Minneslate Logo

HF2586 (Legislative Session 94 (2025-2026))

Cost of care exemption for committed persons and 48-hour rule for admissions extended, Priority Admission Review Panel established, creation of Direct Care and Treatment admissions dashboard and a limited exemption for admissions from hospital settings required, and report required.

Related bill: SF2902

AI Generated Summary

Purpose of the Bill

The bill aims to modify how costs are covered and managed for individuals staying in certain state-operated mental health facilities in Minnesota. These include changes to payment responsibilities for counties and creating systems to improve the admission process for individuals needing state-operated care.

Main Provisions

  • Cost of Care Payment Adjustments: The bill specifies a schedule for counties to pay for care at Anoka-Metro Regional Treatment Center—ranging from zero percent for the first 30 days of a patient's stay to 20 percent for subsequent days if continued care is deemed clinically necessary. Counties must pay 100 percent for days when the patient could be discharged.
  • Temporary Exemptions: From July 1, 2023, to March 31, 2025, counties are exempt from paying for individuals committed as dangerous due to mental illness, who are awaiting transfer to another facility. This exemption extends from April 1, 2025, to June 30, 2025, for civilly committed patients waiting for transfer to a Department of Corrections facility or another state-operated facility.
  • Patient Payment Responsibility: The bill ensures that the individuals themselves are not responsible for the cost of care in these situations.
  • Priority Admission Review: It establishes a Priority Admission Review Panel to oversee the process of admitting patients to appropriate facilities.
  • Admissions Dashboard: A new system, the Direct Care and Treatment admissions dashboard, is to be created for managing and clarifying the admission statuses and processes.
  • Reporting Requirement: The bill requires a report on the impacts of these changes for future policy considerations.

Significant Changes to Existing Law

  • Amends the existing statutes to outline new cost-sharing responsibilities and exemptions for counties.
  • Establishes mechanisms like a review panel and admissions dashboard to enhance transparency and efficiency in managing state-operated care admissions.

Relevant Terms

  • Anoka-Metro Regional Treatment Center
  • Cost of care
  • State-operated services
  • Mental illness
  • Civil commitment
  • Direct Care and Treatment
  • Admissions dashboard
  • Priority Admission Review Panel
  • Department of Corrections

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 19, 2025HouseFloorActionIntroduction and first reading, referred toHuman Services Finance and Policy
March 25, 2025HouseFloorActionAuthors added

Citations

 
[
  {
    "analysis": {
      "added": [
        "Exemption periods for cost responsibility between certain dates."
      ],
      "removed": [
        ""
      ],
      "summary": "The bill amends the county's cost responsibility for care at Anoka-Metro Regional Treatment Center under section 246.54, subdivision 1a.",
      "modified": [
        "Adjusts the percentage of cost responsibility based on the duration of stay and clinical appropriateness."
      ]
    },
    "citation": "246.54",
    "subdivision": "subdivision 1a"
  },
  {
    "analysis": {
      "added": [
        "Exemption from county cost responsibility for certain committed persons awaiting transfer."
      ],
      "removed": [
        ""
      ],
      "summary": "This section references commitments for individuals with mental illness considered dangerous to the public under section 253B.18.",
      "modified": [
        ""
      ]
    },
    "citation": "253B.18",
    "subdivision": ""
  }
]

Sponsors