SF 3417

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 03/23/2018 02:37pm

A bill for an act
relating to health; establishing the Minnesota Health Policy Commission;
appropriating money; proposing coding for new law in Minnesota Statutes, chapter
62J.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

new text begin [62J.90] MINNESOTA HEALTH POLICY COMMISSION.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin For purposes of this section, "commission" means the
Minnesota Health Policy Commission.
new text end

new text begin Subd. 2. new text end

new text begin Commission membership. new text end

new text begin (a) The commission shall consist of 11 voting
members, appointed by the Legislative Coordinating Commission as provided in subdivision
9, as follows:
new text end

new text begin (1) one member with demonstrated expertise in health care finance;
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new text begin (2) one member with demonstrated expertise in health economics;
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new text begin (3) one member with demonstrated expertise in actuarial science;
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new text begin (4) one member with demonstrated expertise in health plan management and finance;
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new text begin (5) one member with demonstrated expertise in health care system management;
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new text begin (6) one member with demonstrated expertise as a purchaser, or a representative of a
purchaser, of employer-sponsored health care services or employer-sponsored health
insurance;
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new text begin (7) one member with demonstrated expertise in the development and utilization of
innovative medical technologies;
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new text begin (8) one member with demonstrated expertise as a health care consumer advocate;
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new text begin (9) one member who is a primary care physician;
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new text begin (10) one member who provides long-term care services through medical assistance; and
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new text begin (11) one member with direct experience as an enrollee, or parent or caregiver of an
enrollee, in MinnesotaCare or medical assistance.
new text end

new text begin (b) The commission shall have four nonvoting ex-officio legislative liaison members as
follows:
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new text begin (1) two members of the senate, including one member appointed by the majority leader
and one member from the minority party appointed by the minority leader; and
new text end

new text begin (2) two members of the house of representatives, including one member appointed by
the speaker of the house of representatives and one member from the minority party appointed
by the minority leader.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin The commission shall:
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new text begin (1) compare Minnesota's commercial health care costs and public health care program
spending to that of the other states;
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new text begin (2) compare Minnesota's commercial health care costs and public health care program
spending in any given year to its costs and spending in previous years;
new text end

new text begin (3) identify factors that influence and contribute to Minnesota's ranking for commercial
health care costs and public health care program spending, including the year over year and
trend line change in total costs and spending in the state;
new text end

new text begin (4) continually monitor efforts to reform the health care delivery and payment system
in Minnesota to understand emerging trends in the commercial health insurance market,
including large self-insured employers, and the state's public health care programs in order
to identify opportunities for state action to achieve:
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new text begin (i) improved patient experience of care, including quality and satisfaction;
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new text begin (ii) improved health of all populations; and
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new text begin (iii) reduced per capita cost of health care; and
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new text begin (5) make recommendations for legislative policy, market, or any other reforms to:
new text end

new text begin (i) lower the rate of growth in commercial health care costs and public health care
program spending in the state;
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new text begin (ii) positively impact the state's ranking in the areas listed in this subdivision;
new text end

new text begin (iii) improve the quality and value of care for all Minnesotans; and
new text end

new text begin (iv) conduct any additional reviews requested by the legislature.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin The commission shall submit a report listing recommendations for
changes in health care policy and financing by June 15 each year to the chairs and ranking
minority members of the legislative committees with primary jurisdiction over health care.
In making recommendations to the legislative committees, the commission shall consider
how the recommendations might positively impact the cost-shifting interplay between public
payer reimbursement rates and health insurance premiums. The commission shall also
consider how public health care programs, where appropriate, may be utilized as a means
to help prepare enrollees for an eventual transition to private sector coverage. The report
shall include any draft legislation to implement the commission's recommendations.
new text end

new text begin Subd. 5. new text end

new text begin Staff. new text end

new text begin The commission shall hire a director who may employ or contract for
professional and technical assistance as the commission determines necessary to perform
its duties. The commission may also contract with private entities with expertise in health
economics, health finance, and actuarial science to secure additional information, data,
research, or modeling that may be necessary for the commission to carry out its duties.
new text end

new text begin Subd. 6. new text end

new text begin Access to information. new text end

new text begin The commission may secure directly from a state
department or agency information and data that is necessary for the commission to carry
out its duties. All private data on individuals, health insurance companies, and
employer-sponsored health insurance plans collected by the commission may not be disclosed
to any person or agency unless it is de-identified. For purposes of this section, "de-identified"
means the process used to prevent the identity of a person or business from being connected
with information and ensuring all identifiable information has been removed.
new text end

new text begin Subd. 7. new text end

new text begin Terms; vacancies; compensation. new text end

new text begin (a) Public members of the commission shall
serve four-year terms. The public members may not serve for more than two consecutive
terms.
new text end

new text begin (b) The legislative liaison members shall serve on the commission as long as the member
or the appointing authority holds office.
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new text begin (c) The removal of members and filling of vacancies on the commission are as provided
in section 15.059.
new text end

new text begin (d) Public members may receive compensation and expenses as provided in section
15.059, subdivision 3.
new text end

new text begin Subd. 8. new text end

new text begin Chairs; officers. new text end

new text begin The commission shall elect a chair annually. The commission
may elect other officers necessary for the performance of its duties.
new text end

new text begin Subd. 9. new text end

new text begin Selection of members; advisory council. new text end

new text begin The Legislative Coordinating
Commission shall take applications from members of the public who are qualified and
interested to serve in one of the listed positions. The applications must be reviewed by a
health policy commission advisory council comprised of four members as follows: the state
economist, legislative auditor, state demographer, and the president of the Federal Reserve
Bank of Minneapolis or a designee of the president. The advisory council shall recommend
two applicants for each of the specified positions by September 30 in the calendar year
preceding the end of the members' terms. The Legislative Coordinating Commission shall
appoint one of the two recommended applicants to the commission.
new text end

new text begin Subd. 10. new text end

new text begin Meetings. new text end

new text begin The commission shall meet at least four times each year.
Commission meetings are subject to chapter 13D except when the meetings pertain to
matters relating to data that must be de-identified.
new text end

new text begin Subd. 11. new text end

new text begin Conflict of interest. new text end

new text begin A member of the commission may not participate in or
vote on a decision of the commission relating to an organization in which the member has
either a direct or indirect financial interest.
new text end

new text begin Subd. 12. new text end

new text begin Expiration. new text end

new text begin The commission shall expire on June 15, 2034.
new text end

Sec. 2. new text begin FIRST APPOINTMENTS; FIRST MEETING.
new text end

new text begin The Health Policy Commission Advisory Council shall make its recommendations under
Minnesota Statutes, section 62J.90, subdivision 9, for candidates to serve on the Minnesota
Health Policy Commission, to the Legislative Coordinating Commission by September 30,
2018. The Legislative Coordinating Commission shall make the first appointments of public
members to the Minnesota Health Policy Commission, under Minnesota Statutes, section
62J.90, by January 15, 2019. The Legislative Coordinating Commission shall designate five
members to serve terms that are coterminous with the governor and six members to serve
terms that end on the first Monday in January one year after the terms of the other members
conclude. The director of the Legislative Coordinating Commission shall convene the first
meeting of the Minnesota Health Policy Commission by June 15, 2019, and shall act as the
chair until the commission elects a chair at its first meeting.
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Sec. 3. new text begin APPROPRIATION.
new text end

new text begin $....... in fiscal year 2019 is appropriated from the general fund to the Minnesota Health
Policy Commission for the purposes of section 1.
new text end