HF 1961

as introduced - 89th Legislature (2015 - 2016) Posted on 03/17/2015 11:38am

A bill for an act
relating to health; permitting the commissioner of health to use the all-payer
claims data to compile public use files of summary data; amending Minnesota
Statutes 2014, section 62U.04, subdivision 11.

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

Section 1.

Minnesota Statutes 2014, section 62U.04, subdivision 11, is amended to read:

Subd. 11.

Restricted uses of the all-payer claims data.

(a) Notwithstanding
subdivision 4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or the
commissioner's designee shall only use the data submitted under subdivisions 4 and 5 for
the following purposes:

(1) to evaluate the performance of the health care home program as authorized under
sections 256B.0751, subdivision 6, and 256B.0752, subdivision 2;

(2) to study, in collaboration with the reducing avoidable readmissions effectively
(RARE) campaign, hospital readmission trends and rates;

(3) to analyze variations in health care costs, quality, utilization, and illness burden
based on geographical areas or populations; deleted text begin and
deleted text end

(4) to evaluate the state innovation model (SIM) testing grant received by the
Departments of Health and Human Services, including the analysis of health care cost,
quality, and utilization baseline and trend information for targeted populations and
communities deleted text begin . deleted text end new text begin ; and
new text end

new text begin (5) to compile one or more public use files of summary data or tables that must:
new text end

new text begin (i) be available to the public for no or minimal cost by January 1, 2016;
new text end

new text begin (ii) not identify individual patients, payers, or providers;
new text end

new text begin (iii) be updated by the commissioner, at least annually, with the most current data
available; and
new text end

new text begin (iv) contain clear and conspicuous explanations of the characteristics of the data,
such as the dates of the data contained in the files, the absence of costs of care for
uninsured patients or nonresidents, and other disclaimers that provide appropriate context.
new text end

(b) The commissioner may publish the results of the authorized uses identified
in paragraph (a) so long as the data released publicly do not contain information or
descriptions in which the identity of individual hospitals, clinics, or other providers may
be discerned.

(c) Nothing in this subdivision shall be construed to prohibit the commissioner from
using the data collected under subdivision 4 to complete the state-based risk adjustment
system assessment due to the legislature on October 1, 2015.

(d) The commissioner or the commissioner's designee may use the data submitted
under subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3), until
July 1, 2016.