1.1                          A bill for an act 
  1.2             relating to medical assistance; continuing cost-based 
  1.3             reimbursement to certain health care facilities for an 
  1.4             additional three years; appropriating money; amending 
  1.5             Minnesota Statutes 1998, sections 62Q.19, subdivision 
  1.6             2; and 256B.0625, subdivision 30. 
  1.7   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.8      Section 1.  Minnesota Statutes 1998, section 62Q.19, 
  1.9   subdivision 2, is amended to read: 
  1.10     Subd. 2.  [APPLICATION.] (a) Any provider may apply to the 
  1.11  commissioner for designation as an essential community provider 
  1.12  by submitting an application form developed by the 
  1.13  commissioner.  Applications must be accepted within two years 
  1.14  after the effective date of the rules adopted by the 
  1.15  commissioner to implement this section, except that this 
  1.16  two-year limit does not apply to federally qualified health 
  1.17  centers or rural health clinics seeking essential community 
  1.18  provider status for purposes of section 256B.0625, subdivision 
  1.19  30, paragraph (c). 
  1.20     (b) Each application submitted must be accompanied by an 
  1.21  application fee in an amount determined by the commissioner.  
  1.22  The fee shall be no more than what is needed to cover the 
  1.23  administrative costs of processing the application. 
  1.24     (c) The name, address, contact person, and the date by 
  1.25  which the commissioner's decision is expected to be made shall 
  1.26  be classified as public data under section 13.41.  All other 
  2.1   information contained in the application form shall be 
  2.2   classified as private data under section 13.41 until the 
  2.3   application has been approved, approved as modified, or denied 
  2.4   by the commissioner.  Once the decision has been made, all 
  2.5   information shall be classified as public data unless the 
  2.6   applicant designates and the commissioner determines that the 
  2.7   information contains trade secret information. 
  2.8      Sec. 2.  Minnesota Statutes 1998, section 256B.0625, 
  2.9   subdivision 30, is amended to read: 
  2.10     Subd. 30.  [OTHER CLINIC SERVICES.] (a) Medical assistance 
  2.11  covers rural health clinic services, federally qualified health 
  2.12  center services, nonprofit community health clinic services, 
  2.13  public health clinic services, and the services of a clinic 
  2.14  meeting the criteria established in rule by the commissioner.  
  2.15  Rural health clinic services and federally qualified health 
  2.16  center services mean services defined in United States Code, 
  2.17  title 42, section 1396d(a)(2)(B) and (C).  Payment for rural 
  2.18  health clinic and federally qualified health center services 
  2.19  shall be made according to applicable federal law and 
  2.20  regulation, except that cost-based payments under paragraph (c) 
  2.21  shall continue at 100 percent until December 31, 2002. 
  2.22     (b) A federally qualified health center that is beginning 
  2.23  initial operation shall submit an estimate of budgeted costs and 
  2.24  visits for the initial reporting period in the form and detail 
  2.25  required by the commissioner.  A federally qualified health 
  2.26  center that is already in operation shall submit an initial 
  2.27  report using actual costs and visits for the initial reporting 
  2.28  period.  Within 90 days of the end of its reporting period, a 
  2.29  federally qualified health center shall submit, in the form and 
  2.30  detail required by the commissioner, a report of its operations, 
  2.31  including allowable costs actually incurred for the period and 
  2.32  the actual number of visits for services furnished during the 
  2.33  period, and other information required by the commissioner.  
  2.34  Federally qualified health centers that file Medicare cost 
  2.35  reports shall provide the commissioner with a copy of the most 
  2.36  recent Medicare cost report filed with the Medicare program 
  3.1   intermediary for the reporting year which support the costs 
  3.2   claimed on their cost report to the state. 
  3.3      (c) In order to continue cost-based payment under the 
  3.4   medical assistance program according to paragraphs (a) and (b), 
  3.5   a federally qualified health center or rural health clinic must 
  3.6   apply for designation as an essential community provider ~~within~~ 
  3.7   ~~six months of final adoption of rules by the department of~~ 
  3.8   ~~health according to section 62Q.19, subdivision 7~~.  For those 
  3.9   federally qualified health centers and rural health clinics that 
  3.10  have applied for essential community provider status ~~within the~~ 
  3.11  ~~six-month time prescribed~~, medical assistance payments will 
  3.12  continue to be made according to paragraphs (a) and (b) for the 
  3.13  first ~~three~~ six years after application.  For federally 
  3.14  qualified health centers and rural health clinics that ~~either do~~ 
  3.15  ~~not apply within the time specified above or who~~ have had 
  3.16  essential community provider status for ~~three~~ six years, medical 
  3.17  assistance payments for health services provided by these 
  3.18  entities shall be according to the same rates and conditions 
  3.19  applicable to the same service provided by health care providers 
  3.20  that are not federally qualified health centers or rural health 
  3.21  clinics.  ~~This paragraph takes effect only if the Minnesota~~ 
  3.22  ~~health care reform waiver is approved by the federal government,~~ 
  3.23  ~~and remains in effect for as long as the Minnesota health care~~ 
  3.24  ~~reform waiver remains in effect.  When the waiver expires, this~~ 
  3.25  ~~paragraph expires, and the commissioner of human services shall~~ 
  3.26  ~~publish a notice in the State Register and notify the revisor of~~ 
  3.27  ~~statutes.~~ 
  3.28     Sec. 3.  [APPROPRIATION.] 
  3.29     $....... is appropriated from the general fund to the 
  3.30  commissioner of human services for the purposes of section 2 for 
  3.31  the biennium beginning July 1, 1999.