Purpose of the Bill

The purpose of this bill is to regulate health care sharing arrangements by establishing annual reporting requirements. It aims to increase transparency and accountability for organizations that provide alternative health care payment solutions in Minnesota.

Main Provisions

• Definition of Terms: The bill defines "health care sharing arrangement" as any plan assisting with health care cost payment, not classified as a health carrier. It also defines a "participant" as an individual enrolled in such an arrangement.

• Annual Reporting Requirements: Health care sharing arrangements must report to the Commissioner of Commerce by October 1, 2025, and then annually by March 1. This report must include:

  • The number of participants and details about non-Minnesota residents.
  • Statistics on employer groups involved.
  • Information about health care providers serving participants.
  • Financial data, including fees collected and the percentage used for administrative costs.
  • Data on health care costs requested and reimbursed, including denied requests.
  • A list of benefits covered and exclusions, such as preexisting conditions.
  • Eligibility and waiting periods for participants.
  • Info on counties where the arrangement is offered.
  • Details on associated marketing or enrollment third parties.
  • Contact information and organizational structure of the arrangement.

• Public Reporting: The Department of Commerce is required to summarize this information and inform consumers about filing complaints, with the first publication due by December 1, 2025, and annually thereafter by April 1.

Significant Changes to Existing Law

This bill introduces new regulatory frameworks specifically for health care sharing arrangements, focusing on transparency and the standardization of operational data reporting. Such requirements have not been imposed on these arrangements in Minnesota before, as they are not classified under traditional health insurance regulations.

Relevant Terms

• Health care sharing arrangements
• Report to commissioner
• Participants
• Administrative costs
• Preexisting conditions
• Eligibility requirements
• Department of Commerce