1.1 A bill for an act 1.2 relating to commerce; requiring health care sharing arrangements to report annually; 1.3 proposing coding for new law in Minnesota Statutes, chapter 62A. 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.5 Section 1. [62A.68] HEALTH CARE SHARING ARRANGEMENT . 1.6 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have 1.7the meanings given. 1.8 (b) "Health care sharing arrangement" or "arrangement" means a person who (1) offers 1.9or intends to offer a plan or arrangement to facilitate the payment or reimbursement of health 1.10care costs for Minnesota residents, and (2) is not a health carrier. 1.11 (c) "Participant" means an individual Minnesota resident who has enrolled in a health 1.12care sharing arrangement. 1.13 Subd. 2.Report to commissioner.(a) By October 1, 2025, and by March 1 annually 1.14thereafter, a health care sharing arrangement must submit a report to the commissioner that 1.15is certified by an officer of the arrangement for accuracy. The report must cover the prior 1.16calendar year and contain the following information: 1.17 (1) the number of participants in the arrangement; 1.18 (2) the number of individuals participating in the arrangement who are not Minnesota 1.19residents; 1.20 (3) the number of employer groups and number of participants in each employer group 1.21in the arrangement; 1Section 1. REVISOR RSI/AC 25-0455603/14/25 State of Minnesota This Document can be made available in alternative formats upon request HOUSE OF REPRESENTATIVES H. F. No. 2588 NINETY-FOURTH SESSION Authored by Freiberg03/20/2025 The bill was read for the first time and referred to the Committee on Commerce Finance and Policy 2.1 (4) a list of health care providers, dentists, and pharmacies located in Minnesota that 2.2provide health care services to participants in the arrangement; 2.3 (5) the total amount of fees, dues, or other payments the arrangement collected from 2.4participants; 2.5 (6) the total amount, expressed as a percentage of the amount calculated in clause (5), 2.6spent by the arrangement on administrative costs in the past year and the past five years; 2.7 (7) the total amount that participants requested for health care costs and the arrangement 2.8paid or reimbursed; 2.9 (8) the total amount, expressed as a percentage of the amount calculated under clause 2.10(7), that the arrangement denied payment or reimbursement, including requests that are 2.11appealed; 2.12 (9) a list of all benefits the arrangement covers, including but not limited to health 2.13procedures, prescription drugs, and medical devices and supplies; 2.14 (10) a list of excluded health conditions, including preexisting condition exclusions or 2.15increased fees to participate in the arrangement for participants with existing health 2.16conditions; 2.17 (11) a description of the waiting period, if applicable, before a participant becomes 2.18eligible for payment or reimbursement from the arrangement; 2.19 (12) a description of eligibility requirements to participate in the arrangement; 2.20 (13) a list of counties in Minnesota where the arrangement was offered and where the 2.21arrangement is anticipated to be offered in the next calendar year; 2.22 (14) contact and payment information for any third party that provided marketing for 2.23or enrolled participants in the arrangement; 2.24 (15) the names, addresses, and email addresses for the arrangement's key contacts; and 2.25 (16) an organizational chart of the officers and directors of the arrangement. 2.26 (b) By December 1, 2025, and April 1 every year thereafter, the Department of Commerce 2.27must publish (1) a summary of the information described under paragraph (a), and (2) 2.28information regarding how a consumer may file a complaint about an arrangement. 2Section 1. REVISOR RSI/AC 25-0455603/14/25