This bill establishes new requirements for calculating an enrollee's contribution toward cost-sharing and out-of-pocket maximums in health insurance plans, as outlined in a new section of Minnesota Statutes, chapter 62Q. It defines key terms such as "cost-sharing," which includes co-pays, coinsurance, and deductibles, and specifies that health plan companies and pharmacy benefit managers must account for any amounts paid by or on behalf of an enrollee when determining their overall contribution. Additionally, the bill includes provisions that limit the application of these calculations to after an enrollee has met their plan deductible if it affects eligibility for health savings accounts or catastrophic health plans.

The new legal language also stipulates that these requirements will take effect on January 1, 2026, and will apply to health plans that are offered, issued, or renewed on or after that date. This aims to enhance transparency and fairness in how cost-sharing is calculated for enrollees, ensuring that all contributions are accurately reflected in their out-of-pocket expenses.