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MN HF4068
Bill
Status
3/9/2026
Primary Sponsor
Mohamud Noor
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AI Summary
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Clarifies and reorganizes the Commissioner of Human Services' authority to impose sanctions on Medical Assistance (Medicaid) providers, including suspending/withholding payments, suspending or terminating program participation, and imposing fines
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Requires minimum 5-year program suspension for individuals or entities convicted of crimes, receiving stayed adjudications, or entering diversion programs related to Medical Assistance health services or health care fraud
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Authorizes fines of 20% of claim amounts or up to $5,000 (whichever is less) for incomplete documentation, with higher penalties of up to $5,000 or 20% (whichever is greater) for repeated violations
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Mandates withholding payments without advance notice when providers are convicted of crimes or face credible fraud allegations, with notice required within 5 days unless law enforcement requests delay
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Protects nursing homes and convalescent care facilities from payment withholding before a hearing, and establishes civil penalties up to $25,000 per occurrence for entities that pay excluded individuals or providers on the exclusion list
Legislative Description
Commissioner's authority to impose sanctions against individuals or entities that receive payments from medical assistance or provide goods or services for which payment is made from medical assistance clarified, and medical assistance sanctions and monetary recovery provision recodified.
Last Action
Introduction and first reading, referred to Human Services Finance and Policy
3/9/2026