Relating to health care

ARTICLE 1 - PUBLIC HEALTH

Establishing the public health improvement fund; requiring hospitals by a certain date to contribute a certain percent of net patient revenue to the public health improvement fund; providing for a statewide health improvement program, specifying goals, providing for local community grants, outcomes and a media campaign; requiring the commissioner of health to establish a BMI monitoring program for children and youth; appropriating money to the commissioner of health

ARTICLE 2 - HEALTH CARE HOMES

Requiring medical assistance (MA) enrollees to select primary care clinics after a certain date; requiring the commissioner of human services to encourage initial health assessments; requiring the commissioner to provide patient education and outreach to MA enrollees; requiring the commissioner to establish health care homes for state health care program enrollees and requiring commissioner certification; establishing health care home requirements and criteria; requiring the commissioner to pay a health care home coordination fee, specifying amount and cost neutrality; requiring the commissioner to establish health care homes certification standards by a certain date; specifying monitoring and evaluation and requiring a care coordination advisory committee for departments of health and human services assistance; requiring the commissioners of health and human services to establish the health care home collaborative and to develop a patient-directed decision making support model to be used by health care homes; specifying requirements and annual legislative reports; requiring the commissioner to require managed care plans as a condition of contract for state health care program enrollees, specifying requirements; providing a primary care physicians reimbursement rate increase, specifying a limit; appropriating money from the health care access fund to the university of Minnesota board of regents for initiatives expansion and primary care medicine faculty shortage correction, to the Mayo medical foundation for medical school initiatives and primary care medicine faculty shortage correction and to the office of higher education for nursing school grants and nursing faculty shortage correction

ARTICLE 3 - INCREASING ACCESS; CONTINUITY OF CARE

Requiring commissioner of human services automation and coordination for state health care program, specifying duties for goal achievement; requiring commissioner to verify liquid assets of medical assistance (MA) applicant verification; providing for a delayed verification for MA, general assistance medical care (GAMC) and MinnesotaCare benefits; increasing the MinnesotaCare inpatient hospital services and benefit limit; expanding MinnesotaCare eligibility for families and single adults and household without children; allowing MinnesotaCare eligibility renewal at health care providers under no change conditions; modifying disenrollment conditions, 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 legislatively report with recommendations for a rate increase to long-term care employers dedicated to employee health insurance private market purchasing and requiring commissioner cost estimates development, appropriating money to the commissioner of human services; repealing MinnesotaCare premiums sliding scale exemptions

ARTICLE 4 - HEALTH INSURANCE PURCHASING AND AFFORDABILITY REFORM

Creating a health savings reinvestment fund in the state treasury; 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 prescribing; modifying certain health care payment disclosure provisions; establishing the "Minnesota Health Insurance Exchange"; providing for greater health insurance product individual access, choice, affordability and portability; creating the exchange as an unincorporated association and requiring corporation as a nonprofit, specifying participation, availability, health plan ranking, individual and small employer participation and eligibility, exchange responsibilities, state nonliability, powers, dispute resolution, board of directors governance, subsequent board membership, board and exchange operations, insurance producers, implementation responsibilities and an exemption from administrative procedures; requiring certain employers to offer employee section 125 plans, specifying requirements and compliance of the commission; creating the health care transformation commission, specifying membership, describing the operations and responsibilities of the commission, establishing certain immunity from commission liability, determining benefit design, requiring a report to the legislature by a certain date, sunset provision; authorizing the health care transformation commission to create the health care value reporting organization, prescribing duties of the organization, requiring the commission to convene a health benefit and design and advisory committee, specifying membership, operations, liability immunity, duties and review; requiring the health care transformation commission to convene an advisory committee for board recommendations, specifying membership, technology selection process, review and committee determination; requiring the health care transformation commission to develop a payment system linking the level of payments to providers to the quality and efficiency of care in the private sector, 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, 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 the deposit 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 (DHS) to establish an eligible employee subsidy program, specifying eligibility, subsidy amount and payment; authorizing private individual data exchange; appropriating money from the health care access fund to the health care transformation commission; repealing certain statutes relating to prohibited health insurance agreements, enrollee cost sharing, negotiated provider payments, access to provider discounts, payment rate compliance and a certain exceptional premiums
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