HF 4491 Minnesota House · 2025-2026 Regular Session

Medical assistance prepayment review requirements established, and report required.

This bill establishes new prepayment review requirements for medical assistance claims in Minnesota, affecting healthcare providers designated as high-risk or offering high-risk services. Under the law, the state commissioner must review claims before payment when certain provider types or services are flagged as high-risk, with reviews lasting up to 24 months and requiring compliance with federal processing timelines. Providers subject to review must be notified at least 10 days in advance, and the bill explicitly allows them to continue enrolling new clients during the review period. Additionally, the commissioner must submit a report to legislative committees within 60 days of ending each review, detailing any sanctions imposed and offering recommendations for future policy adjustments.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 18, 2026 Last action Mar 18, 2026
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Mar 18, 2026
Introduced
Introduction and first reading, referred to Human Services Finance and Policy
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Joe Schomacker
Joe Schomacker
RRepublican
MN
21A