HF 3228

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 04/07/2016 04:18pm

A bill for an act
relating to MNsure; requesting an evaluation of MNsure's 2016 open enrollment
operations and performance.

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

Section 1. new text begin EVALUATION OF MNSURE'S 2016 OPEN ENROLLMENT
OPERATIONS AND PERFORMANCE.
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new text begin (a) To identify the strengths and limitations of the current MNsure model, the
commissioner of management and budget shall contract with an independent organization
with experience in evaluating large information technology platforms to conduct an
evaluation of MNsure's operations and performance during the open enrollment period
ending January 31, 2016. The contract shall require the following in the evaluation:
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new text begin (1) an assessment of enrollment trends in qualified health plans offered through
MNsure, the percentage of enrollees in qualified health plans accessing tax credits, the
effectiveness of MNsure's consumer outreach and education strategies, and the adequacy
of MNsure's financing;
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new text begin (2) an assessment of the consumer experience in enrolling in a qualified health plan,
including comparisons with the enrollment experiences of consumers enrolling through
the federal information technology platform and with the enrollment experiences of
consumers enrolling through information technology platforms used by other state-based
marketplaces;
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new text begin (3) a report on MNsure's progress in meeting the benchmarks in MNsure's
information technology development and modernization plan, including a timeline and
costs for completing the remaining functionality elements to support enrollment in
qualified health plans; and
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new text begin (4) the extent to which MNsure-qualified health plan subsidies and initiatives reduce
churn, promote continuous health care coverage for consumers, and lead to better health
outcomes.
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new text begin (b) In conducting the evaluation in paragraph (a), the organization must consider the
extent to which MNsure:
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new text begin (1) operates a streamlined process for eligibility determinations, plan selection,
and enrollment;
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new text begin (2) provides readily available, culturally competent consumer assistance to support
consumers in making informed plan selections and in enrolling;
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new text begin (3) offers a user-friendly portal that supports efficient navigation through the
MNsure Web site;
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new text begin (4) is cost-effective and supported by sustainable funding;
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new text begin (5) allows for easy integration with health plans;
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new text begin (6) provides a single access point for consumers to determine eligibility for medical
assistance and MinnesotaCare;
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new text begin (7) has the capacity to support a Minnesota-specific affordability scale; and
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new text begin (8) promotes continuous health care coverage for consumers to achieve better health
outcomes and containment of health care costs.
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new text begin (c) The commissioner of management and budget shall submit the results of the
evaluation, including the findings on the strengths and limitations of MNsure to the
MNsure Legislative Oversight Committee established under Minnesota Statutes, section
62V.11, and to the chairs and ranking minority members of the committees and divisions in
the senate and house of representatives with jurisdiction over MNsure by January 15, 2017.
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