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HF2175 (Legislative Session 94 (2025-2026))

Medical assistance vendor background checks required; fraud detection system established for Department of Human Services and the Department of Children, Youth, and Families; and reports required.

Related bill: SF1648

AI Generated Summary

This Minnesota House bill (H.F. No. 2175) proposes measures to enhance oversight and fraud prevention in the state's human services programs. It includes two main provisions:

  1. Background Checks for Medical Assistance Vendors

    • Requires background studies on all controlling individuals and managerial officials of vendors receiving medical assistance reimbursements.
    • Vendors must comply with existing background study requirements.
    • Eligibility for medical assistance payments depends on whether individuals pass the background check or have obtained a set-aside for any disqualifications.

  2. Fraud Detection System

    • Establishes an automated or semi-automated fraud detection system to monitor vendor payments and requests for suspicious or fraudulent activity.
    • Fraud investigators must review flagged transactions.
    • Requires periodic analysis of the system’s effectiveness using earned value management analysis.
    • A report on findings must be submitted to legislative committees overseeing human services.

The bill is intended to improve accountability and reduce fraud in Minnesota’s medical assistance and human services programs.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 11, 2025HouseFloorActionIntroduction and first reading, referred toChildren and Families Finance and Policy
March 11, 2025HouseFloorActionIntroduction and first reading, referred toChildren and Families Finance and Policy
March 19, 2025HouseFloorActionAuthor added

Citations

 
[
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "The bill requires medical assistance vendors' personnel not to be disqualified under the existing background check disqualification criteria listed in section 245C.14.",
      "modified": []
    },
    "citation": "245C.14",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Modifications are made related to the set-aside of disqualifications in specific settings under section 245C.22.",
      "modified": []
    },
    "citation": "245C.22",
    "subdivision": ""
  }
]

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