HF 773

as introduced - 94th Legislature (2025 - 2026) Posted on 02/13/2025 02:48pm

A bill for an act
relating to health insurance; prohibiting cost-sharing for certain office visits for
infants, children, and adolescents; amending Minnesota Statutes 2024, section
62Q.46, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2024, section 62Q.46, is amended by adding a subdivision
to read:

new text begin Subd. 2a. new text end

new text begin Infants, children, and adolescents. new text end

new text begin (a) Notwithstanding subdivision 2, a
health plan company is prohibited from imposing cost-sharing requirements with respect
to an office visit if:
new text end

new text begin (1) the primary purpose of the visit is to provide infants, children, and adolescents with
evidence-informed preventive care and screenings identified in comprehensive guidelines
supported by the Health Resources and Services Administration; and
new text end

new text begin (2) the office visit is 15 minutes or less in duration.
new text end

new text begin (b) If an office visit meets the requirements of paragraph (a), a health plan company
must not prohibit a health care provider from billing for preventive items or services that
are billed separately or tracked separately as individual encounter data.
new text end