(Part 1)
Tim Walz on healthcare: 8 things to know
Published 1 hour ago
Minnesota Gov. Tim Walz is set to join Kamala Harris on the ballot for the 2024 presidential election, Reuters and The Associated Press reported Aug. 6. Here's what we know about the Democratic vice presidential contender's actions and views on healthcare.
Reuters and AP attributed the news to their sources familiar with the matter.
Mr. Walz, 60, has led Minnesota as a two-term governor, taking office in 2019. He was a member of the U.S. House of Representatives, representing Minnesota's 1st congressional district, from 2007 to 2019. The state is home to some healthcare heavyweights, including Mayo Clinic based in Rochester, UnitedHealth Group based in Minnetonka and Medtronic in Minneapolis.
-
Healthcare as a right. Mr. Walz believes healthcare is a human right, a belief he described as a "Minnesotan value" in his 2019 inaugural address as governor. "What Minnesotans want from their health care is simple. They don't want to get sick in the first place. But if they do, they want care at a price they can afford and at a location close to home," he said at the time, noting the need for improvements to healthcare delivery, affordability and outcomes.
-
Health insurance coverage MNsure, Minnesota's official health insurance marketplace established in 2013, saw a record number of enrollments in 2024 with 146,445 people successfully signed up. The same year, the percentage of Minnesotans without health insurance fell to 3.8% compared to the national uninsured rate of 7.7%.
During his 2018 gubernatorial campaign, Mr. Walz supported the introduction of a public option in Minnesota. The plan, designed to complement MinnesotaCare for residents earning above 200% of the federal poverty level, has progressed slowly. MinnesotaCare provides coverage for low-income Minnesotans who lack affordable healthcare options, while Medical Assistance (MA) is the state's Medicaid program for individuals with very low income. Unlike MA, which has no monthly premium, MinnesotaCare may require a premium based on the household size and income of the enrollees.
In 2023, legislation was passed mandating a study and actuarial analysis of a public option, with findings due in early 2024. Based on these findings, the earliest start date for the public option would be 2027. The Minnesota Department of Commerce released the report earlier this year outlining two approaches to the public option, with estimates that the expansion could cost the state up to $364 million annually and increase enrollment by up to 151,000 people.
The Minnesota Hospital Association has opposed the concept of a public option to augment MinnesotaCare, testifying that "allowing a public option without some type of upper income threshold and recognition of the imbalance of reimbursement between public and private insurance was ill advised."
-
Health insurer restrictions. UnitedHealthcare was "deeply disappointed" in May 2024 when Minnesota lawmakers and Mr. Walz renewed restrictions preventing for-profit HMOs from securing managed care contracts in the state's Medicaid program. Minnesota had traditionally reserved its Medicaid program for nonprofit health plans until lifting the ban on for-profits in 2017. UnitedHealthcare, the nation's largest health insurer and the only for-profit HMO in Minnesota Medicaid, responded by filing a lawsuit on Aug. 5, challenging the new restriction set to take effect in 2025.
-
Healthcare funding challenges and dynamics. In the final days of Minnesota's 2023 legislative session, a healthcare fight and compromise emerged related to a bill on nurse-to-patient staffing ratios.
Initially introduced in February, Minnesota's Keeping Nurses at the Bedside Act faced strong opposition from the Minnesota Hospital Association, which claimed it would reduce hospital care capacity by 15% and threaten regular care access for 70,000 patients. The bill lost momentum after Mayo Clinic, warning it would reconsider billions in future Minnesota investments, secured an exemption.
Last-minute compromises on provisions in the bill made by lawmakers with influence from Mr. Walz left the legislation so fundamentally changed that its title was adjusted from the Keeping Nurses at the Bedside Act to the Nurse and Patient Safety Act. The revised act focuses on workplace violence protections and benefits for nurses. Minnesota Nurses Association President Mary Turner criticized Mr. Walz for yielding to corporate pressure and "allowing corporate executives to dictate our public policy behind closed doors."