This bill establishes direct primary care service agreements in Minnesota, defining them as non-insurance arrangements that are not subject to existing insurance regulations. It amends Minnesota Statutes 2024, section 62A.01, by adding a new subdivision that clarifies that entering into a direct primary care service agreement does not constitute the business of insurance, and health care providers are not required to obtain a certificate of authority or license to market or sell these agreements. Additionally, the bill amends section 62A.011 to specify that direct primary care service agreements are excluded from the definition of "health plan."

The bill also introduces a new section, 62Q.20, which outlines the requirements and definitions related to direct primary care service agreements. It mandates that these agreements must be in writing, signed by both parties, and include specific details such as the scope of services, fees, and termination conditions. The direct fee charged must be consistent for all patients and cannot vary based on health status. Furthermore, the bill prohibits direct practices from submitting claims to health plans for services covered under these agreements and establishes enforcement provisions for violations, which may result in disciplinary action against providers.

Statutes affected:
Introduction: 62A.01, 62A.011
1st Engrossment: 62A.01, 62A.011