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MN HF3893
Bill
Status
3/15/2018
Primary Sponsor
Sarah Anderson
Click for details
AI Summary
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Requires health care providers to furnish consumers with good faith estimates of allowable payments at no cost within ten business days of a complete request, and prohibits health plan contracts from preventing providers from disclosing pricing information.
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Mandates health plan companies provide enrollees with good faith estimates of allowable amounts, out-of-pocket costs, and enrollee portion within ten business days of a complete request.
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Requires providers to disclose additional fee information including applicable facility fees that consumers may incur during provider visits.
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Requires primary care providers to maintain and annually update a list of services over $25 corresponding to their 25 most frequently billed CPT codes, including the provider's charge, average commercial reimbursement rates, Medicare allowable rates, and medical assistance fee-for-service rates, posted in reception areas and on provider websites.
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Specifies that good faith estimates are not legally binding and excludes medical assistance and MinnesotaCare enrollees from consumer protections; effective date July 1, 2019.
Legislative Description
Price disclosure requirement provisions added for providers and health plan companies, and provider required to maintain a list of services and the provider's charge for each service.
Last Action
Author added Lueck.
5/10/2018