HF3057

HF3057 (Legislative Session 94 (2025-2026))

MinnesotaCare public option established, premium scale for public option enrollees established, commissioner of commerce required to seek a section 1332 waiver, and money appropriated.

Related bill: SF3138

AI Generated Summary

Purpose of the Bill

The bill aims to expand access to affordable healthcare in Minnesota by establishing a MinnesotaCare public option. It seeks to make healthcare coverage more widely available and affordable for Minnesota residents through an expanded state-sponsored insurance program.

Main Provisions

Establishment of MinnesotaCare Public Option: The bill introduces a public option within the MinnesotaCare program, which is a state-sponsored health insurance plan. This public option will offer coverage similar to that of a private insurance plan but is intended to be more affordable.
Eligibility Expansion: The bill expands eligibility criteria for MinnesotaCare, allowing more residents to qualify for this public healthcare option. This change is designed to increase coverage and provide more comprehensive access to healthcare services for state residents.
Premium Scale Creation: The bill implements a premium scale for those who enroll in the public option. This means that the cost of premiums will be calculated based on the income levels of enrollees, ensuring that healthcare remains affordable for individuals and families of varying financial situations.
Section 1332 Waiver: The bill mandates the commissioner of commerce to seek a waiver under section 1332 of the Affordable Care Act. This waiver would allow Minnesota to modify how it uses federal health funding, making it easier to implement the public option effectively and affordably.

Significant Changes to Existing Law

Amendments to Current Statutes: The bill proposes amendments to various sections within the Minnesota Statutes, specifically chapters 62V and 256L. These amendments will establish and define the framework for the new MinnesotaCare public option, including the necessary legal and administrative structures.
Appropriation of Funds: The bill includes provisions for appropriating state funds to support the MinnesotaCare public option, ensuring it has the necessary financial backing to operate effectively.

Relevant Terms

MinnesotaCare
Public Option
Health Insurance
Eligibility Expansion
Premium Scale
Section 1332 Waiver
Affordable Care Act
State-Sponsored Health Plan

Bill text versions

Introduction PDF file

Actions

Date	Chamber	Where	Type	Name	Committee Name
April 01, 2025	House	Floor	Action	Introduction and first reading, referred to	Health Finance and Policy
April 02, 2025	House	Floor	Action	Authors added
April 02, 2025	House	Floor	Action	Authors added

Citations

[
  {
    "analysis": {
      "added": [
        "Additional definitions to clarify insurance terms."
      ],
      "removed": [
        ""
      ],
      "summary": "The bill proposes changes to the definitions and functionalities related to insurance exchanges.",
      "modified": [
        "Clarified existing terms related to insurance plans."
      ]
    },
    "citation": "62V.03",
    "subdivision": "subdivisions 1 3"
  },
  {
    "analysis": {
      "added": [
        "Introduces new operational guidelines for market activities."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill modifies operations of the health insurance market operations mentioned in section 62V.05.",
      "modified": [
        "Updates to operational procedures for market activities."
      ]
    },
    "citation": "62V.05",
    "subdivision": "subdivisions 3 4 6 11"
  },
  {
    "analysis": {
      "added": [
        "Defines new fund allocation processes."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill adds new elements to the sections governing health insurance exchange fund allocations.",
      "modified": [
        "Updates existing rules on fund allocations to improve efficiency."
      ]
    },
    "citation": "62V.06",
    "subdivision": "subdivision 4"
  },
  {
    "analysis": {
      "added": [
        "New penalties for non-compliance."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill updates compliance and penalty provisions for health insurance entities.",
      "modified": [
        "Revises the compliance requirements for clarity and enforcement."
      ]
    },
    "citation": "62V.13",
    "subdivision": "subdivision 3"
  },
  {
    "analysis": {
      "added": [
        "New medical services to be covered under the program."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill changes the scope of services covered under the MinnesotaCare program.",
      "modified": [
        "Adjustment to the scope of existing services offered."
      ]
    },
    "citation": "256L.03",
    "subdivision": "subdivision 5"
  },
  {
    "analysis": {
      "added": [
        "Additional eligibility criteria to expand coverage."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill modifies eligibility requirements for MinnesotaCare coverage.",
      "modified": [
        "Refinement of existing criteria to make eligibility determination easier."
      ]
    },
    "citation": "256L.04",
    "subdivision": "subdivisions 1c 7a"
  },
  {
    "analysis": {
      "added": [
        "Lower premium options for lower-income individuals."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill revises premium payment structures for enrollees under MinnesotaCare.",
      "modified": [
        "Changes in premium calculation methodologies."
      ]
    },
    "citation": "256L.07",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Streamlined administrative process for faster service delivery."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill updates administrative procedures regarding Minnesota healthcare assistance programs.",
      "modified": [
        "Efficiency improvements in administrative procedures."
      ]
    },
    "citation": "256L.12",
    "subdivision": "subdivision 7"
  }
]