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HF 2614 Senate Long Description

Relating to relating to state government; state health care programs; continuing care; children and family services; health care reform; department of health; public health; health plans; increasing fees and surcharges; requiring reports; making supplemental and contingent appropriations and reductions for the departments of health and human services and other health-related boards and councils

ARTICLE 1 - HEALTH CARE

Expanding medical assistance (MA) to adults without children with incomes of 75 percent of FPG or less; repealing the current general assistance medical program (GAMC); increasing the surcharges on hospitals and HMOs; providing an HMO rate increase and a variety of hospital rate increases; including authorization for demonstration projects to test alternative health care delivery systems, including accountable care organizations; including rate reductions to physician services and basic care services and creating a rate withhold based on a reduction in emergency room utilization; establishing authorization requirements for physical and occupational therapies, speech pathology and audiology services, and chiropractic services; modifying the critical access dental provider criteria, providing cost-based payments to state-operated dental clinics; and permitting volunteer firefighters and ambulance attendants to enroll in MinnesotaCare at full cost

ARTICLE 2 - CONTINUING CARE

Increasing the surcharge on intermediate care facilities and providing a rate increase for these facilities; reducing rates for certain assisted living services, ceasing the Minnesota Disability Health Options program; suspending the phase-in of nursing facility rebasing until October 1, 2013; requiring applicants to go through counseling before signing a contract with a housing with services establishment; increasing certain parental fees in the TEFRA program; and reducing the limit on hours per month a personal care assistant may be paid

ARTICLE 3 -CHILDREN AND FAMILY SERVICES

Eliminating the food stamp asset limit; modifying the Minnesota family investment program (MFIP); increasing the group residential housing supplemental rate for a provider in Mahnomen County for a certain time period

ARTICLE 4 - MISCELLANEOUS

Requiring private health plans to provide a private duty nursing benefit to enrollees covered under the health plan and under MA; providing minor changes to the prescription electronic reporting system; requiring the University of Minnesota to develop the Minnesota Couples on the Brink project and providing funding by an increase to the marriage license fee; modifying certain state-operated services provisions relating to the redesign of state-operated services; modifying the chemical dependency treatment fund formula, and including the Senate chemical health care pilot project language

ARTICLE 5 - DEPARTMENT OF HEALTH

Transferring the comprehensive advanced life-support program (CALS) to the department of health from the emergency medical services regulatory board; requiring HMOs to allocate administrative expenses to specific lines of business or products upon availability of information, establishing an advisory group; authorizing HMOs to compile and submit a list of duplicative requirements concerning data collection, documentation, and reports; adding a surcharge to certified birth records for the birth defects registry; providing for licensing of birth centers; requiring the commissioner to revise clinical and case management guidelines for blood lead levels and prohibits the commissioner from collecting data on individuals regarding gun ownership and the right to carry

ARTICLE 6 - PUBLIC HEALTH

Modifying base fees for recreational camping areas and youth camps; specifying use of a portion of the Academic Health Center's MERC funds for a program to assist internationally trained physicians committed to serve in underserved areas; requiring the commissioner of human Services to seek a federal waiver to increase the eligibility requirement for the supplemental nutrition assistance program

ARTICLE 7 - HEALTH CARE REFORM

Requiring the commissioner of commerce and the Minnesota comprehensive health association to coordinate efforts to obtain federal funds for the implementation of the federal high-risk pool in Minnesota; requiring the commissioner of human services to implement the coordination of care for enrollees with chronic conditions through a health care home in compliance with federal requirements to ensure federal funding; requiring the commissioner to seek participation in available demonstration projects under federal health care reform; establishing a health care reform task force; and requiring the state to apply for any available planning grants for establishing a health exchange

ARTICLE 8 - HUMAN SERVICES FORECAST ADJUSTMENTS

Adjusting appropriations for fiscal years 2010 and 2011 to recognize forecast adjustments

ARTICLE 9 - HUMAN SERVICES CONTINGENT APPROPRIATIONS

Providing a variety of appropriations contingent on extension of enhanced federal Medicaid match; and incrementing policy changes necessary to satisfy enhanced match requirements

ARTICLE 10 - HEALTH AND HUMAN SERVICES APPROPRIATIONS

Summarizing health and human services appropriations, by fund
(Ch. 360, 2010 - VETO)