<a id="pl.1.3"></a><var>1.3</var>the commissioner to report on nursing facility rate rebasing; appropriating money.<br/>
<a id="pl.1.4"></a><var>1.4</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.5"></a><var>1.5</var>    Section 1. <b>PROVIDER RATE INCREASES.</b><br/>
<a id="pl.1.6"></a><var>1.6</var>    (a) The commissioner of human services shall increase payment rates, allocations, <br/>
<a id="pl.1.7"></a><var>1.7</var>reimbursement rates, or rate limits, as applicable, by 0.5 percent beginning October 1, <br/>
<a id="pl.1.8"></a><var>1.8</var>2007, and by 0.5 percent beginning July 1, 2008, for:<br/>
<a id="pl.1.9"></a><var>1.9</var>    (1) home and community-based waivered services for persons with developmental <br/>
<a id="pl.1.10"></a><var>1.10</var>disabilities or related conditions, including consumer-directed community supports, under <br/>
<a id="pl.1.11"></a><var>1.11</var>Minnesota Statutes, section 
<statute_ref>256B.501</statute_ref>; <br/>
<a id="pl.1.12"></a><var>1.12</var>    (2) home and community-based waivered services for the elderly, including <br/>
<a id="pl.1.13"></a><var>1.13</var>consumer-directed community supports, under Minnesota Statutes, section 
<statute_ref>256B.0915</statute_ref>; <br/>
<a id="pl.1.14"></a><var>1.14</var>    (3) waivered services under community alternatives for disabled individuals, <br/>
<a id="pl.1.15"></a><var>1.15</var>including consumer-directed community supports, under Minnesota Statutes, section <br/>
<a id="pl.1.16"></a><var>1.16</var><statute_ref>256B.49</statute_ref>; <br/>
<a id="pl.1.17"></a><var>1.17</var>    (4) community alternative care waivered services, including consumer-directed <br/>
<a id="pl.1.18"></a><var>1.18</var>community supports, under Minnesota Statutes, section 
<statute_ref>256B.49</statute_ref>; <br/>
<a id="pl.1.19"></a><var>1.19</var>    (5) traumatic brain injury waivered services, including consumer-directed <br/>
<a id="pl.1.20"></a><var>1.20</var>community supports, under Minnesota Statutes, section 
<statute_ref>256B.49</statute_ref>; <br/>
<a id="pl.1.21"></a><var>1.21</var>    (6) nursing services and home health services under Minnesota Statutes, section <br/>
<a id="pl.1.22"></a><var>1.22</var><statute_ref>256B.0625, subdivision 6a</statute_ref>; <br/>
<a id="pl.1.23"></a><var>1.23</var>    (7) personal care services and qualified professional supervision of personal care <br/>
<a id="pl.1.24"></a><var>1.24</var>services under Minnesota Statutes, section 
<statute_ref>256B.0625, subdivision 19a</statute_ref>; <br/>
<a id="pl.2.1"></a><var>2.1</var>    (8) private duty nursing services under Minnesota Statutes, section 
<statute_ref>256B.0625, <br/>
<a id="pl.2.2"></a><var>2.2</var>subdivision 7
</statute_ref>; <br/>
<a id="pl.2.3"></a><var>2.3</var>    (9) day training and habilitation services for adults with developmental disabilities <br/>
<a id="pl.2.4"></a><var>2.4</var>or related conditions under Minnesota Statutes, sections 
<statute_ref>252.40</statute_ref> to 
<statute_ref>252.46, including the <br/>
<a id="pl.2.5"></a><var>2.5</var>additional cost of rate adjustments on day training and habilitation services, provided as a <br/>
<a id="pl.2.6"></a><var>2.6</var>social service under Minnesota Statutes, section 256M.60
</statute_ref>; <br/>
<a id="pl.2.7"></a><var>2.7</var>    (10) alternative care services under Minnesota Statutes, section 
<statute_ref>256B.0913</statute_ref>; <br/>
<a id="pl.2.8"></a><var>2.8</var>    (11) adult residential program grants under Minnesota Statutes, section 245.73;<br/>
<a id="pl.2.9"></a><var>2.9</var>    (12) children's community-based mental health services grants and adult community <br/>
<a id="pl.2.10"></a><var>2.10</var>support and case management services grants under Minnesota Rules, parts 9535.1700 <br/>
<a id="pl.2.11"></a><var>2.11</var>to 9535.1760; <br/>
<a id="pl.2.12"></a><var>2.12</var>    (13) the group residential housing supplementary service rate under Minnesota <br/>
<a id="pl.2.13"></a><var>2.13</var>Statutes, section 
<statute_ref>256I.05, subdivision 1a</statute_ref>; <br/>
<a id="pl.2.14"></a><var>2.14</var>    (14) adult mental health integrated fund grants under Minnesota Statutes, section <br/>
<a id="pl.2.15"></a><var>2.15</var><statute_ref>245.4661</statute_ref>;<br/>
<a id="pl.2.16"></a><var>2.16</var>    (15) semi-independent living services (SILS) under Minnesota Statutes, section <br/>
<a id="pl.2.17"></a><var>2.17</var><statute_ref>252.275</statute_ref>, including SILS funding under county social services grants formerly funded <br/>
<a id="pl.2.18"></a><var>2.18</var>under Minnesota Statutes, chapter 256I; <br/>
<a id="pl.2.19"></a><var>2.19</var>    (16) community support services for deaf and hard-of-hearing adults with mental <br/>
<a id="pl.2.20"></a><var>2.20</var>illness who use or wish to use sign language as their primary means of communication <br/>
<a id="pl.2.21"></a><var>2.21</var>under Minnesota Statutes, section 256.01, subdivision 2; and deaf and hard-of-hearing <br/>
<a id="pl.2.22"></a><var>2.22</var>grants under Minnesota Statutes, sections 256C.233 and 256C.25; Laws 1985, chapter 9, <br/>
<a id="pl.2.23"></a><var>2.23</var>article 1; and Laws 1997, First Special Session chapter 5, section 20; <br/>
<a id="pl.2.24"></a><var>2.24</var>    (17) living skills training programs for persons with intractable epilepsy who need <br/>
<a id="pl.2.25"></a><var>2.25</var>assistance in the transition to independent living under Laws 1988, chapter 689; <br/>
<a id="pl.2.26"></a><var>2.26</var>    (18) physical therapy services under Minnesota Statutes, sections 
<statute_ref>256B.0625</statute_ref>, <br/>
<a id="pl.2.27"></a><var>2.27</var>subdivision 8, and 
<statute_ref>256D.03, subdivision 4</statute_ref>; <br/>
<a id="pl.2.28"></a><var>2.28</var>    (19) occupational therapy services under Minnesota Statutes, sections 
<statute_ref>256B.0625, <br/>
<a id="pl.2.29"></a><var>2.29</var>subdivision 8a
</statute_ref>, and 
<statute_ref>256D.03, subdivision 4</statute_ref>; <br/>
<a id="pl.2.30"></a><var>2.30</var>    (20) speech-language therapy services under Minnesota Statutes, section 
<statute_ref>256D.03, <br/>
<a id="pl.2.31"></a><var>2.31</var>subdivision 4
</statute_ref>, and Minnesota Rules, part 9505.0390; <br/>
<a id="pl.2.32"></a><var>2.32</var>    (21) respiratory therapy services under Minnesota Statutes, section 
<statute_ref>256D.03</statute_ref>, <br/>
<a id="pl.2.33"></a><var>2.33</var>subdivision 4, and Minnesota Rules, part 9505.0295; <br/>
<a id="pl.2.34"></a><var>2.34</var>    (22) adult rehabilitative mental health services under Minnesota Statutes, section <br/>
<a id="pl.2.35"></a><var>2.35</var>256B.0623;<br/>
<a id="pl.3.1"></a><var>3.1</var>    (23) children's therapeutic services and support services under Minnesota Statutes, <br/>
<a id="pl.3.2"></a><var>3.2</var>section 256B.0943;<br/>
<a id="pl.3.3"></a><var>3.3</var>    (24) tier I chemical health services under Minnesota Statutes, chapter 254B;<br/>
<a id="pl.3.4"></a><var>3.4</var>    (25) consumer support grants under Minnesota Statutes, section 256.476;<br/>
<a id="pl.3.5"></a><var>3.5</var>    (26) family support grants under Minnesota Statutes, section 252.32; <br/>
<a id="pl.3.6"></a><var>3.6</var>    (27) grants for case management services to persons with HIV or AIDS under <br/>
<a id="pl.3.7"></a><var>3.7</var>Minnesota Statutes, section 256.01, subdivision 19; <br/>
<a id="pl.3.8"></a><var>3.8</var>    (28) aging grants under Minnesota Statutes, sections 256.975 to 256.977, 256B.0917, <br/>
<a id="pl.3.9"></a><var>3.9</var>and 256B.0928;<br/>
<a id="pl.3.10"></a><var>3.10</var>    (29) nursing facilities reimbursed under Minnesota Statutes, section 256B.434; and <br/>
<a id="pl.3.11"></a><var>3.11</var>    (30) intermediate care facilities for persons with mental retardation reimbursed <br/>
<a id="pl.3.12"></a><var>3.12</var>under section 256B.5012, subdivision 7.<br/>
<a id="pl.3.13"></a><var>3.13</var>    (b) Rate increases under paragraph (a) are in addition to any rate increases under <br/>
<a id="pl.3.14"></a><var>3.14</var>2007 H.F. No. 1078, if enacted. Rate increases under paragraph (a) are subject to all of the <br/>
<a id="pl.3.15"></a><var>3.15</var>terms and conditions of rate increases authorized under 2007 H.F. No. 1078, if enacted.<br/>
<a id="pl.3.16"></a><var>3.16</var>    (c) The commissioner shall report to the legislature by December 15, 2007, with <br/>
<a id="pl.3.17"></a><var>3.17</var>recommendations to adjust the phased-in rebasing of nursing facility rates authorized <br/>
<a id="pl.3.18"></a><var>3.18</var>under 2007 H.F. No. 1078, if enacted, in order to be budget neutral with 2007 H.F. No. <br/>
<a id="pl.3.19"></a><var>3.19</var>1078, if enacted.<br/>
<br/>
<a id="bill.0.2.0"></a><table width="100%">
<tr>
<td><a id="pl.3.20"></a><var>3.20</var><br/>
</td>
<td align="left" colspan="7" valign="bottom">Sec. 2. <b>APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.3.21"></a><var>3.21</var>    The sums shown in the columns marked "Appropriations" are appropriated to the <br/>
<a id="pl.3.22"></a><var>3.22</var>agencies and for the purposes specified in this act. The appropriations are from the general <br/>
<a id="pl.3.23"></a><var>3.23</var>fund, or another named fund, and are available for the fiscal years indicated for each <br/>
<a id="pl.3.24"></a><var>3.24</var>purpose. The figures "2008" and "2009" used in this act mean that the appropriations <br/>
<a id="pl.3.25"></a><var>3.25</var>listed under them are available for the fiscal year ending June 30, 2008, or June 30, 2009, <br/>
<a id="pl.3.26"></a><var>3.26</var>respectively. "The first year" is fiscal year 2008. "The second year" is fiscal year 2009." <br/>
<a id="pl.3.27"></a><var>3.27</var>The biennium" is fiscal years 2008 and 2009.<br/>
<table width="100%">
<tr>
<td><a id="pl.3.28"></a><var>3.28</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom">APPROPRIATIONS<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.29"></a><var>3.29</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom">Available for the Year<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.30"></a><var>3.30</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom">Ending June 30<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.31"></a><var>3.31</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2009<br/>
</td>
</tr>
</table><br/>
<a id="bill.0.3.0"></a><table width="100%">
<tr>
<td><a id="pl.3.32"></a><var>3.32</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 3. <b>HUMAN SERVICES</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">5,631,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">17,703,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.3.33"></a><var>3.33</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.34"></a><var>3.34</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="center" valign="bottom">2009<br/>
</td>
</tr>
<tr>
<td><a id="pl.3.35"></a><var>3.35</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">5,631,000<br/>
</td>
<td align="right" valign="bottom">17,703,000<br/>
</td>
</tr>
</table><a id="pl.4.1"></a><var>4.1</var>The amounts that may be spent for each <br/>
<a id="pl.4.2"></a><var>4.2</var>purpose are specified in the following <br/>
<a id="pl.4.3"></a><var>4.3</var>paragraphs.<br/>
<a id="pl.4.4"></a><var>4.4</var>County Allocations for Rate Increases. <br/>
<a id="pl.4.5"></a><var>4.5</var>County Children and Community Services <br/>
<a id="pl.4.6"></a><var>4.6</var>Act allocations shall be increased by $50,000 <br/>
<a id="pl.4.7"></a><var>4.7</var>effective October 1, 2007, and $177,000 <br/>
<a id="pl.4.8"></a><var>4.8</var>effective October 1, 2008, to help counties <br/>
<a id="pl.4.9"></a><var>4.9</var>pay for the rate adjustments to day training <br/>
<a id="pl.4.10"></a><var>4.10</var>and habilitation providers for participants <br/>
<a id="pl.4.11"></a><var>4.11</var>paid by county social service funds. <br/>
<a id="pl.4.12"></a><var>4.12</var>Notwithstanding the provisions of Minnesota <br/>
<a id="pl.4.13"></a><var>4.13</var>Statutes, section 256M.40, the allocation <br/>
<a id="pl.4.14"></a><var>4.14</var>to a county shall be based on the county's <br/>
<a id="pl.4.15"></a><var>4.15</var>proportion of social services spending for <br/>
<a id="pl.4.16"></a><var>4.16</var>day training and habilitation services as <br/>
<a id="pl.4.17"></a><var>4.17</var>determined in the most recent social services <br/>
<a id="pl.4.18"></a><var>4.18</var>expenditure and grant reconciliation report.<br/>
<table width="100%">
<tr>
<td><a id="pl.4.19"></a><var>4.19</var><br/>
<a id="pl.4.20"></a><var>4.20</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) Medical Assistance Long-Term Care <br/>
Waivers and Home Care<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">2,731,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">9,418,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.21"></a><var>4.21</var><br/>
<a id="pl.4.22"></a><var>4.22</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Medical Assistance Long-Term Care <br/>
Facilities<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,686,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">4,277,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.23"></a><var>4.23</var><br/>
<a id="pl.4.24"></a><var>4.24</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) Medical Assistance Basic Health Care <br/>
Grants - Elderly and Disabled<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">452,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,441,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.25"></a><var>4.25</var><br/>
<a id="pl.4.26"></a><var>4.26</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) Medical Assistance Basic Health Care <br/>
Grants - Families and Children<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">4,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.27"></a><var>4.27</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(e) GAMC Basic Health Care<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">3,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.28"></a><var>4.28</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(f) Alternative Care<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">103,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">372,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.29"></a><var>4.29</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(g) Group Residential Housing<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">75,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">225,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.30"></a><var>4.30</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(h) Adult Mental Health Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">151,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">479,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.31"></a><var>4.31</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(i) Children's Mental Health Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">13,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">42,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.32"></a><var>4.32</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(j) Other Continuing Care Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">67,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">232,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.33"></a><var>4.33</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(k) Community Social Services Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">50,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">177,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.4.34"></a><var>4.34</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(l) Deaf and Hard-of-Hearing Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">4,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">14,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.5.1"></a><var>5.1</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(m) Aging and Adult Services Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">37,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">129,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.5.2"></a><var>5.2</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(n) Chemical Dependency Entitlement Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">262,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">892,000<br/>
</td>
</tr>
</table>