1.1 	A bill for an act
1.2 	relating to human services; establishing disease management guidelines for 
1.3 	chronic kidney disease;proposing coding for new law in Minnesota Statutes, 
1.4 	chapter 256B.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. [256B.076] CHRONIC KIDNEY DISEASE MANAGEMENT.
1.7 	(a) Any recipient eligible for medical assistance who has been diagnosed with 
1.8 	diabetes or hypertension or who has a family history of kidney disease shall be evaluated 
1.9 	for kidney disease through routine clinical laboratory assessments of kidney function. 
1.10 	(b) Any recipient who has been diagnosed with diabetes or hypertension or who has 
1.11 	a family history of kidney disease and who has received a diagnosis of kidney disease 
1.12 	shall be classified as a chronic kidney patient. 
1.13 	(c) The commissioner shall track recipients who are at risk for chronic kidney 
1.14 	disease or who have been classified as a chronic kidney disease patient to determine 
1.15 	whether these recipients have received appropriate diagnostic testing and treatment 
1.16 	according to generally recognized clinical practice guidelines. 
1.17 	(d) The commissioner shall ensure that participating medical assistance health care 
1.18 	providers are educated and that disease management strategies are implemented in order 
1.19 	to increase the rate of evaluation and treatment for chronic kidney disease according to 
1.20 	accepted practice guidelines, including:
1.21 	(1) managing risk factors, which prolong kidney function or delay progression 
1.22 	to kidney replacement therapy; 
1.23 	(2) managing risk factors for bone disease and cardiovascular disease associated 
1.24 	with chronic kidney disease; 
2.1 	(3) improving nutritional status of chronic kidney disease patients; and 
2.2 	(4) correcting anemia associated with chronic kidney disease. 
2.3 	(e) As part of the performance reporting and quality improvement system under 
2.4 	section 256B.072, the commissioner shall include in the performance measures used for 
2.5 	the care of diabetes and hypertension screening for reduced kidney function.