reglab/housing_qa huggingface dataset:
MN Stat § 62A.3091 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3091 — Nondiscriminate Coverage Of Tests.

62A.3091 NONDISCRIMINATE COVERAGE OF TESTS. Subdivision 1. Scope of requirement. This section applies to any of the following if issued or renewed to a Minnesota resident or to cover a Minnesota resident: (1) a health plan, as defined in section 62A.011; (2) coverage described in section 62A.011, subdivision 3, clauses (2), (3), or (6) to (12); and (3) a policy, contract, or certificate issued by a community integrated service network licensed under chapter 62N. Subd. 2. Requirement. Coverage described in subdivision 1 that covers laboratory tests, diagnostic tests, and x-rays must provide the same coverage, without requiring additional signatures, for all such tests ordered by an advanced practice nurse operating pursuant to chapter 148. Nothing in this section shall be construed to interfere with any written agreement between a physician and an advanced practice nurse. History:  1996 c 446 art 1 s 24; 1997 c 225 art 2 s 62
MN Stat § 62A.3092 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3092 — Equal Treatment Of Surgical First Assisting Services.

62A.3092 EQUAL TREATMENT OF SURGICAL FIRST ASSISTING SERVICES. Subdivision 1. Scope of requirement. This section applies to any of the following if issued or renewed to a Minnesota resident or to cover a Minnesota resident: (1) a health plan, as defined in section 62A.011; (2) coverage described in section 62A.011, subdivision 3, clauses (2), (3), or (6) to (12); and (3) a policy, contract, or certificate issued by a community integrated service network licensed under chapter 62N. Subd. 2. Requirement. Coverage described in subdivision 1 that provides for payment for surgical first assisting benefits or services shall be construed as providing for payment for a registered nurse who performs first assistant functions and services that are within the scope of practice of a registered nurse. History:  1996 c 446 art 1 s 25; 1997 c 225 art 2 s 62
MN Stat § 62A.3093 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3093 — Coverage For Diabetes.

62A.3093 COVERAGE FOR DIABETES. Subdivision 1. Required coverage. A health plan, including a plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), must provide coverage for: (1) all physician prescribed medically appropriate and necessary equipment and supplies used in the management and treatment of diabetes; and (2) diabetes outpatient self-management training and education, including medical nutrition therapy, that is provided by a certified, registered, or licensed health care professional working in a program consistent with the national standards of diabetes self-management education as established by the American Diabetes Association. Coverage must include persons with gestational, type I or type II diabetes. Coverage required under this section is subject to the same deductible or coinsurance provisions applicable to the plan's hospital, medical expense, medical equipment, or prescription drug benefits. A health carrier may not reduce or eliminate coverage due to this requirement. Subd. 2. Medicare Part D exception. A health plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), is not subject to the requirements of subdivision 1, clause (1), with respect to equipment and supplies covered under the Medicare Part D Prescription Drug program, whether or not the covered person is enrolled in a Medicare Part D plan. This subdivision does not apply to a health plan providing the coverage specified in section 62A.011, subdivision 3, clause (10), that was in effect on December 31, 2005, if the covered person remains enrolled in the plan and does not enroll in a Medicare Part D plan. History:  1994 c 538 s 1; 1995 c 52 s 1; 1997 c 57 s 1; 2006 c 255 s 12
MN Stat § 62A.3095 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3095 — Prescription Eye Drops Coverage.

62A.3095 PRESCRIPTION EYE DROPS COVERAGE. Subdivision 1. Scope of coverage. This section applies to all health plans, as defined in section 62A.011, subdivision 3, that provide coverage to Minnesota residents. Subd. 2. Required coverage. (a) Every health plan included in subdivision 1 that provides coverage for prescription eye drops shall not deny coverage for a refill of the prescription eye drops if the refill is requested by the person insured by the health plan, pursuant to paragraph (b), and if the prescribing practitioner indicated on the original prescription that additional quantities are needed and the refill requested by the insured does not exceed the number of additional quantities needed. (b) Coverage shall only be provided pursuant to paragraph (a) if the insured makes a refill request for: (1) a 30-day refill supply and the request is made between 21 and 30 days from the later of: (i) the original date that the prescription was distributed to the insured; or (ii) the date the most recent refill was distributed to the insured; or (2) a 90-day refill supply and the request is made between 75 and 90 days from the later of: (i) the original date that the prescription was distributed to the insured; or (ii) the date the most recent refill was distributed to the insured. History:   2017 c 47 s 1
MN Stat § 62A.3097 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3097 — Pediatric Autoimmune Neuropsychiatric Disorders Associated With Streptococcal Infections (pandas) And Pediatric Acute-onset Neuropsychiatric Syndrome (pans) Treatment; Coverage.

62A.3097 PEDIATRIC AUTOIMMUNE NEUROPSYCHIATRIC DISORDERS ASSOCIATED WITH STREPTOCOCCAL INFECTIONS (PANDAS) AND PEDIATRIC ACUTE-ONSET NEUROPSYCHIATRIC SYNDROME (PANS) TREATMENT; COVERAGE. Subdivision 1. Definitions. (a) The definitions in this subdivision apply to this section. (b) "Pediatric acute-onset neuropsychiatric syndrome" means a class of acute-onset obsessive compulsive or tic disorders or other behavioral changes presenting in children and adolescents that are not otherwise explained by another known neurologic or medical disorder. (c) "Pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections" means a condition in which a streptococcal infection in a child or adolescent causes the abrupt onset of clinically significant obsessions, compulsions, tics, or other neuropsychiatric symptoms or behavioral changes, or a relapsing and remitting course of symptom severity. Subd. 2. Scope of coverage. This section applies to all health plans that provide coverage to Minnesota residents. Subd. 3. Required coverage. Every health plan included in subdivision 2 must provide coverage for treatment for pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections (PANDAS) and for treatment for pediatric acute-onset neuropsychiatric syndrome (PANS). Treatments that must be covered under this section must be recommended by the insured's licensed health care professional and include but are not limited to antibiotics, medication and behavioral therapies to manage neuropsychiatric symptoms, plasma exchange, and immunoglobulin. Subd. 4. Reimbursement. The commissioner of commerce shall reimburse health carriers for coverage under this section. Reimbursement is available only for coverage that would not have been provided by the health carrier without the requirements of this section. Each fiscal year an amount necessary to make payments to health carriers to defray the cost of providing coverage under this section is appropriated to the commissioner of commerce. Health carriers shall report to the commissioner quantified costs attributable to the additional benefit under this section in a format developed by the commissioner. The commissioner shall evaluate submissions and make payments to health carriers as provided in Code of Federal Regulations, title 45, section 155.170. History:   1Sp2019 c 9 art 8 s 2
MN Stat § 62A.3161 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3161 — Medicare Supplement Plan With 50 Percent Coverage.

62A.3161 MEDICARE SUPPLEMENT PLAN WITH 50 PERCENT COVERAGE. (a) The Medicare supplement plan with 50 percent coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare benefits end; (2) coverage for 50 percent of the Medicare Part A inpatient hospital deductible amount per benefit period until the out-of-pocket limitation is met as described in clause (8); (3) coverage for 50 percent of the coinsurance amount for each day used from the 21st through the 100th day in a Medicare benefit period for posthospital skilled nursing care eligible under Medicare Part A until the out-of-pocket limitation is met as described in clause (8); (4) coverage for 50 percent of cost sharing for all Medicare Part A eligible expenses and respite care until the out-of-pocket limitation is met as described in clause (8); (5) coverage for 50 percent, under Medicare Part A or B, of the reasonable cost of the first three pints of blood, or equivalent quantities of packed red blood cells, as defined under federal regulations, unless replaced according to federal regulations, until the out-of-pocket limitation is met as described in clause (8); (6) except for coverage provided in this clause, coverage for 50 percent of the cost sharing otherwise applicable under Medicare Part B, after the policyholder pays the Medicare Part B deductible, until the out-of-pocket limitation is met as described in clause (8); (7) coverage of 100 percent of the cost sharing for Medicare Part B preventive services and diagnostic procedures for cancer screening described in section 62A.30 after the policyholder pays the Medicare Part B deductible; and (8) coverage of 100 percent of all cost sharing under Medicare Parts A and B for the balance of the calendar year after the individual has reached the out-of-pocket limitation on annual expenditures under Medicare Parts A and B of $4,000 in 2006, indexed each year by the appropriate inflation adjustment by the secretary of the United States Department of Health and Human Services. (b) A Medicare supplement plan with 50 percent coverage must provide the benefits contained in this section, but must not provide coverage for 100 percent or any portion of the Medicare Part B deductible to a newly eligible individual. History:  2006 c 255 s 14; 2019 c 26 art 5 s 6,13
MN Stat § 62A.3162 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3162 — Medicare Supplement Plan With 75 Percent Coverage.

62A.3162 MEDICARE SUPPLEMENT PLAN WITH 75 PERCENT COVERAGE. (a) The basic Medicare supplement plan with 75 percent coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare benefits end; (2) coverage for 75 percent of the Medicare Part A inpatient hospital deductible amount per benefit period until the out-of-pocket limitation is met as described in clause (8); (3) coverage for 75 percent of the coinsurance amount for each day used from the 21st through the 100th day in a Medicare benefit period for posthospital skilled nursing care eligible under Medicare Part A until the out-of-pocket limitation is met as described in clause (8); (4) coverage for 75 percent of cost sharing for all Medicare Part A eligible expenses and respite care until the out-of-pocket limitation is met as described in clause (8); (5) coverage for 75 percent, under Medicare Part A or B, of the reasonable cost of the first three pints of blood, or equivalent quantities of packed red blood cells, as defined under federal regulations, unless replaced according to federal regulations until the out-of-pocket limitation is met as described in clause (8); (6) except for coverage provided in this clause, coverage for 75 percent of the cost sharing otherwise applicable under Medicare Part B after the policyholder pays the Medicare Part B deductible until the out-of-pocket limitation is met as described in clause (8); (7) coverage of 100 percent of the cost sharing for Medicare Part B preventive services and diagnostic procedures for cancer screening described in section 62A.30 after the policyholder pays the Medicare Part B deductible; and (8) coverage of 100 percent of all cost sharing under Medicare Parts A and B for the balance of the calendar year after the individual has reached the out-of-pocket limitation on annual expenditures under Medicare Parts A and B of $2,000 in 2006, indexed each year by the appropriate inflation adjustment by the Secretary of the United States Department of Health and Human Services. (b) A Medicare supplement plan with 75 percent coverage must provide the benefits contained in this section, but must not provide coverage for 100 percent or any portion of the Medicare Part B deductible to a newly eligible individual. History:  2006 c 255 s 15; 2019 c 26 art 5 s 7,13
MN Stat § 62A.3163 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3163 — Medicare Supplement Plan With 50 Percent Part A Deductible Coverage.

62A.3163 MEDICARE SUPPLEMENT PLAN WITH 50 PERCENT PART A DEDUCTIBLE COVERAGE. (a) The Medicare supplement plan with 50 percent Medicare Part A deductible coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare benefits end; (2) coverage for 50 percent of the Medicare Part A inpatient hospital deductible amount per benefit period; (3) coverage for the coinsurance amount for each day used from the 21st through the 100th day in a Medicare benefit period for posthospital skilled nursing care eligible under Medicare Part A; (4) coverage for cost sharing for all Medicare Part A eligible hospice and respite care expenses; (5) coverage under Medicare Part A or B for the reasonable cost of the first three pints of blood, or equivalent quantities of packed red blood cells, as defined under federal regulations; (6) coverage for 100 percent of the cost sharing otherwise applicable under Medicare Part B, after the policyholder pays the Medicare Part B deductible; (7) coverage of 100 percent of the cost sharing for Medicare Part B preventive services and diagnostic procedures for cancer screening described in section 62A.30 after the policyholder pays the Medicare Part B deductible; (8) coverage of 80 percent of the hospital and medical expenses and supplies incurred during travel outside of the United States as a result of a medical emergency; and (9) coverage for 100 percent of the Medicare Part A or B home health care services and medical supplies after the policyholder pays the Medicare Part B deductible. (b) A Medicare supplement plan with 50 percent Part A deductible coverage must provide the benefits contained in this section, but must not provide coverage for 100 percent or any portion of the Medicare Part B deductible to a newly eligible individual. History:  2009 c 178 art 1 s 28,70; 2019 c 26 art 5 s 8,13
MN Stat § 62A.3164 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3164 — Medicare Supplement Plan With $20 And $50 Co-payment Medicare Part B Coverage.

62A.3164 MEDICARE SUPPLEMENT PLAN WITH $20 AND $50 CO-PAYMENT MEDICARE PART B COVERAGE. (a) The Medicare supplement plan with $20 and $50 co-payment Medicare Part B coverage must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare benefits end; (2) coverage for the Medicare Part A inpatient hospital deductible amount per benefit period; (3) coverage for the coinsurance amount for each day used from the 21st through the 100th day in a Medicare benefit period for posthospital skilled nursing care eligible under Medicare Part A; (4) coverage for the cost sharing for all Medicare Part A eligible hospice and respite care expenses; (5) coverage for Medicare Part A or B of the reasonable cost of the first three pints of blood, or equivalent quantities of packed red blood cells, as defined under federal regulations, unless replaced according to federal regulations; (6) coverage for 100 percent of the cost sharing otherwise applicable under Medicare Part B except for the lesser of $20 or the Medicare Part B coinsurance or co-payment for each covered health care provider office visit and the lesser of $50 or the Medicare Part B coinsurance or co-payment for each covered emergency room visit; however, this co-payment shall be waived if the insured is admitted to any hospital and the emergency visit is subsequently covered as a Medicare Part A expense; (7) coverage of 100 percent of the cost sharing for Medicare Part B preventive services and diagnostic procedures for cancer screening described in section 62A.30 after the policyholder pays the Medicare Part B deductible; (8) coverage of 80 percent of the hospital and medical expenses and supplies incurred during travel outside of the United States as a result of a medical emergency; and (9) coverage for Medicare Part A or B home health care services and medical supplies after the policyholder pays the Medicare Part B deductible. (b) A Medicare supplement plan with $20 and $50 co-payment Medicare Part B coverage must provide the benefits contained in this section, but must not provide coverage for 100 percent or any portion of the Medicare Part B deductible to a newly eligible individual. No portion of the co-payment referenced in this paragraph may be applied to a Medicare Part B deductible. History:  2009 c 178 art 1 s 29,70; 2019 c 26 art 5 s 9,13
MN Stat § 62A.3165 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.3165 — Medicare Supplement Plan With High Deductible Coverage.

62A.3165 MEDICARE SUPPLEMENT PLAN WITH HIGH DEDUCTIBLE COVERAGE. (a) The Medicare supplement plan will pay 100 percent coverage upon payment of the annual high deductible. The annual deductible shall consist of out-of-pocket expenses, other than premiums, for services covered. This plan must have a level of coverage that will provide: (1) 100 percent of Medicare Part A hospitalization coinsurance plus coverage for 365 days after Medicare benefits end; (2) coverage for 100 percent of the Medicare Part A inpatient hospital deductible amount per benefit period; (3) coverage for 100 percent of the coinsurance amount for each day used from the 21st through the 100th day in a Medicare benefit period for posthospital skilled nursing care eligible under Medicare Part A; (4) coverage for 100 percent of cost sharing for all Medicare Part A eligible expenses and respite care; (5) coverage for 100 percent, under Medicare Part A or B, of the reasonable cost of the first three pints of blood, or equivalent quantities of packed red blood cells, as defined under federal regulations, unless replaced according to federal regulations; (6) except for coverage provided in this clause, coverage for 100 percent of the cost sharing otherwise applicable under Medicare Part B; (7) coverage of 100 percent of the cost sharing for Medicare Part B preventive services and diagnostic procedures for cancer screening described in section 62A.30 after the policyholder pays the Medicare Part B deductible; (8) coverage of 100 percent of the hospital and medical expenses and supplies incurred during travel outside of the United States as a result of a medical emergency; (9) coverage for 100 percent of Medicare Part A and B home health care services and medical supplies; and (10) the basis for the deductible shall be $1,860 and shall be adjusted annually from 2010 by the secretary of the United States Department of Health and Human Services to reflect the change in the Consumer Price Index for all urban consumers for the 12-month period ending with August of the preceding year, and rounded to the nearest multiple of $10. (b) A Medicare supplement plan with high deductible coverage must provide the benefits contained in this section, but must not provide coverage for 100 percent or any portion of the Medicare Part B deductible to a newly eligible individual. History:  2009 c 178 art 1 s 30,70; 2019 c 26 art 5 s 10,13
MN Stat § 62A.317 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.317 — Standards For Claims Payment.

62A.317 STANDARDS FOR CLAIMS PAYMENT. (a) An issuer shall comply with section 1882(c)(3) of the federal Social Security Act, as enacted by section 4081(b)(2)(C) of the Omnibus Budget Reconciliation Act of 1987 (OBRA), Public Law 100-203, by: (1) accepting a notice from a Medicare carrier on duly assigned claims submitted by Medicare participating physicians and suppliers as a claim for benefits in place of any other claim form otherwise required and making a payment determination on the basis of the information contained in that notice; (2) notifying the Medicare participating physician or supplier and the beneficiary of the payment determination; (3) paying the Medicare participating physician or supplier directly; (4) furnishing, at the time of enrollment, each enrollee with a card listing the policy or certificate name, number, and a central mailing address to which notices from a Medicare carrier may be sent; (5) paying user fees for claim notices that are transmitted electronically or otherwise; and (6) providing to the secretary of health and human services, at least annually, a central mailing address to which all claims may be sent by Medicare carriers. (b) Compliance with the requirements in paragraph (a) shall be certified on the Medicare supplement insurance experience reporting form. History:   1992 c 554 art 1 s 6
MN Stat § 62A.37 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62A — Accident And Health Insurance|Section 62A.37 — Government Certifications, Approvals, And Endorsements.

62A.37 GOVERNMENT CERTIFICATIONS, APPROVALS, AND ENDORSEMENTS. Subdivision 1. Display of seal or emblem prohibited. No graphic seal or emblem shall be displayed on any policy or promotional literature to indicate or give the impression that there is any connection, certification, approval or endorsement from Medicare or any governmental body of this state or any agency thereof or of the United States of America or any agency thereof. Subd. 2. Display of false statement or representation prohibited. Any false statement or representation printed on the policy or on promotional literature that indicates the policy has a connection with, is certified by, or has the approval or endorsement of any agency of this state or of the United States of America shall be unlawful. History:   1981 c 318 s 7