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HF 2023

1st Engrossment - 88th Legislature (2013 - 2014) Posted on 02/27/2014 03:51pm

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to human services; increasing payment rates for home care nursing
services; changing terminology; amending Minnesota Statutes 2012, section
256B.0654, subdivision 1, by adding a subdivision.

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

Section 1.

Minnesota Statutes 2012, section 256B.0654, subdivision 1, is amended to
read:


Subdivision 1.

Definitions.

(a) "Complex deleted text begin private dutydeleted text end new text begin home carenew text end nursing deleted text begin caredeleted text end "
meansnew text begin home carenew text end nursing services provided to recipients who deleted text begin are ventilator dependent or
for whom a physician has certified that the recipient would meet the criteria for inpatient
hospital intensive care unit (ICU) level of care
deleted text end new text begin meet the criteria for regular home care
nursing and require life-sustaining interventions to reduce the risk of long-term injury
or death
new text end .

(b) "deleted text begin Private dutydeleted text end new text begin Home carenew text end nursing" means ongoing deleted text begin professionaldeleted text end new text begin physician-ordered
hourly
new text end nursing services deleted text begin by a registered or licensed practical nurse including assessment,
professional nursing tasks, and education, based on an assessment and physician orders
to maintain or restore optimal health of the recipient.
deleted text end new text begin performed by a registered nurse or
licensed practical nurse within the scope of practice as defined by the Minnesota Nurse
Practice Act under sections 148.171 to 148.285, in order to maintain or restore a person's
health.
new text end

(c) "deleted text begin Private dutydeleted text end new text begin Home carenew text end nursing agency" means a medical assistance enrolled
provider licensed under chapter 144A to provide deleted text begin private dutydeleted text end new text begin home carenew text end nursing services.

(d) "Regular deleted text begin private dutydeleted text end new text begin home carenew text end nursing" means deleted text begin nursing services provided to
a recipient who is considered stable and not at an inpatient hospital intensive care unit
level of care, but may have episodes of instability that are not life threatening.
deleted text end new text begin home
care nursing provided because:
new text end

new text begin (1) the recipient requires more individual and continuous care than can be provided
during a skilled nurse visit; or
new text end

new text begin (2) the cares are outside of the scope of services that can be provided by a home
health aide or personal care assistant.
new text end

(e) "Shared deleted text begin private dutydeleted text end new text begin home carenew text end nursing" means the provision of new text begin home care
new text end nursing services by a deleted text begin private dutydeleted text end new text begin home carenew text end nurse to two recipients at the same time
and in the same setting.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2014.
new text end

Sec. 2.

Minnesota Statutes 2012, section 256B.0654, is amended by adding a
subdivision to read:


new text begin Subd. 5. new text end

new text begin Payment rates for home care nursing services. new text end

new text begin Effective for services
provided on or after July 1, 2014, payments for regular home care nursing services shall
be increased by 19 percent from the rates in effect on June 30, 2014, and payments for
complex home care nursing services shall be increased by 19 percent from the rates in
effect on June 30, 2014. This increase does not apply to federally qualified health centers,
rural health centers, and Indian health services. The commissioner shall adjust payment
rates to managed care and county-based purchasing plans to reflect this increase, and shall
require plans to pass on the full amount of the rate increase to eligible home care nursing
service providers, in the form of higher payments for home care nursing services.
new text end

Sec. 3. new text begin REVISOR'S INSTRUCTION.
new text end

new text begin The revisor of statutes shall change the term "private duty nursing" or similar terms
to "home care nursing" or similar terms, and shall change the term "private duty nurse" to
"home care nurse," wherever these terms appear in Minnesota Statutes and Minnesota
Rules. The revisor shall also make grammatical changes related to the changes in terms.
new text end