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HF 1974

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 03/26/2018 04:35pm

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

Current Version - 1st Engrossment

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A bill for an act
relating to insurance; establishing a mental health and substance use disorder work
group; requiring a report.

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

Section 1. new text begin MENTAL HEALTH AND SUBSTANCE USE DISORDER WORK
GROUP.
new text end

new text begin Subdivision 1. new text end

new text begin Work group created. new text end

new text begin (a) The commissioners of health and commerce
shall convene a 13-member work group to make recommendations and report on the most
effective approach to determine and demonstrate mental health and substance use disorder
parity, in accordance with state and federal law for individual and group health plans offered
in Minnesota. The work group shall include the following:
new text end

new text begin (1) two members representing health plan companies that offer health plans in the
individual market;
new text end

new text begin (2) two members representing health plan companies that offer health plans in the group
markets;
new text end

new text begin (3) the commissioner of health;
new text end

new text begin (4) the commissioner of commerce;
new text end

new text begin (5) the commissioner of management and budget;
new text end

new text begin (6) two members representing employers;
new text end

new text begin (7) two members who are providers representing the mental health and substance use
disorder community; and
new text end

new text begin (8) two members who are advocates representing the mental health and substance use
disorder community.
new text end

new text begin (b) Members of the work group must have expertise in standards for evidence-based
care, benefit design, or development or knowledge relating to the analysis of the mental
health and substance use disorder parity under federal and state law, including nonquantitative
treatment limitations. The final report must include recommendations for the most effective
approach to both demonstrate parity for regulatory purposes and communicate parity
determinations publicly in a manner that is meaningful to consumers.
new text end

new text begin (c) The final report must be written in nontechnical, readily understandable language
and be made available to the public by, among such other means as the work group finds
appropriate, posting the report on the Department of Health and Department of Commerce
Web sites.
new text end

new text begin (d) In developing its report and recommendations, the work group may consult with the
Substance Abuse and Mental Health Services Agency and the National Association of
Insurance Commissioners for the latest developments on evaluation of mental health and
substance use disorder parity.
new text end

new text begin (e) The report must include the following:
new text end

new text begin (1) a summary of completed state enforcement actions relating to individual and group
health plans offered in Minnesota during the preceding 12-month period regarding
compliance with parity in mental health and substance use disorders benefits in accordance
with state and federal law, and a summary of the results of completed state enforcement
actions. Data that is protected under state or federal law as nonpublic, private, or confidential
shall remain nonpublic, private, or confidential. This summary must include:
new text end

new text begin (i) the number of formal enforcement actions taken;
new text end

new text begin (ii) the benefit classifications examined in each enforcement action; and
new text end

new text begin (iii) the subject matter of each enforcement action, including quantitative and
nonquantitative treatment limitations;
new text end

new text begin (2) detailed information about any regulatory actions the commissioners of health or
commerce have taken as a result of a completed state enforcement action pertaining to health
plan compliance with sections 62Q.47 and 62Q.53 and United States Code, title 42, section
18031(j); and
new text end

new text begin (3) a description of the work group's recommendations on educating the public about
alcoholism, mental health, or chemical dependency parity protections under state and federal
law.
new text end

new text begin Subd. 2. new text end

new text begin Report. new text end

new text begin By February 15, 2019, the commissioners of health and commerce
shall jointly report the recommendations of the work group to the chairs and ranking minority
members of the legislative committees with jurisdiction over health care policy and finance.
new text end

new text begin Subd. 3. new text end

new text begin First meeting. new text end

new text begin The commissioner of commerce shall convene the first meeting
of the work group on or before August 1, 2018.
new text end