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HF 3161

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/30/2023 12:01pm

KEY: stricken = removed, old language.
underscored = added, new language.
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Bill Text Versions

Engrossments
Introduction Posted on 03/29/2023

Current Version - as introduced

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A bill for an act
 relating to insurance; health; changing claim payment exceptions; amending
Minnesota Statutes 2022, section 62Q.75, subdivision 4.

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

Section 1.

Minnesota Statutes 2022, section 62Q.75, subdivision 4, is amended to read:


Subd. 4.

Claims adjustment timeline.

(a) Once a clean claim, as defined in section
62Q.75, subdivision 1, has been paid, the contract must provide a 12-month deadline on all
adjustments to and recoupments of the payment with the exception of deleted text begin payments related to
coordination of benefits, subrogation,deleted text end duplicate claimsdeleted text begin , retroactive terminations,deleted text end and cases
of fraud and abuse.

(b) Paragraph (a) shall not apply to pharmacy contracts entered into between or on behalf
of health plan companies.