1.1 	A bill for an act
1.2 	relating to human services; establishing payment rates for home health agency 
1.3 	services and home care nursing services;amending Minnesota Statutes 2018, 
1.4 	sections 256B.0653, by adding a subdivision; 256B.0654, by adding a subdivision.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2018, section 256B.0653, is amended by adding a subdivision 
1.7 	to read:
1.8 		Subd. 8.Payment rates for home health agency services. (a) For purposes of this 
1.9 	subdivision only, the following terms have the meanings given them:
1.10 	(1) "base rate" means the most recent Medicare reimbursement rate, as modified by the 
1.11 	low utilization payment adjustment, for an individual Medicare service provided in Hennepin 
1.12 	County;
1.13 	(2) "code" refers to a health care procedure code for a Medicare service published in 
1.14 	Healthcare Common Procedure Coding System Level II;
1.15 	(3) "payment rate" means the reimbursement rate to an eligible provider for authorized 
1.16 	covered services provided to a qualified individual; and
1.17 	(4) "unit of service" means a visit.
1.18 	(b) On July 1 of each year, the commissioner must update the payment rates established 
1.19 	in clauses (1) to (9) to reflect the most recent base rate.
1.20 	(1) The payment rate for a unit of service of a home health aide is the product of the 
1.21 	base rate for code G0156, services of a home health aide under a home health plan of care, 
1.22 	multiplied by 0.7948.
2.1 	(2) The payment rate for a unit of service of occupational therapy is the product of the 
2.2 	base rate for code G0152, services performed by a qualified occupational therapist in the 
2.3 	home health or hospice setting, multiplied by 0.4488.
2.4 	(3) The payment rate for a unit of service of occupational therapy assistant is the product 
2.5 	of the base rate for code G0158, services performed by a qualified occupational therapist 
2.6 	assistant in the home health or hospice setting, multiplied by 0.2879.
2.7 	(4) The payment rate for a unit of service of physical therapy is the product of the base 
2.8 	rate for code G0151, services performed by a qualified physical therapist in the home health 
2.9 	or hospice setting, multiplied by 0.4429.
2.10 	(5) The payment rate for a unit of service of physical therapy assistant is the product of 
2.11 	the base rate for code G0157, services performed by a qualified physical therapist assistant 
2.12 	in the home health or hospice setting, multiplied by 0.2879.
2.13 	(6) The payment rate for a unit of service of respiratory therapy is the product of the 
2.14 	base rate for code G0153, services performed by a qualified speech-language pathologist 
2.15 	in the home health or hospice setting, multiplied by 0.2617.
2.16 	(7) The payment rate for a skilled nursing visit is the product of the base rate for code 
2.17 	G0299, direct skilled nursing services of a registered nurse in the home health or hospice 
2.18 	setting, multiplied by 0.4690.
2.19 	(8) The payment rate for a telehomecare skilled nursing visit is the product of the base 
2.20 	rate for code G0299, direct skilled nursing services of a registered nurse in the home health 
2.21 	or hospice setting, multiplied by 0.4690.
2.22 	(9) The payment rate for speech therapy is the product of the base rate for code G0153, 
2.23 	services performed by a qualified speech-language pathologist in the home health or hospice 
2.24 	setting, multiplied by 0.4136.

2.25 	EFFECTIVE DATE. This section is effective for services provided on or after July 1, 
2.26 	2020.

2.27 	Sec. 2. Minnesota Statutes 2018, section 256B.0654, is amended by adding a subdivision 
2.28 	to read:
2.29 		Subd. 5.Payments for home care nursing services. (a) For purposes of this subdivision 
2.30 	only, the following terms have the meanings given them:
3.1 	(1) "base rate" means the most recent Medicare reimbursement rate, as modified by the 
3.2 	low utilization payment adjustment, for an individual Medicare service provided in Hennepin 
3.3 	County;
3.4 	(2) "code" refers to a health care procedure code for a Medicare service published in 
3.5 	Healthcare Common Procedure Coding System Level II;
3.6 	(3) "payment rate" means the reimbursement rate to an eligible provider for authorized 
3.7 	covered services provided to a qualified individual; and
3.8 	(4) "unit of service" means 15 minutes.
3.9 	(b) On July 1 of each year, the commissioner must update the payment rates established 
3.10 	in clauses (1) to (6) to reflect the most recent base rate.
3.11 	(1) The payment rate for home care nursing provided by a licensed practical nurse is the 
3.12 	product of the base rate for code G0299, direct skilled nursing services of a registered nurse 
3.13 	in the home health or hospice setting, multiplied by 0.0418.
3.14 	(2) The payment rate for complex home care nursing provided by a licensed practical 
3.15 	nurse is the product of the base rate for code G0299, direct skilled nursing services of a 
3.16 	registered nurse in the home health or hospice setting, multiplied by 0.0490.
3.17 	(3) The payment rate for shared home care nursing provided by a licensed practical nurse 
3.18 	is the product of the base rate for code G0299, direct skilled nursing services of a registered 
3.19 	nurse in the home health or hospice setting, multiplied by 0.0314.
3.20 	(4) The payment rate for home care nursing provided by a registered nurse is the product 
3.21 	of the base rate for code G0299, direct skilled nursing services of a registered nurse in the 
3.22 	home health or hospice setting, multiplied by 0.0545.
3.23 	(5) The payment rate for complex home care nursing provided by a registered nurse is 
3.24 	the product of the base rate for code G0299, direct skilled nursing services of a registered 
3.25 	nurse in the home health or hospice setting, multiplied by 0.0653.
3.26 	(6) The payment rate for shared home care nursing provided by a registered nurse is the 
3.27 	product of the base rate for code G0299, direct skilled nursing services of a registered nurse 
3.28 	in the home health or hospice setting, multiplied by 0.0408.

3.29 	EFFECTIVE DATE. This section is effective for services provided on or after July 1, 
3.30 	2020.