Bill > SF1059

This bill establishes a Patient-Centered Care program designed to improve health outcomes and reduce healthcare costs by shifting from managed care plans to direct payments to healthcare providers for Medical Assistance and MinnesotaCare enrollees. The program will require the commissioner of human services to pay licensed health care providers directly for services, with payments made to individual providers and clinics rather than hospital systems or networks. The bill introduces several key provisions, including care coordination payments to primary care providers, community outreach grants to help patients who are unlikely to obtain needed care, and a requirement to maintain a hotline and website to assist enrollees in finding providers. The program also emphasizes providing support for patients with socioeconomic factors that lead to health disparities, establishing a 24/7 nurse consultation helpline, and ensuring provider reimbursement rates are fair and address potential provider shortages. The bill repeals the existing Integrated Health Partnership Demonstration Project and sets the direct payment system to take effect on January 1, 2026, when current managed care contracts expire. Additionally, the bill includes appropriations for community health clinics to perform outreach and care coordination services, with a focus on helping patients who face barriers to accessing healthcare.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=Senate&f=SF1059&ssn=0&y=2025