Bill

Bill > SF4154


MN SF4154

MinnesotaCare eligibility and integrated health partnership use expansions; service delivery, enrollee premiums, and joint self-insurance plans modifications; provider payment rates increase; implementation plan requirement; MinnesotaCare Advisory Council establishment


summary

Introduced
03/09/2020
In Committee
03/09/2020
Crossed Over
Passed
Dead
05/17/2020

Introduced Session

91st Legislature 2019-2020

Bill Summary

MinnesotaCare eligibility and integrated health partnership use expansions; service delivery, enrollee premiums, and joint self-insurance plans modifications; provider payment rates increase; implementation plan requirement; MinnesotaCare Advisory Council establishment

AI Summary

This bill proposes several key changes to the MinnesotaCare program: - It expands eligibility for MinnesotaCare by gradually increasing the income limit from 200% of the federal poverty guidelines to 401% or more by 2025. It also increases the income limit for persons in farm households to 400% of the federal poverty guidelines. - It modifies service delivery by requiring MinnesotaCare enrollees to select a primary care clinic or provider organization to coordinate their care. It terminates managed care and county-based purchasing plan contracts and establishes a primary care case management program where the state pays providers directly. - It increases provider payment rates to 120% of the applicable Medicare payment rate, unless the commissioner sets a different rate or negotiates a different rate. - It requires the commissioner to present an implementation plan for the expanded MinnesotaCare program to the legislature by December 15, 2020. - It establishes a MinnesotaCare Advisory Council to advise the commissioner on the transition to and ongoing administration of the expanded program. - It allows employers with 150 or fewer employees to contribute to their employees' MinnesotaCare premiums. The bill is contingent on the commissioner certifying that implementation will not result in the loss of federal basic health program funding for MinnesotaCare enrollees with incomes not exceeding 200% of the federal poverty guidelines.

Committee Categories

Health and Social Services

Sponsors (5)

Last Action

Referred to Health and Human Services Finance and Policy (on 03/09/2020)

bill text


bill summary

Loading...

bill summary

Loading...
Loading...