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Office of the Revisor of Statutes

SF 3274 Senate Long Description

Relating to health ARTICLE 1 HEALTH PLAN COMPANY REGULATIONModifying certain standards and reducing the time limit for commissioner of commerce approval or disapproval of accident and health insurance policy rates or forms; modifying certain loss ratio standards; expanding coverage of the nonprofit health service plan corporations act to all health service plan corporations; eliminating the requirement for health maintenance organizations to be nonprofit for regulation purposes and providing for regulation of foreign HMOs; regulating HMO enrollee cost sharing and modifying conflict of interest policy requirements; requiring health plan companies to make available through an electronic data base provider specific allowable payment rates for covered health care services, defining allowable payment; requiring the commissioner of health to develop and promote policies to increase consumer awareness of health care costs; specifying certain term change instructions to the revisor of statutes; repealing the requirement for health plans to provide coverage for the treatment of breast cancer using high dose chemotherapy with autologous bone marrow transplantation ARTICLE 2 PRESCRIPTION DRUG DISCOUNT PROGRAMRequiring and providing for the commissioner of human services to establish and administer a prescription drug discount and rebate program; specifying applicant eligibility requirements and prescribing application procedures; specifying certain requirements of participating pharmacies; requiring commissioner periodic notice to drug manufacturers of the amount of rebate owed on drugs sold by participating pharmacies to enrolled individuals and specifying manufacturer pharmacy rebate requirements, requiring payment to the commissioner for deposit into the Minnesota prescription drug dedicated fund and providing for distribution to participating pharmacies by the commissioner; authorizing the commissioner to establish an administrative fee to cover enrollment, claims processing and rebate distribution expenses and a switch fee to cover expenses incurred by pharmacies in formatting claims for electronic submission; creating the Minnesota prescription drug dedicated fund and appropriating money in the fund to the commissioner to reimburse participating pharmacies for prescription drug discounts and the commissioner for certain administrative costs; providing for attorney general enforcement and for remediesARTICLE 3 MINNESOTACARE PROVIDER TAX; TOBACCO TAXPermanently reducing the hospital and health care providers gross earnings tax, increasing the tax rates on cigarettes and tobacco products and imposing a floor stocks tax on cigarettes, requiring the crediting of a certain portion of the tax rate increases and of floor stocks tax revenues to the health care access fund; specifying certain floor stocks tax audit and enforcement requirements ARTICLE 4 PUNITIVE DAMAGE LIMITLimiting punitive damages for health care provider malpractice, error, mistake or failure to cure(mk)