1.1.................... moves to amend H.F. No. 1233, the delete everything amendment
1.2(A13-0408), as follows:
1.3Page 168, after line 16, insert:

1.4    "Sec. 15. Minnesota Statutes 2012, section 256B.76, subdivision 2, is amended to read:
1.5    Subd. 2. Dental reimbursement. (a) Effective for services rendered on or after
1.6October 1, 1992, the commissioner shall make payments for dental services as follows:
1.7    (1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25
1.8percent above the rate in effect on June 30, 1992; and
1.9    (2) dental rates shall be converted from the 50th percentile of 1982 to the 50th
1.10percentile of 1989, less the percent in aggregate necessary to equal the above increases.
1.11    (b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments
1.12shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.
1.13    (c) Effective for services rendered on or after January 1, 2000, payment rates for
1.14dental services shall be increased by three percent over the rates in effect on December
1.1531, 1999.
1.16    (d) Effective for services provided on or after January 1, 2002, payment for
1.17diagnostic examinations and dental x-rays provided to children under age 21 shall be the
1.18lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.
1.19    (e) The increases listed in paragraphs (b) and (c) shall be implemented January 1,
1.202000, for managed care.
1.21(f) Effective for dental services rendered on or after October 1, 2010, by a
1.22state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based
1.23on the Medicare principles of reimbursement. This payment shall be effective for services
1.24rendered on or after January 1, 2011, to recipients enrolled in managed care plans or
1.25county-based purchasing plans.
1.26(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics
1.27in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal
2.1year, a supplemental state payment equal to the difference between the total payments
2.2in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated
2.3services for the operation of the dental clinics.
2.4(h) If the cost-based payment system for state-operated dental clinics described in
2.5paragraph (f) does not receive federal approval, then state-operated dental clinics shall be
2.6designated as critical access dental providers under subdivision 4, paragraph (b), and shall
2.7receive the critical access dental reimbursement rate as described under subdivision 4,
2.8paragraph (a).
2.9(i) Effective for services rendered on or after September 1, 2011, through June 30,
2.102013, payment rates for dental services shall be reduced by three percent. This reduction
2.11does not apply to state-operated dental clinics in paragraph (f).
2.12(j) Effective for services rendered on or after January 1, 2014, payment rates for
2.13dental services shall be increased by five percent from the rates in effect on December
2.1431, 2013. This increase does not apply to state-operated dental clinics in paragraph (f),
2.15federally qualified health centers, rural health centers, and Indian health services. Effective
2.16January 1, 2014, payments made to managed care plans and county-based purchasing
2.17plans under sections 256B.69, 256B.692, and 256L.12 shall reflect the payment increase
2.18described in this paragraph."
2.19Page 454, after line 22, insert:
2.20"Transfer. $....... in fiscal year 2014 and
2.21$....... in fiscal year 2015 is transferred from
2.22the health care access fund to the general
2.23fund, to provide increases in dental payment
2.24rates under Minnesota Statutes, section
2.25256B.76, subdivision 2, paragraph (5)."
2.26Adjust the totals and summaries by fund accordingly
2.27Renumber the sections in sequence and correct the internal references
2.28Amend the title accordingly