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Minnesota Legislature

Office of the Revisor of Statutes

HF 3326

as introduced - 90th Legislature (2017 - 2018) Posted on 03/05/2018 03:06pm

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

Current Version - as introduced

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A bill for an act
relating to human services; establishing licensure requirements for the Department
of Human Services related to administration of the integrated health partnership
demonstration project; amending Minnesota Statutes 2016, section 256B.0755,
by adding subdivisions.

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

Section 1.

Minnesota Statutes 2016, section 256B.0755, is amended by adding a subdivision
to read:


new text begin Subd. 9. new text end

new text begin Next generation integrated health partnership; definition. new text end

new text begin For purposes of
this section, ?next generation integrated health partnership? means an integrated health
partnership that operates under a contract with the commissioner that: (1) governs services
to be provided exclusively or primarily in the seven-county metropolitan area on or after
January 1, 2019; and (2) incorporates components from the request for comment
?Outcomes-Based Purchasing Redesign and Next Generation IHP? issued November 15,
2017, by the Department of Human Services.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2019.
new text end

Sec. 2.

Minnesota Statutes 2016, section 256B.0755, is amended by adding a subdivision
to read:


new text begin Subd. 10. new text end

new text begin Licensure as a health maintenance organization. new text end

new text begin (a) If the commissioner
requires next generation integrated health partnerships to be reimbursed under a payment
methodology that requires the next generation integrated health partnership and the
Department of Human Services to share in financial risk based on a calculation of total cost
of care or other measures, the commissioner must first, through the commissioner of health,
obtain a license for the Department of Human Services as a health maintenance organization.
new text end

new text begin (b) The commissioner of health shall not issue a license under this subdivision, unless
the commissioner of health determines that the Department of Human Services has sufficient
reserves to cover the potential financial losses of the agency and all next generation integrated
health partnerships required to share in financial risk, and meets all other requirements of
chapter 62D.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2019, and applies to next
generation integrated health partnership contracts that take effect on or after that date.
new text end

Sec. 3.

Minnesota Statutes 2016, section 256B.0755, is amended by adding a subdivision
to read:


new text begin Subd. 11. new text end

new text begin Licensure as a pharmacy benefit manager. new text end

new text begin If the commissioner establishes
and administers a single preferred drug list for medical assistance and MinnesotaCare
enrollees receiving services through fee-for-service, integrated health partnerships, and
managed care, the commissioner must first, through the commissioner of commerce, obtain
a license for the Department of Human Services as a utilization review organization and
comply with the requirements of chapter 62M and sections 151.60 to 151.70.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2019, and applies to integrated
health partnership contracts that take effect on or after that date.
new text end

Sec. 4.

Minnesota Statutes 2016, section 256B.0755, is amended by adding a subdivision
to read:


new text begin Subd. 12. new text end

new text begin Licensure as an insurance plan administrator. new text end

new text begin If the commissioner requires
a next generation integrated health partnership to purchase administrative services from the
commissioner or contract for the provision of administrative services with the commissioner,
the commissioner must first, through the commissioner of commerce, obtain a license for
the Department of Human Services as an insurance plan administrator under section 60A.23,
subdivision 8, and Minnesota Rules, chapter 2767.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2019, and applies to next
generation integrated health partnership contracts that take effect on or after that date.
new text end