HF 430

as introduced - 90th Legislature (2017 - 2018) Posted on 01/23/2017 01:45pm

A bill for an act
relating to health care; eliminating repeal of the tax on hospitals and health care
providers; providing a contingent increase in primary care provider payment rates;
clarifying uses of money in the health care access fund; amending Minnesota
Statutes 2016, sections 295.52, subdivision 8; 295.581; repealing Laws 2011, First
Special Session chapter 9, article 6, section 97, subdivision 6.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2016, section 295.52, subdivision 8, is amended to read:

Subd. 8.

Contingent reduction in tax rate.

(a) By December 1 of each year, beginning
in deleted text begin 2011 deleted text end new text begin 2016 new text end , the commissioner of management and budget shall determine the projected
balance in the health care access fund for the biennium.

(b) If the commissioner of management and budget determines that the projected balance
in the health care access fund for the biennium reflects a ratio of revenues to expenditures
and transfers greater than 125 percent, and if the actual cash balance in the fund is adequate,
as determined by the commissioner of management and budget, the commissioner deleted text begin , in
consultation with the commissioner of revenue, deleted text end new text begin of human services new text end shall deleted text begin reduce the tax rates
levied under subdivisions 1, 1a, 2, 3, and 4, for the subsequent calendar year sufficient to
reduce the structural balance in the fund. The rate may be reduced to the extent that the
projected revenues for the biennium do not exceed 125 percent of expenditures and transfers.
The new rate shall be rounded to the nearest one-tenth of one percent. The rate reduction
under this paragraph expires at the end of each calendar year and is subject to an annual
redetermination by the commissioner of management and budget deleted text end new text begin increase the medical
assistance payment rate for physician services that use the evaluation and management
conversion factor and are provided by a family physician, general pediatrician, physician
assistant, or advanced practice registered nurse. The rate shall be increased by the maximum
percentage possible to the extent that the total cost of the rate increase reduces the total
structural balance of the fund so that the projected revenues are not greater than 125 percent
of the expenditures and transfers. Any rate increase under this paragraph is effective for
services provided on or after July 1 of the subsequent year through June 30 of the following
year. The rate increase is subject to an annual redetermination by the commissioners of
management and budget and human services new text end .

deleted text begin (c) For purposes of the analysis defined in paragraph (b), the commissioner of
management and budget shall include projected revenues, notwithstanding the repeal of the
tax imposed under this section effective January 1, 2020.
deleted text end

Sec. 2.

Minnesota Statutes 2016, section 295.581, is amended to read:

295.581 deleted text begin PROHIBITION ON NON-MINNESOTACARE TRANSFERS FROM
deleted text end new text begin RESTRICTIONS ON USE OF HEALTH CARE ACCESS new text end FUND.

new text begin (a) new text end Notwithstanding any law to the contrary, and notwithstanding section 645.33, money
in the health care access fund shall be appropriated only for deleted text begin purposes that are consistent
with past and current MinnesotaCare appropriations in Laws 1992, chapter 549; Laws 1993,
chapter 345; Laws 1994, chapter 625; and Laws 1995, chapter 234, or for initiatives that
are part of the section 1115 of the Social Security Act health care reform waiver submitted
to the federal Centers for Medicare and Medicaid Services by the commissioner of human
services as appropriated in Laws 1995, chapter 234 deleted text end new text begin the purposes of subsidizing health care
coverage for eligible low-income Minnesotans; improving the quality of health care services
provided to Minnesotans; ensuring geographic access to primary care and other health care
services; providing research and analysis related to health care costs, quality, and access;
and improving public health and promoting the development of community-based
comprehensive strategies to create healthy communities new text end .

new text begin (b) The commissioner of management and budget shall determine the annual state cost
of providing medical assistance to individuals and families with children who, prior to
January 1, 2017, were eligible for the MinnesotaCare program and after January 1, 2017,
were eligible for the medical assistance program. The commissioner of management and
budget shall annually transfer an amount equal to the cost identified in this paragraph from
the health care access fund to the general fund.
new text end

Sec. 3. new text begin REPEALER.
new text end

new text begin Laws 2011, First Special Session chapter 9, article 6, section 97, subdivision 6, new text end new text begin is
repealed.
new text end

APPENDIX

Repealed Minnesota Session Laws: 17-0631

Laws 2011, First Special Session chapter 9, article 6, section 97, subdivision 6

Sec. 97. new text begin REPEALER. new text end

new text begin Subd. 6. new text end

new text begin MinnesotaCare provider taxes. new text end

new text begin Minnesota Statutes 2010, sections 13.4967, subdivision 3; 295.50, subdivisions 1, 1a, 2, 2a, 3, 4, 6, 6a, 7, 9b, 9c, 10a, 10b, 12b, 13, 14, and 15; 295.51, subdivisions 1 and 1a; 295.52, subdivisions 1, 1a, 2, 3, 4, 4a, 5, 6, and 7; 295.53, subdivisions 1, 2, 3, and 4a; 295.54; 295.55; 295.56; 295.57; 295.58; 295.581; 295.582; and 295.59, new text end new text begin are repealed effective for gross revenues received after December 31, 2019. new text end