Minnesota Hospital Association


December 17, 2018

MHA Newsline: Dec. 17, 2018

In this issue 

MHA comments on proposed rule to expand factors used in public charge determinations and immigration status

MHA submitted comments to the Department of Homeland Security (DHS) expressing concerns about its proposed rule broadening the factors used in public charge determinations, meaning whether a legal immigrant would become primarily dependent on the government for subsistence. The proposed rule would lower the threshold for public charge determinations from “primarily dependent” to “likely to receive a public benefit” and expand the list of public benefits considered to include Medicaid, the Medicare Part D Low-Income Subsidy Program, the Supplemental Nutrition Assistance Program (SNAP) and housing assistance. The proposed rule could affect a legal immigrant’s future immigration status, such as ability to get a green card, become a citizen or change visa status, based on their receipt of public benefits.     

The proposed rule will likely jeopardize access to health services for legal immigrants across Minnesota, threatening the health of individuals and public health. Increasing barriers to accessing health care increases the risk of poor health outcomes, such as preventable disease outbreaks. Additionally, delayed care often exacerbates medical conditions, leading to sicker patients and higher reliance on hospital emergency departments. Delayed care also increases health care costs.   

Minnesota’s hospitals and health systems could see a reduction of $157 million in Medicaid and Children’s Health Insurance Program (CHIP) payments. The estimated loss in Medicaid and CHIP payments would disproportionately fall on Minnesota’s hospitals and health systems that provide care for the largest number of vulnerable patient populations.   

MHA believes immigrant families should not feel they must choose between future immigration status and their ability to meet basic needs by accessing health care, healthy food and adequate housing.   

With questions, contact Briana Nord Parish, director of policy, MHA, 651-603-3498. return to top   

2019 Rural Hospital Capital Improvement Grant Program application deadline extended to Jan. 25

The Minnesota Department of Health (MDH) is soliciting grant proposals from Minnesota rural hospitals to update, remodel or replace aging hospital facilities and equipment. MHA initially published this application opportunity in the Dec. 3 issue of Newsline.   

The Request for Proposals (RFP) was revised as of Dec. 13 with the following changes: 

  •  The deadline for submitting applications has been extended to Jan. 25, 2019. Information on this new deadline can be found on pages 1 and 9 of the RFP. Application submissions may be made using one of three different methods described on pages 9 and 10 in the RFP. Please note that Jan. 25 is the absolute deadline, not “postmarked” on the envelope if using the U.S. Post Office or a next-day delivery service. 
  • The Competitive Bidding Form has been updated to correct a bullet alignment. 
  • The Due Diligence Form is now available for download on the Rural Hospital Capital Improvement Grant Program webpage. This form is required for all nonprofit applicants of MDH’s grants. Submit only one copy of the form with your application.  

Approximately $1.75 million is available. Applicants may apply for grants of up to $125,000.       

Eligible applicants for this grant program are nonfederal, not-for-profit, general acute care hospitals with 50 or fewer beds that are located in a rural area or in a community with a population of less than 15,000 and are outside the seven-county Twin Cities metropolitan area.    

For information and assistance, contact Lina Jau, Office of Rural Health and Primary Care, MDH, 651-201-3809. return to top   

Next issue of Newsline will be published Jan. 7

Newsline will not appear Dec. 24 or 31. The next issue of Newsline will be published on Jan. 7. return to top