1.1 	A bill for an act
1.2 	relating to human services; prohibiting the use of a broker for special 
1.3 	transportation and access transportation services;amending Laws 2003, First 
1.4 	Special Session chapter 14, article 12, section 93, as amended.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Laws 2003, First Special Session chapter 14, article 12, section 93, as 
1.7 	amended by Laws 2005, First Special Session chapter 4, article 8, section 80, is amended 
1.8 	to read:
1.9 	Sec. 93. REVIEW OF SPECIAL TRANSPORTATION ELIGIBILITY 
1.10 	CRITERIA AND POTENTIAL COST SAVINGS.
 1.11 	The commissioner of human services, in consultation with the commissioner of 
1.12 	transportation and special transportation service providers, shall review eligibility criteria 
1.13 	for medical assistance special transportation services and shall evaluate whether the level 
1.14 	of special transportation services provided should be based on the degree of impairment of 
1.15 	the client, as well as the medical diagnosis. The commissioner shall also evaluate methods 
1.16 	for reducing the cost of special transportation services, including, but not limited to:
1.17 	(1) requiring providers to maintain a daily log book confirming delivery of clients to 
1.18 	medical facilities;
1.19 	(2) requiring providers to implement commercially available computer mapping 
1.20 	programs to calculate mileage for purposes of reimbursement;
1.21 	(3) restricting special transportation service from being provided solely for trips 
1.22 	to pharmacies;
1.23 	(4) modifying eligibility for special transportation;
1.24 	(5) expanding alternatives to the use of special transportation services;
2.1 	(6) improving the process of certifying persons as eligible for special transportation 
2.2 	services; and
2.3 	(7) examining the feasibility and benefits of licensing special transportation 
2.4 	providers.
2.5 	The commissioner shall present recommendations for changes in the eligibility 
2.6 	criteria and potential cost-savings for special transportation services to the chairs and 
2.7 	ranking minority members of the house and senate committees having jurisdiction over 
2.8 	health and human services spending by January 15, 2004. Beginning July 1, 2008, 
2.9 	the commissioner is prohibited from using a broker or coordinator to manage special 
2.10 	transportation services until July 1, 2006, except for the purposes of checking for recipient 
2.11 	eligibility, authorizing recipients for appropriate level of transportation, and monitoring 
2.12 	provider compliance with Minnesota Statutes, section 256B.0625, subdivision 17. The 
2.13 	commissioner shall not amend the initial contract to broker or manage nonemergency 
2.14 	medical transportation to extend beyond two consecutive years. The commissioner shall 
2.15 	not enter into a broker or management contract for transportation services which denies a 
2.16 	medical assistance recipient the free choice of health service provider, including a special 
2.17 	transportation provider, as specified in Code of Federal Regulations, title 42, section 
2.18 	431.51. This prohibition does not apply also applies to the purchase or management of 
2.19 	common carrier transportation access transportation services.

2.20 	EFFECTIVE DATE. This section is effective July 1, 2008.