HF3396 Summary

• Primary care providers must maintain and publicly disclose lists of their 25 most frequently billed services over $25, including provider charges, highest-volume health plan reimbursement rates, Medicare allowable rates, and medical assistance fee-for-service rates, updated annually and posted in reception areas and websites.

• Providers must furnish patients upon request with good faith estimates of allowable payments from the patient's health plan for specific procedures, or estimated patient liability if uninsured or out-of-network, along with information on additional fees.

• Health plan companies are prohibited from including contract provisions that prevent providers from disclosing negotiated pricing information and out-of-pocket expenses to patients.

• Health plan companies must establish a website and toll-free number enabling enrollees to request and receive good faith estimates of total negotiated payment amounts with in-network providers for specific procedures, including inpatient nonemergency admissions, and the enrollee's cost responsibility.

• Repeals Minnesota Statutes 2016, section 62J.81, which contained similar but more limited price transparency requirements.