1.1.................... moves to amend H.F. No. .... (revisor document 10-4968) as follows:
1.2Page 1, line 19, delete "8" and insert "7"
1.3Page 1, line 26, after the semicolon, insert "and"
1.4Page 2, delete lines 1 and 2
1.5Page 2, line 3, delete "(6)" and insert "(5)"
1.6Page 2, line 12, delete "a local" and insert "an emergency room, a local crisis
1.7service, or a"
1.8Page 2, line 15, delete "5" and insert "4"
1.9Page 2, delete subdivision 4
1.10Renumber the subdivisions in sequence
1.11Page 3, line 1, delete "5" and insert "4"
1.12Page 4, line 9, delete "3.4" and insert "4.0"
1.13Page 8, line 22, delete everything before "fee-for-service" and insert "total payment
1.14rate for medical assistance"
1.15Page 8, line 23, delete "from" and insert "on or after" and before "hospitals" insert
1.16"Minnesota"
1.17Page 8, line 24, delete "15" and insert "14"
1.18Page 8, line 25, after "rates" insert "if the hospital is located in Hennepin or Ramsey
1.19County and 18 percent from the current statutory rates for all other Minnesota hospitals"
1.20Page 9, line 14, delete ", excluding general"
1.21Page 9, line 15, delete "assistance medical care admissions," and delete "from"
1.22and insert "on or after"
1.23Page 9, line 16, after "a" insert "Minnesota"
1.24Page 9, line 17, delete everything after "hospitals" and insert "for diagnosis-related
1.25groups 424 to 432 and 521 to 523 admissions paid by medical assistance for admissions
1.26occurring in calendar year 2007, shall be increased for these diagnosis-related groups at
1.27a percentage"
2.1Page 9, delete line 18
2.2Page 9, line 20, after the period, insert "For purposes of this paragraph, medical
2.3assistance does not include general assistance medical care."
2.4Page 10, line 20, delete everything before "to" and insert "For medical assistance
2.5admissions occurring on or after March 1, 2010,"
2.6Page 10, line 23, after the period, insert "For purposes of this paragraph, medical
2.7assistance does not include general assistance medical care."
2.8Page 12, line 1, after "rendered" insert "on or after"
2.9Page 13, line 5, after the first comma, insert "and notwithstanding paragraph (a),"
2.10Page 13, line 8, delete "in terms of deliveries" and insert "for diagnosis-related
2.11groups 370 to 373, 388, 390, and 391 admissions" and after "assistance" insert "for
2.12admissions provided in calendar year 2007"
2.13Page 13, line 9, delete everything before "at" and insert "these diagnosis-related
2.14groups"
2.15Page 13, line 11, after the period, insert "For purposes of this paragraph, medical
2.16assistance does not include general assistance medical care."
2.17Page 15, line 21, delete "the" and insert "an"
2.18Page 15, line 22, delete "medications" and insert "medication"
2.19Page 15, line 23, delete "are" and insert "is"
2.20Page 15, delete section 12
2.21Page 20, line 10, after "program" insert "and under MinnesotaCare for families with
2.22children" and delete "5.14" and insert "4.61"
2.23Page 24, after line 10, insert:

2.24    "Sec. 16. Minnesota Statutes 2008, section 256D.03, subdivision 3a, is amended to
2.25read:
2.26    Subd. 3a. Claims; assignment of benefits. (a) Claims must be filed pursuant to
2.27section 256D.16. General assistance medical care applicants and recipients must apply or
2.28agree to apply third party health and accident benefits to the costs of medical care. They
2.29must cooperate with the state in establishing paternity and obtaining third party payments.
2.30By accepting general assistance, a person assigns to the Department of Human Services
2.31all rights to medical support or payments for medical expenses from another person or
2.32entity on their own or their dependent's behalf and agrees to cooperate with the state in
2.33establishing paternity and obtaining third party payments. The application shall contain
2.34a statement explaining the assignment. Any rights or amounts assigned shall be applied
2.35against the cost of medical care paid for under this chapter. An assignment is effective on
2.36the date general assistance medical care eligibility takes effect.
3.1(b) Effective for general assistance medical care services rendered on or after March
3.21, 2010, to June 30, 2011, any collections, payments, or recoveries under this subdivision
3.3shall be deposited in the account established in section 256D.032.
3.4EFFECTIVE DATE.This section is effective March 1, 2010.

3.5    Sec. 17. Minnesota Statutes 2008, section 256D.03, subdivision 3b, is amended to read:
3.6    Subd. 3b. Cooperation. (a) General assistance or general assistance medical care
3.7applicants and recipients must cooperate with the state and local agency to identify
3.8potentially liable third-party payors and assist the state in obtaining third-party payments.
3.9Cooperation includes identifying any third party who may be liable for care and services
3.10provided under this chapter to the applicant, recipient, or any other family member for
3.11whom application is made and providing relevant information to assist the state in pursuing
3.12a potentially liable third party. General assistance medical care applicants and recipients
3.13must cooperate by providing information about any group health plan in which they may
3.14be eligible to enroll. They must cooperate with the state and local agency in determining
3.15if the plan is cost-effective. For purposes of this subdivision, coverage provided by the
3.16Minnesota Comprehensive Health Association under chapter 62E shall not be considered
3.17group health plan coverage or cost-effective by the state and local agency. If the plan is
3.18determined cost-effective and the premium will be paid by the state or local agency or is
3.19available at no cost to the person, they must enroll or remain enrolled in the group health
3.20plan. Cost-effective insurance premiums approved for payment by the state agency and
3.21paid by the local agency are eligible for reimbursement according to subdivision 6.
3.22(b) Effective for all premiums due on or after June 30, 1997, general assistance
3.23medical care does not cover premiums that a recipient is required to pay under a qualified
3.24or Medicare supplement plan issued by the Minnesota Comprehensive Health Association.
3.25General assistance medical care shall continue to cover premiums for recipients who are
3.26covered under a plan issued by the Minnesota Comprehensive Health Association on June
3.2730, 1997, for a period of six months following receipt of the notice of termination or
3.28until December 31, 1997, whichever is later.
3.29(c) Effective for general assistance medical care services rendered on or after March
3.301, 2010, to June 30, 2011, any collections, payments, or recoveries under this subdivision
3.31shall be deposited in the account established in section 256D.032.
3.32EFFECTIVE DATE.This section is effective March 1, 2010."
3.33Page 25, line 8, after the semicolon, insert "or"
3.34Page 25, line 11, delete "; or" and insert a period
4.1Page 25, delete line 12
4.2Page 26, line 8, delete "or"
4.3Page 26, line 9, delete the period and insert "; or"
4.4Page 26, after line 9, insert:
4.5"(5) fails to meet the requirements of section 256L.09, subdivision 2."
4.6Page 29, delete subdivision 6
4.7Renumber the subdivisions in sequence
4.8Page 32, after line 23, insert:

4.9    "Sec. 20. Minnesota Statutes 2008, section 256D.06, subdivision 7, is amended to read:
4.10    Subd. 7. SSI conversions and back claims. (a) The commissioner of human
4.11services shall contract with agencies or organizations capable of ensuring that clients who
4.12are presently receiving assistance under sections 256D.01 to 256D.21, and who may be
4.13eligible for benefits under the federal Supplemental Security Income program, apply and,
4.14when eligible, are converted to the federal income assistance program and made eligible
4.15for health care benefits under the medical assistance program. The commissioner shall
4.16ensure that money owing to the state under interim assistance agreements is collected.
4.17(b) The commissioner shall also directly or through contract implement procedures
4.18for collecting federal Medicare and medical assistance funds for which clients converted
4.19to SSI are retroactively eligible.
4.20(c) The commissioner shall contract with agencies to ensure implementation of
4.21this section. County contracts with providers for residential services shall include the
4.22requirement that providers screen residents who may be eligible for federal benefits and
4.23provide that information to the local agency. The commissioner shall modify the MAXIS
4.24computer system to provide information on clients who have been on general assistance
4.25for two years or longer. The list of clients shall be provided to local services for screening
4.26under this section.
4.27(d) Effective for general assistance medical care services rendered on or after March
4.281, 2010, to June 30, 2011, any collections, payments, or recoveries under this subdivision
4.29shall be deposited in the account established in section 256D.032.
4.30EFFECTIVE DATE.This section is effective March 1, 2010."
4.31Page 35, after line 10, insert:

4.32    "Sec. 28. PROVIDER PARTICIPATION.
4.33For purposes of Minnesota Statutes, section 256B.0644, the reference to the general
4.34assistance medical care program shall include the temporary general assistance medical
4.35care program established under Minnesota Statutes, section 256D.031. In meeting the
5.1requirements of Minnesota Statutes, section 256B.0644, a provider must accept new
5.2patients regardless of the Minnesota health care program the patient is enrolled in and may
5.3not refuse to accept patients enrolled in one Minnesota health care program and continue
5.4to accept patients enrolled in other Minnesota health care programs.
5.5EFFECTIVE DATE.This section is effective March 1, 2010."
5.6Page 36, line 16, delete "$26,000,000" and insert "$34,000,000"
5.7Page 36, line 17, before the period, insert ", and any unexpended amount not used
5.8for general assistance medical care expenditures incurred prior to March 1, 2010, does
5.9not cancel and shall be transferred to the fund established in Minnesota Statutes, section
5.10256D.032, by January 1, 2011."
5.11Page 36, delete line 17
5.12Page 36, after line 18, insert:

5.13    "Sec. 32. APPROPRIATION REDUCTION; TRANSFER.
5.14    (a) The general fund appropriation to the commissioner of human services for
5.15children and community services grants in Laws 2009, chapter 79, article 13, section 3,
5.16subdivision 4, as amended by Laws 2009, chapter 173, article 2, section 1, subdivision 4,
5.17is reduced by $17,000,000 in fiscal year 2011. For the biennium beginning July 1, 2011,
5.18the base level funding for these grants shall be $67,542,000.
5.19    (b) The general fund appropriation to the commissioner of human services for
5.20the adult mental health integrated fund in Laws 2009, chapter 79, article 13, section 3,
5.21subdivision 8, as amended by Laws 2009, chapter 173, article 2, section 1, subdivision 8,
5.22is reduced by $12,000,000 in fiscal year 2011. For the biennium beginning July 1, 2011,
5.23the base level funding for these grants shall be $77,739,000.
5.24    (c) $29,000,000 shall be transferred in fiscal year 2011 from the general fund to
5.25the general assistance medical care account established in Minnesota Statutes, section
5.26256D.032."
5.27Page 36, line 27, delete "March" and insert "May"
5.28Renumber the sections in sequence and correct internal references
5.29Amend the title accordingly