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 coverage, and mandates the commissioner of commerce to seek a Section 1332 waiver to facilitate this expansion. Additionally, the bill amends various sections of the Minnesota Statutes to include provisions related to eligibility, cost-sharing, and appeals processes, specifying that co-payments, coinsurance, and deductibles will apply to expansion enrollees, which contrasts with current exemptions for certain groups.

Moreover, the bill outlines the responsibilities of MNsure in facilitating the application process for eligible individuals, ensuring they can apply online and receive clear information about their eligibility status. It grants the commissioner the authority to contract with managed care and county-based purchasing plans for service delivery to expansion enrollees, using a distinct procurement process. Importantly, the bill states that no annual deductible will apply to these enrollees and includes provisions for MNsure to handle application processing, eligibility determinations, and appeals. The commissioner of commerce is also tasked with submitting a federal waiver request to secure continued Medicaid payments and federal funding for eligible individuals, with this section taking effect immediately following final enactment.

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