This bill establishes direct primary care service agreements in Minnesota, defining them as written agreements between a direct primary care practice and a patient, where the practice charges a direct fee for primary care services. The bill clarifies that these agreements are not considered insurance and are not subject to existing insurance regulations. It amends Minnesota Statutes 2022, section 62A.01, by adding a subdivision that outlines the nature of direct primary care service agreements, including that they do not require a certificate of authority or license under various insurance chapters. Additionally, it amends section 62A.011 to specify that coverage provided under a direct primary care service agreement is not classified as a health plan.
The bill further details the requirements for direct primary care service agreements, including the necessity for written documentation, the ability for either party to terminate the agreement with notice, and the stipulation that the direct fee must not vary based on the patient's health status. It also includes provisions for the conduct of business, ensuring that direct practices maintain appropriate records and do not submit claims to health plans for services covered under direct agreements. Violations of these provisions may be considered unprofessional conduct, leading to disciplinary action. Overall, the bill aims to create a clear framework for direct primary care practices while ensuring patient rights and protections.
Statutes affected: Introduction: 62A.01, 62A.011