The proposed bill mandates that health care entities in Minnesota report comprehensive ownership and control information to the commissioner of health, including legal names, business addresses, operational locations, identification numbers, and details about individuals or entities with ownership interests. Health care entities are also required to submit an organizational chart and financial reports, with the first report due by March 1, 2026, and annually thereafter. Exemptions are provided for independent provider organizations with two or fewer physicians, contingent upon meeting specific criteria. Additionally, the commissioner is tasked with publishing an annual public report by June 1, 2027, which will include data on reporting entities, ownership changes, and trends in consolidation, while ensuring the privacy of individual health professionals' taxpayer identification numbers.

The bill enhances regulatory oversight by allowing the commissioner to share taxpayer identification numbers with the attorney general, state agencies, and health-related licensing boards to streamline reporting and improve enforcement. The commissioner is also empowered to adopt rules for implementing the chapter, including report formats and additional data requirements. Enforcement mechanisms are established, allowing for audits and inspections of non-compliant health care entities, with penalties ranging from $50,000 for smaller entities to $500,000 for larger ones. The bill includes appropriations from the general fund to support its implementation in the upcoming fiscal years.

Statutes affected:
Introduction: 144.99