HF 3533

as introduced - 93rd Legislature (2023 - 2024) Posted on 03/13/2024 12:41pm

A bill for an act
relating to human services; requiring the commissioner of human services to
develop a county-administered rural medical assistance model; requiring a report;
appropriating money.

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

Section 1. new text begin COUNTY-ADMINISTERED RURAL MEDICAL ASSISTANCE MODEL.
new text end

new text begin Subdivision 1. new text end

new text begin Model development. new text end

new text begin (a) The commissioner of human services, in
collaboration with the Association of Minnesota Counties and county-based purchasing
plans, shall develop a county-administered rural medical assistance (CARMA) model and
a detailed plan for implementing the CARMA model.
new text end

new text begin (b) The CARMA model must be designed to achieve the following objectives:
new text end

new text begin (1) provide a distinct county-owned and administered alternative to the prepaid medical
assistance program;
new text end

new text begin (2) facilitate greater integration of health care and social services to address social
determinants of health in rural communities, with the degree of integration of social services
varying with each county's needs and resources;
new text end

new text begin (3) account for the smaller number of medical assistance enrollees and locally available
providers of behavioral health, oral health, specialty and tertiary care, nonemergency medical
transportation, and other health care services in rural communities; and
new text end

new text begin (4) promote greater accountability for health outcomes, health equity, customer service,
community outreach, and cost of care.
new text end

new text begin Subd. 2. new text end

new text begin County participation. new text end

new text begin The CARMA model must give each rural county the
option of applying to participate in the CARMA model as an alternative to participation in
the prepaid medical assistance program. The CARMA model must include a process for
the commissioner to determine whether and how a rural county can participate.
new text end

new text begin Subd. 3. new text end

new text begin Report to the legislature. new text end

new text begin (a) The commissioner shall report recommendations
and an implementation plan for the CARMA model to the chairs and ranking minority
members of the legislative committees with jurisdiction over health care policy and finance
by January 15, 2025. The CARMA model and implementation plan must address the issues
and consider the recommendations identified in the document titled "Recommendations
Not Contingent on Outcome(s) of Current Litigation," attached to the September 13, 2022,
e-filing to the Second Judicial District Court (Correspondence for Judicial Approval Index
#102), that relates to the final contract decisions of the commissioner of human services
regarding South Country Health Alliance v. Minnesota Department of Human Services, No.
62-CV-22-907 (Ramsey Cnty. Dist. Ct. 2022).
new text end

new text begin (b) The report must also identify the clarifications, approvals, and waivers that are needed
from the Centers for Medicare and Medicaid Services and include any draft legislation
necessary to implement the CARMA model.
new text end

Sec. 2. new text begin APPROPRIATION.
new text end

new text begin $....... in fiscal year 2025 is appropriated from the general fund to the commissioner of
human services to develop a county-administered rural medical assistance model and
implementation plan and report to the legislature as required under section 1.
new text end