Legislative Session number- 85

Bill Name: SF2324

1E Relating to health

ARTICLE 1 - GENERAL PROVISIONS

"Minnesota Health Act";
establishing the Minnesota health plan to provide residents all medically
necessary health care services; specifying health plan requirements; defining
certain terms; providing for ethics and conflict of interest; requiring certain
data sharing

ARTICLE 2 - ELIGIBILITY

Providing for eligibility to all state
residents; requiring the Minnesota health board to establish a procedure to
enroll residents and provide enrollees with appropriate identification, allowing
health care coverage for residents temporarily residing out of state, visitors,
nonresident persons working in the state and retiree benefits; providing for
presumptive eligibility

ARTICLE 3 - BENEFITS

Authorizing eligible persons to
receive services under the Minnesota health plan from any licensed participating
providers; prohibiting provider patient care refusal based on unfair employment
practice; specifying minimum covered medical benefits; allowing the board to
expand minimum benefits, specifying certain exclusions; prohibiting payment for
prescription drugs from pharmaceutical companies directly marketing to
consumers; prohibiting deductibles, co-payments, co-insurance and other cost
sharing; requiring primary care provider use for patient care
coordination

ARTICLE 4 - FUNDING

Requiring the board to establish a Minnesota
health fund to implement the Minnesota health plan and to receive premiums and
other sources of revenue; providing for fund accounts, budgets, program
administration and training; providing for revenue sources, specifying premium
requirements and requiring the board to submit a report to the governor and
legislature by a certain date on premium structure; permitting donations,
requiring federal waivers and federal preemption, providing for subrogation,
plan reimbursement and defaults

ARTICLE 5 - PAYMENTS

Allowing plan
participation to all licensed health care providers; requiring noninstitutional
providers uniform fee schedule establishment; providing for payments to
institutional providers; requiring the board to develop a capital investment
plan

ARTICLE 6 - GOVERNANCE

Providing certain conforming statutory changes;
establishing a Minnesota health plan executive officer and the Minnesota health
board, prescribing board composition, terms, compensation and duties; defining
metropolitan health planning region; prescribing regional health planning board
composition and duties; requiring the Minnesota health board to establish an
office of health quality and planning and prescribing duties, assessment and
benefits evaluation; creating the ombudsman office for patient advocacy,
prescribing duties; requiring the ombudsman to establish a grievance system;
requiring the attorney general to appoint an inspector general, prescribing
duties; requiring the legislative auditor to examine the books and operating
polices of the board

ARTICLE 7 - IMPLEMENTATION

Appropriating money to the
Minnesota health fund under the Minnesota health plan for implementation;
repealing the provider tax, MinnesotaCare (MNCare) and portions of medical
assistance (MA) and general assistance medical (GAMC)
(rt)