Signed by Governor Mark Dayton

Vote Smart's Synopsis:

Vote to adopt a conference report that establishes a cost sharing program between the state and health insurance providers.

Highlights:

• Requires Minnesota Comprehensive Health Association to design and adjust the payment parameters of the plan to ensure that they will (Sec. 4):

• Stabilize or reduce premium rates in the individual market;

• Increase participation in the individual market;

• Mitigate the impact high-risk individuals have on premium rates in the individual market;

• Take into account federal funding and the total amount available for the plan; and

• Include cost saving mechanisms related to the management of health care services.

• Specifies that the attachment point for the plan is the threshold amount for claims costs incurred by the health carrier for an individual’s covered benefits in a benefit year, which must be set at $50,000 or more, but not exceed the reinsurance cap (Sec. 4).

• Requires the reinsurance cap to be set at $250,000 or less (Sec. 4)

• Requires the coinsurance rate to be set between 50 and 80 percent (Sec. 4).

• Requires the Minnesota Comprehensive Health Association to fund the operational and administrative costs and reinsurance payments of the plan for the fiscal year 2018 using the following amounts, in the following order (Sec. 15):

• Any federal funds available;

• Funds deposited under Minnesota Comprehensive Health Association;

• Up to a $50 million transfer from the health care access fund; and

• Funds deposited by health maintenance organizations, nonprofit health service plan corporations, and community integrated service networks.

Full Bill Text

Vote Smart's Synopsis:

Vote to pass a bill that establishes a cost sharing program between the state and health insurance providers.

Highlights:

• Requires Minnesota Comprehensive Health Association to design and adjust the payment parameters of the plan to ensure that they will (Sec. 6):

• Stabilize or reduce premium rates in the individual market;

• Increase participation in the individual market;

• Mitigate the impact high-risk individuals have on premium rates in the individual market;

• Take into account federal funding and the total amount available for the plan; and

• Include cost saving mechanisms related to the management of health care services.

• Specifies the attachment point for the plan is the threshold amount for claims costs incurred by the health carrier for an individual’s covered benefits in a benefit year at $50,000 or more (Sec. 6).

• Specifies the reinsurance cap is the amount for claims costs incurred by a health carrier for an individual’s covered benefits, after which the claims costs for benefits are no longer eligible for reinsurance payments, and is set at $250,000 or less (Sec. 6).

• Specifies the coinsurance rate, the rate at which the association will reimburse an eligible health carrier for claims incurred for an enrolled individual’s covered benefits in a benefit year, to be set between 50 and 70 percent (Sec. 6).

• Requires the Minnesota Comprehensive Health Association to fund the operational and administrative costs and reinsurance payments of the plan for the fiscal year 2018 using the following amounts, in the following order (Sec. 16):

• Any federal funds available;

• Funds deposited under Minnesota Comprehensive Health Association;

• Up to $50,000,000 transfer from the health care access fund; and

• Funds deposited by health maintenance organizations, nonprofit health service plan corporations, and community integrated service networks.

Full Bill Text

Vote Smart's Synopsis:

Vote to pass a bill that establishes a cost sharing program between the state and health insurance providers.

Highlights:

• Requires Minnesota Comprehensive Health Association to design and adjust the payment parameters of the plan to ensure that they will (Sec. 6):

• Stabilize or reduce premium rates in the individual market;

• Increase participation in the individual market;

• Mitigate the impact high-risk individuals have on premium rates in the individual market;

• Take into account federal funding and the total amount available for the plan; and

• Include cost saving mechanisms related to the management of health care services.

• Specifies the attachment point for the plan is the threshold amount for claims costs incurred by the health carrier for an individual’s covered benefits in a benefit year at $50,000 or more (Sec. 6).

• Specifies the reinsurance cap is the amount for claims costs incurred by a health carrier for an individual’s covered benefits, after which the claims costs for benefits are no longer eligible for reinsurance payments, and is set at $250,000 or less (Sec. 6).

• Specifies the coinsurance rate, the rate at which the association will reimburse an eligible health carrier for claims incurred for an enrolled individual’s covered benefits in a benefit year, to be set between 50 and 70 percent (Sec. 6).

• Requires the Minnesota Comprehensive Health Association to fund the operational and administrative costs and reinsurance payments of the plan for the fiscal year 2018 using the following amounts, in the following order (Sec. 16):

• Any federal funds available;

• Funds deposited under Minnesota Comprehensive Health Association;

• Up to $50,000,000 transfer from the health care access fund; and

• Funds deposited by health maintenance organizations, nonprofit health service plan corporations, and community integrated service networks.

Full Bill Text