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Senate health bill

Last update: March 25, 2008 - 9:47 PM

 

A bill to change how health care is delivered and paid for in Minnesota likely will come up for a vote Thursday in the Senate, and a House version may reach a vote Friday. Senate provisions include:

Statewide health campaign

Communities could get $18.6 million in state grants to reduce smoking, childhood obesity and make other health improvements, financed by assessments to health insurers and providers.

'Health care homes'

Clinics would be encouraged to become "health care homes," overseeing and coordinating all of a patient's care. Clinics would be paid extra to coordinate care. Providers would make public their fees for medical services and measures of how patients fared, allowing consumers to compare them.

MinnesotaCare

If the state meets its 2010 health cost-containment goals, the state would relax eligibility for MinnesotaCare, the health program for low-income people, allowing an estimated 47,000 to join. That would help reduce the percentage of uninsured from about 7 percent now toward the goal of less than 3 percent.

Health insurance

Starting Jan. 1, 2010, insurers would have to offer at least three plans that meet a standard set of benefits to be established next year by a new commission, allowing consumers to more easily compare plans. Monthly premiums and cost sharing could vary. Individuals and small employers could buy insurance through a nonprofit "health insurance exchange." By next Jan. 1, every employer with at least 11 full-time workers would have to offer a "Section 125 plan" under which monthly premiums are paid with pre-tax dollars.

Subsidies to buy insurance

The state would subsidize insurance premiums for lower-income people so that those earning up to 400 percent of the poverty level -- about $83,000 for a family of four -- would pay no more than 10 percent of their income for total out-of-pocket health costs. The percentage would be lower for those with lower incomes.

HOUSE BILL

Still working its way through committees, the House bill differs from the Senate version. A major difference is that all Minnesotans not covered by government health programs would be required to buy insurance by 2013 if the state's rate of uninsured residents has not fallen to 4 percent.

TO READ THE BILLS

Go to www.startribune.com/a4183 and under "Get Bill" type in SF3099 for the Senate bill and HF3391 for the House bill.

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