HF 4719

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/07/2026 04:24 p.m.

A bill for an act
relating to human services; increasing medical assistance reimbursement rates for
mental health services; amending Minnesota Statutes 2025 Supplement, section
256B.761, by adding a subdivision; repealing Minnesota Statutes 2024, section
256B.0625, subdivision 38.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

Section 1.

Minnesota Statutes 2025 Supplement, section 256B.761, is amended by adding
a subdivision to read:

new text begin Subd. 5. new text end

new text begin Psychological testing and assessment rates. new text end

new text begin (a) Effective for services rendered
on or after January 1, 2027, or on or after the date of federal approval, whichever is later,
the commissioner must pay 100 percent of the total published Medicare payment rate, as
defined in Code of Federal Regulations, title 42, section 438.6, for the following services:
new text end

new text begin (1) neuropsychological assessments under section 256B.0671, subdivision 8;
new text end

new text begin (2) neuropsychological testing under section 256B.0671, subdivision 9; and
new text end

new text begin (3) psychological testing under section 256B.0671, subdivision 10.
new text end

new text begin (b) Managed care and county-based purchasing plans must reimburse providers at an
amount that is at least equal to the fee-for-service rate for services under this subdivision.
The commissioner must monitor the effect of this rate adjustment on enrollee access to
mental health services. If for any contract year federal approval is not received for this
paragraph, the commissioner must adjust the capitation rates paid to managed care and
county-based purchasing plans for that contract year to reflect the removal of this paragraph.
Contracts between managed care and county-based purchasing plans and providers to whom
this paragraph applies must allow recovery of payments from those providers if capitation
rates are adjusted in accordance with this paragraph. Payment recoveries must not exceed
the amount equal to any increase in rates that results from this paragraph.
new text end

new text begin (c) This subdivision expires on the effective date of Laws 2025, First Special Session
chapter 3, article 8, section 29.
new text end

Sec. 2. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2024, section 256B.0625, subdivision 38, new text end new text begin is repealed.
new text end

APPENDIX

Repealed Minnesota Statutes: 26-07924

256B.0625 COVERED SERVICES.

Subd. 38.

Payments for mental health services.

Payments for mental health services covered under the medical assistance program that are provided by masters-prepared mental health professionals shall be 80 percent of the rate paid to doctoral-prepared professionals. Payments for mental health services covered under the medical assistance program that are provided by masters-prepared mental health professionals employed by community mental health centers shall be 100 percent of the rate paid to doctoral-prepared professionals. Payments for mental health services covered under the medical assistance program that are provided by physician assistants shall be 80.4 percent of the base rate paid to psychiatrists.