1.1 	A bill for an act
1.2 	relating to human services; establishing chronic pain rehabilitation therapy 
1.3 	demonstration project; appropriating money.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. APPROPRIATION; CHRONIC PAIN REHABILITATION THERAPY 
1.6 	DEMONSTRATION PROJECT.
 1.7 		Subdivision 1.Appropriation. $....... in fiscal year 2018 is appropriated from the general 
1.8 	fund to the commissioner of human services to develop and authorize a two-year 
1.9 	demonstration project with Courage Kenny Rehabilitation Institute for a bundled payment 
1.10 	arrangement for chronic pain rehabilitation therapy for adults who are eligible for 
1.11 	fee-for-service medical assistance under Minnesota Statutes, section 256B.055, subdivision 
1.12 	7, 15, 16, or 17. The chronic pain rehabilitation therapy demonstration project must include: 
1.13 	non-narcotic medication management, including opioid tapering; interdisciplinary care 
1.14 	coordination; and group and individual therapy in cognitive behavioral therapy and physical 
1.15 	therapy. The project may include self-management education in nutrition, stress, mental 
1.16 	health, substance use, or other modalities, if clinically appropriate.
1.17 		Subd. 2.Performance and cost savings indicators. In developing the demonstration 
1.18 	project, the commissioner shall identify cost savings indicators in addition to performance 
1.19 	indicators including:
1.20 	(1) reduction in medications, including opioids, taken for pain;
1.21 	(2) reduction in emergency department and outpatient clinic utilization related to pain;
1.22 	(3) improved ability to return to work, job search, or school;
2.1 	(4) patient satisfaction; and
2.2 	(5) rate of program completion.
2.3 		Subd. 3.Eligibility. To be eligible to participate in the demonstration project, an 
2.4 	individual must:
2.5 	(1) be 18 years of age or older;
2.6 	(2) be eligible for fee-for-service medical assistance under Minnesota Statutes, section 
2.7 	256B.055, subdivision 7, 15, 16, or 17;
2.8 	(3) have moderate to severe pain lasting longer than four months;
2.9 	(4) have an impairment in daily functioning, including work or activities of daily living;
2.10 	(5) have a referral from a physician or other qualified medical professional indicating 
2.11 	that all reasonable medical and surgical options have been exhausted; and
2.12 	(6) be willing to engage in chronic pain rehabilitation therapies, including opioid tapering.
2.13 		Subd. 4.Integrated health partnerships. The chronic pain rehabilitation therapy 
2.14 	demonstration project and participating individuals may be incorporated into the 
2.15 	demonstration site's health care delivery systems demonstration under Minnesota Statutes, 
2.16 	section 256B.0755, subdivision 1.
2.17 		Subd. 5.Report. The Courage Kenny Rehabilitation Institute must annually report on 
2.18 	cost savings and performance indicators described in subdivision 2 to the commissioner of 
2.19 	human services. Three months after the completion of the demonstration project, the 
2.20 	commissioner of human services shall submit a report to the chairs and ranking minority 
2.21 	members of the legislative committees with jurisdiction over health care. The report must 
2.22 	include successes and limitations of the chronic pain rehabilitation therapy demonstration 
2.23 	project and recommendations to increase an individual's access to chronic pain rehabilitation 
2.24 	therapy through Minnesota health care programs.