This bill amends existing health care legislation in Minnesota by repealing the authority of state agencies to submit a public option waiver application to the federal government. Specifically, it removes the provision that allowed the commissioner of commerce to take necessary steps to submit a 1332 waiver application for a Minnesota public option health care plan if the legislature did not enact a law by June 1, 2024. Additionally, the bill eliminates a contingent appropriation of $21,000,000 for the implementation of the public option health care plan, which was dependent on the approval of the waiver.

The bill also makes adjustments to appropriations for various health care initiatives, including funding for medical assistance and MinnesotaCare accessibility improvements, transforming service delivery projects, and enhancing the Minnesota eligibility technology system. It includes a new provision for carryforward authority, allowing a portion of the fiscal year 2024 appropriation to be available until June 30, 2027. The effective date for these changes is the day following final enactment.