This bill (S.F. No. 2413) proposes an assessment on hospitals in Minnesota that participate in the state's Medical Assistance (Medicaid) program. The collected funds would be directed toward the non-federal share of a hospital payment program. Key provisions include:

• Hospital Assessments: Eligible hospitals must pay an assessment based on a percentage of their net inpatient and outpatient revenues, as reported in their Medicare cost reports.
• Payment Schedule: Assessments are due quarterly (January 1, April 1, July 1, and October 1), with invoices issued a month before each due date.
• Mergers and Closures: Assessments adjust for hospital mergers and remain owed for services provided up to a hospital's closure date.
• Overpayments and Underpayments: The state will notify hospitals of any discrepancies, and hospitals can dispute assessments through established legal remedies.
• Use of Revenue: All revenue collected must be used solely for the non-federal share of hospital payments under the directed payment program.
• Restrictions: The state is prohibited from collecting assessments if federal Medicaid matching funds are unavailable or if the payment program isn't federally approved.
• Exemptions and Discounts: Certain hospitals—including critical access hospitals, children’s hospitals, Indian Health Service facilities, and state-run treatment centers—may be fully or partially exempt to comply with federal requirements.
• Hospital System Limit: No single hospital system will be responsible for more than a set percentage of total assessments collected statewide.
• Annual Review and Adjustments: The commissioner is required to ensure the total assessments do not exceed the amount needed for the program, with hospitals required to submit necessary financial documents for compliance.

The bill aims to secure funding for a hospital payment program while ensuring compliance with federal Medicaid guidelines.