HF 3892

as introduced - 91st Legislature (2019 - 2020) Posted on 03/04/2020 04:33pm

A bill for an act
relating to human services; exempting women from MinnesotaCare cost-sharing
and premiums during postpartum period; requiring commissioner of human services
to provide recommendations on ensuring continuous health coverage for women
transitioning from medical assistance postpartum coverage; amending Minnesota
Statutes 2018, sections 256L.03, subdivision 5; 256L.15, subdivision 2.

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

Section 1.

Minnesota Statutes 2018, section 256L.03, subdivision 5, is amended to read:

Subd. 5.

Cost-sharing.

(a) Co-payments, coinsurance, and deductibles do not apply to
children under the age of 21 and to American Indians as defined in Code of Federal
Regulations, title 42, section 600.5. new text begin Co-payments, coinsurance, and deductibles do not apply
to women who enrolled in MinnesotaCare following termination of medical assistance
eligibility as pregnant women, for the 12-month postpartum period.
new text end

(b) The commissioner shall adjust co-payments, coinsurance, and deductibles for covered
services in a manner sufficient to maintain the actuarial value of the benefit to 94 percent.
The cost-sharing changes described in this paragraph do not apply to eligible recipients or
services exempt from cost-sharing under state law. The cost-sharing changes described in
this paragraph shall not be implemented prior to January 1, 2016.

(c) The cost-sharing changes authorized under paragraph (b) must satisfy the requirements
for cost-sharing under the Basic Health Program as set forth in Code of Federal Regulations,
title 42, sections 600.510 and 600.520.

Sec. 2.

Minnesota Statutes 2018, section 256L.15, subdivision 2, is amended to read:

Subd. 2.

Sliding fee scale; monthly individual or family income.

(a) The commissioner
shall establish a sliding fee scale to determine the percentage of monthly individual or family
income that households at different income levels must pay to obtain coverage through the
MinnesotaCare program. The sliding fee scale must be based on the enrollee's monthly
individual or family income.

(b) Beginning January 1, 2014, MinnesotaCare enrollees shall pay premiums according
to the premium scale specified in paragraph (d).

(c) Paragraph (b) does not apply to:

(1) children 20 years of age or younger; deleted text begin and
deleted text end

(2) individuals with household incomes below 35 percent of the federal poverty
guidelines deleted text begin . deleted text end new text begin ; and
new text end

new text begin (3) women who enrolled in MinnesotaCare following termination of medical assistance
eligibility as pregnant women, for the 12-month postpartum period.
new text end

(d) The following premium scale is established for each individual in the household who
is 21 years of age or older and enrolled in MinnesotaCare:

Federal Poverty Guideline Greater than or Equal to	Less than	Individual Premium Amount
35%	55%	$4
55%	80%	$6
80%	90%	$8
90%	100%	$10
100%	110%	$12
110%	120%	$14
120%	130%	$15
130%	140%	$16
140%	150%	$25
150%	160%	$37
160%	170%	$44
170%	180%	$52
180%	190%	$61
190%	200%	$71
200%		$80

Sec. 3. new text begin CONTINUOUS COVERAGE DURING POSTPARTUM PERIOD.
new text end

new text begin The commissioner of human services shall examine methods to ensure continuous health
care coverage for women and infants following the medical assistance 60-day postpartum
coverage period, including but not limited to extending medical assistance coverage by
submitting a federal section 1115 waiver. The commissioner shall present recommendations
to the chairs and ranking minority members of the legislative committees with jurisdiction
over health and human services policy and finance by December 15, 2020.
new text end