Providing for the organization, operation and financing of state +government, providing for the financing of and making changes to public +assistance programs and health care programs and services to children ARTICLE 1 � WELFARE REFORM Expanding eligibility under the second priority of the basic sliding +fee child care program; clarifying the application of the declaration relating +to welfare fraud; restricting the payment of emergency general assistance (GA) +and emergency Minnesota supplemental aid (MSA) grants and modifying the +use of federal TANF (temporary assistance for needy families) block grant +money under the Minnesota family investment program; expanding special needs +payments to special diets or dietary items prescribed by a licensed physician; +defining and redefining certain terms under MFIP; modifying certain referral and +services interview requirements; modifying certain responsibilities of +counties to inform applicants not eligible for MFIP of other available resources;+ requiring county agencies to verify the income of all MFIP recipients and +applicants; authorizing exclusion from income of only a portion of supplemental +security income; modifying the MFIP transitional standard and imposing a +family cap, specifying conditions for consideration of the birth of a child as a +member of the family for increase purposes; modifying the family wage level +limit and reducing the MFIP exit level; modifying certain caregiver changes +reporting requirements; specifying conditions for county acceptance of +affidavits as sufficient documentation of eligibility, modifying the factors to be +verified upon application and the requirement for county agencies to count +certain rental subsidies as unearned income and providing for the treatment +of SSI; clarifying the requirement for county collection of overpayments; +prohibiting appeal requests from extending certain work program benefits; +modifying certain exemptions from the 60 month time limit on the receipt of MFIP +assistance and certain hardship extension eligibility conditions, certain +orientation program content requirements and sanctions for failure to comply or cooperate+ with MFIP program requirements or certain employment and training services +requirements; specifying certain assessment and employment plan requirements; +modifying certain post-secondary education participation requirements and +restrictions and providing for approval of adult basic education (ABE) and English+ as a second language (ESL) as a work activity; modifying certain education requirements for certain minor caregivers; stating or modifying +certain general requirements for caregivers to participate in employment services, +requiring and providing for universal participation, specifying certain +requirements to qualify for a family violence waiver and modifying certain reporting requirements and exemptions and conditions for the continuation of +certain support services; establishing a consolidated fund to support +counties and Indian tribes in meeting MFIP requirements, specifying certain +allowable expenditures and eligibility, county and tribal service agreement, +allocation and reporting requirements; eliminating the continuation of medical +assistance (MA) after MFIP eligibility; modifying certain county performance +management reporting requirements; establishing a diversionary work program +(DWP) through the use of TANF block grants to provide short term necessary services+ and supports to families leading to unsubsidized employment and economic +stability; authorizing the commissioner of human services to seek a waiver from +the federal department of agriculture to allow the state to specify foods+ eligible for purchase under the food stamp program, specifying certain +consultation and legislative approval requirements; modifying the disqualification of +legal noncitizens from certain public assistance programs; specifying +certain codification, term insertion and internal cross reference deletion +instructions to the revisor of statutes; repealing certain provisions under MFIP +relating to the program modifications including emergency and diversionary +assistance, sanctions and employment and training services, local intervention +and nontraditional career assistance grants and county administrative aid+ and certain pilot projects for MFIP eligible families ARTICLE 2 � LONG TERM CAREAuthorizing life insurance policies to pay accelerated benefits to policyholders needing long term care; increasing the limits on +reimbursements for at home recovery visits under extended basic medicare supplement +plans; granting the commissioner of commerce certain regulatory flexibility +relating to long term care insurance policies; prohibiting certain limits on +home health or community care services under the policies and expanding the list +of prohibited limits under qualified plans; requiring the commissioner +of health to make available to nursing facilities information on facility +specific standards waivers granted relating to technology or physical plant, +requiring waiver extension under certain conditions; exempting facilities from +waiver request requirements for room furniture or equipment in response to +resident specific requests under certain conditions; requiring periodic +checking of incontinent residents according to specific time intervals written in+ resident care plans, requiring physician authorization of certain longer +intervals, exception; providing an exception from the nursing home bed +moratorium for an existing facility in St. Louis county, requiring transfer from +another facility in the county; establishing an independent informal dispute +resolution process through the office of administrative hearings relating to nursing +facility deficiency citations; requiring the commissioners of health and human+ services to prepare biennial reports to the legislature on the status of the +full range of long term care services for the elderly; increasing the nursing +home license surcharge, authorizing the commissioner to reduce and subsequently +restore the surcharge based on permissible surcharge determinations; extending +the deadline for nursing facilities to elect participation in the medical +assistance (MA) program; imposing a surcharge per licensed bed on nonstate operated intermediate care facilities for persons with mental retardation and +related conditions; clarifying the provision requiring assignment to the +state of third party payments for the cost of medical care; authorizing the +commissioner of human services to suspend or terminate vendor participation in the+ medical assistance program without providing advance notice and an +opportunity for hearing upon vendor exclusion from participation in medicare, +specifying certain subsequent notice requirements; modifying certain provisions +relating to eligibility for and services covered under the alternative care +program, providing for administration of alternative care pilot projects; +expanding the individual care plan documentation requirement; authorizing the +commissioner to reallocate certain alternative care base allocations to lead agencies+ on agreement with the lead agency; modifying a certain provision +providing for the payment of client fees or premiums; eliminating the exclusion of +alternative care for nonmedical assistance recipients from the definition of +medical assistance for claims against estates purposes and entitling counties+ to a certain percentage of collections and limiting claims for alternative+ care; reducing payments to nursing facilities for leave days and limiting +payments for medicare copayments for nursing home stays; restricting enhanced +payments during the first 90 days after admission and payments for the costs +of employee scholarships and training in English as a second language (ESL); +increasing medical assistance reimbursement rates for nursing homes based on the+ surcharge increase, prohibiting annual percentage increases, exempting the +increases from the requirement for advance notice to private pay patients and +restricting adjustments; setting the operating payment rate for facilities +reimbursed under the cost based system and extending the limit on inflation +adjustments to facilities in the alternative payment system; requiring facilities participating in the alternative payment system demonstration project+ to participate in the quality improvement program or submit certain +quality improvement process information to the commissioner; requiring a +certain increase in ICF/MR total operating payment rates; removing a certain +provision relating to the assignment of benefits under general assistance +medical care (GAMC) and the effect on benefits paid under automobile accident and +private health care coverage; modifying the purpose of the group residential +housing act and the moratorium on the development of GRH beds; eliminating +the authority of county agencies to negotiate supplementary room and +board rates for corporate adult foster care facilities serving waiver clients; +requiring the commissioner by a certain date to seek federal approval for the demonstration project to obtain reimbursement for food and +nutritional costs currently paid under the program; providing for alternative care +liens on real property and coordinating the provisions with the classification of +creditors claims under the uniform probate code; requiring the commissioner to +seek changes in the federal policy mandating the imposition of federal +sanctions without opportunity for nursing facility correction of deficiencies +and to report to the legislature by a certain date on long term care +financing reform; specifying certain internal cross reference deletion and punctuation,+ grammar or structure correction instructions to the revisor of statutes; +repealing the home sharing and health care consumer assistance grant programs, a +certain provision providing for planning and development of community base +alternatives upon nursing facility voluntary closures, the senior drug discount +program, certain study and reporting requirements and a certain exemption for +home care agencies from regulation as supplemental nursing services agencies +and certain rules providing for the community alternatives for disabled +individuals program ARTICLE 3 � CONTINUING CARE FOR PERSONS WITH DISABILITIESExempting certain licensed special transportation services vendors +from department of transportation (DOT) operating standards; requiring +persons with mental retardation requiring plans of care to leave the intermediate +care facility for mental retardation to receive services during the day, +exception; increasing the allowable travel time to and from day training and +habilitation sites; increasing the county portion of the costs of care provided in+ regional treatment centers (RTC) and requiring payment for care in state +nursing facilities, exceptions; expanding the family support program to +families of children with disabilities, modifying grant eligibility, specifying +certain factors for consideration by counties in approving or denying grant applications, eliminating the limit per dependent under emergency +circumstances and modifying certain county responsibilities; eliminating the +requirement for day training and habilitation services to be provided outside the +home or residence; eliminating the hourly job coach follow along rate for +employment services to persons with mental retardation, authorizing the +commissioner of human services to authorize county participation in voluntary +individualized payment rate structures for day training and habilitation services to+ change from a site based to an individual rate structure; modifying the +consumer support grant program for individuals with functional limitations, +removing exception grants, modifying the exclusion of individuals receiving +home and community based waivers from program eligibility and adding private +duty nursing services to the ineligibility conditions, authorizing the +commissioner to review and evaluate the methodology to reflect changes in the home+ care programs overall ratio of actual payments to service authorizations; +extending the expiration date of the council on disability; modifying certain qualification requirements for relocation targeted case management +providers and the time lines; providing medical assistance (MA) coverage for +certain medically necessary intensive rehabilitative mental health services +subject to federal approval, specifying certain eligibility requirements and +certain standards for residential and nonresidential services; providing +medical assistance coverage for physician assistants providing adult mental +health medication education services and modifying eligibility for provider +entity certification and certain provider staff eligibility, authorizing +clinical supervision; allowing diagnostic assessments reflecting the current +status of the recipient for adult rehabilitative mental health services +eligibility purposes; providing medical assistance coverage for personal care +assistant services of licensed social workers, modifying the definition of +responsible party for coverage purposes, eliminating coverage for certain +services provided by relatives and modifying certain requirements for flexible use of +personal care assistant hours; extending the deadline for face to face nursing+ facility admission assessment of individuals under a certain age following a +telephone screening admission; authorizing the commissioner and the White Earth+ Indian reservation to develop and implement a model for tribal management of+ the elderly waiver; modifying case management administration and service responsibilities for mentally retarded persons; expanding and making +permanent the region 10 medical assistance alternative quality assurance human+ services licensing system for persons with developmental disabilities, +authorizing and providing for participation by additional counties or for +establishment in other counties of a new system; changing the region 10 quality +assurance commission to a statewide and permanent commission, authorizing the +commission to charge fees for services and provide technical assistance to other+ counties, families, providers and advocates interested in participating in a +quality assurance system and modifying certain duties; modifying the state +and county share of medical assistance costs not paid by federal funds; +authorizing nursing facilities to meet the requirement for advance notice of rate+ changes by informing the residents or persons responsible for payments on or +before the effective date of the increase of rate determination under certain +conditions relating to failure of the state to set rates by the required +deadline; defining habilitation services and services during the day for +community based services rate determination purposes; authorizing the commissioner to+ designate a certain number of beds in ICF/MR facilities statewide for short +term admissions for crisis care needs, requiring certain rate adjustments; authorizing the inclusion of intensive rehabilitative services under +the medical assistance and MinnesotaCare prepaid health plans; specifying+ the county share for certain stays in institutions for mental diseases; +providing case management access for persons seeking community based services; +requiring the commissioner to report to the legislature by a certain date on +the redesign of case management services and to work with interested stakeholders +on the provision of information to consumers on bed vacancies for group +residential housing (GRH) providers and ICF/MRs; authorizing the commissioner to +contract directly with certain nonprofit organizations providing homeless +services; requiring the governors council on developmental disability, the +ombudsman for mental health and mental retardation and the council on disability to+ study the feasibility of reducing costs and increasing effectiveness of centers+ for independent living and report to the legislature by a certain date; +requiring the commissioner to allow a certain existing ICF/MR in Goodhue county+ to be converted to separately licensed or certified cottages serving a +certain number of children; specifying certain cross reference deletion and +punctuation, grammar or structure correction instructions to the revisor of +statutes; repealing individual service plan requirements under the family +support program, certain temporary rate adjustments for ICF/MRs and certain +public guardianship alternativesARTICLE 4 - CHILDREN'S SERVICESAuthorizing a certain number of family services or children's mental +health collaboratives to consolidate decision making, pool resources and +collectively act on behalf of the individual collaboratives based on a written +agreement; requiring and providing for county boards to provide for mental +health screening of certain children receiving certain protective services +or under court jurisdiction; providing medical assistance (MA) coverage for +subacute psychiatric care for persons under a certain age and for certain +therapeutic services and supports and mental health crisis response services for +children; for children and eliminating coverage for children in institutions +for mental diseases or approved by the commissioner of human services to provide+ certain services; authorizing licensed adoption and county social services +agencies to certify prospective adoptive or foster homes as suitable for children+ brought into the state from another country; expanding adoption assistance +program eligibility to certain Indian children; requiring the court to order +and regulate mental health screening of children found to be delinquent +and of repeat juvenile petty offenders; requiring responsible social +services agencies to reasonably try to finalize plans for permanent placement of +children in need of protection; requiring the commissioner to develop a plan in +conjunction with the commissioner of corrections to secure medical assistance funding +for mental health related services provided in out of home placement settings +and to use a certain certification process for transition to therapeutic services +and support for children; specifying certain cross reference deletion +instructions and punctuation, grammar or structure correction instructions to the +revisor of statutes; repealing medical assistance coverage for certain existing +family community and therapeutic support services and certain related rulesARTICLE 5 - OCCUPATIONAL LICENSES Modifying certain requirements for the licensing of alcohol and drug counselors; defining or redefining certain terms; providing for the +issuance of initial licenses by the commissioner of health and specifying the +term; modifying certain requirements for licensure, providing for the +issuance of temporary permits and specifying certain license renewal +requirements; providing for the performance of certain services by alcohol and drug+ counselor technicians; modifying certain license reciprocity conditions; +specifying certain continuing education requirements; clarifying the licensing requirement for practice purposes and modifying the titles use +prohibition; clarifying or modifying certain exceptions to the license +requirement, requiring hospital and public agency counselors to be licensed, +providing a transitional period; setting certain license fees, eliminating the +authority of the commissioner to set or adjust the fees; repealing certain +obsolete licensure provisions and rules ARTICLE 6 - HUMAN SERVICES LICENSING, COUNTY INITIATIVES AND +MISCELLANEOUSReducing the standing appropriation from the excess police state aid +holding account to the ambulance service personnel longevity award and +incentive suspense account; updating the authority of the commissioner of human+ services to designate hospitals and regional treatment centers (RTC) as +special care units for the mentally ill, mentally retarded or chemically +dependent; requiring the commissioner to obtain federal financial participation +for eligible activity by the ombudspersons for mental health and mental +retardation and for families; modifying certain human services licensure +requirements; expanding certain background check requirements to individuals +affiliated with facilities serving children or youth licensed by the department of +corrections; restricting the authority of the commissioner of human services to +set aside disqualifications and modifying a certain provision providing for +fair hearings after disqualification reconsideration decisions; modifying the +authority of the commissioner to implement alternative regulation methods for +licensed programs and certain license or certification fee provisions; +authorizing the commissioner to temporarily issue adult foster care licenses with +additional capacity under certain conditions; authorizing licensed family adult +day care providers to provide respite care services; authorizing the +commissioner to grant variances to licensed adult foster care providers to allow +alternative methods of overnight supervision under certain conditions; modifying +certain standards governing services to persons with mental retardation; +further exempting home and community based waivered residential service sites+ from certain requirements or rules; providing for continuity of care upon +change to the same type of service provided under a different license held by +the same license holder; modifying certain license holder risk management plan development and implementation, staff training and consumer notice requirements; modifying the services requirements of public +institutions serving persons with mental retardation, mental illness or chemical +dependency, requiring the commissioner to develop and maintain certain state +operated services and forensic services programs and to set the salary of the +appointed medical director, authorizing placement of the director in the +unclassified service under certain conditions; modifying certain duties of the +director, certain recordkeeping and shared service agreement requirements and +the treatment of unclaimed money or personal property; updating certain +definitions under the bloodborne pathogens program; changing the name of the +Minnesota sexual psychopathic personality treatment center to the Minnesota sex+ offender program; clarifying the duty of county sheriffs to transport and +deliver persons committed by the district court to the care and custody of +the commissioner to state operated services facilities and modifying +certain requirements for parental contributions to the cost of services to +children with mental retardation; clarifying the provision providing for the +security hospital in St. Peter and the authority of the commissioner to +transfer certain persons with mental illness to the hospital, requiring the +commissioner to establish a written policy creating the transfer criteria; exempting +persons voluntarily participating in treatment for mental illness from civil +commitment requirements under certain conditions; providing for the release of +intoxicated persons from treatment facilities without notice under certain +conditions and requiring release of persons under emergency hold within the 72 hour +period unless ordered held by the court, prohibiting consecutive emergency +hold orders; requiring the court to order persons committed as mentally +ill, chemically dependent or mentally retarded to the commissioner for +placement designation purposes; requiring county or user payment for the cost +of the merit system for county social or human services personnel, requiring+ and providing for commissioner determination of total costs and providing+ for county participation; establishing hearing and appeal procedures for +certain human services matters; expanding the definition of agency for +adoption and adoption assistance eligibility purposes to federally recognized +Indian tribes; eliminating the requirement for the public child welfare program to +be available in divorce cases; authorizing counties to charge a fee for investigation of contested child custodial arrangements; modifying +the requirements for counties to provide child support and maintenance +collection (IV-D) services and broadening county income withholding authority; +requiring the commissioner to study the services provided to persons with +developmental disabilities requiring complex care and to report to the legislature +by a certain date; requiring and providing for the commissioner to seek +specific legislative authorization to close or terminate programs at regional +treatment centers or state operated nursing homes and to seek federal funding +to participate in grant activities authorized under the federal ticket +to work and work incentives improvement act of 1999 for the maintenance of +independence and employment; authorizing and providing for conveyance by the +commissioner of administration to Cass county or a regional jail authority certain +land and buildings at Ah-Gwah-Ching regional treatment center; specifying +certain cross reference deletion and punctuation, grammar or structure correction instructions to the revisor of statutes; repealing certain provisions regulating public institutions or state hospitals serving persons +with mental retardation, mental illness or chemical dependency including the +Minnesota security hospital, the requirement for local government units or +nonprofit corporations to establish rehabilitation facility boards and certain +rules prescribing procedures for the department of human services to +determine and collect fees for issuing and renewing licenses for residential and nonresidential programs and agencies ARTICLE 7 � HEALTH MISCELLANEOUS Modifying certain provisions regulating medicare supplement +insurance, conforming state law to the minimum federal standards; modifying +eligibility for guaranteed issue, providing eligibility for certain senior +citizens enrolled with a program of all inclusive care for the elderly (PACE) +provider and specifying the start of guaranteed issue periods for certain +enrollees; authorizing issuers to offer a federally enacted medicare +prescription drug benefit consistent with federal law; modifying extended basic +medicare supplement plan coverage for copayments; extending the time period of+ coverage by short term individual health plans; authorizing health +maintenance organizations (HMO) to impose a flat fee copayment on outpatient +hospital visits and prescription drugs, excluding the prepaid medical +assistance (MA) and general assistance (GA), the MinnesotaCare and the federal +medicare programs from the copayment requirement; increasing the dollar +threshold of major spending commitments for expenditure reporting purposes; +authorizing the commissioner of health to audit referral patterns of providers +qualifying for exceptions under the federal Stark law, requiring reporting to the +legislature of audit results revealing a pattern of referrals to entities with +direct or indirect financial relationships with the providers; requiring and +providing for the commissioner of commerce in consultation with the +commissioners of health and employee relations (DOER) to evaluate mandated health +benefit proposals to provide the legislature with an analysis of the +ramifications of the proposals, defining mandated health benefit proposal and +specifying certain evaluation content requirements; modifying the uniform billing form +requirement under the federal health care financing administration (HCFA) for +home infusion therapy; clarifying or specifying the clinical medical education +programs eligible for medical education and research cost (MERC) funds, +modifying the funds distribution formula and expanding medical education grant +verification report (GVR) report content requirements; defining sole community +hospital for essential community provider designation eligibility purposes and +requiring the commissioner of health to accept an application for designation from +a certain nonprofit community clinic in Hennepin county providing health care +to an underserved American Indian population; requiring health plans to +cover hearing aids for children with noncorrectable hearing loss due to functional +congenital malformation of the ears; imposing certain fees on construction, +installation or alteration plans and specifications or variance requests for +public swimming pools and spas and certain plumbing systems; submitted to the +commissioner for approval; expanding the requirements for infant testing for inborn +metabolic errors to testing for heritable and congenital disorders; making +permanent the rural health advisory committee; eliminating commissioner +administrative duties relating to financial assistance to rural hospitals in danger of +closing; modifying the penalties for breach of contract under the national +health services corps state loan repayment program; establishing a health +professional education loan forgiveness program for medical practitioners agreeing+ to practice in underserved urban communities; modifying certain dentist +loan forgiveness conditions; modifying the goal set by the legislature to +reduce tobacco use among youth; making the effectiveness of the tobacco use +prevention and local public health endowment fund contingent on the availability+ of funds, providing for funding of tobacco use prevention and local public +health promotion and protection grants from the general fund, reducing the +report frequency requirement of the commissioner and making optional the +audit requirement of the legislative auditor; eliminating the authority of +patients in chemical dependency treatment or mental health programs to smoke +under the clean indoor air act; placing a moratorium on the construction of +radiation therapy facilities, excepting licensed hospitals; creating certain +exceptions to the hospital construction moratorium; modifying the allocation of + emergency medical services (EMS) regional grants; sunsetting the maternal and +child health advisory task force and making permanent the state community +health advisory committee; imposing certain additional fees on the licensing+ or registration of speech language pathologists and audiologists and +modifying fees for alcohol and drug counselors and hearing instrument +dispensers; updating certain ASTM (American society for testing and materials) specifications for petroleum products under ethanol development, +petroleum products regulation and gasoline tax provisions and defining +nonethanol oxygenate for gasoline tax purposes; granting licensed nonprofit +hospitals certain joint powers agreements authority; making technical +corrections to the Minnesota adverse health care reporting events act of 2003; +eliminating the authority of the commissioner to collect certificate application fees+ from hearing instrument dispensers and license renewal fees from +occupational therapy practitioners; specifying certain reference and cross +reference deletion instructions to the revisor of statutes; repealing the +health technology advisory committee and the health data institute, free inborn metabolism error testing, the rural +hospital finance assistance, nursing facility transition planning, long term +innovations in quality demonstration and rural clinical sites for nurse +practitioners education grant and physician loan, midlevel practitioner and nurse +loan forgiveness programs and rural clinical sites for nurse practitioners+ education grant programs and certain related rules and certain expired +licensing surcharge fees ARTICLE 8 � LOCAL PUBLIC HEALTH GRANTSModifying the criteria to be reviewed by the emergency medical +services (EMS) regulatory board in granting ambulance service licenses; eliminating +or modifying certain maternal and child health services support or +assistance requirements, modifying certain authorized uses of block grant money +and providing for the accountability of community health boards; +providing for local public health grants in lieu of community health subsidies and transferring community health services area board responsibilities to+ community health boards; eliminating the payment of per diem to members of the +state community health advisory committee and eliminating certain mandates +imposed on local community health advisory committees; requiring the +consideration of certain local public health priorities and statewide outcomes in tax +levies, requiring and providing for establishment of statewide outcomes by +the commissioner of health; sunsetting the community health services subsidy; providing for local public health grants to community health+ boards and direct grants to Indian health clinics or facilities, specifying +certain community health board match and accountability requirements and +commissioner responsibilities; specifying certain internal cross reference +deletion instructions to the revisor of statutes; repealing community +prevention and tobacco use prevention grants, certain maternal and child health +block grant distribution provisions, health coverage purchase for children with +special health care needs, community health service area boundaries, certain requirements of community health boards, cities and counties and the commissioner under the local public health act, health promotion +teams and certain rules regulating community health boards and programs +relating to administrators and children with handicaps ARTICLE 9 � CHILD CARE AND MISCELLANEOUS PROVISIONS Modifying certain provisions relating to child care assistance +programs for fraud prevention, eligibility reduction and provider rate and +copayment schedule adjustment purposes; expanding the definitions of child +care, income and provider, modifying the definition of recoupment of overpayments +and defining registration and transition year extension year families; +eliminating payments for absences; requiring counties to verify certain factors +and to request social security numbers upon application for child care +assistance; specifying a funding priority for transition year families; +modifying the new county of residence notice requirement for basic sliding fee +assistance portability purposes; modifying certain eligibility requirements +under the MFIP (Minnesota family investment program) child care assistance program, +certain child care fund plan content requirements and income eligibility; +prohibiting licensed and legal nonlicensed family child care providers from +receiving child care assistance subsidies for children in custody; requiring direct +payments to providers; modifying the procedure for recovery of overpayments; +requiring parent fee assessments for each service period; specifying certain +provider requirements for payment authorization purposes, authorizing +provisional authorization and payment; specifying certain provider recordkeeping requirements; requiring the commissioner of education to determine +maximum payment rates on hourly, full day and weekly bases and establishing +rate and payment requirements for legal nonlicensed family child care +providers; imposing a deadline for provider submission of bills, authorizing +county refusal to pay under certain conditions; establishing a fair hearing +process for overpayment challenges; expanding the duties of child care +resource and referral programs and representation requirements on the statewide +advisory task force on child care services grants; requiring payment +disqualification for wrongfully obtaining assistance; specifying certain duties of the commissioner relating to the continuation of provider rates for +fiscal year ; granting the commissioner certain discretion in managing the + child care waiting list; establishing a new child care assistance parent fee +schedule; repealing the at home infant child care program, the provider rate +bonus for accreditation, the MFIP social services child care sunset and certain+ reporting requirements ARTICLE 10 � CHILD SUPPORT FEDERAL COMPLIANCE Requiring the department of public safety to disclose social security+ numbers in drivers license and motor vehicle registration records to the +department of natural resources for license application administration purposes and+ the DNR to provide the numbers to the commissioner for child support +enforcement purposes, classifying the data provided; requiring social security +numbers on all drivers license and Minnesota identification card applications; +prohibiting the display, encrypting or encoding of applicant social security +numbers on drivers licenses or ID cards and prohibiting use for identification +purposes; conforming certain provisions relating to suspension of occupational +licenses for child support enforcement purposes to the procedure for +suspension of drivers licenses, specifying certain advance notice requirements; +modifying the distribution of federal visitation and access funds ARTICLE 11 � COMMUNITY SERVICES ACT"Children and Community Services Act"; establishing a fund to address+ the needs of children, adolescents and young adults according to service plans +between county boards and the commissioner of human services; specifying +certain duties of the commissioner and county boards; providing for the service +plans and for commissioner allocation of state and federal funds to counties for +children and community services grants, providing for the funding of projects of +regional significance; authorizing certain contracts and fees for services; +specifying certain fiscal limits and service plan evaluation requirements; +specifying certain cross reference deletion instructions to the revisor of +statutes; repealing the adult and children components of community social +services plan, the children's community based mental health fund, start up funds for+ local children's mental health collaboratives, certain chemical abuse +prevention and treatment initiatives, certain community social services act (CSSA) +provisions and related rules, the Minnesota family preservation act except for +child welfare targeted case management, crisis nursery and respite care +programs grants, family group decision making, certain out of home placement +support services grants, training for interviewers of maltreated children, +certain children mental health screening requirements and the child abuse +professional consultation telephone lineARTICLE 12 - HEALTH CARE Modifying certain state health care programs provisions; requiring +the commissioner of human services to use physician clinic rates in +maximizing federal financial participation in payments for medical education and+ research costs; expanding local agency administrative fraud disqualification +hearings requirements; requiring and providing for the commissioner to +establish and administer a prescription drug discount program; maintaining the +current elderly income limit under the prescription drug program and +eliminating coverage under the program for drugs available under pharmaceutical manufacturer assistance programs; requiring county social services +agencies in coordination with the commissioner and the board on aging to refer +applicants to the prescription drug assistance program, providing for a phase in+ period; eliminating the rebasing of rates under the general assistance +medical care, medical assistance (MA) and MinnesotaCare programs for inpatient +hospital operating payment rates determination purposes and providing +additional reductions in the total payments for fee for service inpatient +admissions and outpatient hospital facility services occurring after a certain date +before third party liability and spenddown, exceptions; requiring the board +on aging to establish and administer a prescription drug assistance program to assist individuals in accessing programs +offered by pharmaceutical manufacturers providing free or discounted +prescription drugs or providing coverage for the drugs; providing penalties and resolutions+ for MinnesotaCare participants wrongfully obtaining assistance; providing+ medical assistance eligibility for certain persons residing in institutions +for mental diseases or receiving services from nonprofit centers for victims of +torture without federal financial participation; modifying certain income and+ asset limits for certain families, children, pregnant women and infants, +medicare beneficiaries and employed persons with disabilities for medical +assistance eligibility purposes; clarifying and expanding the prohibition on +asset transfers and modifying the method for calculating penalty periods; +providing a homestead and certain other exceptions to the transfer prohibition; +providing for mental health case management under medical assistance; modifying eligibility in the month of application; delaying medical assistance +coverage for intensive early intervention behavior therapy for children with +autism spectrum disorders; limiting medical assistance coverage of dental +services for certain adults and of the dispensed quantity of prescribed drugs and +providing coverage for certain over the counter drugs, prohibiting coverage of +drugs used for weight loss and providing coverage for lipase inhibitors for +recipients with type II diabetes; modifying the membership and duties of the +drug formulary committee; modifying the basis for determining payments for+ drugs administered in outpatient settings and certain prior authorization requirements; requiring and providing for the commissioner to adopt +and implement a preferred drug list by a certain date; modifying coverage+ for transportation costs; establishing copayments for certain services; +making extended coverage for certain employed persons or persons with +increased child or spousal support contingent upon federal funding; modifying and +expanding certain procedures for medical assistance claims against estates, +specifying certain notice requirements, notice to constitute a lien; allocating +extra money received through the intergovernmental transfer (IGT) program +due to the reduction in inpatient hospital payment rates and modifying the +provision including the Fairview university medical center in the program; +further reducing the medical assistance and GAMC fee for service payments to +hospitals for outpatient services, excluding Indian health service facilities; +modifying certain provisions and requirements under the medical assistance +prepayment demonstration project (PMAP � prepaid medical assistance program); +requiring payments for physician and professional services after a certain date+ to be based on medicare relative value units (RVUs); modifying certain GAMC eligibility and coverage requirements and eliminating emergency GAMC;+ modifying MinnesotaCare coverage for adult dental services, limiting benefits +and eligibility and reducing the required eligibility renewal period; +changing the option to pay MinnesotaCare premiums on an annual basis to a +semiannual basis; increasing the percentage of managed care payments required to be +withheld pending completion of performance targets and reducing the total +payment rate; modifying the sliding fee scale and reducing certain asset limits +under the program; removing the exclusion of medical assistance, GMAC and +MinnesotaCare payments from gross revenues for provider and insurance tax purposes;+ providing for medical assistance liens on life estates and joint tenancies; +restricting Anoka county board payments for medical services to prisoners; +requiring the commissioner to seek certain federal waivers and to review +eligibility criteria for medical assistance special transportation services for coverage +level determination purposes; granting the commissioner certain +MinnesotaCare payments withholding requirements exemption authority; requiring the commissioner to evaluate the effectiveness of participation in +multistate or multiagency drug purchasing programs in reducing costs or improving +operations of drug benefit programs and to assess the cost savings generated by +mail order dispensing of prescription drugs to medical assistance, GAMC and +prescription drug program recipients; authorizing the commissioner to accept +grants or donations from nonprofit charitable foundations to increase dental +access in the medical assistance program, to increase critical access dental +payments and to use certain money received for the nonfederal share of medical +assistance costs; requiring the commissioner to seek federal approval for a +demonstration project to provide culturally specific pharmaceutical care to senior +American Indians receiving medical assistance; authorizing the commissioner to+ implement changes to the medical assistance, GAMC and MinnesotaCare programs to+ reduce state expenditures in 2004-2005; repealing a certain reporting +requirement under the prescription drug program and medical assistance +eligibility for certain newborns ARTICLE 13A � HEALTH AND HUMAN SERVICES FORECAST ADJUSTMENTS Making forecast adjustments for 2003 and appropriating money or +reducing appropriations to the commissioners of human services and health for +certain health and human services programs ARTICLE 13B � DEPARTMENT OF CHILDREN, FAMILIES AND LEARNING FORECAST +ADJUSTMENT Adjusting a fiscal year 2003 appropriation to the commissioner of +children, families and learning (CFL, education) for MFIP (Minnesota family +investment program) child careARTICLE 13C � APPROPRIATIONS Appropriating money to the commissioner of human services for agency management, for revenue and pass through of federal TANF (temporary +assistance for needy families) funds, for children's services grants and +management, for basic health care grants including grants for the prescription drug +discount and assistance programs, for MinnesotaCare, continuing care and +economic support grants, for health care management, for state operated +services and for continuing care and economic support management, to the commissioner +of health for health improvement, for health quality, access and protection and+ for management and support services, to the veterans nursing homes, +emergency medical services and health related licensing boards, to the council +on disability, to the ombudspersons for mental health and mental +retardation and for families and to the department of children, families and learning+ (CFL, education) for child care, for self sufficiency programs (economic +opportunity grants and food shelf programs) and for family assets for +independence; requiring or authorizing certain fund transfers and authorizing +certain carryforwards and the continued use of certain appropriations; +providing for certain payment shifts; authorizing and providing for the use of +additional federal funds under the federal jobs and growth tax relief +reconciliation act of 2003 for the medical assistance and MinnesotaCare programs; +specifying certain requirements for the expenditure of TANF funds; restricting +county reduction of children and community service grant expenditures for +services to adults with disabilities; specifying certain requirements for out of +home placements of children; providing for funding of services to certain +pregnant women; requiring the commissioner of human services to increase +payments to managed care plans; restricting the use of the purchasing alliance +stop loss fund account; providing a certain amount of money for a study to +determine the appropriateness of eliminating reimbursement for certain payment +codes under medical assistance (MA), general assistance medical care (GAMC) or MinnesotaCare; providing for the funding of prepaid medical +assistance programs (PMAP); reducing funding for state long term care programs; providing+ grants to the southeast Asian problem gambling consortium and to the St. Louis +county compulsive gambling council from the lottery prize fund; requiring +the commissioner to study the financing of the centers for independent +living and make recommendations on options to maximize federal financial +participation to the legislature by a certain date; requiring the commissioner to +reduce allocations to continuing care programs and to reduce the growth in +the MR/RC waiver; providing for the refinancing of group residential housing +(GRH) costs; providing for the apportionment of funds available for the +consolidated MFIP (Minnesota family investment program) support services grant; setting+ the general assistance standard of assistance and limiting the amount +appropriated for emergency GA and Minnesota supplemental aid (MSA); providing for +the allocation of food stamps enhanced funding upon availability; +providing for the use of certain TANF funds by the commissioner of health for home +visiting, nutritional and health disparities elimination activities; providing +for the funding of nursing home receivership costs, requiring the +commissioner to establish a working group of nursing and boarding care home +providers, representatives and residents to review current licensure provisions +for continued appropriateness evaluation purposes; providing for the +funding of EMS board health professional services and regional grants; prohibiting +the use of indirect cost allocations by the commissioners of health and human +services for program operational costs; sunsetting uncodified language; repealing +certain fiscal year 2003 TANF maintenance of effort (MOE) expenditure +requirements (Ch. 14, Special Session 2003)