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HF 3375

Disability waiver rate system unit-based services with programming limits modified.

2025-2026 Regular Session Introduced by Jeff Backer and 4 co-sponsors

The bill changes Minnesota’s disability waiver by redefining unit-based service rates and adjusting programming limits to control costs and standardize funding.

Author added Rehrauer
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Bill Summary · HF 3375

Summary of HF 3375 (Session 2025-2026, Minnesota)

Title

Disability waiver rate system unit-based services with programming limits modified

Purpose and intent

HF 3375 proposes reforms to the disability waiver rate system for Minnesota’s home and community-based services (HCBS) provided under waiver programs. The bill focuses on modifying the rate-setting framework for unit-based services and introducing or adjusting limitations on programming to influence how services are delivered and funded. The overarching goal appears to be aligning reimbursement with unit-based service delivery while imposing or adjusting programming limits to ensure cost-control, consistency, and adequacy of supports for individuals with disabilities.

Key provisions and changes (provisional, based on bill title and typical structure)

  • Unit-based service rate framework: Adjustments to how rates are calculated for unit-based services within the disability waiver programs. This could involve redefining unit definitions, rate components, and what constitutes billable units (e.g., hours, shifts, instances of service).
  • Revisions to programming limits: Modifications to the caps or boundaries on programming for waiver recipients. This may include:
    • Changes to daily or monthly service hours
    • Limits on specific service types (e.g., in-home supports, community-based activities)
    • Restrictions or thresholds intended to prevent over- or under-utilization of services
  • Alignment with cost controls and fairness: Provisions likely intended to ensure equitable access while maintaining program sustainability and preventing abuse or unintended cost spikes.
  • Implementation parameters: The bill would typically specify effective dates, phased rollouts, and any transitional rules for providers and recipients.

Who or what would be affected

  • Individuals receiving disability waiver services: Recipients may experience changes in how services are billed, the amount of programming available, and potential adjustments to covered hours or service types.
  • Waiver service providers and agencies: Providers would adapt billing practices, staffing models, and programming planning to comply with revised unit definitions and limits.
  • State agencies (e.g., DHS or equivalent in Minnesota): Administrative changes to the rate-setting methodology, rate clocks, and monitoring/compliance processes.
  • Care coordinators/planners: Adjustments to planning documents and authorization processes to reflect new unit-based rates and programming limits.

Procedural and timeline aspects

  • Introduction and first reading: February 17, 2026 (Referred to Human Services Finance and Policy)
  • Subsequent author additions: March 5–18, 2026 (Authors include Rehm, Virnig, Rehrauer; additional sponsors Brion Curran, Lucy Rehm, Kari Rehrauer, Jeff Backer)
  • Next steps (typical for this committee): The bill would be reviewed by the House Human Services Finance and Policy committee, with potential amendments, hearings, and a vote before advancing to the chamber floor. If advanced, it would proceed to the other chamber and potentially to conference committee depending on inter-chamber agreement.

Notes

  • The summary reflects the bill’s title and stated focus on “disability waiver rate system unit-based services with programming limits modified.” Specific numeric details (e.g., exact unit definitions, dollar amounts, caps, timelines) are not provided in the available summary and would be found in the bill text and fiscal notes as the bill advances through committee stages.

If you’d like, I can pull the bill text or fiscal note details (once available) and incorporate precise figures, dates, and the exact regulatory changes.

Compiled from official sources — confirm details with the bill’s official record.

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