Relating to health care

ARTICLE 1 - PUBLIC HEALTH

Providing for a statewide health improvement program, specifying goals, providing for local community grants, outcomes, technical assistance, oversight and evaluation; requiring the commissioner to submit a biennial report to the legislature on the statewide health improvement program; requiring community health boards and tribal governments to use funds received to develop new programs, expand current programs to reduce the percentage of obese or overweight or who use tobacco

ARTICLE 2 - HEALTH CARE HOMES

Requiring the commissioners of health and human services to develop and implement standards of certification for health care homes for state health care programs by a certain date; specifying requirements of clinicians certified as health care homes; providing for alternative models; requiring the commissioners to establish a health care collaborative by a certain date; requiring evaluation and continued development; providing for outreach; requiring the commissioner of human services to pay a care coordination fee, specifying amount and cost neutrality; requiring the commissioner to report the certification standards and evaluation criteria to the legislative commission on health care access; requiring the commissioners to report annually to the legislature on the implementation and administration of the health care home model for state health care program enrollees by a certain date; requiring the commissioners to provide the legislature comprehensive evaluations of the health care model; providing a primary care physicians reimbursement rate increase, specifying a limit

ARTICLE 3 - INCREASING ACCESS; CONTINUITY OF CARE

Requiring each school participating in the federal school lunch program to electronically send to the department of education the eligibility information on each child eligible for the free and reduced lunch program; requiring for the department of education to enter into an agreement with the department of humans services to share the eligibility information; requiring the commissioner of human services automation and coordination for state health care program; requiring the commissioner to improve coordination between state health care programs and social service programs; increasing the application assistance bonus; eliminating the income cap; eliminating the requirement for applicants to have no health insurance for four months; requiring MinnesotaCare care enrollees to pay premiums according to the affordability scale; modifying the effective date for the change in the income definitions of self employed farmers; repealing the MinnesotaCare premium for low income children

ARTICLE 4 - HEALTH INSURANCE PURCHASING AND AFFORDABILITY REFORM

Requiring hospitals and health care providers implementing an interoperable health records system within their hospital or clinical practice to use an electronic health record certified by the certification commission for healthcare information technology; establishing an electronic prescription drug program, requiring prescribers and dispensers to use the NCPDP SCRIPT standard for the communication of a prescription or prescription related information; defining certain terms, establishing certain requirements and standards for prescribing; defining certain terms; requiring the commissioner of health to make recommendations to the legislature on the components and design of a value based set of health benefits; creating an advisory committee;
requiring the commissioner of health in consultation with the health advisory council, the institute for clinical systems and practicing health care providers to review the health technology assessments of new and existing health technologies; requiring the commissioner of health to develop a standardized set of measures to assess the quality of health care services offered by health care providers; requiring the commissioner to develop a system of quality incentive payments by a certain date; requiring the commissioner to establish standards for measuring health outcomes by a certain date; authorizing the commissioner to contract with a private entity or consortium of private entities; requiring health plan companies to use the standardized quality measures by a certain date; requiring health plan companies to integrate health care homes into provider networks by a certain date and develop a payment system to provide per person care coordination payments to health care providers for providing care coordination services and directly managing onsite or employing care coordinators; requiring the commissioner to develop the uniform standards needed to implement on a broad scale innovative payment reform to reward quality and efficiency; requiring the commissioner to develop a method of calculating providers relative cost of care and relative quality of care; requiring the commissioner to develop a peer grouping system for provider based on a measure incorporating both provider risk adjusted cost of care and quality of care for specific conditions; requiring all health plan companies and third party administrators to submit encounter data to a private entity designated by the commissioner and pricing data; authorizing the commissioner to contract with a private entity or consortium to develop the standards; authorizing provider innovation to reduce health care costs and improve quality; specifying commissioner of finance uses of information; requiring the commissioner to establish uniform definitions for baskets of care; authorizing health care providers to establish package prices by a certain date; requiring the commissioner to establish quality measurements for the defined baskets by a certain date; requiring the commissioner to ensure the activities and data collection are implemented in an integrated and coordinated manner to avoid unnecessary duplication of effort; requiring the commissioner to submit to the legislative commission of health care access periodic progress reports on implementation; providing for an affordability standard; requiring the commissioner of health in consultation with the commissioner of human services to develop a plan and submit recommendations to the legislature by a certain date for subsidy program for eligible individuals and employees with access to employer subsidized health coverage; requiring the commissioner to calculate the annual projected total health care spending for the state and establish a health care spending baseline; establishing the health care reform review council, specifying members, operations and responsibilities; requiring certain employers to offer employee section 125 plans, specifying employer requirements; requiring the commissioner of human services to implement quality incentive payments and a payment system to reduce health care costs and improve quality; requiring the commissioner of finance to consider including an option compatible with the definition of a high deductible health plan; requiring the commissioner of health to establish a work group to make recommendations on the potential for reducing claims adjudication costs of health care providers and health plan companies by adopting more uniform payment methods and the potential impact of establishing uniform prices by a certain date

ARTICLE 5 - APPROPRIATIONS

Providing a summary of appropriations; appropriating money to the department of human services for children and economic assistance management, for basic health care grants including MinnesotaCare grants and other health care grants, for primary care physician rate increases, for subsidies for employer subsidized health coverage, for base adjustment, for health care management, for health care policy administration, for general fund base adjustment, for department of education computer system, for public dental coverage program study, for health care operations, for incentive program and outreach grants, for outreach funding, for continuing care management, for long term care worker health coverage study; to the department of health for community and family health promotion for the purpose of a statewide health improvement program, for policy, quality and compliance including the open door health center and the federally qualified health centers, reducing the base adjustment; specifying sunset of uncodified language
(Ch. 327, 2008 - VETO)