This bill introduces comprehensive amendments to various sections of Minnesota Statutes, focusing on enhancing health and human services, particularly in the areas of child welfare, mental health, and healthcare regulations. Key provisions include the establishment of new fees for health maintenance organizations, such as a $10,000 application fee and a $30,000 annual renewal fee, effective January 1, 2026. The bill also prohibits health care providers from charging facility fees for nonemergency services at provider-based clinics and mandates clear billing practices, including written notifications to patients about potential financial liabilities. Additionally, it introduces new requirements for hospitals regarding facility fees and establishes a reimbursement program for eligible ambulance services to cover education-related expenses for emergency responders.

Furthermore, the bill emphasizes the need for transparency and accessibility in communication with patients, requiring written notices to be provided in multiple languages and outlining specific procedures for notifying patients about changes in clinic status. It also includes provisions for the establishment of the Department of Children, Youth, and Families, mandates reports, and establishes criminal penalties for non-compliance. The legislation aims to improve the integrity and efficiency of health and human services in Minnesota while ensuring accountability in billing practices and enhancing support for vulnerable populations, particularly children and families. Overall, the bill seeks to streamline regulations, update fee structures, and enhance the quality of care across various health and human service sectors.

Statutes affected:
Introduction: 62D.21, 62D.211, 103I.005, 103I.101, 103I.208, 103I.235, 103I.525, 103I.531, 103I.535, 103I.541, 103I.545, 103I.601, 144.0758, 144.1205, 144.121, 144.1215, 144.122, 144.1222, 144.3831, 144.55, 144.554, 144.608, 144.615, 144.966, 144A.43, 144A.474, 144A.475, 144A.71, 144A.753, 144G.20, 144G.30, 144G.31, 144G.45, 145.8811, 157.16, 326.72, 326.75, 327.15, 103I.550, 174.30, 256.9657, 256B.0625, 256L.03, 256B.69, 245C.13, 245C.14, 245C.15, 13.46, 245.095, 245A.04, 245A.05, 245A.07, 254B.06, 256.983, 256B.04, 256B.0659, 256B.0949, 256B.85, 144A.291, 144E.123, 148.108, 148B.53, 148E.180, 153B.85, 156.015
1st Engrossment: 62D.21, 62D.211, 103I.101, 103I.208, 103I.235, 103I.525, 103I.531, 103I.535, 103I.541, 103I.545, 103I.601, 144.1205, 144.121, 144.1215, 144.1222, 144.125, 144.3831, 144.55, 144.554, 144.562, 144.563, 144E.35, 144G.45, 157.16, 256B.0625, 256R.01, 326.72, 326.75, 327.15, 62J.461, 62J.51, 62J.581, 62J.84, 62K.10, 103I.005, 138.912, 144.0758, 144.50, 144.555, 144.608, 144.966, 144E.123, 145.8811, 145.901, 145.987, 144.99, 144A.43, 144G.08, 147.01, 147.037, 147A.02, 147D.03, 148.108, 148.191, 148.241, 148.512, 148.5192, 148.5194, 148.56, 148.6401, 148.6402, 148.6403, 148.6404, 148.6405, 148.6408, 148.6410, 148.6412, 148.6415, 148.6418, 148.6420, 148.6423, 148.6425, 148.6428, 148.6432, 148.6435, 148.6438, 148.6443, 148.6445, 148.6448, 148.6449, 148B.53, 148E.180, 150A.105, 151.01, 151.065, 151.101, 152.12, 153B.85, 156.015, 3.732, 10A.01, 136A.25, 136A.26, 136A.27, 136A.28, 136A.29, 136A.32, 136A.33, 136A.34, 136A.36, 136A.38, 50.14, 136A.41, 136A.42, 136F.67, 354B.20, 256B.064, 256B.69, 62A.673, 62M.17, 256.9657, 256.969, 256B.0757, 256B.1973, 256B.76, 256B.761, 256B.766, 295.52, 62Q.522, 256B.0371, 245.4661, 245.4871, 245.4889, 245.4905, 144.651, 245.462, 245.467, 245.469, 245.4711, 245.4712, 245.4881, 245.4901, 245.4907, 245.50, 245I.05, 245I.06, 245I.11, 245I.12, 245I.23, 256B.0616, 256B.0622, 256L.03, 62Q.527, 121A.61, 128C.02, 142G.02, 142G.27, 142G.42, 245.4682, 245.4835, 245.4863, 245.487, 245.4873, 245.4874, 245.4875, 245.4876, 245.4877, 245.488, 245.4882, 245.4884, 245.4885, 245.491, 245.492, 245.697, 245.814, 245.826, 245.91, 245.92, 245.94, 245A.03, 245A.26, 246C.12, 252.27, 256B.02, 256B.055, 256B.0943, 256B.0945, 256B.0946, 256B.0947, 256B.77, 260B.157, 260C.007, 260C.157, 260C.201, 260C.301, 260D.01, 260D.02, 260D.03, 260D.04, 260D.06, 260D.07, 260E.11, 295.50, 148F.11, 245.4662, 245.4906, 254B.04, 254B.05, 256.478, 256B.0615, 256B.82, 256D.44, 245C.13, 245C.14, 13.46, 245.095, 245A.04, 245A.05, 245A.07, 254B.06, 256.983, 256B.04, 256B.0659, 256B.85, 142E.51, 245A.16, 245A.242, 245C.05, 245C.08, 245C.22, 245D.02, 256.98, 256B.12, 245A.11, 142A.03, 260.810, 260.821, 142B.01, 142B.05, 142B.47, 142B.51, 142B.80, 245C.02, 245C.15, 260.65, 260.66, 260.691, 260.692, 260C.001, 260C.150, 260C.202, 260C.204, 260C.212, 260C.221, 260C.223, 260C.329, 260C.452, 260E.03, 260E.09, 260E.20, 260E.24, 142A.76, 142D.31, 142E.03, 142E.11, 142E.13, 142E.15, 142E.16, 245.975, 142B.10, 142B.16, 142B.171, 142B.30, 142B.41, 142B.65, 142B.66, 142B.70, 142C.06, 142C.11, 142C.12, 245A.18, 3.922, 13.41, 13.598, 14.03, 116L.881, 125A.15, 125A.744, 127A.11, 127A.70, 142A.607, 142A.609, 144.061, 144.225, 145.895, 145.9255, 145.9265, 174.285, 214.104, 216C.266, 241.021, 242.09, 242.21, 242.32, 245C.031, 245C.033, 245C.07, 256.88, 256.89, 256.90, 256.91, 256.92, 256G.01, 256G.03, 256G.04, 256G.09, 256G.10, 256G.11, 256G.12, 260.762, 260B.171, 260E.30, 260E.33, 261.232, 270B.14, 299C.76, 299F.011, 402A.10, 402A.12, 402A.16, 402A.18, 402A.35, 462A.2095, 466.131, 518.165, 524.5, 595.02, 626.5533, 62E.23, 149A.02, 151.741, 256.01, 256B.051
2nd Engrossment: 62D.21, 62D.211, 103I.101, 103I.208, 103I.235, 103I.525, 103I.531, 103I.535, 103I.541, 103I.545, 103I.601, 144.1205, 144.121, 144.1215, 144.1222, 144.125, 144.3831, 144.55, 144.554, 144.562, 144.563, 144E.35, 144G.45, 157.16, 256B.0625, 256R.01, 326.72, 326.75, 327.15, 62J.461, 62J.51, 62J.581, 62J.84, 62K.10, 103I.005, 138.912, 144.0758, 144.50, 144.555, 144.608, 144.966, 144E.123, 145.8811, 145.901, 145.987, 144.99, 144A.43, 144G.08, 147.01, 147.037, 147A.02, 147D.03, 148.108, 148.191, 148.241, 148.512, 148.5192, 148.5194, 148.56, 148.6401, 148.6402, 148.6403, 148.6404, 148.6405, 148.6408, 148.6410, 148.6412, 148.6415, 148.6418, 148.6420, 148.6423, 148.6425, 148.6428, 148.6432, 148.6435, 148.6438, 148.6443, 148.6445, 148.6448, 148.6449, 148B.53, 148E.180, 150A.105, 151.01, 151.065, 151.101, 152.12, 153B.85, 156.015, 3.732, 10A.01, 136A.25, 136A.26, 136A.27, 136A.28, 136A.29, 136A.32, 136A.33, 136A.34, 136A.36, 136A.38, 50.14, 136A.41, 136A.42, 136F.67, 354B.20, 256B.064, 256B.69, 62A.673, 62M.17, 256.9657, 256.969, 256B.0757, 256B.1973, 256B.76, 256B.761, 256B.766, 295.50, 295.52, 62Q.522, 256B.0371, 245.4661, 245.4871, 245.4889, 245.4905, 144.651, 245.462, 245.467, 245.469, 245.4711, 245.4712, 245.4881, 245.4901, 245.4907, 245.50, 245I.05, 245I.06, 245I.11, 245I.12, 245I.23, 256B.0616, 256B.0622, 256L.03, 62Q.527, 121A.61, 128C.02, 142G.02, 142G.27, 142G.42, 245.4682, 245.4835, 245.4863, 245.487, 245.4873, 245.4874, 245.4875, 245.4876, 245.4877, 245.488, 245.4882, 245.4884, 245.4885, 245.491, 245.492, 245.697, 245.814, 245.826, 245.91, 245.92, 245.94, 245A.03, 245A.26, 246C.12, 252.27, 256B.02, 256B.055, 256B.0943, 256B.0945, 256B.0946, 256B.0947, 256B.77, 260B.157, 260C.007, 260C.157, 260C.201, 260C.301, 260D.01, 260D.02, 260D.03, 260D.04, 260D.06, 260D.07, 260E.11, 148F.11, 245.4662, 245.4906, 254B.04, 254B.05, 256.478, 256B.0615, 256B.82, 256D.44, 245C.13, 245C.14, 13.46, 245.095, 245A.04, 245A.05, 245A.07, 254B.06, 256.983, 256B.04, 256B.0659, 256B.85, 142E.51, 245A.16, 245A.242, 245C.05, 245C.08, 245C.22, 245D.02, 256.98, 256B.12, 245A.11, 142A.03, 260.810, 260.821, 142B.01, 142B.05, 142B.47, 142B.51, 142B.80, 245C.02, 245C.15, 260.65, 260.66, 260.691, 260.692, 260C.001, 260C.150, 260C.202, 260C.204, 260C.212, 260C.221, 260C.223, 260C.329, 260C.452, 260E.03, 260E.09, 260E.20, 260E.24, 142A.76, 142D.31, 142E.03, 142E.11, 142E.13, 142E.15, 142E.16, 245.975, 142B.10, 142B.16, 142B.171, 142B.30, 142B.41, 142B.65, 142B.66, 142B.70, 142C.06, 142C.11, 142C.12, 245A.18, 3.922, 13.41, 13.598, 14.03, 116L.881, 125A.15, 125A.744, 127A.11, 127A.70, 142A.607, 142A.609, 144.061, 144.225, 145.895, 145.9255, 145.9265, 174.285, 214.104, 216C.266, 241.021, 242.09, 242.21, 242.32, 245C.031, 245C.033, 245C.07, 256.88, 256.89, 256.90, 256.91, 256.92, 256G.01, 256G.03, 256G.04, 256G.09, 256G.10, 256G.11, 256G.12, 260.762, 260B.171, 260E.30, 260E.33, 261.232, 270B.14, 299C.76, 299F.011, 402A.10, 402A.12, 402A.16, 402A.18, 402A.35, 462A.2095, 466.131, 518.165, 524.5, 595.02, 626.5533, 62E.23, 149A.02, 151.741, 256.01, 256B.051
3rd Engrossment: 62D.21, 62D.211, 62U.04, 103I.101, 103I.208, 103I.235, 103I.525, 103I.531, 103I.535, 103I.541, 103I.545, 103I.601, 144.1205, 144.121, 144.1215, 144.1222, 144.125, 144.3831, 144.55, 144.554, 144.562, 144.563, 144E.35, 144G.45, 151.555, 157.16, 256B.0625, 256B.692, 256R.01, 326.72, 326.75, 327.15, 62J.461, 62J.51, 62J.581, 62J.84, 62K.10, 103I.005, 138.912, 144.0758, 144.50, 144.555, 144.608, 144.966, 144E.123, 145.8811, 145.901, 145.987, 144.99, 144A.43, 144G.08, 147.01, 147.037, 147A.02, 147D.03, 148.108, 148.191, 148.241, 148.512, 148.5192, 148.5194, 148.56, 148.6401, 148.6402, 148.6403, 148.6404, 148.6405, 148.6408, 148.6410, 148.6412, 148.6415, 148.6418, 148.6420, 148.6423, 148.6425, 148.6428, 148.6432, 148.6435, 148.6438, 148.6443, 148.6445, 148.6448, 148.6449, 148B.53, 148E.180, 150A.105, 151.01, 151.065, 151.101, 152.12, 153B.85, 156.015, 3.732, 10A.01, 136A.25, 136A.26, 136A.27, 136A.28, 136A.29, 136A.32, 136A.33, 136A.34, 136A.36, 136A.38, 50.14, 136A.41, 136A.42, 136F.67, 354B.20, 256B.064, 256B.69, 62A.673, 62M.17, 256.9657, 256.969, 256B.0757, 256B.1973, 256B.76, 256B.761, 256B.766, 295.50, 295.52, 62Q.522, 256B.0371, 245.462, 245.4661, 245.467, 245.4711, 245.4712, 245.4871, 245.4889, 245.4905, 144.651, 245.469, 245.4881, 245.4901, 245.4907, 245.50, 245I.05, 245I.06, 245I.11, 245I.12, 245I.23, 256B.0616, 256B.0622, 256L.03, 62Q.527, 121A.61, 128C.02, 142G.02, 142G.27, 142G.42, 245.4682, 245.4835, 245.4863, 245.487, 245.4873, 245.4874, 245.4875, 245.4876, 245.4877, 245.488, 245.4882, 245.4884, 245.4885, 245.491, 245.492, 245.697, 245.814, 245.826, 245.91, 245.92, 245.94, 245A.03, 245A.26, 246C.12, 252.27, 256B.02, 256B.055, 256B.0943, 256B.0945, 256B.0946, 256B.0947, 256B.77, 260B.157, 260C.007, 260C.157, 260C.201, 260C.301, 260D.01, 260D.02, 260D.03, 260D.04, 260D.06, 260D.07, 260E.11, 148F.11, 245.4662, 245.4906, 254B.04, 254B.05, 256.478, 256B.0615, 256B.82, 256D.44, 245C.13, 245C.14, 245C.15, 13.46, 245.095, 245A.04, 245A.05, 245A.07, 254B.06, 256.983, 256B.04, 256B.0659, 256B.85, 142E.51, 245A.16, 245A.242, 245C.05, 245C.08, 245C.22, 245D.02, 256.98, 256B.12, 245A.11, 142A.03, 260.810, 260.821, 142B.01, 142B.05, 142B.30, 142B.47, 142B.51, 142B.80, 245C.02, 260.65, 260.66, 260.691, 260.692, 260C.001, 260C.150, 260C.202, 260C.204, 260C.221, 260C.223, 260C.452, 260E.03, 260E.09, 260E.20, 260E.24, 142A.76, 142B.16, 142D.31, 142E.03, 142E.11, 142E.13, 142E.15, 142E.16, 245.0962, 245.975, 142B.10, 142B.171, 142B.41, 142B.65, 142B.66, 142B.70, 142C.06, 142C.11, 142C.12, 245A.18, 3.922, 13.41, 13.598, 14.03, 116L.881, 125A.15, 125A.744, 127A.11, 127A.70, 142A.607, 142A.609, 144.061, 144.225, 145.895, 145.9255, 145.9265, 174.285, 214.104, 216C.266, 241.021, 242.09, 242.21, 242.32, 245C.031, 245C.033, 245C.07, 256.88, 256.89, 256.90, 256.91, 256.92, 256G.01, 256G.03, 256G.04, 256G.09, 256G.10, 256G.11, 256G.12, 260.762, 260B.171, 260E.30, 260E.33, 261.232, 270B.14, 299C.76, 299F.011, 402A.10, 402A.12, 402A.16, 402A.18, 402A.35, 462A.2095, 466.131, 518.165, 524.5, 595.02, 626.5533, 62E.23, 149A.02, 151.741, 256.01, 256B.051