Affordable Care Act has unique proving ground in Minnesota

ST. PAUL, Minn. — No state is set to embrace the Affordable Care Act as thoroughly as Minnesota, the only one that will implement the “big three” components of health insurance expansion.

That means Minnesota will expand the Medicaid program, develop an online insurance marketplace and offer a basic health program.

It’s the third component that really sets the state apart. Only Minnesota has committed to offering a basic health program, a safety net for people who have too much income to qualify for Medicaid, but not enough to afford private insurance. By enacting that third element of the act, Minnesota will take implementation of the federal health care overhaul further than any other state.

Advocates of Minnesota’s approach say moving forward on three of the health law’s biggest initiatives means far more Minnesotans will have access to affordable coverage. But it also means Minnesota will be a unique testing ground for the various moving parts of the ambitious and complex new system.

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