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HF 1253

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:46am

KEY: stricken = removed, old language.
underscored = added, new language.
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Current Version - as introduced

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A bill for an act
 relating to human services; allowing managed care plans and county-based
purchasing plans to offer supplemental health plans to MinnesotaCare enrollees;
amending Minnesota Statutes 2008, section 256B.69, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2008, section 256B.69, is amended by adding a
subdivision to read:


new text begin Subd. 29. new text end

new text begin Expanded inpatient hospital benefit limit for MinnesotaCare. new text end

new text begin (a)
Managed care plans and county-based purchasing plans may offer, to MinnesotaCare
enrollees to whom they provide services under this section or section 256B.692, one or
more supplemental health plans that offer as their only benefit inpatient hospital coverage
with an annual inpatient hospital benefit limit that exceeds the limit specified in section
256L.03, subdivision 3. Supplemental health plans offered under this subdivision must
count MinnesotaCare program expenditures for inpatient hospital services and any
enrollee coinsurance obligation for inpatient hospital services toward the supplemental
health plan's deductible.
 new text end

new text begin (b) A managed care plan or county-based purchasing plan that chooses to offer
expanded coverage under this subdivision shall set premiums for this expanded coverage
on a full community-rated basis for its MinnesotaCare enrollees, and MinnesotaCare
enrollees shall be responsible for the full premium amount for the expanded coverage,
without any subsidy from the MinnesotaCare program. A MinnesotaCare enrollee who
purchases expanded coverage must pay the additional premium for the expanded coverage
to the commissioner in the same manner as premiums for regular MinnesotaCare coverage
are paid under chapter 256L, and the commissioner shall transfer premiums for expanded
coverage to the appropriate managed care or county-based purchasing plan.
new text end

new text begin (c) The purchase of expanded coverage under this subdivision shall not affect an
enrollee's regular MinnesotaCare coverage and premiums under chapter 256L. Expanded
coverage purchased under this subdivision shall not be considered "health coverage" for
purposes of the no other health coverage and four-month requirements in section 256L.07,
subdivision 3, and shall not be considered "other health coverage" under Minnesota Rules,
part 9506.0010, subpart 16.
 new text end