reglab/housing_qa huggingface dataset:
MN Stat § 62J.01 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.01 — Findings.

62J.01 FINDINGS. The legislature finds that substantial numbers of Minnesotans have no health care coverage and that most of these residents are wage earners or their dependents. One-third of these individuals are children. The legislature further finds that when these individuals enter the health care system they have often forgone preventive care and are in need of more expensive treatment that often exceeds their financial resources. Much of the cost for these uncompensated services to the uninsured are already in the health care system in the form of increased insurance and provider rates and property and income taxes. The legislature further finds that these costs, spread among the already insured, represent a woefully inefficient method for providing basic preventive and acute care for the uninsured and represent an added cost to employers now providing health insurance to their employees. The legislature further finds that it is necessary to ensure basic and affordable health care to all Minnesotans while addressing the economic pressures on the health care system as a whole in Minnesota. History:   1989 c 327 s 1
MN Stat § 62J.015 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.015 — Purpose.

62J.015 PURPOSE. The legislature finds that the staggering growth in health care costs is having a devastating effect on the health and cost of living of Minnesota residents. The legislature further finds that the number of uninsured and underinsured residents is growing each year and that the cost of health care coverage for our insured residents is increasing annually at a rate that far exceeds the state's overall rate of inflation. The legislature further finds that it must enact immediate and intensive cost containment measures to limit the growth of health care expenditures, reform insurance practices, and finance a plan that offers access to affordable health care for our permanent residents by capturing dollars now lost to inefficiencies in Minnesota's health care system. The legislature further finds that controlling costs is essential to the maintenance of the many factors contributing to the quality of life in Minnesota: our environment, education system, safe communities, affordable housing, provision of food, economic vitality, purchasing power, and stable population. It is, therefore, the intent of the legislature to lay a new foundation for the delivery and financing of health care in Minnesota and to call this new foundation the MinnesotaCare Act. History:  1992 c 549 art 1 s 1; 1993 c 247 art 4 s 11; 1994 c 625 art 8 s 72
MN Stat § 62J.016 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.016 — Goals Of Restructuring.

62J.016 GOALS OF RESTRUCTURING. The state seeks to bring about changes in the health care delivery and financing system that will assure quality, affordable, and accessible health care for all Minnesotans. This goal will be accomplished by restructuring the delivery system, the financial incentives, and the regulatory environment in a way that will make health care providers and health plan companies more accountable to consumers, group purchasers, and communities for their costs and quality, their effectiveness in meeting the health care needs of all of their patients and enrollees, and their contributions to improving the health of the greater community. History:   1994 c 625 art 1 s 1
MN Stat § 62J.017 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.017 — Implementation Timetable.

62J.017 IMPLEMENTATION TIMETABLE. The state seeks to complete the restructuring of the health care delivery and financing system. Beginning July 1, 1994, measures will be taken to increase the public accountability of existing health plan companies, to promote the development of small, community-based integrated service networks, and to reduce administrative costs by standardizing third-party billing forms and procedures and utilization review requirements. History:  1994 c 625 art 1 s 2; 1995 c 234 art 3 s 1; 1997 c 225 art 2 s 9
MN Stat § 62J.052 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.052 — Provider Cost Disclosure.

62J.052 PROVIDER COST DISCLOSURE. Subdivision 1.  [Repealed, 2007 c 147 art 15 s 22] Subd. 2. Pharmacies. (a) Each pharmacy, as defined in section 151.01, subdivision 2, shall provide the following information to a patient upon request: (1) the pharmacy's own usual and customary price for a prescription drug; (2) a record, including all transactions on record with the pharmacy both past and present, of all co-payments and other cost-sharing paid to the pharmacy by the patient for up to two years; and (3) the total amount of all co-payments and other cost-sharing paid to the pharmacy by the patient over the previous two years. (b) The information required under paragraph (a) must be readily available at no cost to the patient. History:  2005 c 147 art 11 s 2; 2006 c 255 s 21
MN Stat § 62J.06 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.06 — Immunity From Liability.

62J.06 IMMUNITY FROM LIABILITY. No member of the Health Technology Advisory Committee shall be held civilly or criminally liable for an act or omission by that person if the act or omission was in good faith and within the scope of the member's responsibilities under this chapter. History:  1993 c 247 art 1 s 7; 1995 c 234 art 5 s 3; 1997 c 225 art 2 s 10; 1999 c 245 art 2 s 3; 1Sp2003 c 14 art 7 s 88
MN Stat § 62J.156 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.156 — Closed Committee Hearings.

62J.156 CLOSED COMMITTEE HEARINGS. Notwithstanding chapter 13D, the Health Technology Advisory Committee may meet in closed session to discuss a specific technology or procedure that involves data received that have been classified as nonpublic data, where disclosure of the data would cause harm to the competitive or economic position of the source of the data. History:  1993 c 345 art 4 s 5; 1Sp2003 c 14 art 7 s 88
MN Stat § 62J.212 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.212 — Public Health Goals.

62J.212 PUBLIC HEALTH GOALS. The commissioner shall establish specific public health goals including, but not limited to, increased delivery of prenatal care, improved birth outcomes, and expanded childhood immunizations. The commissioner shall consider the community public health goals and the input of the statewide advisory committee on community health in establishing the statewide goals. History:  1993 c 345 art 5 s 9; 1995 c 234 art 5 s 4
MN Stat § 62J.22 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.22 — Participation Of Federal Programs.

62J.22 PARTICIPATION OF FEDERAL PROGRAMS. The commissioner of health shall seek the full participation of federal health care programs under this chapter, including Medicare, medical assistance, veterans administration programs, and other federal programs. The commissioner of human services shall submit waiver requests and take other action necessary to obtain federal approval to allow participation of the medical assistance program. If federal approval is not given for one or more federal programs, data on the amount of health care spending that is collected under section 62J.04 shall be adjusted so that state and regional spending limits take into account the failure of the federal program to participate. History:  1992 c 549 art 1 s 11; 1997 c 225 art 2 s 22
MN Stat § 62J.25 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.25 — Mandatory Medicare Assignment.

62J.25 MANDATORY MEDICARE ASSIGNMENT. (a) Effective January 1, 1993, a health care provider shall not charge to or collect from a Medicare beneficiary who is a Minnesota resident any amount in excess of 115 percent of the Medicare-approved amount for any Medicare-covered service provided. (b) Effective January 1, 1994, a health care provider shall not charge to or collect from a Medicare beneficiary who is a Minnesota resident any amount in excess of 110 percent of the Medicare-approved amount for any Medicare-covered service provided. (c) Effective January 1, 1995, a health care provider shall not charge to or collect from a Medicare beneficiary who is a Minnesota resident any amount in excess of 105 percent of the Medicare-approved amount for any Medicare-covered service provided. (d) Effective January 1, 1996, a health care provider shall not charge to or collect from a Medicare beneficiary who is a Minnesota resident any amount in excess of the Medicare-approved amount for any Medicare-covered service provided. (e) This section does not apply to ambulance services as defined in section 144E.001, subdivision 3, or medical supplies and equipment. A vendor of medical supplies and equipment that does not accept assignment under the federal Medicare program with respect to a purchase or lease of Medicare-covered supplies or equipment shall notify any purchaser who is a Medicare beneficiary and Minnesota resident, prior to the purchase, or at any time upon the request of the purchaser, that the vendor charges an amount in excess of the Medicare-approved amount. History:  1992 c 549 art 1 s 13; 1997 c 199 s 14; 1997 c 225 art 2 s 23; 1998 c 339 s 1
MN Stat § 62J.2930 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.2930 — Information Clearinghouse.

62J.2930 INFORMATION CLEARINGHOUSE. Subdivision 1. Establishment. The commissioner of health shall establish an information clearinghouse within the Department of Health to facilitate the ability of consumers, employers, providers, health plan companies, and others to obtain information on health reform activities in Minnesota. The commissioner shall make available through the clearinghouse updates on federal and state health reform activities, including information developed or collected by the Department of Health on cost containment or other research initiatives, the development of voluntary purchasing pools, action plans submitted by health plan companies, reports or recommendations of the Health Technology Advisory Committee and other entities on technology assessments, and reports or recommendations from other formal committees applicable to health reform activities. The clearinghouse shall also refer requestors to sources of further information or assistance. The clearinghouse is subject to chapter 13. Subd. 2. Information on health plan companies. The information clearinghouse shall provide information on all health plan companies operating in a specific geographic area to consumers and purchasers who request it. Subd. 3. Consumer information. (a) The information clearinghouse or another entity designated by the commissioner shall provide consumer information to health plan company enrollees to: (1) assist enrollees in understanding their rights; (2) explain and assist in the use of all available complaint systems, including internal complaint systems within health carriers, community integrated service networks, and the Departments of Health and Commerce; (3) provide information on coverage options in each region of the state; (4) provide information on the availability of purchasing pools and enrollee subsidies; and (5) help consumers use the health care system to obtain coverage. (b) The information clearinghouse or other entity designated by the commissioner for the purposes of this subdivision shall not: (1) provide legal services to consumers; (2) represent a consumer or enrollee; or (3) serve as an advocate for consumers in disputes with health plan companies. (c) Nothing in this subdivision shall interfere with the ombudsman program established under section 256B.69, subdivision 20, or other existing ombudsman programs. Subd. 4. Coordination. To the extent possible, the commissioner shall coordinate the activities of the clearinghouse with the activities of the Minnesota Health Data Institute. History:  1995 c 234 art 5 s 5; 1997 c 225 art 2 s 62; 1999 c 245 art 2 s 7; 2009 c 173 art 3 s 1
MN Stat § 62J.311 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.311 — Analysis And Use Of Data.

62J.311 ANALYSIS AND USE OF DATA. Subdivision 1. Data analysis. The commissioner shall analyze the data collected to: (1) assist the state in developing and refining its health policy in the areas of access, utilization, quality, and cost; (2) assist the state in promoting efficiency and effectiveness in the financing and delivery of health services; (3) monitor and track accessibility, utilization, quality, and cost of health care services within the state; (4) evaluate the impact of health care reform activities; (5) assist the state in its public health activities; and (6) evaluate and determine the most appropriate methods for ongoing data collection. Subd. 2. Criteria for data and research initiatives. (a) Data and research initiatives by the commissioner, pursuant to sections 62J.301 to 62J.42, must: (1) serve the needs of the general public, public sector health care programs, employers and other purchasers of health care, health care providers, including providers serving large numbers of people with low-income, and health plan companies as applicable; (2) be based on scientifically sound and statistically valid methods; (3) be statewide in scope, to the extent feasible, in order to benefit health care purchasers and providers in all parts of Minnesota and to ensure broad and representative health care data for research comparisons and applications; (4) emphasize data that is useful, relevant, and nonredundant of existing data. The initiatives may duplicate existing private data collection activities, if necessary to ensure that the data collected will be in the public domain; (5) be structured to minimize the administrative burden on health plan companies, health care providers, and the health care delivery system, and minimize any privacy impact on individuals; and (6) promote continuous improvement in the efficiency and effectiveness of health care delivery. (b) Data and research initiatives related to public sector health care programs must: (1) assist the state's current health care financing and delivery programs to deliver and purchase health care in a manner that promotes improvements in health care efficiency and effectiveness; (2) assist the state in its public health activities, including the analysis of disease prevalence and trends and the development of public health responses; (3) assist the state in developing and refining its overall health policy, including policy related to health care costs, quality, and access; and (4) provide data that allows the evaluation of state health care financing and delivery programs. History:   1995 c 234 art 5 s 7
MN Stat § 62J.40 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.40 — Cost Containment Data From State Agencies And Other Governmental Units.

62J.40 COST CONTAINMENT DATA FROM STATE AGENCIES AND OTHER GOVERNMENTAL UNITS. (a) All state departments or agencies that administer one or more health care programs shall provide to the commissioner of health any additional data on the health care programs they administer that is requested by the commissioner of health, including data in unaggregated form, for purposes of developing estimates of spending, setting spending limits, and monitoring actual spending. The data must be provided at the times and in the form specified by the commissioner of health. (b) For purposes of estimating total health care spending as provided in section 62J.301, subdivision 4, clause (c), all local governmental units shall provide expenditure data to the commissioner. The commissioner shall consult with representatives of the affected local government units in establishing definitions, reporting formats, and reporting time frames. As much as possible, the data shall be collected in a manner that ensures that the data collected is consistent with data collected from the private sector and minimizes the reporting burden to local government. History:  1993 c 345 art 3 s 11; 1995 c 234 art 5 s 12
MN Stat § 62J.42 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.42 — Quality, Utilization, And Outcome Data.

62J.42 QUALITY, UTILIZATION, AND OUTCOME DATA. The commissioner shall also require group purchasers and health care providers to maintain and periodically report information on quality of care, utilization, and outcomes. The information must be provided at the times and in the form specified by the commissioner. History:   1993 c 345 art 3 s 13
MN Stat § 62J.431 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.431 — Evidence-based Health Care Guidelines.

62J.431 EVIDENCE-BASED HEALTH CARE GUIDELINES. Evidence-based guidelines must meet the following criteria: (1) the scope and application are clear; (2) authorship is stated and any conflicts of interest disclosed; (3) authors represent all pertinent clinical fields or other means of input have been used; (4) the development process is explicitly stated; (5) the guideline is grounded in evidence; (6) the evidence is cited and grated; (7) the document itself is clear and practical; (8) the document is flexible in use, with exceptions noted or provided for with general statements; (9) measures are included for use in systems improvement; and (10) the guideline has scheduled reviews and updating. History:   2007 c 147 art 15 s 1
MN Stat § 62J.46 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.46 — Monitoring And Reports.

62J.46 MONITORING AND REPORTS. Subdivision 1. Long-term care costs. The commissioner shall use existing state data resources to monitor trends in public and private spending on long-term care costs and spending in Minnesota. The commissioner shall recommend to the legislature any additional data collection activities needed to monitor these trends. State agencies collecting information on long-term care spending and costs shall coordinate with the Interagency Long-Term Care Planning Committee and the commissioner to facilitate the monitoring of long-term care expenditures in the state. Subd. 2. Cost shifting. The commissioner shall monitor the extent to which reimbursement rates for government health care programs lead to the shifting of costs to private payers. By January 1, 1995, the commissioner shall report any evidence of cost shifting to the legislature and make recommendations on adjustments to the cost containment plan that should be made due to cost shifting. History:  1993 c 345 art 3 s 16; 2001 c 161 s 13
MN Stat § 62J.48 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.48 — Criteria For Reimbursement.

62J.48 CRITERIA FOR REIMBURSEMENT. All ambulance services licensed under section 144E.10 are eligible for reimbursement under health plan companies. The commissioner shall require health plan companies to adopt the following reimbursement policies. (1) All scheduled or prearranged air and ground ambulance transports must be reimbursed if requested by an attending physician or nurse, and, if the person is an enrollee in a health plan company, if approved by a designated representative of a health plan company who is immediately available on a 24-hour basis. The designated representative must be a registered nurse or a physician assistant with at least three years of critical care or trauma experience, or a licensed physician. (2) Reimbursement must be provided for all emergency ambulance calls in which a patient is transported or medical treatment rendered. (3) Special transportation services must not be billed or reimbursed if the patient needs medical attention immediately before transportation. History:  1994 c 625 art 4 s 1; 1995 c 234 art 8 s 11; 1997 c 199 s 14
MN Stat § 62J.49 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.49 — Ambulance Services Financial Data.

62J.49 AMBULANCE SERVICES FINANCIAL DATA. Subdivision 1. Establishment. The Emergency Medical Services Regulatory Board established under chapter 144 shall establish a financial data collection system for all ambulance services licensed in this state. To establish the financial database, the Emergency Medical Services Regulatory Board may contract with an entity that has experience in ambulance service financial data collection. Subd. 2. Data classification. All financial data collected by the Emergency Medical Services Regulatory Board shall be classified as nonpublic data under section 13.02, subdivision 9. History:   1997 c 203 art 2 s 1
MN Stat § 62J.50 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.50 — Citation And Purpose.

62J.50 CITATION AND PURPOSE. Subdivision 1. Citation. Sections 62J.50 to 62J.61 may be cited as the "Minnesota Health Care Administrative Simplification Act." Subd. 2. Purpose. The legislature finds that significant savings throughout the health care industry can be accomplished by implementing a set of administrative standards and simplified procedures and by setting forward a plan toward the use of electronic methods of data interchange. The legislature finds that initial steps have been taken at the national level by the federal Health Care Financing Administration, now known as the Centers for Medicare and Medicaid Services, in its implementation of nationally accepted electronic transaction sets for its Medicare program. The legislature further recognizes the work done by the Workgroup for Electronic Data Interchange and the American National Standards Institute and its accredited standards committee X12, at the national level, and the Minnesota Administrative Uniformity Committee, a statewide, voluntary, public-private group representing payers, hospitals, state programs, physicians, and other health care providers in their work toward administrative simplification in the health care industry. History:  1994 c 625 art 9 s 1; 2014 c 192 art 1 s 1,2
MN Stat § 62J.53 (2021)
2021 Minnesota Statutes|Chapters 59A - 79A — Insurance|Chapter 62J — Health Care Cost Containment|Section 62J.53 — Acceptance Of Uniform Billing Forms By Group Purchasers.

62J.53 ACCEPTANCE OF UNIFORM BILLING FORMS BY GROUP PURCHASERS. On and after January 1, 1996, all group purchasers in Minnesota shall accept the uniform billing forms prescribed under section 62J.52 as the only nonelectronic billing forms used for payment processing purposes. History:  1994 c 625 art 9 s 4; 2014 c 192 art 1 s 5