HF 2257

as introduced - 91st Legislature (2019 - 2020) Posted on 03/11/2019 05:23pm

A bill for an act
relating to human services; requiring the commissioner of human services to
establish opioid abuse prevention pilot projects; appropriating money.

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

Section 1. new text begin OPIOID ABUSE PREVENTION PILOT PROJECTS.
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new text begin (a) The commissioner of human services shall establish opioid abuse prevention pilot
projects in geographic areas throughout the state based on the most recently available data
on opioid overdose and abuse rates, to reduce opioid abuse through the use of controlled
substance care teams and community-wide coordination of abuse prevention initiatives.
The commissioner shall award grants to health care providers, tribal governments, or other
entities to establish pilot projects.
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new text begin (b) Each pilot project must:
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new text begin (1) be designed to reduce emergency room and other health care provider visits resulting
from opioid use or abuse, and reduce rates of opioid addiction in the community;
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new text begin (2) establish multidisciplinary controlled substance care teams that may consist of
physicians, pharmacists, social workers, nurse care coordinators, and mental health
professionals;
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new text begin (3) deliver health care services and care coordination, through controlled substance care
teams, to reduce the inappropriate use of opioids by patients and rates of opioid addiction;
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new text begin (4) include one or more physicians who have obtained federal waivers to provide
medication-assisted treatment for opioid use disorders;
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new text begin (5) address any unmet social service needs that create barriers to managing pain
effectively and obtaining optimal health outcomes;
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new text begin (6) provide prescriber and dispenser education and assistance to reduce the inappropriate
prescribing and dispensing of opioids;
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new text begin (7) promote the adoption of best practices related to opioid disposal and reducing
opportunities for illegal access to opioids;
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new text begin (8) engage partners outside of the health care system, including schools, law enforcement,
and social services, to address root causes of opioid abuse and addiction at the community
level; and
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new text begin (9) participate in a web-based educational telehealth series to further the qualifications
of the project's care team.
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new text begin (c) The commissioner, using a competitive request for proposal process, shall contract
with an accountable community for health that operates an opioid abuse prevention project
and a web-based educational telehealth series, and can document success in reducing opioid
use through the use of controlled substance care teams, to assist the commissioner in
administering this section and to provide technical assistance to the commissioner and to
entities selected to operate a pilot project.
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new text begin (d) The contract under paragraph (c) shall require the accountable community for health
to evaluate the extent to which the pilot projects were successful in reducing the inappropriate
use of opioids. The evaluation must analyze changes in the number of opioid prescriptions,
number of emergency room visits related to opioid use, number of buprenorphine patients,
number of providers offering medication-assisted treatment, and other relevant measures.
The accountable community for health shall report evaluation results to the chairs and
ranking minority members of the legislative committees with jurisdiction over health and
human services policy and finance and public safety by December 15, 2019.
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new text begin (e) The commissioner may award one grant that, in addition to the other requirements
of this section, allows a root cause approach to reduce opioid abuse in an American Indian
community.
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Sec. 2. new text begin APPROPRIATION.
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new text begin (a) $6,400,000 is appropriated from the general fund to the commissioner of human
services, for the biennium beginning July 1, 2019, to establish opioid abuse prevention pilot
projects. Of this amount, $400,000 each fiscal year is for the entity under contract with the
commissioner to provide technical assistance to the commissioner and to grantees.
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new text begin (b) The base funding for this initiative for the biennium beginning July 1, 2021, is
$7,800,000. Of this amount, $400,000 each fiscal year is for the entity under contract with
the commissioner to provide technical assistance to the commissioner and to grantees.
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new text begin (c) The base funding for this initiative for the biennium beginning July 1, 2023, is
$3,800,000. Of this amount, $400,000 each fiscal year is for the entity under contract with
the commissioner to provide technical assistance to the commissioner and to grantees.
new text end