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HF 556

as introduced - 91st Legislature (2019 - 2020) Posted on 01/31/2019 02:23pm

KEY: stricken = removed, old language.
underscored = added, new language.

Bill Text Versions

Engrossments
Introduction Posted on 01/31/2019

Current Version - as introduced

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A bill for an act
relating to human services; prohibiting health care providers from charging more
than one MinnesotaCare co-payment for the same service; prohibiting
MinnesotaCare co-payments for outpatient hospital mental health services;
amending Minnesota Statutes 2018, section 256L.03, subdivision 5.

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

Section 1.

Minnesota Statutes 2018, section 256L.03, subdivision 5, is amended to read:


Subd. 5.

Cost-sharing.

(a) Co-payments, coinsurance, and deductibles do not apply to
children under the age of 21 and to American Indians as defined in Code of Federal
Regulations, title 42, section 600.5.

(b) The commissioner shall adjust co-payments, coinsurance, and deductibles for covered
services in a manner sufficient to maintain the actuarial value of the benefit to 94 percent.
The cost-sharing changes described in this paragraph do not apply to eligible recipients or
services exempt from cost-sharing under state law. The cost-sharing changes described in
this paragraph shall not be implemented prior to January 1, 2016.

(c) The cost-sharing changes authorized under paragraph (b) must satisfy the requirements
for cost-sharing under the Basic Health Program as set forth in Code of Federal Regulations,
title 42, sections 600.510 and 600.520.

new text begin (d) The cost-sharing changes authorized under paragraph (b) must:
new text end

new text begin (1) require a health care provider to charge an enrollee a co-payment only for a
nonpreventive visit and prohibit the health care provider from also charging an additional
co-payment for an outpatient hospital visit, when the enrollee receives a nonpreventive
service from an outpatient hospital clinic; and
new text end

new text begin (2) prohibit a health care provider from charging a co-payment when an enrollee receives
a mental health service from an outpatient hospital clinic.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2019, and applies to services
provided on or after that date.
new text end