SF1107 (Legislative Session 94 (2025-2026))
Health care providers certain health care provider reimbursement arrangements disclosure to enrollees and health care providers requirement provision, Ombudsperson for public managed health care programs duties modifications, and health carrier liability when a health care provider is limited in providing services by the health carrier
AI Generated Summary
Senate File No. 1107 is a proposed bill in Minnesota that seeks to make healthcare pricing and provider reimbursement methods more transparent. This bill requires that health plan companies, health care networks, and providers clearly inform patients about how they are paid. This includes explaining any financial incentives that might lead providers to limit the type of care they give.
Specifically, the bill mandates that during a patient's enrollment or during open enrollment periods, healthcare entities must provide a general description of how they pay providers, including details on any payment systems that might encourage less care or restricted referrals to specialists. Additionally, patients can request more detailed information about these payment systems.
The bill also requires that these descriptions be made understandable per the Readability of Insurance Policies Act and that they are translated into multiple languages including English, Spanish, Vietnamese, and Hmong to ensure broader understanding.
Overall, this legislation is aimed at increasing transparency in healthcare, helping patients understand potential conflicts of interest in their care, and enhancing accountability among health insurance plans and healthcare providers.
Bill text versions
- Introduction PDF file
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| February 05, 2025 | Senate | Floor | Action | Introduction and first reading | |
| February 05, 2025 | Senate | Floor | Action | Referred to | Health and Human Services |
Citations
[
{
"analysis": {
"added": [
"Requires disclosures to be available in multiple languages including English, Spanish, Vietnamese, and Hmong."
],
"removed": [],
"summary": "This bill amends section 62J.72 regarding the disclosure of reimbursement methodologies used by health plan companies and providers.",
"modified": [
"Clarifies the types of reimbursement methodologies that must be disclosed, including those based on financial incentives and provider tiering."
]
},
"citation": "62J.72"
},
{
"analysis": {
"added": [],
"removed": [],
"summary": "This bill modifies section 62Q.735 related to health carriers and provider limitations.",
"modified": [
"Adjusts the duties of health care providers concerning the transparency of limitations imposed by health carriers."
]
},
"citation": "62Q.735"
}
]