E Relating to the organization, operation and financing of state government, providing for the financing of health and human services programsARTICLE 1 HEALTH DEPARTMENTSetting or increasing certain fees relating to wells and borings; authorizing and providing for the commissioner of health to modify the immunization schedules for children and post-secondary students during certain portions of the year; requiring the commissioner to evaluate certain health risks in establishing or revising safe drinking water standards; postponing implementation of the nuclear regulatory commission agreement and establishing fees for commissioner licensing of radioactive and source and special nuclear material and a penalty for late payment, specifying certain commissioner periodic safety inspection requirements; increasing the license fees for hospitals, outpatient surgical centers, nursing and boarding care homes and supervised living facilities; increasing the maximum capital improvement grant amount for certain rural hospitals; decreasing and making permanent the vital records surcharge; creating an exception to the hospital construction moratorium for additional beds in a certain existing nonfederal hospital in Otter Tail county; providing for hospital charity care aid to offset excess charity care burdens at acute care short term hospitals; increasing the fees for certification of environmental laboratories; requiring advance notice of service terminations under the home care bill of rights, exceptions; requiring elderly housing with services contracts to include the toll free complaint line for the office of ombudsman for older Minnesotans; requiring and providing for voluntary and informed consent before the performance of abortions, specifying certain duties of physicians and certain toll free telephone number and web site requirements, imposing penalties for certain violations; providing for the distribution of federal maternal and child health block grant money to community health boards, requiring the maternal and child health advisory task force to periodically review measures used to define the variables of the distribution formula and make change recommendations to the commissioner; modifying certain other authorized uses of the block grant money; requiring the commissioner to establish measurable outcomes to determine the effectiveness of AIDS prevention grants in reducing the number of HIV cases, requiring periodic evaluation of funded activities; modifying the purpose of and eligibility for family planning grants, expanding eligibility to tribal governments and eliminating eligibility for nonprofit corporations, prohibiting services relating to abortion; specifying a teen pregnancy reduction goal, requiring and providing for the commissioner to establish a grant program to reach the goal; requiring and providing for commissioner community clinic grants to improve the ongoing viability of clinic based safety net providers; specifying a health disparities reduction goal relating to infant mortality and immunization rates for American Indians and populations of color, requiring and providing for the commissioner to establish a program to close the gap in certain priority areas; sunsetting the existing home visiting programs for the prevention of child abuse and neglect and requiring and providing for the commissioner to establish a new family home visiting program to foster a healthy beginning for children in certain low income families, prevent child abuse and neglect, reduce juvenile delinquency and promote positive parenting, family health and economic self sufficiency; increasing certain fees for food, beverage and lodging establishments and removing the exemption for school food services; requiring assisted living home care providers and housing with services establishments with special care status units for persons with Alzheimer's disease or related disorders to disclose in writing to the commissioner of health, the office of ombudsman for older Minnesotans and persons seeking placement in the residence or an authorized representative certain care or treatment information; requiring the commissioner to develop recommendations for incentives to increase the number of magnet hospitals in the state, to establish a program to reimburse certain anti-tobacco use education activities for certain costs and to study and identify the effects of nurse staffing shortages in health care facilities on patient care and safety, requiring certain reports to the legislature; repealing the allocation of maternal and child health block grant money to community health services areas, the bone marrow donor education program and the expiration date for the rural hospital capital improvement grant program ARTICLE 2 HEALTH CAREAuthorizing the commissioner of human services to administer the federal drug rebate program for drugs purchased under the medical assistance (MA) program, requiring the collection of rebates for drugs dispensed or administered in outpatient settings from manufacturers signing rebate agreements with the federal department of health and human services; expanding eligibility for the prescription drug program; providing for the creation of a temporary purchasing alliance stop loss fund for use by the commissioner of human services to reimburse health plan companies for claims paid for employees of certain employer members of qualifying purchasing alliances; requiring the commissioner to establish a program to reimburse retired dentists for the license fee and the cost of malpractice insurance in exchange for certain volunteer services at a community dental or dental training clinic located at a state college or university; prohibiting use of the hospital surcharge for inpatient hospital payment rate setting purposes; requiring and providing for the commissioner to adjust medical assistance inpatient hospital payment rates for certain diagnosis related groups at hospitals located outside the metropolitan area; authorizing the commissioner to contract with federally recognized Indian tribes to provide early and periodic screening, diagnosis and treatment administrative services for American Indian children; modifying medical assistance eligibility for Minnesota family investment program participants; disregarding child support and social security payments and other basic needs benefits as income for TEFRA medical assistance eligibility for disabled children and temporarily disregarding certain assets of persons no longer qualifying as employed persons with disabilities due to loss of earnings; expanding medical assistance eligibility for disabled children and for families and children; establishing a different medically needy standard for persons with excess income under certain conditions; modifying medical assistance eligibility for employed persons with disabilities; providing medical assistance eligibility for certain persons needing treatment for breast or cervical cancer without meeting the eligibility criteria relating to income and assets; eliminating the expiration date for medical assistance coverage of telemedicine consultations; providing medical assistance coverage for home based intensive early intervention behavior therapy for children with autistic spectrum disorders; providing an honorarium and mileage reimbursement for members of the drug formulary committee and increasing the honorarium and providing a mileage reimbursement for members of the drug utilization review board; increasing the pharmacy dispensing fee for certain products, modifying the estimated actual acquisition cost for drugs with a wholesale price reduced by actions of the national association of medicaid fraud control units and setting the basis for determining the amount of payment for drugs administered in outpatient settings; increasing the mileage rate for special transportation services costs reimbursement purposes and modifying the payment for ambulance services; providing medical assistance coverage for certain oral language interpreter services; authorizing federally qualified health centers and rural health clinics to elect to be paid under the federal prospective payment system or an alternative payment methodology; providing for full federal match for MinnesotaCare payments to Indian health services facilities for enrollees eligible for federal financial participation, MinnesotaCare payments to be the same as medical assistance payment rates for enrollees ineligible for federal financial participation; requiring and providing for commissioner payments from governmental hospitals to certain safety net hospitals contingent on federal approval of certain intergovernmental transfers and payments, requiring certain adjustments under certain conditions; exempting persons eligible for medical assistance due to breast or cervical cancer treatment needs from the medical assistance prepayment demonstration program, exception; increasing the capitation rates under the program for nonmetropolitan counties and requiring a commissioner pro rata adjustment in the rates paid to Hennepin county to make the increase budget neutral; requiring the commissioner to establish a dental services demonstration project in Crow Wing, Todd, Morrison, Wadena and Cass counties to provide dental services to medical assistance, general assistance medical care and MinnesotaCare recipients; replacing certain medical assistance hospital outpatient payment rates with a budget neutral prospective payment system, requiring the commissioner to provide a proposal to the legislature to define and implement the system; setting the medical assistance reimbursement rate for diagnostic examinations and dental x-rays for children, providing for increased reimbursements to critical access dental providers; requiring the commissioner to establish a medical assistance demonstration project for family planning services; modifying eligibility for GAMC relating to countable income; eliminating automatic medical assistance eligibility for work first participants; clarifying the effective date for disenrollment from the MinnesotaCare program for nonpayment of premium; providing for coverage under the program for health care services provided at Indian health services facilities, providing for the payment of enhanced rates; modifying certain commissioner welfare laws simplification requirements; delaying the due date for the report by the commissioner on programs for senior citizens; requiring commissioner notice of the new premium schedule to employed persons with disabilities receiving medical assistance; requiring the commissioner to establish a medication therapy management pilot program for medical assistance enrollees, requiring establishment of an advisory committee; requiring the commissioner to identify nonfinancial barriers to increased provider enrollment and retention in state health care programs and to implement procedures to address the barriers, requiring a report to the legislature by a certain date; repealing certain dental services contracting authority of the commissioner and a certain provision providing continued medical assistance eligibility for MFIP participants discontinuing monthly cash assistance ARTICLE 3 CONTINUING CARE AND HOME CAREClarifying certain provisions providing for medical assistance rate adjustments for residential facilities under receivership, providing for recovery; modifying the county guaranteed floor for semi-independent living services for persons with mental retardation or related conditions; requiring cancellation of certain excess funds in the chemical dependency reserve account to the general fund; reducing the limit on increases in payment rates for vendors of chemical dependency treatment services; modifying chemical dependency treatment services eligibility for certain persons; authorizing the commissioner of human services to pay for tribal chemical dependency services according to federally approved rates in lieu of rates negotiated by counties; authorizing commissioner grants to eligible vendors for the development, implementation and evaluation of case management services for individuals infected with the human immunodeficiency virus to increase access to cost effective health care services, to reduce the risk of transmission, to ensure the meeting of basic client needs and to increase client access to community supports or services; modifying the consumer support program for persons with functional limitations, eliminating the program as an alternative to the alternative care program and nursing facility services and eliminating eligibility for recipients of alternative care services and residents of nursing or intermediate care facility residents, authorizing transfer to the program of recipients of private duty nursing services, modifying the definition of supports, making optional the requirement for the commissioner to use a certain percentage of county allocations for administrative expenses and requiring grant funds unexpended by consumers to be annually returned to the state; modifying the authority of recipients of private duty nursing or personal care assistant services under medical assistance (MA) to use approved hours outside the home and eliminating the prohibition on reimbursement for services provided by certain relatives or legal guardians; extending eligibility for mental health case management services under medical assistance for residents of nursing or intermediate care facilities or hospitals; providing for home care and relocation targeted case management services under medical assistance, specifying certain eligibility requirements and certain qualification and certification standards and services eligible for reimbursement, specifying certain case manager assignment timeline and documentation and commissioner evaluation requirements, requiring the commissioner to set payment rates for targeted case management; defining or redefining certain terms relating to home care services and providing medical assistance coverage for personal care assistant services and supports furnished to assist in accomplishing activities of daily living, amount and type of services authorized to be based on an assessment of recipient needs in certain areas; providing for certain supervision options; increasing the limit on authorized skilled nurse visits, eliminating the prior authorization requirement for home health services provided by licensed nurses and authorizing private duty nursing services for complex and regular care after a certain date; eliminating hospice services as a noncovered service; replacing the fiscal agent option for personal care assistant services with a fiscal intermediary option and modifying certain requirements of recipients or responsible parties; clarifying the basis for calculation of medical assistance payments for shared private duty nursing care; requiring and providing for the commissioner after receiving federal waiver authority to implement a consumer directed home care demonstration project to be administered by county agencies, tribal governments or administrative entities under contract with the state, providing for grant awards; providing medical assistance coverage for skilled nurse visits provided via telehomecare and for physical and occupational therapy and related services; providing certain hardship criteria for medical assistance coverage of private duty nursing services provided by certain relatives or legal guardians; requiring the commissioner to establish a quality assurance plan for personal care assistant services, specifying certain plan content requirements; requiring and providing for preadmission screening of certain younger individuals admitted to nursing facilities from hospitals; restricting the authority of the commissioner of finance to reduce expenditure forecasts during times of existing waiting lists for waiver services for persons with mental retardation or related conditions, requiring funds resulting from projected expenditure reductions to be used by the commissioner of human services to serve persons with developmental disabilities through the home and community based waiver; requiring the commissioner to submit to the federal health care financing administration by a certain date an amendment to the waiver to expand the availability of consumer directed community support services and to contract with counties or other entities to administer the services; changing the date for the annual commissioner report on county and state use of available resources for the home and community based waiver; providing for a choice of mental retardation case management service providers; specifying certain requirements for provision of day services by residential service providers; eliminating the requirement for approval of traumatic brain injury waiver eligibility or care plans under the traumatic brain injury program; extending the expiration date of the quality assurance project in Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, Steele, Wabasha and Winona counties and the region 10 quality assurance commission, clarifying certain aspects of the project, requiring the commissioner in consultation with the commission to examine the feasibility of expanding the project to other populations or geographic areas and to seek federal authority to waive provisions of ICF MR regulations to enable the demonstration and evaluation of the alternative quality assurance system for ICF MRs under the project and the commission in consultation with the commissioner to evaluate the system, requiring reports to the legislature; providing for a county option to participate in the project, notice requirements; authorizing the commissioner to apply for home and community based service waivers to serve certain younger disabled persons determined to require the level of care provided in a nursing home or hospital, specifying certain waivered and case management services, assessment and reassessment and services and supports requirements, requiring individualized service plans and providing for the payment of services and support costs; requiring the commissioner to seek to amend the traumatic brain injury waiver to include persons with an acquired or degenerative disease demonstrating cognitive impairment; modifying the voluntary enrollment provision under the prepayment demonstration project for alternative integrated long term care services; increasing the standard of assistance under the Minnesota supplemental aid (MSA) act for the shelter needy, defining shelter needy; modifying the group residential housing supplementary service rate for a certain facility in Hennepin county serving chemically dependent clientele; establishing a respite care pilot project for family adult foster care providers under the GRH program; adding representatives of the department of human services to the day training and habilitation task force and requiring and providing for the commissioner by a certain date to initiate a pilot project for a day training and habilitation services individualized payment rate structure, specifying certain pilot project requirements and options, sunsetting the project upon implementation of a new statewide rate structure to be recommended by the task force in a report to the legislature by a certain date evaluating the pilot project and specifying certain rate setting requirements and county board responsibilities; requiring the commissioner to study day training and habilitation vendor rates for underfunding determination purposes, to develop recommendations to revise the funding methodology for SILS and to ensure the continuation of services to developmentally disabled persons covered by social services supplemental grants before a certain date; requiring certain reports to the legislature and specifying certain federal waiver or approval request requirements of the commissioner; repealing county social service grants for former GRH recipients. the special grants to community health boards or nonprofit corporations for the development of case management services for HIV AIDS infected persons, the requirement for the commissioner to maximize federal funds for the consumer support program, certain alternative care and waivered service program restructuring plan and modification requirements, the special reimbursement rates for home health aide services for Anoka, Aitkin, Polk and Pennington counties, the home and community based waiver study and application requirement for chronically ill children and disabled persons and certain rules regulating home health services and nursing facility preadmission screening ARTICLE 4 CONSUMER INFORMATION AND ASSISTANCE AND COMMUNITY BASED CARE Requiring the commissioner of health to monitor and analyze the distribution of older adult services including the impact of amendments to the nursing home moratorium law for annual reporting to the legislature and the commissioners of health and human services to identify and designate long term health care providers as critical access service sites, defining critical access service site; providing for the awarding of grants for home sharing programs; requiring the board on aging to operate a statewide information and assistance service (senior linkage line) to aid older residents and families in making informed choices relating to long term care options and health care benefits, specifying certain availability and service requirements; creating the community services development grants program under the administration of the commissioner of human services for the establishment of new older adult services as alternatives to nursing facility care, specifying eligibility and a match requirement; changing the medical assistance (MA) 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 offer 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, specifying certain assessment, support planning, transition assistance and preadmission screening requirements; clarifying the purpose and goals of the alternative care program, modifying certain eligibility and covered services requirements and certain provisions providing for assisted living services under the 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 care program; modifying certain individual care and county biennial plan, provider contracting and client premiums payment requirements and clarifying the alternative care 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 the commissioner to develop a medical assistance pilot project on senior services delivered according to a flexible voucher program and providing an alternative to the purchase of services based on consumer choice and to recommend a method for creating coordinated services access at the county agency level for publicly subsidized and nonsubsidized long term care services and housing options; requiring the board on aging to present recommendations to the legislature by a certain date on providing in home and out of home respite care services on a sliding scale basis under the federal older Americans act; 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 and certain enrollment conversion requirements and certain rules relating to nursing facility cessations or service curtailments, relocation planning and preadmission screening and alternative careARTICLE 5 LONG TERM CARE REFORM AND REIMBURSEMENTRequiring the commissioner of health to establish medical assistance (MA) resident reimbursement classifications based on assessments of residents of nursing and boarding care homes, specifying a timeline, certain resident reimbursement classifications basis and establishment criteria, certain resident assessment requirements and a facility assessment schedule, requiring classification into certain groups; requiring the submission of assessment information to the commissioner by the facilities, imposing a penalty for noncompliance with assessment and submittal requirements; providing for notice to residents of the case mix classification by the commissioner or the facility; providing for reconsideration of resident classifications by the commissioner, prescribing the reconsideration procedure; specifying certain commissioner resident assessment audit requirements for implementation of the new resident classification system; increasing the dollar limit for construction projects under the nursing home bed moratorium and expanding the definition of project construction costs to new technology implemented as part of the project, defining technology; creating exceptions to the moratorium for a certain facility undergoing replacement or remodeling as part of a planned closure, for a certain total replacement project in Wilkin county, for additional beds to provide residential services for the physically handicapped in a certain nursing home in Duluth and for certain replacement and transfer projects in Anoka county; expanding the criteria for review of proposals for moratorium exceptions; 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, providing for reimbursement under medical assistance (MA) to nursing homes for costs incurred during the closure process and for transition planning grants through a program to be established by the commissioner; requiring and providing for the commissioner to implement alternative procedures for the nursing home survey process; requiring the commissioners of health and human services to establish a long term care grant program demonstrating best practices and innovation for long term care service delivery and housing and to develop and implement a quality profile system for nursing facilities and other long term care service providers; establishing payment rates under medical assistance for the first 90 days after admission to a nursing facility and providing nursing facility operating cost payment rate increases for rate years beginning July 1, 2001 and 2002; providing additional increases for low rate metropolitan area facilities and establishing a rate floor for nursing facilities located outside the metropolitan area; requiring the commissioner of human services to exclude adjustments for raw food costs related to providing special diets based on religious beliefs from operating cost per diem calculations; providing adjustments to nursing facility operating cost and property related payment rates under the contractual alternative payment demonstration project for increases in health department licensing fees and providing case mix payment rate increases under the project for certain facilities in Morrison, Hennepin and Anoka counties; establishing the method and criteria used to determine resident reimbursement classifications based on nursing and boarding care homes resident assessments, requiring and providing for the assignment of case mix indices to resident classes and the determination of payment rates by the commissioner of human services; establishing a process for the voluntary closure of nursing facilities and providing for the planning and development of community based alternatives; increasing the total operating payment rate for intermediate care facilities for persons with mental retardation or related conditions (ICF MR) for rate years beginning July 1, 2001 and 2002; providing for reimbursement for mental health services to certain facilities; requiring the commissioner to fund the entire state share of medical assistance reimbursement for certain residential and day habilitation services from the medical assistance account, prohibiting transfers from county community social service allocations; requiring the commissioner to develop and report to the legislature by a certain date on a system to replace the current nursing facility reimbursement system under medical assistance, specifying certain consultation and system requirements; requiring the commissioner of health to submit a report to the legislature by a certain date on implementation of a licensure program for subacute care; requiring the commissioners of health and human services by certain dates to develop a summary of federal nursing facility and community long term care regulations hampering state flexibility, to report to the legislature on the number of nursing facility closures, the development of alternatives to nursing facility care, resulting problems with access to long term care services and on minimum nurse staffing standards and to evaluate long term care provider reporting requirements; requiring the commissioner of human services to establish and implement a pilot project to contract with nursing facilities eligible to receive medical assistance payments and serving persons with a diagnosis of multiple sclerosis (MS); repealing certain requirements for the commissioner of health to assess the appropriateness and quality of care and services furnished to private paying residents in nursing and boarding care homes certified for participation in the medical assistance program and for the commissioner of human services to determine the maximum private pay case mix payment rates for nursing facilities under the contractual alternative demonstration project ARTICLE 6 WORK FORCE Expanding the summer health care interns program to nursing facilities and home care providers and post-secondary summer health care intern eligibility to students in health care training programs and eliminating certain costs payment restrictions; authorizing commissioner of health grants to qualifying consortia for intergenerational programs to encourage middle and high school students to work and volunteer in health care and long term care settings, specifying grant qualification requirements; modifying certain provisions providing for resident attendants in nursing homes, authorizing resident transporting assistance and extending the deadline for the commissioner to request a federal waiver to implement the program; authorizing issuance by the board of nursing of temporary permits to applicants for licensure educated in foreign countries and completing requirements for licensure except the examination, requiring practice under direct supervision of a registered nurse (RN) ARTICLE 7 REGULATION OF SUPPLEMENTAL NURSING SERVICES AGENCIESRequiring and providing for the registration of supplemental nursing services agencies serving health care facilities with the commissioner of health, fee, prescribing the procedure, requiring certain information for registration purposes; requiring the commissioner to establish a system for reporting complaints against supplemental nursing services agencies or employees; imposing maximum nursing home charges and providing for the determination of weighted average wage rates for medical assistance (MA) reimbursement purposes; appropriating fees collected by the commissioner of human services for background studies of licensees to the commissioner for background studies purposes and specifying certain registered supplemental nursing services agencies background studies requirements; requiring the commissioner of human services to require nursing facilities and other long term care services providers to periodically report on the use of supplemental nursing services ARTICLE 8 LONG TERM CARE INSURANCEDefining certain additional terms for qualified long term care insurance policies regulation purposes; requiring insurers to provide certain information to the commissioner of commerce before insurance sale availability; specifying certain rating practices disclosure and nonforfeiture benefit requirements of long term care and qualified long term care policies and regulating premium rate schedule increases; exempting certain policies from certain minimum loss ratio requirements; requiring the board on aging to promote the provision of employer sponsored long term care insurance; requiring the commissioners of human services and commerce subject to federal waiver approval to establish the Minnesota partnership for long term care program to provide for the financing of long term care through a combination of private insurance and medical assistance (MA), specifying eligibility and partnership policy requirementsARTICLE 9 MENTAL HEALTH AND CIVIL COMMITMENTRequiring the commissioner of health to make suicide prevention an important public health goal of the state, to conduct suicide prevention activities to accomplish the goal and to implement a suicide prevention plan in collaboration with the departments of human services, public safety and children, families and learning and other appropriate agencies, organizations and institutions, requiring the commissioner to establish a grant program for community based programs, to promote the use of employee assistance and workplace programs to support employees with psychiatric illnesses and substance abuse disorders and to provide training and technical assistance to local public health and other community based professionals to provide for integrated implementation of best practices for preventing suicides, specifying certain suicide data collection and reporting requirements and requiring commissioner periodic evaluations of the impact and outcomes of the suicide prevention plan and biennial reports to the legislature; defining or redefining certain terms under the adult and children's mental health acts; requiring and providing for appropriate settings for children to receive mental health services; providing for transition services to young adults under the children's community based mental health fund and for deficiency funding of the adult mental health crisis housing assistance program; requiring and providing for the commissioner of human services to establish a continuing care benefit program for acute care hospital inpatient treatment of persons with mental illness; providing medical assistance (MA) coverage for adult rehabilitative mental health services, for adult mental health crisis response and stabilization services, for mental health case management services provided by Indian health services or by agencies operated by Indian tribes and for mental health provider travel time under certain conditions; providing a provider appeal process for denial of medical assistance coverage for mental health services; providing medical assistance reimbursement for medication management provided to psychiatric patients by outpatient or home based mental health, day treatment and family community support services; prohibiting the commissioner of public safety from including suicide statistics in crime statistics compilations; requiring the commissioner of human services to notify counties, health plan companies, health care providers and benefit program enrollees of the establishment of the continuing care benefit program for persons with mental illness, to study and make recommendations to the legislature by a certain date on the length of stay for acute care hospital inpatient treatment of medicare eligible persons with mental illness and to review funding methods for adult residential services grants and develop a payment system accounting for client difficulty of care for presentation to the legislature by a certain date ARTICLE 10 ASSISTANCE PROGRAMSModifying the federal reporting requirement of the commissioner of human services relating to undocumented persons; requiring the commissioner to treat financial assistance expenditures made to or on behalf of resident minor children of two parent Minnesota family investment program eligible households as expenditures under a separately funded state program; clarifying and expanding the responsibility of county agencies to provide certain information to persons inquiring about or applying for MFIP assistance; specifying certain applicant screening and interviewing requirements; providing for MFIP eligibility after disqualification due to noncompliance with program requirements; making permanent the indexing requirement for the MFIP exit level and eliminating the requirement for the earned income disregard percentage to be the same as the percentage implemented on a certain date; modifying certain conditions for MFIP eligibility after conviction of a drug offense; specifying certain reading level and foreign language requirements for notices of adverse action; requiring and providing for case review for participants approaching the 60 month time limit and for hardship extensions for certain participants; clarifying the county orientation requirement and exemptions from the requirement; specifying certain notice of intent or adverse action and alternative employment plan review requirements for sanctions imposition purposes, modifying certain sanctions for subsequent occurrences of noncompliance and providing for sanction status after disqualification; modifying certain county employment and training services and local service unit plan content requirements; clarifying the employment and training services exemption for participants with ill or incapacitated family members and eliminating the exemptions for certain parents working part time; modifying certain services continuation requirements; expanding eligibility for local intervention self sufficiency grants to certain participants reaching the 60 month time limit; expanding commissioner county performance quarterly report content requirements and requiring annual performance reports to counties and the legislature; expanding consideration requirements of the commissioner relating to the development of county performance measures; modifying certain provisions relating to the supportive housing and managed care pilot project under the work first program; making optional the requirement for county boards to levy to defray the cost of programs for support of the poor; requiring the commissioner of economic security to require general employment and training programs receiving state funds to make available information relating to opportunities for women in nontraditional careers in the trades and technical occupations; extending the deadline for legal noncitizen eligibility for state funded programs; requiring the commissioner of human services to report to the legislature by a certain date on a proposal for assessing county MFIP performance outcomes; repealing a certain provision relating to application of the 60 month time limit to victims of domestic violence, certain applicant screening requirements and the transitional rule relating to the imposition of sanctions ARTICLE 11 DHS LICENSINGModifying certain provisions relating to the release of or access to information on health or human services licensees for disqualification purposes; authorizing the release of certain information relating to substantiated maltreatment cases; requiring background checks on individuals employed by and controlling persons of supplemental nursing services agencies; modifying certain maltreatment determination and subsequent action requirements of the health related licensing boards, specifying certain notice requirements; requiring commissioner of human services notice to agencies initiating background studies of the reason for licensure disqualification in cases of failure of the subject to cooperate or of substantiated maltreatment; modifying the time limit for submission of maltreatment and resulting disqualification determination reconsideration requests, maltreatment determination to be deemed conclusive in cases of no reconsideration request, requiring the commissioner to rescind the disqualification upon a finding of incorrect information as the basis for disqualification, modifying the time limit for commissioner response to reconsideration requests based on the correctness or accuracy of the information relied on to disqualify the person and the risk of harm and providing for consolidated reconsiderations or fair hearings under certain conditions; modifying the contested case procedure; specifying the authority of licensing boards to impose disciplinary or corrective action in substantiated maltreatment cases, specifying certain notice requirements of the commissioner and granting the commissioner the authority to monitor and enforce licensing board restrictions; authorizing the commissioner to deny licenses to applicants failing to comply with applicable laws or rules or withholding relevant information from or submitting false information in connection with a license application or during an investigation; providing for commissioner issuance of conditional licenses under certain conditions and modifying the authority of the commissioner to impose fines, providing for conditional license reconsideration; modifying certain sanctions, imposing liability on the commissioner for actual damages for days of lost service in certain temporary immediate license suspension cases, providing for expedited hearings for immediate license suspension under certain conditions; imposing certain responsibility on license holders ordered to pay fines; providing for consolidated contested case hearings for sanctions based on maltreatment determinations and disqualifications, modifying certain burden of proof requirements; requiring the commissioner to establish a child maltreatment review panel to review investigating agency determinations relating to maltreatment in facilities, prescribing the review procedure; providing a standard of evidence for disqualification hearings; defining threatened injury for child maltreatment reporting purposes; designating the department of human services as the agency responsible for assessing or investigating allegations of maltreatment in juvenile correctional facilities; granting the commissioner access to certain birth records and recognitions of parentage data to identify children under the threat of injury by persons responsible for care of the child and providing for facility access for investigation purposes, notice requirements; defining maltreatment of a child in a facility under the child abuse reporting law; providing for administrative reconsideration of disqualification based on child or vulnerable adult serious or recurring maltreatment in facilities; authorizing or requiring investigating agencies to exchange or share certain not public data for further child maltreatment review or investigation purposes; requiring facility operator notice to mandated reporters of certain duties and of the prohibition against retaliation for good faith reporting; specifying certain additional requirements of mandated reporters under the vulnerable adult abuse reporting law; expanding exemptions from the definition of neglect for vulnerable adult maltreatment reporting purposes and subjecting facilities to correction orders under certain conditions; requiring joint programs for training child abuse services professionals in the appropriate techniques for abuse assessment and investigation to include methods for interviewing alleged victims and conducting investigations in cases of developmentally, physically or mentally disabled victims; requiring the commissioners of health or human services to pursue changes to federal law to allow greater discretion on disciplinary activities of unlicensed health care workers and apply for federal waivers or approval to allow for a set-aside process relating to disqualifications for nurse aides in nursing homes; requiring the commissioner of health to examine federal rules and regulations prohibiting neglect, abuse and financial exploitation of residents in licensed nursing facilities and to apply for waivers by a certain date to allow state control of the identification and prevention of maltreatment of residents in licensed nursing facilities and of disqualification or discipline of persons providing services to the residents ARTICLE 12 MISCELLANEOUSEstablishing requirements for the use of swimming pools at family day care or group family day care homes and exempting the pools from the requirements for public pools; requiring the board of social work to deposit fees paid by license applicants for criminal history background checks into the miscellaneous special revenue fund for bureau of criminal apprehension (BCA) reimbursement purposes; temporarily requiring certain transfers from the public institutions shared services account to the general fund; providing for public guardianship alternatives for persons with mental retardation; extending the expiration date for the council on disability; providing additional circumstances supporting involuntary termination of parental rights relating to prior involuntary terminations, expanding the grandparent notice requirement, authorizing grandparents to seek a court order granting visitation rights following termination of parental rights; requiring the emergency medical services (EMS) regulatory board in consultation with the department of public safety to study and report to the legislature by a certain date on the availability of automatic defibrillators outside the metropolitan area; requiring the commissioner of human services and the Cass county board to evaluate the feasibility of allowing Cass county to buy or lease unused portions of the Ah-Gwah-Ching center; requiring the commissioner to study the disproportionate number of African American children represented in out of home placements and children in the child protection system and to make certain recommendations for reduction to the legislature by a certain date; approving certain fee modifications proposed by the governor for the boards of nursing and marriage and family therapy; repealing certain special treatment services responsibilities of public guardians or conservators for the mentally retarded ARTICLE 13 APPROPRIATIONS Providing certain contingency appropriations to the commissioner of human services for court ordered mental health treatment, for civil commitment, for child support collection and enforcement and for patient protections and appropriating money to the commissioner for core licensing activities, for expedited maltreatment investigations, for public guardianship alternatives establishment incentives, for establishment of the child maltreatment review panel, for financial and management operations, for the administrative reimbursement pass through, for children's services and adoption assistance incentive grants, for children's services management, for basic health care and MinnesotaCare grants, for general assistance medical care (GAMC), for establishment of the purchasing alliance stop loss fund, for health care management, policy administration and operations, for state operated services restructuring, for chemical dependency programs, for continuing care, community social services block, aging adult and deaf and hard of hearing services, mental health and community support grants, for medical assistance (MA) long term care waivers and facilities and home care including certain provider rate increases, for the community services development grants program, for alternative care grants, for group residential housing (GRH), for continuing care management including allocations to counties for nursing facility resident relocation costs and the region 10 quality assurance commission, for economic support grants including nontraditional career assistance, the supportive housing and managed care pilot project, the intensive intervention transitional employment training project in Hennepin county and welfare to work grants, for child support enforcement, for general assistance (GA), for Minnesota supplemental aid (MSA), for refugee services, for economic support management, policy administration and operations and for development of an employment services tracking system in collaboration with the department of economic security, to the commissioner of health for the reduction of health disparities, for teen pregnancy and suicide prevention, for the poison information system, for the TANF home visiting program, for the health care safety net, for rural hospital capital improvement grants, for identification of and response to emerging health threats and for management and support services, to the veterans nursing homes board, to the health related licensing boards, to the emergency medical services (EMS) regulatory board, to the council on disability, to the ombudsmen for mental health and mental retardation and for families and to the commissioner of children, families and learning for the Minnesota family investment program (MFIP) child care assistance program; authorizing certain fund transfers and providing for the continued availability of certain appropriations; prohibiting the use in indirect costs to fund health or human services programs; sunsetting uncondified language; prohibiting the commissioners of health and human services in making agency financial adjustments relating to funding levels for salary supplements and rent increases from laying off employees providing direct health care or mental health services to patients or reducing the level of funding for the provision of the services; authorizing the commissioner of human services in the event of disruption of technical systems or computer operations to use available grant appropriations to ensure continuity of payments to maintain the health, safety and well being of clients served by department programs; appropriating the federal administrative reimbursement resulting from MinnesotaCare outreach grants and the Minnesota senior health options project to the commissioner for the activities; regulating expenditures from the temporary assistance for needy families block grant and specifying certain maintenance of effort (MOE) requirements; specifying the availability of social services block grant funds for distribution to counties for concurrent permanency planning; restricting commissioner of health approval of nursing home bed moratorium exception projects; requiring the commissioner of revenue with the assistance of the commissioner of human services to calculate the value of the refundable portion of the working family credits qualifying for federal reimbursement from the TANF block grant; requiring the commissioner of human services to set the general assistance monthly standard for certain units at a certain dollar amount and to reduce quarterly food stamp administrative reimbursement to counties for certain fiscal years; reducing the base level funding for family planning special project grants; authorizing and providing for quarterly installments of health care facility license fees; modifying certain financial institution child support or maintenance data match requirements; providing for the payment of wages for project labor; requiring the commissioners of health and human services to exchange birth record and recognitions of parentage data for the identification of children subject to threatened injury by persons responsible for care of the child using existing resources and information systems (mk, ja)