HF 644

as introduced - 90th Legislature (2017 - 2018) Posted on 02/01/2017 03:50pm

A bill for an act
relating to human services; requiring the commissioner of human services to
develop and implement a health care delivery system; requiring a report; prohibiting
renewal of managed care purchasing contracts beyond 2018; appropriating money;
proposing coding for new law in Minnesota Statutes, chapter 256B.

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

Section 1.

new text begin [256B.0759] HEALTH CARE DELIVERY SYSTEM REDESIGN.
new text end

new text begin Subdivision 1. new text end

new text begin Development of health care delivery system. new text end

new text begin The commissioner, in
consultation with the advisory committee established under this section, shall develop and
implement a system to deliver health care services to Minnesota health care program
enrollees. The health care delivery system must make payments directly to health care
providers and county-based purchasing plans under section 256B.692. The health care
delivery system must not include contracts with or payments to managed care organizations,
except as provided in subdivision 3, paragraphs (b) and (c).
new text end

new text begin Subd. 2. new text end

new text begin Criteria for new system. new text end

new text begin The new system must:
new text end

new text begin (1) replace the delivery of health care services through managed care plans under section
256B.69, through participating entities under section 256L.121, and through county-based
purchasing plans under section 256B.692;
new text end

new text begin (2) provide services to medical assistance recipients required to enroll in a managed care
plan under section 256B.69, including those eligibility groups allowed to opt out of
enrollment, to MinnesotaCare recipients under chapter 256L, and to medical assistance
recipients required to enroll in a county-based purchasing plan under section 256B.692;
new text end

new text begin (3) provide enrollees with all services required under sections 256B.69 and 256B.692;
new text end

new text begin (4) make payment directly to health care providers, using a payment methodology based
on total cost of care, risk and gain sharing, and quality measurement and incentives;
new text end

new text begin (5) incorporate the principles of, and findings from, the health care delivery system
demonstration project under section 256B.0755 and the county integrated health care delivery
network program under section 256B.0756;
new text end

new text begin (6) be compatible with and build upon initiatives implemented and funded through the
state innovation model (SIM) grant and the Minnesota accountable health model;
new text end

new text begin (7) incorporate health care homes certified under section 256B.0751 and other methods
of care coordination;
new text end

new text begin (8) allow participation by:
new text end

new text begin (i) health care delivery systems and accountable care organizations participating under,
or meeting the general criteria established in, section 256B.0755;
new text end

new text begin (ii) an entity operating a county integrated health care delivery network authorized under
section 256B.0756;
new text end

new text begin (iii) health care provider networks established by county boards that meet the general
criteria specified in section 256B.692; and
new text end

new text begin (iv) networks of health care providers established to offer services to MinnesotaCare
enrollees under chapter 256L;
new text end

new text begin (9) provide technical assistance that allows small, independent health care providers to
participate in the new health care delivery system; and
new text end

new text begin (10) comply with other requirements specified in this section.
new text end

new text begin Subd. 3. new text end

new text begin Contracts. new text end

new text begin (a) The commissioner may contract with a health care policy
consultant or other entity to provide technical services related to design and development
of the health care delivery system.
new text end

new text begin (b) The commissioner may contract with a health plan company, third-party administrator,
or other entity for administrative services related to implementation and operation of the
health care delivery system.
new text end

new text begin (c) The commissioner shall provide technical assistance to enable small, independent
health care providers to participate in the health care delivery system. The commissioner
may contract with a health plan company, third-party administrator, or other entity to provide
this technical assistance.
new text end

new text begin Subd. 4. new text end

new text begin Infrastructure development grants. new text end

new text begin The commissioner shall award grants to
assist small, independent health care providers in developing the data infrastructure necessary
for participation in the health care delivery system.
new text end

new text begin Subd. 5. new text end

new text begin Nonrenewal of contracts. new text end

new text begin For contracts signed after December 31, 2016, the
commissioner of human services shall not enter into or extend managed care contracts under
section 256B.69, contracts with participating entities under section 256L.121, and
county-based purchasing contracts under section 256B.692, beyond December 31, 2018.
new text end

new text begin Subd. 6. new text end

new text begin Advisory committee. new text end

new text begin The commissioner shall establish an advisory committee
to assist the commissioner in developing the health care delivery system. The commissioner
shall appoint to the advisory committee representatives of the following stakeholder groups:
state health care program enrollees, health care delivery systems, health care providers, and
county boards. The advisory committee is governed by section 15.059, except that members
shall not receive per diem compensation.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin The health care delivery system developed under this section
shall be implemented January 1, 2019, or upon federal approval, whichever is later. The
commissioner of human services shall notify the revisor of statutes when federal approval
is obtained.
new text end

Sec. 2.

new text begin REPORT TO LEGISLATURE.
new text end

new text begin The commissioner shall present a report on the healthcare delivery system to the
legislature by December 15, 2017. The report must include criteria for the healthcare delivery
system established according to Minnesota Statutes, section 256B.0759, an implementation
plan and schedule, and draft legislation. The report must also include recommendations on
whether medical assistance services not required to be provided under Minnesota Statutes,
sections 256B.69 and 256B.692, should be delivered through the health care delivery system.
new text end

Sec. 3. new text begin FEDERAL WAIVER OR APPROVAL.
new text end

new text begin The commissioner of human services shall seek all federal waivers or approvals necessary
to implement a health care delivery system under Minnesota Statutes, section 256B.0759.
new text end

Sec. 4. new text begin APPROPRIATION.
new text end

new text begin $....... in fiscal year 2018 is appropriated from the general fund to the commissioner of
human services to develop and implement the health care delivery system under Minnesota
Statutes, section 256B.0759.
new text end