This bill directs the commissioner of human services to establish a direct provider payment system for medical assistance (MA) and MinnesotaCare, to be implemented beginning January 1, 2026. The bill requires the commissioner to reimburse providers directly at a base rate, and also provides supplemental payments for care coordination and other services, and grants to providers for outreach. The bill requires the commissioner to terminate managed care contracts by December 31, 2025, except that the commissioner may continue to contract with county-based purchasing plans and county-owned and operated health maintenance organizations (HMOs). The bill requires the commissioner to present an implementation plan to the legislature by January 15, 2024.