SF 3055

2nd Engrossment - 81st Legislature (1999 - 2000) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to health plans; regulating contract 
  1.3             stacking; providing a remedy; expanding the scope of 
  1.4             provisions regulating network shadow contracting; 
  1.5             requiring the commissioner of health to study the 
  1.6             impact of regulating shadow contracting; amending 
  1.7             Minnesota Statutes 1999 Supplement, section 62Q.74, 
  1.8             subdivision 1. 
  1.9   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.10     Section 1.  Minnesota Statutes 1999 Supplement, section 
  1.11  62Q.74, subdivision 1, is amended to read: 
  1.12     Subdivision 1.  [DEFINITIONS.] (a) For purposes of this 
  1.13  section, the terms defined in this subdivision have the meanings 
  1.14  given. 
  1.15     (b) "Category of coverage" means one of the following types 
  1.16  of health-related coverage: 
  1.17     (1) health; 
  1.18     (2) no-fault automobile medical benefits; or 
  1.19     (3) workers' compensation medical benefits. 
  1.20     (c) "Health care provider" or "provider" has the meaning 
  1.21  given in section 148.01 means an individual licensed, 
  1.22  registered, or regulated by the board of medical practice under 
  1.23  chapter 147, a chiropractor licensed under sections 148.01 to 
  1.24  148.106, a dentist licensed under chapter 150A, or a hospital 
  1.25  licensed under chapter 144. 
  1.26     (d) "Network organization" means a preferred provider 
  1.27  organization as defined in section 145.61, subdivision 4c; a 
  2.1   managed care organization as defined in section 62Q.01, 
  2.2   subdivision 5; or other entity that uses or consists of a 
  2.3   network of health care providers; but does not include a 
  2.4   nonprofit health service plan corporation operating under 
  2.5   chapter 62C or its affiliates. 
  2.6      Sec. 2.  [PREMIUM COST STUDY.] 
  2.7      The commissioner of health, in cooperation with other state 
  2.8   agencies, shall determine whether the implementation of 
  2.9   Minnesota Statutes, section 62Q.74, increased premium costs for 
  2.10  health-related coverage, and if so, by how much.  The 
  2.11  commissioner shall also determine whether the implementation of 
  2.12  Minnesota Statutes, section 62Q.74, has limited the ability of 
  2.13  employers to purchase managed care plans.  The commissioner 
  2.14  shall report the findings to the legislature by January 15, 2002.
  2.15     Sec. 3.  [EFFECTIVE DATE.] 
  2.16     Section 1 is effective for contracts entered into or 
  2.17  renewed after August 1, 2000.