E Relating to the organization, operation and financing of state governmentARTICLE 1 DEPARTMENT OF HEALTHExtending the expiration date of the health technology advisory committee; eliminating the requirement for the health data institute to operate the Minnesota center for health care electronic data interchange; setting or increasing certain fees relating to wells and borings; requiring the disclosure of certain information relating to immunization requirements for enrollment in schools or child care facilities and authorizing and providing for the commissioner of health to adopt modifications to immunization requirements for enrollment in schools, child care facilities or post-secondary educational institutions; requiring the commissioner in establishing or revising safe drinking water or air quality standards to consider certain health risks; extending the deadline for entering into the nuclear regulatory commission agreement for the radiation hazards protection program and requiring and providing for commissioner licensing of radioactive and source or special nuclear material; increasing the license fees for hospitals, nursing homes, outpatient surgical centers, boarding care homes and supervised living facilities; expanding eligibility for summer health care internship grants to nursing facilities and home care providers, eliminating certain hourly wage payment and letter of recommendation requirements and authorizing acceptance in the program of interns intending to complete health care training programs; increasing the limit on rural hospital capital improvement grants; authorizing and providing for commissioner grants to qualifying consortia for intergenerational programs to encourage middle and high school students to work and volunteer in health and long term care settings for career promotion purposes; establishing a loan forgiveness program for dentists agreeing to provide services for state public assistance program participants and for certain other low to moderate income uninsured patients; decreasing and making permanent the vital records surcharge; increasing the amount from the tobacco use prevention and local public health endowment fund authorized to be used by the commissioner for tobacco prevention and control programs; creating an exception to the hospital construction moratorium for a certain hospital in Otter Tail county; increasing environmental laboratory certification fees; requiring advance notice of the termination of provider services under the home care bill of rights, exceptions; requiring elderly housing with services contracts to include the toll free telephone number for the complaint line in the office of ombudsman for older Minnesotans; specifying certain suicide prevention plan and programs requirements of the commissioner; expanding the duties of the maternal and child health advisory task force; establishing a grant program for community clinics serving as safety net providers and a program to eliminate health disparities in American Indians and populations of color to be administered by the commissioner; sunsetting the home visiting program to prevent child abuse and neglect and juvenile delinquency and requiring and providing for the commissioner to establish a new program to fund home visiting programs for families at risk; increasing certain food and beverage and lodging establishment license fees and removing the fee exemption for school food and beverage services except home schools; expanding local plumbing regulation authority to the metropolitan airports commission (MAC); specifying certain disclosure requirements of housing with services establishments providing specialized care for persons with Alzheimer's disease or related disorders; requiring the commissioner to develop recommendations for incentives to increase the number of magnet hospitals, to study and identify the major factors influencing patient care and safety in health care facilities, to assess the effects of health care labor availability on health care costs and to study the administration of medications in schools and report to the legislature by certain dates; repealing the expiration of the rural hospital capital improvement grant program, the authority of the commissioner to suspend immunization requirements and the bone marrow donor education program ARTICLE 2 - HEALTH CARESubjecting health plans providing benefits under health care programs administered by the department of human services to certain right of subrogation and lien provisions; providing for the distribution of medical education and research funds to the university of Minnesota for primary care initiatives, to the Hennepin county medical center for clinical medical education and for clinical medical education innovations grants, requiring and providing for commissioner of health awarding of the grants for projects increasing dental access for underserved populations and promoting innovative clinical training of dental professionals; specifying certain authorized services of dental hygienists as employees of health care facilities, requiring a collaborative agreement with a licensed dentist; granting the commissioner of human services the authority to administer the federal drug rebate program and requiring the commissioner to incorporate cost reimbursement claims from the greater Twin Cities United Way into the federal cost reimbursement claiming processes of the department; increasing income limits under the prescription drug program for medicare enrollees; establishing a temporary purchasing alliance stop loss fund for commissioner reimbursements to health plan companies for a certain portion of claims paid for qualifying enrollees of purchasing alliances, requiring the commissioner of commerce to evaluate the effect of the fund on increasing the availability of employer subsidized health care coverage for residents of areas served by the alliances; requiring the commissioner of human services to establish a program to reimburse retired dentists for the license fee and the cost of malpractice insurance in exchange for a certain number of hours of volunteer dental services at community dental or dental training clinics at state colleges or universities and a dental practice donation program coordinating the donation of qualifying dental practices to qualified charitable organizations and assisting in locating licensed dentists wishing to maintain the practices; prohibiting use of the medical assistance (MA) hospital surcharge for inpatient hospital payment rate setting purposes; requiring and providing for the commissioner to adjust medical assistance and general assistance medical care 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; expanding medical assistance eligibility for families with children, disregarding as income child support and social security payments to certain disabled children and social security payment increases received during the first half of the year, including as income the general income disregard allowed under the supplemental security income (SSI) program; establishing new income disregards under medical assistance for families with children, modifying the asset limits for persons no longer qualifying as employed with a disability and for families and children and increasing the income standard for the aged, blind or disabled; requiring commissioner or county agency use of electronic verification as the primary method of verifying income under the medical assistance and MinnesotaCare programs; maintaining the excess income (spenddown) standard for families and children and setting the standard for the aged, blind or disabled; increasing the medical assistance income standard for children; extending medical assistance eligibility for certain employed persons with disabilities temporarily unable to work and modifying the premium schedule; providing medical assistance eligibility for certain persons without health insurance, not otherwise eligible for medical assistance and needing treatment for breast or cervical cancer; making permanent medical assistance coverage for telemedicine consultations; providing 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 medical assistance drug formulary committee, increasing the pharmacy dispensing fee for certain solutions and products, modifying the estimated actual acquisition cost for drugs with an already reduced price and setting the basis for determining the amount of payment for drugs administered in outpatient settings; increasing the honorarium and providing mileage reimbursement for members of the drug utilization review board; increasing the mileage reimbursement for special transportation costs; modifying the payment for ambulance services; providing medical assistance coverage for certain oral language interpreter services; providing a payment option for federally qualified health centers and rural health clinics; providing and regulating MinnesotaCare payments to Indian health service facilities; providing medical assistance coverage for targeted case management services for vulnerable adults and persons with developmental disabilities; increasing the income standard for extended medical assistance for persons losing eligibility due to increased employment or increased child or spousal support; clarifying the requirement for state or public employee health insurance providers to participate in state health care programs; increasing the Hennepin county nonfederal share for certain intergovernmental transfers and requiring the commissioner to use the increase to increase capitation payments to metropolitan health plans under the prepayment demonstration project to reflect higher than average medical education costs; requiring certain additional intergovernmental transfer hospital payments by Hennepin and Ramsey counties, contingencies; providing for commissioner dental access grants to community clinics or other nonprofit community organizations, local government units or professional associations demonstrating the ability to provide dental services to public program recipients, requiring the commissioner to establish a temporary dental access advisory committee to monitor the purchasing, administration and coverage of dental care services for public health care programs; modifying certain medical education and research fund transfer requirements under the prepayment demonstration project and requiring the commissioner under the project to establish a dental services demonstration project in Crow Wing, Todd, Morrison, Wadena and Cass counties; eliminating the expiration date for voluntary enrollment of persons with disabilities in alternative integrated long term care services demonstration projects; replacing certain medical assistance hospital outpatient payment rates with a budget neutral prospective payment system; setting payment rates for diagnostic examinations and dental x-rays for children, authorizing the commissioner to increase reimbursements to dentists and dental clinics designated by the commissioner as critical access dental providers; requiring the commissioner to establish a medical assistance demonstration project for family planning services for medical assistance and Minnesota family investment program costs reduction purposes; setting the GAMC income and spenddown standards; eliminating automatic medical assistance eligibility for work first program participants; requiring a copayment for certain nonpreventive services for certain children covered by MinnesotaCare; modifying the requirement for disenrollment from MinnesotaCare for nonpayment of premium; creating an exception to the employer subsidized coverage restriction under MinnesotaCare for certain families with terminated employer coverage; granting certain children the temporary option of not paying the MinnesotaCare premium; modifying the payment rates for services for families and children under the MinnesotaCare health care reform waiver and modifying the exceptions to the total asset limit; eliminating certain welfare laws administrative simplification authority of the commissioner; delaying the deadline for the report by the commissioner to the legislature on programs for senior citizens; 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 recommendations to the legislature by a certain date; requiring the board of dentistry to develop new expanded duties for registered dental assistants and dental hygienists for submission to the legislature by a certain date, authorizing additional recommendations on training requirements for dental hygienists practicing under limited authorization; requiring the commissioner of health to determine the capital improvements needed to establish community based dental clinics at state colleges and universities for submission to the legislature as part of the 2002 capital budget request; temporarily modifying the definition of qualified individual under the prescription drug program; requiring the commissioner of human services to seek federal approval to modify the definition of gross income for self employed farmers MinnesotaCare program eligibility purposes; repealing extended medical assistance coverage for MFIP participants discontinuing monthly cash assistance, the intergovernmental transfer requirement for the Hennepin county medical center and the university of Minnesota hospital and the requirement for payment of health care services costs for pregnant women or children under the MinnesotaCare program from the general fund ARTICLE 3 CONTINUING CARE Providing home and community based service options for persons with disabilities; clarifying certain rate recommendation and adjustment requirements for residential programs under involuntary receivership, requiring the determination of recoveries through a review of actual costs and resident days in the receivership period; modifying the county guaranteed floor for semi-independent living services for persons with mental retardation or related conditions; requiring excess funds in the chemical dependency reserve account to be cancelled to the general fund; limiting increases in payment rates for chemical dependency treatment service vendors in certain future calendar years; modifying certain chemical dependency fund services eligibility requirements for persons not entitled to the services; providing for commissioner of human services setting of payment rates to improve chemical dependency services to American Indians; authorizing commissioner grants to eligible vendors for the development, implementation and evaluation of case management services for individuals infected with the human immunodeficiency virus (HIV AIDS) 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 purpose and goals of the consumer support grant program for individuals with functional limitations and the definitions of local agency and supports, eliminating eligibility under the program for persons approved to receive services under the medical assistance (MA) alternative care program and the authority of the commissioner to limit participation of nursing or intermediate care facility residents in the program; requiring the commissioner to contract with another county or entity to provide access to residents of nonparticipating counties choosing the consumer support grant option, requiring advance notice to the nonparticipating county; modifying certain county allocation limits and making optional the requirement for the commissioner to use a certain percentage of county allocations for administrative expenses, requiring annual return of unexpended grant funds to the state; requiring and specifying the basis for commissioner allocation of consumer support grant resources to serve additional individuals after a certain date and providing for calculation of the maximum allowable support grant levels and for a certain number of exception grants; modifying the authority of recipients of private duty nursing or personal care assistant services under medical assistance 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 relocation or home care targeted case management services under medical assistance for certain eligible persons, specifying certain provider qualification and certification standards, services eligible for reimbursement, certain time lines for the assignment of case managers and certain case manager documentation requirements, requiring commissioner evaluation of the delivery of the services and setting of payment rates; defining or redefining certain terms relating to home care assistant services under medical assistance and providing coverage for 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; requiring the commissioner to maximize federal financial participation to pay for public health nurse assessments for personal care services; replacing the fiscal agent option for personal care assistant services with a fiscal intermediary option and modifying certain requirements of recipients or responsible parties; modifying 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 and exempting participating entities from liability for damages or injuries sustained through the purchase of support; providing medical assistance coverage for skilled nurse visits provided via telehomecare and for physical and occupational therapy 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 services, specifying certain plan content requirements; providing for preadmission screening of persons under certain ages with disabilities or chronic illness; requiring the commissioner to seek a federal waiver for statewide availability of consumer direct community support services by a certain date; delaying the deadline for the annual commissioner report on county and state use of resources for the home and community based waiver for persons with mental retardation and related conditions; modifying the legal representative participation exception under the home and community based services expansion and restricting the provision of day services by residential service providers; eliminating the requirement for commissioner approval of traumatic brain injury waiver eligibility and care plans; 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, requiring the commissioner to examine the feasibility of expanding the project 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, requiring the commission to evaluate the system and report to the commissioner by a certain date, providing for a county option to participate and modifying certain quality assurance manager reporting 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, regulating the allocation of certain costs and resources and providing for the payment of certain vendor costs; requiring the commissioner to seek an amendment to the traumatic brain injury waiver to include individuals with acquired or degenerative disease diagnoses with cognitive impairment (multiple sclerosis); defining institution and shelter costs under the Minnesota supplemental aid (MSA) act; increasing the standard of assistance under general assistance (GA) for shelter needy relocating from institutions, defining shelter needy; establishing a respite care pilot project for family adult foster care providers; increasing the membership of the day training and habilitation task force to include representatives of the commissioner; requiring the commissioner to develop recommendations to revise the funding methodology for SILS and to report to the legislature by a certain date and by a certain earlier date to seek federal approval for chronically ill children and disabled persons under the CADI, CAC and TBI waivers to choose either a waiver of deeming of spousal income or the spousal impoverishment protections and for certain day services for persons with mental retardation or related conditions; repealing case management services grants for AIDS infected persons, the requirement for the maximization of federal funds under the consumer support program, certain obsolete alternative care and waivered service programs restructuring requirements, the specific reimbursement rates for Anoka, Aitkin and Polk and Pennington counties under the home and community based services waiver, the home and community based waiver for chronically ill children and disabled persons, funding for county costs associated with minor caretaker evaluations and certain rules relating to the alternative care program and the CADI and CAC waivers ARTICLE 4 - CONSUMER INFORMATIONRequiring the commissioner of human services to monitor and analyze the distribution of older adult services and to annually report to the legislature assessments of the distribution of long term health care services by geographic area; 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; creating the community services development grants program under the administration of the commissioner for the establishment of new older adult services as alternatives to nursing facility care; 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, 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 community 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; 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); requiring preadmission screening of all applicants to medicaid certified nursing and boarding care facilities, specifying screening criteria and requirements, providing for certain exemptions and emergency admissions and prescribing certain billing and payment procedures; clarifying the purpose and goals of the alternative care program and modifying certain eligibility and covered services requirements and 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 care 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 the commissioner to award contracts for grants to public and private nonprofit agencies to establish services strengthening the ability of communities to provide home and community based services for elderly persons and the board on aging to report to the legislature by a certain date on the provision of 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 and the special medical assistance reimbursement rates for Anoka, Aitkin, Polk and Pennington counties under the elderly waiver program and certain rules relating to nursing facility cessations or service curtailments, relocation planning and preadmission screening and alternative care ARTICLE 5 LONG TERM CARE SYSTEM 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; specifying certain resident reimbursement classifications basis and establishment criteria, certain resident assessment requirements and a facility assessment schedule, requiring case mix classification into certain groups, eliminating commissioner private pay residents quality of care assessment requirements upon revised case mix system implementation; 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, specifying certain request content requirements and imposing a time limit for submittal of reconsideration requests, prescribing the reconsideration procedure; specifying certain commissioner resident assessment accuracy audit requirements for implementation of the new resident classification system; increasing the dollar limit for construction projects under the nursing home bed moratorium, expanding the definition of project construction costs to new technology implemented as part of the project and expanding the criteria for review of exception proposals; creating exceptions to the moratorium for facilities undergoing replacement or remodeling as part of a planned closure, for a total replacement project in Wilkin county due to flooding, to provide residential services for the physically handicapped in a certain nursing facility in Duluth and for replacement and transfer beds in certain Anoka county facilities; providing for the relocation of licensed nursing facility residents upon facility closure or curtailment or reduction or change of operations; specifying certain licensee notice requirements; prescribing the planning process, specifying certain duties of the local social service agency and the licensee, requiring the licensee to provide for the safe, orderly and appropriate relocation of residents, requiring cooperation with the departments of health and human services, 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; specifying certain resident personal possessions inventory and possessions and records transfer requirements; specifying certain responsibilities of the licensee during and following relocation, requiring certain status reports; specifying certain responsibilities of the local social service agency, providing for facility closure rate adjustments and requiring the commissioner of human services to allocate funds for use for relocation costs incurred by counties; providing for the minimization of the number of residents transferred within a facility; providing for the conforming reuse of closed or curtailed nursing facilities; requiring the commissioner to establish a transition planning grant program to assist eligible nursing homes in developing strategic plans to meet the older adult service needs of the community; requiring and providing for the commissioner of health to implement alternative procedures for the nursing home survey process, specifying certain survey interval requirements and requiring the commissioner to develop a process for identifying the survey cycles for skilled nursing facilities based on the compliance history of the facility; requiring and providing for 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; eliminating the hospitalization duration and case mix classification assessment requirements for eligibility for ventilator dependent services under commissioner of human services contracts with nursing facilities eligible to receive medical assistance payments for the services and increasing the maximum negotiated payment rate for persons admitted to the facilities after a certain date; eliminating the requirement for projects to be authorized through the competitive moratorium exceptions process to receive higher investment per bed limits under the special provisions for moratorium exceptions; increasing nursing facility total operating payment rates under medical assistance, establishing a separate payment rate for the first portion of stays after admission to nursing facilities; requiring the commissioner to adjust the operating payment rates for low rate nursing facilities reimbursed under medical assistance or the contractual alternative payment demonstration project to reduce rate disparities; requiring use of certain percentages of the adjustments to increase the wages and benefits of certain employees, authorizing hospital attached nursing facilities to include in distribution plans costs for wages and benefits in shared services departments under certain conditions and authorizing the commissioner to authorize facilities to raise per diem rates for private pay patients, audit requirements; requiring the commissioner to exclude the raw food cost adjustment under medical assistance relating to providing special diets based on religious beliefs from certain nursing facility rate computations; expanding the exemption from the requirement for nursing facilities to bill separately for therapy services; requiring the inclusion of health department licensing fee increases in rate payment determinations; increasing the case mix payment rate under the contractual alternative payment demonstration project for certain nursing facilities in Morrison, Hennepin and Anoka counties; providing for nursing facility voluntary closures and planning and development of community based alternatives, specifying certain duties of the commissioner; providing for implementation of a case mix system for nursing facilities based on the minimum data set, establishing the method and criteria used to determine resident reimbursement classifications based on resident assessments (34 group, RUG-III model); requiring and providing for the commissioners of human services and health to develop and implement a quality profile system for nursing facilities and other providers of long term care services; increasing total operating payment rates for intermediate care facilities for persons with mental retardation, requiring use of a certain percentage of the adjustment to increase wages and benefits for certain employees; expanding the reporting requirements of the commissioners of health and human services relating to maltreatment of vulnerable adults in facilities; requiring the commissioner of human services to fund the entire state share of medical assistance reimbursement for residential and day habilitation services provided to residents of an ICF MR in Northfield, prohibiting transfers from county community social service (CSSI) allocations; extending the expiration date of a certain provision requiring frequent checking of incontinent nursing facility residents; extending a certain requirement for the commissioner of health to give priority to a moratorium exception proposal for a replacement facility in the city of Anoka; requiring the commissioner of human services 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; requiring the commissioners of health and human services to report to the legislature by a certain date with recommendations on translating the minimum nurse staffing requirement following transition to the new classification system or on establishing different time based standards; requiring the commissioner of human services to increase medical assistance payment rates to certain waivered and community services providers for employee wage and benefit increase purposes; requiring the commissioners of health and human services by a certain date to develop a summary of federal nursing facility and community long term care regulations hampering state flexibility and placing burdens on the goal of achieving high quality care and optimum outcomes for consumers of services and to report to the legislature by a certain later date on the number of nursing facility closures, alternatives to nursing facility care, problems with access to long term care services and recommendations for continuation of the regional long term care planning and closure processes; specifying certain reference deletion instructions to the revisor of statutes; repealing a certain provision requiring advance notice to the commissioner of health of nursing facility closures, the private pay rates under the contractual alternative payment demonstration project and certain rules relating to nursing facility closures and the relocation of residents ARTICLE 6 WORKFORCE RECRUITMENT AND RETENTIONModifying the definition of qualifying consortium under the job skills partnership health care and human services worker training program, specifying a grant limit and modifying local match requirements, expanding marketing and recruitment strategy requirements relating to meeting the needs of non-English speaking persons and providing for an expedited grant process; repealing certain fiscal and grant recipient evaluation requirements of the Minnesota job skills partnership; requiring the commissioner of human services to temporarily provide a scholarship per diem under medical assistance (MA) reimbursement rates to certain nursing facilities for employee scholarship costs and to provide job related training in English as a second language (ESL); requiring the commissioner to seek waivers to obtain enhanced matching funds under the state children's health insurance program (CHIP) to develop a long term care employee health insurance program; repealing certain fiscal requirements of consortia receiving training program grants and the requirement for annual review of the consortia by the job skills partnership board ARTICLE 7 - REGULATION OF SUPPLEMENTAL NURSING SERVICES AGENCIESRequiring and providing for the registration of supplemental nursing services agencies with the commissioner of health, specifying certain application, fee and background studies requirements and registration criteria, imposing penalties for violation of the requirements; requiring the commissioner to establish a system for reporting complaints against supplemental nursing services agencies or employees; limiting charges to health care facilities by the agencies; requiring annual commissioner reports to the legislature on use of the services ARTICLE 8 - LONG TERM CARE INSURANCE Defining 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 insurers 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 insuranceARTICLE 9 - MENTAL HEALTH AND CIVIL COMMITMENTProhibiting health plans from excluding or reducing coverage for enrollees attempting suicide; requiring health plans providing prescription drug coverage to provide coverage for antipsychotic drugs prescribed to treat emotional disturbance or mental illness whether or not included in the drug formulary of the health plan under certain conditions, exception, providing a continuing care benefit under certain conditions; requiring and providing for health plan companies providing coverage for mental health services to provide coverage for court ordered mental health services; requiring the commissioner of human services to offer to develop discharge plans for community based services for offenders with serious and persistent mental illness released from correctional facilities, specifying certain plan content requirements; expanding the definitions of day treatment services and mental health professional and defining mental health crisis services and significant impairment in functioning under the adult and children's mental health acts; requiring the commissioner to require training of regional treatment center mental health and support unit staff in violence reduction and prevention; requiring and providing for appropriate settings for children to receive mental health services; requiring county boards to provide or contract for mental health services for children determined to be experiencing a mental health crisis or mental health emergency; restricting the authority of county boards to determine the inappropriateness of inpatient treatment for children; requiring transition services to young adults under the children's mental health act; providing for funding of the crisis housing assistance program under certain funds inadequacy conditions; expanding the definitions of interested person and mentally ill persons under the commitment and treatment act; providing a patient right to assessment of the medical necessity of continuing care in mental health treatment facilities; specifying certain notice requirements relating to patient rights; authorizing legally authorized health care proxies, agents, guardians or conservators to exercise patient rights on behalf of the patient; requiring facilities to use clinical admission criteria consistent with certain current inpatient admission standards in making voluntary admission decisions; providing for court appointment of substitute decision makers under certain conditions; strengthening the coverage requirement of health plan companies for mental health services ordered by the court for persons under temporary confinement; requiring a statement of information for emergency hold under certain conditions; clarifying certain court ordered early intervention criteria and extending the short term hospitalization restriction; prohibiting petitioners under prepetition screening requirements from screening team membership, modifying and expanding certain investigation requirements and specifying certain team to proposed patient notice requirements; requiring combined neuroleptic medication and commitment hearings under certain conditions, prohibiting the use of failure to include certain required information relating to neuroleptic medications in the examiner statement or to include a request for an order relating to the medications with the commitment petition as a basis for dismissing the petition; removing the imminent physical harm requirement for continued judicial hold; clarifying the standard of proof for refusal to accept appropriate mental health treatment relating to court decisions on the least restrictive program; restricting the authority of private treatment facilities to refuse to accept committed or transferred persons, requiring insurers to provide court ordered treatment and services under private treatment; requiring the commissioner to establish a continuing care benefit program for acute care hospital inpatient treatment of persons with mental illness, requiring commissioner establishment of admissions criteria and prohibiting the commissioner from requiring civil commitment proceedings as a condition of admission; providing medical assistance (MA) coverage for certain adult rehabilitative mental health services provided in the home or community, for certain adult mental health crisis response services, for mental health case management services provided by Indian health services or by agencies operated by Indian tribes, for provider travel time under certain conditions and for medication management provided by certain mental health services; establishing a mental health provider appeal process; authorizing medical assistance and MinnesotaCare prepaid health plan coverage for adult mental health rehabilitative and crisis response services, requiring a commissioner report to the legislature by a certain date on the inclusion of the services in prepaid plans; requiring counties to use revenue increases resulting from rehabilitative or crisis response services to expand mental health services; authorizing the court to order health plan companies to provide coverage for mental health services to children in need of special services or care and restricting the authority of the court to transfer legal custody of children with disabilities relating to special treatment or care; requiring the commissioner to develop a payment system for adult residential services grants and report to the legislature by a certain date; requiring commissioner notice to counties, health plan companies with prepaid medical assistance contracts, health care providers and enrollees upon the establishment of a continuing care benefit program for persons with mental illness; requiring the commissioner to conduct a study of the role of children's mental health and family services collaboratives in the children's mental health system and to study and make recommendations for a procedure for medicare eligible persons with mental illness to obtain acute care hospital inpatient treatment for mental illness for a length of stay beyond the period of time allowed by diagnostic classifications and report to the legislature by certain dates; requiring counties to report data relating to civil commitment costs to the commissioner for reporting to the legislature by a certain date ARTICLE 10 ASSISTANCE PROGRAMSModifying certain immigration status reporting requirements of the commissioner of human services; requiring disqualification from the group residential housing (GRH) program for conviction of wrongfully obtaining assistance (welfare fraud) and from the food stamp program upon disqualification from the Minnesota family investment program; delaying the implementation of a certain provision limiting eligibility for the Minnesota food assistance program to certain older noncitizens; clarifying the eligibility requirements for Minnesota supplemental aid (MSA); modifying certain MFIP provisions; requiring the commissioner to treat and report financial assistance expenditures made to or on behalf of resident minor children in two parent families as a separately funded state program; defining person trained in domestic violence; 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 referral and services determination interview requirements; clarifying the exclusion of supplemental security income (SSI) from the definition of income for MFIP eligibility determination purposes; requiring caregivers for children included in the assistance unit; eliminating the earned income disregard percentage rollback; modifying certain conditions for eligibility after conviction of a drug offense; imposing certain reading level and language requirements on notices of adverse action to participants; clarifying the requirement for county agencies to verify claims of family violence; delaying the date requiring declaration of a certain amount of federal public and assisted rental subsidies as unearned income; clarifying county agency authority to approve proposals for or continuation of protective or vendor payments; requiring county advance notices to assistance units of expiration of the 60 month time limit for temporary assistance for needy families (TANF) and clarifying the application of the time limit to minor caregivers; changing the term adults living on an Indian reservation to adults living in Indian country for time limit determination purposes; changing the term domestic violence to family violence and excluding assistance received while complying with alternative employment plans from determination of the time limit; specifying certain job counselor case review requirements and providing for hardship extensions for certain participants; clarifying certain orientation requirements and expanding orientation information requirements; requiring notice of intent to sanction; requiring alternative employment plan review for failure to comply with plan requirements, requiring plan revision under certain conditions, participants failing to comply with nonrevised plans to lose the exemption from compliance with regular employment services activities; expanding certain review determination requirements; modifying certain dual sanctions requirements and providing certain county agency sanction options; imposing a time limit on the processing of applications for emergency assistance (EA); defining alternative employment plan and redefining domestic violence as family violence for employment and training requirements purposes; modifying certain county employment and training services and local service unit plan content requirements; strengthening the requirement for counties to ensure victim access to persons trained in domestic violence; requiring overviews of employment and training services to provide referral information about shelters and programs, the time limit exemption and waivers of employment and training requirements for family violence victims, exempting participants with alternative employment plans from overview attendance requirements; extending the length of education programs authorized to be approved by job counselors; requiring and providing for conversion of safety plans to alternative employment plans at the time of renewal and for review of alternative employment plans after a certain period of time for appropriateness determination purposes; modifying certain exemptions from employment and training requirements; eliminating the employment and training services block grant set aside requirement; expanding the authorized use of local intervention grants for self sufficiency to certain low income participants losing MFIP eligibility due to the time limit; modifying certain provisions governing Indian tribes, eliminating training from the employment services component and modifying funding allocation requirements; 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 supporting and relieving 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; delaying the date for implementation of the provision making legal noncitizens ineligible for state funded programs; requiring the commissioner of human services to provide training for county agency staff in domestic violence and to report to the legislature by a certain date on the assessment of county performance; authorizing the commissioner to adopt rules for implementation of the MFIP eligibility hardship extensions; specifying certain reference change instructions to the revisor of statutes relating to MFIP; repealing the interstate transitional standard and the requirement for repayment of certain employment and training assistance ARTICLE 11 CHILD WELFARE AND FOSTER CARELimiting the requirement for the commissioner of human services to provide liability insurance for licensed adult foster care homes to family adult foster care homes; requiring the commissioner to establish a panel to review investigating agency determinations relating to child maltreatment; expanding the content requirement for the annual report by the commissioner of human services on children out of home placement to child maltreatment; clarifying the requirement for county attorneys to file termination of parental rights petitions in certain child custody transfer cases; providing for the investigation of child maltreatment in facilities; granting local welfare or investigating agencies access to child medical records for maltreatment investigation purposes; requiring commissioner or local welfare agency written memoranda to parents, guardians or legal custodians of children receiving services in facilities of maltreatment occurrence; requiring facility operators to inform mandated reporters employed by or associated with the facility of required maltreatment reporting duties and the prohibition against retaliation for good faith reporting; requiring training for child abuse services professionals to include appropriate methods for interviewing alleged victims of child abuse and for conducting investigations in developmentally, physically or mentally disabled victims cases; requiring the commissioner to report to the legislature by a certain date on the feasibility and cost of creating a single benefit package for children removed from the care of a parent or guardian under court order and to study and report to the legislature by the same date on the disproportionate representation of African American children in child welfare out of home placementsARTICLE 12 CHILD SUPPORTAuthorizing and providing for the commissioner of human services under signed agreement to pay a quarterly fee to financial institutions for supplying account information to public authorities responsible for child support enforcement and to evaluate the effect of the fee and report to the legislature by a certain date with recommendations for retaining or modifying the fee; clarifying the requirement for the counting of direct support retained by caregivers as unearned income in determining the amount of public assistance payment, requiring repayment to the child support agency under certain conditions, defining direct support; changing the bonus incentive program to increase the number of paternity establishments to a per child in lieu of a per case incentive; authorizing public authorities to fine employers or payors of funds for failing to comply with child or medical support orders, specifying certain notice requirements; making optional the requirement for the commissioner to publish the names of child support obligors in arrears; prescribing a procedure for public authority treatment of unclaimed support funds, authorizing use to pay public assistance arrearages under certain conditions; expanding the provision providing for collection of child support arrearages, providing for the establishment of payment agreements; authorizing retroactive modification of support orders under certain institutionalization or incarceration conditions; clarifying the requirement for orders establishing, modifying or enforcing maintenance or child support to include a cost of living adjustment and modifying certain conditions for inflation adjustments, prescribing a contest procedure; repealing certain cost of living adjustment hearing request form and motion request requirements ARTICLE 13 MISCELLANEOUSRequiring the commissioner of health to report to the appropriate health related licensing board health professionals loan repayment program participant failure to complete the service obligation and to repay the amount paid or to pay financial penalties owed; authorizing board of nursing issuance of temporary permits to certain nursing license applicants educated in foreign countries, requiring practice under direct supervision of registered nurses; clarifying the exemption from the advanced practice registered nurse certification requirement; requiring board of social work deposit of license applicant or licensee criminal history background check fees into the miscellaneous special revenue fund to reimburse the bureau of criminal apprehension (BCA) for background check costs; authorizing health related licensing boards to refuse to grant licenses or to discipline regulated persons for intentional nonpayment, default or breach of repayment or service obligations under federal loan or scholarship programs; defining guardianship service providers and clarifying the definitions of comprehensive evaluation and case manager for purposes of services for persons with mental retardation and modifying or clarifying certain public guardianship duties of the commissioner of human services; exempting petitions for removal of public guardians from certain new guardian or conservator appointment requirements and modifying certain witness and attorney fee payment requirements; providing for supplementary service rate increases for qualifying group residential housing (GRH) facilities; prohibiting the commissioner of public safety from including suicide statistics in crime statistics compilations; eliminating the repeal of the home sharing grant program for the elderly or disabled; modifying the definition of genetic test for protected genetic information in employment regulation purposes; providing an effective date for the provision extending the expiration date of the council on disability; requiring the commissioner to request a federal home and community based services waiver for certain day services for persons with mental retardation and requiring counties to pay the nonfederal share of medical assistance (MA) costs for persons receiving services under the waiver; requiring the department of human services to convene and lead an interagency workgroup to study and develop recommendations to the legislature relating to services to deaf blind children, adults and families; requiring the commissioner to provide county agencies with funds for public guardianship alternatives based on county proposals to establish private alternatives and to initiate a day training and habilitation payment structure pilot project, requiring day training and habilitation task force recommendations to the commissioner and extending the expiration date of the task force, specifying certain responsibilities of county boards and requiring the commissioner to identify the vendors with the lowest rates or underfunded programs in the state and make recommendations to reconcile the discrepancies before implementation of the pilot project, federal waivers requirement ARTICLE 14 DHS LICENSING AND LICENSING BACKGROUND STUDIESExpanding access to data on human services licensees for investigation of child or vulnerable adult maltreatment in facilities; requiring background checks of individuals performing direct contact services in nursing or boarding care homes or for home care agencies including nonresidents and individuals employed by and controlling persons of supplemental nursing services agencies providing services in health care facilities, specifying certain supplemental nursing services agencies compliance records maintenance requirements; modifying and expanding certain maltreatment determination requirements of the health related licensing boards; applying definitions under the human services licensing act to certain standards for services to persons with mental retardation; excluding certain individuals affiliated with consumer directed community support services funded under the medicaid waiver for persons with mental retardation and related conditions from licensing requirements; authorizing certification of residential programs licensed by the commissioner of corrections to serve children and excluded from human services licensure requirements; modifying, clarifying and expanding background study and notice requirements for human services licensing purposes; providing for reconsideration of maltreatment determinations; authorizing disqualified individuals to request additional time for reconsideration under certain conditions; requiring commissioner of human services rescission of disqualifications upon a finding of reliance on incorrect information and expanding the factors to be considered by the commissioner in setting aside disqualifications, requiring disqualification and prohibiting disqualification set asides for felony level convictions involving alcohol or drug use; authorizing commissioner issuance of disqualification variances under certain conditions; authorizing certain licensed residential programs to serve certain older children for secondary school program completion purposes; expanding the authority of the commissioner to deny licenses; modifying certain conditional license issuance and fine imposition provisions; providing for expedited hearings on temporary immediate license suspensions and for consolidated contested case hearings for sanctions based on maltreatment determinations and disqualifications; requiring license holders providing child care to provide staff persons, caregivers and helpers with training on reducing the risk of sudden infant death syndrome (SIDS); excluding certain variances from the delegation of variance authority to county and private agencies; providing a standard of evidence for disqualification hearings; expanding vulnerable adult maltreatment reporting requirements; providing for reconsideration of determinations of vulnerable adult neglect, expanding the definition of neglect; requiring the commissioners of health or human services to pursue changes to federal law necessary to allow greater discretion on disciplinary activities of unlicensed health care workers and to apply for federal approval for a set aside process relating to disqualifications for nurse aides in nursing homes by a certain date; requiring the commissioner of health to work with providers to examine federal rules and regulations prohibiting neglect, abuse and financial exploitation of licensed nursing facility residents and to apply for federal waivers to allow control of the disqualification or discipline of persons providing services to nursing facility residents; specifying certain reference replacement instructions to the revisor of statutes; repealing certain rules providing procedures and standards for background studies of persons subject to human services licensure ARTICLE 15 VITAL STATISTICS Modifying the definition of delayed registration relating to births or deaths and clarifying the definitions of file, registration, system of vital statistics and vital record; changing the term certificate to record or vital record; removing the city of St. Paul as a separate registration district; requiring designation of local registrars by the county board, eliminating the requirement for district court administrators to act as registrars; eliminating the requirement for local registrars to examine birth and death certificates, requiring the filing of birth records with the state registrar; requiring surnames to be defined by both parents in cases without a court order; modifying the order of preference relating to the mother for the filing of birth records for births occurring outside an institution; prohibiting the registration of delayed records of birth for deceased persons; eliminating certain references to certified copies of birth certificates, providing for replacement birth records under certain conditions; providing for the filing of death records with the state registrar; eliminating the requirement for the filing of a certified copy of court findings with the death record in cases without a body; specifying a time limit for the reporting of sudden infant death syndrome (SIDS) cases; reducing the age for authorized access to birth data; granting the commissioner of human services access to birth records and health data for medical assistance (MA), general assistance medical care (GAMC) and MinnesotaCare program administration, child support enforcement and other public health purposes; authorizing the issuance of certified birth or death records to adoption agencies to complete confidential postadoption searches and certified death records to individuals under certain conditions; providing for access to original birth records after adoption; modifying certain fee provisions; specifying certain term change instructions to the revisor of statutes; repealing certain provisions providing for access to adoption records, the filing of court orders relating to delayed birth certificates and the registration of new birth certificates ARTICLE 16 PATIENT PROTECTIONRequiring the commissioner of commerce to divide a certain percentage of civil or administrative penalties imposed on health carriers or health maintenance organizations among policy or certificate holders affected by the violation, exception; requiring HMOs to inform enrollees participating in clinical trials upon inquiry of required coverage; expanding expenditure data requirements for health care cost containment purposes; excluding clinics or health care systems acting under delegation agreements with regulated utilization review organizations from the definition of utilization review organization, regulated utilization review organizations to be accountable for the activities of the clinic or health care system; requiring licensing as physicians of persons employed by health plan companies as medical directors, defining medical director and providing an exception, requiring health plan company name and licensure information reports to the commissioner of commerce; modifying certain health plan company continuity of care requirements, specifying certain covered services termination limits and certain notice, services authorization, continuity of care plan preparation and disclosure requirements; modifying certain requirements for access to specialty care, requiring mandatory standing referrals under certain conditions and eliminating certain services and secondary referral restrictions on specialists providing primary care services to enrollees, authorizing certain health plan company limits; requiring the commissioners of health and commerce in consultation with the commissioner of employee relations (DOER) to convene a work group to study health plan coverage of clinical trials and the commissioner of health to by a certain date evaluate the feasibility of collecting data on the quality of patient care provided in hospitals, outpatient surgical centers and other health care facilities and report to the legislature by a certain date ARTICLE 17 - APPROPRIATIONSAppropriating money to the commissioner of human services for financial, legal and regulation and management operations including core licensing activities, for administrative reimbursement pass through, for children's services grants and management, for basic health care grants including MinnesotaCare and dental access grants and the stop loss fund account, for general assistance medical care (GAMC), for a study of children enrolled in the MinnesotaCare and medical assistance (MA) programs, for health care policy administration and operations, for state operated services restructuring, for cemetery grave markers, for continuing care, community social services (CSSA) block and aging adult service grants including home sharing and center for victims of torture grants, for services to deaf and hard of hearing persons, for mental health grants, for a grant to the St. Louis county compulsive gambling council, for medical assistance long term care facilities, waivers and home care, for community support and alternative care grants including group residential housing (GRH) and chemical dependency entitlement and nonentitlement grants, for the day training and rehabilitation restructuring task force, for county nursing home closures resident relocation costs, for supported work programs, for economic support, family assistance and welfare to work grants, for the child care and food assistance programs, for child support enforcement, for Minnesota supplemental aid (MSA), for refugee services, for development of an employment tracking system in collaboration with the department of economic security and for economic support policy administration and operations, to the commissioner of health for the reduction of health disparities, for the MN ENABL program, for local public health promotion, for infant mortality reduction, for the home visiting program, for poison control system grants, for the women, infants and children (WIC) food supplement program, for children health status improvement grants, for suicide prevention, for the rural health technology demonstration project, for health care purchasing alliances, for initial medicare certification surveys, for rural hospital capital improvement grants, for identification and response to emerging health threats, for a grant to the city of Minneapolis to establish a community based health education and promotion program on food safety in the Latino, Somali and southeast Asian communities and for management and support services, to the veterans nursing homes and health related licensing boards, to the emergency medical services (EMS) for the comprehensive advanced life support educational program and for an automatic defibrillator study, to the council on disability and to the ombudspersons for mental health and mental retardation and families; providing for the deposit of MAXIS, PRISM, MMIS and SSIS system projects receipts; authorizing the commissioner of human services to accept gifts and to use available grant appropriations to ensure systems continuity; regulating expenditures from the federal TANF block grant and specifying certain maintenance of effort (MOE) requirements; providing for a capitation rate increase under the medical assistance prepayment demonstration project and for annual updates to the federal poverty guidelines; authorizing the commissioner to seek and expend federal funds to assist in evaluating strategies to improve outcomes for children in the child welfare services system and to use social services block grant funds for concurrent permanency planning; requiring the commissioners of human services and corrections to maximize federal financial participation in the costs of providing out of home placements for juveniles; providing for use of the Indian health services federal match; reducing the base funding for immunization registries and for family planning special project grants; requiring the nonfederal share of the prepaid medical assistance program fund to be disbursed to counties as grants; requiring the commissioner of human services to remodel a certain building at the Brainerd regional human services center for school programs suitability purposes; providing for the calculation of medical assistance payment rates for a nursing facility operated by the Reed Lank band of Chippewa Indians; authorizing the commissioner of health to approve certain nursing home bed moratorium exception projects; requiring the use of certain federal grant funds for a real choice system change starter grant; setting the general assistance standard; requiring the commissioner of human services to reduce the quarterly food stamp administrative reimbursement to counties in certain fiscal years and granting the commissioner certain spending authority; providing for the funding of financial institution data matches; authorizing the commissioner of health to waive license fees for home care providers holding current licenses to reduce surplus home care fees in the special revenue fund; requiring and providing for a rural ambulance study; authorizing quarterly payment of hospital and nursing facility license renewal fees; prohibiting implementation of the proposal to transfer base funds from grants to operations within the health protection program and the use of indirect cost allocations to pay for health or human services programs operational costs; providing for the calculation of the cost of care for domiciliary residents at the Minneapolis veterans home and for veterans homes deficiency funding; authorizing fee increases by the boards of dietetic and nutrition practice and of nursing; providing for certain funds transfers and extending the availability of certain appropriations; sunsetting uncodified language; providing for reimbursement of certain local government unit money advances, for the retroactivity of certain contracts and for the payment of wages for project labor ARTICLE 18 CRIMINAL JUSTICEAppropriating money to the board of public defense for the state public defender, for administrative services and for district public defense costs associated with increased trials and appeals due to the felony level driving while impaired penalty, to the commissioner of corrections for correctional institutions, for a faith based prerelease program, for supervision of felony level and sex offenders, for county probation officer reimbursements, for a community corrections act subsidy funding increase, for restorative justice programs, for juvenile residential treatment grants, for an extended jurisdiction juveniles sanctions study, for a driving while impaired felony level penalty study and community supervision and increased bed costs and for management services, to the corrections ombudsman, to the sentencing guidelines commission for an executive director salary increase, to the commissioner of public safety for felony level DWI penalty trial support costs and to the attorney general for increased DWI appeals costs; authorizing the commissioner of corrections to enter into contracts to house adult offenders and to rent beds in the Rush City correctional facility, per diem charge requirement; requiring meetings with exclusive representatives before reductions in correctional facility services or staffing; authorizing the commissioner to use cost savings from per diem reduction plans for capital improvements at adult correctional facilities and to establish a prison health care commission to develop an inmate health care plan; requiring changes to the juvenile females facility and program for federal compliance purposes; requiring the commissioner to rename the community preservation unit consistent with a revised unit mission and to develop a plan to improve the efficiency of the central office; requiring the board of public defense to set the salary of the state public defender, limit; redirecting correctional fees for probation costs to county treasurers; authorizing commissioner rental agreements for emergency housing of inmates; increasing the frequency of the corrections ombudsman functions report; extending the requirement for the commissioner to charge a per diem cost for use of the Red Wing juvenile facility and requiring a per diem charge for housing out of state prisoners; increasing the surcharge on criminal and traffic offenders and modifying the distribution of the surcharge; requiring commissioner recommendations to the legislature by a certain date on the impact of entering into the updated interstate compact on adult offenders; modifying the limit on the salary for the state public defender; maintaining the use of federal Bryne grant funds for restorative justice program grants; requiring the office of the governor to conduct a study of various models to deliver the services provided by the ombudsman for corrections and report to the legislature by a certain date; requiring certain corrections budget reductions; providing for certain funds transfers ARTICLE 19 FELONY DRIVING WHILE IMPAIREDEstablishing a felony level driving while impaired (under the influence of alcohol) offense as first degree driving while impaired and prescribing mandatory penalties, specifying certain conditions of release; changing the existing first degree offense to second degree driving while impaired, the second degree offense to third degree driving while impaired and the third degree offense to fourth degree driving while impaired; prohibiting the court from staying the execution of drivers license revocation provisions under a felony conviction and providing for custodial arrest and vehicle forfeiture; increasing the drivers license reinstatement surcharge; maintaining supervision levels for offenders; requiring the commissioner of corrections to annually report to the legislature on the implementation and effects of the felony level driving while impaired offense, specifying certain report content requirements; requiring health plans providing coverage for chemical dependency treatment to cover treatment provided to enrollees by the department of corrections after conviction for a first degree driving while impaired offense under certain court and department determination conditions, exempting treatment provided by the department from separate medical necessity determination requirements and regulating payment rates, requiring the commissioner to report to the legislature by a certain date on the number of felony DWI offenders with private health insurance coverage for chemical dependency treatment and the results of attempts by the commissioner to obtain coverage for the treatment (mk, ja)