1.1                          A bill for an act 
  1.2             relating to human services; modifying eligibility 
  1.3             requirements to the MinnesotaCare program; amending 
  1.4             Minnesota Statutes 2002, sections 256L.05, subdivision 
  1.5             3a; 256L.07, subdivision 3; 256L.15, subdivision 1a.  
  1.6   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.7      Section 1.  Minnesota Statutes 2002, section 256L.05, 
  1.8   subdivision 3a, is amended to read: 
  1.9      Subd. 3a.  [RENEWAL OF ELIGIBILITY.] Beginning January 1, 
  1.10  1999, An enrollee's eligibility must be renewed every 12 six 
  1.11  months.  The 12-month six-month period begins in the month after 
  1.12  the month the application is approved.  
  1.13     Sec. 2.  Minnesota Statutes 2002, section 256L.07, 
  1.14  subdivision 3, is amended to read: 
  1.15     Subd. 3.  [OTHER HEALTH COVERAGE.] (a) Families and 
  1.16  individuals enrolled in the MinnesotaCare program must have no 
  1.17  health coverage while enrolled or for at least four months prior 
  1.18  to application and renewal.  Children enrolled in the original 
  1.19  children's health plan and children in families with income 
  1.20  equal to or less than 175 percent of the federal poverty 
  1.21  guidelines, who have other health insurance, are eligible if the 
  1.22  coverage: 
  1.23     (1) lacks two or more of the following: 
  1.24     (i) basic hospital insurance; 
  1.25     (ii) medical-surgical insurance; or 
  2.1      (iii) prescription drug coverage; 
  2.2      (iv) dental coverage; or 
  2.3      (v) vision coverage; 
  2.4      (2) requires a deductible of $100 or more per person per 
  2.5   year; or 
  2.6      (3) lacks coverage because the child has exceeded the 
  2.7   maximum coverage for a particular diagnosis or the policy 
  2.8   excludes a particular diagnosis. 
  2.9      The commissioner may change this eligibility criterion for 
  2.10  sliding scale premiums in order to remain within the limits of 
  2.11  available appropriations.  The requirement of no health coverage 
  2.12  does not apply to newborns. 
  2.13     (b) Medical assistance, general assistance medical care, 
  2.14  and the Civilian Health and Medical Program of the Uniformed 
  2.15  Service, CHAMPUS, or other coverage provided under United States 
  2.16  Code, title 10, subtitle A, part II, chapter 55, are not 
  2.17  considered insurance or health coverage for purposes of the 
  2.18  four-month requirement described in this subdivision. 
  2.19     (c) For purposes of this subdivision, Medicare Part A or B 
  2.20  coverage under title XVIII of the Social Security Act, United 
  2.21  States Code, title 42, sections 1395c to 1395w-4, is considered 
  2.22  health coverage.  An applicant or enrollee may not refuse 
  2.23  Medicare coverage to establish eligibility for MinnesotaCare. 
  2.24     (d) Applicants who were recipients of medical assistance or 
  2.25  general assistance medical care within one month of application 
  2.26  must meet the provisions of this subdivision and subdivision 2. 
  2.27     Sec. 3.  Minnesota Statutes 2002, section 256L.15, 
  2.28  subdivision 1a, is amended to read: 
  2.29     Subd. 1a.  [PAYMENT OPTIONS.] The commissioner may offer 
  2.30  the following payment options to an enrollee: 
  2.31     (1) payment by check; 
  2.32     (2) payment by credit card; 
  2.33     (3) payment by recurring automatic checking withdrawal; 
  2.34     (4) payment by onetime electronic transfer of funds; 
  2.35     (5) payment by wage withholding with the consent of the 
  2.36  employer and the employee; or 
  3.1      (6) payment by using state tax refund payments. 
  3.2      At application or reapplication, a MinnesotaCare applicant 
  3.3   or enrollee may must authorize the commissioner to use the 
  3.4   Revenue Recapture Act in chapter 270A to collect funds from the 
  3.5   applicant's or enrollee's refund for the purposes of meeting all 
  3.6   or part of the applicant's or enrollee's MinnesotaCare premium 
  3.7   obligation.  The applicant or enrollee may must authorize the 
  3.8   commissioner to apply for the state working family tax credit on 
  3.9   behalf of the applicant or enrollee.  The setoff due under this 
  3.10  subdivision shall not be subject to the $10 fee under section 
  3.11  270A.07, subdivision 1.  Failure to provide authorization may be 
  3.12  grounds for ineligibility or disenrollment from the 
  3.13  MinnesotaCare program.