Legislative Session number- 85

Bill Name: HF3391

HF 3391

CONFERENCE COMMITTEE REPORT (SIXTH ENGROSSMENT)

Health care program
affordability and continuity increased, provisions modified, subsidies provided,
commission established, standard created, program implemented, payment system
and benefit evaluation required, and money appropriated.

ARTICLE 1 -- PUBLIC
HEALTH

Section 1: Statewide health improvement program language
provided.
Subdivision 1. Goals.
Subdivision 2. Grants to local
communities.
Subdivision 3. Outcomes.
Subdivision 4. Technical assistance and
oversight.
Subdivision 5. Evaluation.
Subdivision 6. Report.
Subdivision 7.
Supplantation of existing funds.

ARTICLE 2 -- HEALTH CARE HOMES

Section 1:
Health Care Homes language provided.
Subdivision 1. Definitions.
Subdivision 2.
Development and implementation of standards.
Subdivision 3. Requirements for
clinicians certified as health care homes.
Subdivision 4. Alternative
models.
Subdivision 5. Health care home collaborative.
Subdivision 6. Evaluation
and continued development.
Subdivision 7. Outreach.

Section 2: Care
Coordination Fee language provided.
Subdivision 1. Development.
Subdivision 2.
Payment of care coordination fee.
Subdivision 3. Managed care and county-based
purchasing.
Subdivision 4. Cost neutrality.

Section 3: Health Care Home
Reporting requirement language provided.
Subdivision 1. Standards and criteria
review.
Subdivision 2. Annual reports on implementation and
administration.
Subdivision 3. Evaluation reports.

Section 4: Primary care
physician reimbursement rate increase language provided.

Section 5: Workforce
shortage study language added.

ARTICLE 3 -- INCREASING ACCESS; CONTINUITY OF
CARE

Section 1: Free and reduced school lunch program data sharing language
provided.

Section 2: Automation and coordination for state health care programs
language provided.

Section 3: Incentive program language modified.

Section 4:
School districts language modified.

Section 5: Children under age two language
modified.

Section 6: Families with children language modified.

Section 7:
Single adults and households with no children language modified.

Section 8:
Renewal of eligibility language modified.

Section 9: Delayed verification
language added.

Section 10: Commissioner's duties and payment language
modified.

Section 11: General requirements language modified.

Section 12:
Other health coverage language modified.

Section 13: Sliding fee scale; monthly
gross individual or family income language modified.

Section 14: Effective date
language modified.

Section 15: Repealer provided.

ARTICLE 4 -- HEALTH
INSURANCE PURCHASING AND AFFORDABILITY REFORM

Section 1: Interoperable
electronic health record requirements language provided.

Section 2: Electronic
prescription drug program language provided.
Subdivision 1.
Definitions.
Subdivision 2. Requirements for electronic prescribing.
Subdivision
3. Standards for electronic prescribing.

Section 3: Definitions
provided.
Subdivision 1. Applicability.
Subdivision 2. Basket or baskets of
care.
Subdivision 3. Clinically effective.
Subdivision 4.
Cost-effective.
Subdivision 5. Group purchaser.
Subdivision 6. Health
plan.
Subdivision 7. Health plan company.
Subdivision 8. Participating
provider.
Subdivision 9. Provider or health care provider.
Subdivision 10.
Service agreement.
Subdivision 11. State health care program.
Subdivision 12.
Third-party administrator.

Section 4: Value-based benefit set and design
language provided.
Subdivision 1. Creation.
Subdivision 2. Operations of
advisory committee.
Subdivision 3. Immunity of liability.
Subdivision 4. Benefit
set design.
Subdivision 5. Continued review.

Section 5: Health technology
assessment review language provided.

Section 6: Payment restructuring;
incentive payments based on quality of care language provided.
Subdivision 1.
Development.
Subdivision 2. Quality incentive payments.
Subdivision 3. Quality
transparency.
Subdivision 4. Contracting.
Subdivision 5.
Implementation.

Section 7: Payment restructuring; care coordination payments
language provided.

Section 8: Payment reform to reduce health care costs and
improve quality language provided.
Subdivision 1. Development of uniform
standards.
Subdivision 2. Calculation of health care costs and
quality.
Subdivision 3. Provider peer grouping.
Subdivision 4. Encounter
data.
Subdivision 5. Pricing data.
Subdivision 6. Contracting.
Subdivision 7.
Provider innovation to reduce health care costs and improve quality.
Subdivision
8. Uses of information.

Section 9: Provider pricing for baskets of care
language provided.
Subdivision 1. Establishment of definitions.
Subdivision 2.
Package prices.
Subdivision 3. Quality measurements for baskets of
care.

Section 10: Coordination; legislative oversight on payment restructuring
language provided.
Subdivision 1. Coordination.
Subdivision 2. Legislative
oversight.

Section 11: Affordability standard language provided.
Subdivision 1.
Definition of affordability.
Subdivision 2. Affordability standard.
Subdivision
3. Application.
Section 12: Employee subsidies for health coverage language
provided.
Subdivision 1. Development of subsidy program.
Subdivision 2. Eligible
employees and dependents; incomes not exceeding 300 percent of federal poverty
guidelines.
Subdivision 3. Eligible individuals, employees and dependents;
incomes greater than 300 percent but not exceeding 400 percent of federal
poverty guidelines.
Subdivision 4. Amount of subsidy.
Subdivision 5. Payment of
subsidy.

Section 13: Projected and actual health care spending language
provided.
Subdivision 1. Projected spending baseline.
Subdivision 2. Actual
spending.
Subdivision 3. Publication of spending.

Section 14: Health Care
Reform Review Council language provided.
Subdivision 1.
Establishment.
Subdivision 2. Members.
Subdivision 3. Operations of
council.
Subdivision 4. Responsibilities of council.

Section 15: Section 125
Plans language provided.
Subdivision 1. Definitions.
Subdivision 2. Section 125
Plan requirement.
Subdivision 3. Employer requirements.

Section 16: Payment
reform language provided.
Subdivision 1. Quality incentive payments.
Subdivision
2. Payment reform.

Section 17: High-deductible health plan option language
provided.

Section 18: Study of uniform claims review process language
provided.

ARTICLE 5 -- APPROPRIATIONS

Section 1: Summary of appropriations
language provided.

Section 2: Health and human services appropriations language
provided.

Section 3: Human services language provided.
Subdivision 1.Total
Appropriation
Subdivision 2.Children and Economic Assistance
Management
Subdivision 3.Basic Health Care Grants
Subdivision 4.Health Care
Management
Subdivision 5. Continuing Care Management

Section 4: Commissioner of
Health language provided.
Subdivision 1.Total Appropriation
Subdivision
2.Community and Family Health Promotion
Subdivision 3.Policy, Quality, and
Compliance

Section 5: Sunset of uncodified language, language
provided.

Section 6: Effective date language provided.

SNA 5/14/08