1.1 	A bill for an act
1.2 	relating to MNsure; modifying funding for the operations of MNsure;amending 
1.3 	Minnesota Statutes 2014, section 62V.05, subdivision 2.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2014, section 62V.05, subdivision 2, is amended to read:
1.6 		Subd. 2.Operations funding. (a) Prior to January 1, 2015, MNsure shall retain or 
1.7 	collect up to 1.5 percent of total premiums for individual and small group market health 
1.8 	plans and dental plans sold through MNsure to fund the cash reserves of MNsure, but 
1.9 	the amount collected shall not exceed a dollar amount equal to 25 percent of the funds 
1.10 	collected under section 62E.11, subdivision 6, for calendar year 2012.
1.11 	(b) Beginning January 1, 2015, MNsure shall retain or collect up to 3.5 percent of 
1.12 	total premiums for individual and small group market health plans and dental plans sold 
1.13 	through MNsure to fund the operations of MNsure, but the amount collected shall not 
1.14 	exceed a dollar amount equal to 50 percent of the funds collected under section 62E.11, 
1.15 	subdivision 6, for calendar year 2012.
1.16 	(c) Beginning January 1, 2016, through December 31, 2016, MNsure shall retain or 
1.17 	collect up to 3.5 percent of total premiums for individual and small group market health 
1.18 	plans and dental plans sold through MNsure to fund the operations of MNsure, but the 
1.19 	amount collected may never exceed a dollar amount greater than 100 percent of the funds 
1.20 	collected under section 62E.11, subdivision 6, for calendar year 2012.
1.21 	(d) For fiscal years 2014 and 2015, the commissioner of management and budget is 
1.22 	authorized to provide cash flow assistance of up to $20,000,000 from the special revenue 
1.23 	fund or the statutory general fund under section 16A.671, subdivision 3, paragraph (a), 
2.1 	to MNsure. Any funds provided under this paragraph shall be repaid, with interest, by 
2.2 	June 30, 2015.
2.3 	(b) Beginning January 1, 2017, through December 31, 2017, MNsure shall retain or 
2.4 	collect up to 1.75 percent of total premiums for individual and small group market health 
2.5 	plans and dental plans sold through MNsure to fund the operation of MNsure.
2.6 	(c) If an independent third party makes the certification specified in this paragraph, 
2.7 	MNsure shall retain or collect up to 1.75 percent of total premiums for individual and small 
2.8 	group market health plans and dental plans sold through MNsure to fund the operations of 
2.9 	MNsure. This paragraph applies to a calendar year beginning on or after January 1, 2018, 
2.10 	if in the previous calendar year the independent third party certified that MNsure met all 
2.11 	of the following operational and technological benchmarks for the previous calendar year:
2.12 	(1) on a daily basis, MNsure successfully transferred to health carriers data in the 
2.13 	EDI 834 format that were complete and accurate according to industry standards and that 
2.14 	allowed the health carrier to enroll the consumer in the qualified health plan chosen by 
2.15 	the consumer;
2.16 	(2) MNsure automatically processed enrollment renewals in qualified health plans 
2.17 	and in public health care programs;
2.18 	(3) MNsure automatically processed invoices for and payments of MinnesotaCare 
2.19 	premiums;
2.20 	(4) MNsure provided self-service functionality for account changes and changes 
2.21 	necessitated by qualifying life events, including adding or removing household members, 
2.22 	making changes to address or income, canceling coverage, and accessing online proof of 
2.23 	coverage forms required by federal law;
2.24 	(5) MNsure transmitted 1095-A forms to enrollees by January 31 each year, or 
2.25 	earlier if required by federal law; and
2.26 	(6) MNsure call center response and resolution times met or exceeded industry 
2.27 	standards.
2.28 	(d) Beginning January 1, 2018, for any calendar year for which the independent 
2.29 	third party did not make the certification specified in paragraph (c) for the previous 
2.30 	calendar year, MNsure shall retain or collect up to 1.5 percent of total premiums for 
2.31 	individual and small group market health plans and dental plans sold through MNsure to 
2.32 	fund the operation of MNsure.
2.33 	(e) Funding for the operations of MNsure shall cover any compensation provided to 
2.34 	navigators participating in the navigator program.
3.1 	(f) The amount collected by MNsure in a calendar year under this subdivision shall 
3.2 	not exceed a dollar amount greater than 60 percent of the funds collected under section 
3.3 	62E.11, subdivision 6, for calendar year 2012.

3.4 	EFFECTIVE DATE. This section is effective July 1, 2016.