1.1.................... moves to amend H. F. No. 2748 as follows:
1.2Page 1, after line 7, insert:

1.3    "Section 1. [62R.09] RURAL HEALTH COOPERATIVE CONTRACT
1.4OVERSIGHT.
1.5    Subdivision 1. Review and approval; monitoring. (a) The commissioner shall
1.6establish criteria and procedures to review and authorize contracts and business or
1.7financial arrangements under section 62R.06, subdivision 1. All contracts and business
1.8or financial arrangements must be submitted on a application for approval to the
1.9commissioner. The commissioner shall not deny any application unless the commissioner
1.10determines that the proposed arrangement is likely to result in higher health care costs
1.11or diminished access to or quality of health care than would occur in the competitive
1.12marketplace. The cost of developing the criteria and procedures, as determined by the
1.13commissioner and notwithstanding section 16A.1283, shall be paid by health provider
1.14cooperatives operating under this chapter.
1.15    (b) Within 30 days after receiving an application, the commissioner may request
1.16additional information that is necessary to complete the review required under this section.
1.17If the commissioner does not request additional information and does not act within 60
1.18days after receipt of an application, the application shall be deemed approved if the
1.19commissioner does not act within 60 days of receiving the additional information.
1.20    (c) The commissioner may condition approval of a proposed arrangement on a
1.21modification of all or part of the arrangement to eliminate any restriction on competition
1.22that is not reasonably related to the goals of improving health care access or quality. The
1.23commissioner may also establish conditions for approval that are reasonably necessary
1.24to protect against abuses or private economic power and to ensure that the arrangement
1.25has oversight by the state.
1.26    (d) The commissioner shall monitor arrangements approved under this section
1.27to ensure that the arrangement remains in compliance with the conditions of approval.
2.1The commissioner may revoke an approval upon a finding that the arrangement is not in
2.2substantial compliance with the terms of the application or the conditions of approval.
2.3    Subd. 2. Applications. Applications for approval under this section must describe
2.4the proposed arrangement in detail. The application must include: the identities of all the
2.5parties to the arrangement; the intent of the arrangement; the expected outcome of the
2.6arrangement; and an explanation of how the arrangement will improve access or quality of
2.7care. The commissioner may ask the attorney general to comment on an application, but
2.8the application and any information obtained by the commissioner under this section is
2.9not admissible in any proceeding brought by the attorney general based on antitrust law.
2.10Data on providers collected under this section are private data on individuals or nonpublic
2.11data, as defined in section 13.02.
2.12    Subd. 3. Application fee. When submitting an application to the commissioner, a
2.13health care cooperative shall pay a fee of $2,000 for the commissioner's cost of reviewing
2.14and monitoring the arrangement.
2.15    Subd. 4. Appropriation. Money received by the commissioner under this section
2.16shall be deposited into a revolving fund and is appropriated to the commissioner of health
2.17for the purpose of administering this section."
2.18Renumber the sections in sequence and correct the internal references
2.19Amend the title accordingly