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HF 2081

as introduced - 93rd Legislature (2023 - 2024) Posted on 02/20/2023 12:20pm

KEY: stricken = removed, old language.
underscored = added, new language.

Bill Text Versions

Engrossments
Introduction Posted on 02/20/2023

Current Version - as introduced

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A bill for an act
relating to health care; requiring medical assistance to cover recuperative care
services; amending Minnesota Statutes 2022, section 256B.0625, by adding a
subdivision.

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

Section 1.

Minnesota Statutes 2022, section 256B.0625, is amended by adding a subdivision
to read:


new text begin Subd. 68. new text end

new text begin Recuperative care services. new text end

new text begin (a) Medical assistance covers recuperative care
services provided in a setting that meets the requirements in paragraph (b) for recipients
who meet the eligibility requirements in paragraph (c). For purposes of this subdivision,
"recuperative care" means a model of care that prevents hospitalization or that provides
postacute medical care and support services for recipients experiencing homelessness who
are too ill or frail to recover from a physical illness or injury while living in a shelter or are
otherwise unhoused but who are not sick enough to be hospitalized, or remain hospitalized,
or to need other levels of care.
new text end

new text begin (b) Recuperative care may be provided in any setting, including but not limited to
homeless shelters, congregate care settings, single room occupancy settings, or supportive
housing, so long as the provider of recuperative care or provider of housing is able to provide
to the recipient within the designated setting, at a minimum:
new text end

new text begin (1) 24-hour access to a bed and bathroom;
new text end

new text begin (2) access to three meals a day;
new text end

new text begin (3) availability to environmental services;
new text end

new text begin (4) access to a telephone;
new text end

new text begin (5) a secure place to store belongings; and
new text end

new text begin (6) staff available within the setting to provide a wellness check as needed, but at a
minimum, at least once every 24 hours.
new text end

new text begin (c) To be eligible for this covered service, a recipient must:
new text end

new text begin (1) be 21 years of age or older;
new text end

new text begin (2) be experiencing homelessness;
new text end

new text begin (3) be in need of short term acute medical care for a period of no more than 60 days;
new text end

new text begin (4) meet clinical criteria, as established by the commissioner, that indicates that the
recipient is in need of recuperative care; and
new text end

new text begin (5) not have behavioral health needs that are greater than what can be managed by the
provider within the setting.
new text end

new text begin (d) The commissioner shall establish a bundled daily payment rate per recipient to be
paid to a provider for up to 60 consecutive days. The bundled payment must consist of two
components. The first component must be for the services provided to the recipient and the
second component must be for the facility costs. The second component must be paid using
state funds, and can only be paid when the first component is paid to a provider. Providers
may opt to only be reimbursed for the first component. A provider under this subdivision
means a recuperative care provider and is defined by the standards established by the National
Institute for Medical Respite Care. Services provided within the bundled payment may
include but are not limited to:
new text end

new text begin (1) basic nursing care, including:
new text end

new text begin (i) monitoring a patient's physical health and pain level;
new text end

new text begin (ii) providing wound care;
new text end

new text begin (iii) medication support;
new text end

new text begin (iv) patient education;
new text end

new text begin (v) immunization review and update; and
new text end

new text begin (vi) establishing clinical goals for the recuperative care period and discharge plan;
new text end

new text begin (2) care coordination and wraparound services, including:
new text end

new text begin (i) initial screening of medical, behavioral, and social needs;
new text end

new text begin (ii) behavioral health support; and
new text end

new text begin (iii) support and referral assistance for legal services, housing, community social services,
case management, health care benefits, health and other eligible benefits, and transportation
needs and services; and
new text end

new text begin (3) basic behavioral needs, including counseling and peer support.
new text end

new text begin (e) Before a recipient is discharged from a recuperative care setting, the provider must
ensure that the recipient's acute medical condition is stabilized.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2024.
new text end