1.1To: Senator Cohen, Chair
1.2Committee on Finance
1.3Senator Berglin,
1.4Chair of the Health and Human Services Budget Division, to which was referred
1.5S.F. No. 1990: relating to health; establishing Minnesota Colorectal
1.6Cancer Prevention Act and women's heart health program; increasing tobacco-related
1.7taxes and designating funds for public health programs; appropriating money;amending
1.8Minnesota Statutes 2008, sections 297F.01, subdivision 19; 297F.05, subdivisions 1, 3, 4,
1.9by adding a subdivision; 297F.10; proposing coding for new law in Minnesota Statutes,
1.10chapter 144.
1.11Reports the same back with the recommendation that the bill be amended as follows:
1.12Page 1, delete subdivisions 1 and 2 and insert:
1.13    "Subdivision 1. Establishment. The commissioner shall establish a colorectal
1.14cancer screening program to provide grants for colorectal cancer screenings to uninsured
1.15and underinsured women and men."
1.16Page 1, line 11, delete "ACT" and insert "PROGRAM"
1.17Page 1, line 21, delete "3" and insert "2" and delete "subdivisions" and insert
1.18"subdivision"
1.19Page 1, line 22, delete "and 5"
1.20Page 2, line 1, delete "have insurance" and insert "or if insured, have coverage"
1.21Page 2, line 2, delete everything after "screenings" and insert a semicolon
1.22Page 2, after line 2, insert:
1.23    "(3) not eligible for medical assistance, general assistance medical care, or
1.24MinnesotaCare programs; and"
1.25Page 2, line 3, delete "(3)" and insert "(4)"
1.26Page 2, line 4, delete "4" and insert "3"
1.27Page 2, delete subdivision 5
1.28Page 2, after line 32, insert:

1.29    "Sec. 4. [145.987] STATEWIDE HEALTH IMPROVEMENT PROGRAM FUND.
1.30The statewide health improvement program fund is created as a special account in
1.31the state treasury. Money in the account must be used, as appropriated by law, for public
1.32health improvement programs."
1.33Page 3, after line 12, insert:

1.34    "Sec. 6. Minnesota Statutes 2008, section 256B.057, is amended by adding a
1.35subdivision to read:
2.1    Subd. 11. Treatment for colorectal cancer. (a) Medical assistance may be paid for
2.2an individual who:
2.3    (1) has been screened for colorectal cancer by the colorectal cancer prevention
2.4program established under section 144.941;
2.5    (2) according to the individual's treating health professional, needs treatment for
2.6colorectal cancer;
2.7    (3) meets income eligibility guidelines for the colorectal cancer prevention program;
2.8    (4) is under the age of 65; and
2.9    (5) is not otherwise eligible for medical assistance or other creditable coverage as
2.10defined under United States Code, title 42, section 1396a(aa).
2.11    (b) Medical assistance provided under this subdivision shall be limited to services
2.12provided during the period that the individual receives treatment for colorectal cancer.
2.13    (c) An individual meeting the criteria in paragraph (a) is eligible for medical
2.14assistance without meeting the eligibility criteria relating to income and assets in section
2.15256B.056, subdivisions 1a to 5b."
2.16Page 3, line 24, before "A" insert "(a)"
2.17Page 3, after line 33, insert:
2.18    "(b) For purposes of section 256.9658, the liability for tax under this subdivision
2.19must be computed using a 35 percent rate."
2.20Page 4, line 5, after "a" insert "wholesale"
2.21Page 4, line 14, after the period, insert "For purposes of section 256.9658, the
2.22liability for tax under this subdivision must be computed using a 35 percent rate."
2.23Page 4, line 30, delete "health care access" and insert "statewide health improvement
2.24program"
2.25Page 5, line 11, delete "health care access" and insert "statewide health improvement
2.26program"
2.27Page 6, delete section 12 and insert:

2.28    "Sec. 13. Laws 2008, chapter 358, article 5, section 4, subdivision 2, is amended to
2.29read:

2.30 2.31

Subd. 2.Community and Family Health Promotion

2.32

Health Care Access

1,188,000

3.1Base Adjustment. The health care access
3.2fund base shall be increased by $20,454,000
3.3in fiscal year 2010 and $27,531,000 in
3.4fiscal year 2011. Of these base adjustments,
3.5$19,587,000 in fiscal year 2010 and
3.6$26,175,000 in fiscal year 2011 is for
3.7grants to local communities in accordance
3.8with Minnesota Statutes, section 145.986,
3.9subdivision 2 ; $413,000 in fiscal year
3.102010 and $825,000 in fiscal year 2011 is
3.11for staffing, operating costs, contracts for
3.12evaluation, and administration costs. The
3.13base for this program in fiscal year 2012 is $0.
3.14Notwithstanding any contrary provision in
3.15this article, this paragraph expires December
3.1631, 2012.
3.17Health Care Homes. The commissioner of
3.18health shall coordinate with the commissioner
3.19of human services to maximize federal
3.20financial participation for this activity.

3.21    Sec. 14 APPROPRIATIONS.
3.22(a) $250,000 each year is appropriated for fiscal years 2010 and 2011 from the
3.23statewide health improvement program fund to the commissioner of health for the heart
3.24disease and stroke prevention unit of the Department of Health to fund data collection and
3.25other activities to improve cardiovascular health and reduce the burden of heart disease
3.26and stroke in Minnesota.
3.27(b) $2,000,000 each year is appropriated for fiscal years 2010 and 2011, from
3.28the statewide health improvement program fund to the commissioner of health for
3.29the Minnesota colorectal cancer prevention program under Minnesota Statutes, section
3.30144.941.
3.31(c) $750,000 each year is appropriated for fiscal years 2010 and 2011 from the
3.32statewide health improvement program fund to the commissioner of health for the
3.33women's heart health program, established in Minnesota Statutes, section 144.942.
3.34(d) $47,985,000 is appropriated for the biennium beginning July 1, 2011, from
3.35the statewide health improvement program fund to the commissioner of health for the
3.36statewide health improvement program under Minnesota Statutes, section 145.986.
4.1(e) During each fiscal year, the commissioner of finance shall estimate the amounts
4.2credited and to be credited to the statewide health improvement program fund by June
4.330 of that fiscal year. Any amount not needed to fund the appropriations in paragraphs
4.4(a) to (d) is appropriated to the commissioner of finance for transfer to the health care
4.5access fund by June 30 of that fiscal year."
4.6Page 6, line 10, delete "health care access" and insert "statewide health improvement
4.7program"
4.8Renumber the sections in sequence
4.9Amend the title numbers accordingly
4.10And when so amended that the bill be recommended to pass and be referred to
4.11the full committee.
..... 4.12
4.13(Division Chair)
4.14April 14, 2009 .....
4.15(Date of Division recommendation)