SF 2874

as introduced - 91st Legislature (2019 - 2020) Posted on 05/10/2019 08:13am

A bill for an act
relating to human services; modifying medical assistance co-payments and
deductibles; amending Minnesota Statutes 2018, section 256B.0631, subdivision
2.

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

Section 1.

Minnesota Statutes 2018, section 256B.0631, subdivision 2, is amended to read:

Subd. 2.

Exceptions.

Co-payments and deductibles shall be subject to the following
exceptions:

(1) children under the age of 21;

(2) pregnant women for services that relate to the pregnancy or any other medical
condition that may complicate the pregnancy;

(3) recipients expected to reside for at least 30 days in a hospital, nursing home, or
intermediate care facility for the developmentally disabled;

(4) recipients receiving hospice care;

(5) 100 percent federally funded services provided by an Indian health service;

(6) emergency services;

(7) family planning services;

(8) services that are paid by Medicare, resulting in the medical assistance program paying
for the coinsurance and deductible;

(9) co-payments that exceed one per day per provider for nonpreventive visits, eyeglasses,
and nonemergency visits to a hospital-based emergency room;

(10) services, fee-for-service payments subject to volume purchase through competitive
bidding;

(11) American Indians who meet the requirements in Code of Federal Regulations, title
42, sections 447.51 and 447.56;

(12) persons needing treatment for breast or cervical cancer as described under section
256B.057, subdivision 10; deleted text begin and
deleted text end

(13) services that currently have a rating of A or B from the United States Preventive
Services Task Force (USPSTF), immunizations recommended by the Advisory Committee
on Immunization Practices of the Centers for Disease Control and Prevention, and preventive
services and screenings provided to women as described in Code of Federal Regulations,
title 45, section 147.130 deleted text begin . deleted text end new text begin ; and
new text end

new text begin (14) recipients of home and community-based waiver services under section 256B.0915,
256B.092, or 256B.49.
new text end