1.1.................... moves to amend H.F. No. 1020, the delete everything amendment
1.2(H1020DE2-1), as follows:
1.3Page 7, after line 27, insert:

1.4    "Sec. 10. Minnesota Statutes 2010, section 256B.0625, subdivision 3c, is amended to
1.5read:
1.6    Subd. 3c. Health Services Policy Committee. (a) The commissioner, after
1.7receiving recommendations from professional physician associations, professional
1.8associations representing licensed nonphysician health care professionals, and consumer
1.9groups, shall establish a 13-member Health Services Policy Committee, which consists of
1.1012 voting members and one nonvoting member. The Health Services Policy Committee
1.11shall advise the commissioner regarding health services pertaining to the administration of
1.12health care benefits covered under the medical assistance, general assistance medical care,
1.13and MinnesotaCare programs, only as authorized in paragraphs (b) to (e), subdivision 53,
1.14and section 256B.043, subdivision 1. The Health Services Policy Committee shall meet at
1.15least quarterly. The Health Services Policy Committee shall annually elect a physician
1.16chair from among its members, who shall work directly with the commissioner's medical
1.17director, to establish the agenda for each meeting. The Health Services Policy Committee
1.18shall also recommend criteria for verifying centers of excellence for specific aspects of
1.19medical care where a specific set of combined services, a volume of patients necessary to
1.20maintain a high level of competency, or a specific level of technical capacity is associated
1.21with improved health outcomes.
1.22    (b) The commissioner shall establish a dental subcommittee to operate under the
1.23Health Services Policy Committee. The dental subcommittee consists of general dentists,
1.24dental specialists, safety net providers, dental hygienists, health plan company and
1.25county and public health representatives, health researchers, consumers, and a designee
1.26of the commissioner of health. The dental subcommittee shall advise the commissioner
1.27regarding:
2.1    (1) the critical access dental program under section 256B.76, subdivision 4, including
2.2but not limited to criteria for designating and terminating critical access dental providers;
2.3    (2) any changes to the critical access dental provider program necessary to comply
2.4with program expenditure limits;
2.5    (3) dental coverage policy based on evidence, quality, continuity of care, and best
2.6practices;
2.7    (4) the development of dental delivery models; and
2.8    (5) dental services to be added or eliminated from subdivision 9, paragraph (b).
2.9    (c) The Health Services Policy Committee shall study approaches to making
2.10provider reimbursement under the medical assistance, MinnesotaCare, and general
2.11assistance medical care programs contingent on patient participation in a patient-centered
2.12decision-making process, and shall evaluate the impact of these approaches on health
2.13care quality, patient satisfaction, and health care costs. The committee shall present
2.14findings and recommendations to the commissioner and the legislative committees with
2.15jurisdiction over health care by January 15, 2010.
2.16    (d) The Health Services Policy Committee shall monitor and track the practice
2.17patterns of physicians providing services to medical assistance, MinnesotaCare, and
2.18general assistance medical care enrollees under fee-for-service, managed care, and
2.19county-based purchasing. The committee shall focus on services or specialties for
2.20which there is a high variation in utilization across physicians, or which are associated
2.21with high medical costs. The commissioner, based upon the findings of the committee,
2.22shall regularly notify physicians whose practice patterns indicate higher than average
2.23utilization or costs. Managed care and county-based purchasing plans shall provide the
2.24commissioner with utilization and cost data necessary to implement this paragraph, and
2.25the commissioner shall make this data available to the committee.
2.26    (e) The Health Services Policy Committee shall review caesarean section rates
2.27for the fee-for-service medical assistance population. The committee may develop best
2.28practices policies related to the minimization of caesarean sections, including but not
2.29limited to standards and guidelines for health care providers and health care facilities."
2.30Renumber the sections in sequence and correct the internal references
2.31Amend the title accordingly