HF 4225 Minnesota House · 2025-2026 Regular Session

Amount a provider can charge an enrollee for denied covered services limited.

This bill limits how much healthcare providers can charge patients when a health insurance company denies coverage for a service that should be covered under the patient's plan. Under the new rule, providers can only charge patients up to the agreed-upon negotiated rate plus an additional 20 percent for these denied services. Any amount patients pay toward these charges will count toward their insurance deductible. The bill does not require health plans to cover out-of-network providers or services not included in their plan, and it defines the negotiated rate as the amount providers and insurance companies have already agreed to in their contracts.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 12, 2026 Last action Mar 12, 2026
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Full legislative history

Actions timeline

Total actions
1
Key actions
0
Committee
0
Mar 12, 2026
Introduced
Introduction and first reading, referred to Commerce Finance and Policy
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Matt Norris
Matt Norris
DDemocratic-Farmer-Labor
MN
32B