HF 1232

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:46am

A bill for an act
relating to health; prohibiting certain factors for evaluating health care provider
performance; adding a statement to health plan issued identification cards;
amending Minnesota Statutes 2008, sections 62J.60, by adding a subdivision;
62Q.101.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2008, section 62J.60, is amended by adding a subdivision
to read:

new text begin Subd. 3a. new text end

new text begin Required statement. new text end

new text begin An identification card issued to an enrollee by a
health plan company or other entity governed by Minnesota health coverage laws must
contain the following statement: "Subject to Minnesota law."
new text end

Sec. 2.

Minnesota Statutes 2008, section 62Q.101, is amended to read:

62Q.101 EVALUATION OF PROVIDER PERFORMANCE.

new text begin Subdivision 1. new text end

new text begin Evaluating performance. new text end

A health plan company, or a vendor
of risk management services as defined under section 60A.23, subdivision 8, shall, in
evaluating the performance of a health care provider:

(1) conduct the evaluation using a bona fide baseline based upon practice experience
of the provider group; and

(2) disclose the baseline to the health care provider in writing and prior to the
beginning of the time period used for the evaluation.

new text begin Subd. 2. new text end

new text begin Use of patient-paid charges. new text end

new text begin A health plan company or a vendor of risk
management services defined under section 60A.23, subdivision 8, shall not in evaluating
the performance of a health care provider include patient-paid costs or charges as a factor
in the performance evaluation.
new text end