The bill S.F. No. 4699 introduces significant modifications to Minnesota's health care, health insurance, and human services statutes. It establishes the Office of Emergency Medical Services and introduces the Minnesota African American Family Preservation and Child Welfare Disproportionality Act, alongside various technical amendments and financial appropriations. A key focus of the bill is the transition from a "DIRECT PAYMENT SYSTEM" to "ALTERNATIVE CARE DELIVERY MODELS," which aims to enhance health outcomes and reduce costs. The commissioner is tasked with developing at least three care delivery models that do not transfer financial risk to nongovernmental entities, while also broadening the definition of "eligible individuals" to include all enrollees in medical assistance and MinnesotaCare programs.

Additionally, the bill outlines new regulations for emergency medical services, including the establishment of several divisions within the Office of Emergency Medical Services, and mandates the creation of a health professions workforce advisory council to address health workforce needs. It also includes provisions for enhanced mental health services, particularly for children and young adults, and appropriates funds for various health-related initiatives aimed at improving access and equity in health care. The bill emphasizes transparency, accountability, and the need for compliance with federal regulations, while also repealing outdated statutes to streamline the legal framework governing health and social services in Minnesota.

Statutes affected:
1st Engrossment: 256.9657, 256.969, 62M.01, 256B.056, 256B.0625, 524.3, 62V.02, 62V.03, 62V.05, 62V.051, 62V.06, 62V.08, 62V.11, 151.74, 176.175, 256L.01, 256L.04, 256L.07, 256L.12, 519.05, 62A.0411, 62A.15, 62A.28, 62D.02, 62D.03, 62D.05, 62D.06, 62D.19, 62D.20, 62D.22, 62E.02, 62Q.097, 62Q.14, 317A.811, 62A.041, 103I.621, 144.1501, 144.555, 144A.61, 144A.70, 144A.71, 144A.72, 144A.73, 148.235, 149A.02, 149A.03, 149A.65, 149A.70, 149A.71, 149A.72, 149A.73, 149A.74, 149A.93, 149A.94, 62D.14, 62J.61, 144.05, 144.058, 144.0724, 144.1464, 144.1911, 144.212, 144.216, 144.218, 144.493, 144.494, 144.551, 144.605, 144.99, 144A.10, 144A.44, 144A.471, 144A.474, 144E.16, 144G.08, 144G.10, 144G.16, 146B.03, 146B.10, 149A.97, 152.22, 152.25, 152.27, 256R.02, 259.52, 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, 151.065, 151.066, 151.212, 151.37, 245.462, 245.4663, 245I.02, 245I.10, 245I.11, 245I.20, 245I.23, 256B.0622, 256B.0623, 256B.0943, 256B.0947, 256B.761, 256N.26, 260C.4411, 256.01, 256B.051, 245A.065, 245A.10, 245A.144, 245A.175, 256.029, 256.045, 256.0451, 256.046, 256J.09, 259.20, 260.755, 260.775, 260.785, 611.216, 260.810, 260C.007, 260C.178, 260D.01, 260C.329, 121A.15, 243.166, 256J.08, 256J.28, 256N.22, 256N.24, 256P.05, 259.37, 259.53, 259.79, 259.83, 260C.201, 260C.202, 260C.209, 260C.212, 260C.301, 260C.515, 260C.607, 260C.611, 260C.613, 260C.615, 260E.03, 393.07, 518.17, 245A.04, 245A.043, 245A.07, 245A.14, 245A.52, 245A.66, 245C.03, 245C.05, 245C.08, 245C.10, 245C.14, 245C.15, 609.21, 245C.22, 245C.24, 245C.30, 245E.08, 245F.09, 245F.14, 245F.17, 245G.07, 245G.08, 245G.10, 245G.22, 245H.01, 245H.08, 245H.14, 256B.0757, 256I.04, 260E.30, 260E.33, 245C.125, 16A.055, 144.292, 144.293, 245.096, 256B.79, 256K.45, 245A.02, 245A.25
2nd Engrossment: 256.9657, 256.969, 62M.01, 256B.056, 256B.0625, 524.3, 62V.05, 62V.08, 62V.11, 151.74, 176.175, 519.05, 62A.0411, 62A.15, 62A.28, 62D.02, 62D.03, 62D.05, 62D.06, 62D.19, 62D.20, 62D.22, 62E.02, 62Q.097, 62Q.14, 317A.811, 62A.041, 103I.621, 144.1501, 144.555, 144A.61, 144A.70, 144A.71, 144A.72, 144A.73, 148.235, 149A.02, 149A.03, 149A.65, 149A.70, 149A.71, 149A.72, 149A.73, 149A.74, 149A.93, 149A.94, 62D.14, 62J.61, 144.05, 144.058, 144.0724, 144.1464, 144.1911, 144.212, 144.216, 144.218, 144.493, 144.494, 144.551, 144.605, 144.99, 144A.10, 144A.471, 144A.474, 144E.16, 144G.08, 144G.10, 144G.16, 146B.03, 146B.10, 149A.97, 152.22, 152.25, 256R.02, 259.52, 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, 151.065, 151.066, 151.212, 151.37, 245.462, 245.4663, 245I.02, 245I.10, 245I.11, 245I.20, 245I.23, 256B.0622, 256B.0623, 256B.0757, 256B.0943, 256B.0947, 256B.76, 256B.761, 256N.26, 260C.4411, 256.01, 256B.051, 245A.065, 245A.10, 245A.144, 245A.175, 256.029, 256.045, 256.0451, 256.046, 256J.09, 259.20, 260.755, 260.775, 260.785, 611.216, 260.810, 260C.007, 260C.178, 260D.01, 260C.329, 121A.15, 243.166, 256J.08, 256J.28, 256N.22, 256N.24, 256P.05, 259.37, 259.53, 259.79, 259.83, 260C.141, 260C.202, 260C.209, 260C.212, 260C.301, 260C.515, 260C.607, 260C.611, 260C.613, 260C.615, 260E.03, 393.07, 518.17, 245A.04, 245A.043, 245A.07, 245A.14, 245A.52, 245A.66, 245C.05, 245C.08, 245C.10, 245C.14, 245C.15, 609.21, 245C.22, 245C.24, 245C.30, 245E.08, 245F.09, 245F.14, 245F.17, 245G.07, 245G.08, 245G.10, 245G.22, 245H.01, 245H.08, 245H.14, 256I.04, 260E.30, 260E.33, 245C.125, 16A.055, 16A.103, 144.292, 144.293, 152.27, 245.096, 256B.795, 256K.45, 256B.79, 245A.02, 245A.25
3rd Engrossment: 256.9657, 256.969, 62M.01, 256B.056, 256B.0625, 524.3, 62V.05, 62V.08, 62V.11, 151.74, 176.175, 519.05, 62A.0411, 62A.15, 62A.28, 62D.02, 62D.03, 62D.05, 62D.06, 62D.19, 62D.20, 62D.22, 62E.02, 62Q.097, 62Q.14, 317A.811, 62A.041, 103I.621, 144.1501, 144.555, 144A.61, 144A.70, 144A.71, 144A.72, 144A.73, 148.235, 149A.02, 149A.03, 149A.65, 149A.70, 149A.71, 149A.72, 149A.73, 149A.74, 149A.93, 149A.94, 62D.14, 62J.61, 144.05, 144.058, 144.0724, 144.1464, 144.1911, 144.212, 144.216, 144.218, 144.493, 144.494, 144.551, 144.605, 144.99, 144A.10, 144A.471, 144A.474, 144E.16, 144G.08, 144G.10, 144G.16, 146B.03, 146B.10, 149A.97, 152.22, 152.25, 256R.02, 259.52, 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, 151.065, 151.066, 151.212, 151.37, 245.462, 245.4663, 245I.02, 245I.10, 245I.11, 245I.20, 245I.23, 256B.0622, 256B.0623, 256B.0757, 256B.0943, 256B.0947, 256B.76, 256B.761, 256N.26, 260C.4411, 256.01, 256B.051, 245A.065, 245A.10, 245A.144, 245A.175, 256.029, 256.045, 256.0451, 256.046, 256J.09, 259.20, 260.755, 260.775, 260.785, 611.216, 260.810, 260C.007, 260C.178, 260D.01, 260C.329, 121A.15, 243.166, 256J.08, 256J.28, 256N.22, 256N.24, 256P.05, 259.37, 259.53, 259.79, 259.83, 260C.141, 260C.202, 260C.209, 260C.212, 260C.301, 260C.515, 260C.607, 260C.611, 260C.613, 260C.615, 260E.03, 393.07, 518.17, 245A.04, 245A.043, 245A.07, 245A.14, 245A.52, 245A.66, 245C.05, 245C.08, 245C.10, 245C.14, 245C.15, 609.21, 245C.22, 245C.24, 245C.30, 245E.08, 245F.09, 245F.14, 245F.17, 245G.07, 245G.08, 245G.10, 245G.22, 245H.01, 245H.08, 245H.14, 256I.04, 260E.30, 260E.33, 245C.125, 16A.055, 16A.103, 144.292, 144.293, 152.27, 245.096, 256B.795, 256K.45, 256B.79
1st Unofficial Engrossment: 256.9657, 256.969, 256B.69, 256B.056, 256B.0757, 524.3, 151.74, 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.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.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, 256B.76, 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, 148F.025, 256I.04, 25B.051
2nd Unofficial Engrossment: 256.9657, 256.969, 256B.69, 256B.056, 256B.0757, 524.3, 151.74, 519.05, 62A.28, 62D.02, 62D.03, 62D.05, 62D.12, 62D.19, 62D.20, 62D.22, 62M.01, 62M.02, 62M.04, 62M.05, 62M.07, 62M.10, 62M.17, 62Q.14, 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.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, 256B.76, 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, 148F.025, 256I.04, 383B.908, 383B.922, 25B.051
CCR-SF4699: 256.9657, 256.969, 62M.01, 256B.056, 256B.0625, 524.3, 62V.05, 62V.08, 62V.11, 151.74, 43A.24, 62A.0411, 62A.15, 62A.28, 62D.02, 62D.04, 62D.12, 62D.20, 62D.22, 62M.02, 62M.04, 62M.05, 62M.07, 62M.10, 62M.17, 62Q.097, 62Q.14, 62Q.19, 62Q.73, 256B.035, 256B.69, 256L.12, 317A.811, 62A.041, 103I.621, 144.1501, 144.555, 144A.61, 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, 62D.14, 62J.61, 144.05, 144.058, 144.0724, 144.1464, 144.1911, 144.212, 144.216, 144.218, 144.493, 144.494, 144.551, 144.605, 144.7067, 144.99, 144A.10, 144A.471, 144A.474, 144E.16, 144G.08, 144G.10, 144G.16, 146B.03, 146B.10, 149A.97, 256R.02, 259.52, 151.01, 151.065, 151.066, 151.212, 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, 256B.76, 256B.761, 245A.04, 245A.043, 245A.07, 245C.05, 245C.10, 245C.14, 245C.15, 609.21, 245C.22, 245C.24, 245C.30, 245F.09, 245F.14, 245F.17, 245G.07, 245G.08, 245G.10, 245G.22, 256B.0757, 256I.04, 260E.33, 245C.125, 144E.001, 144E.19, 144E.27, 144E.28, 144E.285, 144E.287, 144E.305, 62J.49, 214.025, 214.04, 214.29, 214.31, 214.355, 144E.101, 16A.055, 144.292, 144.293, 256.01, 256B.795, 256K.45, 256B.79