H.F. No. 3543 Summary

• MNsure premium retention cap reduced from 3.5 percent to 2 percent beginning January 1, 2019, with maximum collection limited to 25 percent of 2012 baseline funds collected under section 62E.11.

• Commissioner of commerce must seek federal waivers and approvals by July 1, 2018 to allow individuals to purchase qualified health plans directly from health carriers outside MNsure while receiving advance premium tax credits and cost-sharing reductions.

• Commissioner of human services prohibited from bearing insurance risk or entering agreements with providers to pay claims for health coverage made available through MNsure website, with exceptions for medical assistance and MinnesotaCare programs.

• Health carriers must account for the reduced MNsure premium withhold percentage when setting rates for individual market health and dental plans for calendar year 2019.

• Interagency agreements between MNsure and Department of Human Services cannot be modified to reflect changes in MNsure's premium retention percentage, and no additional Department funding shall be transferred to MNsure due to such changes.