HF4466 Health-related licensing boards, the Department of Health…

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A bill for an act

relating to state government; modifying provisions relating to health-related

licensing boards, the Department of Health, directed payments, and medical

assistance federal conformity; expanding allowable disclosures to commissioner

of human services; establishing work or community engagement requirements;

establishing fees; appropriating money; amending Minnesota Statutes 2024, sections

13.381, subdivision 20; 62U.04, subdivisions 4, 13, by adding a subdivision;

116J.035, by adding a subdivision; 144.1222, subdivision 4, by adding a

subdivision; 144.1501, subdivision 2; 144.1503, subdivision 7; 144.1505,

subdivisions 1, 2, 3; 144.1507, subdivisions 1, 2, 4, by adding a subdivision;

144.1911, subdivisions 1, 5, 6; 148.65, subdivisions 5, 6; 148.706, subdivisions

1, 2, 3; 149A.02, subdivision 26; 149A.20, subdivisions 6, 7; 149A.30, subdivision

1; 149A.91, subdivision 3; 149A.94, subdivision 1; 149A.955, subdivision 14;

151.74, subdivisions 1, 2, 3, 4, 5, 6, 7, 9, 10, 11, 13, 14; 151.741, subdivisions 1,

2; 256B.04, subdivision 27; 256B.056, subdivisions 2a, 3d, 7, 7a; 256B.0561,

subdivision 2; 256B.06, subdivision 4; 256B.061; 256B.0631, subdivision 1a, by

adding subdivisions; 256L.04, subdivision 14; 268.19, subdivision 1a; 295.52,

subdivision 8; Minnesota Statutes 2025 Supplement, sections 144.125, subdivision

1; 151.741, subdivision 5; 256.9657, subdivision 2b; 256.969, subdivision 2f;

256B.1973, subdivision 9; 268.19, subdivision 1; 270B.14, subdivision 1; Laws

2025, First Special Session chapter 3, article 21, section 3, subdivision 2; proposing

coding for new law in Minnesota Statutes, chapter 256B; repealing Minnesota

Statutes 2024, section 151.74, subdivision 15.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

ARTICLE 1

HEALTH-RELATED LICENSING BOARDS

Section 1.

Minnesota Statutes 2024, section 13.381, subdivision 20, is amended to read:

Subd. 20.

Insulin safety net.

Data collected relating to an individual who seeks to access

urgent-need
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covered
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insulin or participates in a manufacturer's patient assistance program

is classified under section
151.74, subdivision 11
.

Sec. 2.

Minnesota Statutes 2024, section 148.65, subdivision 5, is amended to read:

Subd. 5.

Student physical therapist.

"Student physical therapist" means a person in a

professional educational program, approved by the board under section
148.705
, who is

satisfying supervised clinical education requirements by performing physical therapy under

the
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on-site
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direct
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supervision of a licensed physical therapist.
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"On-site supervision" means

the physical therapist is easily available for instruction to the student physical therapist. The

physical therapist shall have direct contact with the patient during at least every second

treatment session by the student physical therapist.
deleted text end
new text begin
"Direct supervision" means that the

physical therapist is physically present and immediately available for supervision.
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Telecommunications
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, except within the
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facility,
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does not meet the requirement of
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on-site
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direct
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supervision.

Sec. 3.

Minnesota Statutes 2024, section 148.65, subdivision 6, is amended to read:

Subd. 6.

Student physical therapist assistant.

"Student physical therapist assistant"

means a person in a physical therapist assistant educational program accredited by the

Commission on Accreditation in Physical Therapy Education (CAPTE) or a recognized

comparable national accrediting agency approved by the board. The student physical therapist

assistant, under the direct supervision of the physical therapist, or the direct supervision of

the physical therapist and physical therapist assistant
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team
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, performs physical therapy

interventions and assists with coordination, communication, documentation, and

patient-client-related instruction. "Direct supervision" means the physical therapist
new text begin
or

physical therapist assistant when supervising a student physical therapist assistant as part

of a physical therapist and physical therapist assistant team
new text end
is physically present and

immediately available to provide instruction to the student physical therapist assistant.
new text begin

Telecommunications does not meet the requirement of direct supervision.
new text end

Sec. 4.

Minnesota Statutes 2024, section 148.706, subdivision 1, is amended to read:

Subdivision 1.

Supervision.

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(a)
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Every physical therapist who uses the services of a

physical therapist assistant or physical therapy aide for the purpose of assisting in the practice

of physical therapy is responsible for functions performed by the assistant or aide while

engaged in such assistance. The physical therapist shall
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delegate
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direct
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duties to the physical

therapist assistant and assign tasks to the physical therapy aide in accordance with subdivision

2.
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Physical therapists who instruct student physical therapists and student physical therapist

assistants are responsible for the functions performed by the students and shall supervise

the students as provided under section
148.65
, subdivisions 5 and 6. A licensed physical

therapist may supervise no more than two physical therapist assistants at any time.
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new text begin

(b) A licensed physical therapist may supervise no more than two physical therapist

assistants at any time. A physical therapist supervising physical therapist assistants is not

required to be on site, but must be easily available by telecommunications.

new text end

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(c) Physical therapists who instruct student physical therapists and student physical

therapist assistants are responsible for the functions performed by the students and shall

supervise the students as provided under section 148.65, subdivisions 5 and 6. A physical

therapist supervising a student physical therapist must have direct contact with the patient

during at least every second treatment session by the student physical therapist. A physical

therapist or physical therapist assistant as part of a physical therapist and physical therapist

assistant team who is supervising a student physical therapist assistant must have direct

contact with the patient during at least every second treatment session by the student physical

therapist assistant.

new text end

Sec. 5.

Minnesota Statutes 2024, section 148.706, subdivision 2, is amended to read:

Subd. 2.

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Delegation
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Direction
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of duties.

The physical therapist
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may delegate
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is

authorized to direct
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patient treatment procedures only to a physical therapist assistant who

has sufficient didactic and clinical preparation. The physical therapist
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may
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must
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not
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delegate
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direct
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the following activities to
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the
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a
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physical therapist assistant or to other supportive

personnel:
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initial
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patient
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examination and
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evaluation,
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treatment planning, initial treatment,

change of treatment,
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development and modification of the plan of care,
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and initial or final

documentation.

Sec. 6.

Minnesota Statutes 2024, section 148.706, subdivision 3, is amended to read:

Subd. 3.

Observation of
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and collaboration with
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physical therapist assistants.

When
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a physical therapist directs
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components of a patient's treatment
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are delegated
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to a physical

therapist assistant, a physical therapist must
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provide on-site observation of the treatment

and documentation of its appropriateness at least every six treatment sessions. The physical

therapist is not required to be on site, but must be easily available by telecommunications.
deleted text end
new text begin

do the following at least every six treatment sessions that the physical therapist assistant

provides services:
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(1) observe a portion of the patient treatment session with the physical therapist assistant,

either in person or remotely via telehealth; and

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(2) document a collaborative discussion with the physical therapist assistant and the

continued appropriateness of the plan of care.

new text end

Sec. 7.

Minnesota Statutes 2024, section 151.74, subdivision 1, is amended to read:

Subdivision 1.

Establishment.

(a)
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By July 1, 2020,
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Each manufacturer must establish

procedures to make
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covered
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insulin available in accordance with this section to eligible

individuals who are in urgent need of
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covered
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insulin or who are in need of access to an

affordable
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covered
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insulin supply.

(b) For purposes of this section, the following definitions apply:

(1) "manufacturer" means a manufacturer engaged in the manufacturing of
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covered
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insulin
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that is self-administered on an outpatient basis
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;

(2) "MNsure" means the Board of Directors of MNsure established in chapter 62V;

(3) "navigator" has the meaning provided in section
62V.02
;
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and
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(4) "pharmacy" means a pharmacy located in Minnesota and licensed under section

151.19
that operates in the community or outpatient license category under Minnesota Rules,

part
6800.0350
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.
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; and
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(5) "covered insulin" means a drug that is validly prescribed by a practitioner and contains

insulin for use to treat diabetes. Covered insulin does not include an insulin product with a

label approved by the United States Food and Drug Administration that indicates the product

is only for use for intravenous infusion.

new text end

(c) Any manufacturer with an annual gross revenue of $2,000,000 or less from
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covered
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insulin sales in Minnesota is exempt from this section. To request a waiver under this

paragraph, the manufacturer must submit a request to the Board of Pharmacy that includes

documentation indicating that the manufacturer is eligible for an exemption.

(d)
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An
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A covered
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insulin product is exempt from this section if the wholesale acquisition

cost of the
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covered
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insulin is $8 or less per milliliter or applicable National Council for

Prescription Drug Plan billing unit, for the entire assessment time period, adjusted annually

based on the Consumer Price Index.

Sec. 8.

Minnesota Statutes 2024, section 151.74, subdivision 2, is amended to read:

Subd. 2.

Eligibility for urgent-need safety net program.

(a) To be eligible to receive

an urgent-need supply of
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covered
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insulin under this section, an individual must attest to:

(1) being a resident of Minnesota;

(2) not being enrolled in medical assistance or MinnesotaCare;

(3) not being enrolled in prescription drug coverage that limits the total amount of

cost-sharing that the enrollee is required to pay for a 30-day supply of
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covered
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insulin,

including co-payments, deductibles, or coinsurance, to $75 or less, regardless of the type

or amount of
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covered
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insulin prescribed;

(4) not having received an urgent-need supply of
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covered
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insulin through this program

within the previous 12 months, unless authorized under subdivision 9; and

(5) being in urgent need of
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covered
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insulin.

(b) For purposes of this subdivision, "urgent need of
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covered
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insulin" means having

readily available for use less than a seven-day supply of
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covered
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insulin and in need of
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covered
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insulin in order to avoid the likelihood of suffering significant health consequences.

Sec. 9.

Minnesota Statutes 2024, section 151.74, subdivision 3, is amended to read:

Subd. 3.

Access to urgent-need
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covered
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insulin.

(a) MNsure shall develop an application

form to be used by an individual who is in urgent need of
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covered
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insulin. The application

must ask the individual to attest to the eligibility requirements described in subdivision 2.

The form shall be accessible through MNsure's website. MNsure shall also make the form

available to pharmacies and health care providers who prescribe or dispense
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covered
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insulin,

hospital emergency departments, urgent care clinics, and community health clinics. By

submitting a completed, signed, and dated application to a pharmacy, the individual attests

that the information contained in the application is correct.

(b) If the individual is in urgent need of
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covered
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insulin, the individual may present a

completed, signed, and dated application form to a pharmacy. The individual must also:

(1) have a
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valid
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covered
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insulin prescription; and

(2) present the pharmacist with identification indicating Minnesota residency in the form

of a valid Minnesota identification card, driver's license or permit, individual taxpayer

identification number, or Tribal identification card as defined in section
171.072
, paragraph

(b). If the individual in urgent need of
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covered
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insulin is under the age of 18, the individual's

parent or legal guardian must provide the pharmacist with proof of residency.

(c) Upon receipt of a completed and signed application, the pharmacist shall dispense

the
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prescribed
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covered
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insulin in an amount that will provide the individual with a 30-day

supply. The pharmacy must notify the health care practitioner who issued the prescription

order no later than 72 hours after the
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covered
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insulin is dispensed.

(d) The pharmacy may submit to the manufacturer of the dispensed
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covered
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insulin

product or to the manufacturer's vendor a claim for payment that is in accordance with the

National Council for Prescription Drug Program standards for electronic claims processing,

unless the manufacturer agrees to send to the pharmacy a replacement supply of the same
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covered
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insulin as dispensed in the amount dispensed. If the pharmacy submits an electronic

claim to the manufacturer or the manufacturer's vendor, the manufacturer or vendor shall

reimburse the pharmacy in an amount that covers the pharmacy's acquisition cost.

(e) The pharmacy may collect
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an
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a covered
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insulin co-payment from the individual to

cover the pharmacy's costs of processing and dispensing in an amount not to exceed $35

for the 30-day supply of
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covered
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insulin dispensed.

(f) The pharmacy shall also provide each eligible individual with the information sheet

described in subdivision 7 and a list of trained navigators provided by the Board of Pharmacy

for the individual to contact if the individual needs to access ongoing
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covered
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insulin

coverage options, including assistance in:

(1) applying for medical assistance or MinnesotaCare;

(2) applying for a qualified health plan offered through MNsure, subject to open and

special enrollment periods;

(3) accessing information on providers who participate in prescription drug discount

programs, including providers who are authorized to participate in the 340B program under

section 340b of the federal Public Health Services Act, United States Code, title 42, section

256b; and

(4) accessing
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covered
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insulin manufacturers' patient assistance programs, co-payment

assistance programs, and other foundation-based programs.

(g) The pharmacist shall retain a copy of the application form submitted by the individual

to the pharmacy for reporting and auditing purposes.

(h) A manufacturer may submit to the commissioner of administration a request for

reimbursement in an amount not to exceed $35 for each 30-day supply of
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covered
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insulin

the manufacturer provides under paragraph (d). The commissioner of administration shall

determine the manner and format for submitting and processing requests for reimbursement.

After receiving a reimbursement request, the commissioner of administration shall reimburse

the manufacturer in an amount not to exceed $35 for each 30-day supply of
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covered
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insulin

the manufacturer provided under paragraph (d).

Sec. 10.

Minnesota Statutes 2024, section 151.74, subdivision 4, is amended to read:

Subd. 4.

Continuing safety net program; general.

(a) Each manufacturer shall make

a patient assistance program available to any individual who meets the requirements of this

subdivision. Each manufacturer's patient assistance programs must meet the requirements

of this section. Each manufacturer shall provide the Board of Pharmacy with information

regarding the manufacturer's patient assistance program, including contact information for

individuals to call for assistance in accessing their patient assistance program.

(b) To be eligible to participate in a manufacturer's patient assistance program, the

individual must:

(1) be a Minnesota resident with a valid Minnesota identification card that indicates

Minnesota residency in the form of a Minnesota identification card, driver's license or

permit, individual taxpayer identification number, or Tribal identification card as defined

in section
171.072
, paragraph (b). If the individual is under the age of 18, the individual's

parent or legal guardian must provide proof of residency;

(2) have a family income that is equal to or less than 400 percent of the federal poverty

guidelines;

(3) not be enrolled in medical assistance or MinnesotaCare;

(4) not be eligible to receive health care through a federally funded program or receive

prescription drug benefits through the Department of Veterans Affairs; and

(5) not be enrolled in prescription drug coverage through an individual or group health

plan that limits the total amount of cost-sharing that an enrollee is required to pay for a

30-day supply of
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covered
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insulin, including co-payments, deductibles, or coinsurance to

$75 or less, regardless of the type or amount of
new text begin
covered
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insulin needed.

(c) Notwithstanding the requirement in paragraph (b), clause (4), an individual who is

enrolled in Medicare Part D is eligible for a manufacturer's patient assistance program if

the individual has spent $1,000 on prescription drugs in the current calendar year and meets

the eligibility requirements in paragraph (b), clauses (1) to (3).

(d) An individual who is interested in participating in a manufacturer's patient assistance

program may apply directly to the manufacturer; apply through the individual's health care

practitioner, if the practitioner participates; or contact a trained navigator for assistance in

finding a long-term
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covered
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insulin supply solution, including assistance in applying to a

manufacturer's patient assistance program.

Sec. 11.

Minnesota Statutes 2024, section 151.74, subdivision 5, is amended to read:

Subd. 5.

Continuing safety net program; manufacturer's responsibilities.

(a) Upon

receipt of an application for the manufacturer's patient assistance program, the manufacturer

shall process the application and determine eligibility. The manufacturer shall notify the

applicant of the determination within ten business days of receipt of the application. If

necessary, the manufacturer may request additional information from the applicant. If

additional information is needed, the manufacturer must notify the applicant within five

business days of receipt of the application as to what information is being requested. Within

three business days of receipt of the requested information, the manufacturer must determine

eligibility and notify the applicant of the determination. If the individual has been determined

to be not eligible, the manufacturer must include the reasons for denying eligibility in the

notification. The individual may seek an appeal of the determination in accordance with

subdivision 8.

(b) If the individual is determined to be eligible, the manufacturer shall provide the

individual with an eligibility statement or other indication that the individual has been

determined eligible for the manufacturer's patient assistance program. An individual's

eligibility is valid for 12 months and is renewable upon a redetermination of eligibility.

(c) If the eligible individual has prescription drug coverage through an individual or

group health plan, the manufacturer may determine that the individual's
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covered
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insulin

needs are better addressed through the use of the manufacturer's co-payment assistance

program, in which case, the manufacturer shall inform the individual and provide the

individual with the necessary coupons to submit to a pharmacy. In no instance shall an

eligible individual be required to pay more than the co-payment amount specified under

subdivision 6, paragraph (e).

Sec. 12.

Minnesota Statutes 2024, section 151.74, subdivision 6, is amended to read:

Subd. 6.

Continuing safety net program; process.

(a) The individual shall submit to

a pharmacy the statement of eligibility provided by the manufacturer under subdivision 5,

paragraph (b). Upon receipt of an individual's eligibility status, the pharmacy shall submit

an order containing the name of the
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covered
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insulin product and the daily dosage amount

as contained in a valid prescription to the product's manufacturer.

(b) The pharmacy must include with the order to the manufacturer the following

information:

(1) the pharmacy's name and shipping address;

(2) the pharmacy's office telephone number, fax number, email address, and contact

name; and

(3) any specific days or times when deliveries are not accepted by the pharmacy.

(c) Upon receipt of an order from a pharmacy and the information described in paragraph

(b), the manufacturer shall send to the pharmacy a 90-day supply of
new text begin
covered
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insulin as

ordered, unless a lesser amount is requested in the order, at no charge to the individual or

pharmacy.

(d) Except as authorized under paragraph (e), the pharmacy shall provide the
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covered
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insulin to the individual at no charge to the individual. The pharmacy shall not provide
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covered
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insulin received from the manufacturer to any individual other than the individual

associated with the specific order. The pharmacy shall not seek reimbursement for the
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covered
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insulin received from the manufacturer or from any third-party payer.

(e) The pharmacy may collect a co-payment from the individual to cover the pharmacy's

costs for processing and dispensing in an amount not to exceed $50 for each 90-day supply

if the
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covered
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insulin is sent to the pharmacy.

(f) The pharmacy may submit to a manufacturer a reorder for an individual if the

individual's eligibility statement has not expired. Upon receipt of a reorder from a pharmacy,

the manufacturer must send to the pharmacy an additional 90-day supply of the product,

unless a lesser amount is requested, at no charge to the individual or pharmacy if the

individual's eligibility statement has not expired.

(g) Notwithstanding paragraph (c), a manufacturer may send the
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covered
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insulin as

ordered directly to the individual if the manufacturer provides a mail order service option.

(h) A manufacturer may submit to the commissioner of administration a request for

reimbursement in an amount not to exceed $105 for each 90-day supply of
new text begin
covered
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insulin

the manufacturer provides under paragraphs (c) and (f). The commissioner of administration

shall determine the manner and format for submitting and processing requests for

reimbursement. After receiving a reimbursement request, the commissioner of administration

shall reimburse the manufacturer in an amount not to exceed $105 for each 90-day supply

of
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covered
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insulin the manufacturer provided under paragraphs (c) and (f). If the manufacturer

provides less than a 90-day supply of
new text begin
covered
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insulin under paragraphs (c) and (f), the

manufacturer may submit a request for reimbursement not to exceed $35 for each 30-day

supply of
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covered
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insulin provided.

Sec. 13.

Minnesota Statutes 2024, section 151.74, subdivision 7, is amended to read:

Subd. 7.

Board of Pharmacy and MNsure responsibilities.

(a) The Board of Pharmacy

shall develop an information sheet to post on its website and provide a link to the information

sheet on the board's website for pharmacies, health care practitioners, hospital emergency

departments, urgent care clinics, and community health clinics. The information sheet must

contain:

(1) a description of the urgent-need
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covered
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insulin safety net program, including how

to access the program;

(2) a description of each
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covered
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insulin manufacturer's patient assistance program and

cost-sharing assistance program, including contact information on accessing the assistance

programs for each manufacturer;

(3) information on how to contact a trained navigator for assistance in applying for

medical assistance, MinnesotaCare, a qualified health plan, or
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an
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new text begin
a covered
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insulin

manufacturer's patient assistance programs;

(4) information on how to contact the Board of Pharmacy if a manufacturer determines

that an individual is not eligible for the manufacturer's patient assistance program; and

(5) notification that an individual in need of assistance may contact their local county

social service department for more information or assistance in accessing ongoing affordable
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covered
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insulin options.

(b) The board shall also inform each individual who accesses urgent-need
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covered
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insulin

through the insulin safety net program or accesses a manufacturer's patient assistance program

that the individual may participate in a survey conducted by the Department of Health

regarding satisfaction with the program. The board shall provide contact information for

the individual to learn more about the survey and how to participate. This information may

be included on the information sheet described in paragraph (a).

(c) MNsure, in consultation with the Board of Pharmacy and the commissioner of human

services, shall develop a training program for navigators to provide navigators with

information and resources necessary to assist individuals in accessing appropriate long-term
new text begin

covered
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insulin options.

(d) MNsure, in consultation with the Board of Pharmacy, shall compile a list of navigators

who have completed the training program and who are available to assist individuals in

accessing affordable
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covered
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insulin coverage options. The list shall be made available

through the board's website and to pharmacies and health care practitioners who dispense

and prescribe
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covered
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insulin.

(e) If a navigator assists an individual in accessing
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an
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a covered
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insulin manufacturer's

patient assistance program, MNsure, within the available appropriation, shall pay the

navigator a onetime application assistance bonus of no less than $25. If a navigator receives

a payment per enrollee of an assistance bonus under section
62V.05, subdivision 4
, or

256.962
, subdivision 5, the navigator shall not receive compensation under this paragraph.

Sec. 14.

Minnesota Statutes 2024, section 151.74, subdivision 9, is amended to read:

Subd. 9.

Additional 30-day urgent-need
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covered
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insulin supply.

(a) If an individual

has applied for medical assistance or MinnesotaCare but has not been determined eligible

or has been determined eligible but coverage has not become effective or the individual has

been determined ineligible for the manufacturer's patient assistance program by the

manufacturer and the individual has requested a review pursuant to subdivision 8 but the

panel has not rendered a decision, the individual may access urgent-need
new text begin
covered
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insulin

under subdivision 3 if the individual is in urgent need of
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covered
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insulin as defined under

subdivision 2, paragraph (b).

(b) To access an additional 30-day supply of
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covered
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insulin, the individual must attest

to the pharmacy that the individual meets the requirements of paragraph (a) and must comply

with subdivision 3, paragraph (b).

Sec. 15.

Minnesota Statutes 2024, section 151.74, subdivision 10, is amended to read:

Subd. 10.

Penalty.

(a) If a manufacturer fails to comply with this section, the board may

assess an administrative penalty of $200,000 per month of noncompliance, with the penalty

increasing to $400,000 per month if the manufacturer continues to be in noncompliance

after six months, and increasing to $600,000 per month if the manufacturer continues to be

in noncompliance after one year. The penalty shall remain at $600,000 per month for as

long as the manufacturer continues to be in noncompliance.

(b) In addition, a manufacturer is subject to the administrative penalties specified in

paragraph (a) if the manufacturer fails to:

(1) provide a hotline for individuals to call or access between 8 a.m. and 10 p.m. on

weekdays and between 10 a.m. and 6 p.m. on Saturdays; and

(2) list on the manufacturer's website the eligibility requirements for the manufacturer's

patient assistance programs for Minnesota residents.

(c) Any penalty assessed under this subdivision shall be deposited in a separate
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covered
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insulin assistance account in the special revenue fund.

Sec. 16.

Minnesota Statutes 2024, section 151.74, subdivision 11, is amended to read:

Subd. 11.

Data.

(a) Any data collected, created, received, maintained, or disseminated

by the Board of Pharmacy, the legislative auditor, the commissioner of health, MNsure, or

a trained navigator under this section related to an individual who is seeking to access

urgent-need
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covered
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insulin or participate in a manufacturer's patient assistance program

under this section is classified as private data on individuals as defined in section
13.02,

subdivision
12, and may not be retained for longer than ten years.

(b) A manufacturer must maintain the privacy of all data received from any individual

applying for the manufacturer's patient assistance program under this section and is prohibited

from selling, sharing, or disseminating data received under this section unless required to

under this section or the individual has provided the manufacturer with a signed authorization.

Sec. 17.

Minnesota Statutes 2024, section 151.74, subdivision 13, is amended to read:

Subd. 13.

Reports.

(a) By February 15 of each year,
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beginning February 15, 2021,
deleted text end
each

manufacturer shall report to the Board of Pharmacy the following:

(1) the number of Minnesota residents who accessed and received
new text begin
covered
new text end
insulin on

an urgent-need basis under this section in the preceding calendar year;

(2) the number of Minnesota residents participating in the manufacturer's patient

assistance program in the preceding calendar year, including the number of Minnesota

residents who the manufacturer determined were ineligible for their patient assistance

program; and

(3) the value of the
new text begin
covered
new text end
insulin provided by the manufacturer under clauses (1) and

(2).

For purposes of this paragraph, "value" means the wholesale acquisition cost of the
new text begin
covered
new text end

insulin provided.

(b) By March 15 of each year,
deleted text begin
beginning March 15, 2021,
deleted text end
the Board of Pharmacy shall

submit the information reported in paragraph (a) to the chairs and ranking minority members

of the legislative committees with jurisdiction over health and human services policy and

finance. The board shall also include in the report any administrative penalties assessed

under subdivision 10, including the name of the manufacturer and amount of the penalty

assessed.

Sec. 18.

Minnesota Statutes 2024, section 151.74, subdivision 14, is amended to read:

Subd. 14.

Program review; legislative auditor.

(a) The legislative auditor is requested

to conduct a program review to determine:

(1) whether the manufacturers are meeting the responsibilities required under this section,

including but not limited to:

(i) reimbursing pharmacies for urgent-need
new text begin
covered
new text end
insulin dispensed under subdivision

3;

(ii) determining eligibility in a timely manner and notifying the individuals as required

under subdivision 5; and

(iii) providing pharmacies with
new text begin
covered
new text end
insulin product under the manufacturers' patient

assistance programs; and

(2) whether the training program developed for navigators is adequate and easily

accessible for navigators interested in becoming trained, and that there is a sufficient number

of trained navigators to provide assistance to individuals in need of assistance.

(b) The legislative auditor may access application forms retained by pharmacies under

subdivision 3, paragraph (g), to determine whether urgent-need
new text begin
covered
new text end
insulin is being

dispensed in accordance with this section.

Sec. 19.

Minnesota Statutes 2024, section 151.741, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

(a) For purposes of this section, the following terms have

the meanings given.

(b) "Board" means the Minnesota Board of Pharmacy under section
151.02
.

new text begin

(c) "Covered insulin" has the meaning given in section 151.74, subdivision 1.

new text end

deleted text begin

(c)
deleted text end

new text begin
(d)
new text end
"Manufacturer" means a manufacturer licensed under section
151.252
and engaged

in the manufacturing of
deleted text begin
prescription
deleted text end

new text begin
covered
new text end
insulin.

Sec. 20.

Minnesota Statutes 2024, section 151.741, subdivision 2, is amended to read:

Subd. 2.

Assessment of registration fee.

(a) The board shall assess each manufacturer

an annual registration fee of $100,000, except as provided in paragraph (b). The board shall

notify each manufacturer of this requirement beginning November 1, 2024, and each

November 1 thereafter.

(b) A manufacturer may request an exemption from the annual registration fee. The

board shall exempt a manufacturer from the annual registration fee if the manufacturer can

demonstrate to the board, in the form and manner specified by the board, that gross revenue

from sales of
deleted text begin
prescription
deleted text end

new text begin
covered
new text end
insulin produced by that manufacturer and sold or

delivered within or into Minnesota was less than five percent of the total gross revenue from

sales of
deleted text begin
prescription
deleted text end

new text begin
covered
new text end
insulin produced by all manufacturers and sold or delivered

within or into Minnesota in the previous calendar year.

Sec. 21.

Minnesota Statutes 2025 Supplement, section 151.741, subdivision 5, is amended

to read:

Subd. 5.

Insulin repayment account; annual transfer from health care access fund.

(a)

The insulin repayment account is established in the special revenue fund in the state treasury.

Money in the account is appropriated each fiscal year to the commissioner of administration

to reimburse manufacturers for
new text begin
covered
new text end
insulin dispensed under the insulin safety net program

in section
151.74
, in accordance with section
151.74, subdivisions 3
, paragraph (h), and 6,

paragraph (h), and to cover costs incurred by the commissioner in providing these

reimbursement payments.

(b) By June 30, 2025, and each June 30 thereafter, the commissioner of administration

shall certify to the commissioner of management and budget the total amount expended in

the prior fiscal year for:

(1) reimbursement to manufacturers for
new text begin
covered
new text end
insulin dispensed under the insulin

safety net program in section
151.74
, in accordance with section
151.74, subdivisions 3
,

paragraph (h), and 6, paragraph (h); and

(2) costs incurred by the commissioner of administration in providing the reimbursement

payments described in clause (1).

(c) The commissioner of management and budget shall transfer from the health care

access fund to the insulin repayment account, beginning July 1, 2025, and each July 1

thereafter, an amount equal to the amount to which the commissioner of administration

certified pursuant to paragraph (b).

Sec. 22.
new text begin
REPEALER.
new text end

new text begin

Minnesota Statutes 2024, section 151.74, subdivision 15,

new text end

new text begin

is repealed.

new text end

ARTICLE 2

DEPARTMENT OF HEALTH

Section 1.

Minnesota Statutes 2024, section 62U.04, subdivision 4, is amended to read:

Subd. 4.

Encounter data.

(a) All health plan companies, dental organizations, and

third-party administrators shall submit encounter data on a monthly basis to a private entity

designated by the commissioner of health. The data shall be submitted in a form and manner

specified by the commissioner subject to the following requirements:

(1) the data must be de-identified data as described under the Code of Federal Regulations,

title 45, section 164.514;

(2) the data for each encounter must include an identifier for the patient's health care

home if the patient has selected a health care home, data on contractual value-based payments,

and data deemed necessary by the commissioner to uniquely identify claims in the individual

health insurance market;

(3) the data must include enrollee race and ethnicity, to the extent available, for claims

incurred on or after January 1, 2023;
deleted text begin
and
deleted text end

(4) except for the data described in clauses (2) and (3), the data must not include

information that is not included in a health care claim, dental care claim, or equivalent

encounter information transaction that is required under section
62J.536
deleted text begin
.
deleted text end
new text begin
; and
new text end

new text begin

(5) the data must include at least the following data fields for any fully denied claims:

new text end

new text begin

(i) an indicator of which claim lines were denied;

new text end

new text begin

(ii) the reason for denial of each denied claim line;

new text end

new text begin

(iii) the claim line status in terms of adjudication; and

new text end

new text begin

(iv) a claim identifier to link the original claim to subsequent action on the claim.

new text end

(b) The commissioner or the commissioner's designee shall only use the data submitted

under paragraph (a) to carry out the commissioner's responsibilities in this section, including

supplying the data to providers so they can verify their results of the peer grouping process

consistent with the recommendations developed pursuant to subdivision 3c, paragraph (d),

and adopted by the commissioner and, if necessary, submit comments to the commissioner

or initiate an appeal.

(c) Data on providers collected under this subdivision are private data on individuals or

nonpublic data, as defined in section
13.02
. Notwithstanding the data classifications in this

paragraph, data on providers collected under this subdivision may be released or published

as authorized in subdivision 11. The commissioner or the commissioner's designee shall

establish procedures and safeguards to protect the integrity and confidentiality of any data

that it maintains.

(d) The commissioner or the commissioner's designee shall not publish analyses or

reports that identify, or could potentially identify, individual patients.

(e) The commissioner shall compile summary information on the data submitted under

this subdivision. The commissioner shall work with its vendors to assess the data submitted

in terms of compliance with the data submission requirements and the completeness of the

data submitted by comparing the data with summary information compiled by the

commissioner and with established and emerging data quality standards to ensure data

quality.

Sec. 2.

Minnesota Statutes 2024, section 62U.04, subdivision 13, is amended to read:

Subd. 13.

Expanded access to and use of the all-payer claims data.

(a) The

commissioner or the commissioner's designee shall make the data submitted under

subdivisions 4, 5, 5a, and 5b, including data classified as private or nonpublic, available to

individuals and organizations engaged in research on, or efforts to effect transformation in,

health care outcomes, access, quality, disparities, or spending, provided the use of the data

serves a public benefit. Data made available under this subdivision may not be used to:

(1) create an unfair market advantage for any participant in the health care market in

Minnesota, including health plan companies, payers, and providers;

(2) reidentify or attempt to reidentify an individual in the data; or

(3) publicly report contract details between a health plan company and provider and

derived from the data.

(b) To implement paragraph (a), the commissioner shall:

(1) establish detailed requirements for data access; a process for data users to apply to

access and use the data; legally enforceable data use agreements to which data users must

consent; a clear and robust oversight process for data access and use, including a data

management plan, that ensures compliance with state and federal data privacy laws;

agreements for state agencies and the University of Minnesota to ensure proper and efficient

use and security of data; and technical assistance for users of the data and for stakeholders;

(2)
deleted text begin
develop a
deleted text end
new text begin
assess fees according to the
new text end
fee schedule
new text begin
in subdivision 14
new text end
to support the

cost of expanded access to and use of the data, provided the fees charged under the schedule

do not create a barrier to access or use for those most affected by disparities;
deleted text begin
and
deleted text end

(3) create a research advisory group to advise the commissioner on applications for data

use under this subdivision, including an examination of the rigor of the research approach,

the technical capabilities of the proposed user, and the ability of the proposed user to

successfully safeguard the data
deleted text begin
.
deleted text end
new text begin
; and
new text end

new text begin

(4) annually publish on the Department of Health website a list of projects authorized

under this subdivision.

new text end

Sec. 3.

Minnesota Statutes 2024, section 62U.04, is amended by adding a subdivision to

read:

new text begin

Subd. 14.

new text end

new text begin

Fees for expanded access to and use of the all-payer claims database.

new text end

new text begin

(a)

For purposes of this section:

new text end

new text begin

(1) "custom data set or analysis" means a de-identified data set or report for which a

standard data set or limited use data sets are not appropriate, that only provides the minimum

necessary data, and that is de-identified using the expert determination method as defined

in Code of Federal Regulations, title 45, section 164.514(b)(1);

new text end

new text begin

(2) "data file" means a data file derived from medical claims, pharmacy claims, dental

claims, eligibility information, membership information, or provider information for a single

year;

new text end

new text begin

(3) "limited use data set" means a data set that meets the requirements in Code of Federal

Regulations, title 45, section 164.514(e)(2), and may include protected health information

from which certain direct identifiers of individuals have been removed under the principle

of minimum information necessary; and

new text end

new text begin

(4) "standard data set" means a static data release designed by the commissioner to serve

a wide range of projects in which nearly all de-identified data elements are disclosed in one

release after applying the safe harbor de-identification method defined in Code of Federal

Regulations, title 45, section 164.514(b)(2), and from which protected health information

and any combination of data elements that directly identify any person are excluded.

new text end

new text begin

(b) The commissioner must assess fees on an individual or organization that receives

data under subdivision 13 for the cost of accessing or receiving the data. Costs under this

paragraph may include but are not limited to the cost of producing and releasing data to the

individual or organization under subdivision 13 and managing infrastructure and operations.

The commissioner must assess fees according to the following schedule based on the type

of data requested and number of years for which access is requested:

new text end

new text begin

(1) the fee for a standard data set is $3,500 per data file per year;

new text end

new text begin

(2) the fee for a limited use data set is $7,000 per data file per year; and

new text end

new text begin

(3) the fee for a custom data set or analysis is $89 per hour of staff time expended, with

fees not to exceed the cost of 65 hours of staff time.

new text end

new text begin

(c) An individual or organization that receives approval to access or receive data under

subdivision 13 must pay all the required fees in full before accessing or receiving the

requested data.

new text end

new text begin

(d) The commissioner may grant a partial or full waiver of the fees in paragraph (b) if

the individual or organization requesting the data meets at least one of the following criteria:

new text end

new text begin

(1) the fees represent a financial hardship to the individual or organization;

new text end

new text begin

(2) the organization is a self-insured data submitter under this section;

new text end

new text begin

(3) the individual or organization is affiliated with an academic institution;

new text end

new text begin

(4) the individual or organization requests a high volume of data files; or

new text end

new text begin

(5) the request is from a Tribal health director for, or the governing body of, one of the

11 federally recognized Tribes in Minnesota.

new text end

new text begin

In determining whether to grant a waiver under this paragraph, the commissioner may

consult the research advisory group established under subdivision 13.

new text end

new text begin

(e) Fees paid by an individual or organization approved to access or receive data under

subdivision 13 are nonrefundable. Fees collected under this subdivision must be deposited

into an account in the special revenue fund. Money in that account does not cancel and is

appropriated to the commissioner to offset the cost of providing access to data under

subdivision 13 and maintaining data submitted under subdivisions 4 to 5b.

new text end

new text begin

(f) The commissioner must publish the fee schedule in paragraph (b) on the Department

of Health website.

new text end

Sec. 4.

Minnesota Statutes 2024, section 144.1222, is amended by adding a subdivision

to read:

new text begin

Subd. 2e.

new text end

new text begin

Private residential pool used for certified swimming classes.

new text end

new text begin

Notwithstanding

Minnesota Rules, part 4717.0250, subpart 7, a private residential pool may be used as part

of a business if the private residential pool is used by a paying guest of the homeowner and

the guest is participating in a certified swimming class conducted by the homeowner,

provided that:

new text end

new text begin

(1) the homeowner is a certified swimming instructor and is conducting a certified

swimming class on a one-on-one basis;

new text end

new text begin

(2) not more than four individuals are in the pool at the same time during the class;

new text end

new text begin

(3) prior to each new paying guest beginning participation in a certified swimming class:

new text end

new text begin

(i) the guest, or the guest's parent or legal guardian if the guest is a minor, provides

written consent to use of the pool. The written consent must include a statement that the

guest, or the guest's parent or legal guardian if the guest is a minor, has received and read

materials provided by the Department of Health with information on the risk of disease

transmission and other risks associated with pools and a statement that the Department of

Health does not monitor or inspect the homeowner's pool to ensure compliance with the

requirements in section 144.1222 or Minnesota Rules, chapter 4717; and

new text end

new text begin

(ii) the homeowner tests the pool's water for the concentration of chlorine or bromine,

pH, and alkalinity, and the water in the pool meets the requirements for disinfection residual,

pH, and alkalinity in Minnesota Rules, part 4717.1750, subparts 4, 5, and 6; and

new text end

new text begin

(4) the following notice is conspicuously posted at the pool and, prior to each new paying

guest beginning participation in a certified swimming class, is provided to the guest or to

the guest's parent or legal guardian if the guest is a minor:

new text end

new text begin

"NOTICE

new text end

new text begin

This pool is exempt from state and local anti-entrapment and sanitary requirements that

prevent waterborne diseases such as Legionnaires' disease, Pseudomonas folliculitis (hot

tub rash), and chemical burns and is not subject to inspection.

new text end

new text begin

USE AT YOUR OWN RISK"

new text end

Sec. 5.

Minnesota Statutes 2024, section 144.1222, subdivision 4, is amended to read:

Subd. 4.

Definitions.

(a) For purposes of this section, the following terms have the

meanings given them.

(b) "ASME/ANSI standard" means a safety standard accredited by the American National

Standards Institute and published by the American Society of Mechanical Engineers.

(c) "ASTM standard" means a safety standard issued by ASTM International, formerly

known as the American Society for Testing and Materials.

(d) "Public pool" means any pool other than a private residential pool, that is: (1) open

to the public generally, whether for a fee or free of charge; (2) open exclusively to members

of an organization and their guests; (3) open to residents of a multiunit apartment building,

apartment complex, residential real estate development, or other multifamily residential

area; (4) open to patrons of a hotel or lodging or other public accommodation facility; or

(5) operated by a person in a park, school, licensed child care facility, group home, motel,

camp, resort, club, condominium, manufactured home park, or political subdivision with

the exception of swimming pools at family day care homes licensed under section
142B.41,

subdivision 9
, paragraph (a).

(e) "Unblockable suction outlet or drain" means a drain of any size and shape that a

human body cannot sufficiently block to create a suction entrapment hazard and meets

ASME/ANSI standards.

new text begin

(f) "Certified swimming class" means an infant swimming resource (ISR) class; an

American Red Cross swimming class, swimming lesson, or learn-to-swim class; or any

other swimming class certified by a nationally accredited organization that operates in all

50 states.

new text end

new text begin

(g) "Certified swimming instructor" means a certified ISR instructor; a certified American

Red Cross swimming instructor or swim coach; or any other swimming instructor certified

by a nationally accredited organization that operates in all 50 states.

new text end

Sec. 6.

Minnesota Statutes 2025 Supplement, section 144.125, subdivision 1, is amended

to read:

Subdivision 1.

Duty to perform testing.

(a) It is the duty of (1) the administrative officer

or other person in charge of each institution caring for infants 28 days or less of age, (2) the

person required in pursuance of the provisions of section
144.215
, to register the birth of a

child, or (3) the nurse midwife or midwife in attendance at the birth, to arrange to have

administered to every infant or child in its care tests for heritable and congenital disorders

according to subdivision 2 and rules prescribed by the state commissioner of health.

(b) Testing, recording of test results, reporting of test results, and follow-up of infants

with heritable congenital disorders, including hearing loss detected through the early hearing

detection and intervention program in section
144.966
, shall be performed at the times and

in the manner prescribed by the commissioner of health.

(c) The fee to support the newborn screening program, including tests administered

under this section and section
144.966
, shall be $184.35 per specimen. This fee amount

shall be deposited in the state treasury and credited to the state government special revenue

fund.
new text begin
If the individual described in paragraph (a) submits to an insurer a claim for

reimbursement for the fee in this paragraph but does not receive reimbursement from the

insurer, the individual may request a special fee exemption form from the newborn screening

program and may apply for an exemption from the fee in this paragraph. To qualify for the

exemption, the individual must provide documentation to the newborn screening program

that the insurer did not reimburse the individual for the fee in this paragraph.
new text end

(d) The fee to offset the cost of the support services provided under section
144.966,

subdivision 3a
, shall be $15 per specimen. This fee shall be deposited in the state treasury

and credited to the general fund.

Sec. 7.

Minnesota Statutes 2024, section 144.1501, subdivision 2, is amended to read:

Subd. 2.

Availability.

(a) The commissioner of health shall use money appropriated for

health professional education loan forgiveness in this section:

(1) for medical residents, physicians, mental health professionals, and alcohol and drug

counselors agreeing to practice in designated rural areas or underserved urban communities

or specializing in the area of pediatric psychiatry;

(2) for midlevel practitioners agreeing to practice in designated rural areas or to teach

at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary program

at the undergraduate level or the equivalent at the graduate level;

(3) for nurses who agree to practice in a Minnesota nursing home; in an intermediate

care facility for persons with developmental disability; in a hospital if the hospital owns

and operates a Minnesota nursing home and a minimum of 50 percent of the hours worked

by the nurse is in the nursing home; in an assisted living facility as defined in section

144G.08, subdivision 7
; or for a home care provider as defined in section
144A.43
,

subdivision 4; or agree to teach at least 12 credit hours, or 720 hours per year in the nursing

field in a postsecondary program at the undergraduate level or the equivalent at the graduate

level;

(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720

hours per year in their designated field in a postsecondary program at the undergraduate

level or the equivalent at the graduate level. The commissioner, in consultation with the

Healthcare Education-Industry Partnership, shall determine the health care fields where the

need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory

technology, radiologic technology, and surgical technology;

(5) for pharmacists, advanced dental therapists, dental therapists, and public health nurses

who agree to practice in designated rural areas;

(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient

encounters to state public program enrollees or patients receiving sliding fee schedule

discounts through a formal sliding fee schedule meeting the standards established by the

United States Department of Health and Human Services under Code of Federal Regulations,

title 42, section 51c.303; and

(7) for nurses employed as a hospital nurse by a nonprofit hospital and providing direct

care to patients at the nonprofit hospital.

(b) Appropriations made for health professional education loan forgiveness in this section

do not cancel and are available until expended
deleted text begin
, except that at the end of each biennium, any

remaining balance in the account that is not committed by contract and not needed to fulfill

existing commitments shall cancel to the fund
deleted text end
.

Sec. 8.

Minnesota Statutes 2024, section 144.1503, subdivision 7, is amended to read:

Subd. 7.

Selection process.

The commissioner shall determine a maximum award for

grants and loan forgiveness, and shall make selections based on the information provided

in the grant application, including the demonstrated need for an applicant provider to enhance

the education of its workforce, the proposed employee scholarship or loan forgiveness

selection process, the applicant's proposed budget, and other criteria as determined by the

commissioner. Notwithstanding any law or rule to the contrary, amounts appropriated for

purposes of this section do not cancel and are available until expended
deleted text begin
, except that at the

end of each biennium, any remaining amount that is not committed by contract and not

needed to fulfill existing commitments shall cancel to the general fund
deleted text end
.

Sec. 9.

Minnesota Statutes 2024, section 144.1505, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

For purposes of this section, the following definitions apply:

(1) "eligible advanced practice registered nurse program" means a program that is located

in Minnesota and is currently accredited as a master's, doctoral, or postgraduate level

advanced practice registered nurse program by the Commission on Collegiate Nursing

Education or by the Accreditation Commission for Education in Nursing, or
deleted text begin
is
deleted text end
new text begin
has presented

a credible plan as
new text end
a candidate for accreditation;

(2) "eligible dental therapy program" means a dental therapy education program or

advanced dental therapy education program
deleted text begin
that is
deleted text end
located in Minnesota
deleted text begin
and is either
deleted text end
new text begin
that
new text end
:

(i)
new text begin
is
new text end
approved by the Board of Dentistry;
deleted text begin
or
deleted text end

(ii)
new text begin
is
new text end
currently accredited by the Commission on Dental Accreditation;
new text begin
or
new text end

new text begin

(iii) has presented a credible plan as a candidate for accreditation;

new text end

(3) "eligible mental health professional program" means a program that is located in

Minnesota and is
deleted text begin
listed
deleted text end

new text begin
currently accredited
new text end
as a mental health professional program by the

appropriate accrediting body for clinical social work, psychology, marriage and family

therapy, or licensed professional clinical counseling, or
deleted text begin
is
deleted text end
new text begin
has presented a credible plan as
new text end

a candidate for accreditation;

(4) "eligible pharmacy program" means a program that is located in Minnesota and is

currently accredited as a doctor of pharmacy program by the Accreditation Council on

Pharmacy Education
new text begin
or has presented a credible plan as a candidate for accreditation
new text end
;

(5) "eligible physician assistant program" means a program that is located in Minnesota

and is currently accredited as a physician assistant program by the Accreditation Review

Commission on Education for the Physician Assistant, or
deleted text begin
is
deleted text end
new text begin
has presented a credible plan

as
new text end
a candidate for accreditation;

(6) "mental health professional" means an individual providing clinical services in the

treatment of mental illness who meets one of the qualifications under section
245.462
,

subdivision 18;

(7) "eligible physician training program" means
new text begin
a medical school training program or
new text end
a

physician residency training program located in Minnesota and that is currently accredited

by the accrediting body or has presented a credible plan as a candidate for accreditation;

(8) "eligible dental program" means a dental education program or a dental residency

training program located in Minnesota and that is currently accredited by the accrediting

body or has presented a credible plan as a candidate for accreditation;
deleted text begin
and
deleted text end

(9) "project" means a project to
deleted text begin
establish or expand
deleted text end

new text begin
(i) plan or implement a new eligible
new text end

clinical training
deleted text begin
for physician assistants, advanced practice registered nurses, pharmacists,

dental therapists, advanced dental therapists, or mental health professionals in Minnesota.
deleted text end
new text begin

program or increase the base number of trainees in an existing eligible clinical training

program, or (ii) add or expand rural rotations or clinical training experiences in an existing

eligible clinical training program;
new text end

new text begin

(10) "rural community" means a Tribal Nation, statutory city, home rule charter city, or

township in Minnesota that is outside the seven-county metropolitan area as defined in

section 473.121, subdivision 2, excluding the cities of Duluth, Mankato, Moorhead,

Rochester, and St. Cloud; and

new text end

new text begin

(11) "underserved community" means a Minnesota area or population included in the

list of designated primary medical care health professional shortage areas, medically

underserved areas, or medically underserved populations maintained and updated by the

United States Department of Health and Human Services.

new text end

Sec. 10.

Minnesota Statutes 2024, section 144.1505, subdivision 2, is amended to read:

Subd. 2.

Programs.

(a) For advanced practice provider clinical training expansion grants,

the commissioner of health shall award
deleted text begin
health professional training site
deleted text end
grants to eligible

physician assistant, advanced practice registered nurse, pharmacy, dental therapy, and mental

health professional programs to plan and implement
deleted text begin
expanded
deleted text end

new text begin
a new eligible clinical training

program or increase the base number of trainees in an existing eligible
new text end
clinical training
new text begin

program
new text end
.
new text begin
Clinical training must take place in rural communities or underserved communities.
new text end

A planning grant shall not exceed $75,000, and a three-year training grant shall not exceed

$300,000 per project. The commissioner may provide a
deleted text begin
one-year,
deleted text end
no-cost extension for

grants.

(b) For health professional rural
deleted text begin
and underserved
deleted text end
clinical rotations grants, the

commissioner of health shall award
deleted text begin
health professional training site
deleted text end
grants to
new text begin
existing
new text end
eligible

physician, physician assistant, advanced practice registered nurse, pharmacy, dentistry,

dental therapy, and mental health professional
new text begin
training
new text end
programs to
deleted text begin
augment existing clinical
deleted text end
deleted text begin

training programs to
deleted text end
add
new text begin
, expand, or enhance
new text end
rural
deleted text begin
and underserved
deleted text end
rotations or clinical

training experiences, such as credential or certificate rural tracks or other specialized training.
new text begin

Rotations and clinical training experiences must take place in rural communities.
new text end
For

physician and dentist training, the expanded training must include rotations in primary care

settings such as community clinics, hospitals, health maintenance organizations, or practices

in rural communities.

(c)
new text begin
Advanced practice provider clinical training expansion grant
new text end
funds may be used for:

(1)
deleted text begin
establishing or expanding rotations
deleted text end
new text begin
planning
new text end
and
new text begin
implementing a new
new text end
clinical training
new text begin

program or increasing the base number of trainees in an existing clinical training program

as described in paragraph (a)
new text end
;

(2) recruitment, training, and retention of students
deleted text begin
and
deleted text end
new text begin
,
new text end
faculty
new text begin
, and preceptors
new text end
;

(3) connecting students with appropriate clinical training sites, internships, practicums,

or externship
deleted text begin
activities
deleted text end
new text begin
opportunities
new text end
;

(4) travel and lodging for students;

(5) faculty, student, and preceptor salaries, incentives, or other financial support;

(6) development and implementation of
new text begin
health equity and
new text end
cultural
deleted text begin
competency
deleted text end

new text begin

responsiveness
new text end
training;

(7) evaluations
new text begin
of the clinical training program to inform program improvements
new text end
;

(8) training site improvements, fees, equipment, and supplies required to establish,

maintain, or expand a training program;
deleted text begin
and
deleted text end

(9) supporting clinical education in which trainees are part of a primary care team model
deleted text begin
.
deleted text end
new text begin
;

and
new text end

new text begin

(10) onboarding expenses for trainees to meet clinical training site requirements.

new text end

new text begin

(d) Health professional rural clinical rotation grant funds may be used for:

new text end

new text begin

(1) adding, expanding, or enhancing rural rotations and clinical training experiences in

an existing clinical training program as described in paragraph (b);

new text end

new text begin

(2) recruitment, training, and retention of students, faculty, and preceptors;

new text end

new text begin

(3) connecting students with appropriate clinical training sites, internships, practicums,

or externship opportunities;

new text end

new text begin

(4) travel and lodging for students;

new text end

new text begin

(5) faculty, student, and preceptor salaries, stipends, or other financial support;

new text end

new text begin

(6) development and implementation of health equity and cultural responsiveness training;

new text end

new text begin

(7) evaluations of the rural rotation or clinical training experience to inform program

improvements;

new text end

new text begin

(8) training site improvements, fees, equipment, and supplies required to establish or

expand rural rotations or clinical training experiences;

new text end

new text begin

(9) supporting clinical education in which trainees are part of a primary care team model;

and

new text end

new text begin

(10) onboarding expenses for trainees to meet clinical training site requirements.

new text end

Sec. 11.

Minnesota Statutes 2024, section 144.1505, subdivision 3, is amended to read:

Subd. 3.

Applications.

new text begin
(a)
new text end
Eligible physician assistant, advanced practice registered

nurse, pharmacy, dental therapy, dental, physician, and mental health professional programs

seeking a grant shall apply to the commissioner. Applications
new text begin
for advanced practice provider

clinical training expansion grants
new text end
must include a description of the number of additional

students who will be trained using grant funds
deleted text begin
;
deleted text end

new text begin
and
new text end
attestation that funding will be used to

support an increase in the number of clinical training slots
deleted text begin
;
deleted text end
new text begin
.
new text end

new text begin

(b) All applications must include: (1)
new text end
a description of the problem that the proposed

project will address;
new text begin
(2)
new text end
a description of the project, including all costs associated with the

project
deleted text begin
,
deleted text end
new text begin
; (3)
new text end
sources of funds for the project
deleted text begin
,
deleted text end
new text begin
; (4)
new text end
detailed uses of all funds for the project
deleted text begin
,
deleted text end

and the results expected; and
new text begin
(5)
new text end
a plan to maintain or operate
deleted text begin
any component included in
deleted text end

the project after the grant period
new text begin
, including a description of potential barriers to sustainability
new text end
.
deleted text begin

The applicant
deleted text end
new text begin
Applicants
new text end
must describe achievable objectives, a timetable, and roles and

capabilities of responsible individuals in the organization.

deleted text begin

Applicants applying under subdivision 2, paragraph (b),
deleted text end
new text begin
(c) Applications for rural clinical

rotation grants
new text end
must include
new text begin
a description of the new, expanded, or enhanced rural rotations

or clinical training experiences; attestation that funding will be used to support improved

rural clinical training experiences; and
new text end
information about length of training and training site

settings, geographic location of rural sites, and rural populations expected to be served.

Sec. 12.

Minnesota Statutes 2024, section 144.1507, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

(a) For purposes of this section, the following terms have

the meanings given.

(b) "Eligible program" means a program that meets the following criteria:

(1) is located in Minnesota;

(2) trains medical residents in the specialties of family medicine, general internal

medicine, general pediatrics, psychiatry, geriatrics, or general surgery in rural residency

training programs or in community-based ambulatory care centers that primarily serve the

underserved
new text begin
, or trains postdoctoral psychology residents
new text end
; and

(3) is accredited by the Accreditation Council for Graduate Medical Education
new text begin
or the

American Psychological Association
new text end
or presents a credible plan to obtain accreditation.

new text begin

(c) "Rural community" means a Tribal Nation, statutory city, home rule charter city, or

township in Minnesota that is outside the seven-county metropolitan area as defined in

section 473.121, subdivision 2, excluding the cities of Duluth, Mankato, Moorhead,

Rochester, and St. Cloud.

new text end

deleted text begin

(c)
deleted text end
new text begin
(d)
new text end
"Rural residency training program" means a
new text begin
rural medical
new text end
residency program
new text begin
or

a rural psychology residency program
new text end
that provides
deleted text begin
an initial year of
deleted text end
training in an accredited

residency program in Minnesota.
deleted text begin
The subsequent years of the residency program are
deleted text end
new text begin
At

least two-thirds of the residency training must be
new text end
based in rural communities, utilizing local

clinics and community hospitals, with specialty rotations in nearby regional medical centers.
new text begin

When specialty rotations cannot be fulfilled within rural communities, training may occur

in regional or urban sites as long as at least one-half of all training occurs in rural

communities. For residency training programs in general surgery, pediatrics, and psychiatry,

at least one-half of the residency training must be based in communities outside the

seven-county metropolitan area, with rotations in rural communities.
new text end

deleted text begin

(d)
deleted text end
new text begin
(e)
new text end
"Community-based ambulatory care centers" means federally qualified health

centers, community mental health centers, rural health clinics, health centers operated by

the Indian Health Service, an Indian Tribe or Tribal organization, or an urban American

Indian organization or an entity receiving funds under Title X of the Public Health Service

Act.

deleted text begin

(e)
deleted text end
new text begin
(f)
new text end
"Eligible project" means a project to establish and maintain a rural residency

training program.

Sec. 13.

Minnesota Statutes 2024, section 144.1507, subdivision 2, is amended to read:

Subd. 2.

Rural residency training program.

(a) The commissioner of health shall

award rural residency training program grants to eligible programs to plan, implement, and

sustain rural residency training programs. A rural
new text begin
medical
new text end
residency training program grant

shall not exceed $250,000 per year for up to three years for planning and development, and

$225,000 per resident per year for each year thereafter to sustain the program.
new text begin
A rural

psychology residency training program grant shall not exceed $150,000 per year for up to

three years for planning and development, and $150,000 per resident per year for each year

thereafter to sustain the program. Medical and psychology residency programs that meet

eligibility guidelines and continue to demonstrate financial need shall be granted sustaining

funds, renewable every five years.
new text end

(b) Funds may be spent to cover the costs of:

(1) planning related to establishing accredited rural residency training programs;

(2) obtaining accreditation by the Accreditation Council for Graduate Medical Education
new text begin
,

the American Psychological Association,
new text end
or another national body that accredits rural

residency training programs;

(3) establishing new rural residency training programs;

(4) recruitment, training, and retention of new residents and faculty related to the new

rural residency training program;

(5) travel and lodging for new residents;

(6) faculty, new resident, and preceptor salaries related to new rural residency training

programs;

(7) training site improvements, fees, equipment, and supplies required for new rural

residency training programs; and

(8) supporting clinical education in which trainees are part of a primary care team model.

Sec. 14.

Minnesota Statutes 2024, section 144.1507, subdivision 4, is amended to read:

Subd. 4.

Consideration of grant applications.

The commissioner shall review each

application to determine if the residency program application is complete, if the proposed

rural residency program and residency slots are eligible for a grant, and if the program is

eligible for federal graduate medical education funding, and when the funding is available.

If eligible programs are not eligible for federal graduate medical education funding, the

commissioner may award continuation funding to the eligible program beyond the initial

grant period
new text begin
without requiring a competitive application
new text end
. The commissioner shall award

grants to support training programs in family medicine, general internal medicine, general

pediatrics, psychiatry, geriatrics, general surgery,
new text begin
psychology,
new text end
and other primary care focus

areas.

Sec. 15.

Minnesota Statutes 2024, section 144.1507, is amended by adding a subdivision

to read:

new text begin

Subd. 6.

new text end

new text begin

Clinical training program coordination.

new text end

new text begin

The commissioner may award grants

to the University of Minnesota to provide technical assistance to residency training programs

for coordinated development of rural clinical training programs.

new text end

Sec. 16.

Minnesota Statutes 2024, section 144.1911, subdivision 1, is amended to read:

Subdivision 1.

Establishment.

The international medical graduates assistance program

is established to address barriers to practice and facilitate pathways to assist immigrant

international medical graduates to integrate into the Minnesota health care delivery system,

with the goal of increasing access to primary care in rural and underserved areas of the state.
new text begin

Notwithstanding any law to the contrary, appropriations made to the program do not cancel

and are available until expended.
new text end

Sec. 17.

Minnesota Statutes 2024, section 144.1911, subdivision 5, is amended to read:

Subd. 5.

Clinical preparation.

deleted text begin
(a)
deleted text end
The commissioner shall award grants to support

clinical preparation for Minnesota international medical graduates needing additional clinical

preparation or experience to qualify for residency. The grant program shall include:

(1) proposed training curricula;

(2) associated policies and procedures for clinical training sites, which must be part of

existing clinical medical education programs in Minnesota; and

(3) monthly stipends for international medical graduate participants. Priority shall be

given to primary care sites in rural or underserved areas of the state
deleted text begin
, and
deleted text end
new text begin
.
new text end
International

medical graduate participants
new text begin
who receive support from the international medical graduate

primary care residency grant program
new text end
must commit to serving at least five years in a rural

or underserved community of the state.

deleted text begin

(b) The policies and procedures for the clinical preparation grants must be developed

by December 31, 2015, including an implementation schedule that begins awarding grants

to clinical preparation programs beginning in June of 2016.

deleted text end

Sec. 18.

Minnesota Statutes 2024, section 144.1911, subdivision 6, is amended to read:

Subd. 6.

International medical graduate primary care residency grant program

and revolving account.

(a) The commissioner shall award grants to support primary care

residency positions designated for Minnesota immigrant physicians who are willing to serve

in rural or underserved areas of the state. No grant shall exceed $150,000 per residency

position per year. Eligible primary care residency grant recipients include accredited family

medicine, general surgery, internal medicine, obstetrics and gynecology, psychiatry, and

pediatric residency programs. Eligible primary care residency programs shall apply to the

commissioner. Applications must include the number of anticipated residents to be funded

using grant funds and a budget.
deleted text begin
Notwithstanding any law to the contrary, funds awarded to

grantees in a grant agreement do not lapse until the grant agreement expires.
deleted text end
Before any

funds are distributed, a grant recipient shall provide the commissioner with the following:

(1) a copy of the signed contract between the primary care residency program and the

participating international medical graduate;

(2) certification that the participating international medical graduate has lived in

Minnesota for at least two years and is certified by the Educational Commission on Foreign

Medical Graduates. Residency programs may also require that participating international

medical graduates hold a Minnesota certificate of clinical readiness for residency, once the

certificates become available; and

(3) verification that the participating international medical graduate has executed a

participant agreement pursuant to paragraph (b).

(b) Upon acceptance by a participating residency program, international medical graduates

shall enter into an agreement with the commissioner to provide primary care for at least

five years in a rural or underserved area of Minnesota after graduating from the residency

program and make payments to the revolving international medical graduate residency

account for five years beginning in their second year of postresidency employment.

Participants shall pay $15,000 or ten percent of their annual compensation each year,

whichever is less.

(c) A revolving international medical graduate residency account is established as an

account in the special revenue fund in the state treasury. The commissioner of management

and budget shall credit to the account appropriations, payments, and transfers to the account.

Earnings, such as interest, dividends, and any other earnings arising from fund assets, must

be credited to the account. Funds in the account are appropriated annually to the

commissioner to award grants and administer the grant program established in paragraph

(a). Notwithstanding any law to the contrary, any funds deposited in the account do not

expire. The commissioner may accept contributions to the account from private sector

entities subject to the following provisions:

(1) the contributing entity may not specify the recipient or recipients of any grant issued

under this subdivision;

(2) the commissioner shall make public the identity of any private contributor to the

account, as well as the amount of the contribution provided; and

(3) a contributing entity may not specify that the recipient or recipients of any funds use

specific products or services, nor may the contributing entity imply that a contribution is

an endorsement of any specific product or service.

Sec. 19.

Minnesota Statutes 2024, section 149A.02, subdivision 26, is amended to read:

Subd. 26.

Intern.

"Intern" means an individual
deleted text begin
that
deleted text end
new text begin
who: (1)(i)
new text end
has met the educational

and testing requirements for a license to practice mortuary science in Minnesota
deleted text begin
,
deleted text end
new text begin
; (ii) has

completed a mortuary science program accredited by the American Board of Funeral Service

Education; or (iii) is enrolled in a mortuary science program accredited by the American

Board of Funeral Service Education; (2)
new text end
has registered with the commissioner of health
deleted text begin
,
deleted text end
new text begin
;
new text end

and
new text begin
(3)
new text end
is engaged in the practice of mortuary science under the direction and supervision

of a currently licensed Minnesota mortuary science practitioner.

Sec. 20.

Minnesota Statutes 2024, section 149A.20, subdivision 6, is amended to read:

Subd. 6.

Internship.

(a) A person
deleted text begin
who attains a passing score on both examinations in

subdivision 5
deleted text end
must complete a registered internship under the direct supervision of an

individual currently licensed to practice mortuary science in Minnesota.
deleted text begin
Interns must file

with the commissioner:
deleted text end
new text begin
A person may begin the registered internship while the person is

enrolled in a mortuary science program accredited by the American Board of Funeral Service

Education, upon completion of the accredited mortuary science program, or after attaining

a passing score on both examinations in subdivision 5.
new text end

new text begin

(b) An applicant for an internship must file with the commissioner:

new text end

(1) the appropriate fee;
deleted text begin
and
deleted text end

(2) a registration form indicating the name and home address of the
deleted text begin
intern,
deleted text end
new text begin
applicant;
new text end

the date the internship begins
deleted text begin
, and
deleted text end
new text begin
;
new text end
the name, license number, and business address of the
new text begin

primary
new text end
supervising mortuary science licensee
deleted text begin
.
deleted text end
new text begin
; and the name, license number, and business

address of the alternate supervising mortuary science licensee, if applicable; and
new text end

new text begin

(3) if the applicant is currently enrolled in a mortuary science program accredited by

the American Board of Funeral Service Education, a letter from the program specifying the

name and address of the program; verifying the applicant's enrollment, number of credit

hours completed, and anticipated graduation date; and specifying whether the applicant has

completed coursework in embalming and restorative arts.

new text end

deleted text begin

(b)
deleted text end
new text begin
(c)
new text end
Any changes in information provided in the registration must be immediately

reported to the commissioner. The internship shall be a minimum of 2,080 hours to be

completed
deleted text begin
within a three-year period, however,
deleted text end
new text begin
during enrollment in a mortuary science

program accredited by the American Board of Funeral Service Education, after graduation,

or both during enrollment and after graduation. However,
new text end
the commissioner may waive up

to 520 hours of the internship time requirement upon satisfactory completion of a clinical

or practicum in mortuary science administered through the program of mortuary science of

the University of Minnesota or a
deleted text begin
substantially similar
deleted text end
new text begin
mortuary science
new text end
program
deleted text begin
approved

by the commissioner
deleted text end
new text begin
accredited by the American Board of Funeral Service Education
new text end
.

Registrations must be renewed on an annual basis if they exceed one calendar year. During

the internship period, the intern must be under the direct supervision of a person holding a

current license to practice mortuary science in Minnesota. An intern may be registered under

only one
new text begin
registered primary supervising
new text end
licensee
new text begin
and one registered alternate supervising

licensee
new text end
at any given time and may be directed and supervised only by the registered
new text begin
primary

supervising
new text end
licensee
new text begin
or registered alternate supervising licensee
new text end
. The registered
new text begin
primary

supervising
new text end
licensee shall have only one intern registered at any given time. The

commissioner shall issue to each registered intern a registration permit that must be displayed

with the other establishment and practice licenses. While under the direct supervision of

the
new text begin
registered primary supervising or alternate supervising
new text end
licensee, the intern must complete

25 case reports in each of the following areas: embalming, funeral arrangements, and services.
new text begin

An intern who has not completed coursework in embalming and restorative arts must be in

the physical presence of the primary or alternate supervising licensee in order to perform

surgical procedures and embalming.
new text end
Case reports, on forms provided by the commissioner,

shall be completed by the intern and filed with the commissioner prior to the completion

of the internship. Information contained in these reports that identifies the subject or the

family of the subject embalmed or the subject or the family of the subject of the funeral

shall be classified as licensing data under section
13.41, subdivision 2
.

Sec. 21.

Minnesota Statutes 2024, section 149A.20, subdivision 7, is amended to read:

Subd. 7.

Application procedure and documentation.

After completing the registered

internship, the applicant for an initial license to practice mortuary science must submit to

the commissioner a complete application and the appropriate fee. A complete application

includes:

(1) a completed application form, as provided by the commissioner;

(2) proof of age;

(3) an official transcript from each post high school educational institution attended,

including colleges of funeral service education;

(4) certification of a passing score on the National Board Examination from the

commissioner of the Conference of Funeral Service Examining Boards of the United States,

Inc.;

(5) a copy of the notification of a passing score on the state licensing examination; and

(6) a signed, dated, and notarized affidavit from the
new text begin
registered primary supervising
new text end

licensee who supervised the Minnesota internship stating the date the internship began and

ended and that both the applicant and the
new text begin
registered primary
new text end
supervising licensee fulfilled

the requirements under subdivision 6.

Upon receipt of the completed application and appropriate fee, the commissioner shall

review and verify all information. Upon completion of the verification process and resolution

of any deficiencies in the application information, the commissioner shall make a

determination, based on all the information available, to grant or deny licensure. If the

commissioner's determination is to grant licensure, the applicant shall be notified and the

license shall issue and remain valid for a period prescribed on the license, but not to exceed

one calendar year from the date of issuance of the license. If the commissioner's determination

is to deny licensure, the commissioner must notify the applicant, in writing, of the denial

and provide the specific reason for the denial.

Sec. 22.

Minnesota Statutes 2024, section 149A.30, subdivision 1, is amended to read:

Subdivision 1.

Licensees of other states.

new text begin
(a)
new text end
The commissioner may issue a
new text begin
reciprocal
new text end

license to practice mortuary science to a person who holds a current license or other credential

from another jurisdiction if the
deleted text begin
commissioner determines that the requirements for that

license or other credential are substantially similar to the requirements under this chapter.

The individual seeking reciprocal licensing must
deleted text end
new text begin
person
new text end
:

(1)
deleted text begin
attain
deleted text end
new text begin
attains:
new text end

new text begin

(i)
new text end
a passing score on the Minnesota state licensing examination;
new text begin
and
new text end

new text begin

(ii) a passing score on the National Board Examination administered by the International

Conference of Funeral Service Examining Boards of the United States, Inc., or another

examination determined by the commissioner to adequately and accurately assess the

knowledge and skills required to practice mortuary science;

new text end

(2)
deleted text begin
submit
deleted text end
new text begin
submits
new text end
to the commissioner the documentation described in section
149A.20,

subdivision 7
, clauses (1) and (5)
new text begin
, and certification of a passing score on an examination

described in clause (1), item (ii)
new text end
;
deleted text begin
and
deleted text end

(3)
deleted text begin
pay
deleted text end
new text begin
pays
new text end
the appropriate licensing fee
deleted text begin
.
deleted text end
new text begin
;
new text end

new text begin

(4) submits to the commissioner:

new text end

new text begin

(i) documentation that the person meets one of the educational requirements in section

149A.20, subdivision 4; or

new text end

new text begin

(ii) documentation that the person has been licensed or credentialed in another jurisdiction

and a signed, dated affidavit from the person declaring that the person has engaged in at

least three years of practice in that jurisdiction performing the duties of a licensed mortician;

new text end

new text begin

(5) submits to the commissioner a signed, dated affidavit from the person declaring that

the person is not subject to any pending investigations by the mortuary science licensing or

credentialing authority in any other jurisdiction and is not currently practicing as a licensed

mortician in any other jurisdiction under a restricted license or credential;

new text end

new text begin

(6) submits to the commissioner a signed, dated affidavit from the person declaring that

the person has performed at least 25 services, completed at least 25 funeral arrangements,

and performed at least 25 embalming cases; and

new text end

new text begin

(7) submits to the commissioner documentation that the person has completed the

continuing education hours required in section 149A.40, subdivision 11, within the two-year

period prior to applying for licensure under this subdivision.

new text end

new text begin

(b)
new text end
When, in the determination of the commissioner, all of the requirements of this

subdivision have been met, the commissioner shall, based on all the information available,

grant or deny licensure. If the commissioner grants licensure, the applicant shall be notified

and the license shall issue and remain valid for a period prescribed on the license, but not

to exceed one calendar year from the date of issuance of the license. If the commissioner

denies licensure, the commissioner must notify the applicant, in writing, of the denial and

provide the specific reason for denial.

Sec. 23.

Minnesota Statutes 2024, section 149A.91, subdivision 3, is amended to read:

Subd. 3.

Embalming or refrigeration required.

(a) A dead human body must be

embalmed by a licensed mortician or registered intern or practicum student or clinical

student, refrigerated, or packed in dry ice in the following circumstances:

(1) if the body will be transported by public transportation, pursuant to section
149A.93,

subdivision 7
;

(2) if final disposition will not be accomplished within 72 hours after death or release

of the body by a competent authority with jurisdiction over the body or the body will be

lawfully stored for final disposition in the future, except as provided in section
149A.94,

subdivision 1
;

(3) if the body will be publicly viewed subject to paragraph (b); or

(4) if so ordered by the commissioner of health for the control of infectious disease and

the protection of the public health.

(b) For purposes of this subdivision, "publicly viewed" means reviewal of a dead human

body by anyone other than those mentioned in section
149A.80, subdivision 2
, and their

minor children. Dry ice may only be used when the dead human body is publicly viewed

within private property.

(c)
new text begin
Except as provided in section 149A.955, subdivision 14,
new text end
a body may not be kept in

refrigeration for a period that exceeds six calendar days, or packed in dry ice for a period

that exceeds four calendar days, from the time and release of the body from the place of

death or from the time of release from the coroner or medical examiner.

Sec. 24.

Minnesota Statutes 2024, section 149A.94, subdivision 1, is amended to read:

Subdivision 1.

Generally.

Every dead human body lying within the state, except

unclaimed bodies delivered for dissection by the medical examiner, those delivered for

anatomical study pursuant to section
149A.81, subdivision 2
, or lawfully carried through

the state for the purpose of disposition elsewhere; and the remains of any dead human body

after dissection or anatomical study, shall be decently buried or entombed in a public or

private cemetery, alkaline hydrolyzed, cremated, or
deleted text begin
, effective July 1, 2025,
deleted text end
naturally reduced

within a reasonable time after death. Where final disposition of a body will not be

accomplished
deleted text begin
,
deleted text end
or
deleted text begin
, effective July 1, 2025,
deleted text end
when natural organic reduction will not be initiated
deleted text begin
,
deleted text end

within 72 hours following death or release of the body by a competent authority with

jurisdiction over the body, the body must be properly embalmed, refrigerated, or packed

with dry ice.
new text begin
Except as provided in section 149A.955, subdivision 14,
new text end
a body may not be

kept in refrigeration for a period exceeding six calendar days, or packed in dry ice for a

period that exceeds four calendar days, from the time of death or release of the body from

the coroner or medical examiner.

Sec. 25.

Minnesota Statutes 2024, section 149A.955, subdivision 14, is amended to read:

Subd. 14.

Bodies awaiting natural organic reduction.

A dead human body must be

placed in the natural organic reduction vessel to initiate the natural reduction process within
deleted text begin

24 hours
deleted text end
new text begin
30 days
new text end
after the natural organic reduction facility accepts legal and physical

custody of the body.
new text begin
A natural organic reduction facility must keep a body awaiting natural

organic reduction in refrigeration if the facility holds the body for a period that exceeds four

calendar days. A natural organic reduction facility must embalm a body awaiting natural

organic reduction or have the body embalmed if the natural reduction process is not initiated

within 30 days after the facility accepted legal and physical custody of the body, but the

facility is not required to embalm or have embalmed the body if the natural reduction process

is initiated within 30 days after the facility accepted legal and physical custody of the body.
new text end

ARTICLE 3

FEDERAL CONFORMITY AND RELATED PROVISIONS

Section 1.

Minnesota Statutes 2024, section 116J.035, is amended by adding a subdivision

to read:

new text begin

Subd. 9.

new text end

new text begin

Disclosure to the commissioner of human services.

new text end

new text begin

The commissioner may

disclose workforce program participation data gathered under chapter 116L to the

commissioner of human services for the purpose of administering section 256B.0562 without

the consent of the subject of the data.

new text end

Sec. 2.

Minnesota Statutes 2025 Supplement, section 256.9657, subdivision 2b, is amended

to read:

Subd. 2b.

Hospital assessment.

(a) For purposes of this subdivision, the following terms

have the meanings given:

(1) "eligible hospital" means:

(i) PrairieCare psychiatric hospital; or

(ii) a hospital licensed under section
144.50
, located in Minnesota, and with a Medicare

cost report filed and showing in the Healthcare Cost Report Information System (HCRIS),

except for the following:

(A) federal Indian Health Service facilities;

(B) state-owned or state-operated regional treatment centers and all state-operated

services;

(C) federal Veterans Administration Medical Centers;
deleted text begin
and
deleted text end

(D) long-term acute care hospitals;
new text begin
and

new text end

new text begin

(E) hospitals that do not receive payments under section 256B.1974;

new text end

(2) "net outpatient revenue" means total outpatient revenue less Medicare revenue as

calculated from:

(i) values on Worksheet G of the hospital's Medicare cost report; or

(ii) for PrairieCare psychiatric hospital, data available to the commissioner; and

(3) "total patient days" means total hospital inpatient days as reported on:

(i) Worksheet S-3 of the hospital's Medicare cost report; or

(ii) for PrairieCare psychiatric hospital, data available to the commissioner.

(b) Subject to paragraphs (m) to (o), each eligible hospital must pay assessments to the

hospital directed payment program account in the special revenue fund, with an aggregate

annual assessment amount equal to the sum of the following:

(1) $120.22 multiplied by total patient days; and

(2) 5.96 percent of the hospital's net outpatient revenue.

(c) The assessment amount for calendar years 2026 and 2027 must be based on the total

patient days and net outpatient revenue reflected on an eligible hospital's Medicare cost

report as follows:

(1) an eligible hospital with a fiscal year ending on March 31 or June 30 must use data

from a cost report from the hospital's fiscal year 2022; and

(2) an eligible hospital with a fiscal year ending on September 30 or December 31 must

use data from a cost report from the hospital's fiscal year 2021.

(d) The annual assessment amount for calendar years after 2027 must be set for a two-year

period and must be based on the total patient days and net outpatient revenue reflected on

an eligible hospital's most recent Medicare cost report filed and showing in HCRIS as of

August 1 of the year prior to the subsequent two-year period.

(e) The commissioner may, after consultation with the Minnesota Hospital Association,

modify the rates of assessment in paragraph (b) as necessary to comply with federal law,

obtain or maintain a waiver under Code of Federal Regulations, title 42, section 433.72, or

otherwise maximize under this section federal financial participation for medical assistance.

Notwithstanding the foregoing authorization to maximize federal financial participation for

medical assistance, the commissioner must reduce the rates of assessment in paragraph (b)

as necessary to ensure:

(1) the state's aggregated health care-related taxes on inpatient hospital services do not

exceed 5.75 percent of the net patient revenue attributable to those services; and

(2) the state's aggregated health care-related taxes on outpatient hospital services do not

exceed 5.75 percent of the net patient revenue attributable to those services.

(f) Eligible hospitals must pay the annual assessment amount under paragraph (b) to the

commissioner by paying four equal, quarterly assessments. Eligible hospitals must pay the

quarterly assessments by January 1, April 1, July 1, and October 1 each year. Assessments

must be paid in the form and manner specified by the commissioner. An eligible hospital

is prohibited from paying a quarterly assessment until the eligible hospital has received the

applicable invoice under paragraph (g).

(g) The commissioner must provide eligible hospitals with an invoice by December 1

for the assessment due January 1, March 1 for the assessment due April 1, June 1 for the

assessment due July 1, and September 1 for the assessment due October 1 each year.

(h) The commissioner must notify each eligible hospital of the hospital's estimated annual

assessment amount for the subsequent calendar year by October 15 each year.

(i) If any of the dates for assessments or invoices in paragraphs (f) to (h) fall on a holiday,

the applicable date is the next business day.

(j) A hospital that has merged with another hospital must have the surviving hospital's

assessment revised at the start of the hospital's first full fiscal year after the merger is

complete. A closed hospital is retroactively responsible for assessments owed for services

provided through the final date of operations.

(k) If the commissioner determines that a hospital has underpaid or overpaid an

assessment, the commissioner must notify the hospital of the unpaid assessment or of any

refund due. The commissioner must refund a hospital's overpayment from the hospital

directed payment program account created in section
256B.1975, subdivision 1
.

(l) Revenue from an assessment under this subdivision must only be used by the

commissioner to pay the nonfederal share of the directed payment program under section

256B.1974
.

(m) The commissioner is prohibited from collecting any assessment under this subdivision

during any period of time when:

(1) federal financial participation is unavailable or disallowed, or if the approved

aggregate federal financial participation for the directed payment under section
256B.1974

is less than 51 percent; or

(2) a directed payment under section
256B.1974
is not approved by the Centers for

Medicare and Medicaid Services.

(n) The commissioner must make the following discounts from the inpatient portion of

the assessment under paragraph (b), clause (1), in the stated amount or as necessary to

achieve federal approval of the assessment in this section:

(1) Hennepin Healthcare, with a discount of 25 percent;

(2) Mayo Rochester, with a discount of ten percent;

(3) Gillette Children's Hospital, with a discount of 90 percent;

(4) each hospital not included in another discount category, and with greater than

$200,000,000 in total medical assistance inpatient and outpatient revenue in fee-for-service

and managed care, as reported in state fiscal year 2022 medical assistance fee-for-service

and managed care claims data, with a discount of five percent; and

(5) any hospital responsible for greater than 12 percent of the total assessment annually

collected statewide, with a discount in the amount necessary such that the hospital is

responsible for 12 percent of the total assessment annually collected statewide.

(o) The commissioner must make the following discounts from the outpatient portion

of the assessment under paragraph (b), clause (2), in the stated amount or as necessary to

achieve federal approval of the assessment in this section:

(1) each critical access hospital or independent hospital located outside a city of the first

class and paid under the Medicare prospective payment system, with a discount of 40 percent;

(2) Gillette Children's Hospital, with a discount of 90 percent;

(3) Hennepin Healthcare, with a discount of 60 percent;

(4) Mayo Rochester, with a discount of 20 percent; and

(5) each hospital not included in another discount category, and with greater than

$200,000,000 in total medical assistance inpatient and outpatient revenue in fee-for-service

and managed care, as reported in state fiscal year 2022 medical assistance fee-for-service

and managed care claims data, with a discount of ten percent.

(p) If the federal share of the hospital directed payment program under section
256B.1974

is increased as the result of an increase to the federal medical assistance percentage, the

commissioner must reduce the assessment on a uniform percentage basis across eligible

hospitals on which the assessment is imposed, such that the aggregate amount collected

from hospitals under this subdivision does not exceed the total amount needed to maintain

the same aggregate state and federal funding level for the directed payments authorized by

section
256B.1974
.

(q) Eligible hospitals must submit to the commissioner on an annual basis, in the form

and manner specified by the commissioner in consultation with the Minnesota Hospital

Association, all documentation necessary to determine the assessment amounts under this

subdivision.

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective upon the date that Laws 2025, First

Special Session chapter 3, article 8, section 4, becomes effective.

new text end

Sec. 3.

Minnesota Statutes 2025 Supplement, section 256.969, subdivision 2f, is amended

to read:

Subd. 2f.

Alternate inpatient payment rate.

(a) Effective January 1, 2022, for a hospital

eligible to receive disproportionate share hospital payments under subdivision 9, paragraph

(d), clause (6), the commissioner shall reduce the amount calculated under subdivision 9,

paragraph (d), clause (6), by
deleted text begin
99
deleted text end
new text begin
one
new text end
percent and compute an alternate inpatient payment

rate. The alternate payment rate shall be structured to target a total aggregate reimbursement

amount equal to what the hospital would have received for providing fee-for-service inpatient

services under this section to patients enrolled in medical assistance had the hospital received

the entire amount calculated under subdivision 9, paragraph (d), clause (6). This paragraph

expires when paragraph (b) becomes effective.

(b) For hospitals eligible to receive payment under section
256B.1973
or
256B.1974

and meeting the criteria in subdivision 9, paragraph (d), the commissioner
deleted text begin
must
deleted text end
new text begin
may
new text end
reduce

the amount calculated under subdivision 9, paragraph (d), by one percent and compute an

alternate inpatient payment rate. The alternate payment rate must be structured to target a

total aggregate reimbursement amount equal to the amount that the hospital would have

received for providing fee-for-service inpatient services under this section to patients enrolled

in medical assistance had the hospital received 99 percent of the entire amount calculated

under subdivision 9, paragraph (d). Hospitals that do not meet federal requirements for

Medicaid disproportionate share hospitals are not eligible for the alternate payment rate.

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective upon the date that Laws 2025, First

Special Session chapter 3, article 8, section 5, becomes effective.

new text end

Sec. 4.

Minnesota Statutes 2024, section 256B.04, subdivision 27, is amended to read:

Subd. 27.

Disenrollment under medical assistance and MinnesotaCare.

(a) The

commissioner shall regularly
new text begin
obtain and use information from reliable data sources, including

but not limited to managed care and county-based purchasing plans, state health and human

services programs, mail returned by the United States Postal Service with a forwarding

address, and the National Change of Address database maintained by the United States

Postal Service, to
new text end
update mailing addresses and other contact information for medical

assistance and MinnesotaCare enrollees
deleted text begin
in cases of returned mail and nonresponse using

information available through managed care and county-based purchasing plans, state health

and human services programs, and other sources
deleted text end
.

(b) The commissioner shall not disenroll an individual from medical assistance or

MinnesotaCare in cases of returned mail until the commissioner makes at least two attempts

by phone, email, or other methods to contact the individual. The commissioner may disenroll

the individual after providing no less than 30 days for the individual to respond to the most

recent contact attempt.

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 5.

Minnesota Statutes 2024, section 256B.056, subdivision 2a, is amended to read:

Subd. 2a.

Home equity limit for medical assistance payment of long-term care

services.

(a) Effective for requests of medical assistance payment of long-term care services

filed on or after July 1, 2006, and for renewals on or after July 1, 2006, for persons who

received payment of long-term care services under a request filed on or after January 1,

2006, the equity interest in the home of a person whose eligibility for long-term care services

is determined on or after January 1, 2006, shall not exceed $500,000, unless it is the lawful

residence of the person's spouse or child who is under age 21, or a child of any age who is

blind or permanently and totally disabled as defined in the Supplemental Security Income

program. The amount specified in this paragraph shall be increased beginning in year 2011,

from year to year based on the percentage increase in the Consumer Price Index for all urban

consumers (all items; United States city average), rounded to the nearest $1,000.

new text begin

(b) Effective January 1, 2028, the amount specified in paragraph (a) must not exceed

$1,000,000.

new text end

deleted text begin

(b)
deleted text end
new text begin
(c)
new text end
For purposes of this subdivision, a "home" means any real or personal property

interest, including an interest in an agricultural homestead as defined under section
273.124,

subdivision 1
, that, at the time of the request for medical assistance payment of long-term

care services, is the primary dwelling of the person or was the primary dwelling of the

person before receipt of long-term care services began outside of the home.

deleted text begin

(c)
deleted text end
new text begin
(d)
new text end
A person denied or terminated from medical assistance payment of long-term

care services because the person's home equity exceeds the home equity limit may seek a

waiver based upon a hardship by filing a written request with the county agency. Hardship

is an imminent threat to the person's health and well-being that is demonstrated by

documentation of no alternatives for payment of long-term care services. The county agency

shall make a decision regarding the written request to waive the home equity limit within

30 days if all necessary information has been provided. The county agency shall send the

person and the person's representative a written notice of decision on the request for a

demonstrated hardship waiver that also advises the person of appeal rights under the fair

hearing process of section
256.045
.

Sec. 6.

Minnesota Statutes 2024, section 256B.056, subdivision 3d, is amended to read:

Subd. 3d.

Reduction of excess assets.

Assets in excess of the limits in subdivisions 3

to 3c may be reduced to allowable limits as follows:

(a) Assets may be reduced in
deleted text begin
any of the three
deleted text end
new text begin
either one or two
new text end
calendar months before

the month of application in which the applicant seeks coverage
new text begin
, according to the applicant's

retroactive eligibility under section 256B.061
new text end
by paying bills for health services that are

incurred in the retroactive period for which the applicant seeks eligibility, starting with the

oldest bill. After assets are reduced to allowable limits, eligibility begins with the next dollar

of MA-covered health services incurred in the retroactive period. Applicants reducing assets

under this subdivision who also have excess income shall first spend excess assets to pay

health service bills and may meet the income spenddown on remaining bills.

(b) Assets may be reduced beginning the month of application by paying bills for health

services that are incurred during the period specified in Minnesota Rules, part
9505.0090
,

subpart 2, that would otherwise be paid by medical assistance. After assets are reduced to

allowable limits, eligibility begins with the next dollar of medical assistance covered health

services incurred in the period. Applicants reducing assets under this subdivision who also

have excess income shall first spend excess assets to pay health service bills and may meet

the income spenddown on remaining bills.

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 7.

Minnesota Statutes 2024, section 256B.056, subdivision 7, is amended to read:

Subd. 7.

Period of eligibility.

(a) Eligibility is available for the month of application

and for
deleted text begin
three
deleted text end
new text begin
:
new text end

new text begin

(1) one month prior to application for an individual eligible under section 256B.055,

subdivision 15, if the individual was eligible in the prior month; or

new text end

new text begin

(2) two
new text end
months prior to application
new text begin
for all other eligible individuals
new text end
if the
deleted text begin
person
deleted text end
new text begin

individual
new text end
was eligible in those prior months.
deleted text begin
A redetermination of eligibility must occur

every 12 months.
deleted text end

(b) Notwithstanding any other law to the contrary:

(1) a child under 19 years of age who is determined eligible for medical assistance must

remain eligible for a period of 12 months;

(2) a child 19 years of age and older but under 21 years of age who is determined eligible

for medical assistance must remain eligible for a period of 12 months; and

(3) a child under six years of age who is determined eligible for medical assistance must

remain eligible through the month in which the child reaches six years of age.

(c) A child's eligibility under paragraph (b) may be terminated earlier if:

(1) the child or the child's representative requests voluntary termination of eligibility;

(2) the child ceases to be a resident of this state;

(3) the child dies;

(4) the child attains the maximum age; or

(5) the agency determines eligibility was erroneously granted at the most recent eligibility

determination due to agency error or fraud, abuse, or perjury attributed to the child or the

child's representative.

(d) For
deleted text begin
a person
deleted text end
new text begin
an individual
new text end
eligible for an insurance affordability program as defined

in section
256B.02, subdivision 19
, who reports a change that makes the
deleted text begin
person
deleted text end
new text begin
individual
new text end

eligible for medical assistance, eligibility is available for the month the change was reported

and for
deleted text begin
three
deleted text end
new text begin
one month prior to the month the change was reported for an individual eligible

under section 256B.055, subdivision 15, or two
new text end
months prior to the month the change was

reported
deleted text begin
,
deleted text end
new text begin
for all other eligible individuals
new text end
if the
deleted text begin
person
deleted text end
new text begin
individual
new text end
was eligible in
deleted text begin
those
deleted text end
new text begin
the
new text end

prior
new text begin
month or
new text end
months.

new text begin

(e) The period of eligibility for an individual eligible for medical assistance under section

256B.055, subdivision 15, is six months. The period of eligibility for all other medical

assistance enrollees is 12 months.

new text end

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 8.

Minnesota Statutes 2024, section 256B.056, subdivision 7a, is amended to read:

Subd. 7a.

Periodic renewal of eligibility.

(a)
new text begin
Except as provided in paragraphs (d) and

(e),
new text end
the commissioner shall make an annual redetermination of eligibility based on

information contained in the enrollee's case file and other information available to the

agency, including but not limited to information accessed through an electronic database,

without requiring the enrollee to submit any information when sufficient data is available

for the agency to renew eligibility.

(b) If the commissioner cannot renew eligibility in accordance with paragraph (a), the

commissioner must provide the enrollee with a prepopulated renewal form containing

eligibility information available to the agency and permit the enrollee to submit the form

with any corrections or additional information to the agency and sign the renewal form via

any of the modes of submission specified in section
256B.04, subdivision 18
.

(c) An enrollee who is terminated for failure to complete the renewal process may

subsequently submit the renewal form and required information within four months after

the date of termination and have coverage reinstated without a lapse, if otherwise eligible

under this chapter. The local agency may close the enrollee's case file if the required

information is not submitted within four months of termination.

(d) Notwithstanding paragraph (a), a person who is eligible under subdivision 5
deleted text begin
shall

be
deleted text end
new text begin
is
new text end
subject to a review of the person's income every six months.

new text begin

(e) Notwithstanding paragraph (a), a person who is eligible under section 256B.055,

subdivision 15, and who is not an American Indian or Alaska Native is subject to

redetermination of eligibility every six months.

new text end

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 9.

Minnesota Statutes 2024, section 256B.0561, subdivision 2, is amended to read:

Subd. 2.

Periodic data matching.

(a) The commissioner shall conduct periodic data

matching to identify recipients who, based on available electronic data, may not meet

eligibility criteria for the public health care program in which the recipient is enrolled. The

commissioner shall conduct data matching for medical assistance or MinnesotaCare recipients

at least once during a recipient's
deleted text begin
12-month
deleted text end
period of eligibility
new text begin
, except as provided in

paragraph (f)
new text end
.

(b) If data matching indicates a recipient may no longer qualify for medical assistance

or MinnesotaCare, the commissioner must notify the recipient and allow the recipient no

more than 30 days to confirm the information obtained through the periodic data matching

or provide a reasonable explanation for the discrepancy to the state or county agency directly

responsible for the recipient's case. If a recipient does not respond within the advance notice

period or does not respond with information that demonstrates eligibility or provides a

reasonable explanation for the discrepancy within the 30-day time period, the commissioner

shall terminate the recipient's eligibility in the manner provided for by the laws and

regulations governing the health care program for which the recipient has been identified

as being ineligible.

(c) The commissioner shall not terminate eligibility for a recipient who is cooperating

with the requirements of paragraph (b) and needs additional time to provide information in

response to the notification.

(d) A recipient whose eligibility was terminated according to paragraph (b) may be

eligible for medical assistance no earlier than the first day of the month in which the recipient

provides information that demonstrates the recipient's eligibility.

(e) Any termination of eligibility for benefits under this section may be appealed as

provided for in sections
256.045
to
256.0451
, and the laws governing the health care

programs for which eligibility is terminated.

new text begin

(f) Effective January 1, 2027, an individual who is subject to a redetermination of

eligibility every six months under section 256B.056, subdivision 7a, paragraph (e), is exempt

from periodic data matching under this subdivision.

new text end

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective the day following final enactment.

new text end

Sec. 10.

new text begin

[256B.0562] WORK OR COMMUNITY ENGAGEMENT REQUIREMENTS.

new text end

new text begin

Subdivision 1.

new text end

new text begin

Demonstrating work or community engagement.

new text end

new text begin

(a) To be eligible

for medical assistance, an applicable individual must either demonstrate compliance with

the work or community engagement requirements or qualify for an exemption from the

requirements under this section. For purposes of this section, "applicable individual" means

an individual eligible for medical assistance under section 256B.055, subdivision 15.

new text end

new text begin

(b) An applicant must meet the requirements of this section for the 45 days immediately

preceding the month during which the applicant submits an application for medical assistance.

new text end

new text begin

(c) To renew eligibility under section 256B.056, subdivision 7a, an enrollee must meet

the requirements of this section for at least 45 days during the enrollee's six-month period

of eligibility.

new text end

new text begin

(d) To comply with the work or community engagement requirements in a given month,

an applicable individual must do one or more of the following:

new text end

new text begin

(1) work at least 80 hours;

new text end

new text begin

(2) complete at least 80 hours of community service;

new text end

new text begin

(3) participate in a work program, as defined in United States Code, title 7, section

2015(o)(1), for at least 80 hours;

new text end

new text begin

(4) be enrolled at least half-time in an educational program, including but not limited to

an institution of higher education and a program of career and technical education;

new text end

new text begin

(5) engage in any combination of the activities described in clauses (1) to (4) for a total

of at least 80 hours;

new text end

new text begin

(6) have a monthly income that is equal to or greater than the federal minimum wage

multiplied by 80 hours; or

new text end

new text begin

(7) have had an average monthly income over the preceding six months that is equal to

or greater than the federal minimum wage multiplied by 80 hours, and be a seasonal worker,

as defined under United States Code, title 26, section 45R(d)(5)(B).

new text end

new text begin

Subd. 2.

new text end

new text begin

Exemptions.

new text end

new text begin

(a) An applicable individual is not subject to the work or

community engagement requirements for part or all of a month in which the applicable

individual is:

new text end

new text begin

(1) an American Indian or Alaska Native;

new text end

new text begin

(2) a parent, guardian, caretaker relative, or family caregiver, as defined in section 2 of

the RAISE Family Caregivers Act, Public Law 115-119, as amended, of an individual with

a disability;

new text end

new text begin

(3) a veteran with a disability rated as total under United States Code, title 38, section

1155;

new text end

new text begin

(4) receiving benefits under the Minnesota family investment program under chapter

142G and meeting the work activity and participation requirements under chapter 142G;

new text end

new text begin

(5) a member of a household that receives Supplemental Nutrition Assistance Program

(SNAP) benefits under the federal Food and Nutrition Act of 2008, Public Law 88-525, as

amended, and is not exempt from a work requirement under the act;

new text end

new text begin

(6) a participant in a drug addiction or alcohol treatment and rehabilitation program, as

defined under United States Code, title 7, section 2012;

new text end

new text begin

(7) incarcerated;

new text end

new text begin

(8) pregnant or entitled to postpartum medical assistance; or

new text end

new text begin

(9) is medically frail or otherwise has special medical needs, in accordance with guidance

issued by the United States Department of Health and Human Services. This includes but

is not limited to an individual who: is blind or has a disability; has a substance use disorder;

has a disabling mental disorder; has a physical, intellectual, or developmental disability that

significantly impairs the individual's ability to perform one or more activities of daily living;

or has a serious or complex medical condition.

new text end

new text begin

(b) The commissioner must develop standard processes for an individual to request and

verify that they meet an exemption from the work or community engagement requirements

on the basis of being medically frail or otherwise having special medical needs.

new text end

new text begin

(c) Enrollees who are exempt from the work or community engagement requirements

under this subdivision must report any changes related to the enrollee's exemption status

within ten days of the change to the county agency. The agency must redetermine eligibility

for the exemption when a change in exemption status is reported and at the time of the

enrollee's renewal.

new text end

new text begin

Subd. 3.

new text end

new text begin

Short-term hardship exemption.

new text end

new text begin

(a) The commissioner must deem an

applicable individual as meeting the work or community engagement requirements for a

given month if for part or all of the month the applicable individual:

new text end

new text begin

(1) requests an exemption on the basis of receiving inpatient hospital services, nursing

facility services, services in an intermediate care facility for persons with developmental

disabilities, inpatient psychiatric hospital services, or such other services of similar acuity,

including but not limited to outpatient care relating to the above-listed services, in accordance

with guidance issued by the United States Department of Health and Human Services;

new text end

new text begin

(2) requests an exemption on the basis of having to travel outside of the individual's

community for an extended period of time to receive medical services necessary to treat a

serious or complex medical condition, either for the individual or the individual's dependent,

when the services are not available in the individual's community of residence;

new text end

new text begin

(3) resides in a county or equivalent unit of local government in which an emergency

or disaster has been declared under the National Emergencies Act, Public Law 94-412, as

amended, or the Robert T. Stafford Disaster Relief and Emergency Assistance Act, Public

Law 93-288, as amended; or

new text end

new text begin

(4) resides in a county or equivalent unit of local government that has an unemployment

rate that is at or above the lesser of eight percent or 1.5 times the national unemployment

rate, and for which the United States Department of Health and Human Services has granted

an exception based on a request from the commissioner.

new text end

new text begin

(b) The commissioner must grant short-term hardship exemptions required under this

subdivision in accordance with standards specified by the United States Department of

Health and Human Services.

new text end

new text begin

Subd. 4.

new text end

new text begin

Determining and verifying compliance.

new text end

new text begin

(a) The commissioner must determine

whether an individual is subject to, compliant with, or exempt from the work or community

engagement requirements using processes established by the commissioner that rely on

information available to the commissioner through electronic data sources. The commissioner

must not request additional information or documentation from an applicable individual

unless the commissioner is unable to make a determination using the information available

to the commissioner.

new text end

new text begin

(b) The commissioner is prohibited from relying on managed care plans, county-based

purchasing plans, or contractors with direct or indirect financial relationships with managed

care or county-based purchasing plans to make determinations about whether an individual

is subject to, compliant with, or exempt from the work or community engagement

requirements.

new text end

new text begin

Subd. 5.

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Failure to satisfy work or community engagement requirements.

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(a) If the

commissioner cannot establish an applicable individual's compliance with or exemption

from the work or community engagement requirements, the commissioner must provide

notice of noncompliance and allow the applicant or beneficiary 30 calendar days from the

date the notice is received to demonstrate compliance with or exemption from the

requirements. The notice must include:

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(1) information about how to demonstrate compliance with or exemption from the

requirements; and

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(2) information about how to reapply for medical assistance if the individual's application

is denied or if the beneficiary is disenrolled.

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(b) An enrolled beneficiary continues to be eligible for medical assistance during the

30-day period under paragraph (a).

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(c) If the commissioner determines that an individual is subject to but not compliant

with the work or community engagement requirements after the 30-day period, the

commissioner must:

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(1) determine whether the individual has any other basis for eligibility for medical

assistance or another insurance affordability program;

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(2) provide written notice and fair hearing rights in accordance with Code of Federal

Regulations, title 42, part 431, subpart E; and

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(3) if there is no other basis for medical assistance eligibility, deny the application or

terminate eligibility by the end of the month that follows the 30-day period.

new text end

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Subd. 6.

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Outreach to applicable individuals.

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(a) By September 1, 2026, the

commissioner must notify medical assistance enrollees who may be applicable individuals

about the work or community engagement requirements.

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(b) Beginning January 1, 2027, the commissioner must semiannually notify medical

assistance enrollees who may be applicable individuals about the work or community

engagement requirements.

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(c) The notifications required under this subdivision must include, at a minimum:

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(1) information about how to comply with the requirements;

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(2) an explanation of who is considered an applicable individual;

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(3) the list of exemptions from the requirements and how to obtain an exemption from

the requirements;

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(4) information about how to report a change in status that could result in the individual

qualifying for an exemption, meeting an exemption, or being subject to the requirements

after an exemption ends; and

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(5) information about the consequences of not complying with the requirements.

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(d) The commissioner must provide the notices required under this subdivision by mail

or an electronic format, if elected by the individual, and one or more additional formats

deemed appropriate by the United States Department of Health and Human Services.

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Subd. 7.

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Additional requirements for the commissioner.

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The commissioner, in

collaboration with county agencies, must implement strategies to assist applicable individuals

in meeting the work or community engagement requirements and link applicable individuals

to additional resources for job training or other employment services, child care assistance,

transportation, or other supports to help applicable individuals prepare for work, maintain

employment, or increase earnings.

new text end

Sec. 11.

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[256B.0563] REVIEW OF DEATH MASTER FILE.

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Subdivision 1.

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new text begin

Definition.

new text end

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For purposes of this section, "death master file" means

information about deceased individuals maintained by the Social Security Administration

under United States Code, title 42, section 1306c(d), or any successor system.

new text end

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Subd. 2.

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Review of the death master file.

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(a) Beginning January 1, 2027, the

commissioner must review the death master file at least quarterly to identify any medical

assistance recipients who are deceased.

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(b) If review of the death master file or any other source indicates that a recipient is

deceased, the commissioner must:

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(1) terminate the recipient's eligibility for medical assistance in the manner provided for

by the laws and regulations governing medical assistance;

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(2) notify the recipient and the recipient's representative no later than the date of the

termination; and

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(3) discontinue any payments to providers under this chapter made on behalf of the

recipient as of the date of the termination.

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(c) If the commissioner determines that a recipient was misidentified as deceased and

erroneously disenrolled from medical assistance based on information obtained from the

death master file or any other source, the commissioner must immediately re-enroll the

individual in medical assistance retroactive to the date of termination under paragraph (b).

new text end

new text begin

Subd. 3.

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Review of other sources.

new text end

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Nothing in this section prevents the commissioner

from reviewing other sources to identify recipients of medical assistance who are deceased,

provided the commissioner is in compliance with this section and all other requirements

under this chapter related to medical assistance eligibility determination and redetermination.

new text end

Sec. 12.

Minnesota Statutes 2024, section 256B.06, subdivision 4, is amended to read:

Subd. 4.

Citizenship requirements.

(a) Eligibility for medical assistance is limited to

citizens of the United States, qualified noncitizens as defined in this subdivision, and other

persons residing lawfully in the United States
new text begin
as described in this subdivision
new text end
. Citizens or

nationals of the United States must cooperate in obtaining satisfactory documentary evidence

of citizenship or nationality according to the requirements of the federal Deficit Reduction

Act of 2005, Public Law 109-171.

(b) "Qualified noncitizen" means a person who meets one of the following immigration

criteria:

(1) admitted for lawful permanent residence according to United States Code, title 8;

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(2) admitted to the United States as a refugee according to United States Code, title 8,

section 1157;

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(3) granted asylum according to United States Code, title 8, section 1158;

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(4) granted withholding of deportation according to United States Code, title 8, section

1253(h);

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(5) paroled for a period of at least one year according to United States Code, title 8,

section 1182(d)(5);

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(6) granted conditional entrant status according to United States Code, title 8, section

1153(a)(7);

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(7) determined to be a battered noncitizen by the United States Attorney General

according to the Illegal Immigration Reform and Immigrant Responsibility Act of 1996,

title V of the Omnibus Consolidated Appropriations Bill, Public Law 104-200;

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(8) is a child of a noncitizen determined to be a battered noncitizen by the United States

Attorney General according to the Illegal Immigration Reform and Immigrant Responsibility

Act of 1996, title V, of the Omnibus Consolidated Appropriations Bill, Public Law 104-200;

or

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(9)
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(2)
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determined to be a Cuban or Haitian entrant as defined in section 501(e) of Public

Law 96-422, the Refugee Education Assistance Act of 1980
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.
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new text begin
; or
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(3) lawfully resides in the United States in accordance with a Compact of Free Association

under United States Code, title 8, section 1612(b)(2)(G).

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(c) All qualified noncitizens who were residing in the United States before August 22,

1996, who otherwise meet the eligibility requirements of this chapter, are eligible for medical

assistance with federal financial participation.

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(d) Beginning December 1, 1996, qualified noncitizens who entered the United States

on or after August 22, 1996, and who otherwise meet the eligibility requirements of this

chapter are eligible for medical assistance with federal participation for five years if they

meet one of the following criteria:

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(1) refugees admitted to the United States according to United States Code, title 8, section

1157;

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(2) persons granted asylum according to United States Code, title 8, section 1158;

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(3) persons granted withholding of deportation according to United States Code, title 8,

section 1253(h);

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(4) veterans of the United States armed forces with an honorable discharge for a reason

other than noncitizen status, their spouses and unmarried minor dependent children; or

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(5) persons on active duty in the United States armed forces, other than for training,

their spouses and unmarried minor dependent children.

deleted text end

new text begin

(d)
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Beginning July 1, 2010, children and pregnant women who are noncitizens described

in paragraph (b) or who are lawfully present in the United States as defined in Code of

Federal Regulations, title 8, section 103.12, and who otherwise meet eligibility requirements

of this chapter, are eligible for medical assistance with federal financial participation as

provided by the federal Children's Health Insurance Program Reauthorization Act of 2009,

Public Law 111-3.

(e) Nonimmigrants who otherwise meet the eligibility requirements of this chapter are

eligible for the benefits as provided in paragraphs (f) to (h). For purposes of this subdivision,

a "nonimmigrant" is a person in one of the classes listed in United States Code, title 8,

section 1101(a)(15).

(f) Payment shall also be made for care and services that are furnished to noncitizens,

regardless of immigration status, who otherwise meet the eligibility requirements of this

chapter, if such care and services are necessary for the treatment of an emergency medical

condition.

(g) For purposes of this subdivision, the term "emergency medical condition" means a

medical condition that meets the requirements of United States Code, title 42, section

1396b(v).

(h)(1) Notwithstanding paragraph (g), services that are necessary for the treatment of

an emergency medical condition are limited to the following:

(i) services delivered in an emergency room or by an ambulance service licensed under

chapter 144E that are directly related to the treatment of an emergency medical condition;

(ii) services delivered in an inpatient hospital setting following admission from an

emergency room or clinic for an acute emergency condition; and

(iii) follow-up services that are directly related to the original service provided to treat

the emergency medical condition and are covered by the global payment made to the

provider.

(2) Services for the treatment of emergency medical conditions do not include:

(i) services delivered in an emergency room or inpatient setting to treat a nonemergency

condition;

(ii) organ transplants, stem cell transplants, and related care;

(iii) services for routine prenatal care;

(iv) continuing care, including long-term care, nursing facility services, home health

care, adult day care, day training, or supportive living services;

(v) elective surgery;

(vi) outpatient prescription drugs, unless the drugs are administered or dispensed as part

of an emergency room visit;

(vii) preventative health care and family planning services;

(viii) rehabilitation services;

(ix) physical, occupational, or speech therapy;

(x) transportation services;

(xi) case management;

(xii) prosthetics, orthotics, durable medical equipment, or medical supplies;

(xiii) dental services;

(xiv) hospice care;

(xv) audiology services and hearing aids;

(xvi) podiatry services;

(xvii) chiropractic services;

(xviii) immunizations;

(xix) vision services and eyeglasses;

(xx) waiver services;

(xxi) individualized education programs; or

(xxii) substance use disorder treatment.

(i) Pregnant noncitizens who are ineligible for federally funded medical assistance

because of immigration status, are not covered by a group health plan or health insurance

coverage according to Code of Federal Regulations, title 42, section 457.310, and who

otherwise meet the eligibility requirements of this chapter, are eligible for medical assistance

through the period of pregnancy, including labor and delivery, and 12 months postpartum.

(j) Beginning October 1, 2003, persons who are receiving care and rehabilitation services

from a nonprofit center established to serve victims of torture and are otherwise ineligible

for medical assistance under this chapter are eligible for medical assistance without federal

financial participation. These individuals are eligible only for the period during which they

are receiving services from the center. Individuals eligible under this paragraph shall not

be required to participate in prepaid medical assistance. The nonprofit center referenced

under this paragraph may establish itself as a provider of mental health targeted case

management services through a county contract under section
256.0112, subdivision 6
. If

the nonprofit center is unable to secure a contract with a lead county in its service area, then,

notwithstanding the requirements of section
256B.0625, subdivision 20
, the commissioner

may negotiate a contract with the nonprofit center for provision of mental health targeted

case management services. When serving clients who are not the financial responsibility

of their contracted lead county, the nonprofit center must gain the concurrence of the county

of financial responsibility prior to providing mental health targeted case management services

for those clients.

(k) Notwithstanding paragraph (h), clause (2), the following services are covered as

emergency medical conditions under paragraph (f) except where coverage is prohibited

under federal law for services under clauses (1) and (2):

(1) dialysis services provided in a hospital or freestanding dialysis facility;

(2) surgery and the administration of chemotherapy, radiation, and related services

necessary to treat cancer if the recipient has a cancer diagnosis that is not in remission and

requires surgery, chemotherapy, or radiation treatment; and

(3) kidney transplant if the person has been diagnosed with end stage renal disease, is

currently receiving dialysis services, and is a potential candidate for a kidney transplant.

(l) Effective July 1, 2013, recipients of emergency medical assistance under this

subdivision are eligible for coverage of the elderly waiver services provided under chapter

256S, and coverage of rehabilitative services provided in a nursing facility. The age limit

for elderly waiver services does not apply. In order to qualify for coverage, a recipient of

emergency medical assistance is subject to the assessment and reassessment requirements

of section
256B.0911
. Initial and continued enrollment under this paragraph is subject to

the limits of available funding.

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EFFECTIVE DATE.

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new text begin

This section is effective October 1, 2026.

new text end

Sec. 13.

Minnesota Statutes 2024, section 256B.061, is amended to read:

256B.061 ELIGIBILITY; RETROACTIVE EFFECT; RESTRICTIONS.

new text begin

(a)
new text end
If any individual has been determined to be eligible for medical assistance
new text begin
under

section 256B.055, subdivision 15
new text end
, it will be made available for care and services included

under the plan and furnished in or after the
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third
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first
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month before the month in which the

individual made application for such assistance
deleted text begin
,
deleted text end
if such individual was, or upon application

would have been, eligible for medical assistance at the time the care and services were

furnished.
new text begin
If any individual has been determined to be eligible for medical assistance under

any other section, it will be made available for care and services included under the plan

and furnished in or after the second month before the month in which the individual made

application for such assistance if such individual was, or upon application would have been,

eligible for medical assistance at the time the care and services were furnished.
new text end

new text begin

(b)
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The commissioner may limit, restrict, or suspend the eligibility of an individual for

up to one year upon that individual's conviction of a criminal offense related to application

for or receipt of medical assistance benefits.

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 14.

Minnesota Statutes 2024, section 256B.0631, subdivision 1a, is amended to read:

Subd. 1a.

Prohibition on cost-sharing and deductibles.

deleted text begin
Effective January 1, 2024
deleted text end
new text begin

Except for recipients eligible under section 256B.055, subdivision 15
new text end
, the medical assistance

benefit plan must not include cost-sharing or deductibles for any medical assistance recipient

or benefit.

Sec. 15.

Minnesota Statutes 2024, section 256B.0631, is amended by adding a subdivision

to read:

new text begin

Subd. 5.

new text end

new text begin

Cost sharing.

new text end

new text begin

(a) Effective for services provided on or after October 1, 2028,

except as provided in subdivision 6, the medical assistance benefit plan includes the following

cost sharing for recipients eligible under section 256B.055, subdivision 15, with income

above 100 percent of the federal poverty level:

new text end

new text begin

(1) $3 per nonpreventive visit, except as provided in paragraph (c). For purposes of this

subdivision, a visit means an episode of service that is required because of a recipient's

symptoms, diagnosis, or established illness, and that is delivered in an ambulatory setting

by a physician or physician assistant, chiropractor, podiatrist, nurse midwife, advanced

practice nurse, audiologist, optician, or optometrist;

new text end

new text begin

(2) $3.50 for nonemergency visits to a hospital-based emergency room; and

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new text begin

(3) $3 per brand-name drug prescription, $1 per generic drug prescription, and $1 per

prescription for a brand-name multisource drug listed in preferred status on the preferred

drug list, subject to a $12 maximum per month for prescription drug co-payments. No

co-payments shall apply to antipsychotic drugs when used for the treatment of mental illness.

new text end

new text begin

(b) Cost sharing for prescription drugs and related medical supplies to treat chronic

disease must comply with the requirements of section 62Q.481.

new text end

new text begin

(c) A person eligible for medical assistance under section 256B.055, subdivision 15, is

responsible for all co-payments and deductibles in this subdivision.

new text end

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 16.

Minnesota Statutes 2024, section 256B.0631, is amended by adding a subdivision

to read:

new text begin

Subd. 6.

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new text begin

Exceptions.

new text end

new text begin

Co-payments and deductibles are subject to the exceptions and

limits required by section 71120 of the One Big Beautiful Bill Act, Public Law 119-21.

new text end

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 17.

Minnesota Statutes 2024, section 256B.0631, is amended by adding a subdivision

to read:

new text begin

Subd. 7.

new text end

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Collection.

new text end

new text begin

(a) The medical assistance reimbursement to the provider must be

reduced by the amount of the co-payment or deductible, except that reimbursements must

not be reduced:

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new text begin

(1) once a recipient has reached the $12 maximum per month for prescription drug

co-payments; or

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new text begin

(2) for a recipient who has met the recipient's monthly five percent cost-sharing limit.

new text end

new text begin

(b) The provider collects the co-payment or deductible from the recipient. Providers

must not deny services to recipients who are unable to pay the co-payment or deductible.

new text end

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 18.

Minnesota Statutes 2025 Supplement, section 256B.1973, subdivision 9, is

amended to read:

Subd. 9.

Interaction with other directed payments.

new text begin
(a)
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An eligible provider under

subdivision 3 may participate in the hospital directed payment program under section

256B.1974
for inpatient hospital services, outpatient hospital services, or both. A provider

participating in the hospital directed payment program must not receive a directed payment

under this section for any provider classes paid via the hospital directed payment program.

A hospital subject to this section must notify the commissioner in writing no later than 30

days after enactment of this subdivision of the hospital's intention to participate in the

hospital directed payment program under section
256B.1974
for inpatient hospital services,

outpatient hospital services, or both.

new text begin

(b)
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The election under this subdivision is a onetime election, except that if an eligible

provider elects to participate in the hospital directed payment program, and the hospital

directed payment program expires or is not federally approved, the eligible provider may

subsequently elect to participate in the directed payment under this section.

new text begin

(c) If an eligible provider elects not to participate in the hospital directed payment

program under section 256B.1974 and the federal statutes or regulations related to hospital

directed payment programs are subsequently substantially changed, the eligible provider

may elect to participate in the hospital directed payment program under section 256B.1974.

new text end

new text begin

(d) The effective date of the election to participate in the hospital directed payment

program under this section must align with the beginning of the calendar year in which

payment rates under this section are updated. The eligible provider must notify the

commissioner of the eligible provider's intention to make the election ten months before

the effective date of the election.

new text end

Sec. 19.

Minnesota Statutes 2024, section 256L.04, subdivision 14, is amended to read:

Subd. 14.

Coordination with medical assistance.

(a) Individuals eligible for medical

assistance under chapter 256B are not eligible for MinnesotaCare under this section.

new text begin

(b) Individuals denied or disenrolled from medical assistance for failure to comply with

the eligibility requirements of section 256B.0562 are not eligible for MinnesotaCare under

this section.

new text end

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(b)
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new text begin
(c)
new text end
The commissioner shall coordinate eligibility and coverage to ensure that

individuals transitioning between medical assistance and MinnesotaCare have seamless

eligibility and access to health care services.

new text begin

EFFECTIVE DATE.

new text end

new text begin

This section is effective January 1, 2027.

new text end

Sec. 20.

Minnesota Statutes 2025 Supplement, section 268.19, subdivision 1, is amended

to read:

Subdivision 1.

Use of data.

(a) Except as provided by this section, data gathered from

any person under the administration of the Minnesota Unemployment Insurance Law are

private data on individuals or nonpublic data not on individuals as defined in section
13.02,

subdivisions 9
and 12, and may not be disclosed except according to a district court order

or section
13.05
. A subpoena is not considered a district court order. These data may be

disseminated to and used by the following agencies without the consent of the subject of

the data:

(1) state and federal agencies specifically authorized access to the data by state or federal

law;

(2) any agency of any other state or any federal agency charged with the administration

of an unemployment insurance program;

(3) any agency responsible for the maintenance of a system of public employment offices

for the purpose of assisting individuals in obtaining employment;

(4) the public authority responsible for child support in Minnesota or any other state in

accordance with section
518A.83
;

(5) human rights agencies within Minnesota that have enforcement powers;

(6) the Department of Revenue to the extent necessary for its duties under Minnesota

laws;

(7) public and private agencies responsible for administering publicly financed assistance

programs for the purpose of monitoring the eligibility of the program's recipients;

(8) the Department of Labor and Industry, the Department of Commerce, and the Bureau

of Criminal Apprehension for uses consistent with the administration of their duties under

Minnesota law;

(9) the Department of Human Services and the Office of Inspector General and its agents

within the Department of Human Services, including county fraud investigators, for

investigations related to recipient or provider fraud and employees of providers when the

provider is suspected of committing public assistance fraud;

(10) the Department of Human Services for the purpose of evaluating medical assistance

services
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and
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new text begin
,
new text end
supporting program improvement
new text begin
, and administering section 256B.0562
new text end
;

(11) local and state welfare agencies for monitoring the eligibility of the data subject

for assistance programs, or for any employment or training program administered by those

agencies, whether alone, in combination with another welfare agency, or in conjunction

with the department or to monitor and evaluate the statewide Minnesota family investment

program and other cash assistance programs, the Supplemental Nutrition Assistance Program,

and the Supplemental Nutrition Assistance Program Employment and Training program by

providing data on recipients and former recipients of Supplemental Nutrition Assistance

Program (SNAP) benefits, cash assistance under chapter 256, 256D, 256J, or 256K, child

care assistance under chapter 142E, or medical programs under chapter 256B or 256L or

formerly codified under chapter 256D;

(12) local and state welfare agencies for the purpose of identifying employment, wages,

and other information to assist in the collection of an overpayment debt in an assistance

program;

(13) local, state, and federal law enforcement agencies for the purpose of ascertaining

the last known address and employment location of an individual who is the subject of a

criminal investigation;

(14) the United States Immigration and Customs Enforcement has access to data on

specific individuals and specific employers provided the specific individual or specific

employer is the subject of an investigation by that agency;

(15) the Department of Health for the purposes of epidemiologic investigations;

(16) the Department of Corrections for the purposes of case planning and internal research

for preprobation, probation, and postprobation employment tracking of offenders sentenced

to probation and preconfinement and postconfinement employment tracking of committed

offenders;

(17) the state auditor to the extent necessary to conduct audits of job opportunity building

zones as required under section
469.3201
;

(18) the Office of Higher Education for purposes of supporting program improvement,

system evaluation, and research initiatives including the Statewide Longitudinal Education

Data System;

(19) the Family and Medical Benefits Division of the Department of Employment and

Economic Development to be used as necessary to administer chapter 268B; and

(20) the executive director or interim executive director of the Minnesota Secure Choice

Retirement Program established under chapter 187 for the purposes of assisting with

communication with employers and to verify employer compliance with chapter 187.

(b) Data on individuals and employers that are collected, maintained, or used by the

department in an investigation under section
268.182
are confidential as to data on individuals

and protected nonpublic data not on individuals as defined in section
13.02, subdivisions 3

and 13, and must not be disclosed except under statute or district court order or to a party

named in a criminal proceeding, administrative or judicial, for preparation of a defense.

(c) Data gathered by the department in the administration of the Minnesota unemployment

insurance program must not be made the subject or the basis for any suit in any civil

proceedings, administrative or judicial, unless the action is initiated by the department.

Sec. 21.

Minnesota Statutes 2024, section 268.19, subdivision 1a, is amended to read:

Subd. 1a.

Wage detail data.

(a) Wage and employment data gathered under section

268.044
may be disseminated to and used, without the consent of the subject of the data,

by an agency of another state that is designated as the performance accountability and

consumer information agency for that state under Code of Federal Regulations, volume 20,

part 663.510(c), in order to carry out the requirements of the Workforce Investment Act of

1998, United States Code, title 29, sections 2842 and 2871.

(b) The commissioner may enter into a data exchange agreement with an employment

and training service provider under section
116L.17
, or the Workforce Investment Act of

1998, United States Code, title 29, section 2864, under which the commissioner, with the

consent of the subject of the data, may furnish data on the quarterly wages paid and number

of hours worked on those individuals who have received employment and training services

from the provider. With the initial consent of the subject of the data, this data may be shared

for up to three years after termination of the employment and training services provided to

the individual without execution of an additional consent. This data is furnished solely for

the purpose of evaluating the employment and training services provided. The data subject's

ability to receive service is not affected by a refusal to give consent under this paragraph.

The consent form must state this fact.

new text begin

(c) Wage and employment data gathered under section 268.044 may be disseminated to

and used by the commissioner of human services for the purpose of administering section

256B.0562 without the consent of the subject of the data.

new text end

Sec. 22.

Minnesota Statutes 2025 Supplement, section 270B.14, subdivision 1, is amended

to read:

Subdivision 1.

Disclosure to commissioner of human services.

(a) The commissioner

shall provide the records and information necessary to administer the supplemental housing

allowance to the commissioner of human services.

(b) At the request of the commissioner of human services, the commissioner of revenue

shall electronically match the Social Security or individual taxpayer identification numbers

and names of participants in the telephone assistance plan operated under sections
237.69

to
237.71
, with those of property tax refund filers under chapter 290A or renter's credit filers

under section 290.0693, and determine whether each participant's household income is

within the eligibility standards for the telephone assistance plan.

(c) The commissioner may provide records and information collected under sections

295.50
to
295.59
to the commissioner of human services for purposes of the Medicaid

Voluntary Contribution and Provider-Specific Tax Amendments of 1991, Public Law

102-234. Upon the written agreement by the United States Department of Health and Human

Services to maintain the confidentiality of the data, the commissioner may provide records

and information collected under sections
295.50
to
295.59
to the Centers for Medicare and

Medicaid Services section of the United States Department of Health and Human Services

for purposes of meeting federal reporting requirements.

(d) The commissioner may provide records and information to the commissioner of

human services as necessary to administer the early refund of refundable tax credits.

(e) The commissioner may disclose information to the commissioner of human services

as necessary for income verification for eligibility and premium payment under the

MinnesotaCare program, under section
256L.05, subdivision 2
, as well as the medical

assistance program under chapter 256B.

(f) The commissioner may disclose information to the commissioner of human services

necessary to verify whether applicants or recipients for general assistance and the Minnesota

supplemental aid program have claimed refundable tax credits under chapter 290 and the

property tax refund under chapter 290A, and the amounts of the credits.

(g) At the request of the commissioner of human services and when authorized in writing

by the taxpayer, the commissioner of revenue may match the business legal name or

individual legal name, and the Minnesota tax identification number, federal Employer

Identification Number, or Social Security number of the applicant under section
142C.03
;

245A.04, subdivision 1
; or
245I.20
; or license or certification holder. The commissioner of

revenue may share the matching with the commissioner of human services. The matching

may only be used by the commissioner of human services to determine eligibility for provider

grant programs and to facilitate the regulatory oversight of license and certification holders

as it relates to ownership and public funds program integrity. This paragraph applies only

if the commissioner of human services and the commissioner of revenue enter into an

interagency agreement for the purposes of this paragraph.

new text begin

(h) The commissioner may disclose return information to the commissioner of human

services for the purpose of administering section 256B.0562.

new text end

Sec. 23.

Minnesota Statutes 2024, section 295.52, subdivision 8, is amended to read:

Subd. 8.

Contingent reduction in tax rate.

(a) By December 1 of each year, beginning

in 2011, the commissioner of management and budget shall determine the projected balance

in the health care access fund for the biennium.

(b) If the commissioner of management and budget determines that the projected balance

in the health care access fund for the biennium reflects a ratio of revenues to expenditures

and transfers greater than 125 percent, and if the actual cash balance in the fund is adequate,

as determined by the commissioner of management and budget, the commissioner, in

consultation with the
deleted text begin
commissioner
deleted text end
new text begin
commissioners
new text end
of revenue
new text begin
and human services
new text end
, shall

reduce the tax rates levied under subdivisions 1, 1a, 2, 3, and 4, for the subsequent calendar

year sufficient to reduce the structural balance in the fund. The rate may be reduced to the

extent that the projected revenues for the biennium do not exceed 125 percent of expenditures

and transfers. The new rate shall be rounded to the nearest one-tenth of one percent. The

rate reduction under this paragraph expires at the end of each calendar year and is subject

to an annual redetermination by the commissioner of management and budget.

(c) For purposes of the analysis defined in paragraph (b), the commissioner of

management and budget shall include projected revenues.

Sec. 24.
new text begin
DIRECTION TO COMMISSIONER OF HUMAN SERVICES;

NOTIFICATION TO MEDICAL ASSISTANCE RECIPIENTS.
new text end

new text begin

By October 1, 2026, the commissioner of human services must notify medical assistance

recipients who are enrolled under Minnesota Statutes, section 256B.055, subdivision 15,

that they may be eligible for medical assistance under a disability determination. The

notification must include information about how the recipient can request a determination

of disability and an explanation about the changes to medical assistance eligibility that go

into effect January 1, 2027.

new text end

ARTICLE 4

HUMAN SERVICES FORECAST ADJUSTMENTS

Section 1.
new text begin
HUMAN SERVICES FORECAST ADJUSTMENTS.
new text end

new text begin

The sums shown in the columns marked "Appropriations" are added to or, if shown in

parentheses, subtracted from the appropriations in Laws 2025, First Special Session chapter

3, article 20, and Laws 2025, First Special Session chapter 9, article 12, to the commissioner

of human services from the general fund or other named fund for the purposes specified in

section 2 and are available for the fiscal years indicated for each purpose. The figures "2026"

and "2027" used in this article mean that the addition to or subtraction from the appropriation

listed under them is available for the fiscal year ending June 30, 2026, or June 30, 2027,

respectively.

new text end

new text begin

APPROPRIATIONS

new text end

new text begin

Available for the Year

new text end

new text begin

Ending June 30

new text end

new text begin

2026

new text end

new text begin

2027

new text end

Sec. 2.
new text begin
COMMISSIONER OF HUMAN

SERVICES.
new text end

new text begin

Subdivision 1.

new text end

new text begin

Total Appropriation

new text end

new text begin

$

new text end

new text begin

739,634,000

new text end

new text begin

$

new text end

new text begin

775,035,000

new text end

new text begin

Appropriations by Fund

new text end

new text begin

General Fund

new text end

new text begin

652,953,000

new text end

new text begin

615,407,000

new text end

new text begin

Health Care Access

Fund

new text end

new text begin

86,681,000

new text end

new text begin

159,628,000

new text end

new text begin

Subd. 2.

new text end

new text begin

Forecasted Programs

new text end

new text begin

(a)
General Assistance

new text end

new text begin

7,909,000

new text end

new text begin

9,653,000

new text end

new text begin

(b)
Minnesota Supplemental Aid

new text end

new text begin

2,976,000

new text end

new text begin

3,233,000

new text end

new text begin

(c)
Housing Support

new text end

new text begin

29,593,000

new text end

new text begin

44,727,000

new text end

new text begin

(d)
MinnesotaCare

new text end

new text begin

86,681,000

new text end

new text begin

159,628,000

new text end

new text begin

These appropriations are from the health care

access fund.

new text end

new text begin

(e)
Medical Assistance

new text end

new text begin

589,777,000

new text end

new text begin

525,140,000

new text end

new text begin

(f)
Behavioral Health Fund

new text end

new text begin

22,698,000

new text end

new text begin

32,654,000

new text end

Sec. 3.
new text begin
EFFECTIVE DATE.
new text end

new text begin

This article is effective the day following final enactment.

new text end

ARTICLE 5

CHILDREN, YOUTH, AND FAMILIES FORECAST ADJUSTMENTS

Section 1.
new text begin
CHILDREN, YOUTH, AND FAMILIES FORECAST ADJUSTMENTS.
new text end

new text begin

The sums shown in the columns marked "Appropriations" are added to or, if shown in

parentheses, subtracted from the appropriations in Laws 2025, First Special Session chapter

3, article 22, to the commissioner of children, youth, and families from the general fund or

other named fund for the purposes specified in section 2 and are available for the fiscal

years indicated for each purpose. The figures "2026" and "2027" used in this article mean

that the addition to or subtraction from the appropriation listed under them is available for

the fiscal year ending June 30, 2026, or June 30, 2027, respectively.

new text end

new text begin

APPROPRIATIONS

new text end

new text begin

Available for the Year

new text end

new text begin

Ending June 30

new text end

new text begin

2026

new text end

new text begin

2027

new text end

Sec. 2.
new text begin
COMMISSIONER OF CHILDREN,

YOUTH, AND FAMILIES.
new text end

new text begin

Subdivision 1.

new text end

new text begin

Total Appropriation

new text end

new text begin

$

new text end

new text begin

(45,161,000)

new text end

new text begin

$

new text end

new text begin

(36,451,000)

new text end

new text begin

Appropriations by Fund

new text end

new text begin

General Fund

new text end

new text begin

(22,395,000)

new text end

new text begin

(10,320,000)

new text end

new text begin

Federal TANF

new text end

new text begin

(22,766,000)

new text end

new text begin

(26,131,000)

new text end

new text begin

Subd. 2.

new text end

new text begin

Forecasted Programs

new text end

new text begin

(a)
MFIP/DWP

new text end

new text begin

Appropriations by Fund

new text end

new text begin

General Fund

new text end

new text begin

(7,245,000)

new text end

new text begin

(3,125,000)

new text end

new text begin

Federal TANF

new text end

new text begin

(22,766,000)

new text end

new text begin

(26,131,000)

new text end

new text begin

(b)
MFIP Child Care Assistance

new text end

new text begin

(26,220,000)

new text end

new text begin

(18,822,000)

new text end

new text begin

(c)
Northstar Care for Children

new text end

new text begin

11,070,000

new text end

new text begin

11,627,000

new text end

Sec. 3.
new text begin
EFFECTIVE DATE.
new text end

new text begin

This article is effective the day following final enactment.

new text end

ARTICLE 6

DEPARTMENT OF HUMAN SERVICES APPROPRIATIONS

Section 1.
new text begin
HUMAN SERVICES APPROPRIATIONS.
new text end

new text begin

The dollar amounts shown in the columns marked "Appropriations" are added to or, if

shown in parentheses, are subtracted from the appropriations in Laws 2025, First Special

Session chapter 3, article 20, from the general fund or any fund named for the purposes

specified in this article, to be available for the fiscal year indicated for each purpose. The

figures "2026" and "2027" used in this article mean that the appropriations listed under them

are available for the fiscal years ending June 30, 2026, or June 30, 2027, respectively. "The

first year" is fiscal year 2026. "The second year" is fiscal year 2027. "The biennium" is

fiscal years 2026 and 2027.

new text end

new text begin

APPROPRIATIONS

new text end

new text begin

Available for the Year

new text end

new text begin

Ending June 30

new text end

new text begin

2026

new text end

new text begin

2027

new text end

Sec. 2.
new text begin
COMMISSIONER OF HUMAN

SERVICES
new text end

new text begin

$

new text end

new text begin

-0-

new text end

new text begin

$

new text end

new text begin

3,026,000

new text end

new text begin

The amounts that may be spent for each

purpose are specified in this article.

new text end

Sec. 3.
new text begin
CENTRAL OFFICE; OPERATIONS
new text end

new text begin

$

new text end

new text begin

-0-

new text end

new text begin

$

new text end

new text begin

1,046,000

new text end

new text begin

Base Level Adjustment.
The general fund

base is increased by $6,257,000 in fiscal year

2028 and increased by $7,093,000 in fiscal

year 2029.

new text end

Sec. 4.
new text begin
CENTRAL OFFICE; HEALTH CARE
new text end

new text begin

$

new text end

new text begin

-0-

new text end

new text begin

$

new text end

new text begin

16,403,000

new text end

new text begin

Base Level Adjustment.
The general fund

base is increased by $16,838,000 in fiscal year

2028 and increased by $17,350,000 in fiscal

year 2029.

new text end

Sec. 5.
new text begin
FORECASTED PROGRAMS;

MEDICAL ASSISTANCE
new text end

new text begin

$

new text end

new text begin

-0-

new text end

new text begin

$

new text end

new text begin

(15,923,000)

new text end

new text begin

Base Level Adjustment.
The general fund

base is decreased by $65,257,000 in fiscal year

2028 and decreased by $70,977,000 in fiscal

year 2029.

new text end

Sec. 6.
new text begin
GRANT PROGRAMS; HEALTH CARE

GRANTS
new text end

new text begin

$

new text end

new text begin

-0-

new text end

new text begin

$

new text end

new text begin

1,500,000

new text end

new text begin

Base Level Adjustment.
The general fund

base is increased by $1,750,000 in fiscal year

2028 and increased by $1,125,000 in fiscal

year 2029.

new text end

Sec. 7.
new text begin
EXPIRATION OF UNCODIFIED LANGUAGE.
new text end

new text begin

All uncodified language in this article expires June 30, 2027, unless a different expiration

date is specified.

new text end

Sec. 8.
new text begin
EFFECTIVE DATE.
new text end

new text begin

This article is effective July 1, 2026, unless a different effective date is specified.

new text end

ARTICLE 7

DEPARTMENT OF HEALTH APPROPRIATIONS

Section 1.
new text begin
HEALTH APPROPRIATIONS.
new text end

new text begin

The dollar amounts shown in the columns marked "Appropriations" are added to or, if

shown in parentheses, subtracted from the appropriations in Laws 2025, First Special Session

chapter 3, article 21, from the general fund or any named fund and are available for the

fiscal years indicated for each purpose. The figures "2026" and "2027" used in this article

mean that the addition to or subtraction from the appropriations listed under them are

available for the fiscal years ending June 30, 2026, or June 30, 2027, respectively. "The

first year" is fiscal year 2026. "The second year" is fiscal year 2027.

new text end

new text begin

APPROPRIATIONS

new text end

new text begin

Available for the Year

new text end

new text begin

Ending June 30

new text end

new text begin

2026

new text end

new text begin

2027

new text end

Sec. 2.
new text begin
COMMISSIONER OF HEALTH
new text end

new text begin

$

new text end

new text begin

440,000

new text end

new text begin

$

new text end

new text begin

682,000

new text end

new text begin

Appropriations by Fund

new text end

new text begin

2026

new text end

new text begin

2027

new text end

new text begin

General

new text end

new text begin

-0-

new text end

new text begin

55,000

new text end

new text begin

State Government

Special Revenue

new text end

new text begin

440,000

new text end

new text begin

627,000

new text end

new text begin

The amounts that may be spent for each

purpose are specified in this article.

new text end

Sec. 3.
new text begin
HEALTH IMPROVEMENT
new text end

new text begin

Subdivision 1.

new text end

new text begin

Total Appropriation

new text end

new text begin

$

new text end

new text begin

440,000

new text end

new text begin

$

new text end

new text begin

682,000

new text end

new text begin

Appropriations by Fund

new text end

new text begin

2026

new text end

new text begin

2027

new text end

new text begin

General

new text end

new text begin

-0-

new text end

new text begin

55,000

new text end

new text begin

State Government

Special Revenue

new text end

new text begin

440,000

new text end

new text begin

627,000

new text end

new text begin

Subd. 2.

new text end

new text begin

Licensing and Regulation of Health

Maintenance Organizations

new text end

new text begin

$440,000 in fiscal year 2026 and $440,000 in

fiscal year 2027 are from the state government

special revenue fund for licensing and

regulation of health maintenance organizations

under Minnesota Statutes, chapter 62D. These

appropriations are contingent on the

commissioner of health retaining authority in

fiscal year 2027 to license and regulate health

maintenance organizations.

new text end

new text begin

Subd. 3.

new text end

new text begin

All-Payer Claims Database;

Administration

new text end

new text begin

$187,000 in fiscal year 2027 is from the state

government special revenue fund for

administering the all-payer claims database

under Minnesota Statutes, section 62U.04. The

state government special revenue fund base

for this subdivision is increased by $234,000

in fiscal year 2028 and increased by $292,000

in fiscal year 2029.

new text end

new text begin

Subd. 4.

new text end

new text begin

All-Payer Claims Database; Data on

Fully Denied Claims

new text end

new text begin

$55,000 in fiscal year 2027 is from the general

fund for the collection of data on fully denied

claims according to Minnesota Statutes,

section 62U.04, subdivision 4. This is a

onetime appropriation.

new text end

Sec. 4.

Laws 2025, First Special Session chapter 3, article 21, section 3, subdivision 2, is

amended to read:

Subd. 2.

Substance Use Treatment, Recovery,

and Prevention Grants

$3,000,000 in fiscal year 2026 and $3,000,000

in fiscal year 2027 are from the general fund

for substance use treatment, recovery, and

prevention grants under Minnesota Statutes,

section
342.72
.
new text begin
The commissioner may use

up to $300,000 of this appropriation for

administration.
new text end

Sec. 5.
new text begin
EXPIRATION OF UNCODIFIED LANGUAGE.
new text end

new text begin

All uncodified language contained in this article expires June 30, 2027, unless a different

expiration date is specified.

new text end

Sec. 6.
new text begin
EFFECTIVE DATE.
new text end

new text begin

This article is effective June 30, 2026, unless a different effective date is specified.

new text end

APPENDIX

Repealed Minnesota Statutes: H4466-1

151.74 INSULIN SAFETY NET PROGRAM.

Subd. 15.

Program satisfaction; surveys.

(a) The commissioner of health, in consultation with the Board of Pharmacy and individuals who are insulin-dependent, shall develop and conduct a survey of individuals who have accessed urgent-need insulin through the program and who are accessing or have accessed a manufacturer's patient assistance program since the commencement of the insulin safety net program; and a survey of pharmacies that have dispensed insulin on an urgent-need basis under the program and have participated in the manufacturers' patient assistance programs under this section.

(b) The survey for individuals shall cover overall satisfaction with the program, including but not limited to:

(1) accessibility to urgent-need insulin;

(2) adequacy of the information sheet and list of navigators received from the pharmacy;

(3) whether the individual contacted a trained navigator and, if so, if the navigator was helpful and knowledgeable;

(4) whether the individual accessed the manufacturer's patient assistance program and, if so, how easy it was to access application forms, apply to the manufacturer's programs, and receive the insulin product from the pharmacy; and

(5) whether the individual is still in need of a long-term solution for affordable insulin.

(c) The survey for the pharmacies shall include, but is not limited to:

(1) timeliness of reimbursement from the manufacturers for urgent-need insulin dispensed by the pharmacy;

(2) ease in submitting insulin product orders to the manufacturers; and

(3) timeliness of receiving insulin orders from the manufacturers.

(d) The commissioner may contract with a nonprofit entity to develop and conduct the survey and to evaluate the survey results.

(e) By January 15, 2022, the commissioner shall submit a report to the chairs and ranking minority members of the legislative committees with jurisdiction over health and human services policy and finance containing the results of the surveys.
Plain English Breakdown

Bill History

Official Summary Text

Current Bill Text
