1.1.................... moves to amend H.F. No. 2656 as follows:
1.2Delete everything after the enacting clause and insert:

1.3    "Section 1. Minnesota Statutes 2012, section 62U.04, subdivision 4, is amended to read:
1.4    Subd. 4. Encounter data. (a) Beginning July 1, 2009, and every six months
1.5thereafter, all health plan companies and third-party administrators shall submit encounter
1.6data to a private entity designated by the commissioner of health. The data shall be
1.7submitted in a form and manner specified by the commissioner subject to the following
1.9    (1) the data must be de-identified data as described under the Code of Federal
1.10Regulations, title 45, section 164.514;
1.11    (2) the data for each encounter must include an identifier for the patient's health care
1.12home if the patient has selected a health care home; and
1.13    (3) except for the identifier described in clause (2), the data must not include
1.14information that is not included in a health care claim or equivalent encounter information
1.15transaction that is required under section 62J.536.
1.16    (b) The commissioner or the commissioner's designee shall only use the data
1.17submitted under paragraph (a) to carry out its responsibilities in this section, including
1.18supplying the data to providers so they can verify their results of the peer grouping process
1.19consistent with the recommendations developed pursuant to subdivision 3c, paragraph (d),
1.20and adopted by the commissioner and, if necessary, submit comments to the commissioner
1.21or initiate an appeal.
1.22    (c) Data on providers collected under this subdivision are private data on individuals
1.23or nonpublic data, as defined in section 13.02. Notwithstanding the definition of summary
1.24data in section 13.02, subdivision 19, summary data prepared under this subdivision
1.25may be derived from nonpublic data. The commissioner or the commissioner's designee
1.26shall establish procedures and safeguards to protect the integrity and confidentiality of
1.27any data that it maintains.
2.1    (d) The commissioner or the commissioner's designee shall not publish analyses or
2.2reports that identify, or could potentially identify, individual patients.
2.3(e) The commissioner shall compile summary information on the data submitted
2.4under this subdivision. The commissioner shall work with its vendors to assess the
2.5data submitted in terms of compliance with the data submission requirements and the
2.6completeness of the data submitted by comparing the data with summary information
2.7compiled by the commissioner and with established and emerging data quality standards
2.8to ensure data quality.

2.9    Sec. 2. Minnesota Statutes 2012, section 62U.04, is amended by adding a subdivision
2.10to read:
2.11    Subd. 10. Suspension. Notwithstanding subdivisions 3, 3a, 3b, 3c, and 3d, the
2.12commissioner shall suspend the development and implementation of the provider peer
2.13grouping system required under this section. This suspension shall continue until the
2.14legislature authorizes the commissioner to resume this activity.

2.15    Sec. 3. Minnesota Statutes 2012, section 62U.04, is amended by adding a subdivision
2.16to read:
2.17    Subd. 11. Restricted uses of the all-payer claims data. (a) Notwithstanding
2.18subdivision 4, paragraph (b), and subdivision 5, paragraph (b), the commissioner or
2.19commissioner's designee shall only use the data submitted under subdivisions 4 and 5 for
2.20the following purposes:
2.21(1) to evaluate the performance of the health care home program as authorized under
2.22sections 256B.0751, subdivision 6, and 256B.0752, subdivision 2;
2.23(2) to study, in collaboration with the Reducing Avoidable Readmissions Effectively
2.24(RARE) campaign, hospital readmission trends and rates;
2.25(3) to analyze variations in health care costs, quality, utilization, and illness burden
2.26based on geographical areas or populations; and
2.27(4) to evaluate the state innovation model (SIM) testing grant received by the
2.28Departments of Health and Human Services, including the analysis of health care cost,
2.29quality, and utilization baseline and trend information for targeted populations and
2.31(b) The commissioner may publish the results of the authorized uses identified
2.32in paragraph (a) so long as the data released publicly do not contain information or
2.33descriptions in which the identity of individual hospitals, clinics, or other providers may
2.34be discerned.
3.1(c) Nothing in this subdivision shall be construed to prohibit the commissioner from
3.2using the data collected under subdivision 4 to complete the state-based risk adjustment
3.3system assessment due to the legislature on October 1, 2015.
3.4(d) The commissioner or the commissioner's designee may use the data submitted
3.5under subdivisions 4 and 5 for the purpose described in paragraph (a), clause (3), until
3.6July 1, 2016.

3.7    Sec. 4. Minnesota Statutes 2012, section 62U.04, is amended by adding a subdivision
3.8to read:
3.10commissioner of health shall convene a work group to develop a framework for the
3.11expanded use of the all-payer claims database established under Minnesota Statutes,
3.12section 62U.04. The work group shall develop recommendations based on the following
3.13questions and other topics as identified by the work group:
3.14(1) what should the parameters be for allowable uses of the all-payer claims data
3.15collected under Minnesota Statutes, section 62U.04, beyond the uses authorized in
3.16Minnesota Statutes, section 62U.04, subdivision 11;
3.17(2) what type of advisory or governing body should guide the release of data from
3.18the all-payer claims database;
3.19(3) what type of funding or fee structure would be needed to support the expanded
3.20use of all-payer claims data;
3.21(4) what should the mechanisms be by which the data would be released or accessed,
3.22including the necessary information technology infrastructure to support the expanded use
3.23of the data under different assumptions related to the number of potential requests and
3.24manner of access;
3.25(5) what are the appropriate privacy and security protections needed for the
3.26expanded use of the all-payer claims database; and
3.27(6) what additional resources might be needed to support the expanded use of the
3.28all-payer claims database, including expected resources related to information technology
3.29infrastructure, review of proposals, maintenance of data use agreements, staffing an
3.30advisory body, or other new efforts?
3.31(b) The commissioner of health shall appoint the members to the work group
3.32as follows:
3.33(1) two members recommended by the Minnesota Medical Association;
3.34(2) two members recommended by the Minnesota Hospital Association;
3.35(3) two members recommended by the Minnesota Council of Health Plans;
4.1(4) one member who is a data practices expert from the Department of Administration;
4.2(5) three members who are academic researchers with expertise in claims database
4.4(6) two members representing two state agencies determined by the commissioner;
4.5(7) one member representing the Minnesota Health Care Safety Net Coalition; and
4.6(8) three members representing consumers.
4.7(c) The commissioner of health shall submit a report on the recommendations of
4.8the work group to the chairs and ranking minority members of the legislative committees
4.9and divisions with jurisdiction over health and human services, judiciary, and civil law
4.10by February 1, 2015. In considering the recommendations provided in the report, the
4.11legislature may consider whether the currently authorized uses of the all-payer claims data
4.12under section 62U.04 should continue to be authorized.
4.13EFFECTIVE DATE.This section is effective the day following final enactment."
4.14Delete the title and insert:
4.15"A bill for an act
4.16relating to health; modifying the use of the all-payer claims data; convening a
4.17work group to make recommendations on expanded uses of the all-payer claims
4.18database;amending Minnesota Statutes 2012, section 62U.04, subdivision 4, by
4.19adding subdivisions."