HF 3391

CONFERENCE COMMITTEE REPORT (SIXTH ENGROSSMENT)

Health care program affordability and continuity increased, provisions modified, subsidies provided, commission established, standard created, program implemented, payment system and benefit evaluation required, and money appropriated.

ARTICLE 1 -- PUBLIC HEALTH

Section 1: Statewide health improvement program language provided.
Subdivision 1. Goals.
Subdivision 2. Grants to local communities.
Subdivision 3. Outcomes.
Subdivision 4. Technical assistance and oversight.
Subdivision 5. Evaluation.
Subdivision 6. Report.
Subdivision 7. Supplantation of existing funds.

ARTICLE 2 -- HEALTH CARE HOMES

Section 1: Health Care Homes language provided.
Subdivision 1. Definitions.
Subdivision 2. Development and implementation of standards.
Subdivision 3. Requirements for clinicians certified as health care homes.
Subdivision 4. Alternative models.
Subdivision 5. Health care home collaborative.
Subdivision 6. Evaluation and continued development.
Subdivision 7. Outreach.

Section 2: Care Coordination Fee language provided.
Subdivision 1. Development.
Subdivision 2. Payment of care coordination fee.
Subdivision 3. Managed care and county-based purchasing.
Subdivision 4. Cost neutrality.

Section 3: Health Care Home Reporting requirement language provided.
Subdivision 1. Standards and criteria review.
Subdivision 2. Annual reports on implementation and administration.
Subdivision 3. Evaluation reports.

Section 4: Primary care physician reimbursement rate increase language provided.

Section 5: Workforce shortage study language added.

ARTICLE 3 -- INCREASING ACCESS; CONTINUITY OF CARE

Section 1: Free and reduced school lunch program data sharing language provided.

Section 2: Automation and coordination for state health care programs language provided.

Section 3: Incentive program language modified.

Section 4: School districts language modified.

Section 5: Children under age two language modified.

Section 6: Families with children language modified.

Section 7: Single adults and households with no children language modified.

Section 8: Renewal of eligibility language modified.

Section 9: Delayed verification language added.

Section 10: Commissioner's duties and payment language modified.

Section 11: General requirements language modified.

Section 12: Other health coverage language modified.

Section 13: Sliding fee scale; monthly gross individual or family income language modified.

Section 14: Effective date language modified.

Section 15: Repealer provided.

ARTICLE 4 -- HEALTH INSURANCE PURCHASING AND AFFORDABILITY REFORM

Section 1: Interoperable electronic health record requirements language provided.

Section 2: Electronic prescription drug program language provided.
Subdivision 1. Definitions.
Subdivision 2. Requirements for electronic prescribing.
Subdivision 3. Standards for electronic prescribing.

Section 3: Definitions provided.
Subdivision 1. Applicability.
Subdivision 2. Basket or baskets of care.
Subdivision 3. Clinically effective.
Subdivision 4. Cost-effective.
Subdivision 5. Group purchaser.
Subdivision 6. Health plan.
Subdivision 7. Health plan company.
Subdivision 8. Participating provider.
Subdivision 9. Provider or health care provider.
Subdivision 10. Service agreement.
Subdivision 11. State health care program.
Subdivision 12. Third-party administrator.

Section 4: Value-based benefit set and design language provided.
Subdivision 1. Creation.
Subdivision 2. Operations of advisory committee.
Subdivision 3. Immunity of liability.
Subdivision 4. Benefit set design.
Subdivision 5. Continued review.

Section 5: Health technology assessment review language provided.

Section 6: Payment restructuring; incentive payments based on quality of care language provided.
Subdivision 1. Development.
Subdivision 2. Quality incentive payments.
Subdivision 3. Quality transparency.
Subdivision 4. Contracting.
Subdivision 5. Implementation.

Section 7: Payment restructuring; care coordination payments language provided.

Section 8: Payment reform to reduce health care costs and improve quality language provided.
Subdivision 1. Development of uniform standards.
Subdivision 2. Calculation of health care costs and quality.
Subdivision 3. Provider peer grouping.
Subdivision 4. Encounter data.
Subdivision 5. Pricing data.
Subdivision 6. Contracting.
Subdivision 7. Provider innovation to reduce health care costs and improve quality.
Subdivision 8. Uses of information.

Section 9: Provider pricing for baskets of care language provided.
Subdivision 1. Establishment of definitions.
Subdivision 2. Package prices.
Subdivision 3. Quality measurements for baskets of care.

Section 10: Coordination; legislative oversight on payment restructuring language provided.
Subdivision 1. Coordination.
Subdivision 2. Legislative oversight.

Section 11: Affordability standard language provided.
Subdivision 1. Definition of affordability.
Subdivision 2. Affordability standard.
Subdivision 3. Application.
Section 12: Employee subsidies for health coverage language provided.
Subdivision 1. Development of subsidy program.
Subdivision 2. Eligible employees and dependents; incomes not exceeding 300 percent of federal poverty guidelines.
Subdivision 3. Eligible individuals, employees and dependents; incomes greater than 300 percent but not exceeding 400 percent of federal poverty guidelines.
Subdivision 4. Amount of subsidy.
Subdivision 5. Payment of subsidy.

Section 13: Projected and actual health care spending language provided.
Subdivision 1. Projected spending baseline.
Subdivision 2. Actual spending.
Subdivision 3. Publication of spending.

Section 14: Health Care Reform Review Council language provided.
Subdivision 1. Establishment.
Subdivision 2. Members.
Subdivision 3. Operations of council.
Subdivision 4. Responsibilities of council.

Section 15: Section 125 Plans language provided.
Subdivision 1. Definitions.
Subdivision 2. Section 125 Plan requirement.
Subdivision 3. Employer requirements.

Section 16: Payment reform language provided.
Subdivision 1. Quality incentive payments.
Subdivision 2. Payment reform.

Section 17: High-deductible health plan option language provided.

Section 18: Study of uniform claims review process language provided.

ARTICLE 5 -- APPROPRIATIONS

Section 1: Summary of appropriations language provided.

Section 2: Health and human services appropriations language provided.

Section 3: Human services language provided.
Subdivision 1.Total Appropriation
Subdivision 2.Children and Economic Assistance Management
Subdivision 3.Basic Health Care Grants
Subdivision 4.Health Care Management
Subdivision 5. Continuing Care Management

Section 4: Commissioner of Health language provided.
Subdivision 1.Total Appropriation
Subdivision 2.Community and Family Health Promotion
Subdivision 3.Policy, Quality, and Compliance

Section 5: Sunset of uncodified language, language provided.

Section 6: Effective date language provided.

SNA 5/14/08