HF 424

as introduced - 90th Legislature (2017 - 2018) Posted on 02/02/2017 03:59pm

A bill for an act
relating to MNsure; creating the shared eligibility system for MNsure; modifying
the amount retained or collected from health care premiums to fund the operation
of MNsure; amending Minnesota Statutes 2016, section 62V.05, subdivisions 2,
7; proposing coding for new law in Minnesota Statutes, chapter 62V.

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

Section 1.

new text begin [62V.041] GOVERNANCE OF THE SHARED ELIGIBILITY SYSTEM.
new text end

new text begin Subdivision 1. new text end

new text begin Definition; shared eligibility system. new text end

new text begin "Shared eligibility system" means
the system that supports eligibility determinations using a modified adjusted gross income
methodology for medical assistance under section 256B.056, subdivision 1a, paragraph (b),
clause (1), MinnesotaCare under chapter 256L, and qualified health plan enrollment under
section 62V.05, subdivision 5, paragraph (c).
new text end

new text begin Subd. 2. new text end

new text begin Executive steering committee. new text end

new text begin The shared eligibility system shall be governed
and administered by a seven-member executive steering committee. The steering committee
shall consist of two members appointed by the commissioner of human services, two
members appointed by the board, two members appointed by the commissioner of MN.IT,
and one county representative appointed by the commissioner of human services. The
commissioner of human services shall designate one of the members appointed by the
commissioner of human services to serve as chair of the steering committee.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin (a) The steering committee shall establish an overall governance structure
for the shared eligibility system, and shall be responsible for the overall governance of the
system, including setting goals and priorities, allocating the system's resources, and making
major system decisions.
new text end

new text begin (b) The steering committee shall adopt bylaws, policies, and interagency agreements
necessary to administer the shared eligibility system.
new text end

new text begin Subd. 4. new text end

new text begin Decision making. new text end

new text begin The steering committee, to the extent feasible, shall operate
under a consensus model. The steering committee shall make decisions that give particular
attention to parts of the system with the largest enrollments and the greatest risks.
new text end

new text begin Subd. 5. new text end

new text begin Administrative structure. new text end

new text begin MN.IT services shall be responsible for the design,
build, maintenance, operation, and upgrade of the information technology for the shared
eligibility system. MN.IT services shall carry out its responsibilities under the governance
of the executive steering committee and this section.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 2.

Minnesota Statutes 2016, section 62V.05, subdivision 2, is amended to read:

Subd. 2.

Operations funding.

(a) Prior to January 1, 2015, MNsure shall retain or collect
up to 1.5 percent of total premiums for individual and small group market health plans and
dental plans sold through MNsure to fund the cash reserves of MNsure, but the amount
collected shall not exceed a dollar amount equal to 25 percent of the funds collected under
section 62E.11, subdivision 6, for calendar year 2012.

(b) Beginning January 1, 2015, new text begin through December 31, 2017, new text end MNsure shall retain or
collect up to 3.5 percent of total premiums for individual and small group market health
plans and dental plans sold through MNsure to fund the operations of MNsure, but the
amount collected shall not exceed a dollar amount equal to 50 percent of the funds collected
under section 62E.11, subdivision 6, for calendar year 2012.

(c) Beginning January 1, 2016, new text begin through December 31, 2017, new text end MNsure shall retain or
collect up to 3.5 percent of total premiums for individual and small group market health
plans and dental plans sold through MNsure to fund the operations of MNsure, but the
amount collected may never exceed a dollar amount greater than 100 percent of the funds
collected under section 62E.11, subdivision 6, for calendar year 2012.

new text begin (d) Beginning January 1, 2018, MNsure shall retain or collect up to 1.5 percent of total
premiums for individual and small group market health plans and dental plans sold to
Minnesota residents through MNsure and outside of MNsure to fund the operations of
MNsure. The amount collected shall not exceed a dollar amount greater than 100 percent
of the funds collected under section 62E.11, subdivision 6, for calendar year 2012.
new text end

deleted text begin (d) deleted text end new text begin (e) new text end For fiscal years 2014 and 2015, the commissioner of management and budget is
authorized to provide cash flow assistance of up to $20,000,000 from the special revenue
fund or the statutory general fund under section 16A.671, subdivision 3, paragraph (a), to
MNsure. Any funds provided under this paragraph shall be repaid, with interest, by June
30, 2015.

deleted text begin (e) deleted text end new text begin (f) new text end Funding for the operations of MNsure shall cover any compensation provided to
navigators participating in the navigator program.

Sec. 3.

Minnesota Statutes 2016, section 62V.05, subdivision 7, is amended to read:

Subd. 7.

Agreements; consultation.

(a) The board shall:

deleted text begin (1) establish and maintain an agreement with the commissioner of human services for
cost allocation and services regarding eligibility determinations and enrollment for public
health care programs that use a modified adjusted gross income standard to determine
program eligibility. The board may establish and maintain an agreement with the
commissioner of human services for other services;
deleted text end

deleted text begin (2) deleted text end new text begin (1) new text end establish and maintain an agreement with the commissioners of commerce and
health for services regarding enforcement of MNsure certification requirements for health
plans and dental plans offered through MNsure. The board may establish and maintain
agreements with the commissioners of commerce and health for other services; and

deleted text begin (3) deleted text end new text begin (2) new text end establish interagency agreements to transfer funds to other state agencies for their
costs related to implementing and operating MNsure, excluding medical assistance allocatable
costs.

(b) The board shall consult with the commissioners of commerce and health regarding
the operations of MNsure.

(c) The board shall consult with Indian tribes and organizations regarding the operation
of MNsure.

(d) Beginning March 15, 2016, and each March 15 thereafter, the board shall submit a
report to the chairs and ranking minority members of the committees in the senate and house
of representatives with primary jurisdiction over commerce, health, and human services on
all the agreements entered into with the chief information officer of the Office of MN.IT
Services, or the commissioners of human services, health, or commerce in accordance with
this subdivision. The report shall include the agency in which the agreement is with; the
time period of the agreement; the purpose of the agreement; and a summary of the terms of
the agreement. A copy of the agreement must be submitted to the extent practicable.