SF1402 (Legislative Session 94 (2025-2026))

Medical assistance rate adjustments establishment for physician and professional services

Related bill: HF1005

AI Generated Summary

SF 1402 is a Minnesota Senate bill that makes several changes to the state's medical assistance (Medicaid) program and health insurance policies. Key provisions include:

  1. Medical Assistance Rate Adjustments:

    • Increases rates for physician and professional services.
    • Establishes a minimum reimbursement rate for obstetric and gynecologic services at 100% of the Medicare Physician Fee Schedule.
    • Increases reimbursement rates for inpatient behavioral health services in hospitals.
    • Implements a statewide reimbursement rate for behavioral health home services, with an annual adjustment based on economic indicators.
  2. Payment and Reimbursement Changes:

    • Requires periodic rebasing of hospital inpatient payment rates to reflect current costs.
    • Adjusts capitation payments to managed care plans and county-based purchasing plans to reflect rate increases.
    • Ensures these increased payments are used by managed care organizations to fairly compensate providers.
  3. Health Plan Assessment:

    • Imposes an assessment on health plan companies to generate nonfederal funds to support the state's medical assistance program.
  4. Federal Waivers:

    • Authorizes the Commissioner of Human Services to seek federal waivers to implement these changes.
  5. Repeal of a Statute:

    • Repeals an existing statutory provision (Minnesota Statutes 256B.0625, subdivision 38).

The bill is intended to improve funding for healthcare providers, enhance access to critical Medicaid services, and ensure financial stability in the state's healthcare system. Most provisions take effect in 2026 or later, pending federal approval where required.

Bill text versions

Past committee meetings

Actions

DateChamberWhereTypeNameCommittee Name
February 13, 2025SenateFloorActionIntroduction and first reading
February 13, 2025SenateFloorActionReferred toHealth and Human Services
February 27, 2025SenateFloorActionAuthors added
March 03, 2025SenateFloorActionComm report: To pass as amended and re-refer toTaxes
March 03, 2025SenateFloorActionAuthor stricken
April 02, 2025SenateFloorActionComm report: No recommendation, re-referred toHealth and Human Services
SenateNoteActionSee

Citations

 
[
  {
    "analysis": {
      "added": [
        "New payment adjustment guidelines specific to Minnesota hospitals."
      ],
      "removed": [
        "Expunges previous base year calculation based on pre-2014 data."
      ],
      "summary": "This section of the legislation outlines modifications to the payment rates for hospital inpatient services within Minnesota as per section 256.969, subdivision 2b.",
      "modified": [
        "Revises calculations for budget neutrality in hospital payment rates."
      ]
    },
    "citation": "256.969",
    "subdivision": "subdivision 2b"
  },
  {
    "analysis": {
      "added": [
        "Implementation of a tiered payment structure for health home services."
      ],
      "removed": [],
      "summary": "The bill adjusts the payment structure for health home services provided by designated providers as stated under section 256B.0757, subdivision 5.",
      "modified": [
        "Specifies conditions for expiry of the current payment paragraph."
      ]
    },
    "citation": "256B.0757",
    "subdivision": "subdivision 5"
  }
]

Progress through the legislative process

17%
In Committee