Legislative Session number- 85

Bill Name: SF3780

1E Relating to health care

ARTICLE 1 - PUBLIC HEALTH

Providing for a statewide
health improvement program, providing for local community grants, outcomes,
technical assistance, oversight and evaluation; requiring the commissioner to
submit a biennial report to the legislature on the statewide health improvement
program; requiring community health boards and tribal governments to use funds
received to develop new programs, expand current programs to reduce the
percentage of obese or overweight or who use tobacco; prohibiting funds from
being used to supplant current state or local funding to community health boards
or tribal governments

ARTICLE 2 - HEALTH CARE HOMES

Defining certain terms;
requiring the commissioners of health and human services to develop and
implement standards of certification for health care homes for state health care
programs by a certain date; specifying requirements of clinicians certified as
health care homes; providing for alternative models; requiring the commissioners
to establish a health care home collaborative by a certain date; requiring
evaluation and continued development; providing for outreach; requiring the
commissioner of human to report annually to the legislature on the
implementation and administration of the health care home model for state health
care program enrollees in the fee for service, managed care and county based
purchasing sectors by a certain date; requiring the commissioner human services
in coordination with the commissioner of health to develop a payment system to
provide per person care coordination payments to health care homes for providing
care coordination services and directly managing on site or employing care
coordinators, providing for implementation and cost neutrality; requiring the
commissioner of human services to implement quality incentive payments by a
certain date for all enrollees in stet health care programs consistent with
relevant state and federal statute and rule; requiring the commissioner of human
services to use the information and methods to develop a payment reform system;
requiring the commissioner of health in consultation with the health licensing
boards and professional associations to study changes necessary in health
professional licensure and regulation to ensure full utilization of advanced
practice registered nurses, physicians assistants and other licensed health care
professionals in the health care home and primary delivery system

ARTICLE 3 -
INCREASING ACCESS; CONTINUITY OF CARE

Requiring each school participating in
the federal school lunch program to electronically send to the department of
education the eligibility information on each child eligible for the free and
reduced lunch program; requiring for the department of education to enter into
an agreement with the department of humans services to share the eligibility
information; requiring the commissioner to make state health care program
applications and renewals available on the web site of the department in the
most common foreign languages; modifying the incentive program to include
licensed insurance producers; modifying provisions requiring school districts to
provide information to students on the availability of health care coverage
through state health care programs; providing for seamless coverage for
MinnesotaCare eligible children; increasing the gross income cap for
MinnesotaCare eligibility for families with children; increasing the income
threshold for single adults and households with no children for eligibility
determination purposes; modifying provisions for renewal of eligibility;
modifying provisions relating to persons disenrolled for nonpayment of premiums;
modifying sliding fee scale provisions; requiring the commissioner of human
services automation and coordination for state health care programs, requiring a
report to the legislature by a certain date; requiring the commissioner of human
services to study and report to the legislature by a certain date with
recommendations for a rate increase to long term care employers dedicated to the
purchase of employee health insurance in the private market; repealing the
MinnesotaCare premium for low income children

ARTICLE 4 - HEALTH INSURANCE
PURCHASING AND AFFORDABILITY REFORM

Requiring health insurance benefit plans
offered in the commissioner plan and the managerial plan to include an option
for a health plan that is compatible with the definition of a high deductible
health plan; requiring hospitals and health care providers implementing an
interoperable health records system within their hospital or clinical practice
to use an electronic health record certified by the certification commission for
healthcare information technology; establishing an electronic prescription drug
program, requiring prescribers and dispensers to use the NCPDP SCRIPT standard
for the communication of a prescription or prescription related information,
establishing certain requirements and standards for prescribing; defining
certain terms; requiring the commissioner of health to develop a standardized
set of measures by which to assess the quality of health care service offered by
health care providers; requiring the commissioner to develop a system of quality
incentive payments for quality incentive payments and quality transparency;
authorizing the commissioner to contract with a private entity or consortium of
private entities; requiring health plan companies to include health care homes
in provider networks by a certain date and pay a coordination fee for members
choosing to enroll in health care homes certified by the commissioners of health
and humans services by a certain date; requiring the commissioner of health to
develop a plan to create transparent prices, encourage grater provider
innovation and collaboration across points on the health care continuum in cost
effective, high quality care delivery, reduce the administrative burden on
providers and health plans, providing for the calculation of health care costs
and quality, providing for a provider peer grouping system for providers based
on a measure incorporating both provider risk adjusted cost of care and quality
of care for specific conditions; requiring all health plan companies and third
party administrators to submit encounter data and pricing data to a private
entity designated by the commissioner; authorizing the commissioner to contract
with a private entity or consortium to develop the standards; requiring the
commissioner of health to convene a work group to develop strategies for
engaging consumers in understanding the importance of health care costs and
improve quality; authorizing provider innovation to reduce health care costs and
improve quality; specifying commissioner of finance uses of information;
requiring the commissioner of health to establish uniform definitions for
baskets of care; authorizing health care providers to establish package prices
by a certain date; requiring the commissioner to establish quality measurements
for the defined baskets of care by a certain date; requiring the commissioner to
ensure the activities and data collection are implemented in an integrated and
coordinated manner to avoid unnecessary duplication of effort; requiring the
commissioner of health to submit to the legislative commission of health care
access periodic progress reports on implementation, providing for expedited
rulemaking; requiring certain employers to offer employee section 125 plans,
specifying employer requirements, providing for employer incentives; requiring
the commissioner of health to convene a work group to make recommendations on
the design of a health benefit set to provide a coverage for a broad range of
services and technologies, specifying duties and requiring a report to the
commissioner by a certain date and a report to the legislature by a certain
date; creating the health care reform review council, specifying membership and
operations; requiring the commissioner of health to establish a work group to
make recommendations on the potential for reducing claims adjudication costs of
health care providers and health plan companies by adopting more uniform payment
methods; requiring the commissioner of health in coordination with the
commissioner of human services to develop a health care affordability proposal
for eligible individuals and employees with access to employer subsidized health
coverage and with gross family incomes of a certain percentage of the federal
poverty guidelines and report to the legislature by a certain date

ARTICLE 5 -
APPROPRIATIONS

Providing a summary of appropriations; appropriating money to
the department of human services for children and economic assistance
operations, for basic health care grants including MinnesotaCare grants,
seamless coverage for MinnesotaCare eligible children, MA basic health care
grants for families and children, for health care management, including health
care policy administration, for department of education computer system, health
care homes, health care operations, for incentive program and outreach grant; to
the commissioner of health for community and family health promotion, health
care homes, policy, quality and compliance, open door health center, community
benefit standards and the federally qualified health centers, section 125
employer incentives, the commissioner of revenue and the commissioner of finance
for health insurance premium credits; specifying sunset of uncodified
language
(ra)