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Legislative Priorities

MNASCA actively champions the interests of Ambulatory Surgery Centers (ASCs) in Minnesota through strategic engagement with state legislators, regulatory bodies, and executive agencies. We identify and scrutinize key issues impacting ASCs, taking decisive action to safeguard and enhance their capacity to deliver superior, cost-effective patient care.

2025 Key Issues

The 2025 Minnesota legislative session was marked by unprecedented challenges, beginning with a rare 33-33 Senate tie and a nearly tied House complicated by a vacant seat and contested quorum. Lawmakers grappled with a projected $5.95 billion budget shortfall for FY 2027–28, requiring extended negotiations that culminated in a one-day special session in June to finalize the budget. The session included dramatic political shifts, power-sharing agreements, and significant controversies.

Throughout the session and special session, MNASCA remained actively engaged with policymakers on a number of important issues, including:

  • Support for additional prior authorization reform to ease administrative burdens and address patient delays
  • Address healthcare workforce challenges, including support for Allied Healthcare Professions scholarship funding (including surgical technologists, radiology technologists, etc.) and engagement with the Healthcare Professionals Workforce Advisory Council
  • Monitor Scope of Practice initiatives that would impact ASC’s
  • Engage in insurance coverage issues including support for extending the current Reinsurance Program and opposition to expansion of the MN Care program into a Public Option
  • Oppose legislation that would prohibit private equity or REITS from investing in health care
  • Engage with the MN Department of Labor & Industry to address the inadequate provider reimbursement in Mn’s Workers Compensation program
  • Monitor the MN Attorney General’s enforcement of the 2023 Merger and Acquisition legislation, including data reporting and restrictions or denials of market transactions
  • Monitor implementation of MN’s medical debt reform package and impact on providers
  • Support changes to the Paid Family and Medical Leave and Earned Sick and Safe Time programs to address provider concerns impacting patient care
  • Support Medical Assistance rate adjustments for outpatient physician and professional services

2025 Healthcare End of Session Summary