Bill > HF3057

This bill establishes a MinnesotaCare public option, expanding health insurance coverage for Minnesotans with incomes above current MinnesotaCare eligibility limits. The public option will be available starting January 1, 2027, and will allow individuals with household incomes up to 550% of the federal poverty guidelines to enroll in a state-managed health insurance plan. The bill creates a sliding scale premium structure where enrollees pay between 4.88% and 10% of their household income, with specific cost-sharing requirements and annual enrollment limits in the initial years. The plan will be administered through MNsure and will require managed care plans to reimburse providers at Medicare rates or higher. To implement the program, the bill requires the commissioner of commerce to seek a federal Section 1332 waiver to obtain federal approval and funding. The legislation also appropriates funds to MNsure, the Department of Human Services, and the Department of Commerce to develop and implement the public option, with technology development, marketing, and waiver application costs covered by one-time general fund appropriations. The public option is designed to provide an affordable health insurance alternative for those who earn too much to qualify for traditional MinnesotaCare but may struggle to afford private health insurance.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF3057&ssn=0&y=2025