The proposed bill establishes a Family Medical Account (FMA) service delivery model within Minnesota's human services framework, specifically under Minnesota Statutes, chapter 256B. The commissioner of human services is responsible for implementing this model, which will begin enrolling eligible medical assistance enrollees starting January 1, 2027. Key definitions are provided, including terms like "chronically ill individual" and "FMA debit account." The bill outlines requirements for enrollment counseling, access to negotiated provider service fee rates, and ongoing education for enrollees about medical care costs and personal health responsibility. It also specifies participation criteria, including income eligibility and exclusions for certain individuals, such as those with disabilities or over 65.

Furthermore, the bill details the medical assistance benefits under the FMA model, including coverage for medical expenses after the yearly contribution amount is exhausted, and establishes operational guidelines for FMA debit and investment accounts. The commissioner is authorized to create incentives for preventive care and ensure electronic transaction processing. Provisions include allowing enrollees to access medical goods and services from various providers, establishing monthly service fees, and implementing a streamlined renewal process for eligibility every 12 months. The bill also mandates that service fees for medical assistance under the FMA model align with federal Medicare rates and requires the commissioner to report on the model's implementation to legislative committees. The provisions will take effect the day after final enactment.