1.1 	A bill for an act
1.2 	relating to human services; exempting level I trauma centers from a payment rate 
1.3 	reduction;amending Minnesota Statutes 2012, section 256.969, subdivision 3c.
1.4 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.5 	Section 1. Minnesota Statutes 2012, section 256.969, subdivision 3c, is amended to read:
1.6 		Subd. 3c.Rateable reduction and readmissions reduction. (a) The total payment 
1.7 	for fee for service admissions occurring on or after September 1, 2011, through June 30, 
1.8 	2015, made to hospitals for inpatient services before third-party liability and spenddown, 
1.9 	is reduced ten percent from the current statutory rates. Facilities defined under subdivision 
1.10 	16, long-term hospitals as determined under the Medicare program, children's hospitals 
1.11 	whose inpatients are predominantly under 18 years of age, facilities designated as level I 
1.12 	trauma centers under section 144.605, and payments under managed care are excluded 
1.13 	from this paragraph.
1.14 	(b) Effective for admissions occurring during calendar year 2010 and each year 
1.15 	after, the commissioner shall calculate a regional readmission rate for admissions to all 
1.16 	hospitals occurring within 30 days of a previous discharge. The commissioner may 
1.17 	adjust the readmission rate taking into account factors such as the medical relationship, 
1.18 	complicating conditions, and sequencing of treatment between the initial admission and 
1.19 	subsequent readmissions.
1.20 	(c) Effective for payments to all hospitals on or after July 1, 2013, through June 30, 
1.21 	2015, the reduction in paragraph (a) is reduced one percentage point for every percentage 
1.22 	point reduction in the overall readmissions rate between the two previous calendar years 
1.23 	to a maximum of five percent.

2.1 	EFFECTIVE DATE. This section is effective July 1, 2013.