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HF2335 (Legislative Session 94 (2025-2026))

Preexisting condition limitations in Medicare supplement insurance policies modified.

Related bill: SF2498

AI Generated Summary

Purpose of the Bill

This bill aims to amend current regulations on Medicare supplement insurance policies in Minnesota. It seeks to modify the limitations on preexisting conditions within these policies, ensuring compliance with federal standards and enhancing consumer protections.

Main Provisions

  • Preexisting Condition Limitations: The bill modifies rules regarding the denial or delay in coverage based on preexisting conditions in Medicare supplement policies. It mandates that policies cannot impose additional waiting periods for preexisting conditions once reinstated after suspension.

  • Suspension and Reinstatement: Allows the suspension of benefit payments and premiums for policyholders who become entitled to Medicaid, facilitating an automatic reinstatement if Medicaid entitlement ends, without penalizing coverage for preexisting conditions.

  • Enrollment and Renewal Rules: Expands the opportunities for enrollment and renewals, removing discriminatory practices based on health status or age for Medicare-related coverage.

  • Guaranteed Issue: Ensures that eligible individuals, such as those transitioning from other coverage types or losing their current coverage involuntarily, have guaranteed access to new Medicare supplement policies without exclusions or increased rates due to health conditions.

  • Prohibited Policy Provisions: Prohibits Medicare supplement policies from having exclusions more restrictive than those provided by Medicare itself, ensuring that benefits do not duplicate what Medicare already covers unnecessarily.

Significant Changes to Existing Law

  • Repeal of Old Statutes: Repeals existing statutes that are inconsistent with the new rules, including certain provisions from the 2023 laws.
  • Consumer Protection Enhancements: Strengthens protections against discriminatory pricing and denial of coverage, aligning state requirements with federal guidelines.

Relevant Terms

  • Medicare supplement insurance
  • Preexisting condition
  • Suspension of benefits
  • Guaranteed issue
  • Medicaid
  • Enrollment period
  • Discriminatory pricing
  • Policy reinstatement

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 12, 2025HouseFloorActionIntroduction and first reading, referred toCommerce Finance and Policy

Citations

 
[
  {
    "analysis": {
      "added": [],
      "removed": [
        "Particular redundant or outdated subdivisions.",
        "Repeals section 62A.31 subdivision 1w."
      ],
      "summary": "The bill amends existing statutes related to Medicare supplement insurance policies, focusing on modifying preexisting condition limitations.",
      "modified": [
        "Clarifies the application and renewal processes.",
        "Adjusts the rules around preexisting conditions and guaranteed issue for eligible persons."
      ]
    },
    "citation": "62A.31"
  },
  {
    "analysis": {
      "added": [
        "Clarification on the types of questions to be included in insurance applications."
      ],
      "removed": [],
      "summary": "Adjustments are made to the questions included in application forms for Medicare supplement policies.",
      "modified": [
        "Specifies notice requirements related to policy replacements."
      ]
    },
    "citation": "62A.44"
  },
  {
    "analysis": {
      "added": [],
      "removed": [
        "Subdivision 18b is repealed."
      ],
      "summary": "Part of this section is repealed under the proposed changes within the bill.",
      "modified": []
    },
    "citation": "62A.3099"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Medicare Select policy framework is mentioned with regard to eligible individuals' rights under Medicare supplement policies.",
      "modified": [
        "Clarifies eligibility and enrollment conditions."
      ]
    },
    "citation": "62A.318"
  }
]

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