This bill aims to improve health insurance provisions in Minnesota by establishing new reimbursement rates for medical services, particularly in behavioral health and obstetric care. It introduces a statewide reimbursement rate for behavioral health home services, set at no less than $425 per member per month, effective January 1, 2028, or upon federal approval. Additionally, the bill mandates increased payments for inpatient behavioral health services under the Diagnosis-Related Group (DRG) methodology and ensures that capitation payments to managed care plans reflect these changes. For obstetric and gynecologic services, the bill proposes a minimum reimbursement rate equal to 100% of the Medicare Physician Fee Schedule starting January 1, 2026.

The bill also amends various sections of the Minnesota Statutes, including the repeal of certain provisions related to physician and professional services reimbursement, streamlining the payment structure. It establishes new payment rates for mental health services, specifying that payments for services provided by masters-prepared mental health professionals will be set at 80% of the rate for doctoral-prepared professionals, while those at community mental health centers will receive 100%. The effective date for many changes is contingent upon federal approval, with the commissioner of human services responsible for notifying the revisor of statutes once such approval is obtained.

Statutes affected:
Introduction: 256B.0625, 256.969, 256B.0757, 256B.76, 256B.761