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Office of the Revisor of Statutes

SF 2163 Senate Long Description

"Minnesota Health Plan"

ARTICLE 1 - MINNESOTA HEALTH PLAN

Establishing the Minnesota Health Plan to guarantee all medically necessary health care services availability and affordability for state residents; defining certain terms; specifying purpose and health plan requirements

ARTICLE 2 - ELIGIBILITY

Specifying certain eligibility requirements, enrollment and identification procedures, classifying data

ARTICLE 3 - BENEFITS

Allowing eligible individuals to choose to receive services from any participating provider; providing certain covered health care benefits; specifying certain exclusions; providing for patient care

ARTICLE 4 - FUNDING

Creating the Minnesota health fund to implement the plan and receive
premiums and other sources of revenue; specifying certain administrative duties
of the Minnesota health board; providing certain regulations for revenue
sources, requesting a 1332 waiver; requiring a report on established premium
structures; subrogation provision

ARTICLE 5 - PAYMENTS

Providing regulations for licensed health care providers payments

ARTICLE 6 - GOVERNANCE

Creating the Minnesota health board, specifying certain duties and
membership requirements; establishing a metropolitan health planning region
consisting of the seven-county metropolitan area, specifying certain duties and
membership requirements for the regional health planning boards; creating the
office of health quality and planning to access the quality, access and funding
adequacy of the Minnesota Health Plan; specifying certain ethics and conflict of
interest compliance requirements and requiring the establishment of a conflict
of interest committee; creating the ombudsman office for patient advocacy to
represent the interests of the consumers of health care; establishing a grievance system for complaints; providing for an auditor general for health care fraud and abuse within the office of the legislative auditor; specifying certain rulemaking policies and procedures

ARTICLE 7 - IMPLEMENTATION

Appropriating money; providing an effective date and specifying certain transition requirements
(me)