Minnesota 2025-2026 Regular Session

Minnesota Senate Bill SF2109 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	1.1 A bill for an act
2	2	1.2 relating to human services; modifying reimbursement rates for services provided
3	3	1.3 by birth centers in the medical assistance program; amending Minnesota Statutes
4	4	1.4 2024, section 256B.0625, subdivision 54.
5	5	1.5BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:
6	6	1.6 Section 1. Minnesota Statutes 2024, section 256B.0625, subdivision 54, is amended to
7	7	1.7read:
8	8	1.8 Subd. 54.Services provided in birth centers.(a) Medical assistance covers services
9	9	1.9provided in a licensed birth center by a licensed health professional if the service would
10	10	1.10otherwise be covered if provided in a hospital.
11	11	1.11 (b) Facility services provided by a birth center shall be paid at the lower of billed charges
12	12	1.12or 70 percent of the statewide average for a facility payment rate made to a hospital for an
13	13	1.13uncomplicated vaginal birth as determined using the most recent calendar year for which
14	14	1.14complete claims data is available. If a recipient is transported from a birth center to a hospital
15	15	1.15prior to the delivery, the payment for facility services to the birth center shall be the lower
16	16	1.16of billed charges or 15 percent of the average facility payment made to a hospital for the
17	17	1.17services provided for an uncomplicated vaginal delivery as determined using the most recent
18	18	1.18calendar year for which complete claims data is available. This paragraph expires on the
19	19	1.19effective date of paragraph (c).
20	20	1.20 (c) Effective January 1, 2027, or upon federal approval, whichever is later, facility
21	21	1.21services provided by a birth center shall be paid at the lower of billed charges or 100 percent
22	22	1.22of the hospital facility fee cost trended to current for an uncomplicated vaginal birth as
23	23	1.23determined using the most recent calendar year for which complete claims data is available.
24	24	1Section 1.
25	25	25-02981 as introduced02/10/25 REVISOR AGW/EH
26	26	SENATE
27	27	STATE OF MINNESOTA
28	28	S.F. No. 2109NINETY-FOURTH SESSION
29	29	(SENATE AUTHORS: PAPPAS, Abeler, Mann and Port)
30	30	OFFICIAL STATUSD-PGDATE
31	31	Introduction and first reading03/03/2025
32	32	Referred to Health and Human Services 2.1If a recipient is transported from a birth center to a hospital prior to the delivery, the payment
33	33	2.2for facility services to the birth center shall be the lower of billed charges or 100 percent of
34	34	2.3the hospital facility fee cost trended to current for an uncomplicated vaginal delivery as
35	35	2.4determined using the most recent calendar year for which complete claims data is available.
36	36	2.5 (c) (d) Nursery care services provided by a birth center shall be paid the lower of billed
37	37	2.6charges or 70 percent of the statewide average for a payment rate paid to a hospital for
38	38	2.7nursery care as determined by using the most recent calendar year for which complete claims
39	39	2.8data is available. This paragraph expires on the effective date of paragraph (e).
40	40	2.9 (e) Effective January 1, 2027, or upon federal approval, whichever is later, facility
41	41	2.10services provided to a newborn by a birth center shall be paid the lower of billed charges
42	42	2.11or 100 percent of the average room and board cost for a hospital stay.
43	43	2.12 (d) (f) Professional services provided by traditional midwives licensed under chapter
44	44	2.13147D shall be paid at the lower of billed charges or 100 percent of the rate paid to a physician
45	45	2.14performing the same services. If a recipient is transported from a birth center to a hospital
46	46	2.15prior to the delivery, a licensed traditional midwife who does not perform the delivery may
47	47	2.16not bill for any delivery services. Services are not covered if provided by an unlicensed
48	48	2.17traditional midwife.
49	49	2.18 (g) Effective January 1, 2027, or upon federal approval, whichever is later, birth center
50	50	2.19providers must be reimbursed for the full range of maternity care services within their scope
51	51	2.20of practice, regardless of place of service. The commissioner must review current birth
52	52	2.21center reimbursements and, in consultation with birth centers currently licensed in the state,
53	53	2.22develop revisions to current payment practices in order to ensure reimbursement for
54	54	2.23comprehensive maternal health services.
55	55	2.24 (e) (h) The commissioner shall apply for any necessary waivers from the Centers for
56	56	2.25Medicare and Medicaid Services to allow birth centers and birth center providers to be
57	57	2.26reimbursed.
58	58	2Section 1.
59	59	25-02981 as introduced02/10/25 REVISOR AGW/EH