Minnesota legislation · 94th Legislature 2025-2026
Minnesota HF4618: Requirements for the calculation of an enrollee's contribution toward cost-sharing and out-of-pocket maximum set.
Status: In committee, May 12, 2026
What the bill says
A bill for an act relating to health insurance; setting requirements for the calculation of an enrollee's contribution toward cost-sharing and out-of-pocket maximum requirements; proposing coding for new law in Minnesota Statutes, chapter 62Q.
From the introduced text, March 24, 2026:
A bill for an act relating to health insurance; setting requirements for the calculation of an enrollee's contribution toward cost-sharing and out-of-pocket maximum requirements; proposing coding for new law in Minnesota Statutes, chapter 62Q. Section 1. new text begin [ ENROLLEE CONTRIBUTION.] new text end new text begin [ADDED: Subdivision 1.] new text end new text begin [ADDED: Definitions.] new text end new text begin [ADDED: (a) For purposes of this section, the following terms have the meanings given.] new text end new text begin [ADDED: (b) "Cost-sharing" means co-pays, coinsurance, and deductibles.] new text end new text begin [ADDED: (c) "Pharmacy benefit manager" has the meaning given in section 62W.02, subdivision 15.] new text end new text begin [ADDED: Subd. 2.] new text end new text begin [ADDED: Calculation.] new text end new text begin [ADDED: (a) When calculating an enrollee's overall contribution to a cost-sharing or out-of-pocket maximum requirement, a health plan company or pharmacy benefit manager must include any amount paid by an enrollee or paid on behalf of an enrollee by another person. The requirement under this paragraph applies to prescription drugs approved for coverage by the health plan company, regardless of whether the prescription drugs are covered under a medical or pharmacy benefit.] new text end new text begin [ADDED: (b) If application of this …
Sponsors
- Anquam Mahamoud (D) · primary sponsor
- Larry Kraft (D)
- Leigh Finke (D)
Latest actions
- : Author added Finke
- : Author added Kraft
- : Introduction and first reading, referred to Commerce Finance and Policy
Common questions
- What is HF4618?
- HF4618 is a bill in the Minnesota Legislature (94th Legislature 2025-2026): Requirements for the calculation of an enrollee's contribution toward cost-sharing and out-of-pocket maximum set.
- What does HF4618 do?
- In its own words: A bill for an act relating to health insurance; setting requirements for the calculation of an enrollee's contribution toward cost-sharing and out-of-pocket maximum requirements; proposing coding for new law in Minnesota Statutes, chapter 62Q.
- What is the status of HF4618?
- In committee as of May 12, 2026. Latest action: Author added Finke (May 12, 2026).
- Who sponsored HF4618?
- Anquam Mahamoud (D), with 2 co-sponsors.
- Where is the official record for HF4618?
- On the Minnesota Legislature website: https://www.revisor.mn.gov/bills/bill.php?f=HF4618&y=2025&ssn=0&b=house
Source: official Minnesota record. Tracked by Delilah, AI for legislation across all 50 states and Congress.