HF 3283

as introduced - 89th Legislature (2015 - 2016) Posted on 03/17/2016 02:34pm

A bill for an act
relating to health care; requiring the commissioner of human services to seek
federal waivers to permit individuals whose income is greater than the income
eligibility limit for MinnesotaCare to purchase coverage through MinnesotaCare
through a separate MinnesotaCare purchase option.

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

Section 1. new text begin MINNESOTACARE PURCHASE OPTION; FEDERAL WAIVER
REQUEST.
new text end

new text begin Subdivision 1. new text end

new text begin Federal waiver request. new text end

new text begin (a) The commissioner of human services
shall seek necessary federal waiver authority to establish a program that allows individuals
with income above the maximum income eligibility limit under Minnesota Statutes,
section 256L.04, subdivision 1 or 7, and who otherwise meet the MinnesotaCare eligibility
requirements including, but not limited to, Minnesota Statutes, sections 256L.04, 256L.07,
and 256L.09, the option of purchasing coverage through MinnesotaCare instead of
purchasing a qualified health plan through MNsure as defined under Minnesota Statutes,
section 62V.02, or an individual health plan offered outside of MNsure.
new text end

new text begin (b) The commissioner shall also seek necessary federal waiver authority, for
individuals who qualify under paragraph (a) who choose to purchase the MinnesotaCare
option, to use advanced tax credits and cost-sharing credits, if eligible, to purchase this
option.
new text end

new text begin (c) The commissioner shall also seek necessary federal waiver authority to permit
the MinnesotaCare purchase option to be offered through MNsure as a coverage option
and to be compared with qualified health plans offered through MNsure.
new text end

new text begin Subd. 2. new text end

new text begin Program establishment and criteria. new text end

new text begin (a) The MinnesotaCare purchase
option shall coordinate the administration of the purchase option with the MinnesotaCare
program to maximize efficiency and improve the continuity of care, consistent with the
requirements of Minnesota Statutes, sections 256L.06, 256L.10, 256L.11, 256L.12,
and 256L.121. The commissioner shall seek to implement mechanisms to ensure the
long-term financial sustainability of MinnesotaCare and mitigate any adverse financial
impacts to MNsure. These mechanisms must address issues related to minimizing adverse
selection, the state financial risk and contribution, and negative impacts to premiums in
the individual and group insurance market both inside and outside of MNsure.
new text end

new text begin (b) The purchase option shall include, at a minimum, the following:
new text end

new text begin (1) establishment of an annual per enrollee premium rate similar to the average rate
paid by the state to managed care plan contractors under Minnesota Statutes, section
256L.12;
new text end

new text begin (2) establishment of a benefit set equal to the benefits covered under MinnesotaCare
under Minnesota Statutes, section 256L.03;
new text end

new text begin (3) limiting annual enrollment to the same annual open enrollment periods
established for MNsure;
new text end

new text begin (4) ability of the commissioner to adjust the purchase option's actuarial value to a
value no lower than 87 percent;
new text end

new text begin (5) reimbursement mechanisms for addressing potential reductions in funding for
MNsure operations; and
new text end

new text begin (6) reimbursement mechanisms for addressing potential increased cost to the
MinnesotaCare program under Minnesota Statutes, chapter 256L.
new text end

new text begin Subd. 3. new text end

new text begin Report. new text end

new text begin The commissioner shall report to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services
policy and finance by March 1, 2017, on the progress of receiving a federal waiver and the
results from actuarial and economic analyses that are necessary for a waiver proposal.
The commissioner shall also make recommendations on any legislative changes necessary
to implement the program described in this section. Any implementation of this waiver
that requires a state financial contribution shall be contingent on further legislative action
approving the state's contribution.
new text end