<a id="pl.1.3"></a><var>1.3</var>certain adults without children; providing medical assistance coverage of <br/>
<a id="pl.1.4"></a><var>1.4</var>health home services; appropriating money; including a repealer;amending <br/>
<a id="pl.1.5"></a><var>1.5</var>Minnesota Statutes 2008, sections 256B.055, by adding a subdivision; 256B.056, <br/>
<a id="pl.1.6"></a><var>1.6</var>subdivision 4; proposing coding for new law in Minnesota Statutes, chapter <br/>
<a id="pl.1.7"></a><var>1.7</var>256B.<br/>
<a id="pl.1.8"></a><var>1.8</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.9"></a><var>1.9</var>    Section 1. Minnesota Statutes 2008, section 256B.055, is amended by adding a <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivision to read:<br/>
<a id="pl.1.11"></a><var>1.11</var>    Subd. 15. <b>Adults without children.</b> Medical assistance may be paid for a person <br/>
<a id="pl.1.12"></a><var>1.12</var>who is over age 21 and under age 65, who is not pregnant, and who is not described in <br/>
<a id="pl.1.13"></a><var>1.13</var>subdivision 4, 7, or another subdivision of this section.<br/>
<a id="pl.1.14"></a><var>1.14</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2010.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.1.15"></a><var>1.15</var>    Sec. 2. Minnesota Statutes 2008, section 256B.056, subdivision 4, is amended to read:<br/>
<a id="pl.1.16"></a><var>1.16</var>    Subd. 4. <b>Income.</b> (a) To be eligible for medical assistance, a person eligible under <br/>
<a id="pl.1.17"></a><var>1.17</var>section 
         <statute_ref>256B.055, subdivisions 7, 7a, and 12</statute_ref>, may have income up to 100 percent of <br/>
<a id="pl.1.18"></a><var>1.18</var>the federal poverty guidelines. Effective January 1, 2000, and each successive January, <br/>
<a id="pl.1.19"></a><var>1.19</var>recipients of supplemental security income may have an income up to the supplemental <br/>
<a id="pl.1.20"></a><var>1.20</var>security income standard in effect on that date. <br/>
<a id="pl.1.21"></a><var>1.21</var>(b) To be eligible for medical assistance, families and children may have an income <br/>
<a id="pl.1.22"></a><var>1.22</var>up to 133-1/3 percent of the AFDC income standard in effect under the July 16, 1996, <br/>
<a id="pl.1.23"></a><var>1.23</var>AFDC state plan. Effective July 1, 2000, the base AFDC standard in effect on July 16, <br/>
<a id="pl.1.24"></a><var>1.24</var>1996, shall be increased by three percent.<br/>
<a id="pl.2.1"></a><var>2.1</var>(c) Effective July 1, 2002, to be eligible for medical assistance, families and children <br/>
<a id="pl.2.2"></a><var>2.2</var>may have an income up to 100 percent of the federal poverty guidelines for the family size.<br/>
<a id="pl.2.3"></a><var>2.3</var>(d) In computing income to determine eligibility of persons under paragraphs (a) <br/>
<a id="pl.2.4"></a><var>2.4</var>to (c) and (e) who are not residents of long-term care facilities, the commissioner shall <br/>
<a id="pl.2.5"></a><var>2.5</var>disregard increases in income as required by Public Law Numbers 94-566, section 503; <br/>
<a id="pl.2.6"></a><var>2.6</var>99-272; and 99-509. Veterans aid and attendance benefits and Veterans Administration <br/>
<a id="pl.2.7"></a><var>2.7</var>unusual medical expense payments are considered income to the recipient.<br/>
<a id="pl.2.8"></a><var>2.8</var>(e) Effective January 1, 2011, to be eligible for medical assistance, a person eligible <br/>
<a id="pl.2.9"></a><var>2.9</var>under section 256B.055, subdivision 15, may have income up to 75 percent of the federal <br/>
<a id="pl.2.10"></a><var>2.10</var>poverty guidelines for family size.<br/>
<a id="pl.2.11"></a><var>2.11</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2010.<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.2.12"></a><var>2.12</var>    Sec. 3. <b>[256B.0755] COORDINATED CARE THROUGH A HEALTH HOME.</b><br/>
<a id="pl.2.13"></a><var>2.13</var>    Subdivision 1. <b>Provision of coverage.</b> (a) The commissioner shall provide <br/>
<a id="pl.2.14"></a><var>2.14</var>medical assistance coverage of health home services for eligible individuals with chronic <br/>
<a id="pl.2.15"></a><var>2.15</var>conditions who select a designated provider, a team of health care professionals, or a <br/>
<a id="pl.2.16"></a><var>2.16</var>health team as the individual's health home.<br/>
<a id="pl.2.17"></a><var>2.17</var>(b) The commissioner shall implement this section in compliance with the <br/>
<a id="pl.2.18"></a><var>2.18</var>requirements of the state option to provide health homes for enrollees with chronic <br/>
<a id="pl.2.19"></a><var>2.19</var>conditions, as provided under the Health Care and Education Reconciliation Act of 2010 <br/>
<a id="pl.2.20"></a><var>2.20</var>(H.R. 4872/Public Law .......). Terms used in this section have the meaning provided <br/>
<a id="pl.2.21"></a><var>2.21</var>in that act.<br/>
<a id="pl.2.22"></a><var>2.22</var>    Subd. 2. <b>Eligible individual.</b> An individual is eligible for health home services <br/>
<a id="pl.2.23"></a><var>2.23</var>under this section if the individual is otherwise eligible for medical assistance under <br/>
<a id="pl.2.24"></a><var>2.24</var>this chapter and has at least: (1) two chronic conditions; (2) one chronic condition and <br/>
<a id="pl.2.25"></a><var>2.25</var>is at risk of having a second chronic condition; or (3) one serious and persistent mental <br/>
<a id="pl.2.26"></a><var>2.26</var>health condition.<br/>
<a id="pl.2.27"></a><var>2.27</var>    Subd. 3. <b>Health home services.</b> (a) Health home services means comprehensive and <br/>
<a id="pl.2.28"></a><var>2.28</var>timely high-quality services that are provided by a health home. These services include:<br/>
<a id="pl.2.29"></a><var>2.29</var>(1) comprehensive care management;<br/>
<a id="pl.2.30"></a><var>2.30</var>(2) care coordination and health promotion;<br/>
<a id="pl.2.31"></a><var>2.31</var>(3) comprehensive transitional care, including appropriate follow-up, from inpatient <br/>
<a id="pl.2.32"></a><var>2.32</var>to other settings;<br/>
<a id="pl.2.33"></a><var>2.33</var>(4) patient and family support, including authorized representatives;<br/>
<a id="pl.2.34"></a><var>2.34</var>(5) referral to community and social support services, if relevant; and<br/>
<a id="pl.2.35"></a><var>2.35</var>(6) use of health information technology to link services, as feasible and appropriate.<br/>
<a id="pl.3.1"></a><var>3.1</var>(b) The commissioner shall maximize the number and type of services <br/>
<a id="pl.3.2"></a><var>3.2</var>included in this subdivision to the extent permissible under federal law, including <br/>
<a id="pl.3.3"></a><var>3.3</var>physician, outpatient, mental health treatment, and rehabilitation services necessary for <br/>
<a id="pl.3.4"></a><var>3.4</var>comprehensive transitional care following hospitalization.<br/>
<a id="pl.3.5"></a><var>3.5</var>    Subd. 4. <b>Payments.</b> The commissioner shall make payments to each health <br/>
<a id="pl.3.6"></a><var>3.6</var>home for the provision of health home services to each eligible individual with chronic <br/>
<a id="pl.3.7"></a><var>3.7</var>conditions that selects the health home as a provider.<br/>
<a id="pl.3.8"></a><var>3.8</var>    Subd. 5. <b>Coordination.</b> The commissioner, to the extent feasible, shall ensure that <br/>
<a id="pl.3.9"></a><var>3.9</var>the  requirements and payment methods for health homes developed under this section are <br/>
<a id="pl.3.10"></a><var>3.10</var>consistent with the requirements and payment methods for health care homes established <br/>
<a id="pl.3.11"></a><var>3.11</var>under section 256B.0751. The commissioner may modify requirements and payment <br/>
<a id="pl.3.12"></a><var>3.12</var>methods under section 256B.0751, in order to be consistent with federal health home <br/>
<a id="pl.3.13"></a><var>3.13</var>requirements and payment methods.<br/>
<a id="pl.3.14"></a><var>3.14</var>    Subd. 6. <b>State plan amendment.</b> The commissioner shall submit a state plan <br/>
<a id="pl.3.15"></a><var>3.15</var>amendment to implement this section to the federal Centers for Medicare and Medicaid <br/>
<a id="pl.3.16"></a><var>3.16</var>Services by January 1, 2011.<br/>
<a id="pl.3.17"></a><var>3.17</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011, or upon federal <br/>
<a id="pl.3.18"></a><var>3.18</var>approval, whichever is later.<br/>
<br/>
<a id="bill.0.4.0"></a><a id="pl.3.19"></a><var>3.19</var>    Sec. 4. <b>APPROPRIATIONS.</b><br/>
<a id="pl.3.20"></a><var>3.20</var>(a) $....... is appropriated from the general fund for the biennium ending June 30, <br/>
<a id="pl.3.21"></a><var>3.21</var>2011, to the commissioner of human services to implement sections 1 and 2.<br/>
<a id="pl.3.22"></a><var>3.22</var>(b) $....... is appropriated from the health care access fund for the biennium ending <br/>
<a id="pl.3.23"></a><var>3.23</var>June 30, 2011, to the commissioner of human services to implement sections 1 and 2.<br/>
<br/>
<a id="bill.0.5.0"></a><a id="pl.3.24"></a><var>3.24</var>    Sec. 5. <b>REPEALER.</b><br/>
<a id="pl.3.25"></a><var>3.25</var>Laws 2010, chapter ....... (GAMC bill), is repealed effective April 1, 2010.<br/>