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Committee on Health and Human Services Finance and Policy – 03/02/2022

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Read Time:47 Minute, 39 Second

I WILL TELEPHONE CALL THE HEARING TO ORDER THE COMMITTEE ON HEALTH AND WELLNESS AND PERSON SERVICES TODAY'' S DATE IS MARCH 2ND, 2022. BEFORE US WE HAVE ONE COSTS TODAY US SENATE SUBMIT 3,472 BROUGHT TO US BY SEN. DAHMS AND SEN. DAHMS I WILL RELOCATE SENATE SUBMIT 3472 TO 3,472 TO BE BEFORE United States IF YOU WISH TO INTRODUCE YOUR COSTS AS WELL AS TELL United States ABOUT IT. THANK YOU MR. CHAIR AND ALSO MEMBERS TODAY MR. CHAIR SPECIFIED WE HAVE US SENATE FILE 3472, I'' M 3,472, I ' M BRINGING THAT BEFORE THE HEALTH AND HUMAN BEING SERVICES BOARD. THIS EXPENSE IS TECHNICALLY SHOWN IS MINNESOTA COSTS SECURITY STRATEGY EXTENSION BILL. IT'' S ACTUALLY BETTER KNOWN AS THE REINSURANCE COSTS AND IF YOU BEAR IN MIND ON THE FLOORING LAST YEAR WE DID PASS An EXPENSE THAT WOULD NEED THE DIVISION OF COMMERCE TO GET ANOTHER FIVE YOUR WAIVER FIVE YOUR WAIVER WITH THE CMS WHICH WOULD BE DONE BY 31 DECEMBEö1 DECEMBER THE BUSINESS DIVISION DID DO THAT THAT WAS IN ON TIME AS WELL AS GOT A LETTER BACK STATING THE APPLICATION WAS INCOMPLETE AS WELL AS SEVERAL OF THE COMPONENTS WERE INSUFFICIENT ND IN 2014 WHEN WE AUTHORIZED THEM TO DO MAKE AN APPLICATION FOR THE WAIVER WE FELT THAT WOULD BE AN SIGN THAT WE PLANNED ON CONTINUING WITH THE REINSURANCE PROGRAM.

THEY DO DEMAND SOMETHING OFFICIAL THAT STATES THAT WE ARE GOING TO ACTUALLY DO SOMETHING LEGISLATIVELY IN THIS SESSION TO ASK FOR THAT WAIVER TO BE EXTENDED. ALSO THERE HAS TO BE A FEW OTHER THINGS THAT REQUIRED TO BE DONE SO THE BUSINESS DEPARTMENT AND ALSO THE GOV. HAS ACTUALLY ASKED TO HAVE THIS PROCEDURE COMPLETED BY ONE APRIL SO WE ARE FAST TRACKING THIS EXPENSES AND ALSO THE REASON FOR THAT IS BECAUSE WE NEED TO GO THROUGH WELLNESS AND ALSO HUMAN BEING SOLUTIONS TODAY WEEK WE WILL GO TO THE FINANCE BOARD WHERE THERE WILL BE A GREAT DEAL OF CLEANING UP AND THINGS SPENT MONEY AND ALSO AFTER THAT MOST LIKELY TO THE FLOOR PERHAPS THE FOLLOWING MONDAY SO IT CAN BE SENT TO THE HOUSE AND ALSO OBVIOUS I'' M CERTAIN THERE WILL CERTAINLY BE A MEETING BOARD SO WE CAN DO THAT.

SIMPLY A REMINDER A LITTLE ABOUT WHAT REINSURANCE DOES, REINSURANCE THE FIRST 4 YEARS OF REINSURANCE WE HAD A PROGRAM WHERE AT $50,000 OF DECLARES AT $50,000 THE REINSURANCE WOULD BLINK ON AS WELL AS THE INSURANCE PROVIDER WOULD PAY 20% IN THE REINSURANCE WOULD PAY 80% OF THE CLAIMS AS MUCH AS $250,000 AND ALSO AT THAT DEGREE IT WOULD BLINK OFF. LAST YEAR AT THE END IN THE LAST ARRANGEMENTS REGARDING $62 MILLION $62 MILLION GOT TAKEN OUT OF THE ACCOUNT SO IN THE BILL IT AUTHORIZES THE MCHA THE PEOPLE HANDLE THIS AND ALSO ACCREDITS THEM TO ADJUSTMENT A FEW OF THE COMBINATIONS IN ORDER TO ENSURE IT FITS WITH THE CASH AVAILABLE.

LAST YEAR THAT WAS CHANGED FROM THE LANK ON WAS $50,000 THE BLINK OFF WAS $250,000 BUT THE PORTION OF SETTLEMENT BLINK DOWN FROM 80% TO 60% THIS COSTS BRINGS IT BACK TO THE 80% REINSURANCE ND AFTER THAT AT $250,000 IT LINK SOLVING THE INSURER PAY THE BALANCE. THE WAIVER IS FOR FIVE YEARS AND ALSO I BELIEVE IF M MR. ALBRECHT WOULD WANT TO MAYBE WE CAN GO THROUGH THE FISCAL NOTE THAT WE HAVE AND AFTER THAT I WILL OPEN IT FOR INQUIRIES AND ALSO WE WILL CERTAINLY HAVE TESTIMONY AND ALSO MR. CHAIR IF YOU WOULD LIKE WE CAN DO THAT TESTIFIERS AND AFTERWARDS MAY OPEN IT FOR QUESTIONS; NEVERTHELESS, YOU DESIRED TO DO THIS IF YOU WOULD TAKE QUESTIONS AS WE ACCOMPANY; HOWEVER, YOU WISH TO IS PENALTY WITH ME. THANK YOU SEN. DAHMS. WE WILL CERTAINLY TAKE AS WELL AS MOST LIKELY TO MR. ALBRECHT FIRST FOR THE FISCAL KEEP IN MIND AND AFTERWARDS TAKE THE TESTIFIERS AND AFTERWARDS MOVE INTO INQUIRIES AND ALSO REMARKS KEEPING THAT MR. ALBRECHT IF YOU COULD GO THROUGH THE FINANCIAL KEEP IN MIND FOR United States. MR. CHAIR I DO NOT HAVE MY COMPUTER WITH ME THERE ARE COUPLE OF MATTERS I COULD DO ABOUT THAT A PERSON IS ABSOLUTELY NOTHING, TO IS I COULD USE KATIE'' S COMPUTER SYSTEM OR I COULD SIT WITH SEN.

DAHMS DO YOU HAVE A CHOICE. I DO NOT HAVE A PREFERENCE WHATEVER WORKS FINEST FOR YOU. MR. CHAIR MR. ALBRECHT WOULD IT FUNCTION MUCH BETTER FOR YOU I HAVE A COPY. MR. CHAIR AS WELL AS SEN. DAHMS I BELIEVE WE ARE GREAT I WEAR'' T REQUIRED TO UNMUTE MYSELF. MR. CHAIR AS WELL AS MEMBERS, THIS IS A LONG FISCAL NOTE I WILL TRY AS WELL AS GET YOU VIA IT AS PAINLESSLY AS POSSIBLE. THEREFORE AGENCIES THE DEPARTMENT OF BUSINESS THE DEPARTMENT OF HUMAN BEING SERVICES MNSURE AS WELL AS MMB THE DUTY OF MMB IS TO MAKE A TRANSFER SO PROBABLY THE EASIEST THING TO DO IS TAKE A LOOK AT THAT NUMBER THE $1.087 BILLION THAT'' S THE WEB OVERALL OF EVERY LITTLE THING IN THIS BILL THAT GOES RIGHT INTO THE COSTS SAFETY PLAN ACCOUNT. YOU TIN SEE THE AMOUNTS THERE FOR EVERY OF THE AGENCIES, AND THE FUND THEY ARE IN.

IT'' S REALLY HANDY AND ALSO BE EVEN MORE HANDY TO VISIT THE PRIVATE FISCAL NOTES FOR THE INDIVIDUAL AGENCIES TO SPEAK ABOUT THE WHOLE EFFECT OF THE PROPOSITION AND THE FIRST ONE STARTS ON ONE STARTS ON WEB PAGE 5 THIS IS THE BUSINESS DEPARTMENT'' S FISCAL NOTE. FOR BUSINESS THEY INDICATE A GENERAL FUND APPROPRIATION OF 106 6,000 AND 106 6,000 AND ALSO $216,000 IN THE SECOND YEAR FOR ADMINISTRATIVE FUNDING AFTER THAT THE QUANTITY THAT'' S SHOWN FOR THE SPECIAL PROFITS FUND ARE THE REINSURANCE AMOUNTS OF $167 MILLION AS WELL AS 100 100 6.6 MILLION AND ALSO TO OBTAIN TO THOSE AMOUNTS IF I'' M NOT MISTAKEN YOU CANISTER CHECK OUT THE TABLE IN THE MIDDLE OF PAGE 8 PAGE 8 AND I WOULD DIRECT YOU FIRST TO THE LAST COLUMN THE 2028 COLUMN THE 2028 COLUMN THE LAST NUMBER THE $1.087 BILLION THE SAME NUMBER THAT'' S ON THE FRONT WEB PAGE FOR THE TRANSFER RIGHT INTO THE PREMIUM SAFETY ACCOUNT. THE THINGS THAT ARE GOING ON IN THIS PROPOSITION THAT GET TO THAT QUANTITY ARE SHOWN ON THIS TABLE THE FIRST ONE GOING TO THE END OF FISCAL YEAR 2023 THERE ' S A 2023 THERE ' S A$ 79.3 MILLION BALANCE IN THE ACCOUNT THAT WILL CONTINUE AND CONTAINER BE USED AND IS GOING TO BE USED TO SPEND FOR COMPONENT OF THE COST OF THE RENEWED WAIVER OR THE NEW WAIVER I
NEED TO STATE. ANOTHER PERSON ASPECT THE SECOND LINE THE FEDERAL PASS-THROUGH PAYMENT YOU TIN SEE STARTING IN 2024 ARE ASSUMED TO BE $77.5 MILLION THAT'' S AN AMOUNT FROM PRIOR TO THERE WERE MODIFICATIONS MADE TO THE FUNDING FORMULA IN THE ARPA ACT THAT RAISED HOW THE EFFECT THING FOR REINSURANCE THIS IS KIND OF AN ASSUMED NUMBER GOING AHEAD. THERE'' S A LITTLE OF RATE OF INTEREST INCOME THEN THERE'' S THE OVERALL QUANTITY OF RESOURCES WHICH YOU TIN SEE THE FUN BEGINS TO GO DOWNSIDE IN 2025 THAT SIGNED FOR THE EQUILIBRIUM AHEAD IN THE FEDERAL RESOURCES UPCOMING IN ARE NO MORE SUFFICIENT TO CONTINUE FUNDING THE PROGRAM. THE MINNESOTA COMPREHENSIVE HEALTH AND WELLNESS ASSOCIATION OTHERWISE KNOWN AS MCHA THAT'' S THEIR ADMINISTRATIVE FINANCING TO ADMINISTER THE PROGRAM THEN THE NUMBERS ARE THE REAL REINSURANCE SETTLEMENTS STARTING IN FISCAL YEAR 2024 OF $244 $244 MILLION THEN CONTINUING TO GROW AS WELL AS BY 2028 2028 BECOMING $384 MILLION. ON THE NEXT WEB PAGE ON WEB PAGE 10, IS THE MONETARY KEEP IN MIND FOR THE DIVISION OF HUMAN BEING SERVICES. THESE AMOUNTS ARE THE OUTCOME OF THE INTERACTION IN BETWEEN THE FINANCING FORMULA FOR THE MINNESOTA CARE AND BASIC HEALTH INSURANCE AND INSURANCE POLICY COSTS.

THE STATE FOR MINNESOTA TREATMENT GETS 95% OF THE AMOUNT OF INDIVIDUAL WOULD HAVE OBTAINED HAD THEY BOUGHT THEIR INSURANCE WITH MNSURE IN THE INDUSTRY TO RUN MINNESOTA CARE WHICH IS A FUNDAMENTAL HEALTH INSURANCE UNDER THE AFFORDABLE TREATMENT ACT. WHEN COSTS GO DOWN THE AMOUNT OF CASH AVAILABLE FOR MINNESOTA TREATMENT FROM THE FEDERAL FEDERAL GOVERNMENT DECREASES SO THESE QUANTITIES REPRESENT DOLLAR FOR BUCK EXCHANGE OF REDUCED FEDERAL FUNDING AS WELL AS INCREASED FUNDING FROM THE HEALTHCARE ACCESS FUND WHICH IS THE SOURCE OF FINANCING FOR MINNESOTA TREATMENT. THE AMOUNTS ARE $42.7 MILLION IN 2023 AS WELL AS $90.8 MILLION IN 2024 AND ALSO $96.4 MILLION IN 2025. 2025. I SPOKE IN THE BEGINNING ABOUT THE FINANCIAL NOTE FOR MMB WHICH GETS ON PAGE 13, THEN THE LAST FIRM IS MNSURE AS WELL AS THE AMOUNTS FOR MNSURE ARE $2.1 MILLION IN 2023 AND $4.3 MILLION IN 2024 AS WELL AS $4.6 MILLION IN 2025. MNSURE IS ALSO FUNDED BASED ON INSURANCE POLICY PREMIUMS THEY ARE MONEYED WITH 3.5% WITHHOLD ON THE OVERALL AMOUNT. MR. CHAIR COULD YOU TELLS WHAT PAGE YOU ARE ON MR. ALBRECHT. MR.CHAIR AND

SEN. DAHMS I'' M ON PAGE 16. MNSURE IS FUNDING WITH A 3.5 %WITHHOLD ON INSURANCE POLICY PREMIUMS WHEN INSURANCE POLICY PREMIUMS DROP AS A RESULT OF REINSURANCE THAT LOWERS MNSURE ' S REVENUE FOR THEIR OPERATIONS AS WELL AS THIS FISCAL NOTE ASSUMES THERE WOULD BE A GENERAL FUND APPROPRIATION FOR MNSURE'' S RECURRING OPERATIONS SET YOU BACK THROUGHOUT THE DURATION THE REINSURANCE PLAN IS IN RESULT. THAT'' S A BRIEF EXPLANATION I ASSUME MR. CHAIR OF A 20 WEB PAGE 20 PAGE FISCAL KEEP IN MIND IF THERE ARE ANY QUESTIONS I'' D ENJOY TO RESPONSE. THANK YOU MR. ALBRECHT. MEMBERS EXIST ANY CONCERNS SEN. KLEIN. THANKS FOR THE DESCRIPTION AND MANY THANKS MR. CHAIR FOR THE EXPLORATION OF THE MONETARY NOTE THIS MAY LOOK LIKE A PRIMARY CONCERN I'' M NOT AN ACCOUNTANT I APPRECIATE THE DEAL WITH NUMBERS YOU'' VE DONE HERE. THE COMPLETE EXPENSES REQUIRED WITH 2028 IS THE 2028 IS THE $1.08 BILLION YOU EXPLAINED.

YET WE TRANSFER THAT FOR AMOUNT OF FUNDING IN 23 PRESUMABLY TO 23 PRESUMABLY TO PILE THE FUND FOR THE NEXT FIVE YEARS DOESN'' T 5 YEARS DOESN ' T NEED TO BE STRUCTURED LIKE THAT COULD YOU DO IT ON A YEAR-BY-YEAR BASIS AND PAY IT GOING AHEAD BECAUSE WAY. MR. ALBRECHT OR SEN. DAHMS. MR. CHAIR AS WELL AS SEN. KLEIN I THINK I WOULD DEFER TO SEN. DAHMS ON THAT PARTICULAR. THANKS MR. CHAIR AND SEN. KLEIN. WE HAVE THE OPTION YOU COULD PAY IT AS YOU GO OVER WE CAN PAY THE FIVE YEARS IN ADVANCE. 5 YEARS UPFRONT. IF WE PAY THE FIVE YEARS UPFRONT THAT CASH THEN WOULD BE TAKE INTO MINNESOTA COSTS SAFETY STRATEGY WHICH CASH WOULD DRAW PASSION. IF YOU PAY IT AS YOU GO LET'' S SAY WE CHOSE TO PAY IT FOR TWO YEARS AND WE WOULD PROGRAM 2 YEARS COMING OUT OF THE BUDGET PLANS AS WELL AS BEING COMMITTED TO BOTH YEARS ON THE COSTS SAFETY AND SECURITY ACCOUNT THAT MAY OR MAY NOT ENTER THE FIRST YEAR HE COULD PUT ONE YEAR IN THEN DO THE APPROPRIATION IN THE SECOND YEAR AND ALSO PUT THE SECONDLY YEAR IN BECAUSE DURATION.

DOES THAT RESPONSE YOUR INQUIRY. SEN. KLEIN. IT DOES MR. CHAIR AS WELL AS SEN. DAHMS WAS THERE REASON YOU PREFERENTIALLY CHOSE TO COMPLETELY PILE IT AT THE BEGIN OF THE FIVE YEARS. FIVE YEARS. WHAT WE ARE DOING IS WE ARE GOING TO CHOOSE EXACTLY HOW THIS PROCEDURE IS GOING TO GO IN FINANCE COMMITTEE WE WILL CERTAINLY HAVE AN CHANGE IN FINANCING BOARD TO MODIFY THE PRESENT US SENATE DOCUMENTS 3472 WILL CERTAINLY BE 3,472 WILL CERTAINLY BE AMENDED IN FINANCE IN ORDER TO DECIDE WHAT WE ARE GOING TO DO HOW LOTS YEARS WERE GOING TO PAY AND ALSO THERE A FEW OTHER THINGS THAT WILL BE ALSO INTO THAT MODIFICATION. TODAY I ASKED TO PRESENT THE WORST-CASE CIRCUMSTANCE OF TOTAL DOLLARS BEING SPENT SINCE I DON'' T INTEND TO ENTER INTO UNDER THE FLOOR AS WELL AS PEOPLE SAY HOW COME YOU'' RE CHANGING THE NUMBERS. I FIGURED WE WOULD USE THE FIVE-YEAR FISCAL NOTE DUE TO THE FACT THAT THAT IS THE ONE ONE THAT SHOWS THE FULL 5 5 YEARS AS WELL AS IF WE DO LESS THAN THAT THAT QUANTITY WILL BE REDUCED ACCORDINGLY NOT GOING TO BE DOLLAR FOR BUCK FOR 5 YOUR PROGRAM IT'' S NOT GOING TO BE SIMPLY 20%BECAUSE THERE WILL CERTAINLY BE A FEW OTHER ADJUSTMENTS THERE PROBABLY WILL CERTAINLY BE HIGHER GOING YEAR-BY-YEAR BUT NOT MUCH SO THAT'' S WHY WE ' RE DOING OUR BEST TO ACCOMPLISH IT BY DOING THIS TODAY THANKS FOR THE CONCERN. ANY OTHER QUESTIONS MR. ALBRECHT. MR. CHAIR IT MAY AID TO BE CLEAR OF WHAT THAT BIG NUMBER EXISTS IN WHICH IT IS THE FACTOR IS BECAUSE THE EXPENSE ACTUALLY HAS THE TRANSFER TAKING PLACE IN FISCAL YEAR 2023 TO ENSURE THAT'' S WHY THE DIVISION OF MMB PUT IT THERE. THANKS. SEN. NELSON. THANKS MR. CHAIR. I HAD A COUPLE OF QUESTIONS IF YOU'' VE ANSWERED THEM ALREADY YOU CAN TELL ME OFF-LINE OR BE SHORT. I PUT ON'' T INTEND TO WASTE THE MOMENT OF THE BOARD HERE I INTEND TO NOTE SEN. DAHMS ABOUT THE 1332 1,332 WAIVER THE STANDINGS OF THAT I COMPREHEND OUR APPLICATION HAS BEEN REFUTED I JUST DESIRED TO KNOW WHEN WE PASS THIS REGULATIONS IF YOU CAN OFFER ME SOME GUARANTEE I'' M OBTAINING THAT 1,332 WAIVER AND ALSO THE COROLLARY QUESTION HAS TO DO WITH AS WE PUT STATE DOLLARS RIGHT INTO THIS REINSURANCE PLAN TO ASSIST LOWER THE COST OF INSURANCE FOR MINNESOTANS PARTICULARLY IN THE RAISED SO DRAMATICALLY, AS WELL AS YOU CONNECT IN STATE FINANCING TO HOLD ON THE PRICES OF THAT INSURANCE COVERAGE HOW DOES THAT IMPACT THEIR STATE SUBSIDIES TO AID SPEND FOR THAT INSURANCE IN OTHER WORDS WE DON'' T WANT TO PUT IN STATE DOLLARS SO THE FEDERAL THEN THE FEDS PROVIDE LESS PREMIUM SSISTANCE TO MINNESOTANS MAYBE THE 1,332 WAIVER AS COMPONENT OF THE ANSWER.

THANKS MR. CHAIR I BELIEVE THERE SEVERAL PARTS TO THAT INQUIRY LET'' S BEGINNING WITH THE FIRST ONE THAT BEING THE 1332 1,332 WAIVER AS WELL AS WHERE THAT IS THAT AS WE SPEAK. THE DIVISION OF COMMERCE DID SUBMIT THE 1332 WAIVER 1,332 WAIVER BASE ON THE REGULATION WE PASSED IN 2014 AND THEY DID OBTAIN THAT IN ON A TIMELY FASHION AND ALSO THEY GOT NOTIFICATION THE 1332 WAIVER WAS 1,332 WAIVER WAS INCOMPLETE SO THEY PROVIDED THINGS THAT REQUIRED TO BE DONE AND AMONG AMONG THE THINGS IN A FEW OF THOSE POINTS WILL CERTAINLY BE INTERACTIONS AT THE DEPARTMENT OF COMMERCE COMPONENT OF ITS INTERACTION AT THE LEGISLATIVE DEGREE AND AMONG THOSE AMONG THOSE INTERACTIONS AT THE LEGAL LEVEL OFFERS THEY DID WE PITIED United States DEATH THE LEGISLATION STATING WE WERE ASKING HAVING THE DEPARTMENT OF BUSINESS PLACE IN An ASK FOR ANOTHER FIVE-YEAR WAIVER WOULD BE SUFFICIENT TO SHOW WE WERE GOING TO ACCOMPLISH IT. THE CMS SAYS THAT'' S NOT NEARLY ENOUGH THEY WANT ACTUAL REGULATIONS IN THIS YEAR SHOWING WE ARE GOING TO DO REINSURANCE AND AFTER THAT ALSO THERE WERE A FEW OTHER THINGS THE DIVISION OF COMMERCE NEEDS TO DO AND THAT WILL PREPARE THEY WILL HAVE TO SEND THOSE COMPONENTS AND AFTERWARDS IT WILL CERTAINLY BE LOOKED AT AGAIN THE DIVISION OF COMMERCE AND ALSO THE GOV.

HAVE ASKED FOR WE HAVE THIS COSTS DONE BY APRIL 1ST SO THEY CAN OBTAIN THIS DONE IN A PROMPT FASHION SO THE INSURER RECOGNIZE EARLY WHAT THE REAL REINSURANCE IS GOING TO RESEMBLE SO THEY CAN DO THEIR PREPARATION AS A RESULT OF THE TIME WE HAVE TO RELEASE THEIR RATES I BELIEVE CURRENTLY IS IN JULY SO THEY NEED TIME TO ACCOMPLISH THAT THAT'' S WHY WE ARE FASTING LANE THIS BILL AND ALSO WHEN WE DISCUSS SUBSIDIES WE HAVE 1332 WAIVER 1,332 WAIVER PART OF THAT WAIVER IF YOU LOOK IN THE FINANCIAL NOTE IT REVEALS WERE GOING TO OBTAIN $77 MILLION A YEAR BACK FOR THE FIRST COMPONENT OF THE WAIVER. THAT NUMBER IS USED COMPLETELY THROUGH THE 5 FIVE YEARS MOST LIKELY THAT NUMBER WILL CERTAINLY ADJUST UP OR DOWN MORE THAN LIKELY PROBABLY UP DUE TO THE EXPENSE IS SHOWN TO GO UP IF WE OBTAIN THAT BACK ON THE 2ND COMPONENT OF THE WAIVER DESPITE THE FACT THAT THE 1,332 IS A HOLD HARMLESS WAIVER WE FOUND OUT IN THE PREVIOUS WAIVER THAT COMPONENT OF IT WAS NOT HELD HARMLESS BECAUSE COMPONENT WAS THE SECOND PIECE WHICH DID NOT PAY A FEW OF THE INTERACTIONS WITH THE HEALTH ADVANTAGES THE STANDARD HEALTH AND WELLNESS PREPARES MINNESOTA IN NEW YORK ARE GOING TO STATES THAT HAVE BASIC HEALTH INSURANCE PLAN SO THOSE FUNDAMENTAL HEALTH INSURANCE PLAN WE LOSE SOME FINANCING AND CMS STATED THAT WAS ACCEPTED TO BE PAID WHEN IT WENT TO THE TREASURY DIVISION THEY STATED NO THEY DIDN'' T THINK THAT WAS EXPECTED TO BE PAID THERE WERE SOME DOLLARS ACCUMULATED THERE WERE SOME DIFFERENT THINGS MADE WITH THAT AS WELL AS THERE WERE SOME DOLLARS GATHERED ON THAT BUT WE NEVER WERE MADE WHOLE ON THAT PARTICULAR.

IN THE GOV.'' S PLAN THAT HE PRODUCE IN HIS SPENDING PLAN THIS YEAR HE ' S USING THE PRESUMPTION THIS WILL BE TAKEN TREATMENT OF PRIOR TO REINSURANCE GOING IN NEXT YEAR. WE DON'' T KNOW HOW THAT ' S GOING TO WORK AS FOR YOUR SOLUTION'CONCERNING SUBSIDIES WE DON ' T KNOW HOW THAT ' S GOING TO WORK. YOU LIKEWISE BEAR IN MIND IN SEVERAL OF THE ARPA MONEY THERE WAS MONEY THERE SO INDIVIDUALS WHO PAID MORE THAN 8% OF THEIR INCOME IN MEDICAL INSURANCE PREMIUMS GET An AID THAT SUNSETS THAT'' S DONE AT THE END OF 2022 UNLESS 2022 UNLESS IT'' S RESTORED BECAUSE HAS NOT BEEN RENEWED YET AS WELL AS DOESN ' T LOOK BUT THAT ' S PROBABLY GOING TO HAPPEN TO MAKE SURE THAT'SUBSIDY WILL DISAPPEAR THAT ' S WHY IT ' S REALLY IMPORTANT TO OBTAIN THIS REINSURANCE MOVED SINCE IF YOU TAKE A LOOK AT THE DEPARTMENT OF BUSINESS I BELIEVE THEY SAY THEY NUMBER THE PREMIUMS WILL CERTAINLY GO UP REGARDING 25% THE WELLNESS INDUSTRY STATES REGARDING 20% AND IF YOU CONSIDER CMS THEY SAY ANYWHERE FROM 18 – 36% SO IT WOULD MAKE A MAJOR INFLUENCE I HOPE I ANSWERED YOUR INQUIRY.

SEN. NELSON. THANK YOU MR. CHAIR YOU ANSWERED A LARGE AMOUNT OF IT THANKS SEN. DAHMS MY FOLLOW-UP QUESTION WHAT IS THE PRESUMPTION THAT YOU DISCUSSED THE GOV. WALZ IS ASSUMING AS HE PUT OUT HIS BUDGET PLAN CAN YOU GET A ITTLE BIT OF INFORMATION WHAT WAS THE PRESUMPTION. SEN. NELSON THE ASSUMPTION IS THAT THEY ARE WORKING WITH TRYING TO OBTAIN THIS ALTER AS WELL AS A FEW OF HER MINNESOTA FEDERAL POLITICIANS ARE WORKING WITH THIS TO TRY TO OBTAIN An ADJUSTMENT SO YOU NOR YOU NOR IN MINNESOTA WOULD BE HELD HARMLESS EVEN IF YOU HAVE A FUNDAMENTAL HEALTH INSURANCE. THAT WOULD OFFER US THE SECOND ITEM OF THE 1,332 WAIVER WHICH CURRENTLY REMAINS IN QUESTION. ÃSEN. NELSON. THANK YOU MR. CHAIR AND ALSO SEN. DAHMS. THE BIGGER QUESTION IS WHY IS MINNESOTA AS WELL AS ISLAND ONCE MORE WHICH'' S A BIGGER QUESTION FOR ANOTHER DAY. WE ARE STILL TYPE OF ON THE FISCAL NOTE COMPONENT OF THE PRESENTATION SO SEN. WIKLUND. THANKS MR. CHAIR. I DO QUESTION ABOUT THE MNSURE COMPONENT OF THE FINANCIAL NOTE AS WELL AS HOW IT CONNECTS TO YOUR BILL SEN.

DAHMS ENOUGH IT'' S A CONCERN FOR MR. ALBRECHT OR FOR YOURSELF SEN. DAHMS. DOES YOUR COSTS COVER THE LOSS THAT IS SEEN IN THE FISCAL NOTE FOR MNSURE'' S SPENDING PLAN BECAUSE OF THE DECREASED AMOUNT OF FUNDING THAT THEY OBTAINED THAT THEY INCLUDES UP TO BE OVER THE TRAINING COURSES OF THOSE YEARS OVER $20 MILLION $20 MILLION I AM WONDERING IF THAT'' S CONSISTED OF IN YOUR COSTS IN REQUISITES OF APPROPRIATING MONEY FOR MNSURE TO BE ABLE TO COVER THE EXPENSES THEY HAVE THAT THEY USE THAT MONEY FOR. SEN. DAHMS. THANKS MR. CHAIR AND ALSO SEN. WIKLUND A GOOD INQUIRY. THE FISCAL KEEP IN MIND DOES HAVE THAT COOKED RIGHT INTO THE TOTAL EXPENSE SO I ASSUME THE FIRST PAIR OF YEARS IT'' S LITTLE OVER $8 MILLION $8 MILLION OVER THE MOMENT IT WAS CONCERNING $4.2 MILLION SO IT'' S GOING TO BE AROUND THE $20 $20 MILLION THE EXISTING EXPENSE DOES NOT INCLUDE THAT; HOWEVER, WE WILL CERTAINLY BE DOING AN AMENDMENT AS WELL AS WE WILL SEE IN WHICH THAT AND ALSO SUP WITHIN THAT CHANGE BUT WE ARE EXTREMELY WELL MINDFUL OF THAT AND CERTAINLY UNDERSTAND COMMUNICATION IT HAS WITH THE HEALTHCARE GAIN ACCESS TO FUND AND THE REDUCTION IN PREMIUMS BECAUSE OF THE REINSURANCE WHICH PERMITS MNSURE TO GET LESS CASH SO WE WILL CERTAINLY MANAGE THAT WHEN WE REACH MONEY COMMITTEE BUT IT'' S An EXCELLENT QUESTION AND WERE WELL CONSCIOUS OF IT THANKS.

SEN. BENSON. THANKS MR. CHAIR AND SEN. DAHMS I WAS LOOKING AT THE MNSURE BUDGET PLAN THE GOV.'' S SPENDING PLAN REQUEST. IF I CAN LOCATE FOR 2020 AND ALSO 2021 THEY WERE GIVEN APPROPRIATIONS FOR FULL-TIME EQUIVALENTS OF 182 STAFF MEMBERS 182 EMPLOYEES LOOKS LIKE THE ACTUAL STAFF MEMBERS WERE 166 SO 166 SO BEFORE YOU CONCUR TO GIVE THEM CASH IN THIS COSTS WE SHOULD DETERMINE WHAT OCCURRED WITH THE GAP IN FTES BECAUSE THEY MAY ACTUALLY BE STRUCTURE UP A GET AND YOU WOULDN'' T HAVE TO FULLY MONEY THEM. SEN. DAHMS. MR. CHAIR AND SEN. BENSON YOU CLAIMED THEY HAD AUTHORIZATION FOR HOW MANY FTES. IT APPEARS LIKE FROM THE GOV.'' S BUDGET BASE $182 FTES BUT THEIR ACTUAL WAS 167. 167. THANK YOU. SEN. DAHMS FOR RECOMMENDATION IF IT IS SOMETHING YOU WANT TO GO INTO WITH MNSURE WE DO THAT HAVE THEM ONLINE YOU CAN HANDLE THAT; HOWEVER, YOU WOULD LIKE. MR. CHAIR IF I COULD A SUGGESTION FOR INDIVIDUAL THAT BEEN FOLLOWING MNSURE SINCE THE BEGINNING THEIR COSTS WITHHOLD WAS SUPPOSED TO BE 2% IT'' S STILL A 3.5'% SO LET ' S BEWARE REGARDING INCLUDING IN THEIR FUNDING AND A FURTHER KEEP IN MIND WHEN REINSURANCE WASN'' T SCHEDULED FOR RENEWAL MNSURE DIDN'' T TAKE A DECREASE ALTHOUGH THEIR PREMIUM REVENUE WAS COMING UP SO THEY'' RE KINDA PLAYING BOTH SIDES AUTUMN FEE REGARD TO MR.CLARK AND ALSO

HIS PERSONNEL THEY DIDN'' T REPRESENT THE BOOST IN COSTS WENT MNSURE OR THE PREMIUM SAFETY ACCOUNT WASN'' T IN THE PROJECTION AND NOW THEIR AUDIT FOR IT SO I BELIEVE SEN.EN. DAHMS WOULD AGREE WE GE THEM ANY CASH THIS COSTS WE NEED TO HAVE A THOROUGH WALK-THROUGH. SEN. ABELER. INDEED, JUST BRIEFLY I DESIRE TO MIRROR WHAT SEN. BENSON'' S POINT WAS WE WERE HERE FOR THAT THE 2% YOU'' RE NEVER GOING TO DEMAND THE 3.5% IT'' S GOING TO FUNCTION OUT SO SMOOTHLY NEVER NEED THE 3.5% I BEAR IN MIND THAT IN MY OTHER REMARK IS REALLY NEED TO ACCOMPLISH THIS THANK SEN. DAHMS AS WELL AS THE STAFF HAVE A GOOD PACKAGE TOGETHER I WISH THIS CAN ACCOMPLISH IN A PROMPT WAY THANKS. THANK YOU SEN. ABELER I ASSUME CENTERED DAHMS ARE YOU ALL SET FOR THE TESTIFIERS. FIRST WE HAVE MR. GRAVES WITH THE MINNESOTA CHAMBER IF YOU WOULD LIKE TO SIGN UP WITH US AND AFTERWARDS COMPLYING WITH MR.GRAVES WILL CERTAINLY BE MR. REYNOLDS. WELCOME TO THE COMMITTEE YOU RECOGNIZE THE ROUTINE, PLEASE, IDENTIFY YOURSELF CONTINUE WITH YOUR STATEMENT. THANK YOU MR. CHAIR AS WELL AS PARTICIPANTS I'' M BENTLEY GRAVES WITH THE MINNESOTA CHAMBER OF BUSINESS. WE REPRESENT OVER 6,000 EMPLOYERS AS WELL AS OVER 500,000 WORKERS THROUGHOUT THE STATE IN ALL CORNERS OF THE STATE ALL DIMENSIONS A SERVICE IN EVERY SECTOR IN THE STATE. WE SERVICE HEALTHCARE ISSUES AS YOU KNOW BECAUSE IT'' S EXTREMELY VITAL BENEFIT FOR EMPLOYERS TO OFFER EMPLOYEES TO KEEP THEIR WORKER HEALTHY AND ALSO PRODUCTIVE WORK BUT ALSO IS A REALLY ESSENTIAL TOOL TO ATTRACT AS WELL AS PRESERVE TALENT IN THIS COMPETITIVE INDUSTRY. AS YOU RECOGNIZE MEDICAL CARE PRICES ARE CLIMBING SWIFTLY AND ABILITY TO CONTINUE OFFERING INSURANCE COVERAGE TO PERSONNEL IS CHALLENGED EACH YEAR. LOTS OF HAVE QUESTIONED WHAT RATE OF INTEREST THE BUSINESS NEIGHBORHOOD HAS IN ITS STABILITY SYSTEM FOR THE SPECIFIC MARKET GIVEN THAT MOST EMPLOYERS ACQUIRE INSURANCE COVERAGE FOR THEMSELVES AS WELL AS THEIR PERSONNEL IN THE GROUP MARKET.

FACT IS THE INDIVIDUAL MARKET BEYOND BEING RECORD RESOURCE FOR INDEPENDENT PEOPLE INCREASINGLY BECOMING AN CRUCIAL ELECTRICAL OUTLET FOR SMALL AS WELL AS MIDSIZED EMPLOYERS TOO. WE DID A SURVEY OF MEMBERS SIMPLY THIS SUMMER SEASON AND ALSO ALREADY LAST NUMBER OF YEARS WHERE BRAND-NEW DEFINED CONTRIBUTION VARIES HAVE BEEN AVAILABLE UNDER FEDERAL REGULATIONS THAT PERMIT COMPANIES TO ASSISTANCE THEIR EMPLOYEES BY THEIR OWN INDIVIDUAL INSURANCE COVERAGE ALREADY IN THE LAST 2 YEARS THAT'' S BEEN AVAILABLE 6% OF MEMBERS HAVE CLAIMED THEY LOOK TO THOSE PROTECTION CHOICES DEFINED COVERAGE FOR THEMSELVES AS WELL AS USES ONE AIM OF OUR MEMBERS CURRENTLY OFFER PROTECTION FOR WORKERS RECORDS THAT HEALTHCARE EXPENSES CONTINUE TO RISE AT THE EXISTING RATE THEY WILL CERTAINLY BE LOOKING TO TRANSITION THEIR PROTECTION TO THESE DEFINED CONTRIBUTION ARRANGEMENTS.

ALSO FOR THOSE MEMBERS OF OURS THAT WEAR'' T OFFER COVERAGE REGARDING 30% OF THEM SAID THEY WERE LOOKING AT THESE OPTIONS AS A MEANS TO SUPPLY INSURANCE COVERAGE FOR THEIR WORKER.THESE KINDS OF EMERGING TRENDS WE THINK GIVE ALL THE MORE REASON TO PRESERVE A HEALTHY AND STEADY SPECIFIC MARKET IN MINNESOTA AND AS SEN. DAHMS HAD KEPT IN MIND REINSURANCE IS DONE SIMPLY THAT IT'' S BROUGHT SECURITY TO THE MARKETPLACE IS DECREASED RATES, AND ALSO OUR HOPE IS WE CAN SEE THIS PROGRAM PROCEED ONWARD SEN. DAHMS KEPT IN MIND RATES ARE ANYWHERE FROM 20 TO MORE THAN 30% LOWERS IN THE INDIVIDUAL MARKET BECAUSE BEEN REINSURANCE DETERMINED BY THE ITEM YOU PICK WE UNDERSTAND REINSURANCE IS NOT A LOCATION THAT YOUR RATES WOULD RISE DRASTICALLY SO WANT TO THANK SEN.

DAHMS FOR TAKING THIS FORWARD AND ALSO FOR HIS PROCEEDED WORK WITH THIS OVER THE YEARS WE WISH TO LET OUR STRONG ASSISTANCE THIS INITIATIVE AND I'' M HAVING SOLUTION CONCERNS YOU MAY HAVE MANY THANKS MR. CHAIR. THANKS. SEN. NELSON. I TIN WAIT UNTIL AFTER THE TESTIFIERS. WELCOME MR. REYNOLDS, PLEASE, IDENTIFY YOURSELF AND ALSO PROCEED. THANK YOU MR. CHAIR AND ALSO MEMBERS I'' M JOHN REYNOLDS STATE SUPERVISOR FOR THE NATIONAL FEDERATION OF INDEPENDENT SERVICE IN MINNESOTA THE STATE'' S LARGEST SMALL SERVICE ORGANIZATION WITH OVER 10,000 MEMBERS IN EVERY EDGE OF THE STATE AS WELL AS 75% OF MEMBERS AFTER YOUR THAN 10 WORKERS. THANK YOU TO CHAIR DAHMS FOR CARRYING US SENATE FILE 3,472 WE DELIGHT IN TO SEE THE OTHER BODY DO SOMETHING ABOUT IT ON THIS COSTS YESTERDAY AS WELL AS APPRECIATE THE BIPARTISAN ASSISTANCE FOR THIS HIGHLY SUCCESSFUL PROGRAM. THE PERSON MARKET IS ESSENTIAL IN MINNESOTA SMALL BUSINESS AREA AND ALSO PROVIDES PROTECTION FOR LOTS SMALL EMPLOYERS THEIR PERSONNELS AS WELL AS SELF-EMPLOYED ENTREPRENEURS.

INSTABILITY AND CLIMBING PREMIUMS IN THE PRIVATE MARKET ARE POOR FOR SMALL BUSINESSES AS WE SAW FROM 2014 VIA 2014 WITH 2017 FORTUNATELY 2017 FORTUNATELY START IN 2018 THE REINSURANCE PROGRAM REVERSED THE YEARS LONG FAD OF DOUBLE-DIGIT COSTS INCREASES FOR INDIVIDUAL MARKET ENROLLEES IT LIKEWISE STOPPED FIFTY PERCENT DECADE LONG DROP IN THE NUMBER OF PEOPLE INSURED VIA THE MARKETPLACE. ACCORDING TO A SEPTEMBER 2021 TESTIMONIAL OF MINNESOTA'' S 2020 REINSURANCE 2020 REINSURANCE PROGRAM BY THE FEDERAL CENTERS FOR MEDICAID AS WELL AS MEDICARE SOLUTIONS REINSURANCE DECREASE THE LOWEST-COST BRONZE STRATEGY BY 22% THE LOWEST-COST SILVER PLAN BY 34% IN THE SECONDLY LOWEST-COST SILVER PLAN BY 36% IN THE LOWEST-COST GOLD PLAN BY 31%. REINSURANCE HELPS OFFSET A RELATIVELY LARGE SHARE OF HIGH-COST ASSERTS IN THE PRIVATE MARKET IT DOES THIS WITH STATE AND ALSO FEDERAL FINANCING PROVIDED TO THE MINNESOTA NATION HAS OF WELLNESS ORGANIZATION OR MCHA WHEN An INDIVIDUAL HAS A SIGNIFICANT CLINICAL OCCASION THAT RECEIVES REINSURANCE MEDICAL SUPPLIER BILLS THE INSURER THE INSURER PAYS THE CASE AFTER THAT SUBMITS THAT TO MCHA AND ALSO MCHA EVALUATES THE CLAIM AND ALSO COMPENSATES IT QUALIFIES OR REJECTS IT IF IT DOESN'' T. IN VARIOUS OTHER WORDS REINSURANCE AIDS PAY FOR MEDICAL CARE FOR VERY UNWELL PEOPLE ALMOST 2/3 62% OF ELIGIBLE ENROLLEES HAD TWO OR TWO OR EVEN MORE MAJOR WELLNESS CONDITIONS AND ACCORDING TO THE 2020 YEAR AND ALSO REINSURANCE REPORT TOP OF PROBLEMS FOR WHICH REINSURANCE AIDED COVER PRICE OF LOOK AFTER DIABETES, ASTHMA COPD RHEUMATOID JOINT INFLAMMATION METASTATIC CANCER AS WELL AS HEART ARRHYTHMIA. IN THE SENSE REINSURANCE SERVES A SIMILAR FUNCTION TO THE PROGRAM RUN BY MCHA FROM 1976 THROUGH 2014 1976 VIA 2014 WHICH TOOK PLEASURE IN 2014 WHICH APPRECIATED BROAD BIPARTISAN SUPPORT VIA THE YEARS. WHEN IT COME TO FUTURE FINANCING OF THE PROGRAM IT'' S VITAL TO KEEP IN MIND SMALL COMPANY AND ALSO THEIR WORKER IN THE PERSON AS WELL AS SMALL TEAM MARKETS ALREADY PAY NUMEROUS TAX OBLIGATIONS ON MEDICAL INSURANCE SO THE STATE THIS INCLUDES A 1% GROSS PREMIUMS TAX OBLIGATION THAT HAS MORE THAN $100 MILLION TO THE COST OF HEALTH INSURANCE POLICIES AS WELL AS AS MR. ALBRECHT NOTED EARLIER 3.5% MNSURE COSTS TAX OBLIGATION THAT INCLUDES OVER $20 MILLION TO CERTAIN INDIVIDUAL POLICIES. SINCE THE COMBINED REGISTRATION IN THE SMALL TEAM AND ALSO INDIVIDUAL MARKETS IS DECLINED BY WERE 40% IN THE LAST 15 YEARS EXTRA 15 YEARS EXTRA TAKEN CARE OF ANALYSES WOULD HAVE AN OUTSIZED EFFECT ON THESE PLANTS COST.

AS CMS RECORD ALSO KEPT IN MIND MINNESOTA'' S REINSURANCE PROGRAM MAKES SUCH AN IMPACT IN PART BECAUSE OF THE DEPENDENCE ON BROAD FINANCING SOURCES FROM OUTSIDE OF THE PRIVATE MARKET. LASTLY WE APPRECIATE REINSURANCE REMAINS TO BE CLEAR AND ACCOUNTABLE IT'' S REGULATED BY ENDURING STATE BOARD MCHA AS WELL AS REVIEWED QUARTERLY AT THE STATE DEGREE AND ANNUALLY AT THE FEDERAL LEVEL ROBUST PROGRAM MANAGEMENT AUDITING AND REPORTING NEEDS ARE OUTLINED N CHAPTER 60 2E ONCE AGAIN THANK YOU MR. CHAIR THANK YOU SEN. DAHMS FOR CARING THIS REGULATION WE DESIRE THE COMMITTEE TO SUPPORTED. THANK YOU NEXT IS MR. END ENDRESON. WELCOME TO THE COMMITTEE, PLEASE, IDENTIFY YOURSELF FOR THE RECORD AND CONTINUE WITH YOUR TESTAMENT. THANK YOU MR. CHAIR AND MEMBERS OF THE BOARD I'' M DAN ENDRESON WITH THE MINNESOTA COUNCIL OF HEALTH AND WELLNESS PLANS PROFESSION ORGANIZATION FOR MINNESOTA'' S NONPROFIT WELLNESS INSURERS THIS INCLUDES BLUE CROSS BLUE SHIELD OF MINNESOTA HEALTH AND WELLNESS PARTNERS MEDICAL SANFORD HEALTH INSURANCE PLAN AS WELL AS UCARE.

THANKS FOR THE OPPORTUNITY TO TESTIFY TODAY ON BEHALF OF EXTENDING THE REINSURANCE PROGRAM WHICH WAS PRODUCED TO STABILIZE THE MARKET AND LOWER COSTS FOR PEOPLE GETTING INSURANCE POLICY BY THEMSELVES. IT DOES SO BY PAYING A PART OF HIGH-COST MEDICAL DECLARES COST THAT OTHERWISE MUST BE BUILT INTO PREMIUMS. UNDER MINNESOTA'' S REINSURANCE PROGRAM IN POSITION TODAY AS WELL AS IS PROPOSED TO BE EXTENDED, HIGH-COST MEDICAL BILLS PAID BY HEALTH INSURANCE PLAN ARE PARTLY REPAID BY REINSURANCE FUNDS WHICH ARE AUDITED BY THE MINNESOTA COUNTRY HAS OF HEALTH AND WELLNESS ASSOCIATION. DOING SO EFFECTIVELY TAKES A PART OF THESE COSTS OUT OF THE COSTS FORMULA AS MR. REYNOLDS MENTIONED THE ORGANIZATION MAKES CERTAIN PROGRAM STABILITY BY ACQUIRING WITH AN INDEPENDENT ACTUARIAL COMPANY AND ALSO REVEALS ON THE SITE THE QUARTERLY RECORDS ANALYZING THE PROGRAMS OPERATIONS. IN YOUR PACKET IS ONE OF THE MOST CURRENT 2021 FOURTH QUARTER RECORD THIS HERE WHICH FILES WHERE FUNDS ARE ALLOCATED BY HEALTH INSURANCE GEOGRAPHIC REA MEDICAL LEVEL AND ALSO HEALTH AND WELLNESS CONDITION REINSURANCE PROGRAM HAS ACTUALLY DONE AS ADVERTISED INDIVIDUAL MARKET HAS BEEN STABLE AND ALSO HAS SUCCESSFULLY LORD PREMIUMS WHENEVER TO 20% COMPARED TO WHAT COSTS WOULD LACK A PROGRAM IN POSITION.

THE US SENATE FOR MEDICARE AND ALSO MEDICAID SOLUTIONS CONCLUDED IN A CURRENT RESEARCH IN ADDITIONAL 89,000 MINNESOTANS HAD PROTECTION IN 2020 MANY THANKS TO THE REINSURANCE PROGRAM. ALTERNATIVELY IF REINSURANCE IS NOT EXTENDED THESE PRICES WILL CERTAINLY BE BILLED BACK RIGHT INTO PREMIUMS CREATING EXTRA BOOSTS OF 25%. MINNESOTA'' S DIVISION OF BUSINESS AND THE 1332 WAIVER 1,332 WAIVER APPLICATION PROJECTED THIS WILL CERTAINLY CAUSE 15,000 MINNESOTANS LOSING INSURANCE COVERAGE IN 2023. REINSURANCE 2023. REINSURANCE IS BEEN PROVEN TO STABILIZE THE MARKETPLACE AS WELL AS HAS RESULTED IN TENS OF THOUSANDS OF MINNESOTANS ACQUIRING COVERAGE THE PROGRAM HAS BEEN SO SUCCESSFUL THAT 14 14 OTHER STATES HAVE ACTUALLY ESTABLISHED SIMILAR PROGRAMS OVER THE PAST SEVERAL YEARS CONGRESS LADY ANGIE CRAIG IS LEGAL IN CONGRESS SHOT TO DEVELOP A GOVERNMENT PROGRAM COUNCILS SAYS THANKS TO CHAIR DAHMS FOR HIS MANAGEMENTS AND CONTINUOUS PROGRAM AND ALSO PROMPTS YOUR ASSISTANCE THANKS.

THANKS. NEXT WE HAVE MR. STEIN. EXCELLENT MID-DAY WELCOME TO THE BOARD, PLEASE, IDENTIFY YOURSELF FOR THE DOCUMENT AS WELL AS YOU CAN PROCEED WITH TESTAMENT MANY THANKS. MR. CHAIR AND BOARD MEMBERS GOOD AFTERNOON I'' M BOB STEIN I ' M AN INDEPENDENT INSURANCE REPRESENTATIVE OFFERING PEOPLE AS WELL AS SMALL COMPANY CUSTOMERS IN THE TWIN CITIES AND HIGHER MINNESOTA. BELOW RIGHT NOW REPRESENTING BROKER COALITION THAT INCLUDES 4 4 PROFESSIONAL AGENT ASSOCIATIONS IN MINNESOTA INCLUDING THE MINNESOTA ASSOCIATION OF WELLNESS UNDERWRITERS NATIONAL ORGANIZATION OF INSURANCE POLICY AND FINANCIAL ADVISORS THE EXPERT INSURANCE POLICY AGENTS AND MINNESOTA INDEPENDENT INSURANCE POLICY REPRESENTATIVES AS WELL AS BROKERS COLLECTIVELY WE REPRESENT OVER 54,000 LICENSED INSURANCE POLICY REPRESENTATIVE THROUGHOUT MINNESOTA. OUR BROKER REPRESENT 2 1/4 2 1/4 MILLION MINNESOTANS COVERED BY THE PERSONAL MARKET AND ALSO WE ARE VERY CLOSELY COLLABORATING WITH TEAM AND INDIVIDUAL MARKET CONSUMERS EVERY DAY. WE STRONGLY ASSISTANCE SENATE FILE 3,472 TO EXTEND THE REINSURANCE PROGRAM AND WE THANK SEN. DAHMS FOR HIS AUTHORSHIP OF THE COSTS AND GOV. WALZ FOR INCLUDING IT IN An EXTRA BUDGET PLAN. THE MARKETPLACE IS NOT ONLY WERE PERSON'' S AND ALSO FAMILIES GET PROTECTION WHEN THEY DO NOT OF PROTECTION EMPLOYER-SPONSORED PROTECTION IS WHERE ENTREPRENEURS GET THEIR INSURANCE COVERAGE WHEN THEY START A NEW ORGANIZATIONS AND'' S ALSO DEPENDED UPON BY PEOPLE BETWEEN TASKS AS WELL AS EARLY RETIRED PEOPLE.

WHEN ACA RELOCATED 27,006 FROM THE MCHA PROGRAM TO THE SPECIFIC MARKET THE PREMIUM IMPACT DROVE SUBSTANTIAL RATE RISES IN CARRIERS WERE LEAVING THE PRIVATE MARKET AND CONSUMER OUR CLIENTS AS WELL AS COMPONENTS WERE GETTING HEADLINE MAKING DOUBLE-DIGIT COSTS BOOSTS. WITHOUT THIS PROGRAM IT'' S UNCERTAIN IF ANY CARRIERS WOULD'' VE CHOSEN TO CONTINUE OFFERING INSURANCE COVERAGE IN THIS SEGMENT. WE DO; HOWEVER, HAVE SIGNIFICANT CONCERNS ABOUT THE REINSTITUTION THE MCHA EVALUATION THE FULLY INSURED MARKET HAS BEEN TRADING FOR MANY YEARS AND ACCORDING TO MINNESOTA DEPARTMENT OF HEALTH AND WELLNESS MAKES UP SIMPLY 16.3% OF THE MARKET SUPPORTING SUCH ATTACKS ON SUCH A SMALL MARKET OFTEN SETS MUCH OF THE BENEFIT OF REINSURANCE SINCE PAYING IS VERY LITTLE LARGER THAN THE PRIVATE MARKET ITSELF.

THE LARGEST EMPLOYERS WOULD NOT CONTRIBUTE ANY TO THE PROGRAM WHICH COMMONSENSE THE INDIVIDUAL MARKET FOR THE NEGATIVE OPTION OF BEARS FOR THE WHOLE MARKET. WE ENCOURAGE YOU TO CONSIDER A BROADER FINANCING SOURCE THAT REFLECTS THE BENEFITS OF THIS PROGRAM TO ALL MINNESOTANS WE SUPPORTED THE PRODUCTION OF THIS PLAN AND WE ARE HERE TO REPORT BACK TO YOU TODAY THAT THE PREMIUM PROTECTION STRATEGY THAT YOU PASSED IN 2017 IS WORKING NEEDS TO BE CONTINUED AND ALSO MADE PERMANENT. WHEN THE PROGRAM WAS FIRST IMPLEMENTED ACCORDING TO MINNESOTA DIVISION OF COMMERCE STRATEGY RESULTED IN COSTS BEING 20% LOWER IN 2018 AFTER THAT WITHOUT THE PLAÖ018 TL OF THE BENEFIT OF THIS PROGRAM GOES DIRECTLY TO CONSUMERS AS SHOWN WITH THE RATE FILINGS OF THE CARRIERS AS A MATTER OF FACT NO FINANCING GOES TO THE BOTTOM LINE OF THE INSURANCE POLICY SERVICE PROVIDERS GIVEN THAT THEY CAN ONLY MAKE ASSERTS FOR ACTUAL MEDICAL LOSSES AND ARE THEN COMPENSATED BY THE MCH 8 WHICH CARRIES OUT THE PLANT THEY CONTAINER NOT GET COMPENSATION FOR THE EXPENSES AND ADMINISTRATIVE COSTS.

CUSTOMERS YOUR COMPONENTS BENEFIT DIRECTLY VIA REDUCED PREMIUMS, PLEASE, ASSISTANCE THIS BILL AND HELP MAINTAIN STABILITY IN THIS VITAL PROGRAM FOR PEOPLE AND FAMILIES. THANK YOU. MEMBERS THAT ENDS OUR CHECKLIST OF TESTIFIERS WE WILL CERTAINLY OPEN IT. MR. CHAIR IF PETER BRICKWEDDE IS HERE I BELIEVE HE WOULD LOVE TO TESTIFY HE DID TESTIFY AT THE LAST QUIT IF HE IS BELOW WE NEED TO OFFER HIM AN POSSIBILITY.

MR. BRICKWEDDE. WELCOME WE WEREN'' T TRYING TO CUT YOU SHORT WE DID NOT HAVE YOU ON THE CHECKLIST WELCOME TO THE COMMITTEE. MR. CHAIR PETER BRICKWEDDE FROM THE DIVISION OF BUSINESS AIDE COMMISSIONER I DID NOT SUBSCRIBE TO TESTIFY APPRECIATE SEN. DAHMS OFFERING ME THE OPPORTUNITY TO MEMORIALIZE A WELCOME TO MY GLOBE FOR MY NEPHEW WAS BORN YESTERDAY. I'' M HAVING ANSWER QUESTIONS BUT I DON'' T NEED TO TESTIFY PROACTIVELY MR. CHAIR. THANK YOU. MEMBERS WE WILL OPEN IT FOR INQUIRIES AND REMARKS FOR SEN. DAHMS OR THE TESTIFIERS SEN. ABELER. MR. BRICKWEDDE IF YOU COULD RETURN. THANK YOU MR. CHAIR AS WELL AS MR. BRICKWEDDE NICE TO SEE YOU AT THE BOARD. THE IMPORTANT THINGS REGARDING THIS THE OTHER BODY IS SORT OF A SELF-INSURED VERSION OF REINSURANCE WHICH KINDA BEATS THE ENTIRE PURPOSE I'' M CURIOUS WHAT THE GOV. THINK OF THAT I ASSUME THE VERSION WE HAVE IS BETTER RIGHT HERE IF YOU TIN SEE WHAT YOU'' D LIKE ABOUT THAT. MR. CHAIR AS WELL AS SEN. ABELER I WOULD WANT TO TALK FOR THE VARIOUS OTHER BODY BUT THE GOV.'' S BUDGET PLAN DOES HAVE AN ANALYSIS MECHANISM THAT WOULD COVER THE STATES SHARE OF THE COSTS OF THE REINSURANCE PROGRAM GOING ONWARD THAT IS NOT A BOOK ONE ONE THE IDEA IS USED BY THE STATE OF MARYLAND AS WELL AS OUR NEIGHBORS AS WELL AS NORTH DAKOTA TO FINANCE THE REINSURANCE PROGRAMS IT'' S ADDITIONALLY DESIGNED AFTER THE MEANS WE FINANCE MCHA IN ITS PREVIOUS DISPOSITION AT THE STATES HIGH RISK SWIMMING POOL PRIOR TO BEING CONVERTED TO THE FACILITATOR OF THE REINSURANCE PROGRAM. SEN. ABELER. MCHA WAS A GREAT EXPENSE FOR An EXCELLENT TASK FOR DIFFERENT TIME THEY HAD A LOT OF PEOPLE COMPLETELY GUARANTEED NOT SURE IF YOU INTENDED TO RACE WITH NORTH DAKOTA MR.CHAIR.

MR. CHAIR AS WELL AS SEN. ABELER, GENERALLY SPEAKING I WOULD AGREE WITH YOU THERE. I WISHED TO EXPLAIN IT'' S NOT AN CONCEPT THAT ' S NEW OR OTHERWISE CURRENTLY EMPLOYED IN OTHER PLACES THAT HAVE REINSURANCE PROGRAMS THAT RESEMBLE OURS AS THEY FOLLOW US INTO REESTABLISHING A REINSURANCE PROGRAM AT A STATE-BASED DEGREE. THANK YOU WE WILL CERTAINLY PROCEED THIS CONVERSATION IN THE BACK SINCE THAT HAPPENS TO BE MY HOUSE STATE. ALL APOLOGIES MR. CHAIR IT'' S A PENALTY LOCATION TO ELEVATE YOUR YOUNGSTERS. WE WILL RELOCATE AFTER THAT TO SEN. NELSON. I WILL HOLD MY QUESTION. SEN. KLEIN. THANKS MR. CHAIR MANY THANKS SEN. DAHMS FOR PRESENTING THE BILL. A PAIR OF WORDS WE INITIALLY DID REINSURANCE IF YOU US INCLUDING ME FIRST LANDED IN THE LEGISLATURE IT WAS QUITE CLEARLY A FEEDBACK TO A DILEMMA IN THE PRIVATE MARKET IT WAS CLEARLY OFFERED IS SOMETHING THAT WAS A MOMENTARY EXIGENCY. BECAUSE A LONGER-TERM PLAN IT WAS A SHIFT TO SOMETHING THAT WOULD BE MORE EFFECTIVE AND ALSO MORE CONSTANT WITH THE DESIRES OF MINNESOTANS. AS IS CURRENTLY STRUCTURED I ACKNOWLEDGED HAS BEEN EFFECTIVE IN STABILIZING INDIVIDUAL MARKET I STILL THINK MINNESOTANS AND ALSO I MYSELF HAVE SUBSTANTIAL CONCERNS ABOUT SUBSIDIZING OUR PRIVATE INTENDS BY DOING THIS AND ALSO ACQUIRING DOWN THERE THREAT AS OPPOSED TO ACTUALLY PAYING DIRECTLY FOR HEALTHCARE.

OR PAYING STRAIGHT TO INDIVIDUALS THAT EXPERIENCE WELLNESS OCCURRENCES AND ALSO I ASSUME MINNESOTANS WOULD GENERALLY ASSISTANCE THAT. THE MEANS THE COSTS EXISTS FOR United States TO VOTE ON TODAY INDICATES A COLLECTIONS OF PURPOSE MISS ABOUT EXTENDING IT FOR AN ADDITIONAL 5 YEARS AS WE ARE FULLY FUNDING IT IN THE FIRST YEAR OF 2023 FOR THE TOTALLY YEAR AND I PREPARE FOR THE METHOD IT'' S BEING DEFINED INDICATES WE ARE SIGNIFICANT ABOUT NOT CONSIDERING ALTERNATIVES AND I THINK WE MUST BE. WE TALK OFTEN CONCERNING SUNSETS IN THIS COMMITTEE AND THIS IS A BILL RIGHT BEFORE SUNDOWNS AS WELL AS KEEPING THAT MR. CHAIR I'' D LIKE TO OFFER THE A2 CHANGE. SEN. KLEIN USES THE A2 CHANGE. THAT REMAINS IN ALL OF OUR PACKETS.

SEN. KLEIN WOULD YOU LIKE TO EXPLAIN YOUR CHANGE. IT'' S A SIMPLE CHANGE MR. CHAIR IT SIMPLY DECREASES THE PERIOD OF THE PRICE INSURANCE PLAN FROM 5 YEARS 5 YEARS TO TWO YEARS. 2 YEARS. IT PUTS OUR FEET TO THE FIRE IN REGARDS TO FINDING EVEN MORE FUNCTIONAL AND ALSO REASONABLE SERVICES TO THE INDIVIDUAL MARKET IN MINNESOTA. SEN. DAHMS. THANK YOU MR. CHAIR AS WELL AS SEN. KLEIN. FIRST WE ARE CONSIDERING CHANGING THIS FROM DOWN TO 2 2 YEARS THE 1,332 WAIVER IS A FIVE-YEAR WAIVER SO WERE GOING TO GO ALL THE FUNCTION WE DID THIS IN 2017 FOUR 2018 WE APPLIED 201,742,018 WE APPLIED FOR A TWO-YEAR WAIVER WE WIND UP OBTAINING A FIVE-YEAR WAIVER SO I PUT ON'' T SEE THE OBJECTIVE OF GOING THROUGH THE FUNCTION TO SWITCH THIS FROM A REQUEST FOR FIVE-YEAR WAIVER REQUESTED FOR A TWO-YEAR WAIVER WHEN WERE GOING TO GET A FIVE-YEAR ANYHOW SO I WOULD NOT ASSISTANCE THE AMENDMENT MR. CHAIR. IT'' S MR. CHAIR FORGIVE ME IT ' S NOT ONLY THE WAIVER THAT'' S BEING SPOKEN ABOUT IF IT'' S ALSO THE FUNDING THAT ' S BEING CHATTED CONCERNING FOR 2 YEARS I WOULD NOT SUPPORT THIS.

SEN. KLEIN SEN. WIKLUND. THANKS MR. CHAIR I WISH TO SAY I'' M SUPPORTIVE OF SEN. KLEIN ' S CHANGE I BELIEVE WHAT HE'' S ACCESSING IS WE HAVE A PROGRAM THAT ' S EFFECTIVE AND PERHAPS MAINTAINING THE COSTS OVER THE TIME BUT WE DON'' T HAVE ANY OTHER DETAILS TO HELP US PROGRAM THAT THE PROGRAM IS REALLY ASSISTING MINNESOTANS OR THE AMOUNT OF CASH WE PUT INTO IT AS A STATE THAT WE ARE REVEALING ADVANTAGES TO HELP HEALTH CARE COSTS ARE REDUCED MEDICAL CARE PRICES FOR MINNESOTANS. WE ARE INVESTING SUBSTANTIAL AMOUNTS OF STATE FINANCING FOR TO PERFORM THE REINSURANCE PROGRAM AND ALSO I BELIEVE WE SHOULD BE DOING A GREAT DEAL EVEN MORE TO CHECK OUT WHETHER THIS IS THE FINEST USE OUR STATE FUNDS OR COULD WE REMAIN IN LIMITING OTHER IDEAS THAT WOULD HAVE GREATER EFFECT ON MORE MINNESOTANS BEING ABLE TO AFFORD THEIR MEDICAL CARE PRICES I WILL SPEAK MORE REGARDING THAT LATER BUT I WISHED TO SAY I SUPPORT THIS AMENDMENT AND THINK IT'' S APPROPRIATE WE SET OURSELVES A DEADLINE THAT'' S SHORTER THAN FIVE YEARS SO WE ARE GOING TO ADDRESS MEDICAL CARE COSTS IN A METHOD IT COULD BE MORE SUSTAINABLE AND ALSO HAVE A BETTER HEALTH IMPACT FOR MINNESOTANS THEN PURSUING REINSURANCE THANKS.

THANKS, MEMBERS ANY OTHER QUESTIONS ON THE A2 AMENDMENT IF NOT WE WOULD TAKE A VOTE. ALL THOSE IN SUPPORT OF THE A2 MODIFICATION, PLEASE, SIGNIFY BY PHRASE AYE, THOSE OPPOSED, THE AMENDMENT IS NOT TAKEN ON. FURTHER REMARKS SEN. KLEIN. THANK YOU MR. CHAIR I DIDN'' T WANT TO LEAVE THE COMMITTEE WITHOUT OTHER POTENTIAL OPTIONS TO ADDRESS THE INDIVIDUAL MARKET AS HAS BEEN THE SITUATION IN PREVIOUS YEARS IN THIS LEGISLATURE WERE REINSURANCE WHEN THE EXPENSE IS COME UP NEITHER EVENT MASTER SUBSTANTIAL ALTERNATIVE AND ALSO IN THOSE CONDITIONS I ELECTED THE EXPENSE FOR THAT REASON.

I DO THINK THERE ARE WAYS TO STRUCTURE CONTROLLING THE SPECIFIC MARKET EXPENSES THAT MORE STRAIGHT BUILD UP BENEFITS TO PERSON MINNESOTANS AND WELLNESS SYSTEMS AS AGAINST MITIGATING RISK FOR INSURANCE COMPANIES AND KEEPING THAT MR. CHAIR I WOULD OFFER THE A6 MODIFICATION. SEN. KLEIN USES THE A6 CHANGE. ONCE AGAIN THAT WAS IN OUR PACKETS EVERY PERSON MUST HAVE A OPY. SEN. BENSON. SEN. KLEIN FURTHER DESCRIPTION OF YOUR MODIFICATION. THANK YOU MR. CHAIR MANY THANKS FOR PROVIDING THE CHANCE TO EXISTING THIS ON THE BOARD I DO NOT TEND TO BRING TO A VOTE I WILL WITHDRAW I WOULD LOVE TO HAVE A DISCUSSION TODAY TO SHOW ALTERNATIVES ARE AVAILABLE AND HAVE BEEN SERVICED. THIS IS A PROPOSITION TO BUILD UPON THE FEDERAL PROGRESSED COSTS TAX OBLIGATION CREDIT SCORES UNDER THE AMERICAN RESCUE PLAN WHICH WERE SO EFFECTIVE NATIONWIDE IN CONTROLLING MEDICAL CARE COSTS FOR AMERICANS BRINGING DOWN IN THE FEDERAL SITUATION THE AMOUNT ND INDIVIDUAL WOULD PAY FOR THEIR PREMIUMS 28.5% OF THEIR REVENUE THIS WOULD BRING IT DOWN EVEN FURTHER TO STATEWIDE LEVEL OF 5% OF REVENUE FOR EVERY PERSON IN BETWEEN 200% AS WELL AS 800% OF THE FEDERAL HARDSHIP LEVEL MAKING PREMIUMS IN MINNESOTA THROUGH DANCING COSTS TAX OBLIGATION CREDIT SCORES FAR MORE AFFORDABLE FOR MINNESOTANS THE MONEY WERE CURRENTLY SENDING OUT TO BLUE CROSS AS WELL AS BLUE SHIELD AND ALSO OTHER PREPARES WOULD GO TO TAXPAYING MINNESOTANS IN THE KINDS OF A TAX OBLIGATION CREDIT REPORT THIS IS THE PERIOD FOR TAX OBLIGATION CREDIT REPORTS OFFER WE HAVE A $9 BILLION $9 BILLION SURPLUS THE SECONDLY PART OF THE MODIFICATION ALSO FUNCTIONS TO CONTROL CO-PAYS AS WELL AS DEDUCTIBLES SOMETHING THAT'' S NOT ADDRESSED BY THE REINSURANCE PROGRAM IT IN FACT ACQUIRES EVERY MINNESOTANS STRATEGY IN THE PRIVATE MARKET UP TO A HIGHER ACTUARIAL WORTH SO THEY'' RE EVEN MORE ABLE TO READILY GAIN ACCESS TO HEALTH CARE.

WE DID OBTAIN A REVENUE KEEP IN MIND ON THIS PROPOSITION LEGISLATORS AND ALSO PRICES $220 MILLION $220 MILLION IN FISCAL YEAR 24 $24 234 MILLION IN 25 SO IT'' S 25 SO IT ' S COMPARABLE WITH WHAT THE PROPOSAL PRIOR TO United States COSTS BUT IN MY VIEWPOINT BETTER AND ALSO EVEN MORE REPUTABLE USE STATE FUNDS AND I'' M OPEN TO RESPONSE FROM THE BOARD BEFORE I TAKE OUT THE CHANGE. THANK YOU, SEN. DRAHEIM. THANK YOU SEN. KLEIN FOR BRINGING THIS AHEAD. EXISTS ANY OTHER STATES THAT USE THIS KIND OF MODEL. SEN. KLEIN. THEIR ESTATES THAT ARE TAKEN A LOOK AT COST-SHARING REDUCTIONS PARTICULARLY I WISH TO SAY OREGON SO THEY DID THE 2ND PART OF WHAT I'' VE DONE RIGHT HERE BUT THEY DID NOT DO THE STATE-BASED ADVANCED PREMIUM TAX OBLIGATION CREDIT SCORE THAT WOULD BE UNIQUE TO US.

SEN. DRAHEIM. ANY OTHER QUESTIONS FOR SEN. KLEIN SEN. DAHMS ANY COMMENTS. THIS WOULD AVOID FROM REINSURANCE AND MOST LIKELY TO A TAX OBLIGATION SUBSIDY AFTER THAT CMS HAS APPROXIMATED IF SOMETHING SUCH AS THIS WAS DONE WE WOULD LOSE REGARDING 10,000 INDIVIDUALS ABOUT 10,000 PEOPLE IN THE INDIVIDUAL MARKET THAT WOULD NOT SEEK INSURANCE POLICY. I ASSUME THERE'' S A GREAT DEAL OF EXCELLENT IDEAS FOR MANY YEARS THERE ' S BEEN A GREAT DEAL OF EXCELLENT IDEAS AND ALSO A WHOLE LOT OF DISCUSSED AS WELL AS RESEARCHED BUT AT THE END OF THE DAY THE IMPORTANT THINGS THAT STILL FUNCTIONS BEST CONSIDERING THIS WAS BROUGHT ON BY THE OBAMA AFFORDABLE TREATMENT ACT AND MAY HAVE NOT MADE LOTS OF CHANGES TO ASSIST THE INDIVIDUAL MARKET THAT THIS PROBABLY THE FINEST METHOD TO PERFORM IT.

IS NOT GOING TO BE A BALLOT ON I WILL CERTAINLY SAY NO EVEN MORE. SEN. BENSON. THANK YOU MR. CHAIR AS WELL AS SEN. KLEIN. I'' M GLAD TO HAVE A NEW CONCEPT BROUGHT TO THE TABLE SEN. DAHMS ADDRESSED ONE OF MY AMONG MY CONCERNS WHAT HAPPENS TO UPTAKE OUT THERE THE BIGGER THE SWIMMING POOL IS THE MORE WE SPREAD THE COST AND ALSO THE OTHER SPACE I'' D LIKE TO SEE RESOLVED WITH REINSURANCE AS IT IS IT LEAVES THE INSURANCE FIRMS ON HOLD FOR CONTROLLING THE FRONT AND ALSO BACK AND WE ONLY PICK UP THE CENTERS AND ALSO THOSE REMARKABLE SITUATIONS SO I'' D LIKE TO SEE WHAT IT DOES FOR PRICE NOT SIMPLY FOR THE PREMIUM BUT COST IN THE SYSTEM. I THINK THOSE ARE THINGS THAT NEED TO BE VETTED AS YOU REMAIN TO APPEARANCE AT THIS AND AS WE COMPARE THIS STRATEGY THAT POSSIBLY IT LAMENTED IN OTHER STATES WITH MINNESOTA WE HAVE TO REMEMBER MINNESOTA TREATMENT PRESSES PART OF OUR PERSON MARKET OUT SO WE DON'' T GET AS MUCH UPTAKE AS A NON-PHP STATE MIGHT THANKS FOR THE MODIFICATION.

SEN. WIKLUND. THANKS MR. CHAIR I INTENDED TO COMMENT I'' M SUPPORTIVE OF THE AMENDMENT AS WELL AS THE CONVERSATION ABOUT OTHER MECHANISMS WE MAY USE THAT WOULD OBTAIN MORE OF THE TAXPAYER FUNDED PORTIONS TO MINNESOTANS TO BE ABLE TO PUT ON THEIR MEDICAL INSURANCE COSTS AS WELL AS TO TRY TO FIND WAYS TO CONTROL COSTS SO OVER ALL MINNESOTANS PASSING A GREATER IMPACT THAN THEY ARE WITH REINSURANCE THANKS. THANKS, SEN. KLEIN HOPEFUL WE OFFERED YOU SOME EXCELLENT COMMENTS AS WELL AS BACK TO. I VALUE THE KNOWLEDGE OF THE BOARD I VALUE THE REAL RESPONSES FROM LEGISLATORS AND ALSO WITH THAT I WITHDRAW THE AMENDMENT. THANKS SEN. KLEIN. MEMBERS WE ARE BACK TO CONVERSATION ON SENATE FILE 3472 3,472 ANY FURTHER CONVERSATION FOR THE AUTHOR. SEN. DRAHEIM.

I DESIRE TO GIVE THANKS TO THE WRITER FOR BRINGING THIS BILL ONWARD AND WOULD REQUEST ROLLCALL. ANYTHING FURTHER? OTHERWISE SEN. ABELER. I DISLIKE TO WASTE ALL THIS GOOD TIME TO TALK ABOUT IT BUT I ASSUME THIS PROGRAM HAS ACTUALLY PERFORMED BETTER THAN EXPECTED AND ALSO I ASSUME NOT AN ACCURATE PEOPLE SAY YOU NEED TO BE ACTUARY DUE TO THE FACT THAT I WAS EXCELLENT AT MATH BUT I NEVER REALLY AIMED TO THAT I ASSUME THE EXISTENCE OF THIS IS HELPED ACTUARIES THAT ARE BY THEIR NATURE VERY CONVENTIONAL IN THEIR ESTIMATIONS TO FEELING A LITTLE EVEN MORE RELAXED AND ALSO I DON'' T HAVE ANY DOCUMENTS FOR IT BUT IT SEEMS AS I DID SOME MATH BEFORE THAT WE GOT LITTLE MORE VALUE OUT OF IT AS WELL AS WE PUT INTO IT SO I BELIEVE THERE HOLDS TRUE VALUE TO THIS BEYOND THE FACE VALUE AND UNWINDING THE ISSUES THE ACTUARIES MAY NEED TO OVERRATE An INCREASE RATES SIMPLY TO ENSURE THEY CANISTER COVER THEIR LOSSES BACK IN THE DAY LIKE SEN.

KLEIN I HAVE SOME OTHER IDEAS THAT MAY FUNCTION A LITTLE BETTER AND ABOUT ALASKA AND OTHER VERSIONS BUT FOR NOW WE HAVE THIS AND ALSO IF WE DON'' T KEEP THIS MARKET STABLE A WHOLE LOT OF BAD MATTERS ARE GOING TO OCCUR IN THE LAST POINT WE DEMAND GIVEN THE WHOLE UKRAINE POINT IN THE FICTIONAL $9 BILLION SPENDING PLAN EXCESS AS OIL DISCUSSES $100 $100 EVERYTHING TO UPSET THE INSURANCE INDUSTRY FOR PEOPLE AS WELL AS SMALL BUSINESSES AND FARMERS AND FAMILY MEMBERS THAT ARE RELYING ON THIS. WE CANISTER DISCUSS ALTERNATIVES I THINK THAT WOULD BE FINE HOWEVER, FOR NOW I'' M WITH SEN.

DAHMS THIS NEEDS TO MOVE FORWARD HOPEFULLY WE CANISTER MANAGE THIS MATTER ABOUT THE INDIVIDUALS WHO ARE ACQUIRING THE INSURANCE POLICIES AND EATING THEMSELVES WITH REINSURANCE WHICH IS A NEGATIVE CONCEPT. THANKS MR. CHAIR I VALUE THE CONVERSATION. SEN. WIKLUND. THANKS MR.CHAIR I DESIRED TO MAKE A COUPLE OF VARIOUS OTHER REMARKS REGARDING THE EXPENSE. I WILL CERTAINLY NOT BE ABLE TO ASSISTANCE THE EXPENSE I'' M GOING OUT OF THE BOARD TODAY IT HAS A VERY LARGE PRICE WE SEE EVEN MORE THAN $1 $1 BILLION OVER 5 YEARS FIVE YEARS THAT'' S IN THE FISCAL NOTE AS WELL AS I RECOGNIZE SEN. DAHMS HAS EXPLAINED IN THE FINANCING COMMITTEE THAT EVEN MORE FUNCTION IS GOING TO BE DONE HOW THE EXPENSE WILL BE ADDRESSED AS WELL AS IN WHICH THE FUNDING COMES FROM IT WILL CERTAINLY BE GENERAL FUND CASH OR OTHER MECHANISMS BUT I HAVE SOME SERIOUS CONCERNS ABOUT HOW WE ARE SPENDING SUCH A LARGE AMOUNT OF MONEY TAXPAYER CASH AND WHAT WE ARE GETTING FOR IT I ASSUME I WISH SEN.

UTKE CHAIR HEARING SEVERAL OF THE EXPENSES THAT MIGHT ADDRESS HEALTH CARE COSTS FOR MINNESOTANS I LISTEN TO THAT PEOPLE PURCHASING INTENDS ON THE SPECIFIC MARKET WHILE THEY ARE PROFITING FROM COSTS THAT ARE LOWER THAN THEY WOULD'' VE BEEN WITHOUT REINSURANCE THEY STILL ARE ENCOUNTERING HEALTHCARE COSTS OF PREMIUMS AND ALSO OUT-OF-POCKET COSTS THAT ARE NOT AFFORDABLE AND ALSO I WOULD HOPE IN THIS BOARD WE'' RE ALSO ABLE TO LISTEN TO THOSE THAT WILL CERTAINLY ATTEND TO CONSUMER HEALTHCARE PRICES SINCE THEY'' RE SIMPLY EXPENSIVE. THERE HAVE BEEN LOTS OF BILLS INTRODUCED AND ALSO EXAMPLES BILL I PRESENTED THAT WOULD EXTEND OPPORTUNITIES FOR PEOPLE TO PURCHASE THE MINNESOTA CARE PLAN THERE IS A COSTS THAT SEN. MURPHY IS INTRODUCED THAT RESTRICTIONS COST-SHARING FOR PRESCRIPTION MEDICINES AS WELL AS PRODUCTS THAT PEOPLE WITH INSULIN WOULD DEFINITELY GAIN FROM OUR FACTOR TO CONSIDER OF THIS PROPOSAL. THERE'' S ALSO A CONVERSATION CONCERNING LONG-TERM WHAT KIND OF HEALTH INSURANCE PLAN NEED TO WE BE EXPLORING IN MINNESOTA THAT ASSISTS ALL MINNESOTANS BE ABLE TO AFFORD ACCESS TO HEALTHCARE WHICH OUGHT TO BE OUR GOAL.

I BELIEVE THE STRUCTURE OF THIS CURRENT REINSURANCE STRATEGY ISN'' T CREATED TO ASSIST US UNDERSTAND HOW WE ARE IMPROVING THE OUTCOMES AS WELL AS I BELIEVE THAT'' S A SHORTAGE OF IT AS WELL WE REALLY NEED TO DO EVEN MORE FUNCTION TO UNDERSTAND HOW TO LOWER MEDICAL CARE COSTS AND HOW TO IMPROVE HEALTH AND WELLNESS RESULTS. I PUT ON'' T SEE THIS EXPENSE AT THIS TIME GOING AHEAD IN SUCH A WAY THAT DOES THAT IN An EFFECTIVE MEANS SO I WILL BE VOTING NO TODAY THANK YOU. THANK YOU SEEING NO FURTHER REMARKS SEN. DAHMS CLOSING COMMENTS ON YOUR COSTS. THANK YOU MR. CHAIR AND ALSO MEMBERS WE APPRECIATE YOU PUTTING IN THE TIME AND ALSO THE DISCUSSION WE HAVE HAD ON THE BILL AND ALSO ON SOME OF THE MODIFICATIONS. WHEN WE OBTAIN INTO THE MONEY COMMITTEE WE WILL HAVE AN MODIFICATION THAT WILL CLEAN THE COSTS UP SO MANY THANKS EXTREMELY MUCH FOR YOUR TIME WILL CERTAINLY LEAVE IT AT THAT. THANKS SEN. DAHMS I WILL RENEW MY MOVEMENT FOR SENATE FILE 3,472 TO PASS AND ALSO BE SENT TO THE FINANCING BOARD. ROLLCALL WAS REQUESTED MR. MARTIN'' S IF YOU ' LL TAKE ROLL, PLEASE. SEN. UTKE YES, SEN. DRAHEIM YES, SEN.

WIKLUND NO, SEN. ABELER YES, SEN. BENSON YES, SEN. EATON NO, SEN. KLEIN YES, SEN. KORAN YES, SEN. NELSON YES. THERE BEING 7 IN SUPPORT AS WELL AS TWO VERSUS THE EXPENSE DOES PASS. THANKS EVERYONE THANKS SEN. DAHMS. PARTICIPANTS THAT IS ALL WE HAD BEFORE United States TODAY. MONDAY WE WILL BE TAKING UP THE TOPIC AN INFORMATIONAL HEARING IT WILL CERTAINLY BE CONCERNING WHAT BEGGING I'' M CERTAIN YOU ' VE HAD NUMEROUS CONVERSATIONS WITH INDIVIDUALS ABOUT THAT MONDAY SHOULD BE AN INTERESTING DAY WE WILL WITH ANY LUCK LEARN EVEN MORE AS WELL AS BE ABLE TO ASK QUESTIONS AND LEAVE A LITTLE WISER THAN WE

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