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HF 773

Cost-sharing for certain office visits for infants, children, and adolescents prohibited.

2025-2026 Regular Session Introduced by Mary Clardy and 15 co-sponsors

Minnesota bill prohibits insurance cost-sharing for pediatric office visits to reduce financial barriers to children's preventive healthcare.

Author added Norris
#childrenandminors #insurance-health
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Bill Summary · HF 773

Legislative bill overview

HF 773 prohibits cost-sharing (copayments, coinsurance, and deductibles) for office visits involving infants, children, and adolescents in Minnesota. The bill removes financial barriers that families currently face when accessing preventive and routine pediatric care through insurance plans.

Why is this important

Cost-sharing can deter families from seeking timely medical care for children, potentially leading to delayed diagnoses of serious conditions and increased emergency room visits. Removing these barriers aims to improve health outcomes for young people while reducing long-term healthcare costs by emphasizing preventive care.

Potential points of contention

  • Insurance premium impacts: Removing cost-sharing may increase insurance premiums for all enrollees, shifting costs from visit-time to monthly payments, which could affect families without children or those who prefer higher deductibles with lower premiums
  • Definition scope: The bill's effectiveness depends on how "office visits" is defined—unclear whether it covers specialist visits, mental health services, or only primary care, which could create implementation complications
  • Coverage gaps: The prohibition may only apply to state-regulated insurance plans, potentially leaving gaps for self-insured employer plans, federal programs, or uninsured families who face the largest financial barriers

Compiled from official sources — confirm details with the bill’s official record.

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