MN HF1140

By January 1, 2010, the commissioners of human services and finance must require active participation in a patient-centered decision-making process before reimbursement for surgical procedures on fee-for-service or health plan basis.

Covered surgical procedures include: abnormal uterine bleeding, benign prostate enlargement, chronic back pain, early stage breast and prostate cancers, gastroesophageal reflux disease, hemorrhoids, spinal stenosis, temporomandibular joint dysfunction, ulcerative colitis, urinary incontinence, uterine fibroids, and varicose veins.

A list of covered procedures must be published in the State Register by October 1, 2010, and biannially reviewed with any additions published in the State Register.

Patient-centered decision-making process means directed interaction with the patient to assist in arriving at an informed objective health care decision, which may be conducted by a health care provider or through electronic decision aids.

Beginning January 1, 2010, no payment reimbursement shall be made for these surgical procedures until the patient or patient's parent/legal guardian participates in the required decision-making process.