HF 3030

as introduced - 89th Legislature (2015 - 2016) Posted on 03/14/2016 03:26pm

A bill for an act
relating to state employee benefits; requiring the commissioner of management
and budget to set network standards for the use of health care homes when
contracting for employee health benefits; amending Minnesota Statutes 2014,
section 43A.23, subdivision 1.

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

Section 1.

Minnesota Statutes 2014, section 43A.23, subdivision 1, is amended to read:

Subdivision 1.

General.

(a) The commissioner is authorized to request proposals
or to negotiate and to enter into contracts with parties which in the judgment of the
commissioner are best qualified to provide service to the benefit plans. Contracts entered
into are not subject to the requirements of sections 16C.16 to 16C.19. The commissioner
may negotiate premium rates and coverage. The commissioner shall consider the cost of the
plans, conversion options relating to the contracts, service capabilities, character, financial
position, and reputation of the carriers, and any other factors which the commissioner
deems appropriate. new text begin The commissioner shall require carriers to demonstrate a capacity to
serve eligible employees and other eligible persons, who are chronically ill, through
a statewide network of certified health care homes. new text end Each benefit contract must be for a
uniform term of at least one year, but may be made automatically renewable from term to
term in the absence of notice of termination by either party. A carrier licensed under chapter
62A is exempt from the taxes imposed by chapter 297I on premiums paid to it by the state.

(b) All self-insured hospital and medical service products must comply with coverage
mandates, data reporting, and consumer protection requirements applicable to the licensed
carrier administering the product, had the product been insured, including chapters 62J,
62M, and 62Q. Any self-insured products that limit coverage to a network of providers
or provide different levels of coverage between network and nonnetwork providers shall
comply with section 62D.123 and geographic access standards for health maintenance
organizations adopted by the commissioner of health in rule under chapter 62D.

(c) Notwithstanding paragraph (b), a self-insured hospital and medical product
offered under sections 43A.22 to 43A.30 is required to extend dependent coverage to
an eligible employee's child to the full extent required under chapters 62A and 62L.
Dependent child coverage must, at a minimum, extend to an eligible employee's dependent
child to the limiting age as defined in section 62Q.01, subdivision 9, disabled children to
the extent required in sections 62A.14 and 62A.141, and dependent grandchildren to the
extent required in sections 62A.042 and 62A.302.

(d) Beginning January 1, 2010, the health insurance benefit plans offered in the
commissioner's plan under section 43A.18, subdivision 2, and the managerial plan under
section 43A.18, subdivision 3, must include an option for a health plan that is compatible
with the definition of a high-deductible health plan in section 223 of the United States
Internal Revenue Code.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2017.
new text end