HF 2562

2nd Engrossment - 86th Legislature (2009 - 2010) Posted on 04/15/2010 01:12pm

A bill for an act
relating to human services; extending eligibility for the COBRA premium state
subsidy; authorizing carryforward of unexpended funds for COBRA grants;
changing appropriations; amending Laws 2009, chapter 79, article 5, section 78,
subdivision 5; article 13, section 3, subdivision 6.

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

Section 1.

Laws 2009, chapter 79, article 5, section 78, subdivision 5, is amended to
read:

Subd. 5.

Expiration.

This section new text begin , with the exception of subdivision 4, new text end expires
deleted text begin December 31, 2010 deleted text end new text begin June 30, 2011. Subdivision 4 expires December 31, 2011 new text end .

Sec. 2.

Laws 2009, chapter 79, article 13, section 3, subdivision 6, is amended to read:

Subd. 6. Basic Health Care Grants

The amounts that may be spent from this
appropriation for each purpose are as follows:

(a) MinnesotaCare Grants

391,915,000

485,448,000

This appropriation is from the health care
access fund.

(b) MA Basic Health Care Grants - Families and Children

751,988,000

973,088,000

Medical Education Research Costs
(MERC). Of these funds, the commissioner
of human services shall transfer $38,000,000
in fiscal year 2010 to the medical education
research fund. These funds must restore the
fiscal year 2009 unallotment of the transfers
under Minnesota Statutes, section 256B.69,
subdivision 5c, paragraph (a), for the July 1,
2008, through June 30, 2009, period.

Newborn Screening Fee. Of the general
fund appropriation, $34,000 in fiscal year
2011 is to the commissioner for the hospital
reimbursement increase described under
Minnesota Statutes, section 256.969,
subdivision 28.

Local Share Payment Modification
Required for ARRA Compliance.
Effective from July 1, 2009, to December
31, 2010, Hennepin County's monthly
contribution to the nonfederal share of
medical assistance costs must be reduced
to the percentage required on September
1, 2008, to meet federal requirements for
enhanced federal match under the American
Reinvestment and Recovery Act (ARRA)
of 2009. Notwithstanding the requirements
of Minnesota Statutes, section 256B.19,
subdivision 1c, paragraph (d), for the period
beginning July 1, 2009, to December 31,
2010, Hennepin County's monthly payment
under that provision is reduced to $434,688.

Capitation Payments. Effective from
July 1, 2009, to December 31, 2010,
notwithstanding the provisions of Minnesota
Statutes 2008, section 256B.19, subdivision
1c, paragraph (c), the commissioner shall
increase capitation payments made to the
Metropolitan Health Plan under Minnesota
Statutes 2008, section 256B.69, by
$6,800,000 to recognize higher than average
medical education costs. The increased
amount includes federal matching funds.

Use of Savings. Any savings derived
from implementation of the prohibition in
Minnesota Statutes, section 256B.032, on the
enrollment of low-quality, high-cost health
care providers as vendors of state health care
program services shall be used to offset on a
pro rata basis the reimbursement reductions
for basic care services in Minnesota Statutes,
section 256B.766.

(c) MA Basic Health Care Grants - Elderly and Disabled

970,183,000

1,142,310,000

Minnesota Disability Health Options.
Notwithstanding Minnesota Statutes, section
256B.69, subdivision 5a, paragraph (b), for
the period beginning July 1, 2009, to June
30, 2011, the monthly enrollment of persons
receiving home and community-based
waivered services under Minnesota
Disability Health Options shall not exceed
1,000. If the budget neutrality provision
in Minnesota Statutes, section 256B.69,
subdivision 23, paragraph (f), is reached
prior to June 30, 2013, the commissioner may
waive this monthly enrollment requirement.

Hospital Fee-for-Service Payment Delay.
Payments from the Medicaid Management
Information System that would otherwise
have been made for inpatient hospital
services for Minnesota health care program
enrollees must be delayed as follows: for
fiscal year 2011, payments in the month of
June equal to $15,937,000 must be included
in the first payment of fiscal year 2012 and
for fiscal year 2013, payments in the month
of June equal to $6,666,000 must be included
in the first payment of fiscal year 2014. The
provisions of Minnesota Statutes, section
16A.124, do not apply to these delayed
payments. Notwithstanding any contrary
provision in this article, this paragraph
expires December 31, 2014.

Nonhospital Fee-for-Service Payment
Delay. Payments from the Medicaid
Management Information System that would
otherwise have been made for nonhospital
acute care services for Minnesota health
care program enrollees must be delayed as
follows: payments in the month of June equal
to $23,438,000 for fiscal year 2011 must be
included in the first payment for fiscal year
2012, and payments in the month of June
equal to $27,156,000 for fiscal year 2013
must be included in the first payment for
fiscal year 2014. This payment delay must
not include nursing facilities, intermediate
care facilities for persons with developmental
disabilities, home and community-based
services, prepaid health plans, personal care
provider organizations, and home health
agencies. The provisions of Minnesota
Statutes, section 16A.124, do not apply to
these delayed payments. Notwithstanding
any contrary provision in this article, this
paragraph expires December 31, 2014.

(d) General Assistance Medical Care Grants

345,223,000

381,081,000

* (The preceding text "381,081,000" was indicated as vetoed by the governor. It
was reconsidered and not approved by the legislature, May 17, 2009.)

(e) Other Health Care Grants

Appropriations by Fund
General	295,000	295,000
Health Care Access	23,533,000	deleted text begin 7,080,000 deleted text end new text begin 5,230,000 new text end

Base Adjustment. The health care access
fund base is reduced to $190,000 in each of
fiscal years 2012 and 2013.

Sec. 3. new text begin COBRA CARRYFORWARD.
new text end

new text begin Unexpended funds appropriated in fiscal year 2010 for COBRA grants under Laws
2009, chapter 79, article 5, section 78, do not cancel and are available to the commissioner
of human services for fiscal year 2011 COBRA grant expenditures. Up to $110,000 of
the fiscal year 2011 appropriation for COBRA grants provided in Laws 2009, chapter 79,
article 13, section 3, subdivision 6, may be used by the commissioner of human services
for costs related to administration of the COBRA grants.
new text end