HF 1140

1st Engrossment - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:44am

A bill for an act
relating to human services; requiring patient-centered decision-making process
before certain procedures are reimbursed under state employee health insurance
program and medical assistance; amending Minnesota Statutes 2008, section
256B.76, by adding a subdivision; proposing coding for new law in Minnesota
Statutes, chapter 62U.

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

Section 1.

new text begin [62U.11] PATIENT-CENTERED DECISION MAKING.
new text end

new text begin (a) By January 1, 2010, the commissioners of human services and finance shall
require active participation in a patient-centered decision-making process before
reimbursement is paid, either on a fee-for-service basis or by a health plan company under
contract with the commissioner of human services or finance, for a surgical procedure for
any of the following conditions: abnormal uterine bleeding; benign prostate enlargement;
chronic back pain; early stage of breast and prostate cancers; gastroesophageal reflux
disease; hemorrhoids; spinal stenosis; temporomandibular joint dysfunction; ulcerative
colitis; urinary incontinence; uterine fibroids; or varicose veins. A list of these procedures
shall be published in the State Register by October 1, 2010. The list shall be biennially
reviewed by the commissioners and any additions to the list shall be published in the
State Register.
new text end

new text begin (b) For purposes of this section, "patient-centered decision-making process" means a
process that involves directed interaction with the patient to assist the patient in arriving
at an informed objective health care decision regarding the surgical procedure. The
interaction may be conducted by a health care provider or through the electronic use of
decision aids.
new text end

Sec. 2.

Minnesota Statutes 2008, section 256B.76, is amended by adding a subdivision
to read:

new text begin Subd. 7. new text end

new text begin Patient-centered decision making. new text end

new text begin Beginning January 1, 2010, no
payment reimbursement shall be made for a surgical procedure for any condition identified
under section 62U.11, either on a fee-for-service basis by the commissioner or by a health
plan under contract with the commissioner, until the patient or the patient's parent or legal
guardian has participated in a patient-centered decision-making process. For purposes
of this subdivision, a "patient-centered decision-making process" has the meaning given
in section 62U.11.
new text end