The bill S.F. No. 1407 aims to modify the evaluation process for proposals that would require health plans to cover new treatments, services, or provider types in Minnesota. Specifically, it updates the definitions and evaluation processes in Minnesota Statutes section 62J.26.

• It clarifies what counts as a mandated health benefit proposal, emphasizing its application to health plans including coverage for specific diseases, treatments, or medical equipment.

• Exemptions to these proposals include changes aligning state laws with federal laws, scope-of-practice amendments for healthcare professionals, and proposals solely targeting Minnesota’s public healthcare programs.

• The bill requires the commissioner of commerce, in consultation with other relevant commissioners, to thoroughly evaluate new health benefit mandates. The evaluations need to consider medical effectiveness, economic impacts, public health significance, existing coverage prevalence, and potential cost changes including effects on premiums.

• All evaluations must be thoroughly documented and shared publicly on the website within 30 days of completion to ensure transparency.

• A procedure is set for the legislative process to ensure that the necessary evaluations are completed before the legislature votes on any proposals. This involves timelines for notifying the relevant committee chairs and the commissioner when a proposal is introduced or amended.

• The bill also asserts that even if a mandated health benefit law is passed without going through the prescribed evaluation process, it still stands effective.

• New rules are set to be established by the commissioner for notifying the legislature and conducting evaluations effectively.

In summary, this legislation seeks to enhance the scrutiny of health benefit mandate proposals to ensure they are economically sound and medically beneficial before being enacted into law in Minnesota.