SF 184

as introduced - 91st Legislature (2019 - 2020) Posted on 01/17/2019 01:50pm

A bill for an act
relating to health coverage; limiting cost-sharing requirements for the first four
outpatient mental health service visits; amending Minnesota Statutes 2018, section
62Q.47.

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

Section 1.

Minnesota Statutes 2018, section 62Q.47, is amended to read:

62Q.47 ALCOHOLISM, MENTAL HEALTH, AND CHEMICAL DEPENDENCY
SERVICES.

(a) All health plans, as defined in section 62Q.01, that provide coverage for alcoholism,
mental health, or chemical dependency services, must comply with the requirements of this
section.

(b) Cost-sharing requirements and benefit or service limitations for outpatient mental
health and outpatient chemical dependency and alcoholism services, except for persons
placed in chemical dependency services under Minnesota Rules, parts 9530.6600 to
9530.6655, must not place a greater financial burden on the insured or enrollee, or be more
restrictive than those requirements and limitations for outpatient medical services.

new text begin (c) Notwithstanding paragraph (b), no health plan shall impose cost-sharing requirements
for the first four outpatient mental health service visits that occur within a contract year.
For purposes of this paragraph, "cost-sharing" includes deductibles, coinsurance, or
co-payments, but does not include premiums, balance billing amounts for non-network
providers, or the cost of noncovered services.
new text end

deleted text begin (c) deleted text end new text begin (d) new text end Cost-sharing requirements and benefit or service limitations for inpatient hospital
mental health and inpatient hospital and residential chemical dependency and alcoholism
services, except for persons placed in chemical dependency services under Minnesota Rules,
parts 9530.6600 to 9530.6655, must not place a greater financial burden on the insured or
enrollee, or be more restrictive than those requirements and limitations for inpatient hospital
medical services.

deleted text begin (d) deleted text end new text begin (e) new text end All health plans must meet the requirements of the federal Mental Health Parity
Act of 1996, Public Law 104-204; Paul Wellstone and Pete Domenici Mental Health Parity
and Addiction Equity Act of 2008; the Affordable Care Act; and any amendments to, and
federal guidance or regulations issued under, those acts.