1.1 	A bill for an act
1.2 	relating to human services; directing the commissioner to approve a county-based 
1.3 	purchasing health plan proposal for certain counties;amending Laws 2005, First 
1.4 	Special Session chapter 4, article 8, section 84.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Laws 2005, First Special Session chapter 4, article 8, section 84, is amended 
1.7 	to read:
1.8 	Sec. 84. SOLE-SOURCE OR SINGLE-PLAN MANAGED CARE 
1.9 	CONTRACT.
 1.10 	Notwithstanding Minnesota Statutes, section 256B.692, subdivision 6, the 
1.11 	commissioner of human services shall not reject a county-based purchasing health plan 
1.12 	proposal that requires county-based purchasing on a sole-source or single-plan basis if the 
1.13 	implementation of the sole-source or single-plan purchasing proposal does not limit an 
1.14 	enrollee's provider choice or access to services. The commissioner shall request federal 
1.15 	approval, if necessary, to permit or maintain a sole-source or single-plan purchasing option 
1.16 	even if choice is available in the area. clause (1)(c), the commissioner of human services 
1.17 	shall approve a county-based purchasing health plan proposal, submitted on behalf of any 
1.18 	or all of the following counties: Aitkin, Carlton, Cook, Koochiching, Lake, or St. Louis. 
1.19 	This approval requires the county-based purchasing on a single-plan basis contract for 
1.20 	all counties that are eligible under federal law, no more than two plans including the 
1.21 	county-based purchasing plan for those counties not federally eligible for single-plan 
1.22 	status, and where the implementation of the single-plan purchasing proposal does not limit 
1.23 	an enrollee's provider choice or access to services and all other requirements applicable to 
1.24 	health plan purchasing are satisfied. The commissioner shall request federal approval, 
2.1 	if necessary, to permit a single-plan purchasing option even if choice is available in the 
2.2 	area. The commissioner shall continue single-health plan purchasing arrangements with 
2.3 	county-based purchasing entities in the service areas in existence on May 1, 2007. The 
2.4 	commissioner shall approve contracting on a single-health plan basis with county-based 
2.5 	purchasing plans, or with other qualified health plans that have coordination arrangements 
2.6 	with counties, to serve persons with a disability who voluntarily enroll, in order to 
2.7 	promote better coordination or integration of health care services, social services, and 
2.8 	other community-based services, provided that all requirements applicable to health plan 
2.9 	purchasing, including those in Minnesota Statutes, section 256B.69, subdivision 23, are 
2.10 	satisfied.

2.11 	EFFECTIVE DATE. This section is effective the day following final enactment.