E Relating to the organization, operation and financing of state government, appropriating money for certain health and human services programs ARTICLE 1 - APPROPRIATIONS Appropriating money to the commissioner of human services for financial, legal, regulation and management operations, for children's services management, for MinnesotaCare and medical assistance (MA) basic health care grants including community dental clinic start up grants, for general assistance medical care (GAMC), for a Clay county dental clinic access grant, for basic health care management, for health care policy administration, for health care operations including MinnesotaCare staff and the social security administration work incentives demonstration project for the disabled, for state operated and northeast Minnesota mental health services, for continuing care and community support grants including community social services block and consumer support grants, living at home block nurse programs, the Minnesota senior service corps and health insurance counseling, for services to deaf persons with mental illness, for deaf blind orientation and mobility services, for the adult mental illness crisis housing assistance program, for the St. Louis county statewide adolescent compulsive gambling prevention and education project, for the crisis intervention project in southeastern Minnesota for persons with developmental disabilities, for semi-independent living services (SILS), for the family support program for persons with mental retardation, for medical assistance home and community based waivered services and group residential housing (GRH) supplement service rate increases, for increased availability of home and community based waivered services for persons with mental retardation or related conditions, for nursing facility bed moratorium exceptions, for a nursing facility operated by the Red Lake band of Chippewa Indians, for reimbursement to a Ramsey county intermediate care facility for persons with mental retardation (ICF MR) for certain disallowances, for alternative care grants, for certain chemical dependency services, for the Minnesota senior health options project, for a camping program for adults and children with mental illness, for the region 10 quality assurance commission, for economic support grants including grants to the new chance, parents fair share, Minnesota family investment program employment and training and child care programs and supportive living arrangements for minor parents participating in MFIP, for family assistance and work grants, for child support enforcement, for general assistance (GA) and Minnesota supplement aid (MSA), for refugee services and for economic support management and policy administration, to the commissioner of health for a suicide prevention study, for the Duluth family practice residency and rural hospital capital improvement grant programs, for health care purchasing alliances, for the development of guidelines and standards for special case autopsies, for populations of color health needs assessments and for a year 2000 problems survey of health facilities and water supply systems, to the veterans nursing homes and health related licensing boards, to the emergency medical services (EMS) board to establish a comprehensive advanced life support (CALS) educational program and for grants to regional emergency medical services programs, to the council on disability and to the ombudsmen for mental health and mental retardation and families; prohibiting the commissioner of human services and health from using indirect cost allocations for program operational costs; specifying certain fund, account and appropriation transfer reporting requirements; authorizing and providing for certain fund transfers and providing for the availability of federal funds including TANF block grant awards for certain programs and services; authorizing the commissioner of human services to require hospitals to refund certain inpatient copayments; requiring the commissioner to set the monthly general assistance standard, to reduce quarterly food stamp administrative reimbursements to counties and to appeal certain federal surcharge compliance determinations; providing for the funding of fraud prevention and control initiatives and for the resolution of certain blood products litigation claims; requiring a commissioner telemedicine cost savings and benefits report to the legislature by a certain date; providing for the continuity of human services programs payments in the event of disruption of technical systems or computer operations; ensuring access to day training and habilitation services for persons with mental retardation; providing for the payment of accrued leave liabilities of state employees transferred to state operated community services programs and of wages for project labor and for collective bargaining protection under regional treatment center (RTC) restructuring; providing for the distribution of appropriations under the community social services act to counties and requirement the commissioner to study the CSSA formula limits and report recommendations for revision of the formula to the legislature by a certain date; continuing the nursing facility preadmission screening payment to counties; authorizing a certain group residential facility for women in Ramsey county to negotiate a supplementary service rate; requiring the commissioner to study and report to the legislature by a certain date on the status of persons with brain injuries residing in institutions and to apply to the federal health care financing administration for a grant for a demonstration project to transition disabled persons out of nursing homes; requiring the commissioner of health to study and report to the legislature by a certain date on uncompensated health care and to work to obtain access to minimum data set (MDS) data electronically transmitted by nursing facilities to the health department; requiring the commissioners of health and human services to analyze the adequacy of the supply of nursing home beds; reducing the base level appropriation for tobacco prevention and control programs; regulating the use of portable wading pools in child care settings; requiring the commissioner of health to report to the legislature by a certain date with a plan to create a single point of entry for health care consumer assistance and advocacy services; providing for certain veterans home improvements; limiting the use and carryover of certain appropriations; sunsetting certain uncodified language; providing for the availability of funds encumbered and obligated under agreements for specific children under guardianship of the commissioner of human services; providing for the operation of the department of human services communication systems account and for funding of the issuance operations center; requiring the commissioner of human services to receive federal matching money under the medical assistance program for the consumer satisfaction survey and to incorporate cost reimbursement claims from First Call Minnesota into the federal cost reimbursement claiming processes of the department; authorizing the commissioner to issue MFIP cash assistance grant payments before the first day of the month; repealing the TANF (temporary assistance for needy families) reserve account ARTICLE 2 - HEALTH DEPARTMENT Extending the expiration date of the public programs risk adjustment work group; accelerating the expiration date of health care regional coordinating boards; requiring the commissioners of health and commerce to adopt uniform billing requirements for health care claims transactions and requiring health care providers compliance with the requirements; providing for funding of medical education and research, establishing a medical education and research advisory committee to provide advice and oversight on the distribution of funds; providing for risk adjustment of the prepaid medical assistance (MA) and general assistance medical care (GAMC) and MinnesotaCare programs; authorizing contracts between health provider cooperatives and purchasers to provide for payment by fee for service or other financial arrangements; providing for prevention and treatment of sexually transmitted infections; codifying and modifying the authorized agreement between the governor and the federal nuclear regulatory commission for regulation of certain nuclear materials and granting the commissioner of health certain enforcement authority; exempting certain bone densitometer operators from x-ray operator examination requirements; modifying and extending the rural hospital capital improvement grant and loan program; expanding eligibility for designation as a critical access hospital; clarifying the application of the clean indoor air act to public schools and applying the provisions to factories and warehouses; prohibiting the commissioner from adopting or enforcing rules limiting noncertified boarding care homes registered as housing with services establishments from providing home care services; modifying certain assisted living home care client records requirements; requiring state grants for HIV AIDS prevention programs targeted to adolescents to include the promotion of abstinence from sexual activity and drug use and the Minnesota education now and babies later program to promote sexual abstinence until marriage, transferring the responsibility for the MN ENABL media and public relations campaign from the attorney general to the commissioner; increasing the biennial registration fees and late application penalty for speech language pathologists and audiologists and imposing a temporary surcharge fee; making mandatory and increasing the surety bond requirement for plumbing contractors and requiring a commissioner study relating to the expansion of plumber licensure and plumbing inspection requirements; providing for case studies to develop standards for autopsy practice in special cases, requiring a report to the legislature by a certain date; repealing the health care consumer assistance, advocacy and information office, the medical education and research trust fund, lead related funding for nonprofit organizations and the lead safe property certification and dental health education programs ARTICLE 3 - LONG TERM CARE Modifying a certain previously approved proposal providing an exception to the nursing home bed moratorium for relocation purposes; requiring the commissioner of health to establish and implement a prescribed process and program to provide training and education to licensed nursing facility providers, to make available certain nursing home survey data and to grant waivers for continuation of approved nurse aide training and competency evaluation programs losing approval, restricting commissioner issuance of findings of immediate jeopardy, establishing an informal dispute resolution process and requiring the commissioner to examine rules and regulations governing licensed nursing facility care; excluding only certified boarding care homes from the definition of housing with services establishment; exempting residential services and changes in ownership from the needs determination process for certain programs serving persons with developmental disabilities; establishing a local system needs planning process for intermediate care facilities for persons with mental retardation; requiring the commissioner of human services to grant a license to a new ICF MR facility at Lake Owasso replacing an existing facility in Ramsey county and establishing the medical assistance (MA) payment rate for the facility; requiring the commissioner to include the total annual payment for preadmission screening in nursing facility payment rates; expanding the alternative care program under medical assistance, authorizing direct cash payments to clients, providing a method for distributing alternative care funds to counties under certain inadequacy conditions, increasing the asset limit for client premiums determination purposes and modifying the requirement for transfer of current clients to the elderly waiver program; establishing new cost per bed limits for total nursing facility replacement projects approved after a certain date, allowing use of the limits for a certain previously approved project in Carlton county and modifying the reimbursement provision for a certain previously approved nursing home bed moratorium exception relocation project; increasing nursing facility medical assistance operating cost payment rates, requiring certain salary adjustments for nonmanagerial employees; providing a special increase for certain facilities in Carver, Faribault, Houston, Chisago, Murray and Hennepin counties; modifying the advance notice requirement for termination of contracts under the alternative contractual payment demonstration project and clarifying the renegotiation requirement, restricting a certain inflation adjustment requirement to property related payment rates, providing rate increases for certain facilities in Becker and Chisago counties and in the cities of Canby, Golden Valley and Park Rapids, extending the payment system reform advisory committee and eliminating certain commissioner transition plan development and implementation requirements; modifying the performance based contracting reimbursement system, modifying certain contract content requirements, authorizing the commissioner to negotiate different contract terms for different facilities, prescribing the contract term and specifying certain consumer protection agreement requirements of nursing facilities entering into the contracts; modifying certain prohibited practices for medical assistance reimbursement eligibility purposes; allowing nursing facilities terminating medical assistance certification to continue to receive medical assistance payments until relocation of all residents under medical assistance; requiring separate payment of fees and costs awarded to facilities for successful appeal; eliminating the requirement for performance based contracting under the new reimbursement system for intermediate care facilities for persons with mental retardation, modifying certain contract requirements and restricting inflation adjustments to the operating payment rate; establishing a newer yet ICF MR payment system, providing for certain payment rate adjustments and specifying certain facility financial reporting requirements; requiring the payment of training and habilitation costs on a pass through basis; reducing the coverage duration requirement of health plans under the medical assistance prepayment demonstration project, eliminating coverage of elderly waiver services and providing for coverage of both elderly and home and community based waiver services under the Minnesota senior health options project; creating an exception to the moratorium on the development of group residential housing beds for settings used exclusively for recipients of certain waiver services previously residing in nursing facilities, specifying a rate limit; modifying the conditions for negotiation and approval of GRH supplementary payment rates, specifying a combined supplementary service and room and board rate maximum and providing a special supplementary rate for a certain facility in Hennepin county; modifying a certain provision providing for certification of a certain ICF MR in Northfield; extending the deadline for a certain previously approved nursing facility total replacement project in Carlton county; requiring incontinent nursing home residents to be checked according to a specific time interval in the resident care plan; requiring a commissioner group residential housing study and report to the legislature by a certain date; authorizing and providing for the commissioner to authorize a project to reconfigure a certain number of existing ICF MRs on the same campus in Carver county; requiring the commissioner to exempt certain ICF MRs from certain payment rate reductions and to array facilities within certain groupings by the cost per resident day for spend up limit purposes, prohibiting the application of certain rate limits; repealing the ICF MR client reimbursement classifications, the client assessment requirements under the community based services reimbursement rate system, a certain ICF MR total payment rate inflation adjustment requirement of the commissioner and a certain prepaid medical assistance enrollment requirement exemption for certain persons eligible for home and community based waivered services ARTICLE 4 - HEALTH CARE PROGRAMS Modifying the subrogation rights of the department of human services to collect from third parties for health care provided through government health programs; requiring the board of teaching to adopt rules for licensing public school teachers providing health related services for disabled children consistent with license or registration requirements of the commissioner of health and the health related licensing boards, coordination requirement; delaying the effective date for certain school district obligations relating to providing special instruction and services for students with disabilities; authorizing individual education plan teams to authorize services covered by medical assistance, requiring and providing for the commissioner of human services to reimburse school districts for the federal share of individual education plan health related services qualifying for MA reimbursement and eliminating certain responsibility of contracted health plans for medical assistance services; providing for the inclusion of costs expended by school districts for the nonfederal share of medical assistance services in the special education base revenue formula; requiring the commissioner of children, families and learning to monitor the costs of health related special education services provided by public schools; establishing the adult mental illness crisis housing assistance program in the department of human services; eliminating certain background study notice requirements of the commissioner of human services for individuals seeking licensure for certain day or foster care services and authorizing county licensing agencies to develop alternative systems to determine the immediate risk of harm to program clients; prohibiting applicants denied licensure from licensing for a certain number of years following the denial, exception; clarifying certain death or serious injury reporting requirements of licensed providers of services to persons with developmental disabilities and requiring demonstration of ability for staff administration of medications; modifying the notice requirement for temporary termination of services to persons with disabilities; modifying certain requirements for the management of personal funds or property; requiring the allocation of remaining family support program funds to counties for the support of children in the family home; expanding the definition of state agency for public assistance lien rights purposes and authorizing certain agencies to retain legal representation for enforcement purposes; prohibiting the counting of federal or state tax rebates as income or assets for public assistance programs eligibility determination purposes; modifying the senior citizen drug program and imposing a cost limit; authorizing physician or hospital requests for reconsideration of certain medical nonnecessity decisions under the inpatient hospital payment system and providing inflationary increases for medical assistance hospital payments, reducing the hospital cost index for calendar year 2000 to recover certain overprojections; requiring the commissioner to establish a performance data reporting unit under medical assistance; eliminating the 100 hour rule for medical assistance coverage for families eligible for the Minnesota family investment program; increasing certain income standards for medical assistance eligibility purposes and providing eligibility for certain employed persons with disabilities; providing for all income exclusions for institutionalized persons mandated by federal law and for eligibility for certain medical assistance applicants in the month of application; providing medical assistance coverage for telemedicine consultations, for home health services for residents of certain health care facilities, for specialized maintenance physical or occupational therapy, for speech language pathology services and for certain certified neonatal nurse practitioner services; establishing one time thresholds for rehabilitation services, requiring a care management approach for authorization of services beyond the threshold and the commissioner to implement an expedited turnaround time to review authorization requests for recipients in need of emergency services exhausting the threshold limit; providing limited medical assistance coverage for anorectics and eliminating the prohibition on coverage of drugs from manufacturers not signing an agreement under the senior citizen drug program, requiring the commissioner to set maximum allowable costs for certain multisource drugs; modifying the supervision requirement for coverage of personal care services; expanding covered special education services, nonfederal share of costs for the services to be the responsibility of the local school district, specifying certain commissioner payment structure development and implementation requirements; limiting payments to federally qualified health centers and rural health clinics; eliminating the nutritional supplementation products advisory committee; expanding medical assistance coverage for family community support and home care services; clarifying the assessment procedures for coverage of personal care assistant services, requiring face to face assessment of certain recipients; modifying a certain hardship exception to the exclusion from coverage for personal care services provided by certain relatives and the limit on services without prior authorization, requiring commissioner review of service updates and temporary service requests; changing personal care assistant shared care services to shared personal care assistant services; providing for the flexible use of personal care assistant hours; providing a fiscal agent option for personal care assistant services and authorizing the sharing of private duty nursing care; specifying the reimbursement rates for public health nurse visits relating to the provision of personal care services; clarifying the eligibility of MFIP participants discontinuing cash assistance for continued medical assistance eligibility; providing for federally required restrictions on conflicts of interest relating to medicaid expenditures; providing for reduction of the waiting list for home and community based waivered services for persons with mental retardation or related conditions, eliminating certain language relating to commissioner expansion of availability of the services; expanding the living at home block nurse grant program; increasing the membership and expanding the duties of the region 10 quality assurance commission; authorizing nursing facilities to require residents to use certain pharmacies; modifying medical assistance coverage for crisis intervention services for residents of intermediate care facilities for persons with mental retardation; modifying the implementation date for county based purchasing under the medical assistance prepayment demonstration project, requiring the commissioner to provide certain information to county boards for county based purchasing purposes; requiring the commissioner to seek federal approval for exclusion of medical assistance special education services from the prepaid and MinnesotaCare programs; requiring prepaid health plans providing coverage under the medical assistance, general assistance medical care and MinnesotaCare programs to comply with managed care program requirements; setting capitation rates for nonmetropolitan counties under the prepaid medical assistance program; protecting hospitals from liability for payments to the medical education and research trust fund above the charge limit under the inpatient hospital payment system; designating county boards as the governing bodies of county based purchasing programs and requiring participating counties to satisfy certain consumer and provider protection and fiscal solvency requirements, requiring the commissioner to develop administrative and financial reporting requirements for the purchasing programs; increasing medical assistance payment rates for nonsurgical outpatient hospital and emergency room facility fees, requiring payment for outpatient, emergency and ambulatory surgery hospital facility fee services for critical access hospitals on a cost based payment system; increasing medical assistance payment rates for physician, professional and dental services, providing for commissioner grants to increase dental services to public program recipients; establishing a methodology for granting inflation adjustments to certain community based and waiver service providers; providing medical assistance coverage for health care services provided at American Indian health services facilities to medical assistance recipients required to enroll with a county administrative entity or service delivery organization; subjecting enrollees under the coordinated service delivery system demonstration project for persons with disabilities choosing not to develop a personal support plan to network and prior authorization requirements of the county administrative entity or service delivery organization; providing for risk sharing under the capitation payment system; modifying the funding for external advocacy services; providing for demonstration sites to implement service coordination provisions; providing eligibility for general assistance medical care in the month of application for certain applicants and providing GAMC coverage for certain certified neonatal nurse practitioner services and telemedicine consultations; eliminating MinnesotaCare copayment and coinsurance requirements for certain enrollees and requiring relative caretakers to cooperate with efforts to establish third party liability, paternity and medical support to be eligible for MinnesotaCare; clarifying eligibility of certain applicants for either the medical assistance or MinnesotaCare programs; expanding the authority of the commissioner to terminate MinnesotaCare outreach grants; modifying the eligibility of grandparents to apply for the program with children; providing for retroactive coverage for certain families and individuals terminated from medical assistance or GAMC; clarifying the application process for MinnesotaCare and the definition of failure to pay, providing for retroactive reenrollment of persons disenrolled for nonpayment under certain conditions; modifying eligibility for the MinnesotaCare program; allowing the refund of certain premiums; requiring the sliding fee scale to contain separate tables and enrolled individuals and families with a certain annual income to pay the maximum premium; imposing a time limit on administrative reconsideration of final determinations of child maltreatment; clarifying the requirement for the commissioner to seek a federal waiver to implement a medical assistance work incentive for disabled persons; eliminating the monetary limit on the senior drug program; requiring the commissioner of health to collect data on uncompensated care in hospitals, surgical centers and health care clinics and to study the extent and type of medicare supplemental coverage for low income seniors; requiring the commissioner of human services to simplify the MinnesotaCare application form, to examine opportunities to expand the scope of providers eligible for medical assistance reimbursement for special education services, to amend certain rules for home based mental health and family community support services, to study programs for senior citizens for combination, simplification or coordination purposes and dental access issues and to report to the legislature by certain dates on rate setting and risk adjustment for prepaid health care programs, on methods for implementing county board authority under the prepaid medical assistance program, on the conversion of medical assistance physician and professional services payment methodology to resource based relative value scale, on definitions of specialized maintenance therapy, on alternative resource allocation methods for the home and community based waiver for persons with mental retardation and on conditions for reimbursement of parents of minors for certain services; authorizing the commissioner to develop demonstration projects using dental hygienists to provide services to limited access patients; requiring the commissioner of health or the commissioner of human services to seek a federal waiver to exempt residents of ICF MRs participating in the quality assurance pilot project from certain requirements; repealing a certain provision providing for medical assistance reimbursement for certain physician services and the mental illness crisis housing assistance account ARTICLE 5 - STATE OPERATED SERVICES; CHEMICAL DEPENDENCY; MENTAL HEALTH; LAND CONVEYANCES Changing the exemption from the state procurement program solicitation process for goods and services used by community based residential to goods and services used by community based facilities; modifying certain provisions under the adult and children mental health acts relating to case management and day treatment services; directing the commissioner of human services to study and to make recommendations to the legislature on establishing enterprise activities within state operated services for persons with disabilities; requiring state operated programs or services established and operated as enterprise activities to retain revenues earned in an interest bearing account, exception; modifying the criteria for granting variances from day training and habilitation payment rates; requiring health plan companies to provide coverage for certain court ordered medically necessary services provided to enrollees under temporary confinement under the civil commitment act; imposing responsibility on the state for arranging and funding aftercare and case management services for persons committed as sexual psychopathic personalities or sexually dangerous persons; modifying the conditions for payments to hospitals for chemical dependency treatment services and providing for payments to certain vendors of room and board; providing a per diem payment for consumer and family members of legislatively authorized state level advisory task forces; expanding a certain provision providing for medical assistance payments for mental health case management services; modifying the pilot project to provide alternatives to or enhance coordination of the delivery of adult mental health services; delaying the transition to the fee for service model for certain individuals receiving compulsive gambling treatment; correcting the description of certain land in Crow Wing county for conveyance purposes; authorizing and providing for the commissioner of human services to establish a supportive housing and managed care pilot project for homeless persons under certain funding availability conditions; authorizing and providing for the conveyance of certain state lands to Isanti county and to the city of Cambridge and for the conveyance of certain land in the city of Cambridge to the state; repealing the inhalant abuse demonstration project ARTICLE 6 - ASSISTANCE PROGRAMS Modifying the funding of food stamp employment and training programs under general assistance (GA), requiring the commissioner of human services to reimburse counties for the actual costs of providing the services; making permanent and limiting the scope of the Minnesota food assistance program for legal noncitizens; requiring the commissioner to review general assistance maintenance benefits application denials and authorizing the commissioner to require general assistance recipients to file denial appeals; modifying certain provisions under the Minnesota family investment program-statewide; expanding the authorized uses of temporary assistance for needy families block grant money; eliminating the sunset and modifying the funding for the noncitizens food portion; requiring lawful permanent residency for benefits eligibility purposes and clarifying the residency duration requirement; clarifying MFIP eligibility for parenting or pregnant minors; expanding the property limit exclusion for vehicles, excluding reimbursement for expenses incurred in informal carpooling arrangements relating to employment from income limits and expanding the income limit exclusion for income earned by minor children for eligibility purposes; clarifying and modifying assistance unit composition requirements; prohibiting assistance payments from exceeding the MFIP standard of need; excluding assistance units with nonparental caregivers from shelter vendor payment requirements; prohibiting use of the shared household standard for individuals providing child care to a child in the assistance unit; providing for commissioner determination and adjustment of the earned income disregard; modifying certain conditions of eligibility for persons convicted of drug offenses; requiring acceptance of benefits from other programs upon eligibility; modifying certain reporting and notice requirements; restricting the right to discontinue cash assistance to participants not on vendor payment status and providing for the continued accrual of months of eligibility for child care and medical assistance (MA) by participants choosing to discontinue the receipt of cash assistance; modifying certain verification and recertification requirements for eligibility purposes; expanding the county agency prospective budgeting requirement; providing for supplemental assistance payments in lieu of budget adjustments for significant changes in gross income; modifying the formula for deemed income and assets of sponsors of noncitizens; delaying the effective date for the counting of a certain portion of the value of public and assisted rental subsidies as unearned income; including tribal TANF program assistance in the 60 month time limit and modifying the time limit exemption for certain families; modifying certain orientation requirements; clarifying eligibility for emergency assistance and expanding emergency needs to refuse removal service; modifying or clarifying certain assistance standards; requiring counties to provide employment and training services to certain mandated participants; imposing sanctions for failure to attend the overview of employment and training services without good cause or to complete secondary assessments; expanding job search support or employment plan options; authorizing job counselors to require participants to complete a chemical use or psychological assessment under certain conditions and requiring providers to make certain information available to employment and training program participants; authorizing the involvement of social service agencies in educational assessments of and employment plans for minor parents; requiring both parents in two parent families to choose the same employment and training service provider, exception; creating a good cause exemption for mandatory MFIP meetings, rescheduling requirement; providing for the allocation of employment and training services block grants to eligible tribal providers and for the allocation of funds on a caseload basis; extending eligibility for support services for participants achieving employment goals; requiring periodic commissioner reports to counties on performance management; providing for commissioner review and adjustment of county administrative aid under certain conditions and for allocation of the aid, authorizing reallocation from one county to another under certain insufficiency conditions; requiring certain commissioner recommendations relating to the 60 month limit and a review of the supplemental aid special diet allowance for a rate update report to the legislature; requiring the commissioner to submit to the legislature a proposal for creating an MFIP incentive bonus program for high performing counties, to develop protocols for implementation of chemical use and psychological assessments and to waive certain program requirements to provide for the disbursement of child support payments under the FATHER project to obligees and to exclude the disbursements as income under MFIP, sunset ARTICLE 7 - CHILD SUPPORT Authorizing the exchange of welfare data among the departments of human services, revenue, health and economic security and other state agencies to evaluate child support program performance and to identify and prevent fraud in the child support program; requiring continuing support contribution orders to include the names and social security numbers of the father, mother and child or children; expanding the authority of public authorities responsible for child support to request information for parental location purposes; providing for the payment of support payments by alleged fathers to the public authority under certain conditions; including lost wages of the mother due to medical necessity in pregnancy and confinement costs for appropriate party payment purposes under the parentage act; modifying the time limit for filing revocations of recognition of parentage with the state registrar of vital statistics; requiring petitions for marriage dissolution or legal separation to include the social security numbers of the children; providing for the suspension of recreational (hunting and fishing) licenses of certain obligors in arrears in court ordered child support or maintenance payments; central collections unit not to be liable for creditor collections, authorizing the commissioner of human services to establish a revolving account to cover funds issued in error; authorizing support or maintenance order modifications to retroactively include accrued interest; modifying certain judgment entry and docketing procedures; expanding the authority of the court to order interest on child support debt to stop accruing; requiring the department of human services to continue to plan a demonstration project of child support assurance and to examine the feasibility of forgiving child support arrears in a fair and consistent manner and to develop child support arrearage forgiveness policies; repealing a certain provision providing for docketed judgment automatic increases ARTICLE 8 - CHILD PROTECTION AND RELATED MAXIMIZATION OF FEDERAL FUNDS Modifying certain provisions relating to child welfare and placement; requiring the state registrar to provide copies of original birth certificates of adopted persons to authorized representatives of federally recognized American Indian tribes to determine eligibility of the adopted persons for enrollment or membership in the tribe, restricting use to provide information to the adopted person on the birth parents; requiring entities outside the state placing juveniles in residential facilities for children with severe emotional disturbance to pay the medical expenses of the juveniles; requiring the commissioner of human services to explore and experiment with different chemical dependency service models for parents with children found to be in need of chemical dependency treatment under certain maltreatment, foster care placement or disposition assessments, providing for chemical dependency fund services for children found to be in need; providing medical assistance (MA) coverage for residential facility rehabilitative services for children with severe emotional disturbance; expanding child welfare targeted case management services under medical assistance to tribal social services and contracted case managers and providing for negotiated payment rates and modifying certain provisions under the Minnesota family preservation act to provide for the services; requiring local social services agencies to make diligent efforts to identify, locate and offer services to both parents of children placed in residential facilities by court order or by voluntary release by the parents and providing for day to day care and for agency petitions on behalf of noncustodial parents for custody under certain conditions; expanding case plan content requirements; creating a preference for placing siblings together in foster care and adoption situations; requiring local social services agencies to inform parents considering voluntary placement on issues relating to permanent placement; modifying certain relative search and placement review requirements; expanding the scope of relative custody assistance to important friends and modifying certain definitions, the relationship between relative custody assistance and certain other assistance programs and the appeal process; clarifying the right of appeal under the adoption assistance program and authorizing reimbursement for adoption services expenses to child placing agencies licensed in other states; specifying certain conditions for the reimbursement of nonrecurring adoption expenses; expanding eligibility and certification statement requirements for postadoption assistance grants; modifying certain provisions regulating the duty to reunify the family under the juvenile court act; expanding the definition of egregious harm to include conduct constituting criminal sexual conduct; modifying and clarifying the procedures for review of foster care status; simplifying the procedures for petitions and temporary orders relating to domestic child abuse; expanding certain court notice requirements relating to children in need of protection or services; prohibiting court waiver of the appointment of guardians ad litem for cases of alleged abuse or neglect; eliminating the requirement for waivers to be given to the guardian ad litem for children not represented by counsel; specifying certain court detention hearing determination requirements and certain case plan requirements; modifying certain disposition requirements, authorizing court orders for placement of the child into the home and dismissal of responsible social services agencies from the case under certain conditions and modifying certain provisions providing for review of court ordered placements and permanent placement determinations; modifying certain requirements for the termination of parental rights; authorizing counties to establish alternative response programs for child protection assessments or investigations and providing for assessments and investigations under the established alternative programs; modifying or clarifying certain definitions for child maltreatment reporting purposes and clarifying or expanding certain reporting requirements and the liability immunity provision; expanding the duties of local welfare agencies relating to substance abuse and chemical use assessments; expanding certain duties relating to neglect or abuse of children in facilities to the commissioner of health and certain notice requirements; eliminating the maltreatment of minors advisory committee; enumerating mandated reporters; requiring designation of a member of multidisciplinary child protection teams as the lead person responsible for coordinating team activities with battered women programs and services; requiring the commissioner of human services to amend chemical dependency assessment criteria under certain rules to include assessment criteria addressing issues relating to parents with open child protection cases due to chemical abuse and pregnancy as a factor in determining the need for chemical dependency treatment and to design proposals to add rehabilitation services to the state medical assistance plan for adults with mental illness or other debilitating conditions and to provide medical assistance coverage for targeted case management services for certain adults receiving services through county or state agencies for submission to the legislature; specifying certain reference substitution instructions to the revisor of statutes; repealing certain rulemaking requirements of the commissioner of human services relating to the placement of children in foster homes ARTICLE 9 - HEALTH OCCUPATIONS Modifying certain provisions governing emergency medical services (EMS); eliminating the authority of the emergency medical services regulatory board to set license fees and to adopt rules governing license expiration and renewal; specifying certain ambulance and air ambulance service, equipment and license renewal requirements; providing for data collection and classification; providing standards for interhospital transfer; eliminating certain rule application requirements; modifying certain board ambulance services inspection authority; granting the board certain license, registration or certification denial, suspension, revocation or conditions placement authority; establishing qualifications for and specifying responsibilities of ambulance service medical directors; providing for board certification of emergency medical technicians, emergency medical technicians-intermediate and emergency medical technicians-paramedic; establishing qualifications for EMT instructors and testing examiners; prescribing standards for EMT, EMT-I and EMT-P training programs, requiring board approval; prescribing certain fees; providing for voluntary and mandatory reporting of misconduct, liability immunity provision; providing for board issuance of correction orders and imposition of fines and imposing a criminal penalty for certain violations; requiring the board to establish a comprehensive advanced life support (CALS) education program to train rural medical personnel in a team approach; requiring audits of regional emergency medical services boards; establishing the state board of physical therapy and transferring certain duties relating to physical therapy from the state board of medical practice to the board and providing for licensure of physical therapists in lieu of registration, prohibiting practice without a license; specifying certain reference substitution instructions to the revisor of statutes; repealing existing provisions regulating ambulance services and certain rules ARTICLE 10 - OTHER PROVISIONS Requiring the commissioners of health and commerce in approving certain individual and small employer market health insurance rates to ensure the reflection of appropriations to reduce annual assessments on contributing members to cover the costs of the Minnesota comprehensive health insurance plan in the premium rates charged by the members; establishing a health care and human services worker training and retention program to be administered by the job skills partnership program to alleviate critical worker shortages in certain areas of the state and to increase opportunities for current and potential direct care employees to qualify for advanced employment in the health care or human services fields; sunsetting the program providing specialized child welfare services to minor refugees and the home sharing grant program for the elderly, persons with physical or developmental disabilities and single parent families; repealing the sunset of certain prior provisions prohibiting medical assistance (MA) or general assistance medical care (GAMC) coverage for premiums under qualified or medicare supplement plans issued by MCHA ARTICLE 11 - TOBACCO SETTLEMENT PAYMENTS Establishing the tobacco settlement fund for the crediting of certain tobacco litigation settlement payments; creating the medical education and tobacco use prevention and local public health endowment funds, transferring certain percentages from the tobacco settlement fund to and providing for investment of and expenditures from the endowment funds; providing for use of the medical education endowment fund for university of Minnesota health professional programs and for distribution by the commissioner of health for medical education, requesting the board of regents of the university of Minnesota to adopt a biennial budget plan for expenditures from the endowment fund as part of the biennial budget request; providing for use of the tobacco use prevention and local public health endowment fund for grants for state and local tobacco prevention measures and efforts and other public health initiatives to be distributed by the commissioner, requiring annual reports to the legislature; sunsetting the funds (mk, ja)