This bill proposes extensive modifications to Minnesota's healthcare finance and policy framework, particularly focusing on human services and health care delivery. A key insertion is the establishment of a state-funded cost-sharing reduction program for individuals enrolling in silver level health plans through MNsure, set to enhance the actuarial value of these plans from 73% to 87% starting January 1, 2027. The bill also introduces alternative care delivery models, such as direct payment systems and county-based purchasing plans, aimed at improving health outcomes and reducing costs. Additionally, it amends existing statutes to expand eligibility for medical assistance, mandates consultations with legislative committees, and outlines steps for ensuring continuity of care during transitions between managed care and fee-for-service systems.

Further provisions include the introduction of a teaching hospital surcharge, adjustments to hospital payment rates, and the establishment of a county-administered medical assistance model to enhance healthcare integration, particularly in rural areas. The bill also addresses mental health services, expanding coverage for various treatments and establishing new standards for assertive community treatment teams. It emphasizes transparency in healthcare operations, including requirements for public disclosure of medical debt collection policies and the prohibition of denying necessary treatments due to outstanding debts. Overall, the legislation aims to improve healthcare access, enhance service delivery, and ensure accountability within Minnesota's healthcare system.

Statutes affected:
1st Engrossment: 256.9657, 256.969, 256B.69, 256B.056, 256B.0757, 524.3, 151.74, 334.01, 519.05, 62A.28, 62D.02, 62D.03, 62D.05, 62D.06, 62D.12, 62D.19, 62D.20, 62D.22, 62E.02, 62M.01, 62M.02, 62M.04, 62M.05, 62M.07, 62M.10, 62M.17, 62Q.14, 62Q.1841, 62Q.19, 62Q.73, 62V.05, 62V.08, 62V.11, 256B.0625, 317A.811, 62A.041, 62D.14, 103I.621, 144.05, 144.1501, 144.555, 144A.70, 144A.71, 144A.72, 144A.73, 149A.02, 149A.03, 149A.65, 149A.70, 149A.71, 149A.72, 149A.73, 149A.74, 149A.93, 149A.94, 62J.61, 144.058, 144.0724, 144.1464, 144.1911, 144.292, 144.293, 144.493, 144.494, 144.551, 144.605, 144.7067, 144A.10, 144A.44, 144A.471, 144A.474, 144E.16, 144G.08, 144G.10, 144G.16, 146B.03, 146B.10, 256R.02, 62J.49, 144E.001, 144E.101, 144E.19, 144E.27, 144E.28, 144E.285, 144E.287, 144E.305, 214.025, 214.04, 214.29, 214.31, 214.355, 151.01, 151.37, 245.462, 245.4663, 245I.02, 245I.04, 245I.10, 245I.11, 245I.20, 245I.23, 256B.0622, 256B.0623, 256B.0943, 256B.0947, 245A.04, 245A.043, 245A.07, 245A.52, 245C.05, 245C.08, 245C.10, 245C.14, 245C.22, 245C.24, 245C.30, 245F.09, 245F.14, 245F.17, 245G.07, 245G.08, 245G.10, 245G.22, 260E.33, 245C.125, 245G.11, 148F.025, 256I.04