SF 3115 Minnesota Senate · 2025-2026 Regular Session

Medical assistance capitation payment withhold related to verification of coverage establishment provision

This bill modifies Minnesota's medical assistance program by requiring the commissioner to withhold 5% of monthly payments to managed care plans until they verify coverage establishment for enrollees. It directly affects health insurance plans contracted with the state to provide medical assistance services to Medicaid recipients. The withheld funds are returned by July of the following year if plans meet specific, measurable performance targets - including coverage verification - developed with stakeholder input. The bill ensures these targets must be objective, evidence-based, and include efforts to manage healthcare spending.
Bill status in committee 1 of 4 stages cleared
Introduction
Apr 2025
Committee Review
Floor Vote
Governor
Introduced Apr 1, 2025 Last action Apr 1, 2025
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Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
1
Apr 1, 2025
Committee
Referred to Health and Human Services
upper
Apr 1, 2025
Introduced
Introduction and first reading
upper
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Paul Utke
Paul Utke
RRepublican
MN
5