1.1.................... moves to amend H.F. No. 1270, the delete everything amendment
1.2(H1270DE2), as follows:
1.3Page 5, after line 3, insert:
1.4 "Sec. 15. Minnesota Statutes 2008, section 256B.0644, is amended to read:
1.5256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE
1.6PROGRAMS.
1.7 (a) A vendor of medical care, as defined in section
256B.02, subdivision 7, and a
1.8health maintenance organization, as defined in chapter 62D, must participate as a provider
1.9or contractor in the medical assistance program, general assistance medical care program,
1.10and MinnesotaCare
and the Department of Corrections' health care system under section
1.11241.021, subdivision 4, as a condition of participating as a provider in health insurance
1.12plans and programs or contractor for state employees established under section
43A.18,
1.13the public employees insurance program under section
43A.316, for health insurance plans
1.14offered to local statutory or home rule charter city, county, and school district employees,
1.15the workers' compensation system under section
176.135, and insurance plans provided
1.16through the Minnesota Comprehensive Health Association under sections
62E.01 to
1.1762E.19
. The limitations on insurance plans offered to local government employees shall
1.18not be applicable in geographic areas where provider participation is limited by managed
1.19care contracts with the Department of Human Services.
1.20 (b) For providers other than health maintenance organizations, participation in the
1.21medical assistance program means that:
1.22 (1) the provider accepts new medical assistance, general assistance medical care,
1.23and MinnesotaCare patients;
1.24 (2) for providers other than dental service providers, at least 20 percent of the
1.25provider's patients are covered by medical assistance, general assistance medical care,
1.26and MinnesotaCare as their primary source of coverage; or
2.1 (3) for dental service providers, at least ten percent of the provider's patients are
2.2covered by medical assistance, general assistance medical care, and MinnesotaCare as
2.3their primary source of coverage, or the provider accepts new medical assistance and
2.4MinnesotaCare patients who are children with special health care needs. For purposes
2.5of this section, "children with special health care needs" means children up to age 18
2.6who: (i) require health and related services beyond that required by children generally;
2.7and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional
2.8condition, including: bleeding and coagulation disorders; immunodeficiency disorders;
2.9cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other
2.10neurological diseases; visual impairment or deafness; Down syndrome and other genetic
2.11disorders; autism; fetal alcohol syndrome; and other conditions designated by the
2.12commissioner after consultation with representatives of pediatric dental providers and
2.13consumers.
2.14 (c) Patients seen on a volunteer basis by the provider at a location other than
2.15the provider's usual place of practice may be considered in meeting the participation
2.16requirement in this section. The commissioner shall establish participation requirements
2.17for health maintenance organizations. The commissioner shall provide lists of participating
2.18medical assistance providers on a quarterly basis to the commissioner of management and
2.19budget, the commissioner of labor and industry, and the commissioner of commerce. Each
2.20of the commissioners shall develop and implement procedures to exclude as participating
2.21providers in the program or programs under their jurisdiction those providers who do
2.22not participate in the medical assistance program. The commissioner of management
2.23and budget shall implement this section through contracts with participating health and
2.24dental carriers. "
2.25Renumber the sections in sequence and correct the internal references
2.26Amend the title accordingly