SF 1

1st Engrossment - 91st Legislature (2019 - 2020) Posted on 04/12/2019 08:41am

A bill for an act
relating to human services; requiring insurance coverage for treatment and services
provided by mental health professionals and clinical trainees; requiring a denial
of a claim for mental health services be made or reviewed by a licensed mental
health professional; requiring provision of mental health services to college
students; directing the commissioner of health to award grants for voice response
suicide prevention, crisis connection, and referral activities; establishing the
officer-involved community-based care coordination grant program to provide
mental health services to individuals arrested by law enforcement; modifying
medical assistance coverage for community-based care coordination to include
tribes; eliminating county share for cost of officer-involved community-based care
coordination; modifying school-linked mental health grants; establishing a
shelter-linked youth mental health grant program to provide mental health services
to youth experiencing homelessness or sexual exploitation; establishing the
Community Competency Restoration Task Force; requiring reports; appropriating
money; amending Minnesota Statutes 2018, sections 62A.15, subdivision 4, by
adding a subdivision; 136F.20, by adding a subdivision; 145.908, subdivisions 1,
2; 245.4889, subdivision 1; 256B.0625, subdivision 56a; 256K.45, subdivision 2;
proposing coding for new law in Minnesota Statutes, chapters 137; 145; 245; 256K.

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

Section 1.

Minnesota Statutes 2018, section 62A.15, is amended by adding a subdivision
to read:

new text begin Subd. 3c. new text end

new text begin Mental health services. new text end

new text begin (a) All benefits provided by a policy or contract
referred to in subdivision 1 relating to expenses incurred for mental health treatment or
services provided by a mental health professional must also include treatment and services
provided by a clinical trainee to the extent that the services and treatment are within the
scope of practice of the clinical trainee according to Minnesota Rules, part 9505.0371,
subpart 5, item C.
new text end

new text begin (b) This subdivision provides for equal payment of benefits for mental health treatment
and services provided by a mental health professional, as defined in Minnesota Rules, part
9505.0371, subpart 5, item A, or a clinical trainee, but does not change or add to the benefits
provided for in those policies or contracts.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2020, and applies to policies
and contracts offered, issued, or renewed on or after that date.
new text end

Sec. 2.

Minnesota Statutes 2018, section 62A.15, subdivision 4, is amended to read:

Subd. 4.

Denial of benefits.

(a) No carrier referred to in subdivision 1 may, in the
payment of claims to employees in this state, deny benefits payable for services covered by
the policy or contract if the services are lawfully performed by a licensed chiropractor,
licensed optometrist, a registered nurse meeting the requirements of subdivision 3a, or a
licensed acupuncture practitioner.

(b) When carriers referred to in subdivision 1 make claim determinations concerning
the appropriateness, quality, or utilization of chiropractic health care for Minnesotans, any
of these determinations that are made by health care professionals must be made by, or
under the direction of, or subject to the review of licensed doctors of chiropractic.

(c) When a carrier referred to in subdivision 1 makes a denial of payment claim
determination concerning the appropriateness, quality, or utilization of acupuncture services
for individuals in this state performed by a licensed acupuncture practitioner, a denial of
payment claim determination that is made by a health professional must be made by, under
the direction of, or subject to the review of a licensed acupuncture practitioner.

new text begin (d) When a carrier referred to in subdivision 1 makes a denial of payment claim
determination concerning the appropriateness, quality, or utilization of mental health services
for individuals in this state performed by a licensed mental health professional or clinical
trainee, a denial of payment claim determination that is made by a health professional must
be made by, under the direction of, or subject to the review of a licensed mental health
professional.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2020, and applies to policies
and contracts offered, issued, or renewed on or after that date.
new text end

Sec. 3.

Minnesota Statutes 2018, section 136F.20, is amended by adding a subdivision to
read:

new text begin Subd. 3. new text end

new text begin Mental health services and health insurance information. new text end

new text begin (a) The board
must contract with one or more independent mental health organizations to provide mental
health care, including by use of telemedicine, on campus at up to five state colleges. To be
eligible to apply for the program, the state college must employ one or more faculty
counselors. These grants are designed to build on the current support provided by faculty
counselors and are not a replacement for them. Mental health services must be provided
without charge to students who are uninsured, who have high co-payments, or whose health
insurance does not cover the service provided. A memorandum of understanding shall be
developed between the college and the mental health organization outlining the use of space
on campus, how the students will be notified of the service, how they will collaborate with
faculty counselors, the provision of services, and other items.
new text end

new text begin (b) A mental health organization providing mental health care under paragraph (a) must
also provide information and guidance to students seeking health insurance.
new text end

Sec. 4.

new text begin [137.131] MENTAL HEALTH SERVICES AND HEALTH INSURANCE
INFORMATION.
new text end

new text begin (a) The board must contract with one or more independent mental health organizations
to provide mental health care, including by use of telemedicine, on campus at up to five
universities. To be eligible to apply for the program, the university must employ one or
more faculty counselors. These grants are designed to build on the current support provided
by faculty counselors and are not a replacement for them. Mental health services must be
provided without charge to students who are uninsured, who have high co-payments, or
whose health insurance does not cover the service provided. A memorandum of understanding
shall be developed between the university and the mental health organization outlining the
use of space on campus, how the students will be notified of the service, how they will
collaborate with faculty counselors, the provision of services, and other items.
new text end

new text begin (b) A mental health organization providing mental health care under paragraph (a) must
also provide information and guidance to students seeking health insurance.
new text end

Sec. 5.

Minnesota Statutes 2018, section 145.908, subdivision 1, is amended to read:

Subdivision 1.

Grant program established.

Within the limits of deleted text begin federal funds deleted text end available
deleted text begin specifically deleted text end new text begin appropriations new text end for this purpose, the commissioner of health shall establish a
grant program to provide culturally competent programs to screen and treat pregnant women
and women who have given birth in the preceding 12 months for pre- and postpartum mood
and anxiety disorders. Organizations may use grant funds to establish new screening or
treatment programs, or expand or maintain existing screening or treatment programs. In
establishing the grant program, the commissioner shall prioritize expanding or enhancing
screening for pre- and postpartum mood and anxiety disorders in primary care settings. The
commissioner shall determine the types of organizations eligible for grants.

Sec. 6.

Minnesota Statutes 2018, section 145.908, subdivision 2, is amended to read:

Subd. 2.

Allowable uses of funds.

Grant funds awarded by the commissioner under this
section:

(1) must be used to provide health care providers with appropriate training and relevant
resources on screening, treatment, follow-up support, and links to community-based resources
for pre- and postpartum mood and anxiety disorders new text begin , and grants for mental health treatment
services for women suffering from mood and anxiety disorders new text end ; and

(2) may be used to:

(i) enable health care providers to provide or receive psychiatric consultations to treat
eligible women for pre- and postpartum mood and anxiety disorders;

(ii) conduct a public awareness campaign;

(iii) fund start-up costs for telephone lines, websites, and other resources to collect and
disseminate information about screening and treatment for pre- and postpartum mood and
anxiety disorders; or

(iv) establish connections between community-based resources.

Sec. 7.

new text begin [145.9275] VOICE RESPONSE SUICIDE PREVENTION, CRISIS
CONNECTION, AND REFERRAL PROGRAM.
new text end

new text begin (a) The commissioner of health shall award grants to eligible nonprofit organizations
and counties for the purposes of maximizing resources to provide access to crisis services
across the state and educating communities on how to access local resources and suicide
lifelines.
new text end

new text begin (b) A grantee must use the grant funds to:
new text end

new text begin (1) provide a method of response that triages inquiries and provides immediate access
to suicide prevention and crisis counseling over the telephone;
new text end

new text begin (2) connect individuals with trained crisis counselors and local resources, including
referrals to community mental health options, emergency departments, and locally available
mobile crisis teams, when appropriate; or
new text end

new text begin (3) host an accredited suicide lifeline.
new text end

Sec. 8.

new text begin [245.4663] OFFICER-INVOLVED COMMUNITY-BASED CARE
COORDINATION GRANT PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment and authority. new text end

new text begin (a) The commissioner shall make grants
to programs that provide officer-involved community-based care coordination services
under section 256B.0625, subdivision 56a. The commissioner shall balance awarding grants
to counties outside the metropolitan area and counties inside the metropolitan area.
new text end

new text begin (b) The commissioner shall provide outreach, technical assistance, and program
development support to increase capacity of new and existing officer-involved
community-based care coordination programs, particularly in areas where officer-involved
community-based care coordination programs have not been established, especially in
greater Minnesota.
new text end

new text begin (c) Funds appropriated for this section must be expended on activities described under
subdivision 3, technical assistance, and capacity building, including the capacity to maximize
revenue by billing services to available third-party reimbursement sources, in order to meet
the greatest need on a statewide basis.
new text end

new text begin Subd. 2. new text end

new text begin Eligibility. new text end

new text begin An eligible applicant for an officer-involved community-based care
coordination grant under subdivision 1, paragraph (a), is a county or tribe that operates or
is prepared to implement an officer-involved community-based care coordination program.
new text end

new text begin Subd. 3. new text end

new text begin Allowable grant activities. new text end

new text begin Grant recipients may use grant funds for the costs
of providing officer-involved community-based care coordination services that are not
otherwise covered under section 256B.0625, subdivision 56a, and for the cost of services
for individuals not eligible for medical assistance.
new text end

new text begin Subd. 4. new text end

new text begin Evaluation. new text end

new text begin Grants under this section shall be formally evaluated by the
commissioner of management and budget using an experimental or quasi-experimental
design. The commissioner shall consult with the commissioner of management and budget
to ensure that grants are administered to facilitate the evaluation. Grant recipients must
collect and provide to the commissioner information needed to complete the evaluation.
The commissioner must provide to the commissioner of management and budget the
information collected for the evaluation. The commissioner of management and budget,
under section 15.08, may obtain additional relevant data to support the evaluation study.
new text end

new text begin Subd. 5. new text end

new text begin Reporting. new text end

new text begin (a) The commissioner shall report annually on the use of
officer-involved community-based care coordination grants to the legislative committees
with jurisdiction over human services by December 31, beginning in 2020. Each report shall
include the name and location of the grant recipients, the amount of each grant, the services
provided or planning activities conducted, and the number of individuals receiving services.
The commissioner shall determine the form required for the reports and may specify
additional reporting requirements.
new text end

new text begin (b) The reporting requirements under this subdivision are in addition to the reporting
requirements under section 256B.0625, subdivision 56a, paragraph (e).
new text end

Sec. 9.

Minnesota Statutes 2018, section 245.4889, subdivision 1, is amended to read:

Subdivision 1.

Establishment and authority.

(a) The commissioner is authorized to
make grants from available appropriations to assist:

(1) counties;

(2) Indian tribes;

(3) children's collaboratives under section 124D.23 or 245.493; or

(4) mental health service providers.

(b) The following services are eligible for grants under this section:

(1) services to children with emotional disturbances as defined in section 245.4871,
subdivision 15, and their families;

(2) transition services under section 245.4875, subdivision 8, for young adults under
age 21 and their families;

(3) respite care services for children with severe emotional disturbances who are at risk
of out-of-home placement;

(4) children's mental health crisis services;

(5) mental health services for people from cultural and ethnic minorities;

(6) children's mental health screening and follow-up diagnostic assessment and treatment;

(7) services to promote and develop the capacity of providers to use evidence-based
practices in providing children's mental health services;

(8) school-linked mental health services deleted text begin , including transportation for children receiving
school-linked mental health services when school is not in session deleted text end new text begin under section 245.4901 new text end ;

(9) building evidence-based mental health intervention capacity for children birth to age
five;

(10) suicide prevention and counseling services that use text messaging statewide;

(11) mental health first aid training;

(12) training for parents, collaborative partners, and mental health providers on the
impact of adverse childhood experiences and trauma and development of an interactive
website to share information and strategies to promote resilience and prevent trauma;

(13) transition age services to develop or expand mental health treatment and supports
for adolescents and young adults 26 years of age or younger;

(14) early childhood mental health consultation;

(15) evidence-based interventions for youth at risk of developing or experiencing a first
episode of psychosis, and a public awareness campaign on the signs and symptoms of
psychosis;

(16) psychiatric consultation for primary care practitioners; and

(17) providers to begin operations and meet program requirements when establishing a
new children's mental health program. These may be start-up grants.

(c) Services under paragraph (b) must be designed to help each child to function and
remain with the child's family in the community and delivered consistent with the child's
treatment plan. Transition services to eligible young adults under this paragraph must be
designed to foster independent living in the community.

new text begin (d) As a condition of receiving grant funds, a grantee shall obtain all available third-party
reimbursement sources, if applicable.
new text end

Sec. 10.

new text begin [245.4901] SCHOOL-LINKED MENTAL HEALTH GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment. new text end

new text begin The commissioner of human services shall establish a
school-linked mental health grant program to provide early identification and intervention
for students with mental health needs and to build the capacity of schools to support students
with mental health needs in the classroom.
new text end

new text begin Subd. 2. new text end

new text begin Eligible applicants. new text end

new text begin An eligible applicant for school-linked mental health grants
is an entity that is:
new text end

new text begin (1) certified under Minnesota Rules, parts 9520.0750 to 9520.0870;
new text end

new text begin (2) a community mental health center under section 256B.0625, subdivision 5;
new text end

new text begin (3) an Indian health service facility or a facility owned and operated by a tribe or tribal
organization operating under United States Code, title 25, section 5321;
new text end

new text begin (4) a provider of children's therapeutic services and supports as defined in section
256B.0943; or
new text end

new text begin (5) enrolled in medical assistance as a mental health or substance use disorder provider
agency and employs at least two full-time equivalent mental health professionals as defined
in section 245.4871, subdivision 27, clauses (1) to (6), or two alcohol and drug counselors
licensed or exempt from licensure under chapter 148F who are qualified to provide clinical
services to children and families.
new text end

new text begin Subd. 3. new text end

new text begin Allowable grant activities and related expenses. new text end

new text begin (a) Allowable grant activities
and related expenses may include but are not limited to:
new text end

new text begin (1) identifying and diagnosing mental health conditions of students;
new text end

new text begin (2) delivering mental health treatment and services to students and their families,
including via telemedicine consistent with section 256B.0625, subdivision 3b;
new text end

new text begin (3) supporting families in meeting their child's needs, including navigating health care,
social service, and juvenile justice systems;
new text end

new text begin (4) providing transportation for students receiving school-linked mental health services
when school is not in session;
new text end

new text begin (5) building the capacity of schools to meet the needs of students with mental health
concerns, including school staff development activities for licensed and nonlicensed staff;
and
new text end

new text begin (6) purchasing equipment, connection charges, on-site coordination, set-up fees, and
site fees in order to deliver school-linked mental health services via telemedicine.
new text end

new text begin (b) Grantees shall obtain all available third-party reimbursement sources as a condition
of receiving a grant. For purposes of this grant program, a third-party reimbursement source
excludes a public school as defined in section 120A.20, subdivision 1. Grantees shall serve
students regardless of health coverage status or ability to pay.
new text end

new text begin Subd. 4. new text end

new text begin Data collection and outcome measurement. new text end

new text begin Grantees shall provide data to
the commissioner for the purpose of evaluating the effectiveness of the school-linked mental
health grant program.
new text end

new text begin Subd. 5. new text end

new text begin Specialized grants. new text end

new text begin (a) Specialized grants must be made available to eligible
applicants under subdivision 2, serving a public school program that provides instruction
to students in a setting of federal instructional level 4 or higher. Specialized grants must
first be awarded to providers working in conjunction with school programs that received a
grant under Laws 2016, chapter 189, article 25, section 62, subdivision 2, and Laws 2017,
First Special Session chapter 5, article 2, section 56. Additional specialized grants may be
made available to eligible applicants under subdivision 2, who cooperate with programs
operated by:
new text end

new text begin (1) a school district or charter school; or
new text end

new text begin (2) a special education cooperative or other cooperative unit under section 123A.24,
subdivision 2.
new text end

new text begin (b) In addition to allowable grant expenses under subdivision 3, grant funds awarded
under this subdivision may be used to develop innovative therapeutic teaching models.
new text end

Sec. 11.

Minnesota Statutes 2018, section 256B.0625, subdivision 56a, is amended to
read:

Subd. 56a.

deleted text begin Post-arrest deleted text end new text begin Officer-involved new text end community-based deleted text begin service deleted text end new text begin care
new text end coordination.

(a) Medical assistance covers deleted text begin post-arrest deleted text end new text begin officer-involved new text end community-based
deleted text begin service deleted text end new text begin care new text end coordination for an individual who:

(1) has deleted text begin been identified as having deleted text end new text begin screened positive for benefiting from treatment for new text end a
mental illness or substance use disorder using a deleted text begin screening deleted text end tool approved by the commissioner;

(2) does not require the security of a public detention facility and is not considered an
inmate of a public institution as defined in Code of Federal Regulations, title 42, section
435.1010;

(3) meets the eligibility requirements in section 256B.056; and

(4) has agreed to participate in deleted text begin post-arrest deleted text end new text begin officer-involved new text end community-based deleted text begin service deleted text end
new text begin care new text end coordination deleted text begin through a diversion contract in lieu of incarceration deleted text end .

(b) deleted text begin Post-arrest deleted text end new text begin Officer-involved new text end community-based deleted text begin service deleted text end new text begin care new text end coordination means
navigating services to address a client's mental health, chemical health, social, economic,
and housing needs, or any other activity targeted at reducing the incidence of jail utilization
and connecting individuals with existing covered services available to them, including, but
not limited to, targeted case management, waiver case management, or care coordination.

(c) deleted text begin Post-arrest deleted text end new text begin Officer-involved new text end community-based deleted text begin service deleted text end new text begin care new text end coordination must be
provided by an individual who is an employee of deleted text begin a county deleted text end or is under contract with a county new text begin ,
or is an employee of or under contract with an Indian health service facility or facility owned
and operated by a tribe or a tribal organization operating under Public Law 93-638 as a 638
facility new text end to provide deleted text begin post-arrest deleted text end new text begin officer-involved new text end community-based new text begin care new text end coordination and is
qualified under one of the following criteria:

(1) a licensed mental health professional as defined in section 245.462, subdivision 18,
clauses (1) to (6);

(2) a mental health practitioner as defined in section 245.462, subdivision 17, working
under the clinical supervision of a mental health professional; deleted text begin or
deleted text end

(3) a certified peer specialist under section 256B.0615, working under the clinical
supervision of a mental health professional deleted text begin . deleted text end new text begin ;
new text end

new text begin (4) an individual qualified as an alcohol and drug counselor under section 245G.11,
subdivision 5; or
new text end

new text begin (5) a recovery peer qualified under section 245G.11, subdivision 8, working under the
supervision of an individual qualified as an alcohol and drug counselor under section
245G.11, subdivision 5.
new text end

(d) Reimbursement is allowed for up to 60 days following the initial determination of
eligibility.

(e) Providers of deleted text begin post-arrest deleted text end new text begin officer-involved new text end community-based deleted text begin service deleted text end new text begin care new text end coordination
shall annually report to the commissioner on the number of individuals served, and number
of the community-based services that were accessed by recipients. The commissioner shall
ensure that services and payments provided under deleted text begin post-arrest deleted text end new text begin officer-involved
new text end community-based deleted text begin service deleted text end new text begin care new text end coordination do not duplicate services or payments provided
under section 256B.0625, subdivision 20, 256B.0753, 256B.0755, or 256B.0757.

deleted text begin (f) Notwithstanding section 256B.19, subdivision 1, the nonfederal share of cost for
post-arrest community-based service coordination services shall be provided by the county
providing the services, from sources other than federal funds or funds used to match other
federal funds.
deleted text end

Sec. 12.

Minnesota Statutes 2018, section 256K.45, subdivision 2, is amended to read:

Subd. 2.

Homeless youth report.

The commissioner shall prepare a biennial report,
beginning in February 2015, which provides meaningful information to the legislative
committees having jurisdiction over the issue of homeless youth, that includes, but is not
limited to: (1) a list of the areas of the state with the greatest need for services and housing
for homeless youth, and the level and nature of the needs identified; (2) details about grants
made new text begin , including shelter-linked youth mental health grants under section 256K.46 new text end ; (3) the
distribution of funds throughout the state based on population need; (4) follow-up
information, if available, on the status of homeless youth and whether they have stable
housing two years after services are provided; and (5) any other outcomes for populations
served to determine the effectiveness of the programs and use of funding.

Sec. 13.

new text begin [256K.46] SHELTER-LINKED YOUTH MENTAL HEALTH GRANT
PROGRAM.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment and authority. new text end

new text begin (a) The commissioner shall make grants
to provide mental health services to homeless or sexually exploited youth. To be eligible,
housing providers must partner with community-based mental health practitioners to provide
a continuum of mental health services, including short-term crisis response, support for
youth in longer-term housing settings, and ongoing relationships to support youth in other
housing arrangements in the community for homeless or sexually exploited youth.
new text end

new text begin (b) The commissioner shall consult with the commissioner of management and budget
to identify evidence-based mental health services for youth and give priority in awarding
grants to proposals that include evidence-based mental health services for youth.
new text end

new text begin (c) The commissioner may make two-year grants under this section.
new text end

new text begin (d) Money appropriated for this section must be expended on activities described under
subdivision 4, technical assistance, and capacity building to meet the greatest need on a
statewide basis. The commissioner shall provide outreach, technical assistance, and program
development support to increase capacity of new and existing service providers to better
meet needs statewide, particularly in areas where shelter-linked youth mental health services
have not been established, especially in greater Minnesota.
new text end

new text begin Subd. 2. new text end

new text begin Definitions. new text end

new text begin (a) The definitions in this subdivision apply to this section.
new text end

new text begin (b) "Commissioner" means the commissioner of human services, unless otherwise
indicated.
new text end

new text begin (c) "Housing provider" means a shelter, housing program, or other entity providing
services under the Homeless Youth Act in section 256K.45 and the Safe Harbor for Sexually
Exploited Youth Act in section 145.4716.
new text end

new text begin (d) "Mental health practitioner" has the meaning given in section 245.462, subdivision
17.
new text end

new text begin (e) "Youth" has the meanings given for "homeless youth," "youth at risk for
homelessness," and "runaway" in section 256K.45, subdivision 1a, "sexually exploited
youth" in section 260C.007, subdivision 31, and "youth eligible for services" in section
145.4716, subdivision 3.
new text end

new text begin Subd. 3. new text end

new text begin Eligibility. new text end

new text begin An eligible applicant for shelter-linked youth mental health grants
under subdivision 1 is a housing provider that:
new text end

new text begin (1) demonstrates that the provider received targeted trauma training focused on sexual
exploitation and adolescent experiences of homelessness; and
new text end

new text begin (2) partners with a community-based mental health practitioner who has demonstrated
experience or access to training regarding adolescent development and trauma-informed
responses.
new text end

new text begin Subd. 4. new text end

new text begin Allowable grant activities. new text end

new text begin (a) Grant recipients may conduct the following
activities with community-based mental health practitioners:
new text end

new text begin (1) develop programming to prepare youth to receive mental health services;
new text end

new text begin (2) provide on-site mental health services, including group skills and therapy sessions.
Grant recipients are encouraged to use evidence-based mental health services;
new text end

new text begin (3) provide mental health case management, as defined in section 256B.0625, subdivision
20; and
new text end

new text begin (4) consult, train, and educate housing provider staff regarding mental health. Grant
recipients are encouraged to provide staff with access to a mental health crisis line 24 hours
a day, seven days a week.
new text end

new text begin (b) Only after promoting and assisting participants with obtaining health insurance
coverage for which the participant is eligible, and only after mental health practitioners bill
covered services to medical assistance or health plan companies, grant recipients may use
grant funds to fill gaps in insurance coverage for mental health services.
new text end

new text begin (c) Grant funds may be used for purchasing equipment, connection charges, on-site
coordination, set-up fees, and site fees to deliver shelter-linked youth mental health services
defined in this subdivision via telemedicine consistent with section 256B.0625, subdivision
3b.
new text end

new text begin Subd. 5. new text end

new text begin Reporting. new text end

new text begin Grant recipients shall report annually on the use of shelter-linked
youth mental health grants to the commissioner by December 31, beginning in 2020. Each
report shall include the name and location of the grant recipient, the amount of each grant,
the youth mental health services provided, and the number of youth receiving services. The
commissioner shall determine the form required for the reports and may specify additional
reporting requirements. The commissioner shall include the shelter-linked youth mental
health services program in the biennial report required under section 256K.45, subdivision
2.
new text end

Sec. 14. new text begin DIRECTION TO COMMISSIONER; IMPROVING SCHOOL-LINKED
MENTAL HEALTH GRANT PROGRAM.
new text end

new text begin (a) The commissioner of human services, in collaboration with the commissioner of
education, representatives from the education community, mental health providers, and
advocates, shall assess the school-linked mental health grant program under Minnesota
Statutes, section 245.4901, and develop recommendations for improvements. The assessment
must include but is not limited to the following:
new text end

new text begin (1) promoting stability among current grantees and school partners;
new text end

new text begin (2) assessing the minimum number of full-time equivalents needed per school site to
effectively carry out the program;
new text end

new text begin (3) developing a funding formula that promotes sustainability and consistency across
grant cycles;
new text end

new text begin (4) reviewing current data collection and evaluation; and
new text end

new text begin (5) analyzing the impact on outcomes when a school has a school-linked mental health
program, a multi-tier system of supports, and sufficient school support personnel to meet
the needs of students.
new text end

new text begin (b) The commissioner shall provide a report of the findings of the assessment and
recommendations, including any necessary statutory changes, to the legislative committees
with jurisdiction over mental health and education by January 15, 2020.
new text end

Sec. 15. new text begin OFFICER-INVOLVED COMMUNITY-BASED CARE COORDINATION;
PLANNING GRANTS.
new text end

new text begin In fiscal year 2020, the commissioner shall make up to ten planning grants of up to
$10,000 available to counties and tribes to establish new officer-involved community-based
care coordination programs. An eligible applicant for a planning grant under this section is
a county or tribe that does not have a fully functioning officer-involved community-based
care coordination program and has not yet taken steps to implement an officer-involved
community-based care coordination program. Planning grant recipients may use grant funds
for the start-up costs of a new officer-involved community-based care coordination program,
including data platform design, data collection, and quarterly reporting.
new text end

Sec. 16. new text begin COMMUNITY COMPETENCY RESTORATION TASK FORCE.
new text end

new text begin Subdivision 1. new text end

new text begin Establishment; purpose. new text end

new text begin The Community Competency Restoration Task
Force is established to evaluate and study community competency restoration programs and
develop recommendations to address the needs of individuals deemed incompetent to stand
trial.
new text end

new text begin Subd. 2. new text end

new text begin Membership. new text end

new text begin (a) The Community Competency Restoration Task Force consists
of the following members, appointed as follows:
new text end

new text begin (1) a representative appointed by the governor's office;
new text end

new text begin (2) the commissioner of human services or designee;
new text end

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

new text begin (4) a representative from direct care and treatment services with experience in competency
evaluations, appointed by the commissioner of human services;
new text end

new text begin (5) a representative appointed by the designated State Protection and Advocacy system;
new text end

new text begin (6) the ombudsman for mental health and developmental disabilities;
new text end

new text begin (7) a representative appointed by the Minnesota Hospital Association;
new text end

new text begin (8) a representative appointed by the Association of Minnesota Counties;
new text end

new text begin (9) two representatives appointed by the Minnesota Association of County Social Service
Administrators: one from the seven-county metropolitan area, as defined under Minnesota
Statutes, section 473.121, subdivision 2, and one from outside the seven-county metropolitan
area;
new text end

new text begin (10) a representative appointed by the Board of Public Defense;
new text end

new text begin (11) a representative appointed by the Minnesota County Attorney Association;
new text end

new text begin (12) a representative appointed by the Chiefs of Police;
new text end

new text begin (13) a representative appointed by the Minnesota Psychiatric Society;
new text end

new text begin (14) a representative appointed by the Minnesota Psychological Association;
new text end

new text begin (15) a representative appointed by the State Court Administrator;
new text end

new text begin (16) a representative appointed by the Minnesota Association of Community Mental
Health Programs;
new text end

new text begin (17) a representative appointed by the Minnesota Sheriff's Association;
new text end

new text begin (18) a representative appointed by the Sentencing Commission;
new text end

new text begin (19) a jail administrator appointed by the commissioner of corrections;
new text end

new text begin (20) a representative from an organization providing reentry services appointed by the
commissioner of corrections;
new text end

new text begin (21) a representative from a mental health advocacy organization appointed by the
commissioner of human services;
new text end

new text begin (22) a person with direct experience with competency restoration appointed by the
commissioner of human services;
new text end

new text begin (23) representatives from organizations representing racial and ethnic groups
overrepresented in the justice system appointed by the commissioner of corrections; and
new text end

new text begin (24) a crime victim appointed by the commissioner of corrections.
new text end

new text begin (b) Appointments to the task force must be made no later than July 15, 2019, and members
of the task force may be compensated as provided under Minnesota Statutes, section 15.059,
subdivision 3.
new text end

new text begin Subd. 3. new text end

new text begin Duties. new text end

new text begin The task force must:
new text end

new text begin (1) identify current services and resources available for individuals in the criminal justice
system who have been found incompetent to stand trial;
new text end

new text begin (2) analyze current trends of competency referrals by county and the impact of any
diversion projects or stepping-up initiatives;
new text end

new text begin (3) analyze selected case reviews and other data to identify risk levels of those individuals,
service usage, housing status, and health insurance status prior to being jailed;
new text end

new text begin (4) research how other states address this issue, including funding and structure of
community competency restoration programs, and jail-based programs; and
new text end

new text begin (5) develop recommendations to address the growing number of individuals deemed
incompetent to stand trial including increasing prevention and diversion efforts, providing
a timely process for reducing the amount of time individuals remain in the criminal justice
system, determining how to provide and fund competency restoration services in the
community, and defining the role of the counties and state in providing competency
restoration.
new text end

new text begin Subd. 4. new text end

new text begin Officers; meetings. new text end

new text begin (a) The commissioner of human services shall convene
the first meeting of the task force no later than August 1, 2019.
new text end

new text begin (b) The task force must elect a chair and vice-chair from among its members and may
elect other officers as necessary.
new text end

new text begin (c) The task force is subject to the Minnesota Open Meeting Law under Minnesota
Statutes, chapter 13D.
new text end

new text begin Subd. 5. new text end

new text begin Staff. new text end

new text begin (a) The commissioner of human services must provide staff assistance
to support the task force's work.
new text end

new text begin (b) The task force may utilize the expertise of the Council of State Governments Justice
Center.
new text end

new text begin Subd. 6. new text end

new text begin Report required. new text end

new text begin (a) By February 1, 2020, the task force shall submit a report
on its progress and findings to the chairs and ranking minority members of the legislative
committees with jurisdiction over mental health and corrections.
new text end

new text begin (b) By February 1, 2021, the task force must submit a written report including
recommendations to address the growing number of individuals deemed incompetent to
stand trial to the chairs and ranking minority members of the legislative committees with
jurisdiction over mental health and corrections.
new text end

new text begin Subd. 7. new text end

new text begin Expiration. new text end

new text begin The task force expires upon submission of the report in subdivision
6, paragraph (b), or February 1, 2021, whichever is later.
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. 17. new text begin CANCELLATION; AGRICULTURAL GROWTH, RESEARCH, AND
INNOVATION PROGRAM.
new text end

new text begin Of the amount appropriated in fiscal year 2019 to the commissioner of agriculture for
the agricultural growth, research, and innovation program for incentive payments in Laws
2017, chapter 88, article 1, section 2, subdivision 4, paragraph (b), clause (2), $70,000 is
canceled to the general fund.
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. 18. new text begin APPROPRIATION; AGRICULTURAL MENTAL HEALTH SERVICES.
new text end

new text begin (a) $....... in fiscal year 2020 is appropriated from the general fund to the commissioner
of agriculture for the following purposes:
new text end

new text begin (1) $....... is for transfer to the Board of Trustees of the Minnesota State Colleges and
Universities to provide additional statewide mental health counseling support to farm families
and business operators through the Minnesota State Agricultural Centers of Excellence.
South Central College and Central Lakes College shall serve as the fiscal agents; and
new text end

new text begin (2) $....... is for coordinating public information, farmer mental health marketing, training
coordination, outreach activities, and engaging farm groups and other agriculture
organizations to reduce the stigma of stress, anxiety, and other mental health challenges.
new text end

new text begin (b) This is a onetime appropriation and is available until June 30, 2023.
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. 19. new text begin APPROPRIATION; STUDENT MENTAL HEALTH SERVICES,
MINNESOTA STATE COLLEGES AND UNIVERSITIES.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the Board of Trustees
of the Minnesota State Colleges and Universities for the mental health services for students
required under Minnesota Statutes, section 136F.20, subdivision 3. This is a onetime
appropriation and is available until June 30, 2023.
new text end

Sec. 20. new text begin APPROPRIATION; STUDENT MENTAL HEALTH SERVICES,
UNIVERSITY OF MINNESOTA SYSTEM.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the Board of Regents
at the University of Minnesota for the mental health services for students required under
Minnesota Statutes, section 137.131. This is a onetime appropriation and is available until
June 30, 2023.
new text end

Sec. 21. new text begin APPROPRIATION; MINNESOTA C.O.R.E. PROGRAM.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
veterans affairs for mental health services in the Minnesota C.O.R.E. program. This is a
onetime appropriation.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2019.
new text end

Sec. 22. new text begin APPROPRIATION; PRE- AND POST-PARTUM SCREENING.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
health for grants for mental health services under Minnesota Statutes, section 145.908. This
is a onetime appropriation and is available until June 30, 2023.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2019.
new text end

Sec. 23. new text begin APPROPRIATION; VOICE RESPONSE SUICIDE PREVENTION, CRISIS
CONNECTION, AND REFERRAL PROGRAM.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
health for a voice response suicide prevention, crisis connection, and referral program
described in Minnesota Statutes, section 145.9275. This is a onetime appropriation and is
available until June 30, 2023.
new text end

Sec. 24. new text begin APPROPRIATION; HEALTH PROFESSIONAL EDUCATION LOAN
FORGIVENESS, RURAL MENTAL HEALTH.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
health for transfer to the health professional education loan forgiveness program account
for loan forgiveness for students or professionals providing rural mental health services
under Minnesota Statutes, section 144.1501, subdivision 2, paragraph (a), clause (1). This
is a onetime appropriation and is available until June 30, 2023.
new text end

Sec. 25. new text begin APPROPRIATIONS; BRIDGES RENTAL ASSISTANCE.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
the Housing Finance Agency for the rental housing assistance program for persons with a
mental illness or families with an adult member with a mental illness under Minnesota
Statutes, section 462A.2097. This is a onetime appropriation and is available until June 30,
2023.
new text end

Sec. 26. new text begin APPROPRIATION; LANDLORD RISK MITIGATION FUND.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
the Housing Finance Agency for grants to eligible applicants to create or expand risk
mitigation programs to reduce financial risks for landlords renting to persons eligible under
Minnesota Statutes, sections 245.4661, subdivision 9, paragraph (a), clause (2), 462A.204,
and 462A.2097. Eligible programs may reimburse landlords for costs including but not
limited to nonpayment of rent, or damage costs above those costs covered by security
deposits. The agency may give higher priority to applicants that demonstrate a matching
amount of money by a local unit of government, business, or nonprofit organization. Grantees
must establish a procedure to review and validate claims and reimbursements under this
grant program. Eligible grantees include but are not limited to nonprofit organizations under
Minnesota Statutes, section 462A.03, subdivision 22, and supportive housing providers
under Minnesota Statutes, section 245.4661, subdivision 9, paragraph (a), clause (2). This
is a onetime appropriation and is available until June 30, 2023.
new text end

Sec. 27. new text begin APPROPRIATION; HOUSING OPTIONS FOR PERSONS WITH SERIOUS
MENTAL ILLNESS.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
human services to provide adult mental health grants under Minnesota Statutes, section
245.4661, subdivision 9, paragraph (a), clause (2), to support increased availability of
housing options with supports for persons with serious mental illness. This is a onetime
appropriation and is available until June 30, 2023.
new text end

Sec. 28. new text begin APPROPRIATION; SHELTER-LINKED YOUTH MENTAL HEALTH
GRANTS.
new text end

new text begin Subdivision 1. new text end

new text begin Shelter-linked youth mental health grants. new text end

new text begin $....... in fiscal year 2020
is appropriated from the general fund to the commissioner of human services for
shelter-linked youth mental health grants under Minnesota Statutes, section 256K.46. This
is a onetime appropriation and is available until June 30, 2023.
new text end

new text begin Subd. 2. new text end

new text begin Grant evaluations. new text end

new text begin (a) $....... in fiscal year 2020 is appropriated from the general
fund to the commissioner of management and budget to evaluate grant recipients' use of
evidence-based mental health services for youth. This is a onetime appropriation and is
available until June 30, 2023.
new text end

new text begin (b) Notwithstanding Minnesota Statutes, section 256K.46, subdivision 1, paragraph (b),
in fiscal year 2020 and fiscal year 2021 only, the commissioner of human services may
award grants to applicants proposing services that are theory-based or promising practices.
In fiscal year 2020 and fiscal year 2021, the commissioner of management and budget, in
consultation with the Department of Human Services, shall conduct program evaluations
using experimental or quasi-experimental designs for projects under Minnesota Statutes,
section 256K.46, that use theory-based or promising practices. Grant recipients must consult
with the commissioner of management and budget and implement the projects to facilitate
the program evaluation and collect and report the information needed to complete the
program evaluation. The commissioner of management and budget, under Minnesota
Statutes, section 15.08, may obtain additional relevant data to support the experimental or
quasi-experimental program evaluation.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2019.
new text end

Sec. 29. new text begin APPROPRIATIONS; SCHOOL-LINKED MENTAL HEALTH GRANTS.
new text end

new text begin (a) $....... in fiscal year 2020 is appropriated from the general fund to the commissioner
of human services for school-linked mental health grants under Minnesota Statutes, section
245.4901, subdivisions 1 to 4. This is a onetime appropriation and is available until June
30, 2023.
new text end

new text begin (b) The appropriation under Minnesota Laws 2017, First Special Session chapter 5,
article 2, section 56, is available until June 30, 2023.
new text end

Sec. 30. new text begin APPROPRIATION; TELEMEDICINE FOR SCHOOL-LINKED MENTAL
HEALTH SERVICES.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
human services for grants to deliver school-linked mental health services by telemedicine.
The grants may be awarded to new or existing providers statewide. The commissioner shall
report to the legislative committees with jurisdiction over mental health on the effectiveness
of the grants after funds appropriated under this section are expended. This is a onetime
appropriation and available until June 30, 2023.
new text end

Sec. 31. new text begin APPROPRIATION; OFFICER-INVOLVED COMMUNITY-BASED CARE
COORDINATION GRANTS.
new text end

new text begin (a) $....... in fiscal year 2020 is appropriated from the general fund to the commissioner
of human services for officer-involved community-based care coordination grants under
Minnesota Statutes, section 245.4663. At least one grant must be awarded to a county that
has operated a fully functional "Yellow Line Project" to provide officer-involved
community-based care coordination services since May, 2017. This is a onetime appropriation
and is available until June 30, 2023.
new text end

new text begin (b) $....... in fiscal year 2020 is appropriated from the general fund to the commissioner
of human services for up to ten planning grants under section 15. In awarding these grants,
the commissioner must place a priority on funding nonmetro programs. $....... of this
appropriation is for a grant to a county that has operated a fully functional "Yellow Line
Project" to provide officer-involved community-based care coordination services since May,
2017, to provide technical assistance to other counties or groups of counties to establish
new officer-involved community-based care coordination programs. This is a onetime
appropriation and is available until June 30, 2023.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2019.
new text end

Sec. 32. new text begin APPROPRIATION; COMMUNITY COMPETENCY RESTORATION
TASK FORCE.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
human services to implement the duties of the Community Competency Restoration Task
Force under section 16. This is a onetime appropriation and is available until June 30, 2023.
new text end

Sec. 33. new text begin APPROPRIATION; MOBILE MENTAL HEALTH CRISIS RESPONSE
TEAM FUNDING.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
human services for adult mental health grants under Minnesota Statutes, section 245.4661,
subdivision 9, paragraph (a), clause (1), to fund regional mobile mental health crisis response
teams throughout the state. The commissioner shall ensure that all grantees receive at least
the amount they received in 2017. This is a onetime appropriation and is available until
June 30, 2023.
new text end

Sec. 34. new text begin APPROPRIATION; PROJECT LEGACY.
new text end

new text begin $....... in fiscal year 2020 is appropriated from the general fund to the commissioner of
human services for a grant to Project Legacy to provide counseling and outreach to youth
and young adults from families with a history of generational poverty. Money from this
appropriation must be spent for mental health care, medical care, chemical dependency
intervention, housing, and mentoring and counseling services for first generation college
students. This is a onetime appropriation and is available until June 30, 2023.
new text end