SF 3529

as introduced - 89th Legislature (2015 - 2016) Posted on 04/15/2016 08:52am

A bill for an act
relating to human services; requiring qualifying life events and changes in
circumstances to be processed within 30 days of being reported for persons
enrolled in health care coverage through the MNsure system; amending
Minnesota Statutes 2014, section 256.01, by adding a subdivision.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2014, section 256.01, is amended by adding a
subdivision to read:

new text begin Subd. 41. new text end

new text begin Processing qualifying life events and changes in circumstances.
new text end

new text begin (a) The commissioner and the board of MNsure shall jointly develop procedures to
require qualifying life events and changes in circumstances, reported by persons enrolled
through the MNsure system in a public health care program or a qualified health plan,
to be processed within 30 days of receiving a report of a qualifying life event or change
in circumstances. The procedures shall be developed and implemented no later than
September 1, 2016. The commissioner shall communicate these procedures to county staff
in a timely manner and shall provide guidance and training as necessary to assist county
staff in complying with this subdivision.
new text end

new text begin (b) For purposes of this subdivision, a qualifying life event or change in
circumstances that must be processed within 30 days includes the following:
new text end

new text begin (1) a change of address;
new text end

new text begin (2) a change in enrollment in a federally recognized tribe;
new text end

new text begin (3) a change of a dependent through birth, adoption, foster care, or a child support
order;
new text end

new text begin (4) a change in circumstances resulting in eligibility changes for advanced premium
tax credits or cost-sharing reductions;
new text end

new text begin (5) a change in employer-sponsored insurance resulting in eligibility changes for
advanced premium tax credits or cost-sharing reductions;
new text end

new text begin (6) loss of a dependent due to death or divorce;
new text end

new text begin (7) an achievement of citizenship, national, or lawfully present status;
new text end

new text begin (8) loss of health care coverage;
new text end

new text begin (9) marriage;
new text end

new text begin (10) being a victim of domestic abuse or spousal abandonment;
new text end

new text begin (11) a MNsure mistake related to enrollment, disenrollment, or failure to enroll
in a qualified health plan;
new text end

new text begin (12) a violation of a material provision of a qualified health plan contract; and
new text end

new text begin (13) other life events or changes in circumstances specified by the commissioner
or the board of MNsure.
new text end