MN HF643

Establishes a quarterly ambulance provider assessment fee on licensed ambulance services (excluding government-operated and air-ambulance-only services) based on gross revenues from emergency ambulance services, effective January 1, 2024 or upon federal approval.

Creates an ambulance fee fund to collect assessment revenues and federal matching funds, with money used only to provide supplemental payments to ambulance providers to increase medical assistance reimbursement rates up to the average commercial insurance rate.

Requires the commissioner to consult with the Minnesota Ambulance Association when setting fee rates and making supplemental payments on a quarterly basis, and mandates annual reporting to legislative committees beginning January 1, 2025.

Makes implementation contingent on Centers for Medicare and Medicaid Services approval; requires return of all remaining fund money to ambulance providers if federal approval is denied or withdrawn.

Amends the MinnesotaCare provider tax to exempt volunteer ambulance services and ambulance services operated by hospitals, effective January 1, 2024.