SF 737

2nd Engrossment - 80th Legislature (1997 - 1998) Posted on 12/15/2009 12:00am

  1.1                          A bill for an act 
  1.2             relating to health; opening the process for selecting 
  1.3             a writing carrier for the comprehensive health care 
  1.4             association; requiring a report; amending Minnesota 
  1.5             Statutes 1996, sections 62E.02, subdivision 18; 
  1.6             62E.11, by adding a subdivision; and 62E.13, 
  1.7             subdivision 2. 
  1.8   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.9      Section 1.  Minnesota Statutes 1996, section 62E.02, 
  1.10  subdivision 18, is amended to read: 
  1.11     Subd. 18.  [WRITING CARRIER.] "Writing carrier" means the 
  1.12  insurer or insurers, health maintenance organization or 
  1.13  organizations, integrated service network or networks, and 
  1.14  community integrated service network or networks, or other 
  1.15  entity selected by the association and approved by the 
  1.16  commissioner to administer the comprehensive health insurance 
  1.17  plan. 
  1.18     Sec. 2.  Minnesota Statutes 1996, section 62E.11, is 
  1.19  amended by adding a subdivision to read: 
  1.20     Subd. 13.  The commissioner shall report to the legislature 
  1.21  annually on the costs incurred by the association in providing 
  1.22  coverage to individuals enrolled in medical assistance under 
  1.23  chapter 256B or general assistance medical care under chapter 
  1.24  256D.  The report shall be provided to the chairs of the house 
  1.25  committee on health and human services and the senate committee 
  1.26  on health and family security no later than January 15 of each 
  2.1   year.  The report's contents shall be determined by the 
  2.2   commissioner, in consultation with the commissioner of human 
  2.3   services and the association.  At a minimum, the report shall 
  2.4   provide for the association in aggregate and for each category 
  2.5   of individuals enrolled in medical assistance under chapter 256B 
  2.6   or general assistance medical care under chapter 256D, a 
  2.7   breakdown of:  (1) the administrative costs; (2) claims costs; 
  2.8   (3) premiums paid; (4) deductibles, coinsurance, and copayments 
  2.9   paid; (5) state payments to providers satisfying deductibles, 
  2.10  coinsurance, or copayments required to be paid under a qualified 
  2.11  or Medicare supplement plan issued by the association; (6) the 
  2.12  number of individuals; (7) losses; and (8) appropriated state 
  2.13  funds.  The commissioner of human services, the association, and 
  2.14  the writing carrier, shall cooperate with the commissioner and 
  2.15  provide all information that the commissioner determines is 
  2.16  necessary to prepare this report. 
  2.17     Sec. 3.  Minnesota Statutes 1996, section 62E.13, 
  2.18  subdivision 2, is amended to read: 
  2.19     Subd. 2.  The association may select policies and 
  2.20  contracts, or parts thereof, submitted by a member or members of 
  2.21  the association, or by the association or others, to develop 
  2.22  specifications for bids from any members entity which wish 
  2.23  wishes to be selected as a writing carrier to administer the 
  2.24  state plan.  The selection of the writing carrier shall be based 
  2.25  upon criteria including established by the board of directors of 
  2.26  the association and approved by the commissioner.  The criteria 
  2.27  shall outline specific qualifications that an entity must 
  2.28  satisfy in order to be selected and, at a minimum, shall include 
  2.29  the member's entity's proven ability to handle large group 
  2.30  accident and health insurance cases, efficient claim paying 
  2.31  capacity, and the estimate of total charges for administering 
  2.32  the plan.  The association may select separate writing carriers 
  2.33  for the two types of qualified plans, the qualified medicare 
  2.34  supplement plan, and the health maintenance organization 
  2.35  contract. 
  2.36     Sec. 4.  [EFFECTIVE DATE.] 
  3.1      Sections 1 to 3 are effective the day following final 
  3.2   enactment.