1.1                          A bill for an act 
  1.2             relating to human services; modifying the per capita 
  1.3             payment for county-based purchasing; amending 
  1.4             Minnesota Statutes 1998, section 256B.692, subdivision 
  1.5             4.  
  1.6   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.7      Section 1.  Minnesota Statutes 1998, section 256B.692, 
  1.8   subdivision 4, is amended to read: 
  1.9      Subd. 4.  [PAYMENTS TO COUNTIES.] Notwithstanding section 
  1.10  256B.69, subdivision 5, the commissioner shall pay counties that 
  1.11  are purchasing or providing health care under this section 
  1.12  a prospective per capita payment for all enrolled recipients for 
  1.13  a period of no less than two years following the implementation 
  1.14  date of county-based purchasing for that county.  Payments shall 
  1.15  not exceed payments that otherwise would have been paid to 
  1.16  health plans under medical assistance and general assistance 
  1.17  medical care for that county or region.  This payment is in 
  1.18  addition to any administrative allocation to counties for 
  1.19  education, enrollment, and advocacy.  The state of Minnesota and 
  1.20  the United States Department of Health and Human Services are 
  1.21  not liable for any costs incurred by a county that exceed the 
  1.22  payments to the county made under this subdivision.  A county 
  1.23  whose costs exceed the payments made by the state, or any 
  1.24  affected enrollees or creditors of that county, shall have no 
  1.25  rights under chapter 61B or section 62D.181.  A county may 
  2.1   assign risk for the cost of care to a third party.