2E Relating to health care; modifying certain health insurance premium rate restrictions, requiring and providing for the commissioner of health to set annual premium growth limits for health plan companies; expanding the requirement for the commissioner to establish cost containment goals to a requirement to establish annual health care expenditure limits for health plan companies, prohibiting the limits from exceeding the premium limits and expanding the definition of health plan company; requiring health plan companies to annually provide to enrollees information on the increased personal health risks and additional costs to the health care system due to obesity and to the use of tobacco, exception, and the commissioner in consultation with the Minnesota medical association to develop an information sheet to be posted on the department web site; requiring the commissioner to distinguish between the individual, small group and large group markets in the collection of certain cost containment data from group purchasers; requesting clinical medical education programs training pediatricians to include curriculum in case and medication management for children suffering from mental illness; requiring health care providers for appeal of utilization review initial determinations not to certify services for prepaid health care programs under medical assistance (MA), general assistance medical care or MinnesotaCare to follow certain published evidence based care guidelines; expanding eligibility under the health professional education loan forgiveness program to the field of pediatric psychiatry; requiring and providing for the commissioner of human services to establish and administer the prescription drug discount program, specifying eligibility requirements, prescribing the application procedure and regulating rebates, establishing the Minnesota prescription drug dedicated fund to be used to reimburse participating pharmacies for prescription drug discounts provided to enrollees, requiring crediting of rebates to the fund and the payment of an enrollment fee to cover administrative expenses; expanding eligibility under the continuing care program for persons with mental illness to persons eligible for general assistance medical care; modifying the definition of telemedicine consultation for medical assistance coverage purposes, authorizing telephone conversations relating to the management of medications for children with mental health needs; requiring and providing for the commissioner of human services in consultation with the commissioner of health to biennially establish a list of health care services (diagnosis/treatment pairings) not eligible for medical assistance, GAMC and the MinnesotaCare program; prohibiting assessments relating to the need for home care services under medical assistance by the same agency, individual or organization providing the care services and modifying the delegation authority of responsible parties; excluding certain additional services from medical assistance coverage of personal care assistant services and requiring the commissioner to establish an ongoing audit process for potential fraud and abuse for the services; providing for recipient or responsible party determination of the flexible use of personal care assistant hours as an appropriate option, authorizing commissioner denial, revocation suspension of authorizations to use hours flexibly under certain conditions; providing for healthy lifestyle waivers from copayment requirements; requiring and providing for the commissioner to establish a performance reporting and payment system for health care providers providing health care services to medical assistance, GAMC and MinnesotaCare program participants, providing for bonuses to providers achieving certain levels of performance established by the commissioner and specifying certain commissioner system description and results reporting requirements; requiring the commissioner to increase scholarship reimbursements to certain providers to be used for certain employee scholarship costs and training in English as a second language (ESL); providing a MinnesotaCare option for small employers; limiting coverage of health care services under the medical assistance, GAMC and MinnesotaCare programs, requiring and providing for prior authorization and review of certain services before addition to public programs benefit sets and restricting the authority of state human services referees to overturn prior authorization decisions; requiring the commissioner of health in consultation with the commissioners of human services and education to convene a task force to study and make recommendations on reducing the rate of obesity among children in the state, requiring a commissioner of health report of the recommendations to the legislature by a certain date; requiring the commissioner of health in consultation with the electronic health record planning work group to develop a statewide plan for hospitals and physician group practices to implement interoperable electronic health records systems by a certain date, specifying certain factors to be considered by the commissioner in developing the plan and to provide certain reports to the legislature; appropriating money to the board of trustees of the Minnesota state colleges and universities (MnSCU) for a nursing and health care education plan and to the commissioner of health for the loan forgiveness program
(mk, ja)