This bill (S.F. No. 2117) proposes that Minnesota's Medical Assistance program cover traditional health care practices provided through Indian Health Service (IHS) facilities, Tribal-operated facilities, and urban Indian health organizations.

Key provisions include:

1. Waiver Request: By October 1, 2025, the state must apply for a waiver from the Centers for Medicare and Medicaid Services to authorize this coverage.
2. Eligibility & Qualified Providers:
   
   • A qualified provider must determine whether a Medical Assistance enrollee is eligible for traditional health care practices.
     
   • Traditional health care must be provided by a qualified provider employed by or contracted with an IHS facility, a 638 Tribal clinic, or a Title V urban Indian organization.
   • Each facility is responsible for ensuring provider qualifications and training.
3. Payments & Reimbursement:
   
   • Services are reimbursed at the outpatient per-visit rate established by the Indian Health Service.
   • A facility can only receive one payment per day per enrollee receiving these traditional health services.

This bill aims to integrate culturally relevant health care for Native American communities into the state’s Medical Assistance program.