Bill > HF2057

This bill establishes a hospital assessment and directed payment program in Minnesota's medical assistance program. The legislation creates a framework where eligible hospitals will be required to pay quarterly assessments based on their net inpatient and outpatient revenue, with specific exemptions and discounts for certain types of hospitals like children's hospitals, critical access hospitals, and federal Indian Health Service facilities. The collected assessments will be used to fund supplemental directed payments to hospitals through managed care organizations, with the goal of maintaining healthcare quality and access for medical assistance enrollees. Key provisions include detailed requirements for how hospitals and health plans must calculate and process these payments, strict rules preventing hospitals or managed care organizations from manipulating reimbursement rates, and requirements for transparency, including annual reporting to the legislature about the program's outcomes. The bill is contingent on federal approval from the Centers for Medicare and Medicaid Services and is planned to take effect no earlier than January 1, 2026. The commissioner of human services is tasked with implementing the program, consulting with the Minnesota Hospital Association, and ensuring that the assessments and directed payments align with state policy goals for medical assistance.

Health and Social Services

https://www.revisor.mn.gov/bills/bill.php?b=House&f=HF2057&ssn=0&y=2025