as introduced - 86th Legislature (2009 - 2010) Posted on 02/09/2010 01:55am
Engrossments | ||
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Introduction | Posted on 03/18/2009 |
A bill for an act
relating to human services; modifying payment rates for hospitals located within
the seven-county metropolitan area; amending Minnesota Statutes 2008, section
256.969, by adding a subdivision.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Minnesota Statutes 2008, section 256.969, is amended by adding a
subdivision to read:
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(a) For
admissions occurring after June 30, 2009, the commissioner shall pay fee-for-service
inpatient admissions for the diagnosis-related groups specified in paragraph (b) at hospitals
located within the seven-county metropolitan area at the lower of:
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(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
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(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.
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(b) The payment decreases provided in paragraph (a) apply to the following
diagnosis-related groups, as they fall within the diagnostic categories:
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(1) 370 cesarean section with complicating diagnosis;
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(2) 371 cesarean section without complicating diagnosis;
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(3) 372 vaginal delivery with complicating diagnosis;
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(4) 373 vaginal delivery without complicating diagnosis;
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(5) 386 extreme immaturity and respiratory distress syndrome, neonate;
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(6) 388 full-term neonates with other problems;
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(7) 390 prematurity without major problems;
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(8) 391 normal newborn;
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(9) 385 neonate, died or transferred to another acute care facility;
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(10) 425 acute adjustment reaction and psychosocial dysfunction;
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(11) 430 psychoses;
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(12) 431 childhood mental disorders; and
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(13) 164-167 appendectomy.
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