Bill

Bill > SF3296


MN SF3296

MN SF3296
Health provider network adequacy provisions modifications


summary

Introduced
04/07/2025
In Committee
04/07/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to health; changing provider network adequacy provisions; amending Minnesota Statutes 2024, section 62K.10, subdivisions 2, 5, 6; repealing Minnesota Statutes 2024, section 62K.10, subdivision 3.

AI Summary

This bill modifies health provider network adequacy provisions in Minnesota law, primarily updating requirements for health carriers (insurance companies) regarding geographic accessibility of healthcare providers. The bill replaces the previous specific travel distance and time standards for various healthcare services with a reference to federal regulations (Code of Federal Regulations, title 45, section 155.1050) for time and distance standards. It maintains a waiver process for health carriers unable to meet network adequacy requirements, requiring them to submit a detailed application to the commissioner of health, pay a $500 fee, and demonstrate steps to address network inadequacy. The bill allows for telehealth options in counties where specific providers are unavailable and introduces a one-year automatic expiration for waivers, with subsequent applications requiring evidence of efforts to improve network coverage. Additionally, the bill repeals a previous subdivision that established maximum travel distances for specialty physician services and other health services, streamlining the existing network adequacy regulations. The changes aim to provide more flexibility for health carriers while ensuring reasonable access to healthcare services for patients.

Committee Categories

Health and Social Services

Sponsors (1)

Last Action

Referred to Health and Human Services (on 04/07/2025)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...