Minnesota Session Laws - 1999, Regular Session

                            CHAPTER 130-H.F.No. 270 
                  An act relating to insurance; increasing the maximum 
                  lifetime benefit limit on certain policies of the 
                  Minnesota comprehensive health insurance plan; 
                  amending Minnesota Statutes 1998, section 62E.12. 
        BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
           Section 1.  Minnesota Statutes 1998, section 62E.12, is 
        amended to read: 
           62E.12 [MINIMUM BENEFITS OF COMPREHENSIVE HEALTH INSURANCE 
        PLAN.] 
           The association through its comprehensive health insurance 
        plan shall offer policies which provide the benefits of a number 
        one qualified plan and a number two qualified plan, except that 
        the maximum lifetime benefit on these plans shall be $2,000,000, 
        $2,800,000, and an extended basic plan and a basic Medicare plan 
        as described in sections 62A.31 to 62A.44 and 62E.07.  The 
        requirement that a policy issued by the association must be a 
        qualified plan is satisfied if the association contracts with a 
        preferred provider network and the level of benefits for 
        services provided within the network satisfies the requirements 
        of a qualified plan.  If the association uses a preferred 
        provider network, payments to nonparticipating providers must 
        meet the minimum requirements of section 72A.20, subdivision 
        15.  They shall offer health maintenance organization contracts 
        in those areas of the state where a health maintenance 
        organization has agreed to make the coverage available and has 
        been selected as a writing carrier.  Notwithstanding the 
        provisions of section 62E.06 and unless those charges are billed 
        by a provider that is part of the association's preferred 
        provider network, the state plan shall exclude coverage of 
        services of a private duty nurse other than on an inpatient 
        basis and any charges for treatment in a hospital located 
        outside of the state of Minnesota in which the covered person is 
        receiving treatment for a mental or nervous disorder, unless 
        similar treatment for the mental or nervous disorder is 
        medically necessary, unavailable in Minnesota and provided upon 
        referral by a licensed Minnesota medical practitioner. 
           Sec. 2.  [EFFECTIVE DATE; APPLICATION.] 
           Section 1 is effective the day following final enactment 
        and applies to policies in existence on, and issued or renewed 
        on or after, that date. 
           Presented to the governor May 4, 1999 
           Became law without the governor's signature May 7, 1999