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MN SF3331

MN SF3331
Providers of outpatient behavioral health services to be paid at least 143 percent of the Medicare rate requirement


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 insurance; requiring providers of outpatient behavioral health services to be paid at least 143 percent of the Medicare rate; proposing coding for new law in Minnesota Statutes, chapter 62Q.

AI Summary

This bill requires health insurance companies in Minnesota to pay providers of outpatient behavioral health services at least 143 percent of the Medicare rate, as determined by the annual final rule from the Centers for Medicare and Medicaid Services (CMS). The bill specifically covers a wide range of outpatient mental health and substance use disorder treatments. Importantly, the requirement does not apply to state public health care program enrollees covered under chapters 256B or 256L, which typically relate to Medical Assistance and MinnesotaCare programs. By mandating rates above the Medicare benchmark, the bill aims to ensure adequate compensation for behavioral health providers, potentially improving access to mental health and substance use treatment services for patients by making such services more financially viable for healthcare providers.

Committee Categories

Business and Industry

Sponsors (2)

Last Action

Referred to Commerce and Consumer Protection (on 04/07/2025)

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