Bill > HF1487

This bill modifies Minnesota's requirements for the all-payer claims database (APCD), a comprehensive health care claims database that collects information from various health plans and insurers. The bill introduces new requirements for health plan companies and administrators to submit more detailed information about fully denied claims, specifically mandating that they include an indicator of denied claim lines, reasons for denial, claim line adjudication status, and a unique claim identifier. Additionally, the bill establishes a structured fee schedule for accessing the APCD data, with different rates for standard data sets ($3,500 per data file per year), limited-use data sets ($7,000 per data file per year), and custom data sets or reports ($100 per hour of staff time, not exceeding 40 hours). The commissioner of health is given the discretion to waive fees for certain entities, such as those experiencing financial hardship, academic institutions, or self-insured data submitters. The bill also requires the Department of Health to publish an annual list of authorized data access projects and to deposit collected fees into a special revenue fund dedicated to maintaining and expanding the APCD. Furthermore, the bill includes an appropriation of an unspecified amount for fiscal years 2026 and 2027 to support the collection of data on fully denied claims.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF1487&ssn=0&y=2025