1.1.................... moves to amend H.F. No. 1166, the first engrossment, as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2010, section 256B.0644, is amended to read:
1.6    (a) A vendor of medical care, as defined in section 256B.02, subdivision 7, and a
1.7health maintenance organization, as defined in chapter 62D, must participate as a provider
1.8or contractor in the medical assistance program, general assistance medical care program,
1.9and MinnesotaCare as a condition of participating as a provider in health insurance plans
1.10and programs or contractor for state employees established under section 43A.18, the
1.11public employees insurance program under section 43A.316, for health insurance plans
1.12offered to local statutory or home rule charter city, county, and school district employees,
1.13the workers' compensation system under section 176.135, and insurance plans provided
1.14through the Minnesota Comprehensive Health Association under sections 62E.01 to
1.1562E.19 . The limitations on insurance plans offered to local government employees shall
1.16not be applicable in geographic areas where provider participation is limited by managed
1.17care contracts with the Department of Human Services. For purposes of this section, a
1.18health maintenance organization, as defined in chapter 62D, is not a vendor of medical
1.20    (b) For providers other than health maintenance organizations, Participation in the
1.21medical assistance program means that:
1.22     (1) the provider accepts new medical assistance, general assistance medical care,
1.23and MinnesotaCare patients;
1.24    (2) for providers other than dental service providers, at least 20 percent of the
1.25provider's patients are covered by medical assistance, general assistance medical care,
1.26and MinnesotaCare as their primary source of coverage; or
2.1    (3) for dental service providers, at least ten percent of the provider's patients are
2.2covered by medical assistance, general assistance medical care, and MinnesotaCare as
2.3their primary source of coverage, or the provider accepts new medical assistance and
2.4MinnesotaCare patients who are children with special health care needs. For purposes
2.5of this section, "children with special health care needs" means children up to age 18
2.6who: (i) require health and related services beyond that required by children generally;
2.7and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional
2.8condition, including: bleeding and coagulation disorders; immunodeficiency disorders;
2.9cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other
2.10neurological diseases; visual impairment or deafness; Down syndrome and other genetic
2.11disorders; autism; fetal alcohol syndrome; and other conditions designated by the
2.12commissioner after consultation with representatives of pediatric dental providers and
2.14    (c) Patients seen on a volunteer basis by the provider at a location other than
2.15the provider's usual place of practice may be considered in meeting the participation
2.16requirement in this section. The commissioner shall establish participation requirements
2.17for health maintenance organizations. The commissioner shall provide lists of participating
2.18medical assistance providers on a quarterly basis to the commissioner of management and
2.19budget, the commissioner of labor and industry, and the commissioner of commerce. Each
2.20of the commissioners shall develop and implement procedures to exclude as participating
2.21providers in the program or programs under their jurisdiction those providers who do
2.22not participate in the medical assistance program. The commissioner of management
2.23and budget shall implement this section through contracts with participating health and
2.24dental carriers.
2.25(d) For purposes of paragraphs (a) and (b), participation in the general assistance
2.26medical care program applies only to pharmacy providers.
2.27EFFECTIVE DATE.This section is effective for medical assistance and
2.28MinnesotaCare plan years beginning on or after January 1, 2013.

2.31Minnesota Statutes 2010, section 62D.04, subdivision 5, is repealed effective
2.32January 1, 2013."
2.33Amend the title accordingly