1.1 	A bill for an act
1.2 	relating to health care; repealing state agency authority to submit a public option 
1.3 	waiver application to the federal government; reducing appropriation;amending 
1.4 	Laws 2023, chapter 70, article 20, section 2, subdivision 5, as amended; repealing 
1.5 	Laws 2023, chapter 70, article 16, section 22.
1.6 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.7 	Section 1. Laws 2023, chapter 70, article 20, section 2, subdivision 5, as amended by Laws 
1.8 	2024, chapter 127, article 67, section 12, is amended to read:

1.9	Subd. 5.Central Office; Health Care

1.10	Appropriations by Fund
	
1.11	General
	35,807,000
	31,349,000
	
1.131.12
	Health Care Access
	30,668,000
	50,168,000
29,168,000
	
1.14 	(a) Medical assistance and MinnesotaCare 
1.15 	accessibility improvements. $4,000,000 in 
1.16 	fiscal year 2024 is from the general fund for 
1.17 	interactive voice response upgrades and 
1.18 	translation services for medical assistance and 
1.19 	MinnesotaCare enrollees with limited English 
1.20 	proficiency. This appropriation is available 
1.21 	until June 30, 2025.
1.22 	(b) Transforming service delivery. $155,000 
1.23 	in fiscal year 2024 and $180,000 in fiscal year 
2.1 	2025 are from the general fund for 
2.2 	transforming service delivery projects.
2.3 	(c) Improving the Minnesota eligibility 
2.4 	technology system functionality. $1,604,000 
2.5 	in fiscal year 2024 and $711,000 in fiscal year 
2.6 	2025 are from the general fund for improving 
2.7 	the Minnesota eligibility technology system 
2.8 	functionality. The base for this appropriation 
2.9 	is $1,421,000 in fiscal year 2026 and $0 in 
2.10 	fiscal year 2027.
2.11 	(d) Actuarial and economic analyses.
2.12 	$2,500,000 is from the health care access fund 
2.13 	for actuarial and economic analyses and to 
2.14 	prepare and submit a state innovation waiver 
2.15 	under section 1332 of the federal Affordable 
2.16 	Care Act for a Minnesota public option health 
2.17 	care plan. This is a onetime appropriation and 
2.18 	is available until June 30, 2025.
2.19 	(e) Contingent appropriation for Minnesota 
2.20 	public option health care plan. $21,000,000 
2.21 	in fiscal year 2025 is from the health care 
2.22 	access fund to implement a Minnesota public 
2.23 	option health care plan. This is a onetime 
2.24 	appropriation and is available upon approval 
2.25 	of a state innovation waiver under section 
2.26 	1332 of the federal Affordable Care Act. This 
2.27 	appropriation is available until June 30, 2027.
2.28 	(f) (e)Carryforward authority.
2.29 	Notwithstanding Minnesota Statutes, section 
2.30 	16A.28, subdivision 3, $2,367,000 of the 
2.31 	appropriation in fiscal year 2024 is available 
2.32 	until June 30, 2027.
2.33 	(g) (f)Base level adjustment. The general 
2.34 	fund base is $32,315,000 in fiscal year 2026 
3.1 	and $27,536,000 in fiscal year 2027. The 
3.2 	health care access fund base is $28,168,000 
3.3 	in fiscal year 2026 and $28,168,000 in fiscal 
3.4 	year 2027.

3.5 	EFFECTIVE DATE. This section is effective the day following final enactment.

3.6 	Sec. 2. REPEALER.
 3.7 	Laws 2023, chapter 70, article 16, section 22, is repealed.

3.8 	EFFECTIVE DATE. This section is effective the day following final enactment.

APPENDIX 

Repealed Minnesota Session Laws: 25-01868 

Laws 2023, chapter 70, article 16, section 22
Sec. 22. WAIVER SUBMITTAL. 
(a) The commissioner of commerce is authorized to perform the steps necessary to submit a 1332 waiver application, including but not limited to submitting the waiver application and all other steps necessary to complete the waiver application process, based on the final recommendation of the commissioner of commerce under section 21 if the legislature does not enact a law by June 1, 2024, modifying the:  

(1) recommendation under section 21; or  

(2) commissioner of commerce's authority under this section.  

(b) Upon receipt of a federal waiver and the enactment of any necessary legislation, the commissioner of commerce shall implement a public option to be made available to consumers beginning January 1, 2027. 

(c) In implementing this section, the commissioner of commerce shall consult with the commissioners of human services and health and the Board of Directors of MNsure. 

EFFECTIVE DATE. 
This section is effective the day following final enactment.