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SF3149 (Legislative Session 94 (2025-2026))

County-administered rural medical assistance program establishment

Related bill: HF2955

AI Generated Summary

Purpose of the Bill

The bill aims to enhance the management and provision of medical assistance in rural areas by empowering counties to administer a program called the County-Administered Rural Medical Assistance (CARMA) program. It seeks to establish comprehensive guidelines for payment coverage, eligibility requirements, and federal waivers to support this initiative.

Main Provisions

  • Establishment of CARMA: The bill proposes a new framework for counties to administer medical assistance programs, focusing on rural populations to ensure they receive adequate healthcare services.
  • Collaborative Process: It mandates the involvement of county boards in the development, approval, and evaluation of service proposals. County boards are given a role in recommending local healthcare plans to ensure they meet community needs.
  • Contract Requirements: The bill allows county boards to develop specific contract requirements related to public health goals, which, upon mutual agreement with the commissioner, must be included in all health plan contracts.

Significant Changes to Existing Law

  • New Amendments: The bill introduces changes to Minnesota Statutes 2024, section 256B.69, notably allowing county boards a greater say in the selection and management of health plans.
  • Contract Termination Conditions: The bill specifies conditions under which existing health plan contracts can be terminated and replaced by county-administered plans.
  • Dispute Resolution: It outlines a mediation process involving a panel if there's disagreement between county boards and the state commissioner regarding key aspects like health plan selection.
  • Cessation Clause: If a county discontinues its role in administering county-based purchasing, it cannot reassume this responsibility for five years.

Relevant Terms

county-administered program, medical assistance, rural healthcare, CARMA program, county boards, healthcare contracts, federal waivers, contract renewal, public health goals, county-based purchasing, dispute resolution, mediation panel.

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 31, 2025SenateFloorActionIntroduction and first reading
March 31, 2025SenateFloorActionReferred toHealth and Human Services
April 06, 2025SenateFloorActionAuthors added

Citations

 
[
  {
    "analysis": {
      "added": [
        "Allows counties to propose contract requirements related to local public health goals.",
        "Introduces a mediation panel for disputes between county boards and the commissioner."
      ],
      "removed": [],
      "summary": "This legislation modifies the county authority within the medical assistance prepayment program under section 256B.69, subdivision 3a.",
      "modified": [
        "Clarifies the roles and responsibilities of county boards and the commissioner in the selection and management of health plans."
      ]
    },
    "citation": "256B.69",
    "subdivision": "subdivision 3a"
  },
  {
    "analysis": {
      "added": [
        "Detail on termination of contracts with health plans and conditions under which county-based purchasing proposals are submitted and accepted."
      ],
      "removed": [],
      "summary": "Amends procedures related to county-based purchasing under the prepaid medical assistance program as per section 256B.692, subdivision 5.",
      "modified": [
        "Conditions regarding the termination timeline for contracts starting after September 1, 1997."
      ]
    },
    "citation": "256B.692",
    "subdivision": "subdivision 5"
  }
]

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