SF2498 (Legislative Session 94 (2025-2026))

Medicare supplement insurance policies preexisting condition limitations modification

Related bill: HF2335

AI Generated Summary

Purpose of the Bill

This bill aims to change the rules around Medicare supplement insurance policies in Minnesota, particularly focusing on the limitations and conditions concerning preexisting conditions. The changes are intended to make it easier for individuals to get and maintain coverage.

Main Provisions

  • Preexisting Condition Limitations: The bill modifies how preexisting condition limitations apply to Medicare supplement policies. It aims to ensure that individuals cannot be denied coverage or charged more due to their health status during certain enrollment periods.
  • Suspension of Premiums: The bill allows policyholders to suspend their premiums and benefits for up to 24 months if they become eligible for Medicaid and provides for automatic reinstatement once Medicaid eligibility ends.
  • Open Enrollment Periods: It outlines specific periods during which applicants can enroll in Medicare supplement policies without facing denial or higher prices due to preexisting conditions.
  • Guaranteed Issue Rights: The legislation guarantees that certain eligible individuals cannot be denied a Medicare supplement policy when they apply during designated periods, regardless of their health conditions.

Significant Changes to Existing Law

  • Repeals Specific Statutes: The bill repeals certain sections of Minnesota statutes that are outdated or conflicting with the new amendments.
  • Expansion of Enrollment Rights: Broadens the circumstances under which individuals can enroll in Medicare supplement policies without restrictions or premium discrimination, especially after involuntary disenrollment from prior plans.

Relevant Terms

preexisting condition, Medicare supplement insurance, open enrollment, Medicaid, guaranteed issue, suspension of benefits, premium classification, policy reinstatement, disenrollment.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 12, 2025SenateFloorActionIntroduction and first reading
March 12, 2025SenateFloorActionReferred toCommerce and Consumer Protection
March 26, 2025SenateFloorActionAuthor added

Citations

 
[
  {
    "analysis": {
      "added": [
        "Clarification on suspension of benefits and premiums when entitled to medical assistance."
      ],
      "removed": [
        "Eliminates section 62A.31, subdivision 1w."
      ],
      "summary": "This bill modifies policy requirements and limitations on denials, conditions, and pricing of coverage, as well as renewal or continuation provisions in Medicare supplement insurance policies.",
      "modified": [
        "Section 62A.31 subdivisions 1, 1f, 1h, 1p, and 1u."
      ]
    },
    "citation": "62A.31"
  },
  {
    "analysis": {
      "added": [],
      "removed": [
        "Repeals section 62A.3099, subdivision 18b."
      ],
      "summary": "Repeals section 62A.3099, subdivision 18b regarding specific provisions of Medicare supplement policies.",
      "modified": []
    },
    "citation": "62A.3099, subdivision 18b"
  }
]