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Office of the Revisor of Statutes

SF 1567 Senate Long Description

Relating to health

ARTICLE 1 - HEALTH INSURANCE

Allowing public assistance data to be shared for MinnesotaCare enrollment and premium collection purposes; authorizing the commissioner of human services to receive federal matching money made available through the medical assistance (MA) program for managed care oversight contracted through vendors; modifying certain medical assistance (MA) eligibility requirements for children under a certain age; requiring commissioner to develop and implement a physician directed care coordination program for certain medical assistance recipients; requiring commissioner to refer MinnesotaCare applicants and enrollees to the Minnesota health insurance exchange, specifying certain exchange of private data requirements; modifying certain MinnesotaCare eligibility requirements for families with children; modifying certain duties of the commissioner relating to availability of private insurance information; requiring the Minnesota health insurance exchange in consultation with the commissioner to establish and administer the MinnesotaCare II option program for subsidizing the purchase of private market health plans for children eligible for MinnesotaCare in families with certain incomes; specifying certain requirements for establishment of a standard benefit set, health carrier participation, state subsidy premiums, enrollment and limitation on changing plans, bonus accounts incentives and federal approval waivers and approval; modifying certain managed care plan vendor requirements; establishing a new MinnesotaCare sliding fee scale premium schedule for children; providing premium discount incentives for eligible adults and families with children; repealing a certain provision relating to sliding fee scale monthly gross individual or family income for premiums

ARTICLE 2 - HEALTH CARE ACCESS AND QUALITY

Modifying certain health insurance premium rate restrictions; "Minnesota Health Insurance Exchange"; providing for greater individual choice of health insurance products, specifying organization, operation and requirements, requiring referral of all MinnesotaCare applicants, assigning responsibility for MinnesotaCare premiums collection, specifying powers of the exchange, requiring the exchange to establish procedures for dispute resolution, requiring governance by a board of directors, specifying membership and operation requirements, requiring board to appoint an exchange director, authorizing commissions for insurance producers, specifying certain exchange implementation requirements, requiring a study of insurer issue requirements by the exchange, in consultation with commissioners of commerce and health, and to report recommendations to the legislature by a certain date; requiring certain employers to offer section 125 plans; defining certain terms; specifying certain plan requirements; requiring the establishment of a method for tracking employer compliance; specifying certain employer requirements and certain section 125 eligible health plans
(je)