Legislative Session number- 85

Bill Name: SF3099

8E Relating health care

ARTICLE 1 - PUBLIC HEALTH

Creating the public health
improvement fund; providing for a statewide health improvement program with a
goal to substantially reduce the percentage of obese or overweight people,
people using tobacco or people misusing alcohol; requiring the commissioner of
health to provide local community grants; requiring the commissioner to set
measurable outcomes and provide technical assistance and oversight; requiring
the commissioner to conduct biennial evaluations and submit a biennial report to
the legislature; providing for community health boards and tribal governments to
use funds to develop new programs and expand current programs; defining certain
terms relating to the public health improvement fund, requiring hospitals and
nonprofit health plan companies by a certain date to contribute a certain
percent of net patient revenue to the public health improvement fund, specifying
assessment percentage for hospitals and health plan companies from 2010 and
thereafter; sunset provision; requiring the commissioner of health to establish
by a certain date a body mass index (BMI) monitoring program for overweight and
obese children

ARTICLE 2 - HEALTH CARE HOMES

Requiring the commissioner of
human services to encourage state health care program enrollees eligible for
services under the fee for service system to select a primary care clinic or
medical group; encouraging enrollees to complete an initial health assessment;
requiring the commissioner to provide patient education and outreach to
enrollees; defining state health care program to include medical assistance
(MA), MinnesotaCare and general assistance medical care (GAMC) programs;
requiring the commissioners of human services and health to establish health
care homes for state health care enrollees; requiring certification of
individual clinicians; specifying certain health care home requirements and
criteria; requiring the commissioners to pay a health care home coordination
fee, specifying amount of and providing for cost neutrality; requiring the
commissioners to establish health care homes certification standards and other
criteria by a certain date, specifying monitoring and evaluation requirements;
requiring the commissioners to establish by a certain date a care coordination
advisory committee to assist the commissioners of health and human services;
requiring the commissioners to establish the health care home collaborative and
to develop a patient-directed decision making support model to be used by health
care homes; requiring certain annual legislative reports; requiring the
commissioners to require managed care plans as a condition of a contract to
adopt by a certain date a health care home model for providing care to state
health care program enrollees with or at risk of developing a complex or chronic
health condition; providing for a primary care physician reimbursement rate
increase, specifying a limit

ARTICLE 3 - INCREASING ACCESS; CONTINUITY OF
CARE

Including the dental school student scholarship program as a component of
the health professional education loan forgiveness program, instructing the
commissioner of health to award scholarships to certain dental students;
requiring the commissioner of human services automation and coordination of
state health care programs, specifying duties for goal achievement; requiring
the commissioner to verify liquid assets of medical assistance (MA) applicants;
increasing the MinnesotaCare inpatient hospital services and benefit limit;
expanding MinnesotaCare eligibility for families and single adults and
households without children; allowing MinnesotaCare eligibility renewal at
health care providers under no change conditions; modifying disenrollment
conditions, premium determination expiration date, other health coverage
conditions and the sliding fee scale; authorizing new enrollee household first
month premium exemption; requiring the commissioner of human services to study
and report to the legislature with recommendations for a rate increase to
long-term care employers dedicated to employee health insurance in the private
market; repealing MinnesotaCare premiums sliding scale exemptions

ARTICLE 4 -
HEALTH INSURANCE PURCHASING AND AFFORDABILITY REFORM

Creating a health savings
reinvestment fund in the state treasury, providing for and eventual transfer of
loss of income tax revenue to the general fund and direct appropriation of
remaining balance; establishing criteria for hospitals and health care providers
implementing an interoperable electronic health record system; creating an
electronic prescription drug program, defining certain terms, establishing
certain requirements and standards for electronic prescribing; modifying certain
health care payment disclosure provisions relating to out of pocket costs;
permitting certain corporations to apply to be a health insurance access broker,
establishing certain registration criteria, instructing commissioner of commerce
to oversee health insurance access brokers, authorizing the commissioner to
establish an online registry for brokers; requiring certain employers to offer
employee section 125 plans, specifying requirements and compliance of the
commission; specifying employer and health plan company requirements; creating
the health care transformation commission, specifying membership; describing the
operations and responsibilities of the commission, authorizing the establishment
of an advisory committee, specifying use of data collected by commission;
determining standard benefit set and design, requiring a report to the
legislature by a certain date, sunset provision; creating the health care value
reporting committee, specifying operation and membership of the committee and
prescribing duties; requiring the commission to convene a health benefit and
design advisory committee, specifying membership, operations, duties and review
requirements; requiring the health care transformation commission to convene a
technology advisory committee to make recommendations to the board, specifying
membership, technology selection process, review and committee determination;
requiring the health care transformation commission to develop a system of
quality incentive payments to providers, specifying payment system criteria,
providing for implementation; requiring the health care transformation
commission to develop a payment system providing care coordination payments to
health care providers, specifying eligibility, fee, payments and requiring
implementation by a certain date; requiring the health care transformation
commission to develop a payment system by a certain date; requiring provider
innovation to improve costs and quality; providing for the submission of
encounter data and the calculation of the relative utilization and health care
costs of providers, forming a process for provider submission of total care
bids, offering assistance to providers for the calculation and submission of
bids and chronic care package pricing; specifying payments to providers and
requiring implementation by a certain date; requiring providers to submit price
lists of types of care provided to the health care transformation commission;
specifying provider pricing process requirements; requiring the commissioner of
health to develop a projected spending baseline, determine actual spending,
publish spending and requiring companies to pay a savings reinvestment
assessment, providing for credit of the assessments; establishing certain cost
containment goals and making them contingent on the expansion of MinnesotaCare;
specifying an affordability standard; requiring the commissioner of human
services to establish an eligible employee subsidy program, specifying
eligibility, subsidy amount and payment and report requirement; authorizing
private individual data exchange; repealing certain statutes relating to
prohibited health insurance agreements, enrollee cost sharing, negotiated
provider payments, access to provider discounts and payment rate compliance


ARTICLE 5 - APPROPRIATIONS

Appropriating money to the department of human
services to be deposited in the health care access and the health care
improvement funds for children and economic assistance management, for basic
health care grants including MinnesotaCare grants, medical assistance basic
health care grants for families and children, primary care physician rate
increases, other health care grants such as mobile dental unit operation, the
open door health center and subsidies for employer-subsidized health coverage
with a health care access fund base adjustment, for health care management
including health care policy administration with a health care access fund and
general fund base adjustment and health care operations including an incentive
program with outreach grants and outreach funding with a health care access fund
base adjustment, for continuing care management including a long-term care
worker health coverage study; to the department of health to be deposited in the
health care access and health care improvement funds for community and family
health promotion for the purpose of a statewide health improvement program, for
policy, quality and compliance including the dental loan forgiveness and
scholarship program, federally qualified health centers, the operation of the
health care transformation commission, the electronic health records program,
the electronic health records revolving account and loan program; specifying
that remaining funds in the health savings reinvestment fund be transferred and
used for the health care home care coordination fee; appropriating money from
the health savings reinvestment fund to the commissioner of health for
administrative activities of the health reinvestment assessment; specifying that
remaining money in the health savings reinvestment fund be appropriated in equal
amounts to the board of regents of the university of Minnesota, the Mayo medical
foundation and the office of higher education to increase the number of primary
care physicians who practice in underserved communities and the number of
primary care slots in residency programs in the state, Duluth Graduate Medical
Education Council, Inc. for medical school initiatives to increase the number of
primary care physician slots in state residency programs, office of higher
education for nursing school grants and the university of Minnesota board of
regents and the Mayo medical foundation to address shortages in primary care
medicine; specifying the deposit of and the purpose of health insurance access
broker fees; specifying sunset of uncodified language
(me)