1.1                          A bill for an act
  1.2             relating to insurance; requiring the commissioner of 
  1.3             commerce to study medical savings accounts.  
  1.4   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.5      Section 1.  [STUDY OF MEDICAL SAVINGS ACCOUNTS.] 
  1.6      The commissioner of commerce shall analyze the effects of 
  1.7   medical savings accounts, as specified in this section and 
  1.8   provide to the legislature a written report and recommendation, 
  1.9   in compliance with sections 3.195 and 3.197, on or before 
  1.10  January 1, 1997.  The study and report must not duplicate work 
  1.11  done by the commissioner of health in preparing the study 
  1.12  required under Laws 1993, chapter 345, article 5, section 13. 
  1.13     The analysis, report, and recommendations required by this 
  1.14  section must focus on, but not necessarily be limited to, 
  1.15  analysis of the following: 
  1.16     (1) the experience to date of other states that have 
  1.17  enacted medical savings account legislation; 
  1.18     (2) the characteristics and experience of insurers and 
  1.19  other firms that have administered medical savings accounts, 
  1.20  employers that have sponsored medical savings accounts, and 
  1.21  enrollees; 
  1.22     (3) utilization of medical savings accounts, and the 
  1.23  results of any satisfaction surveys that have been done; 
  1.24     (4) the potential of medical savings accounts to contribute 
  2.1   to health care cost containment, through incentives to use 
  2.2   health care efficiently and through attainment of high loss 
  2.3   ratios; 
  2.4      (5) the potential of medical savings accounts to increase 
  2.5   the number of Minnesotans who have health coverage; 
  2.6      (6) the extent, if any, to which medical savings accounts 
  2.7   would cause adverse selection against other types of health 
  2.8   plans.  The analysis must recommend possible means of minimizing 
  2.9   or adjusting for any such additional adverse selection; and 
  2.10     (7) the effects of including medical savings accounts in 
  2.11  the risk adjustment system to be developed under section 62Q.03. 
  2.12  The commissioner shall consult with the Risk Adjustment 
  2.13  Association, which shall assist the commissioner in this aspect 
  2.14  of the commissioner's analysis.