1.1                          A bill for an act
  1.2             relating to trusts; defining a nonprofit health care 
  1.3             trust; establishing requirements for certain 
  1.4             agreements or transactions between nonprofit health 
  1.5             care trusts and for-profit corporations or entities; 
  1.6             amending Minnesota Statutes 1996, section 317A.811, 
  1.7             subdivision 6; proposing coding for new law in 
  1.8             Minnesota Statutes, chapter 501B. 
  1.9   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.10     Section 1.  Minnesota Statutes 1996, section 317A.811, 
  1.11  subdivision 6, is amended to read: 
  1.12     Subd. 6.  [EXCEPTION.] Subdivisions 1 to 4 do not apply 
  1.13  to:  (1) a merger with, consolidation into, or transfer of 
  1.14  assets to an organization exempt under section 501(c)(3) of the 
  1.15  Internal Revenue Code of 1986, or any successor section; or (2) 
  1.16  an agreement or transaction for which the attorney general has 
  1.17  been given notice under section 501B.453.  A corporation that is 
  1.18  exempt under clause (1) of this subdivision shall send a copy of 
  1.19  the certificate of merger or certificate of consolidation and 
  1.20  incorporation to the attorney general. 
  1.21     Sec. 2.  [501B.451] [DEFINITIONS.] 
  1.22     Subdivision 1.  [APPLICABILITY.] The following definitions 
  1.23  apply to sections 501B.451 to 501B.455. 
  1.24     Subd. 2.  [COMMISSIONER.] "Commissioner" means the 
  1.25  commissioner of health. 
  1.26     Subd. 3.  [NONPROFIT HEALTH CARE TRUST.] "Nonprofit health 
  1.27  care trust" means a nonprofit or publicly owned hospital 
  2.1   licensed under sections 144.50 to 144.56. 
  2.2      Subd. 4.  [NONCHARITABLE ENTITY.] "Noncharitable entity" 
  2.3   means any person or entity that is not: 
  2.4      (1) exempt under section 501(c)(3) of the Internal Revenue 
  2.5   Code of 1986, or any successor section; 
  2.6      (2) a health maintenance organization that possesses a 
  2.7   certificate of authority from the commissioner under section 
  2.8   62D.04; or 
  2.9      (3) a county, a city, or a political subdivision thereof. 
  2.10     Subd. 5.  [RELATED ORGANIZATION.] "Related organization" 
  2.11  has the meaning given in section 317A.011. 
  2.12     Sec. 3.  [501B.453] [NOTICE TO ATTORNEY GENERAL; WAITING 
  2.13  PERIOD.] 
  2.14     Subdivision 1.  [WRITTEN NOTICE REQUIRED.] A nonprofit 
  2.15  health care trust shall notify the attorney general in writing 
  2.16  prior to closing an agreement or transaction that would: 
  2.17     (1) sell, transfer, lease, exchange, option, convey, or 
  2.18  otherwise dispose of 50 percent or more of its assets or 
  2.19  operations, or 50 percent or more of the assets or operations of 
  2.20  a related organization, to a noncharitable entity; or 
  2.21     (2) sell, transfer, lease, exchange, option, convey, or 
  2.22  otherwise dispose of any of its assets or operations or any of 
  2.23  the assets or operations of a related organization, if the 
  2.24  transaction would result in a noncharitable entity or entities 
  2.25  owning or controlling 50 percent or more of the assets or 
  2.26  operations of the nonprofit health care trust or 50 percent or 
  2.27  more of the assets or operations of a related organization; or 
  2.28     (3) result in a noncharitable entity or entities having 
  2.29  control or governance of, or the power to direct management and 
  2.30  policies of, the nonprofit health care trust, or of a related 
  2.31  organization. 
  2.32     Subd. 2.  [CONTENTS OF WRITTEN NOTICE.] The written notice 
  2.33  required by subdivision 1 shall include: 
  2.34     (1) the name and address of the nonprofit health care 
  2.35  trust; 
  2.36     (2) the name and address of the noncharitable entity; 
  3.1      (3) the name and address of any other parties to the 
  3.2   agreement or transaction; 
  3.3      (4) the terms of the proposed agreement or transaction, 
  3.4   including proposed sale price; 
  3.5      (5) a copy of the proposed agreement or transaction; and 
  3.6      (6) information on whether a financial or economic analysis 
  3.7   or report from an independent expert or consultant has been 
  3.8   prepared concerning (1) the degree to which the agreement or 
  3.9   transaction serves the public interest or (2) the fair market 
  3.10  value of the nonprofit health care trust. 
  3.11     Subd. 3.  [TRANSACTIONS BETWEEN RELATED ORGANIZATIONS.] The 
  3.12  notice requirements of this section do not apply to agreements 
  3.13  or transactions between related organizations. 
  3.14     Subd. 4.  [DATA CLASSIFICATION.] The written notice 
  3.15  required by this section shall be classified as confidential 
  3.16  data under section 13.02, subdivision 3, for data on 
  3.17  individuals, or protected nonpublic data under section 13.02, 
  3.18  subdivision 13, for data not on individuals.  However, the 
  3.19  attorney general may make the written notice required by this 
  3.20  section accessible to the public if the attorney general 
  3.21  determines that public access would be in the public interest.  
  3.22  The attorney general shall give the nonprofit health care trust 
  3.23  five business days prior notice of its determination to make the 
  3.24  notice accessible to the public, after which time the attorney 
  3.25  general may make the data accessible to the public unless the 
  3.26  nonprofit health care trust (1) obtains a district court order 
  3.27  prohibiting the data from being made available to the public; or 
  3.28  (2) withdraws its notice.  Upon notification by the attorney 
  3.29  general of a determination to make a written notice accessible 
  3.30  to the public, the nonprofit health care trust may request an 
  3.31  extension of up to ten additional business days to consider 
  3.32  whether to seek a district court order or withdraw its notice.  
  3.33  Any extension of time granted by the attorney general shall 
  3.34  extend the maximum waiting period allowed by subdivision 6.  If 
  3.35  the nonprofit health care trust withdraws its notice, it shall 
  3.36  not consummate the proposed transaction or agreement unless it 
  4.1   files a new notice containing the information required by 
  4.2   subdivision 2 and otherwise complies with the requirements of 
  4.3   sections 501B.451 to 501B.455. 
  4.4      Subd. 5.  [INVESTIGATION; OTHER INFORMATION.] After 
  4.5   receiving notice under this section, the attorney general may 
  4.6   investigate the transaction in accordance with sections 501B.40 
  4.7   and 8.31 and may require the nonprofit health care trust and the 
  4.8   noncharitable entity to provide any additional information 
  4.9   relevant to the attorney general's review of the proposed 
  4.10  agreement or transaction. 
  4.11     Subd. 6.  [RESTRICTION ON TRANSFERS.] Subject to 
  4.12  subdivision 7, a nonprofit health care trust shall not transfer 
  4.13  or convey any assets or control through an agreement or 
  4.14  transaction described in subdivision 1 until 45 days after it 
  4.15  has given the written notice required by subdivision 1, unless 
  4.16  the attorney general waives all or part of the waiting period. 
  4.17     Subd. 7.  [EXTENSION OF WAITING PERIOD.] The attorney 
  4.18  general may extend the waiting period under subdivision 6 for 
  4.19  one additional 60-day period by notifying the nonprofit health 
  4.20  care trust in writing of the extension before the end of the 
  4.21  initial waiting period.  The attorney general shall notify the 
  4.22  commissioner if the waiting period is extended under this 
  4.23  subdivision. 
  4.24     Subd. 8.  [ADDITIONAL REQUIREMENTS RELATED TO CHARITABLE 
  4.25  TRUSTS.] The requirements of sections 501B.451 to 501B.455 are 
  4.26  in addition to any other requirements that may apply to a 
  4.27  nonprofit health care trust under sections 501B.33 to 501B.45. 
  4.28     Sec. 4.  [501B.455] [REVIEW BY THE ATTORNEY GENERAL.] 
  4.29     Subdivision 1.  [ATTORNEY GENERAL REVIEW.] Upon receipt of 
  4.30  a written notice from a nonprofit health care trust under 
  4.31  section 501B.453, the attorney general, in consultation with the 
  4.32  commissioner, may review the proposed agreement or transaction 
  4.33  to determine whether consummation of the proposed agreement or 
  4.34  transaction by the nonprofit health care trust is consistent 
  4.35  with the fiduciary obligations of the nonprofit health care 
  4.36  trust and its officers and directors and in accordance with 
  5.1   law.  The attorney general, in evaluating the agreement or 
  5.2   transaction, may consider, but is not limited to a consideration 
  5.3   of, the following factors: 
  5.4      (1) whether appropriate steps have been taken by the 
  5.5   nonprofit health care trust to safeguard restricted assets 
  5.6   transferred to the noncharitable entity and to assure that any 
  5.7   proceeds of the agreement or transaction are used for charitable 
  5.8   purposes consistent with restrictions placed on assets of the 
  5.9   nonprofit health care trust and with the purposes of the 
  5.10  nonprofit health care trust; 
  5.11     (2) whether the terms and conditions of the agreement or 
  5.12  transaction are fair and reasonable to the nonprofit health care 
  5.13  trust, including whether the nonprofit health care trust will 
  5.14  receive fair market value for its assets; 
  5.15     (3) whether any conflicts of interest exist and were 
  5.16  disclosed, including, but not limited to, conflicts of interest 
  5.17  related to directors and officers of, executives of, and experts 
  5.18  retained by the nonprofit health care trust, the noncharitable 
  5.19  entity, and other parties to the agreement or transaction; and 
  5.20     (4) whether the agreement or transaction will result in 
  5.21  inurement, pecuniary gain, or excess benefit to any officers, 
  5.22  directors, members, health care providers, managers, or other 
  5.23  persons or entities associated with the nonprofit health care 
  5.24  trust. 
  5.25     Subd. 2.  [REVIEW PROCESS.] For the purpose of evaluating 
  5.26  the factors identified in subdivision 1, the attorney general 
  5.27  may, in the attorney general's sole discretion: 
  5.28     (1) retain such experts as the administration of sections 
  5.29  501B.451 to 501B.455 may require; and 
  5.30     (2) obtain public comment regarding the agreement or 
  5.31  transaction. 
  5.32     If the attorney general intends to seek reimbursement from 
  5.33  the nonprofit health care trust for the cost of experts retained 
  5.34  under this subdivision, the attorney general shall give five 
  5.35  business days' prior notice to the nonprofit health care trust 
  5.36  of the costs projected to be incurred.  If the nonprofit health 
  6.1   care trust objects to paying these costs, it may seek a district 
  6.2   court order limiting its liability for the costs.  In 
  6.3   determining whether to issue an order limiting the nonprofit 
  6.4   health care trust's liability for such costs, the court shall 
  6.5   consider whether such experts are required and their cost 
  6.6   relative to the value of the proposed agreement or transaction. 
  6.7      Subd. 3.  [PAYMENT OF EXPERT COSTS.] A nonprofit health 
  6.8   care trust proposing to enter into, or entering into, an 
  6.9   agreement or transaction for which notice to the attorney 
  6.10  general is required under section 501B.453, shall pay the 
  6.11  reasonable costs of experts retained by the attorney general 
  6.12  about which it received prior notice pursuant to subdivision 2.  
  6.13  These payments shall be deposited in the general fund.  The 
  6.14  commissioner of finance shall reimburse the attorney general for 
  6.15  all costs for which such payments are received from a nonprofit 
  6.16  health care trust. 
  6.17     Subd. 4.  [ATTORNEY GENERAL MAY BRING PROCEEDINGS.] The 
  6.18  attorney general may bring proceedings to secure compliance with 
  6.19  sections 501B.451 to 501B.455.  In addition, if the attorney 
  6.20  general determines that consummation of the proposed transaction 
  6.21  or agreement would not be consistent with the fiduciary 
  6.22  obligations of the nonprofit health care trust and its officers 
  6.23  and directors or would not be in accordance with law, the 
  6.24  attorney general may bring proceedings to enjoin the 
  6.25  consummation of the proposed transaction or agreement or to 
  6.26  secure any other relief available under sections 501B.41, 
  6.27  317A.813, and 8.31, or any other applicable statute or law. 
  6.28     Subd. 5.  [EFFECT.] Failure of the attorney general to take 
  6.29  action on an agreement or transaction described in section 
  6.30  501B.453 does not constitute approval of the transaction and 
  6.31  does not prevent the attorney general from taking other action.  
  6.32  Nothing in sections 501B.451 to 501B.455 shall be construed to 
  6.33  limit the authority of the attorney general, the commissioner, 
  6.34  any other government official or entity, or the courts with 
  6.35  respect to the supervision and oversight of nonprofit 
  6.36  corporations and charitable trusts. 
  7.1      Sec. 5.  [EFFECTIVE DATE.] 
  7.2      Sections 1 to 4 are effective the day following final 
  7.3   enactment.