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SF 3417

as introduced - 90th Legislature (2017 - 2018) Posted on 03/21/2018 09:17am

KEY: stricken = removed, old language.
underscored = added, new language.
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A bill for an act
relating to health; establishing the Minnesota Health Policy Commission;
appropriating money; proposing coding for new law in Minnesota Statutes, chapter
15.

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

Section 1.

new text begin [15.0146] MINNESOTA HEALTH POLICY COMMISSION.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The Minnesota Health Policy Commission is
created to provide recommendations on improving health care and health outcomes at lower
costs through commercial and public programs. For purposes of this section, "commission"
means the Minnesota Health Policy Commission.
new text end

new text begin Subd. 2. new text end

new text begin Commission membership. new text end

new text begin (a) The commission shall consist of 11 voting
members, appointed as follows:
new text end

new text begin (1) one member with demonstrated expertise in health care finance;
new text end

new text begin (2) one member with demonstrated expertise in health economics;
new text end

new text begin (3) one member with demonstrated expertise in actuarial science;
new text end

new text begin (4) one member with demonstrated expertise in health plan management and finance;
new text end

new text begin (5) one member with demonstrated expertise in health care system management;
new text end

new text begin (6) one member with demonstrated expertise as a purchaser, or a representative of a
purchaser, of employer-sponsored health care services or employer-sponsored health
insurance;
new text end

new text begin (7) one member with demonstrated expertise in the development and utilization of
innovative medical technologies;
new text end

new text begin (8) one member with demonstrated expertise as a health care consumer advocate;
new text end

new text begin (9) one member who is a primary care physician;
new text end

new text begin (10) one member who provides long-term care services through medical assistance; and
new text end

new text begin (11) one member with direct experience as an enrollee, or parent or caregiver of an
enrollee, in MinnesotaCare or medical assistance.
new text end

new text begin (b) The commission shall have four nonvoting ex-officio legislative liaison members as
follows:
new text end

new text begin (1) two members of the senate, including one member appointed by the majority leader
and one member from the minority party appointed by the minority leader; and
new text end

new text begin (2) two members of the house of representatives, including one member appointed by
the majority leader and one member from the minority party appointed by the minority
leader.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin The commission shall:
new text end

new text begin (1) compare Minnesota's commercial health care costs and public health care program
spending to that of the other states;
new text end

new text begin (2) compare Minnesota's commercial health care costs and public health care program
spending in any given year to its costs and spending in previous years;
new text end

new text begin (3) identify factors that influence and contribute to Minnesota's ranking for commercial
health care costs and public health care program spending, including the year over year and
trend line change in total costs and spending in the state;
new text end

new text begin (4) continually monitor efforts to reform the health care delivery and payment system
in Minnesota to understand emerging trends in the commercial health insurance market,
including large self-insured employers, and the state's public health care programs in order
to identify opportunities for state action to achieve:
new text end

new text begin (i) improved patient experience of care, including quality and satisfaction;
new text end

new text begin (ii) improved health of all populations; and
new text end

new text begin (iii) reduced per capita cost of health care; and
new text end

new text begin (5) make recommendations for legislative policy, market, or any other reforms to:
new text end

new text begin (i) lower the rate of growth in commercial health care costs and public health care
program spending in the state;
new text end

new text begin (ii) positively impact the state's ranking in the areas listed in this subdivision;
new text end

new text begin (iii) improve the quality and value of care for all Minnesotans; and
new text end

new text begin (iv) conduct any additional reviews requested by the legislature.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin The commission shall submit an annual report listing recommendations
for changes in health care policy and financing by June 15 each year to the chairs and ranking
minority members of the legislative committees with primary jurisdiction over health care.
In making recommendations to the legislative committees, the commission shall consider
how the recommendations might positively impact the cost-shifting interplay between public
payer reimbursement rates and health insurance premiums. The commission shall also
consider how public health care programs, where appropriate, may be utilized as a means
to help prepare enrollees for an eventual transition to private sector coverage.
new text end

new text begin Subd. 5. new text end

new text begin Staff. new text end

new text begin The commission shall hire a director who may employ or contract for
professional and technical assistance as the commission determines necessary to perform
its duties. The commission may also contract with private entities with expertise in health
economics, health finance, and actuarial science to secure additional information, data,
research, or modeling that may be necessary for the commission to carry out its duties.
new text end

new text begin Subd. 6. new text end

new text begin Access to information. new text end

new text begin The commission may secure directly from a state
department or agency information and data that is necessary for the commission to carry
out its duties. All private data on individuals, health insurance companies, and
employer-sponsored health insurance plans collected by the commission may not be disclosed
to any person or agency unless it is de-identified. For purposes of this section, "de-identified"
means the process used to prevent the identity of a person or business from being connected
with information and ensuring all identifiable information has been removed.
new text end

new text begin Subd. 7. new text end

new text begin Selection of members; advisory council. new text end

new text begin The Legislative Coordinating
Commission shall take applications from members of the public who are qualified and
interested to serve in one of the listed positions. The applications must be reviewed by the
health policy commission advisory council which shall be constituted with the state
economist, legislative auditor, state demographer, and the president of the Federal Reserve
Bank of Minneapolis. The advisory council shall recommend two applicants for each of the
specified positions. The Legislative Coordinating Commission shall choose one of the two
recommended applicants.
new text end

new text begin Subd. 8. new text end

new text begin Terms and compensation. new text end

new text begin (a) Public members of the commission shall serve
four-year terms. The public members may not serve for more than two consecutive terms.
new text end

new text begin (b) The legislative liaison members shall serve on the commission as long as the member
or the appointing authority holds office.
new text end

new text begin (c) The removal of members and filling of vacancies on the commission are as provided
in section 15.059. Public members may receive compensation and expenses as provided in
section 15.059, subdivision 3.
new text end

new text begin Subd. 9. new text end

new text begin First appointments. new text end

new text begin The Legislative Coordinating Commission shall make
the first appointment of all public members by January 15, 2019.
new text end

new text begin Subd. 10. new text end

new text begin First meeting. new text end

new text begin The director of the Legislative Coordinating Commission shall
convene the first meeting of the commission by June 15, 2019, and shall act as the chair
until the commission elects a chair. The commission shall elect a chair at its first meeting
and annually thereafter. The commission may elect other officers necessary for the
performance of its duties.
new text end

new text begin Subd. 11. new text end

new text begin Meetings. new text end

new text begin The commission shall meet at least four times each year.
Commission meetings are subject to chapter 13D except when the meetings pertain to
matters relating to data that must be de-identified.
new text end

new text begin Subd. 12. new text end

new text begin Conflict of interest. new text end

new text begin A member of the commission may not participate in or
vote on a decision of the commission relating to an organization in which the member has
either a direct or indirect financial interest.
new text end

new text begin Subd. 13. new text end

new text begin Expiration. new text end

new text begin The commission shall expire on June 15, 2034.
new text end

Sec. 2. new text begin APPROPRIATION.
new text end

new text begin $....... in fiscal year 2019 is appropriated from the general fund to the Minnesota Health
Policy Commission for the purposes of section 1.
new text end