3E Relating to health

ARTICLE 1 - GENERAL PROVISIONS

"Minnesota Health Act"; establishing the Minnesota Health Plan to provide
residents all medically necessary health care services; specifying health plan requirements; defining certain terms; providing for ethics and conflict of interest

ARTICLE 2 - ELIGIBILITY

Providing for eligibility to all state residents; establishing residency standards; requiring the Minnesota health board to establish a procedure to enroll residents and provide enrollees with appropriate identification; allowing health care coverage for residents temporarily residing out of state, visitors, nonresident persons working in the state and retiree benefits; providing for presumptive eligibility; allowing data release to certain parties

ARTICLE 3 - BENEFITS

Authorizing eligible persons to receive services under the Minnesota Health Plan from any licensed participating providers; prohibiting provider patient care refusal based on unfair employment practice; specifying minimum covered medical benefits; allowing the board to expand minimum benefits; specifying certain exclusions; prohibiting payment for prescription drugs from pharmaceutical companies directly marketing to consumers; prohibiting deductibles, co-payments, co-insurance and other cost sharing; requiring primary care provider use for patient care coordination

ARTICLE 4 - FUNDING

Classifying data as private; requiring the board to establish a Minnesota Health Fund to implement the Minnesota Health Plan and to receive premiums and other sources of revenue; providing for fund accounts, budgets, program administration and training; providing for revenue sources; specifying premium requirements and requiring the board to submit a report to the governor and legislature by a certain date on premium structure; permitting donations, requiring federal waivers and federal preemption; providing for subrogation, plan reimbursement and defaults

ARTICLE 5 - PAYMENTS

Allowing plan participation to all licensed health care providers; requiring
noninstitutional providers uniform fee schedule establishment; providing for payments to institutional providers; requiring the board to develop a capital investment plan

ARTICLE 6 - GOVERNANCE

Providing certain conforming statutory changes; establishing a Minnesota Health Plan executive officer and the Minnesota health board; prescribing board composition, terms, compensation and duties; defining metropolitan health planning region; prescribing regional health planning board composition and duties; requiring the Minnesota health board to establish an office of health quality and planning and prescribing duties, assessment and benefits evaluation; creating the ombudsman office for patient advocacy, prescribing duties; requiring the ombudsman to establish a grievance system for complaints and classifying data; requiring the attorney general to appoint an inspector general, prescribing duties

ARTICLE 7 - IMPLEMENTATION

Appropriating money to the Minnesota health fund under the Minnesota Health Plan for implementation
(rt)