| Committee/Agency Jurisdiction:
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Health Care Finance and Policy
Health Insurance
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| Note:
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In consultation with the Minn. Dept. of Human Services, the Minn. Dept. of Health, and MNsure.
Item (4) in the Description above includes: (i) the health care benefit set to be provided to enrollees; (ii) premiums and cost-sharing for enrollees across the income range, including any age or geographic rating, after state or federal subsidies; (iii) potential modifications to the public option that might improve one or more of the outcomes listed in section 20, subdivision 2 or 3; (iv) plan issuers, which may include a health plan company, governmental entity, or other entity; (v) plan administrators; (vi) health care provider reimbursement rates and the availability of providers and health care services; (vii) adequacy of the expected provider network; (viii) a determination of the public option's compliance with the requirements to receive a 1332 waiver, including detailed descriptions of compliance with the requirements described in Code of Federal Regulations, titles 45, section 155.1308, and 31, section 33.108; and (ix) the information described in section 20, subdivision 2, as specifically determined by using assumptions and parameters based on implementation of the final recommendation as the public option health benefit plan
Item (5) in the Description above includes: (i) additional actuarial and economic analyses necessary to receive a 1332 waiver; (ii) the 1332 waiver process and requirements; (iii) a detailed draft timeline for the state's implementation of the proposed waiver as described in Code of Federal Regulations, title 45, section 155.1308; (iv) costs to the state to implement the plan, including a detailed ten-year budget plan that is deficit neutral to the federal government as described in Code of Federal Regulations, title 45, section 155.1308; and (v) proposed legislation the commissioner anticipates will be necessary to implement the public option by January 1, 2027.
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