Relating to long term care; providing for the relocation of licensed nursing facility residents upon facility closure or curtailment, reduction or change of operations or services; specifying certain licensee notice requirements; prescribing the planning process, specifying certain duties of the local social service agency and the licensee, requiring involvement of the departments of health and human services in closure, curtailment or change plan development and specifying certain plan requirements; requiring the licensee to provide for the safe, orderly and appropriate relocation of residents, requiring cooperation with the departments, the office of ombudsman for older Minnesotans and the ombudsman for mental health and mental retardation; specifying certain responsibilities of the licensee before relocation, notice requirements, requiring establishment of an interdisciplinary team to be responsible for plan coordination and implementation, specifying certain team membership representation requirements; requiring and providing for licensee preparation of a resource list of relocation options; requiring assistance to residents in making site visits to available facilities; specifying certain resident personal possessions inventory and possessions and records transfer requirements; specifying certain responsibilities of the licensee after relocation, requiring certain status reports; specifying certain responsibilities of the local social service agency, specifying certain notice and plan compliance monitoring and resident visit requirements, requiring reports to the commissioners of health and human services of relocations endangering the health, safety or well being of residents; requiring the commissioner of human services to negotiate with the local agency for funding of relocation costs; subjecting licensees to correction orders and civil monetary penalties for violation of the requirements; requiring the delicensure of third and fourth beds in nursing facility bedrooms by a certain date, prohibiting discharges to accomplish the downsizing; requiring facility bed status reports to the commissioner of health; authorizing commissioner downsizing extensions or waivers under certain conditions; requiring commissioner of human services medical assistance (MA) payment rate adjustments after delicensure; requiring the interagency long term care planning committee to manage and implement the delicensure waiver process; requiring the board on aging to operate an expanded statewide information and assistance service to help older Minnesotans and families make informed choices relating to long term care options and health care benefits (senior linkage), specifying certain availability and service requirements; changing the medical assistance nursing facility preadmission screening program to long term care consultation services, defining long term care consultation services and modifying the purpose, requiring coordination with certain other services to provide a variety of cost effective alternatives to persons with disabilities and elderly persons and requiring county agencies providing consultation services to encourage the use of volunteers; changing local screening teams to long term care consultation teams, modifying certain duties and authorizing county boards to designate public health or social services as the lead agency for the consultation services; prescribing the assessment procedure, requiring a support plan for persons choosing to use community based services and requiring the teams to provide persons receiving assessment or support planning with certain information supplied by the commissioner of human services; providing for transition assistance to certain persons residing in nursing facilities, hospitals, regional treatment centers or intermediate care facilities for persons with mental retardation (ICF MR), specifying certain transition assistance requirements; providing for access demonstrations to target critical areas for improvement in long term care consultation services, requiring commissioner preliminary and final reports on the demonstration models to the legislature by certain dates; requiring the commissioner to study and report to the legislature by a certain date on the feasibility of creating integrated service access at the county agency level for subsidized and nonsubsidized long term care services and housing options, specifying certain report content requirements; requiring preadmission screening of all applicants to medicaid certified nursing and boarding care facilities, specifying screening criteria and requirements, requiring case mix classification recommendations under certain conditions and providing for certain exemptions and emergency admissions; modifying certain billing and payment procedures; clarifying the purpose and goals of the alternative care program and modifying certain eligibility and covered services requirements; exempting residential care homes from housing with services registration requirements; modifying certain provisions providing for assisted living services under the alternative care program; regulating cash payments; authorizing the commissioner to contract with federally recognized Indian tribes to serve as the lead agency responsible for the local administration of the alternative program; modifying certain alternative care individual care and county biennial plans, provider contracting and client premiums payment requirements and the appropriation allocation formula; requiring the commissioner to establish statewide maximum and eliminate county specific service rate limits to improve access to community services and eliminate payment disparities between the alternative care and elderly waiver programs, authorizing county negotiation of individual service rates with vendors for actual costs up to the statewide maximum service rate limit; modifying certain provisions regulating the home and community based waiver; modifying the monthly cost limits and the adult foster care and assisted living services payment rates; requiring and providing for the commissioner to award contracts for grants under the seniors agenda for independent living (SAIL) program to public and private nonprofit agencies to establish services to strengthen the ability of communities to provide home and community based services for elderly persons; requiring the commissioner to increase nursing facility reimbursement rates under medical assistance; changing the performance based contracting system under the new nursing facility reimbursement program to the contractual payment system, delaying the date for commissioner renegotiation of the contracts and modifying certain contract requirement and payment rate provisions, exempting certain facilities from the nursing home bed moratorium; requiring the commissioner to develop and implement a quality profile system for nursing facilities and other providers of long term care services, requiring the commissioner to identify and apply existing quality measurement tools under the system and to conduct surveys of long term care service consumers to develop the quality profiles, requiring dissemination of the profiles to consumers, providers and purchasers of the services; modifying certain definitions relating to the closure of nursing facilities; requiring and providing for the commissioner to establish a process to adjust the capacity and distribution of long term care services to equalize the supply and demand for different types of services and by a certain date to publish a request for applications for closure or partial closure of nursing facilities; modifying certain closure plan requirements; specifying certain criteria for commissioner review of closure applications; authorizing the interagency long term care planning committee to recommend approval of proposals by the commissioners of health and human services; providing for a planned closure rate adjustment and authorizing reimbursement by the commissioner of human services to counties for certain relocation costs; repealing certain nursing facility preadmission screening and alternative care program provisions, the special medical assistance reimbursement rates for Anoka, Aitkin, Polk and Pennington counties under the elderly waiver program, certain closure plan requirements and certain rules relating to nursing facility cessations or service curtailments, relocation planning and preadmission screening and alternative care; specifying certain reference deletion instructions to the revisor of statutes (mk)