1.1                          A bill for an act 
  1.2             relating to human services; reducing the notice period 
  1.3             for persons ineligible for MinnesotaCare because their 
  1.4             incomes exceed the program income limit; expanding the 
  1.5             requirement for the provision of information on 
  1.6             private health insurance coverage to MinnesotaCare 
  1.7             enrollees; amending Minnesota Statutes 1998, section 
  1.8             256L.05, subdivision 5; Minnesota Statutes 1999 
  1.9             Supplement, section 256L.07, subdivision 1. 
  1.10  BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.11     Section 1.  Minnesota Statutes 1998, section 256L.05, 
  1.12  subdivision 5, is amended to read: 
  1.13     Subd. 5.  [AVAILABILITY OF PRIVATE INSURANCE.] The 
  1.14  commissioner, in consultation with the commissioners of health 
  1.15  and commerce, shall provide information regarding the 
  1.16  availability of private health insurance coverage and the 
  1.17  possibility of disenrollment under section 256L.07, subdivision 
  1.18  1, paragraphs (b) and (c), to all:  (1) families and individuals 
  1.19  enrolled in the MinnesotaCare program whose gross family income 
  1.20  is equal to or more than 200 225 percent of the federal poverty 
  1.21  guidelines; and (2) single adults and households without 
  1.22  children enrolled in the MinnesotaCare program whose gross 
  1.23  family income is equal to or more than 165 percent of the 
  1.24  federal poverty guidelines.  This information must be provided 
  1.25  upon initial enrollment and annually thereafter.  The 
  1.26  commissioner shall also include information regarding the 
  1.27  availability of private health insurance coverage in the notice 
  2.1   of ineligibility provided to persons subject to disenrollment 
  2.2   under section 256L.07, subdivision 1, paragraphs (b) and (c). 
  2.3      Sec. 2.  Minnesota Statutes 1999 Supplement, section 
  2.4   256L.07, subdivision 1, is amended to read: 
  2.5      Subdivision 1.  [GENERAL REQUIREMENTS.] (a) Children 
  2.6   enrolled in the original children's health plan as of September 
  2.7   30, 1992, children who enrolled in the MinnesotaCare program 
  2.8   after September 30, 1992, pursuant to Laws 1992, chapter 549, 
  2.9   article 4, section 17, and children who have family gross 
  2.10  incomes that are equal to or less than 150 percent of the 
  2.11  federal poverty guidelines are eligible without meeting the 
  2.12  requirements of subdivision 2, as long as they maintain 
  2.13  continuous coverage in the MinnesotaCare program or medical 
  2.14  assistance.  Children who apply for MinnesotaCare on or after 
  2.15  the implementation date of the employer-subsidized health 
  2.16  coverage program as described in Laws 1998, chapter 407, article 
  2.17  5, section 45, who have family gross incomes that are equal to 
  2.18  or less than 150 percent of the federal poverty guidelines, must 
  2.19  meet the requirements of subdivision 2 to be eligible for 
  2.20  MinnesotaCare. 
  2.21     (b) Families enrolled in MinnesotaCare under section 
  2.22  256L.04, subdivision 1, whose income increases above 275 percent 
  2.23  of the federal poverty guidelines, are no longer eligible for 
  2.24  the program and shall be disenrolled by the commissioner.  
  2.25  Individuals enrolled in MinnesotaCare under section 256L.04, 
  2.26  subdivision 7, whose income increases above 175 percent of the 
  2.27  federal poverty guidelines are no longer eligible for the 
  2.28  program and shall be disenrolled by the commissioner.  For 
  2.29  persons disenrolled under this subdivision, MinnesotaCare 
  2.30  coverage terminates the last day of the calendar month following 
  2.31  the month in which the commissioner determines that the income 
  2.32  of a family or individual exceeds program income limits.  
  2.33     (c) Notwithstanding paragraph (b), individuals and families 
  2.34  may remain enrolled in MinnesotaCare if ten percent of their 
  2.35  annual income is less than the annual premium for a policy with 
  2.36  a $500 deductible available through the Minnesota comprehensive 
  3.1   health association.  Individuals and families who are no longer 
  3.2   eligible for MinnesotaCare under this subdivision shall be given 
  3.3   an 18-month a 12-month notice period from the date that 
  3.4   ineligibility is determined before disenrollment.