Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF1896 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1.1 A bill for an act
2	2	1.2 relating to health care; modifying requirements for dental administrator rates in
3	3	1.3 the medical assistance and MinnesotaCare programs; changing dates relating to a
4	4	1.4 dental administrator contract; establishing the critical access dental provider task
5	5	1.5 force; requiring a report; amending Minnesota Statutes 2024, section 256B.0371,
6	6	1.6 subdivision 3.
7	7	1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
8	8	1.8 Section 1. Minnesota Statutes 2024, section 256B.0371, subdivision 3, is amended to read:
9	9	1.9 Subd. 3.Contingent contract with dental administrator.(a) The commissioner shall
10	10	1.10determine the extent to which managed care and county-based purchasing plans in the
11	11	1.11aggregate meet the performance benchmark specified in subdivision 1 for coverage year
12	12	1.122024. If managed care and county-based purchasing plans in the aggregate fail to meet the
13	13	1.13performance benchmark, the commissioner, after issuing a request for information followed
14	14	1.14by a request for proposals, shall contract with a dental administrator to administer dental
15	15	1.15services beginning January 1, 2026 2030, for all recipients of medical assistance and
16	16	1.16MinnesotaCare, including persons served under fee-for-service and persons receiving
17	17	1.17services through managed care and county-based purchasing plans.
18	18	1.18 (b) The dental administrator must provide administrative services, including but not
19	19	1.19limited to:
20	20	1.20 (1) provider recruitment, contracting, and assistance;
21	21	1.21 (2) recipient outreach and assistance;
22	22	1.22 (3) utilization management and reviews of medical necessity for dental services;
23	23	1.23 (4) dental claims processing;
24	24	1Section 1.
25	25	25-03563 as introduced02/12/25 REVISOR AGW/DG
26	26	SENATE
27	27	STATE OF MINNESOTA
28	28	S.F. No. 1896NINETY-FOURTH SESSION
29	29	(SENATE AUTHORS: BOLDON, Utke and Kupec)
30	30	OFFICIAL STATUSD-PGDATE
31	31	Introduction and first reading02/27/2025
32	32	Referred to Health and Human Services 2.1 (5) coordination of dental care with other services;
33	33	2.2 (6) management of fraud and abuse;
34	34	2.3 (7) monitoring access to dental services;
35	35	2.4 (8) performance measurement;
36	36	2.5 (9) quality improvement and evaluation; and
37	37	2.6 (10) management of third-party liability requirements.
38	38	2.7 (c) Dental administrator payments to contracted dental providers must be at the rates
39	39	2.8established under sections 256B.76 and 256L.11.
40	40	2.9 (d) (c) Recipients must be given a choice of dental provider, including any provider who
41	41	2.10agrees to provider participation requirements and payment rates established by the
42	42	2.11commissioner and dental administrator. The dental administrator must comply with the
43	43	2.12network adequacy and geographic access requirements that apply to managed care and
44	44	2.13county-based purchasing plans for dental services under section 62K.14.
45	45	2.14 (e) (d) The contract with the dental administrator must include a provision that states
46	46	2.15that if the dental administrator fails to meet, by calendar year 2029 2032, a performance
47	47	2.16benchmark under which at least 55 percent of children and adults who were continuously
48	48	2.17enrolled for at least 11 months in either medical assistance or MinnesotaCare received at
49	49	2.18least one dental visit during the calendar year, the contract must be terminated and the
50	50	2.19commissioner must enter into a contract with a new dental administrator as soon as
51	51	2.20practicable.
52	52	2.21 (f) (e) The commissioner shall implement this subdivision in consultation with
53	53	2.22representatives of providers who provide dental services to patients enrolled in medical
54	54	2.23assistance or MinnesotaCare, including but not limited to providers serving primarily
55	55	2.24low-income and socioeconomically complex populations, and with representatives of
56	56	2.25managed care plans and county-based purchasing plans based on the recommendations of
57	57	2.26the critical access dental provider task force established by the commissioner to identify
58	58	2.27the impacts of a contract with a single dental administrator, as allowed within existing
59	59	2.28appropriations.
60	60	2.29 Sec. 2. CRITICAL ACCESS DENTAL PROVIDER TASK FORCE.
61	61	2.30 Subdivision 1.Definition.For the purpose of this subdivision, "critical access dental
62	62	2.31providers" means critical access dental providers as described in Minnesota Statutes, section
63	63	2.32256B.76, subdivision 4.
64	64	2Sec. 2.
65	65	25-03563 as introduced02/12/25 REVISOR AGW/DG 3.1 Subd. 2.Task force established.The commissioner must establish a task force to identify
66	66	3.2the impacts of a contract with a single dental administrator under Minnesota Statutes, section
67	67	3.3256B.0371, subdivision 3, on:
68	68	3.4 (1) financial viability of critical access dental providers; and
69	69	3.5 (2) access to care for medical assistance and MinnesotaCare enrollees served by critical
70	70	3.6access dental providers.
71	71	3.7 Subd. 3.Required assessments.In the performance of its responsibilities under
72	72	3.8subdivision 2, the task force must consider the following:
73	73	3.9 (1) the financial impact on reimbursement for critical access dental providers, including
74	74	3.10fee-based revenue, between payments by managed care and county-based purchasing plans
75	75	3.11and the rates established under Minnesota Statutes, sections 256B.76 and 256L.11;
76	76	3.12 (2) the potential impact on supplemental funding opportunities, both public and private,
77	77	3.13used by critical access dental providers to cover current operating costs;
78	78	3.14 (3) the potential impact on supplemental funding opportunities, both public and private,
79	79	3.15used by critical access dental providers for capital and service expansion costs, including
80	80	3.16physical plant development and equipment acquisition, and workforce development and
81	81	3.17training; and
82	82	3.18 (4) the potential harmful impacts on patients of critical access dental providers resulting
83	83	3.19from disruption of current integrated care coordination between medical, behavioral, dental,
84	84	3.20and other service providers.
85	85	3.21 Subd. 4.Application of other law.The provisions of Minnesota Statutes, section 15.059
86	86	3.22relating to member terms, compensation, and removal govern the task force.
87	87	3.23 Subd. 5.Membership.The task force consists of the following members:
88	88	3.24 (1) the commissioner of human services or a designee appointed by the commissioner;
89	89	3.25 (2) two members of the house of representatives, one appointed by the speaker of the
90	90	3.26house and one appointed by the house minority leader;
91	91	3.27 (3) two members of the senate, one appointed by the president of the senate and one
92	92	3.28appointed by the senate minority leader;
93	93	3.29 (4) a representative of the Minnesota Dental Association, appointed by the Minnesota
94	94	3.30Dental Association;
95	95	3Sec. 2.
96	96	25-03563 as introduced02/12/25 REVISOR AGW/DG 4.1 (5) a representative of the Association of Critical Access Dental Providers of Minnesota,
97	97	4.2appointed by the Association of Critical Access Dental Providers of Minnesota;
98	98	4.3 (6) a representative of nonprofit dental clinics providing services within the seven-county
99	99	4.4metropolitan area, appointed by the governor;
100	100	4.5 (7) a representative of nonprofit dental clinics providing services outside of the
101	101	4.6seven-county metropolitan area, appointed by the governor;
102	102	4.7 (8) a representative of private dental clinics for which medical assistance and
103	103	4.8MinnesotaCare enrollees comprise more than 25 percent of the clinic's patient load, appointed
104	104	4.9by the governor; and
105	105	4.10 (9) a representative of the Minnesota Rural Health Association, appointed by the
106	106	4.11Minnesota Rural Health Association.
107	107	4.12 Subd. 6.Reporting.The task force must submit a report to the chairs and ranking
108	108	4.13minority members of the legislative committees with jurisdiction over health and human
109	109	4.14services policy and finance by January 15, 2027. The report must include:
110	110	4.15 (1) an evaluation of patient access to dental care and any proposed measures to prevent
111	111	4.16service gaps;
112	112	4.17 (2) a detailed financial impact analysis on reimbursements for critical access dental
113	113	4.18providers;
114	114	4.19 (3) recommendations to mitigate funding disruptions for operational and capital expenses;
115	115	4.20 (4) potential impacts of a contract with a single dental administrator under subdivision
116	116	4.213; and
117	117	4.22 (5) recommendations to the legislature to prevent harm to the financial viability of critical
118	118	4.23access dental providers and to maintain or increase access to care for enrollees in the medical
119	119	4.24assistance and MinnesotaCare programs.
120	120	4.25 Subd. 7.Expiration.The task force expires on ......
121	121	4Sec. 2.
122	122	25-03563 as introduced02/12/25 REVISOR AGW/DG