SF 1

6th Engrossment - 88th Legislature (2013 - 2014) Posted on 02/27/2013 02:15pm

A bill for an act
relating to commerce; establishing the Minnesota Insurance Marketplace;
prescribing its powers and duties; authorizing rulemaking; appropriating
money; amending Minnesota Statutes 2012, sections 13.7191, by adding a
subdivision; 13D.08, by adding a subdivision; 16A.725, subdivision 3, by adding
a subdivision; proposing coding for new law as Minnesota Statutes, chapter 62V;
repealing Minnesota Statutes 2012, section 256.9658, subdivision 1.

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

Section 1.

Minnesota Statutes 2012, section 13.7191, is amended by adding a
subdivision to read:

new text begin Subd. 14a. new text end

new text begin Minnesota Insurance Marketplace. new text end

new text begin Classification and sharing of data
of the Minnesota Insurance Marketplace is governed by section 62V.06.
new text end

Sec. 2.

Minnesota Statutes 2012, section 13D.08, is amended by adding a subdivision
to read:

new text begin Subd. 5a. new text end

new text begin Minnesota Insurance Marketplace. new text end

new text begin Meetings of the Minnesota
Insurance Marketplace are governed by section 62V.03, subdivision 2.
new text end

Sec. 3.

Minnesota Statutes 2012, section 16A.725, is amended by adding a subdivision
to read:

new text begin Subd. 2a. new text end

new text begin Certified Minnesota Insurance Marketplace operating costs. new text end

new text begin (a) By
April 30 of each year, beginning April 30, 2015, the board of directors of the Minnesota
Insurance Marketplace shall certify to the commissioner of management and budget the
estimated costs necessary to fund the operations of the Minnesota Insurance Marketplace,
under chapter 62V for the next fiscal year.
new text end

new text begin (b) By June 1, 2013, the board of directors of the Minnesota Insurance Marketplace
shall certify to the commissioner of management and budget the estimated costs necessary
to fund the operations of the Minnesota Insurance Marketplace under chapter 62V for the
next biennium that are not covered by federal funds.
new text end

Sec. 4.

Minnesota Statutes 2012, section 16A.725, subdivision 3, is amended to read:

Subd. 3.

Fund reimbursements.

(a) new text begin Each fiscal year, beginning fiscal year 2016,
the commissioner of management and budget shall first transfer from the health impact
fund to the Minnesota Insurance Marketplace account in the special revenue fund, the
amount of certified expenditures under subdivision 2a, paragraph (a), or the balance of the
fund, whichever is less.
new text end

new text begin (b) For the 2014-2015 biennium, the commissioner of management and budget shall
first transfer from the health impact fund to the Minnesota Insurance Marketplace account
in the special revenue fund, the amount of certified expenditures under subdivision 2a,
paragraph (b), or the balance of the fund, whichever is less. These funds may be used in
either year of the biennium.
new text end

deleted text begin Each fiscal year, deleted text end new text begin (c) If any balance remains in the health impact fund after the
transfer in paragraph (a) or (b), new text end the commissioner of management and budget shall deleted text begin first
deleted text end transfer from the health impact fund to the general fund an amount sufficient to offset the
general fund cost of the certified expenditures under subdivision 2 or the balance of the
fund, whichever is less.

deleted text begin (b) deleted text end new text begin (d) new text end If any balance remains in the health impact fund after the deleted text begin transfer deleted text end new text begin transfers new text end in
deleted text begin paragraph deleted text end new text begin paragraphs new text end (a) new text begin to (c) new text end , the commissioner of management and budget shall transfer
to the health care access fund the amount sufficient to offset the health care access fund cost
of the certified expenditures in subdivision 2, or the balance of the fund, whichever is less.

Sec. 5.

new text begin [62V.01] TITLE.
new text end

new text begin This chapter may be cited as the "Minnesota Insurance Marketplace Act."
new text end

Sec. 6.

new text begin [62V.02] DEFINITIONS.
new text end

new text begin Subdivision 1. new text end

new text begin Scope. new text end

new text begin For the purposes of this chapter, the following terms have
the meanings given.
new text end

new text begin Subd. 2. new text end

new text begin Board. new text end

new text begin "Board" means the Board of Directors of the Minnesota Insurance
Marketplace specified in section 62V.04.
new text end

new text begin Subd. 3. new text end

new text begin Dental plan. new text end

new text begin "Dental plan" has the meaning defined in section 62Q.76,
subdivision 3.
new text end

new text begin Subd. 4. new text end

new text begin Health plan. new text end

new text begin "Health plan" means a policy, contract, certificate, or
agreement defined in section 62A.011, subdivision 3.
new text end

new text begin Subd. 5. new text end

new text begin Health carrier. new text end

new text begin "Health carrier" has the meaning defined in section
62A.011.
new text end

new text begin Subd. 6. new text end

new text begin Individual market. new text end

new text begin "Individual market" means the market for health
insurance coverage offered to individuals.
new text end

new text begin Subd. 7. new text end

new text begin Insurance producer. new text end

new text begin "Insurance producer" has the meaning defined
in section 60K.31.
new text end

new text begin Subd. 8. new text end

new text begin Minnesota Insurance Marketplace. new text end

new text begin "Minnesota Insurance Marketplace"
means the Minnesota Insurance Marketplace created as a state health benefit exchange
as described in section 1311 of the federal Patient Protection and Affordable Care Act
(Public Law 111-148), and further defined through amendments to the act and regulations
issued under the act.
new text end

new text begin Subd. 9. new text end

new text begin Navigator. new text end

new text begin "Navigator" has the meaning described in section 1311(i) of
the federal Patient Protection and Affordable Care Act (Public Law 111-148), and further
defined through amendments to the act and regulations issued under the act.
new text end

new text begin Subd. 10. new text end

new text begin Public health care program. new text end

new text begin "Public health care program" means any
public health care program administered by the commissioner of human services.
new text end

new text begin Subd. 11. new text end

new text begin Qualified health plan. new text end

new text begin "Qualified health plan" means a health plan that
meets the definition in section 1301(a) of the Affordable Care Act (Public Law 111-148),
and has been certified by the board in accordance with section 62V.05, subdivision 5, to
be offered through the Minnesota Insurance Marketplace.
new text end

new text begin Subd. 12. new text end

new text begin Small group market. new text end

new text begin "Small group market" means the market for health
insurance coverage offered to small employers as defined in section 62L.02, subdivision 26.
new text end

Sec. 7.

new text begin [62V.03] MINNESOTA INSURANCE MARKETPLACE;
ESTABLISHMENT.
new text end

new text begin Subdivision 1. new text end

new text begin Creation. new text end

new text begin The Minnesota Insurance Marketplace is created as a
board under section 15.012, paragraph (a), to:
new text end

new text begin (1) promote innovation, competition, quality, value, market participation,
affordability, meaningful choices, health improvement, care management, reduction of
health disparities, and portability of health plans;
new text end

new text begin (2) facilitate and simplify the comparison, choice, enrollment, and purchase of
health plans for individuals purchasing in the individual market through the Minnesota
Insurance Marketplace and for employees and employers purchasing in the small group
market through the Minnesota Insurance Marketplace;
new text end

new text begin (3) assist small employers with access to small business health insurance tax credits
and to assist individuals with access to public health care programs, premium assistance
tax credits and cost-sharing reductions, and certificates of exemption from individual
responsibility requirements; and
new text end

new text begin (4) facilitate the integration and transition of individuals between public health care
programs and health plans in the individual market.
new text end

new text begin Subd. 2. new text end

new text begin Application of other law. new text end

new text begin (a) The Minnesota Insurance Marketplace is
subject to review by the legislative auditor under section 3.971.
new text end

new text begin (b) Board members of the Minnesota Insurance Marketplace are subject to section
10A.07. Board members and the personnel of the Minnesota Insurance Marketplace
are subject to section 10A.071.
new text end

new text begin (c) All meetings of the board shall comply with the open meeting law in chapter
13D, except that:
new text end

new text begin (1) meetings regarding personnel negotiations may be closed at the discretion of
the board;
new text end

new text begin (2) meetings regarding contract negotiations may be closed at the discretion of
the board; and
new text end

new text begin (3) meetings or portions of meetings where not public data, as defined in section
13.02, subdivision 8a, or trade secret information, as defined in section 13.37, subdivision
1, are discussed must be closed to the public.
new text end

new text begin (d) The Minnesota Insurance Marketplace and provisions specified under this chapter
are exempt from chapter 14, including section 14.386, except as specified in section 62V.05.
new text end

new text begin (e) The board and the Web site are exempt from chapter 60K.
new text end

new text begin (f) Section 3.3005 applies to any federal funds received by the Minnesota Insurance
Marketplace.
new text end

new text begin (g) The Minnesota Insurance Marketplace is exempt from the following sections in
chapter 16E: 16E.01, subdivision 3, paragraph (b); 16E.03, subdivisions 3 and 4; 16E.04,
subdivision 1, subdivision 2, paragraph (e), and subdivision 3, paragraph (b); 16E.0465;
16E.055; 16E.145; 16E.15; 16E.16; 16E.17; 16E.18; and 16E.22.
new text end

Sec. 8.

new text begin [62V.04] GOVERNANCE.
new text end

new text begin Subdivision 1. new text end

new text begin Board. new text end

new text begin The Minnesota Insurance Marketplace is governed by a
board of directors with seven members.
new text end

new text begin Subd. 2. new text end

new text begin Appointment. new text end

new text begin (a) Board membership of the Minnesota Insurance
Marketplace consists of the following:
new text end

new text begin (1) three members appointed by the governor and confirmed by the senate, with
one member representing the interests of individual consumers eligible for individual
market coverage, one member representing individual consumers eligible for public health
care program coverage, and one member representing small employers. Members are
appointed to serve a four-year term following the initial staggered-term lot determination;
new text end

new text begin (2) three members appointed by the governor and confirmed by the senate, who
have demonstrated expertise, leadership, and innovation in the following areas: one
member representing the areas of health administration, health care finance, health plan
purchasing, and health care delivery systems; one member representing the areas of
public health, health disparities, public health care programs, and the uninsured; and
one member representing health policy issues related to the small group and individual
markets. Members are appointed to serve a four-year term following the initial staggered
term lot determination; and
new text end

new text begin (3) the commissioner of human services or a designee.
new text end

new text begin (b) The governor shall make appointments to the board that are consistent with
federal law and regulations regarding its composition and structure.
new text end

new text begin (c) Section 15.0597 shall apply to all appointments, except for the commissioner
and initial appointments.
new text end

new text begin (d) Initial appointments shall be made within 30 days of enactment.
new text end

new text begin Subd. 3. new text end

new text begin Terms. new text end

new text begin (a) Board members may serve no more than two consecutive
terms, except for the commissioner or the commissioner's designee, who shall serve
until replaced by the governor.
new text end

new text begin (b) A board member may resign at any time by giving written notice to the board.
new text end

new text begin (c) The appointed members under subdivision 2, paragraph (a), clauses (1) and (2),
shall have an initial term of two, three, or four years, determined by lot by the secretary of
state.
new text end

new text begin Subd. 4. new text end

new text begin Conflicts of interest. new text end

new text begin Within one year prior to or at any time during their
appointed term, board members appointed under subdivision 2, paragraph (a), clauses (1)
and (2), shall not be employed by, be a member of the board of directors of, or otherwise
be a representative of a health carrier, health care provider, navigator, insurance producer,
or other entity in the business of selling items or services of significant value to or through
the Minnesota Insurance Marketplace.
new text end

new text begin Subd. 5. new text end

new text begin Acting chair; first meeting; supervision. new text end

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

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

new text begin (c) The board shall elect a chair to replace the acting chair at the first meeting.
new text end

new text begin Subd. 6. new text end

new text begin Chair. new text end

new text begin The board shall have a chair, elected by a majority of members.
The chair shall serve for one year.
new text end

new text begin Subd. 7. new text end

new text begin Officers. new text end

new text begin The members of the board shall elect officers by a majority of
members. The officers shall serve for one year.
new text end

new text begin Subd. 8. new text end

new text begin Vacancies. new text end

new text begin If a vacancy occurs on the board, the governor shall appoint a
new member within 90 days to serve the remainder of the unexpired term.
new text end

new text begin Subd. 9. new text end

new text begin Removal. new text end

new text begin A board member may be removed by the board only for cause,
following notice, hearing, and a two-thirds vote of the board. A conflict of interest as
defined in subdivision 4 shall be cause for removal from the board.
new text end

new text begin Subd. 10. new text end

new text begin Meetings. new text end

new text begin The board shall meet at least quarterly.
new text end

new text begin Subd. 11. new text end

new text begin Quorum. new text end

new text begin A majority of the members of the board constitutes a quorum,
and the affirmative vote of a majority of members of the board is necessary and sufficient
for action taken by the board.
new text end

new text begin Subd. 12. new text end

new text begin Compensation. new text end

new text begin (a) The board members shall be paid a salary not to
exceed the salary limits established under section 15A.0815, subdivision 4. The salary for
board members shall be set in accordance with this subdivision and section 15A.0815,
subdivision 5. This paragraph expires December 31, 2015.
new text end

new text begin (b) Beginning January 1, 2016, the board members may be compensated in
accordance with section 15.0575.
new text end

new text begin Subd. 13. new text end

new text begin Advisory committees. new text end

new text begin (a) The board shall establish and maintain
advisory committees to provide insurance producers, health care providers, the health
care industry, consumers, and other stakeholders with the opportunity to share their
perspectives regarding the operation of the Minnesota Insurance Marketplace as required
under section 1311(d)(6) of the Affordable Care Act (Public Law 111-148). The board
shall regularly consult with the advisory committees. The advisory committees established
under this paragraph shall not expire.
new text end

new text begin (b) The board may establish additional advisory committees, as necessary, to gather
and provide information to the board in order to facilitate the operation of the Minnesota
Insurance Marketplace. The advisory committees established under this paragraph shall
not expire, except by action of the board.
new text end

new text begin (c) Section 15.0597 shall not apply to any advisory committee established by the
board under this subdivision.
new text end

Sec. 9.

new text begin [62V.05] RESPONSIBILITIES AND POWERS OF THE MINNESOTA
INSURANCE MARKETPLACE.
new text end

new text begin Subdivision 1. new text end

new text begin General. new text end

new text begin (a) The board shall operate the Minnesota Insurance
Marketplace according to this chapter and applicable state and federal law.
new text end

new text begin (b) The board has the power to:
new text end

new text begin (1) employ personnel and delegate administrative, operational, and other
responsibilities to the director and other personnel as deemed appropriate by the board.
The director and managerial staff of the Minnesota Insurance Marketplace shall serve in
the unclassified service and shall be governed by a compensation plan prepared by the
board, submitted to the commissioner of management and budget for review and comment
within 14 days of its receipt, and approved by the Legislative Coordinating Commission
and the legislature under section 3.855, subdivision 3, except that section 15A.0815,
subdivision 5, paragraph (e), shall not apply;
new text end

new text begin (2) establish the budget of the Minnesota Insurance Marketplace;
new text end

new text begin (3) seek and accept money, grants, loans, donations, materials, services, or
advertising revenue from government agencies, philanthropic organizations, and public
and private sources to fund the operation of the Minnesota Insurance Marketplace;
new text end

new text begin (4) contract for the receipt and provision of goods and services;
new text end

new text begin (5) enter into information-sharing agreements with federal and state agencies and
other entities as authorized under section 62V.06; and
new text end

new text begin (6) take any other actions reasonably required to implement and administer its
responsibilities.
new text end

new text begin (c) Within 180 days of enactment, the board shall establish bylaws, policies,
and procedures governing the operations of the Minnesota Insurance Marketplace in
accordance with this chapter.
new text end

new text begin Subd. 2. new text end

new text begin Operations funding. new text end

new text begin Funding for the operations of the Minnesota
Insurance Marketplace shall cover any compensation provided to navigators participating
in the navigator program.
new text end

new text begin Subd. 3. new text end

new text begin Insurance producers. new text end

new text begin (a) Within 30 days of enactment, the commissioner
of management and budget, in consultation with the commissioner of commerce, shall
establish certification requirements that must be met by insurance producers in order to
assist individuals and small employers with purchasing coverage through the Minnesota
Insurance Marketplace. The requirements established under this paragraph shall remain
in effect until the implementation of the requirements established under paragraph (b)
or January 1, 2015, whichever is later. Prior to January 1, 2015, the commissioner of
management and budget may amend the requirements, if necessary, due to a change in
federal rules.
new text end

new text begin (b) The board, in consultation with the commissioner of commerce, may establish
certification requirements for insurance producers assisting individuals and small
employers with purchasing coverage through the Minnesota Insurance Marketplace.
Certification shall be issued by the Minnesota Insurance Marketplace.
new text end

new text begin (c) Certification requirements shall not exceed the requirements established under
Code of Federal Regulations, title 45, part 155.220. Certification shall include training on
health plans available through the Minnesota Insurance Marketplace, available tax credits
and cost-sharing arrangements, compliance with privacy and security standards, eligibility
verification processes, online enrollment tools, and basic information on available public
health care programs. Training required for certification under this subdivision shall
qualify for continuing education requirements for insurance producers required under
chapter 60K, and must comply with course approval requirements under chapter 45.
new text end

new text begin (d) Any compensation, including, but not limited to, commissions, service fees,
and brokerage fees paid to an insurance producer for selling, soliciting, or negotiating
coverage offered through the Minnesota Insurance Marketplace shall be paid by the
health carrier and must be the same for health plans offered or sold inside the Minnesota
Insurance Marketplace as for health plans offered or sold outside the Minnesota Insurance
Marketplace.
new text end

new text begin (e) Any insurance producer compensation structure established by a health carrier
for the small group market must include compensation for defined contribution plans that
involve multiple health carriers. The compensation offered must be commensurate with
other small group market defined health plans.
new text end

new text begin (f) Any insurance producer assisting an individual or small employer with
purchasing coverage through the Minnesota Insurance Marketplace must disclose, orally
and in writing, to the individual or small employer at the time of the first solicitation with
the prospective purchaser the following:
new text end

new text begin (1) the health carriers and qualified health plans offered through the Minnesota
Insurance Marketplace that the producer is authorized to sell, and that the producer may
not be authorized to sell all the qualified health plans offered through the Minnesota
Insurance Marketplace;
new text end

new text begin (2) the producer may be receiving compensation from a health carrier for enrolling
the individual or small employer into a particular health plan; and
new text end

new text begin (3) information on all qualified health plans offered through the Minnesota Insurance
Marketplace is available through the Minnesota Insurance Marketplace Web site.
new text end

new text begin For purposes of this paragraph, "solicitation" means any contact by a producer, or any
person acting on behalf of a producer made for the purpose of selling or attempting to sell
coverage through the Minnesota Insurance Marketplace. If the first solicitation is made by
telephone, the disclosures required under this paragraph need not be made in writing.
new text end

new text begin (g) Beginning January 15, 2015, each health carrier that offers or sells qualified
health plans through the Minnesota Insurance Marketplace shall report in writing to the
board and the commissioner of commerce the compensation and other incentives it offers
or provides to insurance producers with regard to each type of health plan the health carrier
offers or sells both inside and outside of the Minnesota Insurance Marketplace. Each
health carrier shall submit a report annually and upon any change to the compensation or
other incentives offered or provided to insurance producers.
new text end

new text begin (h) Nothing in this subdivision shall be construed to limit the licensure requirements
or regulatory functions of the commissioner of commerce under chapter 60K.
new text end

new text begin Subd. 4. new text end

new text begin Navigator; in-person assisters; call center. new text end

new text begin (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 the Minnesota Insurance
Marketplace to be implemented beginning January 1, 2015.
new text end

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

new text begin (1) the navigator program shall be met by section 256.962;
new text end

new text begin (2) entities eligible to be navigators may serve as in-person assisters;
new text end

new text begin (3) the commissioner of management and budget shall establish requirements and
compensation for the navigator program and the in-person assister program within 30 days
of enactment. 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
new text end

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

new text begin (c) The commissioner of management and budget shall establish a toll-free number
for the Minnesota Insurance Marketplace and may hire and contract for additional
resources as deemed necessary.
new text end

new text begin (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 the Minnesota Insurance Marketplace;
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 the Minnesota
Insurance Marketplace and public health care programs.
new text end

new text begin (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 end

new text begin Subd. 5. new text end

new text begin Health carrier and health plan requirements; participation. new text end

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

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

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

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

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

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

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

new text begin (2) the board determines that making the health plan available through the Minnesota
Insurance Marketplace is in the interests of qualified individuals and qualified employers
using the Minnesota Insurance Marketplace.
new text end

new text begin (d) In determining the interests of qualified individuals and employers under
paragraph (c), clause (2), the board may consider affordability; quality and value of
the health plans; promotion of initiatives to reduce health disparities; long-term cost
containment; market stability; and meaningful choice and access. 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).
new text end

new text begin (e) For qualified health plans offered through the Minnesota Insurance Marketplace,
effective January 1, 2014, the board shall determine whether a health plan satisfies
paragraph (c), clause (2), by considering a combination of the following criteria:
new text end

new text begin (1) reasonableness of expected costs supporting the health plan's premiums and
cost-sharing structure;
new text end

new text begin (2) quality and sufficiency of the health plan's provider networks;
new text end

new text begin (3) quality improvement activities;
new text end

new text begin (4) quality initiatives related to cultural and linguistic competency;
new text end

new text begin (5) promotion of initiatives for improving health, disease prevention, and wellness;
and
new text end

new text begin (6) providing a manageable number of choices to consumers that present clear
product differentiation.
new text end

new text begin (f) For qualified health plans offered through the Minnesota Insurance Marketplace,
on or after January 1, 2015, the board shall establish the criteria for satisfying paragraph
(c), clause (2), by February 1 of each year, beginning February 1, 2014. The criteria
must include the measures to be used by the board to determine whether the criteria have
been met. The board may use the rulemaking process described in subdivision 9 for
selection criteria.
new text end

new text begin (g) For qualified health plans offered through the Minnesota Insurance Marketplace
beginning January 1, 2015, health carriers must use the most current addendum for Indian
health care providers approved by Centers for Medicare and Medicaid Services and the
tribes as part of their contracts with Indian health care providers.
new text end

new text begin Subd. 6. new text end

new text begin Appeals process; eligibility determinations. new text end

new text begin (a) The board shall
establish a process for appeal of individual or employer eligibility determinations or
redeterminations of the Minnesota Insurance Marketplace. The process must provide for a
reasonable opportunity to be heard and timely resolution of the appeal, consistent with the
requirements of federal law and regulations.
new text end

new text begin (b) The Minnesota Insurance Marketplace may establish service-level agreements
with state agencies to conduct hearings for appeals. Notwithstanding section 471.59,
subdivision 1, a state agency is authorized to enter into service-level agreements for this
purpose with the Minnesota Insurance Marketplace.
new text end

new text begin (c) For proceedings under this subdivision and subdivision 7, the Minnesota
Insurance Marketplace may be represented by an attorney who is an employee of the
Minnesota Insurance Marketplace.
new text end

new text begin (d) This subdivision does not apply to appeals of determinations where a state
agency hearing is available under section 256.045.
new text end

new text begin Subd. 7. new text end

new text begin Contested case proceeding; health carrier determinations. new text end

new text begin A health
carrier that is aggrieved by a decision of the board regarding its compliance with
certification requirements or participation in the Minnesota Insurance Marketplace under
subdivision 5 is entitled to a contested case proceeding under chapter 14. The report or
order of the administrative law judge constitutes the final decision in the case, subject to
judicial review under sections 14.63 to 14.69.
new text end

new text begin Subd. 8. new text end

new text begin Agreements; consultation. new text end

new text begin (a) The board shall:
new text end

new text begin (1) establish and maintain an agreement with the chief information officer of
the Office of Enterprise Technology for information technology services that ensures
coordination with public health care programs. The board may establish and maintain
agreements with the chief information officer of the Office of Enterprise Technology for
other information technology services, including an agreement that would permit the
Minnesota Insurance Marketplace to administer eligibility for additional health care and
public assistance programs under the authority of the commissioner of human services;
new text end

new text begin (2) establish and maintain an agreement with the commissioner of human services
for cost allocation and services regarding eligibility determinations and enrollment for
public health care programs that use a modified adjusted gross income standard to
determine program eligibility. The board may establish and maintain an agreement with
the commissioner of human services for other services; and
new text end

new text begin (3) establish and maintain an agreement with the commissioners of commerce
and health for services regarding enforcement of Minnesota Insurance Marketplace
certification requirements for health plans and dental plans offered through the Minnesota
Insurance Marketplace. The board may establish and maintain agreements with the
commissioners of commerce and health for other services.
new text end

new text begin (b) The board shall consult with the commissioners of commerce and health
regarding the operations of the Minnesota Insurance Marketplace.
new text end

new text begin (c) The board shall consult with Indian tribes and organizations regarding the
operation of the Minnesota Insurance Marketplace.
new text end

new text begin (d) Beginning March 15, 2014, and each March 15 thereafter, the board shall submit
a report to the chairs and ranking minority members of the committees in the senate and
house of representatives with primary jurisdiction over commerce, health, and human
services on all the agreements entered into with the chief information officer of the Office
of Enterprise Technology, or the commissioners of human services, health, or commerce
in accordance with this subdivision. The report shall include the agency in which the
agreement is with; the time period of the agreement; the purpose of the agreement; and
a summary of the terms of the agreement. A copy of the agreement must be submitted
to the extent practicable.
new text end

new text begin Subd. 9. new text end

new text begin Rulemaking in first year. new text end

new text begin (a) Effective upon enactment until January 1,
2014, the Minnesota Insurance Marketplace may adopt rules to implement any provisions
of this chapter following the process in this subdivision.
new text end

new text begin (b) The Minnesota Insurance Marketplace shall publish proposed rules in the State
Register.
new text end

new text begin (c) Interested parties have 21 days after publication to comment on the proposed
rules. After the Minnesota Insurance Marketplace has considered all comments, the
Minnesota Insurance Marketplace shall publish notice in the State Register that the rules
have been adopted and the rules shall take effect on publication.
new text end

new text begin (d) 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.
new text end

new text begin (e) The Minnesota Insurance Marketplace shall seek comments from the Department
of Administration, Information Policy Analysis Division, before adopting any final rules
involving the sharing, use, or disclosure of not public data.
new text end

new text begin (f) By January 15, 2014, the board shall submit a report to the chairs and ranking
minority members of the committees in the senate and the house of representatives
with primary jurisdiction over commerce and health, that lists and describes all rules
promulgated under this subdivision.
new text end

new text begin (g) If the rulemaking process described in this subdivision is not used, the board
must comply with the standard rulemaking process in chapter 14.
new text end

new text begin Subd. 10. new text end

new text begin Rulemaking after the first year. new text end

new text begin Beginning January 1, 2014, the
board may adopt rules to implement any provisions in this chapter using the expedited
rulemaking process in section 14.389. If the expedited rulemaking process is not used, the
board must comply with the standard rulemaking process in chapter 14.
new text end

new text begin Subd. 11. new text end

new text begin Dental plans. new text end

new text begin (a) The provisions of this section that apply to health plans
shall apply to dental plans offered as stand-alone dental plans through the Minnesota
Insurance Marketplace, to the extent practicable.
new text end

new text begin (b) A stand-alone dental plan offered through the Minnesota Insurance Marketplace
must meet all certification requirements under section 1311(c)(1) of the Affordable Care
Act (Public Law 111-148) that are applicable to health plans, except for certification
requirements that cannot be met because the dental plan only covers dental benefits.
new text end

new text begin Subd. 12. new text end

new text begin Limitations; risk-bearing. new text end

new text begin (a) The board shall not bear insurance risk or
enter into any agreement with health care providers to pay claims.
new text end

new text begin (b) Nothing in this subdivision shall prevent the Minnesota Insurance Marketplace
from providing insurance for its employees.
new text end

Sec. 10.

new text begin [62V.06] DATA.
new text end

new text begin (a) The definitions in section 13.02 apply to this section.
new text end

new text begin (b) Government data of the Minnesota Insurance Marketplace on individuals,
employees of employers, and employers using the Minnesota Insurance Marketplace are
private data on individuals or nonpublic data. The Minnesota Insurance Marketplace
may share not public data with state and federal agencies and other entities if the board
determines that the exchange of the data is necessary to carry out the functions of the
Minnesota Insurance Marketplace. State agencies shall share not public data with the
Minnesota Insurance Marketplace if the board determines that the exchange of the
data is reasonably necessary to carry out the functions of the Minnesota Insurance
Marketplace. Data-sharing agreements must include adequate protections with respect to
the confidentiality and integrity of the data to be shared and comply with applicable law.
Notwithstanding the provisions governing summary data in sections 13.02, subdivision
19, and 13.05, subdivision 7, the Minnesota Insurance Marketplace may derive summary
data from nonpublic data under this section.
new text end

Sec. 11.

new text begin [62V.07] FUNDS.
new text end

new text begin The Minnesota Insurance Marketplace account is created in the special revenue fund
of the state treasury. All funds received by the Minnesota Insurance Marketplace shall
be deposited in the account. Funds in the account are appropriated to the Minnesota
Insurance Marketplace for the operation of the Minnesota Insurance Marketplace.
new text end

Sec. 12.

new text begin [62V.08] REPORT.
new text end

new text begin The Minnesota Insurance Marketplace shall submit a report to the legislature by
January 15, 2015, and each January 15 thereafter, on: (1) the performance of Minnesota
Insurance Marketplace operations; (2) meeting the Minnesota Insurance Marketplace
responsibilities; and (3) an accounting of the Minnesota Insurance Marketplace budget
activities.
new text end

Sec. 13.

new text begin [62V.09] EXPIRATION AND SUNSET EXCLUSION.
new text end

new text begin Notwithstanding section 15.059, the board and its advisory committees shall not
expire, except as specified in section 62V.04, subdivision 13. The board and its advisory
committees are not subject to review or sunsetting under chapter 3D.
new text end

Sec. 14.

new text begin [62V.10] LEGISLATIVE OVERSIGHT COMMITTEE.
new text end

new text begin Subdivision 1. new text end

new text begin Legislative oversight. new text end

new text begin (a) The Legislative Oversight Committee is
established to provide oversight to the implementation of this chapter and the operation
of the Minnesota Insurance Marketplace.
new text end

new text begin (b) The committee shall review the operations of the Minnesota Insurance
Marketplace at least annually and shall recommend necessary changes in policy,
implementation, and statutes to the board and to the legislature.
new text end

new text begin (c) The Minnesota Insurance Marketplace shall present to the committee the annual
report required in section 62V.08, as well as the reports on rules required in section
62V.05, subdivision 9, the appeals process under section 62V.05, subdivision 6, and the
actions taken regarding the treatment of multiemployer plans.
new text end

new text begin Subd. 2. new text end

new text begin Membership; meetings; compensation. new text end

new text begin (a) The Legislative Oversight
Committee shall consist of five members of the senate, three members appointed by
the majority leader of the senate, and two members appointed by the minority leader of
the senate; and five members of the house of representatives, three members appointed
by the speaker of the house, and two members appointed by the minority leader of the
house of representatives.
new text end

new text begin (b) Appointed legislative members serve at the pleasure of the appointing authority
and shall continue to serve until their successors are appointed.
new text end

new text begin (c) The first meeting of the committee shall be convened by the chair of the
Legislative Coordinating Commission. Members shall elect a chair at the first meeting.
The chair must convene at least one meeting annually, and may convene other meetings as
deemed necessary.
new text end

new text begin (d) The members shall serve without compensation.
new text end

new text begin Subd. 3. new text end

new text begin Review of costs. new text end

new text begin The board shall submit for review the estimated costs
necessary to fund the operations of the Minnesota Insurance Marketplace as certified under
section 16A.725, subdivision 2a, to the committee at the same time as the certification is
provided to the commissioner of management and budget.
new text end

Sec. 15. new text begin TRANSITION OF AUTHORITY.
new text end

new text begin (a) Upon the effective date of this act, the commissioner of management and budget
shall exercise all authorities and responsibilities under Minnesota Statutes, sections 62V.03
and 62V.05 until the board has satisfied the requirements of Minnesota Statutes, section
62V.05, subdivision 1, paragraph (c). In exercising these authorities and responsibilities of
the board, the commissioner of management and budget shall be subject to or exempted
from the same statutory provisions as the board, as identified in Minnesota Statutes,
section 62V.03, subdivision 2.
new text end

new text begin (b) Upon the establishment of bylaws, policies, and procedures governing the
operations of the Minnesota Insurance Marketplace by the board as required under
Minnesota Statutes, section 62V.05, subdivision 1, paragraph (c), all personnel, assets,
contracts, obligations, and funds managed by the commissioner of management and
budget for the design and development of the Minnesota Insurance Marketplace shall be
transferred to the board. Existing personnel managed by the commissioner of management
and budget for the design and development of the Minnesota Insurance Marketplace shall
staff the board upon enactment.
new text end

Sec. 16. new text begin MINNESOTA COMPREHENSIVE HEALTH ASSOCIATION
TERMINATION.
new text end

new text begin The commissioner of commerce, in consultation with the board of directors of
the Minnesota Comprehensive Health Association, has the authority to develop and
implement the phase-out and eventual termination of coverage provided by the Minnesota
Comprehensive Health Association under Minnesota Statutes, chapter 62E. The phase-out
of coverage shall begin no sooner than January 1, 2014, or upon the effective date of the
operation of the Minnesota Insurance Marketplace and the ability to purchase qualified
health plans through the Minnesota Insurance Marketplace, whichever is later, and shall,
to the extent practicable, ensure the least amount of disruption to the enrollees' health care
coverage. The member assessments established under Minnesota Statutes, section 62E.11,
shall take into consideration any phase-out of coverage implemented under this section.
new text end

Sec. 17. new text begin REPORT ON APPEALS PROCESS.
new text end

new text begin By February 1, 2014, and February 1, 2015, the board of directors of the Minnesota
Insurance Marketplace shall submit a report to the chairs and ranking minority members
of the committees in the senate and house of representatives with primary jurisdiction over
commerce, health, and civil law on the appeals process for eligibility determinations
established under Minnesota Statutes, section 62V.05, subdivision 6.
new text end

Sec. 18. new text begin CONTINGENT TREATMENT OF MULTIEMPLOYER PLANS.
new text end

new text begin On or after the date that final federal regulations are adopted regarding the treatment
of multiemployer plans, the Minnesota Insurance Marketplace shall take such actions as
are necessary, in consultation with the commissioner of commerce and in accordance with
final federal regulations, to: (1) ensure that all multiemployer plans are notified of the
final federal rules; (2) conform all policies and procedures of the Minnesota Insurance
Marketplace with applicable federal rules related to multiemployer plans; and (3) permit
multiemployer plans to be integrated in the Minnesota Insurance Marketplace to the
maximum extent permitted by federal rules. The Minnesota Insurance Marketplace shall
submit written notification to the legislature regarding its compliance with this section.
new text end

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

new text begin Minnesota Statutes 2012, section 256.9658, subdivision 1, new text end new text begin is repealed.
new text end

Sec. 20. new text begin EFFECTIVE DATE.
new text end

new text begin Sections 1 to 18 are effective the day following final enactment. Any actions taken
by any state agencies in furtherance of the design, development, and implementation
of the Minnesota Insurance Marketplace prior to the effective date shall be considered
actions taken by the Minnesota Insurance Marketplace and shall be governed by the
provisions of this chapter and state law. Health plan and dental plan coverage through the
Minnesota Insurance Marketplace is effective January 1, 2014.
new text end