1.1.................... moves to amend H.F. No. 1345 as follows:
1.2Page 2, after line 23, insert:
1.3"(c) The commissioner shall ensure that the data collected is sufficient to allow for
1.4the calculation and reporting of measures by categories of race, ethnicity, language, and
1.5other relevant variables."
1.6Page 2, before line 24, insert:

1.7    "Sec. 3. Minnesota Statutes 2012, section 62U.02, subdivision 3, is amended to read:
1.8    Subd. 3. Quality transparency. The commissioner shall establish standards for
1.9measuring health outcomes, establish a system for risk adjusting quality measures, and
1.10issue annual public reports on provider quality beginning July 1, 2010. The risk adjustment
1.11system for quality measures must include patient characteristics known to be correlated
1.12with poorer health, access, quality of care, and other relevant variables. By January 1,
1.132010, physician clinics and hospitals shall submit standardized electronic information
1.14on the outcomes and processes associated with patient care to the commissioner or the
1.15commissioner's designee. In addition to measures of care processes and outcomes, the
1.16report may include other measures designated by the commissioner, including, but not
1.17limited to, care infrastructure and patient satisfaction. The commissioner shall ensure
1.18that any quality data reporting requirements established under this subdivision are not
1.19duplicative of publicly reported, community-wide quality reporting activities currently
1.20under way in Minnesota. Nothing in this subdivision is intended to replace or duplicate
1.21current privately supported activities related to quality measurement and reporting in
1.22Minnesota."
1.23Page 6, delete lines 2 to 7 and insert:
1.24"(3) Following treatment for an emergency medical condition treated in an
1.25emergency room or inpatient hospital setting, the patient's physician or dentist may submit
1.26a care plan certification request for necessary follow-up care to the commissioner of
1.27human services medical review agent for approval."
2.1Page 6, after line 21, insert:

2.2    "Sec. 5. Minnesota Statutes 2012, section 256B.06, is amended by adding a subdivision
2.3to read:
2.4    Subd. 6. Enrollment in coverage program. Persons who are eligible for payment
2.5under subdivision 4, paragraphs (e) and (f), are eligible to enroll in a coverage program
2.6administered by the commissioner under section 256B.0612.

2.7    Sec. 6. [256B.0612] HEALTH CARE FOR UNINSURED PERSONS.
2.8    Subdivision 1. Enrollment; services. Persons who are eligible for payment under
2.9256B.06 subdivision 4, paragraphs (e) and (f), are eligible to enroll in the Voyager health
2.10coverage program administered by the commissioner, through which payment shall be
2.11made to enrolled providers for the services authorized in section 256B.06, subdivision 4,
2.12and in this subdivision and subdivision 2, that are medically necessary for treatment of an
2.13emergency medical condition, as defined in section 256B.06, subdivision 4, paragraph (g),
2.14to the extent these services are not otherwise covered under section 256B.06, subdivision 4:
2.15(1) physician services;
2.16(2) federally qualified health center services;
2.17(3) rural health clinic services;
2.18(4) nursing facility services;
2.19(5) home and community-based waiver services;
2.20(6) dental services;
2.21(7) prescription drugs and pharmacy services;
2.22(8) mental health services; and
2.23(9) care coordination provided by a certified health care home.
2.24    Subd. 2. Additional services. In addition to services that are covered under
2.25section 256B.06 subdivision 4 and subdivision 1, the commissioner may authorize
2.26payment for the additional services listed in Code of Federal Regulations, title 42, section
2.27440.225, if determined by the commissioner to be medically necessary for the treatment
2.28of an emergency medical condition after a case review process administered by the
2.29commissioner.
2.30    Subd. 3. Required coverage. The services covered under subdivisions 1 and 2 are
2.31covered whether or not the patient previously was treated in an emergency department
2.32or inpatient hospital for the emergency medical condition, if the services are medically
2.33necessary for the treatment of an emergency medical condition, and the absence of the
2.34services could reasonably be expected to result in:
2.35(1) placing the patient's health in serious jeopardy;
3.1(2) serious impairment to bodily functions; or
3.2(3) serious dysfunction of any bodily organ or part.
3.3    Subd. 4. Contract. (a) The commissioner may contract with a health plan,
3.4provider network, nonprofit coverage program, county or group of counties, or health
3.5care delivery system established under sections 256B.0755 or 256B.0756 to administer
3.6the coverage program authorized under this section, and may delegate to the contractor
3.7the responsibility to perform case reviews and authorize payment. The commissioner
3.8may contract under this subdivision on a capitated or fixed budget basis under which the
3.9contractor is responsible for providing the covered services to eligible persons within
3.10the limits of the capitation or payment amount. The commissioner may also contract
3.11using gain-sharing and risk-sharing methods authorized for demonstration projects
3.12established under sections 256B.0755 and 256B.0756. If the commissioner contracts on a
3.13capitated, fixed fee payment, or gain-sharing or risk-sharing method, the commissioner
3.14shall withhold up to five percent of the payment amount, to be paid only if the contractor
3.15achieves standards for quality and cost that are comparable to those required of health care
3.16delivery system projects under sections 256B.0755 and 256B.0756.
3.17(b) The commissioner shall separate nursing facility services and pharmacy services
3.18from other covered services in order to provide payment for these services under the
3.19commissioner's fee-for-service payment system instead of payment to the contracted
3.20entity. The commissioner may administer the program through a fee-for-service payment
3.21system without a health plan, provider network, coverage program, county or group of
3.22counties, or health care delivery system in rural areas and other regions where these
3.23options are not feasible or appropriate.
3.24(c) The commissioner shall ensure that in every case an eligible person is able to
3.25choose to receive covered services, including services covered under subdivision 2, from
3.26an essential community provider, as defined in section 62Q.19, and that the terms of
3.27participation of the essential community provider in the health plan, provider network,
3.28nonprofit coverage program, county or group of counties, or health care delivery system
3.29that has a contract to administer the program under this section are in conformance with
3.30the requirements of section 62Q.19.
3.31    Subd. 5. Federal match. The commissioner shall seek federal financial participation
3.32on all services covered under section 256B.06, subdivision 4, and this section to the extent
3.33permitted under federal law. Services for which federal financial participation is not
3.34available shall be paid for through state appropriations provided for this purpose.
3.35    Subd. 6. Coverage subject to appropriation. Coverage under this section shall be
3.36authorized by the commissioner to the extent that appropriations made for this purpose are
4.1sufficient to cover all services. If appropriations are not sufficient to cover all services, the
4.2commissioner may exclude certain services from coverage or limit the number of persons
4.3eligible to receive payment for certain services, or both."
4.4Page 8, line 20, after the semicolon insert "and"
4.5Page 8, delete lines 21 to 23
4.6Page 8, line 24, delete "(iv)" and insert "(iii)"
4.7Page 8, lines 26 to 27, reinstate the stricken language
4.8Page 8, line 28, reinstate "by medical assistance," and reinstate "or MinnesotaCare at
4.9a level which"
4.10Page 8, line 29, reinstate the stricken language
4.11Page 8, line 30, reinstate the stricken language and delete the new language
4.12Page 10, line 24, delete "community mental health center"
4.13Page 10, after line 26, insert:
4.14"(i) In addition to the rate increases authorized in this section, payment rates for
4.15services rendered on or after January 1, 2014, shall be increased by ten percent over
4.16the rate in effect on December 31, 2013, for services by psychiatrists and advanced
4.17practice registered nurses with a mental health specialty delivered through a community
4.18mental health center as defined in section 256B.0625, subdivision 5, or through essential
4.19community providers who are licensed or certified as mental health providers under
4.20section 256B.0623, 256B.0943, or Minnesota Rules, parts 9520.0750 to 9520.0870."
4.21Page 11, after line 12, insert:

4.22    "Sec. 15. APPROPRIATION.
4.23$....... or the fiscal year ending June 30, 2014, and $....... for the fiscal year ending
4.24June 30, 2015, is appropriated from the health care access fund to the commissioner
4.25of human services for purposes of Minnesota Statutes, section 256B.06, subdivision 4,
4.26and section 256B.0612."
4.27Renumber the sections in sequence and correct the internal references
4.28Amend the title accordingly