8E Relating health care

ARTICLE 1 - PUBLIC HEALTH

Creating the public health improvement fund; providing for a statewide health improvement program with a goal to substantially reduce the percentage of obese or overweight people, people using tobacco or people misusing alcohol; requiring the commissioner of health to provide local community grants; requiring the commissioner to set measurable outcomes and provide technical assistance and oversight; requiring the commissioner to conduct biennial evaluations and submit a biennial report to the legislature; providing for community health boards and tribal governments to use funds to develop new programs and expand current programs; defining certain terms relating to the public health improvement fund, requiring hospitals and nonprofit health plan companies by a certain date to contribute a certain percent of net patient revenue to the public health improvement fund, specifying assessment percentage for hospitals and health plan companies from 2010 and thereafter; sunset provision; requiring the commissioner of health to establish by a certain date a body mass index (BMI) monitoring program for overweight and obese children

ARTICLE 2 - HEALTH CARE HOMES

Requiring the commissioner of human services to encourage state health care program enrollees eligible for services under the fee for service system to select a primary care clinic or medical group; encouraging enrollees to complete an initial health assessment; requiring the commissioner to provide patient education and outreach to enrollees; defining state health care program to include medical assistance (MA), MinnesotaCare and general assistance medical care (GAMC) programs; requiring the commissioners of human services and health to establish health care homes for state health care enrollees; requiring certification of individual clinicians; specifying certain health care home requirements and criteria; requiring the commissioners to pay a health care home coordination fee, specifying amount of and providing for cost neutrality; requiring the commissioners to establish health care homes certification standards and other criteria by a certain date, specifying monitoring and evaluation requirements; requiring the commissioners to establish by a certain date a care coordination advisory committee to assist the commissioners of health and human services; requiring the commissioners to establish the health care home collaborative and to develop a patient-directed decision making support model to be used by health care homes; requiring certain annual legislative reports; requiring the commissioners to require managed care plans as a condition of a contract to adopt by a certain date a health care home model for providing care to state health care program enrollees with or at risk of developing a complex or chronic health condition; providing for a primary care physician reimbursement rate increase, specifying a limit

ARTICLE 3 - INCREASING ACCESS; CONTINUITY OF CARE

Including the dental school student scholarship program as a component of the health professional education loan forgiveness program, instructing the commissioner of health to award scholarships to certain dental students; requiring the commissioner of human services automation and coordination of state health care programs, specifying duties for goal achievement; requiring the commissioner to verify liquid assets of medical assistance (MA) applicants; increasing the MinnesotaCare inpatient hospital services and benefit limit; expanding MinnesotaCare eligibility for families and single adults and households without children; allowing MinnesotaCare eligibility renewal at health care providers under no change conditions; modifying disenrollment conditions, premium determination expiration date, other health coverage conditions and the sliding fee scale; authorizing new enrollee household first month premium exemption; requiring the commissioner of human services to study and report to the legislature with recommendations for a rate increase to long-term care employers dedicated to employee health insurance in the private market; repealing MinnesotaCare premiums sliding scale exemptions

ARTICLE 4 - HEALTH INSURANCE PURCHASING AND AFFORDABILITY REFORM

Creating a health savings reinvestment fund in the state treasury, providing for and eventual transfer of loss of income tax revenue to the general fund and direct appropriation of remaining balance; establishing criteria for hospitals and health care providers implementing an interoperable electronic health record system; creating an electronic prescription drug program, defining certain terms, establishing certain requirements and standards for electronic prescribing; modifying certain health care payment disclosure provisions relating to out of pocket costs; permitting certain corporations to apply to be a health insurance access broker, establishing certain registration criteria, instructing commissioner of commerce to oversee health insurance access brokers, authorizing the commissioner to establish an online registry for brokers; requiring certain employers to offer employee section 125 plans, specifying requirements and compliance of the commission; specifying employer and health plan company requirements; creating the health care transformation commission, specifying membership; describing the operations and responsibilities of the commission, authorizing the establishment of an advisory committee, specifying use of data collected by commission; determining standard benefit set and design, requiring a report to the legislature by a certain date, sunset provision; creating the health care value reporting committee, specifying operation and membership of the committee and prescribing duties; requiring the commission to convene a health benefit and design advisory committee, specifying membership, operations, duties and review requirements; requiring the health care transformation commission to convene a technology advisory committee to make recommendations to the board, specifying membership, technology selection process, review and committee determination; requiring the health care transformation commission to develop a system of quality incentive payments to providers, specifying payment system criteria, providing for implementation; requiring the health care transformation commission to develop a payment system providing care coordination payments to health care providers, specifying eligibility, fee, payments and requiring implementation by a certain date; requiring the health care transformation commission to develop a payment system by a certain date; requiring provider innovation to improve costs and quality; providing for the submission of encounter data and the calculation of the relative utilization and health care costs of providers, forming a process for provider submission of total care bids, offering assistance to providers for the calculation and submission of bids and chronic care package pricing; specifying payments to providers and requiring implementation by a certain date; requiring providers to submit price lists of types of care provided to the health care transformation commission; specifying provider pricing process requirements; requiring the commissioner of health to develop a projected spending baseline, determine actual spending, publish spending and requiring companies to pay a savings reinvestment assessment, providing for credit of the assessments; establishing certain cost containment goals and making them contingent on the expansion of MinnesotaCare; specifying an affordability standard; requiring the commissioner of human services to establish an eligible employee subsidy program, specifying eligibility, subsidy amount and payment and report requirement; authorizing private individual data exchange; repealing certain statutes relating to prohibited health insurance agreements, enrollee cost sharing, negotiated provider payments, access to provider discounts and payment rate compliance

ARTICLE 5 - APPROPRIATIONS

Appropriating money to the department of human services to be deposited in the health care access and the health care improvement funds for children and economic assistance management, for basic health care grants including MinnesotaCare grants, medical assistance basic health care grants for families and children, primary care physician rate increases, other health care grants such as mobile dental unit operation, the open door health center and subsidies for employer-subsidized health coverage with a health care access fund base adjustment, for health care management including health care policy administration with a health care access fund and general fund base adjustment and health care operations including an incentive program with outreach grants and outreach funding with a health care access fund base adjustment, for continuing care management including a long-term care worker health coverage study; to the department of health to be deposited in the health care access and health care improvement funds for community and family health promotion for the purpose of a statewide health improvement program, for policy, quality and compliance including the dental loan forgiveness and scholarship program, federally qualified health centers, the operation of the health care transformation commission, the electronic health records program, the electronic health records revolving account and loan program; specifying that remaining funds in the health savings reinvestment fund be transferred and used for the health care home care coordination fee; appropriating money from the health savings reinvestment fund to the commissioner of health for administrative activities of the health reinvestment assessment; specifying that remaining money in the health savings reinvestment fund be appropriated in equal amounts to the board of regents of the university of Minnesota, the Mayo medical foundation and the office of higher education to increase the number of primary care physicians who practice in underserved communities and the number of primary care slots in residency programs in the state, Duluth Graduate Medical Education Council, Inc. for medical school initiatives to increase the number of primary care physician slots in state residency programs, office of higher education for nursing school grants and the university of Minnesota board of regents and the Mayo medical foundation to address shortages in primary care medicine; specifying the deposit of and the purpose of health insurance access broker fees; specifying sunset of uncodified language
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