1.1.................... moves to amend H.F. No. 2853 as follows:
1.2Page 14, after line 4, insert:

1.3    "Sec. 5. Minnesota Statutes 2012, section 62Q.74, subdivision 1, is amended to read:
1.4    Subdivision 1. Definitions. (a) For purposes of this section, "category of coverage"
1.5means one of the following types of health-related coverage:
1.6(1) health;
1.7(2) no-fault automobile medical benefits; or
1.8(3) workers' compensation medical benefits.
1.9(b) "Health care provider" or "provider" means a physician, chiropractor,
1.10optometrist, ophthalmologist, dentist, podiatrist, hospital, ambulatory surgical center,
1.11freestanding emergency room, or other provider, as defined in section 62J.03.
1.12EFFECTIVE DATE.This section is effective August 1, 2014.

1.13    Sec. 6. [62Q.741] PROHIBITION OF NONCOVERED DISCOUNTS; VISION
1.14CARE PROVIDED BY HEALTH AND VISION PLANS.
1.15    Subdivision 1. Definitions. For purposes of this section:
1.16(a) "Contractual discount" means a percentage reduction from a provider's usual
1.17and customary rate for covered services and materials required under a participating
1.18provider agreement.
1.19(b) "Covered services" means services and materials for which reimbursement
1.20from the vision plan is provided for by an enrollee's plan or contract, or for which a
1.21reimbursement would be available but for the application of the enrollee's contractual
1.22limitations of deductibles, co-payments, and coinsurance.
1.23(c) "Health care provider" or "provider" has the meaning given in section 62Q.74,
1.24subdivision 1, paragraph (b).
2.1(d) "Materials" includes but is not limited to lenses, devices containing lenses,
2.2prisms, lens treatments and coatings, contact lenses, orthoptics, vision training, and
2.3prosthetic devices to correct, relieve, or treat defects or abnormal conditions of the human
2.4eye or its adnexa.
2.5    Subd. 2. Noncovered vision care under health or vision plans prohibited.
2.6No contract or other agreement between an insurer or another entity that writes vision
2.7insurance and an optometrist or ophthalmologist, for the provision of vision services on a
2.8preferred or in-network basis to plan members or insurance subscribers in connection with
2.9coverage under a stand-alone vision plan, a medical plan, or a health insurance policy,
2.10may require that an optometrist or ophthalmologist provide services or materials at a fee
2.11limited or set by the plan or insurer unless the services or materials are reimbursed as
2.12covered services under the contract or other agreement.
2.13    Subd. 3. Provider charges, contractual discounts, and nominal reimbursements.
2.14(a) A provider shall not charge more for services and materials that are noncovered
2.15services and materials under a vision plan than the provider's usual and customary rate
2.16for those services and materials.
2.17(b) The amount of a contractual discount shall not result in a fee less than the health
2.18or vision plan would pay for covered services and materials, but for the application of an
2.19enrollee's contractual limitations of deductibles, co-payments, and coinsurance.
2.20(c) Reimbursement paid by the vision plan for covered services and materials shall
2.21be reasonable and shall not provide nominal or de minimis reimbursement in order to
2.22claim that services and materials are covered services.
2.23EFFECTIVE DATE.This section is effective August 1, 2014, and applies to health
2.24or vision plans offered, sold, issued, or renewed on or after that date."
2.25Renumber the sections in sequence and correct the internal references
2.26Amend the title accordingly