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SF1326 (Legislative Session 94 (2025-2026))

Medical assistance payment raise increase for ambulance services

Related bill: HF715

AI Generated Summary

This legislative bill, S.F. No. 1326, is focused on raising the payment rates for ambulance services under Minnesota's medical assistance program. Here are the main points:

  1. Payment Guidelines: Ambulance services will be billed according to Medicare criteria, distinguishing between emergency and non-emergency services to ensure appropriate payment levels.

  2. Rate Increases:

    • Starting July 1, 2016, there's a 5% increase in medical assistance payments for ambulance services that are outside major cities and certain counties in Minnesota or in municipalities with a population of less than 1000.
    • From January 1, 2026, there will be a statewide increase in payment rates for ambulance services, though the exact percentage isn't specified in the summary provided.

  3. Fuel Cost Adjustment:

    • Starting in 2026, there will be adjustments to the payments for ambulance services based on the price of gasoline. If gasoline prices exceed $3.00 per gallon, rates will adjust up or down depending on the change in gas prices. This aims to accommodate fluctuations in fuel costs which could impact the operation costs of ambulance services.

  4. Contractual Adjustments:

    • Managed care and county-based purchasing plans must account for these fuel adjustments in their contracts with ambulance service providers.
    • If fuel adjustment provisions do not receive federal approval, adjustments will be made to reflect this in the contract year.

This bill aims to ensure that the payment rates for ambulance services are fair and reflective of current costs, while also providing specific provisions to handle changes in operational costs due to fuel price fluctuations.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
February 12, 2025SenateFloorActionIntroduction and first reading
February 12, 2025SenateFloorActionReferred toHealth and Human Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Added a new mechanism for adjusting rates based on United States Energy Information Administration gasoline price postings."
      ],
      "removed": [],
      "summary": "This bill modifies payment rates for ambulance services covered by medical assistance under section 256B.0625.",
      "modified": [
        "Updated payment rates for ambulance services to align with recent changes."
      ]
    },
    "citation": "256B.0625"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill references base of operations definitions affecting ambulance service payment rates under section 144E.10.",
      "modified": []
    },
    "citation": "144E.10"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "This bill uses the list of metropolitan counties from section 473.121 to determine exclusion criteria for payment rate adjustments.",
      "modified": []
    },
    "citation": "473.121"
  }
]

Sponsors