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Health and Human Services Reform

TWENTY SECOND MEETING

2011-2012 Regular Session - Wednesday, April 27, 2011

STATE OF MINNESOTA TWENTY SECOND MEETING
HOUSE OF REPRESENTATIVES EIGHTY-SEVENTH SESSION

HEALTH AND HUMAN SERVICES REFORM COMMITTEE

MINUTES

Representative Gottwalt, Chair, of the Health and Human Services Reform Committee, called the meeting to order at 3:37 P.M. on April 27, 2011, in Room 200 of the State Office Building.

The Committee Legislative Assistant noted the roll.

Members present:

GOTTWALT, Steve, Chair
MACK, Tara, Vice Chair
ABELER, Jim
BARRETT, Bob
BENSON, Mike
FRANSON, Mary
FRITZ, Patti
GRUENHAGEN, Glenn
HOSCH, Larry
HUNTLEY, Thomas
KIFFMEYER, Mary
LIEBLING, Tina
LOEFFLER, Diane
LOHMER, Kathy
MCELFATRICK, Carolyn
MORAN, Rena
MURPHY, Erin
NORTON, Kim
PETERSON, Sandra
QUAM, Duane

Members excused: MCDONALD, Joe

HF 1475 (Lanning) Children and family services provisions technical and policy changes made, MFIP and child care assistance program changes made, MFIP and diversionary work program simplified, and child support provision changed.

Representative Gottwalt moved that HF1475 be recommended to pass and be referred to the General Register.

Representative Gottwalt moved the HF1475A2 amendment. THE AMENDMENT WAS ADOPTED.

Representative Fritz moved to orally amend HF1475 by: "delete" L., 13.30 thru P.14, L.14.34. Reinstate the old language and renumber. THE ORAL AMENDMENT WAS ADOPTED.

Testifying on HF1475 were Representative Lanning, Cherie Kotilinek, Manager, Child Care Assistance Program, MN Dept. of Human Services, Jane Delage, Manager, Minnesota Family Investment Program, MN Dept. of Human Services, Jessica Webster, Legal Aid, Katie Conlin, Minnesota Catholic Conference and Alexandra Fitzsimmons, Children's Defense Fund Minnesota.

Representative Gottwalt moved that HF1475, as amended, be recommended to pass. THE MOTION PREVAILED.

HF1498 (Liebling) Human services agency provisions modified, agency hearing and appeals provisions modified, and Disparities Reduction Advisory Council created.

Representative Liebling moved that HF1498 be recommended to pass and be sent to the General Register.

Representative Gottwalt orally moved to "delete" Article 2 THE MOTION PREVAILED.

Representative Liebling moved the H1498A2 amendment. THE AMENDMENT WAS ADOPTED.

Representative Quam moved the flowing oral amendment: L. 6.6, 6.9, 6.12., 5.29, "delete" judge and "insert " referee, 6.13 "delete" referee and "insert" judge THE MOTION PREVAILED.

Representative Liebling moved that HF1498, as amended be recommended to pass and be sent to the General Register. THE MOTION PREVAILED.

HF1404 (Franson) Gager's Law enacted, and standards adopted that govern outdoor activity at licensed child care facilities.

Representative Gottwalt moved that HF1404 be recommended to pass and go to General Register.

Representative Franson moved to orally amend HF1404 by: L., 1.9, "delete" All, "delete" engage in outdoor activities and "insert" play outdoors.

Testifying on HF1404 were Representative Franson and Kari Akers.

Representative Gottwalt moved that HF1404 be laid over. THE MOTION PREVAILED.

HF523 (Quam) Children and Community Services Act service plan requirements changed.
Representative Quam moved that HF523 be recommended to be laid over for inclusion in the Health and Human Services Reform bill.

Testifying on HF523 was Representative Quam.

Representative Quam renewed his motion that HF523 be recommended to be laid over for inclusion in the Health and Human Services Reform bill. THE MOTION PREVAILED.

Representative Mack assumed the gavel at 4:02 P.M.

HF1020 (Gottwalt) Nursing facility rate equalization phased out.

Representative Gottwalt moved that HF1020 be recommended to pass and be sent to The General Register.

Representative Gottwalt moved the H1020DE2-1 amendment.

The meeting was recessed at 4:17 P.M.

The meeting was reconvened at 6:21 P.M.

Representative Norton moved that the minutes of April 26, 2011 be approved. THE MOTION PREVAILED.

Representative Gottwalt renewed his motion that the H1020DE2-1 amendment be adopted. THE MOTION PREVAILED.

Representative Gottwalt moved the H1020A1 amendment. THE AMENDMENT WAS ADOPTED.

Representative Gottwalt moved the H1020A3 amendment. THE AMENDMENT WAS ADOPTED.

Representative Gottwalt moved the H1020A7 amendment. THE AMENDMENT WAS ADOPTED.

Representative Gottwalt moved the H1020A8
Representative Gottwalt moved the
H1020A11-0363 amendment. THE AMENDMENT WAS LAID ASIDE.

Representative Kiffmeyer assumed the gavel at 7:02 P.M.

Representative Mack moved the H1020A2-1 amendment with the following oral amendment: P 6, L.6.3thru 6.8, "delete" all new language. THE AMENDMENT, AS ORALLY AMENDED WAS ADOPTED.

Representative Mack moved the H1020A6 amendment. THE AMENDMENT WAS ADOPTED.

Representative Gottwalt moved to amend the H1020DE2-1 amendment by: "delete" all changes to Section 10, L.20.8 to L.23.18 THE ORAL AMENDMENT WAS ADOPTED.

Representative Mack moved the H1020A11-0350 amendment.

Representative Liebling requested a roll call and the results were as follows:

Voting AYE were; Representatives Gottwalt, Mack, Barrett, Benson, Franson, Fritz, Gruenhagen, Hosch, Kiffmeyer, Lohmer, McElfatrick, Quam
Voting NAY were Representatives Liebling, Loeffler, Moran, Murphy, Norton

Absent were: Abeler, Huntley, McDonald, Peterson

On a vote of 12 AYES and 5 NAYS THE AMENDMENT WAS ADOPTED.

Representative Gottwalt moved the H1020A11-352 amendment.

Representative Liebling requested a roll call and the results were as follows:

Voting AYE were; Representatives Gottwalt, Mack, Barrett, Benson, Franson, Fritz, Gruenhagen, Hosch, Kiffmeyer, Lohmer, McElfatrick, Quam
Voting NAY were Representatives Liebling, Loeffler, Moran, Murphy, Norton

Absent were: Abeler, Huntley, McDonald, Peterson

On a vote of 12 AYES and 5 NAYS THE AMENDMENT WAS ADOPTED.

Testifying on HF1020 were: Representative Gottwalt, Bruce Nelson, AARM, Heidi Holste, Care Providers of MN., Christine Almeida, Medtronics Phil Griffin, LSA, Julie Marquart, DHS, Sarah Drake, DHS, Ed, Sheehy, Ucare

Representative Gottwalt renewed his motion that HF1020, as amended was adopted. THE MOTION PREVAILED.

HF1500 (Anderson,D.) Chemical and mental health services changes made, and rate reforms made.

Representative Gottwalt moved that HF1500A1 be recommended to pass. THE AMENDMENT WAS ADOPTED.

Representative Gottwalt moved the H1500A2 amendment. THE AMENDMENT WAS ADOPTED.

Representative Loeffler moved to orally amend HF1500 by: P.2, l.2.26 after conducted "insert" or upon receiving court approval after a finding that such a screening would be in the best interest of the child. THE ORAL AMENDMENT TO THE AMENDMENT WAS ADOPTED.


Testifying on HF1500 were Representative Anderson, Gary Cox, DHS, Sue Abderholden, NAMI, Gene Anderson, DHS, Thomas Ruter, Manager of Legislative and Stakeholder Relations, Chemical and Mental Health Services Administration

Representative Liebling moved to delete the H1500A1 amendment. THE MOTION DID NOT PREVAIL.

Representative Liebling moved that HF1500, as amended, be re-referred to the committee on Judiciary Policy and Finance. THE MOTION PREVAILED.

HF1508 (Schomacker) Resident case mix classification changed.

Representative Gottwalt moved that HF1508 be recommended to pass and be sent to the General Register.

Testifying on HF1508 were: Representative Schomacker and Marci Martinson, Minnesota Department of Health.

Representative Gottwalt renewed his motion that HF1508 be recommended to pass and be sent to the General Register. THE MOTION PREVAILED.

Representative Mack assumed the gavel at 8:27 P.M.

HF1543 (Gottwalt) Health care program provisions changed; technical and policy changes made; obsolete language clarified; federal conformity changed; eligibility requirements clarified; pharmaceutical provisions modified; covered services clarified; elderly waiver payment eliminated; right to appeal and appeal processes provided; provider requirements imposed; nonemergency medical transportation report required; and managed care and county-based purchasing data report required.

Representative Gottwalt moved that HF1543 be recommended to pass and be sent to the General Register.

Representative Gottwalt moved the H1543A-1 amendment.

Representative Gottwalt moved to orally amend the H1543A1 amendment by: P.1 l.7 "delete" everything after restrict and "insert" the number of patients served based on coverage under a state. THE ORAL AMENDMENT WAS ADOPTED.

Representative Loffler moved to orally amend the H1543A1 amendment oral P. 2, L.2.9 after counties "insert" including a metropolitan and rural county representative. THE ORAL AMENDMENT WAS ADOPTED.

Representative Gottwalt moved the H1543A1 amendment, as amended, be adopted. THE MOTION PREVAILED.

Representative Gottwalt moved to orally amend HF1543 by "delete" P. 26, L.26.27 thru P.27, L. 27.13. THE ORAL AMENDMENT WAS ADOPTED.

Representative Gottwalt moved to orally amend HF1543 by: (d) this subdivision applies to medical assistance services delivered for fee for services and does not apply to services delivered thru managed care and county based purchasing plans. THE ORAL AMENDMENT WAS ADOPTED.

Representative Gottwalt moved to orally amend the H1543A2 amendment by: P. 1, L. l. l5 after the word stands "insert" and the vendor serves primarily pediatric patients. THE ORAL AMENDMENT WAS ADOPTED.

Representative Gottwalt moved that HF1543A2 amendment, as amended, be adopted. THE MOTION PREVAILED.

Representative Gottwalt moved to orally amend HF1543 by: P. 16 L.18 "delete" for, P. 16, P.16, L.19 "delete" which and "insert" that, P.29, L29.28 after cause "insert" not. THE ORAL AMENDMENT WAS ADOPTED.

Representative Loffler moved to orally amend HF1543 by: L.17.27 ‘delete" thru 17.33 and "insert" with (d) Durable medical equipment means a device or equipment that: can withstand repeated use; is generally not useful in the absence of an illness, injury, or disability; and is provided to correct or accommodate a physiological disorder or physical condition or is generally used primarily for a medical purpose

Representative Gottwalt moved to orally amend HF1543 by: P. 16, L.16.2 after drug "insert" or medical,
16.28, after drug "insert" or medical, L.30 after drug "insert" or medical THE ORAL AMENDMENT WAS ADOPTED.

Representative Gottwalt moved to orally amend HF1543 by: "delete" all of Article 9. THE ORAL AMENDMENT WAS ADOPTED.

Representative Gottwalt moved to orally amend HF1543 by: "delete" L. 34.6 thru L. 34.7 THE ORAL AMENDMENT WAS ADOPTED.

Representative Abeler moved to orally amend HF1543 by: "delete" all of article 14, P. 20 thru P. 23. THE ORAL AMENDMENT WAS ADOPTED.

Representative Kiffmeyer assumed the gavel at 9:38

Testifying on HF1543 were: Representative Gottwalt, Scott Leitz, Assistant Commissioner, Health Care Administration, MN Dept. of Human Services and Shannon Kojasoy, Legislative Liaison, Health Care Administration, MN Dept. of Human Services, Deborah Mariska, MN Dept. of Human Services, Phil Grifffin, Chris Reiser, MN Dept. of Human Services

Representative Gottwalt moved that HF1543, as amended, be recommended to pass and be sent to the
General Register THE MOTION PREVAILED.

HF1445 (Liebling) Body art technician provisions changed.

Representative Liebling moved that HF1445 be recommended to pass and be sent to the General Register.

Testifying on HF1445 were: Representative Liebling and Kyle Renell, Health Occupations Program Legal Analyst, MN Department of Health.

Representative Liebling renewed her motion that HF1445 be recommended to pass and be sent to the General Register. THE MOTION PREVAILED.

HF926 (Gottwalt) Health coverage mandate evaluation provisions changed.

Representative Gottwalt moved that HF926 be recommended to pass and be sent to the General Register.

Testifying on HF926 were Representative Gottwalt and Lisa Bodine, Minnesota Chamber of Commerce.

Representative Gottwalt renewed his motion that HF926 be recommended to pass and be sent to the General Register. THE MOTION PREVAILED.

HF 1341 (McDonald) Health services to children under Minnesota public health care programs fiscal information reporting required.

Representative Mack moved that HF1341 be recommended to pass and be sent to the General Register.

Testifying on HF1341 were: Representative Mack and John Deihl, Gillette Hospital.

Representative Mack renewed her motion that HF1341 be recommended to pass and be sent to the General Register. THE MOTION PREVAILED.

HF1334 (Mack) Chiropractor scope of practice modified.

Representative Mack moved that HF1334 be laid over.

Representative Mack moved the H1334A1 amendment. THE AMENDMENT WAS ADOPTED.

Representative Liebling assumed the gavel at 10:22.

Testifying on HF1334 were: Representative Mack, Kevin Goodno, Dr. Charles Sawyer, Kathleen Picard, MN Chapter of the American Physical Therapy Association (MN APTA), Dr. Jason Wing Louie, Kimberly Fritz, L.A.C., Andres Masis, Mark R. Bookhout, Cassie McGuire, Joseph Stevens, Dr. Charles Sawyer, University of Minnesota, John Burns, and Larry Spicer.

Representative Mack renewed her motion that HF1334 be laid over. THE MOTION PREVAILED.

The meeting was adjourned at 11:05 P.M.

.



Representative Steve Gottwalt, Chair




Shirley Koderick, Committee Legislative Assistant
More Info On This Meeting..
Bills Added:
  • HF1475 (Lanning) - Children and family services provisional technical and policy changes made, Minnesota family investment program and child care assistance program changes made, and Minnesota family investment program and diversionary work program simplified.
  • HF1404 (Franson) - Gager's Law enacted, and standards adopted that govern outdoor activity at licensed child care facilities.
  • HF0523 (Quam) - Children and Community Services Act service plan requirements changed.
  • HF1020 (Gottwalt) - Health and human services program policy provisions changed, nonemergency medical transportation proposal required, pharmacy audit integrity program and Minnesota Autism Spectrum Task Force created, state funds prohibited for abortions, health occupations licensing provisions amended, licenses prohibited to individuals with felony-level criminal sexual conduct offenses, and Pain-Capable Unborn Child Protection Act created.
  • HF1508 (Schomacker) - Resident case mix classification changed.
  • HF1500 (Anderson) - Chemical and mental health services changes made, and rate reforms made.
  • HF1445 (Liebling) - Body art technician provisions changed.
  • HF1543 (Gottwalt) - Health care program provisions changed; technical and policy changes made; obsolete language clarified; federal conformity changed; eligibility requirements clarified; pharmaceutical provisions modified; covered services clarified; elderly waiver payment eliminated; right to appeal and appeal processes provided; provider requirements imposed; nonemergency medical transportation report required; and managed care and county-based purchasing data report required.
  • HF0926 (Gottwalt) - Health coverage mandate evaluation provisions changed.
  • HF1498 (Liebling) - Human services agency provisions modified, and agency hearing and appeals provisions modified.
  • HF1334 (Mack) - Chiropractor scope of practice modified.
  • HF1341 (McDonald) - Health services to children under Minnesota public health care programs fiscal information reporting required.
Documents:
  • - 4/20/2011
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  • - 4/20/2011
  • - 4/26/2011
  • - 4/27/2011
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HF1020 will be the omnibus health and human services policy bill.
Additional bills may be added.
We will be placing a 30 minute time limit for each bill. The 30 minutes includes both the presentation and testimony (both for and against). If you would like to testify, please contact Holly Iverson at holly.iverson@house.mn