Eligibility for medical assistance and expedited disability determinations modified, review of death master file required, and contract requirements for managed care plans provided.

HF 3439 modifies Minnesota's medical assistance program to improve access for vulnerable populations. It creates an expedited disability determination process for high-risk groups, including infants under two with rare diseases, individuals in facilities needing home care, those with life-threatening conditions, and people at risk of losing coverage under specific eligibility categories. The bill also changes income counting rules (excluding state tax credits for 12 months) and adjusts eligibility periods, requiring biannual reviews for some groups and annual reviews for others starting January 2027. These changes directly affect Minnesotans applying for or receiving medical assistance, particularly children, individuals with serious health conditions, and those with complex eligibility needs.