Policy positions

Health Care Coverage

Key Issues

Provider Tax

Repeal the Provider Tax sunset to keep our patients insured and to ensure adequate reserves in the Health Care Access Fund.

Key points:

  • The Provider Tax, a 2% tax on services provided by doctors and other clinicians, is set to end in 2020.
  • The Provider Tax funds the Health Care Access Fund. The Health Care Access Fund primarily helps lower-income Minnesotans pay for health insurance.
  • If the Provider Tax expires, funding will run out and our patients will lose their health insurance.
  • Although the Provider Tax is not an ideal financing mechanism, there is currently no viable alternative to replace revenue if the Provider Tax expires.
  • Revenue from the Provider Tax will provide Minnesota with flexibility if there are major changes to health care at the federal level.
  • The Health Care Access Fund should only be used for health-related initiatives.
  • The “Provider Tax” should exclude small primary care practices (Less than three providers) in underserved areas in Minnesota.

MinnesotaCare Buy-in

Allow Minnesotans to buy-in or purchase MinnesotaCare on MNsure

Key points:

  • MinnesotaCare is a home-grown insurance plan for lower-income Minnesotans.
  • MinnesotaCare is less expensive than private insurance plans on Minnesota’s health insurance exchange, MNsure.
  • MinnesotaCare should be an option for any Minnesotan who purchases their health insurance through MNsure.
  • Allowing Minnesotans to purchase MinnesotaCare would increase health insurance options, particularly for individuals and families in rural Minnesota.

Medicaid care coordination 


Allow Medicaid to pay for care coordination for justice-involved individuals who are pretrial. 

Key points: 

  • Justice-involved individuals have high levels of emergency department use and recidivism. 
  • These expensive utilization patterns are often driven by mental illness and substance use disorders.
  • Providing care coordination through Medicaid can help individuals get treatment. 
  • Treatment can reduce costly emergency department visits and reduce the risk of going back to jail. 
  • Care coordination could save county and state governments hundreds of thousands of dollars.  









Don't give insurance companies $542 million of taxpayer money with no strings attached. 

Key points:

  • Premiums in Minnesota's health insurance marketplace, MNsure, are rising. 
  • The legislature sent a $542 million per year reinsurance bill to the Governor's desk in an attempt to reduce premiums. 
  • This money would go directly to insurance companies with no guarantee that premiums would be lower. 
  • It would also raid the states Health Care Access Fund. 
  • There are more efficient ways to lower premiums and improve access for individuals who purchase insurance on MNsure. They include:
    • Allow individuals to purchase MinnesotaCare
    • Continue one more year of straight to consumer subsidies
    • Fund the reinsurance program with a tax on insurance companies