HF 2389

1st Engrossment - 90th Legislature (2017 - 2018) Posted on 03/28/2018 01:55pm

A bill for an act
relating to human services; establishing alternative pain management pilot program;
requiring evaluation of pilot program.

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

Section 1. new text begin ALTERNATIVE PAIN MANAGEMENT PILOT PROGRAM.
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new text begin (a) The commissioner of human services shall develop and implement a pilot program
to direct patients towards effective nonpharmacologic treatments and methods of managing
musculoskeletal pain. The commissioner may consider the following nonpharmacologic
treatment options: acupuncture; chiropractic; osteopathic manipulative treatment; massage;
physical therapy; yoga, taiji, and other movement therapies; meditation; relaxation therapy;
and cognitive behavioral therapy.
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new text begin (b) The commissioner shall form a working group comprised of an equal number of the
following health care practitioners: acupuncture practitioners licensed under Minnesota
Statutes, chapter 147B; chiropractors licensed under Minnesota Statutes, section 148.06;
physical therapists licensed under Minnesota Statutes, section 148.705; and psychologists
licensed under Minnesota Statutes, section 148.907. The working group shall establish
guidelines for nonpharmacologic pain management that are clinically viable, sustainable,
and reduce and eliminate pain conditions. The program guidelines must be based on best
practices for the effective treatment of musculoskeletal pain for each licensed profession.
Each represented licensee shall present the minimum best integrative practice guidelines,
including, but not limited to, CPT codes and references to nonpharmacologic treatment
options for eliminating pain within their full professional scope. The working group shall
determine a single integrative reimbursement rate appropriate for all participating providers
to be administered by managed care plans. The working group shall develop procedures to
ensure that managed care plans provide the same payment to all provider types in a timely
manner. The commissioner shall utilize the working group to refine and improve program
guidelines and administration as needed.
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new text begin (c) The working group shall present recommendations on guidelines to the commissioner
by August 1, 2018.
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new text begin (d) The commissioner shall contract with a managed care plan to implement the pilot
program beginning January 1, 2019, based on guidelines and procedures established by the
working group.
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new text begin (e) The commissioner and the managed care plan shall establish outcome measures for
the pilot program that assess reductions in pain levels, medication use, emergency room
visits, and improvements in function. These outcome measures shall be reviewed by the
working group before implementation under the pilot program.
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new text begin (f) The commissioner shall submit an evaluation of the pilot program, and
recommendations on how to implement the pilot program guidelines and procedures as the
standard pain protocol used by the Department of Human Services, to the chairs and ranking
minority members of the legislative committees with jurisdiction over health and human
services policy and finance by December 15, 2020.
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new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
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