as introduced - 90th Legislature (2017 - 2018) Posted on 03/02/2017 10:02am
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 2016, section 62A.15, subdivision 4,
by adding a subdivision.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2016, section 62A.15, is amended by adding a subdivision
to read:
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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.
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This subdivision is intended to provide equal payment of benefits for mental health
treatment and services provided by a mental health professional or clinical trainee as defined
in this subdivision and is not intended to change or add to the benefits provided for in those
policies or contracts.
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Minnesota Statutes 2016, section 62A.15, subdivision 4, is amended to read:
(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.
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(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.
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