Medical assistance enrollees allowed to opt out of managed care enrollment.
Impact
The legislative intent behind HF816 is to ensure that eligible individuals maintain access to essential medical services while having the autonomy to select their preferred coverage options. The bill prohibits the commissioner from providing the names of potential enrollees to health plans for marketing purposes, thereby protecting the privacy of consumers. With the implementation of this bill, expected to take effect on January 1, 2024, there will be procedural changes regarding how and when individuals can opt out of managed care enrollment, as well as adjustments to support systems that will help potential enrollees navigate their options.
Summary
House File 816 aims to allow enrollees of the medical assistance program in Minnesota the option to opt out of managed care enrollment. This change is designed to provide individuals with the flexibility to choose their health care coverage without being forced into managed care plans that they may not prefer. The bill includes amendments to sections of Minnesota Statutes 2022, particularly concerning eligibility criteria and exempt status for certain individuals, including those with specific health conditions and those receiving other types of assistance.
Contention
Notable points of contention discussed around HF816 may arise regarding how the opt-out provision could affect the continuity of care for vulnerable populations. Supporters argue that this provision empowers individuals by allowing them to make decisions on their health care coverage. Critics may express concerns that such an option could lead to adverse selection, where healthier individuals opt out, potentially leaving managed care plans with disproportionately sicker enrollees, which could affect overall funding and service delivery in the program.
Short-term medical assistance enrollment assistance established, and medical assistance coverage for prerelease care transition services to incarcerated individuals established.
MinnesotaCare and medical assistance enrollee cost-sharing elimination; individual, small group and State Employee Group Insurance Program cost-sharing prohibition
Enrollee cost-sharing eliminated under medical assistance and MinnesotaCare; and individual, small group, and State Employee Group Insurance Program plans prohibited from including cost-sharing.
Certain medical assistance services expansion to include coverage of care evaluation, home care preceptor grant program establishment, and appropriation
MinnesotaCare public option established, premium scale for public option enrollees established, commissioner of commerce required to seek a section 1332 waiver, and money appropriated.
Department of Direct Care and Treatment established, commissioner established to oversee department, and direct care and treatment executive board repealed.
Sustainable aviation fuel income tax credit and exemptions for data centers and construction of sustainable aviation fuel facilities repealed, increased general fund amounts reallocated from repealed tax provisions to increase the renter's credit, and corresponding technical changes made.