MN SF1517

Health maintenance organizations shall maintain records of all quality of care complaints and their resolution for five years.

Upon written request from an enrollee or individual who made a complaint, the commissioner must require the HMO to provide a resolution record within 45 days, limited to information on complaint resolution, investigation conclusion, and corrective action plans.

Information provided to the commissioner is classified as confidential or protected nonpublic data, except that non-identifying information is accessible to the complainant.

Records subject to peer protection confidentiality under state or federal law are not subject to discovery, subpoena, court inclusion, or use in affidavits of expert review.

The bill does not prohibit use of information, documents, or records subject to discovery or otherwise available from original sources in civil actions.