HF 766

1st Engrossment - 88th Legislature (2013 - 2014) Posted on 03/18/2013 04:44pm

A bill for an act
relating to human services; modifying pilot programs for health care delivery
networks; amending Minnesota Statutes 2012, section 256B.0756.

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

Section 1.

Minnesota Statutes 2012, section 256B.0756, is amended to read:

256B.0756 HENNEPIN AND RAMSEY COUNTIES PILOT PROGRAM.

(a) The commissioner, upon federal approval of a new waiver request or amendment
of an existing demonstration, may establish a pilot program in Hennepin County or Ramsey
County, or both, to test alternative and innovative integrated health care delivery networks.

(b) Individuals eligible for the pilot program shall be individuals who are eligible for
medical assistance under section 256B.055 deleted text begin , subdivision 15, deleted text end and who reside in Hennepin
County or Ramsey County. new text begin The commissioner may identify individuals to be enrolled in
the Hennepin County pilot program based on zip code in Hennepin County or whether the
individuals would benefit from an integrated health care delivery network.
new text end

(c) Individuals enrolled in the pilot program shall be enrolled in an integrated
health care delivery network in their county of residence. The integrated health care
delivery network in Hennepin County shall be a network, such as an accountable care
organization or a community-based collaborative care network, created by or including
Hennepin County Medical Center. The integrated health care delivery network in Ramsey
County shall be a network, such as an accountable care organization or community-based
collaborative care network, created by or including Regions Hospital.

deleted text begin (d) The commissioner shall cap pilot program enrollment at 7,000 enrollees for
Hennepin County and 3,500 enrollees for Ramsey County.
deleted text end

deleted text begin (e) deleted text end new text begin (d) new text end In developing a payment system for the pilot programs, the commissioner
shall establish a total cost of care for the recipients enrolled in the pilot programs that
equals the cost of care that would otherwise be spent for these enrollees in the prepaid
medical assistance program.

deleted text begin (f) Counties may transfer funds necessary to support the nonfederal share of
payments for integrated health care delivery networks in their county. Such transfers per
county shall not exceed 15 percent of the expected expenses for county enrollees.
deleted text end

deleted text begin (g) deleted text end new text begin (e) new text end The commissioner shall apply to the federal government for, or as appropriate,
cooperate with counties, providers, or other entities that are applying for any applicable
grant or demonstration under the Patient Protection and Affordable Health Care Act, Public
Law 111-148, or the Health Care and Education Reconciliation Act of 2010, Public Law
111-152, that would further the purposes of or assist in the creation of an integrated health
care delivery network for the purposes of this subdivision, including, but not limited to, a
global payment demonstration or the community-based collaborative care network grants.