SF 628 Minnesota Senate · 2025-2026 Regular Session

Health plan enrollee's contribution toward and out-of-pocket maximum or cost sharing calculation requirements establishment

This bill requires Minnesota health insurance plans to include all payments made by enrollees (or on their behalf) toward out-of-pocket costs when calculating their annual maximum out-of-pocket limit. It specifically mandates that co-payments, coinsurance, and deductibles count toward this limit, ensuring all contributions are properly tracked. The law applies to health plans offered, issued, or renewed on or after January 1, 2026. This directly affects health plan members and insurers in Minnesota by standardizing how out-of-pocket spending is calculated.
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
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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