Bill > SF2323

This bill expands eligibility for MinnesotaCare, a state health insurance program, by creating a new "MinnesotaCare expansion" pathway for individuals and families with incomes up to 275% of the federal poverty guidelines, effective January 1, 2029, or upon federal approval. The expansion will allow people with higher incomes to remain enrolled in MinnesotaCare when they would have previously been disenrolled. The bill establishes a new premium scale for expansion enrollees and requires them to pay premiums based on their household income. Expansion enrollees will be subject to different cost-sharing requirements, including paying co-pays and having out-of-pocket maximums aligned with federal regulations. The bill also requires the commissioner of commerce to seek a federal Section 1332 waiver to implement the expansion, with the goal of obtaining federal approval and continuing to receive federal Medicaid and basic health program payments. MNsure (Minnesota's health insurance marketplace) will be responsible for processing applications, determining eligibility, and providing administrative functions for the MinnesotaCare expansion. Managed care plans will be required to reimburse healthcare providers for expansion enrollees at Medicare-equivalent rates, and the program will be integrated into the existing MinnesotaCare framework while maintaining some unique characteristics.

Business and Industry, Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF2323&ssn=0&y=2025