HF 2380

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 05/09/2016 04:09pm

A bill for an act
relating to MNsure; modifying funding for the operations of MNsure; amending
Minnesota Statutes 2014, section 62V.05, subdivision 2.

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

Section 1.

Minnesota Statutes 2014, section 62V.05, subdivision 2, is amended to read:

Subd. 2.

Operations funding.

(a) deleted text begin 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.
deleted text end

deleted text begin (b) Beginning January 1, 2015, 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.
deleted text end

deleted text begin (c) deleted text end Beginning January 1, 2016, new text begin through December 31, 2016, 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 deleted text begin , 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 deleted text end .

deleted text begin (d) 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 end

new text begin (b) Beginning January 1, 2017, through December 31, 2017, MNsure shall retain or
collect up to 1.75 percent of total premiums for individual and small group market health
plans and dental plans sold through MNsure to fund the operation of MNsure.
new text end

new text begin (c) If an independent third party makes the certification specified in this paragraph,
MNsure shall retain or collect up to 1.75 percent of total premiums for individual and small
group market health plans and dental plans sold through MNsure to fund the operations of
MNsure. This paragraph applies to a calendar year beginning on or after January 1, 2018,
if in the previous calendar year the independent third party certified that MNsure met all
of the following operational and technological benchmarks for the previous calendar year:
new text end

new text begin (1) on a daily basis, MNsure successfully transferred to health carriers data in the
EDI 834 format that were complete and accurate according to industry standards and that
allowed the health carrier to enroll the consumer in the qualified health plan chosen by
the consumer;
new text end

new text begin (2) MNsure automatically processed enrollment renewals in qualified health plans
and in public health care programs;
new text end

new text begin (3) MNsure automatically processed invoices for and payments of MinnesotaCare
premiums;
new text end

new text begin (4) MNsure provided self-service functionality for account changes and changes
necessitated by qualifying life events, including adding or removing household members,
making changes to address or income, canceling coverage, and accessing online proof of
coverage forms required by federal law;
new text end

new text begin (5) MNsure transmitted 1095-A forms to enrollees by January 31 each year, or
earlier if required by federal law; and
new text end

new text begin (6) MNsure call center response and resolution times met or exceeded industry
standards.
new text end

new text begin (d) Beginning January 1, 2018, for any calendar year for which the independent
third party did not make the certification specified in paragraph (c) for the previous
calendar year, 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 operation of MNsure.
new text end

(e) Funding for the operations of MNsure shall cover any compensation provided to
navigators participating in the navigator program.

new text begin (f) The amount collected by MNsure in a calendar year under this subdivision shall
not exceed a dollar amount greater than 60 percent of the funds collected under section
62E.11, subdivision 6, for calendar year 2012.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2016.
new text end