1.1.................... moves to amend H.F. No. 961 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2008, section 256.963, is amended by adding a
1.4subdivision to read:
1.5    Subd. 3. Urgent dental care services. The commissioner of human services shall
1.6authorize pilot projects to reduce the total costs to the state for dental services provided
1.7to persons enrolled in Minnesota health care programs, by reducing hospital emergency
1.8room costs for preventable and nonemergency dental services. The commissioner may
1.9provide start-up funding and establish special payment rates for urgent dental care services
1.10provided as an alternative to emergency room services and may change or waive existing
1.11payment policies in order to adequately reimburse providers for providing cost-effective
1.12alternative services in outpatient or urgent care settings. The commissioner may establish
1.13a project in conjunction with the initiative authorized under subdivisions 1 and 2 or
1.14establish new initiatives, or may implement both approaches.

1.15    Sec. 2. Minnesota Statutes 2008, section 256B.0625, subdivision 9, is amended to read:
1.16    Subd. 9. Dental services. (a) Medical assistance covers dental services. Dental
1.17services include, with prior authorization, fixed bridges that are cost-effective for persons
1.18who cannot use removable dentures because of their medical condition.
1.19(b) Medical assistance dental coverage for adults is limited to the following services:
1.20(1) comprehensive exams, limited to enrollees who are eligible for the program on
1.21the basis of being elderly, blind, or disabled;
1.22(2) periodic exams, limited to one per year;
1.23(3) bitewing x-rays, limited to once per year;
1.24(4) periapical x-rays;
1.25(5) panoramic x-rays, limited to one every five years, and only if provided in
1.26conjunction with a posterior extraction or scheduled outpatient facility procedure;
2.1(6) prophylaxis, limited to one per year;
2.2(7) application of fluoride varnish, limited to one per year;
2.3(8) posterior restorations, all at the amalgams rate;
2.4(9) endodontics, limited to root canals on the anterior and premolars only;
2.5(10) dentures or partial dentures, limited to one every 10 years;
2.6(11) oral surgery, limited to extractions only; and
2.7(12) urgent or emergency care for pain.
2.8(c) In addition to the services specified in paragraph (b), medical assistance covers
2.9the following services for adults, if provided in the outpatient hospital setting as part of
2.10outpatient dental surgery:
2.11(1) periodontics, limited to periodontal scaling and root planing once every two
2.12years; and
2.13(2) general anesthesia.
2.14(d) The following limitations apply to medical assistance coverage of dental services
2.15for children:
2.16(1) application of sealants once every five years per permanent tooth;
2.17(2) oral hygiene instructions are not a separately reimbursed service;
2.18(3) application of fluoride varnish is limited to once every six months; and
2.19(4) posterior restorations, all at the amalgams rate.

2.20    Sec. 3. Minnesota Statutes 2008, section 256B.092, is amended by adding a
2.21subdivision to read:
2.22    Subd. 4e. Costs associated with physical activities. Effective upon federal
2.23approval, the costs associated with physical exercise or other physical activities to
2.24maintain or improve a person's health and functioning shall be an allowed expense for
2.25home and community-based waiver programs for persons with disabilities. By October 1,
2.262008, the commissioner of human services shall submit an amendment to the Centers for
2.27Medicare and Medicaid Services consistent with this subdivision.
2.28EFFECTIVE DATE.This section is effective the day following final enactment.

2.29    Sec. 4. Minnesota Statutes 2008, section 256B.76, subdivision 4, is amended to read:
2.30    Subd. 4. Critical access dental providers. Effective for dental services rendered
2.31on or after January 1, 2002, the commissioner shall increase reimbursements to dentists
2.32and dental clinics deemed by the commissioner to be critical access dental providers. For
2.33dental services rendered on or after July 1, 2007 2009, the commissioner shall increase
2.34reimbursement by 30 ....... percent above the reimbursement rate that would otherwise
3.1be paid to the critical access dental provider. The commissioner shall pay the health
3.2plan companies in amounts sufficient to reflect increased reimbursements to critical
3.3access dental providers as approved by the commissioner. In determining which dentists
3.4and dental clinics shall be deemed critical access dental providers, the commissioner
3.5shall review:
3.6    (1) the utilization rate in the service area in which the dentist or dental clinic operates
3.7for dental services to patients covered by medical assistance, general assistance medical
3.8care, or MinnesotaCare as their primary source of coverage;
3.9    (2) the level of services provided by the dentist or dental clinic to patients covered
3.10by medical assistance, general assistance medical care, or MinnesotaCare as their primary
3.11source of coverage; and
3.12    (3) whether the level of services provided by the dentist or dental clinic is critical to
3.13maintaining adequate levels of patient access within the service area.
3.14Effective July 1, 2009, the commissioner shall require that ....... percent or more of a
3.15provider's patient base consist of medical assistance, general assistance medical care, or
3.16MinnesotaCare enrollees, in order for that provider to be deemed a critical access dental
3.17provider. For purposes of this requirement, a provider's patient base is the unduplicated
3.18number of patients who have dental coverage through a private sector health plan,
3.19medical assistance, general assistance medical care, or MinnesotaCare. In the absence
3.20of a critical access dental provider in a service area, the commissioner may designate a
3.21dentist or dental clinic as a critical access dental provider if the dentist or dental clinic
3.22is willing to provide care to patients covered by medical assistance, general assistance
3.23medical care, or MinnesotaCare at a level which significantly increases access to dental
3.24care in the service area.

3.25    Sec. 5. Minnesota Statutes 2008, section 256L.11, subdivision 7, is amended to read:
3.26    Subd. 7. Critical access dental providers. Effective for dental services provided
3.27to MinnesotaCare enrollees on or after January 1, 2007 2010, the commissioner shall
3.28increase payment rates to dentists and dental clinics deemed by the commissioner to be
3.29critical access providers under section 256B.76, subdivision 4, by 50 ....... percent above
3.30the payment rate that would otherwise be paid to the provider. The commissioner shall
3.31pay the prepaid health plans under contract with the commissioner amounts sufficient to
3.32reflect this rate increase. The prepaid health plan must pass this rate increase to providers
3.33who have been identified by the commissioner as critical access dental providers under
3.34section 256B.76, subdivision 4."
3.35Renumber the sections in sequence and correct the internal references
4.1Amend the title accordingly