The 2023 Legislature passed a bill (HF 402, 93rd Legislature) that directs the Minnesota Department of Health (MDH) to complete a study on the potential conversion of nonprofit Health Maintenance Organizations (HMOs) to for-profit status. Minnesota was the last state in the nation to allow HMOs that were for-profit or not domiciled in Minnesota to operate in the state, beginning in 2017. The language requires MDH to produce preliminary and final reports that cover a range of issues including recommended oversight for conversions (which agency or entity, role of public input into the process, stewardship of public benefit assets), regulation of for-profit HMO’s post-conversion, and the regulatory structure needed to manage any potential return of public benefit assets to the state general fund if a nonprofit HMO or health system converts to for-profit or is purchased by an out-of-state or for-profit entity. MDH released its initial report (MDH Study of HMO Conversions) in February 2024 and a final report is due at the end of June 2024.