The bill amends Minnesota Statutes 2024, specifically section 144.0724, to modify case mix reimbursement classifications for nursing facilities in alignment with federal standards. Key definitions are updated, including the introduction of terms such as "Patient Driven Payment Model" (PDPM) and "Resource utilization groups" (RUG), which will be used to classify residents based on their clinical and functional status. The bill specifies that assessments must be completed according to the Minimum Data Set (MDS) and outlines the schedule for these assessments, including new requirements for significant change assessments related to infectious disease isolation, effective October 1, 2025.

Additionally, the bill enhances the audit authority of the commissioner of health, allowing for more rigorous oversight of resident assessments and the accuracy of case mix classifications. It mandates that facilities provide timely notices to residents regarding their classifications and any changes resulting from audits or modified assessments. The bill emphasizes the importance of transparency and communication between nursing facilities and residents or their representatives, ensuring that residents are informed of their classifications and have the opportunity to seek clarification or reconsideration.

Statutes affected:
Introduction: 144.0724