1.1.................... moves to amend H.F. No. 779, as amended by H0779DE1, as follows:
1.2Page 9, after line 2, insert:

1.3    "Sec. 16. Minnesota Statutes 2012, section 62Q.19, subdivision 1, is amended to read:
1.4    Subdivision 1. Designation. (a) The commissioner shall designate essential
1.5community providers. The criteria for essential community provider designation shall be
1.6the following:
1.7(1) a demonstrated ability to integrate applicable supportive and stabilizing services
1.8with medical care for uninsured persons and high-risk and special needs populations,
1.9underserved, and other special needs populations; and
1.10(2) a commitment to serve low-income and underserved populations by meeting the
1.11following requirements:
1.12(i) has nonprofit status in accordance with chapter 317A;
1.13(ii) has tax-exempt status in accordance with the Internal Revenue Service Code,
1.14section 501(c)(3);
1.15(iii) charges for services on a sliding fee schedule based on current poverty income
1.16guidelines; and
1.17(iv) does not restrict access or services because of a client's financial limitation;
1.18(3) status as a local government unit as defined in section 62D.02, subdivision 11, a
1.19hospital district created or reorganized under sections 447.31 to 447.37, an Indian tribal
1.20government, an Indian health service unit, or a community health board as defined in
1.21chapter 145A;
1.22(4) a former state hospital that specializes in the treatment of cerebral palsy, spina
1.23bifida, epilepsy, closed head injuries, specialized orthopedic problems, and other disabling
1.25(5) a sole community hospital. For these rural hospitals, the essential community
1.26provider designation applies to all health services provided, including both inpatient and
2.1outpatient services. For purposes of this section, "sole community hospital" means a
2.2rural hospital that:
2.3(i) is eligible to be classified as a sole community hospital according to Code
2.4of Federal Regulations, title 42, section 412.92, or is located in a community with a
2.5population of less than 5,000 and located more than 25 miles from a like hospital currently
2.6providing acute short-term services;
2.7(ii) has experienced net operating income losses in two of the previous three
2.8most recent consecutive hospital fiscal years for which audited financial information is
2.9available; and
2.10(iii) consists of 40 or fewer licensed beds; or
2.11(6) a birth center licensed under section 144.615.; or
2.12(7) a hospital or hospital system whose inpatients are predominantly under 21 years
2.13of age.
2.14(b) Prior to designation, the commissioner shall publish the names of all applicants
2.15in the State Register. The public shall have 30 days from the date of publication to submit
2.16written comments to the commissioner on the application. No designation shall be made
2.17by the commissioner until the 30-day period has expired.
2.18(c) The commissioner may designate an eligible provider as an essential community
2.19provider for all the services offered by that provider or for specific services designated by
2.20the commissioner.
2.21(d) For the purpose of this subdivision, supportive and stabilizing services include at
2.22a minimum, transportation, child care, cultural, and linguistic services where appropriate."