HF3851 (Legislative Session 94 (2025-2026))

Certifications in the paid family and medical leave insurance program by foreign providers limited, and suspension of certifications based on credible allegations of fraud and certain convictions required.

AI Generated Summary

Purpose

The bill aims to restrict who can certify eligibility for the paid family and medical leave insurance program when the certifier is a foreign-licensed health care practitioner. It adds rules to suspend certifications by foreign providers after credible allegations of fraud and after certain criminal convictions. It also expands who is considered a health care provider to include foreign physicians, aligning certification oversight with fraud and conviction protections.

Main Provisions

  • Redefines Health care provider to include:
    • Individuals licensed or authorized in Minnesota to practice health care, and
    • Individuals licensed in a foreign country to practice as a physician or other health care professional, if the governor-regulated rules allow it.
  • Creates a new Subdivision 3a in the certification statute to address Certification by foreign physician suspension after credible allegations of fraud.
    • A credible allegation is defined as an allegation verified by the state from sources such as fraud hotlines, data mining, provider audits, civil false claims cases, and law enforcement investigations.
    • If the commissioner determines there is a credible allegation that a foreign-licensed physician filed a false certification or committed fraud in any program, the commissioner must suspend processing of all further certifications pending further review.
    • A foreign-licensed physician who has been convicted of any listed offenses is disqualified from filing a certification.
  • Lists offenses that would disqualify a foreign-licensed physician from filing a certification, including specific sections of Minnesota statutes (and similar offenses under statutes from other jurisdictions).

Significant Changes to Existing Law

  • Expands the definition of who is a health care provider for purposes of the paid family and medical leave insurance program to include foreign-licensed physicians.
  • Establishes a new process for suspending and reviewing certifications by foreign providers if there are credible allegations of fraud.
  • Creates a disqualification mechanism for foreign-licensed physicians based on certain criminal convictions.
  • Allows the state to halt processing of all further foreign-provider certifications while investigating credible allegations of fraud.

Definitions and Key Terms (selected)

  • paid family and medical leave insurance program
  • foreign provider / foreign physician
  • certification (for health care providers)
  • credible allegation of fraud
  • suspension of certifications
  • disqualification
  • health care provider (as expanded to foreign-licensed practitioners)
  • offenses (listed statute references)

Relevant terms and context: fraud hotline, data mining, provider audits, civil false claims cases, law enforcement investigations, Minnesota Statutes 2024 sections 268B.01 and 268B.06, foreign-licensed physicians.

Relevant Terms - paid family and medical leave insurance program - foreign provider / foreign physician - certification - credible allegation of fraud - suspension of certifications - disqualification - health care provider - offenses (statutory sections like 256.98, 609.465, 609.466, 609.496, 609.497, 609.52, 609.542)

Bill text versions

Actions

DateChamberWhereTypeNameCommittee Name
March 02, 2026HouseActionIntroduction and first reading, referred toWorkforce, Labor, and Economic Development Finance and Policy
March 05, 2026HouseActionAuthors added

Citations

 
[
  {
    "analysis": {
      "added": [
        "Foreign-licensed health care providers added to the health care provider definition."
      ],
      "removed": [],
      "summary": "Amends Minnesota Statutes 2024 section 268B.01, subdivision 24 to expand the definition of health care provider to include foreign-licensed individuals.",
      "modified": [
        "Broadens the scope of who is considered a health care provider."
      ]
    },
    "citation": "268B.01",
    "subdivision": "Subd.24"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "References the alcohol and drug counselor definition within the health care provider framework (148F.01, Subd. 5).",
      "modified": []
    },
    "citation": "148F.01",
    "subdivision": "Subd.5"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "References the mental health professional definition within the health care provider framework (245I.02, Subd. 27).",
      "modified": []
    },
    "citation": "245I.02",
    "subdivision": "Subd.27"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "Cites the federal Administrative Procedure Act for rulemaking procedures.",
      "modified": []
    },
    "citation": "Administrative Procedure Act",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        "Creates Subd.3a: Certification by foreign physician suspension following credible allegations of fraud."
      ],
      "removed": [],
      "summary": "Adds new subdivision 3a to 268B.06 establishing certification suspension by foreign physicians following credible allegations of fraud.",
      "modified": []
    },
    "citation": "268B.06",
    "subdivision": "Subd.3a"
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "256.98",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "609.465",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "609.466",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "609.496",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "609.497",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "609.52",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [],
      "removed": [],
      "summary": "One of the offenses that disqualify a foreign physician from filing a certification under the new 268B.06 Subd.3a.",
      "modified": []
    },
    "citation": "609.542",
    "subdivision": ""
  }
]
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