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HF1994 (Legislative Session 94 (2025-2026))

Payment rates established for certain substance use disorder treatment services, and vendor eligibility recodified for payments from the behavioral health fund.

Related bill: SF1826

AI Generated Summary

This bill, introduced in the Minnesota House of Representatives, proposes changes to substance use disorder (SUD) treatment funding and vendor eligibility.

Key Provisions:

  1. Establishes Payment Rates for SUD Treatment Services

    • Sets specific payment rates for different levels of care based on the American Society of Addiction Medicine (ASAM) criteria (e.g., outpatient, intensive outpatient, residential, and withdrawal management services).
    • Implements enhanced rates for specialized programs serving parents with children, culturally specific programs, disability-responsive programs, and providers offering integrated mental health services.
    • Defines payment structures for various behavioral health services, including counseling, treatment coordination, and peer recovery support services.

  2. Annual Adjustment of Rates

    • Beginning in 2027, SUD treatment payment rates will be adjusted annually based on the Medicare Economic Index to account for inflation.

  3. Reimbursement for Mental Health Services

    • Updates the reimbursement structure for outpatient mental health services, behavioral health support services, and early intensive developmental and behavioral intervention (EIDBI) services.
    • Mandates that managed care and county-based purchasing plans pass along rate increases to providers.

  4. Recodifies Vendor Eligibility for SUD Treatment Payments

    • Moves and reorganizes existing statutes related to vendor eligibility for payments from the Behavioral Health Fund to streamline administrative processes.
    • Directs the Revisor of Statutes to renumber and update cross-references accordingly.

Impact & Purpose

  • Ensures consistent and sustainable funding for substance use disorder treatment providers.
  • Improves access to behavioral health services by incorporating inflation-based rate adjustments.
  • Enhances support for specialized treatment programs targeting high-need populations.
  • Simplifies statutory language related to provider eligibility and payments for greater clarity and efficiency.

This bill is referred to the Committee on Human Services Finance and Policy for further consideration.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 05, 2025HouseFloorActionIntroduction and first reading, referred toHuman Services Finance and Policy
March 05, 2025HouseFloorActionIntroduction and first reading, referred toHuman Services Finance and Policy

Citations

 
[
  {
    "analysis": {
      "added": [
        "Adds new payment rates for comprehensive assessments."
      ],
      "removed": [],
      "summary": "The bill references comprehensive assessments under section 254A.19.",
      "modified": []
    },
    "citation": "254A.19",
    "subdivision": "subdivision 3"
  },
  {
    "analysis": {
      "added": [
        "Adds a detailed enumeration of ASAM levels of care with specific payment rates."
      ],
      "removed": [],
      "summary": "This relates to amended payment rates for substance use disorder services.",
      "modified": [
        "Revises payment rates and criteria for higher program rates."
      ]
    },
    "citation": "254B.05",
    "subdivision": "subdivision 5"
  },
  {
    "analysis": {
      "added": [
        "Includes details of ASAM levels provided in different clauses with corresponding payment rates."
      ],
      "removed": [],
      "summary": "This section involves references to various ASAM level services for substance use disorders.",
      "modified": [
        "Adjusts ASAM level services and conditions for reimbursement."
      ]
    },
    "citation": "254B.19",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        "Adds adjustments for payment rates using the Medicare Economic Index."
      ],
      "removed": [],
      "summary": "Modification of reimbursement for mental health services.",
      "modified": [
        "Updates payment rates effective from January 1, 2024, and for subsequent years."
      ]
    },
    "citation": "256B.761",
    "subdivision": ""
  }
]

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