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Mandate Details

Description: Reports on the regulation of conversions, mergers, transfers of assets, and other transactions affecting Minnesota-domiciled nonprofit health maintenance organizations and for-profit health maintenance organizations, with recommendations on: (1) monitoring and regulation of Minnesota-domiciled for-profit HMOs; (2) issues related to public benefit assets held by a nonprofit HMO; (3) providing a state agency or executive branch office with authority to review and approve or disapprove a nonprofit HMO's plan to convert to a for-profit organization; (4) establishing a process for the public to learn about and provide input on a nonprofit HMO's proposed conversion to a for-profit organization; and (5) issues related to a potential statutory requirement that nonprofit HMOs, upon the sale or transfer of control to an out-of-state or for-profit entity, return to the general fund an amount equal to the value of any charitable assets the HMO or health system received from the state.
Law: 2023 Minn. Laws Chap. 66 Sec. 6(d)
Agency(ies)/Supplier(s): Minn. Dept. of Health
Due Date: 06/30/2024
Frequency: Other
Subjects: Health Care - Health Industry
Note: Preliminary report due by January 15, 2024, and a final report and recommendations due by June 30, 2024. The Minn. Dept. of Health: (1) may consult with the Minn. Dept. of Human Services and the Minn. Dept. of Commerce; (2) may enter into one or more contracts for professional or technical services; and (3) notwithstanding any law to the contrary, may use data submitted under peer grouping (Minn. Stat. 62U.04) and "Minnesota Health Care Cost Information Act of 1984" (Minn. Stats. 144.695 to 144.703) and other data held by the Minn. Dept. of Health for purposes of regulating health maintenance organizations or data already submitted to the Minn. Dept. of Health by health carriers. No later than October 1, 2023, the Minn. Dept. of Health must seek public comments on the regulation of conversion transactions involving nonprofit health maintenance organizations.

Item(s) Received

TitlePublisher(s)Publication DateCoverageDate ReceivedReport LinkCall #
Study of HMO Conversions: Preliminary Report to the Minnesota Legislature Minn. Dept. of Health February 2, 2024202402/02/2024 24-0217.pdf