1.1    .................... moves to amend H. F. No. 297, the delete everything amendment
1.2(A07-0645), as follows:
1.3Page 162, after line 23, insert:

1.4    "Sec. 21. MORATORIUM ON NOTIFICATION PROGRAMS FOR
1.5DIAGNOSTIC IMAGING SERVICES.
1.6    Health plan companies are prohibited from requiring prior authorization, notification,
1.7or consultation, including through existing programs, for diagnostic imaging services,
1.8including but not limited to computed tomography (CT), magnetic resonance imaging
1.9(MRI), positron emission tomography (PET), magnetic resonance angiography (MRA),
1.10and nuclear cardiology, until January 15, 2008. If an alternative process to improve the
1.11delivery of evidence-based diagnostic imaging services as provided under section 22 is
1.12agreed upon by the parties participating in the Diagnostic Imaging Services Advisory
1.13Committee, that strategy may be implemented before January 15, 2008. This section
1.14refers to health plan companies as defined in Minnesota Statutes, section 62Q.01.
1.15EFFECTIVE DATE.This section is effective the day following final enactment.

1.16    Sec. 22. DIAGNOSTIC IMAGING SERVICES ADVISORY COMMITTEE;
1.17ESTABLISHMENT.
1.18    (a) The commissioner of health shall establish a Diagnostic Imaging Services
1.19Advisory Committee to perform the following duties:
1.20    (1) gather and analyze data using minimally intrusive efforts to understand the
1.21factors driving utilization of diagnostic imaging services, including computed tomography
1.22(CT), magnetic resonance imaging (MRI), positron emission tomography (PET),
1.23magnetic resonance angiography (MRA), and nuclear cardiology, in the state relative to
1.24evidence-based guidelines; and
1.25    (2) develop recommendations, based on the data collected, on how to improve
1.26the delivery of evidence-based diagnostic imaging services. In developing these
2.1recommendations, the advisory committee shall consider the impacts on patient care,
2.2premium costs, and administrative simplicity.
2.3    (b) The members of the Diagnostic Imaging Services Advisory Committee shall
2.4include the commissioners of health and human services or commissioners' designees
2.5and the following:
2.6    (1) three physicians representing speciality and geographic diversity, appointed by
2.7the Minnesota Medical Association;
2.8    (2) two hospital representatives, one from a metropolitan hospital and one from a
2.9rural hospital, appointed by the Minnesota Hospital Association;
2.10    (3) three health plan company representatives appointed by the Minnesota Council
2.11of Health Plans;
2.12    (4) two representatives appointed by the Institute for Clinical System Improvement;
2.13and
2.14    (5) one clinic manager appointed by the Minnesota Medical Group Management
2.15Association.
2.16    (c) The Diagnostic Imaging Services Advisory Committee shall convene no later
2.17than September 1, 2007. The advisory committee is governed under Minnesota Statutes,
2.18section 15.059, except that members shall not receive a per diem and may only be
2.19reimbursed for expenses.
2.20    (d) If an alternative strategy to improve the delivery of evidence-based diagnostic
2.21imaging services is developed as provided in section 21, the commissioner of health shall
2.22report the agreement to the chairs of the senate and house health care committees.
2.23EFFECTIVE DATE.This section is effective July 1, 2007."