Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF1407 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1	1		1.1 A bill for an act
2	2		1.2 relating to health; modifying the evaluation process for mandated health benefit
3		-	1.3 proposals; amending Minnesota Statutes 2024, ~~section~~ 62J.26, subdivisions 1, 2,
4		-	1.4 3, by adding subdivisions.
	3	+	1.3 proposals; amending Minnesota Statutes 2024, sections 62J.26, subdivisions 1, 2,
	4	+	1.4 3, by adding subdivisions; 256B.0625, by adding a subdivision.
5	5		1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
6	6		1.6 Section 1. Minnesota Statutes 2024, section 62J.26, subdivision 1, is amended to read:
7	7		1.7 Subdivision 1.Definitions.(a) For purposes of this section, the following terms have
8	8		1.8the meanings given unless the context otherwise requires:
9	9		1.9 (1) "commissioner" means the commissioner of commerce;
10	10		1.10 (2) "enrollee" has the meaning given in section 62Q.01, subdivision 2b;
11	11		1.11 (3) "health plan" means a health plan as defined in section 62A.011, subdivision 3, but
12	12		1.12includes coverage listed in clauses (7) and (10) of that definition;
13	13		1.13 (4) "mandated health benefit proposal" or "proposal" means a proposal that would
14	14		1.14statutorily require a health plan company to do the following:
15	15		1.15 (i) provide coverage or increase the amount of coverage for the treatment of a particular
16	16		1.16disease, condition, or other health care need;
17	17		1.17 (ii) provide coverage or increase the amount of coverage of a particular type of health
18	18		1.18care treatment or service or of equipment, supplies, or drugs used in connection with a health
19	19		1.19care treatment or service; or
20	20		1.20 (iii) provide coverage for care delivered by a specific type of provider; and
21	21		1.21 (iv) require a particular benefit design or impose conditions on cost-sharing for:
22	22		1Section 1.
23		-	S1407-~~2 2nd~~ EngrossmentSF1407 REVISOR SGS
	23	+	S1407-1 1st EngrossmentSF1407 REVISOR SGS
24	24		SENATE
25	25		STATE OF MINNESOTA
26	26		S.F. No. 1407NINETY-FOURTH SESSION
27	27		(SENATE AUTHORS: MANN, Klein and Latz)
28	28		OFFICIAL STATUSD-PGDATE
29	29		Introduction and first reading38902/13/2025
30	30		Referred to Commerce and Consumer Protection
31		-	Comm report: To pass as amended and re-refer to Health and Human Services689a03/10/2025
32		-	Comm report: To pass as amended and re-refer to Commerce and Consumer Protection03/27/2025 2.1 (A) the treatment of a particular disease, condition, or other health care need;
	31	+	Comm report: To pass as amended and re-refer to Health and Human Services03/10/2025 2.1 (A) the treatment of a particular disease, condition, or other health care need;
33	32		2.2 (B) a particular type of health care treatment or service; or
34	33		2.3 (C) the provision of medical equipment, supplies, or a prescription drug used in
35	34		2.4connection with treating a particular disease, condition, or other health care need; or
36	35		2.5 (v) impose limits or conditions on a contract between a health plan company and a health
37	36		2.6care provider.
38	37		2.7 (5) "Minnesota public health care program" means a public health care program
39	38		2.8administered by the commissioner of human services under chapters 256B and 256L.
40	39		2.9 (b) "Mandated health benefit proposal" does not include health benefit proposals:
41	40		2.10 (1) amending the scope of practice of a licensed health care professional; or
42	41		2.11 (2) that make state law consistent with federal law; or
43	42		2.12 (3) that apply exclusively to Minnesota public health care programs.
44	43		2.13 Sec. 2. Minnesota Statutes 2024, section 62J.26, subdivision 2, is amended to read:
45	44		2.14 Subd. 2.Evaluation process and content.(a) The commissioner, in consultation with
46	45		2.15the commissioners of health, human services, and management and budget, must evaluate
47	46		2.16all mandated health benefit proposals as provided under subdivision 3.
48	47		2.17 (b) The purpose of the evaluation is to provide the legislature with a complete and timely
49	48		2.18analysis of all ramifications of any mandated health benefit proposal. The evaluation must
50	49		2.19include, in addition to other relevant information, the following to the extent applicable:
51	50		2.20 (1) scientific and medical information on the mandated health benefit proposal, on the
52	51		2.21potential for harm or benefit to the patient, and on the comparative benefit or harm from
53	52		2.22alternative forms of treatment, and must include the results of at least one professionally
54	53		2.23accepted and controlled trial comparing the medical consequences of the proposed therapy,
55	54		2.24alternative therapy, and no therapy;
56	55		2.25 (2) public health, economic, and fiscal impacts of the mandated health benefit proposal
57	56		2.26on persons receiving health services in Minnesota, on persons receiving health services in
58	57		2.27a Minnesota public health care program, on the relative cost-effectiveness of the proposal,
59	58		2.28and on the health care system in general;
60	59		2.29 (3) the extent to which the treatment, service, equipment, or drug is generally utilized
61	60		2.30by a significant portion of the population and used in the Minnesota public health care
62	61		2.31programs;
63	62		2Sec. 2.
64		-	S1407-~~2 2nd~~ EngrossmentSF1407 REVISOR SGS 3.1 (4) the extent to which insurance coverage for the mandated health benefit proposal is
	63	+	S1407-1 1st EngrossmentSF1407 REVISOR SGS 3.1 (4) the extent to which insurance coverage for the mandated health benefit proposal is
65	64		3.2already generally available and available in the Minnesota public health care programs;
66	65		3.3 (5) the extent to which the mandated health benefit proposal, by health plan category,
67	66		3.4would apply to the benefits offered to the health plan's enrollees and enrollees in the
68	67		3.5Minnesota public health care programs;
69	68		3.6 (6) the extent to which the mandated health benefit proposal will increase or decrease
70	69		3.7the cost of the treatment, service, equipment, or drug;
71	70		3.8 (7) the extent to which the mandated health benefit proposal may increase enrollee
72	71		3.9premiums; and
73	72		3.10 (8) if the proposal applies to a qualified health plan as defined in section 62A.011,
74	73		3.11subdivision 7, the cost to the state to defray the cost of the mandated health benefit proposal
75	74		3.12using commercial market reimbursement rates in accordance with Code of Federal
76	75		3.13Regulations, title 45, section 155.170.
77	76		3.14 (c) The commissioner shall consider actuarial analysis done by health plan companies
78	77		3.15and any other proponent or opponent of the mandated health benefit proposal in determining
79	78		3.16the cost of the proposal.
80	79		3.17 (d) The commissioner must summarize the nature and quality of available information
81	80		3.18on these issues, and, if possible, must provide preliminary information to the public. The
82	81		3.19commissioner may conduct research on these issues or may determine that existing research
83	82		3.20is sufficient to meet the informational needs of the legislature. The commissioner may seek
84	83		3.21the assistance and advice of researchers, community leaders, or other persons or organizations
85	84		3.22with relevant expertise. The commissioner must provide the public with at least 45 days'
86	85		3.23notice when requesting information pursuant to this section. The commissioner must notify
87	86		3.24the chief authors of a bill when a request for information is issued.
88	87		3.25 (e) Information submitted to the commissioner pursuant to this section that meets the
89	88		3.26definition of trade secret information, as defined in section 13.37, subdivision 1, paragraph
90	89		3.27(b), is nonpublic data.
91	90		3.28 (f) The commissioner must publish all evaluations conducted under this section on a
92	91		3.29publicly available website within 30 days of the evaluation's completion.
93	92		3.30 Sec. 3. Minnesota Statutes 2024, section 62J.26, subdivision 3, is amended to read:
94	93		3.31 Subd. 3.Requirements for evaluation.(a) No later than August 1 of the year preceding
95	94		3.32the legislative session in which a an incumbent legislator is planning on introducing a bill
96	95		3Sec. 3.
97		-	S1407-~~2 2nd~~ EngrossmentSF1407 REVISOR SGS 4.1containing a mandated health benefit proposal, or is planning on offering an amendment to
	96	+	S1407-1 1st EngrossmentSF1407 REVISOR SGS 4.1containing a mandated health benefit proposal, or is planning on offering an amendment to
98	97		4.2a bill that adds a mandated health benefit, the prospective author must notify the chair of
99	98		4.3one of the standing legislative committees that have jurisdiction over the subject matter of
100	99		4.4the proposal. The legislator is not required to provide the text of the mandated health benefit
101	100		4.5proposal. No later than 15 days after notification is received, the chair must notify the
102	101		4.6commissioner that an evaluation of a mandated health benefit proposal is required to be
103	102		4.7completed in accordance with this section in order to inform the legislature before any action
104	103		4.8is taken on the proposal by either house of the legislature.
105	104		4.9 (b) The commissioner must conduct an evaluation described in subdivision 2 of each
106	105		4.10mandated health benefit proposal for which an evaluation is required under paragraph (a).
107	106		4.11 (c) If the evaluation of multiple proposals are required, the commissioner must consult
108	107		4.12with the chairs of the standing legislative committees having jurisdiction over the subject
109	108		4.13matter of the mandated health benefit proposals to prioritize the evaluations and establish
110	109		4.14a reporting date for each proposal to be evaluated.
111	110		4.15 (d) By December 31 of the year in which a mandated health benefit proposal, for which
112	111		4.16an evaluation described in subdivision 2 has not been conducted, is enacted, the commissioner
113	112		4.17must conduct an evaluation described in subdivision 2. The evaluation required by this
114	113		4.18paragraph applies to mandated health benefit proposals:
115	114		4.19 (1) introduced or offered by a legislator who was not seated by the deadline for
116	115		4.20notification under paragraph (a);
117	116		4.21 (2) enacted without conformity to paragraph (a); or
118	117		4.22 (3) for which an evaluation was required under paragraph (b) but was not conducted.
119	118		4.23 Sec. 4. Minnesota Statutes 2024, section 62J.26, is amended by adding a subdivision to
120	119		4.24read:
121	120		4.25 Subd. 6.Conformity.A mandated health benefit proposal enacted into law is effective
122	121		4.26whether or not it is in conformity with this section.
123	122		4.27 Sec. 5. Minnesota Statutes 2024, section 62J.26, is amended by adding a subdivision to
124	123		4.28read:
125		-	4.29 Subd. 7.~~Adoption of forms~~.(a) The commissioner of commerce must adopt forms, by
126		-	4.~~30July 1~~, 2026, for the following:
	124	+	4.29 Subd. 7.Rulemaking.(a) The commissioner of commerce must adopt forms, by July
	125	+	4.301, 2026, for the following:
127	126		4Sec. 5.
128		-	S1407-~~2 2nd~~ EngrossmentSF1407 REVISOR SGS 5.1 (1) an incumbent legislator to notify the chair of the mandated health benefit proposal
	127	+	S1407-1 1st EngrossmentSF1407 REVISOR SGS 5.1 (1) an incumbent legislator to notify the chair of the mandated health benefit proposal
129	128		5.2under subdivision 3, paragraph (a); and
130	129		5.3 (2) the chair to notify the commissioner of the mandated health benefit proposal under
131	130		5.4subdivision 3, paragraph (a).
132	131		5.5 (b) The forms adopted under this subdivision must include all information needed from
133	132		5.6the legislator introducing or offering the mandated health benefit proposal for the
134	133		5.7commissioner to conduct the required evaluation.
135		-	5Sec. 5.
136		-	S1407-2 2nd EngrossmentSF1407 REVISOR SGS
	134	+	5.8 Sec. 6. Minnesota Statutes 2024, section 256B.0625, is amended by adding a subdivision
	135	+	5.9to read:
	136	+	5.10 Subd. 77.Mandated health benefits.A mandated health benefit proposal, as defined
	137	+	5.11in section 62J.26, enacted into law does not apply to medical assistance fee-for-service
	138	+	5.12unless the mandate or subsequently enacted legislation expressly applies the mandate to
	139	+	5.13medical assistance fee-for-service. This subdivision is not intended to change existing
	140	+	5.14coverage or plan design in medical assistance or MinnesotaCare.
	141	+	5Sec. 6.
	142	+	S1407-1 1st EngrossmentSF1407 REVISOR SGS