1.1 	A bill for an act
1.2 	relating to human services; requiring the commissioner of human services to 
1.3 	implement a complementary and alternative medicine demonstration project to 
1.4 	provide integrated services to state health care program enrollees with neck and 
1.5 	back problems; requiring a report; appropriating money;proposing coding for 
1.6 	new law in Minnesota Statutes, chapter 256.
1.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8 	Section 1. [256.0122] COMPLEMENTARY AND ALTERNATIVE MEDICINE 
1.9 	DEMONSTRATION PROJECT.
1.10 		Subdivision 1.Establishment and implementation. The commissioner of 
1.11 	human services shall contract with an integrative medical management provider to 
1.12 	establish and implement a five-year demonstration project to improve the quality and 
1.13 	cost-effectiveness of care provided under medical assistance, general assistance medical 
1.14 	care, and MinnesotaCare to enrollees with neck and back problems.  The demonstration 
1.15 	project must maximize the use of complementary and alternative medicine-oriented 
1.16 	primary care providers, including but not limited to physicians and chiropractors.  The 
1.17 	demonstration project must be designed to significantly improve physical and mental 
1.18 	health for enrollees who present with neck and back problems while decreasing medical 
1.19 	treatment costs. The commissioner, through the integrative medical management provider, 
1.20 	shall deliver services through the demonstration project beginning July 1, 2010, or upon 
1.21 	federal approval, whichever is later.
1.22 		Subd. 2.RFP and project criteria. The commissioner of human services, in 
1.23 	consultation with the commissioner of health, shall develop and issue an RFP for the 
1.24 	demonstration project. The RFP must require the integrative management provider 
1.25 	selected to:
2.1 	(1) provide patient education, provider education, and enrollment training 
2.2 	components on health and lifestyle issues in order to promote enrollee responsibility for 
2.3 	health care decisions, enhance productivity, prepare enrollees to reenter the workforce, 
2.4 	and reduce future health care expenditures;
2.5 	(2) use high-quality and cost-effective integrated disease management that includes 
2.6 	the best practices of traditional and complementary alternative medicine;
2.7 	(3) incorporate holistic medical care, appropriate nutrition, exercise, medications, 
2.8 	and conflict resolution techniques;
2.9 	(4) include a provider education component that makes use of professional 
2.10 	organizations representing chiropractors, nurses, and other primary care providers 
2.11 	and provides appropriate educational materials and activities in order to improve the 
2.12 	integration of traditional medical care with licensed chiropractic services and other 
2.13 	alternative health care services and achieve program enrollment objectives;
2.14 	(5) demonstrate a proven record over at least five years of delivering cost-effective 
2.15 	care and reducing health care expenditures; and
2.16 	(6) provide to the commissioner the information and data necessary for the 
2.17 	commissioner to prepare the annual reports required under subdivision 5.
2.18 		Subd. 3.Enrollment. Enrollees from the program shall be selected by the 
2.19 	commissioner from current enrollees in the prepaid medical assistance, prepaid general 
2.20 	assistance medical care, and MinnesotaCare programs who have, or are determined 
2.21 	to be at significant risk of developing, neck and back problems.  Participation in the 
2.22 	demonstration project shall be voluntary.  The commissioner shall seek to enroll, over the 
2.23 	term of the demonstration project, ten percent of current and future state health care 
2.24 	program enrollees who have, or are determined to be at significant risk of developing, 
2.25 	neck and back problems.
2.26 		Subd. 4.Federal approval. The commissioner shall seek any federal waivers and 
2.27 	approvals necessary to implement the demonstration project.
2.28 		Subd. 5.Annual reports. The commissioner of human services, beginning 
2.29 	December 15, 2010, and each December 15 thereafter through December 15, 2014, 
2.30 	shall report annually to the legislature on the functional and mental improvements 
2.31 	of the populations served by the demonstration project, patient satisfaction, and the 
2.32 	cost-effectiveness of the program.  The reports must also include data on hospital 
2.33 	admissions, days in hospital, rates of outpatient surgery and other services, and drug 
2.34 	utilization.  The report due December 15, 2014, must include recommendations on whether 
2.35 	the demonstration project should be continued and expanded.

3.1 	Sec. 2. APPROPRIATION.
 3.2 	(a) $....... is appropriated from the general fund to the commissioner of human 
3.3 	services for the biennium beginning July 1, 2009, to implement Minnesota Statutes, 
3.4 	section 256.0122.
3.5 	(b) $....... of the allocation for health care administration for the prepaid medical 
3.6 	assistance program for the biennium beginning July 1, 2009, shall be transferred within 
3.7 	the Department of Human Services to implement Minnesota Statutes, section 256.0122.