1.1 	A bill for an act
1.2 	relating to human services; requiring a withhold from
1.3 	state health care program capitation rates for blood
1.4 	lead testing performance targets; amending Minnesota
1.5 	Statutes 2004, section 256B.69, subdivision 5a.
1.6 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.7 	Section 1. Minnesota Statutes 2004, section 256B.69,
1.8 	subdivision 5a, is amended to read:
1.9 		Subd. 5a.Managed care contracts.  (a) Managed care
1.10 	contracts under this section and sections 256L.12 and 256D.03,
1.11 	shall be entered into or renewed on a calendar year basis
1.12 	beginning January 1, 1996.  Managed care contracts which were in
1.13 	effect on June 30, 1995, and set to renew on July 1, 1995, shall
1.14 	be renewed for the period July 1, 1995 through December 31, 1995
1.15 	at the same terms that were in effect on June 30, 1995.  The
1.16 	commissioner may issue separate contracts with requirements
1.17 	specific to services to medical assistance recipients age 65 and
1.18 	older.
1.19 	(b) A prepaid health plan providing covered health services
1.20 	for eligible persons pursuant to chapters 256B, 256D, and 256L,
1.21 	is responsible for complying with the terms of its contract with
1.22 	the commissioner.  Requirements applicable to managed care
1.23 	programs under chapters 256B, 256D, and 256L, established after
1.24 	the effective date of a contract with the commissioner take
1.25 	effect when the contract is next issued or renewed.
2.1 	(c) Effective for services rendered on or after January 1,
2.2 	2003, the commissioner shall withhold five percent of managed
2.3 	care plan payments under this section for the prepaid medical
2.4 	assistance and general assistance medical care programs pending
2.5 	completion of performance targets. Effective for services
2.6 	rendered on or after January 1, 2006, 20 percent of this
2.7 	withhold amount shall be withheld pending attainment of
2.8 	performance targets related to testing children for lead
2.9 	exposure.Each performance target must be quantifiable,
2.10 	objective, measurable, and reasonably attainable, except in the
2.11 	case of a performance target based on a federal or state law or
2.12 	rule.  Criteria for assessment of each performance target must
2.13 	be outlined in writing prior to the contract effective date.
2.14 	The withheld funds must be returned no sooner than July of the
2.15 	following year if performance targets in the contract are
2.16 	achieved.  The commissioner may exclude special demonstration
2.17 	projects under subdivision 23.  A managed care plan or a
2.18 	county-based purchasing plan under section 256B.692 may include
2.19 	as admitted assets under section 62D.044 any amount withheld
2.20 	under this paragraph that is reasonably expected to be returned.