1E Relating to health care

ARTICLE 1 - PUBLIC HEALTH

Providing for a statewide health improvement program, 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; prohibiting funds from being used to supplant current state or local funding to community health boards or tribal governments

ARTICLE 2 - HEALTH CARE HOMES

Defining certain terms; 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 home collaborative by a certain date; requiring evaluation and continued development; providing for outreach; requiring the commissioner of human to report annually to the legislature on the implementation and administration of the health care home model for state health care program enrollees in the fee for service, managed care and county based purchasing sectors by a certain date; requiring the commissioner human services in coordination with the commissioner of health to develop a payment system to provide per person care coordination payments to health care homes for providing care coordination services and directly managing on site or employing care coordinators, providing for implementation and cost neutrality; requiring the commissioner of human services to implement quality incentive payments by a certain date for all enrollees in stet health care programs consistent with relevant state and federal statute and rule; requiring the commissioner of human services to use the information and methods to develop a payment reform system; requiring the commissioner of health in consultation with the health licensing boards and professional associations to study changes necessary in health professional licensure and regulation to ensure full utilization of advanced practice registered nurses, physicians assistants and other licensed health care professionals in the health care home and primary delivery system

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 to make state health care program applications and renewals available on the web site of the department in the most common foreign languages; modifying the incentive program to include licensed insurance producers; modifying provisions requiring school districts to provide information to students on the availability of health care coverage through state health care programs; providing for seamless coverage for MinnesotaCare eligible children; increasing the gross income cap for MinnesotaCare eligibility for families with children; increasing the income threshold for single adults and households with no children for eligibility determination purposes; modifying provisions for renewal of eligibility; modifying provisions relating to persons disenrolled for nonpayment of premiums; modifying sliding fee scale provisions; requiring the commissioner of human services automation and coordination for state health care programs, requiring a report to the legislature by a certain date; requiring the commissioner of human services to study and report to the legislature by a certain date with recommendations for a rate increase to long term care employers dedicated to the purchase of employee health insurance in the private market; repealing the MinnesotaCare premium for low income children

ARTICLE 4 - HEALTH INSURANCE PURCHASING AND AFFORDABILITY REFORM

Requiring health insurance benefit plans offered in the commissioner plan and the managerial plan to include an option for a health plan that is compatible with the definition of a high deductible health plan; 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, establishing certain requirements and standards for prescribing; defining certain terms; requiring the commissioner of health to develop a standardized set of measures by which to assess the quality of health care service offered by health care providers; requiring the commissioner to develop a system of quality incentive payments for quality incentive payments and quality transparency; authorizing the commissioner to contract with a private entity or consortium of private entities; requiring health plan companies to include health care homes in provider networks by a certain date and pay a coordination fee for members choosing to enroll in health care homes certified by the commissioners of health and humans services by a certain date; requiring the commissioner of health to develop a plan to create transparent prices, encourage grater provider innovation and collaboration across points on the health care continuum in cost effective, high quality care delivery, reduce the administrative burden on providers and health plans, providing for the calculation of health care costs and quality, providing for a provider peer grouping system for providers 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 and pricing data to a private entity designated by the commissioner; authorizing the commissioner to contract with a private entity or consortium to develop the standards; requiring the commissioner of health to convene a work group to develop strategies for engaging consumers in understanding the importance of health care costs and improve quality; authorizing provider innovation to reduce health care costs and improve quality; specifying commissioner of finance uses of information; requiring the commissioner of health 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 of care 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 of health to submit to the legislative commission of health care access periodic progress reports on implementation, providing for expedited rulemaking; requiring certain employers to offer employee section 125 plans, specifying employer requirements, providing for employer incentives; requiring the commissioner of health to convene a work group to make recommendations on the design of a health benefit set to provide a coverage for a broad range of services and technologies, specifying duties and requiring a report to the commissioner by a certain date and a report to the legislature by a certain date; creating the health care reform review council, specifying membership and operations; 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; requiring the commissioner of health in coordination with the commissioner of human services to develop a health care affordability proposal for eligible individuals and employees with access to employer subsidized health coverage and with gross family incomes of a certain percentage of the federal poverty guidelines and report to the legislature 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 operations, for basic health care grants including MinnesotaCare grants, seamless coverage for MinnesotaCare eligible children, MA basic health care grants for families and children, for health care management, including health care policy administration, for department of education computer system, health care homes, health care operations, for incentive program and outreach grant; to the commissioner of health for community and family health promotion, health care homes, policy, quality and compliance, open door health center, community benefit standards and the federally qualified health centers, section 125 employer incentives, the commissioner of revenue and the commissioner of finance for health insurance premium credits; specifying sunset of uncodified language
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