| 1 | 1 | | 1.1 A bill for an act |
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| 2 | 2 | | 1.2 relating to human services; requiring background checks for medical assistance |
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| 3 | 3 | | 1.3 vendors; establishing a fraud detection system for the Department of Human |
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| 4 | 4 | | 1.4 Services and the Department of Children, Youth, and Families; requiring reports; |
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| 5 | 5 | | 1.5 amending Minnesota Statutes 2024, sections 245C.03, by adding a subdivision; |
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| 6 | 6 | | 1.6 256.983, by adding a subdivision. |
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| 7 | 7 | | 1.7BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: |
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| 8 | 8 | | 1.8 Section 1. Minnesota Statutes 2024, section 245C.03, is amended by adding a subdivision |
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| 9 | 9 | | 1.9to read: |
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| 10 | 10 | | 1.10 Subd. 16.Medical assistance vendors.(a) The commissioner shall conduct background |
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| 11 | 11 | | 1.11studies of all controlling individuals and managerial officials, as defined in section 245A.02, |
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| 12 | 12 | | 1.12for vendors that receive reimbursement through the medical assistance program not otherwise |
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| 13 | 13 | | 1.13covered under this section. |
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| 14 | 14 | | 1.14 (b) The vendor must comply with all requirements for entities initiating background |
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| 15 | 15 | | 1.15studies under this chapter. |
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| 16 | 16 | | 1.16 (c) In order to be eligible for medical assistance payments, a vendor must demonstrate |
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| 17 | 17 | | 1.17that all individuals who are required to have a background study according to paragraph (a) |
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| 18 | 18 | | 1.18have a notice stating that: |
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| 19 | 19 | | 1.19 (1) the individual is not disqualified under section 245C.14; or |
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| 20 | 20 | | 1.20 (2) the individual is disqualified and the individual has been issued a set-aside of the |
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| 21 | 21 | | 1.21disqualification for the setting under section 245C.22. |
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| 22 | 22 | | 1Section 1. |
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| 23 | 23 | | 25-02727 as introduced01/31/25 REVISOR DTT/ES |
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| 24 | 24 | | SENATE |
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| 25 | 25 | | STATE OF MINNESOTA |
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| 26 | 26 | | S.F. No. 1648NINETY-FOURTH SESSION |
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| 27 | 27 | | (SENATE AUTHORS: GRUENHAGEN, Utke and Hoffman) |
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| 28 | 28 | | OFFICIAL STATUSD-PGDATE |
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| 29 | 29 | | Introduction and first reading02/20/2025 |
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| 30 | 30 | | Referred to Health and Human Services 2.1 Sec. 2. Minnesota Statutes 2024, section 256.983, is amended by adding a subdivision to |
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| 31 | 31 | | 2.2read: |
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| 32 | 32 | | 2.3 Subd. 6.Fraud detection system.(a) The commissioners of human services and children, |
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| 33 | 33 | | 2.4youth, and families shall establish an automated or semiautomated fraud detection system |
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| 34 | 34 | | 2.5that is capable of reviewing all vendor payments and requests for payments for suspicious, |
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| 35 | 35 | | 2.6unusual, and potentially fraudulent activity. Fraud investigators must review any payments |
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| 36 | 36 | | 2.7or requests for payments that the system in this subdivision indicates as suspicious, unusual, |
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| 37 | 37 | | 2.8or potentially fraudulent. |
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| 38 | 38 | | 2.9 (b) At least once every ... years, the commissioners of human services and children, |
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| 39 | 39 | | 2.10youth, and families must analyze its fraud detection system using earned value management |
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| 40 | 40 | | 2.11analysis to measure the efficiency and effectiveness of the system. During the regular |
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| 41 | 41 | | 2.12legislative session following the conclusion of each analysis under this paragraph, the |
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| 42 | 42 | | 2.13commissioners must report their findings to the chairs and ranking minority members of |
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| 43 | 43 | | 2.14the legislative committees with jurisdiction over human services. |
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| 44 | 44 | | 2Sec. 2. |
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| 45 | 45 | | 25-02727 as introduced01/31/25 REVISOR DTT/ES |
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