Skip to main content Skip to office menu Skip to footer
Capital IconMinnesota Legislature

Conference committee begins work on reconciling reinsurance bills

(House Photography file photo)
(House Photography file photo)

The House and Senate agree the state should continue it reinsurance program for companies in the individual market. The legislative bodies disagree on whether the program should function as a standalone structure or a bridge to another health-care payment system.

The Minnesota Premium Security Plan is designed to stabilize premiums by offering insurers in the individual market a backstop for very costly medical bills. The state pays a portion of the bills rather than insurance companies spreading the cost of extremely high bills by raising premiums on everyone they cover.

Conference Committee on SF3472: Extending health care premium reinsurance program - 03/28/22

Sponsored by Rep. Zack Stephenson (DFL-Coon Rapids) and Sen. Gary Dahms (R-Redwood Falls), HF3717/SF3472* would continue the program for five years. A conference committee met Monday to hear the differences between the House and Senate bills. A next meeting has not been scheduled.

Conferees have a hard — and quick — deadline.

The state must pass a final version of the bill by April 1 or risk its waiver from the federal Centers of Medicare and Medicaid Services.  

The Senate bill would reauthorize and fund the program for five years of the waiver. Full funding is about $1.1 billion.

The House bill would reauthorize the program and begin the process of finding alternatives.  

The search for alternatives includes a report due by January 2024 on the cost and outcomes under at least two different payment systems and would require the Department of Human Services to work with federal agencies to develop a proposal for a public option. 

The House version would also create an office to ensure mental health parity.

Additionally, the House version would require insurance companies to:

  • offer a platinum plan when they offer bronze or catastrophic coverage;
  • pay for postnatal care; and
  • offer a flat dollar co-pay drug benefit on at least 25% of their plans.

Related Articles

Priority Dailies

House passes tax package that includes rebate checks, $1 billion in new revenues
Rep. Aisha Gomez and House Majority Leader Jamie Long talk during a break in the May 20 debate on HF1938, the tax finance and policy bill. (Photo by Catherine Davis) Is it the largest tax cut in Minnesota history? Or the biggest tax hike the state has ever experienced? Could it be both? That’s the crux of the debate about the conference ...
House passes finalized cannabis legalization bill, sends it to Senate
A supporter of cannabis legalization demonstrates in front of the Capitol in 2021. The House repassed a bill to legalize recreational cannabis, as amended in conference committee, May 18 and sent HF100 to the Senate. (House Photography file photo) The House gave the green light to adult-use recreational cannabis Thursday. “The day has finally arrived. Today is the day that we are going to vote here in the House for th...

Minnesota House on Twitter