Legislative Session number- 83

Bill Name: SF1721

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, excluding +health plan
benefit design changes from regulation as different underlying +financial
reimbursement methodology under the consent procedure; requiring +health plan
companies or third party administrators to make available to +providers
information on the status of submitted claims at the request of the +provider;
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 (ja)