1.1 	A bill for an act
1.2 	relating to human services; requiring the commissioner of human services to 
1.3 	establish a dental home pilot project; specifying project criteria; requiring a report; 
1.4 	appropriating money.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. DENTAL HOME PILOT PROJECT.
 1.7 		Subdivision 1.Establishment; requirements. (a) The commissioner of human services 
1.8 	shall establish a dental home pilot project to increase access of medical assistance and 
1.9 	MinnesotaCare enrollees to dental care, improve patient experience, and improve oral health 
1.10 	clinical outcomes, in a manner that sustains the financial viability of the dental workforce 
1.11 	and broader dental care delivery and financing system. Dental homes must provide 
1.12 	high-quality, patient-centered, comprehensive, and coordinated oral health services across 
1.13 	clinical and community-based settings, including virtual oral health care.
1.14 	(b) The design and operation of the dental home pilot project must be consistent with 
1.15 	the recommendations made by the Dental Services Advisory Committee to the legislature 
1.16 	under Laws 2021, First Special Session chapter 7, article 1, section 33.
1.17 	(c) The commissioner shall establish baseline requirements and performance measures 
1.18 	for dental homes participating in the pilot project. These baseline requirements and 
1.19 	performance measures must address access and patient experience and oral health clinical 
1.20 	outcomes.
1.21 		Subd. 2.Project design and timeline. (a) The commissioner shall issue a preliminary 
1.22 	project description and a request for information to obtain stakeholder feedback and input 
1.23 	on project design issues, including but not limited to:
2.1 	(1) the timeline for project implementation;
2.2 	(2) the length of each project phase and the date for full project implementation;
2.3 	(3) the number of providers to be selected for participation;
2.4 	(4) grant amounts;
2.5 	(5) criteria and procedures for any value-based payments;
2.6 	(6) the extent to which pilot project requirements may vary with provider characteristics;
2.7 	(7) procedures for data collection;
2.8 	(8) the role of dental partners, such as dental professional organizations and educational 
2.9 	institutions;
2.10 	(9) provider support and education; and
2.11 	(10) other topics identified by the commissioner.
2.12 	(b) The commissioner shall consider the feedback and input obtained in paragraph (a) 
2.13 	and shall develop and issue a request for proposals for participation in the pilot project.
2.14 	(c) The pilot project must be implemented by July 1, 2024, and must include initial pilot 
2.15 	testing and the collection and analysis of data on baseline requirements and performance 
2.16 	measures to evaluate whether these requirements and measures are appropriate. Under this 
2.17 	phase, the commissioner shall provide grants to individual providers and provider networks 
2.18 	in addition to medical assistance and MinnesotaCare payments received for services provided.
2.19 	(d) The pilot project may test and analyze value-based payments to providers to determine 
2.20 	whether varying payments based on dental home performance measures is appropriate and 
2.21 	effective.
2.22 	(e) The commissioner shall ensure provider diversity in selecting project participants. 
2.23 	In selecting providers, the commissioner shall consider: geographic distribution; provider 
2.24 	size, type, and location; providers serving different priority populations; health equity issues; 
2.25 	and provider accessibility for patients with varying levels and types of disability.
2.26 	(f) In designing and implementing the pilot project, the commissioner shall regularly 
2.27 	consult with project participants and other stakeholders, and as relevant shall continue to 
2.28 	seek the input of participants and other stakeholders on the topics listed in paragraph (a).
2.29 		Subd. 3.Reporting. (a) The commissioner, beginning February 15, 2024, and each 
2.30 	February 15 thereafter for the duration of the demonstration project, shall report on the 
2.31 	design, implementation, operation, and results of the demonstration project to the chairs 
3.1 	and ranking minority members of the legislative committees with jurisdiction over health 
3.2 	care finance and policy.
3.3 	(b) The commissioner, within six months from the date the pilot project ceases operation, 
3.4 	shall report to the chairs and ranking minority members of the legislative committees with 
3.5 	jurisdiction over health care finance and policy on the results of the demonstration project, 
3.6 	and shall include in the report recommendations on whether the demonstration project, or 
3.7 	specific features of the demonstration project, should be extended to all dental providers 
3.8 	serving medical assistance and MinnesotaCare enrollees.

3.9 	Sec. 2. APPROPRIATION.
 3.10 	$....... in fiscal year 2024 and $....... in fiscal year 2025 are appropriated from the general 
3.11 	fund to the commissioner of human services to establish and evaluate the dental home pilot 
3.12 	project. The general fund base for this appropriation is $....... in fiscal year 2026, $....... in 
3.13 	fiscal year 2027, $....... in fiscal year 2028, and $0 in fiscal year 2029.