Full Council Meeting

Motion: move public comment to the beginning of the agenda

A modification to the agenda was requested to move public comment to the beginning of the meeting for a member of the public that would like to address the Council.

Motion: Motion to move public comment to the beginning of the agenda made by Dawn Stenstrom and seconded by Maureen Alderman, motion unanimously passed by roll call vote, with 15 in favor and 3 members absent.

Votes

• Maureen Alderman Voted: Approve
• Soraya Beiraghi, DDS, MSD, MS Voted: Absent
• Arthur Beisang, MD Voted: Approve
• Rae Blaylark Voted: Approve
• Sen. Julia Coleman Voted: Absent
• Angela Cowan, ICSW Voted: Approve
• Jackie Foster, MPH, RN, OCN Voted: Approve
• Amy Gaviglio, MS CGC Voted: Absent
• Kerry Hansen, RN Voted: Approve
• Barbara Joers Voted: Approve
• Sen. Kelly Morrison Voted: Absent
• Rep. Tom Murphy Voted: Approve
• Karl Nelsen, PA-C Voted: Approve
• Paul Orchard, MD Voted: Approve
• Rep. Liz Reyer Voted: Approve
• Kris Ann Schultz, MD Voted: Approve
• Dawn Stenstrom Voted: Approve
• David Tilstra, MD Voted: Approve

Motion: A request for a Motion to approve

Motion: A request for a Motion to approve October 26^th, 2023 meeting minutes.

Member Alderman requested an edit to the 10-26-23 meeting minutes.  Under Committee updates under Executive Subcommittee, please change the Policy Committee to Executive Committee.

Motion: A request for a Motion to approve October 26^th, 2023 meeting minutes with the correction under Committee updates.  Motion made by Representative Reyer and seconded by Dawn Stenstrom.  Motion passed unanimously with 4 members abstaining, 3 members absent and 11 approvals.

Votes

• Maureen Alderman Voted: Abstaining
• Soraya Beiraghi, DDS, MSD, MS Voted: Absent
• Arthur Beisang, MD Voted: Approve
• Rae Blaylark Voted: Approve
• Sen. Julia Coleman Voted: Absent
• Angela Cowan, ICSW Voted: Absent
• Jackie Foster, MPH, RN, OCN Voted: Abstaining
• Amy Gaviglio, MS CGC Voted: Absent
• Kerry Hansen, RN Voted: Approve
• Barbara Joers Voted: Abstaining
• Sen. Kelly Morrison Voted: Absent
• Rep. Tom Murphy Voted: Approve
• Karl Nelsen, PA-C Voted: Approve
• Paul Orchard, MD Voted: Approve
• Rep. Liz Reyer Voted: Approve
• Kris Ann Schultz, MD Voted: Approve
• Dawn Stenstrom Voted: Approve
• David Tilstra, MD Voted: Approve

Public Comment

Kim Pettman spoke about her Ehler’s Danlos syndrome hyper mobility type rare and lipedema, which she states is not rare as it affects 11% of women but it treated like a rare condition.  She spoke about her condition as well as her experience with the hospital care systems as well as health care systems.  She shared the differences in the systems and that her vitamins are not allowed where she is currently living.  She stated that her vitamins help her quality of life.  Ms. Pettman also recommended that the Council allow non-voting members of the public help and participate in the decision making as many other State Councils and Commissions allow for the participation and it helps the public feel included.  She spoke of her experience with several boards, commissions and councils as well as senior housing committees.

Chair Update

Vice Chair David Tilstra stated that his updates are included in the updates of the Executive, Policy and Governance Task Force Committee Updates.

Executive Director Update

Erica Barnes presents the Council with the Year in Review 2023 Presentation. Director Barnes stated as we continue to increase our capacity and continue to establish ourselves as a state agency, we have a number of accomplishments. Annual report containing goals and objectives as well as metrics for 2023 were presented.

Director Barnes spoke to the legislative session and noted that this session is not a budget session.  Director Barnes noted that RDAC securing the Council its full funding is at the main Council objective for this legislative session. Director Barnes would like to increase engagement of the advocacy community.  She spoke to the upcoming Advocacy Day on March 5^th at the Capitol.  Director Barnes spoke to the advancements in available gene therapies and how the state may approach these new therapies.  She spoke to the Prior Authorization bill that will be introduced.

Barnes spoke to appointments and that they continue to be in development, as is the nature of Governor appointed roles within Councils and Boards.  After the Committee reports there was some spare time and Director Barnes spoke to the situation with the vacancies.  It was recommended that RDAC move to change some statutory language that would allow for a retired physician to fill the role of physician as well.

Motion: A request for a Motion to ask that the Executive Subcommittee take up changing the statutory requirement that the physician be a practicing physician and allow for a retired physician.

Motion: A request for a Motion to ask that the Executive Subcommittee take up changing the statutory requirement that the physician be a practicing physician and allow for a retired physician.  Motion called by Dave Tilstra and seconded by Representative Reyer.  Motion passed unanimously with 15 approvals and 3 absent.

Votes

• Maureen Alderman Voted: Approve
• Soraya Beiraghi, DDS, MSD, MS Voted: Absent
• Arthur Beisang, MD Voted: Approve
• Rae Blaylark Voted: Approve
• Sen. Julia Coleman Voted: Absent
• Angela Cowan, ICSW Voted: Approve
• Jackie Foster, MPH, RN, OCN Voted: Approve
• Amy Gaviglio, MS CGC Voted: Absent
• Kerry Hansen, RN Voted: Approve
• Barbara Joers Voted: Approve
• Sen. Kelly Morrison Voted: Absent
• Rep. Tom Murphy Voted: Approve
• Karl Nelsen, PA-C Voted: Approve
• Paul Orchard, MD Voted: Approve
• Rep. Liz Reyer Voted: Approve
• Kris Ann Schultz, MD Voted: Approve
• Dawn Stenstrom Voted: Approve
• David Tilstra, MD Voted: Approve

Committee Updates

Policy Committee

Dawn Stenstrom provided updates related to activities being carried out by the policy committee.   She spoke to transparency of the Council as a state agency.  The work being done is to help the public understand how we arrive at decisions, make our priorities and the way that we gather information.

Executive subcommittee

Vice Chair Dave Tilstra provided updates related to activities being carried out by the Executive committee.

Governance Task Force

Jackie Foster presented the Carver Model, its quadrants and updated the Council as to the work that has been done by the GTF.  She explained that this model highlights the end results in giving the Director the power it needs to carry out the work with limitations.  She noted that the governance work is happening right now and as the task force comes up with the recommendations, they will present those to the Executive Subcommittee for approval.

Minnesota Medical Association – Prior Authorization Bill

Chad Fanning presented information on the Prior Authorization legislation.  He stated that the bill was bipartisan with Senator Morrison and Senator Rosen as leads.  He spoke to the prior authorization exemptions within Emergency medicine.  He stated that the need for insurance prior authorizations for MANY conditions may be the difference between life and death.  He stated that so far as the MMA, they are pushing for this bill as physicians become stalemated when delivering treatments as many are not approved.  The amount of time required for physicians to assist in obtaining the PA is lengthy.  He spoke to chronic conditions, such as diabetes and noted that if a condition exists, a PA should not be needed every year for the same exact medication or treatment.  The MMA is trying to make the process better for all parties involved.  A lengthy discussion was had regarding the denial rates and formulas.  A draft of this bill has been sent to the revisor.  The Council has asked to review the proposed legislation.  This can be done individually, but the Policy Committee will review the language to determine if RDAC will back this bill.