HF 2614

THIRD ENGROSSMENT

Article 1: DHS licensing provisions modified.

Sec. 1: Fair hearing provisions modified for disqualified individuals.

Sec. 2: Consolidated fair hearing provisions modified following a reconsideration decision.

Sec. 3: Public employer employee fair hearing rights provisions modified.

Sec. 4: State agency hearings provisions modified.

Sec. 5: Maltreatment of minors reporting; administrative reconsideration; review panel provisions modified.

Sec. 6: Maltreatment of vulnerable adults reporting; administrative reconsideration; review panel provisions modified.

Article 2: Health care provisions modified.

Sec. 1: Minnesota Health Records Act; definitions modified.

Sec. 2: Commissioner powers and duties; review and evaluation of ongoing studies language provided.

Sec. 3: Surcharge provisions modified on HMOs and community integrated service networks.

Sec. 4: Payments provisions modified.

Sec. 5: Sex-selection abortion funding ban language provided.
Subd. 1: Funding restriction language provided.
Subd. 2: Definitions provided.
Subd. 3: Severability language provided.
Subd. 4: Supreme court jurisdiction language provided.

Sec. 6: Competitive bidding provisions modified for medical assistance program items.

Sec. 7: Eligibility categories; adults without children provisions modified.

Sec. 8: Medical assistance eligibility requirements; asset limitations provisions modified for individuals and families.

Sec. 9: Medical assistance eligibility requirements; asset limitations provisions modified for families and children.

Sec. 10: Medical assistance eligibility requirements; income requirement provisions modified.

Sec. 11: Medical assistance covered services; physical therapy provisions modified.

Sec. 12: Medical assistance covered services; occupational therapy provisions modified.

Sec. 13: Medical assistance covered services; speech language pathology and audiology services provisions modified.

Sec. 14: Medical assistance covered services; chiropractic services payment provisions modified.

Sec. 15: Medical assistance covered services; dental services provisions modified.

Sec. 16: Medical assistance covered services; drugs payment rates provisions modified.

Sec. 17: Medical assistance; abortion services provider reimbursement language provided.

Sec. 18: Medical assistance; access to medical services provisions modified.

Sec. 19: Medical assistance; medical supplies and equipment coverage provisions modified.

Sec. 20: Medical assistance covered services; birth centers services language provided.

Sec. 21: Medical assistance co-payments provisions modified.

Sec. 22: Medical assistance co-payments; collection provisions modified.

Sec. 23: Other state health care programs reimbursement provisions modified.

Sec. 24: Home care therapies provisions modified.

Sec. 25: Payment reform demonstration project for special patient populations language provided.
Subd. 1: Demonstration project established and purpose provided.
Subd. 2: Provider participation language provided.
Subd. 3: Total cost of care agreement language provided.
Subd. 4: Provider eligibility language provided.
Subd. 5: Alternative payments language provided.
Subd. 6: Cost neutrality language provided.

Sec. 26: Medical Assistance; nursing facility rate reductions effective date language provided

Sec. 27: ICF/MR rate reductions effective date language provided.

Sec. 28: Prepaid health plans; managed care contracts provisions modified.

Sec. 29: Prepaid health plans; payment rate modification language provided.

Sec. 30: Prepaid health plans; payment reduction language provided.

Sec. 31: Prepaid health plans; prepaid medical assistance expansion enablement and net income and administrative costs limits language provided.

Sec. 32: Prepaid health plans; ombudsperson provisions modified.

Sec. 33: Prepaid health plans; information for persons with limited English-language proficiency provisions modified.

Sec. 34: County-based purchasing of medical assistance; general provisions modified.

Sec. 35: Medical assistance; hospital outpatient reimbursement provisions modified.

Sec. 36: Medical assistance; physician reimbursement provisions modified.

Sec. 37: Medical assistance; dental reimbursement provisions modified.

Sec. 38: Critical access dental providers provisions modified.

Sec. 39: Critical access dental providers designation and termination language provided.

Sec. 40: Medical assistance; basic care services reimbursement provisions modified.

Sec. 41: Medicare payment limit language provided.

Sec. 42: Fee-for-service payment increase language provided.

Sec. 43: General assistance medical care eligibility provisions modified.

Sec. 44: General assistance medical care applicants and recipients cooperation provisions modified.

Sec. 45: MinnestoaCare financial management provisions modified.

Sec. 46: MinnesotaCare; inpatient hospital services provisions modified.

Sec. 47: MinnesotaCare; supplemental hospital coverage language provided.

Sec. 48: MinnesotaCare; co-payments and coinsurance provisions modified.

Sec. 49: MinnesotaCare eligible persons; single adults and households with no children provisions modified.

Sec. 50: MinnestoaCare application procedures; disclosure statement for inpatient hospital limit language provided.

Sec. 51: MinnesotaCare eligibility; general requirements provisions modified.

Sec. 52: MinnesotaCare eligibility; firefighters and volunteer ambulance attendants language provided.

Sec. 53: MinnesotaCare provider payment; medical assistance rate use provisions modified.

Sec. 54: MinnesotaCare enrollees eligibility for other state programs provisions modified.

Sec. 55: MinnesotaCare enrollees co-payments responsibility and benefit limits provisions modified.

Sec. 56: MinnesotaCare rate setting and performance withholds provisions modified.

Sec. 57: Asthma coverage demonstration project; medical assistance coverage provisions modified.

Sec. 58: Cobra premium state subsidy; expiration provisions modified.

Sec. 59: General assistance medical care; payment rates and contract modification date provisions modified.

Sec. 60: General assistance medical care; coordinated care delivery systems provisions modified.

Sec. 61: General assistance medical care payments; hospital coordinated care delivery system rate setting provisions modified.

Sec. 62: General assistance medical care; temporary uncompensated care pool provisions modified.

Sec. 63: General assistance medical care; effective date provisions modified.

Sec. 64: MinnesotaCare enrollment by county agencies provisions modified.

Sec. 65: MinnesotaCare retroactive coverage provisions modified.

Sec. 66: Repealer provisions modified for 256D.03, subdivision 4.

Sec. 67: Human services appropriations provisions modified and special revenue fund transfers language provided.

Sec. 68: Human services appropriations; compulsive gambling administration transfer provisions modified.

Sec. 69: Hennepin and Ramsey counties integrated health care delivery networks pilot program language provided.

Sec. 70: Medical assistance early expansion language provided.

Sec. 71: Provider rate and grant reductions language provided.

Sec. 72: Salary reduction of certain state employees and benefits language provided.

Sec. 73: Appropriation language provided for savings resulting from cap on abortion services.

Sec. 74: Repealers provided.

Article 3: Continuing care provisions modified.

Sec. 1: Children���s services; parental contribution amount provisions modified.

Sec. 2: Programs and services for povided.
Subd. 11: ���Resident��� definition provided.

Sec. 9: Out-of-state health plans to Minnesota residents language provided.
Subd. 1: Eligibility provisions modified.
Subd. 2: Applicable Minnesota laws language provided.
Subd. 3: Nature of out-of-state health insurer language provided.

Sec. 10: Certificate of authority for offering out-of-state health plans language provided.
Subd. 1: Certificate issuance language provided.
Subd. 2: Certificate validity language provided.
Subd. 3: Rulemaking authority language provided.
Subd. 4: Certain statutory requirements applicability language provided.

Sec. 11: Certificate of authority revocation; marketing materials language provided.
Subd. 1: Revocation criteria language provided.
Subd. 2: Fair marketing standards language provided.
Subd. 3: Nondiscrimination language provided.

Sec. 12: Interstate Health Insurance Competition Act rules provided.

Sec. 13: Advisory group on state-operated services redesign language provided.
Subd. 1: Advisory group established.
Subd. 2: Duties provided.
Subd. 3: Membership requirements provided.
Subd. 4: Administration requirements provided.
Subd. 5: Recommendations requirements provided.
Subd. 6: Expiration date provided.

Sec. 14: Legislative approval required for redesign or moving of state-operated services program.

Sec. 15: Adult foster care data privacy and security provisions modified.

Sec. 16: Obscene material, pornographic work, or certain drugs ban provisions modified for certain civilly committed persons.

Sec. 17: Vocational work program wage use provisions modified.

Sec. 18: Minnesota extended treatment options provisions modified for persons with developmental disabilities.

Sec. 19: Chemical dependency treatment; ���American Indian��� definition modified.

Sec. 20: Chemical dependency treatment allocation provisions modified.

Sec. 21: Chemical dependency treatment allocation process; administrative adjustment provisions modified.

Sec. 22: Chemical services; divisions of costs provisions modified.

Sec. 23: Regional treatment centers vendor eligibility provisions modified.

Sec. 24: Federal financial participation collections allocation provisions modified.

Sec. 25: Payments to improve chemical dependency services to American Indians provisions modified.

Sec. 26: Pilot projects; chemical health care language provided.
Subd. 1: Pilot projects authorization language provided.
Subd. 2: Program design and implementation languge provided.
Subd. 3: Program evaluation language provided.
Subd. 4: Project discontinuation notice language provided.
Subd. 5: Commissioner duties language provided.
Subd. 2: County board duties language provided.

Sec. 27: Office of Health Care Inspector General created.

Sec. 28: Foreign operating corporations tax filing requirement provisions modified.

Sec. 29: Domestic corporation definition provisions modified.

Sec. 30: Tax haven definition and language provided.

Sec. 31: Corporations federal taxable income additions provisions modified.

Sec. 32: Corporations federal taxable income decrease modifications provisions modified.

Sec. 33: Unitary business principle provisions modified.

Sec 34: Plumbing standards; municipality agreement provisions modified.

Sec. 35: Development of community-based mental health services requirement provisions modified for patients committed to the Anoka-Metro Regional Treatment Center.

Sec. 36: Nonsubmission of health care claim by clearinghouse; significant disruption language provided.

Sec. 37: Human services fiscal notes report requirements provided.

Sec. 38: Prescription drug waste reduction language provided.

Sec. 39: Autism prevalence language provided.

Sec. 40: Repealer provided.

Sec. 41: Effective date provided.

Article 6: Department of Health provisions modified.

Sec. 1: Health maintenance organization consistent administrative expenses and investment income reporting language provided.

Sec. 2: Advisory group on administrative expenses created for health maintenance organizations.
Subd. 1: Advisory group establishment language provided.
Subd. 2: Membership requirements provided.
Subd. 3: Administration requirements provided.
Subd. 4: Recommendations reporting requirements provided.
Subd. 5: Expiration date provided.

Sec. 3: Electronic health record technology definitions modified.

Sec. 4: Interoperable electronic health record requirements provisions modified.

Sec. 5: Electronic health record technology state agency information system language provided.

Sec. 6: Health information exchange language provided.
Subd. 1: Definitions provided.
Subd. 2: Health information exchange oversight language provided.

Sec. 7: Certificate of authority requirements provided to provide health information exchange services.
Subd. 1: Authority to require organizations to apply language provided.
Subd. 2: Certificate of authority for health data intermediaries language provided.
Subd. 3: Certificate of authority for health information organizations language provided.
Subd. 4: Certificate of authority application for health information exchange service providers language provided.
Subd. 5: Reciprocal agreements between health information exchange entities language provided.
Subd. 6: State participation in health information exchange language provided.

Sec. 8: Health information exchange service provider enforcement authority and compliance language provided.
Subd. 1: Penalties and enforcement language provided.
Subd. 2: Certificate of authority suspension or revocation language provided.
Subd. 3: Certificate of authority denial, suspension, and revocation administrative procedures language provided.
Subd. 4: Coordination language provided.
Subd. 5: Fees and monetary penalties language provided.

Sec. 9: Essential community providers designation provisions modified.

Sec. 10: Firearms data collection language provided

Sec. 11: Vendor accreditation for a hospital or clinic language provided.

Sec. 12: Birth record surcharge provisions modified.

Sec. 13: Health records release or disclosure consent duration provisions modified.

Sec. 14: State agencies prohibited to release any patient-specific health insurance information to the federal Internal Revenue Service language provided.

Sec. 15: Birth centers language provided.
Subd. 1: Definitions provided.
Subd. 2: License requirements provided.
Subd. 3: Temporary license language provided.
Subd. 4: Application language provided.
Subd. 5: License suspension, revocations, and refusal to renew language provided.
Subd. 6: Licensure standards provided.
Subd. 7: Services limitations provided.
Subd. 8: License fees language provided.
Subd. 9: Renewal language provided.
Subd. 10: Health records maintenance language provided.
Subd. 11: Report requirements language provided.

Sec. 16: Health care bill of rights definitions modified.

Sec. 17: Blood lead level guidelines language provided.

Sec. 18: ���Health facility��� definition modified.

Sec. 19: Comprehensive advanced life support provisions modified.

Sec. 20: Health plan and county administrative cost reduction reporting requirements provided.

Sec. 21: Health information exchange application process language provided.

Sec. 22: Transfer provided.

Sec. 23: Revisor���s instructions provided.

Article 7: Health care reform provisions modified.

Sec. 1: Temporary federal high-risk pool relationship language provided.
Subd. 1: Definitions provided.
Subd. 2: Section timing provided.
Subd. 3: Maintenance of effort language provided.
Subd. 4: State health care programs coordination language provided

Sec. 2: Legislative Commission on Health Care Access membership provisions modified.

Sec. 3: Federal health care reform language provided.

Sec. 4: Baskets of care provider pricing and accountable care organizations provisions modified.
Subd. 1: Definition establishment provisions modified.
Subd. 2: Package prices provisions modified.
Subd. 3: Baskets of care quality measurements requirement provisions modified.

Sec. 5: Accountable care organizations language provided.

Sec. 6: Coordinated care through a health home language provided.
Subd. 1: Coverage provision provided.
Subd. 2: Eligible individual language provided.
Subd. 3: Health home services language provided.
Subd. 4: Health teams language provided.
Subd. 5: Payments language provided.
Subd. 6: Coordination language provided.
Subd. 7: State plan amendment provided.

Sec. 7: Federal health care reform demonstration projects and grants language provided.

Sec. 8: Health care reform task force provided.
Subd. 1: Task force requirements provided.
Subd. 2: Duties provided.

Sec. 9: American health benefit exchange planning provisions language provided.
Subd. 1: Federal planning grants language provided.
Subd. 2: Early creation and operation consideration of exchange language provided.

Sec. 10: State fiscal impact of federal reform language provided.

Article 8: Public health provisions modified.

Sec. 1: Medical education distribution of funds provisions modified.

Sec. 2: Food and beverage service establishment fees and definitions provisions modified for a youth camp.

Sec. 3: Manufactured home parks and recreational camping areas fees provisions modified.

Sec. 4: Food support for children with severe allergies language provided.

Article 9: Human services forecast adjustments provided.

Sec. 1: Department of Human Services appropriations summary and forecast adjustment provided.

Sec. 2: Commissioner of Human Services appropriations provided.
Subd. 1: Total appropriations by fund provided.
Subd. 2: Revenue and pass-through appropriations provided.
Subd. 3: Children and economic assistance grants appropriations provided.
Subd. 4: Basic health care grants appropriations provided.
Subd. 5: Continuing care grants appropriations provided.

Sec. 3: Effective date provided.

Article 10: Human services contingent appropriations provided.

Sec. 1: Human services appropriations summary provided.

Sec. 2: Health and human services contingent appropriations language provided.

Sec. 3: Commissioner of Human Services appropriations provided.
Subd. 1: Total appropriation provided.
Subd. 2: Basic health care grants appropriations provided.
Subd. 3: Continuing care grants appropriations provided.

Sec. 4: Chemical dependency treatment; cost division for medical assistance services language provided.

Sec. 5: Hospice care provisions modified.

Sec. 6: Long-term care consultation services definitions modified.

Sec. 7: Medical assistance cost division; additional portion of nonfederal share provisions modified.

Sec. 8: MinnesotaCare premium determination provisions modified.

Sec. 9: Effective date modified.

Sec. 10: Effective date modified.

Sec. 11: Effective date modified.

Sec. 12: Effective date modified.

Sec. 13: Effective date modified.

Sec. 14: Effective date modified.

Article 11: Health and Human Services appropriations provided.

Sec. 1: Summary of appropriations provided.

Sec. 2: Health and Human Services appropriations language provided.

Sec. 3: Commissioner of Human Service appropriations provided.
Subd. 1: Total appropriations by fund provided.
Subd. 2: Agency management; financial operations appropriations provided.
Subd. 3: Revenue and pass-through revenue expenditures appropriations provided.
Subd. 4: Children and economic assistance grants appropriations provided.
Subd. 5: Children and economic assistance management appropriations provided.
Subd. 6: Basic health care grants appropriations provided.
Subd. 7: Health care management appropriations provided.
Subd. 8: Continuing care grants appropriations provided.
Subd. 9: Continuing care management appropriations provided.
Subd. 10: State-operated services appropriations provided.
Subd. 11: Adult mental health services appropriations provided.
Subd. 12: Contingent appropriations reductions provided.

Sec. 4: Commissioner of Health appropriations provided.
Subd. 1: Total appropriations by fund provided.
Subd. 2: Community and family health appropriations provided.
Subd. 3: Policy, quality, and compliance appropriations by fund provided.
Subd. 4: Health protection appropriations provided.

Sec. 5: Health-related boards appropriations provided.
Subd. 1: Total appropriations provided.
Subd. 2: Board of Nursing Home Administrators appropriations provided.

Sec. 6: Emergency Medical Services Board appropriations provided.

Sec. 7: Ombudsman for mental health and developmental disabilities appropriations provided.

Sec. 8: Ombudsperson for families appropriations provided.

Sec. 9: Minnesota Management and Budget appropriations provided.

Sec. 10: Volunteer health care provider program; medical professional liability insurance purchasing provisions modified.

Sec. 11: TANF appropriations language modified.

Sec. 12: TANF appropriations transfer language modified.

Sec. 13: Other children and economic assistance grants appropriations language modified.

Sec. 14: Chemical dependency entitlement grants appropriations language modified,

Sec. 15: Board of Nursing Home Administrators appropriations language provided.

Sec. 16: Appropriations cancellations provided.

Sec. 17: Transfers language provided.

Sec. 18: Expiration provided of uncodified language.

Sec. 19: Effective date provided.