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SF1059 (Legislative Session 94 (2025-2026))

Patient-Centered Care program establishment

Related bill: HF255

AI Generated Summary

The legislative bill S.F. No. 1059 introduced by Senator Marty and others proposes the establishment of the Patient-Centered Care program in Minnesota. The main goal of this program is to improve health outcomes and reduce healthcare costs for the state. Here are the key points of this bill:

  1. Direct Payments to Providers: The program advocates for direct state payments to healthcare providers for services offered to eligible Medical Assistance and MinnesotaCare enrollees instead of payments going through hospital systems or networks.

  2. County-Based Purchasing: In counties that choose this option, the local administration can manage the program and handle the payments themselves, unless they prefer the state to do so.

  3. Enhanced Care Coordination: Primary care providers will be paid extra to coordinate comprehensive care for patients, with increased fees for clinics serving higher populations of disadvantaged individuals. Community health workers will also receive payments for care coordination roles.

  4. Community Outreach and Support: The bill includes provisions for community outreach through grants, aiming to engage community health workers, nurses, or social workers to contribute towards medical care and care coordination for those who might be homeless or suffer from severe illnesses and are otherwise unlikely to seek treatment.

  5. Comprehensive Support System: It also provides for a support system that includes a hotline and website to help individuals find healthcare providers, a 24/7 nurse consultation helpline, and direct engagement to encourage preventative healthcare visits.

  6. Provider Support: The bill mandates reasonable and fair reimbursement rates for providers, timely payments, and active collaboration with providers to improve healthcare quality and reduce costs.

In essence, Bill S.F. No. 1059 aims to overhaul how care is provided and financed in Minnesota, focusing on direct interaction, streamlined payments, and dedicated support for both patients and healthcare providers, ensuring a more integrated and patient-centered approach to healthcare.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
February 05, 2025SenateFloorActionIntroduction and first reading
February 05, 2025SenateFloorActionReferred toHealth and Human Services
February 26, 2025SenateFloorActionAuthor stricken
March 19, 2025SenateFloorActionAuthor added

Citations

 
[
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This section relates to eligibility criteria for medical assistance enrollees.",
      "modified": []
    },
    "citation": "256B.055"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This section relates to eligibility criteria for MinnesotaCare enrollees.",
      "modified": []
    },
    "citation": "256L.05"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Regulations around county-based purchasing systems for health care.",
      "modified": []
    },
    "citation": "256B.692"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Covers direct payment regulations to health care providers for services to medical assistance enrollees.",
      "modified": []
    },
    "citation": "256B.0625"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Deals with direct payment regulations for services to MinnesotaCare enrollees.",
      "modified": []
    },
    "citation": "256L.03"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Involves state's contracts with managed care plans for providing services.",
      "modified": []
    },
    "citation": "256B.69"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Related to managed care plans providing services under MinnesotaCare.",
      "modified": []
    },
    "citation": "256L.12"
  },
  {
    "analysis": {
      "added": [],
      "removed": [
        "Proposes repeal of this section in new legislation."
      ],
      "summary": "Involves regulations concerning integrated health partnerships.",
      "modified": []
    },
    "citation": "256B.0755"
  }
]

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