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SF 3434

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/25/2025 09:50 a.m.

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to health insurance; eliminating prohibition on for-profit entities
participating in certain markets; amending Minnesota Statutes 2024, section 62D.04,
subdivision 5; repealing Minnesota Statutes 2024, section 43A.24, subdivision 4.

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

Section 1.

Minnesota Statutes 2024, section 62D.04, subdivision 5, is amended to read:


Subd. 5.

Participation; government programs.

Health maintenance organizations deleted text begin that
are a nonprofit corporation organized under chapter 317A or a local governmental unit
deleted text end shall,
as a condition of receiving and retaining a certificate of authority, participate in the medical
assistance and MinnesotaCare programs. A health maintenance organization deleted text begin governed by
this subdivision
deleted text end is required to submit proposals in good faith that meet the requirements of
the request for proposal provided that the requirements can be reasonably met by a health
maintenance organization to serve individuals eligible for the above programs in a geographic
region of the state if, at the time of publication of a request for proposal, the percentage of
recipients in the public programs in the region who are enrolled in the health maintenance
organization is less than the health maintenance organization's percentage of the total number
of individuals enrolled in health maintenance organizations in the same region. Geographic
regions shall be defined by the commissioner of human services in the request for proposals.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 2. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2024, section 43A.24, subdivision 4, new text end new text begin is repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

APPENDIX

Repealed Minnesota Statutes: 25-04861

43A.24 ELIGIBILITY FOR STATE PAID INSURANCE AND BENEFITS.

Subd. 4.

For-profit health maintenance organizations prohibited.

The commissioner must ensure that state paid hospital, medical, and dental benefits are not provided to eligible employees by a health maintenance organization which is not a nonprofit corporation organized under chapter 317A or a local governmental unit, as defined in section 62D.02.