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HF2586 (Legislative Session 94 (2025-2026))

Cost of care exemption for committed persons and 48-hour rule for admissions extended, Priority Admission Review Panel established, creation of Direct Care and Treatment admissions dashboard and a limited exemption for admissions from hospital settings required, and report required.

Related bill: SF2902

AI Generated Summary

Purpose of the Bill

The purpose of this bill is to amend existing laws related to the payment responsibilities for care provided at state-operated facilities in Minnesota. It aims to extend cost of care exemptions for certain individuals who are committed and create processes to improve hospital admissions and care management.

Main Provisions

  • Anoka-Metro Regional Treatment Center Payments: The bill specifies that counties are responsible for incremental payment percentages for patients at the center, starting at 0% for the first 30 days, 20% for days 31 and over if the stay is clinically appropriate, and 100% if a patient stays longer than necessary.
  • Cost Exemptions: From July 1, 2025, counties are exempt from paying for individuals who are committed due to mental illness and dangerousness, and are awaiting transfer to another state-operated facility or corrections.
  • Creation of Direct Care and Treatment Admissions Dashboard: The bill requires the establishment of a dashboard to help manage and monitor admissions from hospital settings.
  • Priority Admission Review Panel: The bill mandates the formation of a committee to prioritize admissions based on need and appropriateness.
  • Report Requirement: A report is required to analyze the implementation and effectiveness of these changes.

Significant Changes to Existing Law

  • Payment Responsibility Changes: The bill alters how and when counties are fiscally responsible for the care of committed persons at state facilities.
  • Scope of Exemptions Extended: The bill extends the duration and scope of cost exemptions for counties concerning committed individuals awaiting hospital transfers.
  • New Administrative Requirements: The introduction of a dashboard and review panel increases oversight and streamlines the admissions process.

Relevant Terms

  • State-operated services
  • Cost of care exemption
  • Committed persons
  • Anoka-Metro Regional Treatment Center
  • Direct Care and Treatment
  • Mental illness
  • Civil commitment
  • Department of Corrections

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 19, 2025HouseFloorActionIntroduction and first reading, referred toHuman Services Finance and Policy
March 25, 2025HouseFloorActionAuthors added

Citations

 
[
  {
    "analysis": {
      "added": [
        "Introduces a zero percent cost responsibility for the first 30 days of care.",
        "Describes conditions where counties are not responsible for costs if certain criteria are met between specific dates."
      ],
      "removed": [],
      "summary": "This bill amends the county’s payment responsibilities related to the cost of care provided at Anoka-Metro Regional Treatment Center as specified in section 246.54.",
      "modified": [
        "Alters percentage of cost responsibility from 80% to 100% after certain conditions are met."
      ]
    },
    "citation": "246.54"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "References the conditions under which the county and clients are not entitled to additional reimbursements according to section 246.53.",
      "modified": []
    },
    "citation": "246.53"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill references the civil commitment of persons deemed mentally ill and dangerous to the public under section 253B.18.",
      "modified": []
    },
    "citation": "253B.18"
  }
]

Sponsors