HF3035 (Legislative Session 94 (2025-2026))
Health insurance; prohibition on for-profit entities participating in certain markets eliminated.
Related bill: SF3434
AI Generated Summary
Purpose of the Bill
The bill seeks to modify existing health insurance policies in Minnesota by allowing for-profit entities to participate in certain health insurance markets. This aims to increase competition and potentially improve services and pricing within the state's health insurance sector.
Main Provisions
- Elimination of Prohibition: The bill proposes to eliminate the current restriction that prevents for-profit organizations from participating in specific health insurance markets.
- Modification of Participation Rules: The bill amends the requirement for nonprofit health maintenance organizations (HMOs) to participate in government programs such as medical assistance and MinnesotaCare. It sets conditions under which these organizations must propose services in underserved geographic regions.
- Geographic Regions for Proposals: Defines how geographic regions will be determined for the purpose of service proposals by nonprofit HMOs, ensuring that areas with lower enrollment in HMOs are targeted for increased service proposals.
Significant Changes to Existing Law
- The bill amends Minnesota Statutes 2024, section 62D.04, subdivision 5, which currently mandates participation criteria for nonprofit HMOs in government health programs.
- It proposes repealing Minnesota Statutes 2024, section 43A.24, subdivision 4, thereby removing existing legal obstacles to for-profit entity participation in certain markets.
Relevant Terms
- Health Insurance
- For-Profit Entities
- Nonprofit Corporations
- Health Maintenance Organizations (HMOs)
- Medical Assistance
- MinnesotaCare
- Geographic Regions
- Government Programs
Bill text versions
- Introduction PDF file
Actions
| Date | Chamber | Where | Type | Name | Committee Name |
|---|---|---|---|---|---|
| April 01, 2025 | House | Floor | Action | Introduction and first reading, referred to | Commerce Finance and Policy |
Citations
[
{
"analysis": {
"added": [],
"removed": [],
"summary": "This bill modifies participation requirements for health maintenance organizations under section 62D.04.",
"modified": [
"Allows for-profit entities to participate in certain health markets previously restricted to nonprofits."
]
},
"citation": "62D.04",
"subdivision": "subdivision 5"
}
]