HF 4398

as introduced - 92nd Legislature (2021 - 2022) Posted on 03/17/2022 02:21pm

A bill for an act
relating to state government; appropriating money for the Department of Health
and the Board of Dietetics and Nutrition Practice; amending certain health
provisions for health care spending, health plan companies, balanced billing, rural
health care, health care providers, suicide prevention, AIDS prevention, community
health workers, health disparities, and long-term care facilities; establishing certain
fees and surcharges, health professional education and loan forgiveness, and
prescription drugs; requiring compliance with federal No Surprises Act; establishing
Advisory Council on Water Supply Systems and Wastewater Treatment Facilities,
Sentinel Event Review Committee, Law-Enforcement-Involved Deadly Force
Encounter Community Advisory Committee, Long COVID Surveillance System,
Mercury Surveillance System, and Healthy Beginnings, Healthy Families Act;
establishing grants for health professions training sites, primary rural residency
training, clinical health care training, drug overdose and substance abuse prevention,
climate resiliency, healthy child development, lead remediation, community healing,
chronic disease prevention and health disparities, public health education, public
health Americorps, Minnesota School Health Initiative, and skin-lightening products
public awareness and education; requiring reports; amending Minnesota Statutes
2020, sections 62J.84, subdivisions 2, 7, 8, by adding subdivisions; 62Q.021, by
adding a subdivision; 62Q.55, subdivision 5; 62Q.556; 62Q.56, subdivision 2;
62Q.73, subdivision 7; 144.122; 144.1501, as amended; 144.1505, subdivision 2;
144.383; 144.554; 145.56, by adding subdivisions; 145.924; 403.161, subdivisions
1, 3, 5, 6; Minnesota Statutes 2021 Supplement, sections 62J.84, subdivisions 6,
9; 403.11, subdivision 1; Laws 2021, First Special Session chapter 7, article 3,
section 44; proposing coding for new law in Minnesota Statutes, chapters 62J;
115; 144; 145.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

ARTICLE 1

HEALTH POLICY

Section 1.

new text begin [62J.0411] HEALTH CARE SPENDING GROWTH TARGET
COMMISSION.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin For purposes of this section, "commission" means the
Minnesota Health Care Spending Growth Target Commission. For purposes of this section,
"commissioner" means the commissioner of health.
new text end

new text begin Subd. 2. new text end

new text begin Commission membership. new text end

new text begin (a) The commission shall consist of 13 members,
appointed as follows:
new text end

new text begin (1) four members appointed by the governor, including one representing labor unions
and one representing academia;
new text end

new text begin (2) one member appointed by the majority leader of the senate;
new text end

new text begin (3) one member appointed by the minority leader of the senate;
new text end

new text begin (4) one member appointed by the speaker of the house;
new text end

new text begin (5) one member appointed by the minority leader of the house of representatives;
new text end

new text begin (6) one member appointed by the attorney general, representing consumers;
new text end

new text begin (7) one member appointed by the state auditor, representing employer organizations;
new text end

new text begin (8) one member appointed by medical care systems;
new text end

new text begin (9) one member appointed by health care providers; and
new text end

new text begin (10) one member appointed by health plan companies.
new text end

new text begin (b) All members appointed must have knowledge and demonstrated expertise in health
care finance, health economics, health care management or administration at a senior level,
health care consumer advocacy, representing the health care workforce as a leader in a labor
organization, as purchaser of health insurance representing business management or health
benefits administration, delivering primary care, health plan administration, public or
population health, or addressing health disparities and structural inequities.
new text end

new text begin (c) No member may participate in commission proceedings that involve an individual
provider, purchaser, or patient, or specific activity or transaction if the member has direct
financial interest in the outcome of the commission's proceedings other than as an individual
consumer of health care services.
new text end

new text begin Subd. 3. new text end

new text begin Terms. new text end

new text begin (a) The initial appointments to the commission shall be made by
September 1, 2022. The initial appointed commission members shall serve staggered terms
of two, three, or four years determined by lot by the secretary of state. Following the initial
appointments, the commission members shall serve four-year terms. Members may not
serve more than two consecutive four-year terms.
new text end

new text begin (b) Removal and vacancies of commission members shall be governed by section 15.059.
new text end

new text begin Subd. 4. new text end

new text begin Chair; officers. new text end

new text begin (a) The governor shall designate an acting chair from the
members appointed by the governor.
new text end

new text begin (b) The commission shall elect a chair to replace the acting chair at the first meeting of
the commission; the chair shall be elected by a majority of the members. The chair shall
serve for one year.
new text end

new text begin (c) The board shall elect a vice-chair and other officers from its membership as it deems
necessary.
new text end

new text begin Subd. 5. new text end

new text begin Compensation. new text end

new text begin Commission members may be compensated according to
section 15.059.
new text end

new text begin Subd. 6. new text end

new text begin Meetings. new text end

new text begin Meetings of the commission:
new text end

new text begin (1) including any public hearings, are subject to chapter 13D;
new text end

new text begin (2) shall be held publicly monthly on the creation of the health care spending growth
targets program until the initial targets are established; and
new text end

new text begin (3) after the growth targets are established, shall be held no less than quarterly at which
the commission must consider summary data presented by the commissioner and must draft
main findings for their reporting, consider updates to the program and target levels, discuss
findings with health care providers and payers, and identify additional needed analysis and
strategies to limit health care spending growth.
new text end

new text begin Subd. 7. new text end

new text begin Duties of the commission. new text end

new text begin (a) The commission shall be responsible for the
development of the health care spending growth targets program, maintenance, and reporting
about progress toward targets to the legislature and the public. Duties include all activities
necessary for the successful implementation of the program in Minnesota with the goal of
limiting health care spending growth, including:
new text end

new text begin (1) establishing a statement of purpose;
new text end

new text begin (2) developing a methodology to establish the health care spending growth targets, the
economic indicators to be used in establishing the initial target level, as well as levels over
time. The target must:
new text end

new text begin (i) use a clear and operational definition of total health care spending for the state;
new text end

new text begin (ii) promote a predictable and sustainable rate of growth for total health care spending
as measured by an established economic indicator, such as the rate of increase of this state's
economy or of the personal income of residents of this state, or a combination;
new text end

new text begin (iii) define the health care markets and the entities to which the targets apply;
new text end

new text begin (iv) take into consideration the need for variability in targets across public and private
payers;
new text end

new text begin (v) consider whether and how the health status of patients are accounted for;
new text end

new text begin (vi) explore the addition of quality of care or primary care spending goals as part of the
program;
new text end

new text begin (vii) incorporate health equity considerations, including explicit benchmarks; and
new text end

new text begin (viii) consider the impact of targets on health care access and disparities;
new text end

new text begin (3) identifying data to be used for tracking performance under the target and methods
of data collection necessary for efficient implementation by the commissioner as specified
in subdivision 9. In identifying data and methods, the commission shall:
new text end

new text begin (i) consider the availability, timeliness, quality, and usefulness of existing data;
new text end

new text begin (ii) assess the need for additional investments in data collection, data validation, or
analysis capacity to support efficient collection and aggregation of data to support the
commission's activities; and
new text end

new text begin (iii) limit the reporting burden as much as possible.
new text end

new text begin (b) By June 15, 2023, the commissioner must:
new text end

new text begin (1) establish target levels consistent with the methodology in paragraph (a), clause (2),
for a five-year period with the goal of limiting health care spending growth;
new text end

new text begin (2) conduct, at a minimum, an annual public hearing to present findings from spending
growth target monitoring;
new text end

new text begin (3) periodically review all components of the program methodology, including economic
indicators and other factors, and, as appropriate, revise established target levels;
new text end

new text begin (4) based on analysis of drivers of health care spending conducted by the commissioner
and evidence from public testimony, explore strategies and new policies, including the
establishment of accountability mechanisms that can contribute to achieving targets or
limiting health care spending growth without increasing disparities in access to health care;
and
new text end

new text begin (5) complete reports as outlined in subdivision 10.
new text end

new text begin (c) In developing the target program, the commission must:
new text end

new text begin (1) evaluate and ensure the program does not place a disproportionate burden on
communities most impacted by health disparities, the providers who primarily serve
communities most impacted by health disparities, or individuals who reside in rural areas
or have high health care needs;
new text end

new text begin (2) explicitly consider payment models that help ensure financial sustainability of rural
health care delivery systems and the ability to provide population health; and
new text end

new text begin (3) consult with stakeholders representing patients, health care providers, payers of
health care services, and others.
new text end

new text begin Subd. 8. new text end

new text begin Administration. new text end

new text begin The commissioner of health shall provide office space,
equipment and supplies, and analytic staff support to the commission and the Health Care
Spending Technical Advisory Council established in section 62J.0412.
new text end

new text begin Subd. 9. new text end

new text begin Duties of the commissioner. new text end

new text begin (a) The commissioner, in consultation with the
commissioners of commerce and human services, shall be responsible for providing
administrative and staff support to the commission, including performing and procuring
consulting and analytic services. Duties include:
new text end

new text begin (1) establishing the form and manner of data reporting, including reporting methods and
dates, consistent with program design and timelines formalized by the commission in
subdivision 7;
new text end

new text begin (2) under authority in this chapter, collecting data identified by the commission for use
in the health care spending growth targets program in a form and manner that ensures the
collection of high-quality, transparent data;
new text end

new text begin (3) providing analytical support, including:
new text end

new text begin (i) conducting background research or environmental scans;
new text end

new text begin (ii) evaluating the suitability of available data;
new text end

new text begin (iii) performing needed analysis and data modeling;
new text end

new text begin (iv) calculating performance of under the spending trends; and
new text end

new text begin (v) researching drivers of spending growth trends;
new text end

new text begin (4) synthesizing and reporting to the commission;
new text end

new text begin (5) assisting health care entities subject to the targets with reporting of data, internal
analysis of spending growth trends, and any necessary methodological issues; and
new text end

new text begin (6) making appointments and staffing the Health Care Spending Technical Advisory
Council in section 62J.0412.
new text end

new text begin (b) In fulfilling the duties in paragraph (a), the commissioner may contract with entities
with expertise in health economics, health finance, or actuarial science.
new text end

new text begin Subd. 10. new text end

new text begin Reports. new text end

new text begin (a) The commission shall be responsible for the following reports
to the chairs and ranking members of the legislative committees with primary jurisdiction
over health care:
new text end

new text begin (1) written progress updates about the development and implementation of the health
care growth spending targets program by February 15, 2023, and February 15, 2024. The
updates must include reporting on commission membership and activities, program design
decisions, planned timelines for implementation of the program, and progress of
implementation. The reports must include comprehensive methodological details underlying
program design decisions;
new text end

new text begin (2) by December 15, 2024, and every December 15 thereafter, the commission shall
submit a report on health care spending trends subject to the health care growth spending
targets that shall include:
new text end

new text begin (i) spending growth in aggregate and for entities subject to health care growth spending
targets relative to established target levels;
new text end

new text begin (ii) findings from analyses of drivers of health care spending growth;
new text end

new text begin (iii) estimates of the impact of health care spending growth on Minnesota residents,
including for communities most impacted by health disparities, related to their access to
insurance and care, value of health care, and the ability to pursue other spending priorities;
new text end

new text begin (iv) potential and observed impact of the health care spending growth targets on the
financial viability of the rural delivery system;
new text end

new text begin (v) changes under consideration for revising the methodology to monitor the levels of
spending targets; and
new text end

new text begin (vi) recommended policy provisions that could affect health care spending growth trends,
including broader and more transparent adoption of value-based payment arrangements.
new text end

new text begin (b) The commission may delegate drafting of reports to the commissioner and any
contractors the commissioner deems necessary. The reports shall be free to the public.
new text end

new text begin Subd. 11. new text end

new text begin Access to information. new text end

new text begin (a) The commission may request that a state agency
provide at no cost to the commission any publicly available information related to the
establishment of targets in subdivision 2 or monitoring performance under those targets in
a usable format as requested by the commission or the commissioner.
new text end

new text begin (b) The commission or commissioner may request from a state agency unique or custom
data sets. The agency may charge the commission or the commissioner for providing the
data at the same rate the agency would charge any other public or private entity.
new text end

new text begin (c) Any information provided to the commission by a state agency must be de-identified.
For purposes of this subdivision, "de-identified" means the process used to prevent the
identity of a person from being connected with information and ensuring all identifiable
information has been removed.
new text end

new text begin (d) Any data submitted to the commission or the commissioner shall retain their original
classification under chapter 13.
new text end

new text begin Subd. 12. new text end

new text begin Expiration exemption. new text end

new text begin Notwithstanding section 15.059, the commission does
not expire.
new text end

Sec. 2.

new text begin [62J.0412] HEALTH CARE SPENDING TECHNICAL ADVISORY
COUNCIL.
new text end

new text begin Subdivision 1. new text end

new text begin Definition. new text end

new text begin For purposes of this section, "council" means the Health Care
Spending Technical Advisory Council. For purposes of this section, "commission" means
the Minnesota Health Care Spending Growth Target Commission.
new text end

new text begin Subd. 2. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall appoint a ten-member
Technical Advisory Council, referred to as the "council," to provide technical advice to the
commission. Members shall be appointed based on their knowledge and demonstrated
expertise in one or more of the following areas: health care spending trends and drivers,
equitable access to health care services, health insurance operation and finance, actuarial
science, the practice of medicine, patient experience, clinical and health services research,
and the health care marketplace.
new text end

new text begin Subd. 3. new text end

new text begin Membership. new text end

new text begin The council's membership shall consist of the following:
new text end

new text begin (1) two members representing patients and health care consumers, at least one of whom
must have experience working with communities experiencing health disparities;
new text end

new text begin (2) the commissioner of health or a designee;
new text end

new text begin (3) the commissioner of commerce or a designee;
new text end

new text begin (4) the commissioner of human services or a designee;
new text end

new text begin (5) the commissioner of management and budget or a designee;
new text end

new text begin (6) one member who is a health services researcher at the University of Minnesota;
new text end

new text begin (7) two members who represent nonprofit group purchasers;
new text end

new text begin (8) one member who represents for-profit group purchasers;
new text end

new text begin (9) two members who represent medical care systems;
new text end

new text begin (10) one member who represents independent health care providers; and
new text end

new text begin (11) two members who represent employee benefit plans.
new text end

new text begin Subd. 4. new text end

new text begin Terms. new text end

new text begin (a) The initial appointments to the council shall be made by September
30, 2022. The initial appointed council members shall serve terms until September 30, 2026.
new text end

new text begin (b) Removal and vacancies of council members shall be governed by section 15.059.
new text end

new text begin Subd. 5. new text end

new text begin Meetings. new text end

new text begin The council shall be convened by the request of the commission for
up to six meetings per calendar year.
new text end

new text begin Subd. 6. new text end

new text begin Duties. new text end

new text begin The council shall:
new text end

new text begin (1) provide technical advice to the commission relating to identifying metrics for health
care spending growth targets;
new text end

new text begin (2) provide technical input on data sources for measuring health care spending; and
new text end

new text begin (3) advise the commission on how to measure the impact on communities most impacted
by health disparities, the providers who primarily serve communities most impacted by
health disparities, individuals with disabilities, individuals with health coverage through
medical assistance or MinnesotaCare, and individuals who reside in rural areas.
new text end

Sec. 3.

new text begin [62J.811] PROVIDER BALANCE BILLING REQUIREMENTS.
new text end

new text begin Subdivision 1. new text end

new text begin Requirements. new text end

new text begin (a) Each health provider and health facility shall comply
with Division BB, Title I of the Consolidated Appropriations Act, 2021, also known as the
"No Surprises Act," including any federal regulations adopted under that act, to the extent
that it imposes requirements that apply in this state but are not required under the laws of
this state. This section does not require compliance with any provision of the No Surprises
Act before January 1, 2022.
new text end

new text begin (b) For the purposes of this section, "provider" or "facility" means any health care
provider or facility pursuant to section 62A.63, subdivision 2, or 62J.03, subdivision 8, that
is subject to relevant provisions of the No Surprises Act.
new text end

new text begin Subd. 2. new text end

new text begin Compliance and investigations. new text end

new text begin (a) The commissioner of health shall, to the
extent practicable, seek the cooperation of health care providers and facilities in obtaining
compliance with this section.
new text end

new text begin (b) A person who believes a health care provider or facility has not complied with the
requirements of the No Surprises Act or this section may file a complaint with the
commissioner of health. Complaints filed under this section must be filed in writing, either
on paper or electronically. The commissioner may prescribe additional procedures for the
filing of complaints.
new text end

new text begin (c) The commissioner may also conduct compliance reviews to determine whether health
care providers and facilities are complying with this section.
new text end

new text begin (d) The commissioner will investigate complaints filed under this section. The
commissioner may prioritize complaint investigations, compliance reviews, and the collection
of any possible civil monetary penalties under paragraph (g), clause (2), based on factors
such as repeat complaints or violations, the seriousness of the complaint or violation, and
other factors as determined by the commissioner.
new text end

new text begin (e) The commissioner shall inform the health care provider or facility of the complaint
or findings of a compliance review and shall provide an opportunity for the health care
provider or facility to submit information the health care provider or facility considers
relevant to further review and investigation of the complaint or the findings of the compliance
review. The health care provider or facility must submit any such information to the
commissioner within 30 days of receipt of notification of a complaint or compliance review
under this section.
new text end

new text begin (f) If, after reviewing any information described in paragraph (e) and the results of any
investigation, the commissioner determines that the provider or facility has not violated this
section, the commissioner shall notify the provider or facility as well as any relevant
complainant.
new text end

new text begin (g) If, after reviewing any information described in paragraph (e) and the results of any
investigation, the commissioner determines that the provider or facility is in violation of
this section, the commissioner shall notify the provider or facility and take the following
steps:
new text end

new text begin (1) in cases of noncompliance with this section, the commissioner shall first attempt to
achieve compliance through successful remediation on the part of the noncompliant provider
or facility including completion of a corrective action plan or other agreement; and
new text end

new text begin (2) if, after taking the action in clause (1) compliance has not been achieved, the
commissioner of health shall notify the provider or facility that the provider or facility is in
violation of this section and that the commissioner is imposing a civil monetary penalty. If
the commissioner determines that more than one health care provider or facility was
responsible for a violation, the commissioner may impose a civil money penalty against
each health care provider or facility. The amount of a civil money penalty shall be up to
$100 for each violation, but shall not exceed $25,000 for identical violations during a
calendar year; and
new text end

new text begin (3) no civil money penalty shall be imposed under this section for violations that occur
prior to January 1, 2023. Warnings must be issued and any compliance issues must be
referred to the federal government for enforcement pursuant to the federal No Surprises Act
or other applicable federal laws and regulations.
new text end

new text begin (h) A health care provider or facility may contest whether the finding of facts constitute
a violation of this section according to the contested case proceeding in sections 14.57 to
14.62, subject to appeal according to sections 14.63 to 14.68.
new text end

new text begin (i) When steps in paragraphs (b) to (h) have been completed as needed, the commissioner
shall notify the health care provider or facility and, if the matter arose from a complaint,
the complainant regarding the disposition of complaint or compliance review.
new text end

new text begin (j) Any data collected by the commissioner of health as part of an active investigation
or active compliance review under this section are classified as protected nonpublic data
pursuant to section 13.02, subdivision 13, in the case of data not on individuals and
confidential pursuant to section 13.02, subdivision 3, in the case of data on individuals.
Data describing the final disposition of an investigation or compliance review are classified
as public.
new text end

new text begin (k) Civil money penalties imposed and collected under this subdivision shall be deposited
into the general fund and are appropriated to the commissioner of health for the purposes
of this section, including the provision of compliance reviews and technical assistance.
new text end

new text begin (l) Any compliance and investigative action taken by the department under this section
shall only include potential violations that occur on or after the effective date of this section.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 4.

new text begin [62J.821] STATEWIDE HEALTH CARE PROVIDER DIRECTORY.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For the purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Health care provider directory" means an electronic catalog and index that supports
management of health care provider information, both individual and organizational, in a
directory structure for public use to look up available providers and networks and support
state agency responsibilities.
new text end

new text begin (c) "Health care provider" means a practicing provider that accepts reimbursement from
a group purchaser, as defined in section 62J.03, subdivision 6.
new text end

new text begin (d) "Group purchaser" has the meaning given in section 62J.03, subdivision 6.
new text end

new text begin Subd. 2. new text end

new text begin Health care provider directory. new text end

new text begin (a) The commissioners of health and human
services shall develop and implement a statewide electronic directory of health care providers.
The directory will take into consideration consumer information needs, state agency
applications, stakeholder needs, technical requirements, alignment with national standards,
governance, operations, legal and policy considerations, and existing directories.
new text end

new text begin Subd. 3. new text end

new text begin Consultation. new text end

new text begin The commissioners shall develop the directory in consultation
with stakeholders including but not limited to consumers, group purchasers, health care
providers, community health boards, and state agencies.
new text end

new text begin Subd. 4. new text end

new text begin Access. new text end

new text begin (a) The provider directory shall have a public-facing search portal that
complies with Division BB, Title I of the Consolidated Appropriations Act, 2021, also
known as the "No Surprises Act," including any federal regulations adopted under that act.
The public portal shall provide functionality for consumers to look up available providers
and their associated networks and must be published in a user-friendly format.
new text end

new text begin (b) Group purchasers shall provide timely provider network association updates such
that consumers can determine which providers are in-network for their health plan coverage.
new text end

new text begin (c) The directory may be used by state agencies to carry out activities authorized by
statute, including but not limited to conducting state health care purchasing functions for
public programs and state employees, and for use in determination of compliance with
health plan network adequacy requirements in sections 62D.124, 62K.10, and 256B.6927.
new text end

new text begin (d) The commissioners shall not post to the directory's website or portal any information
described in this section if the information is not public data under section 13.02, subdivision
8a.
new text end

new text begin Subd. 5. new text end

new text begin Recommendations. new text end

new text begin By January 2025, the commissioners shall submit any
additional legislative language needed for implementing the directory to the chairs and
ranking minority members of the legislative committees with jurisdiction over health and
human services policy and finance.
new text end

Sec. 5.

Minnesota Statutes 2020, section 62J.84, subdivision 2, is amended to read:

Subd. 2.

Definitions.

(a) For purposes of this section, the terms defined in this subdivision
have the meanings given.

(b) "Biosimilar" means a drug that is produced or distributed pursuant to a biologics
license application approved under United States Code, title 42, section 262(K)(3).

(c) "Brand name drug" means a drug that is produced or distributed pursuant to:

(1) an original, new drug application approved under United States Code, title 21, section
355(c), except for a generic drug as defined under Code of Federal Regulations, title 42,
section 447.502; or

(2) a biologics license application approved under United States Code, title 45, section
262(a)(c).

(d) "Commissioner" means the commissioner of health.

new text begin (e) "Drug product family" means a group of one or more prescription drugs that share
a unique generic drug description or nontrade name and dosage form.
new text end

deleted text begin (e) deleted text end new text begin (f) new text end "Generic drug" means a drug that is marketed or distributed pursuant to:

(1) an abbreviated new drug application approved under United States Code, title 21,
section 355(j);

(2) an authorized generic as defined under Code of Federal Regulations, title 45, section
447.502; or

(3) a drug that entered the market the year before 1962 and was not originally marketed
under a new drug application.

deleted text begin (f) deleted text end new text begin (g) new text end "Manufacturer" means a drug manufacturer licensed under section 151.252.

deleted text begin (g) deleted text end new text begin (h) new text end "New prescription drug" or "new drug" means a prescription drug approved for
marketing by the United States Food and Drug Administration for which no previous
wholesale acquisition cost has been established for comparison.

deleted text begin (h) deleted text end new text begin (i) new text end "Patient assistance program" means a program that a manufacturer offers to the
public in which a consumer may reduce the consumer's out-of-pocket costs for prescription
drugs by using coupons, discount cards, prepaid gift cards, manufacturer debit cards, or by
other means.

new text begin (j) "Pharmacy" or "pharmacy provider" means a place of business licensed by the Board
of Pharmacy under section 151.19 in which prescription drugs are prepared, compounded,
or dispensed under the supervision of a pharmacist.
new text end

new text begin (k) "Pharmacy benefits manager (PBM)" means an entity licensed to act as a pharmacy
benefits manager under section 62W.03.
new text end

deleted text begin (i) deleted text end new text begin (l) new text end "Prescription drug" or "drug" has the meaning provided in section 151.441,
subdivision 8.

deleted text begin (j) deleted text end new text begin (m) new text end "Price" means the wholesale acquisition cost as defined in United States Code,
title 42, section 1395w-3a(c)(6)(B).

new text begin (n) "Pricing Unit" means the smallest dispensable amount of a prescription drug product
that could be dispensed.
new text end

new text begin (o) "Reporting entity" means any manufacturer, pharmacy, pharmacy benefits manager,
wholesale drug distributor, or any other entity required to submit data under section 62J.84.
new text end

new text begin (p) "Wholesale drug distributor" or "wholesaler" means an entity that:
new text end

new text begin (1) is licensed to act as a wholesale drug distributor under section 151.47; and
new text end

new text begin (2) distributes prescription drugs, of which it is not the manufacturer, to persons or
entities other than a consumer or patient in the state.
new text end

Sec. 6.

Minnesota Statutes 2021 Supplement, section 62J.84, subdivision 6, is amended
to read:

Subd. 6.

Public posting of prescription drug price information.

(a) The commissioner
shall post on the department's website, or may contract with a private entity or consortium
that satisfies the standards of section 62U.04, subdivision 6, to meet this requirement, the
following information:

(1) a list of the prescription drugs reported under subdivisions 3, 4, deleted text begin and deleted text end 5, new text begin 11, 12, 13,
and 14 new text end and the manufacturers of those prescription drugs; and

(2) information reported to the commissioner under subdivisions 3, 4, deleted text begin and deleted text end 5 new text begin , 11, 12, 13,
and 14 new text end .

(b) The information must be published in an easy-to-read format and in a manner that
identifies the information that is disclosed on a per-drug basis and must not be aggregated
in a manner that prevents the identification of the prescription drug.

(c) The commissioner shall not post to the department's website or a private entity
contracting with the commissioner shall not post any information described in this section
if the information is not public data under section 13.02, subdivision 8a; or is trade secret
information under section 13.37, subdivision 1, paragraph (b); or is trade secret information
pursuant to the Defend Trade Secrets Act of 2016, United States Code, title 18, section
1836, as amended. If a manufacturer believes information should be withheld from public
disclosure pursuant to this paragraph, the manufacturer must clearly and specifically identify
that information and describe the legal basis in writing when the manufacturer submits the
information under this section. If the commissioner disagrees with the manufacturer's request
to withhold information from public disclosure, the commissioner shall provide the
manufacturer written notice that the information will be publicly posted 30 days after the
date of the notice.

(d) If the commissioner withholds any information from public disclosure pursuant to
this subdivision, the commissioner shall post to the department's website a report describing
the nature of the information and the commissioner's basis for withholding the information
from disclosure.

(e) To the extent the information required to be posted under this subdivision is collected
and made available to the public by another state, by the University of Minnesota, or through
an online drug pricing reference and analytical tool, the commissioner may reference the
availability of this drug price data from another source including, within existing
appropriations, creating the ability of the public to access the data from the source for
purposes of meeting the reporting requirements of this subdivision.

Sec. 7.

Minnesota Statutes 2020, section 62J.84, subdivision 7, is amended to read:

Subd. 7.

Consultation.

(a) The commissioner may consult with a private entity or
consortium that satisfies the standards of section 62U.04, subdivision 6, the University of
Minnesota, or the commissioner of commerce, as appropriate, in issuing the form and format
of the information reported under this section; in posting information pursuant to subdivision
6; and in taking any other action for the purpose of implementing this section.

(b) The commissioner may consult with representatives of the deleted text begin manufacturers deleted text end new text begin reporting
entities new text end to establish a standard format for reporting information under this section and may
use existing reporting methodologies to establish a standard format to minimize
administrative burdens to the state and deleted text begin manufacturers deleted text end new text begin reporting entities new text end .

Sec. 8.

Minnesota Statutes 2020, section 62J.84, subdivision 8, is amended to read:

Subd. 8.

Enforcement and penalties.

(a) A deleted text begin manufacturer deleted text end new text begin reporting entity new text end may be subject
to a civil penalty, as provided in paragraph (b), for:

new text begin (1) failing to register under subdivision 15;
new text end

deleted text begin (1) deleted text end new text begin (2) new text end failing to submit timely reports or notices as required by this section;

deleted text begin (2) deleted text end new text begin (3) new text end failing to provide information required under this section; or

deleted text begin (3) deleted text end new text begin (4) new text end providing inaccurate or incomplete information under this section.

(b) The commissioner shall adopt a schedule of civil penalties, not to exceed $10,000
per day of violation, based on the severity of each violation.

(c) The commissioner shall impose civil penalties under this section as provided in
section 144.99, subdivision 4.

(d) The commissioner may remit or mitigate civil penalties under this section upon terms
and conditions the commissioner considers proper and consistent with public health and
safety.

(e) Civil penalties collected under this section shall be deposited in the health care access
fund.

Sec. 9.

Minnesota Statutes 2021 Supplement, section 62J.84, subdivision 9, is amended
to read:

Subd. 9.

Legislative report.

(a) No later than May 15, 2022, and by January 15 of each
year thereafter, the commissioner shall report to the chairs and ranking minority members
of the legislative committees with jurisdiction over commerce and health and human services
policy and finance on the implementation of this section, including but not limited to the
effectiveness in addressing the following goals:

(1) promoting transparency in pharmaceutical pricing for the state and other payers;

(2) enhancing the understanding on pharmaceutical spending trends; and

(3) assisting the state and other payers in the management of pharmaceutical costs.

(b) The report must include a summary of the information submitted to the commissioner
under subdivisions 3, 4, deleted text begin and deleted text end 5 new text begin , 11, 12, 13, and 14 new text end .

Sec. 10.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 10. new text end

new text begin Notice of prescription drugs of substantial public interest. new text end

new text begin (a) No later than
January 31, 2023, and quarterly thereafter, the commissioner shall produce and post on the
department's website a list of prescription drugs that the department determines to represent
a substantial public interest and for which the department intends to request data under
subdivisions 11, 12, 13, and 14, subject to paragraph (c). The department shall base its
inclusion of prescription drugs on any information the department determines is relevant
to providing greater consumer awareness of the factors contributing to the cost of prescription
drugs in the state, and the department shall consider drug product families that include
prescription drugs:
new text end

new text begin (1) that triggered reporting under subdivisions 3, 4, or 5 during the previous calendar
quarter;
new text end

new text begin (2) for which average claims paid amounts exceeded 125 percent of the price as of the
claim incurred date during the most recent calendar quarter for which claims paid amounts
are available; or
new text end

new text begin (3) that are identified by members of the public during a public comment period process.
new text end

new text begin (b) No sooner than 30 days after publicly posting the list of prescription drugs under
paragraph (a), the department shall notify, via e-mail, reporting entities registered with the
department of the requirement to report under subdivisions 11, 12, 13, and 14.
new text end

new text begin (c) No more than 500 prescription drugs may be designated as having a substantial public
interest in any one notice.
new text end

Sec. 11.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 11. new text end

new text begin Manufacturer prescription drug substantial public interest reporting. new text end

new text begin (a)
Beginning January 1, 2023, a manufacturer must submit to the commissioner the information
described in paragraph (b) for any prescription drug:
new text end

new text begin (1) included in a notification to report issued to the manufacturer by the department
under subdivision 10;
new text end

new text begin (2) which the manufacturer manufactures or repackages;
new text end

new text begin (3) for which the manufacturer sets the wholesale acquisition cost; and
new text end

new text begin (4) for which the manufacturer has not submitted data under subdivisions 3 or 5 during
the 120-day period prior to the date of the notification to report.
new text end

new text begin (b) For each of the drugs described in paragraph (a), the manufacturer shall submit to
the commissioner no later than 60 days after the date of the notification to report, in the
form and manner prescribed by the commissioner, the following information, if applicable:
new text end

new text begin (1) a description of the drug with the following listed separately:
new text end

new text begin (i) National Drug Code;
new text end

new text begin (ii) product name;
new text end

new text begin (iii) dosage form;
new text end

new text begin (iv) strength; and
new text end

new text begin (v) package size;
new text end

new text begin (2) the price of the drug product on the later of:
new text end

new text begin (i) the day one year prior to the date of the notification to report;
new text end

new text begin (ii) the introduced to market date; or
new text end

new text begin (iii) the acquisition date;
new text end

new text begin (3) the price of the drug product on the date of the notification to report;
new text end

new text begin (4) the introductory price of the prescription drug when it was introduced for sale in the
United States and the price of the drug on the last day of each of the five calendar years
preceding the date of the notification to report;
new text end

new text begin (5) the direct costs incurred during the 12-month period prior to the date of the notification
to report by the manufacturer that are associated with the prescription drug, listed separately:
new text end

new text begin (i) to manufacture the prescription drug;
new text end

new text begin (ii) to market the prescription drug, including advertising costs; and
new text end

new text begin (iii) to distribute the prescription drug;
new text end

new text begin (6) the number of units of the prescription drug sold during the 12-month period prior
to the date of the notification to report;
new text end

new text begin (7) the total sales revenue for the prescription drug during the 12-month period prior to
the date of the notification to report;
new text end

new text begin (8) the total rebate payable amount accrued for the prescription drug during the 12-month
period prior to the date of the notification to report;
new text end

new text begin (9) the manufacturer's net profit attributable to the prescription drug during the 12-month
period prior to the date of the notification to report;
new text end

new text begin (10) the total amount of financial assistance the manufacturer has provided through
patient prescription assistance programs during the 12-month period prior to the date of the
notification to report, if applicable;
new text end

new text begin (11) any agreement between a manufacturer and another entity contingent upon any
delay in offering to market a generic version of the prescription drug;
new text end

new text begin (12) the patent expiration date of the prescription drug if it is under patent;
new text end

new text begin (13) the name and location of the company that manufactured the drug;
new text end

new text begin (14) if a brand name prescription drug, the ten countries other than the United States
that paid the highest prices for the prescription drug during the previous calendar year and
their prices; and
new text end

new text begin (15) if the prescription drug was acquired by the manufacturer within the 12-month
period prior to the date of the notification to report, all of the following information:
new text end

new text begin (i) price at acquisition;
new text end

new text begin (ii) price in the calendar year prior to acquisition;
new text end

new text begin (iii) name of the company from which the drug was acquired;
new text end

new text begin (iv) date of acquisition; and
new text end

new text begin (v) acquisition price.
new text end

new text begin (c) The manufacturer may submit any documentation necessary to support the information
reported under this subdivision.
new text end

Sec. 12.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 12. new text end

new text begin Pharmacy prescription drug substantial public interest reporting. new text end

new text begin (a)
Beginning January 1, 2023, a pharmacy must submit to the commissioner the information
described in paragraph (b) for any prescription drug included in a notification to report
issued to the pharmacy by the department under subdivision 10.
new text end

new text begin (b) For each of the drugs described in paragraph (a), the pharmacy shall submit to the
commissioner no later than 60 days after the date of the notification to report in the form
and manner prescribed by the commissioner the following information, if applicable:
new text end

new text begin (1) a description of the drug with the following listed separately:
new text end

new text begin (i) National Drug Code;
new text end

new text begin (ii) product name;
new text end

new text begin (iii) dosage form;
new text end

new text begin (iv) strength; and
new text end

new text begin (v) package size;
new text end

new text begin (2) the number of units of the drug acquired during the 12-month period prior to the date
of the notification to report;
new text end

new text begin (3) the total spent before rebates by the pharmacy to acquire the drug during the 12-month
period prior to the date of the notification to report;
new text end

new text begin (4) the total rebate receivable amount accrued by the pharmacy for the drug during the
12-month period prior to the date of the notification to report;
new text end

new text begin (5) the number of pricing units of the drug dispensed by the pharmacy during the
12-month period prior to the date of the notification to report;
new text end

new text begin (6) the total payment receivable by the pharmacy for dispensing the drug, including
ingredient cost, dispensing fee, and administrative fees, during the 12-month period prior
to the date of the notification to report;
new text end

new text begin (7) the total rebate payable amount accrued by the pharmacy for the drug during the
12-month period prior to the date of the notification to report; and
new text end

new text begin (8) the average cash price paid by consumers per pricing unit for prescriptions dispensed
where no claim was submitted to a health care service plan or health insurer during the
12-month period prior to the date of the notification to report.
new text end

new text begin (c) The pharmacy may submit any documentation necessary to support the information
reported under this subdivision.
new text end

Sec. 13.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 13. new text end

new text begin Pharmacy benefit manager (PBM) prescription drug substantial public
interest reporting. new text end

new text begin (a) Beginning January 1, 2023, a PBM as defined in section 62W.02,
subdivision 14, must submit to the commissioner the information described in paragraph
(b) for any prescription drug included in a notification to report issued to the PBM by the
department under subdivision 10.
new text end

new text begin (b) For each of the drugs described in paragraph (a), the PBM shall submit to the
commissioner no later than 60 days after the date of the notification to report, in the form
and manner prescribed by the commissioner, the following information, if applicable:
new text end

new text begin (1) a description of the drug with the following listed separately:
new text end

new text begin (i) National Drug Code;
new text end

new text begin (ii) product name;
new text end

new text begin (iii) dosage form;
new text end

new text begin (iv) strength; and
new text end

new text begin (v) package size;
new text end

new text begin (2) the number of pricing units of the drug product filled for which the PBM administered
claims during the 12-month period prior to the date of the notification to report;
new text end

new text begin (3) the total reimbursement amount accrued and payable to pharmacies for pricing units
of the drug product filled for which the PBM administered claims during the 12-month
period prior to the date of the notification to report;
new text end

new text begin (4) the total reimbursement or administrative fee amount or both accrued and receivable
from payers for pricing units of the drug product filled for which the PBM administered
claims during the 12-month period prior to the date of the notification to report;
new text end

new text begin (5) the total rebate receivable amount accrued by the PBM for the drug product during
the 12-month period prior to the date of the notification to report; and
new text end

new text begin (6) the total rebate payable amount accrued by the PBM for the drug product during the
12-month period prior to the date of the notification to report.
new text end

new text begin (c) The PBM may submit any documentation necessary to support the information
reported under this subdivision.
new text end

Sec. 14.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 14. new text end

new text begin Wholesaler prescription drug substantial public interest reporting. new text end

new text begin (a)
Beginning January 1, 2023, a wholesaler must submit to the commissioner the information
described in paragraph (b) for any prescription drug included in a notification to report
issued to the wholesaler by the department under subdivision 10.
new text end

new text begin (b) For each of the drugs described in paragraph (a), the wholesaler shall submit to the
commissioner no later than 60 days after the date of the notification to report, in the form
and manner prescribed by the commissioner, the following information, if applicable:
new text end

new text begin (1) a description of the drug with the following listed separately:
new text end

new text begin (i) National Drug Code;
new text end

new text begin (ii) product name;
new text end

new text begin (iii) dosage form;
new text end

new text begin (iv) strength; and
new text end

new text begin (v) package size;
new text end

new text begin (2) the number of units of the drug product acquired by the wholesale drug distributor
during the 12-month period prior to the date of the notification to report;
new text end

new text begin (3) the total spent before rebates by the wholesale drug distributor to acquire the drug
product during the 12-month period prior to the date of the notification to report;
new text end

new text begin (4) the total rebate receivable amount accrued by the wholesale drug distributor for the
drug product during the 12-month period prior to the date of the notification to report;
new text end

new text begin (5) the number of units of the drug product sold by the wholesale drug distributor during
the 12-month period prior to the date of the notification to report;
new text end

new text begin (6) gross revenue from sales in the United States generated by the wholesale drug
distributor for this drug product during the 12-month period prior to the date of the
notification to report; and
new text end

new text begin (7) total rebate payable amount accrued by the wholesale drug distributor for the drug
product during the 12-month period prior to the date of the notification to report.
new text end

new text begin (c) The wholesaler may submit any documentation necessary to support the information
reported under this subdivision.
new text end

Sec. 15.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 15. new text end

new text begin Registration requirement. new text end

new text begin Beginning January 1, 2023, a reporting entity
subject to this chapter shall register with the department in a form and manner prescribed
by the commissioner.
new text end

Sec. 16.

Minnesota Statutes 2020, section 62J.84, is amended by adding a subdivision to
read:

new text begin Subd. 16. new text end

new text begin Rulemaking. new text end

new text begin For the purposes of this section, the commissioner may use the
expedited rulemaking process under section 14.389.
new text end

Sec. 17.

Minnesota Statutes 2020, section 62Q.021, is amended by adding a subdivision
to read:

new text begin Subd. 3. new text end

new text begin Compliance with 2021 federal law. new text end

new text begin Each health plan company, health provider,
and health facility shall comply with Division BB, Title I of the Consolidated Appropriations
Act, 2021, also known as the "No Surprises Act," including any federal regulations adopted
under that act, to the extent that it imposes requirements that apply in this state but are not
required under the laws of this state. This section does not require compliance with any
provision of the No Surprises Act before the effective date provided for that provision in
the Consolidated Appropriations Act. The commissioner shall enforce this subdivision.
new text end

Sec. 18.

Minnesota Statutes 2020, section 62Q.55, subdivision 5, is amended to read:

Subd. 5.

Coverage restrictions or limitations.

If emergency services are provided by
a nonparticipating provider, with or without prior authorization, the health plan company
shall not impose coverage restrictions or limitations that are more restrictive than apply to
emergency services received from a participating provider. Cost-sharing requirements that
apply to emergency services received out-of-network must be the same as the cost-sharing
requirements that apply to services received in-network new text begin and shall count toward the in-network
deductible. All coverage and charges for emergency services must comply with all
requirements of Division BB, Title I of the Consolidated Appropriations Act, 2021, including
any federal regulations adopted under that act new text end .

Sec. 19.

Minnesota Statutes 2020, section 62Q.556, is amended to read:

62Q.556 deleted text begin UNAUTHORIZED PROVIDER SERVICES deleted text end new text begin CONSUMER
PROTECTIONS AGAINST BALANCE BILLING new text end .

Subdivision 1.

deleted text begin Unauthorized provider services deleted text end new text begin Nonparticipating provider balance
billing prohibition new text end .

(a) Except as provided in paragraph deleted text begin (c) deleted text end new text begin (b) new text end , deleted text begin unauthorized provider
services occur deleted text end new text begin balance billing is prohibited new text end when an enrollee receives services:

(1) from a nonparticipating provider at a participating hospital or ambulatory surgical
center, deleted text begin when the services are rendered: deleted text end new text begin as described by Division BB, Title I of the
Consolidated Appropriations Act, 2021, including any federal regulations adopted under
that act;
new text end

deleted text begin (i) due to the unavailability of a participating provider;
deleted text end

deleted text begin (ii) by a nonparticipating provider without the enrollee's knowledge; or
deleted text end

deleted text begin (iii) due to the need for unforeseen services arising at the time the services are being
rendered; or
deleted text end

(2) from a participating provider that sends a specimen taken from the enrollee in the
participating provider's practice setting to a nonparticipating laboratory, pathologist, or other
medical testing facility deleted text begin . deleted text end new text begin ; or
new text end

deleted text begin (b) Unauthorized provider services do not include emergency services as defined in
section 62Q.55, subdivision 3.
deleted text end

new text begin (3) from a nonparticipating provider or facility providing emergency services as defined
in section 62Q.55, subdivision 3, and other services as described in the requirements of
Division BB, Title I of the Consolidated Appropriations Act, 2021, including any federal
regulations adopted under that act.
new text end

deleted text begin (c) deleted text end new text begin (b) new text end The services described in paragraph (a), deleted text begin clause deleted text end new text begin clauses (1) and new text end (2), new text begin as defined in
Division BB, Title I of the Consolidated Appropriations Act, 2021, and any federal
regulations adopted under that act, new text end are deleted text begin not unauthorized provider services deleted text end new text begin subject to balance
billing new text end if the enrollee deleted text begin gives advance written deleted text end new text begin informed new text end consent deleted text begin to the deleted text end new text begin prior to receiving
services from the nonparticipating new text end provider acknowledging that the use of a provider, or
the services to be rendered, may result in costs not covered by the health plan. new text begin The informed
consent must comply with all requirements of Division BB, Title I of the Consolidated
Appropriations Act, 2021, including any federal regulations adopted under that act.
new text end

Subd. 2.

deleted text begin Prohibition deleted text end new text begin Cost-sharing requirements and independent dispute
resolution new text end .

(a) An enrollee's financial responsibility for the deleted text begin unauthorized deleted text end new text begin nonparticipating new text end
provider services new text begin described in subdivision 1, paragraph (a), new text end shall be the same cost-sharing
requirements, including co-payments, deductibles, coinsurance, coverage restrictions, and
coverage limitations, as those applicable to services received by the enrollee from a
participating provider. A health plan company must apply any enrollee cost sharing
requirements, including co-payments, deductibles, and coinsurance, for unauthorized provider
services to the enrollee's annual out-of-pocket limit to the same extent payments to a
participating provider would be applied.

(b) A health plan company deleted text begin must attempt to negotiate the reimbursement, less any
applicable enrollee cost sharing under paragraph (a), for the unauthorized provider services
with the nonparticipating provider. If a health plan company's and nonparticipating provider's
attempts to negotiate reimbursement for the health care services do not result in a resolution,
the health plan company or provider may elect to refer the matter for binding arbitration,
chosen in accordance with paragraph (c). A nondisclosure agreement must be executed by
both parties prior to engaging an arbitrator in accordance with this section. The cost of
arbitration must be shared equally between the parties deleted text end new text begin and nonparticipating provider shall
initiate open negotiations of disputed amounts. If there is no agreement, either party may
initiate the federal independent dispute resolution process pursuant to Division BB, Title I
of the Consolidated Appropriations Act, 2021, including any federal regulations adopted
under that act new text end .

deleted text begin (c) The commissioner of health, in consultation with the commissioner of the Bureau
of Mediation Services, must develop a list of professionals qualified in arbitration, for the
purpose of resolving disputes between a health plan company and nonparticipating provider
arising from the payment for unauthorized provider services. The commissioner of health
shall publish the list on the Department of Health website, and update the list as appropriate.
deleted text end

deleted text begin (d) The arbitrator must consider relevant information, including the health plan company's
payments to other nonparticipating providers for the same services, the circumstances and
complexity of the particular case, and the usual and customary rate for the service based on
information available in a database in a national, independent, not-for-profit corporation,
and similar fees received by the provider for the same services from other health plans in
which the provider is nonparticipating, in reaching a decision.
deleted text end

new text begin Subd. 3. new text end

new text begin Annual data reporting. new text end

new text begin (a) Beginning April 1, 2023, a health plan company
must report annually to the commissioner:
new text end

new text begin (1) the total number of claims and total billed and paid amount for nonparticipating
provider services, by service and provider type, submitted to the health plan in the prior
calendar year; and
new text end

new text begin (2) the total number of enrollee complaints received regarding the rights and protections
established by Division BB, Title I of the Consolidated Appropriations Act, 2021, including
any federal regulations adopted under that act, in the prior calendar year.
new text end

new text begin (b) The commissioners of commerce and health may develop the form and manner for
health plan companies to comply with paragraph (a).
new text end

new text begin Subd. 4. new text end

new text begin Enforcement. new text end

new text begin (a) Any provider or facility, including a health care provider or
facility pursuant to section 62A.63, subdivision 2, or 62J.03, subdivision 8, that is subject
to relevant provisions of the No Surprises Act is subject to the requirements of this section.
new text end

new text begin (b) The commissioner of commerce or health may enforce this section.
new text end

new text begin (c) If the commissioner of health has cause to believe that any hospital or facility licensed
under chapter 144 has violated this section, the commissioner may investigate, examine,
and otherwise enforce this section pursuant to chapter 144 or may refer the potential violation
to the relevant licensing board with regulatory authority over the provider.
new text end

new text begin (d) If a health-related licensing board has cause to believe that a provider has violated
this section, it may further investigate and enforce the provisions of this section pursuant
to chapter 214.
new text end

Sec. 20.

Minnesota Statutes 2020, section 62Q.56, subdivision 2, is amended to read:

Subd. 2.

Change in health plans.

(a) If an enrollee is subject to a change in health plans,
the enrollee's new health plan company must provide, upon request, authorization to receive
services that are otherwise covered under the terms of the new health plan through the
enrollee's current provider:

(1) for up to 120 days if the enrollee is engaged in a current course of treatment for one
or more of the following conditions:

(i) an acute condition;

(ii) a life-threatening mental or physical illness;

(iii) pregnancy deleted text begin beyond the first trimester of pregnancy deleted text end ;

(iv) a physical or mental disability defined as an inability to engage in one or more major
life activities, provided that the disability has lasted or can be expected to last for at least
one year, or can be expected to result in death; or

(v) a disabling or chronic condition that is in an acute phase; or

(2) for the rest of the enrollee's life if a physician certifies that the enrollee has an expected
lifetime of 180 days or less.

For all requests for authorization under this paragraph, the health plan company must grant
the request for authorization unless the enrollee does not meet the criteria provided in this
paragraph.

(b) The health plan company shall prepare a written plan that provides a process for
coverage determinations regarding continuity of care of up to 120 days for new enrollees
who request continuity of care with their former provider, if the new enrollee:

(1) is receiving culturally appropriate services and the health plan company does not
have a provider in its preferred provider network with special expertise in the delivery of
those culturally appropriate services within the time and distance requirements of section
62D.124, subdivision 1; or

(2) does not speak English and the health plan company does not have a provider in its
preferred provider network who can communicate with the enrollee, either directly or through
an interpreter, within the time and distance requirements of section 62D.124, subdivision
1.

The written plan must explain the criteria that will be used to determine whether a need for
continuity of care exists and how it will be provided.

(c) This subdivision applies only to group coverage and continuation and conversion
coverage, and applies only to changes in health plans made by the employer.

Sec. 21.

Minnesota Statutes 2020, section 62Q.73, subdivision 7, is amended to read:

Subd. 7.

Standards of review.

(a) For an external review of any issue in an adverse
determination that does not require a medical necessity determination, the external review
must be based on whether the adverse determination was in compliance with the enrollee's
health benefit plan new text begin and any applicable state and federal law new text end .

(b) For an external review of any issue in an adverse determination by a health plan
company licensed under chapter 62D that requires a medical necessity determination, the
external review must determine whether the adverse determination was consistent with the
definition of medically necessary care in Minnesota Rules, part 4685.0100, subpart 9b.

(c) For an external review of any issue in an adverse determination by a health plan
company, other than a health plan company licensed under chapter 62D, that requires a
medical necessity determination, the external review must determine whether the adverse
determination was consistent with the definition of medically necessary care in section
62Q.53, subdivision 2.

(d) For an external review of an adverse determination involving experimental or
investigational treatment, the external review entity must base its decision on all documents
submitted by the health plan company and enrollee, including medical records, the attending
physician, advanced practice registered nurse, or health care professional's recommendation,
consulting reports from health care professionals, the terms of coverage, federal Food and
Drug Administration approval, and medical or scientific evidence or evidence-based
standards.

Sec. 22.

new text begin [115.7411] ADVISORY COUNCIL ON WATER SUPPLY SYSTEMS AND
WASTEWATER TREATMENT FACILITIES.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose; membership. new text end

new text begin The advisory council on water supply systems
and wastewater treatment facilities shall advise the commissioners of health and the Pollution
Control Agency regarding classification of water supply systems and wastewater treatment
facilities, qualifications and competency evaluation of water supply system operators and
wastewater treatment facility operators, and additional laws, rules, and procedures that may
be desirable for regulating the operation of water supply systems and of wastewater treatment
facilities. The advisory council is composed of 11 voting members, of whom:
new text end

new text begin (1) one member must be from the Department of Health, Division of Environmental
Health, appointed by the commissioner of health;
new text end

new text begin (2) one member must be from the Pollution Control Agency, appointed by the
commissioner of the Pollution Control Agency;
new text end

new text begin (3) three members must be certified water supply system operators, appointed by the
commissioner of health, one of whom must represent a nonmunicipal community or
nontransient noncommunity water supply system;
new text end

new text begin (4) three members must be certified wastewater treatment facility operators, appointed
by the commissioner of the Pollution Control Agency;
new text end

new text begin (5) one member must be a representative from an organization representing municipalities,
appointed by the commissioner of health with the concurrence of the commissioner of the
Pollution Control Agency; and
new text end

new text begin (6) two members must be members of the public who are not associated with water
supply systems or wastewater treatment facilities. One must be appointed by the
commissioner of health and the other by the commissioner of the Pollution Control Agency.
Consideration should be given to one of these members being a representative of academia
knowledgeable in water or wastewater matters.
new text end

new text begin Subd. 2. new text end

new text begin Geographic representation. new text end

new text begin At least one of the water supply system operators
and at least one of the wastewater treatment facility operators must be from outside the
seven-county metropolitan area, and one wastewater treatment facility operator must be
from the Metropolitan Council.
new text end

new text begin Subd. 3. new text end

new text begin Terms; compensation. new text end

new text begin The terms of the appointed members and the
compensation and removal of all members are governed by section 15.059.
new text end

new text begin Subd. 4. new text end

new text begin Officers. new text end

new text begin When new members are appointed to the council, a chair must be
elected at the next council meeting. The Department of Health representative shall serve as
secretary of the council.
new text end

Sec. 23.

new text begin [144.0551] SENTINEL EVENT REVIEW COMMITTEE.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose. new text end

new text begin The commissioner of health shall establish a formal, protected,
and nondisciplinary Sentinel Event Review Committee (SERC) to review all
law-enforcement-involved deadly force encounters to make recommended changes to state
and local policies and practices to prevent future events.
new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have the
meanings given.
new text end

new text begin (b) "Commissioner" means the commissioner of health.
new text end

new text begin (c) "Use of force" refers to the effort required by police to compel compliance by an
unwilling subject; it is the means of compelling compliance or overcoming resistance to an
officer's commands to protect life or property or to take a person into custody. Types of
force may include but are not limited to verbal, physical, chemical, impact, electronic, use
of restraints, firearm or other weapon, and deaths from use of vehicles or from a police
chase.
new text end

new text begin (d) A "law-enforcement-involved deadly force encounter" refers to any death where all
of the following criteria are met:
new text end

new text begin (1) the death was sustained during an encounter between one or more law enforcement
officials, including peace officers, state troopers, sheriffs, active military, national guard,
correctional officers, federal agents, DNR officers, private security guards, enforcement
personnel brought in from other jurisdictions, and one or more civilians;
new text end

new text begin (2) the death occurs during the officer's use of force while the officer is on duty or off
duty but performing activities that are within the scope of the officer's law enforcement
duties;
new text end

new text begin (3) the law enforcement official, whether on- or off-duty, was acting with the intention
of arresting individuals that break the law, suppressing disturbances, maintaining order, or
performing another legal action; and
new text end

new text begin (4) the injury leading to death took place outside of a jail or prison setting within the
state.
new text end

new text begin Subd. 3. new text end

new text begin Duties of the commissioner. new text end

new text begin (a) The commissioner shall routinely collect and
analyze data on the prevalence and incidence of law-enforcement-involved deadly force
encounter in Minnesota. The commissioner shall routinely report findings to the legislature
and to the public.
new text end

new text begin (b) Notwithstanding any law to the contrary, data on an individual collected by the
commissioner in conducting an investigation to reduce law-enforcement-involved deadly
force encounter morbidity or mortality is not subject to discovery in a legal action.
new text end

new text begin (c) The commissioner shall convene the SERC with representation from the following:
new text end

new text begin (1) Bureau of Criminal Apprehension;
new text end

new text begin (2) Board of Peace Officer Standards and Training;
new text end

new text begin (3) Department of Health;
new text end

new text begin (4) Department of Human Rights;
new text end

new text begin (5) Department of Corrections;
new text end

new text begin (6) Department of Human Services;
new text end

new text begin (7) a Minnesota medical examiner or coroner; and
new text end

new text begin (8) two appointed members at large.
new text end

new text begin (d) Members will be appointed to two-year terms, with up to two consecutive
reappointments but not more than six years served consecutively. Local jurisdiction
participation will be determined by the commissioner in consultation with local officials
where the event occurred and organizations that provided services to the decedent, with up
to five participants appointed per case. Participants will include but not be limited to law
enforcement, public health officials, medical and social service providers, and community
members. A member may not be a current or former employee of the agency that is the
subject of the team's review.
new text end

new text begin (e) The commissioner shall convene the SERC no later than March 1, 2023, and provide
meeting space and administrative assistance necessary for SERC to conduct its work,
including documentation of convenings and findings in collaboration and coordination of
SERC members and submission of required reports. The commissioner's staff shall facilitate
the convenings and establish the sentinel event review process.
new text end

new text begin Subd. 4. new text end

new text begin Sentinel Event Review. new text end

new text begin (a) Initial review by the commissioner's staff will be
completed within 90 days of the event to determine any immediate action, appropriate local
representation, and timeline for review by the full SERC.
new text end

new text begin (b) The SERC is charged with identifying and analyzing the root causes of the incident.
Following the analysis, the SERC must prepare a report that recommends policy and system
changes to reduce and prevent future incidents across jurisdictions, agencies, and systems.
new text end

new text begin (c) The full review needs to be completed within six months of the event, or as soon as
is practicable, and the report must be filed with the commissioner of health and agency that
employed the peace officer involved in the event within 60 days of completion of the review.
The commissioner of health must post the report on the Department of Health public website.
The posted report must comply with chapter 13, and any data that is not public data must
be redacted.
new text end

new text begin (d) By June 15 of each year, the SERC shall report to the chairs and ranking minority
members of the house of representatives and senate committees and divisions with jurisdiction
over public safety on the number of reviews performed under this subdivision, aggregate
data on those reviews, the number of reviews that included a recommendation that the
agency under review implement a corrective action plan, a description of any
recommendations made to the commissioner of public safety statewide training of peace
officers, and recommendations for legislative action.
new text end

new text begin Subd. 5. new text end

new text begin Access to data. new text end

new text begin (a) The SERC team shall collect, review, and analyze data
related to the decedent and law enforcement official involved.
new text end

new text begin Data may include death certificates and death data, including investigative reports,
medical and counseling records, victim service records, employment records, survivor
interviews and surveys, witness accounts of incident, or other pertinent information
concerning decedent's life and access to services as determined by the SERC.
new text end

new text begin Data may include law enforcement official's employment record, employment institution's
standard operating procedures, and other pertinent information concerning law enforcement
officer and law enforcement agency.
new text end

new text begin (b) The review team has access to the following not public data, as defined in section
13.02, subdivision 8a, relating to a case being reviewed by the SERC relating to the victim
or a family or household member of the victim: (1) inactive law enforcement investigative
data under section 13.82; (2) autopsy records and coroner or medical examiner investigative
data under section 13.83; (3) hospital, public health, or other medical records of the victim
under section 13.384; and (4) records under section 13.46, created by social service agencies
that provided services to the victim, the alleged perpetrator, or another victim who
experienced use of force or was threatened by the peace officer. Access to medical records
under this paragraph also includes records governed by sections 144.291 to 144.298. The
SERC has access to corrections and detention data as provided in section 13.85.
new text end

new text begin (c) As part of any review, the SERC may compel the production of other records by
applying to the district court for a subpoena, which will be effective throughout the state
according to the Rules of Civil Procedure.
new text end

new text begin Subd. 6. new text end

new text begin Confidentiality and data privacy. new text end

new text begin A person attending a SERC meeting may
not disclose what transpired at the meeting, except to carry out the purposes of the review
or as otherwise provided in this subdivision. The SERC may disclose the names of the
victims in the cases it reviewed. The proceedings and records of the SERC are confidential
data as defined in section 13.02, subdivision 3, or protected nonpublic data as defined in
section 13.02, subdivision 13, regardless of their classification in the hands of the person
who provided the data, and are not subject to discovery or introduction into evidence in a
civil or criminal action against a professional, the state, or a county agency, arising out of
the matters the team is reviewing. Information, documents, and records otherwise available
from other sources are not immune from discovery or use in a civil or criminal action solely
because they were presented during proceedings of the SERC. This section does not limit
a person who presented information before the SERC or who is a member of the panel from
testifying about matters within the person's knowledge. However, in a civil or criminal
proceeding, a person may not be questioned about the person's good faith presentation of
information to the SERC or opinions formed by the person as a result of the SERC meetings.
new text end

new text begin Subd. 7. new text end

new text begin Violation a misdemeanor. new text end

new text begin Any data disclosure other than as provided for in
this section is a misdemeanor and punishable as such.
new text end

new text begin Subd. 8. new text end

new text begin Immunity. new text end

new text begin Members of the SERC are immune from claims and are not subject
to any suits, liability, damages, or any other recourse, civil or criminal, arising from any
act, proceeding, decision, or determination undertaken or performed or recommendation
made by the SERC, provided they acted in good faith and without malice in carrying out
their responsibilities. Good faith is presumed unless proven otherwise and the complainant
has the burden of proving malice or a lack of good faith. No organization, institution, or
person furnishing information, data, testimony, reports, or records to the domestic fatality
review team as part of an investigation is civilly or criminally liable or subject to any other
recourse for providing the information.
new text end

new text begin Subd. 9. new text end

new text begin Community-based grant programs. new text end

new text begin The commissioner shall establish a grant
program to fund community grants of up to $5,000 each to implement actionable
recommendations developed by the SERC.
new text end

Sec. 24.

new text begin [144.0552] LAW-ENFORCEMENT-INVOLVED DEADLY FORCE
ENCOUNTER COMMUNITY ADVISORY COMMITTEE.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner shall establish an 18-member
law-enforcement-involved deadly force encounter community advisory committee. The
commissioner shall provide the advisory committee with staff support, office space, and
access to office equipment and services. Members appointed by the commissioner are
appointed for a three-year term and may be reappointed. Nonstate employee members of
the advisory committee will be compensated at the rate of $55 per day spent on committee
activities, plus expenses, when authorized by the committee as described in section 15.059,
subdivision 3. Meetings must be held at least twice yearly, with additional meetings scheduled
as necessary.
new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin (a) The commissioner shall appoint 18 members, none of whom
may be lobbyists registered under chapter 10A, including:
new text end

new text begin (1) at least nine members from Minnesota-based nongovernmental organizations that
advocate on behalf of one of the following groups:
new text end

new text begin (i) the American Indian and Alaska Native community, Black, African, or African
American communities, Hispanic or Latino communities, and Asian or Asian American
communities;
new text end

new text begin (ii) the LGBTQ+ community;
new text end

new text begin (iii) the disability community;
new text end

new text begin (iv) people affected by mental illness; and
new text end

new text begin (v) families and loved ones of persons who have died in law-enforcement-involved
deadly force encounter incidents;
new text end

new text begin (2) at least one academic partner with experience studying racial equity in health;
new text end

new text begin (3) a representative from the Department of Human Rights
new text end

new text begin (4) a representative from the Department of Public Safety;
new text end

new text begin (5) a representative from the Department of Human Services; and
new text end

new text begin (6) a representative from the Department of Health's Center for Health Equity.
new text end

new text begin (b) The advisory committee may also invite other relevant persons to serve on an ad hoc
basis and participate as full members of the review team for a particular review. These
persons may include but are not limited to:
new text end

new text begin (1) individuals with expertise that would be helpful to the review panel; or
new text end

new text begin (2) representatives of organizations or agencies that had contact with or provided services
to the decedent.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin The advisory committee shall:
new text end

new text begin (1) advise the commissioner and other state agencies on:
new text end

new text begin (i) health outcomes related to law-enforcement-involved deadly force encounter and
priorities for data collection and public health research;
new text end

new text begin (ii) specific communities and geographic areas on which to focus prevention efforts;
and
new text end

new text begin (iii) opportunities for community partnerships and sources of additional funding;
new text end

new text begin (2) develop goals and expectations for the Sentinel Event Review Committee (SERC)
that can be used in future evaluations;
new text end

new text begin (3) review and approve of reports and recommendations drafted by SERC; and
new text end

new text begin (4) review applications for community-based grants as described in section 144.0551,
subdivision 9, and make recommendations to the department about which should be funded.
new text end

Sec. 25.

Minnesota Statutes 2020, section 144.122, is amended to read:

144.122 LICENSE, PERMIT, AND SURVEY FEES.

(a) The state commissioner of health, by rule, may prescribe procedures and fees for
filing with the commissioner as prescribed by statute and for the issuance of original and
renewal permits, licenses, registrations, and certifications issued under authority of the
commissioner. The expiration dates of the various licenses, permits, registrations, and
certifications as prescribed by the rules shall be plainly marked thereon. Fees may include
application and examination fees and a penalty fee for renewal applications submitted after
the expiration date of the previously issued permit, license, registration, and certification.
The commissioner may also prescribe, by rule, reduced fees for permits, licenses,
registrations, and certifications when the application therefor is submitted during the last
three months of the permit, license, registration, or certification period. Fees proposed to
be prescribed in the rules shall be first approved by the Department of Management and
Budget. All fees proposed to be prescribed in rules shall be reasonable. The fees shall be
in an amount so that the total fees collected by the commissioner will, where practical,
approximate the cost to the commissioner in administering the program. All fees collected
shall be deposited in the state treasury and credited to the state government special revenue
fund unless otherwise specifically appropriated by law for specific purposes.

(b) The commissioner may charge a fee for voluntary certification of medical laboratories
and environmental laboratories, and for environmental and medical laboratory services
provided by the department, without complying with paragraph (a) or chapter 14. Fees
charged for environment and medical laboratory services provided by the department must
be approximately equal to the costs of providing the services.

(c) The commissioner may develop a schedule of fees for diagnostic evaluations
conducted at clinics held by the services for children with disabilities program. All receipts
generated by the program are annually appropriated to the commissioner for use in the
maternal and child health program.

(d) The commissioner shall set license fees for hospitals and nursing homes that are not
boarding care homes at the following levels:

Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and American Osteopathic Association (AOA) hospitals	$7,655 plus $16 per bed
Non-JCAHO and non-AOA hospitals	$5,280 plus $250 per bed
Nursing home	$183 plus $91 per bed until June 30, 2018. $183 plus $100 per bed between July 1, 2018, and June 30, 2020. $183 plus $105 per bed beginning July 1, 2020.

The commissioner shall set license fees for outpatient surgical centers, boarding care
homes, supervised living facilities, assisted living facilities, and assisted living facilities
with dementia care at the following levels:

Outpatient surgical centers	$3,712
Boarding care homes	$183 plus $91 per bed
Supervised living facilities	$183 plus $91 per bed.
Assisted living facilities with dementia care	$3,000 plus $100 per resident.
Assisted living facilities	$2,000 plus $75 per resident.

Fees collected under this paragraph are nonrefundable. The fees are nonrefundable even if
received before July 1, 2017, for licenses or registrations being issued effective July 1, 2017,
or later.

(e) Unless prohibited by federal law, the commissioner of health shall charge applicants
the following fees to cover the cost of any initial certification surveys required to determine
a provider's eligibility to participate in the Medicare or Medicaid program:

Prospective payment surveys for hospitals	$	900
Swing bed surveys for nursing homes	$	1,200
Psychiatric hospitals	$	1,400
Rural health facilities	$	1,100
Portable x-ray providers	$	500
Home health agencies	$	1,800
Outpatient therapy agencies	$	800
End stage renal dialysis providers	$	2,100
Independent therapists	$	800
Comprehensive rehabilitation outpatient facilities	$	1,200
Hospice providers	$	1,700
Ambulatory surgical providers	$	1,800
Hospitals	$	4,200
Other provider categories or additional resurveys required to complete initial certification	Actual surveyor costs: average surveyor cost x number of hours for the survey process.

These fees shall be submitted at the time of the application for federal certification and
shall not be refunded. All fees collected after the date that the imposition of fees is not
prohibited by federal law shall be deposited in the state treasury and credited to the state
government special revenue fund.

(f) Notwithstanding section 16A.1283, the commissioner may adjust the fees assessed
on assisted living facilities and assisted living facilities with dementia care under paragraph
(d), in a revenue-neutral manner in accordance with the requirements of this paragraph:

(1) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
to ten percent lower than the applicable fee in paragraph (d) if residents who receive home
and community-based waiver services under chapter 256S and section 256B.49 comprise
more than 50 percent of the facility's capacity in the calendar year prior to the year in which
the renewal application is submitted; and

(2) a facility seeking to renew a license shall pay a renewal fee in an amount that is up
to ten percent higher than the applicable fee in paragraph (d) if residents who receive home
and community-based waiver services under chapter 256S and section 256B.49 comprise
less than 50 percent of the facility's capacity during the calendar year prior to the year in
which the renewal application is submitted.

The commissioner may annually adjust the percentages in clauses (1) and (2), to ensure this
paragraph is implemented in a revenue-neutral manner. The commissioner shall develop a
method for determining capacity thresholds in this paragraph in consultation with the
commissioner of human services and must coordinate the administration of this paragraph
with the commissioner of human services for purposes of verification.

new text begin (g) The commissioner shall charge hospitals an annual licensing base fee of $1,150 per
hospital, plus an additional $15 per licensed bed/bassinet fee. Revenue shall be deposited
to the state government special revenue fund and credited toward trauma hospital designations
under sections 144.605 and 144.6071.
new text end

Sec. 26.

Minnesota Statutes 2020, section 144.1501, as amended by Laws 2021, First
Special Session chapter 7, article 3, sections 22 to 24, is amended to read:

144.1501 HEALTH PROFESSIONAL EDUCATION LOAN FORGIVENESS
PROGRAM.

Subdivision 1.

Definitions.

(a) For purposes of this section, the following definitions
apply.

(b) "Advanced dental therapist" means an individual who is licensed as a dental therapist
under section 150A.06, and who is certified as an advanced dental therapist under section
150A.106.

(c) "Alcohol and drug counselor" means an individual who is licensed as an alcohol and
drug counselor under chapter 148F.

(d) "Dental therapist" means an individual who is licensed as a dental therapist under
section 150A.06.

(e) "Dentist" means an individual who is licensed to practice dentistry.

(f) "Designated rural area" means a statutory and home rule charter city or township that
is outside the seven-county metropolitan area as defined in section 473.121, subdivision 2,
excluding the cities of Duluth, Mankato, Moorhead, Rochester, and St. Cloud.

(g) "Emergency circumstances" means those conditions that make it impossible for the
participant to fulfill the service commitment, including death, total and permanent disability,
or temporary disability lasting more than two years.

(h) "Mental health professional" means an individual providing clinical services in the
treatment of mental illness who is qualified in at least one of the ways specified in section
245.462, subdivision 18.

(i) "Medical resident" means an individual participating in a medical residency in family
practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.

(j) "Midlevel practitioner" means a nurse practitioner, nurse-midwife, nurse anesthetist,
advanced clinical nurse specialist, or physician assistant.

(k) "Nurse" means an individual who has completed training and received all licensing
or certification necessary to perform duties as a licensed practical nurse or registered nurse.

(l) "Nurse-midwife" means a registered nurse who has graduated from a program of
study designed to prepare registered nurses for advanced practice as nurse-midwives.

(m) "Nurse practitioner" means a registered nurse who has graduated from a program
of study designed to prepare registered nurses for advanced practice as nurse practitioners.

(n) "Pharmacist" means an individual with a valid license issued under chapter 151.

(o) "Physician" means an individual who is licensed to practice medicine in the areas
of family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.

(p) "Physician assistant" means a person licensed under chapter 147A.

new text begin (q) "Public health employee" means an individual working in a local, Tribal, or state
public health department.
new text end

deleted text begin (q) deleted text end new text begin (r) new text end "Public health nurse" means a registered nurse licensed in Minnesota who has
obtained a registration certificate as a public health nurse from the Board of Nursing in
accordance with Minnesota Rules, chapter 6316.

deleted text begin (r) deleted text end new text begin (s) new text end "Qualified educational loan" means a government, commercial, or foundation
loan for actual costs paid for tuition, reasonable education expenses, and reasonable living
expenses related to the graduate or undergraduate education of a health care professional.

deleted text begin (s) deleted text end new text begin (t) new text end "Underserved urban community" means a Minnesota urban area or population
included in the list of designated primary medical care health professional shortage areas
(HPSAs), medically underserved areas (MUAs), or medically underserved populations
(MUPs) maintained and updated by the United States Department of Health and Human
Services.

Subd. 2.

Creation of account.

(a) A health professional education loan forgiveness
program account is established. The commissioner of health shall use money from the
account to establish a loan forgiveness program:

(1) for medical residents, mental health professionals, and alcohol and drug counselors
agreeing to practice in designated rural areas or underserved urban communities or
specializing in the area of pediatric psychiatry;

(2) for midlevel practitioners agreeing to practice in designated rural areas or to teach
at least 12 credit hours, or 720 hours per year in the nursing field in a postsecondary program
at the undergraduate level or the equivalent at the graduate level;

(3) for nurses who agree to practice in a Minnesota nursing home; an intermediate care
facility for persons with developmental disability; a hospital if the hospital owns and operates
a Minnesota nursing home and a minimum of 50 percent of the hours worked by the nurse
is in the nursing home; a housing with services establishment as defined in section 144D.01,
subdivision 4; or for a home care provider as defined in section 144A.43, subdivision 4; or
agree to teach at least 12 credit hours, or 720 hours per year in the nursing field in a
postsecondary program at the undergraduate level or the equivalent at the graduate level;

(4) for other health care technicians agreeing to teach at least 12 credit hours, or 720
hours per year in their designated field in a postsecondary program at the undergraduate
level or the equivalent at the graduate level. The commissioner, in consultation with the
Healthcare Education-Industry Partnership, shall determine the health care fields where the
need is the greatest, including, but not limited to, respiratory therapy, clinical laboratory
technology, radiologic technology, and surgical technology;

(5) for pharmacists, advanced dental therapists, dental therapists, and public health nurses
who agree to practice in designated rural areas; deleted text begin and
deleted text end

(6) for dentists agreeing to deliver at least 25 percent of the dentist's yearly patient
encounters to state public program enrollees or patients receiving sliding fee schedule
discounts through a formal sliding fee schedule meeting the standards established by the
United States Department of Health and Human Services under Code of Federal Regulations,
title 42, section 51, chapter 303 deleted text begin . deleted text end new text begin ; and
new text end

new text begin (7) for public health employees serving in a local, Tribal, or state public health department
in an area of high need as determined by the commissioner.
new text end

(b) Appropriations made to the account do not cancel and are available until expended,
except that at the end of each biennium, any remaining balance in the account that is not
committed by contract and not needed to fulfill existing commitments shall cancel to the
fund.

Subd. 3.

Eligibility.

(a) To be eligible to participate in the loan forgiveness program, an
individual must:

(1) be a medical or dental resident; a licensed pharmacist; or be enrolled in a training or
education program to become a dentist, dental therapist, advanced dental therapist, mental
health professional, alcohol and drug counselor, pharmacist, new text begin public health employee, new text end public
health nurse, midlevel practitioner, registered nurse, or a licensed practical nurse. The
commissioner may also consider applications submitted by graduates in eligible professions
who are licensed and in practice; and

(2) submit an application to the commissioner of health.

(b) An applicant selected to participate must sign a contract to agree to serve a minimum
three-year full-time service obligation according to subdivision 2, which shall begin no later
than March 31 following completion of required training, with the exception of a nurse,
who must agree to serve a minimum two-year full-time service obligation according to
subdivision 2, which shall begin no later than March 31 following completion of required
training new text begin , except public health employees eligible under subdivision 2, paragraph (a), clause
(7) may be eligible within three years of completing their training new text end .

Subd. 4.

Loan forgiveness.

The commissioner of health may select applicants each year
for participation in the loan forgiveness program, within the limits of available funding. new text begin For
distributions among public health employees, available funds are limited to the appropriations
funded in fiscal year 2022. new text end In considering applications, the commissioner shall give
preference to applicants who document diverse cultural competencies. The commissioner
shall distribute available funds for loan forgiveness proportionally among the eligible
professions according to the vacancy rate for each profession in the required geographic
area, facility type, teaching area, patient group, or specialty type specified in subdivision
2 new text begin , except for funds for public health employees which will be distributed according to areas
of high need as determined by the commissioner new text end . The commissioner shall allocate funds
for physician loan forgiveness so that 75 percent of the funds available are used for rural
physician loan forgiveness and 25 percent of the funds available are used for underserved
urban communities and pediatric psychiatry loan forgiveness. If the commissioner does not
receive enough qualified applicants each year to use the entire allocation of funds for any
eligible profession, the remaining funds may be allocated proportionally among the other
eligible professions according to the vacancy rate for each profession in the required
geographic area, patient group, or facility type specified in subdivision 2. Applicants are
responsible for securing their own qualified educational loans. The commissioner shall
select participants based on their suitability for practice serving the required geographic
area or facility type specified in subdivision 2, as indicated by experience or training. The
commissioner shall give preference to applicants closest to completing their training. For
each year that a participant meets the service obligation required under subdivision 3, up
to a maximum of four years, the commissioner shall make annual disbursements directly
to the participant equivalent to 15 percent of the average educational debt for indebted
graduates in their profession in the year closest to the applicant's selection for which
information is available, not to exceed the balance of the participant's qualifying educational
loans. Before receiving loan repayment disbursements and as requested, the participant
must complete and return to the commissioner a confirmation of practice form provided by
the commissioner verifying that the participant is practicing as required under subdivisions
2 and 3. The participant must provide the commissioner with verification that the full amount
of loan repayment disbursement received by the participant has been applied toward the
designated loans. After each disbursement, verification must be received by the commissioner
and approved before the next loan repayment disbursement is made. Participants who move
their practice remain eligible for loan repayment as long as they practice as required under
subdivision 2.

Subd. 5.

Penalty for nonfulfillment.

If a participant does not fulfill the required
minimum commitment of service according to subdivision 3, the commissioner of health
shall collect from the participant the total amount paid to the participant under the loan
forgiveness program plus interest at a rate established according to section 270C.40. The
commissioner shall deposit the money collected in the health care access fund to be credited
to the health professional education loan forgiveness program account established in
subdivision 2. The commissioner shall allow waivers of all or part of the money owed the
commissioner as a result of a nonfulfillment penalty if emergency circumstances prevented
fulfillment of the minimum service commitment.

Subd. 6.

Rules.

The commissioner may adopt rules to implement this section.

Sec. 27.

Minnesota Statutes 2020, section 144.1505, subdivision 2, is amended to read:

Subd. 2.

Program.

(a) The commissioner of health shall award health professional
training site grants to eligible physician assistant, advanced practice registered nurse,
pharmacy, dental therapy, and mental health professional programs to plan and implement
expanded clinical training. A planning grant shall not exceed $75,000, and a training grant
shall not exceed $150,000 for the first year, $100,000 for the second year, and $50,000 for
the third year per program.

(b) Funds may be used for:

(1) establishing or expanding new text begin rotations and new text end clinical deleted text begin training for physician assistants,
advanced practice registered nurses, pharmacists, dental therapists, advanced dental therapists,
and mental health professionals in Minnesota deleted text end new text begin trainings new text end ;

(2) recruitment, training, and retention of students and faculty;

(3) connecting students with appropriate clinical training sites, internships, practicums,
or externship activities;

(4) travel and lodging for students;

(5) faculty, student, and preceptor salaries, incentives, or other financial support;

(6) development and implementation of cultural competency training;

(7) evaluations;

(8) training site improvements, fees, equipment, and supplies required to establish,
maintain, or expand deleted text begin a physician assistant, advanced practice registered nurse, pharmacy,
dental therapy, or mental health professional deleted text end training deleted text begin program deleted text end new text begin programs new text end ; and

(9) supporting clinical education in which trainees are part of a primary care team model.

Sec. 28.

new text begin [144.1507] PRIMARY CARE RURAL RESIDENCY TRAINING GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Eligible program" means a program that meets the following criteria:
new text end

new text begin (1) is located in Minnesota;
new text end

new text begin (2) trains medical residents in the specialties of family medicine, general internal
medicine, general pediatrics, psychiatry, geriatrics, or general surgery; and
new text end

new text begin (3) is accredited by the Accreditation Council for Graduate Medical Education or presents
a credible plan to obtain accreditation.
new text end

new text begin (c) "Rural residency training program" means a residency program that utilizes local
clinics and community hospitals and that provides an initial year of training in an existing
accredited residency program in Minnesota. The subsequent years of the residency program
are based in rural communities with specialty rotations in nearby regional medical centers.
new text end

new text begin (d) "Eligible project" means a project to establish and maintain a rural residency training
program.
new text end

new text begin Subd. 2. new text end

new text begin Rural residency training program. new text end

new text begin (a) The commissioner of health shall
award rural residency training program grants to eligible programs to plan and implement
rural residency training programs. A rural residency training program grant shall not exceed
$250,000 per resident per year for the first year of planning and development, and $225,000
for each of the following years.
new text end

new text begin (b) Funds may be spent to cover the costs of:
new text end

new text begin (1) planning related to establishing an accredited rural residency training program;
new text end

new text begin (2) obtaining accreditation by the Accreditation Council for Graduate Medical Education
or another national body that accredits rural residency training programs;
new text end

new text begin (3) establishing new rural residency training programs;
new text end

new text begin (4) recruitment, training, and retention of new residents and faculty;
new text end

new text begin (5) travel and lodging for new residents;
new text end

new text begin (6) faculty, new resident, and preceptor salaries related to new rural residency training
program;
new text end

new text begin (7) training site improvements, fees, equipment, and supplies required for new rural
residency training program; and
new text end

new text begin (8) supporting clinical education in which trainees are part of a primary care team model.
new text end

new text begin Subd. 3. new text end

new text begin Applications for rural residency training program grants. new text end

new text begin (a) Eligible
programs seeking a grant shall apply to the commissioner. Applications must include: (1)
the number of new primary care rural residency training program slots planned, under
development, or under contract; (2) a description of the training program, including the
location of the established residency program and rural training sites; (3) a description of
the project, including all costs associated with the project; (4) all sources of funds for the
project; (5) detailed uses of all funds for the project; (6) the results expected; and (7) a plan
to seek federal funding for graduate medical education for the site if eligible.
new text end

new text begin (b) The applicant must describe achievable objectives, a timetable, and the roles and
capabilities of responsible individuals in the organization.
new text end

new text begin Subd. 4. new text end

new text begin Consideration of grant applications. new text end

new text begin The commissioner shall review each
application to determine if the residency program application is complete, if the proposed
rural residency program and residency slots are eligible for a grant, and if the program is
eligible for federal graduate medical education funding, and when funding becomes available.
The commissioner shall award grants to support training programs in family medicine,
general internal medicine, general pediatrics, psychiatry, geriatrics, and general surgery.
new text end

new text begin Subd. 5. new text end

new text begin Program oversight. new text end

new text begin During the grant period, the commissioner may require
and collect from grantees any information necessary to evaluate the program. Appropriations
made to the program do not cancel and are available until expended.
new text end

Sec. 29.

new text begin [144.1508] CLINICAL HEALTH CARE TRAINING.
new text end

new text begin Subdivision 1. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have
the meanings given.
new text end

new text begin (b) "Accredited clinical training" means the clinical training provided by a medical
education program that is accredited through an organization recognized by the Department
of Education, the Centers for Medicare and Medicaid Services, or another national body
that reviews the accrediting organizations for multiple disciplines and whose standards for
recognizing accrediting organizations are reviewed and approved by the commissioner of
health.
new text end

new text begin (c) "Commissioner" means the commissioner of health.
new text end

new text begin (d) "Clinical medical education program" means the accredited clinical training of
physicians, medical students and residents, doctor of pharmacy practitioners, doctors of
chiropractic, dentists, advanced practice nurses, clinical nurse specialists, certified registered
nurse anesthetists, nurse practitioners, and certified nurse midwives, physician assistants,
dental therapists and advanced dental therapists, psychologists, clinical social workers,
community paramedics, community health workers, and other medical professions as
determined by the commissioner.
new text end

new text begin (e) "Eligible entity" means an organization that is located in Minnesota, provides a
clinical medical education experience, and hosts students, residents or other trainee types
as determined by the commissioner and are from an accredited Minnesota teaching program
and institution.
new text end

new text begin (f) "Teaching institution" means a hospital, medical center, clinic, or other organization
that conducts a clinical medical education program in Minnesota and which is accountable
to the accrediting body.
new text end

new text begin (g) "Trainee" means a student, resident, fellow, or other postgraduate involved in a
clinical medical education program from an accredited Minnesota teaching program and
institution.
new text end

new text begin (h) "Eligible trainee FTEs" means the number of trainees, as measured by full-time
equivalent counts, that are training in Minnesota at an entity with either currently active
medical assistance enrollment status and a National Provider Identification (NPI) number
or documentation that they provide sliding fee services. Training may occur in an inpatient
or ambulatory patient care setting or alternative setting as determined by the commissioner.
Training that occurs in nursing facility settings is not eligible for funding under this section.
new text end

new text begin Subd. 2. new text end

new text begin Application process. new text end

new text begin (a) An eligible entity hosting clinical trainees from a
clinical medical education program and teaching institution is eligible for funds under
subdivision 3 if the entity:
new text end

new text begin (1) is funded in part by sliding fee scale services or enrolled in the Minnesota health
care program;
new text end

new text begin (2) faces increased financial pressure as a result of competition with nonteaching patient
care entities; and
new text end

new text begin (3) emphasizes primary care or specialties that are in undersupply in rural or underserved
areas of Minnesota.
new text end

new text begin (b) An entity hosting a clinical medical education program for advanced practice nursing
is eligible for funds under subdivision 3 if the program meets the eligibility requirements
in paragraph (a) and is sponsored by the University of Minnesota Academic Health Center,
the Mayo Foundation, or an institution that is part of the Minnesota State Colleges and
Universities system or a member of the Minnesota Private College Council.
new text end

new text begin (c) An application must be submitted to the commissioner by an eligible entity or teaching
institution and contain the following information:
new text end

new text begin (1) the official name and address and the site address of the clinical medical education
program where eligible trainees are hosted;
new text end

new text begin (2) the name, title, and business address of those persons responsible for administering
the funds; and
new text end

new text begin (3) for each applicant: (i) the type and specialty orientation of trainees in the program;
(ii) the name, entity address, and medical assistance provider number and national provider
identification number of each training site used in the program, as appropriate; (iii) the
federal tax identification number of each training site, where available; (iv) the total number
of trainees at each training site; (v) the total number of eligible trainee FTEs at each site;
and (vi) other supporting information the commissioner deems necessary.
new text end

new text begin (d) An applicant that does not provide information requested by the commissioner shall
not be eligible for funds for the current funding cycle.
new text end

new text begin Subd. 3. new text end

new text begin Distribution of funds. new text end

new text begin (a) The commissioner may distribute funds for clinical
training in areas of Minnesota and for professions listed in subdivision 1, paragraph (d)
determined by the commissioner as a high need area and profession shortage. The
commissioner shall annually distribute medical education funds to qualifying applicants
under this section based on costs to train, service level needs, and profession or training site
shortages. Use of funds is limited to related clinical training costs for eligible programs.
new text end

new text begin (b) To ensure the quality of clinical training, eligible entities must demonstrate that they
hold contracts in good standing with eligible educational institutions that specify the terms,
expectations, and outcomes of the clinical training conducted at sites. Funds shall be
distributed in an administrative process determined by the commissioner to be efficient.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin (a) Teaching institutions receiving funds under this section must sign
and submit a medical education grant verification report (GVR) to verify that the correct
grant amount was forwarded to each eligible entity. If the teaching institution fails to submit
the GVR by the stated deadline, or to request and meet the deadline for an extension, the
sponsoring institution is required to return the full amount of funds received to the
commissioner within 30 days of receiving notice from the commissioner. The commissioner
shall distribute returned funds to the appropriate training sites in accordance with the
commissioner's approval letter.
new text end

new text begin (b) Teaching institutions receiving funds under this section must provide any other
information the commissioner deems appropriate to evaluate the effectiveness of the use of
funds for medical education.
new text end

Sec. 30.

Minnesota Statutes 2020, section 144.383, is amended to read:

144.383 AUTHORITY OF COMMISSIONER new text begin ; SAFE DRINKING WATER new text end .

In order to deleted text begin insure deleted text end new text begin ensure new text end safe drinking water in all public water supplies, the commissioner
has the deleted text begin following powers deleted text end new text begin power to new text end :

deleted text begin (a) To deleted text end new text begin (1) new text end approve the site, design, and construction and alteration of all public water
supplies and, for community and nontransient noncommunity water systems as defined in
Code of Federal Regulations, title 40, section 141.2, to approve documentation that
demonstrates the technical, managerial, and financial capacity of those systems to comply
with rules adopted under this section;

deleted text begin (b) To deleted text end new text begin (2) new text end enter the premises of a public water supply, or part thereof, to inspect the
facilities and records kept pursuant to rules promulgated by the commissioner, to conduct
sanitary surveys and investigate the standard of operation and service delivered by public
water supplies;

deleted text begin (c) To deleted text end new text begin (3) new text end contract with community health boards as defined in section 145A.02,
subdivision 5, for routine surveys, inspections, and testing of public water supply quality;

deleted text begin (d) To deleted text end new text begin (4) new text end develop an emergency plan to protect the public when a decline in water
quality or quantity creates a serious health risk, and to issue emergency orders if a health
risk is imminent;

deleted text begin (e) To deleted text end new text begin (5) new text end promulgate rules, pursuant to chapter 14 but no less stringent than federal
regulation, which may include the granting of variances and exemptions deleted text begin . deleted text end new text begin ; and
new text end

new text begin (6) maintain a database of lead service lines, provide technical assistance to community
systems, and ensure the lead service inventory data is accessible to the public with relevant
educational materials about health risks related to lead and ways to reduce exposure.
new text end

Sec. 31.

Minnesota Statutes 2020, section 144.554, is amended to read:

144.554 HEALTH FACILITIES CONSTRUCTION PLAN SUBMITTAL AND
FEES.

For hospitals, nursing homes, boarding care homes, residential hospices, supervised
living facilities, freestanding outpatient surgical centers, and end-stage renal disease facilities,
the commissioner shall collect a fee for the review and approval of architectural, mechanical,
and electrical plans and specifications submitted before construction begins for each project
relative to construction of new buildings, additions to existing buildings, or remodeling or
alterations of existing buildings. All fees collected in this section shall be deposited in the
state treasury and credited to the state government special revenue fund. Fees must be paid
at the time of submission of final plans for review and are not refundable. The fee is
calculated as follows:

Construction project total estimated cost	Fee
$0 - $10,000	deleted text begin $30 deleted text end new text begin $45 new text end
$10,001 - $50,000	deleted text begin $150 deleted text end new text begin $225 new text end
$50,001 - $100,000	deleted text begin $300 deleted text end new text begin $450 new text end
$100,001 - $150,000	deleted text begin $450 deleted text end new text begin $675 new text end
$150,001 - $200,000	deleted text begin $600 deleted text end new text begin $900 new text end
$200,001 - $250,000	deleted text begin $750 deleted text end new text begin $1,125 new text end
$250,001 - $300,000	deleted text begin $900 deleted text end new text begin $1,350 new text end
$300,001 - $350,000	deleted text begin $1,050 deleted text end new text begin $1,575 new text end
$350,001 - $400,000	deleted text begin $1,200 deleted text end new text begin $1,800 new text end
$400,001 - $450,000	deleted text begin $1,350 deleted text end new text begin $2,025 new text end
$450,001 - $500,000	deleted text begin $1,500 deleted text end new text begin $2,250 new text end
$500,001 - $550,000	deleted text begin $1,650 deleted text end new text begin $2,475 new text end
$550,001 - $600,000	deleted text begin $1,800 deleted text end new text begin $2,700 new text end
$600,001 - $650,000	deleted text begin $1,950 deleted text end new text begin $2,925 new text end
$650,001 - $700,000	deleted text begin $2,100 deleted text end new text begin $3,150 new text end
$700,001 - $750,000	deleted text begin $2,250 deleted text end new text begin $3,375 new text end
$750,001 - $800,000	deleted text begin $2,400 deleted text end new text begin $3,600 new text end
$800,001 - $850,000	deleted text begin $2,550 deleted text end new text begin $3,825 new text end
$850,001 - $900,000	deleted text begin $2,700 deleted text end new text begin $4,050 new text end
$900,001 - $950,000	deleted text begin $2,850 deleted text end new text begin $4,275 new text end
$950,001 - $1,000,000	deleted text begin $3,000 deleted text end new text begin $4,500 new text end
$1,000,001 - $1,050,000	deleted text begin $3,150 deleted text end new text begin $4,725 new text end
$1,050,001 - $1,100,000	deleted text begin $3,300 deleted text end new text begin $4,950 new text end
$1,100,001 - $1,150,000	deleted text begin $3,450 deleted text end new text begin $5,175 new text end
$1,150,001 - $1,200,000	deleted text begin $3,600 deleted text end new text begin $5,400 new text end
$1,200,001 - $1,250,000	deleted text begin $3,750 deleted text end new text begin $5,625 new text end
$1,250,001 - $1,300,000	deleted text begin $3,900 deleted text end new text begin $5,850 new text end
$1,300,001 - $1,350,000	deleted text begin $4,050 deleted text end new text begin $6,075 new text end
$1,350,001 - $1,400,000	deleted text begin $4,200 deleted text end new text begin $6,300 new text end
$1,400,001 - $1,450,000	deleted text begin $4,350 deleted text end new text begin $6,525 new text end
$1,450,001 - $1,500,000	deleted text begin $4,500 deleted text end new text begin $6,750 new text end
$1,500,001 and over	deleted text begin $4,800 deleted text end new text begin $7,200 new text end

Sec. 32.

new text begin [144.8611] DRUG OVERDOSE AND SUBSTANCE ABUSE PREVENTION.
new text end

new text begin Subdivision 1. new text end

new text begin Strategies. new text end

new text begin The commissioner of health shall support collaboration and
coordination between state and community partners to develop, refine, and expand
comprehensive funding to address the drug overdose epidemic by implementing three
strategies: (1) regional multidisciplinary overdose prevention teams to implement overdose
prevention in local communities and local public health organizations; (2) enhance supportive
services for the homeless who are at risk of overdose by providing emergency and short-term
housing subsidies through the Homeless Overdose Prevention Hub; and (3) enhance employer
resources to promote health and well-being of employees through the recovery friendly
workplace initiative. These strategies address the underlying social conditions that impact
health status.
new text end

new text begin Subd. 2. new text end

new text begin Regional teams. new text end

new text begin The commissioner of health shall establish community-based
prevention grants and contracts for the eight regional multidisciplinary overdose prevention
teams. These teams are geographically aligned with the eight emergency medical services
regions described in section 144E.52. The regional teams shall implement prevention
programs, policies, and practices that are specific to the challenges and responsive to the
data of the region.
new text end

new text begin Subd. 3. new text end

new text begin Homeless Overdose Prevention Hub. new text end

new text begin The commissioner of health shall
establish a community-based grant to enhance supportive services for the homeless who
are at risk of overdose by providing emergency and short-term housing subsidies through
the Homeless Overdose Prevention Hub. The Homeless Overdose Prevention Hub serves
primarily urban American Indians in Minneapolis and Saint Paul and is managed by the
Native American Community Clinic.
new text end

new text begin Subd. 4. new text end

new text begin Workplace health. new text end

new text begin The commissioner of health shall establish a grants and
contracts program to strengthen the recovery friendly workplace initiative. This initiative
helps create work environments that promote employee health, safety, and well-being by:
(1) preventing abuse and misuse of drugs in the first place; (2) providing training to
employers; and (3) reducing stigma and supporting recovery for people seeking services
and who are in recovery.
new text end

new text begin Subd. 5. new text end

new text begin Eligible grantees. new text end

new text begin Organizations eligible to receive grant funding under this
section include:
new text end

new text begin (1) not-for-profit agencies or organizations with existing organizational structure,
capacity, trainers, facilities, and infrastructure designed to deliver model workplace policies
and practices; that have training and education for employees, supervisors, and executive
leadership of companies, businesses, and industry; and that have the ability to evaluate the
three goals of the workplace initiative specified in subdivision 4; and
new text end

new text begin (2) at least one organization may be selected with statewide reach and influence. Up to
five smaller organizations may be selected to reach specific geographic or population groups.
new text end

new text begin Subd. 6. new text end

new text begin Evaluation. new text end

new text begin The commissioner of health shall design, conduct, and evaluate
each of the components of the drug overdose and substance abuse prevention program using
measures such as mortality, morbidity, homelessness, workforce wellness, employee
retention, and program reach.
new text end

new text begin Subd. 7. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 33.

new text begin [144.9981] CLIMATE RESILIENCY.
new text end

new text begin Subdivision 1. new text end

new text begin Climate resiliency program. new text end

new text begin The commissioner of health shall implement
a climate resiliency program to:
new text end

new text begin (1) increase awareness of climate change;
new text end

new text begin (2) track the public health impacts of climate change and extreme weather events;
new text end

new text begin (3) provide technical assistance and tools that support climate resiliency to local public
health, Tribal health, soil and water conservation districts, and other local governmental
and nongovernmental organizations; and
new text end

new text begin (4) coordinate with the commissioners of the pollution control agency, natural resources,
agriculture and other state agencies in climate resiliency related planning and implementation.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized; allocation. new text end

new text begin (a) The commissioner of health shall manage
a grant program for the purpose of climate resiliency planning. The commissioner shall
award grants through a request for proposals process to local public health organizations,
Tribal health organizations, soil and water conservation districts, or other local organizations
for planning for the health impacts of extreme weather events and developing adaptation
actions. Priority shall be given to small rural water systems and organizations incorporating
the needs of private water supplies into their planning. Priority shall also be given to
organizations that serve communities that are disproportionately impacted by climate change.
new text end

new text begin (b) Grantees must use the funds to develop a plan or implement strategies that will reduce
the risk of health impacts from extreme weather events. The grant application must include:
new text end

new text begin (1) a description of the plan or project for which the grant funds will be used;
new text end

new text begin (2) a description of the pathway between the plan or project and its impacts on health;
new text end

new text begin (3) a description of the objectives, a work plan, and a timeline for implementation; and
new text end

new text begin (4) the community or group the grant proposes to focus on.
new text end

Sec. 34.

new text begin [145.361] LONG COVID; SUPPORTING SURVIVORS AND MONITORING
IMPACT.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose. new text end

new text begin For the purpose of this section, "long COVID" means health
problems that people experience four or more weeks after being infected with SARS-CoV-2,
the virus that causes COVID-19. Long COVID is also called post COVID, long-haul COVID,
chronic COVID, post-acute COVID, or post-acute sequelae of COVID-19 (PASC).
new text end

new text begin Subd. 2. new text end

new text begin Statewide monitoring. new text end

new text begin The commissioner of health shall establish a program
to conduct community needs assessments, epidemiologic studies, and establish a
population-based surveillance system to address long COVID. The purpose of these
assessments, studies, and surveillance system is to:
new text end

new text begin (1) monitor trends in incidence, prevalence, mortality, care management, health outcomes,
quality of life, and needs of individuals with long COVID and to detect potential public
health problems, predict risks, and assist in investigating long COVID health disparities;
new text end

new text begin (2) more accurately target intervention resources for communities and patients and their
families;
new text end

new text begin (3) inform health professionals and citizens about risks, early detection, and treatment
of long COVID known to be elevated in their communities; and
new text end

new text begin (4) promote high quality research to provide better information for long COVID
prevention and control and to address public concerns and questions about long COVID.
new text end

new text begin Subd. 3. new text end

new text begin Partnerships. new text end

new text begin The commissioner of health shall, in consultation with health
care professionals, the Department of Human Services, local public health organizations,
health insurers, employers, schools, long COVID survivors, and community organizations
serving people at high risk of long COVID, routinely identify priority actions and activities
to address the need for communication, services, resources, tools, strategies, and policies
to support long COVID survivors and their families.
new text end

new text begin Subd. 4. new text end

new text begin Grants and contracts. new text end

new text begin The commissioner of health shall coordinate and
collaborate with community and organizational partners to implement evidence-informed
priority actions, including through community-based grants and contracts.
new text end

new text begin Subd. 5. new text end

new text begin Grant recipient and contractor eligibility. new text end

new text begin The commissioner of health shall
award contracts and competitive grants to organizations that serve communities
disproportionately impacted by COVID-19 and long COVID including but not limited to
rural and low-income areas, Black and African Americans, African immigrants, American
Indians, Asian American-Pacific Islanders, Latino, LGBTQ+, and persons with disabilities.
Organizations may also address intersectionality within such groups.
new text end

new text begin Subd. 6. new text end

new text begin Grants and contracts authorized. new text end

new text begin The commissioner of health shall award
grants and contracts to eligible organizations to plan, construct, and disseminate resources
and information to support survivors of long COVID, their caregivers, health care providers,
ancillary health care workers, workplaces, schools, communities, local and Tribal public
health, and other entities deemed necessary.
new text end

Sec. 35.

new text begin [145.371] MERCURY SURVEILLANCE SYSTEM.
new text end

new text begin Subdivision 1. new text end

new text begin Surveillance. new text end

new text begin The commissioner of health shall establish a statewide
mercury surveillance system. The purpose of this system is to:
new text end

new text begin (1) monitor blood and urine mercury levels in children and adults to identify trends and
populations at high risk for elevated mercury levels;
new text end

new text begin (2) ensure that screening services are provided to populations at high risk for elevated
mercury levels;
new text end

new text begin (3) ensure that medical and environmental follow-up services for persons with elevated
mercury levels are provided; and
new text end

new text begin (4) provide accurate and complete data for planning and implementing primary prevention
programs that focus on the populations at high risk for elevated mercury levels.
new text end

new text begin Subd. 2. new text end

new text begin Studies and surveys. new text end

new text begin The commissioner of health shall collect blood and urine
mercury level and exposure information, analyze the information, and conduct studies
designed to determine the potential for high risk for elevated mercury levels among children
and adults.
new text end

new text begin Subd. 3. new text end

new text begin Reports of blood and urine mercury analysis required. new text end

new text begin (a) Every hospital,
medical clinic, medical laboratory, other facility, or individual performing blood or urine
mercury analysis shall report the results after the analysis of each specimen analyzed and
epidemiologic information required in this section to the commissioner of health, in a format
prescribed by the commissioner, within two weeks of the analysis.
new text end

new text begin (b) If a blood or urine mercury analysis is performed outside of Minnesota and the facility
performing the analysis does not report the mercury analysis results and epidemiological
information required in this section to the commissioner, the provider who placed the test
result order must satisfy the reporting requirements of this section. For purposes of this
section, "provider" has the meaning given in section 62D.02, subdivision 9.
new text end

new text begin Subd. 4. new text end

new text begin Blood and urine analyses and epidemiologic information. new text end

new text begin The blood mercury
analysis and urine mercury analysis reports required in this section must specify:
new text end

new text begin (1) specimen type, including whether urine samples were random or 24 hour collections;
new text end

new text begin (2) the urine creatinine level, if performed;
new text end

new text begin (3) the date the sample was collected;
new text end

new text begin (4) the results of the analysis;
new text end

new text begin (5) the date the sample was analyzed;
new text end

new text begin (6) the method of analysis used;
new text end

new text begin (7) the full name, address, and phone number of the laboratory performing the analysis;
new text end

new text begin (8) the full name, address, and phone number of the physician, advanced practice
registered nurse, or facility requesting the analysis; and
new text end

new text begin (9) the full name, address, and phone number of the person with the blood or urine
mercury level and the person's birthdate, gender, race, and ethnicity.
new text end

new text begin Subd. 5. new text end

new text begin Follow-up epidemiologic information. new text end

new text begin Reports that are required under this
chapter shall contain as much of the following information as is known:
new text end

new text begin (1) date of first symptoms;
new text end

new text begin (2) primary signs and symptoms;
new text end

new text begin (3) place of work, school, or child care of the person with the blood or urine mercury
level;
new text end

new text begin (4) pregnancy status and expected date of delivery; and
new text end

new text begin (5) other information pertinent to the case.
new text end

new text begin Subd. 6. new text end

new text begin Reporting without liability. new text end

new text begin The furnishing of the information required under
this section shall not subject the person, laboratory, or other facility furnishing the information
to any action for damages or relief.
new text end

new text begin Subd. 7. new text end

new text begin Laboratory standards. new text end

new text begin A laboratory performing blood or urine mercury
analysis shall use methods that:
new text end

new text begin (1) meet or exceed the proficiency standards established in the federal Clinical Laboratory
Improvement Regulations, Code of Federal Regulations, title 42, section XXX; or
new text end

new text begin (2) meet or exceed the Occupational Safety and Health Standards, Code of Federal
Regulations, section XXX.
new text end

new text begin Subd. 8. new text end

new text begin Classification of data. new text end

new text begin Notwithstanding any law to the contrary, including
section 13.05, subdivision 9, data collected by the commissioner of health about persons
with blood or urine mercury test results shall be private and may only be used by the
commissioner of health, the commissioner of labor and industry, the commissioner of
pollution control, the commissioner of commerce, authorized agents of Indian Tribes, and
authorized employees of community health boards for the purposes set forth in this section.
new text end

Sec. 36.

new text begin [145.372] SKIN-LIGHTENING PRODUCTS PUBLIC AWARENESS AND
EDUCATION GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The commissioner of health shall develop a
grant program for the purpose of increasing public awareness and education on the health
dangers associated with using skin-lightening creams and products that contain mercury
that are manufactured in other countries and brought into this country and sold illegally
online or in stores.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized. new text end

new text begin The commissioner shall award grants through a request
for proposals process to community-based organizations serving ethnic communities, local
public health entities, and nonprofit organizations that focus on providing health care and
public health outreach to minorities. Priority shall be given to organizations that have
historically served ethnic communities at significant risk from these products but have not
traditionally had access to state grant funding.
new text end

new text begin Subd. 3. new text end

new text begin Grant allocation. new text end

new text begin (a) Grantees must use the funds to conduct public awareness
and education activities that are culturally specific and community-based and focus on:
new text end

new text begin (1) the dangers of exposure to mercury through dermal absorption, inhalation,
hand-to-mouth contact, and contact with individuals who have used these skin-lightening
products;
new text end

new text begin (2) the signs and symptoms of mercury poisoning;
new text end

new text begin (3) the health effects of mercury poisoning, including the permanent effects on the central
nervous system and kidneys;
new text end

new text begin (4) the dangers of using these products or being exposed to these products during
pregnancy and breastfeeding to the mother and to the infant;
new text end

new text begin (5) knowing how to identify products that contain mercury; and
new text end

new text begin (6) proper disposal of the product if the product contains mercury.
new text end

new text begin (b) The grant application must include:
new text end

new text begin (1) a description of the purpose or project for which the grant funds will be used;
new text end

new text begin (2) a description of the objectives, a work plan, and a timeline for implementation; and
new text end

new text begin (3) the community or group the grant proposes to focus on.
new text end

new text begin (c) The commissioner shall award 50 percent of the grant funds to community-based
organizations and nonprofit organizations and 50 percent of the grant funds to local public
health entities.
new text end

Sec. 37.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 6. new text end

new text begin 988; National Suicide Prevention Lifeline number. new text end

new text begin The National Suicide
Prevention Lifeline is expanded to improve the quality of care and access to behavioral
health crisis services and to further health equity and save lives. A surcharge is imposed on
certain communications services to support the 988 hotline for the purpose of complying
with the National Suicide Hotline Designation Act of 2020 and the Federal Communication
Commission's rules adopted July 16, 2020, that designated 988 as the new nationwide
number for the National Suicide Prevention Lifeline.
new text end

Sec. 38.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 7. new text end

new text begin Definitions. new text end

new text begin (a) For the purposes of this section, the following terms have the
meanings given.
new text end

new text begin (b) "National Suicide Prevention Lifeline" means a national network of certified local
crisis centers maintained by the Federal Substance Abuse and Mental Health Services
Administration that provides free and confidential emotional support to people in suicidal
crisis or emotional distress 24 hours a day, seven days a week.
new text end

new text begin (c) "988 Hotline" or "Lifeline Center" means a state identified center that is a member
of the National Suicide Prevention Lifeline network that responds to statewide or regional
988 contacts.
new text end

new text begin (d) "988 administrator" means the administrator of the 988 National Suicide Prevention
Lifeline.
new text end

new text begin (e) "Veterans Crisis Line" means the Veterans Crisis Line maintained by the Secretary
of Veterans Affairs under United States Code, title 38, section 170F(h).
new text end

new text begin (f) "Department" means the Department of Health.
new text end

new text begin (g) "Commissioner" means the commissioner of health.
new text end

Sec. 39.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 8. new text end

new text begin 988 National Suicide Prevention Lifeline. new text end

new text begin (a) The commissioner of health
shall administer the designated lifeline and oversee a Lifeline Center or a network of Lifeline
Centers to answer contacts from individuals accessing the National Suicide Prevention
Lifeline 24 hours per day, seven days per week.
new text end

new text begin (b) The designated Lifeline Center(s) shall:
new text end

new text begin (1) have an active agreement with the administrator of the 988 National Suicide
Prevention Lifeline for participation within the network;
new text end

new text begin (2) meet the 988 administrator requirements and best practice guidelines for operational
and clinical standards;
new text end

new text begin (3) provide data, report, and participate in evaluations and related quality improvement
activities as required by the 988 administrator and the department;
new text end

new text begin (4) use technology that is interoperable across crisis and emergency response systems
used in the state, such as 911 systems, emergency medical services, and the National Suicide
Prevention Lifeline;
new text end

new text begin (5) deploy crisis and outgoing services, including mobile crisis teams in accordance with
guidelines established by the 988 administrator and the department;
new text end

new text begin (6) actively collaborate with local mobile crisis teams to coordinate linkages for persons
contacting the 988 Hotline for ongoing care needs;
new text end

new text begin (7) offer follow-up services to individuals accessing the Lifeline Center that are consistent
with guidance established by the 988 administrator and the department; and
new text end

new text begin (8) meet the requirements set by the 988 administrator and the department for serving
high risk and specialized populations.
new text end

new text begin (c) The department shall collaborate with the National Suicide Prevention Lifeline and
Veterans Crisis Line networks for the purpose of ensuring consistency of public messaging
about 988 services.
new text end

Sec. 40.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 9. new text end

new text begin 988 special revenue account. new text end

new text begin (a) A dedicated account in the special revenue
fund is established for 988 special revenue.
new text end

new text begin (b) The account shall consist of:
new text end

new text begin (1) 988 telecommunications service surcharge imposed under subdivision 10;
new text end

new text begin (2) appropriations made by the state legislature;
new text end

new text begin (3) grants and gifts intended for deposit;
new text end

new text begin (4) interest, premiums, gains, or other earnings on the account; and
new text end

new text begin (5) money from any other source that is deposited in or transferred to the account.
new text end

new text begin (c) Money in the account:
new text end

new text begin (1) shall only be used to administer 988 services under subdivision 8;
new text end

new text begin (2) does not revert at the end of any state fiscal year and is carried forward to subsequent
state fiscal years;
new text end

new text begin (3) is not subject to transfer to any other fund or to transfer, assignment, or reassignment
for any other use or purpose outside of the purposes specified under subdivision 10; and
new text end

new text begin (4) is continuously appropriated to the commissioner of health for the purposes of the
account.
new text end

Sec. 41.

Minnesota Statutes 2020, section 145.56, is amended by adding a subdivision to
read:

new text begin Subd. 10. new text end

new text begin 988 telecommunications service surcharge. new text end

new text begin (a) The Department of Public
Safety shall impose a surcharge on each consumer access line of a wireless service an
IP-enabled voice service, prepaid wireless, or wire-line service.
new text end

new text begin (b) The amount of the surcharge must not be more than 12 cents a month on or after
July 1, 2022, for each consumer access line. The fee must be the same for all consumers.
new text end

new text begin (c) The 988 surcharge shall be collected by each telecommunications service provider
and remitted to the Department of Health on a monthly basis and credited to the 988 account
in the special revenue fund. Surcharges are payable to and must be submitted to the
commissioner monthly before the 25th of each month following the month of collection,
except that fees may be submitted quarterly if less than $250 a month is due, or annually if
less than $25 a month is due. Receipts must be deposited in the state treasury and credited
to the 988 account in the special revenue fund. The money in the account shall only be used
for 988 services.
new text end

new text begin (d) The commissioner of health shall report on revenue and expenditures generated by
the 988 surcharge as required by the United States Federal Communications Commission.
new text end

Sec. 42.

Minnesota Statutes 2020, section 145.924, is amended to read:

145.924 AIDS PREVENTION GRANTS.

(a) The commissioner may award grants to community health boards as defined in section
145A.02, subdivision 5, state agencies, state councils, or nonprofit corporations to provide
evaluation and counseling services to populations at risk for acquiring human
immunodeficiency virus infection, including, but not limited to, minorities, adolescents,
intravenous drug users, and homosexual men.

(b) The commissioner may award grants to agencies experienced in providing services
to communities of color, for the design of innovative outreach and education programs for
targeted groups within the community who may be at risk of acquiring the human
immunodeficiency virus infection, including intravenous drug users and their partners,
adolescents, gay and bisexual individuals and women. Grants shall be awarded on a request
for proposal basis and shall include funds for administrative costs. Priority for grants shall
be given to agencies or organizations that have experience in providing service to the
particular community which the grantee proposes to serve; that have policy makers
representative of the targeted population; that have experience in dealing with issues relating
to HIV/AIDS; and that have the capacity to deal effectively with persons of differing sexual
orientations. For purposes of this paragraph, the "communities of color" are: the
American-Indian community; the Hispanic community; the African-American community;
and the Asian-Pacific community.

(c) All state grants awarded under this section for programs targeted to adolescents shall
include the promotion of abstinence from sexual activity and drug use.

new text begin (d) The commissioner may manage a program and award grants to agencies experienced
in syringe services programs for expanding access to harm reduction services and improving
linkages to care to prevent HIV/AIDS, hepatitis, and other infectious diseases for those
experiencing homelessness or housing instability.
new text end

Sec. 43.

new text begin [145.9271] COMMUNITY SOLUTIONS FOR HEALTHY CHILD
DEVELOPMENT GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall establish the community
solutions for a healthy child development grant program. The purposes of the program are
to:
new text end

new text begin (1) improve child development outcomes related to the well-being of children of color
and American Indian children from prenatal to grade 3 and their families, including but not
limited to the goals outlined by the Department of Human Service's early childhood systems
reform effort that include: early learning; health and well-being; economic security; and
safe, stable, nurturing relationships and environments, by funding community-based solutions
for challenges that are identified by the affected communities;
new text end

new text begin (2) reduce racial disparities in children's health and development from prenatal to grade
3; and
new text end

new text begin (3) promote racial and geographic equity.
new text end

new text begin Subd. 2. new text end

new text begin Commissioner's duties. new text end

new text begin The commissioner of health shall:
new text end

new text begin (1) develop a request for proposals for the healthy child development grant program in
consultation with the community solutions advisory council established in subdivision 3;
new text end

new text begin (2) provide outreach, technical assistance, and program development support to increase
capacity for new and existing service providers in order to better meet statewide needs,
particularly in greater Minnesota and areas where services to reduce health disparities have
not been established;
new text end

new text begin (3) review responses to requests for proposals, in consultation with the community
solutions advisory council, and award grants under this section;
new text end

new text begin (4) ensure communication with the ethnic councils, Minnesota Indian Affairs Council,
and the governor's early learning council on the request for proposal process;
new text end

new text begin (5) establish a transparent and objective accountability process, in consultation with the
community solutions advisory council, focused on outcomes that grantees agree to achieve;
new text end

new text begin (6) provide grantees with access to data to assist grantees in establishing and
implementing effective community-led solutions;
new text end

new text begin (7) maintain data on outcomes reported by grantees; and
new text end

new text begin (8) contract with an independent third-party entity to evaluate the success of the grant
program and to build the evidence base for effective community solutions in reducing health
disparities of children of color and American Indian children from prenatal to grade 3.
new text end

new text begin Subd. 3. new text end

new text begin Community solutions advisory council; establishment; duties;
compensation. new text end

new text begin (a) The commissioner of health shall establish a community solutions
advisory council. By October 1, 2022, the commissioner shall convene a 12-member
community solutions advisory council. Members of the advisory council are:
new text end

new text begin (1) two members representing the African Heritage community;
new text end

new text begin (2) two members representing the Latino community;
new text end

new text begin (3) two members representing the Asian-Pacific Islander community;
new text end

new text begin (4) two members representing the American Indian community;
new text end

new text begin (5) two parents who are Black, indigenous, or nonwhite people of color with children
under nine years of age;
new text end

new text begin (6) one member with research or academic expertise in racial equity and healthy child
development; and
new text end

new text begin (7) one member representing an organization that advocates on behalf of communities
of color or American Indians.
new text end

new text begin (b) At least three of the 12 members of the advisory council must come from outside
the seven-county metropolitan area.
new text end

new text begin (c) The community solutions advisory council shall:
new text end

new text begin (1) advise the commissioner on the development of the request for proposals for
community solutions healthy child development grants. In advising the commissioner, the
council must consider how to build on the capacity of communities to promote child and
family well-being and address social determinants of healthy child development;
new text end

new text begin (2) review responses to requests for proposals and advise the commissioner on the
selection of grantees and grant awards;
new text end

new text begin (3) advise the commissioner on the establishment of a transparent and objective
accountability process focused on outcomes the grantees agree to achieve;
new text end

new text begin (4) advise the commissioner on ongoing oversight and necessary support in the
implementation of the program; and
new text end

new text begin (5) support the commissioner on other racial equity and early childhood grant efforts.
new text end

new text begin (d) Each advisory council member shall be compensated as provided in section 15.059,
subdivision 3.
new text end

new text begin Subd. 4. new text end

new text begin Eligible grantees. new text end

new text begin Organizations eligible to receive grant funding under this
section include:
new text end

new text begin (1) organizations or entities that work with Black, indigenous, and non-Black people of
color communities;
new text end

new text begin (2) Tribal nations and Tribal organizations as defined in section 658P of the Child Care
and Development Block Grant Act of 1990; and
new text end

new text begin (3) organizations or entities focused on supporting healthy child development.
new text end

new text begin Subd. 5. new text end

new text begin Strategic consideration and priority of proposals; eligible populations;
grant awards. new text end

new text begin (a) The commissioner, in consultation with the community solutions advisory
council, shall develop a request for proposals for healthy child development grants. In
developing the proposals and awarding the grants, the commissioner shall consider building
on the capacity of communities to promote child and family well-being and address social
determinants of healthy child development. Proposals must focus on increasing racial equity
and healthy child development and reducing health disparities experienced by children of
Black, nonwhite people of color, and American Indian children from prenatal to grade 3
and their families.
new text end

new text begin (b) In awarding the grants, the commissioner shall provide strategic consideration and
give priority to proposals from:
new text end

new text begin (1) organizations or entities led by Black and other nonwhite people of color and serving
Black and nonwhite communities of color;
new text end

new text begin (2) organizations or entities led by American Indians and serving American Indians,
including Tribal nations and Tribal organizations;
new text end

new text begin (3) organizations or entities with proposals focused on healthy development from prenatal
to age three;
new text end

new text begin (4) organizations or entities with proposals focusing on multigenerational solutions;
new text end

new text begin (5) organizations or entities located in or with proposals to serve communities located
in counties that are moderate to high risk according to the Wilder Research Risk and Reach
Report; and
new text end

new text begin (6) community-based organizations that have historically served communities of color
and American Indians and have not traditionally had access to state grant funding.
new text end

new text begin (c) The advisory council may recommend additional strategic considerations and priorities
to the commissioner.
new text end

new text begin (d) The first round of grants must be awarded no later than April 15, 2023.
new text end

new text begin Subd. 6. new text end

new text begin Geographic distribution of grants. new text end

new text begin To the extent possible, the commissioner
and the advisory council shall ensure that grant funds are prioritized and awarded to
organizations and entities that are within counties that have a higher proportion of Black,
nonwhite people of color, and American Indians than the state average.
new text end

new text begin Subd. 7. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 44.

new text begin [145.9272] LEAD REMEDIATION IN SCHOOLS AND CHILD CARE
SETTINGS GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The commissioner of health shall develop a
grant program for the purpose of remediating identified sources of lead in drinking water
in schools and child care settings.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized. new text end

new text begin The commissioner shall award grants through a request
for proposals process to schools and child care settings. Priority shall be given to schools
and child care settings with: (1) higher levels of lead detected in water samples; (2) evidence
of lead service lines or lead plumbing materials; and (3) school districts that serve
disadvantaged communities.
new text end

new text begin Subd. 3. new text end

new text begin Grant allocation. new text end

new text begin Grantees must use the funds to address sources of lead
contamination in their facilities including but not limited to service connections, premise
plumbing, and implementing best practices for water management within the building.
new text end

Sec. 45.

new text begin [145.9281] COMMUNITY HEALING GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall establish the community
healing grant program. The purposes of the program are to:
new text end

new text begin (1) improve outcomes as related to the well-being of Black, nonwhite Latino, American
Indian, LGBTQ, and disability communities, including but not limited to health and
well-being; economic security; and safe, stable, nurturing relationships and environments
by funding community-based solutions for challenges that are identified by the affected
community;
new text end

new text begin (2) reduce health inequities related to mental health and well-being; and
new text end

new text begin (3) promote racial and geographic equity.
new text end

new text begin Subd. 2. new text end

new text begin Commissioner's duties. new text end

new text begin The commissioner of health shall:
new text end

new text begin (1) develop a request for proposals for a community healing grant program in consultation
with community stakeholders, local public health organizations, and Tribal nations;
new text end

new text begin (2) provide outreach, technical assistance, and program development support to increase
capacity for new and existing service providers in order to better meet statewide needs,
particularly in greater Minnesota and areas where services to reduce health disparities have
not been established;
new text end

new text begin (3) review responses to requests for proposals in consultation with community
stakeholders and award grants under this section;
new text end

new text begin (4) ensure communication with the ethnic councils, Minnesota Indian Affairs Council,
Minnesota Council on Disability, and the governor's office on the request for proposal
process;
new text end

new text begin (5) establish a transparent and objective accountability process, in consultation with
community stakeholders, focused on outcomes that grantees agree to achieve;
new text end

new text begin (6) provide grantees with access to data to assist grantees in establishing and
implementing effective community-led solutions;
new text end

new text begin (7) maintain data on outcomes reported by grantees; and
new text end

new text begin (8) contract with an independent third-party entity to evaluate the success of the grant
program and to build the evidence base for effective community solutions in reducing health
disparities related to mental health and well-being.
new text end

new text begin Subd. 3. new text end

new text begin Eligible grantees. new text end

new text begin Organizations eligible to receive grant funding under this
section include:
new text end

new text begin (1) organizations or entities that work with Black, nonwhite Latino, and American Indian
communities;
new text end

new text begin (2) Tribal nations and Tribal organizations as defined in section 658P of the Child Care
and Development Block Grant Act of 1990; and
new text end

new text begin (3) organizations or entities focused on supporting mental health and community healing.
new text end

new text begin Subd. 4. new text end

new text begin Strategic consideration and priority of proposals; eligible populations;
grant awards. new text end

new text begin (a) The commissioner, in consultation with community stakeholders, local
public health organizations, and Tribal nations, shall develop a request for proposals for
mental health, community healing, and well-being grants. In developing the proposals and
awarding the grants, the commissioner shall consider building on the capacity of communities
to promote well-being and support holistic health. Proposals must focus on increasing health
equity and community healing and reducing health disparities experienced by Black, nonwhite
Latino, American Indian, LGBTQ, and disability communities.
new text end

new text begin (b) In awarding the grants, the commissioner shall provide strategic consideration and
give priority to proposals from:
new text end

new text begin (1) organizations or entities led by Black and nonwhite populations of color and serving
communities of color;
new text end

new text begin (2) organizations or entities led by American Indians and serving American Indians,
including Tribal nations and Tribal organizations;
new text end

new text begin (3) organizations or entities with proposals focused on community healing, mental health,
and well-being;
new text end

new text begin (4) organizations or entities located in or with proposals to serve communities most
impacted by mental health inequities; and
new text end

new text begin (5) community-based organizations that have historically served and plan to serve Black,
nonwhite Latino, American Indian, LGBTQ, and disability communities. The advisory
council may recommend additional strategic considerations and priorities to the
commissioner.
new text end

new text begin (c) The first round of grants must be awarded no later than May 15, 2023
new text end

new text begin Subd. 5. new text end

new text begin Geographic distribution of grants. new text end

new text begin The commissioner and the advisory council
shall ensure that grant funds are prioritized and awarded to organizations and entities that
are within counties that have a higher proportion of Black or African American, nonwhite
Latino, American Indian, LGBTQ, and disability communities to the extent possible.
new text end

new text begin Subd. 6. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 46.

new text begin [145.9282] COMMUNITY HEALTH WORKERS; REDUCING HEALTH
DISPARITIES WITH COMMUNITY-LED CARE.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of health shall support collaboration
and coordination between state and community partners to develop, refine, and expand the
community health workers profession across the state equipping them to address health
needs and to improve health outcomes by addressing the social conditions that impact health
status. Community health professionals' work expands beyond health care to bring health
and racial equity into public safety, social services, youth and family services, schools,
neighborhood associations, and more.
new text end

new text begin Subd. 2. new text end

new text begin Grants authorized; eligibility. new text end

new text begin The commissioner of health shall establish a
community-based grant to expand and strengthen the community health workers workforce
across the state. The grantee must be a not-for-profit community organization serving,
convening, and supporting community health workers (CHW) statewide.
new text end

new text begin Subd. 3. new text end

new text begin Evaluation. new text end

new text begin The commissioner of health shall design, conduct, and evaluate
the CHW initiative using measures of workforce capacity, employment opportunity, reach
of services, and return on investment, as well as descriptive measures of the extant CHW
models as they compare with the national community health workers' landscape. These
more proximal measures are collected and analyzed as foundational to longer-term change
in social determinants of health and rates of death and injury by suicide, overdose, firearms,
alcohol, and chronic disease.
new text end

new text begin Subd. 4. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 47.

new text begin [145.9283] REDUCING HEALTH DISPARITIES AMONG PEOPLE WITH
DISABILITIES; GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Goal and establishment. new text end

new text begin The commissioner of health shall support
collaboration and coordination between state and community partners to address equity
barriers to health care and preventative services for chronic diseases among people with
disabilities. The commissioner of health, in consultation with the Olmstead Implementation
Office, Department of Human Services, Board on Aging, health care professionals, local
public health, and other community organizations that serve people with disabilities, shall
routinely identify priorities and action steps to address identified gaps in services, resources,
and tools.
new text end

new text begin Subd. 2. new text end

new text begin Assessment and tracking. new text end

new text begin The commissioner of health shall conduct community
needs assessments and establish a health surveillance and tracking plan in collaboration
with community and organizational partners to identify and address health disparities.
new text end

new text begin Subd. 3. new text end

new text begin Grants authorized. new text end

new text begin The commissioner of health shall establish
community-based grants to support establishing inclusive evidence-based chronic disease
prevention and management services to address identified gaps and disparities.
new text end

new text begin Subd. 4. new text end

new text begin Technical assistance. new text end

new text begin The commissioner of health shall provide and evaluate
training and capacity-building technical assistance on accessible preventive health care for
public health and health care providers of chronic disease prevention and management
programs and services.
new text end

new text begin Subd. 5. new text end

new text begin Report. new text end

new text begin Grantees must report grant program outcomes to the commissioner on
the forms and according to the timelines established by the commissioner.
new text end

Sec. 48.

new text begin [145.9291] PUBLIC HEALTH EDUCATION STIPEND PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment and purpose. new text end

new text begin The commissioner of health shall establish
a grant program to provide educational stipends to students participating in a field placement
or project in a local, Tribal, or state public health agency to gain experience in working in
governmental public health.
new text end

new text begin Subd. 2. new text end

new text begin Creation of account. new text end

new text begin A public health education stipend program account is
established in the special revenue fund in the state treasury. Appropriations made to the
account do not cancel and are available until expended.
new text end

new text begin Subd. 3. new text end

new text begin Eligibility. new text end

new text begin To be eligible for a grant under this section, a student must:
new text end

new text begin (1) be enrolled in an institute of higher education in a public health related field or
program; and
new text end

new text begin (2) identify a governmental public health agency able to support student participation
in a significant public health program.
new text end

new text begin Subd. 4. new text end

new text begin Administration. new text end

new text begin The commissioner shall:
new text end

new text begin (1) establish an application process and other guidelines for implementing this program;
new text end

new text begin (2) make a determination each academic year for the stipend amount based on the amount
of available funding and the number of eligible applicants;
new text end

new text begin (3) give equal consideration to all eligible applicants regardless of the order the
application was received before the application deadline; and
new text end

new text begin (4) provide administrative support to the program by providing staff who will coordinate
with institutions of higher education to make connections between students and governmental
public health programs.
new text end

Sec. 49.

new text begin [145.9292] PUBLIC HEALTH AMERICORPS.
new text end

new text begin The commissioner may award a grant to a statewide, nonprofit organization to support
Public Health AmeriCorps members. The organization awarded the grant shall provide the
commissioner with any information needed by the commissioner to evaluate the program
in the form and at the timelines specified by the commissioner.
new text end

Sec. 50.

new text begin [145.987] HEALTHY BEGINNINGS, HEALTHY FAMILIES ACT.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose. new text end

new text begin The purpose of the Healthy Beginnings, Healthy Families Act
is to: (1) address the significant disparities in early childhood outcomes and increase the
number of children who are school ready through establishing the Minnesota collaborative
to prevent infant mortality; (2) sustain the Help Me Connect online navigator; (3) improve
universal access to developmental and social-emotional screening and follow-up; and (4)
sustain and expand the model jail practices for children of incarcerated parents in Minnesota
jails.
new text end

new text begin Subd. 2. new text end

new text begin Minnesota collaborative to prevent infant mortality. new text end

new text begin (a) The Minnesota
collaborative to prevent infant mortality is established. The goal of the Minnesota
collaborative to prevent infant mortality program is to:
new text end

new text begin (1) build a statewide multisectoral partnership including the state government, local
public health organizations, Tribes, the private sector, and community nonprofit organizations
with the shared goal of decreasing infant mortality rates among populations with significant
disparities, including among Black, American Indian, other nonwhite communities, and
rural populations;
new text end

new text begin (2) address the leading causes of poor infant health outcomes such as premature birth,
infant sleep-related deaths, and congenital anomalies through strategies to change social
and environmental determinants of health; and
new text end

new text begin (3) promote the development, availability, and use of data-informed, community-driven
strategies to improve infant health outcomes.
new text end

new text begin (b) The commissioner of health shall establish a statewide partnership program to engage
communities, exchange best practices, share summary data on infant health, and promote
policies to improve birth outcomes and eliminate preventable infant mortality.
new text end

new text begin Subd. 3. new text end

new text begin Grants authorized. new text end

new text begin (a) The commissioner of health shall award grants to
eligible applicants to convene, coordinate, and implement data-driven strategies and culturally
relevant activities to improve infant health by reducing preterm births, sleep-related infant
deaths, and congenital malformations and by addressing social and environmental
determinants of health. Grants shall be awarded to support community nonprofit
organizations, Tribal governments, and community health boards. Grants shall be awarded
to all federally recognized Tribal governments whose proposals demonstrate the ability to
implement programs designed to achieve the purposes in subdivision 2 and other requirements
of this section. An eligible applicant must submit an application to the commissioner of
health on a form designated by the commissioner and by the deadline established by the
commissioner. The commissioner shall award grants to eligible applicants in metropolitan
and rural areas of the state and may consider geographic representation in grant awards.
new text end

new text begin (b) Grantee activities shall:
new text end

new text begin (1) address the leading cause or causes of infant mortality;
new text end

new text begin (2) be based on community input;
new text end

new text begin (3) be focused on policy, systems, and environmental changes that support infant health;
and
new text end

new text begin (4) address the health disparities and inequities that are experienced in the grantee's
community.
new text end

new text begin (c) The commissioner shall review each application to determine whether the application
is complete and whether the applicant and the project are eligible for a grant. In evaluating
applications under this subdivision, the commissioner shall establish criteria including but
not limited to: (1) the eligibility of the project; (2) the applicant's thoroughness and clarity
in describing the infant health issues grant funds are intended to address; (3) a description
of the applicant's proposed project; (4) a description of the population demographics and
service area of the proposed project; and (5) evidence of efficiencies and effectiveness
gained through collaborative efforts.
new text end

new text begin (d) Grant recipients shall report their activities to the commissioner in a format and at
a time specified by the commissioner.
new text end

new text begin Subd. 4. new text end

new text begin Technical assistance. new text end

new text begin (a) The commissioner shall provide content expertise,
technical expertise, training to grant recipients, and advice on data-driven strategies.
new text end

new text begin (b) For the purposes of carrying out the grant program under this section, including for
administrative purposes, the commissioner shall award contracts to appropriate entities to
assist in training and to provide technical assistance to grantees.
new text end

new text begin (c) Contracts awarded under paragraph (b) may be used to provide technical assistance
and training in the areas of:
new text end

new text begin (1) partnership development and capacity building;
new text end

new text begin (2) Tribal support;
new text end

new text begin (3) implementation support for specific infant health strategies;
new text end

new text begin (4) communications, convening, and sharing lessons learned; and
new text end

new text begin (5) health equity.
new text end

new text begin Subd. 5. new text end

new text begin Help Me Connect. new text end

new text begin The Help Me Connect online navigator is established. The
goal of Help Me Connect is to connect pregnant and parenting families with young children
from birth to eight years of age with services in their local communities that support healthy
child development and family well-being. The commissioner of health shall work
collaboratively with the commissioners of human services and education to implement this
subdivision.
new text end

new text begin Subd. 6. new text end

new text begin Duties of Help Me Connect. new text end

new text begin (a) Help Me Connect shall facilitate collaboration
across sectors covering child health, early learning and education, child welfare, and family
supports by:
new text end

new text begin (1) providing early childhood provider outreach to support early detection, intervention,
and knowledge about local resources; and
new text end

new text begin (2) linking children and families to appropriate community-based services.
new text end

new text begin (b) Help Me Connect shall provide community outreach that includes support for and
participation in the help me connect system, including disseminating information and
compiling and maintaining a current resource directory that includes but is not limited to
primary and specialty medical care providers, early childhood education and child care
programs, developmental disabilities assessment and intervention programs, mental health
services, family and social support programs, child advocacy and legal services, public
health and human services and resources, and other appropriate early childhood information.
new text end

new text begin (c) Help Me Connect shall maintain a centralized access point for parents and
professionals to obtain information, resources, and other support services.
new text end

new text begin (d) Help Me Connect shall provide a centralized mechanism that facilitates
provider-to-provider referrals to community resources and monitors referrals to ensure that
families are connected to services.
new text end

new text begin (e) Help Me Connect shall collect program evaluation data to increase the understanding
of all aspects of the current and ongoing system under this section, including identification
of gaps in service, barriers to finding and receiving appropriate service, and lack of resources.
new text end

new text begin Subd. 7. new text end

new text begin Universal and voluntary developmental and social-emotional screening
and follow-up. new text end

new text begin (a) The commissioner shall establish a universal and voluntary developmental
and social-emotional screening to identify young children at risk for developmental and
behavioral concerns. Follow-up services shall be provided to connect families and young
children to appropriate community-based resources and programs. The commissioner of
health shall work with the commissioners of human services and education to implement
this subdivision and promote interagency coordination with other early childhood programs
including those that provide screening and assessment.
new text end

new text begin (b) The commissioner shall:
new text end

new text begin (1) increase the awareness of universal and voluntary developmental and social-emotional
screening and follow-up in coordination with community and state partners;
new text end

new text begin (2) expand existing electronic screening systems to administer developmental and
social-emotional screening of children from birth to kindergarten entrance;
new text end

new text begin (3) provide universal and voluntary periodic screening for developmental and
social-emotional delays based on current recommended best practices;
new text end

new text begin (4) review and share the results of the screening with the child's parent or guardian;
new text end

new text begin (5) support families in their role as caregivers by providing typical growth and
development information, anticipatory guidance, and linkages to early childhood resources
and programs;
new text end

new text begin (6) ensure that children and families are linked to appropriate community-based services
and resources when any developmental or social-emotional concerns are identified through
screening; and
new text end

new text begin (7) establish performance measures and collect, analyze, and share program data regarding
population-level outcomes of developmental and social-emotional screening, and make
referrals to community-based services and follow-up activities.
new text end

new text begin Subd. 8. new text end

new text begin Grants authorized. new text end

new text begin The commissioner shall award grants to community health
boards and Tribal nations to support follow-up services for children with developmental or
social-emotional concerns identified through screening in order to link children and their
families to appropriate community-based services and resources. The commissioner shall
provide technical assistance, content expertise, and training to grant recipients to ensure
that follow-up services are effectively provided.
new text end

new text begin Subd. 9. new text end

new text begin Model jails practices for incarcerated parents. new text end

new text begin (a) The commissioner of
health may make special grants to counties, groups of counties, or nonprofit organizations
to implement model jails practices to benefit the children of incarcerated parents.
new text end

new text begin (b) "Model jail practices" means a set of practices that correctional administrators can
implement to remove barriers that may prevent a child from cultivating or maintaining
relationships with the child's incarcerated parent or parents during and immediately after
incarceration without compromising the safety or security of the correctional facility.
new text end

new text begin Subd. 10. new text end

new text begin Grants authorized. new text end

new text begin (a) The commissioner of health shall award grants to
eligible county jails to implement model jail practices and separate grants to county
governments, Tribal governments, or nonprofit organizations in corresponding geographic
areas to build partnerships with county jails to support children of incarcerated parents and
their caregivers.
new text end

new text begin (b) Grantee activities may include but are not limited to:
new text end

new text begin (1) parenting classes or groups;
new text end

new text begin (2) family-centered intake and assessment of inmate programs;
new text end

new text begin (3) family notification, information, and communication strategies;
new text end

new text begin (4) correctional staff training;
new text end

new text begin (5) policies and practices for family visits; and
new text end

new text begin (6) family-focused reentry planning.
new text end

new text begin (c) Grant recipients shall report their activities to the commissioner in a format and at a
time specified by the commissioner.
new text end

new text begin Subd. 11. new text end

new text begin Technical assistance and oversight. new text end

new text begin (a) The commissioner shall provide
content expertise, training to grant recipients, and advice on evidence-based strategies,
including evidence-based training to support incarcerated parents.
new text end

new text begin (b) For the purposes of carrying out the grant program under this section, including for
administrative purposes, the commissioner shall award contracts to appropriate entities to
assist in training and provide technical assistance to grantees.
new text end

new text begin (c) Contracts awarded under paragraph (b) may be used to provide technical assistance
and training in the areas of:
new text end

new text begin (1) evidence-based training for incarcerated parents;
new text end

new text begin (2) partnership building and community engagement;
new text end

new text begin (3) evaluation of process and outcomes of model jail practices; and
new text end

new text begin (4) expert guidance on reducing the harm caused to children of incarcerated parents and
application of model jail practices.
new text end

Sec. 51.

new text begin [145.988] MINNESOTA SCHOOL HEALTH INITIATIVE.
new text end

new text begin Subdivision 1. new text end

new text begin Purpose. new text end

new text begin (a) The purpose of the Minnesota School Health Initiative is
to implement evidence-based practices to strengthen and expand health promotion and
health care delivery activities in schools to improve the holistic health of students. To better
serve students, the Minnesota School Health Initiative will unify the best practices of the
Whole School, Whole Community, Whole Child and school-based health center models.
new text end

new text begin (b) The commissioner of health and the commissioner of education shall coordinate the
projects and initiatives funded under this section with other efforts at the local, state, or
national level to avoid duplication and promote complementary efforts.
new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) For purposes of this section, the following terms have the
meanings given.
new text end

new text begin (b) "School-based health center" or "comprehensive school-based health center" means
a safety net health care delivery model that is located in or near a school facility and that
offers comprehensive health care, including preventive and behavioral health services, by
licensed and qualified health professionals in accordance with federal, state, and local law.
When not located on school property, the school-based health center must have an established
relationship with one or more schools in the community and operate primarily to serve those
student groups.
new text end

new text begin (c) "Sponsoring organization" means any of the following that operate a school-based
health center:
new text end

new text begin (1) health care providers;
new text end

new text begin (2) community clinics;
new text end

new text begin (3) hospitals;
new text end

new text begin (4) federally qualified health centers and look-alikes as defined in section 145.9269;
new text end

new text begin (5) health care foundations or nonprofit organizations;
new text end

new text begin (6) higher education institutions; or
new text end

new text begin (7) local health departments.
new text end

new text begin Subd. 3. new text end

new text begin Expansion of Minnesota school-based health centers. new text end

new text begin (a) The commissioner
of health shall administer a program to provide grants to school districts and school-based
health centers to support existing centers and facilitate the growth of school-based health
centers in Minnesota.
new text end

new text begin (b) Grant funds distributed under this subdivision shall be used to support new or existing
school-based health centers that:
new text end

new text begin (1) operate in partnership with a school or district and with the permission of the school
or district board;
new text end

new text begin (2) provide health services through a sponsoring organization that is specified in
subdivision 2; and
new text end

new text begin (3) provide health services to all students and youth within a school or district regardless
of ability to pay, insurance coverage, or immigration status, and in accordance with federal,
state, and local law.
new text end

new text begin (c) Grant recipients shall report their activities and annual performance measures as
defined by the commissioner in a format and time specified by the commissioner.
new text end

new text begin Subd. 4. new text end

new text begin School-based health center services. new text end

new text begin Services provided by a school-based
health center may include but are not limited to:
new text end

new text begin (1) preventative health care;
new text end

new text begin (2) chronic medical condition management, including diabetes and asthma care;
new text end

new text begin (3) mental health care and crisis management;
new text end

new text begin (4) acute care for illness and injury;
new text end

new text begin (5) oral health care;
new text end

new text begin (6) vision care;
new text end

new text begin (7) nutritional counseling;
new text end

new text begin (8) substance abuse counseling;
new text end

new text begin (9) referral to a specialist, medical home, or hospital for care;
new text end

new text begin (10) additional services that address social determinants of health; and
new text end

new text begin (11) emerging services such as mobile health and telehealth.
new text end

new text begin Subd. 5. new text end

new text begin Sponsoring organization. new text end

new text begin A sponsoring organization that agrees to operate a
school-based health center must enter into a memorandum of agreement with the school or
district. The memorandum of agreement must require the sponsoring organization to be
financially responsible for the operation of school-based health centers in the school or
district and must identify the costs that are the responsibility of the school or district, such
as Internet access, custodial services, utilities, and facility maintenance. To the greatest
extent possible, a sponsoring organization must bill private insurers, medical assistance,
and other public programs for services provided in the school-based health center in order
to maintain the financial sustainability of the school-based health center.
new text end

new text begin Subd. 6. new text end

new text begin Oral health in school settings. new text end

new text begin (a) The commissioner of health shall administer
a program to provide competitive grants to schools, oral health providers, and other
community groups to build capacity and infrastructure to establish, expand, or strengthen
oral health services in school settings.
new text end

new text begin (b) Grant funds distributed under this subdivision must be used to support new or existing
oral health services in schools that:
new text end

new text begin (1) provide oral health-risk assessment, screening, education, and anticipatory guidance;
new text end

new text begin (2) provide oral health services including fluoride varnish and dental sealant;
new text end

new text begin (3) make referrals for restorative and other follow-up dental care as needed; and
new text end

new text begin (4) provide free access to fluoridated drinking water to give students a healthy alternative
to sugar-sweetened beverages.
new text end

new text begin (c) Grant recipients will collect, monitor, and submit to the commissioner of health
baseline and annual data and provide information to improve the quality and impact of oral
health strategies.
new text end

new text begin Subd. 7. new text end

new text begin Whole school, whole community, whole child grants. new text end

new text begin (a) The commissioner
of health shall administer a program to provide competitive grants to schools, local public
health organizations, and community organizations using the evidence-based Whole School,
Whole Community, Whole Child (WSCC) model to increase alignment, integration and
collaboration between public health and education sectors to improve each child's cognitive,
physical, oral, social, and emotional development.
new text end

new text begin (b) Grant funds distributed under this subdivision must be used to support new or existing
programs that implement elements of the WSCC model in schools that:
new text end

new text begin (1) align health and learning strategies to improve health outcomes and academic
achievement;
new text end

new text begin (2) improve physical, nutritional, psychological, social, and emotional environment of
schools;
new text end

new text begin (3) create collaborative approaches to engage schools, parents, guardians, and
communities; and
new text end

new text begin (4) promote and establish lifelong healthy behaviors.
new text end

new text begin (c) Grant recipients shall report grant activities and progress to the commissioner in a
format and at a time specified by the commissioner of health.
new text end

new text begin Subd. 8. new text end

new text begin Technical assistance and oversight. new text end

new text begin (a) The commissioner shall provide
content expertise, technical expertise, and training to grant recipients in subdivisions 6 and
7.
new text end

new text begin (b) For the purposes of carrying out the grant program under this section, including for
administrative purposes, the commissioner shall award contracts to appropriate entities to
assist in training and provide technical assistance to grantees.
new text end

new text begin (c) Contracts awarded under paragraph (b) may be used to provide technical assistance
and training in the areas of:
new text end

new text begin (1) needs assessment;
new text end

new text begin (2) community engagement and capacity building;
new text end

new text begin (3) community asset building and risk behavior reduction;
new text end

new text begin (4) dental provider training in calibration;
new text end

new text begin (5) dental services related equipment, instruments, supplies;
new text end

new text begin (6) communications;
new text end

new text begin (7) community, school, health care, work site, and other site-specific strategies;
new text end

new text begin (8) health equity;
new text end

new text begin (9) data collection and analysis; and
new text end

new text begin (10) evaluation.
new text end

Sec. 52.

Minnesota Statutes 2021 Supplement, section 403.11, subdivision 1, is amended
to read:

Subdivision 1.

Emergency telecommunications service fee; account.

(a) Each customer
of a wireless or wire-line switched or packet-based telecommunications service provider
connected to the public switched telephone network that furnishes service capable of
originating a 911 emergency telephone call is assessed a fee based upon the number of
wired or wireless telephone lines, or their equivalent, to cover the costs of ongoing
maintenance and related improvements for trunking and central office switching equipment
for 911 emergency telecommunications service, to offset administrative and staffing costs
of the commissioner related to managing the 911 emergency telecommunications service
program, to make distributions provided for in section 403.113, and to offset the costs,
including administrative and staffing costs, incurred by the State Patrol Division of the
Department of Public Safety in handling 911 emergency calls made from wireless phones.

(b) Money remaining in the 911 emergency telecommunications service account after
all other obligations are paid must not cancel and is carried forward to subsequent years
and may be appropriated from time to time to the commissioner to provide financial
assistance to counties for the improvement of local emergency telecommunications services.

(c) The fee may not be more than 95 cents a month on or after July 1, 2010, for each
customer access line or other basic access service, including trunk equivalents as designated
by the Public Utilities Commission for access charge purposes and including wireless
telecommunications services. With the approval of the commissioner of management and
budget, the commissioner of public safety shall establish the amount of the fee within the
limits specified and inform the companies and carriers of the amount to be collected. When
the revenue bonds authorized under section 403.27, subdivision 1, have been fully paid or
defeased, the commissioner shall reduce the fee to reflect that debt service on the bonds is
no longer needed. The commissioner shall provide companies and carriers a minimum of
45 days' notice of each fee change. The fee must be the same for all customers, except that
the fee imposed under this subdivision does not apply to prepaid wireless telecommunications
service, which is instead subject to the fee imposed under section 403.161, subdivision 1,
paragraph (a).

(d) The fee must be collected by each wireless or wire-line telecommunications service
provider subject to the fee. Fees are payable to and must be submitted to the commissioner
monthly before the 25th of each month following the month of collection, except that fees
may be submitted quarterly if less than $250 a month is due, or annually if less than $25 a
month is due. Receipts must be deposited in the state treasury and credited to a 911
emergency telecommunications service account in the special revenue fund. The money in
the account may only be used for 911 telecommunications services.

(e) Competitive local exchanges carriers holding certificates of authority from the Public
Utilities Commission are eligible to receive payment for recurring 911 services.

new text begin (f) A 988 telecommunications service surcharge of 12 cents is imposed on each customer
access line of a wireless service, an IP-enabled voice service, or wire-line service under
section 144.56, subdivision 10.
new text end

Sec. 53.

Minnesota Statutes 2020, section 403.161, subdivision 1, is amended to read:

Subdivision 1.

Fees imposed.

(a) A prepaid wireless E911 fee of 80 cents per retail
transaction is imposed on prepaid wireless telecommunications service until the fee is
adjusted as an amount per retail transaction under subdivision 7.

(b) A prepaid wireless telecommunications access Minnesota fee, in the amount of the
monthly charge provided for in section 237.52, subdivision 2, is imposed on each retail
transaction for prepaid wireless telecommunications service until the fee is adjusted as an
amount per retail transaction under subdivision 7.

new text begin (c) A 988 telecommunications service surcharge of 12 cents is imposed on prepaid
wireless telecommunication services under section 144.56, subdivision 10.
new text end

Sec. 54.

Minnesota Statutes 2020, section 403.161, subdivision 3, is amended to read:

Subd. 3.

Fee collected.

The prepaid wireless E911 new text begin , 988 telecommunications service
surcharge, new text end and telecommunications access Minnesota fees must be collected by the seller
from the consumer for each retail transaction occurring in this state. The amount of each
fee must be combined into one amount, which must be separately stated on an invoice,
receipt, or other similar document that is provided to the consumer by the seller.

Sec. 55.

Minnesota Statutes 2020, section 403.161, subdivision 5, is amended to read:

Subd. 5.

Remittance.

The prepaid wireless E911 new text begin , 988 telecommunications service
surcharge, new text end and telecommunications access Minnesota fees are the liability of the consumer
and not of the seller or of any provider, except that the seller is liable to remit all fees as
provided in section 403.162.

Sec. 56.

Minnesota Statutes 2020, section 403.161, subdivision 6, is amended to read:

Subd. 6.

Exclusion for calculating other charges.

The combined amount of the prepaid
wireless E911 new text begin , 988 telecommunications service surcharge, new text end and telecommunications access
Minnesota fees collected by a seller from a consumer must not be included in the base for
measuring any tax, fee, surcharge, or other charge that is imposed by this state, any political
subdivision of this state, or any intergovernmental agency.

Sec. 57.

Laws 2021, First Special Session chapter 7, article 3, section 44, is amended to
read:

Sec. 44. MENTAL HEALTH CULTURAL COMMUNITY CONTINUING
EDUCATION GRANT PROGRAM.

new text begin (a) new text end The commissioner of health shall develop a grant program, in consultation with the
relevant mental health licensing boards, to new text begin :
new text end

new text begin (1) new text end provide for the continuing education necessary for social workers, marriage and
family therapists, psychologists, and professional clinical counselors to become supervisors
for individuals pursuing licensure in mental health professions new text begin ;
new text end

new text begin (2) cover the costs when supervision is required for professionals becoming supervisors;
and
new text end

new text begin (3) cover the supervisory costs for mental health practitioners pursuing licensure at the
professional level new text end .

new text begin (b) new text end Social workers, marriage and family therapists, psychologists, and professional
clinical counselors obtaining continuing education new text begin and social workers, marriage and family
therapists, and clinical counselors needing supervised hours to become licensed new text end under this
section must:

(1) be members of communities of color or underrepresented communities as defined
in Minnesota Statutes, section 148E.010, subdivision 20 new text begin , or practice in a mental health
professional shortage area new text end ; and

(2) deleted text begin work for community mental health providers and deleted text end agree to deliver at least 25 percent
of their yearly patient encounters to state public program enrollees or patients receiving
sliding fee schedule discounts through a formal sliding fee schedule meeting the standards
established by the United States Department of Health and Human Services under Code of
Federal Regulations, title 42, section 51, chapter 303.

Sec. 58. new text begin IDENTIFY STRATEGIES FOR REDUCTION OF ADMINISTRATIVE
SPENDING AND LOW-VALUE CARE; REPORT.
new text end

new text begin (a) The commissioner of health shall develop recommendations for strategies to reduce
the volume and growth of administrative spending by health care organizations and group
purchasers and the amount of low-value care delivered to Minnesota residents. In support
of the development of recommendations, the commissioner shall:
new text end

new text begin (1) review the availability of data and identify gaps in the data infrastructure to estimate
aggregated and disaggregated administrative spending and low-value care;
new text end

new text begin (2) based on available data, estimate the volume and change over time of administrative
spending and low-value care in Minnesota;
new text end

new text begin (3) conduct an environmental scan and key informant interviews with experts in health
care finance, health economics, health care management or administration, or the
administration of health insurance benefits to identify drivers of spending growth for spending
on administrative services or the provision of low-value care; and
new text end

new text begin (4) convene a clinical learning community and an employer task force to review the
evidence from clauses (1) to (3) and develop a set of actionable strategies to address
administrative spending volume and growth and the magnitude of the volume of low-value
care.
new text end

new text begin (b) By December 15, 2024, the commissioner shall report the recommendations to the
chairs and ranking members of the legislative committees with jurisdiction over health and
human services financing and policy.
new text end

Sec. 59. new text begin PAYMENT MECHANISMS IN RURAL HEALTH CARE.
new text end

new text begin The commissioner shall develop a plan to assess readiness of rural communities and
rural health care providers to adopt value-based, global budgeting, or alternative payment
systems and recommend steps needed to implement. The commissioner may use the
development of case studies and modeling of alternate payment systems to demonstrate
value-based payment systems that ensure a baseline level of essential community or regional
health services and address population health needs. The commissioner shall develop
recommendations for pilot projects by January 1, 2025, with the aim of ensuring financial
viability of rural health care systems in the context of spending growth targets. The
commissioner shall share findings with the Minnesota Health Care Spending Growth Target
Commission.
new text end

Sec. 60. new text begin SAFETY IMPROVEMENTS FOR STATE LICENSED LONG-TERM
CARE FACILITIES.
new text end

new text begin Subdivision 1. new text end

new text begin Temporary grant program for long-term care safety
improvements. new text end

new text begin The commissioner of health shall develop, implement, and manage a
temporary, competitive grant process for state-licensed long-term care facilities to improve
their ability to reduce the transmission of COVID-19 or other similar conditions.
new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) For the purposes of this section, the following terms have the
meanings given.
new text end

new text begin (b) "Eligible facility" means:
new text end

new text begin (1) an assisted living facility licensed under chapter 144G;
new text end

new text begin (2) a supervised living facility licensed under chapter 144;
new text end

new text begin (3) a board and care facility that is not federally certified and is licensed under chapter
144; and
new text end

new text begin (4) a nursing home that is not federally certified and is licensed under chapter 144A.
new text end

new text begin (c) "Eligible project" means a modernization project to update, remodel or replace
outdated equipment, systems, technology, or physical spaces.
new text end

new text begin Subd. 3. new text end

new text begin Program. new text end

new text begin (a) The commissioner of health shall award improvement grants to
an eligible facility. An improvement grant shall not exceed $1,250,000.
new text end

new text begin (b) Funds may be used to improve the safety, quality of care, and livability of aging
infrastructure in a Department of Health licensed eligible facility with an emphasis on
reducing the transmission risk of COVID-19 and other infections. Projects include but are
not limited to:
new text end

new text begin (1) heating, ventilation, and air-conditioning systems improvements to reduce airborne
exposures;
new text end

new text begin (2) physical space changes for infection control; and
new text end

new text begin (3) technology improvements to reduce social isolation and improve resident or client
well-being.
new text end

new text begin (c) Notwithstanding any law to the contrary, funds awarded in a grant agreement do not
lapse until expended by the grantee.
new text end

new text begin Subd. 4. new text end

new text begin Applications. new text end

new text begin An eligible facility seeking a grant shall apply to the
commissioner. The application must include a description of the resident population
demographics, the problem the proposed project will address, a description of the project
including construction and remodeling drawings or specifications, sources of funds for the
project, including any in-kind resources, uses of funds for the project, the results expected,
and a plan to maintain or operate any facility or equipment included in the project. The
applicant must describe achievable objectives, a timetable, and roles and capabilities of
responsible individuals and organization. An applicant must submit to the commissioner
evidence that competitive bidding was used to select contractors for the project.
new text end

new text begin Subd. 5. new text end

new text begin Consideration of applications. new text end

new text begin The commissioner shall review each application
to determine if the application is complete and if the facility and the project are eligible for
a grant. In evaluating applications, the commissioner shall develop a standardized scoring
system that assesses: (1) the applicant's understanding of the problem, description of the
project and the likelihood of a successful outcome of the project; (2) the extent to which
the project will reduce the transmission of COVID-19; (3) the extent to which the applicant
has demonstrated that it has made adequate provisions to ensure proper and efficient operation
of the facility once the project is completed; (4) and other relevant factors as determined
by the commissioner. During application review, the commissioner may request additional
information about a proposed project, including information on project cost. Failure to
provide the information requested disqualifies an applicant.
new text end

new text begin Subd. 6. new text end

new text begin Program oversight. new text end

new text begin The commissioner shall determine the amount of a grant
to be given to an eligible facility based on the relative score of each eligible facility's
application, other relevant factors discussed during the review, and the funds available to
the commissioner. During the grant period and within one year after completion of the grant
period, the commissioner may collect from an eligible facility receiving a grant, any
information necessary to evaluate the program.
new text end

new text begin Subd. 7. new text end

new text begin Expiration. new text end

new text begin This section expires June 30, 2025.
new text end

Sec. 61. new text begin REVISOR INSTRUCTION.
new text end

new text begin The revisor of statutes shall codify Laws 2021, First Special Session chapter 7, article
3, section 44, as Minnesota Statutes, section 144.1504. The revisor of statutes may make
any necessary cross-reference changes.
new text end

ARTICLE 2

HEALTH APPROPRIATIONS

Section 1. new text begin HEALTH APPROPRIATIONS. new text end

new text begin The sums shown in the columns marked "Appropriations" are added to or, if shown in
parentheses, subtracted from the appropriations in Laws 2021, First Special Session chapter
7, article 16, to the agencies and for the purposes specified in this article. The appropriations
are from the general fund or other named fund and are available for the fiscal years indicated
for each purpose. The figures "2022" and "2023" used in this article mean that the addition
to or subtraction from the appropriation listed under them is available for the fiscal year
ending June 30, 2022, or June 30, 2023, respectively. Base adjustments mean the addition
to or subtraction from the base level adjustment set in Laws 2021, First Special Session
chapter 7, article 16. Supplemental appropriations and reductions to appropriations for the
fiscal year ending June 30, 2022, are effective the day following final enactment unless a
different effective date is explicit.
new text end

			new text begin APPROPRIATIONS new text end
			new text begin Available for the Year new text end
			new text begin Ending June 30 new text end
				new text begin 2022 new text end		new text begin 2023 new text end

Sec. 2. new text begin COMMISSIONER OF HEALTH new text end

new text begin Subdivision 1. new text end new text begin Total Appropriation new text end

new text begin $ new text end

new text begin -0- new text end

new text begin $ new text end

new text begin 215,136,000 new text end

new text begin Appropriations by Fund new text end
	new text begin 2022 new text end	new text begin 2023 new text end
new text begin General new text end	new text begin -0- new text end	new text begin 188,539,000 new text end
new text begin State Government Special Revenue new text end	new text begin -0- new text end	new text begin 4,597,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin 22,000,000 new text end

new text begin Subd. 2. new text end new text begin Health Improvement new text end

new text begin Appropriations by Fund new text end
new text begin General new text end	new text begin -0- new text end	new text begin 173,550,000 new text end
new text begin State Government Special Revenue new text end	new text begin -0- new text end	new text begin 430,000 new text end
new text begin Health Care Access new text end	new text begin -0- new text end	new text begin 22,000,000 new text end

new text begin (a) 988 National Suicide Prevention Lifeline.
The general fund base previously provided for
988 suicide prevention lifeline grants in Laws
2019, First Special Session chapter 9, article
14, section 3, subdivision 2, paragraph (c),
clause (4), is reduced by $1,321,000 in fiscal
year 2024 and is reduced by $1,321,000 in
fiscal year 2025.
new text end

new text begin (b) Address Growing Health Care Costs. new text end new text begin
$0 in fiscal year 2022 and $3,375,000 in fiscal
year 2023 are from the general fund for
initiatives aimed at addressing growth in
health care spending while ensuring stability
in rural health care programs under Minnesota
Statutes, section 62J.0411. The general fund
base for this appropriation is $4,175,000 in
fiscal year 2024, and $4,175,000 in fiscal year
2025.
new text end

new text begin (c) Community Healing Program. $0 in
fiscal year 2022 and $2,019,000 in fiscal year
2023 are from the general fund for the
community healing grant program under
Minnesota Statutes, section 145.9281. Of the
total appropriation in fiscal year 2023,
$313,000 is for administration and $1,706,000
is for grants. The general fund base for this
appropriation is $1,514,000 in fiscal year 2024
and $1,514,000 in fiscal year 2025, of which
$310,000 is for administration and $1,204,000
in each fiscal year is for grants.
new text end

new text begin (d) new text end new text begin Community Health Workers. new text end new text begin $0 in fiscal
year 2022 and $1,462,000 in fiscal year 2023
are from the general fund for a public health
approach to developing community health
workers across Minnesota, under Minnesota
Statutes, section 145.9282. Of the fiscal year
2023 appropriation, $462,000 is for
administration and $1,000,000 is for grants.
The general fund base for this appropriation
is $1,097,000 in fiscal year 2024, of which
$337,000 is for administration and $760,000
is for grants, and $1,098,000 in fiscal year
2025, of which $338,000 is for administration
and $760,000 is for grants.
new text end

new text begin (e) Community Solutions for Healthy Child
Development. $0 in fiscal year 2022 and
$10,000,000 in fiscal year 2023 are from the
general fund for the community solutions for
healthy child development grant program
under Minnesota Statutes, section 145.9271.
Of the fiscal year 2023 appropriation,
$1,250,000 is for administration and
$8,750,000 is for grants. The general fund base
appropriation is $10,000,000 in fiscal year
2024 and $10,000,000 in fiscal year 2025, of
which $1,250,000 is for administration and
$8,750,000 is for grants in each fiscal year.
new text end

new text begin (f) Disability as a Health Equity Issue. $0
is fiscal year 2022 and $1,575,000 in fiscal
year 2023 are from the general fund to reduce
disability-related health disparities through
collaboration and coordination between state
and community partners under Minnesota
Statutes, section 145.9283. Of the fiscal year
2023 appropriation, $1,130,000 is for
administration and $445,000 is for grants. The
general fund base for this appropriation is
$1,585,000 in fiscal year 2024 and $1,585,000
in fiscal year 2025, of which $1,140,000 is for
administration and $445,000 is for grants.
new text end

new text begin (g) Drug Overdose and Substance Abuse
Prevention. $0 in fiscal year 2022 and
$5,042,000 in fiscal year 2023 are from the
general fund for a public health prevention
approach to drug overdose and substance use
disorder in Minnesota Statutes, section
144.8611. Of the total appropriation in fiscal
year 2023, $921,000 is for administration and
$4,121,000 is for grants.
new text end

new text begin (h) Health Care Provider Directory. $0 in
fiscal year 2022 and $1,000,000 in fiscal year
2023 are from the general fund for
development of a statewide health care
provider directory under Minnesota Statutes,
section 62J.821. The general fund base for this
appropriation is $2,000,000 in fiscal year 2024
and $7,000,000 in fiscal year 2025.
new text end

new text begin (i) Healthy Beginnings, Healthy Families.
$0 in fiscal year 2022 and $11,700,000 in
fiscal year 2023 are from the general fund for
Healthy Beginnings, Healthy Families services
under Minnesota Statutes, section 145.987.
The general fund base for this appropriation
is $11,818,000 in fiscal year 2024 and
$11,763,000 in fiscal year 2025. Of this total
appropriation:
new text end

new text begin (1) $0 in fiscal year 2022 and $7,510,000 in
fiscal year 2023 are from the general fund for
Minnesota Collaborative to Prevent Infant
Mortality under Minnesota Statutes, section
145.987, subdivisions 2, 3, and 4. Of the fiscal
year 2023 appropriation, $1,535,000 is for
administration and $5,975,000 is for grants.
The general fund base for this appropriation
is $7,501,000 in fiscal year 2024, of which
$1,526,000 is for administration and
$5,975,000 is for grants, and $7,501,000 in
fiscal year 2025, of which $1,526,000 is for
administration and $5,975,000 is for grants.
new text end

new text begin (2) $0 in fiscal year 2022 and $340,000 in
fiscal year 2023 are from the general fund for
Help Me Connect under Minnesota Statutes,
section 145.987, subdivisions 5 and 6. The
general fund base for this appropriation is
$663,000 in fiscal year 2024 and $663,000 in
fiscal year 2025.
new text end

new text begin (3) $0 in fiscal year 2022 and $1,940,000 in
fiscal year 2023 are from the general fund for
voluntary developmental and social-emotional
screening and follow-up under Minnesota
Statutes, section 145.987, subdivisions 7 and
8. Of the fiscal year 2023 appropriation,
$1,190,000 is for administration and $750,000
is for grants. The general fund base for this
appropriation is $1,764,000 in fiscal year
2024, of which $1,014,000 is for
administration and $750,000 is for grants, and
$1,764,000 in fiscal year 2025 of which
$1,014,000 is for administration and $750,000
is for grants.
new text end

new text begin (4) $0 in fiscal year 2022 and $1,910,000 in
fiscal year 2023 are from the general fund for
model jail practices for incarcerated parents
under Minnesota Statutes, section 145.987,
subdivisions 9, 10, and 11. Of the fiscal year
2023 appropriation, $485,000 is for
administration and $1,425,000 is for grants.
The general fund base for this appropriation
is $1,890,000 in fiscal year 2024, of which
$465,000 is for administration and $1,425,000
is for grants, and $1,835,000 in fiscal year
2025, of which $410,000 is for administration
and $1,425,000 is for grants.
new text end

new text begin (j) Home Visiting. $0 in fiscal year 2022 and
$126,700,000 in fiscal year 2023 are from the
general fund for statewide home visiting
services under Minnesota Statutes, section
145.87. The general fund base for this
appropriation is $210,501,000 in fiscal year
2024 and $313,599,000 in fiscal year 2025.
Of the total appropriation, ten percent is for
administration and 90 percent is for
implementation grants of home visiting
services to families.
new text end

new text begin (k) Long COVID. $0 in fiscal year 2022 and
$2,669,000 in fiscal year 2023 are from the
general fund for a public health approach to
supporting long COVID survivors under
Minnesota Statutes, section 145.361. Of the
fiscal year 2023 appropriation, $2,119,000 is
for administration and $550,000 is for grants.
The base for this appropriation is $3,706,000
in fiscal year 2024 and $3,706,000 in fiscal
year 2025, of which $3,156,000 is for
administration and $550,000 is for grants in
each fiscal year.
new text end

new text begin (l) Medical Education Research Cost
(MERC). Of the amount previously
appropriated in the general fund by Laws
2015, chapter 71, article 3, section 2, for the
MERC program, $150,000 in fiscal year 2023
and each year thereafter is for the
administration of grants under Minnesota
Statutes, section 62J.692.
new text end

new text begin (m) No Surprises Act Enforcement. $0 in
fiscal year 2022 and $964,000 in fiscal year
2023 are from the general fund for
implementation of the federal No Surprises
Act portion of the Consolidated
Appropriations Act, 2021, under Minnesota
Statutes, section 62Q.021, subdivision 3. The
general fund base for this appropriation is
$763,000 in fiscal year 2024 and $757,000 in
fiscal year 2025.
new text end

new text begin (n) Public Health Workforce. $0 in fiscal
year 2022 and $2,185,000 in fiscal year 2023
are from the general fund for a public health
workforce retention and expansion. The
general fund base for this appropriation is
$1,436,000 in fiscal year 2024 and $1,437,000
in fiscal year 2025. Of this total appropriation:
new text end

new text begin (1) $0 in fiscal year 2022 and $800,000 in
fiscal year 2023 are from the general fund for
loan forgiveness for individuals working in
local, Tribal, or state public health departments
in Minnesota under Minnesota Statutes,
section 144.1501, which may be added to the
account annually under section 144.1501,
subdivision 2. The base for this appropriation
is $400,000 in fiscal year 2024 and $400,000
in fiscal year 2025.
new text end

new text begin (2) $0 in fiscal year 2022 and $1,000,000 in
fiscal year 2023 are from the general fund for
a public health AmeriCorps grant under
Minnesota Statutes, section 145.9292. The
base for this appropriation is $750,000 in fiscal
year 2024 and $750,000 in fiscal year 2025.
new text end

new text begin (3) $0 in fiscal year 2022 and $70,000 in fiscal
year 2023 are from the general fund for public
health education stipend grants under
Minnesota Statutes, section 145.9291. The
base for this appropriation is $38,000 in fiscal
year 2024 and $38,000 in fiscal year 2025.
new text end

new text begin (4) $0 in fiscal year 2022 and $315,000 in
fiscal year 2023 are from the general fund for
administration of the public health workforce
retention and expansion program. The base
for this appropriation is $248,000 in fiscal year
2024 and $249,000 in fiscal year 2025.
new text end

new text begin (o) Revitalize Health Care Workforce. $0
in fiscal year 2022 and $22,000,000 in fiscal
year 2023 are from the health care access fund
to address challenges of Minnesota's health
care workforce. Of the total appropriation:
new text end

new text begin (1) $0 in fiscal year 2022 and $2,073,000 in
fiscal year 2023 are from the health care
access fund for the health professionals
clinical training expansion and rural and
underserved clinical rotations grant program
under Minnesota Statutes, section 144.1505.
Of the total appropriation in fiscal year 2023,
$423,000 is for administration and $1,650,000
is for grants. Grant appropriations are available
until expended under Minnesota Statutes,
section 144.1505, subdivision 2.
new text end

new text begin (2) $0 in fiscal year 2022 and $4,507,000 in
fiscal year 2023 are from the health care
access fund for the primary care rural
residency training grant program under
Minnesota Statutes, section 144.1507. Of the
total appropriation in fiscal year 2023,
$207,000 is for administration and $4,300,000
is for grants. Grant appropriations are available
until expended under Minnesota Statutes,
section 144.1507, subdivision 2.
new text end

new text begin (3) $0 in fiscal year 2022 and $425,000 in
fiscal year 2023 are from the health care
access fund for workforce research that
provides needed information on status and
causes of workforce shortages, maldistribution
of health care providers in Minnesota, and
determinants of practicing in rural areas, under
Minnesota Statutes, section 144.051.
new text end

new text begin (4) $0 in fiscal year 2022 and $430,000 in
fiscal year 2023 are from the health care
access fund to the international medical
graduates assistance program under Minnesota
Statutes, section 144.1911, for international
immigrant medical graduates to fill a gap in
their preparedness for medical residencies or
transition to a new career making use of their
medical degrees. Of the total appropriation in
fiscal year 2023, $55,000 is for administration
and $375,000 is for grants.
new text end

new text begin (5) $0 in fiscal year 2022 and $12,565,000 in
fiscal year 2023 are from the health care
access fund for a grant program to health care
systems, hospitals, clinics, and other providers
to ensure the availability of clinical training
for students, residents, and graduate students
to meet health professions educational
requirements, under Minnesota Statutes,
section 144.1508. Of the total appropriation
in fiscal year 2023, $565,000 is for
administration and $12,000,000 is for grants.
new text end

new text begin (6) $0 in fiscal year 2022 and $2,000,000 in
fiscal year 2023 are from the health care
access fund for the mental health cultural
community continuing education grant
program, under Minnesota Statutes, section
144.1504. Of the total appropriation in fiscal
year 2023, $460,000 is for administration and
$1,540,000 is for grants.
new text end

new text begin (p) School Health. $0 in fiscal year 2022 and
$837,000 in fiscal year 2023 are from the
general fund for the School Health Initiative
under Minnesota Statutes, section 145.988.
The general fund base for this appropriation
is $3,462,000 in fiscal year 2024, of which
$1,212,000 is for administration and
$2,250,000 is for grants and $3,287,000 in
fiscal year 2025, of which $1,037,000 is for
administration and $2,250,000 is for grants.
new text end

new text begin (q) Sentinel Event Reviews for
Police-Involved Deadly Force Encounters.
$0 in fiscal year 2022 and $494,000 in fiscal
year 2023 are from the general fund for a
public health response to law
enforcement-involved deadly force encounters
under Minnesota Statutes, section 144.0551.
Of the fiscal year 2023 appropriation,
$444,000 is for administration of the sentinel
event reviews and $50,000 is for a grant.
new text end

new text begin (r) Trauma System. $0 in fiscal year 2022
and $61,000 in fiscal year 2023 are from the
general fund to administer the trauma care
system throughout the state under Minnesota
Statutes, sections 144.602, 144.603, 144.604,
144.606, and 144.608. $0 in fiscal year 2022
and $430,000 in fiscal year 2023 are from the
state government special revenue fund for
trauma designations per Minnesota Statutes,
sections 144.122, paragraph (g), 144.605, and
144.6071.
new text end

new text begin (s) Base Level Adjustments. The general
fund base is increased by $259,800,000 in
fiscal year 2024 and $367,664,000 in fiscal
year 2025. The health care access fund base
is increased by $22,000,000 in fiscal year 2024
and $22,000,000 in fiscal year 2025. The state
government special revenue fund base is
increased by $430,000 in fiscal year 2024 and
$430,000 in fiscal year 2025.
new text end

new text begin Subd. 3. new text end new text begin Health Protection new text end

new text begin Appropriations by Fund new text end
new text begin General new text end	new text begin ...... new text end	new text begin 14,989,000 new text end
new text begin State Government Special Revenue new text end	new text begin ...... new text end	new text begin 4,167,000 new text end

new text begin (a) Climate Resiliency. $0 in fiscal year 2022
and $1,977,000 in fiscal year 2023 are from
the general fund for climate resiliency actions
under Minnesota Statutes, section 144.9981.
Of the fiscal year 2023 appropriation,
$977,000 is for administration and $1,000,000
is for grants. The general fund base for this
appropriation is $988,000 in fiscal year 2024,
of which $888,000 is for administration and
$100,000 is for grants, and $989,000 in fiscal
year 2025, of which $889,000 is for
administration and $100,000 is for grants.
new text end

new text begin (b) Lead Remediation in Schools and Child
Care Settings. $0 in fiscal year 2022 and
$2,054,000 in fiscal year 2023 are from the
general fund for a lead in drinking water
remediation in schools and child care settings
grant program under Minnesota Statutes,
section 145.9272. Of the total fiscal year 2023
appropriation, $454,000 is for administration
and $1,600,000 is for grants. The general fund
base for this appropriation is $1,540,000 in
fiscal year 2024, of which $370,000 is for
administration and $1,170,000 is for grants,
and $1,541,000 in fiscal year 2025, of which
$371,000 is for administration and $1,170,000
is for grants.
new text end

new text begin (c) Lead Service Line Inventory. $0 in fiscal
year 2022 and $4,029,000 in fiscal year 2023
are from the general fund for grants to public
water suppliers to complete a lead service line
inventory of their distribution systems under
Minnesota Statutes, section 144.383, clause
(6). Of the total fiscal year 2023 appropriation,
$279,000 is for administration and $3,750,000
is for grants. The general fund base for this
appropriation is $4,029,000 in fiscal year
2024, of which $279,000 is for administration
and $3,750,000 is for grants, and $140,000 in
fiscal year 2025, which is for administration.
new text end

new text begin (d) Mercury in Skin-Lightening Products
Grants. $0 in fiscal year 2022 and $300,000
in fiscal year 2023 are from the general fund
for a skin-lightening products public
awareness and education grant program under
Minnesota Statutes, section 145.372. Of the
fiscal year 2023 appropriation, $150,000 is
for administration and $150,000 is for grants.
new text end

new text begin (e) HIV Prevention for People Experiencing
Homelessness. $0 in fiscal year 2022 and
$1,129,000 in fiscal year 2023 from the
general fund for expanding access to harm
reduction services and improving linkages to
care to prevent HIV/AIDS, hepatitis, and other
infectious diseases for those experiencing
homelessness or housing instability under
Minnesota Statutes, section 145.924,
paragraph (d). Of the total fiscal year 2023
appropriation, $169,000 is for administration
and $960,000 is for grants.
new text end

new text begin (f) Safety Improvements for State-Licensed
Long-Term Care Facilities. $0 in fiscal year
2022 and $5,500,000 in fiscal year 2023 are
from the general fund for a temporary grant
program. Of the total appropriation in fiscal
year 2023, $500,000 is for administration and
$5,000,000 is for grants. The general fund base
for this appropriation is $8,200,000 in fiscal
year 2024 and $0 in fiscal year 2025. Of the
total appropriation in fiscal year 2024,
$700,000 is for administration and $7,500,000
is for grants. Amounts appropriated in this
paragraph are available until June 30, 2025.
new text end

new text begin (g) Base Level Adjustments. The general
fund base is increased by $16,186,000 in fiscal
year 2024 and $4,099,000 in fiscal year 2025.
The state government special revenue fund
base is increased by $4,167,000 in fiscal year
2024 and $4,167,000 in fiscal year 2025.
new text end

Sec. 3. new text begin HEALTH-RELATED BOARDS new text end

new text begin Subdivision 1. new text end new text begin Total Appropriation new text end

new text begin $ new text end

new text begin -0- new text end

new text begin $ new text end

new text begin 25,000 new text end

new text begin Appropriations by Fund new text end
new text begin State Government Special Revenue new text end	new text begin -0- new text end	new text begin 25,000 new text end

new text begin This appropriation is from the state
government special revenue fund unless
specified otherwise. The amounts that may be
spent for each purpose are specified in the
following subdivisions.
new text end

new text begin Subd. 2. new text end new text begin Board of Dietetics and Nutrition Practice new text end

new text begin -0- new text end

new text begin 25,000 new text end