Minnesota Legislature
SF 1928
as introduced - 88th Legislature (2013 - 2014) Posted on 02/26/2014 09:53am
Current Version - as introduced
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A bill for an act
relating to insurance; establishing requirements for health care provider
contracts related to preventive services and cost-sharing; establishing grounds
for disciplinary action related to preventive services and cost-sharing; proposing
coding for new law in Minnesota Statutes, chapters 62Q; 214.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
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[62Q.491] CONTRACT REQUIREMENTS RELATED TO
PREVENTIVE HEALTH SERVICES.
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(a) A health plan company shall include in all health care provider contracts a
requirement that a health care provider that has furnished a preventive health service for
which there is no patient cost-sharing give prior written notice to the patient and obtain
patient consent, before:
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(1) reclassifying the preventive health service as another service for which patient
cost-sharing applies; and
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(2) providing additional services for which patient cost-sharing applies, based on
the results of the preventive health service.
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The patient notice may be oral, if this is documented in the patient record and the
reclassified or additional service is to be provided during the same office visit at which the
preventive service was furnished.
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(b) For purposes of this section, "health care provider" has the meaning provided
in section 62J.03, subdivision 8.
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new text begin EFFECTIVE DATE. new text end
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This section is effective August 1, 2014, and applies to health
care provider contracts entered into or renewed on or after that date.
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Sec. 2.
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[214.122] PROVISION OF NOTICE.
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new text begin Subdivision 1. new text end
new text begin Applicability. new text end
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For purposes of this section, "board" means the Board
of Medical Practice, Board of Nursing, Board of Chiropractic Examiners, Board of
Optometry, and Board of Dentistry.
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new text begin Subd. 2. new text end
new text begin Provision of notice required. new text end
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A board shall establish, as grounds for
disciplinary action, failure by a licensee, who has furnished a preventive health service
for which there is no cost-sharing, to give prior written notice to the patient and obtain
patient consent, before:
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(1) reclassifying the preventive health service as another health service for which
patient cost-sharing applies; and
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(2) providing additional services for which patient cost-sharing applies, based on
the results of the preventive health service.
new text end
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The patient notice may be oral, if this is documented in the patient record and the
reclassified or additional service is to be provided during the same office visit at which the
preventive service was furnished.
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new text begin EFFECTIVE DATE. new text end
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This section is effective August 1, 2014.
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