SF 333

1st Engrossment - 94th Legislature (2025 - 2026)

Posted on 02/11/2025 08:45 a.m.

A bill for an act
relating to health insurance; removing a transfer from the premium security plan
account to the commissioner of commerce; requiring the commissioner of
commerce to request the continuation of a state innovation waiver; transferring
money from the general fund to the premium security plan account; amending
Laws 2017, chapter 13, article 1, section 15, as amended; Laws 2021, First Special
Session chapter 7, article 15, section 3, as amended.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Laws 2017, chapter 13, article 1, section 15, as amended by Laws 2017, First
Special Session chapter 6, article 5, section 10, Laws 2019, First Special Session chapter
9, article 8, section 19, Laws 2021, First Special Session chapter 7, article 15, section 1,
and Laws 2022, chapter 44, section 5, is amended to read:

Sec. 15. MINNESOTA PREMIUM SECURITY PLAN FUNDING.

(a) The Minnesota Comprehensive Health Association shall fund the operational and
administrative costs and reinsurance payments of the Minnesota security plan and association
using the following amounts deposited in the premium security plan account in Minnesota
Statutes, section 62E.25, subdivision 1, in the following order:

(1) any federal funding available;

(2) funds deposited under article 1, sections 12 and 13;

(3) any state funds from the health care access fund; and

(4) any state funds from the general fund.

(b) deleted text begin The association shall transfer from the premium security plan account any remaining
state funds not used for the Minnesota premium security plan by June 30, 2029, to the
commissioner of commerce. Any amount transferred to the commissioner of commerce
shall be deposited in the health care access fund in Minnesota Statutes, section 16A.724.
deleted text end

deleted text begin (c) deleted text end The Minnesota Comprehensive Health Association may not spend more than
$271,000,000 for benefit year 2018 and not more than $271,000,000 for benefit year 2019
for the operational and administrative costs of, and reinsurance payments under, the
Minnesota premium security plan.

Sec. 2.

Laws 2021, First Special Session chapter 7, article 15, section 3, as amended by
Laws 2022, chapter 44, section 7, is amended to read:

Sec. 3. deleted text begin PLAN YEAR 2023 deleted text end PROPOSED RATE FILINGS FOR THE INDIVIDUAL
MARKET.

The rate filing deadline for individual health plans, as defined in Minnesota Statutes,
section 62E.21, subdivision 9, to be offered, issued, sold, or renewed on or after January 1,
2023, and before January 1, 2024, is no later than July 9, 2022. Eligible health carriers under
Minnesota Statutes, section 62E.21, subdivision 8, filing individual health plans to be offered,
issued, sold, or renewed deleted text begin for benefit years 2023 through 2027 deleted text end new text begin for all benefit years for which
federal authorization for the reinsurance program is received new text end shall include the impact of the
Minnesota premium security plan payment parameters in the proposed individual health
plan rates. Notwithstanding Minnesota Statutes, section 60A.08, subdivision 15, paragraph
(g), the commissioner must provide public access on the Department of Commerce's website
to compiled data of the proposed changes to rates for individual health plans and small
group health plans, as defined in Minnesota Statutes, section 62K.03, subdivision 12,
separated by health plan and geographic rating area, no later than July 23, 2022.

Sec. 3. new text begin CONTINUATION OF STATE INNOVATION WAIVER.
new text end

new text begin The commissioner of commerce must apply to the secretary of the United States
Department of Health and Human Services under United States Code, title 42, section 18052,
for continuation of the state innovation waiver previously granted to implement the Minnesota
premium security plan under Minnesota Statutes, section 62E.23, for benefit years beginning
January 1, 2028, to maximize federal funding. The commissioner must submit the initial
application by December 31, 2026. The initial waiver application must clearly state that
operation of the Minnesota premium security plan after the 2027 benefit year is contingent
on approval of the waiver request. The commissioner must submit subsequent applications,
as needed, to maintain continued authorization of the waiver until the commissioner is
otherwise directed by an act of the legislature.
new text end

Sec. 4. new text begin TRANSFER.
new text end

new text begin The commissioner of management and budget must transfer $512,000,000 in fiscal year
2026 from the general fund to the premium security plan account under Minnesota Statutes,
section 62E.25, subdivision 1. This is a onetime transfer.
new text end