1.1 	A bill for an act
1.2 	relating to human services; modifying dental reimbursement provisions; 
1.3 	amending Minnesota Statutes 2012, section 256B.76, subdivision 2.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:
1.6 		Subd. 2.Dental reimbursement.  (a) Effective for services rendered on or after 
1.7 	~~October 1, 1992~~ January 1, 2014, the commissioner shall make payments for dental 
1.8 	services ~~as follows:~~
1.9 	~~(1) dental services shall be paid~~ at the lower of:
1.10 	~~(i)~~ (1) submitted charges~~,~~; or
1.11 	~~(ii) 25 percent above the rate in effect on June 30, 1992; and~~
1.12 	(2) ~~dental rates shall be converted from the 50th percentile of 1982 to the 50th~~ 
1.13 	~~percentile of 1989, less the percent in aggregate necessary to equal the above increases~~ 75 
1.14 	percent of the statewide median rate for all charges in effect during calendar year 2011.
1.15 	~~(b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments~~ 
1.16 	~~shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.~~
1.17 	~~(c) Effective for services rendered on or after January 1, 2000, payment rates for~~ 
1.18 	~~dental services shall be increased by three percent over the rates in effect on December~~ 
1.19 	~~31, 1999.~~
1.20 	~~(d) Effective for services provided on or after January 1, 2002, payment for~~ 
1.21 	~~diagnostic examinations and dental x-rays provided to children under age 21 shall be the~~ 
1.22 	~~lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.~~
1.23 	~~(e)~~ (b) The ~~increases~~ compensation listed in ~~paragraphs (b) and (c)~~paragraph (a) 
1.24 	shall be implemented January 1, ~~2000~~ 2014, for managed care.
2.1 	~~(f) Effective for dental services rendered on or after October 1, 2010, by a~~ 
2.2 	~~state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based~~ 
2.3 	~~on the Medicare principles of reimbursement. This payment shall be effective for services~~ 
2.4 	~~rendered on or after January 1, 2011, to recipients enrolled in managed care plans or~~ 
2.5 	~~county-based purchasing plans.~~
2.6 	~~(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics~~ 
2.7 	~~in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal~~ 
2.8 	~~year, a supplemental state payment equal to the difference between the total payments~~ 
2.9 	~~in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated~~ 
2.10 	~~services for the operation of the dental clinics.~~
2.11 	~~(h) If the cost-based payment system for state-operated dental clinics described in~~ 
2.12 	~~paragraph (f) does not receive federal approval, then state-operated dental clinics shall be~~ 
2.13 	~~designated as critical access dental providers under subdivision 4, paragraph (b), and shall~~ 
2.14 	~~receive the critical access dental reimbursement rate as described under subdivision 4,~~ 
2.15 	~~paragraph (a).~~
2.16 	~~(i) Effective for services rendered on or after September 1, 2011, through June 30,~~ 
2.17 	~~2013, payment rates for dental services shall be reduced by three percent. This reduction~~ 
2.18 	~~does not apply to state-operated dental clinics in paragraph (f).~~