HF 1781

1st Unofficial Engrossment - 85th Legislature (2007 - 2008)

Posted on 12/15/2009 12:00 a.m.

1.1A bill for an act 1.2relating to human services; providing for certain provider rate increases; directing 1.3the commissioner to report on nursing facility rate rebasing; appropriating money. 1.4BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA: 1.5    Section 1. new text begin PROVIDER RATE INCREASES. new text end 1.6     new text begin (a) The commissioner of human services shall increase payment rates, allocations, new text end 1.7 new text begin reimbursement rates, or rate limits, as applicable, by 0.5 percent beginning October 1, new text end 1.8 new text begin 2007, and by 0.5 percent beginning July 1, 2008, for: new text end 1.9     new text begin (1) home and community-based waivered services for persons with developmental new text end 1.10 new text begin disabilities or related conditions, including consumer-directed community supports, under new text end 1.11 new text begin Minnesota Statutes, section new text end new text begin ; new text end 1.12     new text begin (2) home and community-based waivered services for the elderly, including new text end 1.13 new text begin consumer-directed community supports, under Minnesota Statutes, section new text end new text begin ; new text end 1.14     new text begin (3) waivered services under community alternatives for disabled individuals, new text end 1.15 new text begin including consumer-directed community supports, under Minnesota Statutes, section new text end 1.16 new text begin ; new text end 1.17     new text begin (4) community alternative care waivered services, including consumer-directed new text end 1.18 new text begin community supports, under Minnesota Statutes, section new text end new text begin ; new text end 1.19     new text begin (5) traumatic brain injury waivered services, including consumer-directed new text end 1.20 new text begin community supports, under Minnesota Statutes, section new text end new text begin ; new text end 1.21     new text begin (6) nursing services and home health services under Minnesota Statutes, section new text end 1.22 new text begin 256B.0625, subdivision 6a new text end new text begin ; new text end 1.23     new text begin (7) personal care services and qualified professional supervision of personal care new text end 1.24 new text begin services under Minnesota Statutes, section new text end new text begin 256B.0625, subdivision 19a new text end new text begin ; new text end 2.1     new text begin (8) private duty nursing services under Minnesota Statutes, section new text end new text begin 256B.0625, new text end 2.2 new text begin subdivision 7 new text end new text begin ; new text end 2.3     new text begin (9) day training and habilitation services for adults with developmental disabilities new text end 2.4 new text begin or related conditions under Minnesota Statutes, sections new text end new text begin to new text end new text begin 252.46, including the new text end 2.5 new text begin additional cost of rate adjustments on day training and habilitation services, provided as a new text end 2.6 new text begin social service under Minnesota Statutes, section 256M.60 new text end new text begin ; new text end 2.7     new text begin (10) alternative care services under Minnesota Statutes, section new text end new text begin ; new text end 2.8     new text begin (11) adult residential program grants under Minnesota Statutes, section 245.73; new text end 2.9     new text begin (12) children's community-based mental health services grants and adult community new text end 2.10 new text begin support and case management services grants under Minnesota Rules, parts 9535.1700 new text end 2.11 new text begin to 9535.1760; new text end 2.12     new text begin (13) the group residential housing supplementary service rate under Minnesota new text end 2.13 new text begin Statutes, section new text end new text begin 256I.05, subdivision 1a new text end new text begin ; new text end 2.14     new text begin (14) adult mental health integrated fund grants under Minnesota Statutes, section new text end 2.15 new text begin ; new text end 2.16     new text begin (15) semi-independent living services (SILS) under Minnesota Statutes, section new text end 2.17 new text begin , including SILS funding under county social services grants formerly funded new text end 2.18 new text begin under Minnesota Statutes, chapter 256I; new text end 2.19     new text begin (16) community support services for deaf and hard-of-hearing adults with mental new text end 2.20 new text begin illness who use or wish to use sign language as their primary means of communication new text end 2.21 new text begin under Minnesota Statutes, section 256.01, subdivision 2; and deaf and hard-of-hearing new text end 2.22 new text begin grants under Minnesota Statutes, sections 256C.233 and 256C.25; Laws 1985, chapter 9, new text end 2.23 new text begin article 1; and Laws 1997, First Special Session chapter 5, section 20; new text end 2.24     new text begin (17) living skills training programs for persons with intractable epilepsy who need new text end 2.25 new text begin assistance in the transition to independent living under Laws 1988, chapter 689; new text end 2.26     new text begin (18) physical therapy services under Minnesota Statutes, sections new text end new text begin , new text end 2.27 new text begin subdivision 8, and new text end new text begin 256D.03, subdivision 4 new text end new text begin ; new text end 2.28     new text begin (19) occupational therapy services under Minnesota Statutes, sections new text end new text begin 256B.0625, new text end 2.29 new text begin subdivision 8a new text end new text begin , and new text end new text begin 256D.03, subdivision 4 new text end new text begin ; new text end 2.30     new text begin (20) speech-language therapy services under Minnesota Statutes, section new text end new text begin 256D.03, new text end 2.31 new text begin subdivision 4 new text end new text begin , and Minnesota Rules, part 9505.0390; new text end 2.32     new text begin (21) respiratory therapy services under Minnesota Statutes, section new text end new text begin , new text end 2.33 new text begin subdivision 4, and Minnesota Rules, part 9505.0295; new text end 2.34     new text begin (22) adult rehabilitative mental health services under Minnesota Statutes, section new text end 2.35 new text begin 256B.0623; new text end 3.1     new text begin (23) children's therapeutic services and support services under Minnesota Statutes, new text end 3.2 new text begin section 256B.0943; new text end 3.3     new text begin (24) tier I chemical health services under Minnesota Statutes, chapter 254B; new text end 3.4     new text begin (25) consumer support grants under Minnesota Statutes, section 256.476; new text end 3.5     new text begin (26) family support grants under Minnesota Statutes, section 252.32; new text end 3.6     new text begin (27) grants for case management services to persons with HIV or AIDS under new text end 3.7 new text begin Minnesota Statutes, section 256.01, subdivision 19; new text end 3.8     new text begin (28) aging grants under Minnesota Statutes, sections 256.975 to 256.977, 256B.0917, new text end 3.9 new text begin and 256B.0928; new text end 3.10     new text begin (29) nursing facilities reimbursed under Minnesota Statutes, section 256B.434; and new text end 3.11     new text begin (30) intermediate care facilities for persons with mental retardation reimbursed new text end 3.12 new text begin under section 256B.5012, subdivision 7. new text end 3.13     new text begin (b) Rate increases under paragraph (a) are in addition to any rate increases under new text end 3.14 new text begin 2007 H.F. No. 1078, if enacted. Rate increases under paragraph (a) are subject to all of the new text end 3.15 new text begin terms and conditions of rate increases authorized under 2007 H.F. No. 1078, if enacted. new text end 3.16     new text begin (c) The commissioner shall report to the legislature by December 15, 2007, with new text end 3.17 new text begin recommendations to adjust the phased-in rebasing of nursing facility rates authorized new text end 3.18 new text begin under 2007 H.F. No. 1078, if enacted, in order to be budget neutral with 2007 H.F. No. new text end 3.19 new text begin 1078, if enacted. new text end 3.20 Sec. 2. new text begin APPROPRIATIONS. new text end 3.21     new text begin The sums shown in the columns marked "Appropriations" are appropriated to the new text end 3.22 new text begin agencies and for the purposes specified in this act. The appropriations are from the general new text end 3.23 new text begin fund, or another named fund, and are available for the fiscal years indicated for each new text end 3.24 new text begin purpose. The figures "2008" and "2009" used in this act mean that the appropriations new text end 3.25 new text begin listed under them are available for the fiscal year ending June 30, 2008, or June 30, 2009, new text end 3.26 new text begin respectively. "The first year" is fiscal year 2008. "The second year" is fiscal year 2009." new text end 3.27 new text begin The biennium" is fiscal years 2008 and 2009. new text end 3.28 new text begin APPROPRIATIONS new text end 3.29 new text begin Available for the Year new text end 3.30 new text begin Ending June 30 new text end 3.31 new text begin 2008 new text end new text begin 2009 new text end 3.32 Sec. 3. new text begin HUMAN SERVICES new text end new text begin $ new text end new text begin 5,631,000 new text end new text begin $ new text end new text begin 17,703,000 new text end 3.33 new text begin Appropriations by Fund new text end 3.34 new text begin 2008 new text end new text begin 2009 new text end 3.35 new text begin General new text end new text begin 5,631,000 new text end new text begin 17,703,000 new text end 4.1 new text begin The amounts that may be spent for each new text end 4.2 new text begin purpose are specified in the following new text end 4.3 new text begin paragraphs. new text end 4.4 new text begin County Allocations for Rate Increases. new text end new text begin new text end 4.5 new text begin County Children and Community Services new text end 4.6 new text begin Act allocations shall be increased by $50,000 new text end 4.7 new text begin effective October 1, 2007, and $177,000 new text end 4.8 new text begin effective October 1, 2008, to help counties new text end 4.9 new text begin pay for the rate adjustments to day training new text end 4.10 new text begin and habilitation providers for participants new text end 4.11 new text begin paid by county social service funds. new text end 4.12 new text begin Notwithstanding the provisions of Minnesota new text end 4.13 new text begin Statutes, section 256M.40, the allocation new text end 4.14 new text begin to a county shall be based on the county's new text end 4.15 new text begin proportion of social services spending for new text end 4.16 new text begin day training and habilitation services as new text end 4.17 new text begin determined in the most recent social services new text end 4.18 new text begin expenditure and grant reconciliation report. new text end 4.19 4.20 new text begin (a) new text end new text begin Medical Assistance Long-Term Care new text end new text begin Waivers and Home Care new text end new text begin 2,731,000 new text end new text begin 9,418,000 new text end 4.21 4.22 new text begin (b) new text end new text begin Medical Assistance Long-Term Care new text end new text begin Facilities new text end new text begin 1,686,000 new text end new text begin 4,277,000 new text end 4.23 4.24 new text begin (c) new text end new text begin Medical Assistance Basic Health Care new text end new text begin Grants - Elderly and Disabled new text end new text begin 452,000 new text end new text begin 1,441,000 new text end 4.25 4.26 new text begin (d) new text end new text begin Medical Assistance Basic Health Care new text end new text begin Grants - Families and Children new text end new text begin 1,000 new text end new text begin 4,000 new text end 4.27 new text begin (e) new text end new text begin GAMC Basic Health Care new text end new text begin 1,000 new text end new text begin 3,000 new text end 4.28 new text begin (f) new text end new text begin Alternative Care new text end new text begin 103,000 new text end new text begin 372,000 new text end 4.29 new text begin (g) new text end new text begin Group Residential Housing new text end new text begin 75,000 new text end new text begin 225,000 new text end 4.30 new text begin (h) new text end new text begin Adult Mental Health Grants new text end new text begin 151,000 new text end new text begin 479,000 new text end 4.31 new text begin (i) new text end new text begin Children's Mental Health Grants new text end new text begin 13,000 new text end new text begin 42,000 new text end 4.32 new text begin (j) new text end new text begin Other Continuing Care Grants new text end new text begin 67,000 new text end new text begin 232,000 new text end 4.33 new text begin (k) new text end new text begin Community Social Services Grants new text end new text begin 50,000 new text end new text begin 177,000 new text end 4.34 new text begin (l) new text end new text begin Deaf and Hard-of-Hearing Grants new text end new text begin 4,000 new text end new text begin 14,000 new text end 5.1 new text begin (m) new text end new text begin Aging and Adult Services Grants new text end new text begin 37,000 new text end new text begin 129,000 new text end 5.2 new text begin (n) new text end new text begin Chemical Dependency Entitlement Grants new text end new text begin 262,000 new text end new text begin 892,000 new text end