Legislative Session number- 84

Bill Name: SF1837

1E Modifying certain provisions under the medical assistance (MA), general
assistance medical care and MinnesotaCare programs; eliminating the requirement
for prepaid health plans to notify the ombudsman upon the filing of complaints
relating to denial of services; expanding the definition of third party payer
under the medical assistance program to entities under contract with recipients
to cover medical costs; authorizing the reduction of excess assets for medical
assistance eligibility purposes; modifying the monthly deadline for recipient
spenddown payments and clarifying the reporting requirements for recipients
receiving fixed unearned, excluded or fluctuating low income; providing for the
determination of the period of eligibility before application; requiring and
providing for notice to the department of human services of monetary claims
against persons, entities or corporations liable for medical care costs;
expanding medical assistance eligibility for pregnant women; clarifying the
exemption from the medical assistance prepayment demonstration project for
persons enrolled in cost effective individual health plans; providing GAMC
eligibility for individuals refusing to provide a social security number for
medical assistance purposes due to religious objections; defining gross
individual or gross family income under the MinnesotaCare program and requiring
the commissioner of human services to use reasonable methods to calculate gross
earned and unearned income; requiring individuals and families applying for
MinnesotaCare coverage to provide social security numbers, exempting persons
refusing due to religious objections; requiring application for other benefits
to be eligible for MinnesotaCare; modifying the effective date of coverage for
persons added to families receiving covered health services and for eligibility
upon renewal; modifying MinnesotaCare eligibility for certain children; creating
an exception to the exclusion of health insurance paid for by medical assistance
from the four month requirement; providing for reenrollment of members of the
military voluntarily disenrolling due to active duty; requiring determination of
the sliding fee scale for premiums payment purposes to be based on the age of
monthly gross income; limiting cost liability of the department of human
services for persons prevailing in certain actions; requiring the comissioner to
develop a planning process to implement an additional managed care arrangement
to provide medical assistance services to recipients enrolled in the medical
assistance fee for service program, excluding continuing care services and
requiring an advisory committee and the seeking of federal funds; requiring the
commissioners of health and commerce in consultation with the commissioner of
employee relations (DOER) to convene a work group to study health plan coverage
of routine care associated with clinical trials, requiring use of the cancer
only model voluntary agreement as a starting point for discussions and for the
establishment of voluntary agreement guidelines for coverage of costs incurred
in all high quality clinical trials, specifying certain work group membership
representation requirements and requiring a report to the legislature by a
certain date; requiring the commissioner of human services to allow certain
exceptions to exceed the state set budget formula for the consumer directed
community supports option for home and community based waiver programs for
persons with developmental disabilities under certain county of financial
responsibility determination conditions, expenses allowed to include costs
associated with physical activities to maintain or improve health and
functioning, waiver amendment requirement, requiring the commissioner to include
in the independent evaluation of the option for persons with disabilities under
a certain age ongoing regular participation by stakeholder representatives,
recommendations for changes to unallowable items and a review of the statewide
caseload changes for disability waiver programs occurring since implementation
of the state set budget methodology and report to the legislature by a certain
date
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