SF 628

Introduction - 94th Legislature (2025 - 2026)

Posted on 01/28/2025 09:52 a.m.

A bill for an act
relating to insurance; setting requirements for calculating an enrollee's contribution
toward an out-of-pocket maximum or cost sharing; proposing coding for new law
in Minnesota Statutes, chapter 62Q.

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

Section 1.

new text begin [62Q.491] CALCULATION OF ENROLLEE CONTRIBUTION TOWARD
AN OUT-OF-POCKET MAXIMUM OR COST-SHARING REQUIREMENT.
new text end

new text begin (a) To the extent permitted by federal law, a health plan company must include any
amounts paid by the enrollee or paid on behalf of the enrollee by another person when
calculating an enrollee's overall contribution toward any out-of-pocket maximum or
cost-sharing requirement under a health plan.
new text end

new text begin (b) For purposes of this section, "cost sharing" means any co-payment, coinsurance, or
deductible.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section applies to health plans offered, issued, or renewed
on or after January 1, 2026.
new text end