SF1059 (Legislative Session 94 (2025-2026))

Patient-Centered Care program establishment

Related bill: HF255

AI Generated Summary

The legislative bill S.F. No. 1059 introduced by Senator Marty and others proposes the establishment of the Patient-Centered Care program in Minnesota. The main goal of this program is to improve health outcomes and reduce healthcare costs for the state. Here are the key points of this bill:

  1. Direct Payments to Providers: The program advocates for direct state payments to healthcare providers for services offered to eligible Medical Assistance and MinnesotaCare enrollees instead of payments going through hospital systems or networks.

  2. County-Based Purchasing: In counties that choose this option, the local administration can manage the program and handle the payments themselves, unless they prefer the state to do so.

  3. Enhanced Care Coordination: Primary care providers will be paid extra to coordinate comprehensive care for patients, with increased fees for clinics serving higher populations of disadvantaged individuals. Community health workers will also receive payments for care coordination roles.

  4. Community Outreach and Support: The bill includes provisions for community outreach through grants, aiming to engage community health workers, nurses, or social workers to contribute towards medical care and care coordination for those who might be homeless or suffer from severe illnesses and are otherwise unlikely to seek treatment.

  5. Comprehensive Support System: It also provides for a support system that includes a hotline and website to help individuals find healthcare providers, a 24/7 nurse consultation helpline, and direct engagement to encourage preventative healthcare visits.

  6. Provider Support: The bill mandates reasonable and fair reimbursement rates for providers, timely payments, and active collaboration with providers to improve healthcare quality and reduce costs.

In essence, Bill S.F. No. 1059 aims to overhaul how care is provided and financed in Minnesota, focusing on direct interaction, streamlined payments, and dedicated support for both patients and healthcare providers, ensuring a more integrated and patient-centered approach to healthcare.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
February 05, 2025HouseFloorActionIntroduction and first reading
February 05, 2025SenateFloorActionIntroduction and first reading
February 05, 2025HouseFloorActionReferred toHealth and Human Services
February 05, 2025SenateFloorActionReferred toHealth and Human Services
February 26, 2025SenateFloorActionAuthor stricken
March 19, 2025SenateFloorActionAuthor added

Citations

 
[
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Eligibility for medical assistance under section 256B.055 is referenced for determining enrollees for the Patient-Centered Care program.",
      "modified": []
    },
    "citation": "256B.055",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Eligibility for MinnesotaCare enrollees under section 256L.05 is referenced in the establishment of the Patient-Centered Care program.",
      "modified": []
    },
    "citation": "256L.05",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Section 256B.692 is cited regarding counties opting for county-based purchasing systems.",
      "modified": []
    },
    "citation": "256B.692",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Direct payments to providers for services under section 256B.0625 are mentioned.",
      "modified": []
    },
    "citation": "256B.0625",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Direct payments to providers for MinnesotaCare enrollees under section 256L.03 are mentioned.",
      "modified": []
    },
    "citation": "256L.03",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [
        "Contract renewals with managed care plans for medical assistance enrollees are halted."
      ],
      "summary": "Section 256B.69 references services provided to medical assistance enrollees with managed care plans.",
      "modified": []
    },
    "citation": "256B.69",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [
        "Contract renewals with managed care plans for MinnesotaCare enrollees are halted."
      ],
      "summary": "Section 256L.12 is referenced in relation to stopping contract renewals for MinnesotaCare enrollees.",
      "modified": []
    },
    "citation": "256L.12",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [
        "Contract renewals with integrated health partnerships under section 256B.0755 are halted."
      ],
      "summary": "The provision under section 256B.0755 relates to integrated health partnerships, with contracts no longer being renewed.",
      "modified": []
    },
    "citation": "256B.0755",
    "subdivision": ""
  }
]