SF 2392

as introduced - 88th Legislature (2013 - 2014) Posted on 03/06/2014 04:28pm

A bill for an act
relating to human services; adding university-affiliated children's hospitals to the
list of facilities excluded from fee-for-service payment rate reductions; amending
Minnesota Statutes 2012, section 256.969, subdivision 3c.

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

Section 1.

Minnesota Statutes 2012, section 256.969, subdivision 3c, is amended to read:

Subd. 3c.

Rateable reduction and readmissions reduction.

(a) The total payment
for fee for service admissions occurring on or after September 1, 2011, through June 30,
2015, made to hospitals for inpatient services before third-party liability and spenddown,
is reduced ten percent from the current statutory rates. Facilities defined under subdivision
16, long-term hospitals as determined under the Medicare program, children's hospitals
new text begin and university-affiliated children's hospitals new text end whose inpatients are predominantly under 18
years of age, and payments under managed care are excluded from this paragraph.

(b) Effective for admissions occurring during calendar year 2010 and each year
after, the commissioner shall calculate a regional readmission rate for admissions to all
hospitals occurring within 30 days of a previous discharge. The commissioner may
adjust the readmission rate taking into account factors such as the medical relationship,
complicating conditions, and sequencing of treatment between the initial admission and
subsequent readmissions.

(c) Effective for payments to all hospitals on or after July 1, 2013, through June 30,
2015, the reduction in paragraph (a) is reduced one percentage point for every percentage
point reduction in the overall readmissions rate between the two previous calendar years
to a maximum of five percent.

new text begin (d) The payment rate reduction exclusion in paragraph (a) for university-affiliated
children's hospitals is effective for admissions occurring on or after July 1, 2012.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective retroactively from July 1, 2012.
new text end