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HF 2945

as introduced - 84th Legislature (2005 - 2006) Posted on 12/15/2009 12:00am

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

Bill Text Versions

Engrossments
Introduction Posted on 02/28/2006

Current Version - as introduced

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A bill for an act
relating to health; eliminating requirements that health plan companies,
physicians, and other health care providers to adopt best practice guidelines
and quality measurements; eliminating the performance reporting and quality
improvement system for health care providers serving certain public program
recipients; amending Laws 2005, First Special Session chapter 4, article 8,
section 82, subdivision 4; repealing Minnesota Statutes 2004, section 62J.43;
Minnesota Statutes 2005 Supplement, section 256B.072.

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

Section 1.

Laws 2005, First Special Session chapter 4, article 8, section 82, subdivision
4, is amended to read:


Subd. 4. Appeals. (a) For review of an initial determination not to certify
conducted under section 62M.06, subdivision 2 or 3, of a service that is subject to prior
authorization under this section, the health care provider conducting the review must
follow, when available, published evidence-based health care guidelines as established
by a nonprofit Minnesota quality improvement organization, a nationally recognized
guideline development organization, or by the professional association of the specialty
that typically provides the service.


(b) For appeals conducted under section 256.045, subdivision 3a, of a decision by a
prepaid health plan to deny, reduce, or terminate a health care service that is subject to
prior authorization under this section, the referee must base the decision on the application
of the publicly available evidence-based health care guidelines referred to in subdivision
1 deleted text begin or as established by the commissioner of human services provided that the guidelines
meet the criteria set forth in section 62J.43, subdivision 2
deleted text end .


new text begin EFFECTIVE DATE. new text end

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

Sec. 2. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2004, section 62J.43, new text end new text begin and new text end new text begin Minnesota Statutes 2005 Supplement,
section 256B.072,
new text end new text begin are repealed effective the day following final enactment.
new text end