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Bill > SF1402


MN SF1402

Medical assistance rate adjustments establishment for physician and professional services


summary

Introduced
02/13/2025
In Committee
04/02/2025
Crossed Over
Passed
Dead

Introduced Session

94th Legislature 2025-2026

Bill Summary

A bill for an act relating to health insurance; establishing medical assistance rate adjustments for physician and professional services; increasing rates for certain residential services; requiring a statewide reimbursement rate for behavioral health home services; imposing an assessment on health plan companies to provide nonfederal funds for medical assistance; authorizing the commissioner of human services to seek federal waivers; amending Minnesota Statutes 2024, sections 256.969, subdivision 2b; 256B.0757, subdivision 5, by adding a subdivision; 256B.76, subdivisions 1, 6; 256B.761; proposing coding for new law in Minnesota Statutes, chapters 256B; 295; repealing Minnesota Statutes 2024, section 256B.0625, subdivision 38.

AI Summary

This bill addresses medical assistance rate adjustments for various healthcare services in Minnesota, with several key provisions aimed at improving reimbursement rates and healthcare access. Effective January 1, 2028, the bill increases payments for inpatient behavioral health services and requires managed care plans to use increased capitation rates to boost provider payments. Starting January 1, 2026, the bill mandates that rates for mental health, primary care, and obstetric/gynecologic services must be at least equal to 100 percent of the Medicare Physician Fee Schedule. The bill also establishes a new annual assessment on health plan companies from 2026 to 2029, with assessment amounts varying based on the number of medical assistance and non-medical assistance enrollees. The funds collected from this assessment will be deposited in the health care access fund and used to supplement medical assistance funding. Additionally, the bill requires the commissioner of human services to seek federal approval and potentially request waivers to implement these changes, with provisions for monitoring the impact of rate increases on service access. The legislation aims to improve healthcare provider reimbursement, potentially increasing access to mental health, primary care, and other essential medical services for Medical Assistance recipients in Minnesota.

Committee Categories

Budget and Finance, Health and Social Services

Sponsors (4)

Last Action

Comm report: No recommendation, re-referred to Health and Human Services (on 04/02/2025)

bill text


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