Health carriers offering reference-based pricing health plans authorization
This bill allows Minnesota health insurance carriers to offer reference-based pricing health plans, where the carrier sets a fixed price for each medical service (based on Medicare rates or market rates) instead of negotiating with providers. Enrollees in these plans can access any provider who agrees to accept the set price as full payment, with carriers required to offer identical terms to all participating providers. The bill exempts such plans from standard network adequacy rules if reimbursement rates are at least 120% above Medicare rates and the plan is offered statewide. It does not require providers to join these plans or force carriers to cover specific services.
Bill status
in committee
1 of 4 stages cleared
Introduction
Jan 2025
Committee Review
Floor Vote
Governor
Introduced Jan 27, 2025
Last action Jan 27, 2025
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
2
Key actions
0
Committee
1
Jan 27, 2025
Committee
Referred to Commerce and Consumer Protection
upper
Jan 27, 2025
Introduced
Introduction and first reading
upper
1 primary · 2 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Glenn Gruenhagen
RRepublican
Co
Bill Lieske
RRepublican
Co
John Hoffman
DDemocratic-Farmer-Labor
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