SF1 Bill Summary

• Establishes temporary premium subsidy program for 2017 providing 25% of monthly gross premiums to eligible individuals in Minnesota's individual health insurance market, with $311.788 million appropriated and program sunsetting June 30, 2018.

• Allows HMOs to be organized as for-profit or nonprofit entities (removing nonprofit-only requirement) and modifies governance rules regarding enrollee representation on HMO boards.

• Authorizes agricultural cooperative health plans as joint self-insurance plans exempt from certain health insurance requirements if sponsored by agricultural cooperatives with farming members meeting specific voting control thresholds.

• Requires health plan companies to provide transition of care coverage for up to 120 days (or lifetime in terminal cases) for enrollees who involuntarily lose coverage due to carrier withdrawal from individual market areas.

• Modifies stop-loss insurance requirements for small employers and creates appeal process for network adequacy waivers; establishes arbitration procedures for disputes between health plans and nonparticipating providers.