Bill Text: MN HF2845 | 2013-2014 | 88th Legislature | Introduced
Bill Title: Medicaid waiver requests and state plan amendments public comment period required, federally qualified health centers and rural health clinics exempted from payment limits for Medicare crossover claims, and money appropriated for subsidies to federally qualified health centers.
Sponsorship: Slight Partisan Bill (Democrat 3-1)
Status: (Introduced - Dead) 2014-03-10 - Authors added Allen and Moran [HF2845 Detail]
Download: Minnesota-2013-HF2845-Introduced.html
1.2relating to human services; requiring a public comment period for Medicaid
1.3waiver requests and state plan amendments; exempting federally qualified health
1.4centers and rural health clinics from payment limits for Medicare crossover
1.5claims; appropriating money for subsidies to federally qualified health centers;
1.6amending Minnesota Statutes 2012, sections 256B.04, by adding a subdivision;
1.7256B.0625, subdivision 57.
1.8BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.9 Section 1. Minnesota Statutes 2012, section 256B.04, is amended by adding a
1.10subdivision to read:
1.11 Subd. 24. Medicaid waiver requests and state plan amendments. Prior to
1.12submitting any Medicaid waiver request or Medicaid state plan amendment to the federal
1.13government for approval, the commissioner shall publish the text of the waiver request
1.14or state plan amendment, or a Web link to the text, in the State Register, and provide a
1.1530-day public comment period. The commissioner shall consider public comments when
1.16preparing the final waiver request or state plan amendment that is to be submitted to
1.17the federal government for approval. The commissioner shall also publish in the State
1.18Register notice of any federal decision related to the state request for approval, within 30
1.19days of the decision. This notice must describe any modifications to the state request that
1.20have been agreed to by the commissioner as a condition of receiving federal approval.
1.21 Sec. 2. Minnesota Statutes 2012, section 256B.0625, subdivision 57, is amended to read:
1.22 Subd. 57. Payment for Part B Medicare crossover claims. (a) Effective for
1.23services provided on or after January 1, 2012, medical assistance payment for an enrollee's
1.24cost-sharing associated with Medicare Part B is limited to an amount up to the medical
2.1assistance total allowed, when the medical assistance rate exceeds the amount paid by
2.2Medicare.
2.3(b) Excluded from this limitation are payments for mental health services and
2.4payments for dialysis services provided to end-stage renal disease patients. The exclusion
2.5for mental health services does not apply to payments for physician services provided by
2.6psychiatrists and advanced practice nurses with a specialty in mental health.
2.7(c) Excluded from this limitation are payments to federally qualified health centers
2.8and rural health clinics. Medical assistance payments to these providers shall equal the
2.9difference between the provider rate specified in United States Code, title 42, section
2.101396a(bb), and the amount paid by Medicare.
2.11 Sec. 3. COMMUNITY HEALTH CENTER SUBSIDIES.
2.12$2,000,000 for fiscal year 2015 is appropriated from the general fund to the
2.13commissioner of health to provide subsidies to federally qualified health centers under
2.14Minnesota Statutes, section 145.9269. This appropriation is in addition to existing funding
2.15for that purpose, and shall become part of the base funding for the subsidy program.
1.3waiver requests and state plan amendments; exempting federally qualified health
1.4centers and rural health clinics from payment limits for Medicare crossover
1.5claims; appropriating money for subsidies to federally qualified health centers;
1.6amending Minnesota Statutes 2012, sections 256B.04, by adding a subdivision;
1.7256B.0625, subdivision 57.
1.8BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.9 Section 1. Minnesota Statutes 2012, section 256B.04, is amended by adding a
1.10subdivision to read:
1.11 Subd. 24. Medicaid waiver requests and state plan amendments. Prior to
1.12submitting any Medicaid waiver request or Medicaid state plan amendment to the federal
1.13government for approval, the commissioner shall publish the text of the waiver request
1.14or state plan amendment, or a Web link to the text, in the State Register, and provide a
1.1530-day public comment period. The commissioner shall consider public comments when
1.16preparing the final waiver request or state plan amendment that is to be submitted to
1.17the federal government for approval. The commissioner shall also publish in the State
1.18Register notice of any federal decision related to the state request for approval, within 30
1.19days of the decision. This notice must describe any modifications to the state request that
1.20have been agreed to by the commissioner as a condition of receiving federal approval.
1.21 Sec. 2. Minnesota Statutes 2012, section 256B.0625, subdivision 57, is amended to read:
1.22 Subd. 57. Payment for Part B Medicare crossover claims. (a) Effective for
1.23services provided on or after January 1, 2012, medical assistance payment for an enrollee's
1.24cost-sharing associated with Medicare Part B is limited to an amount up to the medical
2.1assistance total allowed, when the medical assistance rate exceeds the amount paid by
2.2Medicare.
2.3(b) Excluded from this limitation are payments for mental health services and
2.4payments for dialysis services provided to end-stage renal disease patients. The exclusion
2.5for mental health services does not apply to payments for physician services provided by
2.6psychiatrists and advanced practice nurses with a specialty in mental health.
2.7(c) Excluded from this limitation are payments to federally qualified health centers
2.8and rural health clinics. Medical assistance payments to these providers shall equal the
2.9difference between the provider rate specified in United States Code, title 42, section
2.101396a(bb), and the amount paid by Medicare.
2.11 Sec. 3. COMMUNITY HEALTH CENTER SUBSIDIES.
2.12$2,000,000 for fiscal year 2015 is appropriated from the general fund to the
2.13commissioner of health to provide subsidies to federally qualified health centers under
2.14Minnesota Statutes, section 145.9269. This appropriation is in addition to existing funding
2.15for that purpose, and shall become part of the base funding for the subsidy program.
