SF565

SF565 (Legislative Session 94 (2025-2026))

Cost defrayal to health plan companies for additional benefits by the commissioner of commerce requirement

Related bill: HF400

AI Generated Summary

Senate Bill SF No 565 is a legislative proposal from Minnesota that requires the Commissioner of Commerce to cover the additional costs that health plan companies may incur if they are mandated to add new benefits to their plans. Specifically, if an evaluation of a new health benefit proposal finds that it will increase costs for health plan members, and the proposal becomes law, then the Commissioner must make payments to the health plan providers. These payments aim to help cover the increased costs stemming from the new mandated benefits in the individual, small group, and large group markets. Additionally, the bill expects payments to be made within 60 days of the Commissioner receiving a cost statement from the health plan company.

Bill text versions

Introduction PDF file

Actions

Date	Chamber	Where	Type	Name	Committee Name
January 22, 2025	Senate	Floor	Action	Introduction and first reading
January 22, 2025	Senate	Floor	Action	Referred to	Commerce and Consumer Protection
February 02, 2025	Senate	Floor	Action	Author added
March 02, 2025	Senate	Floor	Action	Author added
March 09, 2025	Senate	Floor	Action	Comm report: To pass and re-referred to	Health and Human Services

Citations

[
  {
    "analysis": {
      "added": [
        "Adds a new provision for defraying costs under Subdivision 6."
      ],
      "removed": [
        "N/A - no removal noted in the provided section."
      ],
      "summary": "The bill amends section 62J.26 by revising funding rules for health benefit evaluations.",
      "modified": [
        "Specifies conditions under which commissioner may use funds beyond state appropriations."
      ]
    },
    "citation": "62J.26"
  },
  {
    "analysis": {
      "added": [
        "Clarifies the application of federal regulations to state-administered health plan cost evaluation."
      ],
      "removed": [
        "N/A - the reference is direct without removal."
      ],
      "summary": "This bill references CFR 45 § 155.170 for cost defrayment processes in evaluating health benefits.",
      "modified": [
        "Incorporates federal standards into state evaluation procedures."
      ]
    },
    "citation": "Code of Federal Regulations title 45 section 155.170"
  }
]