Purpose

This bill updates how Minnesota’s MNsure system works with other state agencies. It focuses on formal agreements about costs, eligibility decisions, and enrollment for public health care programs that use MAGI (modified adjusted gross income) to determine who qualifies. It also adds requirements for consulting with state agencies and tribal groups, and it strengthens annual reporting about these agreements.

Main Provisions

• Agreements with the Department of Human Services
  • The MNsure board must establish and maintain an agreement with the commissioner of human services for cost allocation and services related to eligibility determinations and enrollment for MAGI-based public health care programs.
  • The board may also establish agreements with the commissioner of human services for other services beyond eligibility and enrollment.
• Agreements with other state agencies
  • The board must establish and maintain agreements with the commissioners of commerce and health for services related to enforcing MNsure certification requirements for health plans and dental plans offered through MNsure.
  • The board may establish additional agreements for other services.
• Interagency funding transfers
  • The board may establish interagency agreements to transfer funds to other state agencies for their costs to implement and operate MNsure, excluding medical assistance allocable costs.
• Consultations
  • The board must consult with the commissioners of commerce and health about MNsure operations.
  • The board must consult with Indian tribes and organizations about MNsure operations.
• Reporting requirement
  • Beginning March 15, 2016 and each March 15 thereafter, the MNsure board must report to the chairs and ranking minority members of the relevant committees on all agreements made with the chief information officer of the Department of Information Technology Services or the commissioners of human services, health, or commerce.
  • The report must include: the agency involved, the time period, the purpose, and a summary of the terms.
  • A copy of each agreement should be provided to the extent practicable.

How it changes current law

• Codifies formal interagency agreements for cost sharing and services related to MAGI-based eligibility and enrollment.
• Explicitly ties MNsure operations to ongoing consultations with the commissioners of commerce, health, and human services, and with Indian tribes and organizations.
• Creates a structured, annual reporting requirement detailing all such agreements and their terms, enhancing transparency.

Agencies and Roles Involved

• MNsure Board: Establishes and maintains all interagency and internal agreements; coordinates reporting.
• Commissioner of Human Services: Provides eligibility determinations and enrollment services for MAGI-based programs; potential additional services under agreement.
• Commissioners of Commerce and Health: Provide services related to enforcement of MNsure certification requirements for health and dental plans; participate in MNsure operations.
• Chief Information Officer, Department of Information Technology Services: The entity with which reporting on agreements is tied.
• Indian tribes and organizations: Participants in consultations about MNsure operations.

Reporting Requirements

• Annual report due each March 15 to legislative chairs and ranking minority members with details on all MNsure-related agreements.
• Reports must cover the agency involved, the time period, the purpose, and a summary of the terms.
• A copy of each agreement should be submitted when practicable.

Potential Impacts and Considerations

• Increases transparency around how MNsure collaborates with other state agencies and handles related costs.
• Clarifies responsibilities for MAGI-based eligibility and enrollment processes.
• Strengthens coordination with tribal communities on MNsure operations.
• Affects administrative and budgeting processes for MNsure and involved agencies.

Relevant Terms - MNsure - MAGI (modified adjusted gross income) - eligibility determinations - enrollment - health plans - dental plans - cost allocation - interagency agreements - Department of Human Services - Minnesota Department of Commerce - Minnesota Department of Health - Chief Information Officer (Department of Information Technology Services) - Indian tribes and organizations - reporting requirements - Minnesota Statutes 62V.05 subdivision 7