Health Finance and Policy

EIGHTH MEETING

2023-2024 Regular Session - Tuesday, January 31, 2023

STATE OF MINNESOTA EIGHTH MEETING
HOUSE OF REPRESENTATIVES NINETY-THIRD SESSION

HEALTH FINANCE AND POLICY COMMITTEE

MINUTES

Representative Liebling, Chair of the Committee, called the meeting to order at 10:34 A.M. on January 31, 2023 in Room 5 of the State Office Building.

The Committee Legislative Assistant noted the roll.

Members present:
LIEBLING, Tina, Chair
BIERMAN, Robert, Vice-Chair
SCHOMACKER, Joe, Lead Republican
ACOMB, Patty
BACKER, Jeff
BAHNER, Kristin
CARROLL, Ned
ELKINS, Steve
FISCHER, Peter
HEMMINGSEN-JAEGER, Amanda
HER, Kaohly Vang
KIEL, Debra
MURPHY, Tom
NADEAU, Danny
NEU BRINDLEY, Anne
PERRYMAN, Bernie
QUAM, Duane
REYER, Liz
SMITH, Andy

Members excused:

A quorum was present.

Vice Chair Bierman moved that the minutes of January 26, 2023 be approved. THE MOTION PREVAILED.

HF293 (Elkins) Medical and dental practices required to make available to the public their current standard charges, and commissioner of health authorized to establish a price comparison tool for items and services offered by medical and dental practices.

Representative Elkins moved that HF293 be recommended to be re-referred to the Committee on Commerce Finance and Policy.

Representative Elkins presented his bill.

Testifying:
1. Professor Jean M. Abraham, Division Head, Health Policy and Management, University of Minnesota
2. Professor Stephen T. Parente, Minnesota Insurance Industry Chair of Health Finance, Carlson School of Management, University of Minnesota
3. Peter Nelson, Senior Policy Fellow, Center of the American Experiment

Representative Elkins renewed his motion that HF293 be recommended to pass and re-referred to the Committee on Commerce Finance and Policy. THE MOTION PREVAILED.

HF294 (Elkins) Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.

Representative Elkins moved that HF294 be recommended to be re-referred to the Committee on Commerce Finance and Policy.

Representative Elkins moved the H0294A1 Amendment. THE MOTION PREVAILED AND THE AMENDMENT WAS ADOPTED.

Representative Elkins presented his bill as amended.

Testifying:
1. Dr. Alex Vosooney, President, Minnesota Academy of Family Physicians
2. Bentley Graves, Policy Director, Health Care and Transportation Policy, Minnesota Chamber of Commerce
3. Kristina M. Moorhead, Deputy Vice President, State Policy, PhRMA
4. Joe Sellwood, Lobbyist, Association for Accessible Medicines
5. Peter Nelson, Senior Policy Fellow, Center of the American Experiement

Randall Chun, Legislative Analyst, House Research and Stefan Gildemeister, State Health Economist and Director, Health Economics Program, Minnesota Department of Health (MDH), responded to member questions.

Representative Elkins renewed his motion that HF294, as amended, be recommended to be re-referred to the Committee on Commerce Finance and Policy.

Representative Bahner requested a roll call vote. The results were as follows:

AYE
LIEBLING, Tina
BIERMAN, Robert
ACOMB, Patty
BAHNER, Kristin
CARROLL, Ned
ELKINS, Steve
FISCHER, Peter
HEMMINGSEN-JAEGER, Amanda
NADEAU, Danny
REYER, Liz
SMITH, Andy

NAY
SCHOMACKER, Joe
BACKER, Jeff
KIEL, Debra
MURPHY, Tom
NEU BRINDLEY, Anne
PERRYMAN, Bernie
QUAM, Duane

EXCUSED
HER, Kaohly Vang

ABSTAIN

On a vote of 11 AYES and 7 NAYS THE MOTION PREVAILED and HF294, as amended, is re-referred to the Committee on Commerce Finance and Policy.

HF926 (Elkins) Payments made to health care providers disclosure required, all-payer claims data provision changed, and transparency of health care payments report required.

Representative Elkins moved that HF926 be recommended to be re-referred to the Committee on Commerce Finance and Policy.

Representative Elkins moved the H0926A1 Amendment. THE MOTION PREVAILED AND THE AMENDMENT WAS ADOPTED.

Representative Elkins presented his bill as amended.

Stefan Gildemeister, State Health Economist and Director, Health Economics Program, MDH, presented a short overview of the MDH All Payer Claims Database.

Testifying:
1. Dr. Alex Vosooney, President, Minnesota Academy of Family Physicians

Representative Elkins renewed his motion that HF926, as amended, be recommended to be re-referred to the Committee on Commerce Finance and Policy. THE MOTION PREVAILED.

The meeting was adjourned at 11:54 A.M.

________________________________________________________
Representative Tina Liebling, Chair

________________________________________________________
Krysta Niedernhöfer, Committee Legislative Assistant

More Info On This Meeting..

Bills Added:

HF293 (Elkins) - Medical and dental practices required to make their current standard charges available to the public, and commissioner of health authorized to establish a price comparison tool for items and services offered by medical and dental practices.
HF294 (Elkins) - Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.
HF926 (Elkins) - Payments made to health care providers disclosure required, self-insurer governing provision added, all-payer claims data provision changed, and transparency of health care payments report required.

Documents:

H0294A2-1162106730250537746.pdf - 1/27/2023
H0926A1-12634486762228670843.pdf - 1/30/2023
AAM Letter - HF294 .pdf - 1/30/2023
Abraham_MNHouse_HF293_1302023.pdf - 1/30/2023
AHIP Comments on MN HF 294.pdf - 1/30/2023
CAE Comments on HF293 HF 294 and HF 926.pdf - 1/30/2023
EFMN Comments on HF 294.pdf - 1/30/2023
HF 294 __ Prescription Drug Benefit Transparency and Disclosure Required _ Frozen Formulary _ PCMA Testimony __ Michelle Mack __ House Health and Finance Policy _ FINAL.pdf - 1/30/2023
MAFP_Support HF 926.pdf - 1/30/2023
HF293 HRS.pdf - 1/30/2023
HF926 HRS.pdf - 1/30/2023
H0294A1-13846754184717982985.pdf - 1/31/2023
Health Finance & Policy Agenda 01.31.23.docx - 1/31/2023
TakingThePulse.pdf - 1/31/2023
PhRMA Statement - MN HF 294 Transparency & Price Control.pdf - 1/31/2023
Vertical-Integration-DCI-Oct2022.pdf - 1/31/2023
Supply Chain Slide.pdf - 1/31/2023
PPL_Updated Overview One-Pager[1].pdf - 1/31/2023
PBM-market-share-DCI-2021.pdf - 1/31/2023
More Than Half of Every Dollar Spent on Medicines Goes to Someone Who Doesnt Make Them 4ALT.pdf - 1/31/2023
Why Hospitals and Health Insurers Didn’t Want You to See Their Prices - The New York Times.pdf - 1/31/2023
What Does Knee Surgery Cost_ Few Know, and That’s a Problem - WSJ.pdf - 1/31/2023
Schafer_ We already knew hospital pricing was a mess, so now what_.pdf - 1/31/2023
Hospitals Hide Pricing Data From Search Results - WSJ.pdf - 1/31/2023
9-15-21-Hospital_Price_Transparency.pdf - 1/31/2023
HF58-2E (HF294) Evaluation Report.pdf - 1/31/2023
Milliman_Frozen Formulary Report_FINAL.pdf - 1/31/2023
HF294 HRS.pdf - 1/31/2023
HF 293 Elkins MNASCA MNOncology MSIPP.pdf - 1/31/2023

Audio:
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House TV Video:
View Archive

01:19 - HF293 (Elkins) Medical and dental practices required to make available to the public their current standard charges, and commissioner of health authorized to establish a price comparison tool for items and services offered by medical and dental practices.
36:13 - HF294 (Elkins) Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.
1:07:59 - HF926 (Elkins) Payments made to health care providers disclosure required, all-payer claims data provision changed, and transparency of health care payments report required.
Runs 1 hour, 21 minutes.

Show Full Schedule Agenda:

HF293 (Elkins): Medical and dental practices required to make available to the public their current standard charges, and commissioner of health authorized to establish a price comparison tool for items and services offered by medical and dental practices.

HF294 (Elkins): Manufacturers required to report and maintain prescription drug prices, filing of health plan prescription drug formularies required, health care coverage provisions modified, prescription benefit tool requirements established, and prescription drug benefit transparency and disclosure required.

HF926 (Elkins): Payments made to health care providers disclosure required, all-payer claims data provision changed, and transparency of health care payments report required.

Bills may be added or removed at the discretion of the chair.

AMENDMENTS: Deadline for amendments is 5:00PM, Monday, January 30, 2023.

PUBLIC TESTIMONY: If you would like to submit written testimony or sign up to testify, please contact the Committee Administrator at Josh.Sande@house.mn.gov. Testifiers must contact the Committee Administrator by 5pm the day prior to the hearing in order to sign up to testify in person. In person testimony may be limited as time allows, and written testimony is encouraged.

To learn more about requesting an accommodation, please visit the FAQs for Disability Access. If you have further questions on accommodations or accessibility, please contact the Committee Administrator.