Minnesota Legislature
SF 2959
as introduced - 85th Legislature (2007 - 2008) Posted on 12/15/2009 12:00am
Current Version - as introduced
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A bill for an act
relating to human services; expanding the rural hospital payment adjustment to
include additional diagnosis-related groups; amending Minnesota Statutes 2006,
sections 256.969, subdivision 26; 256B.195, subdivision 1.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2006, section 256.969, subdivision 26, is amended to
read:
Subd. 26.
Greater Minnesota payment adjustment after June 30, deleted text begin 2001deleted text end new text begin 2008new text end .
(a) For admissions occurring after June 30, deleted text begin 2001deleted text end new text begin 2008new text end , the commissioner shall pay
fee-for-service inpatient admissions for the diagnosis-related groups specified in paragraph
(b) at hospitals located outside of the seven-county metropolitan area at the higher of:
(1) the hospital's current payment rate for the diagnostic category to which the
diagnosis-related group belongs, exclusive of disproportionate population adjustments
received under subdivision 9 and hospital payment adjustments received under subdivision
23; or
(2) 90 percent of the average payment rate for that diagnostic category for hospitals
located within the seven-county metropolitan area, exclusive of disproportionate
population adjustments received under subdivision 9 and hospital payment adjustments
received under subdivisions 20 and 23.
(b) The payment increases provided in paragraph (a) apply to the following
diagnosis-related groups, as they fall within the diagnostic categories:
(1) 370 cesarean section with complicating diagnosis;
(2) 371 cesarean section without complicating diagnosis;
(3) 372 vaginal delivery with complicating diagnosis;
(4) 373 vaginal delivery without complicating diagnosis;
(5) 386 extreme immaturity and respiratory distress syndrome, neonate;
(6) 388 full-term neonates with other problems;
(7) 390 prematurity without major problems;
(8) 391 normal newborn;
(9) 385 neonate, died or transferred to another acute care facility;
(10) 425 acute adjustment reaction and psychosocial dysfunction;
(11) 430 psychoses;
(12) 431 childhood mental disorders; deleted text begin and
deleted text end
(13) 164-167 appendectomydeleted text begin .deleted text end new text begin ;
new text end
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(14) 209 major joint and limb reattachment procedure of lower extremity;
new text end
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(15) 143 chest pain;
new text end
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(16) 127 heart failure and shock;
new text end
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(17) 89 simple pneumonia and pleurisy where patient is more than 17 years old with
complicating diagnosis;
new text end
new text begin
(18) 182 esophageal, gastrointestinal, and miscellaneous digestive disorders where
patient is more than 17 years old with complicating diagnosis;
new text end
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(19) 183 esophageal, gastrointestinal, and miscellaneous digestive disorders where
patient is more than 17 years old without complicating diagnosis;
new text end
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(20) 359 uterine and adnexa procedure for nonmalignancy, without complicating
diagnosis;
new text end
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(21) 88 chronic obstructive pulmonary disease;
new text end
new text begin
(22) 14 intracranial hemorrhage;
new text end
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(23) 174 gastrointestinal hemorrhage with complicating diagnosis;
new text end
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(24) 296 nutrition and miscellaneous metabolic disorders where patient is more than
17 years old with complicating diagnosis;
new text end
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(25) 462 rehabilitation;
new text end
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(26) 243 medical back problem;
new text end
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(27) 500 back and neck procedure except spinal fusion without complicating
diagnosis;
new text end
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(28) 527 percutaneous cardiovascular procedure with drug-eluting stent without
acute myocardial infarction;
new text end
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(29) 138 cardiac arrhythmia and conductive disorders with complicating diagnosis;
new text end
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(30) 416 septicemia where patient is more than 17 years old;
new text end
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(31) 316 renal failure;
new text end
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(32) 148 major small and large bowel procedure with complicating diagnosis;
new text end
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(33) 288 operating room procedures for obesity;
new text end
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(34) 320 kidney and urinary tract infections where patient is more than 17 years old
with complicating diagnosis; and
new text end
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(35) 125 circulatory disorder except acute myocardial infarction, with cardiac
catheter, without complex diagnosis.
new text end
Sec. 2.
Minnesota Statutes 2006, section 256B.195, subdivision 1, is amended to read:
Subdivision 1.
Federal approval required.
deleted text begin Sectionsdeleted text end new text begin Sectionnew text end 145.9268, deleted text begin 256.969,
subdivision 26,deleted text end and this section are contingent on federal approval of the intergovernmental
transfers and payments to safety net hospitals and community clinics authorized under
this section. These sections are also contingent on current payment, by the government
entities, of intergovernmental transfers under section 256B.19 and this section.