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MN HF1340
Bill
Status
2/18/2019
Primary Sponsor
Ben Lien
Click for details
AI Summary
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Defines "nonquantitative treatment limitations" (NQTLs) in Minnesota statute to include 16 categories of processes and standards that limit mental health and substance use disorder benefits without using numerical thresholds, such as medical necessity standards, formulary design, network tiers, provider credentialing, step therapy protocols, and exclusions for clinical social workers.
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Prohibits health plans from imposing NQTLs on mental health and substance use disorder benefits that are more stringent or less comparable than those applied to medical and surgical benefits in the same benefit classification.
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Requires cost-sharing and benefit limitations for outpatient and inpatient mental health, chemical dependency, and alcoholism services to be no more restrictive or financially burdensome than comparable medical services, with exceptions for court-ordered chemical dependency placements.
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Designates mental health therapy visits and medication maintenance visits as primary care visits for cost-sharing purposes regardless of the provider's professional license, provided the care is within the provider's scope of practice.
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Mandates the commissioners of commerce and health to issue annual reports beginning June 1, 2021, detailing compliance reviews, enforcement actions taken, corrective actions, and public education efforts regarding mental health parity protections under state and federal law.
Legislative Description
Mental health benefits and other medical benefits parity required, and accountability from commissioners of health and commerce required.
Last Action
Authors added Pryor and Bierman
3/27/2019