Bill Text: MN SF706 | 2013-2014 | 88th Legislature | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Health care delivery networks pilot programs for Hennepin and Ramsey counties modification
Sponsorship: Partisan Bill (Democrat 2)
Status: (Introduced - Dead) 2013-03-05 - Comm report: To pass as amended and re-refer to Finance [SF706 Detail]
Download: Minnesota-2013-SF706-Introduced.html
Bill Title: Health care delivery networks pilot programs for Hennepin and Ramsey counties modification
Sponsorship: Partisan Bill (Democrat 2)
Status: (Introduced - Dead) 2013-03-05 - Comm report: To pass as amended and re-refer to Finance [SF706 Detail]
Download: Minnesota-2013-SF706-Introduced.html
1.2relating to human services; modifying pilot programs for health care delivery
1.3networks;amending Minnesota Statutes 2012, section 256B.0756.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2012, section 256B.0756, is amended to read:
1.6256B.0756 HENNEPIN AND RAMSEY COUNTIES PILOT PROGRAM.
1.7(a) The commissioner, upon federal approval of a new waiver request or amendment
1.8of an existing demonstration, may establish a pilot program in Hennepin County or Ramsey
1.9County, or both, to test alternative and innovative integrated health care delivery networks.
1.10(b) Individuals eligible for the pilot program shall be individuals who are eligible for
1.11medical assistance under section 256B.055, subdivision 15, and who reside in Hennepin
1.12County or Ramsey County.
1.13(c) Individuals enrolled in the pilot program shall be enrolled in an integrated
1.14health care delivery network in their county of residence. The integrated health care
1.15delivery network in Hennepin County shall be a network, such as an accountable care
1.16organization or a community-based collaborative care network, created by or including
1.17Hennepin County Medical Center. The integrated health care delivery network in Ramsey
1.18County shall be a network, such as an accountable care organization or community-based
1.19collaborative care network, created by or including Regions Hospital.
1.20(d) The commissioner shall cap pilot program enrollment at 7,000 enrollees for
1.21Hennepin County and 3,500 enrollees for Ramsey County.
1.22(e) (d) In developing a payment system for the pilot programs, the commissioner
1.23shall establish a total cost of care for the recipients enrolled in the pilot programs that
2.1equals the cost of care that would otherwise be spent for these enrollees in the prepaid
2.2medical assistance program.
2.3(f) Counties may transfer funds necessary to support the nonfederal share of
2.4payments for integrated health care delivery networks in their county. Such transfers per
2.5county shall not exceed 15 percent of the expected expenses for county enrollees.
2.6(g) (e) The commissioner shall apply to the federal government for, or as appropriate,
2.7cooperate with counties, providers, or other entities that are applying for any applicable
2.8grant or demonstration under the Patient Protection and Affordable Health Care Act, Public
2.9Law 111-148, or the Health Care and Education Reconciliation Act of 2010, Public Law
2.10111-152, that would further the purposes of or assist in the creation of an integrated health
2.11care delivery network for the purposes of this subdivision, including, but not limited to, a
2.12global payment demonstration or the community-based collaborative care network grants.
1.3networks;amending Minnesota Statutes 2012, section 256B.0756.
1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
1.5 Section 1. Minnesota Statutes 2012, section 256B.0756, is amended to read:
1.6256B.0756 HENNEPIN AND RAMSEY COUNTIES PILOT PROGRAM.
1.7(a) The commissioner, upon federal approval of a new waiver request or amendment
1.8of an existing demonstration, may establish a pilot program in Hennepin County or Ramsey
1.9County, or both, to test alternative and innovative integrated health care delivery networks.
1.10(b) Individuals eligible for the pilot program shall be individuals who are eligible for
1.11medical assistance under section 256B.055
1.12County or Ramsey County.
1.13(c) Individuals enrolled in the pilot program shall be enrolled in an integrated
1.14health care delivery network in their county of residence. The integrated health care
1.15delivery network in Hennepin County shall be a network, such as an accountable care
1.16organization or a community-based collaborative care network, created by or including
1.17Hennepin County Medical Center. The integrated health care delivery network in Ramsey
1.18County shall be a network, such as an accountable care organization or community-based
1.19collaborative care network, created by or including Regions Hospital.
1.20
1.21
1.22
1.23shall establish a total cost of care for the recipients enrolled in the pilot programs that
2.1equals the cost of care that would otherwise be spent for these enrollees in the prepaid
2.2medical assistance program.
2.3
2.4
2.5
2.6
2.7cooperate with counties, providers, or other entities that are applying for any applicable
2.8grant or demonstration under the Patient Protection and Affordable Health Care Act, Public
2.9Law 111-148, or the Health Care and Education Reconciliation Act of 2010, Public Law
2.10111-152, that would further the purposes of or assist in the creation of an integrated health
2.11care delivery network for the purposes of this subdivision, including, but not limited to, a
2.12global payment demonstration or the community-based collaborative care network grants.
