Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF1069 Compare Versions

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11 1.1 A bill for an act​
22 1.2 relating to health; modifying membership of the Rare Disease Advisory Council;​
33 1.3 appropriating money; amending Minnesota Statutes 2024, section 256.4835,​
44 1.4 subdivisions 2, 4, by adding subdivisions.​
55 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:​
66 1.6 Section 1. Minnesota Statutes 2024, section 256.4835, subdivision 2, is amended to read:​
77 1.7 Subd. 2.Public membership.(a) The advisory council shall consist of at least 17 public​
88 1.8members who reflect statewide representation. Except for initial public members, public​
99 1.9members are appointed by the governor according to paragraph (b). Four members of the​
1010 1.10legislature are appointed according to paragraph (c).​
1111 1.11 (b) The governor shall appoint at least the following public members according to section​
1212 1.1215.0597:​
1313 1.13 (1) three physicians licensed and practicing in the state with experience researching,​
1414 1.14diagnosing, or treating rare diseases, including one specializing in pediatrics;​
1515 1.15 (2) one registered nurse or advanced practice registered nurse licensed and practicing​
1616 1.16in the state with experience treating rare diseases;​
1717 1.17 (3) at least two hospital administrators, or their designees, from hospitals in the state​
1818 1.18that provide care to persons diagnosed with a rare disease. One administrator or designee​
1919 1.19appointed under this clause must represent a hospital in which the scope of service focuses​
2020 1.20on rare diseases of pediatric patients;​
2121 1​Section 1.​
2222 25-02682 as introduced​01/24/25 REVISOR DTT/AD​
2323 SENATE​
2424 STATE OF MINNESOTA​
2525 S.F. No. 1069​NINETY-FOURTH SESSION​
2626 (SENATE AUTHORS: CARLSON)​
2727 OFFICIAL STATUS​D-PG​DATE​
2828 Introduction and first reading​02/06/2025​
2929 Referred to Human Services​ 2.1 (4) three persons age 18 or older who either have a rare disease or are a caregiver of a​
3030 2.2person with a rare disease. One person appointed under this clause must reside in rural​
3131 2.3Minnesota;​
3232 2.4 (5) a representative of a rare disease patient organization that operates in the state;​
3333 2.5 (6) a social worker with experience providing services to persons diagnosed with a rare​
3434 2.6disease;​
3535 2.7 (7) a pharmacist with experience with drugs used to treat rare diseases;​
3636 2.8 (8) a dentist licensed and practicing in the state with experience treating rare diseases;​
3737 2.9 (9) a representative of the biotechnology industry;​
3838 2.10 (10) a representative of health plan companies;​
3939 2.11 (11) a medical researcher with experience conducting research on rare diseases;​
4040 2.12 (12) a genetic counselor with experience providing services to persons diagnosed with​
4141 2.13a rare disease or caregivers of those persons; and​
4242 2.14 (13) representatives with other areas of expertise as identified by the advisory council.​
4343 2.15 (c) The advisory council shall include two members of the senate, one appointed by the​
4444 2.16majority leader and one appointed by the minority leader; and two members of the house​
4545 2.17of representatives, one appointed by the speaker of the house and one appointed by the​
4646 2.18minority leader. Members appointed under this paragraph serve until their successors are​
4747 2.19appointed.​
4848 2.20 (d) The commissioner of health or a designee, a representative of Mayo Medical School,​
4949 2.21and a representative of the University of Minnesota Medical School shall serve as ex officio,​
5050 2.22nonvoting members of the advisory council.​
5151 2.23 (e) (c) Public members appointed according to paragraph (b) shall serve for a term of​
5252 2.24three years, except the initial members appointed according to paragraph (b). Public members​
5353 2.25appointed according to paragraph (b) shall serve until their successors have been appointed.​
5454 2.26 (f) (d) Public members may be reappointed for up to two full additional terms according​
5555 2.27to the advisory council's operating procedures.​
5656 2.28 (g) (e) Public members may be removed as provided in section 15.059, subdivision 4.​
5757 2.29 (h) (f) Public members serve without compensation, but may have expenses reimbursed​
5858 2.30as provided in section 15.059, subdivision 3. Legislative members may receive per diem​
5959 2.31according to the rules of their respective bodies.​
6060 2​Section 1.​
6161 25-02682 as introduced​01/24/25 REVISOR DTT/AD​ 3.1 Sec. 2. Minnesota Statutes 2024, section 256.4835, is amended by adding a subdivision​
6262 3.2to read:​
6363 3.3 Subd. 2a.Legislative membership.The advisory council shall include two members​
6464 3.4of the senate, one appointed by the majority leader and one appointed by the minority leader;​
6565 3.5and two members of the house of representatives, one appointed by the speaker of the house​
6666 3.6and one appointed by the minority leader. Legislative members appointed under this​
6767 3.7subdivision serve until their successors are appointed. Legislative members may receive​
6868 3.8per diems according to the rules of their respective bodies.​
6969 3.9 Sec. 3. Minnesota Statutes 2024, section 256.4835, is amended by adding a subdivision​
7070 3.10to read:​
7171 3.11 Subd. 2b.Ex officio membership.The commissioner of health or a designee, a​
7272 3.12representative of Mayo Medical School, and a representative of the University of Minnesota​
7373 3.13Medical School shall serve as ex officio, nonvoting members of the advisory council.​
7474 3.14 Sec. 4. Minnesota Statutes 2024, section 256.4835, is amended by adding a subdivision​
7575 3.15to read:​
7676 3.16 Subd. 2c.Ad hoc membership.(a) The advisory council may include up to ... ad hoc​
7777 3.17members appointed by the executive committee to provide additional expertise while the​
7878 3.18advisory council undertakes a particular project. The initial term of appointment of an ad​
7979 3.19hoc member shall be for one year. Ad hoc members may be reappointed for up to two​
8080 3.20additional one-year terms according to the advisory council's operating procedures.​
8181 3.21 (b) Ad hoc members may be removed by the executive committee as provided in section​
8282 3.2215.059, subdivision 4.​
8383 3.23 (c) An ad hoc member may not serve on the executive committee of the advisory council​
8484 3.24and may not vote in the election of a chairperson or other officers nor on any matter related​
8585 3.25to the governance of the advisory council, including the appointment of an executive director.​
8686 3.26 (d) Ad hoc members serve without compensation, but may have expenses reimbursed​
8787 3.27as provided in section 15.059, subdivision 3.​
8888 3.28 Sec. 5. Minnesota Statutes 2024, section 256.4835, subdivision 4, is amended to read:​
8989 3.29 Subd. 4.Duties.(a) The advisory council's duties may include, but are not limited to:​
9090 3.30 (1) in conjunction with the state's medical schools, the state's schools of public health,​
9191 3.31and hospitals in the state that provide care to persons diagnosed with a rare disease,​
9292 3​Sec. 5.​
9393 25-02682 as introduced​01/24/25 REVISOR DTT/AD​ 4.1developing resources or recommendations relating to quality of and access to treatment and​
9494 4.2services in the state for persons with a rare disease, including but not limited to:​
9595 4.3 (i) a list of existing, publicly accessible resources on research, diagnosis, treatment, and​
9696 4.4education relating to rare diseases;​
9797 4.5 (ii) identifying best practices for rare disease care implemented in other states, at the​
9898 4.6national level, and at the international level that will improve rare disease care in the state​
9999 4.7and seeking opportunities to partner with similar organizations in other states and countries;​
100100 4.8 (iii) identifying and addressing problems faced by patients with a rare disease when​
101101 4.9changing health plans, including recommendations on how to remove obstacles faced by​
102102 4.10these patients to finding a new health plan and how to improve the ease and speed of finding​
103103 4.11a new health plan that meets the needs of patients with a rare disease;​
104104 4.12 (iv) identifying and addressing barriers faced by patients with a rare disease to obtaining​
105105 4.13care, caused by prior authorization requirements in private and public health plans; and​
106106 4.14 (v) identifying, recommending, and implementing best practices to ensure health care​
107107 4.15providers are adequately informed of the most effective strategies for recognizing and​
108108 4.16treating rare diseases;​
109109 4.17 (2) advising, consulting, and cooperating with the Department of Health, including the​
110110 4.18Advisory Committee on Heritable and Congenital Disorders; the Department of Human​
111111 4.19Services, including the Drug Utilization Review Board and the Drug Formulary Committee;​
112112 4.20and other agencies of state government in developing recommendations, information, and​
113113 4.21programs for the public and the health care community relating to diagnosis, treatment, and​
114114 4.22awareness of rare diseases;​
115115 4.23 (3) advising on policy issues and advancing policy initiatives at the state and federal​
116116 4.24levels; and​
117117 4.25 (4) receiving funds and issuing grants.​
118118 4.26 (b) The advisory council shall collect additional topic areas for study and evaluation​
119119 4.27from the general public. In order for the advisory council to study and evaluate a topic, the​
120120 4.28topic must be approved for study and evaluation by the advisory council.​
121121 4.29 (c) Legislative members and ad hoc members may not deliberate about or vote on​
122122 4.30decisions related to the issuance of grants of state money.​
123123 4​Sec. 5.​
124124 25-02682 as introduced​01/24/25 REVISOR DTT/AD​ 5.1 Sec. 6. APPROPRIATION.​
125125 5.2 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general​
126126 5.3fund to the Rare Disease Advisory Council to study sustainable reimbursement models for​
127127 5.4gene therapies to treat rare diseases and to issue recommendations to the legislature, payers,​
128128 5.5hospitals, and manufacturers. The general fund base for this appropriation is $....... in fiscal​
129129 5.6year 2028, $....... in fiscal year 2029, and $....... in fiscal year 2030.​
130130 5​Sec. 6.​
131131 25-02682 as introduced​01/24/25 REVISOR DTT/AD​