hf3 Omnibus health and human services appropriations bill. ARTICLE 1 DEPARTMENT OF HEALTH Section 1: Repealer. Sec. 2: Health care electronic data interchange operation agency changed. Sec. 3: Rules variance application fee increased. Sec. 4: Federal agencies exempted from fees. Sec. 5: Well notification fees increased. Sec. 6: Property owner permit fees increased. Sec. 7: Well disclosure fees increased. Sec. 8: Well contractor's license application fee increased. Sec. 9: Well contractor's license fee increased. Sec. 10: Well contractor's license renewal application fee increased. Sec. 11: License renewal late fee established. Sec. 12: Well boring contractor's license application fee increased. Sec. 13: Well boring contractor's license fee increased. Sec. 14: Renewal well boring contractor's license application fee established. Sec. 15: License renewal late fee established. Sec. 16: Elevator shaft contractor's license application fee increased. Sec. 17: Elevator shaft contractor's license fee increased. Sec. 18: Elevator shaft contractor's license renewal fee increased. Sec. 19: License renewal late fee established. Sec. 20: Monitoring well contractor registration application fee increased. Sec. 21: Renewal application fee for a monitoring well contractor's registration established. Sec. 22: Late renewal fee established. Sec. 23: Drilling machine registration fee increased. Sec. 24: Health standards for drinking water and air quality established. Sec. 25: Agreement dates modified. Sec. 26: Radioactive material license required, fees established. Sec. 27: Vital records surcharge expiration date eliminated. Sec. 28: Otter Tail county nonfederal hospital construction project prohibited. Sec. 29: Water test fees increased and established. Sec. 30: Home care recipient rights clarified. Sec. 31: Assisted living home care provider compliance with disclosure provisions required. Sec. 32: Establishment registration requirements modified. Sec. 33: Elderly housing contract inclusion of toll free complaint line for office of ombudsman of older Minnesotans required. Sec. 34: Contents of contracts in permanent files modified. Sec. 35: Statutory reference modified. Sec. 36: Suicide prevention public health goals and prevention plan established. Sec. 37: Duties of advisory task force modified. Sec. 38: Community health board allocation provided. Sec. 39: Statutory reference changed. Sec. 40: License and establishment fees for food and beverage establishments modified. Sec. 41: Exemptions for home schools provided. Sec. 42: Metropolitan access commission allowed to adopt local regulations. Sec. 43: Disclosure of special care status required. Sec. 44: Incentives for magnet hospitals provided and recommendations made. Sec. 45: Study on factors influencing patient care and patient safety initiated. Sec. 46: Study on impact of workforce shortage on health care costs initiated. Sec. 47: Study on medications dispensed in schools initiated. Sec. 48: Repealer.ARTICLE 2 HEALTH CARESection 1: Commissioner of human services duties modified to include federal drug rebate program administration. Sec. 2: Purchasing alliance stop-loss fund related definitions provided, account created, reimbursement provided, and details provided. Sec. 3: Retired dentist program detailed. Sec. 4: Dental practice donation program detailed. Sec. 5: Hospital surcharge not considered allowable cost for rate setting purposes. Sec. 6: American Indian services contract detailed. Sec. 7: Income verification procedures provided. Sec. 8: Telemedicine consultation expiration date eliminated. Sec. 9: Medical assistance drug coverage modified. Sec. 10: Drug utilization review board reimbursement provided. Sec. 11: Indian Health Services Facilities provisions established relating to MinnesotaCare payments. Sec. 12-13: Targeted case management services for vulnerable adults and persons with developmental disabilities provided and detailed. Sec. 14: Dental access advisory committee established. Sec. 15: Dental services demonstration project established. Sec. 16: Alternative integrated long-term care services provided for persons with disabilities. Sec. 17: Hospital outpatient reimbursement payment procedures modified. Sec. 18: Commissioner's duties modified. Sec. 19: Nonpayment of premium and subsequent disenrollment time period modified. Sec. 20: Indian Health Service Facility coverage detailed. Sec. 21: Deadline extended. Sec. 22: Regulatory simplification for state health care program providers provided.ARTICLE 3 CONTINUING CARESection 1: Statutory reference changed. Sec. 2: Residential program payment rate adjustment modified and cost recovery detailed. Sec. 3: Restrictions on county eligibility for a guaranteed floor removed. Sec. 4: Chemical dependency service rates for American Indians improved. Sec. 5: Case management service grants to people with HIV or AIDS provided. Sec. 6: Consumer support grant program purpose and goals clarified. Sec. 7: Definitions of "supports" and "local agency" modified. Sec. 8: Grant application eligibility criteria clarified. Sec. 9: "Alternative care program" eliminated from support grant descriptions and nonparticipating county regulations established. Sec. 10: "Alternative care" removed from reimbursement descriptions, unexpended grant funds directed, and reimbursement procedures detailed. Sec. 11: Commissioner no longer allowed to apply for federal waivers. Sec. 12: Commissioner consumer support grant allocation duties detailed. Sec. 13: Private duty nursing regulations clarified. Sec. 14: Personal care services changed to "personal care assistant services." Sec. 15: Personal care "assistant" specified. Sec. 16: Mental health case management service payment eligible residency time periods increased. Sec. 17: Terms relating to targeted case management defined. Sec. 18: Relocation targeted case management eligibility requirements provided. Sec. 19: Relocation targeted case management provider qualifications provided. Sec. 20: Home care targeted case management provider qualifications established. Sec. 21: Services eligible for medical assistance reimbursement provided. Sec. 22: Case manager time line regulations established. Sec. 23: Targeted case management delivery evaluation initiated. Sec. 24: Face-to-face and contact information documented. Sec. 25: Targeted case management payment rate regulations and provisions established. Sec. 26: "Activities of daily living" defined. Term "toileting" established. Various related terms defined and or clarified. Term "telehomecare" established. Sec. 27: Personal care changed to personal care "assistant." Sec. 28: Personal care assistant services eligible for payment provided. Sec. 29: Payment limitations for nurse visits modified. Sec. 30: Hospice eliminated from list of ineligible services. Sec. 31: Shared personal care assistant services regulations clarified. Sec. 32: Fiscal agent option renamed the fiscal intermediary option and language revised. Sec. 33: "Nonwaivered" changed to "regular." Sec. 34: Consumer directed home care demonstration project created and detailed. Sec. 35: Telehomecare regulations established. Sec. 36: Occupational and physical therapy coverage regulations established. Sec. 37: Private duty nursing hardship criteria provided. Sec. 38: Personal care assistant service quality assurance plan created. Sec. 39: Preadmission screening of individuals under 65 required. Sec. 40: Consumer-directed community support services availability increased. Sec. 41: Annual commissioner report date modified. Sec. 42: Legal representative participation exception modified. Sec. 43: Federal waivers for persons with mental retardation and related conditions ensured. Sec. 44: Traumatic brain injury program duties no longer include approving waiver eligibility. Sec. 45: Commissioner duties established. Sec. 46: Informed choice regulations established. Sec. 47: Case management regulations for waiver recipients created. Sec. 48: Recipient assessment procedures provided. Sec. 49: Individualized service plan requirements established. Sec. 50: Services and supports for community-based waivers provided. Sec. 51: Approved vendor reimbursement provided. Sec. 52: Health and welfare protected. Sec. 53: "Institution" defined. Sec. 54: "Shelter costs" defined. Sec. 55: "Shelter needy" defined, standards of assistance expanded. Sec. 56: Day training and habilitation task force membership expanded to include commissioner of human services. Sec. 57: Semi-independent living services study initiated. Sec. 58: Spousal income waiver request authorized. Sec. 59: Federal waiver requests initiated.ARTICLE 4 CONSUMER INFORMATIONSection 1: Long-term care consultation services purpose and goal provided. Sec. 2: "Long term care consultation services" and "Minnesota health care programs" defined. Sec. 3: Long-term care consultation team established. Sec. 4: Community-based living assessment and support planning procedures established. Sec. 5: Transition assistance provided to persons in a nursing facility. Sec. 6: Preadmission screening activities related to nursing facility admissions required. Sec. 7: Federal screening requirement exemptions and emergency admissions detailed. Sec. 8: Screening requirements provided. Sec. 9: Language updated. Sec. 10: Long term care consultation service payment procedures and regulations provided. Sec. 11: Certified nursing facility reimbursements provided and regulations modified. Sec. 12: Alternative care program purpose clarified. Sec. 13: Service eligibility requirements modified and language updated. Sec. 14: Nonmedical assistance recipient criteria modified. Sec. 15: Alternative care covered services list expanded, language setting maximum payment rates for foster care services, assisted living services, and residential care services modified, and governing procedures for cash payments under the alternative care program placed in the subdivision language. Sec. 16: Alternative care program lead agency contracting with American Indian tribes authorized. Sec. 17: Language relating to ensuring health and safety of individual clients in alternative care clarified. Sec. 18: Documentation verifying alternative care availability not required. Sec. 19: Certain contracting provisions for providers eliminated. Sec. 20: Alternative care allocation formula modified. Sec. 21: Deadlines for targeted funding extended and determination criteria modified. Sec. 22: Technical changes provided relating to county biennial plan. Sec. 23: Reimbursement adjustments changed to "payment" adjustments, statewide maximum service limits provided. Sec. 24: Commissioner's duties relating to elderly waiver modified. Sec. 25: Case, rate, payment, and forecasting limits provided. Sec. 26-27: Language updated. Sec. 28: Respite care report initiated. Sec. 29: Repealer.ARTICLE 5 LONG-TERM CARE SYSTEM REFORM AND REIMBURSEMENTSection 1: Appropriateness and quality care and services review time limit established. Sec. 2: Resident reimbursement classifications established, terms defined, and details provided. Sec. 3: Moratorium on licensure of new nursing home projects that exceed ,000,000 dollars enacted. Sec. 4: "Technology" defined. Sec. 5: Language updated to reflect changes made in Section 2. Sec. 6: Submitted proposal review criteria modified. Sec. 7: Conforming use consideration provided for reuse of nursing home facilities. Sec. 8: Facility reimbursement payment rate regulations during first 90 days provided. Sec. 9: Raw food cost adjustment excluded. Sec. 10: Nursing facilities located in counties participating in prepaid medical assistance program no longer exempt from separate therapy billing. Sec. 11: Case mix system for nursing facilities implemented. Sec. 12: Data report summary required and format provided. Sec. 13: Expiration date extended. Sec. 14: Language relating to moratorium exception process clarified and dates extended. Sec. 15: Minimum staffing standards report required. Sec. 16: Regulatory flexibility requirements established. Sec. 17: Report on facility closures required. Sec. 18: Revisor instruction provided. Sec. 19: Repealer.ARTICLE 6 WORKFORCE RECRUITMENT AND RETENTIONSection 1: "Qualifying consortium" definition modified. Sec. 2: Training and retention program grants provided. Sec. 3: Local match requirements modified. Sec. 4: Marketing and recruitment strategies expanded and clarified. Sec. 5: Expedited grant process initiated. Sec. 6: Repealer.ARTICLE 7 REGULATION OF SUPPLEMENTAL NURSING SERVICES AGENCIESSection 1: Terms relating to supplemental nursing services agencies defined and scope provided. Sec. 2: Supplemental nursing services agency registration required. Sec. 3: Nursing services registration requirements provided. Sec. 4: Complaint system established. Sec. 5: Maximum charge regulations established. Sec. 6: Supplemental nursing services agency use report required.ARTICLE 8 LONG-TERM CARE INSURANCESection 1: Application provision relating to policies issued after January established. Sec. 2: Premium and premium increase regulations provided. Sec. 3: Nonforfeiture benefits established. Sec. 4: "Exceptional increase" defined. Sec. 5: "Incidental" defined. Sec. 6: "Qualified actuary" defined. Sec. 7: "Similar policy forms" defined. Sec. 8: Certain information required to be submitted to the commissioner. Sec. 9: Rating practice disclosure required. Sec. 10: Minimum loss ratio applicability standards modified. Sec. 11: Premium rate schedule increases regulated. Sec. 12: Nonforfeiture benefit requirements established. Sec. 13: Long-term care insurance promoted.ARTICLE 9 MENTAL HEALTH AND CIVIL COMMITMENTSection 1: Exclusion or reduction of health care coverage on the basis that the need for health care arose out of a suicide attempt or a suicide by the enrollee prohibited. Sec. 2: Nonformulary drugs for mental illness and emotional disturbance coverage provided. Sec. 3: Court-ordered mental health services coverage provided. Sec. 4: Definition of "day treatment services" modified. Sec. 5: "Mental health crisis services" defined. Sec. 6: Definition of "mental health professional in psychology" clarified. Sec. 7: "Significant impairment in functioning" defined. Sec. 9: Definition of "day treatment services" modified. Sec. 10: "Mental health crisis services" defined. Sec. 11 "Mental health professional" defined. Sec. 12: Statutory references updated. Sec. 13: Appropriate setting to receive mental health services established. Sec. 14: Treatment screening procedures and restrictions provided. Sec. 15: Eligibility criteria for individuals to receive help for severe emotional disturbances modified. Sec. 16: Crisis housing assistance program purpose clarified. Sec. 17: "Interested person" definition modified. Sec. 18: Periodic mental health assessment right established. Sec. 19: Rights notification to people admitted or committed to a mental health treatment facility required. Sec. 20: Authorized health care proxy allowed to exercise patient's rights. Sec. 21: Voluntary admission and treatment regulations modified. Sec. 22: Substitute decision maker allowed for voluntary admission. Sec. 23: Substitute decision maker court appointment provided. Sec. 24: "Mental health services" defined and coverage outlined. Sec. 25: Language clarified, examiner requirements established relating to patients rights. Sec. 26: Early intervention criteria established. Sec. 27: Treatment alternatives hospitalization maximum stay lengthened. Sec. 28: Screening team member designated and investigation format provided.. Sec. 29: Petition format modified relating to use of neuroleptic medications. Sec. 30: Language clarified. Sec. 31: Standard of proof language clarified. Sec. 32: Private treatment regulations established. Sec. 33: Case management regulations concerning tribal agencies established. Sec. 34: Mental health provider travel time coverage provided. Sec. 35: Mental health provider appeal process detailed. Sec. 36: Prepaid plans and mental health rehabilitative services established. Sec. 37: Maintenance of effort for certain mental health services established. Sec. 38: Dispositions clarified. Sec. 39: Payment system for adult residential services grants developed. Sec. 40: Notification regarding establishment of continuing care benefit program required. Sec. 41: Data regarding county commitment costs presented.ARTICLE 10 ASSISTANCE PROGRAMSSection 1: Program disqualification standards clarified. Sec. 2: "MFIP standard of need" definition modified. Sec. 3: "Person trained in domestic violence" defined. Sec. 4: Application locations for assistance language clarified. Sec. 5: County agency responsibilities expanded. Sec. 6: Application form submission procedure modified. Sec. 7: Applicant screening required and procedure provided. Sec. 8: Interview to determine MFIP referrals and services required and procedure provided. Sec. 9: Caregivers required for minors to be included in assistance units. Sec. 10: Language modified. Sec. 11: MFIP exit level regulations modified. Sec. 12: Required written notification of adverse actions format clarified. Sec. 13: Director's designee added to language concerning protective and vendor payments. Sec. 14: Language clarified. Sec. 15: "Indian country" replaces "Indian reservation." Sec. 16: Face-to-face orientation required for MFIP. Sec. 17: Emergency application processing provided. Sec. 18: "Alternative employment plan" defined. Sec. 19: "Family" violence replaces "domestic" violence and procedures for filing related claims provided. Sec. 20: "Work activity" definition modified. Sec. 21: Access to persons trained in domestic violence provided. Sec. 22: Notice of intent to sanction legibility regulations established. Sec. 23: Caseload-based funds allocation for MFIP money modified. Sec. 24: MPIP-S changed to MFIP and language updated. Sec. 25: Commissioner of economic security powers modified. Sec. 26: Revisor instruction provided.ARTICLE 11 CHILD WELFARE AND FOSTER CARESection 1: Annual report on child maltreatment required. Sec. 2: Language clarified, statutory reference added. Sec. 3: "Maltreatment of a child in the facility" added to related language of child neglect or abuse. Sec. 4: Duties of facility operators clarified. Sec. 5: Joint training methods for interviewing alleged victims of child abuse established. Sec. 6: Child welfare cost consolidation report required. Sec. 7: Study of outcomes for children in the child protection system required.ARTICLE 12 CHILD SUPPORTSection 1: Financial institution fees for providing account information to public authorities authorized. Sec. 2: "Direct support" defined. Sec. 3: Child support enforcement cooperation regulations modified. Sec. 4: Direct support retained by a caregiver not required to be counted as unearned income. Sec. 5-6: "Cases" now referred to as "children." Sec. 7: Administrative penalties established. Sec. 8: Employer or payor sanction of funds authorized. Sec. 9: "Shall" replaced with "may." Sec. 10: "Unclaimed support funds" defined. Sec. 11: Unclaimed support fund regulations established. Sec. 12: Payor of funds responsibilities modified to include intentional noncompliance. Sec. 13: Collection and arrearage guidelines modified. Sec. 14: Retroactive modification arrangements in instances of institutionalization or incarceration provided. Sec. 15: Language clarified. Sec. 16: Cost-of-living notification requirements simplified. Sec. 17: Procedures for contesting cost-of-living adjustment established. Sec. 18: Child support magistrate added to language. Sec. 19: Changes made to reflect those in section 14. Sec. 20: Repealer.ARTICLE 13 MISCELLANEOUSSection 1: Penalties for breach of contract expanded. Sec. 2: Temporary permit eligibility criteria clarified. Sec. 3: Certification of advanced practice registered nurses standards modified. Sec. 4-5: Background check fee deposit guidelines established. Sec. 6: Health related licensing board refusal to grant a license regulations established. Sec. 7: "Guardianship service providers" defined. Sec. 8: "Comprehensive evaluation" definition modified. Sec. 9: "Case manager" definition modified. Sec. 10: Commissioner special duties restricted. Sec. 11: Annual review required. Sec. 12: Statutory reference clarified. Sec. 13: Witness and attorney fee coverage provided for employees of the mental health mental retardation board. Sec. 14: Suicide statistics no longer defined as a "crime" statistic. Sec. 15: Deaf blind services study initiated. Sec. 16: Public guardianship alternatives established. Sec. 17: Repealer. ARTICLE 14 DHS LICENSING AND LICENSING BACKGROUND STUDIESSection 1: Informing license holder of maltreatment problems authorized and related notification procedures established. Sec. 2: Supplemental nursing service personnel added to background study regulations. Sec. 3: Disqualification procedures and provisions removed from maltreatment language and new procedures detailed. Sec. 4: Statutory reference added. Sec. 5: "Certification" defined. Sec. 6: "License holder" definition modified. Sec. 7-8: Exceptions clarified. Sec. 9: Right for residential programs to seek certification provided. Sec. 10: Statutory reference added. Sec. 11: Background study format modified, related terms defined. Sec. 12: Subject and license holder study results notification procedure clarified and dates modified. Sec. 13: Individuals determined to have maltreated a child authorized to request reconsideration and subsequent procedures detailed. Sec. 14: Scope of contested maltreatment cases summarized. Sec. 15: Disqualification criteria for individuals charged with maltreatment provided and consequences detailed. Sec. 16: Limited time variance for a disqualified person provided. Sec. 17: Language clarified. Sec. 18: Additional requirements to education program established. Sec. 19: Application denial criteria clarified. Sec. 20: Fines removed from regulations relating to correction orders; conditional licenses provided. Sec. 21: Sanction regulations, license suspension, license revocations, and related situations detailed. Sec. 22: Appeal hearing conduct and procedures clarified. Sec. 23: Sudden infant death syndrome risk reduction in child care programs project initiated. Sec. 24: Authority delegation to agencies provided. Sec. 25: Sanction possibilities clarified. Sec. 26: Statutory references updated. Sec. 27: Standards of evidence for maltreatment and disqualification hearings established. Sec. 28: Statutory references updated. Sec. 29: Immediate report of maltreatment required. Sec. 30: Administrative reconsideration of final disposition of maltreatment and disqualification based on serious or recurring maltreatment provided. Sec. 31: "Neglect" defined. Sec. 32: Federal law change request or waiver provided. Sec. 33: Waiver from federal rules and regulations provided. Sec. 34: Revisor instruction. Sec. 35: Repealer.ARTICLE 15 VITAL STATISTICSSection 1: "Delayed registration" definition modified. Sec. 2: "File" definition modified. Sec. 3: "Registration" definition modified. Sec. 4: "System of vital statistics" definition modified. Sec. 5: "Vital record" definition modified. Sec. 6: "Vital statistics" definition modified. Sec. 7: "Consent to disclosure" definition modified. Sec. 8: Registration district language clarified. Sec. 9: Local registrar duties simplified. Sec. 10: Language modified. Sec. 11: Certificate of birth replaced with "record" of birth. Sec. 12-19: "Certificate" replaced by "record," "office of vital statistics" replaced with "office of state registrar." Order filing requirements simplified. Sec. 20: Sudden infant death reporting time frame specified. Sec. 21: Marriage reporting procedure modified. Sec. 22: Statutory reference added. Sec. 23: Birth data language clarified. Sec. 24: Health data relating to birth registration requirements specified. Sec. 25: "Vital records" replaces "certificates." Sec. 26: Certified death record issuance required. Sec. 27: Access regulations to original birth record after adoption provided. Sec. 28: Services requiring a fee specified and language updated. Sec. 29: Certificate replaced with the word "record." Sec. 30: Language updated. Sec. 31: Statutory reference added. Sec. 32: Revisor instructions. Sec. 33: Repealer. ARTICLE 16 APPROPRIATIONSSection 1: Health and human services appropriations provided. Sec. 2: Appropriations to commissioner of human services summarized by fund. Sec. 3: Appropriations to commissioner of health summarized by fund. Sec. 4: Appropriations to Veterans nursing home board summarized by fund. Sec. 5: Appropriations to health-related boards summarized by fund. Sec. 6: Appropriations to emergency medical services board summarized by fund. Sec. 7: Council on disability money appropriated. Sec. 8: Ombudsman for mental health and mental retardation provided. Sec. 9: Ombudsman for families provided.ARTICLE 17 APPROPRIATIONSSection 1: Criminal justice appropriations provided. Sec. 2: Board of public defense money appropriated. Sec. 3: Corrections department money appropriated. Sec. 4: Sentencing guidelines commission money appropriated.AE