HF 2258

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

A bill for an act
relating to human services; requiring the commissioner of human services to
implement a complementary and alternative medicine demonstration project to
provide integrated services to state health care program enrollees with neck and
back problems; requiring a report; appropriating money; proposing coding for
new law in Minnesota Statutes, chapter 256.

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

Section 1.

new text begin [256.0122] COMPLEMENTARY AND ALTERNATIVE MEDICINE
DEMONSTRATION PROJECT.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment and implementation. new text end

new text begin The commissioner of
human services shall contract with an integrative medical management provider to
establish and implement a five-year demonstration project to improve the quality and
cost-effectiveness of care provided under medical assistance, general assistance medical
care, and MinnesotaCare to enrollees with neck and back problems. The demonstration
project must maximize the use of complementary and alternative medicine-oriented
primary care providers, including but not limited to physicians and chiropractors. The
demonstration project must be designed to significantly improve physical and mental
health for enrollees who present with neck and back problems while decreasing medical
treatment costs. The commissioner, through the integrative medical management provider,
shall deliver services through the demonstration project beginning July 1, 2010, or upon
federal approval, whichever is later.
new text end

new text begin Subd. 2. new text end

new text begin RFP and project criteria. new text end

new text begin The commissioner of human services, in
consultation with the commissioner of health, shall develop and issue an RFP for the
demonstration project. The RFP must require the integrative management provider
selected to:
new text end

new text begin (1) provide patient education, provider education, and enrollment training
components on health and lifestyle issues in order to promote enrollee responsibility for
health care decisions, enhance productivity, prepare enrollees to reenter the workforce,
and reduce future health care expenditures;
new text end

new text begin (2) use high-quality and cost-effective integrated disease management that includes
the best practices of traditional and complementary alternative medicine;
new text end

new text begin (3) incorporate holistic medical care, appropriate nutrition, exercise, medications,
and conflict resolution techniques;
new text end

new text begin (4) include a provider education component that makes use of professional
organizations representing chiropractors, nurses, and other primary care providers
and provides appropriate educational materials and activities in order to improve the
integration of traditional medical care with licensed chiropractic services and other
alternative health care services and achieve program enrollment objectives;
new text end

new text begin (5) demonstrate a proven record over at least five years of delivering cost-effective
care and reducing health care expenditures; and
new text end

new text begin (6) provide to the commissioner the information and data necessary for the
commissioner to prepare the annual reports required under subdivision 5.
new text end

new text begin Subd. 3. new text end

new text begin Enrollment. new text end

new text begin Enrollees from the program shall be selected by the
commissioner from current enrollees in the prepaid medical assistance, prepaid general
assistance medical care, and MinnesotaCare programs who have, or are determined
to be at significant risk of developing, neck and back problems. Participation in the
demonstration project shall be voluntary. The commissioner shall seek to enroll, over the
term of the demonstration project, ten percent of current and future state health care
program enrollees who have, or are determined to be at significant risk of developing,
neck and back problems.
new text end

new text begin Subd. 4. new text end

new text begin Federal approval. new text end

new text begin The commissioner shall seek any federal waivers and
approvals necessary to implement the demonstration project.
new text end

new text begin Subd. 5. new text end

new text begin Annual reports. new text end

new text begin The commissioner of human services, beginning
December 15, 2010, and each December 15 thereafter through December 15, 2014,
shall report annually to the legislature on the functional and mental improvements
of the populations served by the demonstration project, patient satisfaction, and the
cost-effectiveness of the program. The reports must also include data on hospital
admissions, days in hospital, rates of outpatient surgery and other services, and drug
utilization. The report due December 15, 2014, must include recommendations on whether
the demonstration project should be continued and expanded.
new text end

Sec. 2. new text begin APPROPRIATION.
new text end

new text begin (a) $....... is appropriated from the general fund to the commissioner of human
services for the biennium beginning July 1, 2009, to implement Minnesota Statutes,
section 256.0122.
new text end

new text begin (b) $....... of the allocation for health care administration for the prepaid medical
assistance program for the biennium beginning July 1, 2009, shall be transferred within
the Department of Human Services to implement Minnesota Statutes, section 256.0122.
new text end