Skip to main content Skip to office menu Skip to footer
Minnesota Legislature

Office of the Revisor of Statutes

SF 813

1st Engrossment - 89th Legislature (2015 - 2016) Posted on 04/15/2016 09:05am

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

Current Version - 1st Engrossment

Line numbers 1.1 1.2 1.3 1.4 1.5
1.6 1.7 1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 1.21 1.22 1.23 1.24 2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9 2.10 2.11 2.12 2.13 2.14 2.15 2.16 2.17 2.18 2.19 2.20 2.21 2.22 2.23 2.24 2.25 2.26 2.27 2.28 2.29 2.30
2.31 2.32 2.33 2.34 2.35
3.1 3.2

A bill for an act
relating to health; preparing for a Minnesota innovation waiver under section
1332 of the Affordable Care Act; developing a health care system that best serves
Minnesotans; requiring a cost analysis; appropriating money.

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

Section 1. new text beginSECTION 1332 WAIVER COST AND BENEFIT ANALYSIS.
new text end

new text begin Subdivision 1. new text end

new text begin Contract for analysis of proposals. new text end

new text begin In preparation for a section
1332 waiver request, the commissioner of management and budget shall contract with the
University of Minnesota School of Public Health and the Carlson School of Management,
to conduct an analysis of the costs and benefits of up to three specific proposals that
seek to create a better health care system which would increase access, affordability, and
quality of care in comparison to the current system.
new text end

new text begin Subd. 2. new text end

new text begin Plans. new text end

new text begin After consulting with interested legislators, the commissioner of
health shall submit to the University of Minnesota the following proposals:
new text end

new text begin (1) a free-market insurance-based competition approach;
new text end

new text begin (2) a universal health care plan designed to meet the following principles:
new text end

new text begin (i) ensure all Minnesotans receive quality health care;
new text end

new text begin (ii) cover all necessary care, including all coverage currently required by law,
complete mental health services, chemical dependency treatment, prescription drugs,
medical equipment and supplies, dental care, long-term care, and home care services;
new text end

new text begin (iii) allow patients to choose their own providers; and
new text end

new text begin (iv) use premiums based on ability to pay; and
new text end

new text begin (3) a third alternative may be submitted by the commissioner that offers a different
approach.
new text end

new text begin Subd. 3. new text end

new text begin Proposal analysis. new text end

new text begin (a) The analysis of each proposal must measure the
impact on total public and private health care spending in Minnesota that would result
from each proposal. "Total public and private health care spending" means spending on all
medical care, including dental care, prescription drugs, medical equipment and supplies,
complete mental health services, chemical dependency treatment, long-term care, and
home care services as well as all of the costs for administering, delivering, and paying for
the care. The analysis of total health care spending shall include whether there are savings
or additional costs compared to the existing system due to:
new text end

new text begin (1) increased or reduced insurance, billing, underwriting, marketing, and other
administrative functions;
new text end

new text begin (2) timely and appropriate use of medical care;
new text end

new text begin (3) market-driven or negotiated prices on medical services and products, including
pharmaceuticals;
new text end

new text begin (4) shortages or excess capacity of medical facilities and equipment;
new text end

new text begin (5) increased or decreased utilization, better health outcomes, increased wellness
due to prevention, early intervention, and health-promoting activities;
new text end

new text begin (6) payment reforms;
new text end

new text begin (7) coordination of care; and
new text end

new text begin (8) non-health care impacts on state and local expenditures such as reduced
out-of-home placement or crime costs due to mental health or chemical dependency
coverage.
new text end

new text begin (b) The analysis must also estimate for each proposal job losses or gains in health
care and elsewhere in the economy due to implementation of the reforms.
new text end

new text begin (c) The analysts shall work with the authors of each proposal to gain understanding
or clarification of the specifics of each proposal. The analysis shall assume that the
provisions in each proposal are not preempted by federal law or that the federal
government gives a waiver to the preemption.
new text end

new text begin (d) The proposals must be submitted to the University of Minnesota analysts
within 30 days after final enactment of this legislation. The analysis shall be completed
by August 1, 2016.
new text end

Sec. 2. new text beginAPPROPRIATION.
new text end

new text begin $....... is appropriated in fiscal year 2015 from the general fund to the commissioner
of management and budget to contract with the University of Minnesota to conduct
an economic analysis of costs and benefits of section 1332 waiver health care system
proposals specified in section 1.
new text end

Sec. 3. new text beginEFFECTIVE DATE.
new text end

new text begin Sections 1 and 2 are effective the day following final enactment.
new text end