Minnesota SF 4018: Reimbursement rate parity requirement for clinical trainees providing alcoholism

Status: Author added Boldon (as of 2026-04-09)
State: Minnesota · Session: 2025-2026 · Bill: SF 4018
Subjects: Chemical Dependency, Health and Health Department, Insurance-Health
Sponsors: Wiklund, Boldon, Mann
Bill Text

1.1 A bill for an act
1.2 relating to health insurance; requiring reimbursement rate parity for clinical trainees
1.3 providing alcoholism, mental health, and chemical dependency services; amending
1.4 Minnesota Statutes 2024, section 62Q.47.
1.5 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.6 Section 1. Minnesota Statutes 2024, section 62Q.47, is amended to read:
1.7 62Q.47 ALCOHOLISM, MENTAL HEALTH, AND CHEMICAL DEPENDENCY
1.8 SERVICES.
1.9 (a) All health plans, as defined in section 62Q.01, that provide coverage for alcoholism,
1.10 mental health, or chemical dependency services, must comply with the requirements of this
1.11 section.
1.12 (b) Cost-sharing requirements and benefit or service limitations for outpatient mental
1.13 health and outpatient chemical dependency and alcoholism services, except for persons
1.14 seeking chemical dependency services under section 245G.05, must not place a greater
1.15 financial burden on the insured or enrollee, or be more restrictive than those requirements
1.16 and limitations for outpatient medical services.
1.17 (c) Cost-sharing requirements and benefit or service limitations for inpatient hospital
1.18 mental health services, psychiatric residential treatment facility services, and inpatient
1.19 hospital and residential chemical dependency and alcoholism services, except for persons
1.20 seeking chemical dependency services under section 245G.05, must not place a greater
1.21 financial burden on the insured or enrollee, or be more restrictive than those requirements
1.22 and limitations for inpatient hospital medical services.
1Section 1.
26-07116 as introduced02/20/26 REVISOR SGS/BH
SENATE
STATE OF MINNESOTA
S.F. No. 4018NINETY-FOURTH SESSION
(SENATE AUTHORS: WIKLUND, Mann and Boldon)
OFFICIAL STATUSD-PGDATE
Introduction and first reading645103/02/2026
Referred to Commerce and Consumer Protection
Author added Boldon794404/09/2026

2.1 (d) A health plan company must not impose an NQTL with respect to mental health and
2.2 substance use disorders in any classification of benefits unless, under the terms of the health
2.3 plan as written and in operation, any processes, strategies, evidentiary standards, or other
2.4 factors used in applying the NQTL to mental health and substance use disorders in the
2.5 classification are comparable to, and are applied no more stringently than, the processes,
2.6 strategies, evidentiary standards, or other factors used in applying the NQTL with respect
2.7 to medical and surgical benefits in the same classification.
2.8 (e) All health plans must meet the requirements of the federal Mental Health Parity Act
2.9 of 1996, Public Law 104-204; Paul Wellstone and Pete Domenici Mental Health Parity and
2.10 Addiction Equity Act of 2008; the Affordable Care Act; and any amendments to, and federal
2.11 guidance or regulations issued under, those acts.
2.12 (f) The commissioner may require information from health plan companies to confirm
2.13 that mental health parity is being implemented by the health plan company. Information
2.14 required may include comparisons between mental health and substance use disorder
2.15 treatment and other medical conditions, including a comparison of prior authorization
2.16 requirements, drug formulary design, claim denials, rehabilitation services, and other
2.17 information the commissioner deems appropriate.
2.18 (g) Regardless of the health care provider's professional license, if the service provided
2.19 is consistent with the provider's scope of practice and the health plan company's credentialing
2.20 and contracting provisions, mental health therapy visits and medication maintenance visits
2.21 shall be considered primary care visits for the purpose of applying any enrollee cost-sharing
2.22 requirements imposed under the enrollee's health plan.
2.23 (h) All health plan companies offering health plans that provide coverage for alcoholism,
2.24 mental health, or chemical dependency benefits shall provide reimbursement for the benefits
2.25 delivered through the psychiatric Collaborative Care Model, which must include the following
2.26 Current Procedural Terminology or Healthcare Common Procedure Coding System billing
2.27 codes:
2.28 (1) 99492;
2.29 (2) 99493;
2.30 (3) 99494;
2.31 (4) G2214; and
2.32 (5) G0512.
2Section 1.
26-07116 as introduced02/20/26 REVISOR SGS/BH

3.1 This paragraph does not apply to managed care plans or county-based purchasing plans
3.2 when the plan provides coverage to public health care program enrollees under chapter
3.3 256B or 256L.
3.4 (i) The commissioner of commerce shall update the list of codes in paragraph (h) if any
3.5 alterations or additions to the billing codes for the psychiatric Collaborative Care Model
3.6 are made.
3.7 (j) "Psychiatric Collaborative Care Model" means the evidence-based, integrated
3.8 behavioral health service delivery method describ
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