Assessment on hospitals imposed, directed payments to hospitals in the medical assistance program required, and reports required.

HF 2057 requires hospitals participating in Minnesota's medical assistance program to pay an assessment based on their net inpatient and outpatient revenue (as reported in Medicare cost data). The funds collected must cover the nonfederal share of "directed payments" to these hospitals under the medical assistance program. The bill includes exemptions for critical access hospitals, children's hospitals, Indian Health Service facilities, and rural hospitals, plus a cap preventing any single hospital system from paying more than a specified percentage of total assessments. Assessments are due quarterly starting January 1, 2026, pending federal approval of the funding mechanism.