1.1    .................... moves to amend H. F. No. 111 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2006, section 62Q.65, is amended to read:
1.462Q.65 ACCESS TO PROVIDER DISCOUNTS AND PREVENTIVE CARE.
1.5    Subdivision 1. Requirement. A high deductible health plan must, when used in
1.6connection with a medical savings account or health savings account,:
1.7    (1) provide the enrollee access to any discounted provider fees for services covered
1.8by the high deductible health plan, regardless of whether the enrollee has satisfied the
1.9deductible for the high deductible health plan; and
1.10    (2) cover preventive care without a deductible, co-payment, or other patient
1.11cost-sharing, provided, however, that this requirement does not apply to care that is not
1.12permitted to be provided without a deductible by a high deductible health plan under
1.13Internal Revenue Code of 1986, section 223(c)(2)(C), and federal regulations adopted or
1.14guidance issued by the Internal Revenue Service related to that provision. The scope
1.15and frequency of such coverage must be detailed in the policy in accordance with, or
1.16by reference to, an evidence-based set of preventive care guidelines that addresses
1.17recommendations for both asymptomatic low-risk individuals and individuals with higher
1.18risk factors. Nothing in this subdivision limits voluntary coverage of other preventive care .
1.19    Subd. 2. Definitions. For purposes of this section, the following terms have the
1.20meanings given:
1.21    (1) "high deductible health plan" has the meaning given under the Internal Revenue
1.22Code of 1986, section 220(c)(2), with respect to a medical savings account; and the
1.23meaning given under Internal Revenue Code of 1986, section 223(c)(2), with respect to a
1.24health savings account;
1.25    (2) "medical savings account" has the meaning given under the Internal Revenue
1.26Code of 1986, section 220(d)(1);
2.1    (3) "discounted provider fees" means fees contained in a provider agreement entered
2.2into by the issuer of the high deductible health plan, or an affiliate of the issuer, for use
2.3in connection with the high deductible health plan; and
2.4    (4) "health savings account" has the meaning given under the Internal Revenue
2.5Code of 1986, section 223(d); and
2.6    (5) "preventive care" has the meaning given in Internal Revenue Code of 1986,
2.7section 223(c)(2)(C).
2.8EFFECTIVE DATE.This section is effective January 1, 2008, and applies to high
2.9deductible health plans offered, sold, issued, or renewed on or after that date."