HF 1865 Summary

• Establishes the "Healthy Minnesota Plan" as a market-based coverage program utilizing private sector health plans with commercial reimbursement rates for providers enrolled in MinnesotaCare.

• Defines "qualified adults" as parents, grandparents, foster parents, relative caretakers, legal guardians, and individuals in households with no enrolled children, making them eligible for private health plan coverage.

• Creates Healthy Minnesota Plan accounts for enrollees with up to a specified amount available annually for eligible health care expenses, maintained with a state reserve equal to obligations for current and following fiscal years.

• Requires health plans to include vision and eyewear coverage, maternity care, dental coverage, prescription drugs, preventive care, and a lifetime maximum benefit of $5,000,000 for qualified adults earning up to 200 percent of federal poverty guidelines.

• Repeals existing MinnesotaCare provisions for pregnant women and managed care co-payment requirements effective January 1, 2010, or upon federal approval, whichever is later.