This bill seeks to expand eligibility for MinnesotaCare by creating a new category of enrollees called "MinnesotaCare expansion enrollees," effective January 1, 2029, or upon federal approval. Individuals and families with incomes up to 275 percent of the federal poverty guidelines will qualify for this expansion, even if their income exceeds current limits. The legislation establishes a premium scale for these enrollees, requiring them to pay premiums for their coverage, and mandates the commissioner of commerce to pursue a Section 1332 waiver to facilitate this expansion. Additionally, the bill amends various sections of the Minnesota Statutes, introducing co-payments, coinsurance, and deductibles for expansion enrollees, which contrasts with current exemptions for certain groups.

Moreover, the bill specifies that no annual deductible will apply to expansion enrollees and grants the commissioner the authority to contract with managed care and county-based purchasing plans for service delivery. It mandates that MNsure facilitate the application process for eligible individuals, ensuring online access and clear information regarding eligibility status. The bill also outlines MNsure's responsibilities in processing applications and making eligibility determinations, which can be appealed. Furthermore, it allows MNsure to provide administrative support to the commissioner of human services for the MinnesotaCare expansion and includes a provision for the commissioner of commerce to submit a federal waiver request to secure continued Medicaid payments and federal funding for eligible individuals. This section is set to take effect the day after final enactment.

Statutes affected:
Introduction: 62V.02, 62V.05, 256L.01, 256L.03, 256L.04, 256L.07, 256L.12