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Minnesota Legislature

Office of the Revisor of Statutes

SF 2252

as introduced - 91st Legislature (2019 - 2020) Posted on 03/11/2019 04:01pm

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

Current Version - as introduced

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A bill for an act
relating to insurance; requiring coverage for treatment and services provided by
mental health professionals and clinical trainees; requiring a denial of a claim for
mental health services be made or reviewed by a licensed mental health
professional; amending Minnesota Statutes 2018, section 62A.15, subdivision 4,
by adding a subdivision.

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

Section 1.

Minnesota Statutes 2018, section 62A.15, is amended by adding a subdivision
to read:


new text begin Subd. 3c. new text end

new text begin Mental health services. new text end

new text begin (a) All benefits provided by a policy or contract
referred to in subdivision 1 relating to expenses incurred for mental health treatment or
services provided by a mental health professional must also include treatment and services
provided by a clinical trainee to the extent that the services and treatment are within the
scope of practice of the clinical trainee according to Minnesota Rules, part 9505.0371,
subpart 5, item C.
new text end

new text begin (b) This subdivision provides for equal payment of benefits for mental health treatment
and services provided by a mental health professional, as defined in Minnesota Rules, part
9505.0371, subpart 5, item A, or a clinical trainee, but does not change or add to the benefits
provided for in those policies or contracts.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2020, and applies to policies
and contracts offered, issued, or renewed on or after that date.
new text end

Sec. 2.

Minnesota Statutes 2018, section 62A.15, subdivision 4, is amended to read:


Subd. 4.

Denial of benefits.

(a) No carrier referred to in subdivision 1 may, in the
payment of claims to employees in this state, deny benefits payable for services covered by
the policy or contract if the services are lawfully performed by a licensed chiropractor,
licensed optometrist, a registered nurse meeting the requirements of subdivision 3a, or a
licensed acupuncture practitioner.

(b) When carriers referred to in subdivision 1 make claim determinations concerning
the appropriateness, quality, or utilization of chiropractic health care for Minnesotans, any
of these determinations that are made by health care professionals must be made by, or
under the direction of, or subject to the review of licensed doctors of chiropractic.

(c) When a carrier referred to in subdivision 1 makes a denial of payment claim
determination concerning the appropriateness, quality, or utilization of acupuncture services
for individuals in this state performed by a licensed acupuncture practitioner, a denial of
payment claim determination that is made by a health professional must be made by, under
the direction of, or subject to the review of a licensed acupuncture practitioner.

new text begin (d) When a carrier referred to in subdivision 1 makes a denial of payment claim
determination concerning the appropriateness, quality, or utilization of mental health services
for individuals in this state performed by a licensed mental health professional or clinical
trainee, a denial of payment claim determination that is made by a health professional must
be made by, under the direction of, or subject to the review of a licensed mental health
professional.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2020, and applies to policies
and contracts offered, issued, or renewed on or after that date.
new text end