This bill amends existing laws related to health care in Minnesota by repealing the authority of state agencies to submit a public option waiver application to the federal government. Specifically, it removes the contingent appropriation of $21,000,000 for implementing a Minnesota public option health care plan, which was dependent on the approval of a state innovation waiver under the Affordable Care Act. The bill also makes adjustments to appropriations for various health care initiatives, including funding for medical assistance accessibility improvements, transforming service delivery projects, and enhancing the Minnesota eligibility technology system.

Additionally, the bill includes provisions for carryforward authority for a portion of the fiscal year 2024 appropriation and establishes base level adjustments for future fiscal years. It repeals a section of the law that authorized the commissioner of commerce to submit a 1332 waiver application and implement a public option health care plan, which was set to be available to consumers by January 1, 2027, contingent upon receiving federal approval. The effective date for these changes is the day following final enactment.