Capital Icon Minnesota Legislature

Office of the Revisor of Statutes

SF 1553 Senate Long Description

Relating to human services; modifying prescription drug coverage and certain cost sharing requirements under the senior citizen drug program, eligibility to begin the month after approval and specifying certain program limits relating to available funds, appropriating rebate revenues to the commissioner of human services to augment funding of the program; providing for physician or hospital requests for reconsideration of certain decisions relating to medically necessary services under the medical assistance (MA) inpatient hospital payment system and reducing the hospital cost index to recover certain overprojections; requiring the commissioner to establish a performance data reporting unit under medical assistance serving counties and the state, duties; modifying a certain medical assistance eligibility requirement and establishing the income standard for certain supplemental security income recipients; establishing an eligibility category for certain employed disabled persons; adopting income deductions for institutionalized persons as mandated by federal law; providing medical assistance coverage for specialized maintenance therapy under coverage for physical and occupational therapy services and providing coverage for speech language pathology and related services, providing for one time thresholds and for a care management approach for authorization of services beyond the threshold for provision of the rehabilitation services, requiring the department of human services to implement an expedited turnaround time to review authorization requests for recipients exhausting the one time threshold limit and needing emergency services; providing medical assistance coverage for consultation services by physicians specializing in child abuse and neglect and certain preventive dental hygienist services; modifying the exclusion from the drug formulary of drugs from manufacturers not signing a federal rebate agreement and requiring the commissioner to set maximum allowable costs for multisource drugs not on the federal upper limit list; modifying the reimbursement procedure for medical assistance coverage of eligible local educational agency special education health related services; eliminating the nutritional supplementation products advisory committee; expanding medical assistance coverage for family community support services under the children's mental health act; expanding medical assistance eligibility for Minnesota family investment program-statewide (MFIP-S) participants opting to discontinue monthly cash assistance; increasing payment rates for certain nonsurgical outpatient and emergency room facility fees and for physician, professional and dental services and for certain fee for service providers, specifying certain requirements of the commissioner; requiring and providing for the commissioner to award grants to community clinics to increase the availability of dental services to public program recipients; modifying certain copayment and coinsurance requirements under the MinnesotaCare program, requiring relative caretakers to cooperate in establishing other medical support, expanding the eligibility of applicants potentially eligible for medical assistance without a spenddown to choose to enroll in either program, eliminating grandparents from the provision providing eligibility for families with relative caretakers, foster parents or legal guardians, modifying certain initial enrollment requirements, clarifying the provision providing for disenrollment for failure to pay premiums and authorizing sooner reenrollment under certain payment conditions, eliminating subsidized premiums based on a sliding scale, modifying eligibility for certain children, requiring applicants formerly receiving medical assistance or general assistance medical care within a certain time period before application to meet certain requirements and modifying the premiums nonrefundability provision and certain sliding fee scale and commissioner federal waiver requirements; requiring the commissioner to amend certain rules to provide for home based mental health and family community support services (mk)