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MN HF3893

Bill

Status

Introduced

3/15/2018

Primary Sponsor

Sarah Anderson

Click for details

Origin

House of Representatives

90th Legislature 2017-2018

AI Summary

  • 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.

  • 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.

  • Requires providers to disclose additional fee information including applicable facility fees that consumers may incur during provider visits.

  • 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.

  • 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

Committee Referrals

Health and Human Services Reform3/28/2018
Commerce and Regulatory Reform3/15/2018

Full Bill Text

No bill text available