SF 2379

as introduced - 88th Legislature (2013 - 2014) Posted on 03/06/2014 04:24pm

A bill for an act
relating to human services; establishing data practices requirements for entities
participating in the integrated health care delivery network pilot program;
amending Minnesota Statutes 2012, section 13.461, by adding a subdivision;
Minnesota Statutes 2013 Supplement, section 256B.0756.

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

Section 1.

Minnesota Statutes 2012, section 13.461, is amended by adding a
subdivision to read:

new text begin Subd. 32. new text end

new text begin Integrated health care delivery network pilot program. new text end

new text begin Data sharing or
dissemination of certain data on individuals by organizations or entities participating in the
integrated health care delivery network pilot program is governed by section 256B.0756.
new text end

Sec. 2.

Minnesota Statutes 2013 Supplement, section 256B.0756, is amended to read:

256B.0756 HENNEPIN AND RAMSEY COUNTIES PILOT PROGRAM.

(a) The commissioner, upon federal approval of a new waiver request or amendment
of an existing demonstration, may establish a pilot program in Hennepin County or Ramsey
County, or both, to test alternative and innovative integrated health care delivery networks.

(b) Individuals eligible for the pilot program shall be individuals who are eligible
for medical assistance under section 256B.055 and who reside in Hennepin County
or Ramsey County. The commissioner may identify individuals to be enrolled in the
Hennepin County pilot program based on zip code in Hennepin County or whether the
individuals would benefit from an integrated health care delivery network.

(c) Individuals enrolled in the pilot program shall be enrolled in an integrated
health care delivery network in their county of residence. The integrated health care
delivery network in Hennepin County shall be a network, such as an accountable care
organization or a community-based collaborative care network, created by or including
Hennepin County Medical Center. The integrated health care delivery network in Ramsey
County shall be a network, such as an accountable care organization or community-based
collaborative care network, created by or including Regions Hospital.

(d) In developing a payment system for the pilot programs, the commissioner shall
establish a total cost of care for the recipients enrolled in the pilot programs that equals
the cost of care that would otherwise be spent for these enrollees in the prepaid medical
assistance program.

(e) The commissioner shall apply to the federal government for, or as appropriate,
cooperate with counties, providers, or other entities that are applying for any applicable
grant or demonstration under the Patient Protection and Affordable Health Care Act,
Public Law 111-148, or the Health Care and Education Reconciliation Act of 2010, Public
Law 111-152, that would further the purposes of or assist in the creation of an integrated
health care delivery network for the purposes of this deleted text begin subdivision deleted text end new text begin section new text end , including, but
not limited to, a global payment demonstration or the community-based collaborative
care network grants.

new text begin (f) Organizations or entities participating in the integrated health care delivery
network pilot program established by this section may share or disseminate the following
data on individuals enrolled in the pilot program:
new text end

new text begin (1) data related to an individual's eligibility for or receipt of welfare or other social
services benefits; and
new text end

new text begin (2) data contained in an individual's health records, to the extent permitted by
federal law.
new text end

new text begin Data may only be shared with or disseminated to other organizations or entities
participating in the integrated health care delivery network, to the extent necessary to
implement the requirements of the pilot program.
new text end