1.1 	A bill for an act
1.2 	relating to health; modifying licensure requirements for prescribed pediatric 
1.3 	extended care centers; adding prescribed pediatric extended care center services 
1.4 	to the list of covered services under medical assistance; directing the commissioner 
1.5 	of human services to seek necessary medical assistance state plan amendments;
1.6 	amending Minnesota Statutes 2016, section 256B.0625, by adding a subdivision; 
1.7 	Minnesota Statutes 2017 Supplement, section 144H.04, subdivision 1.
1.8 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.9 	Section 1. Minnesota Statutes 2017 Supplement, section 144H.04, subdivision 1, is 
1.10 	amended to read:
1.11 		Subdivision 1.Licenses. A person seeking licensure for a PPEC center must submit a 
1.12 	completed application for licensure to the commissioner, in a form and manner determined 
1.13 	by the commissioner. The applicant must also submit the application fee, in the amount 
1.14 	specified in section 144H.05, subdivision 1. Effective For the period January 1, 2019, 
1.15 	through December 31, 2020, the commissioner shall issue licenses for no more than two 
1.16 	PPEC centers according to the requirements in section 3. Beginning January 1, 2018 2021, 
1.17 	the commissioner shall issue a license for a PPEC center if the commissioner determines 
1.18 	that the applicant and center meet the requirements of this chapter and rules that apply to 
1.19 	PPEC centers. A license issued under this subdivision is valid for two years.

1.20 	EFFECTIVE DATE. This section is effective the day following final enactment.

2.1 	Sec. 2. Minnesota Statutes 2016, section 256B.0625, is amended by adding a subdivision 
2.2 	to read:
2.3 		Subd. 65.Prescribed pediatric extended care center services. Medical assistance 
2.4 	covers prescribed pediatric extended care center basic services as defined under section 
2.5 	144H.01, subdivision 2. The commissioner shall set two payment rates for basic services 
2.6 	provided at prescribed pediatric extended care centers licensed under chapter 144H: (1) a 
2.7 	$250 half-day rate per child attending a prescribed pediatric extended care center for less 
2.8 	than four hours per day; and (2) a $500 full-day rate per child attending a prescribed pediatric 
2.9 	extended care center for four hours or more per day. The rates established in this subdivision 
2.10 	may be reevaluated by the commissioner two years after the effective date of this subdivision.

2.11 	EFFECTIVE DATE. This section is effective January 1, 2019, or upon federal approval, 
2.12 	whichever occurs later. The commissioner of human services shall notify the revisor of 
2.13 	statutes when federal approval is obtained.

2.14 	Sec. 3. PHASE-IN OF LICENSURE OF PRESCRIBED PEDIATRIC EXTENDED 
2.15 	CARE CENTERS.
 2.16 		Subdivision 1.2019-2020 licensure period. The commissioner of health shall phase in 
2.17 	the licensure of prescribed pediatric extended care centers (PPEC centers) under Minnesota 
2.18 	Statutes, chapter 144H, by issuing licenses for no more than two PPEC centers for the 
2.19 	licensure period January 1, 2019, through December 31, 2020. To be eligible for licensure 
2.20 	for the licensure period January 1, 2019, through December 31, 2020, an entity must hold 
2.21 	a current comprehensive home care license under Minnesota Statutes, sections 144A.43 to 
2.22 	144A.482, and must have experience providing home care services to medically complex 
2.23 	or technologically dependent children, as defined in Minnesota Statutes, section 144H.01, 
2.24 	subdivision 5. Beginning January 1, 2021, the commissioner shall license additional PPEC 
2.25 	centers if the commissioner determines that the applicant and the center meet the licensing 
2.26 	requirements of Minnesota Statutes, chapter 144H.
2.27 		Subd. 2.Quality measures; development and reporting. The commissioner of health, 
2.28 	in consultation with prescribed pediatric extended care centers licensed for the 2019-2020 
2.29 	licensure period, shall develop quality measures for PPEC centers, procedures for PPEC 
2.30 	centers to report quality measures to the commissioner, and methods for the commissioner 
2.31 	to make the results of the quality measures available to the public.

3.1 	Sec. 4. DIRECTION TO COMMISSIONER; PRESCRIBED PEDIATRIC 
3.2 	EXTENDED CARE.
 3.3 	No later than August 15, 2018, the commissioner of human services shall submit to the 
3.4 	federal Centers for Medicare and Medicaid Services any medical assistance state plan 
3.5 	amendments necessary to cover prescribed pediatric extended care center basic services 
3.6 	according to Minnesota Statutes, section 256B.0625, subdivision 65.

3.7 	EFFECTIVE DATE. This section is effective the day following final enactment.