1.1    .................... moves to amend H. F. No. 1873 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2006, section 62J.04, subdivision 3, is amended to read:
1.4    Subd. 3. Cost containment duties. The commissioner shall:
1.5    (1) establish statewide and regional cost containment goals for total health care
1.6spending under this section and, collect data as described in sections 62J.38 to 62J.41 to
1.7monitor statewide achievement of the cost containment goals, and annually report to the
1.8legislature on whether the goals were achieved and, if not, what action should be taken to
1.9ensure that goals are achieved in the future;
1.10    (2) divide the state into no fewer than four regions, with one of those regions being
1.11the Minneapolis/St. Paul metropolitan statistical area but excluding Chisago, Isanti,
1.12Wright, and Sherburne Counties, for purposes of fostering the development of regional
1.13health planning and coordination of health care delivery among regional health care
1.14systems and working to achieve the cost containment goals;
1.15    (3) monitor the quality of health care throughout the state and take action as
1.16necessary to ensure an appropriate level of quality;
1.17    (4) issue recommendations regarding uniform billing forms, uniform electronic
1.18billing procedures and data interchanges, patient identification cards, and other uniform
1.19claims and administrative procedures for health care providers and private and public
1.20sector payers. In developing the recommendations, the commissioner shall review the
1.21work of the work group on electronic data interchange (WEDI) and the American National
1.22Standards Institute (ANSI) at the national level, and the work being done at the state and
1.23local level. The commissioner may adopt rules requiring the use of the Uniform Bill
1.2482/92 form, the National Council of Prescription Drug Providers (NCPDP) 3.2 electronic
1.25version, the Centers for Medicare and Medicaid Services 1500 form, or other standardized
1.26forms or procedures;
1.27    (5) undertake health planning responsibilities;
2.1    (6) authorize, fund, or promote research and experimentation on new technologies
2.2and health care procedures;
2.3    (7) within the limits of appropriations for these purposes, administer or contract for
2.4statewide consumer education and wellness programs that will improve the health of
2.5Minnesotans and increase individual responsibility relating to personal health and the
2.6delivery of health care services, undertake prevention programs including initiatives to
2.7improve birth outcomes, expand childhood immunization efforts, and provide start-up
2.8grants for worksite wellness programs;
2.9    (8) undertake other activities to monitor and oversee the delivery of health care
2.10services in Minnesota with the goal of improving affordability, quality, and accessibility of
2.11health care for all Minnesotans; and
2.12    (9) make the cost containment goal data available to the public in a
2.13consumer-oriented manner.
2.14EFFECTIVE DATE.This section is effective July 1, 2007.

2.15    Sec. 2. Minnesota Statutes 2006, section 62J.81, subdivision 1, is amended to read:
2.16    Subdivision 1. Required disclosure of estimated payment. (a) A health care
2.17provider, as defined in section 62J.03, subdivision 8, or the provider's designee as agreed
2.18to by that designee, shall, at the request of a consumer, provide that consumer with a good
2.19faith estimate of the reimbursement allowable payment the provider expects to receive
2.20from the health plan company in which the consumer is enrolled has agreed to accept from
2.21the consumer's health plan company for the services specified by the consumer, specifying
2.22the amount of the allowable payment due from the health plan company and the amount
2.23due from the consumer. Health plan companies must allow contracted providers, or their
2.24designee, to release this information. A good faith estimate must also be made available at
2.25the request of a consumer who is not enrolled in a health plan company. If a consumer has
2.26no applicable public or private coverage, the health care provider must give the consumer
2.27a good faith estimate of the average allowable reimbursement the provider accepts as
2.28payment from private third-party payers for the services specified by the consumer and the
2.29estimated amount the noncovered consumer will be required to pay. Payment information
2.30provided by a provider, or by the provider's designee as agreed to by that designee, to a
2.31patient pursuant to this subdivision does not constitute a legally binding estimate of the
2.32allowable charge for or cost to the consumer of services.
2.33    (b) A health plan company, as defined in section 62J.03, subdivision 10, shall, at the
2.34request of an enrollee or the enrollee's designee, provide that enrollee with a good faith
2.35estimate of the reimbursement allowable amount the health plan company would expect to
3.1pay to has contracted for with a specified provider within the network as total payment for
3.2a health care service specified by the enrollee and the portion of the allowable amount due
3.3from the enrollee. If requested by the enrollee, the health plan company shall also provide
3.4to the enrollee a good faith estimate of the enrollee's out-of-pocket cost for the health care
3.5service. An estimate provided to an enrollee under this paragraph is not a legally binding
3.6estimate of the reimbursement allowable amount or enrollee's out-of-pocket cost.
3.7EFFECTIVE DATE.This section is effective August 1, 2007.

3.9    Subdivision 1. Task force. The Health Care Transformation Task Force consists of:
3.10    (1) the Legislative Commission on Health Care Access established under section
3.12    (2) the commissioners of human services, health, and commerce;
3.13    (3) four persons designated by the SmartBuy alliance to represent private sector
3.14purchasers, including one representing public employers, one representing large
3.15employers, one representing small employers, and one representing labor unions; and
3.16    (4) six persons designated by the partnership for action to transform health care,
3.17a multisector policy alliance of hospitals and health systems, health plan companies,
3.18physicians, and other health care organizations.
3.19    Subd. 2. Public input. The commissioner of health shall review available research
3.20and conduct statewide, regional, and local surveys, focus groups, and other activities to
3.21determine Minnesotans' values, preferences, opinions, and perceptions related to health
3.22care and to the issues confronting the task force, and shall report the findings to the task
3.24    Subd. 3. Inventory and assessment of existing activities. The task force shall
3.25complete an inventory and assessment of all public and private organized activities,
3.26coalitions, and collaboratives working on tasks relating to health system improvement
3.27including, but not limited to, patient safety, quality measurement and reporting,
3.28evidence-based practice, adoption of health information technology, disease management
3.29and chronic care coordination, medical homes, access to health care, cultural competence,
3.30prevention and public health, consumer incentives, price and cost transparency, nonprofit
3.31organization community benefits, education, research, and health care workforce. By
3.32December 15, 2007, the task force shall present recommendations to the legislature, the
3.33governor, and to those working on these activities on how these activities may be made
3.34more effective and how coordination and communication may be improved.
4.1    Subd. 4. Action plan. By December 15, 2007, the task force shall develop and
4.2present, to the legislature and the governor, a statewide action plan for transforming the
4.3health care system to improve affordability, quality, and access. The plan may consist of
4.4legislative actions, administrative actions of governmental entities, collaborative actions,
4.5and actions of individuals and individual organizations. The plan must include specific
4.6and measurable goals and deadlines for affordability, quality, and access. The plan must
4.7include a method of coordination and communication among the activities identified
4.8under subdivision 3.

4.9    Sec. 4. Minnesota Statutes 2006, section 62Q.165, subdivision 1, is amended to read:
4.10    Subdivision 1. Definition. It is the commitment of the state to achieve universal
4.11health coverage for all Minnesotans by the year 2010. Universal coverage is achieved
4.13    (1) every Minnesotan has access to a full range of quality health care services;
4.14    (2) every Minnesotan is able to obtain affordable health coverage which pays for the
4.15full range of services, including preventive and primary care; and
4.16    (3) every Minnesotan pays into the health care system according to that person's
4.18EFFECTIVE DATE.This section is effective July 1, 2007.

4.19    Sec. 5. Minnesota Statutes 2006, section 62Q.165, subdivision 2, is amended to read:
4.20    Subd. 2. Goal. It is the goal of the state to make continuous progress toward
4.21reducing the number of Minnesotans who do not have health coverage so that by January
4.221, 2000, fewer than four percent of the state's population will be without health coverage
4.232010, all Minnesota residents have access to affordable health care. The goal will be
4.24achieved by improving access to private health coverage through insurance reforms and
4.25market reforms, by making health coverage more affordable for low-income Minnesotans
4.26through purchasing pools and state subsidies, and by reducing the cost of health coverage
4.27through cost containment programs and methods of ensuring that all Minnesotans are
4.28paying into the system according to their ability.
4.29EFFECTIVE DATE.This section is effective July 1, 2007.

4.30    Sec. 6. Minnesota Statutes 2006, section 62Q.80, is amended by adding a subdivision
4.31to read:
4.32    Subd. 1a. Demonstration project. The commissioner of health shall award a
4.33demonstration project grant to a community-based health care initiative to develop and
4.34operate a community-based health care coverage program to operate within Carlton,
5.1Cook, Lake, and St. Louis Counties. The demonstration project shall extend for five years
5.2and must comply with all the requirements of this section.

5.3    Sec. 7. Minnesota Statutes 2006, section 62Q.80, subdivision 3, is amended to read:
5.4    Subd. 3. Approval. (a) Prior to the operation of a community-based health care
5.5coverage program, a community-based health initiative shall submit to the commissioner
5.6of health for approval the community-based health care coverage program developed by
5.7the initiative. The commissioner shall only approve a program that has been awarded
5.8a community access program grant from the United States Department of Health and
5.9Human Services. The commissioner shall ensure that the program meets the federal grant
5.10requirements and any requirements described in this section and is actuarially sound based
5.11on a review of appropriate records and methods utilized by the community-based health
5.12initiative in establishing premium rates for the community-based health care coverage
5.14    (b) Prior to approval, the commissioner shall also ensure that:
5.15    (1) the benefits offered comply with subdivision 8 and that there are adequate
5.16numbers of health care providers participating in the community-based health network to
5.17deliver the benefits offered under the program;
5.18    (2) the activities of the program are limited to activities that are exempt under this
5.19section or otherwise from regulation by the commissioner of commerce;
5.20    (3) the complaint resolution process meets the requirements of subdivision 10; and
5.21    (4) the data privacy policies and procedures comply with state and federal law.

5.22    Sec. 8. Minnesota Statutes 2006, section 62Q.80, subdivision 4, is amended to read:
5.23    Subd. 4. Establishment. (a) The initiative shall establish and operate upon approval
5.24by the commissioner of health a community-based health care coverage program. The
5.25operational structure established by the initiative shall include, but is not limited to:
5.26    (1) establishing a process for enrolling eligible individuals and their dependents;
5.27    (2) collecting and coordinating premiums from enrollees and employers of enrollees;
5.28    (3) providing payment to participating providers;
5.29    (4) establishing a benefit set according to subdivision 8 and establishing premium
5.30rates and cost-sharing requirements;
5.31    (5) creating incentives to encourage primary care and wellness services; and
5.32    (6) initiating disease management services, as appropriate.
5.33    (b) The payments collected under paragraph (a), clause (2), may be used to capture
5.34available federal funds.

5.35    Sec. 9. Minnesota Statutes 2006, section 62Q.80, subdivision 13, is amended to read:
6.1    Subd. 13. Report. (a) The initiative shall submit quarterly status reports to the
6.2commissioner of health on January 15, April 15, July 15, and October 15 of each year,
6.3with the first report due January 15, 2007 2008. The status report shall include:
6.4    (1) the financial status of the program, including the premium rates, cost per member
6.5per month, claims paid out, premiums received, and administrative expenses;
6.6    (2) a description of the health care benefits offered and the services utilized;
6.7    (3) the number of employers participating, the number of employees and dependents
6.8covered under the program, and the number of health care providers participating;
6.9    (4) a description of the health outcomes to be achieved by the program and a status
6.10report on the performance measurements to be used and collected; and
6.11    (5) any other information requested by the commissioner of health or commerce or
6.12the legislature.
6.13    (b) The initiative shall contract with an independent entity to conduct an evaluation
6.14of the program to be submitted to the commissioners of health and commerce and the
6.15legislature by January 15, 2009 2010. The evaluation shall include:
6.16    (1) an analysis of the health outcomes established by the initiative and the
6.17performance measurements to determine whether the outcomes are being achieved;
6.18    (2) an analysis of the financial status of the program, including the claims to
6.19premiums loss ratio and utilization and cost experience;
6.20    (3) the demographics of the enrollees, including their age, gender, family income,
6.21and the number of dependents;
6.22    (4) the number of employers and employees who have been denied access to the
6.23program and the basis for the denial;
6.24    (5) specific analysis on enrollees who have aggregate medical claims totaling over
6.25$5,000 per year, including data on the enrollee's main diagnosis and whether all the
6.26medical claims were covered by the program;
6.27    (6) number of enrollees referred to state public assistance programs;
6.28    (7) a comparison of employer-subsidized health coverage provided in a comparable
6.29geographic area to the designated community-based geographic area served by the
6.30program, including, to the extent available:
6.31    (i) the difference in the number of employers with 50 or fewer employees offering
6.32employer-subsidized health coverage;
6.33    (ii) the difference in uncompensated care being provided in each area; and
6.34    (iii) a comparison of health care outcomes and measurements established by the
6.35initiative; and
6.36    (8) any other information requested by the commissioner of health or commerce.

7.1    Sec. 10. Minnesota Statutes 2006, section 62Q.80, subdivision 14, is amended to read:
7.2    Subd. 14. Sunset. This section expires December 31, 2011 2012.

7.3    Sec. 11. Minnesota Statutes 2006, section 256.01, subdivision 2b, is amended to read:
7.4    Subd. 2b. Performance payments. (a) The commissioner shall develop and
7.5implement a pay-for-performance system to provide performance payments to:
7.6    (1) eligible medical groups and clinics that demonstrate optimum care in serving
7.7individuals with chronic diseases who are enrolled in health care programs administered
7.8by the commissioner under chapters 256B, 256D, and 256L; and
7.9    (2) medical groups that implement effective medical home models of patient care
7.10that improve quality and reduce costs through effective primary and preventive care, care
7.11coordination, and management of chronic conditions.
7.12    (b) The commissioner shall also develop and implement a patient incentive health
7.13program to provide incentives and rewards to patients who are enrolled in health care
7.14programs administered by the commissioner under chapters 256B, 256D, and 256L, and
7.15who have agreed to and meet personal health goals established with their primary care
7.16provider to manage a chronic disease or condition including, but not limited to, diabetes,
7.17high blood pressure, and coronary artery disease.
7.18(c) The commissioner may receive any federal matching money that is made
7.19available through the medical assistance program for managed care oversight contracted
7.20through vendors including consumer surveys, studies, and external quality reviews
7.21as required by the Federal Balanced Budget Act of 1997, Title 42, Code of Federal
7.22Regulations, Part 438, Subpart E. Any federal money received for managed care oversight
7.23is appropriated to the commissioner for this purpose. The commissioner may expend the
7.24federal money received in either year of the biennium.
7.25EFFECTIVE DATE.This section is effective July 1, 2007.

7.26    Sec. 12. Minnesota Statutes 2006, section 256B.0625, is amended by adding a
7.27subdivision to read:
7.28    Subd. 49. Physician-directed care coordination services. The commissioner
7.29shall develop and implement a physician-directed care coordination program for medical
7.30assistance recipients who are not enrolled in the prepaid medical assistance program and
7.31who are receiving services on a fee-for-service basis. This program provides payment
7.32to primary care clinics for care coordination for people who have complex and chronic
7.33medical conditions. Clinics must meet certain criteria such as the capacity to develop care
7.34plans, have a dedicated care coordinator, have an adequate number of fee-for-service
8.1clients, evaluation mechanisms, and quality improvement processes to qualify for

8.4    Subdivision 1. Payment reform plan. The commissioners of employee relations,
8.5human services, commerce, and health shall develop a plan for promoting and facilitating
8.6changes in payment rates and methods for paying for health care services, drugs, devices,
8.7supplies, and equipment in order to:
8.8    (1) reward the provision of cost-effective primary and preventive care;
8.9    (2) reward the use of evidence-based care;
8.10    (3) discourage overuse and misuse;
8.11    (4) reward the use of the most cost-effective settings, drugs, devices, providers,
8.12and treatments; and
8.13    (5) encourage consumers to maintain good health and use the health care system
8.15    Subd. 2. Report. The commissioners shall submit a report to the legislature by
8.16December 15, 2007, describing the payment reform plan. The report must include
8.17proposed legislation for implementing those components of the plan requiring legislative
8.18action or appropriations of money.
8.19EFFECTIVE DATE.This section is effective July 1, 2007.

8.22    Subdivision 1. Community collaboratives. The commissioner of health shall
8.23provide grants to and authorization for up to three community collaboratives that satisfy
8.24the requirements in this section. To be eligible to receive a grant and authorization under
8.25this section, a community collaborative must include:
8.26    (1) one or more counties;
8.27    (2) one or more local hospitals;
8.28    (3) one or more local employers who collectively provide at least 300 jobs in the
8.30    (4) one or more health care clinics or physician groups; and
8.31    (5) a third-party payer, which may be a county-based purchasing plan operating
8.32under Minnesota Statutes, section 256B.692, a self-insured employer, or a health plan
8.33company as defined in Minnesota Statutes, section 62Q.01, subdivision 4.
8.34    Subd. 2. Pilot project requirements. (a) Community collaborative pilot projects
9.1    (1) identify and enroll persons in the community who are uninsured, and who have,
9.2or are at risk of developing, one of the following chronic conditions: mental illness,
9.3diabetes, asthma, hypertension, or other chronic condition designated by the project;
9.4    (2) assist uninsured persons obtain private-sector health insurance coverage if
9.5possible or enroll in any public health care programs for which they are eligible. If the
9.6uninsured individual is unable to obtain health coverage, the community collaborative
9.7must enroll the individual in a local health care assistance program that provides specified
9.8services to prevent or effectively manage the chronic condition;
9.9    (3) include components to help uninsured persons retain employment or to become
9.10employable, if currently unemployed;
9.11    (4) ensure that each uninsured person enrolled in the program has a medical home
9.12responsible for providing, or arranging for, health care services and assisting in the
9.13effective management of the chronic condition;
9.14    (5) coordinate services between all providers and agencies serving an enrolled
9.15individual; and
9.16    (6) be coordinated with the state's Q-Care initiative and improve the use of
9.17evidence-based treatments and effective disease management programs in the broader
9.18community, beyond those individuals enrolled in the project.
9.19    (b) Projects established under this section are not insurance and are not subject to
9.20state-mandated benefit requirements or insurance regulations.
9.21    Subd. 3. Criteria. Proposals must be evaluated by actuarial, financial, and clinical
9.22experts based on the likelihood that the project would produce a positive return on
9.23investment for the community. In awarding grants, the commissioner of health shall
9.24give preference to proposals that:
9.25    (1) have broad community support from local businesses, provider counties, and
9.26other public and private organizations;
9.27    (2) would provide services to uninsured persons who have, or are at risk of
9.28developing, multiple, co-occurring chronic conditions;
9.29    (3) integrate or coordinate resources from multiple sources, such as employer
9.30contributions, county funds, social service programs, and provider financial or in-kind
9.32    (4) provide continuity of treatment and services when uninsured individuals in
9.33the program become eligible for public or private health insurance or when insured
9.34individuals lose their coverage;
10.1    (5) demonstrate how administrative costs for health plan companies and providers
10.2can be reduced through greater simplification, coordination, consolidation, standardization,
10.3reducing billing errors, or other methods; and
10.4    (6) involve local contributions to the cost of the pilot projects.
10.5    Subd. 4. Grants. The commissioner of health shall provide implementation grants
10.6of up to one-half of the community collaborative's costs for planning, administration, and
10.7evaluation. The commissioner shall also provide grants to community collaboratives to
10.8develop a fund to pay up to 50 percent of the cost of the services provided to uninsured
10.9individuals. The remaining costs must be paid for through other sources or by agreement
10.10of a health care provider to contribute the cost as charity care.
10.11    Subd. 5. Evaluation. The commissioner of health shall evaluate the effectiveness
10.12of each community collaborative project awarded a grant, by comparing actual costs
10.13for serving the identified uninsured persons to the predicted costs that would have
10.14been incurred in the absence of early intervention and consistent treatment to manage
10.15the chronic condition, including the costs to medical assistance, MinnesotaCare, and
10.16general assistance medical care. The commissioner shall require community collaborative
10.17projects, as a condition of receipt of a grant award, to provide the commissioner with all
10.18information necessary for this evaluation.
10.19EFFECTIVE DATE.This section is effective July 1, 2007.

10.21    Subdivision 1. Pilot projects. (a) The commissioners of health, human services,
10.22and employee relations shall develop and administer payment reform pilot projects for
10.23state employees and persons enrolled in medical assistance, MinnesotaCare, or general
10.24assistance medical care, to the extent permitted by federal requirements. The purpose of
10.25the projects is to promote and facilitate changes in payment rates and methods for paying
10.26for health care services, drugs, devices, supplies, and equipment in order to:
10.27(1) reward the provision of cost-effective primary and preventive care;
10.28(2) reward the use of evidence-based care;
10.29(3) reward coordination of care for patients with chronic conditions;
10.30(4) discourage overuse and misuse;
10.31(5) reward the use of the most cost-effective settings, drugs, devices, providers,
10.32and treatments;
10.33(6) encourage consumers to maintain good health and use the health care system
11.1(b) The pilot projects must involve the use of designated care professionals or
11.2clinics to serve as a patient's medical home and be responsible for coordinating health
11.3care services across the continuum of care. The pilot projects must evaluate different
11.4payment reform models and must be coordinated with the Minnesota senior health options
11.5program and the Minnesota disability health options program. To the extent possible, the
11.6commissioners shall coordinate state purchasing activities with other public employers
11.7and with private purchasers, self-insured groups, and health plan companies to promote
11.8the use of pilot projects encompassing both public and private purchasers and markets.
11.9    Subd. 2. Payment methods and incentives. The commissioners shall modify
11.10existing payment methods and rates for those enrollees and health care providers
11.11participating in the pilot project in order to provide incentives for care management,
11.12team-based care, and practice redesign, and increase resources for primary care, chronic
11.13condition care, and care provided to complex patients. The commissioners may create
11.14financial incentives for patients to select a medical home under the pilot project by
11.15reducing, modifying, or eliminating deductibles and co-payments for certain services, or
11.16through other incentives. The commissioners may require patients to remain with their
11.17designated medical home for a specified period of time. Alternative payment methods
11.18may include complete or partial capitation, fee-for-service payments, or other payment
11.19methodologies. The payment methods may provide for the payment of bonuses to medical
11.20home providers or other providers, or to patients, for the achievement of performance
11.21goals. The payment methods may include allocating a portion of the payment that
11.22would otherwise be paid to health plans under state prepaid health care programs to the
11.23designated medical home for specified services.
11.24    Subd. 3. Requirements. In order to be designated a medical home under the pilot
11.25project, health care professionals or clinics must demonstrate their ability to:
11.26(1) be the patient's first point of contact 24 hours a day, seven days a week;
11.27(2) provide or arrange for patients' comprehensive health care needs, including the
11.28ability to structure planned chronic disease visits and to manage chronic disease through
11.29the use of disease registries;
11.30(3) coordinate patients' care when care must be provided outside the medical home;
11.31(4) provide longitudinal care, not just episodic care, including meeting long-term
11.32and unique personal needs;
11.33(5) utilize an electronic health record and incorporate a plan to develop and make
11.34available to patients that choose a medical home an electronic personal health record that
11.35is prepopulated with the patient's data, consumer-directed, connected to the provider,
11.36allows for 24-hour access, and is owned and controlled by the patient; and
12.1(6) systematically improve quality of care using, among other inputs, patient
12.3    Subd. 4. Evaluation. Pilot projects must be evaluated based on patient satisfaction,
12.4provider satisfaction, clinical process and outcome measures, program costs and savings,
12.5and economic impact on health care providers. Pilot projects must be evaluated based
12.6on the extent to which the medical home:
12.7(1) coordinated health care services across the continuum of care and thereby
12.8reduced duplication of services and enhanced communication across providers;
12.9(2) provided safe and high-quality care by increasing utilization of effective
12.10treatments, reduced use of ineffective treatments, reduced barriers to essential care and
12.11services, and eliminated barriers to access;
12.12(3) reduced unnecessary hospitalizations and emergency room visits and increased
12.13use of cost-effective care and settings;
12.14(4) encouraged long-term patient and provider relationships by shifting from
12.15episodic care to consistent, coordinated communication and care with a specified team of
12.16providers or individual providers;
12.17(5) engaged and educated consumers by encouraging shared patient and provider
12.18responsibility and accountability for disease prevention, health promotion, chronic
12.19disease management, acute care, and overall well-being, encouraging informed medical
12.20decision-making, ensuring the availability of accurate medical information, and facilitated
12.21the transfer of accurate medical information;
12.22(6) encouraged innovation in payment methodologies by using patient and provider
12.23incentives to coordinate care and utilize medical home services and fostering the
12.24expansion of a technology infrastructure that supports collaboration; and
12.25(7) reduced overall health care costs as compared to conventional payment methods
12.26for similar patient populations.
12.27    Subd. 5. Rulemaking. The commissioners are exempt from administrative
12.28rulemaking under chapter 14 for purposes of developing, administering, contracting
12.29for and evaluating pilot projects under this section. The commissioner shall publish a
12.30proposed Request for Proposals in the State Register and allow 30 days for comment
12.31before issuing the final Request for Proposals.
12.32    Subd. 6. Regulatory and payment barriers. The commissioners shall study state
12.33and federal statutory and regulatory barriers to the creation of medical homes and provide
12.34a report and recommendations to the legislature by December 15, 2007.

12.35    Sec. 16. APPROPRIATIONS.
13.1    (a) $....... is appropriated from the general fund to the commissioner of human
13.2services for the biennium beginning July 1, 2007, to provide performance payments under
13.3Minnesota Statutes, section 256.01, subdivision 2b.
13.4    (b) $....... is appropriated from the general fund to the commissioner of health for
13.5the biennium beginning July 1, 2007, to provide grants to community collaboratives
13.6under section 10.
13.7    (c) $....... is appropriated from the general fund to the commissioner of health for the
13.8biennium beginning July 1, 2007, to establish the Health Care Transformation Task Force
13.9under Minnesota Statutes, section 62J.84.
13.10    (d) $1,050,000 is appropriated for the biennium beginning July 1, 2007, from the
13.11general fund to the commissioner of health for the demonstration project grant described
13.12in Minnesota Statutes, section 62Q.80, subdivision 1a. This is a onetime appropriation
13.13and is available until June 30, 2012.
13.14(e) $....... for the fiscal year ending June 30, 2008, and $....... for the fiscal year
13.15ending June 30, 2009, are appropriated from the general fund to the commissioner of
13.16health for the medical education and research fund administered under Minnesota Statutes,
13.17section 62J.692, to expand multidisciplinary education and training programs and primary
13.18care education initiatives, to maintain Minnesota's primary care workforce capacity.
13.19(f) $....... for the fiscal year ending June 30, 2008, and $....... for the fiscal year
13.20ending June 30, 2009, are appropriated to the commissioner of health to work with
13.21institutions of higher education to establish or fund existing initiatives to recruit and
13.22retain nurse educators in nursing education programs, in order to expand the educational
13.23capacity needed to address Minnesota's nursing shortage.

13.24    Sec. 17. REPEALER.
13.25Minnesota Statutes 2006, section 62J.052, subdivision 1, is repealed, effective
13.26August 1, 2007."
13.27Amend the title accordingly