HF 2527

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/09/2023 08:35pm

A bill for an act
relating to human services; expanding reporting requirements related to maternal
and infant health; amending Minnesota Statutes 2022, section 256B.795.

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

Section 1.

Minnesota Statutes 2022, section 256B.795, is amended to read:

256B.795 MATERNAL AND INFANT HEALTH REPORT.

(a) The commissioner of human services, in consultation with the commissioner of
health, shall submit a biennial report beginning April 15, 2022, to the chairs and ranking
minority members of the legislative committees with jurisdiction over health policy and
finance on the effectiveness of state maternal and infant health policies and programs
addressing health disparities in prenatal and postpartum health outcomes. For each reporting
period, the commissioner shall determine the number of women enrolled in the medical
assistance program who are pregnant or are in the 12-month postpartum period of eligibility
and the percentage of women in that group who, during each reporting period:

(1) received prenatal services;

(2) received doula services;

(3) gave birth by primary cesarean section;

(4) gave birth to an infant who received care in the neonatal intensive care unit;

(5) gave birth to an infant who was premature or who had a low birth weight;

(6) experienced postpartum hemorrhage;

(7) received postpartum care within six weeks of giving birth; deleted text begin and
deleted text end

(8) received a prenatal and postpartum follow-up home visit from a public health nurse deleted text begin . deleted text end new text begin ;
new text end

new text begin (9) were attended by a midwife during birth; and
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new text begin (10) gave birth in a licensed birth center.
new text end

(b) These measurements must be determined through an analysis of the utilization data
from claims submitted during each reporting period and by any other appropriate means.
The measurements for each metric must be determined in the aggregate stratified by race
and ethnicity.

new text begin (c) The commissioner shall also include in the report average paid claim amounts for
maternal and newborn care for births covered under medical assistance, for managed care
and county-based purchasing plans in the aggregate and under fee-for-service, separated
into the following categories: physician professional fees, midwife professional fees, and
facility fees. This information must be reported separately for births in hospitals and births
in licensed birthing centers.
new text end

deleted text begin (c) deleted text end new text begin (d) new text end The commissioner shall establish a baseline for the metrics described in deleted text begin paragraph deleted text end
new text begin paragraphs new text end (a) new text begin and (c) new text end using calendar year 2017. The initial report due April 15, 2022, must
contain the baseline metrics and the metrics data for calendar years 2019 and 2020. The
following reports due biennially thereafter must contain the metrics for the preceding two
calendar years.