E Modifying certain provisions relating to the Minnesota comprehensive health association; requiring the commissioner of employee relations (DOER) to provide annual reports to the legislature describing the fiscal impact of self insured hospital and medical plans offered under state or individual paid insurance and benefits on MCHA; expanding the definition of contributing member to health maintenance organizations (HMO) operated by local government units, the state relating to state paid insurance benefits for employees and local government units relating to self insurance plans; expanding payment received to federal health care finance administration health care prepayment plan program payments for accident and health insurance premiums consideration purposes; authorizing renewal of the contract period without a competitive bidding process with the approval of the commissioner of commerce and the consent of the association and the writing carrier; requiring the commissioners of health, commerce, employee relations and human services to report to the legislature by a certain date on a plan for ongoing financial and programmatic participation in MCHA; appropriating money to the commissioner of commerce for annual grants to MCHA to offset certain contributor assessments and to the commissioner of health for an actuarial and policy study of the feasibility and cost impact of establishing a private insurance access pool for the individual health insurance market, requiring a commissioner report and recommendations to the legislature by a certain date(mk, ja)