HF 1122

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 03/30/2016 12:37pm

A bill for an act
relating to human services; establishing an intensive pediatric care category
for home care nursing services; increasing payment rate for home care nursing
services; requiring additional revenue be spent on patient-specific training;
amending Minnesota Statutes 2014, section 256B.0654, subdivision 1, by adding
a subdivision.

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

Section 1.

Minnesota Statutes 2014, section 256B.0654, subdivision 1, is amended to
read:

Subdivision 1.

Definitions.

(a) "Complex home care nursing" means home care
nursing services provided to recipients who meet the criteria for regular home care nursing
and require life-sustaining interventions to reduce the risk of long-term injury or death.

(b) "Home care nursing" means ongoing physician-ordered hourly nursing services
performed by a registered nurse or licensed practical nurse within the scope of practice as
defined by the Minnesota Nurse Practice Act under sections 148.171 to 148.285, in order
to maintain or restore a person's health.

(c) "Home care nursing agency" means a medical assistance enrolled provider
licensed under chapter 144A to provide home care nursing services.

(d) new text begin "Intensive pediatric home care nursing" means home care nursing services
provided to pediatric recipients who meet the criteria for the provision of complex home
care nursing, for whom recurrent or complex life-saving interventions are necessary to
avoid permanent harm or death, and who would require an intensive care unit (ICU)
level of care if admitted to the hospital.
new text end

new text begin (e) new text end "Regular home care nursing" means home care nursing provided because:

(1) the recipient requires more individual and continuous care than can be provided
during a skilled nurse visit; or

(2) the cares are outside of the scope of services that can be provided by a home
health aide or personal care assistant.

deleted text begin (e) deleted text end new text begin (f) new text end "Shared home care nursing" means the provision of home care nursing
services by a home care nurse to two recipients at the same time and in the same setting.

Sec. 2.

Minnesota Statutes 2014, section 256B.0654, is amended by adding a
subdivision to read:

new text begin Subd. 5. new text end

new text begin Home care nursing services rate adjustments. new text end

new text begin (a) Effective for services
provided after June 30, 2015, payments for intensive pediatric home care nursing services
shall be set at a level 25 percent higher than the payment rate for complex home care nursing
services in effect on July 1, 2015. This increase does not apply to federally qualified health
centers, rural health centers, and Indian health services. The commissioner shall adjust
payment rates to managed care and county-based purchasing plans to reflect this increase,
and shall require plans to pass on the full amount of the rate increase to eligible home care
nursing agencies, in the form of higher payments for home care nursing services.
new text end

new text begin (b) Home care nursing agencies that receive a rate increase under this subdivision
must use 25 percent of the additional revenue to pay for patient-specific intensive pediatric
home care training of nursing staff and 50 percent of the additional revenue to increase
pay and benefits for intensive pediatric home care nurses.
new text end