1.1 	A bill for an act
1.2 	relating to human services; modifying essential community supports; appropriating 
1.3 	money for a grant for respite services;amending Minnesota Statutes 2022, section 
1.4 	256B.0922, subdivision 1.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2022, section 256B.0922, subdivision 1, is amended to read:
1.7 		Subdivision 1.Essential community supports. (a) The purpose of the essential 
1.8 	community supports program is to provide targeted services to persons age 65 and older 
1.9 	who need essential community support, but whose needs do not meet the level of care 
1.10 	required for nursing facility placement under section 144.0724, subdivision 11.
1.11 	(b) Essential community supports are available not to exceed ~~$400~~ $600 per person per 
1.12 	month. Essential community supports may be used as authorized within an authorization 
1.13 	period not to exceed 12 months. Services must be available to a person who:
1.14 	(1) is age 65 or older;
1.15 	(2) is not eligible for medical assistance;
1.16 	(3) has received a community assessment under section 256B.0911, subdivisions 17 to 
1.17 	21, 23, 24, or 27, and does not require the level of care provided in a nursing facility;
1.18 	(4) meets the financial eligibility criteria for the alternative care program under section 
1.19 	256B.0913, subdivision 4;
1.20 	(5) has an assessment summary; and
2.1 	(6) has been determined by a community assessment under section 256B.0911, 
2.2 	subdivisions 17 to 21, 23, 24, or 27, to be a person who would require provision of at least 
2.3 	one of the following services, as defined in the approved elderly waiver plan, in order to 
2.4 	maintain their community residence:
2.5 	(i) adult day services;
2.6 	(ii) caregiver support, including respite care;
2.7 	(iii) homemaker support;
2.8 	(iv) companion services;
2.9 	~~(iv)~~ (v) chores;
2.10 	~~(v)~~ (vi) a personal emergency response device or system;
2.11 	~~(vi)~~ (vii) home-delivered meals; or
2.12 	~~(vii)~~ (viii) community living assistance as defined by the commissioner.
2.13 	(c) The person receiving any of the essential community supports in this subdivision 
2.14 	must also receive service coordination, not to exceed $600 in a 12-month authorization 
2.15 	period, as part of their assessment summary.
2.16 	(d) A person who has been determined to be eligible for essential community supports 
2.17 	must be reassessed at least annually and continue to meet the criteria in paragraph (b) to 
2.18 	remain eligible for essential community supports.
2.19 	(e) The commissioner is authorized to use federal matching funds for essential community 
2.20 	supports as necessary and to meet demand for essential community supports as outlined in 
2.21 	subdivision 2, and that amount of federal funds is appropriated to the commissioner for this 
2.22 	purpose.

2.23 	Sec. 2. APPROPRIATIONS; RESPITE SERVICES GRANT.
 2.24 	$2,000,000 in fiscal year 2024 and $2,000,000 in fiscal year 2025 are appropriated from 
2.25 	the general fund to the commissioner of human services to establish a grant program for 
2.26 	respite services for older adults with dementia. The commissioner must award grants on a 
2.27 	competitive basis to respite service providers.