SF 2017

as introduced - 90th Legislature (2017 - 2018) Posted on 03/10/2017 09:52am

A bill for an act
relating to human services; limiting the use of pain assessments for purposes of
determining provider payments; amending Minnesota Statutes 2016, section
256B.072.

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

Section 1.

Minnesota Statutes 2016, section 256B.072, is amended to read:

256B.072 PERFORMANCE REPORTING AND QUALITY IMPROVEMENT
SYSTEM.

(a) The commissioner of human services shall establish a performance reporting system
for health care providers who provide health care services to public program recipients
covered under chapters 256B, 256D, and 256L, reporting separately for managed care and
fee-for-service recipients.

(b) The measures used for the performance reporting system for medical groups shall
include measures of care for asthma, diabetes, hypertension, and coronary artery disease
and measures of preventive care services. The measures used for the performance reporting
system for inpatient hospitals shall include measures of care for acute myocardial infarction,
heart failure, and pneumonia, and measures of care and prevention of surgical infections.
In the case of a medical group, the measures used shall be consistent with measures published
by nonprofit Minnesota or national organizations that produce and disseminate health care
quality measures or evidence-based health care guidelines. In the case of inpatient hospital
measures, the commissioner shall appoint the Minnesota Hospital Association and Stratis
Health to advise on the development of the performance measures to be used for hospital
reporting. To enable a consistent measurement process across the community, the
commissioner may use measures of care provided for patients in addition to those identified
in paragraph (a). The commissioner shall ensure collaboration with other health care reporting
organizations so that the measures described in this section are consistent with those reported
by those organizations and used by other purchasers in Minnesota.

(c) The commissioner may require providers to submit information in a required format
to a health care reporting organization or to cooperate with the information collection
procedures of that organization. The commissioner may collaborate with a reporting
organization to collect information reported and to prevent duplication of reporting.

(d) By October 1, 2007, and annually thereafter, the commissioner shall report through
a public Web site the results by medical groups and hospitals, where possible, of the measures
under this section, and shall compare the results by medical groups and hospitals for patients
enrolled in public programs to patients enrolled in private health plans. To achieve this
reporting, the commissioner may collaborate with a health care reporting organization that
operates a Web site suitable for this purpose.

(e) Performance measures must be stratified as provided under section 62U.02,
subdivision 1, paragraph (b), and risk-adjusted as specified in section 62U.02, subdivision
3, paragraph (b).

new text begin (f) Assessment of patient satisfaction with pain management for the purpose of
determining compensation or quality incentive payments is prohibited. The commissioner
shall require managed care plans, county-based purchasing plans, and integrated health
partnerships to comply with this requirement as a condition of contract. This prohibition
does not apply to:
new text end

new text begin (1) assessing patient satisfaction with pain management for the purpose of quality
improvement; and
new text end

new text begin (2) pain management as a part of a palliative care treatment plan to treat patients with
cancer or patients receiving hospice care.
new text end