Rep. Tina Liebling

Maddy summaryThis bill modifies Minnesota's reimbursement rules for federally qualified health centers (FQHCs) that provide medical assistance. It requires FQHCs to submit detailed cost and visit reports within 90 days after each reporting period, using forms approved by the commissioner, and to provide copies of their Medicare cost reports as supporting documentation. The bill updates payment mechanisms, allowing FQHCs to choose between a prospective payment system or an alternative cost-based payment method (100% of Medicare-approved costs), effective January 1, 2021. These changes directly affect FQHCs operating in Minnesota that receive state medical assistance payments, ensuring consistent reporting and payment procedures aligned with federal requirements.

Maddy summaryHF 2555 establishes a pilot program (2026-2030) for Minnesota's state employee health insurance plan, comparing retrospective utilization review (evaluating care after it's provided) against prior authorization (evaluating care before it's provided). It requires health carriers to use retrospective review for state employee coverage during the pilot, while still allowing prior authorization if needed, and mandates quality audits to track impacts on care access and costs. The program directly affects state employees covered under the group insurance plan and health care providers billing them. The commissioner must report annually on cost, access, and quality impacts to lawmakers, with final recommendations due by 2031.

Maddy summaryHF 2765 modifies Minnesota's optometry scope of practice by adding specific restrictions to the existing law. The bill directly affects licensed optometrists by prohibiting them from administering prescription medications via injection (except for anaphylaxis treatment), performing invasive surgeries (including laser procedures), prescribing certain strong oral medications (like Schedule II/III drugs or steroids), and extending the duration of some prescriptions (limiting oral antivirals to 10 days and oral carbonic anhydrase inhibitors to 7 days). These changes clarify the boundaries of optometric practice under Minnesota Statutes 148.56. The bill does not alter optometrists' core duties like vision testing, lens prescribing, or diagnosing eye conditions.

Maddy summaryHF 1093 directs Minnesota's Commissioner of Human Services to create a centralized prescription drug purchasing program for medical assistance and MinnesotaCare enrollees (who receive state-funded health coverage). The program requires the commissioner to negotiate lower drug prices, develop a preferred drug list, manage pharmacy participation, and coordinate prescription benefits. It mandates the commissioner to seek federal approval for implementation (effective January 2027) and submit expansion recommendations by December 2027 to include health plan companies administering drug benefits. The bill focuses on lowering costs for covered individuals through coordinated purchasing and price negotiations.

Maddy summaryHF 2591 establishes a new fifth tax bracket for Minnesota individual income tax, targeting high earners to replace revenue lost from federal Medicaid funding changes. The bill amends tax law to create a top income bracket (applying to income over $1.667 million for married couples filing jointly) with a rate set by the commissioner of revenue. This rate must be calculated to generate revenue equal to the amount of federal Medicaid funds Minnesota lost, as certified by the commissioner of management and budget. The new tax rate applies to taxable years 2026 and 2027, affecting only taxpayers in the highest income bracket.

Maddy summaryHF 1021 increases funding for the Minnesota Family Resiliency Partnership by reallocating more court and marriage license fees. It raises the amount from dissolution court fees (currently $30) to $60 per fee, and increases the marriage license fee contribution from $25 to $55 per license. These additional funds are directed to the Partnership’s special revenue fund under section 116L.96. The bill directly affects the Partnership’s budget, providing increased resources for its programs without changing eligibility or service delivery.

Maddy summaryHF 2414 provides $45 million in fiscal year 2026 and $45 million in fiscal year 2027 from the state general fund to the University of Minnesota Board of Regents. The funding is specifically designated to implement the University of Minnesota's Health Sciences Strategic Plan. This bill directly affects the University of Minnesota's health sciences programs and initiatives. The key provision is the direct appropriation of these funds to address critical health care challenges facing Minnesota, as outlined in the university's strategic plan.

Maddy summaryHF 1952 appropriates $3 million from the state general fund for historic preservation in Olmsted County. Specifically, $850,000 funds rehabilitation of the National Register-listed George Stoppel stone house and barn, plus an accessible pathway, while $2.15 million covers design and construction for renovations at the History Center of Olmsted County. All work must follow U.S. Secretary of the Interior historic preservation standards. The one-time funding is allocated to the Olmsted County Historical Society, which owns both properties, and remains available until projects are completed.

Maddy summaryHF 1145 prohibits Minnesota legislators from acting as lobbyists for two years after leaving office. It directly affects former state legislators who would otherwise seek lobbying roles immediately following their service. The bill authorizes a civil penalty of up to $25,000 or the amount earned from violating the ban, whichever is lower. This law applies to legislators whose service ends on or after the effective date following final enactment.

Maddy summaryHF 1760 exempts sales and use taxes on specific electric meters, software, and related components purchased for Rochester Public Utilities' Advanced Metering Infrastructure Project. The exemption applies to purchases made between July 1, 2024, and March 31, 2029, including retroactive refunds for taxes paid after June 30, 2024. Rochester Public Utilities and its vendors directly benefit from this tax break for qualifying equipment. The bill requires refunds to be processed through the state's existing tax refund system under Minnesota Statutes, section 297A.75.