MN Department of Health 2025 Access Survey Results

The state’s uninsured rate rose from 3.8% in 2023 to 5.8% in 2025, representing approximately 116,000 additional people without health insurance — the highest rate since 2017.
The survey also found increases in uninsured rates among children, rising from 2.7% to 4.6% during this time.
The increase appears to be driven by declining public coverage and growing affordability concerns. Rates rose in both rural and metropolitan areas, with continued disparities across income levels and racial and ethnic groups.
The survey also showed increases in uninsured rates among children and lower-income households, with 13% of individuals below 200% of the Federal Poverty Guidelines uninsured in 2025.

Elimination of use of MCO’s in Medicaid and establish a single statewide Administrative Services Organization (ASO) responsible for claims processing, provider services, and other administrative functions.
Shift Medicaid eligibility determinations from counties to the state for healthcare and long-term services and supports
Reform waiver case management provided to people with disabilities and older adults. Phases out contracted case management by 2031
Launching an independent evaluation of DHS to review operations and strengthen program oversight.