1.1 	A bill for an act
1.2 	relating to health insurance; requiring notification prior to provider network 
1.3 	changes;amending Minnesota Statutes 2016, section 62K.075.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2016, section 62K.075, is amended to read:
1.6 	62K.075 PROVIDER NETWORK NOTIFICATIONS.
1.7 	(a) Before a health carrier may change a provider's network status from in-network status 
1.8 	to out-of-network status, the health carrier must provide notification to the provider and to 
1.9 	each enrollee who has utilized that provider at any time within the previous 12 months from 
1.10 	the date of the required notification. Notification must be provided at least 60 days prior to 
1.11 	the effective date of the network status change and must be made either by U.S. mail or 
1.12 	through electronic mail.
1.13 	(a) (b) A health carrier must update the carrier's Web site at least once a month with any 
1.14 	changes to the carrier's provider network, including provider changes from in-network status 
1.15 	to out-of-network status after notification as required under paragraph (a) has been given.
1.16 	(b) (c) Upon notification from an enrollee, a health carrier must reprocess any claim for 
1.17 	services provided by a provider whose status has changed from in-network to out-of-network 
1.18 	as an in-network claim if the service was provided after the network change went into effect 
1.19 	but before the change was posted as required under paragraph (a) (b) unless the health carrier 
1.20 	notified the enrollee of the network change prior to the service being provided. This paragraph 
1.21 	does not apply if the health carrier is able to verify that the health carrier's Web site displayed 
2.1 	the correct provider network status on the health carrier's Web site at the time the service 
2.2 	was provided.
2.3 	(c) (d) The limitations of section 62Q.56, subdivision 2a, shall apply to payments required 
2.4 	by paragraph (b) (c).