Bill Text: MN SF32 | 2011-2012 | 87th Legislature | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Healthy Minnesota contribution program
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2011-05-03 - HF substituted on General Orders HF8 [SF32 Detail]
Download: Minnesota-2011-SF32-Introduced.html
Bill Title: Healthy Minnesota contribution program
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2011-05-03 - HF substituted on General Orders HF8 [SF32 Detail]
Download: Minnesota-2011-SF32-Introduced.html
1.2relating to human services; establishing the healthy Minnesota contribution
1.3program; requiring plan to redesign service delivery for lower-income
1.4MinnesotaCare enrollees;amending Minnesota Statutes 2010, section 256L.05,
1.5by adding a subdivision; proposing coding for new law in Minnesota Statutes,
1.6chapter 256L.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.8 Section 1. [256L.031] HEALTHY MINNESOTA CONTRIBUTION PROGRAM.
1.9 Subdivision 1. Defined contributions to enrollees. (a) Beginning January 1, 2012,
1.10the commissioner shall provide each MinnesotaCare enrollee eligible under section
1.11256L.04, subdivision 7, with gross family income equal to or greater than 133 percent
1.12of the federal poverty guidelines, with a monthly defined contribution to purchase health
1.13coverage under a health plan as defined in section 62A.011, subdivision 3. Beginning
1.14January 1, 2012, or upon federal approval, whichever is later, the commissioner shall
1.15provide each MinnesotaCare enrollee eligible under section 256L.04, subdivision 1, with
1.16gross family income equal to or greater than 133 percent of the federal poverty guidelines,
1.17with a monthly defined contribution to purchase health coverage under a health plan as
1.18defined in section 62A.011, subdivision 3.
1.19(b) Enrollees eligible under paragraph (a) shall not be charged premiums under
1.20section 256L.15 and are exempt from the managed care enrollment requirement of section
1.21256L.12.
1.22(c) Sections 256L.03 and 256L.05, subdivision 3, do not apply to enrollees eligible
1.23under paragraph (a). Covered services, cost-sharing, and the effective date of coverage for
1.24enrollees eligible under paragraph (a) shall be as provided under the terms of the health
1.25plan purchased by the enrollee.
2.1 Subd. 2. Use of defined contribution. An enrollee may use up to the monthly
2.2defined contribution only to pay premiums for coverage under a health plan as defined in
2.3section 62A.011, subdivision 3.
2.4 Subd. 3. Determination of defined contribution amount. (a) The commissioner
2.5shall determine the defined contribution sliding scale using the base contribution specified
2.6in paragraph (b) for the specified age ranges. The commissioner shall use a sliding scale
2.7for defined contributions that provides:
2.8(1) persons with household incomes equal to 133 percent of the federal poverty
2.9guidelines with a defined contribution of 150 percent of the base contribution;
2.10(2) persons with household incomes equal to 175 percent of the federal poverty
2.11guidelines with a defined contribution of 100 percent of the base contribution;
2.12(3) persons with household incomes equal to or greater than 250 percent of
2.13the federal poverty guidelines with a defined contribution of 80 percent of the base
2.14contribution; and
2.15(4) persons with household incomes in evenly spaced increments between the
2.16percentages of the federal poverty guideline specified in clauses (1) to (3) with a base
2.17contribution that is a percentage interpolated from the defined contribution percentages
2.18specified in clauses (1) to (3).
2.38(b) The commissioner shall multiply the defined contribution amounts developed
2.39under paragraph (a) by 1.20 for enrollees who are denied coverage under an individual
3.1health plan by a health plan company and who purchase coverage through the Minnesota
3.2Comprehensive Health Association.
3.3 Subd. 4. Administration by commissioner. The commissioner shall administer the
3.4defined contributions. The commissioner shall:
3.5 (1) calculate and process defined contributions for enrollees; and
3.6 (2) pay the defined contribution amount to health plan companies or the Minnesota
3.7Comprehensive Health Association, as applicable, for enrollee health plan coverage.
3.8 Subd. 5. Assistance to enrollees. The commissioner of human services, in
3.9consultation with the commissioner of commerce, shall develop an efficient and
3.10cost-effective method of referring eligible applicants to professional insurance agent
3.11associations.
3.12 Subd. 6. Minnesota Comprehensive Health Association (MCHA). Beginning
3.13January 1, 2012, MinnesotaCare enrollees who are denied coverage under an individual
3.14health plan by a health plan company are eligible for coverage through a health plan
3.15offered by the Minnesota Comprehensive Health Association. Any difference between the
3.16revenue and covered losses to the MCHA related to implementation of this section shall
3.17be paid to the MCHA from the health care access fund.
3.18 Subd. 7. Federal approval. The commissioner shall seek all federal waivers
3.19and approvals necessary to implement coverage under this section for MinnesotaCare
3.20enrollees eligible under section 256L.04, subdivision 1, with gross family incomes equal
3.21to or greater than 133 percent of the federal poverty guidelines, while continuing to
3.22receive federal matching funds.
3.23 Sec. 2. Minnesota Statutes 2010, section 256L.05, is amended by adding a subdivision
3.24to read:
3.25 Subd. 6. Referral of veterans. The commissioner shall modify the Minnesota
3.26health care programs application form to add a question asking applicants: "Are you a U.S.
3.27military veteran?" The commissioner shall ensure that all applicants for MinnesotaCare
3.28with incomes less than 133 percent of the federal poverty guidelines who identify
3.29themselves as veterans are referred to a county veterans service officer for assistance in
3.30applying to the U.S. Department of Veterans Affairs for any veterans benefits for which
3.31they may be eligible.
3.32 Sec. 3. COVERAGE FOR LOWER-INCOME MINNESOTACARE
3.33ENROLLEES.
4.1The commissioner of human services shall develop and present to the legislature,
4.2by December 15, 2011, a plan to redesign service delivery for MinnesotaCare enrollees
4.3eligible under Minnesota Statutes, section 256L.04, subdivisions 1 and 7, with incomes
4.4less than 133 percent of the federal poverty guidelines. The plan must be designed to
4.5improve continuity and quality of care, reduce unnecessary emergency room visits, and
4.6reduce average per-enrollee costs. In developing the plan, the commissioner shall consider
4.7innovative methods of service delivery, including but not limited to increasing the use
4.8and choice of private sector health plan coverage and encouraging the use of community
4.9health clinics, as defined in the federal Community Health Care Act of 1964, as health
4.10care homes.
1.3program; requiring plan to redesign service delivery for lower-income
1.4MinnesotaCare enrollees;amending Minnesota Statutes 2010, section 256L.05,
1.5by adding a subdivision; proposing coding for new law in Minnesota Statutes,
1.6chapter 256L.
1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.8 Section 1. [256L.031] HEALTHY MINNESOTA CONTRIBUTION PROGRAM.
1.9 Subdivision 1. Defined contributions to enrollees. (a) Beginning January 1, 2012,
1.10the commissioner shall provide each MinnesotaCare enrollee eligible under section
1.11256L.04, subdivision 7, with gross family income equal to or greater than 133 percent
1.12of the federal poverty guidelines, with a monthly defined contribution to purchase health
1.13coverage under a health plan as defined in section 62A.011, subdivision 3. Beginning
1.14January 1, 2012, or upon federal approval, whichever is later, the commissioner shall
1.15provide each MinnesotaCare enrollee eligible under section 256L.04, subdivision 1, with
1.16gross family income equal to or greater than 133 percent of the federal poverty guidelines,
1.17with a monthly defined contribution to purchase health coverage under a health plan as
1.18defined in section 62A.011, subdivision 3.
1.19(b) Enrollees eligible under paragraph (a) shall not be charged premiums under
1.20section 256L.15 and are exempt from the managed care enrollment requirement of section
1.21256L.12.
1.22(c) Sections 256L.03 and 256L.05, subdivision 3, do not apply to enrollees eligible
1.23under paragraph (a). Covered services, cost-sharing, and the effective date of coverage for
1.24enrollees eligible under paragraph (a) shall be as provided under the terms of the health
1.25plan purchased by the enrollee.
2.1 Subd. 2. Use of defined contribution. An enrollee may use up to the monthly
2.2defined contribution only to pay premiums for coverage under a health plan as defined in
2.3section 62A.011, subdivision 3.
2.4 Subd. 3. Determination of defined contribution amount. (a) The commissioner
2.5shall determine the defined contribution sliding scale using the base contribution specified
2.6in paragraph (b) for the specified age ranges. The commissioner shall use a sliding scale
2.7for defined contributions that provides:
2.8(1) persons with household incomes equal to 133 percent of the federal poverty
2.9guidelines with a defined contribution of 150 percent of the base contribution;
2.10(2) persons with household incomes equal to 175 percent of the federal poverty
2.11guidelines with a defined contribution of 100 percent of the base contribution;
2.12(3) persons with household incomes equal to or greater than 250 percent of
2.13the federal poverty guidelines with a defined contribution of 80 percent of the base
2.14contribution; and
2.15(4) persons with household incomes in evenly spaced increments between the
2.16percentages of the federal poverty guideline specified in clauses (1) to (3) with a base
2.17contribution that is a percentage interpolated from the defined contribution percentages
2.18specified in clauses (1) to (3).
2.38(b) The commissioner shall multiply the defined contribution amounts developed
2.39under paragraph (a) by 1.20 for enrollees who are denied coverage under an individual
3.1health plan by a health plan company and who purchase coverage through the Minnesota
3.2Comprehensive Health Association.
3.3 Subd. 4. Administration by commissioner. The commissioner shall administer the
3.4defined contributions. The commissioner shall:
3.5 (1) calculate and process defined contributions for enrollees; and
3.6 (2) pay the defined contribution amount to health plan companies or the Minnesota
3.7Comprehensive Health Association, as applicable, for enrollee health plan coverage.
3.8 Subd. 5. Assistance to enrollees. The commissioner of human services, in
3.9consultation with the commissioner of commerce, shall develop an efficient and
3.10cost-effective method of referring eligible applicants to professional insurance agent
3.11associations.
3.12 Subd. 6. Minnesota Comprehensive Health Association (MCHA). Beginning
3.13January 1, 2012, MinnesotaCare enrollees who are denied coverage under an individual
3.14health plan by a health plan company are eligible for coverage through a health plan
3.15offered by the Minnesota Comprehensive Health Association. Any difference between the
3.16revenue and covered losses to the MCHA related to implementation of this section shall
3.17be paid to the MCHA from the health care access fund.
3.18 Subd. 7. Federal approval. The commissioner shall seek all federal waivers
3.19and approvals necessary to implement coverage under this section for MinnesotaCare
3.20enrollees eligible under section 256L.04, subdivision 1, with gross family incomes equal
3.21to or greater than 133 percent of the federal poverty guidelines, while continuing to
3.22receive federal matching funds.
3.23 Sec. 2. Minnesota Statutes 2010, section 256L.05, is amended by adding a subdivision
3.24to read:
3.25 Subd. 6. Referral of veterans. The commissioner shall modify the Minnesota
3.26health care programs application form to add a question asking applicants: "Are you a U.S.
3.27military veteran?" The commissioner shall ensure that all applicants for MinnesotaCare
3.28with incomes less than 133 percent of the federal poverty guidelines who identify
3.29themselves as veterans are referred to a county veterans service officer for assistance in
3.30applying to the U.S. Department of Veterans Affairs for any veterans benefits for which
3.31they may be eligible.
3.32 Sec. 3. COVERAGE FOR LOWER-INCOME MINNESOTACARE
3.33ENROLLEES.
4.1The commissioner of human services shall develop and present to the legislature,
4.2by December 15, 2011, a plan to redesign service delivery for MinnesotaCare enrollees
4.3eligible under Minnesota Statutes, section 256L.04, subdivisions 1 and 7, with incomes
4.4less than 133 percent of the federal poverty guidelines. The plan must be designed to
4.5improve continuity and quality of care, reduce unnecessary emergency room visits, and
4.6reduce average per-enrollee costs. In developing the plan, the commissioner shall consider
4.7innovative methods of service delivery, including but not limited to increasing the use
4.8and choice of private sector health plan coverage and encouraging the use of community
4.9health clinics, as defined in the federal Community Health Care Act of 1964, as health
4.10care homes.
