Bill > SF1107

This bill introduces several key modifications to healthcare provider reimbursement and disclosure requirements in Minnesota, effective January 1, 2025 (with some provisions effective August 1, 2025). The bill requires health plan companies, health care network cooperatives, and all payers using value-based payments to provide enrollees with a detailed description of their reimbursement methodologies during enrollment and annually. These disclosures must explicitly explain financial incentives that might motivate healthcare providers to limit or restrict care, including scenarios such as payments based on care volume, referrals, patient population cost, risk-sharing arrangements, and provider tiering. Providers must also disclose any specific ways these payment structures could limit patient care. Additionally, the bill requires health plan companies to provide providers with complete contract details, including fee schedules and conditions that might restrict service provision. A new provision also establishes health carrier liability, stating that if a carrier's compensation limits potentially cause care delays or denials, the carrier may be legally responsible for resulting patient injuries. The bill emphasizes transparency by mandating these disclosures be available in multiple languages and stipulating that such disclosures do not constitute revealing proprietary information.