.................... moves to amend H.F. No. 2614, the delete everything amendment
(H2614DE2) as follows:
Page 14, line 21, delete "2.5
" and insert "3.0
Page 14, line 23, delete "2.5
" and insert "3.0
Page 18, line 27, after the period, insert "Hospitals that, prior to December 31, 2007,
1.6received payment to support the training of residents from an approved graduate medical
1.7residency training program pursuant to 42 United States Code, section 256e, are not
1.8subject to the provisions of this paragraph.
Page 35, after line 22, insert:
"Sec. 29. Minnesota Statutes 2008, section 256B.75, is amended to read:
1.11256B.75 HOSPITAL OUTPATIENT REIMBURSEMENT.
(a) For outpatient hospital facility fee payments for services rendered on or after
October 1, 1992, the commissioner of human services shall pay the lower of (1) submitted
charge, or (2) 32 percent above the rate in effect on June 30, 1992, except for those
services for which there is a federal maximum allowable payment. Effective for services
rendered on or after January 1, 2000, payment rates for nonsurgical outpatient hospital
facility fees and emergency room facility fees shall be increased by eight percent over the
rates in effect on December 31, 1999, except for those services for which there is a federal
maximum allowable payment. Services for which there is a federal maximum allowable
payment shall be paid at the lower of (1) submitted charge, or (2) the federal maximum
allowable payment. Total aggregate payment for outpatient hospital facility fee services
shall not exceed the Medicare upper limit. If it is determined that a provision of this
section conflicts with existing or future requirements of the United States government with
respect to federal financial participation in medical assistance, the federal requirements
prevail. The commissioner may, in the aggregate, prospectively reduce payment rates to
avoid reduced federal financial participation resulting from rates that are in excess of
the Medicare upper limitations.
(b) Notwithstanding paragraph (a), payment for outpatient, emergency, and
ambulatory surgery hospital facility fee services for critical access hospitals designated
, clause (10), shall be paid on a cost-based payment system that is
based on the cost-finding methods and allowable costs of the Medicare program.
(c) Effective for services provided on or after July 1, 2003, rates that are based
on the Medicare outpatient prospective payment system shall be replaced by a budget
neutral prospective payment system that is derived using medical assistance data. The
commissioner shall provide a proposal to the 2003 legislature to define and implement
(d) For fee-for-service services provided on or after July 1, 2002, the total payment,
before third-party liability and spenddown, made to hospitals for outpatient hospital
facility services is reduced by .5 percent from the current statutory rate.
(e) In addition to the reduction in paragraph (d), the total payment for fee-for-service
services provided on or after July 1, 2003, made to hospitals for outpatient hospital
facility services before third-party liability and spenddown, is reduced five percent from
the current statutory rates. Facilities defined under section
256.969, subdivision 16
excluded from this paragraph.
(f) In addition to the reductions in paragraphs (d) and (e), the total payment for
fee-for-service services provided on or after July 1, 2008, made to hospitals for outpatient
hospital facility services before third-party liability and spenddown, is reduced three
percent from the current statutory rates. Mental health services and facilities defined under
256.969, subdivision 16
, are excluded from this paragraph.
2.23 (g) Notwithstanding any contrary provision in this section, payment for all outpatient
2.24and emergency services provided by any hospital that, prior to December 31, 2007, has
2.25received payment to support the training of residents from an approved graduate medical
2.26residency training program under title 42, United States Code, section 256e, must be paid
2.27at a rate that is a function of each hospital's base year costs incurred in providing those
2.28services. For fiscal years 2011, 2012, and 2013, the rate must be the rate determined by the
2.29commissioner to maintain payments at the rates that were being paid in fiscal year 2010.
2.30Payment rates for subsequent fiscal years are as follows:
2.31 (1) 2014: 50 percent of costs;
2.32 (2) 2015: 60 percent of costs;
2.33 (3) 2016: 70 percent of costs;
2.34 (4) 2017: 80 percent of costs;
2.35 (5) 2018: 90 percent of costs; and
2.36 (6) 2019 and thereafter: 100 percent of costs.
Renumber the sections in sequence and correct the internal references
Amend the title accordingly