HF 3398

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 05/03/2018 10:51am

A bill for an act
relating to health; adding certain definitions; changing the date restriction for the
commissioner of health to use all-payer claims data to analyze health care costs,
quality, utilization, and illness burdens; amending Minnesota Statutes 2016, sections
62U.01, by adding a subdivision; 62U.04, subdivision 11, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2016, section 62U.01, is amended by adding a subdivision
to read:

new text begin Subd. 10a. new text end

new text begin Self-insurer. new text end

new text begin "Self-insurer" has the meaning given in section 62E.02,
subdivision 21.
new text end

Sec. 2.

Minnesota Statutes 2016, section 62U.04, is amended by adding a subdivision to
read:

new text begin Subd. 5a. new text end

new text begin Self-insurers. new text end

new text begin The commissioner shall not require a self-insurer governed by
the federal Employee Retirement Income Security Act of 1974 (ERISA) to comply with
this section.
new text end

Sec. 3.

Minnesota Statutes 2016, section 62U.04, subdivision 11, is amended to read:

Subd. 11.

Restricted uses of the all-payer claims data.

(a) Notwithstanding subdivision
4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or the commissioner's
designee shall only use the data submitted under subdivisions 4 and 5 for the following
purposes:

(1) to evaluate the performance of the health care home program as authorized under
sections 256B.0751, subdivision 6, and 256B.0752, subdivision 2;

(2) to study, in collaboration with the reducing avoidable readmissions effectively
(RARE) campaign, hospital readmission trends and rates;

(3) to analyze variations in health care costs, quality, utilization, and illness burden based
on geographical areas or populations;

(4) to evaluate the state innovation model (SIM) testing grant received by the Departments
of Health and Human Services, including the analysis of health care cost, quality, and
utilization baseline and trend information for targeted populations and communities; and

(5) to compile one or more public use files of summary data or tables that must:

(i) be available to the public for no or minimal cost by March 1, 2016, and available by
Web-based electronic data download by June 30, 2019;

(ii) not identify individual patients, payers, or providers;

(iii) be updated by the commissioner, at least annually, with the most current data
available;

(iv) contain clear and conspicuous explanations of the characteristics of the data, such
as the dates of the data contained in the files, the absence of costs of care for uninsured
patients or nonresidents, and other disclaimers that provide appropriate context; and

(v) not lead to the collection of additional data elements beyond what is authorized under
this section as of June 30, 2015.

(b) The commissioner may publish the results of the authorized uses identified in
paragraph (a) so long as the data released publicly do not contain information or descriptions
in which the identity of individual hospitals, clinics, or other providers may be discerned.

(c) Nothing in this subdivision shall be construed to prohibit the commissioner from
using the data collected under subdivision 4 to complete the state-based risk adjustment
system assessment due to the legislature on October 1, 2015.

(d) The commissioner or the commissioner's designee may use the data submitted under
subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3), until July 1,
deleted text begin 2019 deleted text end new text begin 2023 new text end .

(e) The commissioner shall consult with the all-payer claims database work group
established under subdivision 12 regarding the technical considerations necessary to create
the public use files of summary data described in paragraph (a), clause (5).