Bill > SF3138

This bill establishes a MinnesotaCare public option, which is a new health insurance coverage option for Minnesota residents. The bill creates a pathway for individuals with incomes above the current MinnesotaCare eligibility limits to enroll in a public health insurance option through MNsure, the state's health insurance marketplace. The public option will be available starting January 1, 2027, pending federal approval, and will have a sliding scale premium structure based on household income, ranging from 4.88% to 10% of household income for those with incomes between 201% and 550% of the federal poverty guidelines. For the first two years, there will be enrollment limits for individuals with higher incomes. The bill requires managed care plans to reimburse providers at Medicare rates or higher and establishes specific cost-sharing requirements, including annual deductibles for those with higher incomes. The legislation also directs the commissioner of commerce to seek a federal Section 1332 waiver to support the implementation of the public option and provides appropriations for developing and marketing the new program. The public option will be part of the existing MinnesotaCare program, with most of the same eligibility and coverage requirements, but with some modifications to accommodate the expanded income range and new enrollment structure.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF3138&ssn=0&y=2025