SF2972 (Legislative Session 94 (2025-2026))

For-profit entity acquisitions of nursing homes and assisted living facilities regulation

Related bill: HF2771

AI Generated Summary

Purpose of the Bill

The bill aims to regulate the acquisition of nursing homes and assisted living facilities by for-profit entities. The goal is to ensure that these facilities maintain a high standard of care and management when transitioning from nonprofit to for-profit control.

Main Provisions

  • Control and Ownership Definitions: The bill clarifies who is considered a "controlling person" in the context of managing these types of facilities. This includes owners, officers, and individuals with significant financial or managerial interests.
  • Notice Requirements: Nonprofit facilities intending to transfer ownership or control to a for-profit entity must provide notice at least 120 days before the transaction to the attorney general and relevant state departments.
  • Information Disclosure: For-profit entities seeking to acquire these facilities must disclose detailed corporate information, financial backgrounds, and any legal history to state officials.
  • Prohibited Practices: The bill outlines practices that are banned for newly acquired for-profit facilities. These include interfering with medical professionals’ judgments, engaging in self-dealing, and reducing quality or access to care.
  • Financial and Operational Commitments: For-profit entities must prove they can manage and advance the facilities, maintain or improve Medicare/Medicaid ratings, and that they intend to invest in facility improvements.
  • Consumer Protection: An increase in resident housing costs must be justified, and at least 75% of funds from public programs should be spent on direct care.

Significant Changes to Existing Law

  • Establishes a legal framework specifically addressing the acquisition of nonprofit nursing homes and assisted living facilities by for-profit entities, which includes stringent disclosure and operational requirements.
  • Grants enforcement authority to the attorney general to prevent unfair practices and ensure compliance.
  • Introduces financial accountability for new owners, stipulating conditions related to service costs and care quality.

Relevant Terms

  • Nursing Homes
  • Assisted Living Facilities
  • For-Profit Entities
  • Nonprofit Facilities
  • Controlling Person
  • Notice Requirements
  • Prohibited Practices
  • Attorney General Enforcement
  • Medicare and Medicaid Ratings
  • Consumer Protection

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 23, 2025SenateFloorActionIntroduction and first reading
March 23, 2025SenateFloorActionReferred toHuman Services
March 31, 2025SenateFloorActionComm report: To pass as amended and re-refer toCommerce and Consumer Protection
March 31, 2025SenateFloorActionAuthor added
April 02, 2025SenateFloorActionWithdrawn and re-referred toHuman Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Clarification on ownership interests and associated roles."
      ],
      "removed": [
        ""
      ],
      "summary": "Modification of the definition of 'controlling person' in the context of nursing homes.",
      "modified": [
        "Expanded definition to include more entities and individuals."
      ]
    },
    "citation": "144A.01",
    "subdivision": "subdivision 4"
  },
  {
    "analysis": {
      "added": [
        "Specification of roles and ownership interests."
      ],
      "removed": [
        ""
      ],
      "summary": "Changes to the definition of 'controlling individual' for assisted living facilities.",
      "modified": [
        "More detailed inclusions and exclusions for controlling individuals."
      ]
    },
    "citation": "144G.08",
    "subdivision": "subdivision 15"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Referencing exemption criteria for tax purposes.",
      "modified": [
        ""
      ]
    },
    "citation": "290.05",
    "subdivision": "subdivision 2"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Defines securities exemptions for entities involved with nursing homes.",
      "modified": [
        ""
      ]
    },
    "citation": "80A.45",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "References exemptions related to financial transactions.",
      "modified": [
        ""
      ]
    },
    "citation": "80A.46",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Part of requirements for affidavit and evidence submission for nursing home acquisition.",
      "modified": [
        ""
      ]
    },
    "citation": "144A.03",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Part of the statutory framework for operating nursing homes.",
      "modified": [
        ""
      ]
    },
    "citation": "144A.1888",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Referenced in operational requirements for for-profit entities managing nursing homes.",
      "modified": [
        ""
      ]
    },
    "citation": "256R",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Violation of this provision constitutes an unfair practice, enforceable by the attorney general.",
      "modified": [
        ""
      ]
    },
    "citation": "325F.69",
    "subdivision": "subdivision 1"
  },
  {
    "analysis": {
      "added": [
        ""
      ],
      "removed": [
        ""
      ],
      "summary": "Provides enforcement powers to the attorney general for violations.",
      "modified": [
        ""
      ]
    },
    "citation": "8.31",
    "subdivision": ""
  }
]