Relating to health and human services

ARTICLE 1 - HEALTH CARE

Modifying certain medical assistance (MA) and MinnesotaCare provisions; modifying waiver of preexisting conditions for persons covered by the health Minnesota contribution program; modifying claim denial reporting requirements; modifying certain covered services provisions relating to the nonemergency medical transportation advisory committee, implementation of a single administrative structure and delivery system, process for enrollee assessment, standardized measures use, licensed physician assistance services billing and mental health services payments; permitting a prepaid health plan to waive the required family deductible in the MA program; requiring the implementation of a pediatric care coordination service for children with high cost medical or high cost psychiatric conditions receiving MA services; modifying certain prepaid health plans provisions relating to managed care and county-based purchasing plans contracts, third-party financial audit requirements, initiatives to reduce incidence of low birth weights strategies implementation, and allowing the utilization of a competitive price bidding program for nonelderly, nondisabled adults and children in MA and MinnesotaCare in the seven-county metropolitan area; modifying certain reimbursement rate criteria for critical access dental provider services; authorizing a managed care or county-based purchasing plan to waive the required family deductible in the MinnesotaCare program; modifying certain healthy Minnesota contribution program provisions; specifying criteria for clinical or utilization performance targets that apply to managed care and county-based purchasing plans; requiring the commissioner of human services to issue a request for information from vendors about potential solutions for the management of nonemergency medical transportation services; requiring the commissioner to convene a group of stakeholders to assist in developing recommendations to improve access to and the quality of outpatient mental health services for MA enrollees through the use of physician assistants; specifying certain health services advisory council review requirements for autism spectrum disorder treatments and requiring report; eliminating certain reporting requirements for evidence-based childbirth program and provider networks adequacy; requiring the commissioner to develop a plan to provide coordinated and cost effective health care and coverage for certain individuals eligible for emergency medical assistance (EMA), providing coverage for dialysis services and chemotherapy and related services under EMA, and providing certain emergency medical condition coverage exceptions; requiring an emergency medical assistance study; specifying certain services covered as emergency medical conditions for EMA; requiring a cost-sharing requirements study for state public health care programs; requiring a study of managed care; specifying certain legislative reporting requirements; repealing certain reports relating to medical necessity denials and appeals and salary reports

ARTICLE 2 - DEPARTMENT OF HEALTH

Modifying certain community-based health care coverage program provisions, removing oversight by the commissioner of human services; providing an exemption from certain public swimming pool regulations for a natural swimming pond called Webber Lake in the city of Minneapolis; requiring accreditation of advanced diagnostic imaging services in the state; modifying the cost a provider may charge a patient for copying health records; establishing liability for an intentional, unauthorized access of records with a record locator service; modifying certain radiation therapy facilities construction provisions; reestablishing the maternal and child health advisory task force; requiring the commissioner to work with the women, infants, and children (WIC) program in developing and making available information on postpartum depression; requiring updated information on websites related to certain licensed facilities and services to provide consistent clear information to providers; requiring a health record access study, the reporting of the prevalence of sexual violence, the development of a plan for regulation of licensed home care providers, the reporting and evaluation of health and commerce regulatory responsibilities, and a study of radiation therapy facilities capacity; requiring the distribution of medical education and research fund (MERF) funding to Gillette Childrens Specialty Healthcare

ARTICLE 3 - CHILDREN AND FAMILY SERVICES

Providing an exception to the absent days limit for certain children under the child care assistance program; providing for the prevention of welfare fraud; modifying certain electronic benefit transfer (EBT) cards provisions; increasing the dollar amounts for the general assistance (GA) earned income savings account county agency disregard and the resource limits exclusion; modifying the family assets for independence program; directing grant funds to early childhood programs, crisis nurseries, or parenting time centers facilities located in counties outside the metro area; modifying group residential housing (GRH) supplementary service rates and the supplementary rate for certain facilities; modifying certain Minnesota family investment program (MFIP) family stabilization services provisions; requiring peace officers to report potential welfare fraud; modifying early intervention criteria under the Maltreatment of Minors Act; modifying the duties, membership, and expiration date of the asset development and financial literacy task force; modifying working family credit expenditures to be claims for TANF/MOE and TANF transfers to the federal CCDF fund; establishing the Minnesota visible child work group; requiring the commissioner with county human services representatives to analyze the differences in asset limit requirements for assistance programs; instructing the commissioner, in consultation with the commissioner of public safety, to issue a report to the legislature; specifying revisors instructions

ARTICLE 4 - CONTINUING CARE

Adding nursing facilities certified to participate in the MA program and certain elderly waiver providers to the list of providers receiving priority for the electronic health record system revolving loan program; modifying nursing facility moratorium exceptions; modifying annual reporting requirements on balancing long-term care services and supports; modifying certain housing with services contract criteria; requiring the commissioner to issue a mental health certification for licensed adult foster care homes, specifying certification requirements, and establishing an exemption from the adult foster care licensing moratorium; modifying certain adult foster care homes program provisions; modifying license holder consumer data filing requirements; modifying background study requirements for unlicensed home and community based waivers providers of service to seniors and individuals with disabilities; specifying certain notification requirements by a probation officer or corrections agent relating to an individuals conviction; extending the temporary TEFRA family contribution provision; modifying the long-term care consultation requirements for prospective housing with services residents; modifying certain medical assistance (MA) eligibility requirements relating to asset limitations for individuals and families and employed persons with disabilities age limits; modifying the personal care assistance program (PCA) provisions relating to personal care assistants and access to documentation and records by the commissioner; modifying certain long-term care consultation services provisions relating to providers of elderly waiver and customized living services input for assessment and support planning, consultation for housing with services requirements and exception, and requiring long-term care consultation at time of hospital discharge; modifying certain Medicaid waiver for elderly services provisions, allowing the provider of customized living services to provide input into ensuring there is a documented need for all customized living services; allowing the provider of 24-hour customized living services to provide input into ensuring there is a documented need for all customized living services authorized; requiring approved, written, and signed changes to a consumer services to be an addendum to the consumer individual service plan; allowing a current provider of services to submit a written report outlining recommendations for the care needs of a person, specifying screening team notification requirements; modifying the duties of the state quality council; requiring the replacement-costs-new amounts to be increased annually; providing rate adjustments for certain moratorium exception projects; creating a critical access designation for nursing facilities; requiring nonMedicare participating nursing facilities to refer dual eligible recipients qualifying for Medicare covered stay to Medicare providers; allowing a recipient's current provider of services to submit a written report outlining recommendations for the person's care needs; allowing licensed adult foster care capacity to not be reduced under certain conditions, extending the reassessment process; modifying the definition of community-living settings; defining home and community-based settings for purposes of the home and community-based waiver programs; establishing an adult foster care planned closure program and outlining the process; modifying the intermediate care facilities/developmentally disabled (ICF/DD) contingent rate reduction; expanding general assistance (GA) shelter needy eligibility; providing for federal approval of the nursing facility level of care after July 1, 2012; delaying continuing care provider contingent rate reductions by one year; modifying the rider related to the reduction of rates for congregate living for individuals with lower needs; modifying the rider for local planning grants for creating alternatives to congregate living for individuals with lower needs; requiring the commissioner to allow for daily rate and 15-minute increment billing for independent living services under the brain injury (BI) and community alternatives for disabled individuals (CADI) waivers; requiring the commissioner of human services to submit amendments to the home and community-based waiver plans consistent with the definition of home and community-based settings, including a request to allow certain exceptions; requiring the commissioner of human services to request an amendment to the home and community-based services waiver for persons with disabilities; requiring the commissioner to seek amendment for exception to consumer-directed community supports budget methodology; providing direction to ombudsman for long-term care; requiring the commissioner to study the feasibility of licensing personal care attendant services; requiring an autism housing with supports study; legislative report requirements; repealing a provision requiring the commissioner of human services to provide a request line item for the nursing home moratorium exception process and repealing Medicare certification under nursing home prohibited practices

ARTICLE 5 - MISCELLANEOUS

Modifying and clarifying health plan company use of network providers and imposition of cost sharing requirements for out-of-network providers for childrens health supervision services and prenatal care services; modifying membership requirements for the state advisory council on mental health; providing that a Rule 25 assessment does not need to be completed for individuals who are civilly committed in order for a county to access consolidated chemical dependency treatment funds; requiring children's day treatment be provided by a state-certified provider; allowing the public authority to stop collecting child care support if either party informs the public authority no child care costs are being incurred and the oblige verifies the information or the oblige fails to respond to a written request for information about child care costs; instructing the commissioner of human services to work with counties that agree to develop licensed foster homes for people with autism; creating a plan to develop a chemical health community-based integrated model of care, legislative report requirement; requiring the board of regents of the university of Minnesota to include a request for funding for rural primary care training for family practice residents

ARTICLE 6 - HEALTH AND HUMAN SERVICES APPROPRIATIONS

Appropriating money to the commissioner of human services for central office operations, chemical and mental health, forecasted programs, grant programs, state-operated services, and technical activities, to the commissioner of health for community and family health promotions and policy quality and compliance, and to the board of nursing home administrators for an administrative services unit assessment; specifying deposit requirements for managed care organization excess profits; providing expiration of uncodified language
(je)