HF 2414

as introduced - 89th Legislature (2015 - 2016) Posted on 03/08/2016 04:26pm

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 2014, section 62V.05, subdivision 2;
Minnesota Statutes 2015 Supplement, section 62V.05, subdivision 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 2014, 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, 2015, 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, 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, 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, 2017, 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 2015 Supplement, 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.