1.1    .................... moves to amend H. F. No. 3391, the second engrossment, as follows:
1.2Page 33, delete lines 18 to 24 and insert:
1.3    "(b) Beginning January 1, 2010, each health plan company that issues health plans in
1.4the individual or small employer market must offer through the exchange at least three
1.5health plans that meet the standard benefit set and design established by the Health Care
1.6Transformation Commission. The health plan may impose varying levels of cost sharing
1.7provided it meets the requirements of the standard benefit set and design."
1.8Page 33, line 25, delete "(d)" and insert "(c)"
1.9Page 33, delete line 28 and insert:
1.10    "(d) Individuals and families enrolled in MinnesotaCare may purchase private
1.11coverage through the exchange if they"
1.12Page 33, line 29, delete everything before "meet"
1.13Page 33, line 30, delete "who"
1.14Page 33, line 32, delete "(f)" and insert "(e)"
1.15Page 38, line 23, delete everything after the period and insert "The following
1.16employers are exempt from the Section 125 Plan requirement: (1) employers that offer
1.17a group health insurance plan as defined in section 62A.10; (2) employers that are
1.18self-insurers as defined in section 62E.02; and (3) employers with no employees who are
1.19eligible to participate in a Section 125 Plan."
1.20Page 38, delete lines 24 and 25
1.21Page 46, after line 10, insert:
1.22    "(d) Medicare spending shall not be included in the calculations required under
1.23this section."
1.24Page 46, line 13, delete "preceding" and insert "two years prior to"
1.25Page 46, line 24, delete "preceding year" and insert "calendar year two years prior
1.26to the current year"
2.1Page 46, line 33, before the period, insert "or Medicare beneficiaries, except private
2.2supplemental coverage"
2.3Page 47, after line 30, insert:
2.4"For individuals and families with the option of paying for health insurance with pre-tax
2.5income, for purposes of this section the determination of affordability shall compare the
2.6net cost of health insurance coverage including pre-tax savings to average gross monthly
2.7income."
2.8Page 52, line 9, after the second period, insert "After the sunset of the Health Care
2.9Transformation Commission, funding for ongoing costs associated with continuing duties
2.10under this chapter may be appropriated to the Health Insurance Exchange from the health
2.11savings reinvestment fund."