SF 153

as introduced - 89th Legislature (2015 - 2016) Posted on 01/16/2015 09:14am

A bill for an act
relating to health insurance; requiring that policy forms and premium rates for
health insurance coverage be submitted to, and approved by, the commissioner
of commerce or health and MNsure by specified dates; making premium rates
available to the public; requiring that MNsure funding and premium assessment
changes be authorized in law; requiring MNsure reports be provided by an
independent third party; requiring background studies for MNsure navigators and
in-person assisters; modifying the participation requirements for health carriers
and health plans for MNsure; prohibiting any appropriation from the health care
access fund to MNsure other than for specified purposes; requiring the legislature
to appropriate funds to MNsure; requiring the Legislative Oversight Committee
to review proposed rules for MNsure before the rules are effective; requiring the
Legislative Oversight Committee to review and make recommendations to the
legislature on MNsure's budget; requiring a report of the number of uninsured
enrolling through MNsure; modifying the governance structure of MNsure;
amending Minnesota Statutes 2014, sections 16A.724, subdivision 4; 62A.02,
subdivisions 2, 8; 62V.04, subdivisions 5, 8, 9, by adding subdivisions; 62V.05,
subdivisions 2, 4, 5, 8; 62V.07; 62V.08; 62V.11, subdivisions 3, 4; repealing
Minnesota Statutes 2014, section 62V.04, subdivisions 1, 2, 4.

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

Section 1.

Minnesota Statutes 2014, section 16A.724, subdivision 4, is amended to read:

Subd. 4.

MinnesotaCare funding.

new text begin (a) new text end The commissioner of human services may
expend money appropriated from the health care access fund for MinnesotaCare in either
year of the biennium.

new text begin (b) No funds from the health care access fund shall be directly appropriated to MNsure
for any purpose other than to provide administrative services for the MinnesotaCare
program. The commissioner of human services shall not include in any interagency
agreement with MNsure the transfer of funds from the health care access fund for any
purpose other than to provide administrative services for the MinnesotaCare program.
new text end

Sec. 2.

Minnesota Statutes 2014, section 62A.02, subdivision 2, is amended to read:

Subd. 2.

Approval.

(a) The health plan form shall not be issued, nor shall any
application, rider, endorsement, or rate be used in connection with it, until the expiration
of 60 days after it has been filed unless the commissioner approves it before that time.

(b) Notwithstanding paragraph (a), a rate filed with respect to a policy of accident and
sickness insurance as defined in section 62A.01 by an insurer licensed under chapter 60A,
may be used on or after the date of filing with the commissioner. Rates that are not approved
or disapproved within the 60-day time period are deemed approved. This paragraph does
not apply to Medicare-related coverage as defined in section 62A.3099, subdivision 17.

new text begin (c) Health plans to be offered outside of MNsure for coverage to begin on or after
January 1, 2016, and each January 1 thereafter must receive rate approval from the
commissioner no later than October 1 of the preceding calendar year, beginning October 1,
2015, and each October 1 thereafter. Premium rates for the next calendar year must be made
available to the public by the commissioner by October 1 of the preceding calendar year.
new text end

Sec. 3.

Minnesota Statutes 2014, section 62A.02, subdivision 8, is amended to read:

Subd. 8.

Filing by health carriers for purposes of complying with the
certification requirements of MNsure.

new text begin (a) new text end No qualified health plan shall be offered
through MNsure until its form and the premium rates pertaining to the form have been
approved by the commissioner of commerce or health, as appropriate, and the health plan
has been determined to comply with the certification requirements of MNsure in accordance
with an agreement between the commissioners of commerce and health and MNsure.

new text begin (b) Qualified health plans to be offered through MNsure for coverage beginning
January 1, 2016, and each January thereafter, must satisfy all requirements of paragraph (a)
no later than October 1 of the preceding calendar year, beginning October 1, 2015, and each
October 1 thereafter. Premium rates and plan enrollment for the next calendar year must
be available to the public through MNsure by October 1 of the preceding calendar year.
new text end

Sec. 4.

Minnesota Statutes 2014, section 62V.04, is amended by adding a subdivision
to read:

new text begin Subd. 1a. new text end

new text begin Board. new text end

new text begin MNsure is governed by a board of directors with 15 members.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2015.
new text end

Sec. 5.

Minnesota Statutes 2014, section 62V.04, is amended by adding a subdivision
to read:

new text begin Subd. 2a. new text end

new text begin Appointment. new text end

new text begin (a) Board membership of MNsure consists of the following
members appointed by the governor, subject to the advice and consent of the senate:
new text end

new text begin (1) six members representing the interests of individual consumers, employees, and
small employers served by MNsure that reflect the cultural diversity and geography of
Minnesota and the population served by MNsure;
new text end

new text begin (2) five members representing health care providers, health carriers, and producers;
new text end

new text begin (3) the commissioner of management and budget;
new text end

new text begin (4) the commissioner of commerce;
new text end

new text begin (5) the commissioner of health; and
new text end

new text begin (6) the commissioner of human services.
new text end

new text begin (b) The commissioners shall serve as ex-officio nonvoting members.
new text end

new text begin (c) At least one member appointed under paragraph (a) must be currently active in the
insurance industry and at least one member must be a licensed, actively practicing provider.
new text end

new text begin (d) At least one of the members appointed under paragraph (a), clause (1), must have
experience in representing the needs of vulnerable populations and persons with disabilities.
new text end

new text begin (e) The governor shall make appointments to the board that are consistent with
federal law and regulations regarding its composition and structure. All board members
appointed by the governor must be legal residents of Minnesota.
new text end

new text begin (f) Section 15.0597 shall apply to all appointments, except the commissioners.
new text end

new text begin (g) Appointments under this subdivision shall be made by the governor by June 30,
2015, and the appointed members shall begin to exercise the duties of office beginning
July 1, 2015.
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. 6.

Minnesota Statutes 2014, section 62V.04, is amended by adding a subdivision
to read:

new text begin Subd. 4a. new text end

new text begin Conflict of interest. new text end

new text begin Members of the board must recuse themselves from
discussion of and voting on an official matter if the member has a conflict of interest. A
conflict of interest means an association including a financial or personal association that
has the potential to bias or have the appearance of biasing a member's decisions in matters
related to the exchange or the conduct of activities under this chapter.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2015.
new text end

Sec. 7.

Minnesota Statutes 2014, section 62V.04, subdivision 5, is amended to read:

Subd. 5.

Acting chair; first meeting; supervision.

(a) The governor shall designate
as acting chair one of the appointees described in subdivision deleted text begin 2 deleted text end new text begin 2a new text end .

deleted text begin (b) The board shall hold its first meeting within 60 days of enactment.
deleted text end

deleted text begin (c) deleted text end new text begin (b) new text end The board shall elect a chair to replace the acting chair at the first meeting new text begin
convened after July 1, 2015 new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2015.
new text end

Sec. 8.

Minnesota Statutes 2014, section 62V.04, subdivision 8, is amended to read:

Subd. 8.

Vacancies.

If a vacancy occurs, the governor shall appoint a new member
within 90 days, and the newly appointed member shall be subject to the same confirmation
process described in subdivision deleted text begin 2 deleted text end new text begin 2a new text end .

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2015.
new text end

Sec. 9.

Minnesota Statutes 2014, section 62V.04, subdivision 9, is amended to read:

Subd. 9.

Removal.

deleted text begin (a) deleted text end A board member may be removed by the appointing
authority and a majority vote of the board following notice and hearing before the board.
For purposes of this subdivision, the appointing authority or a designee of the appointing
authority shall be a voting member of the board for purposes of constituting a quorum.

deleted text begin (b) A conflict of interest as defined in subdivision 4, shall be cause for removal
from the board.
deleted text end

Sec. 10.

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, 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, 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) Any increase in the percent of total premiums retained or collected under
paragraph (c) to fund the operations of MNsure must be approved in law.
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. 11.

Minnesota Statutes 2014, section 62V.05, subdivision 4, is amended to read:

Subd. 4.

Navigator; in-person assisters; call center.

(a) The board shall
establish policies and procedures for the ongoing operation of a navigator program,
in-person assister program, call center, and customer service provisions for MNsure to be
implemented beginning January 1, 2015.

(b) Until the implementation of the policies and procedures described in paragraph
(a), the following shall be in effect:

(1) the navigator program shall be met by section 256.962;

(2) entities eligible to be navigators, including entities defined in Code of Federal
Regulations, title 45, part 155.210 (c)(2), may serve as in-person assisters;

(3) the board shall establish requirements and compensation for the navigator
program and the in-person assister program by April 30, 2013. Compensation for
navigators and in-person assisters must take into account any other compensation received
by the navigator or in-person assister for conducting the same or similar services; and

(4) call center operations shall utilize existing state resources and personnel,
including referrals to counties for medical assistance.

(c) The board shall establish a toll-free number for MNsure and may hire and
contract for additional resources as deemed necessary.

(d) The navigator program and in-person assister program must meet the
requirements of section 1311(i) of the Affordable Care Act, Public Law 111-148. In
establishing training standards for the navigators and in-person assisters, the board must
ensure that all entities and individuals carrying out navigator and in-person assister
functions have training in the needs of underserved and vulnerable populations; eligibility
and enrollment rules and procedures; the range of available public health care programs
and qualified health plan options offered through MNsure; and privacy and security
standards. For calendar year 2014, the commissioner of human services shall ensure that
the navigator program under section 256.962 provides application assistance for both
qualified health plans offered through MNsure and public health care programs.

(e) The board must ensure that any information provided by navigators, in-person
assisters, the call center, or other customer assistance portals be accessible to persons
with disabilities and that information provided on public health care programs include
information on other coverage options available to persons with disabilities.

new text begin (f) MNsure shall require background studies for all individuals carrying out
navigator and in-person assister functions. MNsure may contract with the Department of
Human Services to provide the background studies in accordance with section 245C.03.
The commissioner may charge a fee to the individual or entity requesting to be a navigator
or in-person assister to recover the cost of the background studies conducted.
new text end

Sec. 12.

Minnesota Statutes 2014, section 62V.05, subdivision 5, is amended to read:

Subd. 5.

Health carrier and health plan requirements; participation.

(a)
Beginning January 1, 2015, the board may establish certification requirements for health
carriers and health plans to be offered through MNsure that satisfy federal requirements
under section 1311(c)(1) of the Affordable Care Act, Public Law 111-148.

(b) Paragraph (a) does not apply if by June 1, 2013, the legislature enacts regulatory
requirements that:

(1) apply uniformly to all health carriers and health plans in the individual market;

(2) apply uniformly to all health carriers and health plans in the small group market;
and

(3) satisfy minimum federal certification requirements under section 1311(c)(1) of
the Affordable Care Act, Public Law 111-148.

(c) In accordance with section 1311(e) of the Affordable Care Act, Public Law
111-148, the board shall establish policies and procedures for certification deleted text begin and selection deleted text end
of health plans to be offered as qualified health plans through MNsure. The board shall
certify deleted text begin and select deleted text end a health plan as a qualified health plan to be offered through MNsure, if:

deleted text begin (1) the health plan meets the minimum certification requirements established in
paragraph (a) or the market regulatory requirements in paragraph (b);
deleted text end

deleted text begin (2) the board determines that making the health plan available through MNsure is in
the interest of qualified individuals and qualified employers;
deleted text end

deleted text begin (3) the health carrier applying to offer the health plan through MNsure also applies
to offer health plans at each actuarial value level and service area that the health carrier
currently offers in the individual and small group markets; and
deleted text end

deleted text begin (4) the health carrier does not apply to offer health plans in the individual and
small group markets through MNsure under a separate license of a parent organization
or holding company under section 60D.15, that is different from what the health carrier
offers in the individual and small group markets outside MNsure.
deleted text end

deleted text begin (d) In determining the interests of qualified individuals and employers under
paragraph (c), clause (2), the board may not exclude a health plan for any reason specified
under section 1311(e)(1)(B) of the Affordable Care Act, Public Law 111-148. The board
may consider:
deleted text end

deleted text begin (1) affordability;
deleted text end

deleted text begin (2) quality and value of health plans;
deleted text end

deleted text begin (3) promotion of prevention and wellness;
deleted text end

deleted text begin (4) promotion of initiatives to reduce health disparities;
deleted text end

deleted text begin (5) market stability and adverse selection;
deleted text end

deleted text begin (6) meaningful choices and access;
deleted text end

deleted text begin (7) alignment and coordination with state agency and private sector purchasing
strategies and payment reform efforts; and
deleted text end

deleted text begin (8) other criteria that the board determines appropriate.
deleted text end

deleted text begin (e) For qualified health plans offered through MNsure on or after January 1, 2015,
the board shall establish policies and procedures under paragraphs (c) and (d) for selection
of health plans to be offered as qualified health plans through MNsure by February 1
of each year, beginning February 1, 2014. The board shall consistently and uniformly
apply all policies and procedures and any requirements, standards, or criteria to all health
carriers and health plans. For any policies, procedures, requirements, standards, or criteria
that are defined as rules under section 14.02, subdivision 4, the board may use the process
described in subdivision 9.
deleted text end

deleted text begin (f) For 2014, the board shall not have the power to select health carriers and health
plans for participation in MNsure. The board shall permit all health plans that meet the
certification requirements under section 1311(c)(1) of the Affordable Care Act, Public
Law 111-148, to be offered through MNsure.
deleted text end

deleted text begin (g) Under this subdivision, the board shall have the power to verify that health
carriers and health plans are properly certified to be eligible for participation in MNsure.
deleted text end

deleted text begin (h) The board has the authority to decertify health carriers and health plans that
fail to maintain compliance with section 1311(c)(1) of the Affordable Care Act, Public
Law 111-148.
deleted text end

new text begin (1) the health plan provides the essential health benefits package described in section
1302(a) of the Affordable Care Act, except that the plan is not required to provide essential
benefits that duplicate the minimum benefits of dental plans if:
new text end

new text begin (i) MNsure has determined that at least one qualified dental plan is available to
supplement the health plan's coverage; and
new text end

new text begin (ii) the health carrier makes a prominent disclosure at the time it offers the health
plan, in a form approved by MNsure, that the health plan does not provide the full range of
essential pediatric benefits and that the dental plans providing those benefits and other
dental benefits not covered by the health plan are offered through MNsure;
new text end

new text begin (2) the premium rates and policy forms have been approved by the commissioner of
commerce or the commissioner of health;
new text end

new text begin (3) the health plan provides at least a bronze level of coverage unless the health plan
is certified as a qualified catastrophic plan, meets the requirements of section 1302(e) of
the Affordable Care Act for catastrophic plans, and is only offered to individuals eligible
for catastrophic coverage;
new text end

new text begin (4) the health plan's cost-sharing requirements do not exceed the limits established
under section 1032(c)(1) of the Affordable Care Act and, if the health plan is offered to
a qualified employer, the health plan's deductible does not exceed the limits established
under section 1032(c)(2) of the Affordable Care Act;
new text end

new text begin (5) the health carrier offering the health plan:
new text end

new text begin (i) is licensed and in good standing;
new text end

new text begin (ii) offers at least one qualified health plan at the silver level and at least one qualified
health plan at the gold level through MNsure;
new text end

new text begin (iii) for each metal level in which the health carrier participates, offers coverage in
that level to individuals who, as of the beginning of a plan or policy year, have not attained
the age of 21;
new text end

new text begin (iv) charges the same premium rate for each qualified health plan without regard to
whether the plan is offered through MNsure and without regard to whether the health plan
is offered directly from the health carrier or through an insurance producer;
new text end

new text begin (v) does not charge any cancellation fees or penalties; and
new text end

new text begin (vi) complies with the regulations developed by the Secretary of Health and Human
Services under section 1311(d) of the Affordable Care Act and other requirements that
MNsure may establish; and
new text end

new text begin (6) the health plan meets the requirements of certification as promulgated by rule by
MNsure pursuant to this chapter and under section 1311(c) of the Affordable Care Act.
new text end

new text begin (d) The provisions of this chapter that are applicable to qualified health plans must
allow for and apply to the extent relevant to dental plans except as modified in accordance
with clauses (1) to (3):
new text end

new text begin (1) the dental organization must be licensed to offer stand-alone dental plans but
need not be licensed to offer health plans;
new text end

new text begin (2) the dental plan must be limited to dental and oral health benefits, without
substantially duplicating the benefits typically offered by health plans without dental
coverage and must include, at a minimum, the essential pediatric dental benefits pursuant
to section 1302(b)(1)(J) of the Affordable Care Act; and
new text end

new text begin (3) a health carrier and a dental organization may jointly offer a comprehensive
health plan through MNsure in which the essential pediatric dental benefits are provided
by the dental organization and the other benefits are provided by the health carrier.
new text end

new text begin (e) All health carriers and health plans that have met the certification requirements
of this subdivision are eligible for participation in MNsure.
new text end

deleted text begin (i) deleted text end new text begin (f) new text end For qualified health plans offered through MNsure beginning January 1,
2015, health carriers must use the most current addendum for Indian health care providers
approved by the Centers for Medicare and Medicaid Services and the tribes as part of their
contracts with Indian health care providers. MNsure shall comply with all future changes
in federal law with regard to health coverage for the tribes.

Sec. 13.

Minnesota Statutes 2014, section 62V.05, subdivision 8, is amended to read:

Subd. 8.

Rulemaking.

(a) If the board's policies, procedures, or other statements are
rules, as defined in section 14.02, subdivision 4, the requirements in either paragraph (b)
or (c) apply, as applicable.

(b) Effective upon enactment until January 1, 2015:

(1) the board shall publish notice of proposed rules in the State Register after
complying with section 14.07, subdivision 2;

(2) interested parties have 21 days to comment on the proposed rules. The board
must consider comments it receives. After the board has considered all comments and
has complied with section 14.07, subdivision 2, the board shall publish notice of the
final rule in the State Register;

(3) if the adopted rules are the same as the proposed rules, the notice shall state that
the rules have been adopted as proposed and shall cite the prior publication. If the adopted
rules differ from the proposed rules, the portions of the adopted rules that differ from the
proposed rules shall be included in the notice of adoption, together with a citation to the
prior State Register that contained the notice of the proposed rules; and

(4) rules published in the State Register before January 1, 2014, take effect upon
publication of the notice. Rules published in the State Register on and after January 1,
2014, take effect 30 days after publication of the notice.

(c) Beginning January 1, 2015, the board may adopt rules to implement any
provisions in this chapter using the expedited rulemaking process in section 14.389. new text begin
No rule shall go into effect if a majority of the members of the Legislative Oversight
Committee objects in accordance with section 62V.11, subdivision 3. If there is an
objection, the rule shall go into effect upon compliance with section 62V.11, subdivision 3.
new text end

(d) The notice of proposed rules required in paragraph (b) must provide information
as to where the public may obtain a copy of the rules. The board shall post the proposed
rules on the MNsure Web site at the same time the notice is published in the State Register.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 14.

Minnesota Statutes 2014, section 62V.07, is amended to read:

62V.07 FUNDS.

(a) The MNsure account is created in the new text begin state government new text end special revenue fund of the
state treasury. All funds received by MNsure shall be deposited in the account. deleted text begin Funds in the
account are appropriated to MNsure for the operation of MNsure. deleted text end Notwithstanding section
11A.20, all investment income and all investment losses attributable to the investment of
the MNsure account not currently needed, shall be credited to the MNsure account.

(b) The budget submitted to the legislature under section 16A.11 must include budget
information new text begin and budget requests new text end for MNsure. new text begin Beginning July 1, 2015, funds for MNsure
operations are available to the MNsure Board only to the extent they are appropriated in law.
new text end

Sec. 15.

Minnesota Statutes 2014, section 62V.08, is amended to read:

62V.08 REPORTS.

(a) MNsure shall new text begin contract with an independent third party to prepare and new text end submit
a report to the legislature by deleted text begin January 15, 2015 deleted text end new text begin September 1, 2015 new text end , and each deleted text begin January
15 deleted text end new text begin September 1 new text end thereafter, on: (1) the performance of MNsure operations; (2) meeting
MNsure responsibilities; (3) an accounting of MNsure budget activities; (4) practices
and procedures that have been implemented to ensure compliance with data practices
laws, and a description of any violations of data practices laws or procedures; and (5)
the effectiveness of the outreach and implementation activities of MNsure in reducing
the rate of uninsurance.

(b) MNsure must publish its administrative and operational costs on a Web site to
educate consumers on those costs. new text begin All cost information published on the Web site must
be audited and verified by an independent third party. new text end The information published must
include: (1) the amount of premiums and federal premium subsidies collected; (2) the
amount and source of revenue received under section 62V.05, subdivision 1, paragraph
(b), clause (3); (3) the amount and source of any other fees collected for purposes of
supporting operations; and (4) any misuse of funds as identified in accordance with section
3.975. The Web site must be updated at least annually.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 16.

Minnesota Statutes 2014, section 62V.11, subdivision 3, is amended to read:

Subd. 3.

Review of proposed rules.

(a) Prior to the implementation of rules
proposed under section 62V.05, subdivision 8, paragraph deleted text begin (b) deleted text end new text begin (c) new text end , the board shall submit
the proposed rules to the committee at the same time the proposed rules are published in
the State Register.

(b) When the legislature is in session, the rule may be adopted, but, if within ten
days of receipt of the proposed rule a majority of the committee members deleted text begin appointed by the
senate and a majority of the committee members appointed by the house of representatives deleted text end
request further review of the proposed rule, the rule shall not be effective until the request
has been satisfied and withdrawn, the rule is approved in law, or the regular session of
the legislature is adjourned for the year.

(c) If the legislature is not in session, the rule may be adopted, but, if within ten days
of receipt of the proposed rule a majority of the committee members deleted text begin appointed by the
senate and a majority of the committee members appointed by the house of representatives deleted text end
request further review of the proposed rule, the rule shall not be effective until the request
has been satisfied and withdrawn, deleted text begin or February 1, whichever occurs first deleted text end new text begin or until the
adjournment of the next legislative session new text end .

new text begin (d) If no request for review is made by the committee, the rule may go into effect
upon compliance with section 62V.05, subdivision 8.
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. 17.

Minnesota Statutes 2014, section 62V.11, subdivision 4, is amended to read:

Subd. 4.

Review of costs.

The board shall submit for review the annual budget of
MNsure for the next fiscal year by March 15 of each year, beginning March 15, 2014. new text begin
The committee shall review the budget and make recommendations to the chairs and
ranking minority members of the legislative finance committees on recommended changes
to the budget.
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. 18. new text begin REPORT ON MNSURE ENROLLMENT OF UNINSURED.
new text end

new text begin MNsure, in consultation with the commissioners of human services, commerce, and
health, shall determine the number of individuals and families who through MNsure have
enrolled in a qualified health plan, medical assistance, or MinnesotaCare by February 15,
2015, and did not have health coverage prior to enrollment. MNsure shall submit a report
to the legislature by October 1, 2015, specifying the number of individuals and families
who are now insured and whether these individuals and families enrolled in a qualified
health plan, medical assistance, or MinnesotaCare.
new text end

Sec. 19. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2014, section 62V.04, subdivisions 1, 2, and 4, new text end new text begin are repealed
effective July 1, 2015.
new text end