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Minnesota mental health patients stay 25 hours longer than necessary in ER because of shortages

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Minnesota mental health patients stay 25 hours longer than necessary in ER because of shortages


When patients in mental health crises get stuck in Minnesota’s emergency rooms, they stay 25 hours longer on average than necessary — taking up hospital space as well as the time of doctors and nurses, who could otherwise focus on the next emergencies.

Researchers documented the length of these delays by studying patient activity over 14 days last fall at more than 30 Minnesota hospitals, but they also provided vital evidence about which patients were most likely to suffer delays, and why.

Knowing which patients are at risk can help the state come up with treatments that target this population and prevent mental health crises and hospital visits, said Kristin Dillon, a coauthor from Wilder Research, which released the report on Monday along with the Minnesota Department of Health.

Delays for patients “in a hospital setting when they can be discharged is harmful to patients, caregivers, hospital staff and the health care system,” she said. “However, we cannot take steps to effectively address these discharge delays without understanding the underlying reasons behind the delays.”

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Monday’s findings were presented to an advisory council created last year to reduce delays in care and the worsening problem of ER and hospital overcrowding in Minnesota.

Staffing and bed shortages at nursing homes and rehabilitation centers have worsened since the COVID-19 pandemic, leaving hospitals stuck with frail, elderly patients on their inpatient floors. Twin Cities ERs have treated patients in hallway gurneys at peak times when they have run out of beds. But these delays in many ways just compounded the longstanding problem of patients in mental health crises being boarded in ERs with nowhere to go.

Hospital inpatient psychiatric units were largely full during the study, and they couldn’t take new patients from ERs until they found space to discharge their existing patients to residential or outpatient treatment programs. The study observed 182 patients in hospital psychiatric units whose discharges were delayed, and on average it took 8 days longer than necessary to move them.

The problem was more complex than patients waiting for openings in treatment programs, though. One in five patients stuck in inpatient units was delayed by court decisions over civil commitments, or decisions over their eligibility for insurance benefits or waiver programs, the study showed.

Among patients stuck in ERs, only six in 10 needed inpatient hospital care. The rest were stuck for other reasons, including delays in arranging transportation home or in getting outpatient care lined up. A third of the delayed patients went straight home from the ERs.

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M Health Fairview has been confronting the problem, opening a so-called EmPATH unit at its hospital in Edina that provides a relaxed environment and transitional care for patients who can be moved from the ER. The health system also is partnering with for-profit Acadia Healthcare to reopen the Bethesda Hospital campus in St. Paul as a psychiatric facility next year.

In some ways, the delays published in the report underestimated the problem. Delays were only calculated for patients who were discharged during the two-week study. About 5% of the ER patients had yet to be discharged by the end, and some spent the entire two weeks in care. Some hospitals have endured extreme cases, such as the boarding of a child with behavioral problems for months at Ridgeview Medical Center in Waconia.

State lawmakers were so concerned by the delays in 2022 that they waived Minnesota’s hospital construction moratorium through 2027 for any provider looking to add psychiatric capacity. However, the study makes it clear that the greatest need is in community and preventive treatment programs that keep people from crises, said Dr. Will Nicholson, vice president of medical affairs for Fairview’s East Metro hospitals.

“We can take better care of people when we can prevent illness, we can get upstream,” he said.

Minnesota has been locked for two decades in a chicken-egg debate about whether to spend limited dollars on more inpatient beds, or preventive programs to try to reduce the need for those beds. State health economists blocked a proposal in 2008 by then-named Prairie St. John’s to build a psychiatric hospital in Woodbury, based largely on the argument that prevention programs were needed more. The provider later became known as PrairieCare and built and expanded a pediatric psychiatric hospital in Brooklyn Park.

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More beds aren’t the only solution at a time of workforce shortages, said Sue Abderholden, who directs the Minnesota chapter of the National Alliance on Mental Illness. Minnesota previously tackled the mental health treatment shortage by creating a stepdown level of care called intensive residential treatment services to ease the pressure on hospitals. The state has about 60 of them operating, but many can’t find enough staff and are operating well below their 16-bed capacities, she said.

The legislature this year OKed funding for counselors who could check on patients who were showing the first signs of struggling — perhaps by skipping medication doses or appointments, Abderholden said. “We’re trying to get way before a crisis, before you need an ER, before you need a crisis team.”



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Bemidji declares March as Minnesota Food Share Month; hears Project Graduate report

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Bemidji declares March as Minnesota Food Share Month; hears Project Graduate report


BEMIDJI — The city of Bemidji declared March as Minnesota Food Share Month in partnership with the

Minnesota FoodShare March Campaign

during a

city council

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meeting on Monday. This campaign is the largest grassroots food and fund drive in Minnesota.

“Food insecurity affects thousands of Minnesotans, including residents of Bemidji and the greater Beltrami County area, and access to nutritious food is fundamental to the health and dignity, and well-being of every community member,” the proclamation reads. “Local food shelves depend on the generosity of community donations to meet the growing needs of our neighbors, and every contribution — whether food, funds or time — makes a direct difference in the lives of Bemidji residents.

“The city of Bemidji proudly recognizes the extraordinary contributions of the volunteers, donors and partner organizations whose compassion and dedication ensure that no neighbor goes without, and the city of Bemidji is committed to fostering a compassionate and caring community where all residents are supported and encouraged to look out for one another in times of need.”

Ward 2 Councilor Josh Peterson read the proclamation as Mayor Jorge Prince attended the meeting virtually. Peterson attempted to award the proclamation to a Bemidji Community Food Shelf representative, but no one was available to receive it.

John Eggers,

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a former educator, gave a presentation to the council regarding his Project Graduate initiative, which promotes 100% graduation rates within Beltrami County during Monday’s meeting.

“It’s not an easy task to do, but we can do it,” Eggers remarked.

Eggers shared personal efforts to promote a 100% graduation rate within Beltrami County, such as promoting graduation as a teacher at Red Lake High School recently. He hopes to do more work in Red Lake in the future.

Eggers also formed an alliance of local Bemidji businesses to promote Project Graduate. Each business will find a unique way to promote higher graduation rates while working with the alliance. Additionally, Eggers has spent the last several years forming an advocacy program that has now spread to 12 states and five countries worldwide.

He then shared ideas for the council to follow to promote the initiative. This included joining the alliance, displaying posters, “relentlessly” promoting high graduation rates, starting a PSA campaign, adding the initiative to the city’s website or newsletter and signing a proclamation.

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He noted that in 2025, the city signed a proclamation and other Beltrami County cities followed suit, meaning Bemidji could once again set the trend to promote higher graduation rates.

Ward 1 Councilor Gwenia Fiskevold Gould asked how the initiative addresses underlying issues that affect

declining graduation rates

within Beltrami County, such as housing instability and food insecurity.

Eggers did not have a direct answer, but noted that graduation often helps young people climb out of bad situations. He believes that all people deal with adversity and that graduation is an important tool to help improve their quality of life.

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He also pointed out that graduation rates among white students have remained steady when compared to statewide trends, but that students of color and Indigenous students’ graduation rates are lower than the state average, something that needs to be addressed to help these communities.

Finally, Eggers noted that the initiative’s drop-out prevention hotline was recently discontinued, but that students or parents can reach out to Eggers directly to receive the help needed to stay in school.

Overall, council members thanked Eggers for his Project Graduate presentation. His contact information can be found on his website,

johnrogereggers.com.

The council will next meet at 6 p.m. on Monday, March 16, at City Hall for a regular meeting. Meetings can be viewed on

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the city’s website.





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Minnesota sues to block Trump administration’s withholding of Medicaid funds

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Minnesota sues to block Trump administration’s withholding of Medicaid funds


Minnesota on Monday sued President Donald Trump’s administration in an attempt to stop it from withholding $243 million in Medicaid spending, warning it may have to cut health care for low-income families if the funding is held back.

The lawsuit asked a U.S. court in Minneapolis to issue a temporary restraining order to block the withholding for Medicaid, which is the health care safety net for low-income Americans.

The move came after Vice President JD Vance said last week the administration would “temporarily halt” some Medicaid funding to Minnesota over fraud concerns, as part of what he described as an aggressive crackdown on misuse of public funds.

Minnesota Attorney General Keith Ellison said his office has a strong track record of fighting Medicaid fraud and has won more than 300 convictions and $80 million in judgments and restitutions during his time in office.

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“Trump’s attempts to look like he’s fighting fraud only punish the people and families who most need the high-quality, affordable healthcare that all Minnesotans deserve,” Ellison said in a statement. “As long as I am attorney general, I will do everything in my power to defend our tax dollars, both from fraudsters and from the Trump administration’s cruelty.”

The lawsuit names the Department of Health and Human Services and the Centers for Medicare and Medicaid Services as well as Dr. Mehmet Oz, in his official capacity as CMS administrator, and Robert F. Kennedy Jr. in his official capacity as HHS secretary.

The Department of Health and Human Services, which includes CMS, didn’t immediately return messages seeking comment late Monday.

The threatened cuts amount to roughly 7% of Minnesota’s quarterly Medicaid funding, Ellison’s office said in a news release. Minnesota could be required to significantly cut health care services for low-income families or other government services if the cuts take effect, it said.

Medicaid, which is known as Medical Assistance in Minnesota, provides health insurance to 1.2 million Minnesotans who would otherwise be unable to afford it. A family of four may qualify for Medical Assistance with an income at or under $42,759, the attorney general’s office said.

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The lawsuit said the administration violated due process procedures because it was taking hundreds of millions of dollars without proving Minnesota’s noncompliance with Medicaid regulations through discovery and an evidentiary hearing.

It alleged the administration failed to provide Minnesota with details about its decision, in violation of federal law. It cited legal precedents, including one that said Congress may impose conditions on states’ acceptance of federal funds, but “’the conditions must be set out unambiguously.’”

Minnesota’s complaint further charged the administration violated the Constitution because the withholding imposed retroactive conditions on Minnesota’s Medicaid funding.

It said withholding the funds was arbitrary, capricious and part of a pattern of political punishment of Minnesota.

The administration said it would hold off on paying $259.5 million to Minnesota for Medicaid spending in the fourth quarter of 2025. Minnesota’s lawsuit challenges the withholding of $243 million of this money.

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Iran conflict: 250 Minnesota National Guard member serving in Middle East

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Iran conflict: 250 Minnesota National Guard member serving in Middle East


The Minnesota National Guard tells FOX 9 there are currently 250 guard members on regularly scheduled deployment at the United States Central Command areas of responsibility as the United States leads strikes in Iran.

Guardsman in Middle East

What we know:

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The Minnesota National Guard says the deployed airmen and soldiers are serving from Duluth’s 148th Fighter Wing, the Marshall-based 1-151 Artillery, and the Stillwater-based 34th Military Police Company.

What they’re saying:

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“While their missions and duty locations vary, all are grateful for the strong support of those back home,” writes Army Maj. Andrea Tsuchiya, State Public Affairs Officer for the Minnesota National Guard.

What we don’t know:

The guard did not disclose the exact bases or countries where the soldiers and airmen are serving.

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CENTCOM covers 21 countries including: Afghanistan, Bahrain, Egypt, Iran, Iraq, Israel, Jordan, Kazakhstan, Kuwait, Kyrgyzstan, Lebanon, Oman, Pakistan, Qatar, Saudi Arabia, Syria, Tajikistan, Turkmenistan, the United Arab Emirates, Uzbekistan and Yemen.

Pres. Trump says Iran operations likely to last 4 to 5 weeks

Big picture view:

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In his first public remarks since the launch of the attack on Iran, President Trump said he expected operations to last four to five weeks, but he was prepared “to go far longer than that.”

The president also laid out his objective for the mission: to destroy Iran’s missile capabilities, to “annihilate” their navy, to ensure the country doesn’t obtain a nuclear weapon and that the regime “cannot continue to arm, fund and direct terrorist armies outside of their borders.”

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