The proposed bill establishes the MinnesotaCare public option, expanding eligibility and creating a premium scale for enrollees. It mandates the commissioner of commerce to seek a Section 1332 waiver and appropriates funds for implementation. Key amendments to Minnesota Statutes include the addition of definitions for "MinnesotaCare public option" and "public option enrollee," effective January 1, 2027, or upon federal approval. The bill outlines MNsure's responsibilities, including promoting the public option, facilitating enrollment, and ensuring access to health plans. It also establishes certification requirements for insurance producers and compensation structures for navigators, emphasizing the training of navigators to assist underserved populations.

Furthermore, the bill specifies that managed care plan vendors must reimburse healthcare providers for services to MinnesotaCare public option enrollees at rates equal to or greater than Medicare payment rates. It includes provisions for administrative functions of MNsure, a special enrollment period for eligible individuals, and eligibility criteria for families and individuals with incomes above the maximum limits for MinnesotaCare. The bill aims to enhance access to affordable healthcare options while ensuring compliance with federal regulations, with an effective date contingent upon federal approval.

Statutes affected:
Introduction: 62V.02, 62V.03, 62V.05, 62V.051, 62V.06, 62V.13, 256L.01, 256L.03, 256L.04, 256L.07, 256L.12