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
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
Liz Boldon
DDemocratic-Farmer-Labor
Co
Alice Mann
DDemocratic-Farmer-Labor
Co
Mary Kunesh-Podein
DDemocratic-Farmer-Labor
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