1.1                          A bill for an act 
  1.2             relating to human services; changing provisions in the 
  1.3             medical assistance demonstration project; adding 
  1.4             requirements for the prepaid medical assistance and 
  1.5             prepaid general assistance medical programs; amending 
  1.6             Minnesota Statutes 2000, section 256B.69, subdivision 
  1.7             2; Minnesota Statutes 2001 Supplement, section 
  1.8             256B.692, subdivision 2. 
  1.9   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.10     Section 1.  Minnesota Statutes 2000, section 256B.69, 
  1.11  subdivision 2, is amended to read: 
  1.12     Subd. 2.  [DEFINITIONS.] For the purposes of this section, 
  1.13  the following terms have the meanings given.  
  1.14     (a) "Commissioner" means the commissioner of human services.
  1.15  For the remainder of this section, the commissioner's 
  1.16  responsibilities for methods and policies for implementing the 
  1.17  project will be proposed by the project advisory committees and 
  1.18  approved by the commissioner.  
  1.19     (b) "Demonstration provider" means a health maintenance 
  1.20  organization, community integrated service network, county-based 
  1.21  purchasing entity, or accountable provider network authorized 
  1.22  and operating under chapter 62D, 62N, or 62T or section 256B.692 
  1.23  that participates in the demonstration project according to 
  1.24  criteria, standards, methods, and other requirements established 
  1.25  for the project and approved by the commissioner.  
  1.26  Notwithstanding the above, Itasca county may continue to 
  1.27  participate as a demonstration provider ~~until July 1, 2002~~. 
  2.1      (c) "Eligible individuals" means those persons eligible for 
  2.2   medical assistance benefits as defined in sections 256B.055, 
  2.3   256B.056, and 256B.06. 
  2.4      (d) "Limitation of choice" means suspending freedom of 
  2.5   choice while allowing eligible individuals to choose among the 
  2.6   demonstration providers.  
  2.7      (e) This paragraph supersedes paragraph (c) as long as the 
  2.8   Minnesota health care reform waiver remains in effect.  When the 
  2.9   waiver expires, this paragraph expires and the commissioner of 
  2.10  human services shall publish a notice in the State Register and 
  2.11  notify the revisor of statutes.  "Eligible individuals" means 
  2.12  those persons eligible for medical assistance benefits as 
  2.13  defined in sections 256B.055, 256B.056, and 256B.06.  
  2.14  Notwithstanding sections 256B.055, 256B.056, and 256B.06, an 
  2.15  individual who becomes ineligible for the program because of 
  2.16  failure to submit income reports or recertification forms in a 
  2.17  timely manner, shall remain enrolled in the prepaid health plan 
  2.18  and shall remain eligible to receive medical assistance coverage 
  2.19  through the last day of the month following the month in which 
  2.20  the enrollee became ineligible for the medical assistance 
  2.21  program. 
  2.22     Sec. 2.  Minnesota Statutes 2001 Supplement, section 
  2.23  256B.692, subdivision 2, is amended to read: 
  2.24     Subd. 2.  [DUTIES OF THE COMMISSIONER OF HEALTH.] (a) 
  2.25  Notwithstanding chapters 62D and 62N, a county that elects to 
  2.26  purchase medical assistance and general assistance medical care 
  2.27  in return for a fixed sum without regard to the frequency or 
  2.28  extent of services furnished to any particular enrollee is not 
  2.29  required to obtain a certificate of authority under chapter 62D 
  2.30  or 62N.  The county board of commissioners is the governing body 
  2.31  of a county-based purchasing program.  In a multicounty 
  2.32  arrangement, the governing body is a joint powers board 
  2.33  established under section 471.59.  
  2.34     (b) A county that elects to purchase medical assistance and 
  2.35  general assistance medical care services under this section must 
  2.36  satisfy the commissioner of health that the requirements for 
  3.1   assurance of consumer protection, provider protection, and 
  3.2   fiscal solvency of chapter 62D, applicable to health maintenance 
  3.3   organizations, or chapter 62N, applicable to community 
  3.4   integrated service networks, will be met.  
  3.5      (c) A county must also assure the commissioner of health 
  3.6   that the requirements of sections 62J.041; 62J.48; 62J.71 to 
  3.7   62J.73; 62M.01 to 62M.16; all applicable provisions of chapter 
  3.8   62Q, including sections 62Q.075; 62Q.1055; 62Q.106; 62Q.12; 
  3.9   62Q.135; 62Q.14; 62Q.145; 62Q.19; 62Q.23, paragraph (c); 62Q.43; 
  3.10  62Q.47; 62Q.50; 62Q.52 to 62Q.56; 62Q.58; 62Q.64; 62Q.68 to 
  3.11  62Q.72; and 72A.201 will be met.  
  3.12     (d) ~~All enforcement and rulemaking powers available under~~ 
  3.13  ~~chapters 62D, 62J, 62M, 62N, and 62Q are hereby granted to the~~ 
  3.14  ~~commissioner of health with respect to counties that purchase~~ 
  3.15  ~~medical assistance and general assistance medical care services~~ 
  3.16  ~~under this section.~~  The commissioner of health, in 
  3.17  collaboration with counties and the office of the state auditor, 
  3.18  will develop standards to ensure that counties that purchase 
  3.19  medical assistance and general assistance medical care services 
  3.20  under this section meet the consumer protection, provider 
  3.21  protection, and fiscal solvency of paragraphs (b) and (c). 
  3.22     (e) The commissioner, in consultation with county 
  3.23  government, ~~shall~~ must develop mutually agreeable administrative 
  3.24  and financial reporting requirements for county-based purchasing 
  3.25  programs relating to sections 62D.03, 62D.04, 62D.041, 62D.042, 
  3.26  62D.045, 62D.06, 62D.08, 62N.28, 62N.29, and 62N.31, and other 
  3.27  sections as necessary, that are specific to county 
  3.28  administrative, accounting, and reporting systems and consistent 
  3.29  with other statutory requirements of counties.