The bill establishes comprehensive budget provisions and regulatory changes for various departments in Minnesota, including Human Services, Health, and Children, Youth, and Families. Key provisions include the introduction 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. It also prohibits health care providers from charging facility fees for certain services at provider-based clinics, particularly for telehealth and preventive care. The bill mandates that provider-based clinics obtain a unique National Provider Identifier (NPI) for claims and requires hospitals to notify patients about potential facility fees and their financial liabilities. Additionally, the legislation includes provisions for rulemaking, appropriations, and the establishment of criminal penalties, aiming to enhance the integrity and transparency of health care services and child welfare programs.

Further amendments address various aspects of health care and child welfare, including the introduction of a premium subsidy program for health insurance costs, the establishment of a Minnesota Premium Security Plan to stabilize the individual health insurance market, and the introduction of new training requirements for child care providers. The bill also emphasizes the importance of culturally appropriate services and the need for counties to engage with families in the child welfare system. It includes provisions for the establishment of grant programs aimed at improving mental health services and food security for vulnerable populations. Overall, the bill seeks to enhance the efficiency and effectiveness of health and human services in Minnesota while ensuring accountability and transparency in the management of these programs.

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
2nd Engrossment: 144.0758, 144.1222, 144.125, 144.562, 144.563, 144.608, 144.966, 145.8811, 256B.0625, 256R.01, 145.361, 62J.51, 62J.581, 144.50, 144.555, 144.99, 147.01, 147.037, 147D.03, 148.241, 151.01, 151.555, 152.12, 256B.064, 256B.69, 62A.673, 174.30, 256.9657, 256.969, 256B.0371, 256B.04, 256B.1973, 142A.03, 142F.14, 142B.01, 142B.05, 142B.47, 142B.51, 142B.80, 245C.02, 260.65, 260.66, 260.691, 260.692, 260C.001, 260C.007, 260C.141, 260C.150, 260C.178, 260C.201, 260C.202, 260C.204, 260C.212, 260C.221, 260C.223, 260C.329, 260C.451, 260C.452, 260E.03, 260E.09, 260E.20, 260E.24, 260.810, 260.821, 518.68, 518A.34, 518A.46, 518A.75, 142A.42, 142D.21, 142B.18, 142D.23, 142D.31, 142E.03, 142E.11, 142E.13, 142E.15, 142E.16, 142E.17, 245.0962, 142B.10, 142B.16, 142B.171, 142B.30, 142B.41, 142B.65, 142B.66, 142B.70, 142B.77, 142C.06, 142C.11, 142C.12, 245A.18, 145C.01, 145C.17, 151.37, 325M.34
3rd Engrossment: 144.0758, 144.1222, 144.125, 144.562, 144.563, 144.608, 144.966, 145.8811, 256B.0625, 256R.01, 145.361, 62J.51, 62J.581, 144.50, 144.555, 144.99, 147.01, 147.037, 151.555, 256B.064, 256B.69, 62A.673, 174.30, 256.9657, 256.969, 256B.0371, 256B.04, 256B.1973, 142A.03, 142F.14, 142B.01, 142B.05, 142B.47, 142B.51, 142B.80, 245C.02, 256.045, 260.65, 260.66, 260.691, 260.692, 260C.001, 260C.007, 260C.141, 260C.150, 260C.178, 260C.201, 260C.202, 260C.204, 260C.212, 260C.221, 260C.223, 260C.329, 260C.451, 260C.452, 260E.03, 260E.09, 260E.14, 260E.20, 260E.24, 260.810, 260.821, 518.68, 518A.34, 518A.46, 518A.75, 142A.42, 142D.21, 142B.18, 142D.23, 142D.31, 142E.03, 142E.11, 142E.13, 142E.15, 142E.16, 142E.17, 245.0962, 142B.10, 142B.16, 142B.171, 142B.30, 142B.41, 142B.65, 142B.66, 142B.70, 142B.77, 142C.06, 142C.11, 142C.12, 245A.18, 145C.01, 145C.17, 149A.02, 151.37, 325M.34
1st Unofficial 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, 144.064, 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, 142A.609, 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.331, 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, 62E.23, 149A.02, 151.741, 256.01, 256B.051