SF 3705

1st Engrossment - 94th Legislature (2025 - 2026)

Posted on 04/10/2026 03:13 p.m.

A bill for an act
relating to health insurance; extending a requirement that health plan companies
must credential and contract with certain providers of mental health services;
amending Minnesota Statutes 2024, section 62Q.096.

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

Section 1.

Minnesota Statutes 2024, section 62Q.096, is amended to read:

62Q.096 CREDENTIALING OF PROVIDERS.

(a) If a health plan company has initially credentialed, as providers in its provider network,
individual providers employed by or under contract with an entity that:

(1) is authorized to bill under section 256B.0625, subdivision 5;

(2) is a mental health clinic certified under section 245I.20;

(3) is designated an essential community provider under section 62Q.19; and

(4) is under contract with the health plan company to provide mental health services,
the health plan company must continue to credential at least the same number of providers
from that entity, as long as those providers meet the health plan company's credentialing
standards.

(b) In order to ensure timely access by patients to mental health services, deleted text begin between July
1, 2023, and June 30, 2025, deleted text end a health plan company must credential and enter into a contract
for mental health services with any provider of mental health services that:

(1) meets the health plan company's credential requirements. For purposes of credentialing
under this paragraph, a health plan company may waive credentialing requirements that are
not directly related to quality of care in order to ensure patient access to providers from
underserved communities or to providers in rural areas;

(2) seeks to receive a credential from the health plan company;

(3) agrees to the health plan company's contract terms. The contract shall include payment
rates that are usual and customary for the services provided;

(4) is accepting new patients; and

(5) is not already under a contract with the health plan company under a separate tax
identification number or, if already under a contract with the health plan company, has
provided notice to the health plan company of termination of the existing contract.

(c) A health plan company shall not refuse to credential these providers on the grounds
that their provider network has:

(1) a sufficient number of providers of that type, including but not limited to the provider
types identified in paragraph (a); or

(2) a sufficient number of providers of mental health services in the aggregate.