Legislative Session number- 81

Bill Name: SF1553

Relating to human services; modifying prescription drug coverage and certain
cost sharing requirements under the senior citizen drug program, eligibility to
begin the month after approval and specifying certain program limits relating to
available funds, appropriating rebate revenues to the commissioner of human
services to augment funding of the program; providing for physician or hospital
requests for reconsideration of certain decisions relating to medically
necessary services under the medical assistance (MA) inpatient hospital payment
system and reducing the hospital cost index to recover certain overprojections;
requiring the commissioner to establish a performance data reporting unit under
medical assistance serving counties and the state, duties; modifying a certain
medical assistance eligibility requirement and establishing the income standard
for certain supplemental security income recipients; establishing an eligibility
category for certain employed disabled persons; adopting income deductions for
institutionalized persons as mandated by federal law; providing medical
assistance coverage for specialized maintenance therapy under coverage for
physical and occupational therapy services and providing coverage for speech
language pathology and related services, providing for one time thresholds and
for a care management approach for authorization of services beyond the
threshold for provision of the rehabilitation services, requiring the department
of human services to implement an expedited turnaround time to review
authorization requests for recipients exhausting the one time threshold limit
and needing emergency services; providing medical assistance coverage for
consultation services by physicians specializing in child abuse and neglect and
certain preventive dental hygienist services; modifying the exclusion from the
drug formulary of drugs from manufacturers not signing a federal rebate
agreement and requiring the commissioner to set maximum allowable costs for
multisource drugs not on the federal upper limit list; modifying the
reimbursement procedure for medical assistance coverage of eligible local
educational agency special education health related services; eliminating the
nutritional supplementation products advisory committee; expanding medical
assistance coverage for family community support services under the children's
mental health act; expanding medical assistance eligibility for Minnesota family
investment program-statewide (MFIP-S) participants opting to discontinue monthly
cash assistance; increasing payment rates for certain nonsurgical outpatient and
emergency room facility fees and for physician, professional and dental services
and for certain fee for service providers, specifying certain requirements of
the commissioner; requiring and providing for the commissioner to award grants
to community clinics to increase the availability of dental services to public
program recipients; modifying certain copayment and coinsurance requirements
under the MinnesotaCare program, requiring relative caretakers to cooperate in
establishing other medical support, expanding the eligibility of applicants
potentially eligible for medical assistance without a spenddown to choose to
enroll in either program, eliminating grandparents from the provision providing
eligibility for families with relative caretakers, foster parents or legal
guardians, modifying certain initial enrollment requirements, clarifying the
provision providing for disenrollment for failure to pay premiums and
authorizing sooner reenrollment under certain payment conditions, eliminating
subsidized premiums based on a sliding scale, modifying eligibility for certain
children, requiring applicants formerly receiving medical assistance or general
assistance medical care within a certain time period before application to meet
certain requirements and modifying the premiums nonrefundability provision and
certain sliding fee scale and commissioner federal waiver requirements;
requiring the commissioner to amend certain rules to provide for home based
mental health and family community support services (mk)