MN SF2755

Establishes the Program of All-Inclusive Care for the Elderly (PACE) as a formal service delivery system in Minnesota statute, authorized under federal Social Security Act sections 1894, 1905(a), and 1934

Requires PACE organizations to be 501(c)(3) nonprofits that contract with both CMS and the Commissioner of Human Services, using a risk-based financing model where they assume responsibility for all enrollee costs

Sets implementation timeline: state plan amendment to CMS by October 1, 2025; competitive bidding process by December 31, 2025; PACE organizations operational by June 30, 2026; services begin January 1, 2027

Allows eligible persons age 55+ who meet nursing facility level of care criteria to voluntarily enroll in PACE for coordinated medical and nonmedical services delivered primarily in community settings like adult day centers and homes

Removes previous standalone PACE authorization language from existing statute and integrates PACE into managed care performance withhold calculations for emergency room and hospitalization rate targets