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SF3434 (Legislative Session 94 (2025-2026))

For-profit entities participating in certain health markets prohibition elimination

Related bill: HF3035

AI Generated Summary

Purpose of the Bill

The purpose of this bill is to change health insurance regulations in Minnesota by allowing for-profit entities to participate in certain health insurance markets, which were previously restricted to nonprofit and government units.

Main Provisions

  • Participation of For-Profit Entities: The bill seeks to remove existing prohibitions that prevent for-profit health maintenance organizations (HMOs) from participating in certain Minnesota health insurance markets. This change would allow for-profit organizations to compete alongside nonprofit and government groups.

  • Amendment to Current Law: The bill amends Minnesota Statutes 2024, specifically section 62D.04, subdivision 5. The amendment affects the requirements for health maintenance organizations (HMOs) to participate in medical assistance and MinnesotaCare programs as long as they meet the criteria set out in requests for proposals.

  • Repeal of Statutory Provision: The bill proposes to repeal Minnesota Statutes 2024, section 43A.24, subdivision 4, which is part of the existing regulatory framework that restricts for-profit entities.

Significant Changes

  • This legislative change marks a significant shift from previous law by opening up health insurance markets to for-profit providers, which could increase competition and potentially expand insurance options for consumers in Minnesota.

Relevant Terms

for-profit health maintenance organizations, nonprofit corporations, medical assistance, MinnesotaCare programs, health insurance markets, certificate of authority, regulatory repeal.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
April 23, 2025SenateFloorActionIntroduction and first reading
April 23, 2025SenateFloorActionIntroduction and first reading
April 23, 2025SenateFloorActionReferred toCommerce and Consumer Protection

Citations

 
[
  {
    "analysis": {
      "added": [
        "Includes specific conditions for health maintenance organization proposals to government programs."
      ],
      "removed": [
        ""
      ],
      "summary": "This section of the bill amends regulations regarding health maintenance organizations under section 62D.04, subdivision 5.",
      "modified": [
        "Clarifies conditions under which health maintenance organizations must participate in medical assistance and MinnesotaCare programs."
      ]
    },
    "citation": "62D.04",
    "subdivision": "subdivision 5"
  }
]

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