The most distinctive feature of Minnesota's health insurance market was scrapped with the signing of a law that will allow for-profit and out-of-state health insurers to obtain HMO licenses for the first time in more than 40 years. National for-profit carriers should gain market share as a result, and they can now join the competition for state program contracts. Minnesota's state-run health insurance exchange, MNsure, is stabilizing after carrier exits and dramatic rate increases. Future individual rate increases on and off the exchange will be moderated by a new state reinsurance program. Market share and costs in the Medicare Advantage sector are stable.