HF2465

HF2465 (Legislative Session 94 (2025-2026))

Commissioner of health governing fees provision modified.

Related bill: SF2988

AI Generated Summary

Purpose of the Bill

The bill seeks to modify the rules and procedures governing fees assessed by the Minnesota Commissioner of Health. Specifically, it aims to adjust the licensing and survey fees related to various health facilities, including hospitals, nursing homes, and assisted living facilities.

Main Provisions

Fee Adjustments: The bill outlines specific fees for the licensing of health facilities, such as hospitals, nursing homes, outpatient surgical centers, and assisted living facilities with and without dementia care. The fees are structured both with a base fee and additional charges per bed or resident.
Voluntary Certifications: It allows the commissioner to charge fees for voluntary certification of medical and environmental laboratories, ensuring these fees approximate the cost of providing the services.
Renewal Fees: There is a provision for reducing or increasing renewal fees for assisted living facilities based on the composition of their residents. Facilities with a higher percentage of residents receiving home and community-based waiver services may pay lower renewal fees, aimed at maintaining revenue neutrality.
New Fee Schedules: A new schedule for fees related to specific diagnostic and environmental services is established. This includes fees for Medicare and Medicaid certification surveys.

Significant Changes to Existing Law

Flexibility in Fee Adjustment: The bill allows the commissioner the flexibility to adjust fees for certain facilities to encourage specific demographic service targets (e.g., facilities serving a higher percentage of residents using certain waiver programs).
Annual Licensing Fees: Introduces a standardized licensing base fee for hospitals with an increment per bed, which will be directed towards trauma hospital designations.
Non-Refundable Fees: It maintains that some collected fees are non-refundable, even if submitted before the implementation of some established dates.

Relevant Terms

health facilities, licensing fees, commissioner of health, nursing homes, assisted living facilities, dementia care, renewal fees, waiver services, Medicare certification, Medicaid certification, revenue neutrality.

Bill text versions

Introduction PDF file

Actions

Date	Chamber	Where	Type	Name	Committee Name
March 16, 2025	House	Floor	Action	Introduction and first reading, referred to	Health Finance and Policy
March 25, 2025	House	Floor	Action	Committee report, to adopt
March 25, 2025	House	Floor	Action	Second reading

Citations

[
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill modifies the procedures and fees for health-related licenses, permits, registrations, and certifications assessed by the commissioner of health under section 144.122.",
      "modified": [
        "Adjusts the fee structures for various health-related facilities and services, including hospitals, nursing homes, and environmental laboratories."
      ]
    },
    "citation": "144.122",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill cross-references provisions related to fee adjustments for health facilities under section 16A.1283.",
      "modified": [
        "Allows the commissioner to adjust assessed fees for assisted living facilities in a manner that is revenue-neutral."
      ]
    },
    "citation": "16A.1283",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "The bill references waiver services for nursing facilities that affect fee adjustments under section 256B.49.",
      "modified": [
        "Modifies how fee adjustments are calculated based on the capacity of assisted living facilities to deliver home and community-based waiver services."
      ]
    },
    "citation": "256B.49",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill modifies fee collection impacting trauma hospital designations under section 144.605.",
      "modified": [
        "Associates hospital licensing fees with funding for trauma hospital designations."
      ]
    },
    "citation": "144.605",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill modifies fee collection impacting trauma hospital designations under section 144.6071.",
      "modified": [
        "Associates hospital licensing fees with funding for trauma hospital designations."
      ]
    },
    "citation": "144.6071",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "The bill includes provisions for calculating fees based on waiver services referenced under chapter 256S.",
      "modified": [
        "Modifies fee calculation based on facilities serving recipients of home and community-based waiver services."
      ]
    },
    "citation": "256S",
    "subdivision": ""
  }
]