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MN SF4267
Bill
Status
3/9/2026
Primary Sponsor
John Hoffman
Click for details
AI Summary
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Clarifies and reorganizes the Commissioner of Human Services' authority to impose sanctions on Medical Assistance (Medicaid) providers and recipients, including suspending/withholding payments, suspending or terminating program participation, and imposing fines up to $5,000 or 20% of claim values
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Requires mandatory minimum 5-year program suspension for individuals or entities convicted of crimes, receiving stays of adjudication, or entering diversion programs related to medical assistance services or health care fraud
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Establishes procedures for withholding payments without prior notice when there is a credible allegation of fraud under investigation or upon conviction, with notice requirements within 5 days unless law enforcement requests delay
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Mandates automatic forfeiture of withheld payments upon criminal conviction related to medical assistance health services, regardless of the criminal complaint amount or restitution ordered
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Creates exemptions specifying that other statutory sections (15.013 and 245.095) do not modify, supersede, limit, or expand the commissioner's sanction authority under section 256B.064, with all provisions effective the day following final enactment
Legislative Description
Commissioner authority clarification 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
Last Action
Referred to Health and Human Services
3/9/2026