Health and Human Services Policy

TWENTIETH MEETING

2019-2020 Regular Session - Friday, March 15, 2019

STATE OF MINNESOTA TWENTIETH MEETING
HOUSE OF REPRESENTATIVES NINETY-FIRST SESSION

HEALTH AND HUMAN SERVICES POLICY COMMITTEE

MINUTES

Representative Moran, Chair of the Health and Human Services Policy Committee, called the meeting to order at 9:03 AM on Friday, March 15, 2019 in the Room 200 of the State Office Building.

The Committee Legislative Assistant noted the roll.

Members present:
MORAN, Rena, Chair
MORRISON, Kelly, Vice Chair
KIEL, Debra, Minority Lead
ALBRIGHT, Tony
BAHNER, Kristin
EDELSON, Heather
FISCHER, Peter
FREIBERG, Mike
LIEBLING, Tina
LOEFFLER, Diane
NEU, Anne
PIERSON, Nels
PINTO, Dave
ROBBINS, Kristin
SCHOMACKER, Joe
SCHULTZ, Jennifer

Members excused:
BACKER, Jeff
MANN, Alice

Rep. Huot presented HF147.

NOTE: Public testimony for HF147 took place at the January 29, 2019 meeting.

Rep. Wazlawik presented HF1875.

A quorum was present at 9:10 AM.

Chair Moran moved HF1875 be recommended to be re-referred to the Committee on Ways and Means.

Chair Moran moved the A1 amendment. THE MOTION PREVAILED.

Rep. Fischer moved to adopt the minutes from Wednesday, March 13, 2019. THE MOTION PREVAILED.

HF1875 Testifiers:
Alison Beckman, Center for Victims of Torture
Peter Dross, Center for Victims of Torture

Chair Moran moved to reconsider the adoption of the A1 amendment. THE MOTION PREVAILED.

Chair Moran moved to amend the A1 amendment as follows:

- Lines 1.14 and 1.16, delete “Minnesota statutes,”

THE MOTION PREVAILED.

Chair Moran moved to adopt the A1 amendment, as amended. THE MOTION PREVAILED.

Chair Moran renewed her motion that HF1875, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Chair Moran moved HF147 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Fischer moved the A2 amendment. THE MOTION PREVAILED.

Chair Moran renewed her motion that HF147, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Chair Moran moved HF1340 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Lien presented the bill.

HF1340 Testifiers:
Sue Abderholden, NAMI Minnesota
Jeff Christensen, Lakeville
Peter Brickwedde, Minnesota Department of Commerce
Diane Rydrych, Minnesota Department of Health

Rep. Morrison assumed the gavel at 9:58 AM.

Rep. Morrison renewed the Chair’s motion that HF1340 be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Rep. Morrison moved HF1718 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Albright moved the DE1 amendment. THE MOTION PREVAILED.

Rep. Baker presented the bill.

HF1718 Testifiers:
Dr. Cody Wiberg, Minnesota Board of Pharmacy
Melissa Finnegan, Minnesota Department of Health

Rep. Morrison renewed her motion that HF1718, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Rep. Morrison moved HF2379 be recommended for placement on the General Register.

Rep. Brand presented the bill.

HF2379 Testifiers:
Robin Benson, Minnesota Department of Human Services

Rep. Morrison renewed her motion that HF2379 be recommended for placement on the General Register. THE MOTION PREVAILED.

Rep. Morrison moved HF2305 be recommended for placement on the General Register.

Rep. Pinto moved the DE1-1 amendment. THE MOTION PREVAILED.

Rep. Masin presented the bill.

HF2305 Testifiers:
Heidi Hamilton, Minnesota Department of Human Services

Rep. Morrison renewed her motion that HF2305, as amended, be recommended for placement on the General Register. THE MOTION PREVAILED.

Rep. Pierson moved HF2397 be recommended for placement on the General Register.

Rep. Pierson presented the bill.

HF2397 Testifiers:
Jennifer Sommerfeld, Minnesota Department of Human Services
Laurie Possin, Minnesota Department of Human Services

Rep. Pierson renewed his motion that HF2397 be recommended for placement on the General Register. THE MOTION PREVAILED.

Rep. Albright moved that the Committee on Health and Human Services Policy issue a subpoena to Carolyn Ham, DHS Inspector General, to appear before the Committee on March 20, 2019, to answer questions regarding Child Care Assistance Program fraud and management of the Child Care Investigations Unit.

The meeting recessed at 11:10 AM.

Chair Moran assumed the gavel and the meeting reconvened at 1:02 PM.

A roll call was requested on Rep. Albright’s motion. The results were as follows:

AYES
KIEL, Debra, Minority Lead
ALBRIGHT, Tony
NEU, Anne
PIERSON, Nels
ROBBINS, Kristin
SCHOMACKER, Joe

NAYS
MORAN, Rena, Chair
MORRISON, Kelly, Vice Chair
BAHNER, Kristin
FISCHER, Peter
FREIBERG, Mike
LIEBLING, Tina
LOEFFLER, Diane
PINTO, Dave
SCHULTZ, Jennifer

There being 6 AYES and 9 NAYS, THE MOTION FAILED.

Rep. Schultz moved HF486 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Schultz presented the bill.

HF486 Testifiers:
Patti Morelli Teachout, North St. Paul
Emory David Dively, Minnesota Commission of the Deaf, DeafBlind, and Hard of Hearing

Rep. Schultz renewed her motion that HF486 be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Chair Moran moved HF2009 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Albright moved the A1 amendment. THE MOTION PREVAILED.

Rep. Cantrell presented the bill.

Chair Moran renewed her motion that HF2009, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Chair Moran moved HF1257 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Cantrell presented the bill.

HF1257 Testifiers:
Kathryn Kmit, Minnesota Council of Health Plans
Eric Dick, Minnesota Medical Association

Chair Moran renewed her motion that HF1257 be recommended to be re-referred to the Committee on Ways and Means.

A roll call was requested on the motion. The results are as follows:

AYES
MORAN, Rena, Chair
MORRISON, Kelly, Vice Chair
BAHNER, Kristin
FREIBERG, Mike
LIEBLING, Tina
LOEFFLER, Diane
PINTO, Dave
SCHULTZ, Jennifer

NAYS
KIEL, Debra, Minority Lead
ALBRIGHT, Tony
NEU, Anne
PIERSON, Nels
ROBBINS, Kristin
SCHOMACKER, Joe

There being 8 AYES and 6 NAYS, THE MOTION PREVAILED.

Chair Moran moved HF1523 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Cantrell presented the bill.

HF1523 Testifiers:
Kathryn Kmit, Minnesota Council of Health Plans
Sarah Greenfield, TakeAction Minnesota

Rep. Liebling moved the A1 amendment. THE MOTION PREVAILED.

Chair Moran renewed her motion that HF1523, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Chair Moran moved HF1719 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Liebling moved the A1 amendment. THE MOTION PREVAILED.

Rep. Noor presented the bill.

HF1719 Testifiers:
Jessica Webster, Legal Aid
Ryan Johnson, Minnesota Department of Human Services
Elizabeth Emerson, Minnesota Association of County Social Service Administrators

Rep. Albright moved to amend HF1719 as follows:

- Lines 1.15, 2.11, 4.10, and 4.22; replace “may with “must”

A roll call was requested on the motion. The results are as follows:

AYES
MORAN, Rena, Chair
MORRISON, Kelly, Vice Chair
KIEL, Debra, Minority Lead
ALBRIGHT, Tony
BAHNER, Kristin
FISCHER, Peter
FREIBERG, Mike
LIEBLING, Tina
LOEFFLER, Diane
NEU, Anne
PIERSON, Nels
PINTO, Dave
SCHOMACKER, Joe
SCHULTZ, Jennifer

There being 14 AYES and 0 NAYS, THE MOTION PREVAILED.

Chair Moran renewed her motion that HF1719, as amended, be recommended to be re-referred to the Committee on Ways and Means.

A roll call was requested on the motion. The results are as follows:

AYES
MORAN, Rena, Chair
MORRISON, Kelly, Vice Chair
KIEL, Debra, Minority Lead
ALBRIGHT, Tony
BAHNER, Kristin
FISCHER, Peter
FREIBERG, Mike
LIEBLING, Tina
LOEFFLER, Diane
NEU, Anne
PIERSON, Nels
PINTO, Dave
SCHOMACKER, Joe
SCHULTZ, Jennifer

There being 14 AYES and 0 NAYS, THE MOTION PREVAILED.

Rep. Morrison moved HF1892 be recommended for placement on the General Register.

Rep. Morrison presented the bill.

HF1892 Testifier:
Dr. Siri Fiebiger, Minnesota Section of the American College of Obstetricians and Gynecologists

Rep. Morrison renewed her motion that HF1892 be recommended for placement on the General Register. THE MOTION PREVAILED.

Rep. Morrison moved HF1535 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Morrison presented the bill.

HF1535 Testifier:
Lisa Smestad, Minneapolis Health Department

Rep. Morrison renewed her motion that HF1535 be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

The meeting recessed at 3:31 PM.

The meeting reconvened at 3:52 PM.

Rep. Liebling moved HF921 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Liebling moved the A1 amendment. THE MOTION PREVAILED.

Rep. Liebling presented the bill.

HF921 Testifiers:
Dominic Sposeto, Minnesota Dental Association
Matthew Bergeron, Minnesota Oral Health Alliance
Dr. David Gesko, HealthPartners
Jeff Ogden, HealthPartners
Diogo Reis, Minnesota Department of Human Services

Rep. Liebling renewed her motion that HF921, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Rep. Liebling moved HF1378 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Liebling moved the A8 amendment. THE MOTION PREVAILED.

Rep. Liebling moved the A6-1 amendment. THE MOTION PREVAILED.

Rep. Liebling presented the bill.

HF1378 Testifiers:
Ethan Vogel, AFSCME Council 5
Sarah Greenfield, TakeAction Minnesota
Kathryn Kmit, Minnesota Council of Health Plans
Diane Rydrych, Minnesota Department of Health
Jay McLaren, Medica

Rep. Liebling renewed her motion that HF1378, as amended, be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Rep. Schultz presented HF533 for an informational hearing.

HF533 Testifiers:
Ben Velzen, Office of the Minnesota Attorney General
Sarah Greenfield, TakeAction Minnesota
Kathryn Kmit, Minnesota Council of Health Plans

Rep. Schultz moved HF572 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Schultz presented the bill.

HF572 Testifier:
Kathryn Kmit, Minnesota Council of Health Plans

Rep. Schultz renewed her motion that HF572 be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

Rep. Albright moved HF2371 be recommended to be re-referred to the Committee on Ways and Means.

Rep. Albright presented the bill.

HF2371:
Bob Rohret, Minnesota Association of County Social Service Administrators

Rep. Albright renewed his motion that HF2371 be recommended to be re-referred to the Committee on Ways and Means. THE MOTION PREVAILED.

The meeting adjourned at 6:12 PM.

Representative Rena Moran, Chair

Alyssa Fritz, Committee Legislative Assistant

More Info On This Meeting..

Bills Added:

HF1340 (Lien) - Mental health benefits and other medical benefits parity required, and accountability from commissioners of health and commerce required.
HF2009 (Cantrell) - Health plan companies and commissioner of human services prohibited from requiring enrollees to follow metastatic cancer step therapy protocols.
HF1257 (Cantrell) - Prescription drug benefit transparency and disclosure required.
HF1523 (Cantrell) - Commissioner of human services directed to establish prescription drug purchasing program, and program authority and eligibility requirements specified.
HF1719 (Noor) - Minnesota Family Investment Program (MFIP) and general assistance drug testing provisions modified.
HF1535 (Morrison) - Enhanced asthma care services benefit for medical assistance established, and medical assistance coverage of asthma trigger reduction products provided.
HF2305 (Masin) - Older adults continuing care governing provisions modified.
HF2397 (Pryor) - Children and family services policy provisions modified.
HF2379 (Brand) - Direct care and treatment policy provisions modified, and data classifications modified.
HF921 (Liebling) - Commissioner of human services required to contract with dental administrators to administer dental services to medical assistance and MinnesotaCare recipients.
HF1378 (Liebling) - Health maintenance organizations required to be nonprofit corporations.
HF486 (Schultz) - Hearing aid coverage required for individuals older than 18 years of age.
HF572 (Schultz) - Health plan loss ration requirements established, and nonprofit health maintenance organizations net earnings use requirements established.
HF533 (Schultz) - Nonprofit health care entities conversion transactions review and approval required by attorney general, all net earnings of a nonprofit health maintenance organization required to be used for nonprofit purposes, moratorium on conversion transactions extended, and penalties imposed.
HF2371 (Albright) - Commissioner of human services required to modify substance use disorder county staff requirements.
HF1718 (Baker) - Pharmacy Practice Act clarifying changes made for veterinary compounding, licensure modified for wholesale distributors, licensure established for third-party logistics providers, and fees modified.
HF147 (Huot) - Community paramedic and community medical response emergency medical technicians allowed to provide telemedicine services.
HF1875 (Wazlawik) - Center for Victims of Torture integrated care model pilot project established, report required, and money appropriated.
HF1892 (Morrison) - Prenatal substance use reporting requirements modified.

Documents:

H0147A2.pdf - 3/13/2019
H1718DE1.pdf - 3/13/2019
H2305DE1-1.pdf - 3/13/2019
H1875A1.pdf - 3/13/2019
H2009A1.pdf - 3/13/2019
H0921A1.pdf - 3/14/2019
H1378A6-1.pdf - 3/14/2019
H1523A1.pdf - 3/14/2019
H1719A1.pdf - 3/14/2019
H1378A8.pdf - 3/14/2019

Audio:
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House TV Video:
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00:26 - HF147 (Huot) Community paramedic and medical response emergency medical technicians allowed to provide medicine services.
03:41 - HF1875 (Wazlawik) Center for Victims of Torture integrated care model pilot project established, report required, and money appropriated.
33:28 - Further consideration of HF147 (Huot) Community paramedic and medical response emergency medical technicians allowed to provide medicine services.
35:19 - HF1340 (Lien) Mental health benefits and other medical benefits parity required, mental health and substance use disorder defined, health plan transparency required, and commissioners of health and commerce accountability required.
1:07:56 - HF1718 (Baker) Pharmacy and prescription drugs provisions modifications.
1;22;25 - HF2379 (Brand) Direct care and treatment policy provisions modified.
1:37:24 - HF2305 (Masin) Continuing care provisions for older adults governed.
1:48:27 - HF2397 (Pryor) Children and family service policy provisions modified.
2:05:24 - Motion that the Committee issue a subpoena to Carolyn Ham, Inspector General at Department of Human Services, to appear before the Committee on March 20, 2019 to answer questions regarding Child Care Assistance Fraud.
* The Committee recessed,
Runs 2 hour, 6 minutes.

House TV Video:
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Continued discussion of the pre-recess motion that the Committee issue a subpoena to Carolyn Ham, Inspector General at Department of Human Services, to appear before the Committee on March 20, 2019 to answer questions regarding Child Care Assistance Fraud.
16:20 - HF486 (Schultz) Hearing aid coverage required for individuals older than 18 years of age.
23:31 - HF2009 (Cantrell) Health plan companies and commissioner of human services prohibited from requiring enrollees to follow metastatic cancer step therapy protocols.
27:51 - HF1257 (Cantrell) Prescription drug benefit transparency and disclosure required.
1:18:20 - HF1523 (Cantrell) Commissioner of human services directed to establish prescription drug purchasing program, and program authority and eligibility requirements specified.
1:38:02 - HF1719 (Noor) Minnesota Family Investment Program (MFIP) and general assistance drug testing provisions modified.
2:11:55 - HF1892 (Morrison) Prenatal substance use reporting requirements modified.
2:22:15 - HF1535 (Morrison) Enhanced asthma care services benefit for medical assistance established, and medical assistance coverage of asthma trigger reduction products provided.
The Committee recessed.
Runs 2 hours, 29 minutes.

House TV Video:
View Archive

HF921 (Liebling) Commissioner of human services required to contract with dental administrators to administer dental services to medical assistance and MinnesotaCare recipients.
44:08 - HF1378 (Liebling) Health maintenance organizations required to be nonprofit corporations.
1:22:43 - HF533 (Schultz) Nonprofit health care entity conversion transactions review and approval by attorney general required, all net earnings of a nonprofit health maintenance organization required to be used for nonprofit purposes, and moratorium on conversion transactions extended (informational only).
1:59:57 - HF572 (Schultz) Net earnings of nonprofit health maintenance organizations requirements established.
2:03:23 - HF2371 (Albright) Commissioner of human services required to modify substance use disorder county staff requirements.
Runs 2 hours, 21 minutes.

Show Full Schedule Agenda:

**BILLS MAY BE ADDED; BILLS MAY BE HEARD IN ANY ORDER**

*BILL ADDED: HF1892 (Morrison)*

HF147 (Huot) - Community paramedic and medical response emergency medical technicians allowed to provide medicine services.
HF1875 (Wazlawik) - Center for Victims of Torture integrated care model pilot project established, report required, and money appropriated.
HF1340 (Lien) - Mental health benefits and other medical benefits parity required, mental health and substance use disorder defined, health plan transparency required, and commissioners of health and commerce accountability required.
HF2009 (Cantrell) - Health plan companies and commissioner of human services prohibited from requiring enrollees to follow metastatic cancer step therapy protocols.
HF1257 (Cantrell) - Prescription drug benefit transparency and disclosure required.
HF1523 (Cantrell) - Commissioner of human services directed to establish prescription drug purchasing program, and program authority and eligibility requirements specified.
HF1719 (Noor) - Minnesota Family Investment Program (MFIP) and general assistance drug testing provisions modified.
HF2305 (Masin) - Continuing care provisions for older adults governed.
HF2397 (Pryor) - Children and family service policy provisions modified.
HF2379 (Brand) - Direct care and treatment policy provisions modified.
HF1535 (Morrison) - Enhanced asthma care services benefit for medical assistance established, and medical assistance coverage of asthma trigger reduction products provided.
HF1892 (Morrison) - Prenatal substance use reporting requirements modified.
HF486 (Schultz) - Hearing aid coverage required for individuals older than 18 years of age.
HF921 (Liebling) - Commissioner of human services required to contract with dental administrators to administer dental services to medical assistance and MinnesotaCare recipients.
HF1378 (Liebling) - Health maintenance organizations required to be nonprofit corporations.
HF572 (Schultz) - Net earnings of nonprofit health maintenance organizations requirements established.
HF533 (Schultz) - Nonprofit health care entity conversion transactions review and approval by attorney general required, all net earnings of a nonprofit health maintenance organization required to be used for nonprofit purposes, and moratorium on conversion transactions extended. **THIS BILL WILL RECEIVE AN INFORMATIONAL-ONLY HEARING
HF2371 (Albright) - Commissioner of human services required to modify substance use disorder county staff requirements.
HF1718 (Baker) - Pharmacy and prescription drugs provisions modifications