Legislative Session number- 84

Bill Name: HF1422

HF 1422

THIRD ENGROSSMENT

Omnibus health and human services appropriations
bill.

ARTICLE 1--LICENSING
Section 1: Annual license or certification fee for
programs without a licensed capacity provisions modified.
Sec. 2: Supplemental
nursing services agencies background study fee increased.
Sec. 3-4: Background
study fee increased.

ARTICLE 2--STATE-OPERATED SERVICES
Sections 1-2:
Statutory references added.
Sec. 3: Adult mental health added to commissioner
authority to implement enterprise activities.
Sec. 4: Minnesota security
hospital provision expanded.

ARTICLE 3--HEALTH CARE
Section 1: Health Care
access fund transfers regulated.
Sec. 2: Commissioner powers modified.
Sec. 3:
Health care text site authorization provided.
Sec. 4: Retention rate
regulations clarified.
Sec. 5: State agency hearings provision clarified.
Sec.
6: Prepaid health plan appeals ombudsman notification removed.
Sec. 7: Hearing
authority administrative fraud disqualification authorized.
Sec. 8:
Withholding provision established.
Sec. 9: Payment ofr fee-for-servivce
admissions reduced.
Sec. 10: Greater Minnesota payment adjustment
authorizations modified.
Sec. 11: Third-party payer clarified.
Sec. 12:
Medicare presciption drug subsidy administration provided.
Sec. 13: Excess
asset reduction required.
Sec. 14: Conforming language pertaining to excess
income.
Sec. 15: Income verification required every 12 months.
Sec. 16:
Low-income individual income verification required every 6 months.
Sec. 17:
Eligibility period modified.
Sec. 18: State agency notification of monetary
claims required.
Sec. 19: Eligibility verification required.
Sec. 20: Income
availability for institutionalized persons regulations modified.
Sec. 21:
Ineligibility period modified.
Sec. 22: Citizenship requirements clariified
relating to medical care eligibility.
Sec. 23: Hospital emergency room services
provided detailed.
Sec. 24: Sex reassignment surgery not covered.
Sec. 25:
Newborn circumcision coverage not provided except for certain conditions.
Sec.
26: Health services policy committee reccomendations required.
Sec. 27: Health
services policy committee membership requirements established.
Sec. 28: Health
services policy committee terms and compensation specified.
Sec. 29: Drug
coverage provisions modified.
Sec. 30: Drug utilization review board provisions
modified.
Sec. 31: Formulary committee ex officio membership requirements
clarified.
Sec. 32: Payment rate provision modified.
Sec. 33: Prior
authorization grant provided.
Sec. 34: Medication therapy management care
coverage provided.
Sec. 35: Transportation costs maximum reimbursement rates
increased.
Sec. 36: General coverage requirement established.
Sec. 37: Health
care public program coverage limited.
Sec. 38: Reimbursement requiring
participation provisions modified.
Sec. 39: Fee-for-service intensive care
management pilot project development provided.
Sec. 40: Life estate and joint
tenancy interest continuation effective conditions clarified.
Sec. 41: Safety
net provider allocation limitation clarified.
Sec. 42: Facility fee payment
specifications provided.
Sec. 43: Choice limitation clarified.
Sec. 44:
Payment reduction provided.
Sec. 45: Hospital outpatient reimbursement
regulations modified.
Sec. 46: General assistance medical care eligiblility
modified.
Sec. 47: Conforming changes relating to sex reassignment surgery
provided.
Sec. 48: Medical necessity standards specified.
Sec. 49: General
assistance medical care payment directive provided.
Sec. 50: Social secuity
number requirement refusal provision clarified.
Sec. 51: "Child" defined.
Sec.
52: "Gross indiviudal or gross family income" definition modified.
Sec. 53:
"Income" definition modified.
Sec. 54: Covered health services regulations
modified.
Sec. 55: Inpatient hospital services regulations modified.
Sec. 56:
Co-payments and coinsurance fees imposed.
Sec. 57: Medical necessity
required.
Sec. 58: Provisions for families with children provided.
Sec. 59:
MinnesotaCare social security number requirement established.
Sec. 60:
Third-party liability, paternity, and other medical support establishment
cooperation requirements modified.
Sec. 61: Other benefit applications
specified.
Sec. 62: Eligibility specifications modified.
Sec. 63:
Commissioner's duties modified.
Sec. 64: Effective date of coverage
modified.
Sec. 65: Eligibility renewal provisions modified.
Sec. 66: Private
insurance availability regulations modified.
Sec. 67: Commissioner's duties
relating to income reporting sliding scale modified.
Sec. 68: General
requirements modified.
Sec. 69: Other health coverage modified.
Sec. 70:
Voluntary disenrollment for members of the military provided.
Sec. 71:
Residency requirements modified.
Sec. 72: Enrollees 18 or older payment
regulations specified and modified.
Sec. 73: Co-payment language
clarified.
Sec. 74: Rate setting reduced.
Sec. 75: Sliding fee scale for
monthly gross individual or family income language modified.
Sec. 76: Sliding
scale exceptions modified.
Sec. 77: Public health care programs and certain
trusts addressed.
Sec. 78: Life estate liens and joint tenancy time and claim
limit regulations modified.
Sec. 79: Transportation service broker management
regulations detailed.
Sec. 80: Advisor committee on nonemergency transportation
services established.
Sec. 81: Managed care planning process established.
Sec.
82: Federal approval for pregnant women and special work expense deduction
requirements established.
Sec. 83: Federal approval required.
Sec. 84: Health
care financing report development required.
Sec. 85: Life estate and joint
tenancy interest provisions effective date change established.
Sec. 86:
Commissioner's duties relating to life estate and joint tenancy interest
provisions established.
Sec. 87: Immunity provided.
Sec. 88: Repealer.


ARTICLE 4--NURSING FACILITY REIMBURSEMENT SYSTEM AND OTHER PROVISION
Section
1: Replacement bed exceptions modified.
Sec. 2: Otter tail county nursing
facility approval extension provided.
Sec. 3: Nursing facility rate increases
language modified.
Sec. 4: Technical modification.
Sec. 5: Facility rate
increases amount determination procedures clarified.
Sec. 6: Nursing facility
rate increase imposition procedures specified.
Sec. 7: Stearns, Sherburne, and
Benton county rate increases specified.
Sec. 8: Related term definitions
modified.
Sec. 9: Technical statutory reference added.
Sec. 10: Cost
allocation allocable on a functional basis regulations established.
Sec. 11:
Allocation ratio language modified.
Sec. 12: Related organization cost
provisions established.
Sec. 13: Contract duration and termination language
technical clarifications provided.
Sec. 14: Alternate nursing facility rate
effective dates modified.
Sec. 15: Facility rate increase language modified
(technical).
Sec. 16-18: Conforming change.
Sec. 19: Alternative payment
system contracts phase-out provided.
Sec. 20: Rule 50 property rate phase-out
provided.
Sec. 21: Case mix indices implementation language clarified.
Sec. 22:
Nursing facility reimbursement system established and detailed.
Sec. 23:
Resident notice provided.
Sec. 24: Aitkin county moratorium project deadline
extension provided.
Sec. 25: Renville county moratorium project deadline
extension provided.
Sec. 26: Criteria and rate negotiation recommendations
provided.

ARTICLE 5--CONTINUING CARE FOR THE ELDERLY AND DISABLED
Section
1: Contribution amount sliding fee scale implementation provided.
Sec. 2:
Required report application and processing time regulations established.
Sec. 3:
Disabled employee provisions modified.
Sec. 4: Long-term care partnership
program established and detailed.
Sec. 5-6: Targeted case management
definitions modified.
Sec. 7: County case management provider qualification
language modified.
Sec. 8: Relocation service coordination provider
qualifications established.
Sec. 9: Eligible services modified.
Sec. 10: Time
line techical modifications provided.
Sec. 11: Data use agreement and notice of
relocation targeted case management availability provided.
Sec. 12: Skilled and
intermediate nursing care provisions clarified relating to facility exemptions
and sole provider requirements.
Sec. 13-14: 120 day eligibility window
provided.
Sec. 15: "Transitional supports allowance" defined.
Sec. 16-17:
Quality assurance system project expiration date extended.
Sec. 18: Quality
assurance team membership provisions modified.
Sec. 19: Process component
evaluation requirements modified.
Sec. 20: Cost division modified.
Sec. 21:
Community-based waiver services and supports transitional supports allowance
established.
Sec. 22: ICF/MR rate increases imposed.
Sec. 23: Aternative
integrated long-term care services for elderly and disabled persons
demonstration projects for PACE (programs for all-inclusive care for the
elderly) established.
Sec. 24: Health care service reimbursment provided.
Sec.
25: Provider rate inrcreases modified.
Sec. 26: ICF/MR plan recommendations
required.
Sec. 27: Commissioner direction required on licensing and alternative
quality assurance study.
Sec. 28: Consumer-directed community supports
exception provided.
Sec. 29: Physical activity cost expense allowances
established.
Sec. 30: Waiver amendment required.
Sec. 31: Indepandent
evaluation development required relating to review of unallowable items.
Sec.
32: Federal approval request required.
Sec. 33: Dental access for disabled
persons required.
Sec. 34: Disability services interagency work group
membership specified.
Sec. 35: Report to legislature required.

ARTICLE
6--MISCELLANEOUS
Section 1: Specific power technical modifications
provided.
Sec. 2: Annual report preparation required on applicants.
Sec. 3:
Commissioner required to study deemed income of sponsors of noncitizens
required.

ARTICLE 7--MENTAL HEALTH SERVICES
Section 1: Admission criteria
established.
Sec. 2: Emergency admission to foster care level of care
determination requirement established.
Sec. 3: Foster care qualifications
modified.
Sec. 4: "Examiner" definition modified.
Sec. 5: Mental health
telemedicine provision established.
Sec. 6: Foster care services treatment
coverage specified (technical).
Sec. 7: Psychiatric consultation to primary
care pratictioners provided.
Sec. 8: Client eligibility Autism diagnostic
assessment addressed.
Sec. 9: Treatment foster care regulations
established.
Sec. 10: Transitional youth intensive rehabilitative menal health
services provisions established.
Sec. 11: General assistance medical care
services modified to conform with section 5.
Sec. 12: Conforming
change.

ARTICLE 8--HEALTH POLICY
Section 1: Abortion notification data
governance specified.
Sec. 2: Health information technology and infrastructure
advisory committee established.
Sec. 3: Variances fees increased.
Sec. 4: Well
notification fees increased.
Sec. 5: Permit fees for wells inceased.
Sec. 6:
Well fees inceased.
Sec. 7: License to make borings fee imposed.
Sec. 8:
License, permit, and survey fees increased.
Sec. 9: "Eligibile rural hospital"
population regulation increased.
Sec. 11: Rural pharmacy planning and
transition grant program established.
Sec. 12: Conforming change.
Sec. 13:
Rural health initiative requirements modified.
Sec. 14: "Pharmacist" and
"Dentist" defined.
Sec. 15: Accoutn creation provided.
Sec. 16: Eligibility
modified.
Sec. 17: Loan forgiveness modified.
Sec. 18: Fees for services
increased.
Sec. 19: Vital records surcharge increased.
Sec. 20: Electronic
verification of vital event fee imposed.
Sec. 21: Alternative payment method
approval requirement provided.
Sec. 22: Abortion notification data
specified.
Sec. 23: Public water supply annual fee for service increased.
Sec.
24: Restricted construction or modification provided.
Sec. 25: License
condition eligibility modified.
Sec. 26: Education about the dangers of shaking
infoants and young children by hospitals and health care providers
required.
Sec. 27: Voluntary trauma system establishement procedure
provided.
Sec. 28: Related terms defined.
Sec. 29: Statewide trauma system
criteria specified.
Sec. 30: Trauma triage and transportation requirements
established.
Sec. 31: Trauma hospitals designation procedures established.
Sec.
32: Interhospital transfer written procedures required.
Sec. 33: Trauma
registry participation requirements established.
Sec. 34: Trauma advisory
council established.
Sec. 35: Cancer drug repository program established.
Sec.
36: Lead risk assessment program regulations modified.
Sec. 37: Biennial water
fees increased.
Sec. 38: Trauma triage and transport guidelines
established.
Sec. 39: Family planning grant funds prohibited from subsidizing
abortion.
Sec. 40: Positive abortion alternative act language included.
Sec.
41: Unborn child pain prevention act provided.
Sec. 42: Community-based grant
program provided.
Sec. 43: Periodic suicide prevention plan evaluation
regulations modified.
Sec. 44: Postpartum depression education and information
requirements established.
Sec. 45: AIDS prevention grant money usage prohibited
from funding sexually explicit images or language.
Sec. 46: "Eligible community
clinic" definition modified.
Sec. 47: Complaint format modified.
Sec. 48:
Technical.
Sec. 49: Commissioner of health references added.
Sec. 50: Rule
exemption provided.
Sec. 51: "Statewide hospitality fee" defined.
Sec. 52:
License renewal fee increased.
Sec. 53: Food manager certification fee
imposed.
Sec. 54: Establishment fees for food and beverage services, hotels,
motels, etc., increased.
Sec. 55: Statewide hospitality fee imposed.
Sec. 56:
Inspection frequency rephrased.
Sec. 57: Elementary and secondary school food
service inspection requirements specified.
Sec. 58: "Health-related licensing
board" definition modified.
Sec. 59: Fee adjustment modified.
Sec. 60: Health
occupations licensing account created.
Sec. 61: Child care provider training
education on dangers of shaking infants and children required.
Sec. 62: Fee
language clarified (technical).
Sec. 63: Long-term care insurance provision
authorized.
Sec. 64: Rule amendment provided.
Sec. 65: Health commissioner
dental review required.
Sec. 66: Cerivcal cancer elimination study
required.
Sec. 67: Repealer.

ARTICLE 9--DEPARTMENT OF HUMAN SERVICES FORECAST
ADJUSTMENT
Section 1: Forecast adjustment provided.

ARTICLE
10--APPROPRIATIONS
Section 1: Appropriations summary by fund provided.
Sec. 2:
Commissioner of human services money appropriated, including health care access,
federal TANF, and lottery cash flow money. Appropriation distributions
detailed.
Sec. 3: Health commissioner money appropriated, including special
revenue, health care access, and federal TANF money. Appropriation
distributions detailed.
Sec. 4: Veterans nursing homes board money
appropriated.
Sec. 5: Health-related board money appropriated.
Sec. 6:
Emergency medical services board money appropriated.
Sec. 7: Council on
disability money appropriated.
Sec. 8: Ombudsman for mental health and mental
retardation money appropriated.
Sec. 9: Ombudsman for families money
appropriated.
Sec. 10: Transfers provided.
Sec. 11: Indirect costs not to fund
certain program regulations provided.
Sec. 12: Uncodified language sunset
specified.
Sec. 13: Effective date.

ARTICLE 11--OPTION B SPENDING
Section 1:
Conditional effective date provided.
Sec. 2: General assistance medical care
eligibility modified.
Sec. 3: Inpatient hospital service technical changes
provided.
Sec. 4: Co-payments and coinsurance provisions modified.
Sec. 5:
Families with children addressed within provisions modified.
Sec. 6: Conforming
technical change.
Sec. 7: GAMC funding increase detailed.
Sec. 8:
MinnesotaCare funding increase detailed.
Sec. 9: Minnesota outreach grants
detailed.
Sec. 10: Funding specified.
Sec. 11: Home care services
reimbursement rates detailed.
Sec. 12: Other provisions
addressed.

AME
5-4-05