SF4612 makes extensive changes to Minnesota's healthcare and public-assistance programs, increasing net general-fund costs by approximately $312 million for fiscal years 2026-27 and significantly expanding state spending on healthcare and public-assistance programs. It appropriates $100 million toward the state's share of Medicaid hospital payments eligible for federal matching funds, and increases funding for medical services, childcare, and family assistance. SF4612 establishes a hospital-stabilization program, including financial assistance for Hennepin County Medical Center; strengthens Medicaid fraud-prevention measures; establishes certain Medicaid work or community-engagement requirements; and revises childcare-licensing rules. It also changes healthcare licensing and reimbursement requirements, expands certain infertility-treatment insurance coverage, and adjusts funding and eligibility rules for state and federally supported assistance programs.

The Minnesota State House of Representatives passed SF4612 on May 17, 2026 by a vote of 108 to 26. We have assigned pluses to the nays because healthcare and welfare are not legitimate functions of government, and are not authorized federal responsibilities under Article I, Section 8 of the U.S. Constitution. Federal funding almost always comes with strings attached, eroding state sovereignty and violating the 10th Amendment. Healthcare and public assistance should be handled by the free market, families, and private charity—not federal subsidies and state-administered programs.