Legislative Session number- 83

Bill Name: SF0394

E Relating to health; requiring utilization review organizations, + health plan
companies or claims administrators to allow health care providers to +submit
health care services prior authorization requests by telephone, +facsimile
(fax), voice mail or electronic mechanism at any time, exempting +dental
services covered under MinnesotaCare, general assistance medical care+ (GAMC)
and medical assistance (MA) from the requirement; enacting the +"Minnesota
Health Plan Contracting Act", establishing procedures for the +contracting of
health care providers by health plan companies, exemptions; +specifying certain
contract and proposed amendment disclosure requirements; providing +for the
regulation of payment rates; regulating service code changes by +health plan
companies; prohibiting the use of unilateral terms in contracts +relating to
indemnification or arbitration, authorizing unilateral termination by+ either
party, specifying certain health plan company advance notice +requirements for
termination without cause; modifying certain provisions regulating +network
shadow contracting; changing the term network organization to health +plan
company; modifying certain provider consent requirements; requiring +health plan
companies to make available to providers upon request information on +the status
of claims submitted consistent with the standards for uniform health +care
reimbursement documents; specifying certain interest payment +requirements;
authorizing the commissioner of commerce to assess a financial +administrative
penalty against health plan companies for claim payment violations +under
certain conditions; requiring health plan companies releasing +provider
identifiable profiling data to consumers or health plan members to +provide the
providers with an opportunity to review the data and a summary +describing the
underlying analysis and methodology, providing for appeal of the +release,
exempting utilization profiling by dental plan organizations (je, ja)