HF 1155

1st Unofficial Engrossment - 82nd Legislature (2001 - 2002) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act
  1.2             relating to insurance; requiring an affirmative 
  1.3             provider consent to participate in a network under a 
  1.4             category of coverage; requiring disclosure of changes 
  1.5             in a provider's contract; establishing a moratorium on 
  1.6             managed care automobile insurance plans; defining 
  1.7             health benefit plan for certain purposes; providing 
  1.8             standards for the Minnesota uniform health care 
  1.9             identification card; requiring health plan companies 
  1.10            to provide certain information when requested by the 
  1.11            commissioner; establishing a task force on small 
  1.12            business health insurance; repealing the requirement 
  1.13            for an action plan; removing a penalty; amending 
  1.14            Minnesota Statutes 2000, sections 62D.08, subdivision 
  1.15            5; 62J.60; 62N.25, subdivision 7; 62Q.19, subdivision 
  1.16            1; 62Q.74, subdivisions 2, 3; 256B.692, subdivision 2; 
  1.17            proposing coding for new law in Minnesota Statutes, 
  1.18            chapter 62Q; repealing Minnesota Statutes 2000, 
  1.19            sections 62D.08, subdivision 5; 62Q.07. 
  1.20  BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.21     Section 1.  Minnesota Statutes 2000, section 62D.08, 
  1.22  subdivision 5, is amended to read: 
  1.23     Subd. 5.  [CHANGES IN PARTICIPATING ENTITIES; PENALTY.] 
  1.24  Every health maintenance organization shall inform the 
  1.25  commissioner of any change in the information described in 
  1.26  section 62D.03, subdivision 4, clause (e), including any change 
  1.27  in address, any modification of the duration of any contract or 
  1.28  agreement, and any addition to the list of participating 
  1.29  entities, within ten working days of the notification of the 
  1.30  change.  Any cancellation or discontinuance of any contract or 
  1.31  agreement listed in section 62D.03, subdivision 4, clause (e), 
  1.32  or listed subsequently in accordance with this subdivision, 
  2.1   shall be reported to the commissioner 120 days before the 
  2.2   effective date.  When the health maintenance organization 
  2.3   terminates a provider for cause, death, disability, or loss of 
  2.4   license, the health maintenance organization must notify the 
  2.5   commissioner within three ten working days of the date the 
  2.6   health maintenance organization sends out or receives the notice 
  2.7   of cancellation, discontinuance, or termination.  Any health 
  2.8   maintenance organization which fails to notify the commissioner 
  2.9   within the time periods prescribed in this subdivision shall be 
  2.10  subject to the levy of a fine up to $200 per contract for each 
  2.11  day the notice is past due, accruing up to the date the 
  2.12  organization notifies the commissioner of the cancellation or 
  2.13  discontinuance.  Any fine levied under this subdivision is 
  2.14  subject to the contested case and judicial review provisions of 
  2.15  chapter 14.  The levy of a fine does not preclude the 
  2.16  commissioner from using other penalties described in sections 
  2.17  62D.15 to 62D.17. 
  2.18     Sec. 2.  Minnesota Statutes 2000, section 62J.60, is 
  2.19  amended to read: 
  2.20     62J.60 [STANDARDS FOR THE MINNESOTA UNIFORM HEALTH CARE 
  2.21  IDENTIFICATION CARD.] 
  2.22     Subdivision 1.  [MINNESOTA UNIFORM HEALTH CARE 
  2.23  IDENTIFICATION CARD.] All individuals with health care coverage 
  2.24  shall be issued Minnesota uniform health care identification 
  2.25  cards by group purchasers as of January 1, 1998, unless the 
  2.26  requirements of section 62A.01, subdivisions 2 and 3, are 
  2.27  met.  If a health benefit plan issued by a group purchaser 
  2.28  provides coverage for prescription drugs, the group purchaser 
  2.29  shall include uniform prescription drug information on the 
  2.30  uniform health care identification card issued to its enrollees 
  2.31  on or after July 1, 2003.  Nothing in this section requires a 
  2.32  group purchaser to issue a separate card containing uniform 
  2.33  prescription drug information, provided that the Minnesota 
  2.34  uniform health care identification card can accommodate the 
  2.35  information necessary to process prescription drug claims as 
  2.36  required by this section.  The Minnesota uniform health care 
  3.1   identification cards shall comply with the standards prescribed 
  3.2   in this section. 
  3.3      Subd. 1a.  [DEFINITION; HEALTH BENEFIT PLAN.] For purposes 
  3.4   of this section, "health benefit plan" means a policy, contract, 
  3.5   or certificate offered, sold, issued, or renewed by a group 
  3.6   purchaser for the coverage of medical and hospital benefits.  A 
  3.7   health benefit plan does not include coverage that is: 
  3.8      (1) limited to disability or income protection coverage; 
  3.9      (2) automobile or homeowners medical payment coverage; 
  3.10     (3) liability insurance or supplemental to liability 
  3.11  insurance; 
  3.12     (4) accident-only coverage; 
  3.13     (5) credit accident and health insurance issued under 
  3.14  chapter 62B; 
  3.15     (6) designed solely to provide dental or vision care; 
  3.16     (7) designed solely to provide coverage for a specified 
  3.17  disease or illness; 
  3.18     (8) coverage under which benefits are payable with or 
  3.19  without regard to fault and that is statutorily required to be 
  3.20  contained in any liability insurance policy or equivalent 
  3.21  self-insurance; or 
  3.22     (9) hospital income or indemnity. 
  3.23     Subd. 2.  [GENERAL CHARACTERISTICS.] (a) The Minnesota 
  3.24  uniform health care identification card must be a preprinted 
  3.25  card constructed of plastic, paper, or any other medium that 
  3.26  conforms with ANSI and ISO 7810 physical characteristics 
  3.27  standards.  The card dimensions must also conform to ANSI and 
  3.28  ISO 7810 physical characteristics standard.  The use of a 
  3.29  signature panel is optional.  The uniform prescription drug 
  3.30  information contained on the card must conform with the format 
  3.31  adopted by the NCPDP and, except as provided in subdivision 3, 
  3.32  paragraph (a), clause (2), must include all of the fields 
  3.33  required to submit a claim in conformance with the most recent 
  3.34  pharmacy identification card implementation guide produced by 
  3.35  the NCPDP.  All information required to submit a prescription 
  3.36  drug claim, exclusive of information provided on a prescription 
  4.1   that is required by law, must be included on the card in a 
  4.2   clear, readable, and understandable manner.  If a health benefit 
  4.3   plan requires a conditional or situational field, as defined by 
  4.4   the NCPDP, the conditional or situational field must conform to 
  4.5   the most recent pharmacy information card implementation guide 
  4.6   produced by the NCPDP. 
  4.7      (b) The Minnesota uniform health care identification card 
  4.8   must have an essential information window in on the front side 
  4.9   with the following data elements left justified in the following 
  4.10  top to bottom sequence:  card issuer name, claim submission 
  4.11  electronic transaction routing information, card issuer 
  4.12  identification number, cardholder (insured) identification 
  4.13  number, and cardholder (insured) identification name.  No 
  4.14  optional data may be interspersed between these data elements.  
  4.15  The window must be left justified.  
  4.16     (c) Standardized labels are required next to human readable 
  4.17  data elements and must come before the human readable data 
  4.18  elements.  The card issuer may decide the location of the 
  4.19  standardized label relative to the data element.  
  4.20     Subd. 2a.  [ISSUANCE.] A new Minnesota uniform health care 
  4.21  identification card must be issued to individuals upon 
  4.22  enrollment.  Except for the medical assistance, general 
  4.23  assistance medical care, and MinnesotaCare programs, a new card 
  4.24  must be issued upon any change in an individual's health care 
  4.25  coverage that impacts the content or format of the data included 
  4.26  on the card or no later than 24 months after adoption of any 
  4.27  change in the NCPDP implementation guide or successor document 
  4.28  that affects the content or format of the data included on the 
  4.29  card.  Anytime that a card is issued upon enrollment or replaced 
  4.30  by the medical assistance, general assistance medical care, or 
  4.31  MinnesotaCare program, the card must conform to the adopted 
  4.32  NCPDP standards in effect and to the implementation guide in use 
  4.33  at the time of issuance.  Newly issued cards must conform to the 
  4.34  adopted NCPDP standards in effect at the time of issuance and to 
  4.35  the implementation guide in use at the time of issuance.  
  4.36  Stickers or other methodologies may be used to update cards 
  5.1   temporarily. 
  5.2      Subd. 3.  [HUMAN READABLE DATA ELEMENTS.] (a) The following 
  5.3   are the minimum human readable data elements that must be 
  5.4   present on the front side of the Minnesota uniform health care 
  5.5   identification card: 
  5.6      (1) card issuer name or logo, which is the name or logo 
  5.7   that identifies the card issuer.  The card issuer name or logo 
  5.8   may be the card's front background be located at the top of the 
  5.9   card.  No standard label is required for this data element; 
  5.10     (2) claim submission complete electronic transaction 
  5.11  routing information including, at a minimum, the international 
  5.12  identification number.  The standardized label of this data 
  5.13  element is "RxBIN."  Processor control numbers and group numbers 
  5.14  are required if needed to electronically process a prescription 
  5.15  drug claim.  The standardized label for the process control 
  5.16  numbers data element is "RxPCN" and the standardized label for 
  5.17  the group numbers data element is "RxGrp," except that if the 
  5.18  group number data element is a universal element to be used by 
  5.19  all health care providers, the standardized label may be "Grp."  
  5.20  To conserve vertical space on the card, the international 
  5.21  identification number and the processor control number may be 
  5.22  printed on the same line; 
  5.23     (3) card issuer identification number.  The standardized 
  5.24  label for this element is "Clm Subm # Issuer"; 
  5.25     (3) (4) cardholder (insured) identification number, which 
  5.26  is the unique identification number of the individual card 
  5.27  holder established and defined under this section.  The 
  5.28  standardized label for the data element is "ID"; 
  5.29     (4) (5) cardholder (insured) identification name, which is 
  5.30  the name of the individual card holder.  The identification name 
  5.31  must be formatted as follows:  first name, space, optional 
  5.32  middle initial, space, last name, optional space and name 
  5.33  suffix.  The standardized label for this data element is "Name"; 
  5.34     (5) account number(s), which is any other number, such as a 
  5.35  group number, if required for part of the identification or 
  5.36  claims process.  The standardized label for this data element is 
  6.1   "Account"; 
  6.2      (6) care type, which is the description of the group 
  6.3   purchaser's plan product under which the beneficiary is 
  6.4   covered.  The description shall include the health plan company 
  6.5   name and the plan or product name.  The standardized label for 
  6.6   this data element is "Care Type"; 
  6.7      (7) service type, which is the description of coverage 
  6.8   provided such as hospital, dental, vision, prescription, or 
  6.9   mental health.  The standard label for this data element is "Svc 
  6.10  Type"; and 
  6.11     (8) provider/clinic name, which is the name of the primary 
  6.12  care clinic the card holder is assigned to by the health plan 
  6.13  company.  The standard label for this field is "PCP."  This 
  6.14  information is mandatory only if the health plan company assigns 
  6.15  a specific primary care provider to the card holder. 
  6.16     (b) The following human readable data elements shall be 
  6.17  present on the back side of the Minnesota uniform health care 
  6.18  identification card.  These elements must be left justified, and 
  6.19  no optional data elements may be interspersed between them:  
  6.20     (1) claims submission name(s) names and 
  6.21  address(es) addresses, which are the name(s) names and 
  6.22  address(es) addresses of the entity or entities to which claims 
  6.23  should be submitted.  If different destinations are required for 
  6.24  different types of claims, this must be labeled; and 
  6.25     (2) telephone numbers and names that pharmacies and other 
  6.26  health care providers may call for assistance.  These telephone 
  6.27  numbers and names are required on the back side of the card only 
  6.28  if one of the contacts listed in clause (3) cannot provide 
  6.29  pharmacies or other providers with assistance or with the 
  6.30  telephone numbers and names of contacts for assistance; and 
  6.31     (3) telephone number(s) numbers and name(s) names; which 
  6.32  are the telephone number(s) numbers and name(s) names of the 
  6.33  following contact(s) contacts with a standardized label 
  6.34  describing the service function as applicable:  
  6.35     (i) eligibility and benefit information; 
  6.36     (ii) utilization review; 
  7.1      (iii) precertification; or 
  7.2      (iv) customer services. 
  7.3      (c) The following human readable data elements are 
  7.4   mandatory on the back side of the Minnesota uniform health care 
  7.5   identification card for health maintenance organizations: 
  7.6      (1) emergency care authorization telephone number or 
  7.7   instruction on how to receive authorization for emergency care.  
  7.8   There is no standard label required for this information; and 
  7.9      (2) one of the following: 
  7.10     (i) telephone number to call to appeal to or file a 
  7.11  complaint with the commissioner of health; or 
  7.12     (ii) for persons enrolled under section 256B.69, 256D.03, 
  7.13  or 256L.12, the telephone number to call to file a complaint 
  7.14  with the ombudsperson designated by the commissioner of human 
  7.15  services under section 256B.69 and the address to appeal to the 
  7.16  commissioner of human services.  There is no standard label 
  7.17  required for this information. 
  7.18     (d) All human readable data elements not required under 
  7.19  paragraphs (a) to (c) are optional and may be used at the 
  7.20  issuer's discretion. 
  7.21     Subd. 4.  [MACHINE READABLE DATA CONTENT.] The 
  7.22  Minnesota uniform health care identification card may be machine 
  7.23  readable or nonmachine readable.  If the card is machine 
  7.24  readable, the card must contain a magnetic stripe that conforms 
  7.25  to ANSI and ISO standards for Tracks 1.  
  7.26     Subd. 5.  [ANNUAL REPORTING.] As part of an annual filing 
  7.27  made with the commissioner of health or commerce on or after 
  7.28  January 1, 2003, a group purchaser shall certify compliance with 
  7.29  this section and shall submit to the commissioner of health or 
  7.30  commerce a copy of the Minnesota uniform health care 
  7.31  identification card used by the group purchaser. 
  7.32     [EFFECTIVE DATE.] This section is effective January 1, 
  7.33  2003, and applies to health benefit plans issued or renewed on 
  7.34  or after that date. 
  7.35     Sec. 3.  Minnesota Statutes 2000, section 62N.25, 
  7.36  subdivision 7, is amended to read: 
  8.1      Subd. 7.  [EXEMPTIONS FROM EXISTING REQUIREMENTS.] 
  8.2   Community integrated service networks are exempt from the 
  8.3   following requirements applicable to health maintenance 
  8.4   organizations: 
  8.5      (1) conducting focused studies under Minnesota Rules, part 
  8.6   4685.1125; 
  8.7      (2) preparing and filing, as a condition of licensure, a 
  8.8   written quality assurance plan, and annually filing such a plan 
  8.9   and a work plan, under Minnesota Rules, parts 4685.1110 and 
  8.10  4685.1130; 
  8.11     (3) maintaining statistics under Minnesota Rules, part 
  8.12  4685.1200; 
  8.13     (4) filing provider contract forms under sections 62D.03, 
  8.14  subdivision 4, and 62D.08, subdivision 1; and 
  8.15     (5) reporting any changes in the address of a network 
  8.16  provider or length of a provider contract or additions to the 
  8.17  provider network to the commissioner within ten days under 
  8.18  section 62D.08, subdivision 5.  Community networks must report 
  8.19  such information to the commissioner on a quarterly basis.  
  8.20  Community networks that fail to make the required quarterly 
  8.21  filing are subject to the penalties set forth in section 62D.08, 
  8.22  subdivision 5; and 
  8.23     (6) preparing and filing, as a condition of licensure, a 
  8.24  marketing plan, and annually filing a marketing plan, under 
  8.25  sections 62D.03, subdivision 4, paragraph (l), and 62D.08, 
  8.26  subdivision 1. 
  8.27     Sec. 4.  Minnesota Statutes 2000, section 62Q.19, 
  8.28  subdivision 1, is amended to read: 
  8.29     Subdivision 1.  [DESIGNATION.] The commissioner shall 
  8.30  designate essential community providers.  The criteria for 
  8.31  essential community provider designation shall be the following: 
  8.32     (1) a demonstrated ability to integrate applicable 
  8.33  supportive and stabilizing services with medical care for 
  8.34  uninsured persons and high-risk and special needs populations as 
  8.35  defined in section 62Q.07, subdivision 2, paragraph (e), 
  8.36  underserved, and other special needs populations; and 
  9.1      (2) a commitment to serve low-income and underserved 
  9.2   populations by meeting the following requirements: 
  9.3      (i) has nonprofit status in accordance with chapter 317A; 
  9.4      (ii) has tax exempt status in accordance with the Internal 
  9.5   Revenue Service Code, section 501(c)(3); 
  9.6      (iii) charges for services on a sliding fee schedule based 
  9.7   on current poverty income guidelines; and 
  9.8      (iv) does not restrict access or services because of a 
  9.9   client's financial limitation; 
  9.10     (3) status as a local government unit as defined in section 
  9.11  62D.02, subdivision 11, a hospital district created or 
  9.12  reorganized under sections 447.31 to 447.37, an Indian tribal 
  9.13  government, an Indian health service unit, or a community health 
  9.14  board as defined in chapter 145A; 
  9.15     (4) a former state hospital that specializes in the 
  9.16  treatment of cerebral palsy, spina bifida, epilepsy, closed head 
  9.17  injuries, specialized orthopedic problems, and other disabling 
  9.18  conditions; or 
  9.19     (5) a rural hospital that has qualified for a sole 
  9.20  community hospital financial assistance grant in the past three 
  9.21  years under section 144.1484, subdivision 1.  For these rural 
  9.22  hospitals, the essential community provider designation applies 
  9.23  to all health services provided, including both inpatient and 
  9.24  outpatient services. 
  9.25     Prior to designation, the commissioner shall publish the 
  9.26  names of all applicants in the State Register.  The public shall 
  9.27  have 30 days from the date of publication to submit written 
  9.28  comments to the commissioner on the application.  No designation 
  9.29  shall be made by the commissioner until the 30-day period has 
  9.30  expired. 
  9.31     The commissioner may designate an eligible provider as an 
  9.32  essential community provider for all the services offered by 
  9.33  that provider or for specific services designated by the 
  9.34  commissioner. 
  9.35     For the purpose of this subdivision, supportive and 
  9.36  stabilizing services include at a minimum, transportation, child 
 10.1   care, cultural, and linguistic services where appropriate. 
 10.2      Sec. 5.  Minnesota Statutes 2000, section 62Q.74, 
 10.3   subdivision 2, is amended to read: 
 10.4      Subd. 2.  [PROVIDER CONSENT REQUIRED.] (a) No network 
 10.5   organization shall require a health care provider to participate 
 10.6   in a network under a category of coverage that differs from the 
 10.7   category or categories of coverage to which the existing 
 10.8   contract between the network organization and the provider 
 10.9   applies, without the affirmative consent of the provider 
 10.10  obtained under subdivision 3.  
 10.11     (b) This section does not apply to situations in which the 
 10.12  network organization wishes the provider to participate in a new 
 10.13  or different plan or other arrangement within a category of 
 10.14  coverage that is already provided for in an existing contract 
 10.15  between the network organization and the provider. 
 10.16     (c) Compliance with this section may not be waived in a 
 10.17  contract or otherwise. 
 10.18     Sec. 6.  Minnesota Statutes 2000, section 62Q.74, 
 10.19  subdivision 3, is amended to read: 
 10.20     Subd. 3.  [CONSENT PROCEDURE.] (a) The network 
 10.21  organization, if it wishes to apply an existing contract with a 
 10.22  provider to a different category of coverage, shall first notify 
 10.23  the provider in writing.  The written notice must include at 
 10.24  least the following: 
 10.25     (1) the network organization's name, address, and telephone 
 10.26  number, and the name of the specific network, if it differs from 
 10.27  that of the network organization; 
 10.28     (2) a description of the proposed new category of coverage; 
 10.29     (3) the names of all payers expected by the network 
 10.30  organization to use the network for the new category of 
 10.31  coverage; 
 10.32     (4) the approximate number of current enrollees of the 
 10.33  network organization in that category of coverage within the 
 10.34  provider's geographical area; 
 10.35     (5) a disclosure of all contract terms of the proposed new 
 10.36  category of coverage, including the discount or reduced fees, 
 11.1   care guidelines, utilization review criteria, prior 
 11.2   authorization process, and dispute resolution process; 
 11.3      (6) a form for the provider's convenience in accepting or 
 11.4   declining participation in the proposed new category of 
 11.5   coverage, provided that the provider need not use that form in 
 11.6   responding; and 
 11.7      (7) a statement informing the provider of the provisions of 
 11.8   paragraph (b). 
 11.9      (b) If the provider does not decline participation within 
 11.10  30 days after the postmark date of the notice, the provider is 
 11.11  deemed to have accepted the proposed new category of 
 11.12  coverage Unless the provider has affirmatively agreed to 
 11.13  participate within 60 days after the postmark date of the 
 11.14  notice, the provider is deemed to have not accepted the proposed 
 11.15  new category of coverage. 
 11.16     Sec. 7.  [62Q.745] [PROVIDER CONTRACT AMENDMENT 
 11.17  DISCLOSURE.] 
 11.18     (a) Any amendment or change in the terms of an existing 
 11.19  contract between a network organization and a health care 
 11.20  provider must be disclosed to the provider. 
 11.21     (b) Any amendment or change in the contract that alters the 
 11.22  financial reimbursement or alters the written contractual 
 11.23  policies and procedures governing the relationship between the 
 11.24  provider and the network organization must be disclosed to the 
 11.25  provider before the amendment or change is deemed to be in 
 11.26  effect. 
 11.27     (c) For purposes of this section, "network organization" 
 11.28  and "health care provider" or "provider" have the meanings given 
 11.29  in section 62Q.74. 
 11.30     Sec. 8.  [62Q.746] [ACCESS TO CERTAIN INFORMATION REGARDING 
 11.31  PROVIDERS.] 
 11.32     Upon request of the commissioner, a health plan company 
 11.33  licensed under chapters 62C and 62D, must provide the following 
 11.34  information: 
 11.35     (1) a detailed description of the health plan company's 
 11.36  methods and procedures, standards, qualifications, criteria, and 
 12.1   credentialing requirements for designating the providers who are 
 12.2   eligible to participate in the health plan company's provider 
 12.3   network, including any limitations on the numbers of providers 
 12.4   to be included in the network; 
 12.5      (2) the number of full-time equivalent physicians, by 
 12.6   specialty, nonphysician providers, and allied health providers 
 12.7   used to provide services; and 
 12.8      (3) summary data that is broken down by type of provider, 
 12.9   reflecting actual utilization of network and non-network 
 12.10  practitioners and allied professionals by enrollees of the 
 12.11  health plan company. 
 12.12     Sec. 9.  Minnesota Statutes 2000, section 256B.692, 
 12.13  subdivision 2, is amended to read: 
 12.14     Subd. 2.  [DUTIES OF THE COMMISSIONER OF HEALTH.] (a) 
 12.15  Notwithstanding chapters 62D and 62N, a county that elects to 
 12.16  purchase medical assistance and general assistance medical care 
 12.17  in return for a fixed sum without regard to the frequency or 
 12.18  extent of services furnished to any particular enrollee is not 
 12.19  required to obtain a certificate of authority under chapter 62D 
 12.20  or 62N.  The county board of commissioners is the governing body 
 12.21  of a county-based purchasing program.  In a multicounty 
 12.22  arrangement, the governing body is a joint powers board 
 12.23  established under section 471.59.  
 12.24     (b) A county that elects to purchase medical assistance and 
 12.25  general assistance medical care services under this section must 
 12.26  satisfy the commissioner of health that the requirements for 
 12.27  assurance of consumer protection, provider protection, and 
 12.28  fiscal solvency of chapter 62D, applicable to health maintenance 
 12.29  organizations, or chapter 62N, applicable to community 
 12.30  integrated service networks, will be met.  
 12.31     (c) A county must also assure the commissioner of health 
 12.32  that the requirements of sections 62J.041; 62J.48; 62J.71 to 
 12.33  62J.73; 62M.01 to 62M.16; all applicable provisions of chapter 
 12.34  62Q, including sections 62Q.07; 62Q.075; 62Q.1055; 62Q.106; 
 12.35  62Q.12; 62Q.135; 62Q.14; 62Q.145; 62Q.19; 62Q.23, paragraph (c); 
 12.36  62Q.43; 62Q.47; 62Q.50; 62Q.52 to 62Q.56; 62Q.58; 62Q.64; 62Q.68 
 13.1   to 62Q.72; and 72A.201 will be met.  
 13.2      (d) All enforcement and rulemaking powers available under 
 13.3   chapters 62D, 62J, 62M, 62N, and 62Q are hereby granted to the 
 13.4   commissioner of health with respect to counties that purchase 
 13.5   medical assistance and general assistance medical care services 
 13.6   under this section.  
 13.7      (e) The commissioner, in consultation with county 
 13.8   government, shall develop administrative and financial reporting 
 13.9   requirements for county-based purchasing programs relating to 
 13.10  sections 62D.041, 62D.042, 62D.045, 62D.08, 62N.28, 62N.29, and 
 13.11  62N.31, and other sections as necessary, that are specific to 
 13.12  county administrative, accounting, and reporting systems and 
 13.13  consistent with other statutory requirements of counties.  
 13.14     Sec. 10.  [TASK FORCE ON SMALL BUSINESS HEALTH INSURANCE.] 
 13.15     (a) The task force on small business health insurance shall 
 13.16  study Minnesota's health coverage market available to small 
 13.17  businesses and make recommendations for solutions that could 
 13.18  make group health coverage more accessible and affordable for 
 13.19  small businesses.  The task force shall recommend any 
 13.20  legislative changes needed to permit those solutions. 
 13.21     (b) The task force shall report its recommendations in 
 13.22  writing to the legislature, in compliance with Minnesota 
 13.23  Statutes, section 3.195, no later than December 15, 2001. 
 13.24     (c) The commissioners of commerce and health shall provide 
 13.25  any necessary assistance to the task force. 
 13.26     (d) The task force consists of the following members: 
 13.27     (1) three members of the senate, including at least one 
 13.28  member of the minority, appointed by the subcommittee on 
 13.29  committees of the senate committee on rules and administration; 
 13.30     (2) three members of the house, including at least one 
 13.31  member of the minority, appointed by the speaker of the house; 
 13.32     (3) four persons representing small business owners, three 
 13.33  appointed by the Minnesota chamber of commerce and one appointed 
 13.34  by the national federation of independent business; 
 13.35     (4) two persons appointed by the Minnesota council of 
 13.36  health plans; 
 14.1      (5) one person appointed by the insurance federation of 
 14.2   Minnesota; 
 14.3      (6) one insurance agent, appointed by the Minnesota 
 14.4   association of health underwriters; 
 14.5      (7) the commissioner of commerce or the commissioner's 
 14.6   designee; and 
 14.7      (8) four consumers appointed by the commissioner, two of 
 14.8   whom must reside outside the metropolitan area as defined in 
 14.9   Minnesota Statutes, section 473.121, subdivision 2. 
 14.10     (e) The task force shall not provide compensation or 
 14.11  expense reimbursement to its members. 
 14.12     (f) The task force expires on June 30, 2002. 
 14.13     Sec. 11.  [MORATORIUM] 
 14.14     Subdivision 1.  [MORATORIUM ON NEW MANAGED CARE AUTOMOBILE 
 14.15  INSURANCE PLANS.] No automobile insurance company licensed under 
 14.16  Minnesota Statutes, chapter 60A, and authorized to provide 
 14.17  automobile no-fault coverage or any health plan company as 
 14.18  defined under Minnesota Statutes, section 62Q.01, subdivision 4, 
 14.19  may enter into any contracts that provide, or that have the 
 14.20  effect of providing, managed care services to no-fault claimants 
 14.21  between January 1, 2001, and June 30, 2002.  For the purposes of 
 14.22  this section, "managed care services" is defined as any program 
 14.23  of medical services that uses health care providers managed, 
 14.24  owned, employed by, or under contract with a health plan 
 14.25  company.  This subdivision may not be construed to impact the 
 14.26  legality of the use of managed care services for no-fault 
 14.27  benefits. 
 14.28     Subd. 2.  [LIMITED PANEL DISCLOSURE.] Effective July 1, 
 14.29  2001, an insurer regulated under Minnesota Statutes, chapter 
 14.30  65B, with a contract subject to the moratorium set forth under 
 14.31  subdivision 1, must provide to the insured upon notice of an 
 14.32  automobile injury claim report a disclosure statement informing 
 14.33  the insured of the following: 
 14.34     (1) under state law, the injured has the option of 
 14.35  receiving medical care for injuries received in an automobile 
 14.36  accident from any licensed provider or health care facility and 
 15.1   is not required to seek medical care through a case management 
 15.2   program or from a designated network of providers, hospitals, or 
 15.3   clinics; and 
 15.4      (2) if the insured receives medical care through a case 
 15.5   management program or a designated provider network, medical 
 15.6   care may be restricted in terms of the type, duration, or 
 15.7   frequency of the care provided and the insured may be required 
 15.8   to seek prior authorization before medical care is reimbursed by 
 15.9   the insurer. 
 15.10     Subd. 3.  [EXISTING MANAGED CARE CONTRACTS.] Any health 
 15.11  plan company or automobile insurer that is party to a contract 
 15.12  subject to the moratorium set forth in subdivision 1, in 
 15.13  existence prior to the moratorium created on January 1, 2001, 
 15.14  must comply with the following provisions during the moratorium 
 15.15  created under this act: 
 15.16     (1) no such contract shall be extended to any additional 
 15.17  insurers; and 
 15.18     (2) if a provider has declined to participate in a category 
 15.19  of coverage, the network organization must permit the provider 
 15.20  the opportunity to participate in that category of coverage on a 
 15.21  biennial basis. 
 15.22     Subd. 4.  [SUNSET.] This section is repealed effective June 
 15.23  30, 2002. 
 15.24     Sec. 12.  [REPEALER.] 
 15.25     Minnesota Statutes 2000, sections 62D.08, subdivision 5, 
 15.26  and 62Q.07, are repealed. 
 15.27     Sec. 13.  [EFFECTIVE DATE.] 
 15.28     Sections 1, 3, 4, 9, 10, 11, and 12, are effective the day 
 15.29  following final enactment.