SF 2477 Minnesota Senate · 2025-2026 Regular Session

Health insurance, Medicare supplement benefits and prescription drugs provisions modifications

SF 2477 requires Minnesota health insurers to charge a "community rate" for Medicare supplement plans, meaning the same premium applies to all people in the same area without considering health status. Insurers can adjust rates only for specific, approved factors: differences in plan benefits or provider networks, geographic variations (with commissioner approval), discounts for healthy behaviors like not using tobacco, and a 10% late enrollment penalty. The bill mandates a two-step phase-in for compliance, with partial adjustments by March 1, 1993, and full adjustments by January 1, 1994, for most areas. This directly affects health insurers selling Medicare-related coverage and Minnesota residents purchasing these plans.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2025
Committee Review
Floor Vote
Governor
Introduced Mar 13, 2025 Last action Apr 3, 2025
Maddy AI version diff · 2 comparisons

What changed between versions

1st Engrossment 2nd Engrossment · 5 edits · Apr 3, 2025
MODERATE
The bill was updated from the 1st to the 2nd Engrossment, primarily involving renumbering of sections and the addition of new provisions requiring pharmacy benefit managers (PBMs) to submit fee information to the commissioner of health. The text also clarifies the commissioner's authority over insurance holding companies and modifies rules regarding the discontinuation of health plans.
Scope change
The bill's scope was expanded to explicitly require PBMs to submit prescription drug fee information to the commissioner of health, and the authority of the commissioner of health over insurance holding company systems was strengthened.
REQUIREMENT

Added a new requirement for pharmacy benefit managers to submit prescription drug fee information to the commissioner of health.

Added new reporting requirements for drug manufacturers regarding prescription drug price increases.

DEFINITION

Updated the definition of 'commissioner' to clarify that it includes the commissioner of health when regulating health maintenance organizations.

ENFORCEMENT

Expanded the commissioner's power to examine insurance holding company systems and their ultimate controlling parties to assess enterprise risk.

ELIGIBILITY

Modified criteria for when health plans can be discontinued or coverage cancelled, including specific notice periods for certain plan terminations.

Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
4
Key actions
2
Committee
3
Apr 3, 2025
Upper · Passed
Comm report: To pass as amended and re-refer to Commerce and Consumer Protection
upper
Mar 27, 2025
Upper · Passed
Comm report: To pass as amended and re-refer to Health and Human Services
upper
Mar 13, 2025
Committee
Referred to Commerce and Consumer Protection
upper
Mar 13, 2025
Introduced
Introduction and first reading
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Matt Klein
Matt Klein
DDemocratic-Farmer-Labor
MN
53