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MN HF1005

Bill

Status

Introduced

2/17/2025

Primary Sponsor

Robert Bierman

Click for details

Origin

House of Representatives

94th Legislature 2025-2026

AI Summary

  • Physician and professional services reimbursed under Medical Assistance must be paid at least 100% of the Medicare Physician Fee Schedule, effective January 1, 2026, or upon federal approval

  • Behavioral health home services must receive a single statewide reimbursement rate of at least $425 per member per month, adjusted annually using the Medicare Economic Index, effective January 1, 2028

  • Obstetric, gynecologic, primary care, and mental health services reimbursed under the resource-based relative value scale must equal at least 100% of the Medicare Physician Fee Schedule

  • Inpatient behavioral health services at DRG-paid hospitals must receive increased payments starting January 1, 2028, with corresponding increases to managed care capitation rates

  • Repeals the existing statute that paid masters-prepared mental health professionals at 80% of doctoral-prepared rates, effective January 1, 2027

Legislative Description

Medical assistance rate adjustments established for physician professional services, residential service rates increased, and statewide reimbursement rate for behavioral health home services required.

Last Action

Authors added Johnson, P.; and Pérez-Vega

4/1/2025

Committee Referrals

Human Services Finance & Policy2/20/2025
Health Finance & Policy2/17/2025

Full Bill Text

No bill text available