HF 4430 Summary

• Establishes a 13-member Health Care Affordability Board governed by the Legislative Coordinating Commission, operational by January 1, 2023, to monitor health care delivery systems and set annual spending growth targets.

• Creates a Health Care Affordability Advisory Council appointed by the governor to provide technical recommendations on economic indicators, data sources, and health equity measurement for the spending growth target program.

• Requires the board to develop methodology for annual health care spending growth targets tied to economic indicators and to establish an Office of Patient Protection by January 1, 2024, to assist consumers with health care access and quality issues.

• Mandates the board provide notice to health care entities exceeding spending targets and require performance improvement plans with a maximum 18-month implementation timeline; allows civil penalties up to $500,000 for willful noncompliance.

• Requires regular reporting to the legislature on health care spending trends, spending growth performance relative to targets, and recommendations for initiatives including value-based payment arrangements; transfers funds from the Minnesota premium security plan to support implementation.