Family Medical Account service delivery model establishment

SF 1261 establishes a new "Family Medical Account" (FMA) service delivery model for Minnesota's medical assistance program, effective January 2026. It requires most new or reenrolling medical assistance enrollees (with income ≤138% of federal poverty level who qualify for managed care) to use this model, excluding people aged 65+ or with disabilities. Under the FMA, enrollees receive monthly contributions deposited into a debit account for outpatient and emergency care (capped at $300 per visit), with unspent funds rolling over to an investment account. Preventive services and specific medications (like diabetes or blood pressure treatments) remain covered without using the account, while other medical expenses require full use of the yearly contribution amount.