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Capital IconMinnesota Legislature

HF 4576

as introduced - 92nd Legislature (2021 - 2022) Posted on 03/24/2022 01:59pm

KEY: stricken = removed, old language.
underscored = added, new language.

Current Version - as introduced

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A bill for an act
relating to state government; modifying provisions governing the opioid crisis
response, health care, and health insurance access; making forecast adjustments;
requiring reports; transferring money; making technical and conforming changes;
allocating funds for a specific purpose; establishing certain grants; appropriating
money; amending Minnesota Statutes 2020, sections 256.042, subdivisions 1, 2,
5; 256B.055, subdivision 17; 256B.056, subdivisions 3, 7; 256B.0625, subdivisions
28b, 64; 256B.76, subdivision 1; 256L.04, subdivisions 1c, 7a, 10, by adding a
subdivision; 256L.07, subdivision 1; Minnesota Statutes 2021 Supplement, sections
256.042, subdivision 4; 256B.0625, subdivision 30; 256L.07, subdivision 2;
256L.15, subdivision 2; Laws 2015, chapter 71, article 14, section 2, subdivision
5, as amended; Laws 2020, First Special Session chapter 7, section 1, subdivision
1, as amended; Laws 2021, First Special Session chapter 7, article 1, section 36;
article 16, sections 2, subdivisions 29, 31, 33; 28; article 17, sections 3; 6; 10; 11;
12; 17, subdivision 3; proposing coding for new law in Minnesota Statutes, chapters
256B; 256L.

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

ARTICLE 1

OPIOID CRISIS RESPONSE

Section 1.

Minnesota Statutes 2020, section 256.042, subdivision 1, is amended to read:


Subdivision 1.

Establishment of the advisory council.

(a) The Opiate Epidemic
Response Advisory Council is established to develop and implement a comprehensive and
effective statewide effort to address the opioid addiction and overdose epidemic in Minnesota.
The council shall focus on:

(1) prevention and education, including public education and awareness for adults and
youth, prescriber education, the development and sustainability of opioid overdose prevention
and education programs, the role of adult protective services in prevention and response,
and providing financial support to local law enforcement agencies for opiate antagonist
programs;

(2) training on the treatment of opioid addiction, including the use of all Food and Drug
Administration approved opioid addiction medications, detoxification, relapse prevention,
patient assessment, individual treatment planning, counseling, recovery supports, diversion
control, and other best practices;

(3) the expansion and enhancement of a continuum of care for opioid-related substance
use disorders, including primary prevention, early intervention, treatment, recovery, and
aftercare services; and

(4) the development of measures to assess and protect the ability of cancer patients and
survivors, persons battling life-threatening illnesses, persons suffering from severe chronic
pain, and persons at the end stages of life, who legitimately need prescription pain
medications, to maintain their quality of life by accessing these pain medications without
facing unnecessary barriers. The measures must also address the needs of individuals
described in this clause who are elderly or who reside in underserved or rural areas of the
state.

(b) The council shall:

(1) review local, state, and federal initiatives and activities related to education,
prevention, treatment, and services for individuals and families experiencing and affected
by opioid use disorder;

(2) establish priorities to address the state's opioid epidemic, for the purpose of
recommending initiatives to fund;

(3) recommend to the commissioner of human services specific projects and initiatives
to be funded;

(4) ensure that available funding is allocated to align with other state and federal funding,
to achieve the greatest impact and ensure a coordinated state effort;

(5) consult with the commissioners of human services, health, and management and
budget to develop measurable outcomes to determine the effectiveness of funds allocated;
deleted text begin and
deleted text end

(6) develop recommendations for an administrative and organizational framework for
the allocation, on a sustainable and ongoing basis, of any money deposited into the separate
account under section 16A.151, subdivision 2, paragraph (f), in order to address the opioid
abuse and overdose epidemic in Minnesota and the areas of focus specified in paragraph
(a)deleted text begin.deleted text endnew text begin;
new text end

new text begin (7) review reports, data, and performance measures submitted by municipalities, as
defined in section 466.01, subdivision 1, in receipt of direct payments from settlement
agreements, as described in section 256.043, subdivision 4; and
new text end

new text begin (8) consult with relevant stakeholders, including lead agencies and municipalities, to
review and provide recommendations for necessary revisions to required reporting to ensure
the reporting reflects measures of progress in addressing the harms of the opioid epidemic.
new text end

(c) The council, in consultation with the commissioner of management and budget, and
within available appropriations, shall select from the awarded grants projects new text beginor may select
municipality projects funded by settlement monies as described in section 256.043,
subdivision 4,
new text endthat include promising practices or theory-based activities for which the
commissioner of management and budget shall conduct evaluations using experimental or
quasi-experimental design. Grants awarded to proposals new text beginor municipality projects funded by
settlement monies
new text endthat include promising practices or theory-based activities and that are
selected for an evaluation shall be administered to support the experimental or
quasi-experimental evaluation and require grantees new text beginand municipality projects new text endto collect and
report information that is needed to complete the evaluation. The commissioner of
management and budget, under section 15.08, may obtain additional relevant data to support
the experimental or quasi-experimental evaluation studies.new text begin For the purposes of this paragraph,
"municipality" has the meaning given in section 466.01, subdivision 1.
new text end

(d) The council, in consultation with the commissioners of human services, health, public
safety, and management and budget, shall establish goals related to addressing the opioid
epidemic and determine a baseline against which progress shall be monitored and set
measurable outcomes, including benchmarks. The goals established must include goals for
prevention and public health, access to treatment, and multigenerational impacts. The council
shall use existing measures and data collection systems to determine baseline data against
which progress shall be measured. The council shall include the proposed goals, the
measurable outcomes, and proposed benchmarks to meet these goals in its initial report to
the legislature under subdivision 5, paragraph (a), due January 31, 2021.

Sec. 2.

Minnesota Statutes 2020, section 256.042, subdivision 2, is amended to read:


Subd. 2.

Membership.

(a) The council shall consist of the following deleted text begin19deleted text endnew text begin 30new text end voting
members, appointed by the commissioner of human services except as otherwise specified,
and three nonvoting members:

(1) two members of the house of representatives, appointed in the following sequence:
the first from the majority party appointed by the speaker of the house and the second from
the minority party appointed by the minority leader. Of these two members, one member
must represent a district outside of the seven-county metropolitan area, and one member
must represent a district that includes the seven-county metropolitan area. The appointment
by the minority leader must ensure that this requirement for geographic diversity in
appointments is met;

(2) two members of the senate, appointed in the following sequence: the first from the
majority party appointed by the senate majority leader and the second from the minority
party appointed by the senate minority leader. Of these two members, one member must
represent a district outside of the seven-county metropolitan area and one member must
represent a district that includes the seven-county metropolitan area. The appointment by
the minority leader must ensure that this requirement for geographic diversity in appointments
is met;

(3) one member appointed by the Board of Pharmacy;

(4) one member who is a physician appointed by the Minnesota Medical Association;

(5) one member representing opioid treatment programs, sober living programs, or
substance use disorder programs licensed under chapter 245G;

(6) one member appointed by the Minnesota Society of Addiction Medicine who is an
addiction psychiatrist;

(7) one member representing professionals providing alternative pain management
therapies, including, but not limited to, acupuncture, chiropractic, or massage therapy;

(8) one member representing nonprofit organizations conducting initiatives to address
the opioid epidemic, with the commissioner's initial appointment being a member
representing the Steve Rummler Hope Network, and subsequent appointments representing
this or other organizations;

(9) one member appointed by the Minnesota Ambulance Association who is serving
with an ambulance service as an emergency medical technician, advanced emergency
medical technician, or paramedic;

(10) one member representing the Minnesota courts who is a judge or law enforcement
officer;

(11) one public member who is a Minnesota resident and who is in opioid addiction
recovery;

(12) deleted text begintwodeleted text endnew text begin 11new text end members representing Indian tribes, one representing deleted text beginthe Ojibwe tribes and
one representing the Dakota tribes
deleted text endnew text begin each of Minnesota's Tribal Nationsnew text end;

new text begin (13) two members representing the urban American Indian population;
new text end

deleted text begin (13)deleted text endnew text begin (14)new text end one public member who is a Minnesota resident and who is suffering from
chronic pain, intractable pain, or a rare disease or condition;

deleted text begin (14)deleted text endnew text begin (15)new text end one mental health advocate representing persons with mental illness;

deleted text begin (15)deleted text endnew text begin (16)new text end one member appointed by the Minnesota Hospital Association;

deleted text begin (16)deleted text endnew text begin (17)new text end one member representing a local health department; and

deleted text begin (17)deleted text endnew text begin (18)new text end the commissioners of human services, health, and corrections, or their designees,
who shall be ex officio nonvoting members of the council.

(b) The commissioner of human services shall coordinate the commissioner's
appointments to provide geographic, racial, and gender diversity, and shall ensure that at
least one-half of council members appointed by the commissioner reside outside of the
seven-county metropolitan area new text beginand that at least one-half of the members have lived
experience with opiate addiction
new text end. Of the members appointed by the commissioner, to the
extent practicable, at least one member must represent a community of color
disproportionately affected by the opioid epidemic.

(c) The council is governed by section 15.059, except that members of the council shall
serve three-year terms and shall receive no compensation other than reimbursement for
expenses. Notwithstanding section 15.059, subdivision 6, the council shall not expire.

(d) The chair shall convene the council at least quarterly, and may convene other meetings
as necessary. The chair shall convene meetings at different locations in the state to provide
geographic access, and shall ensure that at least one-half of the meetings are held at locations
outside of the seven-county metropolitan area.

(e) The commissioner of human services shall provide staff and administrative services
for the advisory council.

(f) The council is subject to chapter 13D.

Sec. 3.

Minnesota Statutes 2021 Supplement, section 256.042, subdivision 4, is amended
to read:


Subd. 4.

Grants.

(a) The commissioner of human services shall submit a report of the
grants proposed by the advisory council to be awarded for the upcoming calendar year to
the chairs and ranking minority members of the legislative committees with jurisdiction
over health and human services policy and finance, by December 1 of each year, beginning
March 1, 2020.

(b) The grants shall be awarded to proposals selected by the advisory council that address
the priorities in subdivision 1, paragraph (a), clauses (1) to (4), unless otherwise appropriated
by the legislature. The advisory council shall determine grant awards and funding amounts
based on the funds appropriated to the commissioner under section 256.043, subdivision 3,
paragraph (e). The commissioner shall award the grants from the opiate epidemic response
fund and administer the grants in compliance with section 16B.97. No more than ten percent
of the grant amount may be used by a grantee for administration.new text begin The commissioner must
award at least 40 percent of grants to projects that include a focus on addressing the opiate
crisis in Black and Indigenous communities and communities of color.
new text end

Sec. 4.

Minnesota Statutes 2020, section 256.042, subdivision 5, is amended to read:


Subd. 5.

Reports.

(a) The advisory council shall report annually to the chairs and ranking
minority members of the legislative committees with jurisdiction over health and human
services policy and finance by January 31 of each yeardeleted text begin, beginning January 31, 2021deleted text end. The
report shall include information about the individual projects that receive grantsnew text begin, the
municipality projects funded by settlement monies as described in section 256.043,
subdivision 4,
new text end and the overall role of the deleted text beginprojectdeleted text endnew text begin projectsnew text end in addressing the opioid addiction
and overdose epidemic in Minnesota. The report must describe the grantees and the activities
implemented, along with measurable outcomes as determined by the council in consultation
with the commissioner of human services and the commissioner of management and budget.
At a minimum, the report must include information about the number of individuals who
received information or treatment, the outcomes the individuals achieved, and demographic
information about the individuals participating in the project; an assessment of the progress
toward achieving statewide access to qualified providers and comprehensive treatment and
recovery services; and an update on the evaluations implemented by the commissioner of
management and budget for the promising practices and theory-based projects that receive
funding.

(b) The commissioner of management and budget, in consultation with the Opiate
Epidemic Response Advisory Council, shall report to the chairs and ranking minority
members of the legislative committees with jurisdiction over health and human services
policy and finance when an evaluation study described in subdivision 1, paragraph (c), is
complete on the promising practices or theory-based projects that are selected for evaluation
activities. The report shall include demographic information; outcome information for the
individuals in the program; the results for the program in promoting recovery, employment,
family reunification, and reducing involvement with the criminal justice system; and other
relevant outcomes determined by the commissioner of management and budget that are
specific to the projects that are evaluated. The report shall include information about the
ability of grant programs to be scaled to achieve the statewide results that the grant project
demonstrated.

(c) The advisory council, in its annual report to the legislature under paragraph (a) due
by January 31, 2024, shall include recommendations on whether the appropriations to the
specified entities under Laws 2019, chapter 63, should be continued, adjusted, or
discontinued; whether funding should be appropriated for other purposes related to opioid
abuse prevention, education, and treatment; and on the appropriate level of funding for
existing and new uses.

new text begin (d) Municipalities receiving direct payments for settlement agreements as described in
section 256.043, subdivision 4, must annually report to the commissioner on how the funds
were used on opioid remediation. The report must be submitted in a format prescribed by
the commissioner.
new text end

new text begin The report must include data and measurable outcomes on expenditures funded with
opioid settlement funds, as identified by the commissioner, including details on services
drawn from the categories of approved uses, as identified in agreements between the state
of Minnesota, the Association of Minnesota Counties, and the League of Minnesota Cities.
Minimum reporting requirements must include:
new text end

new text begin (1) contact information;
new text end

new text begin (2) information on funded services and programs; and
new text end

new text begin (3) target populations for each funded service and program.
new text end

new text begin (e) In reporting data and outcomes under paragraph (d), municipalities should include
information on the use of evidence-based and culturally relevant services, to the extent
feasible.
new text end

new text begin (f) Reporting requirements for municipal projects using $25,000 or more of settlement
funds in a calendar year must also include:
new text end

new text begin (1) a brief qualitative description of successes or challenges; and
new text end

new text begin (2) results using process and quality measures.
new text end

new text begin (g) For the purposes of this subdivision, "municipality" or "municipalities" has the
meaning given in section 466.01, subdivision 1.
new text end

ARTICLE 2

HEALTH CARE

Section 1.

Minnesota Statutes 2020, section 256B.055, subdivision 17, is amended to read:


Subd. 17.

Adults who were in foster care at the age of 18.

new text begin(a) new text endMedical assistance may
be paid for a person under 26 years of age who was in foster care under the commissioner's
responsibility on the date of attaining 18 years of agenew text begin or oldernew text end, and who was enrolled in
medical assistance under deleted text beginthedeleted text endnew text begin anew text end state plan or a waiver of deleted text beginthedeleted text endnew text begin anew text end plan while in foster care, in
accordance with section 2004 of the Affordable Care Act.

new text begin (b) Beginning January 1, 2023, medical assistance may be paid for a person under 26
years of age who was in foster care and enrolled in another state's Medicaid program while
in foster care, in accordance with Public Law 115-271, section 1002, the Substance
Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and
Communities Act.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2023.
new text end

Sec. 2.

Minnesota Statutes 2020, section 256B.056, subdivision 3, is amended to read:


Subd. 3.

Asset limitations for certain individuals.

(a) To be eligible for medical
assistance, a person must not individually own more than $3,000 in assets, or if a member
of a household with two family members, husband and wife, or parent and child, the
household must not own more than $6,000 in assets, plus $200 for each additional legal
dependent. In addition to these maximum amounts, an eligible individual or family may
accrue interest on these amounts, but they must be reduced to the maximum at the time of
an eligibility redetermination. The accumulation of the clothing and personal needs allowance
according to section 256B.35 must also be reduced to the maximum at the time of the
eligibility redetermination. The value of assets that are not considered in determining
eligibility for medical assistance is the value of those assets excluded under the Supplemental
Security Income program for aged, blind, and disabled persons, with the following
exceptions:

(1) household goods and personal effects are not considered;

(2) capital and operating assets of a trade or business that the local agency determines
are necessary to the person's ability to earn an income are not considered;

(3) motor vehicles are excluded to the same extent excluded by the Supplemental Security
Income program;

(4) assets designated as burial expenses are excluded to the same extent excluded by the
Supplemental Security Income program. Burial expenses funded by annuity contracts or
life insurance policies must irrevocably designate the individual's estate as contingent
beneficiary to the extent proceeds are not used for payment of selected burial expenses;

(5) for a person who no longer qualifies as an employed person with a disability due to
loss of earnings, assets allowed while eligible for medical assistance under section 256B.057,
subdivision 9
, are not considered for 12 months, beginning with the first month of ineligibility
as an employed person with a disability, to the extent that the person's total assets remain
within the allowed limits of section 256B.057, subdivision 9, paragraph (d);

(6) a designated employment incentives asset account is disregarded when determining
eligibility for medical assistance for a person age 65 years or older under section 256B.055,
subdivision
7. An employment incentives asset account must only be designated by a person
who has been enrolled in medical assistance under section 256B.057, subdivision 9, for a
24-consecutive-month period. A designated employment incentives asset account contains
qualified assets owned by the person and the person's spouse in the last month of enrollment
in medical assistance under section 256B.057, subdivision 9. Qualified assets include
retirement and pension accounts, medical expense accounts, and up to $17,000 of the person's
other nonexcluded assets. An employment incentives asset account is no longer designated
when a person loses medical assistance eligibility for a calendar month or more before
turning age 65. A person who loses medical assistance eligibility before age 65 can establish
a new designated employment incentives asset account by establishing a new
24-consecutive-month period of enrollment under section 256B.057, subdivision 9. The
income of a spouse of a person enrolled in medical assistance under section 256B.057,
subdivision 9
, during each of the 24 consecutive months before the person's 65th birthday
must be disregarded when determining eligibility for medical assistance under section
256B.055, subdivision 7. Persons eligible under this clause are not subject to the provisions
in section 256B.059; deleted text beginand
deleted text end

(7) effective July 1, 2009, certain assets owned by American Indians are excluded as
required by section 5006 of the American Recovery and Reinvestment Act of 2009, Public
Law 111-5. For purposes of this clause, an American Indian is any person who meets the
definition of Indian according to Code of Federal Regulations, title 42, section 447.50deleted text begin.deleted text endnew text begin; and
new text end

new text begin (8) for individuals who were enrolled in medical assistance during the COVID-19 federal
public health emergency declared by the United States Secretary of Health and Human
Services and who are subject to the asset limits established by this subdivision, assets in
excess of the limits shall be disregarded until 95 days after the individual's first renewal
occurring after the expiration of the COVID-19 federal public health emergency declared
by the United States Secretary of Health and Human Services.
new text end

(b) No asset limit shall apply to persons eligible under section 256B.055, subdivision
15.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective July 1, 2022, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 3.

Minnesota Statutes 2020, section 256B.056, subdivision 7, is amended to read:


Subd. 7.

Period of eligibility.

(a) Eligibility is available for the month of application
and for three months prior to application if the person was eligible in those prior months.
A redetermination of eligibility must occur every 12 months.

(b) For a person eligible for an insurance affordability program as defined in section
256B.02, subdivision 19, who reports a change that makes the person eligible for medical
assistance, eligibility is available for the month the change was reported and for three months
prior to the month the change was reported, if the person was eligible in those prior months.

new text begin (c) Once determined eligible for medical assistance, a child under the age of 21 shall be
continuously eligible for a period of up to 12 months, unless:
new text end

new text begin (1) the child reaches age 21;
new text end

new text begin (2) the child requests voluntary termination of coverage;
new text end

new text begin (3) the child ceases to be a resident of Minnesota;
new text end

new text begin (4) the child dies; or
new text end

new text begin (5) the agency determines the child's eligibility was erroneously granted due to agency
error or enrollee fraud, abuse, or perjury.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2023, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 4.

Minnesota Statutes 2020, section 256B.0625, subdivision 28b, is amended to read:


Subd. 28b.

Doula services.

Medical assistance covers doula services provided by a
certified doula as defined in section 148.995, subdivision 2, of the mother's choice. For
purposes of this section, "doula services" means childbirth education and support services,
including emotional and physical support provided during pregnancy, labor, birth, and
postpartum.new text begin The commissioner shall enroll doula agencies and individual treating doulas
in order to provide direct reimbursement.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2024, subject to federal
approval. The commissioner of human services shall notify the revisor of statutes when
federal approval is obtained.
new text end

Sec. 5.

Minnesota Statutes 2021 Supplement, section 256B.0625, subdivision 30, is
amended to read:


Subd. 30.

Other clinic services.

(a) Medical assistance covers rural health clinic services,
federally qualified health center services, nonprofit community health clinic services, and
public health clinic services. Rural health clinic services and federally qualified health center
services mean services defined in United States Code, title 42, section 1396d(a)(2)(B) and
(C). Payment for rural health clinic and federally qualified health center services shall be
made according to applicable federal law and regulation.

(b) A federally qualified health center (FQHC) that is beginning initial operation shall
submit an estimate of budgeted costs and visits for the initial reporting period in the form
and detail required by the commissioner. An FQHC that is already in operation shall submit
an initial report using actual costs and visits for the initial reporting period. Within 90 days
of the end of its reporting period, an FQHC shall submit, in the form and detail required by
the commissioner, a report of its operations, including allowable costs actually incurred for
the period and the actual number of visits for services furnished during the period, and other
information required by the commissioner. FQHCs that file Medicare cost reports shall
provide the commissioner with a copy of the most recent Medicare cost report filed with
the Medicare program intermediary for the reporting year which support the costs claimed
on their cost report to the state.

(c) In order to continue cost-based payment under the medical assistance program
according to paragraphs (a) and (b), an FQHC or rural health clinic must apply for designation
as an essential community provider within six months of final adoption of rules by the
Department of Health according to section 62Q.19, subdivision 7. For those FQHCs and
rural health clinics that have applied for essential community provider status within the
six-month time prescribed, medical assistance payments will continue to be made according
to paragraphs (a) and (b) for the first three years after application. For FQHCs and rural
health clinics that either do not apply within the time specified above or who have had
essential community provider status for three years, medical assistance payments for health
services provided by these entities shall be according to the same rates and conditions
applicable to the same service provided by health care providers that are not FQHCs or rural
health clinics.

(d) Effective July 1, 1999, the provisions of paragraph (c) requiring an FQHC or a rural
health clinic to make application for an essential community provider designation in order
to have cost-based payments made according to paragraphs (a) and (b) no longer apply.

(e) Effective January 1, 2000, payments made according to paragraphs (a) and (b) shall
be limited to the cost phase-out schedule of the Balanced Budget Act of 1997.

(f) Effective January 1, 2001, through December 31, 2020, each FQHC and rural health
clinic may elect to be paid either under the prospective payment system established in United
States Code, title 42, section 1396a(aa), or under an alternative payment methodology
consistent with the requirements of United States Code, title 42, section 1396a(aa), and
approved by the Centers for Medicare and Medicaid Services. The alternative payment
methodology shall be 100 percent of cost as determined according to Medicare cost
principles.

(g) Effective for services provided on or after January 1, 2021, all claims for payment
of clinic services provided by FQHCs and rural health clinics shall be paid by the
commissioner, according to an annual election by the FQHC or rural health clinic, under
the current prospective payment system described in paragraph (f) or the alternative payment
methodology described in paragraph (l).

(h) For purposes of this section, "nonprofit community clinic" is a clinic that:

(1) has nonprofit status as specified in chapter 317A;

(2) has tax exempt status as provided in Internal Revenue Code, section 501(c)(3);

(3) is established to provide health services to low-income population groups, uninsured,
high-risk and special needs populations, underserved and other special needs populations;

(4) employs professional staff at least one-half of which are familiar with the cultural
background of their clients;

(5) charges for services on a sliding fee scale designed to provide assistance to
low-income clients based on current poverty income guidelines and family size; and

(6) does not restrict access or services because of a client's financial limitations or public
assistance status and provides no-cost care as needed.

(i) Effective for services provided on or after January 1, 2015, all claims for payment
of clinic services provided by FQHCs and rural health clinics shall be paid by the
commissioner. the commissioner shall determine the most feasible method for paying claims
from the following options:

(1) FQHCs and rural health clinics submit claims directly to the commissioner for
payment, and the commissioner provides claims information for recipients enrolled in a
managed care or county-based purchasing plan to the plan, on a regular basis; or

(2) FQHCs and rural health clinics submit claims for recipients enrolled in a managed
care or county-based purchasing plan to the plan, and those claims are submitted by the
plan to the commissioner for payment to the clinic.

(j) For clinic services provided prior to January 1, 2015, the commissioner shall calculate
and pay monthly the proposed managed care supplemental payments to clinics, and clinics
shall conduct a timely review of the payment calculation data in order to finalize all
supplemental payments in accordance with federal law. Any issues arising from a clinic's
review must be reported to the commissioner by January 1, 2017. Upon final agreement
between the commissioner and a clinic on issues identified under this subdivision, and in
accordance with United States Code, title 42, section 1396a(bb), no supplemental payments
for managed care plan or county-based purchasing plan claims for services provided prior
to January 1, 2015, shall be made after June 30, 2017. If the commissioner and clinics are
unable to resolve issues under this subdivision, the parties shall submit the dispute to the
arbitration process under section 14.57.

(k) The commissioner shall seek a federal waiver, authorized under section 1115 of the
Social Security Act, to obtain federal financial participation at the 100 percent federal
matching percentage available to facilities of the Indian Health Service or tribal organization
in accordance with section 1905(b) of the Social Security Act for expenditures made to
organizations dually certified under Title V of the Indian Health Care Improvement Act,
Public Law 94-437, and as a federally qualified health center under paragraph (a) that
provides services to American Indian and Alaskan Native individuals eligible for services
under this subdivision.

(l) All claims for payment of clinic services provided by FQHCs and rural health clinics,
that have elected to be paid under this paragraph, shall be paid by the commissioner according
to the following requirements:

(1) the commissioner shall establish a single medical and single dental organization
encounter rate for each FQHC and rural health clinic when applicable;

(2) each FQHC and rural health clinic is eligible for same day reimbursement of one
medical and one dental organization encounter rate if eligible medical and dental visits are
provided on the same day;

(3) the commissioner shall reimburse FQHCs and rural health clinics, in accordance
with current applicable Medicare cost principles, their allowable costs, including direct
patient care costs and patient-related support services. Nonallowable costs include, but are
not limited to:

(i) general social services and administrative costs;

(ii) retail pharmacy;

(iii) patient incentives, food, housing assistance, and utility assistance;

(iv) external lab and x-ray;

(v) navigation services;

(vi) health care taxes;

(vii) advertising, public relations, and marketing;

(viii) office entertainment costs, food, alcohol, and gifts;

(ix) contributions and donations;

(x) bad debts or losses on awards or contracts;

(xi) fines, penalties, damages, or other settlements;

(xii) fund-raising, investment management, and associated administrative costs;

(xiii) research and associated administrative costs;

(xiv) nonpaid workers;

(xv) lobbying;

(xvi) scholarships and student aid; and

(xvii) nonmedical assistance covered services;

(4) the commissioner shall review the list of nonallowable costs in the years between
the rebasing process established in clause (5), in consultation with the Minnesota Association
of Community Health Centers, FQHCs, and rural health clinics. The commissioner shall
publish the list and any updates in the Minnesota health care programs provider manual;

(5) the initial applicable base year organization encounter rates for FQHCs and rural
health clinics shall be computed for services delivered on or after January 1, 2021, and:

(i) must be determined using each FQHC's and rural health clinic's Medicare cost reports
from 2017 and 2018;

(ii) must be according to current applicable Medicare cost principles as applicable to
FQHCs and rural health clinics without the application of productivity screens and upper
payment limits or the Medicare prospective payment system FQHC aggregate mean upper
payment limit;

(iii) must be subsequently rebased every two years thereafter using the Medicare cost
reports that are three and four years prior to the rebasing year. Years in which organizational
cost or claims volume is reduced or altered due to a pandemic, disease, or other public health
emergency shall not be used as part of a base year when the base year includes more than
one year. The commissioner may use the Medicare cost reports of a year unaffected by a
pandemic, disease, or other public health emergency, or previous two consecutive years,
inflated to the base year as established under item (iv);

(iv) must be inflated to the base year using the inflation factor described in clause (6);
and

(v) the commissioner must provide for a 60-day appeals process under section 14.57;

(6) the commissioner shall annually inflate the applicable organization encounter rates
for FQHCs and rural health clinics from the base year payment rate to the effective date by
using the CMS FQHC Market Basket inflator established under United States Code, title
42, section 1395m(o), less productivity;

(7) FQHCs and rural health clinics that have elected the alternative payment methodology
under this paragraph shall submit all necessary documentation required by the commissioner
to compute the rebased organization encounter rates no later than six months following the
date the applicable Medicare cost reports are due to the Centers for Medicare and Medicaid
Services;

(8) the commissioner shall reimburse FQHCs and rural health clinics an additional
amount relative to their medical and dental organization encounter rates that is attributable
to the tax required to be paid according to section 295.52, if applicable;

(9) FQHCs and rural health clinics may submit change of scope requests to the
commissioner if the change of scope would result in an increase or decrease of 2.5 percent
or higher in the medical or dental organization encounter rate currently received by the
FQHC or rural health clinic;

(10) for FQHCs and rural health clinics seeking a change in scope with the commissioner
under clause (9) that requires the approval of the scope change by the federal Health
Resources Services Administration:

(i) FQHCs and rural health clinics shall submit the change of scope request, including
the start date of services, to the commissioner within seven business days of submission of
the scope change to the federal Health Resources Services Administration;

(ii) the commissioner shall establish the effective date of the payment change as the
federal Health Resources Services Administration date of approval of the FQHC's or rural
health clinic's scope change request, or the effective start date of services, whichever is
later; and

(iii) within 45 days of one year after the effective date established in item (ii), the
commissioner shall conduct a retroactive review to determine if the actual costs established
under clause (3) or encounters result in an increase or decrease of 2.5 percent or higher in
the medical or dental organization encounter rate, and if this is the case, the commissioner
shall revise the rate accordingly and shall adjust payments retrospectively to the effective
date established in item (ii);

(11) for change of scope requests that do not require federal Health Resources Services
Administration approval, the FQHC and rural health clinic shall submit the request to the
commissioner before implementing the change, and the effective date of the change is the
date the commissioner received the FQHC's or rural health clinic's request, or the effective
start date of the service, whichever is later. The commissioner shall provide a response to
the FQHC's or rural health clinic's request within 45 days of submission and provide a final
approval within 120 days of submission. This timeline may be waived at the mutual
agreement of the commissioner and the FQHC or rural health clinic if more information is
needed to evaluate the request;

(12) the commissioner, when establishing organization encounter rates for new FQHCs
and rural health clinics, shall consider the patient caseload of existing FQHCs and rural
health clinics in a 60-mile radius for organizations established outside of the seven-county
metropolitan area, and in a 30-mile radius for organizations in the seven-county metropolitan
area. If this information is not available, the commissioner may use Medicare cost reports
or audited financial statements to establish base rates;

(13) the commissioner shall establish a quality measures workgroup that includes
representatives from the Minnesota Association of Community Health Centers, FQHCs,
and rural health clinics, to evaluate clinical and nonclinical measures; and

(14) the commissioner shall not disallow or reduce costs that are related to an FQHC's
or rural health clinic's participation in health care educational programs to the extent that
the costs are not accounted for in the alternative payment methodology encounter rate
established in this paragraph.

new text begin (m) Effective July 1, 2022, an enrolled Indian Health Service facility or a Tribal health
center operating under a 638 contract or compact may elect to also enroll as a Tribal FQHC.
No requirements that otherwise apply to FQHCs covered in this subdivision shall apply to
Tribal FQHCs enrolled under this paragraph, except those necessary to comply with federal
regulations. The commissioner shall establish an alternative payment method for Tribal
FQHCs enrolled under this paragraph that uses the same method and rates applicable to a
Tribal facility or health center that does not enroll as a Tribal FQHC.
new text end

Sec. 6.

Minnesota Statutes 2020, section 256B.0625, subdivision 64, is amended to read:


Subd. 64.

Investigational drugs, biological products, devices, and clinical
trials.

Medical assistance and the early periodic screening, diagnosis, and treatment (EPSDT)
program do not cover deleted text beginthe costs of any services that are incidental to, associated with, or
resulting from the use of
deleted text end investigational drugs, biological products, or devices as defined
in section 151.375 or any other treatment that is part of an approved clinical trial as defined
in section 62Q.526. Participation of an enrollee in an approved clinical trial does not preclude
coverage of medically necessary services covered under this chapter that are not related to
the approved clinical trial.new text begin Any items purchased or services rendered solely to satisfy data
collection and analysis for a clinical trial and not for direct clinical management of the
member are not covered.
new text end

Sec. 7.

new text begin [256B.161] CLIENT ERROR OVERPAYMENT.
new text end

new text begin Subdivision 1. new text end

new text begin Scope. new text end

new text begin (a) Subject to federal law and regulation, when a local agency or
the Department of Human Services determines a person under section 256.98, subdivision
4, is liable for recovery of medical assistance incorrectly paid as a result of client error or
when a recipient or former recipient receives medical assistance while an appeal is pending
pursuant to section 256.045, subdivision 10, and the recipient or former recipient is later
determined to have been ineligible for the medical assistance received or for less medical
assistance than was received during the pendency of the appeal, the local agency or the
Department of Human Services must:
new text end

new text begin (1) determine the eligibility months during which medical assistance was incorrectly
paid;
new text end

new text begin (2) redetermine eligibility for the incorrectly paid months using department policies and
procedures that were in effect during each eligibility month that was incorrectly paid; and
new text end

new text begin (3) assess an overpayment against persons liable for recovery under section 256.98,
subdivision 4, for the amount of incorrectly paid medical assistance pursuant to section
256.98, subdivision 3.
new text end

new text begin (b) Notwithstanding section 256.98, subdivision 4, medical assistance incorrectly paid
to a recipient as a result of client error when the recipient is under 21 years of age is not
recoverable from the recipient or recipient's estate. This section does not prohibit the state
agency from:
new text end

new text begin (1) receiving payment from a trust pursuant to United States Code, title 42, section
1396p(d)(4)(A) or (C), for medical assistance paid on behalf of the trust beneficiary for
services received at any age; or
new text end

new text begin (2) claiming against the designated beneficiary of an Achieving a Better Life Experience
(ABLE) account or the ABLE account itself pursuant to Code of Federal Regulations, title
26, section 1.529A-2(o), for the amount of the total medical assistance paid for the designated
beneficiary at any age after establishment of the ABLE account.
new text end

new text begin Subd. 2. new text end

new text begin Recovering client error overpayment. new text end

new text begin (a) The local agency or the Department
of Human Services must not attempt recovery of the overpayment amount pursuant to
chapter 270A or section 256.0471 when a person liable for a client error overpayment under
section 256.98, subdivision 4, voluntarily repays the overpayment amount or establishes a
payment plan in writing with the local agency or the Department of Human Services to
repay the overpayment amount within 90 days after receiving the overpayment notice or
after resolution of a fair hearing regarding the overpayment under section 256.045, whichever
is later. When a liable person agrees to a payment plan in writing with the local agency or
the Department of Human Services but has not repaid any amount six months after entering
the agreement, the local agency or Department of Human Services must pursue recovery
under paragraph (b).
new text end

new text begin (b) If the liable person does not voluntarily repay the overpayment amount or establish
a repayment agreement under paragraph (a), the local agency or the Department of Human
Services must attempt recovery of the overpayment amount pursuant to chapter 270A when
the overpayment amount is eligible for recovery as a public assistance debt under chapter
270A. For any overpaid amount of solely state-funded medical assistance, the local agency
or the Department of Human Services must attempt recovery pursuant to section 256.0471.
new text end

new text begin Subd. 3. new text end

new text begin Writing off client error overpayment. new text end

new text begin A local agency or the Department of
Human Services must not attempt to recover a client error overpayment of less than $350,
unless the overpayment is for medical assistance received pursuant to section 256.045,
subdivision 10, during the pendency of an appeal or unless the recovery is from the recipient's
estate or the estate of the recipient's surviving spouse. A local agency or the Department of
Human Services may write off any remaining balance of a client error overpayment when
the overpayment has not been repaid five years after the effective date of the overpayment
and the local agency or the Department of Human Services determines it is no longer cost
effective to attempt recovery of the remaining balance.
new text end

Sec. 8.

Minnesota Statutes 2020, section 256B.76, subdivision 1, is amended to read:


Subdivision 1.

Physician reimbursement.

(a) Effective for services rendered on or after
October 1, 1992, the commissioner shall make payments for physician services as follows:

(1) payment for level one Centers for Medicare and Medicaid Services' common
procedural coding system codes titled "office and other outpatient services," "preventive
medicine new and established patient," "delivery, antepartum, and postpartum care," "critical
care," cesarean delivery and pharmacologic management provided to psychiatric patients,
and level three codes for enhanced services for prenatal high risk, shall be paid at the lower
of (i) submitted charges, or (ii) 25 percent above the rate in effect on June 30, 1992;

(2) payments for all other services shall be paid at the lower of (i) submitted charges,
or (ii) 15.4 percent above the rate in effect on June 30, 1992; and

(3) all physician rates shall be converted from the 50th percentile of 1982 to the 50th
percentile of 1989, less the percent in aggregate necessary to equal the above increases
except that payment rates for home health agency services shall be the rates in effect on
September 30, 1992.

(b) Effective for services rendered on or after January 1, 2000, payment rates for physician
and professional services shall be increased by three percent over the rates in effect on
December 31, 1999, except for home health agency and family planning agency services.
The increases in this paragraph shall be implemented January 1, 2000, for managed care.

(c) Effective for services rendered on or after July 1, 2009, payment rates for physician
and professional services shall be reduced by five percent, except that for the period July
1, 2009, through June 30, 2010, payment rates shall be reduced by 6.5 percent for the medical
assistance and general assistance medical care programs, over the rates in effect on June
30, 2009. This reduction and the reductions in paragraph (d) do not apply to office or other
outpatient visits, preventive medicine visits and family planning visits billed by physicians,
advanced practice nurses, or physician assistants in a family planning agency or in one of
the following primary care practices: general practice, general internal medicine, general
pediatrics, general geriatrics, and family medicine. This reduction and the reductions in
paragraph (d) do not apply to federally qualified health centers, rural health centers, and
Indian health services. Effective October 1, 2009, payments made to managed care plans
and county-based purchasing plans under sections 256B.69, 256B.692, and 256L.12 shall
reflect the payment reduction described in this paragraph.

(d) Effective for services rendered on or after July 1, 2010, payment rates for physician
and professional services shall be reduced an additional seven percent over the five percent
reduction in rates described in paragraph (c). This additional reduction does not apply to
physical therapy services, occupational therapy services, and speech pathology and related
services provided on or after July 1, 2010. This additional reduction does not apply to
physician services billed by a psychiatrist or an advanced practice nurse with a specialty in
mental health. Effective October 1, 2010, payments made to managed care plans and
county-based purchasing plans under sections 256B.69, 256B.692, and 256L.12 shall reflect
the payment reduction described in this paragraph.

(e) Effective for services rendered on or after September 1, 2011, through June 30, 2013,
payment rates for physician and professional services shall be reduced three percent from
the rates in effect on August 31, 2011. This reduction does not apply to physical therapy
services, occupational therapy services, and speech pathology and related services.

(f) Effective for services rendered on or after September 1, 2014, payment rates for
physician and professional services, including physical therapy, occupational therapy, speech
pathology, and mental health services shall be increased by five percent from the rates in
effect on August 31, 2014. In calculating this rate increase, the commissioner shall not
include in the base rate for August 31, 2014, the rate increase provided under section
256B.76, subdivision 7. This increase does not apply to federally qualified health centers,
rural health centers, and Indian health services. Payments made to managed care plans and
county-based purchasing plans shall not be adjusted to reflect payments under this paragraph.

(g) Effective for services rendered on or after July 1, 2015, payment rates for physical
therapy, occupational therapy, and speech pathology and related services provided by a
hospital meeting the criteria specified in section 62Q.19, subdivision 1, paragraph (a), clause
(4), shall be increased by 90 percent from the rates in effect on June 30, 2015. Payments
made to managed care plans and county-based purchasing plans shall not be adjusted to
reflect payments under this paragraph.

(h) Any ratables effective before July 1, 2015, do not apply to early intensive
developmental and behavioral intervention (EIDBI) benefits described in section 256B.0949.

new text begin (i) Medical assistance may reimburse for the cost incurred to pay the Department of
Health for metabolic disorder testing of newborns who are medical assistance recipients
when the sample is collected outside of an inpatient hospital setting or freestanding birth
center setting because the newborn was born outside of a hospital or freestanding birth
center or because it is not medically appropriate to collect the sample during the inpatient
stay for the birth.
new text end

Sec. 9.

Minnesota Statutes 2020, section 256L.04, subdivision 10, is amended to read:


Subd. 10.

Citizenship requirements.

(a) Eligibility for MinnesotaCare is limited to
citizens or nationals of the United States and lawfully present noncitizens as defined in
Code of Federal Regulations, title 8, section 103.12. Undocumented noncitizensnew text begin, with the
exception of children under age 19,
new text end are ineligible for MinnesotaCare. For purposes of this
subdivision, an undocumented noncitizen is an individual who resides in the United States
without the approval or acquiescence of the United States Citizenship and Immigration
Services. Families with children who are citizens or nationals of the United States must
cooperate in obtaining satisfactory documentary evidence of citizenship or nationality
according to the requirements of the federal Deficit Reduction Act of 2005, Public Law
109-171.

(b) Notwithstanding subdivisions 1 and 7, eligible persons include families and
individuals who are lawfully present and ineligible for medical assistance by reason of
immigration status and who have incomes equal to or less than 200 percent of federal poverty
guidelines.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2024.
new text end

Sec. 10.

new text begin [256L.181] CLIENT ERROR OVERPAYMENT.
new text end

new text begin Subdivision 1. new text end

new text begin Scope. new text end

new text begin (a) Subject to federal law and regulation, when a local agency or
the Department of Human Services determines a person under section 256.98, subdivision
4, is liable for recovery of medical assistance incorrectly paid as a result of client error or
when a recipient or former recipient receives medical assistance while an appeal is pending
pursuant to section 256.045, subdivision 10, and the recipient or former recipient is later
determined to have been ineligible for the medical assistance received or for less medical
assistance than was received during the pendency of the appeal, the local agency or the
Department of Human Services must:
new text end

new text begin (1) determine the eligibility months during which medical assistance was incorrectly
paid;
new text end

new text begin (2) redetermine eligibility for the incorrectly paid months using department policies and
procedures that were in effect during each eligibility month that was incorrectly paid; and
new text end

new text begin (3) assess an overpayment against persons liable for recovery under section 256.98,
subdivision 4, for the amount of incorrectly paid medical assistance pursuant to section
256.98, subdivision 3.
new text end

new text begin (b) Notwithstanding section 256.98, subdivision 4, medical assistance incorrectly paid
to a recipient as a result of client error when the recipient is under 21 years of age is not
recoverable from the recipient or recipient's estate. This section does not prohibit the state
agency from:
new text end

new text begin (1) receiving payment from a trust pursuant to United States Code, title 42, section
1396p(d)(4)(A) or (C), for medical assistance paid on behalf of the trust beneficiary for
services received at any age; or
new text end

new text begin (2) claiming against the designated beneficiary of an Achieving a Better Life Experience
(ABLE) account or the ABLE account itself pursuant to Code of Federal Regulations, title
26, section 1.529A-2(o), for the amount of the total medical assistance paid for the designated
beneficiary at any age after establishment of the ABLE account.
new text end

new text begin Subd. 2. new text end

new text begin Recovering client error overpayment. new text end

new text begin (a) The local agency or the Department
of Human Services must not attempt recovery of the overpayment amount pursuant to
chapter 270A or section 256.0471 when a person liable for a client error overpayment under
section 256.98, subdivision 4, voluntarily repays the overpayment amount or establishes a
payment plan in writing with the local agency or the Department of Human Services to
repay the overpayment amount within 90 days after receiving the overpayment notice or
after resolution of a fair hearing regarding the overpayment under section 256.045, whichever
is later. When a liable person agrees to a payment plan in writing with the local agency or
the Department of Human Services but has not repaid any amount six months after entering
the agreement, the local agency or Department of Human Services must pursue recovery
under paragraph (b).
new text end

new text begin (b) If the liable person does not voluntarily repay the overpayment amount or establish
a repayment agreement under paragraph (a), the local agency or the Department of Human
Services must attempt recovery of the overpayment amount pursuant to chapter 270A when
the overpayment amount is eligible for recovery as a public assistance debt under chapter
270A. For any overpaid amount of solely state-funded medical assistance, the local agency
or the Department of Human Services must attempt recovery pursuant to section 256.0471.
new text end

new text begin Subd. 3. new text end

new text begin Writing off client error overpayment. new text end

new text begin A local agency or the Department of
Human Services must not attempt to recover a client error overpayment of less than $350,
unless the overpayment is for medical assistance received pursuant to section 256.045,
subdivision 10, during the pendency of an appeal or unless the recovery is from the recipient's
estate or the estate of the recipient's surviving spouse. A local agency or the Department of
Human Services may write off any remaining balance of a client error overpayment when
the overpayment has not been repaid five years after the effective date of the overpayment
and the local agency or the Department of Human Services determines it is no longer cost
effective to attempt recovery of the remaining balance.
new text end

Sec. 11.

Laws 2015, chapter 71, article 14, section 2, subdivision 5, as amended by Laws
2015, First Special Session chapter 6, section 1, is amended to read:


Subd. 5.

Grant Programs

The amounts that may be spent from this
appropriation for each purpose are as follows:

(a) Support Services Grants
Appropriations by Fund
General
13,133,000
8,715,000
Federal TANF
96,311,000
96,311,000
(b) Basic Sliding Fee Child Care Assistance
Grants
48,439,000
51,559,000

Basic Sliding Fee Waiting List Allocation.
Notwithstanding Minnesota Statutes, section
119B.03, $5,413,000 in fiscal year 2016 is to
reduce the basic sliding fee program waiting
list as follows:

(1) The calendar year 2016 allocation shall be
increased to serve families on the waiting list.
To receive funds appropriated for this purpose,
a county must have:

(i) a waiting list in the most recent published
waiting list month;

(ii) an average of at least ten families on the
most recent six months of published waiting
list; and

(iii) total expenditures in calendar year 2014
that met or exceeded 80 percent of the county's
available final allocation.

(2) Funds shall be distributed proportionately
based on the average of the most recent six
months of published waiting lists to counties
that meet the criteria in clause (1).

(3) Allocations in calendar years 2017 and
beyond shall be calculated using the allocation
formula in Minnesota Statutes, section
119B.03.

(4) The guaranteed floor for calendar year
2017 shall be based on the revised calendar
year 2016 allocation.

Base Level Adjustment. The general fund
base is increased by $810,000 in fiscal year
2018 and increased by $821,000 in fiscal year
2019.

(c) Child Care Development Grants
1,737,000
1,737,000
(d) Child Support Enforcement Grants
50,000
50,000
(e) Children's Services Grants
Appropriations by Fund
General
39,015,000
38,665,000
Federal TANF
140,000
140,000

Safe Place for Newborns. $350,000 from the
general fund in fiscal year 2016 is to distribute
information on the Safe Place for Newborns
law in Minnesota to increase public awareness
of the law. This is a onetime appropriation.

Child Protection. $23,350,000 in fiscal year
2016 and $23,350,000 in fiscal year 2017 are
to address child protection staffing and
services under Minnesota Statutes, section
256M.41. $1,650,000 in fiscal year 2016 and
$1,650,000 in fiscal year 2017 are for child
protection grants to address child welfare
disparities under Minnesota Statutes, section
256E.28.

Title IV-E Adoption Assistance. Additional
federal reimbursement to the state as a result
of the Fostering Connections to Success and
Increasing Adoptions Act's expanded
eligibility for title IV-E adoption assistance is
appropriated to the commissioner for
postadoption services, including a
parent-to-parent support network.

Adoption Assistance Incentive Grants.
Federal funds available during fiscal years
2016 and 2017 for adoption incentive grants
are appropriated to the commissioner for
postadoption services, including a
parent-to-parent support network.

(f) Children and Community Service Grants
56,301,000
56,301,000
(g) Children and Economic Support Grants
26,778,000
26,966,000

Mobile Food Shelf Grants. (a) $1,000,000
in fiscal year 2016 and $1,000,000 in fiscal
year 2017 are for a grant to Hunger Solutions.
This is a onetime appropriation and is
available until June 30, 2017.

(b) Hunger Solutions shall award grants of up
to $75,000 on a competitive basis. Grant
applications must include:

(1) the location of the project;

(2) a description of the mobile program,
including size and scope;

(3) evidence regarding the unserved or
underserved nature of the community in which
the project is to be located;

(4) evidence of community support for the
project;

(5) the total cost of the project;

(6) the amount of the grant request and how
funds will be used;

(7) sources of funding or in-kind contributions
for the project that will supplement any grant
award;

(8) a commitment to mobile programs by the
applicant and an ongoing commitment to
maintain the mobile program; and

(9) any additional information requested by
Hunger Solutions.

(c) Priority may be given to applicants who:

(1) serve underserved areas;

(2) create a new or expand an existing mobile
program;

(3) serve areas where a high amount of need
is identified;

(4) provide evidence of strong support for the
project from citizens and other institutions in
the community;

(5) leverage funding for the project from other
private and public sources; and

(6) commit to maintaining the program on a
multilayer basis.

Homeless Youth Act. At least $500,000 of
the appropriation for the Homeless Youth Act
must be awarded to providers in greater
Minnesota, with at least 25 percent of this
amount for new applicant providers. The
commissioner shall provide outreach and
technical assistance to greater Minnesota
providers and new providers to encourage
responding to the request for proposals.

Stearns County Veterans Housing. $85,000
in fiscal year 2016 and $85,000 in fiscal year
2017 are for a grant to Stearns County to
provide administrative funding in support of
a service provider serving veterans in Stearns
County. The administrative funding grant may
be used to support group residential housing
services, corrections-related services, veteran
services, and other social services related to
the service provider serving veterans in
Stearns County.

Safe Harbor. $800,000 in fiscal year 2016
and $800,000 in fiscal year 2017 are from the
general fund for emergency shelter and
transitional and long-term housing beds for
sexually exploited youth and youth at risk of
sexual exploitation. Of this appropriation,
$150,000 in fiscal year 2016 and $150,000 in
fiscal year 2017 are from the general fund for
statewide youth outreach workers connecting
sexually exploited youth and youth at risk of
sexual exploitation with shelter and services.

Minnesota Food Assistance Program.
Unexpended funds for the Minnesota food
assistance program for fiscal year 2016 do not
cancel but are available for this purpose in
fiscal year 2017.

Base Level Adjustment. The general fund
base is decreased by $816,000 in fiscal year
2018 and is decreased by $606,000 in fiscal
year 2019.

(h) Health Care Grants
Appropriations by Fund
General
536,000
2,482,000
Health Care Access
3,341,000
3,465,000

Grants for Periodic Data Matching for
Medical Assistance and MinnesotaCare.
Of
the general fund appropriation, $26,000 in
fiscal year 2016 and $1,276,000 in fiscal year
2017 are for grants to counties for costs related
to periodic data matching for medical
assistance and MinnesotaCare recipients under
Minnesota Statutes, section 256B.0561. The
commissioner must distribute these grants to
counties in proportion to each county's number
of cases in the prior year in the affected
programs.

Base Level Adjustment. The general fund
base is deleted text beginincreased by $1,637,000 in fiscal year
2018 and increased by $1,229,000 in fiscal
year 2019
deleted text endnew text begin maintained in fiscal years 2020 and
2021
new text end.

(i) Other Long-Term Care Grants
1,551,000
3,069,000

Transition Populations. $1,551,000 in fiscal
year 2016 and $1,725,000 in fiscal year 2017
are for home and community-based services
transition grants to assist in providing home
and community-based services and treatment
for transition populations under Minnesota
Statutes, section 256.478.

Base Level Adjustment. The general fund
base is increased by $156,000 in fiscal year
2018 and by $581,000 in fiscal year 2019.

(j) Aging and Adult Services Grants
28,463,000
28,162,000

Dementia Grants. $750,000 in fiscal year
2016 and $750,000 in fiscal year 2017 are for
the Minnesota Board on Aging for regional
and local dementia grants authorized in
Minnesota Statutes, section 256.975,
subdivision 11
.

(k) Deaf and Hard-of-Hearing Grants
2,225,000
2,375,000

Deaf, Deafblind, and Hard-of-Hearing
Grants.
$350,000 in fiscal year 2016 and
$500,000 in fiscal year 2017 are for deaf and
hard-of-hearing grants. The funds must be
used to increase the number of deafblind
Minnesotans receiving services under
Minnesota Statutes, section 256C.261, and to
provide linguistically and culturally
appropriate mental health services to children
who are deaf, deafblind, and hard-of-hearing.
This is a onetime appropriation.

Base Level Adjustment. The general fund
base is decreased by $500,000 in fiscal year
2018 and by $500,000 in fiscal year 2019.

(l) Disabilities Grants
20,820,000
20,858,000

State Quality Council. $573,000 in fiscal
year 2016 and $600,000 in fiscal year 2017
are for the State Quality Council to provide
technical assistance and monitoring of
person-centered outcomes related to inclusive
community living and employment. The
funding must be used by the State Quality
Council to assure a statewide plan for systems
change in person-centered planning that will
achieve desired outcomes including increased
integrated employment and community living.

(m) Adult Mental Health Grants
Appropriations by Fund
General
69,992,000
71,244,000
Health Care Access
1,575,000
2,473,000
Lottery Prize
1,733,000
1,733,000

Funding Usage. Up to 75 percent of a fiscal
year's appropriation for adult mental health
grants may be used to fund allocations in that
portion of the fiscal year ending December
31.

Culturally Specific Mental Health Services.
$100,000 in fiscal year 2016 is for grants to
nonprofit organizations to provide resources
and referrals for culturally specific mental
health services to Southeast Asian veterans
born before 1965 who do not qualify for
services available to veterans formally
discharged from the United States armed
forces.

Problem Gambling. $225,000 in fiscal year
2016 and $225,000 in fiscal year 2017 are
from the lottery prize fund for a grant to the
state affiliate recognized by the National
Council on Problem Gambling. The affiliate
must provide services to increase public
awareness of problem gambling, education,
and training for individuals and organizations
providing effective treatment services to
problem gamblers and their families, and
research related to problem gambling.

Sustainability Grants. $2,125,000 in fiscal
year 2016 and $2,125,000 in fiscal year 2017
are for sustainability grants under Minnesota
Statutes, section 256B.0622, subdivision 11.

Beltrami County Mental Health Services
Grant.
$1,000,000 in fiscal year 2016 and
$1,000,000 in fiscal year 2017 are from the
general fund for a grant to Beltrami County
to fund the planning and development of a
comprehensive mental health services program
under article 2, section 41, Comprehensive
Mental Health Program in Beltrami County.
This is a onetime appropriation.

Base Level Adjustment. The general fund
base is increased by $723,000 in fiscal year
2018 and by $723,000 in fiscal year 2019. The
health care access fund base is decreased by
$1,723,000 in fiscal year 2018 and by
$1,723,000 in fiscal year 2019.

(n) Child Mental Health Grants
23,386,000
24,313,000

Services and Supports for First Episode
Psychosis.
$177,000 in fiscal year 2017 is for
grants under Minnesota Statutes, section
245.4889, to mental health providers to pilot
evidence-based interventions for youth at risk
of developing or experiencing a first episode
of psychosis and for a public awareness
campaign on the signs and symptoms of
psychosis. The base for these grants is
$236,000 in fiscal year 2018 and $301,000 in
fiscal year 2019.

Adverse Childhood Experiences. The base
for grants under Minnesota Statutes, section
245.4889, to children's mental health and
family services collaboratives for adverse
childhood experiences (ACEs) training grants
and for an interactive Web site connection to
support ACEs in Minnesota is $363,000 in
fiscal year 2018 and $363,000 in fiscal year
2019.

Funding Usage. Up to 75 percent of a fiscal
year's appropriation for child mental health
grants may be used to fund allocations in that
portion of the fiscal year ending December
31.

Base Level Adjustment. The general fund
base is increased by $422,000 in fiscal year
2018 and is increased by $487,000 in fiscal
year 2019.

(o) Chemical Dependency Treatment Support
Grants
1,561,000
1,561,000

Chemical Dependency Prevention. $150,000
in fiscal year 2016 and $150,000 in fiscal year
2017 are for grants to nonprofit organizations
to provide chemical dependency prevention
programs in secondary schools. When making
grants, the commissioner must consider the
expertise, prior experience, and outcomes
achieved by applicants that have provided
prevention programming in secondary
education environments. An applicant for the
grant funds must provide verification to the
commissioner that the applicant has available
and will contribute sufficient funds to match
the grant given by the commissioner. This is
a onetime appropriation.

Fetal Alcohol Syndrome Grants. $250,000
in fiscal year 2016 and $250,000 in fiscal year
2017 are for grants to be administered by the
Minnesota Organization on Fetal Alcohol
Syndrome to provide comprehensive,
gender-specific services to pregnant and
parenting women suspected of or known to
use or abuse alcohol or other drugs. This
appropriation is for grants to no fewer than
three eligible recipients. Minnesota
Organization on Fetal Alcohol Syndrome must
report to the commissioner of human services
annually by January 15 on the grants funded
by this appropriation. The report must include
measurable outcomes for the previous year,
including the number of pregnant women
served and the number of toxic-free babies
born.

Base Level Adjustment. The general fund
base is decreased by $150,000 in fiscal year
2018 and by $150,000 in fiscal year 2019.

Sec. 12.

Laws 2020, First Special Session chapter 7, section 1, subdivision 1, as amended
by Laws 2021, First Special Session chapter 7, article 2, section 71, is amended to read:


Subdivision 1.

Waivers and modifications; federal funding extension.

When the
peacetime emergency declared by the governor in response to the COVID-19 outbreak
expires, is terminated, or is rescinded by the proper authority, the following waivers and
modifications to human services programs issued by the commissioner of human services
pursuant to Executive Orders 20-11 and 20-12 that are required to comply with federal law
may remain in effect for the time period set out in applicable federal law or for the time
period set out in any applicable federally approved waiver or state plan amendment,
whichever is later:

(1) CV15: allowing telephone or video visits for waiver programs;

(2) CV17: preserving health care coverage for Medical Assistance and MinnesotaCarenew text begin
as needed to comply with federal guidance from the Centers for Medicare and Medicaid
Services, and until the enrollee's first renewal following the resumption of medical assistance
and MinnesotaCare renewals after the end of the COVID-19 public health emergency
declared by the United States Secretary of Health and Human Services
new text end;

(3) CV18: implementation of federal changes to the Supplemental Nutrition Assistance
Program;

(4) CV20: eliminating cost-sharing for COVID-19 diagnosis and treatment;

(5) CV24: allowing telephone or video use for targeted case management visits;

(6) CV30: expanding telemedicine in health care, mental health, and substance use
disorder settings;

(7) CV37: implementation of federal changes to the Supplemental Nutrition Assistance
Program;

(8) CV39: implementation of federal changes to the Supplemental Nutrition Assistance
Program;

(9) CV42: implementation of federal changes to the Supplemental Nutrition Assistance
Program;

(10) CV43: expanding remote home and community-based waiver services;

(11) CV44: allowing remote delivery of adult day services;

(12) CV59: modifying eligibility period for the federally funded Refugee Cash Assistance
Program;

(13) CV60: modifying eligibility period for the federally funded Refugee Social Services
Program; and

(14) CV109: providing 15 percent increase for Minnesota Food Assistance Program and
Minnesota Family Investment Program maximum food benefits.

Sec. 13.

Laws 2021, First Special Session chapter 7, article 1, section 36, is amended to
read:


Sec. 36. RESPONSE TO COVID-19 PUBLIC HEALTH EMERGENCY.

(a) Notwithstanding Minnesota Statutes, section 256B.057, subdivision 9, 256L.06,
subdivision 3
, or any other provision to the contrary, the commissioner shall not collect any
unpaid premium for a coverage month deleted text beginthat occurred duringdeleted text endnew text begin until the enrollee's first renewal
after the resumption of medical assistance renewals following the end of
new text end the COVID-19
public health emergency declared by the United States Secretary of Health and Human
Services.

(b) Notwithstanding any provision to the contrary, periodic data matching under
Minnesota Statutes, section 256B.0561, subdivision 2, may be suspended for up to deleted text beginsixdeleted text endnew text begin 12new text end
months following the deleted text beginlast day ofdeleted text endnew text begin resumption of medical assistance and MinnesotaCare
renewals after the end of
new text end the COVID-19 public health emergency declared by the United
States Secretary of Health and Human Services.

(c) Notwithstanding any provision to the contrary, the requirement for the commissioner
of human services to issue an annual report on periodic data matching under Minnesota
Statutes, section 256B.0561, is suspended for one year following the last day of the
COVID-19 public health emergency declared by the United States Secretary of Health and
Human Services.

new text begin (d) The commissioner of human services shall take necessary actions to comply with
federal guidance pertaining to the appropriate redetermination of medical assistance enrollee
eligibility following the end of the public health emergency and may waive currently existing
Minnesota statutes to the minimum level necessary to achieve federal compliance. All
changes implemented shall be reported to the chairs and ranking minority members of the
legislative committees with jurisdiction over human services within 90 days.
new text end

ARTICLE 3

HEALTH INSURANCE ACCESS

Section 1.

Minnesota Statutes 2020, section 256L.04, subdivision 1c, is amended to read:


Subd. 1c.

General requirements.

new text begin(a) new text endTo be eligible for MinnesotaCare, a person must
meet the eligibility requirements deleted text beginofdeleted text endnew text begin innew text end this section.

new text begin (b)new text end A person eligible for MinnesotaCare shall not be considered a qualified individual
under section 1312 of the Affordable Care Act, and is not eligible for enrollment in a qualified
health plan new text beginwith advance payment of the federal premium tax credit new text endoffered through MNsure
under chapter 62V.

new text begin (c) Paragraph (b) does not apply to a person eligible for the buy-in option under
subdivision 15.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 2.

Minnesota Statutes 2020, section 256L.04, subdivision 7a, is amended to read:


Subd. 7a.

Ineligibility.

Adults whose income is greater than the limits established under
this section may not enroll in the MinnesotaCare programnew text begin, except as provided in subdivision
15
new text end.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 3.

Minnesota Statutes 2020, section 256L.04, is amended by adding a subdivision to
read:


new text begin Subd. 15. new text end

new text begin Persons eligible for buy-in option. new text end

new text begin (a) Families and individuals with income
above the maximum income eligibility limit specified in subdivision 1 or 7 who meet all
other MinnesotaCare eligibility requirements are eligible for the buy-in option. All other
provisions of this chapter apply unless otherwise specified.
new text end

new text begin (b) Families and individuals with income within or above the maximum income eligibility
limit but ineligible for MinnesotaCare solely due to access to employer-subsidized coverage
under section 256L.07, subdivision 2, are eligible for the buy-in option.
new text end

new text begin (c) Families and individuals may enroll in MinnesotaCare under this subdivision only
during an annual open enrollment period or special enrollment period, as designated by
MNsure in compliance with Code of Federal Regulations, title 45, parts 155.410 and 155.420.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 4.

Minnesota Statutes 2020, section 256L.07, subdivision 1, is amended to read:


Subdivision 1.

General requirements.

Individuals enrolled in MinnesotaCare under
section 256L.04, subdivision 1, and individuals enrolled in MinnesotaCare under section
256L.04, subdivision 7, whose income increases above 200 percent of the federal poverty
guidelines, are no longer eligible for the program and shall be disenrolled by the
commissionernew text begin, unless they continue MinnesotaCare enrollment through the buy-in option
under section 256L.04, subdivision 15
new text end. For persons disenrolled under this subdivision,
MinnesotaCare coverage terminates the last day of the calendar month in which the
commissioner sends advance notice according to Code of Federal Regulations, title 42,
section 431.211, that indicates the income of a family or individual exceeds program income
limits.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 5.

Minnesota Statutes 2021 Supplement, section 256L.07, subdivision 2, is amended
to read:


Subd. 2.

Must not have access to employer-subsidized minimum essential
coverage.

(a) To be eligible, a family or individual must not have access to subsidized health
coverage that is affordable and provides minimum value as defined in Code of Federal
Regulations, title 26, section 1.36B-2.

(b) Notwithstanding paragraph (a), an individual who has access through a spouse's or
parent's employer to subsidized health coverage that is deemed minimum essential coverage
under Code of Federal Regulations, title 26, section 1.36B-2, is eligible for MinnesotaCare
if the employee's portion of the annual premium for employee and dependent coverage
exceeds the required contribution percentage, as defined for premium tax credit eligibility
under United States Code, title 26, section 36B(c)(2)(C)(i)(II), as indexed according to item
(iv) of that section, of the individual's household income for the coverage year.

(c) This subdivision does not apply to a family or individual who no longer has
employer-subsidized coverage due to the employer terminating health care coverage as an
employee benefit.

new text begin (d) This subdivision does not apply to a family or individual who enrolls through the
buy-in option under section 256L.04, subdivision 15.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2025, or upon federal approval,
whichever is later. The commissioner of human services shall notify the revisor of statutes
when federal approval is obtained.
new text end

Sec. 6.

Minnesota Statutes 2021 Supplement, section 256L.15, subdivision 2, is amended
to read:


Subd. 2.

Sliding fee scale; monthly individual or family income.

(a) The commissioner
shall establish a sliding fee scale to determine the percentage of monthly individual or family
income that households at different income levels must pay to obtain coverage through the
MinnesotaCare program. The sliding fee scale must be based on the enrollee's monthly
individual or family income.

deleted text begin (b) Beginning January 1, 2014, MinnesotaCare enrollees shall pay premiums according
to the premium scale specified in paragraph (d).
deleted text end

deleted text begin (c)deleted text endnew text begin (b)new text end Paragraph deleted text begin(b)deleted text endnew text begin (a)new text end does not apply todeleted text begin:
deleted text end

deleted text begin (1)deleted text end children 20 years of age or youngerdeleted text begin; anddeleted text endnew text begin.
new text end

deleted text begin (2) individuals with household incomes below 35 percent of the federal poverty
guidelines.
deleted text end

deleted text begin (d) The following premium scale is established for each individual in the household who
is 21 years of age or older and enrolled in MinnesotaCare:
deleted text end

deleted text begin Federal Poverty Guideline
Greater than or Equal to
deleted text end
deleted text begin Less than
deleted text end
deleted text begin Individual Premium
Amount
deleted text end
deleted text begin 35%
deleted text end
deleted text begin 55%
deleted text end
deleted text begin $4
deleted text end
deleted text begin 55%
deleted text end
deleted text begin 80%
deleted text end
deleted text begin $6
deleted text end
deleted text begin 80%
deleted text end
deleted text begin 90%
deleted text end
deleted text begin $8
deleted text end
deleted text begin 90%
deleted text end
deleted text begin 100%
deleted text end
deleted text begin $10
deleted text end
deleted text begin 100%
deleted text end
deleted text begin 110%
deleted text end
deleted text begin $12
deleted text end
deleted text begin 110%
deleted text end
deleted text begin 120%
deleted text end
deleted text begin $14
deleted text end
deleted text begin 120%
deleted text end
deleted text begin 130%
deleted text end
deleted text begin $15
deleted text end
deleted text begin 130%
deleted text end
deleted text begin 140%
deleted text end
deleted text begin $16
deleted text end
deleted text begin 140%
deleted text end
deleted text begin 150%
deleted text end
deleted text begin $25
deleted text end
deleted text begin 150%
deleted text end
deleted text begin 160%
deleted text end
deleted text begin $37
deleted text end
deleted text begin 160%
deleted text end
deleted text begin 170%
deleted text end
deleted text begin $44
deleted text end
deleted text begin 170%
deleted text end
deleted text begin 180%
deleted text end
deleted text begin $52
deleted text end
deleted text begin 180%
deleted text end
deleted text begin 190%
deleted text end
deleted text begin $61
deleted text end
deleted text begin 190%
deleted text end
deleted text begin 200%
deleted text end
deleted text begin $71
deleted text end
deleted text begin 200%
deleted text end
deleted text begin $80
deleted text end

deleted text begin (e)deleted text endnew text begin (c)new text end Beginning January 1, deleted text begin2021deleted text endnew text begin 2023new text end,new text begin the commissioner shall continue to charge
premiums in accordance with the simplified premium scale established to comply with the
American Rescue Plan Act of 2021, in effect from January 1, 2021, through December 31,
2022, for families and individuals eligible under section 256L.04, subdivisions 1 and 7.
new text end The
commissioner shall adjust the premium scale deleted text beginestablished under paragraph (d)deleted text endnew text begin as needednew text end to
ensure that premiums do not exceed the amount that an individual would have been required
to pay if the individual was enrolled in an applicable benchmark plan in accordance with
the Code of Federal Regulations, title 42, section 600.505 (a)(1).

new text begin (d) The commissioner shall establish a sliding premium scale for persons eligible through
the buy-in option under section 256L.04, subdivision 15. Beginning January 1, 2025, persons
eligible through the buy-in option shall pay premiums according to the premium scale
established by the commissioner. Persons 20 years of age or younger are exempt from
paying premiums.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective January 1, 2023, except that the sliding
premium scale established under paragraph (d) is effective January 1, 2025, and is contingent
upon implementation of the buy-in option established under Minnesota Statutes, section
256L.04, subdivision 15. The commissioner of human services shall notify the revisor of
statutes whether the buy-in option has been established under Minnesota Statutes, section
256L.04, subdivision 15.
new text end

Sec. 7. new text beginTRANSITION TO MINNESOTACARE BUY-IN OPTION.
new text end

new text begin (a) The commissioner of human services shall continue to administer MinnesotaCare
as a basic health program in accordance with Minnesota Statutes, section 256L.02,
subdivision 5.
new text end

new text begin (b) By January 1, 2025, the commissioner of human services shall implement a buy-in
option that allows individuals with income over 200 percent of the federal poverty level to
be determined eligible for MinnesotaCare. Eligible individuals must still meet all other
MinnesotaCare eligibility requirements. By December 15, 2023, the commissioner shall
present the following to the chairs and ranking minority members of the legislative
committees with jurisdiction over health care policy and finance:
new text end

new text begin (1) an implementation plan for the MinnesotaCare buy-in under Minnesota Statutes,
section 256L.04, subdivision 15; and
new text end

new text begin (2) any additional legislative changes needed for implementation.
new text end

new text begin (c) The commissioner of human services shall seek any federal waivers, approvals, and
legislative changes necessary to implement a MinnesotaCare buy-in option. This includes
but is not limited to any waivers, approvals, or legislative changes necessary to allow the
state to:
new text end

new text begin (1) continue to receive federal basic health program payments for basic health
program-eligible MinnesotaCare enrollees and to receive other federal funding for the
MinnesotaCare public option; and
new text end

new text begin (2) receive federal payments equal to the value of premium tax credits and cost-sharing
reductions that MinnesotaCare enrollees with household incomes greater than 200 percent
of the federal poverty guidelines would have otherwise received.
new text end

new text begin (d) In implementing this section, the commissioner of human services shall consult with
the commissioner of commerce and the board of directors of MNsure, and may contract for
technical and actuarial assistance.
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

ARTICLE 4

FORECAST ADJUSTMENTS

Section 1. new text beginHUMAN SERVICES APPROPRIATION.
new text end

new text begin The dollar amounts shown in the columns marked "Appropriations" are added to or, if
shown in parentheses, are subtracted from the appropriations in Laws 2021, First Special
Session chapter 7, article 16, from the general fund or any fund named to the Department
of Human Services for the purposes specified in this article, to be available for the fiscal
year indicated for each purpose. The figures "2022" and "2023" used in this article mean
that the appropriations listed under them are available for the fiscal years ending June 30,
2022, or June 30, 2023, respectively. "The first year" is fiscal year 2022. "The second year"
is fiscal year 2023. "The biennium" is fiscal years 2022 and 2023.
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 beginCOMMISSIONER OF HUMAN
SERVICES
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 (585,901,000)
new text end
new text begin $
new text end
new text begin 182,791,000
new text end
new text begin Appropriations by Fund
new text end
new text begin General Fund
new text end
new text begin (406,629,000)
new text end
new text begin 185,395,000
new text end
new text begin Health Care Access
Fund
new text end
new text begin (86,146,000)
new text end
new text begin (11,799,000)
new text end
new text begin Federal TANF
new text end
new text begin (93,126,000)
new text end
new text begin 9,195,000
new text end

new text begin Subd. 2. new text end

new text begin Forecasted Programs
new text end

new text begin (a) MFIP/DWP
new text end
new text begin Appropriations by Fund
new text end
new text begin General Fund
new text end
new text begin 72,106,000
new text end
new text begin (14,397,000)
new text end
new text begin Federal TANF
new text end
new text begin (93,126,000)
new text end
new text begin 9,195,000
new text end
new text begin (b) MFIP Child Care Assistance
new text end
new text begin (103,347,000)
new text end
new text begin (73,738,000)
new text end
new text begin (c) General Assistance
new text end
new text begin (4,175,000)
new text end
new text begin (1,488,000)
new text end
new text begin (d) Minnesota Supplemental Aid
new text end
new text begin 318,000
new text end
new text begin 1,613,000
new text end
new text begin (e) Housing Support
new text end
new text begin (1,994,000)
new text end
new text begin 9,257,000
new text end
new text begin (f) Northstar Care for Children
new text end
new text begin (9,613,000)
new text end
new text begin (4,865,000)
new text end
new text begin (g) MinnesotaCare
new text end
new text begin (86,146,000)
new text end
new text begin (11,799,000)
new text end

new text begin These appropriations are from the health care
access fund.
new text end

new text begin (h) Medical Assistance
new text end
new text begin Appropriations by Fund
new text end
new text begin General Fund
new text end
new text begin (348,364,000)
new text end
new text begin 292,880,000
new text end
new text begin Health Care Access
Fund
new text end
new text begin -0-
new text end
new text begin -0-
new text end
new text begin (i) Alternative Care Program
new text end
new text begin -0-
new text end
new text begin -0-
new text end
new text begin (j) Behavioral Health Fund
new text end
new text begin (11,560,000)
new text end
new text begin (23,867,000)
new text end

new text begin Subd. 3. new text end

new text begin Technical Activities
new text end

new text begin -0-
new text end
new text begin -0-
new text end

new text begin These appropriations are from the federal
TANF 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

ARTICLE 5

APPROPRIATIONS

Section 1. new text beginHEALTH AND HUMAN SERVICES 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 beginCOMMISSIONER OF HUMAN
SERVICES
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 22,339,000
new text end
new text begin $
new text end
new text begin 481,929,000
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 20,403,000
new text end
new text begin 419,583,000
new text end
new text begin Health Care Access
new text end
new text begin 1,963,000
new text end
new text begin 61,788,000
new text end
new text begin Federal TANF
new text end
new text begin -0-
new text end
new text begin 7,000
new text end
new text begin Opiate Epidemic
Response
new text end
new text begin -0-
new text end
new text begin 551,000
new text end

new text begin Subd. 2. new text end

new text begin Central Office; Operations
new text end

new text begin Appropriations by Fund
new text end
new text begin General
new text end
new text begin 403,000
new text end
new text begin 95,527,000
new text end
new text begin Health Care Access
new text end
new text begin -0-
new text end
new text begin 27,816,000
new text end

new text begin (a) Background Studies. (1) $1,779,000 in
fiscal year 2023 is to provide a credit to
providers who paid for emergency background
studies in NETStudy 2.0. This is a onetime
appropriation.
new text end

new text begin (2) $1,851,000 in fiscal year 2023 is to fund
the costs of reprocessing emergency studies
conducted under interagency agreements. This
is a onetime appropriation.
new text end

new text begin (b) Supporting Drug Pricing Litigation
Costs.
$228,000 in fiscal year 2022 is for costs
to comply with litigation requirements related
to pharmaceutical drug price litigation. This
is a onetime appropriation.
new text end

new text begin (c) Base Level Adjustment. The general fund
base is increased $12,829,000 in fiscal year
2024 and $10,227,000 in fiscal year 2025. The
health care access fund base is increased
$17,810,000 in fiscal year 2024 and
$17,810,000 in fiscal year 2025.
new text end

new text begin Subd. 3. new text end

new text begin Central Office; Children and Families
new text end

new text begin -0-
new text end
new text begin 5,621,000
new text end

new text begin Base Level Adjustment. The general fund
base is increased $6,965,000 in fiscal year
2024 and $6,680,000 in fiscal year 2025.
new text end

new text begin Subd. 4. new text end

new text begin Central Office; Health Care
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 2,436,000
new text end
new text begin Health Care Access
new text end
new text begin -0-
new text end
new text begin 4,298,000
new text end

new text begin (a) Interactive Voice Response and
Improving Access for Applications and
Forms.
$1,350,000 in fiscal year 2023 is for
the improvement of accessibility to Minnesota
health care programs applications, forms, and
other consumer support resources and services
to enrollees with limited English proficiency.
This is a onetime appropriation.
new text end

new text begin (b) Community-Driven Improvements.
$680,000 in fiscal year 2023 is for Minnesota
health care program enrollee engagement
activities.
new text end

new text begin (c) Responding to COVID-19 in Minnesota
Health Care Programs.
$1,000,000 in fiscal
year 2023 is for contract assistance relating to
the resumption of eligibility and
redetermination processes in Minnesota health
care programs after the expiration of the
federal public health emergency. Contracts
entered into under this section are for
emergency acquisition and are not subject to
solicitation requirements under Minnesota
Statutes, section 16C.10, subdivision 2. This
is a onetime appropriation. Money is available
until spent.
new text end

new text begin (d) Base Level Adjustment. The general fund
base is increased $1,666,000 in fiscal year
2024 and $1,651,000 in fiscal year 2025. The
health care access fund base is increased
$4,087,000 in fiscal year 2024 and $6,300,000
in fiscal year 2025.
new text end

new text begin Subd. 5. new text end

new text begin Central Office; Community Supports
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 7,119,000
new text end
new text begin Opioid Epidemic
Response
new text end
new text begin -0-
new text end
new text begin 551,000
new text end

new text begin SEIU Healthcare Arbitration Award.
$5,444 in fiscal year 2023 is for arbitration
awards resulting from a SEIU grievance. This
is a onetime appropriation.
new text end

new text begin new text begin Base Level Adjustment.new text end The general fund
base is increased $9,460,000 in fiscal year
2024 and $10,602,000 in fiscal year 2025.
new text end

new text begin Subd. 6. new text end

new text begin Forecasted Programs; MFIP/DWP
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 5,000
new text end
new text begin Federal TANF
new text end
new text begin -0-
new text end
new text begin 7,000
new text end

new text begin Subd. 7. new text end

new text begin Forecasted Programs; MFIP Child Care
Assistance
new text end

new text begin -0-
new text end
new text begin 1,000
new text end

new text begin Subd. 8. new text end

new text begin Forecasted Programs; Minnesota
Supplemental Aid
new text end

new text begin -0-
new text end
new text begin 1,000
new text end

new text begin Subd. 9. new text end

new text begin Forecasted Programs; Housing
Supports
new text end

new text begin -0-
new text end
new text begin 1,000
new text end

new text begin Subd. 10. new text end

new text begin Forecasted Programs; MinnesotaCare
new text end

new text begin -0-
new text end
new text begin 15,257,000
new text end

new text begin This appropriation is from the health care
access fund.
new text end

new text begin Subd. 11. new text end

new text begin Forecasted Programs; Medical
Assistance
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 7,571,000
new text end
new text begin Health Care Access
new text end
new text begin -0-
new text end
new text begin 14,353,000
new text end

new text begin Subd. 12. new text end

new text begin Forecasted Programs; Alternative
Care
new text end

new text begin -0-
new text end
new text begin 161,000
new text end

new text begin Subd. 13. new text end

new text begin Grant Programs; BSF Child Care
Grants
new text end

new text begin -0-
new text end
new text begin (683,000)
new text end

new text begin Base Level Adjustment. The general fund
base is increased $240,477,000 in fiscal year
2024 and $546,025,000 in fiscal year 2025.
new text end

new text begin Subd. 14. new text end

new text begin Grant Programs; Child Care
Development Grants
new text end

new text begin -0-
new text end
new text begin 31,703,000
new text end

new text begin (a) Child Care Provider Access to
Technology Grants.
$300,000 in fiscal year
2023 is for child care provider access to
technology grants pursuant to Minnesota
Statutes, section 119B.28.
new text end

new text begin (b) One-Stop Regional Assistance Network.
Beginning in fiscal year 2025, the base shall
include $1,200,000 from the general fund for
a grant to the statewide child care resource
and referral network to administer the child
care one-stop shop regional assistance network
in accordance with Minnesota Statutes, section
119B.19, subdivision 7, clause (9).
new text end

new text begin (c) Child Care Workforce Development
Grants.
Beginning in fiscal year 2025, the
base shall include $1,300,000 for a grant to
the statewide child care resource and referral
network to administer the child care workforce
development grants in accordance with
Minnesota Statutes, section 119B.19,
subdivision 7, clause (10).
new text end

new text begin (d) Shared Services Innovation Grants. The
base shall include $500,000 in fiscal year 2024
and $500,000 in fiscal year 2025 for shared
services innovation grants pursuant to
Minnesota Statutes, section 119B.27.
new text end

new text begin (e) Stabilization Grants for Child Care
Providers Experiencing Financial Hardship.

$31,406,000 in fiscal year 2023 is for child
care stabilization grants for child care
programs in extreme financial hardship. This
is a onetime appropriation. Money not
distributed in fiscal year 2023 or 2024 shall
be available until June 30, 2025. Use of grant
money must be made in accordance with
eligibility and compliance requirements
established by the commissioner.
new text end

new text begin (f) Base Level Adjustment. The general fund
base is increased $66,824,000 in fiscal year
2024 and $3,300,000 in fiscal year 2025.
new text end

new text begin Subd. 15. new text end

new text begin Grant Programs; Children's Services
Grants
new text end

new text begin -0-
new text end
new text begin 3,882,000
new text end

new text begin (a) American Indian Child Welfare
Initiative; Mille Lacs Band of Ojibwe
Planning.
$1,263,000 in fiscal year 2023 is
to support activities necessary for the Mille
Lacs Band of Ojibwe to join the American
Indian child welfare initiative.
new text end

new text begin (b) Expand Parent Support Outreach
Program.
The base shall include $7,000,000
in fiscal year 2024 and $7,000,000 in fiscal
year 2025 to expand the parent support
outreach program to community-based
agencies, public health agencies, and schools
to prevent reporting of and entry into the child
welfare system.
new text end

new text begin (c) Thriving Families Safer Children. The
base shall include $30,000 in fiscal year 2024
to plan for an education attendance support
diversionary program to prevent entry into the
child welfare system. The commissioner shall
report back to the legislative committees that
oversee child welfare by January 1, 2025, on
the plan for this program. This is a onetime
appropriation.
new text end

new text begin (d) Family Group Decision Making. The
base shall include $5,000,000 in fiscal year
2024 and $5,000,000 in fiscal year 2025 to
expand the use of family group decision
making to provide opportunity for family
voices concerning critical decisions in child
safety and prevent entry into the child welfare
system.
new text end

new text begin (e) Child Welfare Promising Practices. The
base shall include $5,000,000 in fiscal year
2024 and $5,000,000 in fiscal year 2025 to
develop promising practices for prevention of
out-of-home placement of children and youth.
new text end

new text begin (f) Family Assessment Response. The base
shall include $23,550,000 in fiscal year 2024
and $23,550,000 in fiscal year 2025 to support
counties and Tribes that are members of the
American Indian child welfare initiative in
providing case management services and
support for families being served under family
assessment response, and prevent entry into
the child welfare system.
new text end

new text begin (g) Extend Support for Youth Leaving
Foster Care.
$600,000 in fiscal year 2023 is
to extend financial supports for young adults
aging out of foster care to age 22.
new text end

new text begin (h) Grants to Counties for Child Protection
Staff.
$1,000,000 in fiscal year 2023 is to
provide grants to counties and American
Indian child welfare initiative Tribes to be
used to reduce extended foster care caseload
sizes to ten cases per worker.
new text end

new text begin (i) Statewide Pool of Qualified Individuals.
$1,177,400 in fiscal year 2023 is for grants to
one or more grantees to establish and manage
a pool of state-funded qualified individuals to
assess potential out-of-home placement of a
child in a qualified residential treatment
program. Up to $200,000 of the grants each
fiscal year is available for grantee contracts to
manage the state-funded pool of qualified
individuals. This amount shall also pay for
qualified individual training, certification, and
background studies. Remaining grant money
shall be used until expended to provide
qualified individual services to counties and
Tribes that have joined the American Indian
child welfare initiative pursuant to Minnesota
Statutes, section 256.01, subdivision 14b, to
provide qualified residential treatment
program assessments at no cost to the county
or Tribal agency.
new text end

new text begin (j) Base Level Adjustment. The general fund
base is increased $47,440,000 in fiscal year
2024 and $44,769,000 in fiscal year 2025.
new text end

new text begin Subd. 16. new text end

new text begin Grant Program; Refugee Services
Grants
new text end

new text begin -0-
new text end
new text begin 5,111,000
new text end

new text begin (a) Refugee and Immigrant Services.
$5,111,000 in fiscal year 2023 is to extend the
refugee and immigrant COVID-19 care line
and expand eligibility for self-sufficiency and
community integration services provided by
community-based nonprofit resettlement
agencies to immigrants in Minnesota.
new text end

new text begin (b) Base Level Adjustment. The general fund
base is $5,111,000 in fiscal year 2024 and $0
in fiscal year 2025.
new text end

new text begin Subd. 17. new text end

new text begin Grant Programs; Children and
Community Service Grants
new text end

new text begin -0-
new text end
new text begin -0-
new text end

new text begin Base Level Adjustment. The Opiate
Epidemic Response Base is increased
$100,000 in fiscal year 2025.
new text end

new text begin Subd. 18. new text end

new text begin Grant Programs; Children and
Economic Support Grants
new text end

new text begin -0-
new text end
new text begin 89,099,000
new text end

new text begin (a) Family and Community Resource Hubs.
$2,550,000 in fiscal year 2023 is to implement
a sustainable family and community resource
hub model through the community action
agencies under Minnesota Statutes, section
256E.31, and federally recognized Tribes. The
community resource hubs must offer
navigation to several supports and services,
including but not limited to basic needs and
economic assistance, disability services,
healthy development and screening,
developmental and behavioral concerns,
family well-being and mental health, early
learning and child care, dental care, legal
services, and culturally specific services for
American Indian families.
new text end

new text begin (b) Tribal Food Sovereignty Infrastructure
Grants.
$4,000,000 in fiscal year 2023 is for
capital and infrastructure development to
support food system changes and provide
equitable access to existing and new methods
of food support for American Indian
communities, including federally recognized
Tribes and American Indian nonprofit
organizations. This is a onetime appropriation
and is available until June 30, 2025.
new text end

new text begin (c) Tribal Food Security. $2,836,000 in fiscal
year 2023 is to promote food security for
American Indian communities, including
federally recognized Tribes and American
Indian nonprofit organizations. This includes
hiring staff, providing culturally relevant
training for building food access, purchasing
technical assistance materials and supplies,
and planning for sustainable food systems.
new text end

new text begin (d) Capital for Emergency Food
Distribution Facilities.
$14,931,000 in fiscal
year 2023 is for improving and expanding the
infrastructure of food shelf facilities across
the state, including adding freezer or cooler
space and dry storage space, improving the
safety and sanitation of existing food shelves,
and addressing deferred maintenance or other
facility needs of existing food shelves. Grant
money shall be made available to nonprofit
organizations, federally recognized Tribes,
and local units of government. This is a
onetime appropriation and is available until
June 30, 2025.
new text end

new text begin (e) Food Support Grants. $5,000,000 in
fiscal year 2023 is to provide additional
resources to a diverse food support network
that includes food shelves, food banks, and
meal and food outreach programs. Grant
money shall be made available to nonprofit
organizations, federally recognized Tribes,
and local units of government.
new text end

new text begin (f) Emergency Services Grants. $54,782,000
in fiscal year 2023 is for emergency services
grants under Minnesota Statutes, section
256E.36. This is a onetime appropriation and
is available until June 30, 2024. Beginning in
fiscal year 2024, the base for emergency
services grants under Minnesota Statutes,
section 256E.36, shall be increased by
$29,751,000.
new text end

new text begin (g) Base Level Adjustment. The general fund
base is increased $60,429,000 in fiscal year
2024 and $64,079,000 in fiscal year 2025.
new text end

new text begin Subd. 19. new text end

new text begin Grant Programs; Health Care Grants
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 Fund
new text end
new text begin -0-
new text end
new text begin 4,500,000
new text end
new text begin Health Care Access
new text end
new text begin 1,936,000
new text end
new text begin 64,000
new text end

new text begin (a) Grant Funding to Support Urban
American Indians in Minnesota Health
Care Programs.
$2,500,000 in fiscal year
2023 is for funding to the Indian Health Board
of Minneapolis to support continued access to
health care coverage through Minnesota health
care programs, improve access to quality care,
and increase vaccination rates among urban
American Indians.
new text end

new text begin (b) Grants for Navigator Organizations. (1)
$1,936,000 in fiscal year 2023 is from the
health care access fund for grants to
organizations with a MNsure grant services
navigator assister contract in good standing
as of June 30, 2022. The grants to each
organization must be in proportion to the
number of medical assistance and
MinnesotaCare enrollees each organization
assisted that resulted in a successful
enrollment in the second quarter of fiscal year
2020, as determined by MNsure's navigator
payment process. This is a onetime
appropriation. Money from this appropriation
is available until spent. (2) $2,000,000 in fiscal
year 2023 is from the health care access fund
for incentive payments as defined in
Minnesota Statutes, section 256.962,
subdivision 5. The general fund base for this
appropriation is $1,000,000 in fiscal year 2024
and $0 in fiscal year 2025. Money from this
appropriation is available until spent.
new text end

new text begin (c) Base level adjustment. The general fund
base is increased $3,750,000 in fiscal year
2024 and $1,250,000 in fiscal year 2025. The
health care access fund base is increased
$1,000,000 in fiscal year 2024, and $0 in fiscal
year 2025.
new text end

new text begin (d) Health and Human Services Vaccination
Rates.
$1,000,000 in fiscal year 2023 is for
community outreach grants to increase
vaccination rates among enrollees in
Minnesota health care programs. This is a
onetime appropriation.
new text end

new text begin Subd. 20. new text end

new text begin Grant Programs; Other Long-Term
Care Grants
new text end

new text begin -0-
new text end
new text begin 118,000,000
new text end

new text begin Workforce Incentive Fund Grant Program.
$118,000,000 in fiscal year 2023 is to assist
disability, housing, substance use, and older
adult service providers of public programs to
pay for incentive benefits to current and new
workers. This is a onetime appropriation and
is available until June 30, 2025. Three percent
of the total amount of the appropriation may
be used to administer the program, which
could include contracting with a third-party
administrator.
new text end

new text begin Subd. 21. new text end

new text begin Grant Programs; Disabilities Grants
new text end

new text begin -0-
new text end
new text begin 8,200,000
new text end

new text begin (a) Electronic Visit Verification (EVV)
Stipends.
$6,440,000 in fiscal year 2023 is
for onetime stipends of $200 to bargaining
members to offset the potential costs related
to people using individual devices to access
EVV. $5,600,000 of the appropriation is for
stipends and the remaining 15 percent is for
administration of these stipends. This is a
onetime appropriation.
new text end

new text begin (b) Self-Directed Collective Bargaining
Agreement; Temporary Rate Increase
Memorandum of Understanding.
$1,610,000
in fiscal year 2023 is for onetime stipends for
individual providers covered by the SEIU
collective bargaining agreement based on the
memorandum of understanding related to the
temporary rate increase in effect between
December 1, 2020, and February 7, 2021.
$1,400,000 of the appropriation is for stipends
and the remaining 15 percent is for
administration of the stipends. This is a
onetime appropriation.
new text end

new text begin (c) Base Level Adjustment. The general fund
base is increased $805,000 in fiscal year 2024
and $2,420,000 in fiscal year 2025.
new text end

new text begin Subd. 22. new text end

new text begin Grant Programs; Housing Support
Grants
new text end

new text begin -0-
new text end
new text begin 1,100,000
new text end

new text begin (a) AmeriCorps Heading Home Corps.
$1,100,000 in fiscal year 2023 is for the
AmeriCorps Heading Home Corps program
to fund housing resource navigators supporting
individuals experiencing homelessness.
new text end

new text begin (b) Base Level Adjustment. The general fund
base is increased $1,100,000 in fiscal year
2024 and $12,100,000 in fiscal year 2025.
new text end

new text begin Subd. 23. new text end

new text begin Grant Programs; Adult Mental Health
Grants
new text end

new text begin 20,000,000
new text end
new text begin 18,927,000
new text end

new text begin (a) Inpatient Psychiatric and Psychiatric
Residential Treatment Facilities.

$10,000,000 in fiscal year 2023 is for
competitive grants to hospitals or mental
health providers to retain, build, or expand
children's inpatient psychiatric beds for
children in need of acute high-level psychiatric
care or psychiatric residential treatment facility
beds as described in Minnesota Statutes,
section 256B.0941. In order to be eligible for
a grant, a hospital or mental health provider
must serve individuals covered by medical
assistance under Minnesota Statutes, section
256B.0625.
new text end

new text begin (b) Expanding Support for Psychiatric
Residential Treatment Facilities.
$800,000
in fiscal year 2023 is for start-up grants to
psychiatric residential treatment facilities as
described in Minnesota Statutes, section
256B.0941. Grantees can use grant money for
emergency workforce shortage uses.
Allowable grant uses related to emergency
workforce shortages may include but are not
limited to hiring and retention bonuses,
recruitment of a culturally responsive
workforce, and allowing providers to increase
the hourly rate in order to be competitive in
the market.
new text end

new text begin (c) Workforce Incentive Fund Grant
Program.
$20,000,000 in fiscal year 2022
from the general fund is to provide mental
health public program providers the ability to
pay for incentive benefits to current and new
workers. This is a onetime appropriation and
is available until June 30, 2025. Three percent
of the total amount of the appropriation may
be used to administer the program, which
could include contracting with a third-party
administrator.
new text end

new text begin (d) Cultural and Ethnic Infrastructure
Grant Funding.
$5,000,000 in fiscal year
2023 is for increasing cultural and ethnic
infrastructure grant funding under Minnesota
Statutes, section 245.4661, subdivision 6. This
grant funding will be used to alleviate the
workforce shortage and will be used to recruit
more providers who are Black, Indigenous,
and people of color for both mental health and
substance use disorder organizations.
new text end

new text begin (e) Mental Health Provider Grants to Rural
and Underserved Communities.
$5,000,000
in fiscal year 2023 is for a grant program to
recruit mental health providers in rural areas
and underserved communities. This money
can be used for reimbursement of supervision
costs of interns and clinical trainees,
reimbursing staff for master's degree tuition
costs in mental health fields, and licensing and
exam fees.
new text end

new text begin (f) Culturally Specific Grants. $2,000,000
in fiscal year 2023 and $2,000,000 in fiscal
year 2024 are for grants for small to midsize
nonprofit organizations who represent and
support American Indian, Indigenous, and
other communities disproportionately affected
by the opiate crisis. These grants utilize
traditional healing practices and other
culturally congruent and relevant supports to
prevent and curb opiate use disorders through
housing, treatment, education, aftercare, and
other activities as determined by the
commissioner. This is a onetime appropriation.
new text end

new text begin (g) Base Level Adjustment. The general fund
base is increased $ 23,791,000 in fiscal year
2024 and $30,916,000 in fiscal year 2025. The
opiate epidemic response base is increased
$2,000,000 in fiscal year 2025.
new text end

new text begin Subd. 24. new text end

new text begin Grant Programs; Child Mental Health
Grants
new text end

new text begin -0-
new text end
new text begin 10,800,000
new text end

new text begin new text begin Base Level Adjustment.new text end The general fund
base is increased $15,800,000 in fiscal year
2024 and $800,000 in fiscal year 2025.
new text end

new text begin Subd. 25. new text end

new text begin Grant Programs; Chemical
Dependency Treatment Support Grants
new text end

new text begin -0-
new text end
new text begin 4,000,000
new text end

new text begin (a) Emerging Mood Disorder Grant
Program.
$1,000,000 in fiscal year 2023 is
for emerging mood disorder grants under
Minnesota Statutes, section 245.4904.
Grantees must use grant money as required in
Minnesota Statutes, section 245.4904,
subdivision 2.
new text end

new text begin (b) Substance Use Disorder Treatment and
Prevention Grants.
The base shall include
$4,000,000 in fiscal year 2024 and $4,000,000
in fiscal year 2025 for substance use disorder
treatment and prevention grants recommended
by the substance use disorder advisory council.
new text end

new text begin (c) Traditional Healing Grants. The base
shall include $2,000,000 in fiscal year 2025
to extend the traditional healing grant funding
appropriated in Laws 2019, chapter 63, article
3, section 1, paragraph (h), from the opiate
epidemic response account to the
commissioner of human services. This funding
is awarded to all Tribal nations and to five
urban Indian communities for traditional
healing practices to American Indians and to
increase the capacity of culturally specific
providers in the behavioral health workforce.
new text end

new text begin (d) Base Level Adjustment. The general fund
base is increased $4,000,000 in fiscal year
2024 and $2,000,000 in fiscal year 2025.
new text end

new text begin Subd. 26. new text end

new text begin Direct Care and Treatment -
Operations
new text end

new text begin -0-
new text end
new text begin 6,501,000
new text end

new text begin Base Level Adjustment. The general fund
base is increased $5,267,000 in fiscal year
2024 and $0 in fiscal year 2025.
new text end

new text begin Subd. 27. new text end

new text begin Technical Activities
new text end

new text begin -0-
new text end
new text begin -0-
new text end

new text begin (a) Transfers; Child Care and Development
Fund.
For fiscal years 2024 and 2025, the base
shall include a transfer of $23,500,000 in fiscal
year 2024 and $23,500,000 in fiscal year 2025
from the TANF fund to the child care and
development fund. These are onetime
transfers.
new text end

new text begin (b) Base Level Adjustment. The TANF base
is increased $23,500,000 in fiscal year 2024,
$23,500,000 in fiscal year 2025, and $0 in
fiscal year 2026.
new text end

Sec. 3. new text beginBOARD OF DIRECTORS OF MNSURE
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 7,775,000
new text end
new text begin Health Care Access
new text end
new text begin -0-
new text end
new text begin 3,500,000
new text end

new text begin These appropriations may be transferred to
the MNSure account established by Minnesota
Statutes, section 62V.07. The health care
access fund appropriation is onetime.
new text end

new text begin Base Adjustment. The general fund base for
this appropriation is $7,476,000 in fiscal year
2024, $3,521,000 in fiscal year 2025, and $0
in fiscal year 2026.
new text end

Sec. 4.

Laws 2021, First Special Session chapter 7, article 16, section 2, subdivision 29,
is amended to read:


Subd. 29.

Grant Programs; Disabilities Grants

31,398,000
31,010,000

(a) Training Stipends for Direct Support
Services Providers.
$1,000,000 in fiscal year
2022 is from the general fund for stipends for
individual providers of direct support services
as defined in Minnesota Statutes, section
256B.0711, subdivision 1. These stipends are
available to individual providers who have
completed designated voluntary trainings
made available through the State-Provider
Cooperation Committee formed by the State
of Minnesota and the Service Employees
International Union Healthcare Minnesota.
Any unspent appropriation in fiscal year 2022
is available in fiscal year 2023. This is a
onetime appropriation. This appropriation is
available only if the labor agreement between
the state of Minnesota and the Service
Employees International Union Healthcare
Minnesota under Minnesota Statutes, section
179A.54, is approved under Minnesota
Statutes, section 3.855.

(b) Parent-to-Parent Peer Support. $125,000
in fiscal year 2022 and $125,000 in fiscal year
2023 are from the general fund for a grant to
an alliance member of Parent to Parent USA
to support the alliance member's
parent-to-parent peer support program for
families of children with a disability or special
health care need.

(c) Self-Advocacy Grants. (1) $143,000 in
fiscal year 2022 and $143,000 in fiscal year
2023 are from the general fund for a grant
under Minnesota Statutes, section 256.477,
subdivision 1
.

(2) $105,000 in fiscal year 2022 and $105,000
in fiscal year 2023 are from the general fund
for subgrants under Minnesota Statutes,
section 256.477, subdivision 2.

(d) Minnesota Inclusion Initiative Grants.
$150,000 in fiscal year 2022 and $150,000 in
fiscal year 2023 are from the general fund for
grants under Minnesota Statutes, section
256.4772.

(e) Grants to Expand Access to Child Care
for Children with Disabilities.
$250,000 in
fiscal year 2022 and $250,000 in fiscal year
2023 are from the general fund for grants to
expand access to child care for children with
disabilities.new text begin Any unspent amount in fiscal year
2022 is available through June 30, 2023.
new text end This
is a onetime appropriation.

(f) Parenting with a Disability Pilot Project.
The general fund base includes $1,000,000 in
fiscal year 2024 and $0 in fiscal year 2025 to
implement the parenting with a disability pilot
project.

(g) Base Level Adjustment. The general fund
base is $29,260,000 in fiscal year 2024 and
$22,260,000 in fiscal year 2025.

Sec. 5.

Laws 2021, First Special Session chapter 7, article 16, section 2, subdivision 31,
is amended to read:


Subd. 31.

Grant Programs; Adult Mental Health
Grants

Appropriations by Fund
General
98,772,000
98,703,000
Opiate Epidemic
Response
2,000,000
2,000,000

(a) Culturally and Linguistically
Appropriate Services Implementation
Grants.
$2,275,000 in fiscal year 2022 and
$2,206,000 in fiscal year 2023 are from the
general fund for grants to disability services,
mental health, and substance use disorder
treatment providers to implement culturally
and linguistically appropriate services
standards, according to the implementation
and transition plan developed by the
commissioner.new text begin Any unspent amount in fiscal
year 2022 is available through June 30, 2023.
new text end
The general fund base for this appropriation
is $1,655,000 in fiscal year 2024 and $0 in
fiscal year 2025.

(b) Base Level Adjustment. The general fund
base is $93,295,000 in fiscal year 2024 and
$83,324,000 in fiscal year 2025. The opiate
epidemic response fund base is $2,000,000 in
fiscal year 2024 and $0 in fiscal year 2025.

Sec. 6.

Laws 2021, First Special Session chapter 7, article 16, section 2, subdivision 33,
is amended to read:


Subd. 33.

Grant Programs; Chemical
Dependency Treatment Support Grants

Appropriations by Fund
General
4,273,000
4,274,000
Lottery Prize
1,733,000
1,733,000
Opiate Epidemic
Response
500,000
500,000

(a) Problem Gambling. $225,000 in fiscal
year 2022 and $225,000 in fiscal year 2023
are from the lottery prize fund for a grant to
the state affiliate recognized by the National
Council on Problem Gambling. The affiliate
must provide services to increase public
awareness of problem gambling, education,
training for individuals and organizations
providing effective treatment services to
problem gamblers and their families, and
research related to problem gambling.

(b) Recovery Community Organization
Grants.
$2,000,000 in fiscal year 2022 and
$2,000,000 in fiscal year 2023 are from the
general fund for grants to recovery community
organizations, as defined in Minnesota
Statutes, section 254B.01, subdivision 8, to
provide for costs and community-based peer
recovery support services that are not
otherwise eligible for reimbursement under
Minnesota Statutes, section 254B.05, as part
of the continuum of care for substance use
disorders.new text begin Any unspent amount in fiscal year
2022 is available through June 30, 2023.
new text end The
general fund base for this appropriation is
$2,000,000 in fiscal year 2024 and $0 in fiscal
year 2025

(c) Base Level Adjustment. The general fund
base is $4,636,000 in fiscal year 2024 and
$2,636,000 in fiscal year 2025. The opiate
epidemic response fund base is $500,000 in
fiscal year 2024 and $0 in fiscal year 2025.

Sec. 7.

Laws 2021, First Special Session chapter 7, article 16, section 28, is amended to
read:


Sec. 28. CONTINGENT APPROPRIATIONS.

Any appropriation in this act for a purpose included in Minnesota's initial state spending
plan as described in guidance issued by the Centers for Medicare and Medicaid Services
for implementation of section 9817 of the federal American Rescue Plan Act of 2021 is
contingent upon approval of that purpose by the Centers for Medicare and Medicaid Servicesnew text begin,
except for the rate increases specified in article 11, sections 12 and 19
new text end. This section expires
June 30, 2024.

Sec. 8.

Laws 2021, First Special Session chapter 7, article 17, section 3, is amended to
read:


Sec. 3. GRANTS FOR TECHNOLOGY FOR HCBS RECIPIENTS.

(a) This act includes $500,000 in fiscal year 2022 and $2,000,000 in fiscal year 2023
for the commissioner of human services to issue competitive grants to home and
community-based service providers. Grants must be used to provide technology assistance,
including but not limited to Internet services, to older adults and people with disabilities
who do not have access to technology resources necessary to use remote service delivery
and telehealth.new text begin Any unspent amount in fiscal year 2022 is available through June 30, 2023.new text end
The general fund base included in this act for this purpose is $1,500,000 in fiscal year 2024
and $0 in fiscal year 2025.

(b) All grant activities must be completed by March 31, 2024.

(c) This section expires June 30, 2024.

Sec. 9.

Laws 2021, First Special Session chapter 7, article 17, section 6, is amended to
read:


Sec. 6. TRANSITION TO COMMUNITY INITIATIVE.

(a) This act includes $5,500,000 in fiscal year 2022 and $5,500,000 in fiscal year 2023
for additional funding for grants awarded under the transition to community initiative
described in Minnesota Statutes, section 256.478.new text begin Any unspent amount in fiscal year 2022
is available through June 30, 2023.
new text end The general fund base in this act for this purpose is
$4,125,000 in fiscal year 2024 and $0 in fiscal year 2025.

(b) All grant activities must be completed by March 31, 2024.

(c) This section expires June 30, 2024.

Sec. 10.

Laws 2021, First Special Session chapter 7, article 17, section 10, is amended to
read:


Sec. 10. PROVIDER CAPACITY GRANTS FOR RURAL AND UNDERSERVED
COMMUNITIES.

(a) This act includes $6,000,000 in fiscal year 2022 and $8,000,000 in fiscal year 2023
for the commissioner to establish a grant program for small provider organizations that
provide services to rural or underserved communities with limited home and
community-based services provider capacity. The grants are available to build organizational
capacity to provide home and community-based services in Minnesota and to build new or
expanded infrastructure to access medical assistance reimbursement.new text begin Any unspent amount
in fiscal year 2022 is available through June 30, 2023.
new text end The general fund base in this act for
this purpose is $8,000,000 in fiscal year 2024 and $0 in fiscal year 2025.

(b) The commissioner shall conduct community engagement, provide technical assistance,
and establish a collaborative learning community related to the grants available under this
section and work with the commissioner of management and budget and the commissioner
of the Department of Administration to mitigate barriers in accessing grant funds. Funding
awarded for the community engagement activities described in this paragraph is exempt
from state solicitation requirements under Minnesota Statutes, section 16B.97, for activities
that occur in fiscal year 2022.

(c) All grant activities must be completed by March 31, 2024.

(d) This section expires June 30, 2024.

Sec. 11.

Laws 2021, First Special Session chapter 7, article 17, section 11, is amended to
read:


Sec. 11. EXPAND MOBILE CRISIS.

(a) This act includes $8,000,000 in fiscal year 2022 and $8,000,000 in fiscal year 2023
for additional funding for grants for adult mobile crisis services under Minnesota Statutes,
section 245.4661, subdivision 9, paragraph (b), clause (15).new text begin Any unspent amount in fiscal
year 2022 is available through June 30, 2023.
new text end The general fund base in this act for this
purpose is $4,000,000 in fiscal year 2024 and $0 in fiscal year 2025.

(b) Beginning April 1, 2024, counties may fund and continue conducting activities
funded under this section.

(c) All grant activities must be completed by March 31, 2024.

(d) This section expires June 30, 2024.

Sec. 12.

Laws 2021, First Special Session chapter 7, article 17, section 12, is amended to
read:


Sec. 12. PSYCHIATRIC RESIDENTIAL TREATMENT FACILITY AND CHILD
AND ADOLESCENT MOBILE TRANSITION UNIT.

(a) This act includes $2,500,000 in fiscal year 2022 and $2,500,000 in fiscal year 2023
for the commissioner of human services to create children's mental health transition and
support teams to facilitate transition back to the community of children from psychiatric
residential treatment facilities, and child and adolescent behavioral health hospitals.new text begin Any
unspent amount in fiscal year 2022 is available through June 30, 2023.
new text end The general fund
base included in this act for this purpose is $1,875,000 in fiscal year 2024 and $0 in fiscal
year 2025.

(b) Beginning April 1, 2024, counties may fund and continue conducting activities
funded under this section.

(c) This section expires March 31, 2024.

Sec. 13.

Laws 2021, First Special Session chapter 7, article 17, section 17, subdivision 3,
is amended to read:


Subd. 3.

Respite services for older adults grants.

(a) This act includes $2,000,000 in
fiscal year 2022 and $2,000,000 in fiscal year 2023 for the commissioner of human services
to establish a grant program for respite services for older adults. The commissioner must
award grants on a competitive basis to respite service providers.new text begin Any unspent amount in
fiscal year 2022 is available through June 30, 2023.
new text end The general fund base included in this
act for this purpose is $2,000,000 in fiscal year 2024 and $0 in fiscal year 2025.

(b) All grant activities must be completed by March 31, 2024.

(c) This subdivision expires June 30, 2024.