Minnesota Legislature
SF 3472
1st Engrossment - 92nd Legislature (2021 - 2022) Posted on 04/01/2022 07:26pm
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A bill for an act
relating to state government; extending the operation of the Minnesota premium
security plan; transferring money; appropriating money; amending Minnesota
Statutes 2020, section 62E.23, subdivision 3; Laws 2017, chapter 13, article 1,
section 15, as amended; Laws 2021, First Special Session chapter 7, article 15,
section 3.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2020, section 62E.23, subdivision 3, is amended to read:
Subd. 3.
Operation.
(a) The board shall propose to the commissioner the payment
parameters for the next benefit year by January 15 of the year before the applicable benefit
year. The commissioner shall approve or reject the payment parameters no later than 14
days following the board's proposal. If the commissioner fails to approve or reject the
payment parameters within 14 days following the board's proposal, the proposed payment
parameters are final and effective.
(b) If the amount in the premium security plan account in section 62E.25, subdivision
1, is not anticipated to be adequate to fully fund the approved payment parameters as of
July 1 of the year before the applicable benefit year, the board, in consultation with the
commissioner and the commissioner of management and budget, shall propose payment
parameters within the available appropriations. The commissioner must permit an eligible
health carrier to revise an applicable rate filing based on the final payment parameters for
the next benefit year.
(c) Notwithstanding paragraph (a), the payment parameters for benefit deleted text begin year 2020deleted text end new text begin years
2023 through 2027new text end are:
(1) an attachment point of $50,000;
(2) a coinsurance rate of 80 percent; and
(3) a reinsurance cap of $250,000.
Sec. 2.
Laws 2017, chapter 13, article 1, section 15, as amended by Laws 2017, First
Special Session chapter 6, article 5, section 10, Laws 2019, First Special Session chapter
9, article 8, section 19, and Laws 2021, First Special Session chapter 7, article 15, section
1, is amended to read:
Sec. 15. MINNESOTA PREMIUM SECURITY PLAN FUNDING.
(a) The Minnesota Comprehensive Health Association shall fund the operational and
administrative costs and reinsurance payments of the Minnesota security plan and association
using the following amounts deposited in the premium security plan account in Minnesota
Statutes, section 62E.25, subdivision 1, in the following order:
(1) any federal funding available;
(2) funds deposited under article 1, sections 12 and 13;
(3) any state funds from the health care access fund; and
(4) any state funds from the general fund.
(b) The association shall transfer from the premium security plan account any remaining
state funds not used for the Minnesota premium security plan by June 30, deleted text begin 2024deleted text end new text begin 2029new text end , to the
commissioner of commerce. Any amount transferred to the commissioner of commerce
shall be deposited in the health care access fund in Minnesota Statutes, section 16A.724.
(c) The Minnesota Comprehensive Health Association may not spend more than
$271,000,000 for benefit year 2018 and not more than $271,000,000 for benefit year 2019
for the operational and administrative costs of, and reinsurance payments under, the
Minnesota premium security plan.
Sec. 3.
Laws 2021, First Special Session chapter 7, article 15, section 3, is amended to
read:
Sec. 3. PLAN YEAR deleted text begin 2022deleted text end new text begin 2023new text end PROPOSED RATE FILINGS FOR THE
INDIVIDUAL MARKET.
The rate filing deadline for individual health plans, as defined in Minnesota Statutes,
section 62E.21, subdivision 9, to be offered, issued, sold, or renewed on or after January 1,
deleted text begin 2022deleted text end new text begin 2023, and before January 1, 2024new text end , is July 9, deleted text begin 2021deleted text end new text begin 2022new text end . Eligible health carriers under
Minnesota Statutes, section 62E.21, subdivision 8, filing individual health plans to be offered,
issued, sold, or renewed for benefit deleted text begin year 2022deleted text end new text begin years 2023 through 2027new text end shall include the
impact of the Minnesota premium security plan payment parameters in the proposed
individual health plan rates. Notwithstanding Minnesota Statutes, section 60A.08, subdivision
15, paragraph (g), the commissioner must provide public access on the Department of
Commerce's website to compiled data of the proposed changes to rates for individual health
plans and small group health plans, as defined in Minnesota Statutes, section 62K.03,
subdivision 12, separated by health plan and geographic rating area, no later than July 23,
deleted text begin 2021deleted text end new text begin 2022new text end .
Sec. 4. new text begin APPROPRIATIONS.
new text end
new text begin
(a) $2,100,000 in fiscal year 2023 is appropriated from the general fund to the board of
directors of MNsure for MNsure operations. The base for this appropriation is $4,288,000
in fiscal year 2024, $4,561,000 in fiscal year 2025, $4,858,000 in fiscal year 2026, $5,200,000
in fiscal year 2027, $2,658,000 in fiscal year 2028, and $0 in fiscal year 2029.
new text end
new text begin
(b) $53,404,000 in fiscal year 2023 is appropriated from the health care access fund to
the commissioner of human services for the MinnesotaCare program. The base for this
appropriation is $113,503,000 in fiscal year 2024 and $120,442,000 in fiscal year 2025.
new text end
new text begin
(c) If the federal revenue that is projected to be reduced from the basic health plan due
to the continuation of the state innovation waiver is less than the appropriations in paragraph
(b), the commissioner of management and budget shall reduce the appropriations in paragraph
(b) to ensure that each appropriation is equal to the value of the federal revenue reduced
from the basic health plan in that fiscal year. The reduction in this paragraph may not be
less than zero.
new text end
new text begin EFFECTIVE DATE. new text end
new text begin
This section is effective January 1, 2023, but only if the
continuation of the state innovation waiver described in Laws 2021, First Special Session
chapter 7, article 15, section 4, is approved.
new text end
Sec. 5. new text begin TRANSFER.
new text end
new text begin
The commissioner of management and budget must transfer $1,087,366,000 in fiscal
year 2023 from the general fund to the premium security plan account in Minnesota Statutes,
section 62E.25, subdivision 1. This is a onetime transfer.
new text end