HF 1214

as introduced - 89th Legislature (2015 - 2016) Posted on 02/25/2015 12:57pm

A bill for an act
relating to insurance; specifying geographical considerations in regard to
implementing and adjusting the Affordable Care Act in this state; amending
Minnesota Statutes 2014, section 62K.10, subdivisions 2, 3.

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

Section 1.

Minnesota Statutes 2014, section 62K.10, subdivision 2, is amended to read:

Subd. 2.

Primary care; mental health services; general hospital services.

new text begin (a)
new text end The maximum travel distance or time shall be the lesser of 30 miles or 30 minutes to the
nearest provider of each of the following services: primary care services, mental health
services, and general hospital services.

new text begin (b) In any geographic region, as defined by section 62A.65, subdivision 3, where the
average aggregate premiums exceeded those available in the lowest cost region by at least
50 percent in 2015, the maximum travel distance or time may be the lesser of 75 miles
or 75 minutes to the nearest in-network or contracted provider of each of the following
services: primary care services, mental health services, and general hospital services.
new text end

new text begin (c) A health plan may offer a qualified health plan under paragraph (b) only if it
also offers at least one qualified health plan in the same region that complies with the
requirements of paragraph (a).
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective May 1, 2015.
new text end

Sec. 2.

Minnesota Statutes 2014, section 62K.10, subdivision 3, is amended to read:

Subd. 3.

Other health services.

new text begin (a) new text end The maximum travel distance or time shall be
the lesser of 60 miles or 60 minutes to the nearest provider of specialty physician services,
ancillary services, specialized hospital services, and all other health services not listed in
subdivision 2.

new text begin (b) In any geographic region, as defined by section 62A.65, subdivision 3, where
the average aggregate premiums exceeded those available in the lowest cost region by
at least 50 percent in 2015, the maximum travel distance or time shall be the lesser of
100 miles or 100 minutes to the nearest in-network or contracted provider of specialty
physician services, ancillary services, specialized hospital services, and all other health
services not listed in subdivision 2.
new text end

new text begin (c) A health plan may offer a qualified health plan under paragraph (b) only if it
also offers at least one qualified health plan in the same region that complies with the
requirements of paragraph (a).
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective May 1, 2015.
new text end

Sec. 3. new text begin NETWORK ADEQUACY STANDARDS PROPOSAL.
new text end

new text begin No later than December 15, 2015, the commissioner of health shall investigate, study,
and propose to the legislature a set of revised standards for provider network adequacy,
as defined by section 62K.10. The revised standards shall assess the impact of any such
revision on regional provider pricing disparities for identical treatments and services, health
insurance product premiums, and the affordability of health insurance for consumers.
new text end

Sec. 4. new text begin SINGLE GEOGRAPHIC RATE AREA STUDY.
new text end

new text begin The commissioner of commerce shall report the likely impact on premium rates in
each region as a result of establishing a single geographic rating area for the entire state
of Minnesota for plans available starting January 1, 2017.
new text end