SF 1700

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 02:23am

A bill for an act
relating to human services; requiring prepaid health plans and county-based
purchasing plans serving state health care program enrollees to offer contracts
to health care providers subject to the MinnesotaCare tax; amending Minnesota
Statutes 2008, sections 256B.69, by adding a subdivision; 256B.692, by adding a
subdivision.

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

Section 1.

Minnesota Statutes 2008, section 256B.69, is amended by adding a
subdivision to read:

new text begin Subd. 5k. new text end

new text begin Provider contracts. new text end

new text begin A prepaid health plan providing covered health
services for eligible persons under this chapter, chapter 256D, and chapter 256L shall, as a
condition of contract with the commissioner, offer provider contracts to all health care
providers subject to the MinnesotaCare taxes imposed under section 295.52, subdivisions
1, 1a, and 2, if the payment rate for covered services is at least the same rate per unit of
service paid to other entities under contract for the same or similar services. A prepaid
health plan may require the health care provider offered a contract under this subdivision
to meet all data submittal, utilization review, and quality assurance requirements on the
same basis as other entities under contract.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2010.
new text end

Sec. 2.

Minnesota Statutes 2008, section 256B.692, is amended by adding a
subdivision to read:

new text begin Subd. 11. new text end

new text begin Provider contracts. new text end

new text begin A county-based purchasing plan providing covered
health services for eligible persons under this chapter, chapter 256D, and chapter 256L
shall, as a condition of contract with the commissioner, offer provider contracts to all
health care providers subject to the MinnesotaCare taxes imposed under section 295.52,
subdivisions 1, 1a, and 2. The payment rate for covered services must be at least the same
rate per unit of service paid to other entities under contract for the same or similar services.
A county-based purchasing plan may require the health care provider offered a contract
under this subdivision to meet all data submittal, utilization review, and quality assurance
requirements on the same basis as other entities under contract.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2010.
new text end