This bill amends Minnesota Statutes 2024, section 62K.10, to update the provisions regarding provider network adequacy. It replaces the existing maximum travel distance or time requirements for accessing primary care, mental health services, and general hospital services with a mandate that health carriers must adhere to the time and distance standards outlined in federal regulations. Additionally, the bill allows health carriers to apply for waivers from these requirements, provided they demonstrate the infeasibility of meeting them in specific service areas and outline steps to address any network inadequacies.

Furthermore, the bill repeals subdivision 3 of section 62K.10, which previously set maximum travel distances for specialty physician services and other health services. The amendments also clarify the process for health carriers to obtain waivers, including the need for specific data and a timeline for addressing network inadequacies. The bill emphasizes the importance of telehealth access in areas lacking specific types of providers and establishes guidelines for the commissioner of health to evaluate waiver applications.

Statutes affected:
Introduction: 62K.10