On July 4, 2025, President Trump signed the Federal Reconciliation Bill (H.R.1) into law. This new law brings changes to Medicaid, a federal health insurance program that is called Medical Assistance in Minnesota. All states must implement the changes in the law, which include additional requirements for eligibility.
In keeping with our mission to help Minnesotans live their healthiest and fullest lives, DHS will keep program enrollees and the general public informed about the coming changes so people can plan for themselves and their family if they are affected by changes.
Nothing has changed yet. The first changes won’t take effect until fall 2026. This gives DHS time to review the details, get more information from the federal government, and communicate the changes clearly to Minnesotans.
Check our new webpage at mn.gov/dhs/federalchanges for the latest updates about how these changes may affect you. We will add content as we get more information.
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Under the guidance of the its own Office of Inspector General (OIG), DHS is taking steps to terminate the Housing Stabilization Services (HSS) program. In a letter sent Aug. 1 from DHS Temporary Commissioner Shireen Gandhi to the federal Centers for Medicare and Medicaid Services (CMS), DHS requested the unprecedented step of ending the Minnesota program.
“DHS is rooting out fraud wherever we find it. We cannot allow one more cent of taxpayer money going out the door to providers who claim to serve Minnesotans in need of stable housing while lining their pockets for personal gain,” said DHS Temporary Commissioner Shireen Gandhi.
“As I made clear in my letter to CMS, our own data analysis has shown that this program does not have the necessary controls to stop bad actors, and we are urging CMS to approve our request to end this program as swiftly as possible.”
DHS intends to redesign and relaunch the benefit. Toward that effort, DHS will work with the legislature, providers, community partners, and CMS to fully redesign the program with robust program integrity and service quality requirements to prevent bad actors from entering the program and enhance care. Once that work is complete, DHS will then work with CMS to submit a new program framework for approval.
More information is in a department news release.
FAQs for providers and clients are also online.
 Call or text 988 to talk to a team of professionals who can help you. You can also start an online chat at 988lifeline.org/chat to access the Suicide and Crisis Lifeline. The Lifeline offers free help for those who are having a mental health crisis or are contemplating suicide.
You can also contact your local mobile crisis team directly through your county or Tribe. Services are available 24/7 across Minnesota.
>> Follow DHS on X (formerly Twitter) and Facebook for timely updates on DHS news and events.
>> For announcements of hiring events, job postings, internships and more, follow us on LinkedIn and the DHS Careers Facebook page.
For accessible formats of this publication, write to [email protected], or call 651-431-2000 or use your preferred relay service.
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