HF 1315

as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:48am

A bill for an act
relating to human services; requiring state prepaid health care programs to
contract for services on a single-plan basis; requiring a report; amending
Minnesota Statutes 2008, section 256B.69, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2008, section 256B.69, is amended by adding a
subdivision to read:

new text begin Subd. 29. new text end

new text begin Single-plan contracts. new text end

new text begin (a) The commissioner, by January 1, 2011, or
upon federal approval, whichever is later, shall provide the services required under this
section and sections 256D.03, subdivision 4, paragraph (c), and 256L.12 through managed
care or county-based purchasing plans on a county by county, single-plan basis. The
commissioner shall exempt services provided under the Minnesota senior health options
and Minnesota disability health options programs, and services provided to persons with
disabilities by Medicare-approved special needs plans under subdivision 28, from the
requirements of this subdivision.
new text end

new text begin (b) The commissioner shall issue a request for proposal to provide prepaid medical
assistance, prepaid general assistance medical care, and prepaid MinnesotaCare services
in each county by January 1, 2010. The request for proposal must specify the eligibility
groups and subgroups for which plans may submit monthly capitation rate bids. The
monthly capitation bid must cover all services required under this section.
new text end

new text begin (c) The commissioner shall award a two-year single-plan contract to provide
services in each county to the plan submitting the proposal with the best value, based upon
an evaluation of relative cost and quality and consumer satisfaction. The amount of the
winning capitation bid is public information.
new text end

new text begin (d) The plan awarded the contract must agree to provide the commissioner
with information on provider payment rates, in the form and manner specified by the
commissioner. The commissioner shall make this information available to the public
and interested parties.
new text end

new text begin (e) The commissioner shall present to the legislature, by February 1, 2010, an
implementation plan and draft legislation containing any statutory changes necessary to
implement this subdivision.
new text end

new text begin (f) The commissioner shall seek all federal waivers and approvals necessary
to provide services through single-plan contracts in counties defined as metropolitan
statistical areas, and to otherwise implement this subdivision.
new text end