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SF4267 (Legislative Session 94 (2025-2026))

Commissioner authority clarification to impose sanctions against individuals or entities that receive payments from medical assistance or provide goods or services for which payment is made from medical assistance

Related bill: HF4068

AI Generated Summary

Purpose

  • Clarify the commissioner of human services’ authority to impose sanctions on people or entities that receive payments from Medical Assistance (MA) or provide goods or services for which MA payment is made.
  • Recodify the MA sanctions and monetary recovery provisions, reorganizing how sanctions and recovery are described in law.
  • Make targeted amendments to specified Minnesota statutes to implement these sanctions and recovery provisions.
  • Include a provision stating that the new section does not modify, supersede, or expand the commissioner’s existing authority under the related statute 256B.064.

Main provisions

  • Amendments to statutes: add new subdivisions to Minnesota Statutes 2024/2025 in the listed sections (245.095, 256B.064, and 15.013) to implement and define sanctions and monetary recovery related to MA.
  • Authority to impose sanctions: codify and clarify that the commissioner can impose sanctions on individuals or entities that receive MA payments or provide goods or services paid for by MA.
  • Monetary recovery framework: establish or reorganize how the state can recover funds or impose penalties related to MA transactions.
  • Exemption language: include Subdivision 7 in the new or amended section to clarify an important exemption (see below).
  • Section 2: A second section is referenced but not detailed in the text provided.

Significant changes to existing law

  • Explicitly expands or clarifies the commissioner’s power to impose sanctions on MA-related recipients and providers by adding subdivisions to existing statutes.
  • Recodifies the sanctions and monetary recovery provisions, reorganizing how these tools are described and applied within the MA program.
  • Adds an exemption to ensure the new provisions do not exceed the current authority granted under 256B.064.

Exemption language and scope

  • The bill includes a Subdivision 7 Exemption stating that nothing in this section changes or expands the commissioner’s authority under 256B.064. This means the new provisions are intended to work within existing authority, not broaden it beyond current limits.

Section 2

  • The text lists a Sec. 2 but does not provide detail in the excerpt. The section is referenced but its contents are not described here.

Practical impact (in plain terms)

  • Providers and other entities that receive MA payments or supply goods/services paid for by MA could be subject to sanctions and potential recovery actions under the updated framework.
  • The state would have a clarified and possibly broadened set of tools to ensure compliance and to recoup funds when MA payments are at issue, while preserving existing authority through the exemption language.

Relevant Terms - medical assistance - MA payments - sanctions - commissioner of human services - Minnesota Statutes 245.095 - Minnesota Statutes 256B.064 - Minnesota Statutes 2025 Supplement section 15.013 - Subdivision (Subd.) - subsection additions / subdivisions - monetary recovery provisions - provider - goods or services - exemption - Section 2

Bill text versions

Past committee meetings

Actions

DateChamberWhereTypeNameCommittee Name
March 09, 2026SenateActionIntroduction and first reading
March 09, 2026SenateActionReferred toHealth and Human Services
March 23, 2026SenateActionComm report: To pass and re-referred toHuman Services

Citations

 
[
  {
    "analysis": {
      "added": [
        "Adds a new subdivision to section 245.095."
      ],
      "removed": [],
      "summary": "This bill amends Minnesota Statutes 2024 section 245.095 by adding a subdivision related to sanctions or monetary recovery provisions in the medical assistance context.",
      "modified": []
    },
    "citation": "245.095",
    "subdivision": ""
  },
  {
    "analysis": {
      "added": [
        "Adds new subdivisions to §256B.064 to address sanctions and monetary recovery."
      ],
      "removed": [],
      "summary": "This bill amends Minnesota Statutes 2024 section 256B.064 by adding subdivisions (beyond current subdivisions 1b, 1c, 1d, 2, 3, 4, 5) related to sanctions and monetary recovery provisions for entities receiving payments from medical assistance.",
      "modified": []
    },
    "citation": "256B.064",
    "subdivision": "1b 1c 1d 2 3 4 5"
  },
  {
    "analysis": {
      "added": [
        "Subd. 7 Exemption added."
      ],
      "removed": [],
      "summary": "Minnesota Statutes 2025 Supplement section 15.013 is amended by adding Subd. 7 (Exemption), clarifying that nothing in this section modifies or supersedes the authority to impose sanctions under §256B.064.",
      "modified": []
    },
    "citation": "15.013",
    "subdivision": "7"
  }
]

Progress through the legislative process

17%
In Committee

Sponsors

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