Legislative Session number- 86

Bill Name: SF0118

3E Relating to health

ARTICLE 1 - GENERAL PROVISIONS

"Minnesota Health
Act"; establishing the Minnesota Health Plan to provide
residents all medically
necessary health care services; specifying health plan requirements; defining
certain terms; providing for ethics and conflict of interest

ARTICLE 2 -
ELIGIBILITY

Providing for eligibility to all state residents; establishing
residency standards; requiring the Minnesota health board to establish a
procedure to enroll residents and provide enrollees with appropriate
identification; allowing health care coverage for residents temporarily residing
out of state, visitors, nonresident persons working in the state and retiree
benefits; providing for presumptive eligibility; allowing data release to
certain parties

ARTICLE 3 - BENEFITS

Authorizing eligible persons to
receive services under the Minnesota Health Plan from any licensed participating
providers; prohibiting provider patient care refusal based on unfair employment
practice; specifying minimum covered medical benefits; allowing the board to
expand minimum benefits; specifying certain exclusions; prohibiting payment for
prescription drugs from pharmaceutical companies directly marketing to
consumers; prohibiting deductibles, co-payments, co-insurance and other cost
sharing; requiring primary care provider use for patient care
coordination

ARTICLE 4 - FUNDING

Classifying data as private; requiring
the board to establish a Minnesota Health Fund to implement the Minnesota Health
Plan and to receive premiums and other sources of revenue; providing for fund
accounts, budgets, program administration and training; providing for revenue
sources; specifying premium requirements and requiring the board to submit a
report to the governor and legislature by a certain date on premium structure;
permitting donations, requiring federal waivers and federal preemption;
providing for subrogation, plan reimbursement and defaults

ARTICLE 5 -
PAYMENTS

Allowing plan participation to all licensed health care providers;
requiring
noninstitutional providers uniform fee schedule establishment;
providing for payments to institutional providers; requiring the board to
develop a capital investment plan

ARTICLE 6 - GOVERNANCE

Providing certain
conforming statutory changes; establishing a Minnesota Health Plan executive
officer and the Minnesota health board; prescribing board composition, terms,
compensation and duties; defining metropolitan health planning region;
prescribing regional health planning board composition and duties; requiring the
Minnesota health board to establish an office of health quality and planning and
prescribing duties, assessment and benefits evaluation; creating the ombudsman
office for patient advocacy, prescribing duties; requiring the ombudsman to
establish a grievance system for complaints and classifying data; requiring the
attorney general to appoint an inspector general, prescribing duties

ARTICLE
7 - IMPLEMENTATION

Appropriating money to the Minnesota health fund under the
Minnesota Health Plan for implementation
(rt)