HF 1422

THIRD ENGROSSMENT

Omnibus health and human services appropriations bill.

ARTICLE 1--LICENSING
Section 1: Annual license or certification fee for programs without a licensed capacity provisions modified.
Sec. 2: Supplemental nursing services agencies background study fee increased.
Sec. 3-4: Background study fee increased.

ARTICLE 2--STATE-OPERATED SERVICES
Sections 1-2: Statutory references added.
Sec. 3: Adult mental health added to commissioner authority to implement enterprise activities.
Sec. 4: Minnesota security hospital provision expanded.

ARTICLE 3--HEALTH CARE
Section 1: Health Care access fund transfers regulated.
Sec. 2: Commissioner powers modified.
Sec. 3: Health care text site authorization provided.
Sec. 4: Retention rate regulations clarified.
Sec. 5: State agency hearings provision clarified.
Sec. 6: Prepaid health plan appeals ombudsman notification removed.
Sec. 7: Hearing authority administrative fraud disqualification authorized.
Sec. 8: Withholding provision established.
Sec. 9: Payment ofr fee-for-servivce admissions reduced.
Sec. 10: Greater Minnesota payment adjustment authorizations modified.
Sec. 11: Third-party payer clarified.
Sec. 12: Medicare presciption drug subsidy administration provided.
Sec. 13: Excess asset reduction required.
Sec. 14: Conforming language pertaining to excess income.
Sec. 15: Income verification required every 12 months.
Sec. 16: Low-income individual income verification required every 6 months.
Sec. 17: Eligibility period modified.
Sec. 18: State agency notification of monetary claims required.
Sec. 19: Eligibility verification required.
Sec. 20: Income availability for institutionalized persons regulations modified.
Sec. 21: Ineligibility period modified.
Sec. 22: Citizenship requirements clariified relating to medical care eligibility.
Sec. 23: Hospital emergency room services provided detailed.
Sec. 24: Sex reassignment surgery not covered.
Sec. 25: Newborn circumcision coverage not provided except for certain conditions.
Sec. 26: Health services policy committee reccomendations required.
Sec. 27: Health services policy committee membership requirements established.
Sec. 28: Health services policy committee terms and compensation specified.
Sec. 29: Drug coverage provisions modified.
Sec. 30: Drug utilization review board provisions modified.
Sec. 31: Formulary committee ex officio membership requirements clarified.
Sec. 32: Payment rate provision modified.
Sec. 33: Prior authorization grant provided.
Sec. 34: Medication therapy management care coverage provided.
Sec. 35: Transportation costs maximum reimbursement rates increased.
Sec. 36: General coverage requirement established.
Sec. 37: Health care public program coverage limited.
Sec. 38: Reimbursement requiring participation provisions modified.
Sec. 39: Fee-for-service intensive care management pilot project development provided.
Sec. 40: Life estate and joint tenancy interest continuation effective conditions clarified.
Sec. 41: Safety net provider allocation limitation clarified.
Sec. 42: Facility fee payment specifications provided.
Sec. 43: Choice limitation clarified.
Sec. 44: Payment reduction provided.
Sec. 45: Hospital outpatient reimbursement regulations modified.
Sec. 46: General assistance medical care eligiblility modified.
Sec. 47: Conforming changes relating to sex reassignment surgery provided.
Sec. 48: Medical necessity standards specified.
Sec. 49: General assistance medical care payment directive provided.
Sec. 50: Social secuity number requirement refusal provision clarified.
Sec. 51: "Child" defined.
Sec. 52: "Gross indiviudal or gross family income" definition modified.
Sec. 53: "Income" definition modified.
Sec. 54: Covered health services regulations modified.
Sec. 55: Inpatient hospital services regulations modified.
Sec. 56: Co-payments and coinsurance fees imposed.
Sec. 57: Medical necessity required.
Sec. 58: Provisions for families with children provided.
Sec. 59: MinnesotaCare social security number requirement established.
Sec. 60: Third-party liability, paternity, and other medical support establishment cooperation requirements modified.
Sec. 61: Other benefit applications specified.
Sec. 62: Eligibility specifications modified.
Sec. 63: Commissioner's duties modified.
Sec. 64: Effective date of coverage modified.
Sec. 65: Eligibility renewal provisions modified.
Sec. 66: Private insurance availability regulations modified.
Sec. 67: Commissioner's duties relating to income reporting sliding scale modified.
Sec. 68: General requirements modified.
Sec. 69: Other health coverage modified.
Sec. 70: Voluntary disenrollment for members of the military provided.
Sec. 71: Residency requirements modified.
Sec. 72: Enrollees 18 or older payment regulations specified and modified.
Sec. 73: Co-payment language clarified.
Sec. 74: Rate setting reduced.
Sec. 75: Sliding fee scale for monthly gross individual or family income language modified.
Sec. 76: Sliding scale exceptions modified.
Sec. 77: Public health care programs and certain trusts addressed.
Sec. 78: Life estate liens and joint tenancy time and claim limit regulations modified.
Sec. 79: Transportation service broker management regulations detailed.
Sec. 80: Advisor committee on nonemergency transportation services established.
Sec. 81: Managed care planning process established.
Sec. 82: Federal approval for pregnant women and special work expense deduction requirements established.
Sec. 83: Federal approval required.
Sec. 84: Health care financing report development required.
Sec. 85: Life estate and joint tenancy interest provisions effective date change established.
Sec. 86: Commissioner's duties relating to life estate and joint tenancy interest provisions established.
Sec. 87: Immunity provided.
Sec. 88: Repealer.

ARTICLE 4--NURSING FACILITY REIMBURSEMENT SYSTEM AND OTHER PROVISION
Section 1: Replacement bed exceptions modified.
Sec. 2: Otter tail county nursing facility approval extension provided.
Sec. 3: Nursing facility rate increases language modified.
Sec. 4: Technical modification.
Sec. 5: Facility rate increases amount determination procedures clarified.
Sec. 6: Nursing facility rate increase imposition procedures specified.
Sec. 7: Stearns, Sherburne, and Benton county rate increases specified.
Sec. 8: Related term definitions modified.
Sec. 9: Technical statutory reference added.
Sec. 10: Cost allocation allocable on a functional basis regulations established.
Sec. 11: Allocation ratio language modified.
Sec. 12: Related organization cost provisions established.
Sec. 13: Contract duration and termination language technical clarifications provided.
Sec. 14: Alternate nursing facility rate effective dates modified.
Sec. 15: Facility rate increase language modified (technical).
Sec. 16-18: Conforming change.
Sec. 19: Alternative payment system contracts phase-out provided.
Sec. 20: Rule 50 property rate phase-out provided.
Sec. 21: Case mix indices implementation language clarified.
Sec. 22: Nursing facility reimbursement system established and detailed.
Sec. 23: Resident notice provided.
Sec. 24: Aitkin county moratorium project deadline extension provided.
Sec. 25: Renville county moratorium project deadline extension provided.
Sec. 26: Criteria and rate negotiation recommendations provided.

ARTICLE 5--CONTINUING CARE FOR THE ELDERLY AND DISABLED
Section 1: Contribution amount sliding fee scale implementation provided.
Sec. 2: Required report application and processing time regulations established.
Sec. 3: Disabled employee provisions modified.
Sec. 4: Long-term care partnership program established and detailed.
Sec. 5-6: Targeted case management definitions modified.
Sec. 7: County case management provider qualification language modified.
Sec. 8: Relocation service coordination provider qualifications established.
Sec. 9: Eligible services modified.
Sec. 10: Time line techical modifications provided.
Sec. 11: Data use agreement and notice of relocation targeted case management availability provided.
Sec. 12: Skilled and intermediate nursing care provisions clarified relating to facility exemptions and sole provider requirements.
Sec. 13-14: 120 day eligibility window provided.
Sec. 15: "Transitional supports allowance" defined.
Sec. 16-17: Quality assurance system project expiration date extended.
Sec. 18: Quality assurance team membership provisions modified.
Sec. 19: Process component evaluation requirements modified.
Sec. 20: Cost division modified.
Sec. 21: Community-based waiver services and supports transitional supports allowance established.
Sec. 22: ICF/MR rate increases imposed.
Sec. 23: Aternative integrated long-term care services for elderly and disabled persons demonstration projects for PACE (programs for all-inclusive care for the elderly) established.
Sec. 24: Health care service reimbursment provided.
Sec. 25: Provider rate inrcreases modified.
Sec. 26: ICF/MR plan recommendations required.
Sec. 27: Commissioner direction required on licensing and alternative quality assurance study.
Sec. 28: Consumer-directed community supports exception provided.
Sec. 29: Physical activity cost expense allowances established.
Sec. 30: Waiver amendment required.
Sec. 31: Indepandent evaluation development required relating to review of unallowable items.
Sec. 32: Federal approval request required.
Sec. 33: Dental access for disabled persons required.
Sec. 34: Disability services interagency work group membership specified.
Sec. 35: Report to legislature required.

ARTICLE 6--MISCELLANEOUS
Section 1: Specific power technical modifications provided.
Sec. 2: Annual report preparation required on applicants.
Sec. 3: Commissioner required to study deemed income of sponsors of noncitizens required.

ARTICLE 7--MENTAL HEALTH SERVICES
Section 1: Admission criteria established.
Sec. 2: Emergency admission to foster care level of care determination requirement established.
Sec. 3: Foster care qualifications modified.
Sec. 4: "Examiner" definition modified.
Sec. 5: Mental health telemedicine provision established.
Sec. 6: Foster care services treatment coverage specified (technical).
Sec. 7: Psychiatric consultation to primary care pratictioners provided.
Sec. 8: Client eligibility Autism diagnostic assessment addressed.
Sec. 9: Treatment foster care regulations established.
Sec. 10: Transitional youth intensive rehabilitative menal health services provisions established.
Sec. 11: General assistance medical care services modified to conform with section 5.
Sec. 12: Conforming change.

ARTICLE 8--HEALTH POLICY
Section 1: Abortion notification data governance specified.
Sec. 2: Health information technology and infrastructure advisory committee established.
Sec. 3: Variances fees increased.
Sec. 4: Well notification fees increased.
Sec. 5: Permit fees for wells inceased.
Sec. 6: Well fees inceased.
Sec. 7: License to make borings fee imposed.
Sec. 8: License, permit, and survey fees increased.
Sec. 9: "Eligibile rural hospital" population regulation increased.
Sec. 11: Rural pharmacy planning and transition grant program established.
Sec. 12: Conforming change.
Sec. 13: Rural health initiative requirements modified.
Sec. 14: "Pharmacist" and "Dentist" defined.
Sec. 15: Accoutn creation provided.
Sec. 16: Eligibility modified.
Sec. 17: Loan forgiveness modified.
Sec. 18: Fees for services increased.
Sec. 19: Vital records surcharge increased.
Sec. 20: Electronic verification of vital event fee imposed.
Sec. 21: Alternative payment method approval requirement provided.
Sec. 22: Abortion notification data specified.
Sec. 23: Public water supply annual fee for service increased.
Sec. 24: Restricted construction or modification provided.
Sec. 25: License condition eligibility modified.
Sec. 26: Education about the dangers of shaking infoants and young children by hospitals and health care providers required.
Sec. 27: Voluntary trauma system establishement procedure provided.
Sec. 28: Related terms defined.
Sec. 29: Statewide trauma system criteria specified.
Sec. 30: Trauma triage and transportation requirements established.
Sec. 31: Trauma hospitals designation procedures established.
Sec. 32: Interhospital transfer written procedures required.
Sec. 33: Trauma registry participation requirements established.
Sec. 34: Trauma advisory council established.
Sec. 35: Cancer drug repository program established.
Sec. 36: Lead risk assessment program regulations modified.
Sec. 37: Biennial water fees increased.
Sec. 38: Trauma triage and transport guidelines established.
Sec. 39: Family planning grant funds prohibited from subsidizing abortion.
Sec. 40: Positive abortion alternative act language included.
Sec. 41: Unborn child pain prevention act provided.
Sec. 42: Community-based grant program provided.
Sec. 43: Periodic suicide prevention plan evaluation regulations modified.
Sec. 44: Postpartum depression education and information requirements established.
Sec. 45: AIDS prevention grant money usage prohibited from funding sexually explicit images or language.
Sec. 46: "Eligible community clinic" definition modified.
Sec. 47: Complaint format modified.
Sec. 48: Technical.
Sec. 49: Commissioner of health references added.
Sec. 50: Rule exemption provided.
Sec. 51: "Statewide hospitality fee" defined.
Sec. 52: License renewal fee increased.
Sec. 53: Food manager certification fee imposed.
Sec. 54: Establishment fees for food and beverage services, hotels, motels, etc., increased.
Sec. 55: Statewide hospitality fee imposed.
Sec. 56: Inspection frequency rephrased.
Sec. 57: Elementary and secondary school food service inspection requirements specified.
Sec. 58: "Health-related licensing board" definition modified.
Sec. 59: Fee adjustment modified.
Sec. 60: Health occupations licensing account created.
Sec. 61: Child care provider training education on dangers of shaking infants and children required.
Sec. 62: Fee language clarified (technical).
Sec. 63: Long-term care insurance provision authorized.
Sec. 64: Rule amendment provided.
Sec. 65: Health commissioner dental review required.
Sec. 66: Cerivcal cancer elimination study required.
Sec. 67: Repealer.

ARTICLE 9--DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT
Section 1: Forecast adjustment provided.

ARTICLE 10--APPROPRIATIONS
Section 1: Appropriations summary by fund provided.
Sec. 2: Commissioner of human services money appropriated, including health care access, federal TANF, and lottery cash flow money. Appropriation distributions detailed.
Sec. 3: Health commissioner money appropriated, including special revenue, health care access, and federal TANF money. Appropriation distributions detailed.
Sec. 4: Veterans nursing homes board money appropriated.
Sec. 5: Health-related board money appropriated.
Sec. 6: Emergency medical services board money appropriated.
Sec. 7: Council on disability money appropriated.
Sec. 8: Ombudsman for mental health and mental retardation money appropriated.
Sec. 9: Ombudsman for families money appropriated.
Sec. 10: Transfers provided.
Sec. 11: Indirect costs not to fund certain program regulations provided.
Sec. 12: Uncodified language sunset specified.
Sec. 13: Effective date.

ARTICLE 11--OPTION B SPENDING
Section 1: Conditional effective date provided.
Sec. 2: General assistance medical care eligibility modified.
Sec. 3: Inpatient hospital service technical changes provided.
Sec. 4: Co-payments and coinsurance provisions modified.
Sec. 5: Families with children addressed within provisions modified.
Sec. 6: Conforming technical change.
Sec. 7: GAMC funding increase detailed.
Sec. 8: MinnesotaCare funding increase detailed.
Sec. 9: Minnesota outreach grants detailed.
Sec. 10: Funding specified.
Sec. 11: Home care services reimbursement rates detailed.
Sec. 12: Other provisions addressed.

AME
5-4-05