The topic of reproductive health care often generates heated debate. And Wednesday night on the House Floor was no different.
With House language substituted in an earlier committee hearing, HF2930/SF2995* was passed, as amended, 69-58 by the House. It includes provisions addressing abortion coverage, the 24-hour waiting period, and the presence of a designated support person while receiving reproductive health care.
It now returns to the Senate, where the bill was initially passed 35-32 along party lines April 19. Presumably, a conference committee will be scheduled to craft a final draft.
Sponsored by Rep. Tina Liebling (DFL-Rochester), the omnibus health finance bill would appropriate $7.1 billion in the 2024-25 biennium, including $6.19 billion for the Department of Human Services and $908.84 million for the Department of Health.
“It de-privatizes our public health care programs, streamlines bureaucracy, and saves money that we now spend on layers of administration instead of actual health care,” Liebling said. “It reduces barriers to care and covers more Minnesotans, including folks who are undocumented who will be able to join our MinnesotaCare program if they qualify financially.”
“All Minnesotans deserve affordable, high-quality health care no matter your zip code, income, or background. That’s why our health budget takes significant steps to reduce the cost of health care and expand access,” House Majority Leader Jamie Long (DFL-Mpls) said in a statement. “Our health budget builds on the important consumer protections in the Affordable Care Act by establishing a public option for health insurance, which will help to put people at the center of health care, not profits.”
What about abortion?
Medical assistance coverage for medically necessary abortions would be codified by repealing language deemed unconstitutional under the state constitution in a 1995 Minnesota Supreme Court decision that limited abortion coverage.
Current statute bars the Department of Health from giving grants to nonprofits that perform abortions. The bill would repeal this prohibition, found unconstitutional by the 8th Circuit Court and the U.S. Supreme Court.
Other proposed changes to Minnesota law would:
An amendment unsuccessfully offered by House Minority Leader Lisa Demuth (R-Cold Spring) “would prohibit the dilation and extraction or partial birth abortion except when necessary to save the life of the mother.”
She said it would prohibit third-trimester abortions except in instances of rape, incest, or the health of the mother.
Other proposed changes include:
Some funding specifically relates to pregnancy, such as $199,000 for the task force on pregnancy health and substance use disorders and $260,000 for the African American Babies Coalition initiative for community-driven training and education.
Financial provisions in the bill include:
Yes, MinnesotaCare still plans to transition to a “public option,” eliminating income restrictions. No, it may not be available soon as it would be effective Jan. 1, 2027 or upon federal approval.
Additional insurance changes would provide continuous medical assistance eligibility for children, carve outpatient prescription drugs out of medical assistance and managed care contracts, and require the Department of Human Services to reimburse health care providers directly for medical assistance and MinnesotaCare, using fee-for-service payment methods.
“Keep Nurses at Bedside” Act?
By Oct. 1, 2024, each hospital would need to establish a hospital nurse staffing committee and a hospital nurse workload committee and a year later would need to implement core staffing plans.
According to Rep. Sandra Feist (DFL-New Brighton), hospitals, nurses, and patients would benefit as the language, originally found in bill she sponsored, would “address the unsustainable status quo when it comes to trends around hospital staffing.”
Calling it a “mandate,” Rep. Joe Schomacker (R-Luverne) strongly opposes the portion of the core staffing plan that would set a “maximum number of patients” for each care unit for “whom a direct care nurse can typically safely care.”
“This ignores the individual needs of the patient,” he said. ‘This ignores the skills and experiences of the nurses.”
An amendment unsuccessfully offered by Schomacker would have removed many of the proposal’s provisions, such as the committees, the hospital core staffing plan and the daily staffing schedule.
An amendment unsuccessfully offered by Rep. Mary Franson (R-Alexandria), adding the so-called “Protect Reproductive Organs of Minors Act” was criticized by DFL members for trying to block gender-affirming care for minors.
Additional unsuccessful Republican amendments would have removed:
Other unsuccessful Republican amendments would have kept or expanded: