HF 693

as introduced - 93rd Legislature (2023 - 2024) Posted on 01/23/2023 03:32pm

A bill for an act
relating to human services; requiring the commissioner of human services to
contract for the administration of the medical assistance and MinnesotaCare
programs; requiring a report; appropriating money; amending Minnesota Statutes
2022, section 256B.04, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2022, section 256B.04, is amended by adding a subdivision
to read:

new text begin Subd. 26. new text end

new text begin Administration of medical assistance and MinnesotaCare. new text end

new text begin (a) The
commissioner shall contract with a third-party administrator to administer the medical
assistance and MinnesotaCare programs beginning January 1, 2026. The contract must
require the administrator to:
new text end

new text begin (1) provide benefits management, claims processing, and enrollee support services;
new text end

new text begin (2) coordinate its activities with the eligibility determination functions performed by
MNsure and county agencies; and
new text end

new text begin (3) increase provider payment rates or implement innovative methods in health care
delivery and reimbursement in order to ensure access to care and improve health care quality,
as directed by the commissioner or legislature.
new text end

new text begin (b) This subdivision does not prohibit the commissioner from seeking legislative and
federal approval for demonstration projects to ensure access to care or improve health care
quality.
new text end

new text begin (c) The commissioner shall:
new text end

new text begin (1) terminate managed care and county-based purchasing plan contracts under sections
256B.69, 256B.692, 256L.12, and 256L.121 by December 31, 2025, and pay back any
capitation rate withholds that are not tied to performance measures;
new text end

new text begin (2) seek any changes in state law necessary for the administration of the medical
assistance and MinnesotaCare programs by a third-party administrator; and
new text end

new text begin (3) report to the chairs and ranking minority members of the legislative committees with
jurisdiction over health care finance and policy by January 1, 2025, on progress in contracting
with a third-party administrator.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 2. new text begin APPROPRIATION.
new text end

new text begin $....... in fiscal year 2024 is appropriated from the general fund to the commissioner of
human services to contract with a third-party administrator to administer medical assistance
and MinnesotaCare. The base for this appropriation is $....... in fiscal year 2025.
new text end