SF 2794

as introduced - 84th Legislature (2005 - 2006) Posted on 12/15/2009 12:00am

A bill for an act
relating to health; prohibiting providers from refusing to contract with
government health plans and county-based purchasing organizations under
certain circumstances; amending Minnesota Statutes 2004, section 62Q.10.

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

Section 1.

Minnesota Statutes 2004, section 62Q.10, is amended to read:

62Q.10 NONDISCRIMINATION.

new text begin Subdivision 1. new text end

new text begin Provider network status. new text end new text begin new text end

If a health plan company, with the
exception of a community integrated service network or an indemnity insurer licensed
under chapter 60A who does not offer a product through a preferred provider network,
offers coverage of a health care service as part of its plan, it may not deny provider network
status to a qualified health care provider type who meets the credentialing requirements of
the health plan company solely because the provider is an allied independent health care
provider as defined in section 62Q.095.

new text begin Subd. 2. new text end

new text begin Contracting requirement. new text end

new text begin A provider that accepts Medicare or medical
assistance or other Minnesota health care program patients shall not refuse to contract with
a government-operated health plan company or county-based purchasing organization
that offers coverage under contracts with the state or federal government and that offers
reimbursement rates greater than or equal to rates paid by the state or federal government
for covered services.
new text end