The legislative bill S.F. No. 1113 proposes to amend the Minnesota medical assistance program to cover birth services conducted at home. The main points of the bill include:

1. Coverage: Medical assistance will cover prenatal, labor, birth, and postpartum services provided at home under specific conditions.

2. Eligibility for Providers: The services must be carried out by qualified providers such as certified professional midwives, nurse-midwives, physicians, nurse practitioners, or physician assistants who have experience in home births.

3. Patient Criteria: The coverage is applicable only for patients who are deemed low-risk, which means they have been having a normal and uncomplicated pregnancy as confirmed through adequate prenatal care.

4. Care Plan Requirements: The bill requires a detailed care plan which includes informed consent from the recipient explaining the risks and benefits of home birth, evidence of low-risk status through visits and tests, and a contingency plan for transfer to a hospital if necessary.

5. Compensation: Providers will be paid fully (100%) at the rate a physician would receive for similar services. Additionally, payment rates for home birth facility services will be at 70% of the average facility payment for hospital deliveries, with adjusted rates if a transfer to a hospital is required before delivery.

This bill aims to formalize and support the option of home births within Minnesota's medical assistance framework, ensuring safety, provider qualifications, and defined financial compensation standards.