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Minnesota Legislature

Office of the Revisor of Statutes

SF 1524

as introduced - 91st Legislature (2019 - 2020) Posted on 02/21/2019 02:39pm

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - as introduced

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A bill for an act
relating to health; establishing the Minnesota Health Policy Commission; modifying
temporary license suspensions and background checks for certain health-related
professions; appropriating money; proposing coding for new law in Minnesota
Statutes, chapter 62J.

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

Section 1.

new text begin [62J.90] MINNESOTA HEALTH POLICY COMMISSION.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin 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 by the Legislative Coordinating Commission as provided in subdivision
9, and four nonvoting, ex-officio members 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;
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 (12) two nonvoting 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 (13) two nonvoting members of the house of representatives, including one member
appointed by the speaker of the house of representatives 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 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 a 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. The report
shall include any draft legislation to implement the commission's recommendations.
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
the commission's 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 the commission's duties.
new text end

new text begin Subd. 6. new text end

new text begin Access to information. new text end

new text begin (a) The commission may request that a state department
or agency provide the commission with any publicly available information in a usable format
as requested by the commission, at no cost to the commission.
new text end

new text begin (b) The commission may request from a state department or agency unique or custom
data sets and the department or agency may charge the commission for providing the data
at the same rate the department or agency would charge any other public or private entity.
new text end

new text begin (c) Any information provided to the commission by a state department or agency must
be de-identified. For purposes of this subdivision, "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 Terms; vacancies; 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 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.
new text end

new text begin (d) Public members may receive compensation and expenses as provided in section
15.059, subdivision 3.
new text end

new text begin Subd. 8. new text end

new text begin Chairs; officers. new text end

new text begin The commission shall elect a chair annually. The commission
may elect other officers necessary for the performance of the commission's duties.
new text end

new text begin Subd. 9. 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 a
health policy commission advisory council comprised of four members as follows: the state
economist, legislative auditor, state demographer, and the president of the Federal Reserve
Bank of Minneapolis or a designee of the president. The advisory council shall recommend
two applicants for each of the specified positions by September 30 in the calendar year
preceding the end of the members' terms. The Legislative Coordinating Commission shall
appoint one of the two recommended applicants to the commission.
new text end

new text begin Subd. 10. 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.
new text end

new text begin Subd. 11. 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. 12. new text end

new text begin Expiration. new text end

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

Sec. 2. new text beginFIRST APPOINTMENTS; FIRST MEETING.
new text end

new text begin The Health Policy Commission Advisory Council shall make its recommendations under
Minnesota Statutes, section 62J.90, subdivision 9, for candidates to serve on the Minnesota
Health Policy Commission, to the Legislative Coordinating Commission by September 30,
2019. The Legislative Coordinating Commission shall make the first appointments of public
members to the Minnesota Health Policy Commission under Minnesota Statutes, section
62J.90, by January 15, 2020. The Legislative Coordinating Commission shall designate five
members to serve terms that are coterminous with the governor and six members to serve
terms that end on the first Monday in January one year after the terms of the other members
conclude. The director of the Legislative Coordinating Commission shall convene the first
meeting of the Minnesota Health Policy Commission by June 15, 2020, and shall act as the
chair until the commission elects a chair at its first meeting.
new text end

Sec. 3. new text beginAPPROPRIATION.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the Minnesota Health
Policy Commission for the purposes of section 1.
new text end