1.1    .................... moves to amend the first committee engrossment to H. F. No. 297
1.2as follows:
1.3Page 220, after line 26 insert:

1.4    "Sec. .... Minnesota Statutes 2006, section 256B.69, subdivision 28, is amended to read:
1.5    Subd. 28. Medicare special needs plans; medical assistance basic health care.
1.6    (a) The commissioner may contract with qualified Medicare-approved special needs
1.7plans to provide medical assistance basic health care services to persons with disabilities,
1.8including those with developmental disabilities. Basic health care services include:
1.9    (1) those services covered by the medical assistance state plan except for ICF/MR
1.10services, home and community-based waiver services, case management for persons with
1.11developmental disabilities under section 256B.0625, subdivision 20a, and personal care
1.12and certain home care services defined by the commissioner in consultation with the
1.13stakeholder group established under paragraph (d); and
1.14    (2) basic health care services may also include risk for up to 100 days of nursing
1.15facility services for persons who reside in a noninstitutional setting and home health
1.16services related to rehabilitation as defined by the commissioner after consultation with
1.17the stakeholder group.
1.18    The commissioner may exclude other medical assistance services from the basic
1.19health care benefit set. Enrollees in these plans can access any excluded services on the
1.20same basis as other medical assistance recipients who have not enrolled.
1.21    Unless a person is otherwise required to enroll in managed care, enrollment in these
1.22plans for Medicaid services must be voluntary. For purposes of this subdivision, automatic
1.23enrollment with an option to opt out is not voluntary enrollment.
1.24    (b) Beginning January 1, 2007, the commissioner may contract with qualified
1.25Medicare special needs plans to provide basic health care services under medical
1.26assistance to persons who are dually eligible for both Medicare and Medicaid and those
1.27Social Security beneficiaries eligible for Medicaid but in the waiting period for Medicare.
2.1The commissioner shall consult with the stakeholder group under paragraph (d) (e) in
2.2developing program specifications for these services. The commissioner shall report to
2.3the chairs of the house and senate committees with jurisdiction over health and human
2.4services policy and finance by February 1, 2007, on implementation of these programs and
2.5the need for increased funding for the ombudsman for managed care and other consumer
2.6assistance and protections needed due to enrollment in managed care of persons with
2.7disabilities. Payment for Medicaid services provided under this subdivision for the months
2.8of May and June will be made no earlier than July 1 of the same calendar year.
2.9    (c) Beginning January 1, 2008, the commissioner may expand contracting under this
2.10subdivision to all persons with disabilities not otherwise required to enroll in managed
2.12    (d) By February 1, 2009, the commissioner shall report to the chairs of the house and
2.13senate committees with jurisdiction over health and human services policy and finance on
2.14the initial results of implementation of contracts with qualified Medicare special needs
2.15plans to provide basic health care services under medical assistance to persons who are
2.16dually eligible for both Medicare and Medicaid. This report shall include an overall
2.17assessment of the impact on quality of care including actual costs and benefits.
2.18    (e) The commissioner shall establish a state-level stakeholder group to provide
2.19advice on managed care programs for persons with disabilities, including both MnDHO
2.20and contracts with special needs plans that provide basic health care services as described
2.21in paragraphs (a) and (b). The stakeholder group shall include representatives of the
2.22counties and labor organizations representing county social service workers, members,
2.23consumer advocates, and providers, and provide advice on program expansions under this
2.24subdivision and subdivision 23, including:
2.25    (1) implementation efforts;
2.26    (2) consumer protections; and
2.27    (3) program specifications such as quality assurance measures, data collection and
2.28reporting, and evaluation of costs, quality, and results.; and
2.29    (4) county safety net protections for persons with disabilities.
2.30    (e) (f) Each plan under contract to provide medical assistance basic health care
2.31services shall establish a local or regional stakeholder group, including representatives
2.32of the counties covered by the plan and labor organizations representing county social
2.33service workers, members, consumer advocates, and current providers, for advice on
2.34issues that arise in the local or regional area."
2.35Renumber the sections in sequence and correct the internal references
2.36Amend the title accordingly