State employee group insurance program utilization review pilot program established, and reports required.

HF 2555 establishes a pilot program (2026-2030) for Minnesota's state employee health insurance plan, comparing retrospective utilization review (evaluating care after it's provided) against prior authorization (evaluating care before it's provided). It requires health carriers to use retrospective review for state employee coverage during the pilot, while still allowing prior authorization if needed, and mandates quality audits to track impacts on care access and costs. The program directly affects state employees covered under the group insurance plan and health care providers billing them. The commissioner must report annually on cost, access, and quality impacts to lawmakers, with final recommendations due by 2031.