SF 5048

Introduction - 94th Legislature (2025 - 2026)

Posted on 04/10/2026 09:26 a.m.

A bill for an act
relating to health; making health policy changes to all-payer claims data provisions,
newborn screening program, health professional loan forgiveness program, rural
residency training program, and international medical graduates assistance program;
setting fees; appropriating money; amending Minnesota Statutes 2024, sections
62U.04, subdivision 13, by adding a subdivision; 144.1501, subdivision 2;
144.1503, subdivision 7; 144.1505, subdivisions 1, 2, 3; 144.1507, subdivisions
1, 2, 4, by adding a subdivision; 144.1911, subdivisions 1, 5, 6; Minnesota Statutes
2025 Supplement, section 144.125, subdivision 1; Laws 2024, chapter 127, article
67, section 7; Laws 2025, First Special Session chapter 3, article 21, section 3,
subdivision 2.

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

ARTICLE 1

DEPARTMENT OF HEALTH APPROPRIATIONS

Section 1. new text begin HEALTH APPROPRIATIONS. new text end

new text begin The dollar amounts shown in the columns marked "Appropriations" are added to or, if
shown in parentheses, are subtracted from the appropriations in Laws 2025, First Special
Session chapter 3, article 21, from the general fund or any named fund and are available
for the fiscal years indicated for each purpose. The figures "2026" and "2027" used in this
article mean that the addition to or subtraction from the appropriations listed under them
are available for the fiscal years ending June 30, 2026, or June 30, 2027, respectively. "The
first year" is fiscal year 2026. "The second year" is fiscal year 2027.
new text end

			new text begin APPROPRIATIONS new text end
			new text begin Available for the Year new text end
			new text begin Ending June 30 new text end
				new text begin 2026 new text end		new text begin 2027 new text end

Sec. 2. new text begin COMMISSIONER OF HEALTH new text end

new text begin Subdivision 1. new text end new text begin Total Appropriation new text end

new text begin $ new text end

new text begin 440,000 new text end

new text begin $ new text end

new text begin 627,000 new text end

new text begin Appropriations by Fund new text end
	new text begin 2026 new text end	new text begin 2027 new text end
new text begin General new text end	new text begin -0- new text end	new text begin -0- new text end
new text begin State Government Special Revenue new text end	new text begin 400,000 new text end	new text begin 627,000 new text end

new text begin The amounts that may be spent for each
purpose are specified in the following
subdivisions.
new text end

new text begin Subd. 2. new text end new text begin Health Improvement new text end

new text begin 440,000 new text end

new text begin 627,000 new text end

new text begin Appropriations by Fund new text end
new text begin State Government Special Revenue new text end	new text begin 440,000 new text end	new text begin 627,000 new text end

new text begin (a) $440,000 in fiscal year 2026 and $440,000
in fiscal year 2027 are from the state
government special revenue fund to the
commissioner of health for administering
licensing and regulation of HMOs under
Minnesota Statutes, chapter 62D. In fiscal year
2028 and each year thereafter, the base for this
appropriation is increased by $440,000.
new text end

new text begin (b) $187,000 in fiscal year 2027 is from the
state government special revenue fund to the
commissioner of health for administering
all-payer claims data under Minnesota
Statutes, chapter 62U. The base for this
appropriation is increased by $234,000 in
fiscal year 2028 and by $292,000 in fiscal year
2029.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin Subdivision 2, paragraph (a), is effective if the commissioner of
health retains authority for administering licensing and regulation of HMOs under Minnesota
Statutes, chapter 62D, by June 30, 2026.
new text end

Sec. 3.

Laws 2024, chapter 127, article 67, section 7, is amended to read:

Sec. 7. BOARD OF DIRECTORS OF MNSURE

$

-0-

$

2,330,000

(a) Information Technology deleted text begin to Implement
Federal Deferred Action for Childhood
Arrivals Regulatory Requirements deleted text end .
$2,330,000 in fiscal year 2025 is deleted text begin for
information technology to implement federal
Deferred Action for Childhood Arrivals
regulatory requirements deleted text end new text begin to authorize MNsure
to use funds for broader technology and
operational needs. This appropriation supports
information technology enhancements, system
readiness, consumer communications, and
operational adjustments to maintain service
continuity and improve the consumer
experience new text end . This is a onetime appropriation
and is available until June 30, 2027.

(b) Transfer to Enterprise Account. The
Board of Directors of MNsure must transfer
$2,330,000 in fiscal year 2025 from the
general fund to the enterprise account under
Minnesota Statutes, section 62V.07. This is a
onetime transfer.

Sec. 4.

Laws 2025, First Special Session chapter 3, article 21, section 3, subdivision 2, is
amended to read:

Subd. 2. Substance Use Treatment, Recovery, and Prevention Grants

$3,000,000 in fiscal year 2026 and $3,000,000
in fiscal year 2027 are from the general fund
for substance use treatment, recovery, and
prevention grants under Minnesota Statutes,
section 342.72. new text begin The commissioner may use
up to $300,000 of this appropriation for
administration.
new text end

ARTICLE 2

DEPARTMENT OF HEALTH POLICY CHANGES

Section 1.

Minnesota Statutes 2024, section 62U.04, subdivision 13, is amended to read:

Subd. 13.

Expanded access to and use of the all-payer claims data.

(a) The
commissioner or the commissioner's designee shall make the data submitted under
subdivisions 4, 5, 5a, and 5b, including data classified as private or nonpublic, available to
individuals and organizations engaged in research on, or efforts to effect transformation in,
health care outcomes, access, quality, disparities, or spending, provided the use of the data
serves a public benefit. Data made available under this subdivision may not be used to:

(1) create an unfair market advantage for any participant in the health care market in
Minnesota, including health plan companies, payers, and providers;

(2) reidentify or attempt to reidentify an individual in the data; or

(3) publicly report contract details between a health plan company and provider and
derived from the data.

(b) To implement paragraph (a), the commissioner shall:

(1) establish detailed requirements for data access; a process for data users to apply to
access and use the data; legally enforceable data use agreements to which data users must
consent; a clear and robust oversight process for data access and use, including a data
management plan, that ensures compliance with state and federal data privacy laws;
agreements for state agencies and the University of Minnesota to ensure proper and efficient
use and security of data; and technical assistance for users of the data and for stakeholders;

(2) deleted text begin develop a deleted text end new text begin assess fees according to the new text end fee schedule new text begin in subdivision 14 new text end to support the
cost of expanded access to and use of the data, provided the fees charged under the schedule
do not create a barrier to access or use for those most affected by disparities; deleted text begin and
deleted text end

(3) create a research advisory group to advise the commissioner on applications for data
use under this subdivision, including an examination of the rigor of the research approach,
the technical capabilities of the proposed user, and the ability of the proposed user to
successfully safeguard the data deleted text begin . deleted text end new text begin ; and
new text end

new text begin (4) annually publish on the Department of Health website a list of projects authorized
under this subdivision.
new text end

Sec. 2.

Minnesota Statutes 2024, section 62U.04, is amended by adding a subdivision to
read:

new text begin Subd. 14. new text end

new text begin Fees for expanded access to and use of the all-payer claims database. new text end

new text begin (a)
For purposes of this section:
new text end

new text begin (1) "custom data set or analysis" means a de-identified data set or report for which a
standard data set or limited use data sets are not appropriate, that only provides the minimum
necessary data, and that is de-identified using the expert determination method as defined
in Code of Federal Regulations, title 45, section 164.514(b)(1);
new text end

new text begin (2) "data file" means a data file derived from medical claims, pharmacy claims, dental
claims, eligibility information, membership information, or provider information for a single
year;
new text end

new text begin (3) "limited use data set" means a data set that meets the requirements in Code of Federal
Regulations, title 45, section 164.514(e)(2), and may include protected health information
from which certain direct identifiers of individuals have been removed under the principle
of minimum information necessary; and
new text end

new text begin (4) "standard data set" means a static data release designed by the commissioner to serve
a wide range of projects in which nearly all de-identified data elements are disclosed in one
release after applying the safe harbor de-identification method defined in Code of Federal
Regulations, title 45, section 164.514(b)(2), and from which protected health information
and any combination of data elements that directly identify any person are excluded.
new text end

new text begin (b) The commissioner must assess fees on an individual or organization that receives
data under subdivision 13 for the cost of accessing or receiving the data. Costs under this
paragraph may include but are not limited to the cost of producing and releasing data to the
individual or organization under subdivision 13 and managing infrastructure and operations.
The commissioner must assess fees according to the following schedule based on the type
of data requested and number of years for which access is requested:
new text end

new text begin (1) the fee for a standard data set is $3,500 per data file per year;
new text end

new text begin (2) the fee for a limited use data set is $7,000 per data file per year; and
new text end

new text begin (3) the fee for a custom data set or analysis is $89 per hour of staff time expended, with
fees not to exceed the cost of 65 hours of staff time.
new text end

new text begin (c) An individual or organization that receives approval to access or receive data under
subdivision 13 must pay all the required fees in full before accessing or receiving the
requested data.
new text end

new text begin (d) The commissioner may grant a partial or full waiver of the fees in paragraph (b) if
the individual or organization requesting the data meets at least one of the following criteria:
new text end

new text begin (1) the fees represent a financial hardship to the individual or organization;
new text end

new text begin (2) the organization is a self-insured data submitter under this section;
new text end

new text begin (3) the individual or organization is affiliated with an academic institution;
new text end

new text begin (4) the individual or organization requests a high volume of data files; or
new text end

new text begin (5) the request is from a Tribal health director for, or the governing body of, one of the
11 federally recognized Tribes in Minnesota.
new text end

new text begin In determining whether to grant a waiver under this paragraph, the commissioner may
consult the research advisory group established under subdivision 13.
new text end

new text begin (e) Fees paid by an individual or organization approved to access or receive data under
subdivision 13 are nonrefundable. Fees collected under this subdivision must be deposited
into an account in the special revenue fund. Money in that account does not cancel and is
appropriated to the commissioner to offset the cost of providing access to data under
subdivision 13 and maintaining data submitted under subdivisions 4 to 5b.
new text end

new text begin (f) The commissioner must publish the fee schedule in paragraph (b) on the Department
of Health website.
new text end

Sec. 3.

Minnesota Statutes 2025 Supplement, section 144.125, subdivision 1, is amended
to read:

Subdivision 1.

Duty to perform testing.

(a) It is the duty of (1) the administrative officer
or other person in charge of each institution caring for infants 28 days or less of age, (2) the
person required in pursuance of the provisions of section 144.215, to register the birth of a
child, or (3) the nurse midwife or midwife in attendance at the birth, to arrange to have
administered to every infant or child in its care tests for heritable and congenital disorders
according to subdivision 2 and rules prescribed by the state commissioner of health.

(b) Testing, recording of test results, reporting of test results, and follow-up of infants
with heritable congenital disorders, including hearing loss detected through the early hearing
detection and intervention program in section 144.966, shall be performed at the times and
in the manner prescribed by the commissioner of health.

(c) The fee to support the newborn screening program, including tests administered
under this section and section 144.966, shall be $184.35 per specimen. This fee amount
shall be deposited in the state treasury and credited to the state government special revenue
fund. new text begin If the individual described in paragraph (a) submits a claim for reimbursement to an
insurer but does not receive reimbursement, the individual may request a special fee
exemption form from the newborn screening program. To qualify for the exemption, the
individual must provide documentation to the newborn screening program that the insurer
did not reimburse them.
new text end

(d) The fee to offset the cost of the support services provided under section 144.966,
subdivision 3a, shall be $15 per specimen. This fee shall be deposited in the state treasury
and credited to the general fund.

Sec. 4.

Minnesota Statutes 2024, section 144.1501, subdivision 2, is amended to read:

Subd. 2.

Availability.

(a) The commissioner of health shall use money appropriated for
health professional education loan forgiveness in this section:

(1) for medical residents, physicians, mental health professionals, and alcohol and drug
counselors agreeing to practice in designated rural areas or underserved urban communities
or specializing in the area of pediatric psychiatry;

(2) for midlevel practitioners agreeing to practice in designated rural areas or to teach
at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary program
at the undergraduate level or the equivalent at the graduate level;

(3) for nurses who agree to practice in a Minnesota nursing home; in an intermediate
care facility for persons with developmental disability; in a hospital if the hospital owns
and operates a Minnesota nursing home and a minimum of 50 percent of the hours worked
by the nurse is in the nursing home; in an assisted living facility as defined in section
144G.08, subdivision 7; or for a home care provider as defined in section 144A.43,
subdivision 4; or agree to teach at least 12 credit hours, or 720 hours per year in the nursing
field in a postsecondary program at the undergraduate level or the equivalent at the graduate
level;

(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720
hours per year in their designated field in a postsecondary program at the undergraduate
level or the equivalent at the graduate level. The commissioner, in consultation with the
Healthcare Education-Industry Partnership, shall determine the health care fields where the
need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory
technology, radiologic technology, and surgical technology;

(5) for pharmacists, advanced dental therapists, dental therapists, and public health nurses
who agree to practice in designated rural areas;

(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient
encounters to state public program enrollees or patients receiving sliding fee schedule
discounts through a formal sliding fee schedule meeting the standards established by the
United States Department of Health and Human Services under Code of Federal Regulations,
title 42, section 51c.303; and

(7) for nurses employed as a hospital nurse by a nonprofit hospital and providing direct
care to patients at the nonprofit hospital.

(b) Appropriations made for health professional education loan forgiveness in this section
do not cancel and are available until expended deleted text begin , except that at the end of each biennium, any
remaining balance in the account that is not committed by contract and not needed to fulfill
existing commitments shall cancel to the fund deleted text end .

Sec. 5.

Minnesota Statutes 2024, section 144.1503, subdivision 7, is amended to read:

Subd. 7.

Selection process.

The commissioner shall determine a maximum award for
grants and loan forgiveness, and shall make selections based on the information provided
in the grant application, including the demonstrated need for an applicant provider to enhance
the education of its workforce, the proposed employee scholarship or loan forgiveness
selection process, the applicant's proposed budget, and other criteria as determined by the
commissioner. Notwithstanding any law or rule to the contrary, amounts appropriated for
purposes of this section do not cancel and are available until expended deleted text begin , except that at the
end of each biennium, any remaining amount that is not committed by contract and not
needed to fulfill existing commitments shall cancel to the general fund deleted text end .

Sec. 6.

Minnesota Statutes 2024, section 144.1505, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

For purposes of this section, the following definitions apply:

(1) "eligible advanced practice registered nurse program" means a program that is located
in Minnesota and is currently accredited as a master's, doctoral, or postgraduate level
advanced practice registered nurse program by the Commission on Collegiate Nursing
Education or by the Accreditation Commission for Education in Nursing, or deleted text begin is deleted text end new text begin has presented
a credible plan as new text end a candidate for accreditation;

(2) "eligible dental therapy program" means a dental therapy education program or
advanced dental therapy education program that is located in Minnesota and is either:

(i) approved by the Board of Dentistry; deleted text begin or
deleted text end

(ii) currently accredited by the Commission on Dental Accreditation; new text begin or
new text end

new text begin (iii) has presented a credible plan as a candidate for accreditation;
new text end

(3) "eligible mental health professional program" means a program that is located in
Minnesota and is deleted text begin listed deleted text end new text begin currently accredited new text end as a mental health professional program by the
appropriate accrediting body for clinical social work, psychology, marriage and family
therapy, or licensed professional clinical counseling, or deleted text begin is deleted text end new text begin has presented a credible plan as new text end
a candidate for accreditation;

(4) "eligible pharmacy program" means a program that is located in Minnesota and is
currently accredited as a doctor of pharmacy program by the Accreditation Council on
Pharmacy Education new text begin or has presented a credible plan as a candidate for accreditation new text end ;

(5) "eligible physician assistant program" means a program that is located in Minnesota
and is currently accredited as a physician assistant program by the Accreditation Review
Commission on Education for the Physician Assistant, or deleted text begin is deleted text end new text begin has presented a credible plan
as new text end a candidate for accreditation;

(6) "mental health professional" means an individual providing clinical services in the
treatment of mental illness who meets one of the qualifications under section 245.462,
subdivision 18;

(7) "eligible physician training program" means new text begin a medical school training program or new text end a
physician residency training program located in Minnesota and that is currently accredited
by the accrediting body or has presented a credible plan as a candidate for accreditation;

(8) "eligible dental program" means a dental education program or a dental residency
training program located in Minnesota and that is currently accredited by the accrediting
body or has presented a credible plan as a candidate for accreditation; deleted text begin and
deleted text end

(9) new text begin "rural community" means a Tribal Nation, statutory city, home rule charter city, or
township in Minnesota that is outside the seven-county metropolitan area as defined in
section 473.121, subdivision 2, excluding the cities of Duluth, Mankato, Moorhead,
Rochester, and St. Cloud;
new text end

new text begin (10) "underserved community" means a Minnesota area or population included in the
list of designated primary medical care health professional shortage areas, medically
underserved areas, or medically underserved populations maintained and updated by the
United States Department of Health and Human Services; and
new text end

new text begin (11) new text end "project" means a project to deleted text begin establish or expand deleted text end new text begin (i) plan or implement a new eligible
new text end clinical training deleted text begin for physician assistants, advanced practice registered nurses, pharmacists,
dental therapists, advanced dental therapists, or mental health professionals in Minnesota deleted text end new text begin
program or increase the base number of trainees in an existing eligible clinical training
program, or (ii) add or expand rural rotations or clinical training experiences in an existing
eligible clinical training program new text end .

Sec. 7.

Minnesota Statutes 2024, section 144.1505, subdivision 2, is amended to read:

Subd. 2.

Programs.

(a) For advanced practice provider clinical training expansion grants,
the commissioner of health shall award deleted text begin health professional training site deleted text end grants to eligible
physician assistant, advanced practice registered nurse, pharmacy, dental therapy, and mental
health professional programs to plan and implement deleted text begin expanded deleted text end new text begin a new eligible clinical training
program or increase the base number of trainees in an existing eligible new text end clinical training new text begin
program new text end . new text begin Clinical training must take place in rural or underserved communities. new text end A planning
grant shall not exceed $75,000, and a three-year training grant shall not exceed $300,000
per project. The commissioner may provide a deleted text begin one-year, deleted text end no-cost extension for grants.

(b) For health professional rural deleted text begin and underserved deleted text end clinical rotations grants, the
commissioner of health shall award deleted text begin health professional training site deleted text end grants to new text begin existing new text end eligible
physician, physician assistant, advanced practice registered nurse, pharmacy, dentistry,
dental therapy, and mental health professional new text begin training new text end programs to deleted text begin augment existing clinical
deleted text end deleted text begin training programs to deleted text end add new text begin , expand, or enhance new text end rural deleted text begin and underserved deleted text end rotations or clinical
training experiences, such as credential or certificate rural tracks or other specialized training.
new text begin Rotations and clinical training experiences must take place in rural communities. new text end For
physician and dentist training, the expanded training must include rotations in primary care
settings such as community clinics, hospitals, health maintenance organizations, or practices
in rural communities.

(c) new text begin Advanced practice provider clinical training expansion grant new text end funds may be used for:

(1) deleted text begin establishing or expanding rotations deleted text end new text begin planning new text end and new text begin implementing a new new text end clinical training new text begin
program or increasing the base number of trainees in an existing clinical training program
as described in paragraph (a) new text end ;

(2) recruitment, training, and retention of students deleted text begin and deleted text end new text begin , new text end faculty new text begin , and preceptors new text end ;

(3) connecting students with appropriate clinical training sites, internships, practicums,
or externship deleted text begin activities deleted text end new text begin opportunities new text end ;

(4) travel and lodging for students;

(5) faculty, student, and preceptor salaries, incentives, or other financial support;

(6) development and implementation of new text begin health equity and new text end cultural deleted text begin competency deleted text end
new text begin responsiveness new text end training;

(7) evaluations new text begin of the clinical training program to inform program improvements new text end ;

(8) training site improvements, fees, equipment, and supplies required to establish,
maintain, or expand a training program; deleted text begin and
deleted text end

(9) supporting clinical education in which trainees are part of a primary care team model deleted text begin . deleted text end new text begin ;
and
new text end

new text begin (10) onboarding expenses for trainees to meet clinical training site requirements.
new text end

new text begin (d) Health professional rural clinical rotation grant funds may be used for:
new text end

new text begin (1) adding, expanding, or enhancing rural rotations and clinical training experiences in
an existing clinical training program as described in paragraph (b);
new text end

new text begin (2) recruitment, training, and retention of students, faculty, and preceptors;
new text end

new text begin (3) connecting students with appropriate clinical training sites, internships, practicums,
or externship opportunities;
new text end

new text begin (4) travel and lodging for students;
new text end

new text begin (5) faculty, student, and preceptor salaries, stipends, or other financial support;
new text end

new text begin (6) development and implementation of health equity and cultural responsiveness training;
new text end

new text begin (7) evaluations of the rural rotation or clinical training experience to inform program
improvements;
new text end

new text begin (8) training site improvements, fees, equipment, and supplies required to establish or
expand rural rotations or clinical training experiences;
new text end

new text begin (9) supporting clinical education in which trainees are part of a primary care team model;
and
new text end

new text begin (10) onboarding expenses for trainees to meet clinical training site requirements.
new text end

Sec. 8.

Minnesota Statutes 2024, section 144.1505, subdivision 3, is amended to read:

Subd. 3.

Applications.

Eligible physician assistant, advanced practice registered nurse,
pharmacy, dental therapy, dental, physician, and mental health professional programs seeking
a grant shall apply to the commissioner. Applications new text begin for advanced practice provider clinical
training expansion grants new text end must include a description of the number of additional students
who will be trained using grant funds deleted text begin ; deleted text end new text begin and new text end attestation that funding will be used to support
an increase in the number of clinical training slots deleted text begin ; deleted text end new text begin .
new text end

new text begin All applications must include new text end a description of the problem that the proposed project will
address; a description of the project, including all costs associated with the project, sources
of funds for the project, detailed uses of all funds for the project, and the results expected deleted text begin ; deleted text end new text begin , new text end
and a plan to maintain or operate deleted text begin any component included in deleted text end the project after the grant
period new text begin , including a description of potential barriers to sustainability new text end .

deleted text begin The applicant deleted text end new text begin Applicants new text end must describe achievable objectives, a timetable, and roles
and capabilities of responsible individuals in the organization.

deleted text begin Applicants applying under subdivision 2, paragraph (b), deleted text end new text begin Applications for rural clinical
rotation grants new text end must include new text begin a description of the new, expanded, or enhanced rural rotations
or clinical training experiences; attestation that funding will be used to support improved
rural clinical training experiences; and new text end information about length of training and training site
settings, geographic location of rural sites, and rural populations expected to be served.

Sec. 9.

Minnesota Statutes 2024, section 144.1507, subdivision 1, is amended to read:

Subdivision 1.

Definitions.

(a) For purposes of this section, the following terms have
the meanings given.

(b) "Eligible program" means a program that meets the following criteria:

(1) is located in Minnesota;

(2) trains medical residents in the specialties of family medicine, general internal
medicine, general pediatrics, psychiatry, geriatrics, or general surgery in rural residency
training programs or in community-based ambulatory care centers that primarily serve the
underserved new text begin , or trains postdoctoral psychology residents new text end ; and

(3) is accredited by the Accreditation Council for Graduate Medical Education new text begin or the
American Psychological Association new text end or presents a credible plan to obtain accreditation.

new text begin (c) "Rural community" means a Tribal Nation, statutory city, home rule charter city, or
township in Minnesota that is outside the seven-county metropolitan area as defined in
section 473.121, subdivision 2, excluding the cities of Duluth, Mankato, Moorhead,
Rochester, and St. Cloud.
new text end

deleted text begin (c) deleted text end new text begin (d) new text end "Rural residency training program" means a new text begin rural medical new text end residency program new text begin or
a rural psychology residency program new text end that provides deleted text begin an initial year of deleted text end training in an accredited
residency program in Minnesota. deleted text begin The subsequent years of the residency program are deleted text end new text begin At
least two-thirds of the residency training must be new text end based in rural communities, utilizing local
clinics and community hospitals, with specialty rotations in nearby regional medical centers. new text begin
When specialty rotations cannot be fulfilled within rural communities, training may occur
in regional or urban sites as long as at least one-half of all training occurs in rural
communities. For residency training programs in general surgery, pediatrics, and psychiatry,
at least one-half of the residency training must be based in communities outside the
seven-county metropolitan area, with rotations in rural communities.
new text end

deleted text begin (d) deleted text end new text begin (e) new text end "Community-based ambulatory care centers" means federally qualified health
centers, community mental health centers, rural health clinics, health centers operated by
the Indian Health Service, an Indian Tribe or Tribal organization, or an urban American
Indian organization or an entity receiving funds under Title X of the Public Health Service
Act.

deleted text begin (e) deleted text end new text begin (f) new text end "Eligible project" means a project to establish and maintain a rural residency
training program.

Sec. 10.

Minnesota Statutes 2024, section 144.1507, subdivision 2, is amended to read:

Subd. 2.

Rural residency training program.

(a) The commissioner of health shall
award rural residency training program grants to eligible programs to plan, implement, and
sustain rural residency training programs. A rural new text begin medical new text end residency training program grant
shall not exceed $250,000 per year for up to three years for planning and development, and
$225,000 per resident per year for each year thereafter to sustain the program. new text begin A rural
psychology residency training program grant shall not exceed $150,000 per year for up to
three years for planning and development, and $150,000 per resident per year for each year
thereafter to sustain the program. Medical and psychology residency programs that meet
eligibility guidelines and continue to demonstrate financial need will be granted sustaining
funds, renewable every five years.
new text end

(b) Funds may be spent to cover the costs of:

(1) planning related to establishing accredited rural residency training programs;

(2) obtaining accreditation by the Accreditation Council for Graduate Medical Education new text begin ,
the American Psychological Association, new text end or another national body that accredits rural
residency training programs;

(3) establishing new rural residency training programs;

(4) recruitment, training, and retention of new residents and faculty related to the new
rural residency training program;

(5) travel and lodging for new residents;

(6) faculty, new resident, and preceptor salaries related to new rural residency training
programs;

(7) training site improvements, fees, equipment, and supplies required for new rural
residency training programs; and

(8) supporting clinical education in which trainees are part of a primary care team model.

Sec. 11.

Minnesota Statutes 2024, section 144.1507, subdivision 4, is amended to read:

Subd. 4.

Consideration of grant applications.

The commissioner shall review each
application to determine if the residency program application is complete, if the proposed
rural residency program and residency slots are eligible for a grant, and if the program is
eligible for federal graduate medical education funding, and when the funding is available.
If eligible programs are not eligible for federal graduate medical education funding, the
commissioner may award continuation funding to the eligible program beyond the initial
grant period new text begin without requiring a competitive application new text end . The commissioner shall award
grants to support training programs in family medicine, general internal medicine, general
pediatrics, psychiatry, geriatrics, general surgery, new text begin psychology, new text end and other primary care focus
areas.

Sec. 12.

Minnesota Statutes 2024, section 144.1507, is amended by adding a subdivision
to read:

new text begin Subd. 6. new text end

new text begin Clinical training program coordination. new text end

new text begin The commissioner may award grants
to the University of Minnesota to provide technical assistance to residency training programs
for coordinated development of rural clinical training programs.
new text end

Sec. 13.

Minnesota Statutes 2024, section 144.1911, subdivision 1, is amended to read:

Subdivision 1.

Establishment.

The international medical graduates assistance program
is established to address barriers to practice and facilitate pathways to assist immigrant
international medical graduates to integrate into the Minnesota health care delivery system,
with the goal of increasing access to primary care in rural and underserved areas of the state. new text begin
Notwithstanding any law to the contrary, appropriations made to the program do not cancel
and are available until expended.
new text end

Sec. 14.

Minnesota Statutes 2024, section 144.1911, subdivision 5, is amended to read:

Subd. 5.

Clinical preparation.

(a) The commissioner shall award grants to support
clinical preparation for Minnesota international medical graduates needing additional clinical
preparation or experience to qualify for residency. The grant program shall include:

(1) proposed training curricula;

(2) associated policies and procedures for clinical training sites, which must be part of
existing clinical medical education programs in Minnesota; and

(3) monthly stipends for international medical graduate participants. Priority shall be
given to primary care sites in rural or underserved areas of the state deleted text begin , and deleted text end new text begin . new text end International
medical graduate participants new text begin who receive support from the international medical graduate
primary care residency grant program new text end must commit to serving at least five years in a rural
or underserved community of the state.

(b) The policies and procedures for the clinical preparation grants must be developed
by December 31, 2015, including an implementation schedule that begins awarding grants
to clinical preparation programs beginning in June of 2016.

Sec. 15.

Minnesota Statutes 2024, section 144.1911, subdivision 6, is amended to read:

Subd. 6.

International medical graduate primary care residency grant program
and revolving account.

(a) The commissioner shall award grants to support primary care
residency positions designated for Minnesota immigrant physicians who are willing to serve
in rural or underserved areas of the state. No grant shall exceed $150,000 per residency
position per year. Eligible primary care residency grant recipients include accredited family
medicine, general surgery, internal medicine, obstetrics and gynecology, psychiatry, and
pediatric residency programs. Eligible primary care residency programs shall apply to the
commissioner. Applications must include the number of anticipated residents to be funded
using grant funds and a budget. deleted text begin Notwithstanding any law to the contrary, funds awarded to
grantees in a grant agreement do not lapse until the grant agreement expires. deleted text end Before any
funds are distributed, a grant recipient shall provide the commissioner with the following:

(1) a copy of the signed contract between the primary care residency program and the
participating international medical graduate;

(2) certification that the participating international medical graduate has lived in
Minnesota for at least two years and is certified by the Educational Commission on Foreign
Medical Graduates. Residency programs may also require that participating international
medical graduates hold a Minnesota certificate of clinical readiness for residency, once the
certificates become available; and

(3) verification that the participating international medical graduate has executed a
participant agreement pursuant to paragraph (b).

(b) Upon acceptance by a participating residency program, international medical graduates
shall enter into an agreement with the commissioner to provide primary care for at least
five years in a rural or underserved area of Minnesota after graduating from the residency
program and make payments to the revolving international medical graduate residency
account for five years beginning in their second year of postresidency employment.
Participants shall pay $15,000 or ten percent of their annual compensation each year,
whichever is less.

(c) A revolving international medical graduate residency account is established as an
account in the special revenue fund in the state treasury. The commissioner of management
and budget shall credit to the account appropriations, payments, and transfers to the account.
Earnings, such as interest, dividends, and any other earnings arising from fund assets, must
be credited to the account. Funds in the account are appropriated annually to the
commissioner to award grants and administer the grant program established in paragraph
(a). Notwithstanding any law to the contrary, any funds deposited in the account do not
expire. The commissioner may accept contributions to the account from private sector
entities subject to the following provisions:

(1) the contributing entity may not specify the recipient or recipients of any grant issued
under this subdivision;

(2) the commissioner shall make public the identity of any private contributor to the
account, as well as the amount of the contribution provided; and

(3) a contributing entity may not specify that the recipient or recipients of any funds use
specific products or services, nor may the contributing entity imply that a contribution is
an endorsement of any specific product or service.