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MN HF4519

Bill

Status

Introduced

3/4/2024

Primary Sponsor

Robert Bierman

Click for details

Origin

House of Representatives

93rd Legislature 2023-2024

AI Summary

  • Requires phototherapy lights to be individually priced items effective July 1, 2015, rather than subject to standard rate adjustments.

  • Establishes payment methodology for enteral nutrition and supplies based on 50th percentile of usual and customary charges per product code, with rates capped at 150 percent of the previous year's rate, effective July 1, 2023.

  • Beginning July 1, 2024, enteral nutrition and supplies payment rates transition to permanent methodology using manufacturer's suggested retail price minus 20 percent, or actual acquisition cost plus 20 percent if retail price unavailable.

  • Requires commissioner to establish annual payment amounts for medical supplies and equipment based on manufacturer's suggested retail price for product codes with at least 100 paid claim lines annually.

  • Makes technical amendments to clarify subdivision references and reorder provisions in medical assistance payment statutes.

Legislative Description

Individual pricing of phototherapy lights required, payment methodologies for enteral nutrition equipment and supplies modified, processes for establishing payment rates for medical equipment and supplies modified, and technical changes made.

Last Action

Introduction and first reading, referred to Health Finance and Policy

3/4/2024

Committee Referrals

Health Finance & Policy3/4/2024

Full Bill Text

No bill text available