HF1675 (Legislative Session 94 (2025-2026))
Individual pricing of phototherapy lights required, and technical changes made.
Related bill: SF2670
AI Generated Summary
The bill, H.F. No. 1675, proposes amendments to Minnesota Statutes 2024, section 256B.766, related to reimbursement for basic care services under the state's medical assistance programs. The key change in this bill is the requirement for individual pricing of phototherapy lights.
Key provisions include:
Individual Pricing of Phototherapy Lights: It adds phototherapy lights to the list of medical supplies and durable medical equipment that must be priced individually, alongside items like tracheostomy tubes, electric patient lifts, and durable medical equipment repair and service.
Existing Payment Adjustments Maintained: The bill maintains previous reductions and increases in payment rates for various medical services, including outpatient hospital facility fees, ambulatory surgery centers, medical supplies, and durable medical equipment.
Exemptions from Payment Adjustments: Certain services, such as physician services, inpatient hospital services, family planning, mental health services, and prescription drugs, remain exempt from these rate changes.
Rate Determination for Enteral Nutrition and Supplies: The proposal continues the reimbursement structure based on the 50th percentile of usual and customary charges or, if insufficient data exists, based on manufacturers' suggested retail prices or actual acquisition costs.
By introducing individual pricing for phototherapy lights, the bill aims to ensure fair and transparent reimbursement for these medical devices under Minnesota's medical assistance programs.
Bill text versions
- Introduction PDF file
Actions
Date | Chamber | Where | Type | Name | Committee Name |
---|---|---|---|---|---|
February 27, 2025 | House | Floor | Action | Introduction and first reading, referred to | Health Finance and Policy |
April 10, 2025 | House | Floor | Action | Author added | |
May 06, 2025 | House | Floor | Action | Author added |
Citations
[ { "analysis": { "added": [ "Introduction of individually priced items including phototherapy lights.", "Addition of new subdivisions detailing rate adjustments and exceptions." ], "removed": [], "summary": "The bill amends Minnesota Statutes section 256B.766 concerning reimbursement for basic care services.", "modified": [ "Modification of existing payment reduction and increase clauses to specify items such as durable medical equipment and outpatient hospital facility fees." ] }, "citation": "256B.766", "subdivision": "" }, { "analysis": { "added": [], "removed": [], "summary": "The bill references section 62Q.19 regarding criteria for hospital payment increases.", "modified": [] }, "citation": "62Q.19", "subdivision": "subdivision 1" }, { "analysis": { "added": [], "removed": [], "summary": "The bill mentions compliance with federal participation regulations under 42 U.S. Code section 1396b(i).", "modified": [] }, "citation": "42 U.S. Code section 1396b(i)", "subdivision": "subdivision 27" }, { "analysis": { "added": [], "removed": [], "summary": "The bill references section 1903(i) of the Social Security Act regarding payment limits.", "modified": [] }, "citation": "Social Security Act section 1903(i)", "subdivision": "subdivision 27" } ]