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A first in Minnesota, Mahnomen hospital shutters inpatient beds to survive

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A first in Minnesota, Mahnomen hospital shutters inpatient beds to survive


One of Minnesota’s smallest hospitals is eliminating inpatient care and converting to a rural emergency center, a move designed to keep its doors open amid financial struggles.

Mahnomen Health Center’s administrator notified the state earlier this month of plans to close the hospital’s inpatient unit and only operate an emergency room to stabilize and observe patients. State leaders said the northwest Minnesota hospital could be the first of many to be forced by financial shortfalls into this transition, which will be discussed at a state public hearing on April 30 and then take effect the next day.

“The struggles of not-for-profit hospitals in Minnesota are real, they are escalating, and now we are headed toward closures of service lines and closures of things that communities need,” said Dr. Rahul Koranne, chief executive of the Minnesota Hospital Association. The trade group is lobbying Minnesota lawmakers for an increase in hospital payment rates by the state’s Medical Assistance program, which haven’t been adjusted for inflation since 2019.

Minnesota has maintained a broad rural network of inpatient medical care far longer than most states. But about a quarter of its 127 hospitals have been in financial distress and were struggling before the challenges of the COVID-19 pandemic. Mayo Clinic’s hospital in Springfield closed in 2020 while several other rural facilities cut high-cost inpatient services such as baby deliveries.

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Mahnomen will be the first in the state to contract into a rural emergency hospital — a federally designated level that was offered as a lifeline for struggling hospitals last year. Such facilities must treat patients within 24 hours on average, but can keep patients for longer periods of observation and care as long as that average is maintained by year’s end, said Mahnomen administrator Dale Kruger.

“At hour 25, (the federal rule) isn’t that you have to push them out onto the street,” he said.

The change nonetheless creates a gap of inpatient care that will extend beyond Mahnomen, a community of 1,200 within the White Earth Reservation. The nearest full-service hospitals are 28 miles away in Ada and Fosston, where the mayor and community leaders have been fighting plans by Essentia Health to stop scheduling baby deliveries. The nearest regional hospital is 36 miles south in Detroit Lakes.

Mahnomen is managed by Sanford Health, but owned by Mahnomen County and the city government. The hospital posted an operating loss of 26% in 2022, when it staffed 10 of 18 licensed inpatient beds, according to the most recent public financial data. It was one of the poorest performing hospitals in Minnesota that year, though another 41 lost money and four in Granite Falls, Onamia, Hallock and Lake City lost more than 15% on hospital operations.

Like most small hospitals, Mahnomen buoyed some losses with operating gains from outpatient clinics and elder-care facilities. Kruger said it faces unique challenges serving Minnesota’s poorest county. More than 5% of its charges to patients were written off as unpaid debts, by far the highest rate in Minnesota.

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The new designation should have a $1 million impact and cover the hospital’s shortfalls, Kruger said, while minimally affecting patient care. The hospital in 2022 only admitted 52 patients, who stayed on average for three days.

“It was a way to assure health care into the future for our community,” he said.

Nationally, 23 hospitals have switched to rural emergency hospitals, according to the NC Rural Health Research Project. Only eight had been critical access hospitals, a special designation that qualified the nation’s smallest medical facilities such as Mahnomen for increased federal payments. Koranne said other Minnesota hospitals are weighing the switch.

Critics have called rural emergency hospitals “Band-Aid Stations” because of their limited scopes, but Kruger said that was the same label used in the late 1990s when Mahnomen became the state’s first critical-access hospital. He remained confident that local patients would rely on Mahnomen for outpatient and emergency care. The hospital’s 24-hour ER has five bays, including two trauma bays that rapidly resuscitate and stabilize patients.

The Minnesota Department of Health on Wednesday announced the informational hearing — the eighth since the state started requiring them before substantial changes in hospital operations.

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Earlier hearings covered the closures of baby delivery units in Fosston and New Prague, a mental health unit in Fergus Falls and an addiction unit in New Ulm. Doctors and nurses spoke in opposition at a hearing last month to Allina Health’s plan to close inpatient pediatric beds at Mercy Hospital, and relocate intensive care and surgical services from Mercy’s Fridley campus to its Coon Rapids campus.



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Minnesota

Medical services in limbo for thousands of providers amid Minnesota fraud crisis

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Medical services in limbo for thousands of providers amid Minnesota fraud crisis


The Minnesota Department of Human Services is reexamining over 5,000 Medicaid service providers across the state in an effort to combat fraud. 

The federal government said it would pull $2 billion in annual Medicaid funding from Minnesota in January if the state didn’t make changes.

The Minnesota Department of Human Services set out to revalidate thousands of providers in programs deemed high risk for fraud by asking providers to submit verification paperwork and making unannounced site visits. The deadline passed on Sunday. 

The latest data, published on May 27, shows 1,009 providers approved, 1,151 disenrolled and over 3,000 providers with pending applications. 

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Paige Berland and Camille Heyman run Minnesota Behavioral Specialists, providing autism care to children through two locations in the metro area. The women say that after submitting their paperwork, they received letters from DHS with determinations for both locations: the Bloomington center was terminated and the Eagan office was approved. 

“It doesn’t make sense, everything is the same minus the location,” Berland said. “So why was one approved and one wasn’t approved?”

The termination letter said the Bloomington center was denied because they failed to disclose a managing employee during a site visit. Berland disputes that and said she already submitted an appeal.

“We were told to keep running, keep continuing as we are while we go through this process,” she said. “It just means that we don’t have the money coming in.” 

Josh Berg with Accessible Space says they’re also in limbo. Berg said they offer integrated community supports, which means caretakers provide in-unit assistance for people with spinal cord injuries and disabilities. 

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“Most of the folks that we support are wheelchair-bound,” Berg said. “Helping with meals, helping with medications, helping them just live their lives.”

Berg said that of the seven locations where people are housed, the Department of Human Services terminated five and approved two. He believes the timeline to conduct this revalidation process was too aggressive. He said Accessible Space has also submitted an appeal.

“We’re not able to bill for services, we’re not able to start new services for anybody or change any of the supports that they receive,” he said. 

Both Berg and Berland say they agree fraud needs to be dealt with, but they hope Minnesotans who truly need services aren’t left without the services they need. 

“Not just the clients rely on services, but the families do too, so we can’t stop services; that’s not an option on our plate,” Berland said. “We want to continue to provide these services; they are medically necessary.” 

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The Minnesota Department of Human Services said a disenrollment letter could be sent for a few reasons, including failure to submit revalidation application after two notification attempts, failure to provide all requested documents within the required timeframe and failure to meet the criteria required during an on-site visit.

A spokesperson for the Department of Human Services said it’s currently in the process of compiling data from the thousands of applications, but didn’t say when the department would share those final numbers. 



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Minnesota GOP disavows Chauvin moment of silence at convention

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Minnesota GOP disavows Chauvin moment of silence at convention


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The Minnesota Republican Party is distancing itself from a moment of silence held for Derek Chauvin during its state convention, saying the gesture was not part of leadership planning, not included in the official program, and should not be interpreted as a party position.

GOP officials said in a Monday, June 1 Facebook post that the recognition of the former Minneapolis police officer, who was convicted in the killing of George Floyd in 2020, emerged from a spontaneous delegate motion on the convention floor and was not initiated or endorsed by leadership.

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The controversy quickly escalated after state leaders, civil rights attorneys and Democratic lawmakers condemned the action, describing it as deeply harmful to Floyd’s family and inconsistent with accountability under the law.

The moment of silence took place during the party’s annual gathering in Duluth on May 30 and comes just days after the sixth anniversary of Floyd’s murder in Minneapolis, an event that reshaped national debates over policing and racial justice.

Republican Party of Minnesota says gesture was not leadership action

In a statement, the Republican Party of Minnesota said the recognition of Derek Chauvin originated as a delegate request during floor proceedings at the convention in Duluth and was handled under standard rules of order.

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Party officials emphasized that convention leadership, including chair Danny Nadeau, did not propose the motion. The statement said leadership’s role was procedural only, and that presiding over the motion did not reflect agreement with or endorsement of its subject matter.

Officials reiterated that the convention agenda itself did not include any planned recognition of Chauvin and said the episode should not be interpreted as a leadership-driven decision or policy stance.

Minnesota attorney general calls action ‘profound cruelty’

Minnesota Attorney General Keith Ellison, who led the prosecution of Chauvin, sharply criticized the gesture, calling it an “act of profound cruelty” toward the Floyd family.

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Ellison said the timing, so close to the anniversary of Floyd’s death, compounded the harm.

He said honoring Chauvin “dishonors the memory of George Floyd and wounds his loved ones all over again,” and called it “disturbing” to recognize someone convicted of violating his oath as a police officer.

Ellison also said the action was “disrespectful” to law enforcement officers who serve honorably, and reaffirmed that courts had already upheld Chauvin’s conviction through multiple appeals.

Broader backlash and political fallout

Democratic state Rep. Jamie Long called the moment of silence “disgusting,” arguing that Republicans chose to honor a convicted murderer rather than victims of violence or service members.

The gesture also drew criticism from civil rights attorneys Ben Crump and Antonio Romanucci, who represented George Floyd’s family in its civil case after his death. The attorneys called the moment of silence immoral and demanded a retraction and apology, saying it disrespected both the Floyd family and the broader public record of Chauvin’s conviction.

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Floyd was killed on May 25, 2020, when Chauvin, a white former Minneapolis police officer, knelt on his neck for more than nine minutes. Chauvin was later convicted of second-degree murder, third-degree murder and second-degree manslaughter, and sentenced to 22½ years in state prison.

The killing sparked global protests and became a defining moment in the Black Lives Matter movement and debates over policing in the United States.

Chauvin’s conviction has been upheld through multiple appeals, including a denial by the U.S. Supreme Court in 2023, and he is serving his sentence in federal custody.

Party officials say despite the controversy, their focus remains on candidate endorsements and upcoming elections, not the floor action that triggered the backlash.

Reporter Anthony Thompson can be reached at ajthompson@usatodayco.com, or on X @athompsonUSAT.

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Where to watch Chicago White Sox vs Minnesota Twins: TV channel, start time, streaming for Jun. 02

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Where to watch Chicago White Sox vs Minnesota Twins: TV channel, start time, streaming for Jun. 02


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The 2026 MLB season has surpassed the quarter mark, and after each team’s first 40 games, there’s plenty of reasons to tune in all summer long.

Chicago White Sox slugger Munetaka Murakami has already proven doubters wrong by launching 17 home runs, Pittsburgh’s Paul Skenes consistently looks like the best version of himself on the mound and Milwaukee ace Jacob Misiorowski is throwing harder than any starter in the majors.

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The MLB action continues on Tuesday as the Chicago White Sox visit the Minnesota Twins.

Here’s everything you need to know to tune in for the first pitch.

See USA TODAY’s sortable MLB schedule to filter by team or division.

What time is Chicago White Sox vs Minnesota Twins?

First pitch between the Minnesota Twins and Chicago White Sox is scheduled for 7:40 p.m. (ET) on Tuesday, Jun. 02.

How to watch Chicago White Sox vs Minnesota Twins on Tuesday

All times Eastern and accurate as of Tuesday, June 2, 2026, at 6:33 a.m.

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Watch MLB all season long with Fubo

MLB regional blackout restrictions apply

MLB scores, results

MLB scores for Jun. 02 games are available on usatoday.com . Here’s how to access today’s results:

See scores, results for all of today’s games.



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