1 | 1 | | 1.1 A bill for an act |
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2 | 2 | | 1.2 relating to health; modifying membership of the Rare Disease Advisory Council; |
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3 | 3 | | 1.3 appropriating money; amending Minnesota Statutes 2024, section 256.4835, |
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4 | 4 | | 1.4 subdivisions 2, 4, by adding subdivisions. |
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5 | 5 | | 1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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6 | 6 | | 1.6 Section 1. Minnesota Statutes 2024, section 256.4835, subdivision 2, is amended to read: |
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7 | 7 | | 1.7 Subd. 2.Public membership.(a) The advisory council shall consist of at least 17 public |
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8 | 8 | | 1.8members who reflect statewide representation. Except for initial public members, public |
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9 | 9 | | 1.9members are appointed by the governor according to paragraph (b). Four members of the |
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10 | 10 | | 1.10legislature are appointed according to paragraph (c). |
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11 | 11 | | 1.11 (b) The governor shall appoint at least the following public members according to section |
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12 | 12 | | 1.1215.0597: |
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13 | 13 | | 1.13 (1) three physicians licensed and practicing in the state with experience researching, |
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14 | 14 | | 1.14diagnosing, or treating rare diseases, including one specializing in pediatrics; |
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15 | 15 | | 1.15 (2) one registered nurse or advanced practice registered nurse licensed and practicing |
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16 | 16 | | 1.16in the state with experience treating rare diseases; |
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17 | 17 | | 1.17 (3) at least two hospital administrators, or their designees, from hospitals in the state |
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18 | 18 | | 1.18that provide care to persons diagnosed with a rare disease. One administrator or designee |
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19 | 19 | | 1.19appointed under this clause must represent a hospital in which the scope of service focuses |
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20 | 20 | | 1.20on rare diseases of pediatric patients; |
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21 | 21 | | 1Section 1. |
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22 | 22 | | 25-02682 as introduced01/24/25 REVISOR DTT/AD |
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23 | 23 | | SENATE |
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24 | 24 | | STATE OF MINNESOTA |
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25 | 25 | | S.F. No. 1069NINETY-FOURTH SESSION |
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26 | 26 | | (SENATE AUTHORS: CARLSON) |
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27 | 27 | | OFFICIAL STATUSD-PGDATE |
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28 | 28 | | Introduction and first reading02/06/2025 |
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29 | 29 | | 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 |
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30 | 30 | | 2.2person with a rare disease. One person appointed under this clause must reside in rural |
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31 | 31 | | 2.3Minnesota; |
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32 | 32 | | 2.4 (5) a representative of a rare disease patient organization that operates in the state; |
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33 | 33 | | 2.5 (6) a social worker with experience providing services to persons diagnosed with a rare |
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34 | 34 | | 2.6disease; |
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35 | 35 | | 2.7 (7) a pharmacist with experience with drugs used to treat rare diseases; |
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36 | 36 | | 2.8 (8) a dentist licensed and practicing in the state with experience treating rare diseases; |
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37 | 37 | | 2.9 (9) a representative of the biotechnology industry; |
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38 | 38 | | 2.10 (10) a representative of health plan companies; |
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39 | 39 | | 2.11 (11) a medical researcher with experience conducting research on rare diseases; |
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40 | 40 | | 2.12 (12) a genetic counselor with experience providing services to persons diagnosed with |
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41 | 41 | | 2.13a rare disease or caregivers of those persons; and |
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42 | 42 | | 2.14 (13) representatives with other areas of expertise as identified by the advisory council. |
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43 | 43 | | 2.15 (c) The advisory council shall include two members of the senate, one appointed by the |
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44 | 44 | | 2.16majority leader and one appointed by the minority leader; and two members of the house |
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45 | 45 | | 2.17of representatives, one appointed by the speaker of the house and one appointed by the |
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46 | 46 | | 2.18minority leader. Members appointed under this paragraph serve until their successors are |
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47 | 47 | | 2.19appointed. |
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48 | 48 | | 2.20 (d) The commissioner of health or a designee, a representative of Mayo Medical School, |
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49 | 49 | | 2.21and a representative of the University of Minnesota Medical School shall serve as ex officio, |
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50 | 50 | | 2.22nonvoting members of the advisory council. |
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51 | 51 | | 2.23 (e) (c) Public members appointed according to paragraph (b) shall serve for a term of |
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52 | 52 | | 2.24three years, except the initial members appointed according to paragraph (b). Public members |
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53 | 53 | | 2.25appointed according to paragraph (b) shall serve until their successors have been appointed. |
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54 | 54 | | 2.26 (f) (d) Public members may be reappointed for up to two full additional terms according |
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55 | 55 | | 2.27to the advisory council's operating procedures. |
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56 | 56 | | 2.28 (g) (e) Public members may be removed as provided in section 15.059, subdivision 4. |
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57 | 57 | | 2.29 (h) (f) Public members serve without compensation, but may have expenses reimbursed |
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58 | 58 | | 2.30as provided in section 15.059, subdivision 3. Legislative members may receive per diem |
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59 | 59 | | 2.31according to the rules of their respective bodies. |
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60 | 60 | | 2Section 1. |
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61 | 61 | | 25-02682 as introduced01/24/25 REVISOR DTT/AD 3.1 Sec. 2. Minnesota Statutes 2024, section 256.4835, is amended by adding a subdivision |
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62 | 62 | | 3.2to read: |
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63 | 63 | | 3.3 Subd. 2a.Legislative membership.The advisory council shall include two members |
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64 | 64 | | 3.4of the senate, one appointed by the majority leader and one appointed by the minority leader; |
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65 | 65 | | 3.5and two members of the house of representatives, one appointed by the speaker of the house |
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66 | 66 | | 3.6and one appointed by the minority leader. Legislative members appointed under this |
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67 | 67 | | 3.7subdivision serve until their successors are appointed. Legislative members may receive |
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68 | 68 | | 3.8per diems according to the rules of their respective bodies. |
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69 | 69 | | 3.9 Sec. 3. Minnesota Statutes 2024, section 256.4835, is amended by adding a subdivision |
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70 | 70 | | 3.10to read: |
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71 | 71 | | 3.11 Subd. 2b.Ex officio membership.The commissioner of health or a designee, a |
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72 | 72 | | 3.12representative of Mayo Medical School, and a representative of the University of Minnesota |
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73 | 73 | | 3.13Medical School shall serve as ex officio, nonvoting members of the advisory council. |
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74 | 74 | | 3.14 Sec. 4. Minnesota Statutes 2024, section 256.4835, is amended by adding a subdivision |
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75 | 75 | | 3.15to read: |
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76 | 76 | | 3.16 Subd. 2c.Ad hoc membership.(a) The advisory council may include up to ... ad hoc |
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77 | 77 | | 3.17members appointed by the executive committee to provide additional expertise while the |
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78 | 78 | | 3.18advisory council undertakes a particular project. The initial term of appointment of an ad |
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79 | 79 | | 3.19hoc member shall be for one year. Ad hoc members may be reappointed for up to two |
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80 | 80 | | 3.20additional one-year terms according to the advisory council's operating procedures. |
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81 | 81 | | 3.21 (b) Ad hoc members may be removed by the executive committee as provided in section |
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82 | 82 | | 3.2215.059, subdivision 4. |
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83 | 83 | | 3.23 (c) An ad hoc member may not serve on the executive committee of the advisory council |
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84 | 84 | | 3.24and may not vote in the election of a chairperson or other officers nor on any matter related |
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85 | 85 | | 3.25to the governance of the advisory council, including the appointment of an executive director. |
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86 | 86 | | 3.26 (d) Ad hoc members serve without compensation, but may have expenses reimbursed |
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87 | 87 | | 3.27as provided in section 15.059, subdivision 3. |
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88 | 88 | | 3.28 Sec. 5. Minnesota Statutes 2024, section 256.4835, subdivision 4, is amended to read: |
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89 | 89 | | 3.29 Subd. 4.Duties.(a) The advisory council's duties may include, but are not limited to: |
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90 | 90 | | 3.30 (1) in conjunction with the state's medical schools, the state's schools of public health, |
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91 | 91 | | 3.31and hospitals in the state that provide care to persons diagnosed with a rare disease, |
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92 | 92 | | 3Sec. 5. |
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93 | 93 | | 25-02682 as introduced01/24/25 REVISOR DTT/AD 4.1developing resources or recommendations relating to quality of and access to treatment and |
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94 | 94 | | 4.2services in the state for persons with a rare disease, including but not limited to: |
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95 | 95 | | 4.3 (i) a list of existing, publicly accessible resources on research, diagnosis, treatment, and |
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96 | 96 | | 4.4education relating to rare diseases; |
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97 | 97 | | 4.5 (ii) identifying best practices for rare disease care implemented in other states, at the |
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98 | 98 | | 4.6national level, and at the international level that will improve rare disease care in the state |
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99 | 99 | | 4.7and seeking opportunities to partner with similar organizations in other states and countries; |
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100 | 100 | | 4.8 (iii) identifying and addressing problems faced by patients with a rare disease when |
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101 | 101 | | 4.9changing health plans, including recommendations on how to remove obstacles faced by |
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102 | 102 | | 4.10these patients to finding a new health plan and how to improve the ease and speed of finding |
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103 | 103 | | 4.11a new health plan that meets the needs of patients with a rare disease; |
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104 | 104 | | 4.12 (iv) identifying and addressing barriers faced by patients with a rare disease to obtaining |
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105 | 105 | | 4.13care, caused by prior authorization requirements in private and public health plans; and |
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106 | 106 | | 4.14 (v) identifying, recommending, and implementing best practices to ensure health care |
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107 | 107 | | 4.15providers are adequately informed of the most effective strategies for recognizing and |
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108 | 108 | | 4.16treating rare diseases; |
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109 | 109 | | 4.17 (2) advising, consulting, and cooperating with the Department of Health, including the |
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110 | 110 | | 4.18Advisory Committee on Heritable and Congenital Disorders; the Department of Human |
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111 | 111 | | 4.19Services, including the Drug Utilization Review Board and the Drug Formulary Committee; |
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112 | 112 | | 4.20and other agencies of state government in developing recommendations, information, and |
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113 | 113 | | 4.21programs for the public and the health care community relating to diagnosis, treatment, and |
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114 | 114 | | 4.22awareness of rare diseases; |
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115 | 115 | | 4.23 (3) advising on policy issues and advancing policy initiatives at the state and federal |
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116 | 116 | | 4.24levels; and |
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117 | 117 | | 4.25 (4) receiving funds and issuing grants. |
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118 | 118 | | 4.26 (b) The advisory council shall collect additional topic areas for study and evaluation |
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119 | 119 | | 4.27from the general public. In order for the advisory council to study and evaluate a topic, the |
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120 | 120 | | 4.28topic must be approved for study and evaluation by the advisory council. |
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121 | 121 | | 4.29 (c) Legislative members and ad hoc members may not deliberate about or vote on |
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122 | 122 | | 4.30decisions related to the issuance of grants of state money. |
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123 | 123 | | 4Sec. 5. |
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124 | 124 | | 25-02682 as introduced01/24/25 REVISOR DTT/AD 5.1 Sec. 6. APPROPRIATION. |
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125 | 125 | | 5.2 $....... in fiscal year 2026 and $....... in fiscal year 2027 are appropriated from the general |
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126 | 126 | | 5.3fund to the Rare Disease Advisory Council to study sustainable reimbursement models for |
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127 | 127 | | 5.4gene therapies to treat rare diseases and to issue recommendations to the legislature, payers, |
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128 | 128 | | 5.5hospitals, and manufacturers. The general fund base for this appropriation is $....... in fiscal |
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129 | 129 | | 5.6year 2028, $....... in fiscal year 2029, and $....... in fiscal year 2030. |
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130 | 130 | | 5Sec. 6. |
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131 | 131 | | 25-02682 as introduced01/24/25 REVISOR DTT/AD |
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