1.1 	A bill for an act
1.2 	relating to health; providing for the disclosure of health care payment 
1.3 	information; amending Minnesota Statutes 2006, section 62J.81, subdivision 1; 
1.4 	repealing Minnesota Statutes 2006, section 62J.052, subdivision 1.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2006, section 62J.81, subdivision 1, is amended to read:
1.7 		Subdivision 1.Required disclosure of estimated payment. (a) A health care 
1.8 	provider, as defined in section 62J.03, subdivision 8, or the provider's designee as agreed 
1.9 	to by that designee, shall, at the request of a consumer, provide that consumer with a good 
1.10 	faith estimate of the ~~reimbursement~~allowable payment the provider ~~expects to receive~~ 
1.11 	~~from the health plan company in which the consumer is enrolled~~ has agreed to accept from 
1.12 	the consumer's health plan company for the services specified by the consumer, specifying 
1.13 	the amount of the allowable payment due from the health plan company and the amount 
1.14 	due from the consumer. Health plan companies must allow contracted providers, or their 
1.15 	designee, to release this information. ~~A good faith estimate must also be made available at~~ 
1.16 	~~the request of a consumer who is not enrolled in a health plan company.~~If a consumer has 
1.17 	no applicable public or private coverage, the health care provider must give the consumer 
1.18 	a good faith estimate of the average allowable reimbursement the provider accepts as 
1.19 	payment from private third-party payers for the services specified by the consumer and the 
1.20 	estimated amount the noncovered consumer will be required to pay. Payment information 
1.21 	provided by a provider, or by the provider's designee as agreed to by that designee, to a 
1.22 	patient pursuant to this subdivision does not constitute a legally binding estimate of the 
1.23 	allowable charge for or cost to the consumer of services. 
2.1 	(b) A health plan company, as defined in section 62J.03, subdivision 10, shall, at the 
2.2 	request of an enrollee or the enrollee's designee, provide that enrollee with a good faith 
2.3 	estimate of the ~~reimbursement~~allowable amount the health plan company ~~would expect to~~ 
2.4 	~~pay to~~has contracted for with a specified provider within the network as total payment for 
2.5 	a health care service specified by the enrollee and the portion of the allowable amount due 
2.6 	from the enrollee. ~~If requested by the enrollee, the health plan company shall also provide~~ 
2.7 	~~to the enrollee a good faith estimate of the enrollee's out-of-pocket cost for the health care~~ 
2.8 	~~service.~~ An estimate provided to an enrollee under this paragraph is not a legally binding 
2.9 	estimate of the ~~reimbursement~~allowable amount or enrollee's out-of-pocket cost.

2.10 	Sec. 2.  REPEALER.
 2.11 	Minnesota Statutes 2006, section 62J.052, subdivision 1, is repealed.

2.12 	Sec. 3. EFFECTIVE DATE.
 2.13 	Sections 1 and 2 are effective August 1, 2007.