MN HF4393

Establishes recipient protections when Medical Assistance providers experience "serious operational events" such as sanctions, license revocation, bankruptcy, or inability to safely operate, requiring 30-day advance notice to recipients and assistance with transitions to new providers

Creates "complex transition" designation for high-risk situations involving recipients receiving long-term services, behavioral health treatment, life-sustaining care, or those in areas with limited provider capacity, requiring the commissioner to develop written transition operations plans

Allows providers designated for complex transition to continue serving high-risk recipients for up to 180 days after designation to prevent care disruptions, while preserving the commissioner's enforcement authority

Permits the commissioner to make limited transition payments restricted to direct recipient care costs (excluding owner distributions and dividends) when good cause exists to continue payments during complex transitions, with providers subject to financial monitoring

Requires the commissioner to notify legislative committee chairs within 10 days of designating a complex transition and submit a report within 90 days of recipient stabilization identifying systemic gaps and recommendations