HF 3713

1st Committee Engrossment - 86th Legislature (2009 - 2010)

Posted on 03/19/2013 07:29 p.m.

1.1A bill for an act 1.2relating to human services; expanding medical assistance eligibility to include 1.3certain adults without children; providing medical assistance coverage of 1.4health home services; appropriating money; including a repealer;amending 1.5Minnesota Statutes 2008, sections 256B.055, by adding a subdivision; 256B.056, 1.6subdivision 4; proposing coding for new law in Minnesota Statutes, chapter 1.7256B. 1.8BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.9    Section 1. Minnesota Statutes 2008, section 256B.055, is amended by adding a 1.10subdivision to read: 1.11     new text begin Subd. 15. new text end new text begin Adults without children. new text end new text begin Medical assistance may be paid for a person new text end 1.12 new text begin who is over age 21 and under age 65, who is not pregnant, and who is not described in new text end 1.13 new text begin subdivision 4, 7, or another subdivision of this section. new text end 1.14 new text begin EFFECTIVE DATE. new text end new text begin This section is effective April 1, 2010. new text end 1.15    Sec. 2. Minnesota Statutes 2008, section 256B.056, subdivision 4, is amended to read: 1.16    Subd. 4. Income. (a) To be eligible for medical assistance, a person eligible under 1.17section 256B.055, subdivisions 7, 7a, and 12, may have income up to 100 percent of 1.18the federal poverty guidelines. Effective January 1, 2000, and each successive January, 1.19recipients of supplemental security income may have an income up to the supplemental 1.20security income standard in effect on that date. 1.21(b) To be eligible for medical assistance, families and children may have an income 1.22up to 133-1/3 percent of the AFDC income standard in effect under the July 16, 1996, 1.23AFDC state plan. Effective July 1, 2000, the base AFDC standard in effect on July 16, 1.241996, shall be increased by three percent. 2.1(c) Effective July 1, 2002, to be eligible for medical assistance, families and children 2.2may have an income up to 100 percent of the federal poverty guidelines for the family size. 2.3(d) In computing income to determine eligibility of persons under paragraphs (a) 2.4to (c) new text begin and (e) new text end who are not residents of long-term care facilities, the commissioner shall 2.5disregard increases in income as required by Public Law Numbers 94-566, section 503; 2.699-272; and 99-509. Veterans aid and attendance benefits and Veterans Administration 2.7unusual medical expense payments are considered income to the recipient. 2.8 new text begin (e) Effective January 1, 2011, to be eligible for medical assistance, a person eligible new text end 2.9 new text begin under section 256B.055, subdivision 15, may have income up to 75 percent of the federal new text end 2.10 new text begin poverty guidelines for family size. new text end 2.11 new text begin EFFECTIVE DATE. new text end new text begin This section is effective April 1, 2010. new text end 2.12    Sec. 3. new text begin [256B.0755] COORDINATED CARE THROUGH A HEALTH HOME. new text end 2.13     new text begin Subdivision 1. new text end new text begin Provision of coverage. new text end new text begin (a) The commissioner shall provide new text end 2.14 new text begin medical assistance coverage of health home services for eligible individuals with chronic new text end 2.15 new text begin conditions who select a designated provider, a team of health care professionals, or a new text end 2.16 new text begin health team as the individual's health home. new text end 2.17 new text begin (b) The commissioner shall implement this section in compliance with the new text end 2.18 new text begin requirements of the state option to provide health homes for enrollees with chronic new text end 2.19 new text begin conditions, as provided under the Health Care and Education Reconciliation Act of 2010 new text end 2.20 new text begin (H.R. 4872/Public Law .......). Terms used in this section have the meaning provided new text end 2.21 new text begin in that act. new text end 2.22     new text begin Subd. 2. new text end new text begin Eligible individual. new text end new text begin An individual is eligible for health home services new text end 2.23 new text begin under this section if the individual is otherwise eligible for medical assistance under new text end 2.24 new text begin this chapter and has at least: (1) two chronic conditions; (2) one chronic condition and new text end 2.25 new text begin is at risk of having a second chronic condition; or (3) one serious and persistent mental new text end 2.26 new text begin health condition. new text end 2.27     new text begin Subd. 3. new text end new text begin Health home services. new text end new text begin (a) Health home services means comprehensive and new text end 2.28 new text begin timely high-quality services that are provided by a health home. These services include: new text end 2.29 new text begin (1) comprehensive care management; new text end 2.30 new text begin (2) care coordination and health promotion; new text end 2.31 new text begin (3) comprehensive transitional care, including appropriate follow-up, from inpatient new text end 2.32 new text begin to other settings; new text end 2.33 new text begin (4) patient and family support, including authorized representatives; new text end 2.34 new text begin (5) referral to community and social support services, if relevant; and new text end 2.35 new text begin (6) use of health information technology to link services, as feasible and appropriate. new text end 3.1 new text begin (b) The commissioner shall maximize the number and type of services new text end 3.2 new text begin included in this subdivision to the extent permissible under federal law, including new text end 3.3 new text begin physician, outpatient, mental health treatment, and rehabilitation services necessary for new text end 3.4 new text begin comprehensive transitional care following hospitalization. new text end 3.5     new text begin Subd. 4. new text end new text begin Payments. new text end new text begin The commissioner shall make payments to each health new text end 3.6 new text begin home for the provision of health home services to each eligible individual with chronic new text end 3.7 new text begin conditions that selects the health home as a provider. new text end 3.8     new text begin Subd. 5. new text end new text begin Coordination. new text end new text begin The commissioner, to the extent feasible, shall ensure that new text end 3.9 new text begin the requirements and payment methods for health homes developed under this section are new text end 3.10 new text begin consistent with the requirements and payment methods for health care homes established new text end 3.11 new text begin under section 256B.0751. The commissioner may modify requirements and payment new text end 3.12 new text begin methods under section 256B.0751, in order to be consistent with federal health home new text end 3.13 new text begin requirements and payment methods. new text end 3.14     new text begin Subd. 6. new text end new text begin State plan amendment. new text end new text begin The commissioner shall submit a state plan new text end 3.15 new text begin amendment to implement this section to the federal Centers for Medicare and Medicaid new text end 3.16 new text begin Services by January 1, 2011. new text end 3.17 new text begin EFFECTIVE DATE. new text end new text begin This section is effective January 1, 2011, or upon federal new text end 3.18 new text begin approval, whichever is later. new text end 3.19    Sec. 4. new text begin APPROPRIATIONS. new text end 3.20 new text begin (a) $....... is appropriated from the general fund for the biennium ending June 30, new text end 3.21 new text begin 2011, to the commissioner of human services to implement sections 1 and 2. new text end 3.22 new text begin (b) $....... is appropriated from the health care access fund for the biennium ending new text end 3.23 new text begin June 30, 2011, to the commissioner of human services to implement sections 1 and 2. new text end 3.24    Sec. 5. new text begin REPEALER. new text end 3.25 new text begin Laws 2010, chapter ....... (GAMC bill), is repealed effective April 1, 2010. new text end