Legislative Session number- 88

Bill Name: SF0761

Expanding and modifying certain statutes to conform to the provisions of the
federal affordable care act (ACA), including the federal Health Care and
Education Reconciliation Act of 2010, and applicable regulations; modifying
certain provisions relating to commissioner of management and budget contracting
authority, Minnesota employees insurance program eligibility, classification of
insurance contracts filing data, filing of policy forms by insurers for purposes
of complying with the certification requirements of the Minnesota insurance
marketplace; modifying children's health supervision services and prenatal care
services; modifying limitations of preauthorizations for emergencies, alcoholics
and drug dependents benefits; modifying individual policy conversion provisions,
including conversion privileges for insured former spouses and children,
coverage for scalp hair prosthesis and coverage of dependents; modifying the
scope of
coverage for dependents by plans other than health plans, preexisting
conditions disclosure methods and certain individual market regulations;
specifying health carriers comprehensive health insurance coverage requirements;
modifying provisions relating to nonprofit health service plan corporations
subscriber contracts for disabled dependents and conversion privileges, health
maintenance organizations (HMO) evidence of coverage, enrollee cost sharing,
rescission of coverage, and rural demonstration projects coverage; specifying
essential health benefits under comprehensive health insurance, major medical
coverages, minimum benefits of qualified number three plan; modifying the
definition of dependent under the small employer insurance reform and defining
individual health plan; modifying certain underwriting restrictions; modifying
restrictions relating to premium rates; modifying utilization review and appeals
of health care procedures, health plan companies regulations and coverage
requirements, insurance industry trade practices regulations, and municipal
joint powers group benefits for officers, employees, and retirees; defining and
redefining certain terms relating to health plan companies; provident for
coverage for preventative items and services; modifying direct access to
obstetric and gynecologic services; providing for coverage for participation in
approved clinical trials; modifying certain emergency services provisions;
providing for designation of primary care provider; specifying additional
required information; proving for lifetime and annual limits; modifying certain
complaint procedures; modifying enrollee notice provisions; modifying external
review of adverse determinations; specifying comprehensive health insurance
coverage requirements; requiring a benefits and coverage explanation;
prohibiting health plan recessions; repealing certain provisions relating to the
definition of dependent under comprehensive health insurance, small employer
insurance phase-in and supervision by commissioner
(ra)