HF 4472

as introduced - 92nd Legislature (2021 - 2022) Posted on 03/21/2022 02:33pm

A bill for an act
relating to human services; requiring the commissioner of human services to
establish a dental home pilot project; specifying project criteria; requiring a report;
appropriating money.

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

Section 1. new text begin DENTAL HOME PILOT PROJECT.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; requirements. new text end

new text begin (a) The commissioner of human services
shall establish a dental home pilot project to increase access of medical assistance and
MinnesotaCare enrollees to dental care, improve patient experience, and improve oral health
clinical outcomes, in a manner that sustains the financial viability of the dental workforce
and broader dental care delivery and financing system. Dental homes must provide
high-quality, patient-centered, comprehensive, and coordinated oral health services across
clinical and community-based settings, including virtual oral health care.
new text end

new text begin (b) The design and operation of the dental home pilot project must be consistent with
the recommendations made by the Dental Services Advisory Committee to the legislature
under Laws 2021, First Special Session chapter 7, article 1, section 33.
new text end

new text begin (c) The commissioner shall establish baseline requirements and performance measures
for dental homes participating in the pilot project. These baseline requirements and
performance measures must address access and patient experience and oral health clinical
outcomes.
new text end

new text begin Subd. 2. new text end

new text begin Project design and timeline. new text end

new text begin (a) The commissioner shall issue a preliminary
project description and a request for information to obtain stakeholder feedback and input
on project design issues, including but not limited to:
new text end

new text begin (1) the timeline for project implementation;
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new text begin (2) the length of each project phase and the date for full project implementation;
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new text begin (3) the number of providers to be selected for participation;
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new text begin (4) grant amounts;
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new text begin (5) criteria and procedures for any value-based payments;
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new text begin (6) the extent to which pilot project requirements may vary with provider characteristics;
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new text begin (7) procedures for data collection;
new text end

new text begin (8) the role of dental partners, such as dental professional organizations and educational
institutions;
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new text begin (9) provider support and education; and
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new text begin (10) other topics identified by the commissioner.
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new text begin (b) The commissioner shall consider the feedback and input obtained in paragraph (a)
and shall develop and issue a request for proposals for participation in the pilot project.
new text end

new text begin (c) The pilot project must be implemented by July 1, 2023, and must include initial pilot
testing and the collection and analysis of data on baseline requirements and performance
measures to evaluate whether these requirements and measures are appropriate. Under this
phase, the commissioner shall provide grants to individual providers and provider networks
in addition to medical assistance and MinnesotaCare payments received for services provided.
new text end

new text begin (d) The pilot project may test and analyze value-based payments to providers to determine
whether varying payments based on dental home performance measures is appropriate and
effective.
new text end

new text begin (e) The commissioner shall ensure provider diversity in selecting project participants.
In selecting providers, the commissioner shall consider: geographic distribution; provider
size, type, and location; providers serving different priority populations; health equity issues;
and provider accessibility for patients with varying levels and types of disability.
new text end

new text begin (f) In designing and implementing the pilot project, the commissioner shall regularly
consult with project participants and other stakeholders, and as relevant shall continue to
seek the input of participants and other stakeholders on the topics listed in paragraph (a).
new text end

new text begin Subd. 3. new text end

new text begin Reporting. new text end

new text begin (a) The commissioner, beginning February 15, 2023, and each
February 15 thereafter for the duration of the demonstration project, shall report on the
design, implementation, operation, and results of the demonstration project to the chairs
and ranking minority members of the legislative committees with jurisdiction over health
care finance and policy.
new text end

new text begin (b) The commissioner, within six months from the date the pilot project ceases operation,
shall report to the chairs and ranking minority members of the legislative committees with
jurisdiction over health care finance and policy on the results of the demonstration project,
and shall include in the report recommendations on whether the demonstration project, or
specific features of the demonstration project, should be extended to all dental providers
serving medical assistance and MinnesotaCare enrollees.
new text end

Sec. 2. new text begin APPROPRIATION.
new text end

new text begin $....... in fiscal year 2023 is appropriated from the general fund to the commissioner of
human services to establish and evaluate the dental home pilot project. The general fund
base for this appropriation is $....... in fiscal year 2024, $....... in fiscal year 2025, $....... in
fiscal year 2026, $....... in fiscal year 2027, and $0 in fiscal year 2028.
new text end