SF 4452

Introduction - 92nd Legislature (2021 - 2022)

Posted on 09/07/2022 09:30 a.m.

A bill for an act
relating to health; establishing a task force to address health care needs in the state;
requiring a report; appropriating money.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1. new text begin LONG-TERM SOLUTIONS TO HEALTH CARE DISPARITIES AND
INEQUITIES.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin (a) The commissioner of health shall establish a task
force to address the health disparities and access to health care experienced by specific
communities in the state. The commissioner shall collaborate with community health care
organizations in addition to the Community Care Clinic of Minnesota in selecting task force
members to research health care issues and provide recommendations to state and local
governmental agencies that address the causes of health care disparities and the barriers to
health care access that certain communities experience. The task force shall be comprised
of representatives of organizations that provide health services to communities where there
are barriers to health care resulting in health inequities. Individuals on the task force shall
have knowledge of health disparities and expertise in addressing health disparities and
inequities.
new text end

new text begin (b) Compensation and reimbursement for expenses for task force members shall be
governed by Minnesota Statutes, section 15.059, subdivision 6.
new text end

new text begin (c) The commissioner of health shall provide administrative support and meeting space
for the task force.
new text end

new text begin (d) The task force shall provide a report to the commissioner and the chairs and ranking
members of the legislative committees with jurisdiction over health care finance and policy.
new text end

new text begin (e) The task force shall expire December 30, 2025.
new text end

new text begin Subd. 2. new text end

new text begin Grant. new text end

new text begin The commissioner of health shall issue a grant to Community Care
Clinic of Minnesota to conduct research on health disparities experienced by certain
community groups. The Community Care Clinic of Minnesota shall provide research and
recommendations to the commissioner on:
new text end

new text begin (1) developing a Center of Excellence for Health Disparities reduction;
new text end

new text begin (2) developing educational curriculum to teach emerging health care professions to
identify and address the health care inequities and disparities in underserved communities;
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new text begin (3) changing health rules to prevent the termination of a patient impacted by a health
care barrier without due process protections provided in government health care programs;
new text end

new text begin (4) identifying medically underserved areas (MUA) and health professional shortage
areas (HPSA);
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new text begin (5) identifying high-priority public health issues affecting the various health disparities
within various communities;
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new text begin (6) developing strategies and programs to utilize collaborative strategies across health
care institutions to accomplish the objectives of addressing health care disparities and
inequities;
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new text begin (7) providing process improvements for assimilating community health workers into
clinics in areas experiencing health disparities;
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new text begin (8) augmenting loan forgiveness programs for working in a MUA/HPSA to attract
physicians from the National Health Services Corps;
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new text begin (9) recruiting Minnesota primary care residency programs to MUA/HPSA and
post-graduation residency for nurse practitioners in MUA/HPSA;
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new text begin (10) supporting the establishment of community health clinic services under Minnesota
Rules, part 9505.0255. Third-party payors and Department of Human Services must comply
and support claims payments;
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new text begin (11) augmenting the role of essential community providers and the implementation of
the augmented payment system under Minnesota Statutes, section 62Q.19;
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new text begin (12) increasing the community clinic grant under Minnesota Statutes, section 145.9268;
new text end

new text begin (13) determining the socioeconomic and business aspects of minority health for:
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new text begin (i) timing of services including after hours and weekends;
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new text begin (ii) transportation services for the disabled and large families;
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new text begin (iii) cost of extra services for medically complex patients, such as CADI waiver, mobility
and wheelchair equipment and durable medical equipment;
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new text begin (iv) assisted living services; and
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new text begin (v) increasing staffing from minority communities;
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new text begin (14) developing mobile community clinic services in rural and inner-city areas;
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new text begin (15) mentoring programs in inner cities and rural high schools located in medically
underserved areas;
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new text begin (16) developing two-year health care programs in community colleges in the state; and
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new text begin (17) developing a process to rehabilitate persons previously disqualified for health care
licensure to provide health care services to the person's family, kinship, and the public by
establishing an approval process, supervision, and waivers from the disqualifying rule.
new text end

Sec. 2. new text begin APPROPRIATION; COMMUNITY CARE CLINIC OF MINNESOTA.
new text end

new text begin $....... in fiscal year 2023 is appropriated from the general fund to the commissioner of
health to provide a grant to the Community Care Clinic of Minnesota to conduct research
and make recommendations on the health care disparities and inequities listed in section 1,
subdivision 2.
new text end