1.1.................... moves to amend H.F. No. 2562, the first engrossment, as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Laws 2009, chapter 79, article 5, section 78, subdivision 5, is amended to
1.4read:
1.5    Subd. 5. Expiration. This section , with the exception of subdivision 4, expires
1.6~~December 31, 2010~~ May 31, 2011. Subdivision 4 expires November 30, 2011.

1.7    Sec. 2. Laws 2009, chapter 79, article 13, section 3, subdivision 6, is amended to read:

1.8

Subd. 6.Basic Health Care Grants

1.9The amounts that may be spent from this
1.10appropriation for each purpose are as follows:

1.11

(a) MinnesotaCare Grants

391,915,000

485,448,000

1.12This appropriation is from the health care
1.13access fund.

1.14
1.15

(b) MA Basic Health Care Grants - Families
and Children

751,988,000

973,088,000

1.16Medical Education Research Costs
1.17(MERC). Of these funds, the commissioner
1.18of human services shall transfer $38,000,000
1.19in fiscal year 2010 to the medical education
1.20research fund. These funds must restore the
1.21fiscal year 2009 unallotment of the transfers
1.22under Minnesota Statutes, section 256B.69,
1.23subdivision 5c , paragraph (a), for the July 1,
1.242008, through June 30, 2009, period.
2.1Newborn Screening Fee. Of the general
2.2fund appropriation, $34,000 in fiscal year
2.32011 is to the commissioner for the hospital
2.4reimbursement increase described under
2.5Minnesota Statutes, section 256.969,
2.6subdivision 28 .
2.7Local Share Payment Modification
2.8Required for ARRA Compliance.
2.9Effective from July 1, 2009, to December
2.1031, 2010, Hennepin County's monthly
2.11contribution to the nonfederal share of
2.12medical assistance costs must be reduced
2.13to the percentage required on September
2.141, 2008, to meet federal requirements for
2.15enhanced federal match under the American
2.16Reinvestment and Recovery Act (ARRA)
2.17of 2009. Notwithstanding the requirements
2.18of Minnesota Statutes, section 256B.19,
2.19subdivision 1c , paragraph (d), for the period
2.20beginning July 1, 2009, to December 31,
2.212010, Hennepin County's monthly payment
2.22under that provision is reduced to $434,688.
2.23Capitation Payments. Effective from
2.24July 1, 2009, to December 31, 2010,
2.25notwithstanding the provisions of Minnesota
2.26Statutes 2008, section 256B.19, subdivision
2.271c , paragraph (c), the commissioner shall
2.28increase capitation payments made to the
2.29Metropolitan Health Plan under Minnesota
2.30Statutes 2008, section 256B.69, by
2.31$6,800,000 to recognize higher than average
2.32medical education costs. The increased
2.33amount includes federal matching funds.
2.34Use of Savings. Any savings derived
2.35from implementation of the prohibition in
3.1Minnesota Statutes, section 256B.032, on the
3.2enrollment of low-quality, high-cost health
3.3care providers as vendors of state health care
3.4program services shall be used to offset on a
3.5pro rata basis the reimbursement reductions
3.6for basic care services in Minnesota Statutes,
3.7section 256B.766.

3.8
3.9

(c) MA Basic Health Care Grants - Elderly and
Disabled

970,183,000

1,142,310,000

3.10Minnesota Disability Health Options.
3.11Notwithstanding Minnesota Statutes, section
3.12256B.69, subdivision 5a , paragraph (b), for
3.13the period beginning July 1, 2009, to June
3.1430, 2011, the monthly enrollment of persons
3.15receiving home and community-based
3.16waivered services under Minnesota
3.17Disability Health Options shall not exceed
3.181,000. If the budget neutrality provision
3.19in Minnesota Statutes, section 256B.69,
3.20subdivision 23 , paragraph (f), is reached
3.21prior to June 30, 2013, the commissioner may
3.22waive this monthly enrollment requirement.
3.23Hospital Fee-for-Service Payment Delay.
3.24Payments from the Medicaid Management
3.25Information System that would otherwise
3.26have been made for inpatient hospital
3.27services for Minnesota health care program
3.28enrollees must be delayed as follows: for
3.29fiscal year 2011, payments in the month of
3.30June equal to $15,937,000 must be included
3.31in the first payment of fiscal year 2012 and
3.32for fiscal year 2013, payments in the month
3.33of June equal to $6,666,000 must be included
3.34in the first payment of fiscal year 2014. The
3.35provisions of Minnesota Statutes, section
3.3616A.124 , do not apply to these delayed
4.1payments. Notwithstanding any contrary
4.2provision in this article, this paragraph
4.3expires December 31, 2014.
4.4Nonhospital Fee-for-Service Payment
4.5Delay. Payments from the Medicaid
4.6Management Information System that would
4.7otherwise have been made for nonhospital
4.8acute care services for Minnesota health
4.9care program enrollees must be delayed as
4.10follows: payments in the month of June equal
4.11to $23,438,000 for fiscal year 2011 must be
4.12included in the first payment for fiscal year
4.132012, and payments in the month of June
4.14equal to $27,156,000 for fiscal year 2013
4.15must be included in the first payment for
4.16fiscal year 2014. This payment delay must
4.17not include nursing facilities, intermediate
4.18care facilities for persons with developmental
4.19disabilities, home and community-based
4.20services, prepaid health plans, personal care
4.21provider organizations, and home health
4.22agencies. The provisions of Minnesota
4.23Statutes, section 16A.124, do not apply to
4.24these delayed payments. Notwithstanding
4.25any contrary provision in this article, this
4.26paragraph expires December 31, 2014.

4.27

(d) General Assistance Medical Care Grants

345,223,000

381,081,000

4.28* (The preceding text "381,081,000" was indicated as vetoed by the governor. It
4.29was reconsidered and not approved by the legislature, May 17, 2009.)

4.30

(e) Other Health Care Grants

`4.31`	Appropriations by Fund
`4.32`	General	295,000	295,000
`4.33` `4.34`	Health Care Access	23,533,000	~~7,080,000~~ 5,230,000

5.1Base Adjustment. The health care access
5.2fund base is reduced to $190,000 in each of
5.3fiscal years 2012 and 2013.

5.4 Sec. 3. COBRA CARRY FORWARD.
5.5Unexpended funds appropriated in fiscal year 2010 for COBRA grants under Laws
5.62009, chapter 79, article 5, section 78, do not cancel and are available to the commissioner
5.7of human services for fiscal year 2011 COBRA grant expenditures. Up to $67,000 of the
5.8fiscal year 2011 appropriation for COBRA grants provided in Laws 2009, chapter 79,
5.9article 13, section 3, subdivision 6 may be used by the commissioner of human services
5.10for costs related to administration of the COBRA grants."
5.11Amend the title accordingly