<a id="pl.1.3"></a><var>1.3</var>subsidy; authorizing carryforward of unexpended funds for COBRA grants; <br/>
<a id="pl.1.4"></a><var>1.4</var>changing appropriations;amending Laws 2009, chapter 79, article 5, section 78, <br/>
<a id="pl.1.5"></a><var>1.5</var>subdivision 5; article 13, section 3, subdivision 6.<br/>
<a id="pl.1.6"></a><var>1.6</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.7"></a><var>1.7</var>    Section 1. Laws 2009, chapter 79, article 5, section 78, subdivision 5, is amended to <br/>
<a id="pl.1.8"></a><var>1.8</var>read:<br/>
<a id="pl.1.9"></a><var>1.9</var>    Subd. 5. <b>Expiration.</b> This section, with the exception of subdivision 4, expires <br/>
<a id="pl.1.10"></a><var>1.10</var>December 31, 2010 May 31, 2011. Subdivision 4 expires November 30, 2011.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.1.11"></a><var>1.11</var>    Sec. 2. Laws 2009, chapter 79, article 13, section 3, subdivision 6, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.1.12"></a><var>1.12</var><br/>
</td>
<td align="left" colspan="3">Subd. 6.<b>Basic Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.1.13"></a><var>1.13</var>The amounts that may be spent from this <br/>
<a id="pl.1.14"></a><var>1.14</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.1.15"></a><var>1.15</var><br/>
</td>
<td align="left" colspan="3"><b>(a) MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">391,915,000<br/>
</td>
<td align="center"></td>
<td align="right">485,448,000<br/>
</td>
</tr>
</table><a id="pl.1.16"></a><var>1.16</var>This appropriation is from the health care <br/>
<a id="pl.1.17"></a><var>1.17</var>access fund.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.1.18"></a><var>1.18</var><br/>
<a id="pl.1.19"></a><var>1.19</var><br/>
</td>
<td align="left" colspan="3"><b>(b) MA Basic Health Care Grants - Families </b><br/>
<b>and Children</b><br/>
</td>
<td align="center"></td>
<td align="right">751,988,000<br/>
</td>
<td align="center"></td>
<td align="right">973,088,000<br/>
</td>
</tr>
</table><a id="pl.1.20"></a><var>1.20</var><b>Medical Education Research Costs </b><br/>
<a id="pl.1.21"></a><var>1.21</var><b>(MERC).</b> Of these funds, the commissioner <br/>
<a id="pl.1.22"></a><var>1.22</var>of human services shall transfer $38,000,000 <br/>
<a id="pl.2.1"></a><var>2.1</var>in fiscal year 2010 to the medical education <br/>
<a id="pl.2.2"></a><var>2.2</var>research fund. These funds must restore the <br/>
<a id="pl.2.3"></a><var>2.3</var>fiscal year 2009 unallotment of the transfers <br/>
<a id="pl.2.4"></a><var>2.4</var>under Minnesota Statutes, section 
         <statute_ref>256B.69, <br/>
<a id="pl.2.5"></a><var>2.5</var>subdivision 5c
         </statute_ref>, paragraph (a), for the July 1, <br/>
<a id="pl.2.6"></a><var>2.6</var>2008, through June 30, 2009, period.<br/>
<a id="pl.2.7"></a><var>2.7</var><b>Newborn Screening Fee.</b> Of the general <br/>
<a id="pl.2.8"></a><var>2.8</var>fund appropriation, $34,000 in fiscal year <br/>
<a id="pl.2.9"></a><var>2.9</var>2011 is to the commissioner for the hospital <br/>
<a id="pl.2.10"></a><var>2.10</var>reimbursement increase described under <br/>
<a id="pl.2.11"></a><var>2.11</var>Minnesota Statutes, section 
         <statute_ref>256.969, <br/>
<a id="pl.2.12"></a><var>2.12</var>subdivision 28
         </statute_ref>.<br/>
<a id="pl.2.13"></a><var>2.13</var><b>Local Share Payment Modification </b><br/>
<a id="pl.2.14"></a><var>2.14</var><b>Required for ARRA Compliance.</b> <br/>
<a id="pl.2.15"></a><var>2.15</var>Effective from July 1, 2009, to December <br/>
<a id="pl.2.16"></a><var>2.16</var>31, 2010, Hennepin County's monthly <br/>
<a id="pl.2.17"></a><var>2.17</var>contribution to the nonfederal share of <br/>
<a id="pl.2.18"></a><var>2.18</var>medical assistance costs must be reduced <br/>
<a id="pl.2.19"></a><var>2.19</var>to the percentage required on September <br/>
<a id="pl.2.20"></a><var>2.20</var>1, 2008, to meet federal requirements for <br/>
<a id="pl.2.21"></a><var>2.21</var>enhanced federal match under the American <br/>
<a id="pl.2.22"></a><var>2.22</var>Reinvestment and Recovery Act (ARRA) <br/>
<a id="pl.2.23"></a><var>2.23</var>of 2009. Notwithstanding the requirements <br/>
<a id="pl.2.24"></a><var>2.24</var>of Minnesota Statutes, section 
         <statute_ref>256B.19, <br/>
<a id="pl.2.25"></a><var>2.25</var>subdivision 1c
         </statute_ref>, paragraph (d), for the period <br/>
<a id="pl.2.26"></a><var>2.26</var>beginning July 1, 2009, to December 31, <br/>
<a id="pl.2.27"></a><var>2.27</var>2010, Hennepin County's monthly payment <br/>
<a id="pl.2.28"></a><var>2.28</var>under that provision is reduced to $434,688.<br/>
<a id="pl.2.29"></a><var>2.29</var><b>Capitation Payments.</b> Effective from <br/>
<a id="pl.2.30"></a><var>2.30</var>July 1, 2009, to December 31, 2010, <br/>
<a id="pl.2.31"></a><var>2.31</var>notwithstanding the provisions of Minnesota <br/>
<a id="pl.2.32"></a><var>2.32</var>Statutes 2008, section 
         <statute_ref>256B.19, subdivision <br/>
<a id="pl.2.33"></a><var>2.33</var>1c
         </statute_ref>, paragraph (c), the commissioner shall <br/>
<a id="pl.2.34"></a><var>2.34</var>increase capitation payments made to the <br/>
<a id="pl.2.35"></a><var>2.35</var>Metropolitan Health Plan under Minnesota <br/>
<a id="pl.3.1"></a><var>3.1</var>Statutes 2008, section 
         <statute_ref>256B.69</statute_ref>, by <br/>
<a id="pl.3.2"></a><var>3.2</var>$6,800,000 to recognize higher than average <br/>
<a id="pl.3.3"></a><var>3.3</var>medical education costs. The increased <br/>
<a id="pl.3.4"></a><var>3.4</var>amount includes federal matching funds.<br/>
<a id="pl.3.5"></a><var>3.5</var><b>Use of Savings.</b> Any savings derived <br/>
<a id="pl.3.6"></a><var>3.6</var>from implementation of the prohibition in <br/>
<a id="pl.3.7"></a><var>3.7</var>Minnesota Statutes, section 
         <statute_ref>256B.032</statute_ref>, on the <br/>
<a id="pl.3.8"></a><var>3.8</var>enrollment of low-quality, high-cost health <br/>
<a id="pl.3.9"></a><var>3.9</var>care providers as vendors of state health care <br/>
<a id="pl.3.10"></a><var>3.10</var>program services shall be used to offset on a <br/>
<a id="pl.3.11"></a><var>3.11</var>pro rata basis the reimbursement reductions <br/>
<a id="pl.3.12"></a><var>3.12</var>for basic care services in Minnesota Statutes, <br/>
<a id="pl.3.13"></a><var>3.13</var>section 
         <statute_ref>256B.766</statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.3.14"></a><var>3.14</var><br/>
<a id="pl.3.15"></a><var>3.15</var><br/>
</td>
<td align="left" colspan="3"><b>(c) MA Basic Health Care Grants - Elderly and </b><br/>
<b>Disabled</b><br/>
</td>
<td align="center"></td>
<td align="right">970,183,000<br/>
</td>
<td align="center"></td>
<td align="right">1,142,310,000<br/>
</td>
</tr>
</table><a id="pl.3.16"></a><var>3.16</var><b>Minnesota Disability Health Options. </b><br/>
<a id="pl.3.17"></a><var>3.17</var>Notwithstanding Minnesota Statutes, section <br/>
<statute_ref><a id="pl.3.18"></a><var>3.18</var>256B.69, subdivision 5a
         </statute_ref>, paragraph (b), for <br/>
<a id="pl.3.19"></a><var>3.19</var>the period beginning July 1, 2009, to June <br/>
<a id="pl.3.20"></a><var>3.20</var>30, 2011, the monthly enrollment of persons <br/>
<a id="pl.3.21"></a><var>3.21</var>receiving home and community-based <br/>
<a id="pl.3.22"></a><var>3.22</var>waivered services under Minnesota <br/>
<a id="pl.3.23"></a><var>3.23</var>Disability Health Options shall not exceed <br/>
<a id="pl.3.24"></a><var>3.24</var>1,000. If the budget neutrality provision <br/>
<a id="pl.3.25"></a><var>3.25</var>in Minnesota Statutes, section 
         <statute_ref>256B.69, <br/>
<a id="pl.3.26"></a><var>3.26</var>subdivision 23
         </statute_ref>, paragraph (f), is reached <br/>
<a id="pl.3.27"></a><var>3.27</var>prior to June 30, 2013, the commissioner may <br/>
<a id="pl.3.28"></a><var>3.28</var>waive this monthly enrollment requirement.<br/>
<a id="pl.3.29"></a><var>3.29</var><b>Hospital Fee-for-Service Payment Delay.</b> <br/>
<a id="pl.3.30"></a><var>3.30</var>Payments from the Medicaid Management <br/>
<a id="pl.3.31"></a><var>3.31</var>Information System that would otherwise <br/>
<a id="pl.3.32"></a><var>3.32</var>have been made for inpatient hospital <br/>
<a id="pl.3.33"></a><var>3.33</var>services for Minnesota health care program <br/>
<a id="pl.3.34"></a><var>3.34</var>enrollees must be delayed as follows: for <br/>
<a id="pl.3.35"></a><var>3.35</var>fiscal year 2011, payments in the month of <br/>
<a id="pl.3.36"></a><var>3.36</var>June equal to $15,937,000 must be included <br/>
<a id="pl.4.1"></a><var>4.1</var>in the first payment of fiscal year 2012 and <br/>
<a id="pl.4.2"></a><var>4.2</var>for fiscal year 2013, payments in the month <br/>
<a id="pl.4.3"></a><var>4.3</var>of June equal to $6,666,000 must be included <br/>
<a id="pl.4.4"></a><var>4.4</var>in the first payment of fiscal year 2014. The <br/>
<a id="pl.4.5"></a><var>4.5</var>provisions of Minnesota Statutes, section <br/>
<statute_ref><a id="pl.4.6"></a><var>4.6</var>16A.124
         </statute_ref>, do not apply to these delayed <br/>
<a id="pl.4.7"></a><var>4.7</var>payments. Notwithstanding any contrary <br/>
<a id="pl.4.8"></a><var>4.8</var>provision in this article, this paragraph <br/>
<a id="pl.4.9"></a><var>4.9</var>expires December 31, 2014.<br/>
<a id="pl.4.10"></a><var>4.10</var><b>Nonhospital Fee-for-Service Payment </b><br/>
<a id="pl.4.11"></a><var>4.11</var><b>Delay.</b> Payments from the Medicaid <br/>
<a id="pl.4.12"></a><var>4.12</var>Management Information System that would <br/>
<a id="pl.4.13"></a><var>4.13</var>otherwise have been made for nonhospital <br/>
<a id="pl.4.14"></a><var>4.14</var>acute care services for Minnesota health <br/>
<a id="pl.4.15"></a><var>4.15</var>care program enrollees must be delayed as <br/>
<a id="pl.4.16"></a><var>4.16</var>follows: payments in the month of June equal <br/>
<a id="pl.4.17"></a><var>4.17</var>to $23,438,000 for fiscal year 2011 must be <br/>
<a id="pl.4.18"></a><var>4.18</var>included in the first payment for fiscal year <br/>
<a id="pl.4.19"></a><var>4.19</var>2012, and payments in the month of June <br/>
<a id="pl.4.20"></a><var>4.20</var>equal to $27,156,000 for fiscal year 2013 <br/>
<a id="pl.4.21"></a><var>4.21</var>must be included in the first payment for <br/>
<a id="pl.4.22"></a><var>4.22</var>fiscal year 2014. This payment delay must <br/>
<a id="pl.4.23"></a><var>4.23</var>not include nursing facilities, intermediate <br/>
<a id="pl.4.24"></a><var>4.24</var>care facilities for persons with developmental <br/>
<a id="pl.4.25"></a><var>4.25</var>disabilities, home and community-based <br/>
<a id="pl.4.26"></a><var>4.26</var>services, prepaid health plans, personal care <br/>
<a id="pl.4.27"></a><var>4.27</var>provider organizations, and home health <br/>
<a id="pl.4.28"></a><var>4.28</var>agencies. The provisions of Minnesota <br/>
<a id="pl.4.29"></a><var>4.29</var>Statutes, section 
         <statute_ref>16A.124</statute_ref>, do not apply to <br/>
<a id="pl.4.30"></a><var>4.30</var>these delayed payments. Notwithstanding <br/>
<a id="pl.4.31"></a><var>4.31</var>any contrary provision in this article, this <br/>
<a id="pl.4.32"></a><var>4.32</var>paragraph expires December 31, 2014.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.4"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.4.33"></a><var>4.33</var><br/>
</td>
<td align="left" colspan="3"><b>(d) General Assistance Medical Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">345,223,000<br/>
</td>
<td align="center"></td>
<td align="right"><i>381,081,000</i><br/>
</td>
</tr>
</table><a id="pl.4.34"></a><var>4.34</var>* (The preceding text "381,081,000" was indicated as vetoed by the governor. It <br/>
<a id="pl.4.35"></a><var>4.35</var>was reconsidered and not approved by the legislature, May 17, 2009.)<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.5.1"></a><var>5.1</var><br/>
</td>
<td align="left" colspan="3"><b>(e) Other Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.5.2"></a><var>5.2</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.5.3"></a><var>5.3</var><br/>
</td>
<td align="left">General<br/>
</td>
<td align="right">295,000<br/>
</td>
<td align="right">295,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.5.4"></a><var>5.4</var><br/>
<a id="pl.5.5"></a><var>5.5</var><br/>
</td>
<td align="left">Health Care Access<br/>
</td>
<td align="right">23,533,000<br/>
</td>
<td align="right">7,080,000<br/>
 5,230,000<br/>
</td>
</tr>
</table><a id="pl.5.6"></a><var>5.6</var><b>Base Adjustment.</b> The health care access <br/>
<a id="pl.5.7"></a><var>5.7</var>fund base is reduced to $190,000 in each of <br/>
<a id="pl.5.8"></a><var>5.8</var>fiscal years 2012 and 2013.<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.5.9"></a><var>5.9</var>    Sec. 3. <b>COBRA CARRYFORWARD.</b><br/>
<a id="pl.5.10"></a><var>5.10</var>Unexpended funds appropriated in fiscal year 2010 for COBRA grants under Laws <br/>
<a id="pl.5.11"></a><var>5.11</var>2009, chapter 79, article 5, section 78, do not cancel and are available to the commissioner <br/>
<a id="pl.5.12"></a><var>5.12</var>of human services for fiscal year 2011 COBRA grant expenditures. Up to $110,000 of <br/>
<a id="pl.5.13"></a><var>5.13</var>the fiscal year 2011 appropriation for COBRA grants provided in Laws 2009, chapter 79, <br/>
<a id="pl.5.14"></a><var>5.14</var>article 13, section 3, subdivision 6, may be used by the commissioner of human services <br/>
<a id="pl.5.15"></a><var>5.15</var>for costs related to administration of the COBRA grants.<br/>