HF 4690 Minnesota House · 2025-2026 Regular Session

Nursing facility level of care modified for purposes of home and community-based waiver services.

This bill modifies how Minnesota determines eligibility for nursing facility level of care when applying for certain home and community-based waiver services, including elderly, brain injury, and community access for disability inclusion waivers. It updates the legal definitions to include new assessment methods like the Patient Driven Payment Model and clarifies criteria for determining when an individual qualifies as needing nursing facility care, such as requiring daily clinical monitoring or assistance with multiple daily living activities. The changes apply to individuals seeking medical assistance payment for long-term care services and will take effect on January 1, 2027, or upon federal approval, whichever comes later.
Bill status in committee 1 of 4 stages cleared
Introduction
Mar 2026
Committee Review
Floor Vote
Governor
Introduced Mar 25, 2026 Last action Apr 22, 2026
Floor votes

How they voted

No floor votes recorded yet.
Full legislative history

Actions timeline

Total actions
2
Key actions
0
Committee
0
Mar 25, 2026
Introduced
Introduction and first reading, referred to Human Services Finance and Policy
lower
1 primary · 1 co-sponsor

Sponsors