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News & Press: General

Status on 2017 MMGMA Legislative Priorities

Monday, April 17, 2017   (0 Comments)
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  1. No unilateral changes to health plan contracts: We support protection for patients and providers from unilateral changes to health plan contract terms, policies, procedures and fee schedules without notification and consent by the provider.

    Status: During April, available GAC members will meet with individual legislators and our lobbyists from Messerli and Kramer to review drafted bill language to introduce into session. Watch for more information.

  2. Network participation for any willing provider: We support efforts to ensure that health plans issuing benefits must enter into provider service agreements with all providers who are qualified under Minnesota law.

    We support H.F. 1554 by Rep. Matt Dean (R, Dellwood), stating in part: “No health plan company shall limit or restrict an enrollees’ ability to select or designate a primary care provider of the enrollee’s choice if the primary care provider has agreed to the terms of the health plan company’s provider.”

  3. Risk-sharing between insurers and providers in high deductible products: We support legislation that would put the financial burden of collecting high deductible costs on the health plan. If a provider is not successful after repeated attempts to collect an outstanding deductible, the health plan would make the provider whole.

    Status: In addition to HF-2563 relating to risk-sharing between insurers and providers and mentioning MMGMA, we support HF1 authored by Rep. Joe Hoppe (R, Chaska), chair of the House Commerce committee and its companion, SF1, authored by Sen. Michelle Benson (R, Ham Lake), chair of the Senate Health and Human Services committee. The legislation intends to provide temporary health insurance premium relief and modifications to health maintenance organization requirements and reporting. For a complete look at HF1/SF1 click here.

  4. Public payment parity: We support language that requires payers to pay providers no less than the Medicare or Minnesota Medical Assistance fee schedules for the specific services rendered.

  5. Provider tax: We support the Provider Tax phase out.

  6. Health Care Homes: We support efforts to simplify and streamline Health Care Home rules to permit broader participation by patients with chronic conditions, and reduce administrative overhead to providers.

  7. Workers’ compensation: We support efforts to ensure fair and adequate provider reimbursement in the workers’ compensation and no-fault systems.

  8. Honoring Choices: We support Honoring Choices Minnesota, whose mission is to make advance care planning the state’s standard of care for adults 18 and older.

  9. Status: Lawmakers have included language to address appropriating money for advanced care planning for end of life choices in HF 2201 by Rep. Joe Schomacker (R, Luverne)/ SF 2076 Sen. Melisa Franson (D, Bloomington). The language is now part of the House Health and Human Services omnibus bill.

For questions about legislative priorities, contact Lisa Belak, GAC Chair, lisa.belak@mngastro.com


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