This bill seeks to improve health insurance provisions in Minnesota by establishing new reimbursement rates for various medical services, particularly focusing on physician and professional services, residential services, and behavioral health home services. A key feature is the introduction of 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 that payments for obstetric and gynecologic services must be at least equal to 100% of the Medicare Physician Fee Schedule starting January 1, 2026. It also requires adjustments to capitation payments for managed care plans to reflect these increases and ensures that hospital payment rates are rebased every two years, incorporating adjustments for pediatric and behavioral health services.

Moreover, the bill repeals certain existing provisions related to medical assistance, specifically section 256B.0625, subdivision 38, which previously outlined payment rates for mental health services provided by masters-prepared mental health professionals and physician assistants. The new legislation establishes that payments for these services will be adjusted to align with Medicare standards, with the repeal taking effect on January 1, 2027, or upon federal approval. The commissioner of human services is tasked with notifying the revisor of statutes upon receiving federal approval for these amendments. Overall, the legislation aims to enhance financial support for healthcare providers while ensuring adequate access to necessary services for patients in Minnesota.

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