1E Relating to health

ARTICLE 1 - GENERAL PROVISIONS

"Minnesota Health Act"; establishing the Minnesota health plan to provide residents all medically necessary health care services; specifying health plan requirements; defining certain terms; providing for ethics and conflict of interest; requiring certain data sharing

ARTICLE 2 - ELIGIBILITY

Providing for eligibility to all state residents; requiring the Minnesota health board to establish a procedure to enroll residents and provide enrollees with appropriate identification, allowing health care coverage for residents temporarily residing out of state, visitors, nonresident persons working in the state and retiree benefits; providing for presumptive eligibility

ARTICLE 3 - BENEFITS

Authorizing eligible persons to receive services under the Minnesota health plan from any licensed participating providers; prohibiting provider patient care refusal based on unfair employment practice; specifying minimum covered medical benefits; allowing the board to expand minimum benefits, specifying certain exclusions; prohibiting payment for prescription drugs from pharmaceutical companies directly marketing to consumers; prohibiting deductibles, co-payments, co-insurance and other cost sharing; requiring primary care provider use for patient care coordination

ARTICLE 4 - FUNDING

Requiring the board to establish a Minnesota health fund to implement the Minnesota health plan and to receive premiums and other sources of revenue; providing for fund accounts, budgets, program administration and training; providing for revenue sources, specifying premium requirements and requiring the board to submit a report to the governor and legislature by a certain date on premium structure; permitting donations, requiring federal waivers and federal preemption, providing for subrogation, plan reimbursement and defaults

ARTICLE 5 - PAYMENTS

Allowing plan participation to all licensed health care providers; requiring noninstitutional providers uniform fee schedule establishment; providing for payments to institutional providers; requiring the board to develop a capital investment plan

ARTICLE 6 - GOVERNANCE

Providing certain conforming statutory changes; establishing a Minnesota health plan executive officer and the Minnesota health board, prescribing board composition, terms, compensation and duties; defining metropolitan health planning region; prescribing regional health planning board composition and duties; requiring the Minnesota health board to establish an office of health quality and planning and prescribing duties, assessment and benefits evaluation; creating the ombudsman office for patient advocacy, prescribing duties; requiring the ombudsman to establish a grievance system; requiring the attorney general to appoint an inspector general, prescribing duties; requiring the legislative auditor to examine the books and operating polices of the board

ARTICLE 7 - IMPLEMENTATION

Appropriating money to the Minnesota health fund under the Minnesota health plan for implementation; repealing the provider tax, MinnesotaCare (MNCare) and portions of medical assistance (MA) and general assistance medical (GAMC)
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