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MN HF3840
Bill
Status
2/15/2024
Primary Sponsor
Robert Bierman
Click for details
AI Summary
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Defines "very high deductible health plan" (VHDHP) as a high deductible health plan with annual maximum out-of-pocket expenses exceeding $3,000 for individual coverage or $6,000 for family coverage.
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Requires health plan companies issuing VHDHPs to pay emergency room and ambulance charges directly to hospitals or ambulance service licensees within 15 days of notice that enrollees have not paid within 30 days of treatment, even if the enrollee has not met their deductible.
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Allows health plan companies to seek reimbursement from enrollees for emergency and ambulance payments made under the requirement, subject to the same collection restrictions that apply to health care providers.
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Prohibits health plan companies from canceling, terminating, suspending, or reducing enrollee coverage as a means of collection or penalty for failure to reimburse the plan for payments made under this provision.
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Permits health plan companies to contract with insurance plan administrators to assume payment duties while retaining ultimate responsibility for compliance with the new requirements.
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Effective August 1, 2024, for VHDHPs offered, issued, sold, or renewed on or after that date.
Legislative Description
Alternative mechanism provided for prompt payment of emergency room and ambulance charges incurred by patients enrolled in very high deductible health plans.
Last Action
Introduction and first reading, referred to Commerce Finance and Policy
2/15/2024