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Health and Human Services Reform

EIGHTEENTH MEETING

2017-2018 Regular Session - March 07, 2017

STATE OF MINNESOTA EIGHTEENTH MEETING
HOUSE OF REPRESENTATIVES NINETIETH SESSION



HEATH AND HUMAN SERVICES REFORM COMMITTEE
MINUTES


Representative Schomacker, Chair of the Health and Human Services Reform Committee, called the meeting to order at 8:22 a.m. on Tuesday, March 7, 2017, in Room 200 of the State Office Building. A quorum was present.

The Committee Legislative Assistant noted the roll.

Members present:


SCHOMACKER, Joe, Chair
GRUENHAGEN, Glenn, Vice Chair
LIEBLING, Tina, Minority Lead
ALBRIGHT, Tony
ALLEN, Susan
BAKER, Dave
DEAN, Matt
FLANAGAN, Peggy
FRANSON, Mary
FREIBERG, Mike
KIEL, Deb
KOEGEL, Erin
KRESHA, Ron
LOHMER, Kathy
MCDONALD, Joe
MORAN, Rena
MURPHY, Erin
OLSON, Liz
PETERSON, Roz
QUAM, Duane
SANDSTEDE, Julie
THEIS, Tama

HF1414 (Hamilton) Complex patient population demonstration projects required, fee schedule for providers serving managed care enrollees established, final report on new payment methodologies required, health information technology grants and health care workforce pilot projects authorized, measures to assess health care quality and quality incentive payments to providers modified, and money appropriated.

Representative Schomacker moved HF1414 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Schomacker moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1414, as amended.

Michael Scandrett, Executive Director, Minnesota Health Care Safety Net Coalition;
Dr. David Satin, MD, University of Minnesota Department of Family Medicine and Community Health and family medicine Physician at Smiley’s Clinic.

Representative Schomacker renewed his motion that HF1414, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1714 (Hamilton) Working group and pilot programs to improve the implementation of youth sports concussion protocols and identify best practices for preventing and treating concussions established, and money appropriated.

Representative Schomacker moved HF1714 be recommended to be re-referred to the Committee on Education Innovation Policy.

Representative Schomacker moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1714, as amended.

Dr. Francis X. Shen, JD, PhD, Associate Professor, University of Minnesota Law School, Principal Investigator, University of Minnesota Grand Challenges Grant, “Toward a Minnesota Model for Brain Health in Youth Sports”;
Kayla Meyer, Undergraduate Student, Minnesota State University Mankato, Class of 2018, New Prague High School, Class of 2014, Member of New Prague Women’s Hockey Team;
Meredith Bassett, DPT, Minnesota Physical Therapy Association.

Representative Schomacker renewed his motion that HF1714, as amended, be recommended to be re-referred to the Committee on Education Innovation Policy. THE MOTION PREVAILED.

HF712 (Albright) Biological product substitution standards established, and definitions modified and added.

Representative Albright moved HF712 be recommended to be re-referred to the General Register.

Representative Albright moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF712, as amended.

Genevieve Plumadore, Vice President of Government Relations, Medical Alley;
Brad Jordan, PhD., Director, Biosimilar Policy, Global Regulatory Affairs and Safety at Amgen;
Cody Wiberg, Executive Director, MN Board of Pharmacy.

Representative Albright renewed his motion that HF712, as amended, be recommended to be re-referred to the General Register. THE MOTION PREVAILED.

HF808 (Zerwas) Early periodic screening, diagnosis, and treatment program allowed to cover stiripentol.

Representative Schomacker moved HF808 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Schomacker moved the DE1-1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF808, as amended.

Anne Henry, Disability Law Center, Minnesota Legal Aid;
Julie Marquardt, Director, Purchasing and Service Delivery, MN Department of Human Services.

Representative Schomacker renewed his motion that HF808, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1295 (Bennett) Patient registry established to collect data on cancer incidence among firefighters, and money appropriated.

Representative Schomacker moved HF1295 be recommended to be re-referred to the Committee on Civil Law.

Representative Schomacker moved the A17-DE amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1295, as amended.

Steve Shapira, former St. Paul Fire Captain, State Director of the Firefighter Cancer Support Network;
George Esbensen, Eden Prairie Fire Chief and President of the Minnesota State Fire Chief’s Association.

Representative Schomacker renewed his motion that HF1295, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1649 (Haley) Electronic service delivery documentation system established, and money appropriated.

Representative Schomacker moved HF1649 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Schomacker moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1649, as amended.

Kathy Messerli, Executive Director, Minnesota HomeCare Association.

Representative Schomacker renewed his motion that HF1649, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF815 (Kresha) Advanced practice registered nurses in primary care practice low retention rate study grant required, and money appropriated.

Representative Kresha moved HF815 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Testimony was heard regarding HF815.

Deborah Boehm, MPH, Nurse Practitioner.

Representative Kresha renewed his motion that HF815 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

Representative Schomacker called the meeting to recess at 9:59 a.m.

Representative Schomacker reconvened the meeting at 6:10 p.m.

Representative Schomacker moved that HF1714 be reconsidered. THE MOTION PREVAILED.

Representative Schomacker moved to reconsider HF1714, as amended. THE MOTION PREVAILED. Representative Schomacker moved that HF1714, as amended, be recommended to be re-referred to the Committee on Government Operations. THE MOTION PREVAILED.

HF139 (Knoblach) Child care assistance subsidy restrictions modified.

Representative Schomacker moved the Childcare Access and Affordability Subcommittee report on HF139 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Knoblach testified on the Childcare Access and Affordability Subcommittee report on HF139.

Representative Schomacker renewed his motion that the subcommittee report on HF139 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1166 (Backer) Rate setting analysis report required.

Representative Schomacker moved HF1166 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Schomacker moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1166, as amended.

Judy Marquardt, MN Hospital Association.

Representative Schomacker renewed his motion that HF1166, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1182 (Peterson) Parental contribution amounts for services for children with disabilities modified.

Representative Peterson moved HF1182 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Testimony was heard regarding HF1182.

Kelly Kausel, parent;
Lisa Juliar, parent;
Becky Miller, parent;
Steve Larson, Senior Policy Director, The Arc Minnesota.

Representative Peterson renewed her motion that HF1182 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF723 (Peterson) Child care assistance program maximum reimbursement rates modified, and money appropriated.

Representative Peterson moved HF723 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Peterson moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF723, as amended.

Clare Sanford, Kids Can’t Wait Coalition;
Leah Eby, Civic and Community Engagement Specialist, YWCA;
Jim Nicholie, Elders for Infants;
Cyndi Cunningham, licensed childcare provider.

Representative Peterson renewed her motion that HF723, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1583 (Peterson) Basic sliding fee child care funding priorities and allocation formula modified.

Representative Peterson moved HF1583 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Testimony was heard regarding HF1583.

Marti Fischbach, Director, Employment and Economic Assistance, Dakota County.

Representative Peterson renewed her motion that HF1583 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1422 (Franson) Child care status report to the legislature required.

Representative Franson moved HF1422 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Franson moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1422, as amended.

Hollee Saville, MACCP;
Julie Seydel, LCCPAC Legislative Representative;
Cyndi Cunningham, licensed childcare provider.

Representative Franson renewed her motion that HF1422, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF904 (Franson) Positive support strategy rule exemption provided.

Representative Franson moved HF904 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Testimony was heard regarding HF904.

Clare Sandford, Minnesota Child Care Association;
Chad Dunkley, CEO, New Horizon Academy;
Hollee Saville, MACCP;
Cyndi Cunningham, licensed childcare provider.

Representative Franson renewed her motion that HF904 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1458 (Franson) Child care provisions modified.

Representative Franson moved HF1458 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Franson moved the A1 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1458, as amended.

Melinda Hugdahl, MN Legal Aid, Kids Can’t Wait;
Bev Turner, Catholic Charities of St. Paul and Minneapolis;
Daniel Gumnit, CEO, People Serving People.

Representative Franson renewed her motion that HF1458, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1508 (Lucero) Child care licensing provisions modified, and reports required.

Representative Schomacker moved HF1508 be recommended to be re-referred to the Committee on Civil Law.

Representative Schomacker moved the A17-0139 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding HF1508, as amended.

Hollee Saville, MACCP;
Julie Seydel, LCCPAC Legislative Representative;
Reggie Wagner, Deputy Inspector General of Licensing, Department of Human Services;
Cyndi Cunningham, licensed childcare provider.

Representative Schomacker renewed his motion that HF1508, as amended, be recommended to be re-referred to the Committee on Civil Law. THE MOTION PREVAILED.

HF1402 (Allen) Crisis nursery service funding provided, and money appropriated.

Representative Allen moved HF1402 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Testimony was heard regarding HF1402.

Mary Pat Lee, Director, Greater Minneapolis Crisis Nursery;
Molly Kenney, Greater Minneapolis Crisis Nursery.

Representative Allen renewed her motion that HF1402 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1407 (Flanagan) Women-run cooperative child care businesses in low-income urban areas pilot program funding provided, reports required, and money appropriated.

Representative Flanagan moved HF1407 be recommended to be re-referred to the Committee on Jobs.

Testimony was heard regarding HF1407.

Elaine Wyatt, Executive Director, WomenVenture.

Representative Flanagan renewed her motion that HF1407 be recommended to be re-referred to the Committee on Jobs. THE MOTION PREVAILED.

HF1459 (Flanagan) Family child care licensors oversight and training required, and training curriculum development required.

Representative Flanagan moved HF1459 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Representative Flanagan testified on HF1459.

Representative Flanagan renewed her motion that HF1459 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF1410 (Baker) Child care business start-up and expansion grants provided, and money appropriated.

Representative Baker moved HF1410 be recommended to be re-referred to the Committee on Jobs.

Testimony was heard regarding HF1410.

Gayle Kelly, MN Head Start Association;
Clare Sanford, Minnesota Child Care Association.

Representative Baker renewed his motion that HF1410 be recommended to be re-referred to the Committee on Jobs. THE MOTION PREVAILED.

HF1311 (Quam) County licensing agencies required to offer and conduct exit interviews for family child care providers, and fix-it ticket alternative to a correction order authorized.

Representative Kresha moved the Childcare Access and Affordability Subcommittee report on HF1311 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Sarah Sunderman, House Research, gave an overview of the subcommittee report on HF1311.

Representative Kresha moved the A17-0131 amendment. THE AMENDMENT WAS ADOPTED.

Testimony was heard regarding the subcommittee report on HF1311, as amended.

Ariane Bromberg, Fmaily Child Care Inc. (FCCI), Olmsted County;
Barb Kyllo, licensed childcare provider;
Jennifer Bestgen, licensed childcare provider;
Reggie Wagner, Deputy Inspector General of Licensing, Department of Human Services.

Representative Quam moved that the subcommittee report on HF1311, as amended, be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

HF604 (Quam) Hands Off Child Care Act adopted.

Representative Quam moved HF604 be recommended to be re-referred to the Committee on Health and Human Services Finance.

Testimony was heard regarding HF604.

Hollee Saville, MACCP;
Julie Seydel, LCCPAC Legislative Representative;
Cyndi Cunningham, licensed childcare provider.

Representative Quam renewed his motion that HF604 be recommended to be re-referred to the Committee on Health and Human Services Finance. THE MOTION PREVAILED.

The meeting was adjourned at 9:49 p.m.





Representative Joe Schomacker, Chair



_______________________________________
Emily Richter, Committee Legislative Assistant
More Info On This Meeting..
Bills Added:
  • HF1414 (Hamilton) - Complex patient population demonstration projects required, fee schedule for providers serving managed care enrollees established, final report on new payment methodologies required, alternative performance measures established, health information technology grants authorized, measures to assess health care quality and quality incentive payments to providers modified, and money appropriated.
  • HF1714 (Hamilton) - Working group and pilot programs established to improve the implementation of youth sports concussion protocols and identify best practices for preventing and treating concussions, and money appropriated.
  • HF712 (Albright) - Biological product substitution standards established, and definitions modified and added.
  • HF808 (Zerwas) - Early periodic screening, diagnosis, and treatment program allowed to cover stiripentol.
  • HF1295 (Bennett) - Firefighter cancer incidence data collection required to be reported on the cancer surveillance system.
  • HF1166 (Backer) - Rate setting analysis report required.
  • HF1649 (Haley) - Electronic service delivery documentation system established, and money appropriated.
  • HF815 (Kresha) - Advanced practice registered nurses in primary care practice low retention rate study grant required, and money appropriated.
  • HF139 (Knoblach) - Child care assistance subsidy restrictions modified.
  • HF1182 (Peterson) - Parental contribution amounts for services for children with disabilities modified.
  • HF723 (Peterson) - Child care assistance program maximum reimbursement rates modified, and money appropriated.
  • HF1583 (Peterson) - Basic sliding fee child care funding priorities and allocation formula modified.
  • HF1402 (Allen) - Crisis nursery service funding provided, and money appropriated.
  • HF1407 (Flanagan) - Women-run cooperative child care businesses in low-income urban areas pilot program funding provided, reports required, and money appropriated.
  • HF1459 (Flanagan) - Family child care licensors oversight and training required, and training curriculum development required.
  • HF1410 (Baker) - Child care business start-up and expansion grants provided, and money appropriated.
  • HF1422 (Franson) - Child care licensing definition modified; child care correction order posting requirements modified; correction order quotas for child care licensing prohibited; child care license holders required to be informed of changes in statute, rule, federal law, regulation, and policy; and report to the legislature on the status of child care required.
  • HF1458 (Franson) - Child care provisions modified.
  • HF904 (Franson) - Positive support strategy rule exemption provided.
  • HF1508 (Lucero) - Child care licensing provisions modified, and reports required.
  • HF1311 (Quam) - County licensing agencies required to offer and conduct exit interviews for family child care providers, and fix-it ticket alternative to a correction order authorized.
  • HF604 (Quam) - Hands Off Child Care Act adopted.