HF 3697

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

A bill for an act
relating to appropriations; appropriating and transferring money and
supplementing or reducing appropriations for various health and human services
programs or activities; establishing, regulating, or modifying certain health and
human services programs or activities; requiring studies and reports; amending
Minnesota Statutes 2005 Supplement, section 16A.724, subdivision 2; proposing
coding for new law in Minnesota Statutes, chapter 144.

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

Section 1. new text begin HEALTH AND HUMAN SERVICES SUPPLEMENTAL APPROPRIATIONS. new text end

new text begin The appropriations in this act are added to or, if shown in parentheses, subtracted
from the appropriations enacted into law by the legislature in 2005, or other specified law,
to the named agencies and for the specified programs or activities. The sums shown
are appropriated from the general fund, or another named fund, to be available for the
fiscal years indicated; 2006 is the fiscal year ending June 30, 2006, 2007 is the fiscal year
ending June 30, 2007, and the biennium is fiscal years 2006 and 2007. Supplementary
appropriations and reductions to appropriations for the fiscal year ending June 30, 2006,
are effective the day following final enactment.
new text end

Sec. 2. new text begin HUMAN SERVICES APPROPRIATIONS new text end

new text begin SUMMARY BY FUND new text end
		new text begin 2006 new text end		new text begin 2007 new text end		new text begin BIENNIAL TOTAL new text end
new text begin General new text end	new text begin $ new text end	new text begin 40,233,000 new text end	new text begin $ new text end	new text begin 68,396,000 new text end	new text begin $ new text end	new text begin 108,629,000 new text end
new text begin State Government Special Revenue Fund new text end		new text begin 514,000 new text end		new text begin 622,000 new text end		new text begin 1,136,000 new text end
new text begin Health Care Access Fund new text end		new text begin 500,000 new text end		new text begin 25,654,000 new text end		new text begin 26,154,000 new text end
new text begin TOTAL new text end	new text begin $ new text end	new text begin 41,247,000 new text end	new text begin $ new text end	new text begin 104,739,000 new text end	new text begin $ new text end	new text begin 145,986,000 new text end

			new text begin APPROPRIATIONS new text end
			new text begin Available for the Year new text end
			new text begin Ending June 30 new text end
				new text begin 2006 new text end		new text begin 2007 new text end

Sec. 3. new text begin COMMISSIONER OF HUMAN SERVICES new text end

new text begin Subdivision 1. new text end new text begin Total Appropriation new text end

new text begin $ new text end

new text begin 37,903,000 new text end

new text begin $ new text end

new text begin 67,455,000 new text end

new text begin Summary by Fund new text end
new text begin General new text end	new text begin 37,403,000 new text end	new text begin 63,800,000 new text end
new text begin Health Care Access Fund new text end	new text begin 500,000 new text end	new text begin 3,654,000 new text end

new text begin Subd. 2. new text end new text begin Health Care Grants new text end

new text begin Summary by Fund new text end
new text begin General new text end	new text begin -0- new text end	new text begin 4,439,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin (299,000) new text end

new text begin (a) MinnesotaCare Grants Health Care Access new text end

new text begin -0- new text end

new text begin (299,000) new text end

new text begin new text begin TRANSFER TO MINNESOTA
PHARMACY ACCESS ACCOUNT. new text end
Notwithstanding Minnesota Statutes, section
295.581, the commissioner of finance shall
transfer $1,576,000 from the health care
access fund to the Minnesota pharmacy
access account in fiscal year 2008, $990,000
in fiscal year 2009. Notwithstanding any
section to the contrary, this section shall
sunset June 30, 2009.
new text end

new text begin (b) Medical Assistance Basic Health Care - Families and Children new text end
new text begin General new text end	new text begin -0- new text end	new text begin 75,000 new text end

new text begin (c) Medical Assistance Basic Health Care - Elderly and Disabled new text end
new text begin General new text end	new text begin -0- new text end	new text begin (472,000) new text end

new text begin (d) General Assistance Medical Care new text end
new text begin General new text end	new text begin -0- new text end	new text begin 4,836,000 new text end

new text begin Subd. 3. new text end new text begin Health Care Management new text end

new text begin Summary by Fund new text end
new text begin General new text end	new text begin -0- new text end	new text begin 1,291,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin 2,595,000 new text end

new text begin (a) Health Care Administration new text end
new text begin General new text end	new text begin -0- new text end	new text begin 1,253,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin 780,000 new text end

new text begin new text begin HEALTH CARE ADMINISTRATION
BASE LEVEL ADJUSTMENT. new text end
The general fund base for health care
administration shall be increased by
$270,000 in fiscal year 2008 and decreased
by $307,000 in fiscal year 2009.
new text end

new text begin new text begin HEALTH CARE ADMINISTRATION
BASE LEVEL ADJUSTMENT. new text end The
health care access fund base for health
care administration shall be increased by
$237,000 in fiscal year 2008 and $237,000 in
fiscal year 2009.
new text end

new text begin (b) Health Care Operations new text end
new text begin General new text end	new text begin -0- new text end	new text begin 38,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin 1,815,000 new text end

new text begin new text begin HEALTH CARE OPERATIONS BASE
LEVEL ADJUSTMENT. new text end The general fund
base for health care operations shall be
decreased by $14,000 in fiscal year 2008 and
increased by $56,000 in fiscal year 2009.
new text end

new text begin new text begin HEALTH CARE OPERATIONS BASE
LEVEL ADJUSTMENT. new text end The health care
access fund base for health care operations
shall be decreased by $1,180,000 in fiscal
year 2008 and $1,180,000 in fiscal year 2009.
new text end

new text begin Subd. 4. new text end new text begin Continuing Care Grants new text end

new text begin Summary by Fund new text end
new text begin General new text end	new text begin -0- new text end	new text begin 594,000 new text end
new text begin Health Care Access new text end	new text begin 500,000 new text end	new text begin 1,250,000 new text end

new text begin (a) Aging and Adult Grants new text end
new text begin Health Care Access new text end	new text begin 500,000 new text end	new text begin 1,250,000 new text end

new text begin new text begin AGING AND ADULT SERVICES
GRANTS FOR MEDICARE PART D
ASSISTANCE. new text end $500,000 in fiscal year
2006 and $1,250,000 in fiscal year 2007
is appropriated to the commissioner of
human services for grants awarded through
the Minnesota Board on Aging to Area
Agencies on Aging to provide information
and enrollment assistance for the Medicare
Part D program.
new text end

new text begin new text begin AGING AND ADULT SERVICES
GRANTS BASE ADJUSTMENT. new text end The
health care access fund base for aging
and adult services grants is decreased by
$100,000 in fiscal year 2008 and $100,000
in fiscal year 2009 for information and
assistance grants to area agencies on aging
for assisting with Medicare Part D.
new text end

new text begin new text begin MEDICARE PART D INFORMATION
AND ASSISTANCE REIMBURSEMENT. new text end
Federal administrative reimbursement
obtained from information and assistance
services provided by the Senior Linkage or
Disability Linkage lines to people who are
identified as eligible for medical assistance
shall be appropriated to the commissioner
for this activity.
new text end

new text begin (b) Alternative Care Grants new text end
new text begin General new text end	new text begin -0- new text end	new text begin 3,337,000 new text end

new text begin new text begin ALTERNATIVE CARE BASE LEVEL
ADJUSTMENT. new text end Base level funding for
alternative care grants shall be reduced
by $1,737,000 in fiscal year 2008 and
$2,504,000 in fiscal year 2009 to adjust base
funding for projected caseload needs.
new text end

new text begin (c) Medical Assistance Long-term Care Facilities new text end
new text begin General new text end	new text begin -0- new text end	new text begin (115,000) new text end

new text begin (d) Medical Assistance Long-term Care Waivers new text end
new text begin General new text end	new text begin -0- new text end	new text begin (415,000) new text end

new text begin (e) Mental Health Grants new text end
new text begin General new text end	new text begin -0- new text end	new text begin (2,213,000) new text end

new text begin new text begin MENTAL HEALTH GRANTS BASE
LEVEL ADJUSTMENT. new text end The general
fund base for mental health grants shall
be decreased by $3,011,000 in fiscal year
2008 and $6,661,000 in fiscal year 2009 for
implementation of the mental health payment
model.
new text end

new text begin Subd. 5. new text end new text begin Continuing Care Management new text end

new text begin General new text end	new text begin -0- new text end	new text begin 663,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin 108,000 new text end

new text begin new text begin CONTINUING CARE MANAGEMENT
BASE LEVEL ADJUSTMENT. new text end The
general fund base for continuing care
management shall be decreased by $120,000
in fiscal year 2008 and $306,000 in fiscal
year 2009.
new text end

new text begin new text begin CONTINUING CARE MANAGEMENT
BASE LEVEL ADJUSTMENT. new text end The health
care access fund base for continuing care
management shall be decreased by $10,000
in fiscal year 2008 and $10,000 in fiscal year
2009.
new text end

new text begin Subd. 6. new text end new text begin State-Operated Services new text end

new text begin General new text end

new text begin 37,403,000 new text end

new text begin 56,813,000 new text end

new text begin new text begin MINNESOTA SECURITY HOSPITAL. new text end
For the purposes of enhancing the safety
of the public, improving supervision, and
enhancing community-based mental health
treatment, state-operated services may
establish additional community capacity
for providing treatment and supervision
of clients who have been ordered into a
less restrictive alternative of care from the
state-operated services transition services
program consistent with Minnesota Statutes,
section 246.014.
new text end

new text begin new text begin SEX OFFENDER EPIDEMIOLOGY
STUDY. new text end $200,000 is appropriated in fiscal
year 2007 to the commissioner of human
services to address the problem of children
and juveniles at risk of becoming a criminal
or predatory sex offender. $100,000 shall
be used to study the occurrence, severity,
types, causal factors, intervention methods,
available treatment, success factors, or
service gaps of this population. $100,000
shall be used to develop a multifaceted
approach to intervening prior to a sex crime
committed by this population.
new text end

new text begin new text begin STATE-OPERATED SERVICES BASE
LEVEL ADJUSTMENT. new text end The general fund
base for state-operated services is increased
by $8,499,000 in fiscal year 2008 and
decreased by $1,125,000 in fiscal year 2009.
new text end

Sec. 4. new text begin COMMISSIONER OF HEALTH new text end

new text begin Subdivision 1. new text end new text begin Total Appropriation new text end

new text begin -0- new text end

new text begin 23,000,000 new text end

new text begin Summary by Fund new text end
new text begin Health Care Access Fund new text end	new text begin -0- new text end	new text begin 23,000,000 new text end

new text begin The appropriations in this section are
from the health care access fund to the
commissioner of health. The appropriations
are added to appropriations in Laws 2005,
First Special Session chapter 4, article 9,
section 3.
new text end

new text begin PANDEMIC INFLUENZA
PREPAREDNESS. $10,500,000 is
for preparation, planning, and response to
an outbreak of influenza. Of this amount,
the commissioner of health shall transfer
$1,100,000 to the commissioner of public
safety, $100,000 to the commissioner
of natural resources, $100,000 to the
commissioner of human services, $100,000
to the attorney general, $100,000 to the
commissioner of transportation, $100,000 to
the commissioner of education, $100,000
to the commissioner of military affairs,
$100,000 to the commissioner of employee
relations, and $100,000 to the Board of
Animal Health to add necessary staff and
resources for agency-specific influenza
preparedness efforts.
new text end

new text begin HEALTH INFORMATION
TECHNOLOGY. $12,000,000 is for
improving health information technology
statewide. This appropriation is available
until June 30, 2009. Of this amount,
$500,000 in each of fiscal years 2007,
2008, and 2009 is to operate the E-Health
Coordination and Evaluation Center. The
balance shall be used to provide health
information technology matching grants
according Minnesota Statutes, section
144.366.
new text end

new text begin IMMIGRANT HEALTH. $500,000 is to
improve health care for immigrant families.
(1) $200,000 is to reimburse local public
health agencies for case management of
individuals with tuberculosis; (2) $90,000
is to provide tuberculosis treatment
medications to individuals who are uninsured
or underinsured; and (3) $210,000 is
to provide perinatal hepatitis B case
management services to women and their
families.
new text end

Sec. 5. new text begin VETERANS NURSING HOMES BOARD new text end

new text begin 2,830,000 new text end

new text begin 4,596,000 new text end

new text begin This appropriation is added to appropriations
in Laws 2005, First Special Session chapter
4, article 9, section 4.
new text end

new text begin new text begin BASE ADJUSTMENT. new text end The general fund
base is increased by $8,541,000 in fiscal year
2008 and $8,541,000 in fiscal year 2009 for
the Veterans Homes Board.
new text end

Sec. 6. new text begin HEALTH-RELATED BOARDS new text end

new text begin Subdivision 1. new text end new text begin State Government Special Revenue new text end

new text begin 514,000 new text end

new text begin 622,000 new text end

new text begin Subd. 2. new text end new text begin Board of Chiropractic Examiners new text end

new text begin 5,000 new text end

new text begin 5,000 new text end

new text begin new text begin BOARD OF CHIROPRACTIC
EXAMINERS APPROPRIATION
INCREASE. new text end (a) This appropriation is
added to appropriations in Laws 2005,
First Special Session chapter 4, article 9,
section 5, subdivision 3. This is a onetime
appropriation.
new text end

new text begin (b) This increase is to correct programming
difficulties incurred during implementation
of payment processing changes.
new text end

new text begin Subd. 3. new text end new text begin Board of Dentistry new text end

new text begin -0- new text end

new text begin 67,000 new text end

new text begin BOARD OF DENTISTRY
APPROPRIATION INCREASE.
(a) This appropriation is added to
appropriations in Laws 2005, First Special
Session chapter 4, article 9, section 5,
subdivision 4.
new text end

new text begin (b) This increase is to retain a legal analyst
as part of the board staff.
new text end

new text begin Subd. 4. new text end new text begin Board of Medical Practice new text end

new text begin 500,000 new text end

new text begin 500,000 new text end

new text begin BOARD OF MEDICAL PRACTICE
INCREASE. new text end new text begin (a) This appropriation is
added to appropriations in Laws 2005,
First Special Session chapter 4, article 9,
section 5, subdivision 7. This is a onetime
appropriation.
new text end

new text begin (b) This increase is to cover higher than
expected costs of investigation and legal
action.
new text end

new text begin Subd. 5. new text end new text begin Board of Physical Therapy new text end

new text begin 9,000 new text end

new text begin -0- new text end

new text begin BOARD OF PHYSICAL THERAPY
APPROPRIATION INCREASE. (a) This
appropriation is added to appropriations in
Laws 2005, First Special Session chapter 4,
article 9, section 5, subdivision 12. This is a
onetime appropriation.
new text end

new text begin (b) This increase is to correct programming
difficulties incurred during implementation
of payment processing changes.
new text end

new text begin Subd. 6. new text end new text begin Emergency Medical Services Board new text end

new text begin -0- new text end

new text begin 50,000 new text end

new text begin EMERGENCY MEDICAL SERVICES
BOARD APPROPRIATION INCREASE.
(a) This appropriation is added to
appropriations in Laws 2005, First Special
Session chapter 4, article 9, section 5,
subdivision 12.
new text end

new text begin (b) This increase is to be spent by the health
professional service program from the state
government special revenue fund.
new text end

Sec. 7.

Minnesota Statutes 2005 Supplement, section 16A.724, subdivision 2, is
amended to read:

Subd. 2.

Transfers.

(a) Notwithstanding section 295.581, to the extent available
resources in the health care access fund exceed expenditures in that fund, effective with
the biennium beginning July 1, 2007, the commissioner of finance shall transfer the excess
funds from the health care access fund to the general fund on June 30 of each year,
provided that the amount transferred in any fiscal biennium shall not exceed deleted text begin $96,000,000 deleted text end new text begin
$126,582,000 new text end .

(b) For fiscal years 2006 to 2009, MinnesotaCare shall be a forecasted program, and,
if necessary, the commissioner shall reduce these transfers from the health care access
fund to the general fund to meet annual MinnesotaCare expenditures or, if necessary,
transfer sufficient funds from the general fund to the health care access fund to meet
annual MinnesotaCare expenditures.

Sec. 8.

new text begin [144.366] INTERCONNECTED ELECTRONIC HEALTH RECORD
GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin The following definitions are used for the purposes
of this section.
new text end

new text begin (a) "Eligible community e-health collaborative" means an existing or newly
established collaborative to support the adoption and use of interoperable electronic
health records. A collaborative must consist of at least three or more eligible health
care entities in at least two of the categories listed in paragraph (b) and have a focus on
interconnecting the members of the collaborative for secure and interoperable exchange of
health care information.
new text end

new text begin (b) "Eligible health care entity" means one of the following:
new text end

new text begin (1) community clinics, as defined under section 145.9268;
new text end

new text begin (2) hospitals eligible for rural hospital capital improvement grants, as defined
in section 144.148;
new text end

new text begin (3) physician clinics located in a community with a population of less than 50,000
according to United States Census Bureau statistics and outside the seven-county
metropolitan area;
new text end

new text begin (4) nursing facilities licensed under sections 144A.01 to 144A.27;
new text end

new text begin (5) community health boards as established under chapter 145A;
new text end

new text begin (6) nonprofit entities with a purpose to provide health information exchange
coordination governed by a representative, multi-stakeholder board of directors; and
new text end

new text begin (7) other providers of health or health care services approved by the commissioner
for which interoperable electronic health record capability would improve quality of
care, patient safety, or community health.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized. new text end

new text begin The commissioner of health shall award grants to
eligible community e-health collaborative projects to improve the implementation and
use of interoperable electronic health records including but not limited to the following
projects:
new text end

new text begin (1) collaborative efforts to host and support fully functional interoperable electronic
health records in multiple care settings;
new text end

new text begin (2) electronic medication history and electronic patient registration information;
new text end

new text begin (3) electronic personal health records for persons with chronic diseases and for
prevention services;
new text end

new text begin (4) rural and underserved community models for electronic prescribing; and
new text end

new text begin (5) enabling local public health systems to rapidly and electronically exchange
information needed to participate in community e-health collaboratives or for public
health emergency preparedness and response.
new text end

new text begin Grant funds may not be used for construction of health care or other buildings or
facilities.
new text end

new text begin Subd. 3. new text end

new text begin Allocation of grants. new text end

new text begin (a) To receive a grant under this section, an eligible
community e-health collaborative must submit an application to the commissioner of
health by the deadline established by the commissioner. A grant may be awarded upon the
signing of a grant contract. In awarding grants, the commissioner shall give preference to
projects benefiting providers located in rural and underserved areas of Minnesota which
the commissioner has determined have an unmet need for the development and funding
of electronic health records. Applicants may apply for and the commissioner may award
grants for one-year, two-year, or three-year periods.
new text end

new text begin (b) An application must be on a form and contain information as specified by the
commissioner but at a minimum must contain:
new text end

new text begin (1) a description of the purpose or project for which grant funds will be used;
new text end

new text begin (2) a description of the problem or problems the grant funds will be used to address,
including an assessment likelihood of the project occurring absent grant funding;
new text end

new text begin (3) a description of achievable objectives, a workplan, budget, budget narrative, a
project communications plan, a timeline for implementation and completion of processes
or projects enabled by the grant, and an assessment of privacy and security issues and a
proposed approach to address these issues;
new text end

new text begin (4) a description of the health care entities and other groups participating in the
project, including identification of the lead entity responsible for applying for and
receiving grant funds;
new text end

new text begin (5) a plan for how patients and consumers will be involved in development of
policies and procedures related to the access to and interchange of information;
new text end

new text begin (6) evidence of consensus and commitment among the health care entities and others
who developed the proposal and are responsible for its implementation; and
new text end

new text begin (7) a plan for documenting and evaluating results of the grant.
new text end

new text begin (c) The commissioner shall review each application to determine whether the
application is complete and whether the applicant and the project are eligible for a
grant. In evaluating applications, the commissioner shall take into consideration factors,
including but not limited to, the following:
new text end

new text begin (1) the degree to which the proposal interconnects the various providers of care
in the applicant's geographic community;
new text end

new text begin (2) the degree to which the project provides for the interoperability of electronic
health records or related health information technology between the members of the
collaborative, and presence and scope of a description of how the project intends to
interconnect with other providers not part of the project into the future;
new text end

new text begin (3) the degree to which the project addresses current unmet needs pertaining
to interoperable electronic health records in a geographic area of Minnesota and the
likelihood that the needs would not be met absent grant funds;
new text end

new text begin (4) the applicant's thoroughness and clarity in describing the project, how the project
will improve patient safety, quality of care, and consumer empowerment, and the role of
the various collaborative members;
new text end

new text begin (5) the recommendations of the Health Information and Technology Infrastructure
Advisory Committee; and
new text end

new text begin (6) other factors that the commissioner deems relevant.
new text end

new text begin (d) Grant funds shall be awarded on a three-to-one match basis. Applicants shall be
required to provide one dollar in the form of cash or in-kind staff or services for each three
dollars provided under the grant program.
new text end

new text begin (e) Grants shall not exceed $900,000 per grant. The commissioner has discretion
over the size and number of grants awarded.
new text end

new text begin Subd. 4. new text end

new text begin Evaluation and report. new text end

new text begin The commissioner of health shall evaluate the
overall effectiveness of the grant program. The commissioner shall collect progress
and expenditure reports to evaluate the grant program from the eligible community
collaboratives receiving grants. Every two years, as part of this evaluation, the
commissioner shall, in coordination with the Health Information Technology and
Infrastructure Advisory Committee, report to the legislature on the needs of the
community, and provide any recommendations for adding or changing eligible activities.
new text end