Like many omnibus bills approved by committees this week, Friday’s vote on the omnibus health finance bill fell along party lines.
Following the 11-8 vote, HF2128, as amended, is on its way to the House Ways and Means Committee, where it is expected to be merged next week with the omnibus human services and early childhood bills.
“I’m extremely proud of this bill,” said Rep. Tina Liebling (DFL-Rochester), the bill sponsor. “… There’s a lot in this bill that’s to try to make our health system (better) and try to improve health equity in our state.”
One example she cited is additional coverage proposed under Medical Assistance to aid in health equity and improve the health of Minnesotans on public programs.
Rep. Joe Schomacker (R-Luverne) has numerous concerns, including unknown impacts on hospitals, trying to recapture savings in areas such as durable medical equipment, and some carve outs.
“At the same time that this bill raises some of the requirements and mandates for private health insurance, we exclude the state programs from doing that. So we start to hold ourselves at a lower standard overall as a state for insurance than what we do the private coverages,” he said.
An amendment unsuccessfully offered by Rep. Lisa Demuth (R-Cold Spring) would, in part, have provided $10 million to create the Greater Minnesota Dental Residency Grant Program whose focus would include educating and training dentists to serve outside the seven-county Twin Cities metropolitan area. An amendment from Rep. Glenn Gruenhagen (R-Glencoe) to increase a reimbursement rate for independent pharmacies was also rejected.
The bill checks in at $18.95 billion in spending for the biennium that begins July 1, 2021.
A joint target between the health and human services bills is $346.51 million above current base, including $154.93 million in health spending.
“This bill has so many good things in it,” said Rep. Kelly Morrison (DFL-Deephaven). “Telehealth has been a silver lining during the pandemic and the ability to continue to practice in that way is going to be a boon for patients and providers.”
In addition to calling for $27.63 million to expand telehealth coverage, the bill would add additional requirements for coverage of telehealth by private sector insurers, and modify Medical Assistance coverage of telehealth services to be consistent with changes made in private insurance coverage.
The American Telemedicine Association supports greater use of telemedicine, but would prefer the proposed telehealth definition be more technology neutral.
“State policies should not mandate which types of technologies are more appropriate than others or under which circumstances certain technological modalities may be used in the delivery of health care services,” wrote Public Policy Director Kyle Zebley.
Nonetheless, Rochelle Westlund, director of public policy for the Minnesota Association of Community Health Centers, generally supports the bill.
“A vast majority, 80%, of our patients are either uninsured or enrolled in a public health care program. … This flexibility enables our patients, who often suffer the impacts of health disparities, to continue to access care at their Community Health Center,” she wrote in a letter. “MNACHC requests that audio-only services continue as an effective strategy to address access barriers and ultimately, healthier communities.”
Other proposed new spending includes:
Lilly Melander, state policy and advocacy director for The Medical Alley Association, supports the postpartum extension, but would like to see it go for a full year. “Every woman, regardless of their background or location, should have access to equal maternal health and care services. The language included in this bill takes a strong step toward improving access to maternal and infant health,” she wrote.
[WATCH: Tuesday’s walk-through of the bill]
Proposed policy changes in the bill include: