The last time legislators convened in St. Paul, the state's groundbreaking health insurance program for the working poor, MinnesotaCare, had stable and adequate funding.
But all that changed last fall, after the Trump administration made two unexpected decisions that will cut the program's federal funding by 30 percent — more than $800 million — over the next four years. Because federal funds pay for about 90 percent of MinnesotaCare, its long-term future is now an open question.
Addressing that problem could emerge as a question in the upcoming legislative session, and Gov. Mark Dayton, meanwhile, is expected soon to announce his own plan to revamp the program for the future.
"I think there are ways to generate revenue to support MinnesotaCare," said Rep. Jennifer Schultz, DFL-Duluth. "It covers a very small percentage of our population, and these are folks that really cannot afford health care on their own."
The program covers people like Mike Orbeck, a dairy farmer in Stearns County. Orbeck, 57, signed up for MinnesotaCare in 2016, after private insurance coverage became unaffordable.
"It is the best health insurance I've had since 1979, when I started buying my own," Orbeck said.
Orbeck pays $71 a month in MinnesotaCare premiums, with very small co-payments for clinic visits and no deductible. By comparison, the last private plan he had cost $560 a month with an annual deductible of $6,800. "If I had gotten sick, I wouldn't have had anything left," Orbeck said.
The coverage from MinnesotaCare has helped him stay in the dairy business.