establishment; health plan coverage of contraceptive methods, sterilization, related medical services, patient education and counseling requirement; accommodations for eligible organizations establishment

MN SF2079

Prompt payment requirements modification to health care providers

MN HF294

Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.

MN SF3532

Prior authorization and coverage of health services requirements modification; ground for disciplinary action against physicians modification; commissioner of commerce and legislature report requirements; classifying data

MN SF831

Prescription contraceptives supply requirements establishment; contraceptives, services, sterilization, education, and counseling health plan coverage requirement; eligible organization accommodations establishment

MN HF1432

Supply requirements for prescription contraceptives established; health plans required to cover contraceptive methods, sterilization, and related medical services, patient education, and counseling; and accommodations for eligible organizations established.

MN HF2553

Mental health provider staffing, documentation, and diagnostic assessment requirements modified; certification process required; assertive community treatment and behavioral health home services staff requirements modified; adult rehabilitative mental health services provider entity standards modified; managed care contract requirements modified; grant data and reporting requirements modified; and family peer support services eligibility modified.

MN SF3543

Health maintenance organizations requirement to be nonprofit corporations organized under chapter 317A

MN HF2145

Prompt payment requirements to health care providers modified, discrimination against providers based on geographic location prohibited, managed care organization's claims and payments to health care providers modified.

Similar Bills

No similar bills found.