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HF3139 (Legislative Session 94 (2025-2026))

MinnesotaCare Plan established, commissioner of commerce required to seek a section 1332 waiver, and commissioner of human services required to request to suspend the MinnesotaCare program.

AI Generated Summary

Purpose of the Bill

The purpose of this bill is to establish a new MinnesotaCare Plan by creating specific standards and parameters for its implementation. The bill directs state commissioners to pursue federal waivers and make procedural changes to integrate and support the new plan while connecting it to existing health systems and programs, such as MNsure and the Affordable Care Act.

Main Provisions

  • Establishment of MinnesotaCare Plan: The commissioner of commerce, in consultation with other state health officials, must set the standards for the MinnesotaCare Plan, aiming for certification as a qualified health plan.
  • Section 1332 Waiver: The commissioners are required to request a federal Section 1332 waiver to secure federal funding for premium tax credits and to support lower costs for the MinnesotaCare Plan enrollees.
  • Suspension of Current MinnesotaCare Program: An application to suspend the state's existing basic health program, known as MinnesotaCare, will be submitted, pending the new waiver's approval, to reduce administrative burden and redirect resources.
  • Eligibility and Enrollment: Individuals must apply through MNsure, with seamless transition and eligibility processes for current enrollees to ensure continuity of coverage.
  • Cost-Sharing Rules: The MinnesotaCare Plan must offer adjusted premiums and copayments according to individuals' income levels, with exemptions for certain populations such as children and American Indians.
  • Insurance Producers: Specific requirements for certification and compensation for insurance producers who assist with MinnesotaCare Plan enrollments are detailed, ensuring that consumer choice and transparency are prioritized.

Significant Changes to Existing Law

  • Transition of Current Enrollees: Current MinnesotaCare enrollees will be transitioned to the new plan with no change in benefits or cost-sharing requirements, ensuring no disruption in their coverage.
  • Federal Funding Strategy: The request to shift from 95% to 100% of premium tax credits aims to increase federal funding support, which is a shift from the current basic health program funding model.
  • Program Administration: The bill outlines changes in how enrollees and insurance producers interact with MNsure and introduces new administrative processes to accommodate the MinnesotaCare Plan.

Relevant Terms

  • MinnesotaCare Plan
  • MNsure
  • Section 1332 Waiver
  • Affordable Care Act
  • Basic Health Program
  • Premium Tax Credits
  • Cost-Sharing Reductions

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
April 06, 2025HouseFloorActionIntroduction and first reading, referred toCommerce Finance and Policy

Citations

 
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    "analysis": {
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      "removed": [],
      "summary": "Defines 'Health carrier' under section 62A.011, subdivision 2.",
      "modified": []
    },
    "citation": "62A.011",
    "subdivision": "subdivision 2"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Defines 'Individual health plan' under section 62A.011, subdivision 4.",
      "modified": []
    },
    "citation": "62A.011",
    "subdivision": "subdivision 4"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Defines 'MNsure' under section 62V.02, subdivision 8.",
      "modified": []
    },
    "citation": "62V.02",
    "subdivision": "subdivision 8"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "References definition of 'Qualified health plan' under section 1301a of the Affordable Care Act.",
      "modified": []
    },
    "citation": "1301a",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Mentions health services reimbursed under section 256L.03.",
      "modified": []
    },
    "citation": "256L.03",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "References residency requirements under section 256L.09.",
      "modified": []
    },
    "citation": "256L.09",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Mentions availability of state agency hearing under section 256.045.",
      "modified": []
    },
    "citation": "256.045",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Discusses participation requirement under section 62L.03, subdivision 3.",
      "modified": []
    },
    "citation": "62L.03",
    "subdivision": "subdivision 3"
  }
]

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