HF3053 (Legislative Session 94 (2025-2026))
Health maintenance organization regulations updated.
Related bill: SF3295
AI Generated Summary
Purpose of the Bill
The goal of this bill is to update and clarify regulations related to Health Maintenance Organizations (HMOs) in Minnesota. It aims to align various statutory provisions and regulatory responsibilities between the Department of Commerce and the Department of Health, ensuring that HMOs comply with existing insurance rules.
Main Provisions
Disclosure of Insurance Information: The bill outlines how information obtained by the commissioner of commerce or health regarding insurance holding company systems must be disclosed according to specific statutes.
Authority and Definition of "Commissioner": It specifies that the term "commissioner" can refer to either the Commissioner of Commerce or the Commissioner of Health depending on whether the regulation pertains to commerce or health.
Examination of Insurers: The bill enhances the power of the commissioner to examine affiliated insurers to determine their financial conditions, thus ensuring robust oversight on enterprise risk.
Examination Expenses: Insurers that produce records for examination must bear the expenses of these examinations.
Rule Making: Both the Commissioner of Commerce and the Commissioner of Health have the authority to adopt rules necessary to execute their duties under the updated statutes.
Insurance Provisions for HMOs: HMOs must adhere to specific insurance provisions applicable to insurers, and they fall under certain Minnesota Rules like other insurers, unless the Commissioner of Health implements different rules.
Significant Changes
- The bill updates the shared responsibilities between two state departments, aiming to streamline regulatory processes for HMOs.
- It specifies the cross-application of certain insurance rules to HMOs, reinforcing a consistent regulatory framework.
Relevant Terms
health maintenance organizations, commissioner of health, commissioner of commerce, insurance holding company systems, financial examination, enterprise risk, rulemaking authority, regulatory framework, Minnesota Rules chapter 2720.
Bill text versions
- Introduction PDF file
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| April 01, 2025 | House | Floor | Action | Introduction and first reading, referred to | Health Finance and Policy |
Citations
[
{
"analysis": {
"added": [],
"removed": [],
"summary": "This section pertains to the disclosure rules for insurance-related data.",
"modified": [
"Clarifies the disclosure of information for the regulation of insurance holding company systems."
]
},
"citation": "13.7191",
"subdivision": "subdivision 4"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "This section defines the term 'commissioner' related to insurance regulation.",
"modified": [
"Amends the definition of 'commissioner' to include deputies and the respective departments for regulations relevant to insurance."
]
},
"citation": "60D.15",
"subdivision": "subdivision 3"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "The section outlines the powers of the commissioner regarding the examination of insurers.",
"modified": [
"Specifies the commissioner's examination powers over insurers and their affiliates concerning financial conditions and risks."
]
},
"citation": "60D.21",
"subdivision": "subdivision 1"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "This section talks about the expenses associated with insurance examinations.",
"modified": [
"Details the financial responsibilities for insurers undergoing examinations."
]
},
"citation": "60D.21",
"subdivision": "subdivision 3"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "The section provides the authority to adopt rules related to the insurance regulations.",
"modified": [
"Clarifies roles of different commissioners in adopting rules for insurance regulations."
]
},
"citation": "60D.23",
"subdivision": ""
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "This section applies certain insurance provisions to health maintenance organizations.",
"modified": [
"Expands on the insurance regulations applicable to health maintenance organizations."
]
},
"citation": "62D.221",
"subdivision": "subdivision 1"
}
]