HF 1830

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:55am

A bill for an act
relating to human services; modifying payment rates for hospitals located within
the seven-county metropolitan area; amending Minnesota Statutes 2008, section
256.969, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2008, section 256.969, is amended by adding a
subdivision to read:

new text begin Subd. 28. new text end

new text begin Metropolitan area payment adjustment after June 30, 2009. new text end

new text begin (a) For
admissions occurring after June 30, 2009, the commissioner shall pay fee-for-service
inpatient admissions for the diagnosis-related groups specified in paragraph (b) at hospitals
located within the seven-county metropolitan area at the lower of:
new text end

new text begin (1) the hospital's current payment rate for the diagnostic category to which the
diagnosis-related group belongs, exclusive of disproportionate population adjustments
received under subdivision 9 and hospital payment adjustments received under subdivision
23; or
new text end

new text begin (2) 90 percent of the average payment rate for that diagnostic category for hospitals
located within the seven-county metropolitan area, exclusive of disproportionate
population adjustments received under subdivision 9 and hospital payment adjustments
received under subdivisions 20 and 23.
new text end

new text begin (b) The payment decreases provided in paragraph (a) apply to the following
diagnosis-related groups, as they fall within the diagnostic categories:
new text end

new text begin (1) 370 cesarean section with complicating diagnosis;
new text end

new text begin (2) 371 cesarean section without complicating diagnosis;
new text end

new text begin (3) 372 vaginal delivery with complicating diagnosis;
new text end

new text begin (4) 373 vaginal delivery without complicating diagnosis;
new text end

new text begin (5) 386 extreme immaturity and respiratory distress syndrome, neonate;
new text end

new text begin (6) 388 full-term neonates with other problems;
new text end

new text begin (7) 390 prematurity without major problems;
new text end

new text begin (8) 391 normal newborn;
new text end

new text begin (9) 385 neonate, died or transferred to another acute care facility;
new text end

new text begin (10) 425 acute adjustment reaction and psychosocial dysfunction;
new text end

new text begin (11) 430 psychoses;
new text end

new text begin (12) 431 childhood mental disorders; and
new text end

new text begin (13) 164-167 appendectomy.
new text end