1.1 	A bill for an act
1.2 	relating to human services; modifying the definition of participation in a state 
1.3 	health care program for certain pediatric dentists;amending Minnesota Statutes 
1.4 	2006, section 256B.0644.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2006, section 256B.0644, is amended to read:
1.7 	256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE 
1.8 	PROGRAMS.
1.9 	(a) A vendor of medical care, as defined in section 256B.02, subdivision 7, and a 
1.10 	health maintenance organization, as defined in chapter 62D, must participate as a provider 
1.11 	or contractor in the medical assistance program, general assistance medical care program, 
1.12 	and MinnesotaCare as a condition of participating as a provider in health insurance plans 
1.13 	and programs or contractor for state employees established under section 43A.18, the 
1.14 	public employees insurance program under section 43A.316, for health insurance plans 
1.15 	offered to local statutory or home rule charter city, county, and school district employees, 
1.16 	the workers' compensation system under section 176.135, and insurance plans provided 
1.17 	through the Minnesota Comprehensive Health Association under sections 62E.01 to 
1.18 	62E.19. The limitations on insurance plans offered to local government employees shall 
1.19 	not be applicable in geographic areas where provider participation is limited by managed 
1.20 	care contracts with the Department of Human Services. 
1.21 	(b) For providers other than health maintenance organizations, participation in the 
1.22 	medical assistance program means that:
1.23 	 (1) the provider accepts new medical assistance, general assistance medical care, 
1.24 	and MinnesotaCare patients or;
2.1 	(2) for providers other than dental service providers, at least 20 percent of the 
2.2 	provider's patients are covered by medical assistance, general assistance medical care, and 
2.3 	MinnesotaCare as their primary source of coverage, or;
2.4 	(3) for dental service providers, at least ten percent of the provider's patients are 
2.5 	covered by medical assistance, general assistance medical care, and MinnesotaCare as 
2.6 	their primary source of coverage; or 
2.7 	(4) the provider accepts new medical assistance, general assistance medical care, and 
2.8 	MinnesotaCare patients who are children with special health care needs. For purposes of 
2.9 	this section, "children with special health care needs" means children up to age 18 who:  (i) 
2.10 	require health and related services beyond that required by children generally; and (ii) have 
2.11 	or are at risk for a chronic physical, developmental, behavioral, or emotional condition, 
2.12 	including: bleeding and coagulation disorders; immunodeficiency disorders; cancer; 
2.13 	endocrinopathy; mental retardation; epilepsy, cerebral palsy, and other neurological 
2.14 	diseases; visual impairment or deafness; Down syndrome and other genetic disorders; 
2.15 	autism; fetal alcohol syndrome; and other conditions designated by the commissioner after 
2.16 	consultation with representatives of pediatric dental providers and consumers. 
2.17 	(c) Patients seen on a volunteer basis by the provider at a location other than the 
2.18 	provider's usual place of practice may be considered in meeting this the participation 
2.19 	requirement in this section. The commissioner shall establish participation requirements 
2.20 	for health maintenance organizations. The commissioner shall provide lists of 
2.21 	participating medical assistance providers on a quarterly basis to the commissioner of 
2.22 	employee relations, the commissioner of labor and industry, and the commissioner of 
2.23 	commerce. Each of the commissioners shall develop and implement procedures to exclude 
2.24 	as participating providers in the program or programs under their jurisdiction those 
2.25 	providers who do not participate in the medical assistance program. The commissioner 
2.26 	of employee relations shall implement this section through contracts with participating 
2.27 	health and dental carriers.