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Rochester lawmaker speaks out against state leaders, health insurers in home care nursing coverage dispute
Medica and HealthPartners say limits follow state guidance, while lawmakers argue the change shifts costs to Medicaid and violates a 2010 law.
On Tuesday, State Sen. Liz Boldon, DFL-Rochester, criticized insurance companies and state leaders for allowing limits on home care nursing coverage in 2027. Boldon called the policy "inconceivable," arguing insurers are "disregarding longstanding state law."
Health insurers Medica and HealthPartners are limiting home care nursing to 120 visits, shifting costs to the state-federal Medical Assistance program. Insurers claim the administration forced policy changes, which caused nonprofit plans to increase their 2027 rates.
Sen. Boldon and Rep. Robert Bierman, DFL-Apple Valley, led a bill during the 2026 session to reinforce a 2010 law requiring coverage, but the Minnesota House failed to vote on the measure. Boldon criticized Speaker Demuth for her "unwillingness to stand with these families."
Governor Walz instructed the Minnesota Department of Commerce to explore administrative solutions, stating he shares families' concerns. The department is committed to supporting a permanent legislative fix as the "clearest and strongest solution."
The debate centers on whether private insurance or Medicaid should cover complex care, with insurers arguing against expanding cost shifts to private plans. State leaders continue pursuing a permanent solution to ensure families maintain access to essential hospital-level services.