HF 4720
Introduction - 94th Legislature (2025 - 2026)
Posted on 03/26/2026 02:38 p.m.
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4.1
A bill for an act
relating to human services; establishing medical assistance coverage of culturally
specific health and wellness services; establishing a task force; requiring a report;
amending Minnesota Statutes 2024, section 256B.0625, by adding a subdivision.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
Section 1.
Minnesota Statutes 2024, section 256B.0625, is amended by adding a subdivision
to read:
new text begin Subd. 77. new text end
new text begin Culturally specific health and wellness services. new text end
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Effective January 1, 2027,
or upon federal approval, whichever is later, medical assistance covers culturally specific
health and wellness services according to the state plan or applicable waiver.
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new text begin EFFECTIVE DATE. new text end
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This section is effective the day following final enactment.
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Sec. 2. new text begin CULTURALLY SPECIFIC HEALTH AND WELLNESS SERVICES.
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new text begin Subdivision 1. new text end
new text begin Federal request. new text end
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(a) By October 1, 2026, the commissioner of human
services must submit to the Centers for Medicare and Medicaid Services all necessary
waivers and state plan amendments to provide medical assistance coverage for culturally
specific health and wellness services consistent with this section.
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(b) Prior to submitting the necessary waivers and state plan amendments under paragraph
(a), the commissioner must consult with the Culturally Specific Health and Wellness Services
Advisory Task Force established under subdivision 4, culturally specific community health
organizations, community leaders, affected communities, and the Department of Health
Division of Health Equity Strategy and Innovation on the following aspects of any waiver
or state plan amendment:
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(1) community-identified health priorities;
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(2) current provider capacity;
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(3) feasible implementation; and
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(4) criteria for qualified providers and eligible community-based health organizations.
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(c) The necessary waivers and state plan amendments must include the recommendations
submitted to the commissioner by the Culturally Specific Health and Wellness Services
Advisory Task Force established under subdivision 4.
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(d) The necessary waivers and state plan amendments must seek medical assistance
coverage across all delivery systems, consistent with Medicaid requirements.
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(e) The necessary waivers and state plan amendments must include reimbursement
payment rates for culturally specific health and wellness services determined by the
commissioner and consistent with Medicaid requirements. The commissioner may request
to reimburse the services using a per-visit rate, bundled payment, value-based payment, or
other methodology. The commissioner may request to limit reimbursement to one payment
per enrollee per day for a given service type and establish exceptions to the reimbursement
limit.
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new text begin Subd. 2. new text end
new text begin Proposed legislation. new text end
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By the first day of the first regular legislative session
following the approval of the necessary waivers and state plan amendments under subdivision
1, the commissioner must submit proposed legislation required to implement the approved
waivers and state plan amendments and the reporting requirement under subdivision 3 to
the chairs and ranking minority members of the legislative committees with jurisdiction
over human services policy and finance.
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new text begin Subd. 3. new text end
new text begin Report. new text end
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(a) Notwithstanding Minnesota Statutes, section 256.01, subdivision
42, the commissioner must submit on January 1 each year to the chairs and ranking minority
members of the legislative committees with jurisdiction over human services policy and
finance a report containing:
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(1) the status of the necessary waivers and state plan amendments;
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(2) data on utilization of culturally specific health and wellness services by medical
assistance enrollees; and
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(3) the impact of culturally specific health and wellness services on access to care, quality
of care, and health outcomes.
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(b) The report must be disaggregated by race, ethnicity, age, and geographic region.
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new text begin Subd. 4. new text end
new text begin Culturally Specific Health and Wellness Services Advisory Task Force. new text end
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(a)
The commissioner of human services must establish the Culturally Specific Health and
Wellness Services Advisory Task Force.
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(b) The commissioner must appoint members to the task force. The members of the task
force must include:
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(1) representatives of organizations that provide culturally specific health and wellness
services;
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(2) providers of culturally specific health and wellness services;
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(3) community leaders with lived experience relating to culturally specific health and
wellness services;
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(4) representatives of the Department of Health Division of Health Equity Strategy and
Innovation;
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(5) representatives from the Department of Human Services Health Care Administration;
and
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(6) other stakeholders as determined by the commissioner.
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(c) The terms, compensation, and removal of task force members are governed by section
15.059.
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(d) The task force must develop and submit written recommendations to the commissioner
on:
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(1) a definition for and list of culturally specific health and wellness services to be
covered under medical assistance;
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(2) eligibility criteria for community-based organizations;
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(3) provider qualifications and oversight standards consistent with Medicaid requirements;
and
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(4) implementation standards.
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(e) The commissioner must appoint members to the task force by July 1, 2026. The task
force must convene no later than August 1, 2026.
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(f) The task force must submit the recommendations under paragraph (d) to the
commissioner by September 30, 2026.
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(g) The task force expires upon the submission of the recommendations under paragraph
(d) to the commissioner.
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new text begin EFFECTIVE DATE. new text end
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This section is effective the day following final enactment.
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