1.1                          A bill for an act
  1.2             relating to health; establishing and permitting 
  1.3             appointments to an advisory commission; requiring a 
  1.4             plan for the localization of long-term care services; 
  1.5             proposing coding for new law in Minnesota Statutes, 
  1.6             chapter 144A. 
  1.7   BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 
  1.8      Section 1.  [144A.312] [ADVISORY COMMISSION ON 
  1.9   LOCALIZATION.] 
  1.10     Subdivision 1.  [PURPOSE.] The legislature finds that the 
  1.11  current delivery system for long-term care services does not 
  1.12  provide sufficient opportunity for local decision-making and 
  1.13  input.  The legislature further finds that providing long-term 
  1.14  care funding through a variety of programs can lead to 
  1.15  inefficiency and duplication of services.  It is, therefore, the 
  1.16  intent of the legislature to localize the delivery and 
  1.17  administration of long-term care services, and consolidate 
  1.18  funding for these services, in order to better focus on 
  1.19  community needs, provide greater flexibility and efficiency in 
  1.20  the delivery of services, and reduce unnecessary administrative 
  1.21  costs and service duplication.  It is the intent of the 
  1.22  legislature to take the first steps toward localization by 
  1.23  creating an advisory commission to develop a plan and 
  1.24  demonstration project for localization. 
  1.25     Subd. 2.  [ESTABLISHMENT AND MEMBERSHIP.] The governor 
  1.26  shall establish a 19 member advisory commission on the 
  2.1   localization of long-term care services.  The commission shall 
  2.2   consist of: 
  2.3      (1) five consumer representatives, at least three of whom 
  2.4   represent persons over age 65; 
  2.5      (2) two members representing the nursing home industry; 
  2.6      (3) three members representing providers of 
  2.7   noninstitutional long-term care services; 
  2.8      (4) one representative of the commissioner of human 
  2.9   services; 
  2.10     (5) one representative of the commissioner of health; 
  2.11     (6) two representatives of health care providers, one to 
  2.12  represent nurses and the other to represent physicians; 
  2.13     (7) one representative of a community health board; 
  2.14     (8) two members of the house of representatives appointed 
  2.15  under the rules of the house of representatives, one from the 
  2.16  majority party and one from the minority party; and 
  2.17     (9) two members of the senate appointed under the rules of 
  2.18  the senate, one from the majority party and one from the 
  2.19  minority party. 
  2.20     The governor shall appoint one of the consumer 
  2.21  representatives as chair of the commission. 
  2.22     Subd. 3.  [TERMS; COMPENSATION; AND REMOVAL.] The 
  2.23  commission is governed by Minnesota Statutes, section 15.059. 
  2.24     Subd. 4.  [STAFF.] The interagency committee on long-term 
  2.25  care shall provide staff support to the commission. 
  2.26     Subd. 5.  [DUTIES.] The commission shall develop a 
  2.27  localization plan for long-term care services.  For purposes of 
  2.28  this subdivision, "long-term care services" mean nursing home 
  2.29  services, home care services, and waivered services.  The 
  2.30  localization plan must: 
  2.31     (1) define the geographic area within which local control 
  2.32  of long-term care services applies; 
  2.33     (2) give residents of geographic areas the responsibility 
  2.34  for planning and overseeing the delivery of long-term care 
  2.35  services within the area, through locally elected health action 
  2.36  boards; 
  3.1      (3) define the duties of health action boards, and provide 
  3.2   these boards with the authority necessary to administer 
  3.3   long-term care services within a geographic area; 
  3.4      (4) coordinate the provision of services through health 
  3.5   action boards with the provision of health care and social 
  3.6   services by public and private entities in the geographic area; 
  3.7      (5) encourage alternatives to institutional long-term care, 
  3.8   and provide nursing homes with financial incentives to downsize; 
  3.9      (6) provide nurses and allied health professionals with 
  3.10  expanded decision-making power related to the provision of 
  3.11  long-term care services; 
  3.12     (7) identify state and federal law changes and federal 
  3.13  waivers needed to provide local control over long-term care 
  3.14  services; and 
  3.15     (8) include a design for a pilot project to evaluate local 
  3.16  control of long-term care services, and recommend appropriate 
  3.17  pilot project sites. 
  3.18     Subd. 6.  [REPORT.] The advisory commission shall present a 
  3.19  plan for the localization of long-term care services to the 
  3.20  governor and the legislature by January 15, 1996.