HF 2845

as introduced - 88th Legislature (2013 - 2014) Posted on 03/06/2014 02:00pm

A bill for an act
relating to human services; requiring a public comment period for Medicaid
waiver requests and state plan amendments; exempting federally qualified health
centers and rural health clinics from payment limits for Medicare crossover
claims; appropriating money for subsidies to federally qualified health centers;
amending Minnesota Statutes 2012, sections 256B.04, by adding a subdivision;
256B.0625, subdivision 57.

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

Section 1.

Minnesota Statutes 2012, section 256B.04, is amended by adding a
subdivision to read:

new text begin Subd. 24. new text end

new text begin Medicaid waiver requests and state plan amendments. new text end

new text begin Prior to
submitting any Medicaid waiver request or Medicaid state plan amendment to the federal
government for approval, the commissioner shall publish the text of the waiver request
or state plan amendment, or a Web link to the text, in the State Register, and provide a
30-day public comment period. The commissioner shall consider public comments when
preparing the final waiver request or state plan amendment that is to be submitted to
the federal government for approval. The commissioner shall also publish in the State
Register notice of any federal decision related to the state request for approval, within 30
days of the decision. This notice must describe any modifications to the state request that
have been agreed to by the commissioner as a condition of receiving federal approval.
new text end

Sec. 2.

Minnesota Statutes 2012, section 256B.0625, subdivision 57, is amended to read:

Subd. 57.

Payment for Part B Medicare crossover claims.

new text begin (a) new text end Effective for
services provided on or after January 1, 2012, medical assistance payment for an enrollee's
cost-sharing associated with Medicare Part B is limited to an amount up to the medical
assistance total allowed, when the medical assistance rate exceeds the amount paid by
Medicare.

new text begin (b) new text end Excluded from this limitation are payments for mental health services and
payments for dialysis services provided to end-stage renal disease patients. The exclusion
for mental health services does not apply to payments for physician services provided by
psychiatrists and advanced practice nurses with a specialty in mental health.

new text begin (c) Excluded from this limitation are payments to federally qualified health centers
and rural health clinics. Medical assistance payments to these providers shall equal the
difference between the provider rate specified in United States Code, title 42, section
1396a(bb), and the amount paid by Medicare.
new text end

Sec. 3. new text begin COMMUNITY HEALTH CENTER SUBSIDIES.
new text end

new text begin $2,000,000 for fiscal year 2015 is appropriated from the general fund to the
commissioner of health to provide subsidies to federally qualified health centers under
Minnesota Statutes, section 145.9269. This appropriation is in addition to existing funding
for that purpose, and shall become part of the base funding for the subsidy program.
new text end