This bill, S.F. No. 2117, proposes that Minnesota's Medical Assistance program cover traditional health care practices provided through Indian Health Service (IHS) facilities, tribal health facilities, and urban Indian health organizations.

Key provisions of the bill:

1. Waiver Request:

   • By October 1, 2025, Minnesota’s Commissioner of Human Services, in consultation with tribal organizations, must apply for a federal waiver from the Centers for Medicare and Medicaid Services (CMS) to allow Medical Assistance coverage for traditional health care practices.

2. Eligibility & Providers:

   • A qualified provider must determine a patient's eligibility.
     
   • Services must be provided by a practitioner or provider who is employed by or contracted with:
     
     • Indian Health Service (IHS)
       
     • 638 Tribal clinics (authorized under the Indian Self-Determination and Education Assistance Act)
       
     • Title V urban Indian organizations (under the Indian Health Care Improvement Act)
       
   • Facilities must ensure providers have the necessary experience and training.

3. Payments & Reimbursement:

   • Payments for traditional health care practices will be reimbursed at the outpatient per visit rate established by Indian Health Service under sections 321(a) and 322(b) of the Public Health Service Act.
     
   • Only one payment per day will be allowed per Medical Assistance enrollee receiving such services.

This bill aims to integrate traditional Indigenous health care practices into Minnesota’s Medicaid program, ensuring reimbursement and access for Native American patients.