1.1 	A bill for an act
1.2 	relating to health; requiring quarterly case mix classification assessments for 
1.3 	reimbursement purposes;amending Minnesota Statutes 2004, sections 144.0724, 
1.4 	subdivision 4; 256B.438, subdivision 4.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2004, section 144.0724, subdivision 4, is amended to 
1.7 	read:
1.8 		Subd. 4.Resident assessment schedule. (a) A facility must conduct and 
1.9 	electronically submit to the commissioner of health case mix assessments that conform 
1.10 	with the assessment schedule defined by Code of Federal Regulations, title 42, section  
1.11 	483.20, and published by the United States Department of Health and Human Services, 
1.12 	Centers for Medicare and Medicaid Services, in the Long Term Care Assessment 
1.13 	Instrument User's Manual, version 2.0, October 1995, and subsequent clarifications made 
1.14 	in the Long-Term Care Assessment Instrument Questions and Answers, version 2.0, 
1.15 	August 1996. The commissioner of health may substitute successor manuals or question 
1.16 	and answer documents published by the United States Department of Health and Human 
1.17 	Services, Centers for Medicare and Medicaid Services, to replace or supplement the 
1.18 	current version of the manual or document. 
1.19 	(b) The assessments used to determine a case mix classification for reimbursement 
1.20 	include the following:
1.21 	(1) a new admission assessment must be completed by day 14 following admission;
1.22 	(2) an annual assessment must be completed within 366 days of the last 
1.23 	comprehensive assessment;
2.1 	(3) a significant change assessment must be completed within 14 days of the 
2.2 	identification of a significant change; and
2.3 	(4) the first, second, or third quarterly assessment following either a new admission 
2.4 	assessment, an annual assessment, or a significant change assessment. Each quarterly 
2.5 	assessment must be completed within 92 days of the previous assessment.

2.6 	EFFECTIVE DATE. This section is effective October 1, 2007.

2.7 	Sec. 2. Minnesota Statutes 2004, section 256B.438, subdivision 4, is amended to read:
2.8 		Subd. 4.Resident assessment schedule. (a) Nursing facilities shall conduct and 
2.9 	submit case mix assessments according to the schedule established by the commissioner 
2.10 	of health under section  144.0724, subdivisions 4 and 5. 
2.11 	(b) The resident reimbursement classifications established under section  144.0724, 
2.12 	subdivision 3, shall be effective the day of admission for new admission assessments. The 
2.13 	effective date for significant change assessments shall be the assessment reference date. 
2.14 	The effective date for annual and second all quarterly assessments shall be the first day of 
2.15 	the month following assessment reference date. 

2.16 	EFFECTIVE DATE. This section is effective October 1, 2007.