Minnesota

This omnibus appropriations legislation would require the Commissioner of Health to provide a one-time report on primary care spending and establish a Health Care Affordability Commission with broader responsibility to establish broader health spending and outcome targets for the state.

Elements of this bill were incorporated in the final budget bill,SF 2995.

This omnibus appropriations legislation would require a report on primary care spending and establish a Health Care Affordability Board that may consider establishing quality and primary care spending standards.

Amends states all-payer claims database statute to require submission of value-based, non-claims-based payments to providers. State analysis of the data must permit calculation and reporting of the amount of those non-claims-based payments relative to overall health care payments, as well as the percentage of those payments that go to primary care.

Elements of this bill were enacted as part of SF2995

A bill for an act relating to health; modifying data collected under the all-payer claims database and uses of this data; requiring the commissioner of health to study and report on systems used by health plan companies and third-party administrators to pay health care providers; 

establishing the Health Care Affordability Board and Health Care Affordability Advisory Council; requiring monitoring of and recommendations related to health care market trends; establishing the health care spending growth target program; requiring reports; providing for civil penalties; requiring certain transfers of funds;

To provide the legislature with information needed to meet the evolving health care needs of Minnesotans, the commissioner shall report to the legislature by February 15, 2023, on the volume and distribution of health care spending across payment models used by health plan companies and third-party administrators, with a particular focus on value-based care models and primary care spending.