1.1.................... moves to amend H.F. No. 802, the second engrossment, as follows:
1.2Page 6, lines 4, 5, and 6, delete the new language
1.3Page 7, line 7, before the period, insert "
or subdivision 28"
1.4Page 10, lines 10, 22, 25, and 28, reinstate the stricken language
1.5Page 11, after line 20, insert:
1.6 "
(e) For purposes of paragraphs (a) and (b), participation in the general assistance
1.7medical care program applies only to pharmacy providers."
1.8Page 13, line 19, delete "
the day following final enactment" and insert "
60 days
1.9after federal approval"
1.10Page 13, line 23, before "
intergovernmental" insert "
voluntary"
1.11Page 13, line 29, delete "
Fairview University Medical Center" and insert "
University
1.12of Minnesota Medical Center - Fairview and SMDC Medical Center"
1.13Page 14, lines 9, 18, and 21, before "
intergovernmental" insert "
voluntary"
1.14Page 14, line 12, delete "
an" and insert "
a voluntary"
1.15Page 14, after line 24, insert:
1.16 "Sec. 10. Minnesota Statutes 2008, section 256B.69, subdivision 20, is amended to
1.17read:
1.18 Subd. 20.
Ombudsperson. The commissioner shall designate an ombudsperson
1.19to advocate for persons required to enroll in prepaid health plans under this section. The
1.20ombudsperson shall advocate for recipients enrolled in prepaid health plans through
1.21complaint and appeal procedures and ensure that necessary medical services are provided
1.22either by the prepaid health plan directly or by referral to appropriate social services. At
1.23the time of enrollment in a prepaid health plan, the local agency shall inform recipients
1.24about the ombudsperson program and their right to a resolution of a complaint by the
1.25prepaid health plan if they experience a problem with the plan or its providers.
1.26 (b) The commissioner shall designate an ombudsperson to advocate for persons
1.27enrolled in a coordinated care delivery system under section 256D.031, subdivision 6. The
2.1ombudsperson shall advocate for recipients enrolled in a coordinated care delivery system
2.2through the state appeal process, and assist enrollees in accessing necessary medical
2.3services through the coordinated care delivery system directly or by referral to appropriate
2.4services. At the time of enrollment in a coordinated care delivery system, the local agency
2.5shall inform recipients about the ombudsperson program."
2.6Page 14, delete line 24
2.7Page 14, line 34, delete "
will" and insert "
shall" and before the period, insert "
and
2.8funded under section 256D.031, subdivision 9, beginning June 1, 2010"
2.9Page 15, line 1, after "
(b)" insert "
Outpatient prescription"
2.10Page 15, line 7, before "
Prescription" insert "
Outpatient"
2.11Page 18, after line 28, insert:
2.12 "
(c) Outpatient prescription drug coverage does not include drugs administered in a
2.13clinic or other outpatient setting."
2.14Page 20, delete subdivision 2a
2.15Page 22, line 14, before the period, insert "
, unless a change that affects eligibility is
2.16reported"
2.17Page 22, line 15, delete "
individuals" and insert "
recipients who continue to meet
2.18the eligibility requirements of this section"
2.19Page 23, line 20, after "
(c)" insert "
Outpatient prescription" and delete the second
2.20comma and insert a period
2.21Page 23, delete line 21
2.22Page 23, line 24, after the comma, insert "
and $1 per generic drug prescription,"
2.23Page 24, line 9, delete everything after "
prescription" and insert "
drugs covered
2.24under section 256D.03, subdivision 3, provided on or after April 1, 2010,"
2.25Page 24, line 11, delete "
subdivision 13e" and insert "
subdivisions 13 to 13g"
2.26Page 24, line 21, delete "
an" and insert "
a clinic or other"
2.27Page 24, line 24, delete "
emergency ground ambulance" and insert "
medical"
2.28Page 24, line 26, before "
drugs" insert "
prescription" and delete "
an" and insert
2.29"
a clinic or other"
2.30Page 24, line 28, delete "
subdivisions 7 and 9" and insert "
section 256D.03,
2.31subdivision 3, and funded under subdivision 9"
2.32Page 24, line 33, delete "
2007" and insert "
2008"
2.33Page 25, line 10, before the period, insert "
statewide"
2.34Page 25, line 13, after the period, insert "
The commissioner shall consider a
2.35recipient's zip code, city of residence, county of residence, or distance from a participating
3.1coordinated care delivery system when determining default assignment. An applicant or
3.2recipient may decline enrollment in a coordinated care delivery system."
3.3Page 25, line 14, delete "
enrollee" and insert "
recipient"
3.4Page 25, line 18, delete "
An individual" and insert "
A recipient who continues to
3.5meet the eligibility requirements of this section"
3.6Page 25, line 20, delete "
enrollees" and insert "
recipients"
3.7Page 25, line 29, delete "
of the system's enrollees" and insert "
recipient enrolled
3.8in the system"
3.9Page 26, line 7, delete "
an enrollee" and insert "
a recipient"
3.10Page 26, line 8, delete "
that is certified as a health care home under section
3.11256B.0751"
3.12Page 26, line 11, delete "
an enrollee" and insert "
a recipient"
3.13Page 26, line 14, delete "
an enrollee of" and insert "
a recipient enrolled in"
3.14Page 26, line 15, after the period, insert "
For purposes of this section, emergency
3.15services are defined in accordance with Code of Federal Regulations, title 42, section
3.16438.114(a)."
3.17Page 26, line 16, delete "
An enrollee of" and insert "
A recipient enrolled in"
3.18Page 26, line 22, delete "
enrollee" and insert "
recipient"
3.19Page 26, line 23, delete "
through" and insert "
by"
3.20Page 26, after line 25, insert:
3.21 "
(j) Effective June 1, 2010, the provisions of section 256.9695, subdivision 2,
3.22paragraph (b) do not apply to general assistance medical care provided under this section."
3.23Page 26, line 25, after the period, insert "
The commissioner must provide this data to
3.24the legislature on a quarterly basis."
3.25Page 26, line 31, delete everything before "
June" and insert "
in quarterly payments,
3.26beginning on the first scheduled warrant on or after"
3.27Page 26, line 34, delete "
2007" and insert "
2008"
3.28Page 27, line 1, delete everything after the period
3.29Page 27, delete line 2
3.30Page 27, line 3, delete everything before the period and insert "
The commissioner
3.31may prospectively reallocate payments to participating hospitals on a biannual basis to
3.32ensure that final allocations reflect actual coordinated care delivery system enrollment"
3.33and delete "
2007" and insert "
2008"
3.34Page 27, line 13, delete everything after "
coverage" and insert "
is provided in
3.35accordance with section 256D.03, subdivision 3, and paid on a fee-for-service basis under
3.36subdivision 9"
4.1Page 27, delete lines 14 and 15
4.2Page 27, line 22, delete "
enrollee" and insert "
recipient"
4.3Page 27, line 34, delete "
a" and insert "
an outpatient"
4.4Page 27, line 36, delete "
providers for" and insert "
pharmacy service providers
4.5as defined in Minnesota Rules, part 9505.0340, for the covered outpatient" and delete
4.6"
enrollees," and insert "
recipients. Payment for drugs shall be"
4.7Page 28, line 1, after "
to" insert "
the rates established in" and after the period,
4.8insert "
Outpatient"
4.9Page 28, line 7, delete "
that in the"
4.10Page 28, delete lines 8 and 9
4.11Page 28, line 10, delete everything before the comma and insert "
equal to 20 percent
4.12of payments for the prescribed drugs for recipients of services through that coordinated
4.13care delivery system"
4.14Page 29, delete section 14 and insert:
4.15 "Sec. 14. Minnesota Statutes 2008, section 256L.05, subdivision 3c, is amended to
4.16read:
4.17 Subd. 3c.
Retroactive coverage. Notwithstanding subdivision 3, the effective
4.18date of coverage shall be the first day of the month following termination from medical
4.19assistance
or general assistance medical care for families and individuals who are eligible
4.20for MinnesotaCare and who submitted a written request for retroactive MinnesotaCare
4.21coverage with a completed application within 30 days of the mailing of notification of
4.22termination from medical assistance
or general assistance medical care. The applicant
4.23must provide all required verifications within 30 days of the written request for
4.24verification. For retroactive coverage, premiums must be paid in full for any retroactive
4.25month, current month, and next month within 30 days of the premium billing.
General
4.26assistance medical care recipients may qualify for retroactive coverage under this
4.27subdivision at six-month renewal."
4.28Page 29, lines 5 to 8, strike the old language and delete the new language
4.29Page 29, line 9, delete "
April 1, 2010" and insert "
January 1, 2011"
4.30Page 29, line 23, strike everything after "(c)"
4.31Page 29, lines 24 to 26, strike the old language and delete the new language
4.32Page 29, line 32, delete "
April 1, 2010" and insert "
January 1, 2011"
4.33Page 30, delete sections 15 and 16
4.34Page 31, delete section 20 and insert:
4.35 "Sec. 23.
REPEALER.
5.1(a) Minnesota Statutes 2008, sections 256.742; 256.979, subdivision 8; and 256D.03,
5.2subdivision 9, are repealed.
5.3(b) Minnesota Statutes 2009 Supplement, section 256D.03, subdivision 4, is
5.4repealed.
5.5(c) Minnesota Statutes 2008, section 256B.195, subdivisions 4 and 5, are repealed
5.6effective for federal fiscal year 2010.
5.7(d) Minnesota Statutes 2009 Supplement, section 256B.195, subdivisions 1, 2, and
5.83, are repealed effective for federal fiscal year 2010.
5.9(e) Minnesota Statutes 2008, sections 256L.05, subdivision 1b; 256L.07, subdivision
5.106; 256L.15, subdivision 4; and 256L.17, subdivision 7, are repealed January 1, 2011."
5.11Page 31, after line 22, insert:
5.12 "Sec. 17.
TRANSITIONAL MINNESOTACARE PHASEOUT.
5.13 For any applicant or recipient who meets the requirements of Minnesota Statutes,
5.14section 256D.03, subdivision 3, paragraph (d), before April 1, 2010, and who are not
5.15exempt under Minnesota Statutes, section 256D.03, subdivision 3, paragraph (f), the
5.16commissioner of human services shall continue the process of enrolling the recipient in
5.17MinnesotaCare as required under Minnesota Statutes 2009 supplement, section 256D.03,
5.18subdivision 3, paragraph (d), and, upon the completion of enrollment, the recipient shall
5.19receive services under MinnesotaCare in accordance with Minnesota Statutes, section
5.20256L.03. County agencies shall continue to perform all duties necessary to administer the
5.21MinnesotaCare program ongoing for individuals enrolled in MinnesotaCare according
5.22to Minnesota Statutes 2009 Supplement, section 256D.03, subdivision 3, paragraph (d),
5.23including the redetermination of MinnesotaCare eligibility at renewal.
5.24EFFECTIVE DATE.This section is effective April 1, 2010."
5.25Page 32, line 23, delete "
(7,517,000)" and insert "
(7,985,000)" and delete
5.26"
(69,393,000)" and insert "
(93,128,000)"
5.27Page 32, line 27, delete "
(42,324,000)" and insert "
(42,792,000)" and delete
5.28"
(187,886,000)" and insert "
(211,621,000)"
5.29Page 33, delete line 14 and insert:
5.30
|
"(a) MinnesotaCare Grants
|
|
(42,792,000)
|
|
(211,621,000)
|
5.31This appropriation reduction is from the
5.32health care access fund."
5.33Page 33, delete lines 15 and 16
5.34Renumber the sections in sequence and correct the internal references
5.35Amend the title accordingly