1.1A bill for an act1.2relating to human services; extending eligibility for the COBRA premium state 1.3subsidy; authorizing carryforward of unexpended funds for COBRA grants; 1.4changing appropriations;amending Laws 2009, chapter 79, article 5, section 78, 1.5subdivision 5; article 13, section 3, subdivision 6.1.6BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:1.7    Section 1. Laws 2009, chapter 79, article 5, section 78, subdivision 5, is amended to 1.8read:1.9    Subd. 5. Expiration. This section, with the exception of subdivision 4, expires 1.10December 31, 2010 May 31, 2011. Subdivision 4 expires November 30, 2011.1.11    Sec. 2. Laws 2009, chapter 79, article 13, section 3, subdivision 6, is amended to read:

1.12Subd. 6.Basic Health Care Grants

1.13The amounts that may be spent from this 1.14appropriation for each purpose are as follows:

1.15(a) MinnesotaCare Grants391,915,000485,448,000

1.16This appropriation is from the health care 1.17access fund.

1.181.19(b) MA Basic Health Care Grants - Families and Children751,988,000973,088,000

1.20Medical Education Research Costs 1.21(MERC). Of these funds, the commissioner 1.22of human services shall transfer $38,000,000 2.1in fiscal year 2010 to the medical education 2.2research fund. These funds must restore the 2.3fiscal year 2009 unallotment of the transfers 2.4under Minnesota Statutes, section 
         256B.69, 2.5subdivision 5c
         , paragraph (a), for the July 1, 2.62008, through June 30, 2009, period.2.7Newborn Screening Fee. Of the general 2.8fund appropriation, $34,000 in fiscal year 2.92011 is to the commissioner for the hospital 2.10reimbursement increase described under 2.11Minnesota Statutes, section 
         256.969, 2.12subdivision 28
         .2.13Local Share Payment Modification 2.14Required for ARRA Compliance.2.15Effective from July 1, 2009, to December 2.1631, 2010, Hennepin County's monthly 2.17contribution to the nonfederal share of 2.18medical assistance costs must be reduced 2.19to the percentage required on September 2.201, 2008, to meet federal requirements for 2.21enhanced federal match under the American 2.22Reinvestment and Recovery Act (ARRA) 2.23of 2009. Notwithstanding the requirements 2.24of Minnesota Statutes, section 
         256B.19, 2.25subdivision 1c
         , paragraph (d), for the period 2.26beginning July 1, 2009, to December 31, 2.272010, Hennepin County's monthly payment 2.28under that provision is reduced to $434,688.2.29Capitation Payments. Effective from 2.30July 1, 2009, to December 31, 2010, 2.31notwithstanding the provisions of Minnesota 2.32Statutes 2008, section 
         256B.19, subdivision 2.331c
         , paragraph (c), the commissioner shall 2.34increase capitation payments made to the 2.35Metropolitan Health Plan under Minnesota 3.1Statutes 2008, section 
         256B.69, by 3.2$6,800,000 to recognize higher than average 3.3medical education costs. The increased 3.4amount includes federal matching funds.3.5Use of Savings. Any savings derived 3.6from implementation of the prohibition in 3.7Minnesota Statutes, section 
         256B.032, on the 3.8enrollment of low-quality, high-cost health 3.9care providers as vendors of state health care 3.10program services shall be used to offset on a 3.11pro rata basis the reimbursement reductions 3.12for basic care services in Minnesota Statutes, 3.13section 
         256B.766.

3.143.15(c) MA Basic Health Care Grants - Elderly and Disabled970,183,0001,142,310,000

3.16Minnesota Disability Health Options. 3.17Notwithstanding Minnesota Statutes, section 3.18256B.69, subdivision 5a
         , paragraph (b), for 3.19the period beginning July 1, 2009, to June 3.2030, 2011, the monthly enrollment of persons 3.21receiving home and community-based 3.22waivered services under Minnesota 3.23Disability Health Options shall not exceed 3.241,000. If the budget neutrality provision 3.25in Minnesota Statutes, section 
         256B.69, 3.26subdivision 23
         , paragraph (f), is reached 3.27prior to June 30, 2013, the commissioner may 3.28waive this monthly enrollment requirement.3.29Hospital Fee-for-Service Payment Delay.3.30Payments from the Medicaid Management 3.31Information System that would otherwise 3.32have been made for inpatient hospital 3.33services for Minnesota health care program 3.34enrollees must be delayed as follows: for 3.35fiscal year 2011, payments in the month of 3.36June equal to $15,937,000 must be included 4.1in the first payment of fiscal year 2012 and 4.2for fiscal year 2013, payments in the month 4.3of June equal to $6,666,000 must be included 4.4in the first payment of fiscal year 2014. The 4.5provisions of Minnesota Statutes, section 4.616A.124
         , do not apply to these delayed 4.7payments. Notwithstanding any contrary 4.8provision in this article, this paragraph 4.9expires December 31, 2014.4.10Nonhospital Fee-for-Service Payment 4.11Delay. Payments from the Medicaid 4.12Management Information System that would 4.13otherwise have been made for nonhospital 4.14acute care services for Minnesota health 4.15care program enrollees must be delayed as 4.16follows: payments in the month of June equal 4.17to $23,438,000 for fiscal year 2011 must be 4.18included in the first payment for fiscal year 4.192012, and payments in the month of June 4.20equal to $27,156,000 for fiscal year 2013 4.21must be included in the first payment for 4.22fiscal year 2014. This payment delay must 4.23not include nursing facilities, intermediate 4.24care facilities for persons with developmental 4.25disabilities, home and community-based 4.26services, prepaid health plans, personal care 4.27provider organizations, and home health 4.28agencies. The provisions of Minnesota 4.29Statutes, section 
         16A.124, do not apply to 4.30these delayed payments. Notwithstanding 4.31any contrary provision in this article, this 4.32paragraph expires December 31, 2014.

4.33(d) General Assistance Medical Care Grants345,223,000381,081,000

4.34* (The preceding text "381,081,000" was indicated as vetoed by the governor. It 4.35was reconsidered and not approved by the legislature, May 17, 2009.)

5.1(e) Other Health Care Grants

5.2Appropriations by Fund5.3General295,000295,0005.45.5Health Care Access23,533,0007,080,000 5,230,000

5.6Base Adjustment. The health care access 5.7fund base is reduced to $190,000 in each of 5.8fiscal years 2012 and 2013.5.9    Sec. 3. COBRA CARRYFORWARD.5.10Unexpended funds appropriated in fiscal year 2010 for COBRA grants under Laws 5.112009, chapter 79, article 5, section 78, do not cancel and are available to the commissioner 5.12of human services for fiscal year 2011 COBRA grant expenditures. Up to $110,000 of 5.13the fiscal year 2011 appropriation for COBRA grants provided in Laws 2009, chapter 79, 5.14article 13, section 3, subdivision 6, may be used by the commissioner of human services 5.15for costs related to administration of the COBRA grants.