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SF2670 (Legislative Session 94 (2025-2026))

Phototherapy lights individual pricing requirement

Related bill: HF1675

AI Generated Summary

Purpose of the Bill

The bill aims to amend existing healthcare reimbursement laws in Minnesota to require individual pricing for phototherapy lights and make technical changes to existing provisions regarding healthcare payment rates.

Main Provisions

  • Individual Pricing for Phototherapy Lights: The bill mandates that phototherapy lights must be individually priced in the Medical Assistance program beginning July 1, 2025.
  • Technical Adjustments: It introduces various technical amendments in the Minnesota Statutes concerning reimbursement rates for basic care services, including therapies and durable medical equipment.

Significant Changes to Existing Law

  • Revised Payment Structures: There are adjustments to reimbursement rates and classifications for multiple healthcare services and equipment. These adjustments include changes to how certain medical services are categorized and how payments are reduced or increased over time.
  • New Categories for Individual Pricing: The bill specifies that medical supplies, such as customized tracheostomy tubes and electric patient lifts, along with newly included phototherapy lights, must be individually priced, differentiating them from items in volume purchase contracts.
  • Outdated Reduction Methods: It updates and adjusts previous temporary payment reductions and increases for a variety of services, reflecting both past practices (such as reductions initiated in 2009) and future expectations for pricing.

Relevant Terms

  • Medical Assistance
  • Phototherapy lights
  • Individually priced items
  • Durable medical equipment
  • Volume purchase contract
  • Reimbursement rates
  • Competitive bidding

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 16, 2025SenateFloorActionIntroduction and first reading
March 16, 2025SenateFloorActionReferred toHealth and Human Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Individual pricing for certain medical supplies like phototherapy lights."
      ],
      "removed": [
        ""
      ],
      "summary": "This bill modifies the reimbursement methods for basic care services under section 256B.766.",
      "modified": [
        "Adjustments to payment reduction and increase timelines for various medical services."
      ]
    },
    "citation": "256B.766",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "This allows for rate increase conditions for hospitals meeting specific criteria under section 62Q.19, subdivision 1.",
      "modified": [
        "Increases payments for qualifying hospitals by 90 percent under specified conditions."
      ]
    },
    "citation": "62Q.19",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "The statute references compliance with federal reimbursement requirements under United States Code title 42 section 1396bi27.",
      "modified": [
        "Ensures the state adheres to federal financial participation limits for ventilators."
      ]
    },
    "citation": "United States Code title 42 section 1396b",
    "subdivision": "i27"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "The statute mandates adherence to federal upper payment limits for certain equipment under section 1903i27 of the Social Security Act.",
      "modified": [
        "Aligns Medicaid payments with Medicare rates for specified items."
      ]
    },
    "citation": "Social Security Act section 1903",
    "subdivision": "i27"
  }
]

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