The proposed bill establishes the MinnesotaCare public option, expanding eligibility and creating a premium scale for enrollees. It mandates state-funded cost-sharing reductions and a contingent health insurance premium tax credit, while requiring the commissioner of commerce to seek a Section 1332 waiver for implementation. Key amendments to Minnesota Statutes include definitions for "MinnesotaCare public option" and "public option enrollee," and provisions for MNsure to facilitate access to the public option, ensuring insurance producers are compensated for enrollments. The effective dates for many provisions are set for January 1, 2027, or upon federal approval.

Additionally, the bill introduces a state-funded cost-sharing reduction program aimed at increasing the actuarial value of silver level health plans for eligible individuals, set to begin on January 1, 2025. It allows individuals who do not qualify for medical assistance or MinnesotaCare to apply for the public option through MNsure, which must provide administrative support for the application process. The bill also includes provisions for appeals regarding eligibility for cost-sharing reductions and premium subsidies, and mandates that managed care plan vendors reimburse healthcare providers for services to public option enrollees at rates equal to or greater than Medicare rates. The commissioner of commerce is authorized to submit a federal waiver to secure necessary funding and approvals for the public option.

Statutes affected:
Introduction: 62V.02, 62V.03, 62V.05, 62V.051, 62V.06, 256L.01, 256L.04, 256L.07, 256L.12, 290.0122
1st Engrossment: 62V.02, 62V.03, 62V.05, 62V.051, 62V.06, 256L.01, 256L.04, 256L.07, 256L.12, 290.0122