HF 1271

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:46am

A bill for an act
relating to human services; requiring a performance measure of certain health
care treatments; requiring a report; amending Minnesota Statutes 2008, section
256.01, subdivision 2b.

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

Section 1.

Minnesota Statutes 2008, section 256.01, subdivision 2b, is amended to read:

Subd. 2b.

Performance payments new text begin ; performance measurement new text end .

(a) The
commissioner shall develop and implement a pay-for-performance system to provide
performance payments to eligible medical groups and clinics that demonstrate optimum
care in serving individuals with chronic diseases who are enrolled in health care
programs administered by the commissioner under chapters 256B, 256D, and 256L.
The commissioner may receive any federal matching money that is made available
through the medical assistance program for managed care oversight contracted through
vendors, including consumer surveys, studies, and external quality reviews as required
by the federal Balanced Budget Act of 1997, Code of Federal Regulations, title 42, part
438-managed care, subpart E-external quality review. Any federal money received
for managed care oversight is appropriated to the commissioner for this purpose. The
commissioner may expend the federal money received in either year of the biennium.

(b) Effective July 1, 2008, or upon federal approval, whichever is later, the
commissioner shall develop and implement a patient incentive health program to provide
incentives and rewards to patients who are enrolled in health care programs administered
by the commissioner under chapters 256B, 256D, and 256L, and who have agreed to and
have met personal health goals established with the patients' primary care providers to
manage a chronic disease or condition, including but not limited to diabetes, high blood
pressure, and coronary artery disease.

new text begin (c) The commissioner, in consultation with the Health and Human Services Policy
Committee, shall develop and provide to the legislature by December 15, 2009, a
methodology and any draft legislation necessary to allow for the release, upon request,
of summary data as defined in section 13.02, subdivision 19, on claims and utilization
for medical assistance, general assistance medical care, and MinnesotaCare enrollees at
no charge to the University of Minnesota Medical School, the Mayo Medical School,
Northwestern Health Sciences University, the Institute for Clinical Systems Improvement,
and other research institutions, to conduct analyses of health care outcomes and treatment
effectiveness, provided the research institutions do not release private or nonpublic data,
or data for which dissemination is prohibited by law.
new text end