1 | 1 | | 1.1 A bill for an act |
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2 | 2 | | 1.2 relating to commerce; requiring health care sharing arrangements to report annually; |
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3 | 3 | | 1.3 proposing coding for new law in Minnesota Statutes, chapter 62A. |
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4 | 4 | | 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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5 | 5 | | 1.5 Section 1. [62A.68] HEALTH CARE SHARING ARRANGEMENT . |
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6 | 6 | | 1.6 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have |
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7 | 7 | | 1.7the meanings given. |
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8 | 8 | | 1.8 (b) "Health care sharing arrangement" or "arrangement" means a person who (1) offers |
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9 | 9 | | 1.9or intends to offer a plan or arrangement to facilitate the payment or reimbursement of health |
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10 | 10 | | 1.10care costs for Minnesota residents, and (2) is not a health carrier. |
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11 | 11 | | 1.11 (c) "Participant" means an individual Minnesota resident who has enrolled in a health |
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12 | 12 | | 1.12care sharing arrangement. |
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13 | 13 | | 1.13 Subd. 2.Report to commissioner.(a) By October 1, 2025, and by March 1 annually |
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14 | 14 | | 1.14thereafter, a health care sharing arrangement must submit a report to the commissioner that |
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15 | 15 | | 1.15is certified by an officer of the arrangement for accuracy. The report must cover the prior |
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16 | 16 | | 1.16calendar year and contain the following information: |
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17 | 17 | | 1.17 (1) the number of participants in the arrangement; |
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18 | 18 | | 1.18 (2) the number of individuals participating in the arrangement who are not Minnesota |
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19 | 19 | | 1.19residents; |
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20 | 20 | | 1.20 (3) the number of employer groups and number of participants in each employer group |
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21 | 21 | | 1.21in the arrangement; |
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22 | 22 | | 1Section 1. |
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23 | 23 | | REVISOR RSI/AC 25-0455603/14/25 |
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24 | 24 | | State of Minnesota |
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25 | 25 | | This Document can be made available |
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26 | 26 | | in alternative formats upon request |
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27 | 27 | | HOUSE OF REPRESENTATIVES |
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28 | 28 | | H. F. No. 2588 |
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29 | 29 | | NINETY-FOURTH SESSION |
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30 | 30 | | Authored by Freiberg03/20/2025 |
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31 | 31 | | 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 |
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32 | 32 | | 2.2provide health care services to participants in the arrangement; |
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33 | 33 | | 2.3 (5) the total amount of fees, dues, or other payments the arrangement collected from |
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34 | 34 | | 2.4participants; |
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35 | 35 | | 2.5 (6) the total amount, expressed as a percentage of the amount calculated in clause (5), |
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36 | 36 | | 2.6spent by the arrangement on administrative costs in the past year and the past five years; |
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37 | 37 | | 2.7 (7) the total amount that participants requested for health care costs and the arrangement |
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38 | 38 | | 2.8paid or reimbursed; |
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39 | 39 | | 2.9 (8) the total amount, expressed as a percentage of the amount calculated under clause |
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40 | 40 | | 2.10(7), that the arrangement denied payment or reimbursement, including requests that are |
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41 | 41 | | 2.11appealed; |
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42 | 42 | | 2.12 (9) a list of all benefits the arrangement covers, including but not limited to health |
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43 | 43 | | 2.13procedures, prescription drugs, and medical devices and supplies; |
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44 | 44 | | 2.14 (10) a list of excluded health conditions, including preexisting condition exclusions or |
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45 | 45 | | 2.15increased fees to participate in the arrangement for participants with existing health |
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46 | 46 | | 2.16conditions; |
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47 | 47 | | 2.17 (11) a description of the waiting period, if applicable, before a participant becomes |
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48 | 48 | | 2.18eligible for payment or reimbursement from the arrangement; |
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49 | 49 | | 2.19 (12) a description of eligibility requirements to participate in the arrangement; |
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50 | 50 | | 2.20 (13) a list of counties in Minnesota where the arrangement was offered and where the |
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51 | 51 | | 2.21arrangement is anticipated to be offered in the next calendar year; |
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52 | 52 | | 2.22 (14) contact and payment information for any third party that provided marketing for |
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53 | 53 | | 2.23or enrolled participants in the arrangement; |
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54 | 54 | | 2.24 (15) the names, addresses, and email addresses for the arrangement's key contacts; and |
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55 | 55 | | 2.25 (16) an organizational chart of the officers and directors of the arrangement. |
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56 | 56 | | 2.26 (b) By December 1, 2025, and April 1 every year thereafter, the Department of Commerce |
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57 | 57 | | 2.27must publish (1) a summary of the information described under paragraph (a), and (2) |
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58 | 58 | | 2.28information regarding how a consumer may file a complaint about an arrangement. |
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59 | 59 | | 2Section 1. |
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60 | 60 | | REVISOR RSI/AC 25-0455603/14/25 |
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