Legislative Session number- 85

Bill Name: SF3470

Relating to health care

ARTICLE 1 - PUBLIC HEALTH

Establishing the public
health improvement fund; requiring hospitals by a certain date to contribute a
certain percent of net patient revenue to the public health improvement fund;
providing for a statewide health improvement program, specifying goals,
providing for local community grants, outcomes and a media campaign; requiring
the commissioner of health to establish a BMI monitoring program for children
and youth; appropriating money to the commissioner of health

ARTICLE 2 -
HEALTH CARE HOMES

Requiring medical assistance (MA) enrollees to select primary
care clinics after a certain date; requiring the commissioner of human services
to encourage initial health assessments; requiring the commissioner to provide
patient education and outreach to MA enrollees; requiring the commissioner to
establish health care homes for state health care program enrollees and
requiring commissioner certification; establishing health care home requirements
and criteria; requiring the commissioner to pay a health care home coordination
fee, specifying amount and cost neutrality; requiring the commissioner to
establish health care homes certification standards by a certain date;
specifying monitoring and evaluation and requiring a care coordination advisory
committee for departments of health and human services assistance; requiring the
commissioners of health and human services to establish the health care home
collaborative and to develop a patient-directed decision making support model to
be used by health care homes; specifying requirements and annual legislative
reports; requiring the commissioner to require managed care plans as a condition
of contract for state health care program enrollees, specifying requirements;
providing a primary care physicians reimbursement rate increase, specifying a
limit; appropriating money from the health care access fund to the university of
Minnesota board of regents for initiatives expansion and primary care medicine
faculty shortage correction, to the Mayo medical foundation for medical school
initiatives and primary care medicine faculty shortage correction and to the
office of higher education for nursing school grants and nursing faculty
shortage correction

ARTICLE 3 - INCREASING ACCESS; CONTINUITY OF
CARE

Requiring commissioner of human services automation and coordination for
state health care program, specifying duties for goal achievement; requiring
commissioner to verify liquid assets of medical assistance (MA) applicant
verification; providing for a delayed verification for MA, general assistance
medical care (GAMC) and MinnesotaCare benefits; increasing the MinnesotaCare
inpatient hospital services and benefit limit; expanding MinnesotaCare
eligibility for families and single adults and household without children;
allowing MinnesotaCare eligibility renewal at health care providers under no
change conditions; modifying disenrollment conditions, other health coverage
conditions and the sliding fee scale; authorizing new enrollee household first
month premium exemption; requiring the commissioner of human services to study
and legislatively report with recommendations for a rate increase to long-term
care employers dedicated to employee health insurance private market purchasing
and requiring commissioner cost estimates development, appropriating money to
the commissioner of human services; repealing MinnesotaCare premiums sliding
scale exemptions

ARTICLE 4 - HEALTH INSURANCE PURCHASING AND AFFORDABILITY
REFORM

Creating a health savings reinvestment fund in the state treasury;
establishing criteria for hospitals and health care providers implementing an
interoperable electronic health record system; creating an electronic
prescription drug program, defining certain terms, establishing certain
requirements and standards for prescribing; modifying certain health care
payment disclosure provisions; establishing the "Minnesota Health Insurance
Exchange"; providing for greater health insurance product individual access,
choice, affordability and portability; creating the exchange as an
unincorporated association and requiring corporation as a nonprofit, specifying
participation, availability, health plan ranking, individual and small employer
participation and eligibility, exchange responsibilities, state nonliability,
powers, dispute resolution, board of directors governance, subsequent board
membership, board and exchange operations, insurance producers, implementation
responsibilities and an exemption from administrative procedures; requiring
certain employers to offer employee section 125 plans, specifying requirements
and compliance of the commission; creating the health care transformation
commission, specifying membership, describing the operations and
responsibilities of the commission, establishing certain immunity from
commission liability, determining benefit design, requiring a report to the
legislature by a certain date, sunset provision; authorizing the health care
transformation commission to create the health care value reporting
organization, prescribing duties of the organization, requiring the commission
to convene a health benefit and design and advisory committee, specifying
membership, operations, liability immunity, duties and review; requiring the
health care transformation commission to convene an advisory committee for board
recommendations, specifying membership, technology selection process, review and
committee determination; requiring the health care transformation commission to
develop a payment system linking the level of payments to providers to the
quality and efficiency of care in the private sector, specifying payment system
criteria, providing for implementation; requiring the health care transformation
commission to develop a payment system providing care coordination payments to
health care providers, specifying eligibility, fee, payments and requiring
implementation by a certain date; requiring the health care transformation
commission to develop a payment system by a certain date requiring provider
innovation to improve costs and quality, providing for the submission of
encounter data and the calculation of the relative utilization and health care
costs of providers, forming a process for provider submission of total care
bids, offering assistance to providers for the calculation and submission of
bids, specifying payments to providers and requiring implementation by a certain
date; requiring providers to submit price lists of types of care provided to the
health care transformation commission; specifying provider pricing process
requirements; requiring the commissioner of health to develop a projected
spending baseline, determine actual spending, publish spending and requiring
companies to pay a savings reinvestment assessment; providing for the deposit of
the assessments; establishing certain cost containment goals and making them
contingent on the expansion of MinnesotaCare; specifying an affordability
standard; requiring the commissioner of human services (DHS) to establish an
eligible employee subsidy program, specifying eligibility, subsidy amount and
payment; authorizing private individual data exchange; appropriating money from
the health care access fund to the health care transformation commission;
repealing certain statutes relating to prohibited health insurance agreements,
enrollee cost sharing, negotiated provider payments, access to provider
discounts, payment rate compliance and a certain exceptional premiums
(me)