1.1 	A bill for an act
1.2 	relating to human services; modifying payment rates for hospitals located within 
1.3 	the seven-county metropolitan area; amending Minnesota Statutes 2008, section 
1.4 	256.969, by adding a subdivision.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2008, section 256.969, is amended by adding a 
1.7 	subdivision to read:
1.8 		Subd. 28.Metropolitan area payment adjustment after June 30, 2009. (a) For 
1.9 	admissions occurring after June 30, 2009, the commissioner shall pay fee-for-service 
1.10 	inpatient admissions for the diagnosis-related groups specified in paragraph (b) at hospitals 
1.11 	located within the seven-county metropolitan area at the lower of:
1.12 	(1) the hospital's current payment rate for the diagnostic category to which the 
1.13 	diagnosis-related group belongs, exclusive of disproportionate population adjustments 
1.14 	received under subdivision 9 and hospital payment adjustments received under subdivision 
1.15 	23; or
1.16 	(2) 90 percent of the average payment rate for that diagnostic category for hospitals 
1.17 	located within the seven-county metropolitan area, exclusive of disproportionate 
1.18 	population adjustments received under subdivision 9 and hospital payment adjustments 
1.19 	received under subdivisions 20 and 23.
1.20 	(b) The payment decreases provided in paragraph (a) apply to the following 
1.21 	diagnosis-related groups, as they fall within the diagnostic categories:
1.22 	(1) 370 cesarean section with complicating diagnosis;
1.23 	(2) 371 cesarean section without complicating diagnosis;
1.24 	(3) 372 vaginal delivery with complicating diagnosis;
2.1 	(4) 373 vaginal delivery without complicating diagnosis;
2.2 	(5) 386 extreme immaturity and respiratory distress syndrome, neonate;
2.3 	(6) 388 full-term neonates with other problems;
2.4 	(7) 390 prematurity without major problems;
2.5 	(8) 391 normal newborn;
2.6 	(9) 385 neonate, died or transferred to another acute care facility;
2.7 	(10) 425 acute adjustment reaction and psychosocial dysfunction;
2.8 	(11) 430 psychoses;
2.9 	(12) 431 childhood mental disorders; and
2.10 	(13) 164-167 appendectomy.