This bill amends various provisions related to health maintenance organizations (HMOs) in Minnesota, specifically updating definitions, reporting requirements, and marketing practices. Notably, it introduces a new definition for "service area," which outlines the geographic locations where HMOs can sell their products. The bill also modifies the definition of "comprehensive health maintenance services" by removing the term "health" from preventive services. Additionally, it mandates that HMOs submit quarterly unaudited financial statements and allocate administrative expenses and investment income based on specific business lines or products.

Furthermore, the bill enhances marketing requirements by ensuring that all written materials clearly disclose exclusions and limitations of services, and it requires HMOs to maintain an up-to-date provider directory that is easily accessible to enrollees. It also stipulates that HMOs must provide timely notifications regarding changes in their provider networks and outlines the process for reprocessing claims when a provider's status changes. Lastly, the bill repeals certain existing statutes related to administrative expenses and insolvency coverage, streamlining the regulatory framework for HMOs in Minnesota.

Statutes affected:
Introduction: 62D.02, 62D.08, 62D.09, 62D.124