Legislative Session number- 86

Bill Name: SF1473

Relating to health care reform; increasing affordability and eligibility for
state health care programs; "Minnesota Health Insurance Exchange"; creating the
health insurance exchange for the purpose of providing individuals with greater
access, choice, portability, and affordability of health insurance products;
allowing incorporation as a nonprofit corporation for tax purposes; regulating
health plan company and health plan participation and availability; providing
for comparison of health plans, individual and small employer participation and
eligibility; specifying responsibilities of the exchange; providing for no state
liability for exchange actions; providing for powers of exchange, dispute
resolutions, governance, board membership and operations; providing for
investment of assets, auditing, insurance producers and implementation
requirements; providing for the sharing of certain welfare or health data;
modifying and clarifying certain provisions relating to comprehensive health
insurance and small employer insurance; continuing payment reform; specifying
certain duties of the commissioner of health relating to the establishment of
uniform definitions for the total cost of providing necessary services to a
patient and developing a standard uniform method and format for providers to use
for submitting package prices for the total cost of care, specifying certain
availability requirements; requiring health care providers to establish package
prices for the total cost of care by a certain date, requiring commissioner to
establish certain quality measures, specifying certain information publication
requirements; specifying certain individual market health plan purchasing and
use requirements; establishing goals for universal coverage and a contingent
individual responsibility mandate; establishing affordability standards for
individuals and households with gross family incomes of a certain percentage of
the federal poverty guidelines or less; providing for the exchange of certain
private data; modifying certain verification of eligibility requirements for
certain individuals for medical assistance coverage purposes; increasing the
family income limit for child medical assistance eligibility purposes;
increasing the inpatient hospital benefits limit for adult enrollees under
MinnesotaCare, federal approval stipulation; modifying certain MinnesotaCare
benefit plan co-payments and coinsurance requirements; increasing the family
income limit for families with children and for single adults and households
with no children for MinnesotaCare eligibility; providing for delayed
verification; modifying certain MinnesotaCare general requirements; providing a
first month premium exemption for new enrollee households of
MinnesotaCare
(je)