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SF1648 (Legislative Session 94 (2025-2026))

Medical assistance vendors background checks requirement provision and Department of Human Services and Department of Children, Youth, and Families fraud detection system establishment provision

Related bill: HF2175

AI Generated Summary

This bill (Senate File No. 1648) seeks to enhance oversight and fraud prevention in Minnesota's human services system by implementing two key provisions:

  1. Background Checks for Medical Assistance Vendors:

    • Requires background checks for all controlling individuals and managerial officials of vendors receiving medical assistance reimbursements.
    • Vendors must ensure that individuals subject to background studies either have no disqualifications or have received a set-aside if disqualified.
    • Compliance with state background study requirements is necessary for vendors to receive medical assistance payments.

  2. Fraud Detection System:

    • Mandates the establishment of an automated or semi-automated fraud detection system for reviewing vendor payments and payment requests for suspicious or fraudulent activity.
    • Fraud investigators must review any flagged payments.
    • Requires periodic efficiency and effectiveness analyses using earned value management techniques.
    • Commissioners of Human Services and Children, Youth, and Families must report findings to the legislature after each analysis.

The bill aims to strengthen accountability and fraud prevention within the state's medical assistance system while ensuring vendor integrity and transparency.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
February 19, 2025SenateFloorActionIntroduction and first reading
February 19, 2025SenateFloorActionReferred toHealth and Human Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Requirements for vendors to demonstrate non-disqualification for eligibility."
      ],
      "removed": [],
      "summary": "This bill modifies background check disqualification criteria for medical assistance vendors by referencing section 245C.14.",
      "modified": [
        "Clarifies background study requirements related to section 245C.14."
      ]
    },
    "citation": "245C.14"
  },
  {
    "analysis": {
      "added": [
        "Vendors must ensure set-aside disqualifications are issued under section 245C.22 for compliance."
      ],
      "removed": [],
      "summary": "This bill relates to the set-aside process for disqualified individuals under section 245C.22.",
      "modified": []
    },
    "citation": "245C.22"
  }
]

Sponsors