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HF 2490

as introduced - 89th Legislature (2015 - 2016) Posted on 03/10/2016 05:20pm

KEY: stricken = removed, old language.
underscored = added, new language.

Bill Text Versions

Engrossments
Introduction Posted on 01/29/2016

Current Version - as introduced

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A bill for an act
relating to health care; eliminating repeal of the tax on hospitals and health care
providers; providing a contingent increase in primary care provider payment
rates; clarifying uses of money in the health care access fund; amending
Minnesota Statutes 2014, sections 295.52, subdivision 8; 295.581; repealing
Laws 2011, First Special Session chapter 9, article 6, section 97, subdivision 6.

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

Section 1.

Minnesota Statutes 2014, section 295.52, subdivision 8, is amended to read:


Subd. 8.

Contingent reduction in tax rate.

(a) By December 1 of each year,
beginning in deleted text begin 2011deleted text end new text begin 2016new text end , the commissioner of management and budget shall determine the
projected balance in the health care access fund for the biennium.

(b) If the commissioner of management and budget determines that the projected
balance in the health care access fund for the biennium reflects a ratio of revenues to
expenditures and transfers greater than 125 percent, and if the actual cash balance in the
fund is adequate, as determined by the commissioner of management and budget, the
commissionerdeleted text begin , in consultation with the commissioner of revenue,deleted text end new text begin of human servicesnew text end shall
deleted text begin reduce the tax rates levied under subdivisions 1, 1a, 2, 3, and 4, for the subsequent calendar
year sufficient to reduce the structural balance in the fund. The rate may be reduced to
the extent that the projected revenues for the biennium do not exceed 125 percent of
expenditures and transfers. The new rate shall be rounded to the nearest one-tenth of one
percent. The rate reduction under this paragraph expires at the end of each calendar year
and is subject to an annual redetermination by the commissioner of management and budget
deleted text end new text begin increase the medical assistance payment rate for physician services that use the evaluation
and management conversion factor and are provided by a family physician, general
pediatrician, physician assistant, or advanced practice registered nurse. The rate shall be
increased by the maximum percentage possible to the extent that the total cost of the rate
increase reduces the total structural balance of the fund so that the projected revenues
are not greater than 125 percent of the expenditures and transfers. Any rate increase
under this paragraph is effective for services provided on or after July 1 of the subsequent
year through June 30 of the following year. The rate increase is subject to an annual
redetermination by the commissioners of management and budget and human services
new text end .

deleted text begin (c) For purposes of the analysis defined in paragraph (b), the commissioner of
management and budget shall include projected revenues, notwithstanding the repeal of
the tax imposed under this section effective January 1, 2020.
deleted text end

Sec. 2.

Minnesota Statutes 2014, section 295.581, is amended to read:


295.581 deleted text begin PROHIBITION ON NON-MINNESOTACARE TRANSFERS FROM
deleted text end new text begin RESTRICTIONS ON USE OF HEALTH CARE ACCESSnew text end FUND.

new text begin (a) new text end Notwithstanding any law to the contrary, and notwithstanding section 645.33,
money in the health care access fund shall be appropriated only for deleted text begin purposes that are
consistent with past and current MinnesotaCare appropriations in Laws 1992, chapter
549; Laws 1993, chapter 345; Laws 1994, chapter 625; and Laws 1995, chapter 234,
or for initiatives that are part of the section 1115 of the Social Security Act health care
reform waiver submitted to the federal Centers for Medicare and Medicaid Services by the
commissioner of human services as appropriated in Laws 1995, chapter 234
deleted text end new text begin the purposes
of subsidizing health care coverage for eligible low-income Minnesotans; improving the
quality of health care services provided to Minnesotans; ensuring geographic access to
primary care and other health care services; providing research and analysis related to
health care costs, quality, and access; and improving public health and promoting the
development of community-based comprehensive strategies to create healthy communities
new text end .

new text begin (b) The commissioner of management and budget shall determine the annual state
cost of providing medical assistance to individuals and families with children who, prior to
January 1, 2014, were eligible for the MinnesotaCare program and after January 1, 2014,
were eligible for the medical assistance program. The commissioner of management and
budget shall annually transfer an amount equal to the cost identified in this paragraph from
the health care access fund to the general fund.
new text end

Sec. 3. new text begin REPEALER.
new text end

new text begin Laws 2011, First Special Session chapter 9, article 6, section 97, subdivision 6, new text end new text begin is
repealed.
new text end