1.1 	A bill for an act
1.2 	relating to human services; requiring the commissioner of human services to 
1.3 	develop an integration plan for the provision of services to families and children 
1.4 	under state-administered health care programs.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. INTEGRATION PLAN FOR STATE-ADMINISTERED HEALTH 
1.7 	CARE PROGRAMS.
 1.8 		Subdivision 1.Required submittal. The commissioner of human services shall 
1.9 	present to the legislature, by January 15, 2007, an implementation plan and draft 
1.10 	legislation to integrate the delivery of services under state-administered health care 
1.11 	programs to eligible enrollees.
1.12 		Subd. 2.Definitions. (a) For purposes of this section, the following definitions 
1.13 	apply. 
1.14 	(b) "Eligible enrollees" means:  
1.15 	(1) medical assistance enrollees who are eligible for that program on a families and 
1.16 	children basis, and who do not meet a basis of eligibility as age 65 or older, blind, or 
1.17 	disabled; 
1.18 	(2) all MinnesotaCare enrollees;
1.19 	(3) general assistance medical care enrollees who are eligible for that program under 
1.20 	Minnesota Statutes, section 256D.03, subdivision 3, paragraph (a), clause (2); and
1.21 	(4) individuals covered under a plan of health coverage offered under Minnesota 
1.22 	Statutes, chapter 62E.
1.23 	(c) "State-administered health care program" means: medical assistance, including 
1.24 	medical assistance without federal financial participation; MinnesotaCare; general 
2.1 	assistance medical care; and coverage provided through the Minnesota Comprehensive 
2.2 	Health Association under Minnesota Statutes, chapter 62E.
2.3 		Subd. 3.Plan requirements. The integration plan and draft legislation must: 
2.4 	(1) provide for a common benefit set, that may differ from the benefit set provided 
2.5 	to individuals who are aged, blind, or disabled under the separate state-administered 
2.6 	health care programs; 
2.7 	(2) establish income and asset standards and other eligibility criteria that in the 
2.8 	aggregate do not increase state costs above the costs that would otherwise be projected 
2.9 	were eligible enrollees to remain in separate state-administered health care programs. The 
2.10 	commissioner shall consider but is not required to adopt uniform standards and criteria for 
2.11 	eligible enrollees; 
2.12 	(3) require eligible enrollees to pay premiums based on a sliding scale; 
2.13 	(4) require eligible enrollees to pay cost-sharing for nonpreventive services on a 
2.14 	sliding scale; 
2.15 	(5) provide for streamlined administration that reduces state and county 
2.16 	administrative costs; 
2.17 	(6) establish procedures to ensure continuity of care for persons who transition out 
2.18 	of the integrated program on the basis of turning age 65 or becoming blind or disabled; 
2.19 	(7) identify any federal approvals and waivers necessary to implement the 
2.20 	integration plan; and 
2.21 	(8) identify state costs and savings that would result from implementation of the plan.
2.22 		Subd. 4.Federal coordination. In developing the integration plan, the 
2.23 	commissioner shall consider, but is not required to incorporate into the plan, requirements 
2.24 	that are consistent with the state options for benefit package and cost-sharing flexibility 
2.25 	contained in the federal Deficit Reduction Act of 2005 (S. 1932).