HF 2990 Summary

• Establishes a $75 monthly transitional cost-sharing reduction subsidy for Minnesota residents enrolled in gold-level health plans through MNsure for plan years 2024-2025 only.

• Expands MinnesotaCare eligibility to include lawfully present noncitizens with incomes up to 200 percent of federal poverty guidelines, effective January 1, 2025.

• Creates a MinnesotaCare public option allowing families and individuals with income above current maximum limits but meeting other eligibility requirements to enroll, effective January 1, 2026 (pending federal approval).

• Establishes a small employer transitional health care credit providing a 50 percent tax credit for qualified employers on employee health care expenses for taxable years 2023-2025, and directs commissioner to develop a small employer public option by December 15, 2024.

• Requires commissioner to present implementation plan for MinnesotaCare public option by December 15, 2024, and comparative report on service delivery and payment models by January 15, 2025.