The bill introduces new regulations for accountable health care entities in Minnesota that receive state funding, mandating these entities to maintain detailed accounting records to demonstrate the appropriate use of state funds. It requires annual compliance certification to the state auditor, who is empowered to examine these records and report findings to the newly established Minnesota Commission for Equitable Health Care Services. This commission is responsible for ensuring equitable access to health care services across the state and will include appointed public members, legislative members, and nonvoting advisors from various health care sectors. The provisions of this bill are set to take effect on January 1, 2025.

Additionally, the bill outlines the commission's structure, responsibilities, and operational framework, including the appointment process for its members and the requirement to represent Minnesota's diverse population. The commission is tasked with developing a comprehensive plan for meaningful health care access, consulting with a wide range of stakeholders, and investigating various aspects of the health care market. It is also required to review the activities of accountable health care entities for compliance with existing laws. The bill includes provisions for the commission to contract with third parties, classify collected data as private or nonpublic, and mandates reporting requirements, with an initial report due by January 15, 2025. Funding is appropriated from the general fund to support the commission's activities through fiscal year 2027.