1.1.................... moves to amend S.F. No. 1, the second engrossment, as amended, as follows:
1.2Page 11, after line 9, insert:
1.3 "Sec. 10. Minnesota Statutes 2016, section 62K.10, is amended by adding a subdivision
1.4to read:
1.5 Subd. 5a. Appeal of waiver of network adequacy requirements. If a health carrier
1.6receives a waiver under subdivision 5 applicable to a health plan's provider network,
a
1.7provider who is in the geographic area served by the health plan and who is aggrieved
by
1.8the issuance of the waiver, may appeal the commissioner's decision using the contested
case
1.9procedures in chapter 14. A contested case proceeding must be initiated within 60
days after
1.10the date on which the commissioner grants a waiver, except that a proceeding regarding
a
1.11waiver in effect as of January 1, 2017, must be initiated within 60 days after the
effective
1.12date of this section. Notwithstanding any law to the contrary, each party to the proceeding
1.13must pay an equal amount of the costs for the proceeding. After considering the appeal,
the
1.14administrative law judge must either uphold or nullify a waiver of network adequacy
1.15requirements. The decision of the administrative law judge constitutes the final decision
1.16regarding the waiver. A party aggrieved by the administrative law judge's decision
may
1.17seek judicial review of the decision as provided in chapter 14. If the waiver is nullified
and
1.18no judicial review is sought, the health carrier must comply with the network adequacy
1.19requirements in section 62K.10, subdivisions 2, 3, and 4, within 30 days after the
deadline
1.20for seeking judicial review in section 14.63.
1.21EFFECTIVE DATE.This section is effective the day following final enactment, and
1.22applies to network adequacy waivers in effect on or after January 1, 2017."
1.23Renumber the sections in sequence and correct the internal references
1.24Amend the title accordingly