This bill seeks to implement the Program of All-Inclusive Care for the Elderly (PACE) in Minnesota by amending various sections of the Minnesota Statutes. It establishes PACE as a federally authorized program that provides eligible individuals with a comprehensive range of medical and non-medical services aimed at improving their quality of life and maintaining independence. The bill outlines the responsibilities of the commissioner of human services, including service coordination, enrollment processes, and contract establishment with approved PACE organizations. Key amendments include the deletion of outdated provisions and the insertion of new definitions and requirements related to PACE, such as the stipulation that individuals enrolled in PACE will not be eligible for other Medicare or Medicaid programs, and the provision for voluntary disenrollment.

Additionally, the bill introduces performance targets for managed care plans and county-based purchasing plans, focusing on reducing healthcare service utilization rates, particularly emergency room visits and hospital admissions for medical assistance and MinnesotaCare enrollees. Starting January 1, 2011, the commissioner will withhold an additional three percent of payments to these plans, with the possibility of returning these funds if performance targets are met. The bill also clarifies definitions and requirements for managed care organizations, including performance metrics and conditions for returning withheld funds, while emphasizing the need for hospitals to cooperate with health plans to achieve these targets. Overall, the legislation aims to enhance accountability and efficiency in healthcare spending while improving health outcomes for enrollees.

Statutes affected:
Introduction: 256B.69, 256L.12, 256S.02