<a id="pl.1.3"></a><var>1.3</var>health screening for certain inmates; establishing children's mental health <br/>
<a id="pl.1.4"></a><var>1.4</var>grants and training; requiring students of higher education to carry health <br/>
<a id="pl.1.5"></a><var>1.5</var>insurance; creating a loan forgiveness program; creating crisis intervention <br/>
<a id="pl.1.6"></a><var>1.6</var>team grants; making changes to mental health funding provisions; modifying <br/>
<a id="pl.1.7"></a><var>1.7</var>medical assistance covered services; increasing provider reimbursement <br/>
<a id="pl.1.8"></a><var>1.8</var>rates; establishing pilot projects and work groups; authorizing grant funding; <br/>
<a id="pl.1.9"></a><var>1.9</var>requiring reports; appropriating money;amending Minnesota Statutes 2006, <br/>
<a id="pl.1.10"></a><var>1.10</var>sections 245.462, subdivision 20; 245.50, subdivision 5; 256B.038; 256B.0622, <br/>
<a id="pl.1.11"></a><var>1.11</var>subdivision 2; 256B.0623, subdivisions 2, 5, 8, 12; 256B.0625, subdivisions <br/>
<a id="pl.1.12"></a><var>1.12</var>38, 43, 46, by adding subdivisions; 256B.0943, subdivisions 1, 2, by adding <br/>
<a id="pl.1.13"></a><var>1.13</var>subdivisions; 256B.69, subdivisions 5g, 5h; 256B.763; 256D.03, subdivisions <br/>
<a id="pl.1.14"></a><var>1.14</var>3, 4; 256D.44, subdivision 5; 256L.03, subdivisions 1, 5; 256L.035; 256L.07, <br/>
<a id="pl.1.15"></a><var>1.15</var>subdivision 3; 256L.12, subdivision 9a; 641.15, by adding a subdivision; <br/>
<a id="pl.1.16"></a><var>1.16</var>proposing coding for new law in Minnesota Statutes, chapters 135A; 144; 245; <br/>
<a id="pl.1.17"></a><var>1.17</var>245A; 256; 256B; 626; 641.<br/>
<a id="pl.1.18"></a><var>1.18</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.1.0.0"></a>

<a id="bill.1.1.0"></a><a id="pl.1.21"></a><var>1.21</var>    Section 1. Minnesota Statutes 2006, section 256D.03, subdivision 3, is amended to <br/>
<a id="pl.1.22"></a><var>1.22</var>read:<br/>
<a id="pl.1.23"></a><var>1.23</var>    Subd. 3. <b>General assistance medical care; eligibility.</b> (a) General assistance <br/>
<a id="pl.1.24"></a><var>1.24</var>medical care may be paid for any person who is not eligible for medical assistance under <br/>
<a id="pl.1.25"></a><var>1.25</var>chapter 256B, including eligibility for medical assistance based on a spenddown of excess <br/>
<a id="pl.1.26"></a><var>1.26</var>income according to section 
         <statute_ref>256B.056, subdivision 5</statute_ref>, or MinnesotaCare as defined in <br/>
<a id="pl.1.27"></a><var>1.27</var>paragraph (b), except as provided in paragraph (c), and:<br/>
<a id="pl.2.1"></a><var>2.1</var>    (1) who is receiving assistance under section 
         <statute_ref>256D.05</statute_ref>, except for families with <br/>
<a id="pl.2.2"></a><var>2.2</var>children who are eligible under Minnesota family investment program (MFIP), or who is <br/>
<a id="pl.2.3"></a><var>2.3</var>having a payment made on the person's behalf under sections 
         <statute_ref>256I.01</statute_ref> to 
         <statute_ref>256I.06</statute_ref>; or<br/>
<a id="pl.2.4"></a><var>2.4</var>    (2) who is a resident of Minnesota; and<br/>
<a id="pl.2.5"></a><var>2.5</var>    (i) who has gross countable income not in excess of 75 percent of the federal poverty <br/>
<a id="pl.2.6"></a><var>2.6</var>guidelines for the family size, using a six-month budget period and whose equity in assets <br/>
<a id="pl.2.7"></a><var>2.7</var>is not in excess of $1,000 per assistance unit. General assistance medical care is not <br/>
<a id="pl.2.8"></a><var>2.8</var>available for applicants or enrollees who are otherwise eligible for medical assistance but <br/>
<a id="pl.2.9"></a><var>2.9</var>fail to verify their assets. Enrollees who become eligible for medical assistance shall be <br/>
<a id="pl.2.10"></a><var>2.10</var>terminated and transferred to medical assistance. Exempt assets, the reduction of excess <br/>
<a id="pl.2.11"></a><var>2.11</var>assets, and the waiver of excess assets must conform to the medical assistance program in <br/>
<a id="pl.2.12"></a><var>2.12</var>section 
         <statute_ref>256B.056, subdivision 3</statute_ref>, with the following exception: the maximum amount of <br/>
<a id="pl.2.13"></a><var>2.13</var>undistributed funds in a trust that could be distributed to or on behalf of the beneficiary by <br/>
<a id="pl.2.14"></a><var>2.14</var>the trustee, assuming the full exercise of the trustee's discretion under the terms of the <br/>
<a id="pl.2.15"></a><var>2.15</var>trust, must be applied toward the asset maximum;<br/>
<a id="pl.2.16"></a><var>2.16</var>    (ii) who has gross countable income above 75 percent of the federal poverty <br/>
<a id="pl.2.17"></a><var>2.17</var>guidelines but not in excess of 175 percent of the federal poverty guidelines for the <br/>
<a id="pl.2.18"></a><var>2.18</var>family size, using a six-month budget period, whose equity in assets is not in excess <br/>
<a id="pl.2.19"></a><var>2.19</var>of the limits in section 
         <statute_ref>256B.056, subdivision 3c</statute_ref>, and who applies during an inpatient <br/>
<a id="pl.2.20"></a><var>2.20</var>hospitalization; or<br/>
<a id="pl.2.21"></a><var>2.21</var>    (iii) the commissioner shall adjust the income standards under this section each July <br/>
<a id="pl.2.22"></a><var>2.22</var>1 by the annual update of the federal poverty guidelines following publication by the <br/>
<a id="pl.2.23"></a><var>2.23</var>United States Department of Health and Human Services.<br/>
<a id="pl.2.24"></a><var>2.24</var>    (b) Effective for applications and renewals processed on or after September 1, 2006, <br/>
<a id="pl.2.25"></a><var>2.25</var>general assistance medical care may not be paid for applicants or recipients who are adults <br/>
<a id="pl.2.26"></a><var>2.26</var>with dependent children under 21 whose gross family income is equal to or less than 275 <br/>
<a id="pl.2.27"></a><var>2.27</var>percent of the federal poverty guidelines who are not described in paragraph (e).<br/>
<a id="pl.2.28"></a><var>2.28</var>    (c) Effective for applications and renewals processed on or after September 1, 2006, <br/>
<a id="pl.2.29"></a><var>2.29</var>general assistance medical care may be paid for applicants and recipients who meet all <br/>
<a id="pl.2.30"></a><var>2.30</var>eligibility requirements of paragraph (a), clause (2), item (i), for a temporary period <br/>
<a id="pl.2.31"></a><var>2.31</var>beginning the date of application. Immediately following approval of general assistance <br/>
<a id="pl.2.32"></a><var>2.32</var>medical care, enrollees shall be enrolled in MinnesotaCare under section 
         <statute_ref>256L.04, <br/>
<a id="pl.2.33"></a><var>2.33</var>subdivision 7
         </statute_ref>, with covered services as provided in section 
         <statute_ref>256L.03</statute_ref> for the rest of the <br/>
<a id="pl.2.34"></a><var>2.34</var>six-month eligibility period, until their six-month renewal.<br/>
<a id="pl.3.1"></a><var>3.1</var>    (d) To be eligible for general assistance medical care following enrollment in <br/>
<a id="pl.3.2"></a><var>3.2</var>MinnesotaCare as required by paragraph (c), an individual must complete a new <br/>
<a id="pl.3.3"></a><var>3.3</var>application.<br/>
<a id="pl.3.4"></a><var>3.4</var>    (e) Applicants and recipients eligible under paragraph (a), clause (1); who have <br/>
<a id="pl.3.5"></a><var>3.5</var>applied for and are awaiting a determination of blindness or disability by the state medical <br/>
<a id="pl.3.6"></a><var>3.6</var>review team or a determination of eligibility for Supplemental Security Income or Social <br/>
<a id="pl.3.7"></a><var>3.7</var>Security Disability Insurance by the Social Security Administration; who fail to meet the <br/>
<a id="pl.3.8"></a><var>3.8</var>requirements of section 
         <statute_ref>256L.09, subdivision 2</statute_ref>;  who are classified as end-stage renal <br/>
<a id="pl.3.9"></a><var>3.9</var>disease beneficiaries in the Medicare program; who are enrolled in private health care <br/>
<a id="pl.3.10"></a><var>3.10</var>coverage as defined in section 
         <statute_ref>256B.02</statute_ref>, subdivision 9; who are eligible under paragraph <br/>
<a id="pl.3.11"></a><var>3.11</var>(j); or who receive treatment funded pursuant to section 
         <statute_ref>254B.02</statute_ref> are exempt from the <br/>
<a id="pl.3.12"></a><var>3.12</var>MinnesotaCare enrollment requirements of this subdivision.<br/>
<a id="pl.3.13"></a><var>3.13</var>    (f) For applications received on or after October 1, 2003, eligibility may begin no <br/>
<a id="pl.3.14"></a><var>3.14</var>earlier than the date of application. For individuals eligible under paragraph (a), clause <br/>
<a id="pl.3.15"></a><var>3.15</var>(2), item (i), a redetermination of eligibility must occur every 12 months. Individuals are <br/>
<a id="pl.3.16"></a><var>3.16</var>eligible under paragraph (a), clause (2), item (ii), only during inpatient hospitalization but <br/>
<a id="pl.3.17"></a><var>3.17</var>may reapply if there is a subsequent period of inpatient hospitalization.<br/>
<a id="pl.3.18"></a><var>3.18</var>    (g) Beginning September 1, 2006, Minnesota health care program applications and <br/>
<a id="pl.3.19"></a><var>3.19</var>renewals completed by recipients and applicants who are persons described in paragraph <br/>
<a id="pl.3.20"></a><var>3.20</var>(c) and submitted to the county agency shall be determined for MinnesotaCare eligibility <br/>
<a id="pl.3.21"></a><var>3.21</var>by the county agency. If all other eligibility requirements of this subdivision are met, <br/>
<a id="pl.3.22"></a><var>3.22</var>eligibility for general assistance medical care shall be available in any month during which <br/>
<a id="pl.3.23"></a><var>3.23</var>MinnesotaCare enrollment is pending. Upon notification of eligibility for MinnesotaCare, <br/>
<a id="pl.3.24"></a><var>3.24</var>notice of termination for eligibility for general assistance medical care shall be sent to <br/>
<a id="pl.3.25"></a><var>3.25</var>an applicant or recipient. If all other eligibility requirements of this subdivision are <br/>
<a id="pl.3.26"></a><var>3.26</var>met, eligibility for general assistance medical care shall be available until enrollment in <br/>
<a id="pl.3.27"></a><var>3.27</var>MinnesotaCare subject to the provisions of paragraphs (c), (e), and (f).<br/>
<a id="pl.3.28"></a><var>3.28</var>    (h) The date of an initial Minnesota health care program application necessary to <br/>
<a id="pl.3.29"></a><var>3.29</var>begin a determination of eligibility shall be the date the applicant has provided a name, <br/>
<a id="pl.3.30"></a><var>3.30</var>address, and Social Security number, signed and dated, to the county agency or the <br/>
<a id="pl.3.31"></a><var>3.31</var>Department of Human Services. If the applicant is unable to provide a name, address, <br/>
<a id="pl.3.32"></a><var>3.32</var>Social Security number, and signature when health care is delivered due to a medical <br/>
<a id="pl.3.33"></a><var>3.33</var>condition or disability, a health care provider may act on an applicant's behalf to establish <br/>
<a id="pl.3.34"></a><var>3.34</var>the date of an initial Minnesota health care program application by providing the county <br/>
<a id="pl.3.35"></a><var>3.35</var>agency or Department of Human Services with provider identification and a temporary <br/>
<a id="pl.3.36"></a><var>3.36</var>unique identifier for the applicant. The applicant must complete the remainder of the <br/>
<a id="pl.4.1"></a><var>4.1</var>application and provide necessary verification before eligibility can be determined. The <br/>
<a id="pl.4.2"></a><var>4.2</var>county agency must assist the applicant in obtaining verification if necessary.<br/>
<a id="pl.4.3"></a><var>4.3</var>    (i) County agencies are authorized to use all automated databases containing <br/>
<a id="pl.4.4"></a><var>4.4</var>information regarding recipients' or applicants' income in order to determine eligibility for <br/>
<a id="pl.4.5"></a><var>4.5</var>general assistance medical care or MinnesotaCare. Such use shall be considered sufficient <br/>
<a id="pl.4.6"></a><var>4.6</var>in order to determine eligibility and premium payments by the county agency.<br/>
<a id="pl.4.7"></a><var>4.7</var>    (j) General assistance medical care is not available for a person in a correctional <br/>
<a id="pl.4.8"></a><var>4.8</var>facility unless the person is detained by law for less than one year in a county correctional <br/>
<a id="pl.4.9"></a><var>4.9</var>or detention facility as a person accused or convicted of a crime, or admitted as an <br/>
<a id="pl.4.10"></a><var>4.10</var>inpatient to a hospital on a criminal hold order, and the person is a recipient of general <br/>
<a id="pl.4.11"></a><var>4.11</var>assistance medical care at the time the person is detained by law or admitted on a criminal <br/>
<a id="pl.4.12"></a><var>4.12</var>hold order and as long as the person continues to meet other eligibility requirements <br/>
<a id="pl.4.13"></a><var>4.13</var>of this subdivision.<br/>
<a id="pl.4.14"></a><var>4.14</var>    (k) General assistance medical care is not available for applicants or recipients who <br/>
<a id="pl.4.15"></a><var>4.15</var>do not cooperate with the county agency to meet the requirements of medical assistance.<br/>
<a id="pl.4.16"></a><var>4.16</var>    (l) In determining the amount of assets of an individual eligible under paragraph <br/>
<a id="pl.4.17"></a><var>4.17</var>(a), clause (2), item (i), there shall be included any asset or interest in an asset, including <br/>
<a id="pl.4.18"></a><var>4.18</var>an asset excluded under paragraph (a), that was given away, sold, or disposed of for <br/>
<a id="pl.4.19"></a><var>4.19</var>less than fair market value within the 60 months preceding application for general <br/>
<a id="pl.4.20"></a><var>4.20</var>assistance medical care or during the period of eligibility. Any transfer described in this <br/>
<a id="pl.4.21"></a><var>4.21</var>paragraph shall be presumed to have been for the purpose of establishing eligibility for <br/>
<a id="pl.4.22"></a><var>4.22</var>general assistance medical care, unless the individual furnishes convincing evidence to <br/>
<a id="pl.4.23"></a><var>4.23</var>establish that the transaction was exclusively for another purpose. For purposes of this <br/>
<a id="pl.4.24"></a><var>4.24</var>paragraph, the value of the asset or interest shall be the fair market value at the time it <br/>
<a id="pl.4.25"></a><var>4.25</var>was given away, sold, or disposed of, less the amount of compensation received. For any <br/>
<a id="pl.4.26"></a><var>4.26</var>uncompensated transfer, the number of months of ineligibility, including partial months, <br/>
<a id="pl.4.27"></a><var>4.27</var>shall be calculated by dividing the uncompensated transfer amount by the average monthly <br/>
<a id="pl.4.28"></a><var>4.28</var>per person payment made by the medical assistance program to skilled nursing facilities <br/>
<a id="pl.4.29"></a><var>4.29</var>for the previous calendar year. The individual shall remain ineligible until this fixed period <br/>
<a id="pl.4.30"></a><var>4.30</var>has expired. The period of ineligibility may exceed 30 months, and a reapplication for <br/>
<a id="pl.4.31"></a><var>4.31</var>benefits after 30 months from the date of the transfer shall not result in eligibility unless <br/>
<a id="pl.4.32"></a><var>4.32</var>and until the period of ineligibility has expired. The period of ineligibility begins in the <br/>
<a id="pl.4.33"></a><var>4.33</var>month the transfer was reported to the county agency, or if the transfer was not reported, <br/>
<a id="pl.4.34"></a><var>4.34</var>the month in which the county agency discovered the transfer, whichever comes first. For <br/>
<a id="pl.4.35"></a><var>4.35</var>applicants, the period of ineligibility begins on the date of the first approved application.<br/>
<a id="pl.5.1"></a><var>5.1</var>    (m) When determining eligibility for any state benefits under this subdivision, <br/>
<a id="pl.5.2"></a><var>5.2</var>the income and resources of all noncitizens shall be deemed to include their sponsor's <br/>
<a id="pl.5.3"></a><var>5.3</var>income and resources as defined in the Personal Responsibility and Work Opportunity <br/>
<a id="pl.5.4"></a><var>5.4</var>Reconciliation Act of 1996, title IV, Public Law 104-193, sections 421 and 422, and <br/>
<a id="pl.5.5"></a><var>5.5</var>subsequently set out in federal rules.<br/>
<a id="pl.5.6"></a><var>5.6</var>    (n) Undocumented noncitizens and nonimmigrants are ineligible for general <br/>
<a id="pl.5.7"></a><var>5.7</var>assistance medical care. For purposes of this subdivision, a nonimmigrant is an individual <br/>
<a id="pl.5.8"></a><var>5.8</var>in one or more of the classes listed in United States Code, title 8, section 1101(a)(15), and <br/>
<a id="pl.5.9"></a><var>5.9</var>an undocumented noncitizen is an individual who resides in the United States without the <br/>
<a id="pl.5.10"></a><var>5.10</var>approval or acquiescence of the Immigration and Naturalization Service.<br/>
<a id="pl.5.11"></a><var>5.11</var>    (o) Notwithstanding any other provision of law, a noncitizen who is ineligible for <br/>
<a id="pl.5.12"></a><var>5.12</var>medical assistance due to the deeming of a sponsor's income and resources, is ineligible <br/>
<a id="pl.5.13"></a><var>5.13</var>for general assistance medical care.<br/>
<a id="pl.5.14"></a><var>5.14</var>    (p) Effective July 1, 2003, general assistance medical care emergency services end.<br/>
<a id="pl.5.15"></a><var>5.15</var>    (q) Effective July 1, 2007, individuals in a correctional facility who have been <br/>
<a id="pl.5.16"></a><var>5.16</var>diagnosed with a mental illness as defined in section 245.462, subdivision 20, are <br/>
<a id="pl.5.17"></a><var>5.17</var>eligible for general assistance medical care for three months from the date of release <br/>
<a id="pl.5.18"></a><var>5.18</var>from confinement.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.5.19"></a><var>5.19</var>    Sec. 2. Minnesota Statutes 2006, section 641.15, is amended by adding a subdivision <br/>
<a id="pl.5.20"></a><var>5.20</var>to read:<br/>
<a id="pl.5.21"></a><var>5.21</var>    Subd. 3a. <b>Intake procedure; approved mental health screening.</b> As part of its <br/>
<a id="pl.5.22"></a><var>5.22</var>intake procedure for new prisoners, the sheriff shall use a mental health screening tool <br/>
<a id="pl.5.23"></a><var>5.23</var>approved by the commissioner of corrections in consultation with the commissioner of <br/>
<a id="pl.5.24"></a><var>5.24</var>human services to identify persons who may have mental illness.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.5.25"></a><var>5.25</var>    Sec. 3. <b>[641.156] COUNTY JAIL REENTRY PROJECTS; GRANTS.</b><br/>
<a id="pl.5.26"></a><var>5.26</var>    Subdivision 1. <b>Purpose.</b> The purpose of the reentry project is to promote public <br/>
<a id="pl.5.27"></a><var>5.27</var>safety, prevent recidivism, and promote a successful reintegration into the community <br/>
<a id="pl.5.28"></a><var>5.28</var>by providing services to individuals confined in jails and county regional jails who are <br/>
<a id="pl.5.29"></a><var>5.29</var>identified as having mental illness, traumatic brain injury, chemical dependency, or being <br/>
<a id="pl.5.30"></a><var>5.30</var>homeless.<br/>
<a id="pl.5.31"></a><var>5.31</var>    Subd. 2. <b>Grants.</b> (a) The commissioner of corrections, in consultation with the <br/>
<a id="pl.5.32"></a><var>5.32</var>commissioner of human services, shall award grants to county boards for two-year reentry <br/>
<a id="pl.5.33"></a><var>5.33</var>pilot projects. At a minimum, one project must be located outside the seven-county <br/>
<a id="pl.6.1"></a><var>6.1</var>metropolitan area. Projects will target prisoners in jails and county regional jails who <br/>
<a id="pl.6.2"></a><var>6.2</var>are identified as having:<br/>
<a id="pl.6.3"></a><var>6.3</var>    (1) a mental illness, as defined in section 245.462, subdivision 20;<br/>
<a id="pl.6.4"></a><var>6.4</var>    (2) a traumatic brain injury, as defined in section 256B.093, subdivision 4;<br/>
<a id="pl.6.5"></a><var>6.5</var>    (3) chemical dependency, as defined in section 253B.02, subdivision 2; or<br/>
<a id="pl.6.6"></a><var>6.6</var>    (4) a history of homelessness, as defined in section 116L.361, subdivision 5.<br/>
<a id="pl.6.7"></a><var>6.7</var>    (b) The projects shall provide a range of services including, but not limited to, <br/>
<a id="pl.6.8"></a><var>6.8</var>screening and assessment, client-specific programming, discharge planning and reentry <br/>
<a id="pl.6.9"></a><var>6.9</var>assistance, and follow-up for at least six months after the prisoner has reentered the <br/>
<a id="pl.6.10"></a><var>6.10</var>community.<br/>
<a id="pl.6.11"></a><var>6.11</var>    Subd. 3. <b>Applications.</b> A grant applicant shall prepare and submit to the <br/>
<a id="pl.6.12"></a><var>6.12</var>commissioner of corrections a written proposal detailing the plan and strategies on how <br/>
<a id="pl.6.13"></a><var>6.13</var>the applicant will implement the program components in subdivision 4. The application <br/>
<a id="pl.6.14"></a><var>6.14</var>shall include a proposed evaluation component of outcome measures including, but not <br/>
<a id="pl.6.15"></a><var>6.15</var>limited to, numbers of prisoners served, recidivism, restoration of public benefits, and <br/>
<a id="pl.6.16"></a><var>6.16</var>status regarding housing, employment, and treatment needs after six months.<br/>
<a id="pl.6.17"></a><var>6.17</var>    Subd. 4. <b>Program components.</b> Each participating county shall:<br/>
<a id="pl.6.18"></a><var>6.18</var>    (a) develop a written collaborative plan between the county jail or county regional <br/>
<a id="pl.6.19"></a><var>6.19</var>jail and the county social services agency;<br/>
<a id="pl.6.20"></a><var>6.20</var>    (b) assess each prisoner upon entry into the jail or county regional jail using a <br/>
<a id="pl.6.21"></a><var>6.21</var>screening tool approved by the commissioner of corrections in consultation with the <br/>
<a id="pl.6.22"></a><var>6.22</var>commissioner of human services to identify prisoners with the characteristics listed in <br/>
<a id="pl.6.23"></a><var>6.23</var>subdivision 2, paragraph (a);<br/>
<a id="pl.6.24"></a><var>6.24</var>    (c) ensure prisoners who are identified with a positive screening and who will be <br/>
<a id="pl.6.25"></a><var>6.25</var>incarcerated for less than 30 days are offered follow-up care and referred to appropriate <br/>
<a id="pl.6.26"></a><var>6.26</var>professionals;<br/>
<a id="pl.6.27"></a><var>6.27</var>    (d) ensure prisoners who are identified as having a characteristic listed in subdivision <br/>
<a id="pl.6.28"></a><var>6.28</var>2, paragraph (a), and who will be incarcerated 30 days or longer, are provided with <br/>
<a id="pl.6.29"></a><var>6.29</var>appropriate treatment and programming including, but not limited to, mental health <br/>
<a id="pl.6.30"></a><var>6.30</var>treatment, counseling, living and employment skills development, substance abuse <br/>
<a id="pl.6.31"></a><var>6.31</var>treatment, GED and literacy training, and referrals to aftercare treatment and skills training;<br/>
<a id="pl.6.32"></a><var>6.32</var>    (e) offer to develop a discharge plan for prisoners identified as having a characteristic <br/>
<a id="pl.6.33"></a><var>6.33</var>listed in subdivision 2, paragraph (a), who will be incarcerated for 90 days or longer. <br/>
<a id="pl.6.34"></a><var>6.34</var>Discharge planning components must include:<br/>
<a id="pl.6.35"></a><var>6.35</var>    (1) at least 60 days prior to the prisoner's release, the person responsible for discharge <br/>
<a id="pl.6.36"></a><var>6.36</var>planning authorized by this section shall begin assisting the prisoner to establish, or <br/>
<a id="pl.7.1"></a><var>7.1</var>reestablish, benefits such as medical assistance, veterans' benefits, MinnesotaCare, general <br/>
<a id="pl.7.2"></a><var>7.2</var>assistance medical care, Social Security insurance, housing assistance, and submitting in <br/>
<a id="pl.7.3"></a><var>7.3</var>a timely manner a prisoner's application for any benefits for which the prisoner may <br/>
<a id="pl.7.4"></a><var>7.4</var>be eligible upon release;<br/>
<a id="pl.7.5"></a><var>7.5</var>    (2) obtaining informed consent and releases of information from the prisoner that <br/>
<a id="pl.7.6"></a><var>7.6</var>are needed for transition services, identifying treatment needs, referring the prisoner <br/>
<a id="pl.7.7"></a><var>7.7</var>to appropriate services in the community, and arranging for basic needs such as food, <br/>
<a id="pl.7.8"></a><var>7.8</var>housing, transportation, employment, and GED services;<br/>
<a id="pl.7.9"></a><var>7.9</var>    (3) securing appointments for a prisoner to be treated by a psychiatrist within 30 <br/>
<a id="pl.7.10"></a><var>7.10</var>days of release, if appropriate;<br/>
<a id="pl.7.11"></a><var>7.11</var>    (4) securing appointments for a prisoner with a community mental health provider <br/>
<a id="pl.7.12"></a><var>7.12</var>and a chemical dependency provider within 30 days of release, if appropriate;<br/>
<a id="pl.7.13"></a><var>7.13</var>    (5) ensuring that the prisoner, when released from custody, has at least a 14-day <br/>
<a id="pl.7.14"></a><var>7.14</var>supply of all necessary medications, and a prescription for at least a 30-day supply of all <br/>
<a id="pl.7.15"></a><var>7.15</var>necessary medication that can be refilled once for an additional 30-day supply;<br/>
<a id="pl.7.16"></a><var>7.16</var>    (6) arranging for the prisoner to have a state photo identification card when released. <br/>
<a id="pl.7.17"></a><var>7.17</var>The identification card must not disclose the prisoner's incarceration or criminal record <br/>
<a id="pl.7.18"></a><var>7.18</var>and must list an address other than the address of the jail or county regional jail. The <br/>
<a id="pl.7.19"></a><var>7.19</var>identification card expires on the date of birth of the holder four years after the date of <br/>
<a id="pl.7.20"></a><var>7.20</var>issue; and<br/>
<a id="pl.7.21"></a><var>7.21</var>    (7) identifying prisoners who had a case manager prior to incarceration, and <br/>
<a id="pl.7.22"></a><var>7.22</var>maintaining contact with that case manager to provide service coordination for the <br/>
<a id="pl.7.23"></a><var>7.23</var>prisoner upon release. For prisoners without a case manager, making appropriate referrals <br/>
<a id="pl.7.24"></a><var>7.24</var>for case management services or offering to provide follow-up services to assist the <br/>
<a id="pl.7.25"></a><var>7.25</var>prisoner in obtaining stable housing, public benefits, and community services for up to <br/>
<a id="pl.7.26"></a><var>7.26</var>six months after release;<br/>
<a id="pl.7.27"></a><var>7.27</var>    (f) recording the number of prisoners identified under subdivision 2, paragraph (a), <br/>
<a id="pl.7.28"></a><var>7.28</var>and the number of prisoners who received federal benefits upon entry into the jail or <br/>
<a id="pl.7.29"></a><var>7.29</var>county regional jail; and<br/>
<a id="pl.7.30"></a><var>7.30</var>    (g) maintaining accurate records to complete the program evaluation.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.7.31"></a><var>7.31</var>    Sec. 4. <b>DISCIPLINARY CONFINEMENT; PROTOCOL.</b><br/>
<a id="pl.7.32"></a><var>7.32</var>    The commissioner of corrections shall develop a protocol that is fair, firm, and <br/>
<a id="pl.7.33"></a><var>7.33</var>consistent so that inmates have an opportunity to be released from disciplinary confinement <br/>
<a id="pl.7.34"></a><var>7.34</var>in a timely manner. For those inmates in disciplinary confinement who are nearing their <br/>
<a id="pl.7.35"></a><var>7.35</var>release date, the commissioner of corrections shall, when possible, develop a reentry plan.<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.8.1"></a><var>8.1</var>    Sec. 5. <b>APPROPRIATIONS.</b><br/>
<a id="pl.8.2"></a><var>8.2</var>    Subdivision 1. <b>Grant program.</b> $....... is appropriated from the general fund to <br/>
<a id="pl.8.3"></a><var>8.3</var>the commissioner of corrections for fiscal year 2008 and $....... for fiscal year 2009 to <br/>
<a id="pl.8.4"></a><var>8.4</var>administer the grant program established in section 3.<br/>
<a id="pl.8.5"></a><var>8.5</var>    Subd. 2. <b>Discharge planning.</b> $....... is appropriated from the general fund to <br/>
<a id="pl.8.6"></a><var>8.6</var>the commissioner of human services for fiscal year 2008 to fund discharge planning for <br/>
<a id="pl.8.7"></a><var>8.7</var>offenders with serious and persistent mental illness as defined in Minnesota Statutes, <br/>
<a id="pl.8.8"></a><var>8.8</var>section 245.462, subdivision 20, paragraph (c), who are pending release from correctional <br/>
<a id="pl.8.9"></a><var>8.9</var>facilities.<br/>
<a id="pl.8.10"></a><var>8.10</var>    Subd. 3. <b>Mental health courts.</b> $....... for fiscal year 2008 and $....... for fiscal <br/>
<a id="pl.8.11"></a><var>8.11</var>year 2009 are appropriated from the general fund to the Supreme Court to develop and <br/>
<a id="pl.8.12"></a><var>8.12</var>implement standards for mental health courts.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.8.15"></a><var>8.15</var>    Section 1. <b>[245.4889] CHILDREN'S MENTAL HEALTH GRANTS.</b><br/>
<a id="pl.8.16"></a><var>8.16</var>    Subdivision 1. <b>Establishment and authority.</b> (a) The commissioner is authorized <br/>
<a id="pl.8.17"></a><var>8.17</var>to make grants from available appropriations to assist: <br/>
<a id="pl.8.18"></a><var>8.18</var>    (1) counties;<br/>
<a id="pl.8.19"></a><var>8.19</var>    (2) Indian tribes;<br/>
<a id="pl.8.20"></a><var>8.20</var>    (3) children's collaboratives under section 124D.23 or 245.493; or <br/>
<a id="pl.8.21"></a><var>8.21</var>    (4) mental health service providers<br/>
<a id="pl.8.22"></a><var>8.22</var>in providing services to children with emotional disturbances as defined in section <br/>
<a id="pl.8.23"></a><var>8.23</var>245.4871, subdivision 15, and their families. The commissioner may also authorize grants <br/>
<a id="pl.8.24"></a><var>8.24</var>to assist young adults meeting the criteria for transition services in section 245.4875, <br/>
<a id="pl.8.25"></a><var>8.25</var>subdivision 8, and their families.<br/>
<a id="pl.8.26"></a><var>8.26</var>    (b) Services under paragraph (a) must be designed to help each child to function and <br/>
<a id="pl.8.27"></a><var>8.27</var>remain with the child's family in the community and must be delivered consistent with the <br/>
<a id="pl.8.28"></a><var>8.28</var>child's treatment plan. Transition services under paragraph (a) to eligible young adults <br/>
<a id="pl.8.29"></a><var>8.29</var>must be designed to foster independent living in the community.<br/>
<a id="pl.8.30"></a><var>8.30</var>    Subd. 2. <b>Grant application and reporting requirements.</b> To apply for a grant an <br/>
<a id="pl.8.31"></a><var>8.31</var>applicant organization shall submit an application and budget for the use of the money <br/>
<a id="pl.8.32"></a><var>8.32</var>in the form specified by the commissioner. The commissioner shall make grants only to <br/>
<a id="pl.8.33"></a><var>8.33</var>entities whose applications and budgets are approved by the commissioner. In awarding <br/>
<a id="pl.9.1"></a><var>9.1</var>grants, the commissioner shall give priority to those counties whose applications indicate <br/>
<a id="pl.9.2"></a><var>9.2</var>plans to collaborate in the development, funding, and delivery of services with other <br/>
<a id="pl.9.3"></a><var>9.3</var>agencies in the local system of care. The commissioner shall specify requirements for <br/>
<a id="pl.9.4"></a><var>9.4</var>reports, including quarterly fiscal reports under section 256.01, subdivision 2, paragraph <br/>
<a id="pl.9.5"></a><var>9.5</var>(q). The commissioner shall require collection of data and periodic reports that the <br/>
<a id="pl.9.6"></a><var>9.6</var>commissioner deems necessary to demonstrate the effectiveness of each service.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.9.7"></a><var>9.7</var>    Sec. 2. <b>[245A.175] MENTAL HEALTH TRAINING REQUIREMENT.</b><br/>
<a id="pl.9.8"></a><var>9.8</var>    Child foster care providers licensed by the commissioner of human services must <br/>
<a id="pl.9.9"></a><var>9.9</var>complete two hours of training before admitting a foster care child that addresses <br/>
<a id="pl.9.10"></a><var>9.10</var>the causes, symptoms, and key warning signs of mental health disorders; cultural <br/>
<a id="pl.9.11"></a><var>9.11</var>considerations; and effective approaches for dealing with a child's behaviors. At least one <br/>
<a id="pl.9.12"></a><var>9.12</var>hour of the annual 12-hour training requirement for foster parents must be completed <br/>
<a id="pl.9.13"></a><var>9.13</var>each year on children's mental health issues and treatment. Training curriculum shall be <br/>
<a id="pl.9.14"></a><var>9.14</var>approved by the commissioner of human services.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.9.15"></a><var>9.15</var>    Sec. 3. <b>[256.9961] COLLABORATIVE SERVICES FOR HIGH-RISK </b><br/>
<a id="pl.9.16"></a><var>9.16</var><b>CHILDREN.</b><br/>
<a id="pl.9.17"></a><var>9.17</var>    To provide early intervention collaborative services to children who are at high risk <br/>
<a id="pl.9.18"></a><var>9.18</var>for child maltreatment, substance use, mental illness, and serious and violent offending, <br/>
<a id="pl.9.19"></a><var>9.19</var>but not subject to the delinquency provisions of chapter 260B, the commissioner of human <br/>
<a id="pl.9.20"></a><var>9.20</var>services shall fund one or more projects that identify and serve these children. The <br/>
<a id="pl.9.21"></a><var>9.21</var>projects shall include the following program components:<br/>
<a id="pl.9.22"></a><var>9.22</var>    (1) multidimensional screening instruments;<br/>
<a id="pl.9.23"></a><var>9.23</var>    (2) multidisciplinary and multijurisdictional collaborative services;<br/>
<a id="pl.9.24"></a><var>9.24</var>    (3) integrated information systems;<br/>
<a id="pl.9.25"></a><var>9.25</var>    (4) intensive in-home and community casework;<br/>
<a id="pl.9.26"></a><var>9.26</var>    (5) continuous tracking of outcomes; and<br/>
<a id="pl.9.27"></a><var>9.27</var>    (6) multidimensional evaluations and cost benefit analysis.<br/>
<a id="pl.9.28"></a><var>9.28</var>Projects must use all available funding streams.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.9.29"></a><var>9.29</var>    Sec. 4. Minnesota Statutes 2006, section 256B.0943, is amended by adding a <br/>
<a id="pl.9.30"></a><var>9.30</var>subdivision to read:<br/>
<a id="pl.9.31"></a><var>9.31</var>    Subd. 14. <b>Rate increase for children's therapeutic services and supports.</b> For <br/>
<a id="pl.9.32"></a><var>9.32</var>services defined in clauses (1) and (2) rendered on or after July 1, 2007, payment rates <br/>
<a id="pl.9.33"></a><var>9.33</var>shall be increased by 33.7 percent over the rates in effect on January 1, 2006, for:<br/>
<a id="pl.10.1"></a><var>10.1</var>    (1) services when provided as a component of children's therapeutic services and <br/>
<a id="pl.10.2"></a><var>10.2</var>support including, but not limited to, individual and group skills training, individual and <br/>
<a id="pl.10.3"></a><var>10.3</var>group psychotherapy, and provider travel; and<br/>
<a id="pl.10.4"></a><var>10.4</var>    (2) diagnostic assessments of children and adolescents.<br/>
<a id="pl.10.5"></a><var>10.5</var>    The commissioner shall adjust rates paid to prepaid health plans under contract with <br/>
<a id="pl.10.6"></a><var>10.6</var>the commissioner to reflect the rate increases provided in clauses (1) and (2). The prepaid <br/>
<a id="pl.10.7"></a><var>10.7</var>health plans must pass this rate increase to the providers of the services identified in <br/>
<a id="pl.10.8"></a><var>10.8</var>clauses (1) and (2). <br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.10.9"></a><var>10.9</var>    Sec. 5. <b>COLUMBIA TEENSCREEN GRANTS.</b><br/>
<a id="pl.10.10"></a><var>10.10</var>    The commissioner of education shall develop a request for proposals for grants to <br/>
<a id="pl.10.11"></a><var>10.11</var>implement the Columbia TeenScreen program. The request for proposals shall require <br/>
<a id="pl.10.12"></a><var>10.12</var>the grant applicant to specify how the applicant will follow, implement, and conduct the <br/>
<a id="pl.10.13"></a><var>10.13</var>essential components of the Columbia TeenScreen program. Applicants for grants shall <br/>
<a id="pl.10.14"></a><var>10.14</var>be limited to public schools, family service collaboratives, and children's mental health <br/>
<a id="pl.10.15"></a><var>10.15</var>collaboratives.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.10.16"></a><var>10.16</var>    Sec. 6. <b>CHILDREN'S MENTAL HEALTH WORK GROUP; REPORT.</b><br/>
<a id="pl.10.17"></a><var>10.17</var>    The commissioner of human services shall convene a work group to study the unmet <br/>
<a id="pl.10.18"></a><var>10.18</var>need for funding of wraparound services to address the needs of children diagnosed <br/>
<a id="pl.10.19"></a><var>10.19</var>with an emotional disturbance or a severe emotional disturbance. The work group shall <br/>
<a id="pl.10.20"></a><var>10.20</var>consist of representatives from the Department of Health, the Department of Education, <br/>
<a id="pl.10.21"></a><var>10.21</var>organizations that provide or advocate for children's mental health services, and Minnesota <br/>
<a id="pl.10.22"></a><var>10.22</var>counties.  The commissioner shall report the results of the work group's findings and <br/>
<a id="pl.10.23"></a><var>10.23</var>recommendations to the chairs of the house and senate committees with jurisdiction over <br/>
<a id="pl.10.24"></a><var>10.24</var>children's mental health no later than January 1, 2008.<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.10.25"></a><var>10.25</var>    Sec. 7. <b>TRAUMA-FOCUSED EVIDENCE-BASED PRACTICES TO </b><br/>
<a id="pl.10.26"></a><var>10.26</var><b>CHILDREN.</b><br/>
<a id="pl.10.27"></a><var>10.27</var>    Organizations that are certified to provide children's therapeutic services and <br/>
<a id="pl.10.28"></a><var>10.28</var>supports under Minnesota Statutes, section 256B.0943, are eligible to apply for a grant. <br/>
<a id="pl.10.29"></a><var>10.29</var>Grants are to be used to provide trauma-focused evidence-based practices to children <br/>
<a id="pl.10.30"></a><var>10.30</var>who are living in a battered women's shelter, homeless shelter, transitional housing, or <br/>
<a id="pl.10.31"></a><var>10.31</var>supported housing. Children served must have been exposed to or witnessed domestic <br/>
<a id="pl.10.32"></a><var>10.32</var>violence, have been exposed to or witnessed community violence, or be a refugee. Priority <br/>
<a id="pl.10.33"></a><var>10.33</var>shall be given to organizations that demonstrate collaboration with battered women's <br/>
<a id="pl.11.1"></a><var>11.1</var>shelters, homeless shelters, or providers of transitional housing or supported housing. The <br/>
<a id="pl.11.2"></a><var>11.2</var>commissioner shall specify which constitutes evidence-based practice. Organizations shall <br/>
<a id="pl.11.3"></a><var>11.3</var>use all available funding streams.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.11.4"></a><var>11.4</var>    Sec. 8. <b>RESPITE CARE.</b><br/>
<a id="pl.11.5"></a><var>11.5</var>    (a) The commissioner of human services shall allocate amounts for respite care <br/>
<a id="pl.11.6"></a><var>11.6</var>funding to counties based on population. Counties shall be reimbursed for the costs of <br/>
<a id="pl.11.7"></a><var>11.7</var>respite care for families with a child who has a severe emotional disturbance. Total <br/>
<a id="pl.11.8"></a><var>11.8</var>reimbursement shall not exceed the county's allocation. Any funds not used by a county <br/>
<a id="pl.11.9"></a><var>11.9</var>may be reallocated to other counties.<br/>
<a id="pl.11.10"></a><var>11.10</var>    (b) Funds allocated under paragraph (a) may be used for day, night, overnight, and <br/>
<a id="pl.11.11"></a><var>11.11</var>summer or vacation respite care. Funds may be used for in-home or out-of-home respite <br/>
<a id="pl.11.12"></a><var>11.12</var>care.<br/>
<a id="pl.11.13"></a><var>11.13</var>    (c) Up to 25 percent of the funds allocated under paragraph (a) in the first year may <br/>
<a id="pl.11.14"></a><var>11.14</var>be used to recruit, train, and support respite care providers.<br/>
<a id="pl.11.15"></a><var>11.15</var>    (d) The commissioner shall convene a work group composed of stakeholders to <br/>
<a id="pl.11.16"></a><var>11.16</var>determine:<br/>
<a id="pl.11.17"></a><var>11.17</var>    (1) how funds in subsequent years may be used;<br/>
<a id="pl.11.18"></a><var>11.18</var>    (2) how funds shall be disbursed to counties;<br/>
<a id="pl.11.19"></a><var>11.19</var>    (3) who is eligible to provide respite care;<br/>
<a id="pl.11.20"></a><var>11.20</var>    (4) how families access respite care;<br/>
<a id="pl.11.21"></a><var>11.21</var>    (5) how respite care rates will be established; and<br/>
<a id="pl.11.22"></a><var>11.22</var>    (6) what outcome data will be collected.<br/>
<a id="pl.11.23"></a><var>11.23</var>The work group shall also examine how to use existing tools to determine difficulty of <br/>
<a id="pl.11.24"></a><var>11.24</var>care rates.<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.11.25"></a><var>11.25</var>    Sec. 9. <b>APPROPRIATIONS.</b><br/>
<a id="pl.11.26"></a><var>11.26</var>    Subdivision 1. <b>Evidence-based practice.</b> $....... in fiscal year 2008 and $....... in <br/>
<a id="pl.11.27"></a><var>11.27</var>fiscal year 2009 are appropriated from the general fund to the commissioner of human <br/>
<a id="pl.11.28"></a><var>11.28</var>services to develop and implement evidence-based practice in children's mental health <br/>
<a id="pl.11.29"></a><var>11.29</var>care and treatment.<br/>
<a id="pl.11.30"></a><var>11.30</var>    Subd. 2. <b>Columbia TeenScreen grants.</b> $....... in fiscal year 2008 and $....... in <br/>
<a id="pl.11.31"></a><var>11.31</var>fiscal year 2009 are appropriated from the general fund to the commissioner of education <br/>
<a id="pl.11.32"></a><var>11.32</var>to administer five Columbia TeenScreen grant programs in section 5.<br/>
<a id="pl.12.1"></a><var>12.1</var>    Subd. 3. <b>Early intervention collaborative programs.</b> $....... in fiscal year 2008 <br/>
<a id="pl.12.2"></a><var>12.2</var>and $....... in fiscal year 2009 are appropriated from the general fund to the commissioner <br/>
<a id="pl.12.3"></a><var>12.3</var>of human services to fund the early intervention collaborative programs in section 3.<br/>
<a id="pl.12.4"></a><var>12.4</var>    Subd. 4. <b>Childhood trauma; grants.</b> $....... in fiscal year 2008 and $....... in fiscal <br/>
<a id="pl.12.5"></a><var>12.5</var>year 2009 are appropriated from the general fund to the commissioner of human services <br/>
<a id="pl.12.6"></a><var>12.6</var>to make grants for the purpose of maintaining and expanding evidence-based practices <br/>
<a id="pl.12.7"></a><var>12.7</var>under section 7 that support children and youth who have been exposed to violence or <br/>
<a id="pl.12.8"></a><var>12.8</var>who are refugees.<br/>
<a id="pl.12.9"></a><var>12.9</var>    Subd. 5. <b>Respite care.</b> $ ....... in fiscal year 2008 is appropriated from general fund <br/>
<a id="pl.12.10"></a><var>12.10</var>to the commissioner of human services to fund respite care for children under section 8 <br/>
<a id="pl.12.11"></a><var>12.11</var>who have a diagnosis of emotional disturbance or severe emotional disturbance.<br/>
<br/>
<a id="bill.3.0.0"></a>

<a id="bill.3.1.0"></a><a id="pl.12.14"></a><var>12.14</var>    Section 1. <b>[135A.141] QUALIFYING STUDENT HEALTH INSURANCE </b><br/>
<a id="pl.12.15"></a><var>12.15</var><b>PROGRAM.</b><br/>
<a id="pl.12.16"></a><var>12.16</var>    Subdivision 1. <b>Health insurance required.</b> (a) Every full-time and part-time <br/>
<a id="pl.12.17"></a><var>12.17</var>student enrolled in a public or private institution of higher education located in the state <br/>
<a id="pl.12.18"></a><var>12.18</var>shall participate in a qualifying student health insurance program. For the purposes of <br/>
<a id="pl.12.19"></a><var>12.19</var>this section, "part-time student" means a student participating in at least 50 percent of the <br/>
<a id="pl.12.20"></a><var>12.20</var>full-time curriculum. An institution may elect to allow students to waive participation <br/>
<a id="pl.12.21"></a><var>12.21</var>in its student health insurance program or any part of it if the institution permitting such <br/>
<a id="pl.12.22"></a><var>12.22</var>waivers requires students waiving participation to certify in writing, prior to any academic <br/>
<a id="pl.12.23"></a><var>12.23</var>year in which they do not participate in the institution's plan, that they are participating <br/>
<a id="pl.12.24"></a><var>12.24</var>in a health insurance plan having comparable coverage.<br/>
<a id="pl.12.25"></a><var>12.25</var>    (b) An individual shall be exempt from this section if the individual files a sworn <br/>
<a id="pl.12.26"></a><var>12.26</var>affidavit with the individual's public or private institution of higher education that the <br/>
<a id="pl.12.27"></a><var>12.27</var>individual does not have creditable coverage and that the individual's sincerely held <br/>
<a id="pl.12.28"></a><var>12.28</var>religious beliefs are the basis of the individual's refusal to obtain and maintain creditable <br/>
<a id="pl.12.29"></a><var>12.29</var>coverage.<br/>
<a id="pl.12.30"></a><var>12.30</var>    Subd. 2. <b>Report.</b> Each public and private institution of higher education shall submit <br/>
<a id="pl.12.31"></a><var>12.31</var>an annual report to the commissioner of health detailing its procedures for complying <br/>
<a id="pl.12.32"></a><var>12.32</var>with the provisions of this section. Prior to the implementation of this section, the <br/>
<a id="pl.12.33"></a><var>12.33</var>commissioner of health shall submit a report to the house and senate committees on health <br/>
<a id="pl.12.34"></a><var>12.34</var>policy and finance that includes, but is not limited to, an analysis of the number of students <br/>
<a id="pl.13.1"></a><var>13.1</var>lacking health insurance, the costs of the requirements of this section to the students and <br/>
<a id="pl.13.2"></a><var>13.2</var>the institutions of higher education, and a proposed method for meeting the costs.<br/>
<a id="pl.13.3"></a><var>13.3</var>    Subd. 3. <b>Rules.</b> The commissioner of health shall issue regulations to define <br/>
<a id="pl.13.4"></a><var>13.4</var>qualifying student health insurance programs, to establish procedures to monitor <br/>
<a id="pl.13.5"></a><var>13.5</var>compliance, and to implement the provisions of this section.<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.13.6"></a><var>13.6</var>    Sec. 2. <b>[144.206] LOAN FORGIVENESS PROGRAM.</b><br/>
<a id="pl.13.7"></a><var>13.7</var>    (a) For the purposes of this section, "qualified educational loan" means a <br/>
<a id="pl.13.8"></a><var>13.8</var>government, commercial, or foundation loan for actual costs paid for tuition, reasonable <br/>
<a id="pl.13.9"></a><var>13.9</var>education expenses, and reasonable living expenses related to the graduate education <br/>
<a id="pl.13.10"></a><var>13.10</var>of a mental health professional.<br/>
<a id="pl.13.11"></a><var>13.11</var>    (b) (1)  A loan forgiveness program account is established. The commissioner of <br/>
<a id="pl.13.12"></a><var>13.12</var>health shall use money from the account to establish a loan forgiveness program for <br/>
<a id="pl.13.13"></a><var>13.13</var>individuals who are employed by a nonprofit agency that provides mental health services <br/>
<a id="pl.13.14"></a><var>13.14</var>for cultural or ethnic minority clients.<br/>
<a id="pl.13.15"></a><var>13.15</var>    (2) Appropriations made to the account do not cancel and are available until <br/>
<a id="pl.13.16"></a><var>13.16</var>expended, except that at the end of the biennium, any remaining balance in the account <br/>
<a id="pl.13.17"></a><var>13.17</var>that is not committed by contract and is not needed to fulfill existing commitments shall <br/>
<a id="pl.13.18"></a><var>13.18</var>cancel to the fund.<br/>
<a id="pl.13.19"></a><var>13.19</var>    (c) To be eligible to participate in the loan forgiveness program, an individual must <br/>
<a id="pl.13.20"></a><var>13.20</var>be employed by a nonprofit agency that provides mental health services for cultural or <br/>
<a id="pl.13.21"></a><var>13.21</var>ethnic minority clients and must be of the same culture or ethnicity as the clients. An <br/>
<a id="pl.13.22"></a><var>13.22</var>applicant selected to participate must sign a contract agreeing to remain employed with <br/>
<a id="pl.13.23"></a><var>13.23</var>the nonprofit agency for a three-year full-time term, which shall begin no later than 30 <br/>
<a id="pl.13.24"></a><var>13.24</var>days following completion of the required training.<br/>
<a id="pl.13.25"></a><var>13.25</var>    (d) The commissioner may select applicants each year for participation in the loan <br/>
<a id="pl.13.26"></a><var>13.26</var>forgiveness program, within the limits of available funding. Applicants are responsible for <br/>
<a id="pl.13.27"></a><var>13.27</var>securing their own qualified educational loans. The commissioner shall select participants <br/>
<a id="pl.13.28"></a><var>13.28</var>based on their suitability for practice serving the required cultural or ethnic minority <br/>
<a id="pl.13.29"></a><var>13.29</var>population. The commissioner shall give preference to applicants closest to completing <br/>
<a id="pl.13.30"></a><var>13.30</var>their education.<br/>
<a id="pl.13.31"></a><var>13.31</var>    (e) For each year that a participant meets the service obligation required under <br/>
<a id="pl.13.32"></a><var>13.32</var>paragraph (c), the commissioner shall make annual disbursements directly to the <br/>
<a id="pl.13.33"></a><var>13.33</var>participant equivalent to 25 percent of the participant's loan indebtedness, not to exceed <br/>
<a id="pl.13.34"></a><var>13.34</var>the balance of the participant's qualifying educational loans. Before receiving loan <br/>
<a id="pl.13.35"></a><var>13.35</var>repayment disbursements, and as requested, the participant and the employer must <br/>
<a id="pl.14.1"></a><var>14.1</var>complete and return to the commissioner an affidavit of practice form provided by the <br/>
<a id="pl.14.2"></a><var>14.2</var>commissioner verifying that the participant is practicing as required under paragraph (c). <br/>
<a id="pl.14.3"></a><var>14.3</var>The participant must provide the commissioner with verification that the full amount of <br/>
<a id="pl.14.4"></a><var>14.4</var>the loan repayment disbursement received by the participant has been applied toward <br/>
<a id="pl.14.5"></a><var>14.5</var>the designated loans. After each disbursement, verification must be received by the <br/>
<a id="pl.14.6"></a><var>14.6</var>commissioner and approved before the next loan repayment disbursement is made.<br/>
<a id="pl.14.7"></a><var>14.7</var>    (f) If a participant does not fulfill the minimum commitment of service under <br/>
<a id="pl.14.8"></a><var>14.8</var>paragraph (c), the commissioner shall collect from the participant the full amount paid <br/>
<a id="pl.14.9"></a><var>14.9</var>to the participant under the loan forgiveness program plus interest at the rate established <br/>
<a id="pl.14.10"></a><var>14.10</var>under section 270C.40. The commissioner shall deposit the money collected in the <br/>
<a id="pl.14.11"></a><var>14.11</var>general fund. The commissioner shall allow waivers of all or part of the money owed <br/>
<a id="pl.14.12"></a><var>14.12</var>the commissioner as a result of nonfulfillment if emergency circumstances prevented <br/>
<a id="pl.14.13"></a><var>14.13</var>fulfillment of the minimum service commitment.<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.14.14"></a><var>14.14</var>    Sec. 3. Minnesota Statutes 2006, section 245.462, subdivision 20, is amended to read:<br/>
<a id="pl.14.15"></a><var>14.15</var>    Subd. 20. <b>Mental illness.</b> (a) "Mental illness" means an organic disorder of the <br/>
<a id="pl.14.16"></a><var>14.16</var>brain or a clinically significant disorder of thought, mood, perception, orientation, <br/>
<a id="pl.14.17"></a><var>14.17</var>memory, or behavior that is listed in the clinical manual of the International Classification <br/>
<a id="pl.14.18"></a><var>14.18</var>of Diseases (ICD-9-CM), current edition, code range 290.0 to 
         <statute_ref>302.99</statute_ref> or 306.0 to 316.0 <br/>
<a id="pl.14.19"></a><var>14.19</var>or the corresponding code in the American Psychiatric Association's Diagnostic and <br/>
<a id="pl.14.20"></a><var>14.20</var>Statistical Manual of Mental Disorders (DSM-MD), current edition, Axes I, II, or III, and <br/>
<a id="pl.14.21"></a><var>14.21</var>that seriously limits a person's capacity to function in primary aspects of daily living such <br/>
<a id="pl.14.22"></a><var>14.22</var>as personal relations, living arrangements, work, and recreation. <br/>
<a id="pl.14.23"></a><var>14.23</var>    (b) An "adult with acute mental illness" means an adult who has a mental illness that <br/>
<a id="pl.14.24"></a><var>14.24</var>is serious enough to require prompt intervention.<br/>
<a id="pl.14.25"></a><var>14.25</var>    (c) For purposes of case management and community support services, a "person <br/>
<a id="pl.14.26"></a><var>14.26</var>with serious and persistent mental illness" means an adult who has a mental illness and <br/>
<a id="pl.14.27"></a><var>14.27</var>meets at least one of the following criteria:<br/>
<a id="pl.14.28"></a><var>14.28</var>    (1) the adult has undergone two or more episodes of inpatient care for a mental <br/>
<a id="pl.14.29"></a><var>14.29</var>illness within the preceding 24 months;<br/>
<a id="pl.14.30"></a><var>14.30</var>    (2) the adult has experienced a continuous psychiatric hospitalization or residential <br/>
<a id="pl.14.31"></a><var>14.31</var>treatment exceeding six months' duration within the preceding 12 months;<br/>
<a id="pl.14.32"></a><var>14.32</var>    (3) the adult has been an inmate at a jail or county regional jail or a prisoner at a <br/>
<a id="pl.14.33"></a><var>14.33</var>correctional facility two or more times within the preceding 24 months;<br/>
<a id="pl.14.34"></a><var>14.34</var>    (4) the adult has experienced continuous confinement in a jail, county regional jail, <br/>
<a id="pl.14.35"></a><var>14.35</var>or correctional facility for more than six months' duration within the preceding 12 months;<br/>
<a id="pl.15.1"></a><var>15.1</var>    (5) the adult has been treated by a crisis team two or more times within the preceding <br/>
<a id="pl.15.2"></a><var>15.2</var>24 months;<br/>
<a id="pl.15.3"></a><var>15.3</var>    (6) the adult:<br/>
<a id="pl.15.4"></a><var>15.4</var>    (i) has a diagnosis of schizophrenia, bipolar disorder, major depression, or borderline <br/>
<a id="pl.15.5"></a><var>15.5</var>personality disorder;<br/>
<a id="pl.15.6"></a><var>15.6</var>    (ii) indicates a significant impairment in functioning; and<br/>
<a id="pl.15.7"></a><var>15.7</var>    (iii) has a written opinion from a mental health professional, in the last three years, <br/>
<a id="pl.15.8"></a><var>15.8</var>stating that the adult is reasonably likely to have future episodes requiring inpatient or <br/>
<a id="pl.15.9"></a><var>15.9</var>residential treatment, of a frequency described in clause (1) or (2), unless ongoing case <br/>
<a id="pl.15.10"></a><var>15.10</var>management or community support services are provided;<br/>
<a id="pl.15.11"></a><var>15.11</var>    (4) (7) the adult has, in the last three years, been committed by a court as a person <br/>
<a id="pl.15.12"></a><var>15.12</var>who is mentally ill under chapter 253B, or the adult's commitment has been stayed or <br/>
<a id="pl.15.13"></a><var>15.13</var>continued; or<br/>
<a id="pl.15.14"></a><var>15.14</var>    (5) (8) the adult (i) was eligible under clauses (1) to (4) (7), but the specified time <br/>
<a id="pl.15.15"></a><var>15.15</var>period has expired or the adult was eligible as a child under section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.15.16"></a><var>15.16</var>6
         </statute_ref>; and (ii) has a written opinion from a mental health professional, in the last three years, <br/>
<a id="pl.15.17"></a><var>15.17</var>stating that the adult is reasonably likely to have future episodes requiring inpatient or <br/>
<a id="pl.15.18"></a><var>15.18</var>residential treatment, of a frequency described in clause (1) or (2), unless ongoing case <br/>
<a id="pl.15.19"></a><var>15.19</var>management or community support services are provided. <br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.15.20"></a><var>15.20</var>    Sec. 4. Minnesota Statutes 2006, section 245.50, subdivision 5, is amended to read:<br/>
<a id="pl.15.21"></a><var>15.21</var>    Subd. 5. <b>Special contracts; bordering states.</b> (a) An individual who is detained, <br/>
<a id="pl.15.22"></a><var>15.22</var>committed, or placed on an involuntary basis under chapter 253B may be confined or <br/>
<a id="pl.15.23"></a><var>15.23</var>treated in a bordering state pursuant to a contract under this section. An individual who is <br/>
<a id="pl.15.24"></a><var>15.24</var>detained, committed, or placed on an involuntary basis under the civil law of a bordering <br/>
<a id="pl.15.25"></a><var>15.25</var>state may be confined or treated in Minnesota pursuant to a contract under this section. A <br/>
<a id="pl.15.26"></a><var>15.26</var>peace or health officer who is acting under the authority of the sending state may transport <br/>
<a id="pl.15.27"></a><var>15.27</var>an individual to a receiving agency that provides services pursuant to a contract under <br/>
<a id="pl.15.28"></a><var>15.28</var>this section and may transport the individual back to the sending state under the laws <br/>
<a id="pl.15.29"></a><var>15.29</var>of the sending state. Court orders valid under the law of the sending state are granted <br/>
<a id="pl.15.30"></a><var>15.30</var>recognition and reciprocity in the receiving state for individuals covered by a contract <br/>
<a id="pl.15.31"></a><var>15.31</var>under this section to the extent that the court orders relate to confinement for treatment <br/>
<a id="pl.15.32"></a><var>15.32</var>or care of mental illness or chemical dependency. Such treatment or care may address <br/>
<a id="pl.15.33"></a><var>15.33</var>other conditions that may be co-occurring with the mental illness or chemical dependency. <br/>
<a id="pl.15.34"></a><var>15.34</var>These court orders are not subject to legal challenge in the courts of the receiving state. <br/>
<a id="pl.15.35"></a><var>15.35</var>Individuals who are detained, committed, or placed under the law of a sending state and <br/>
<a id="pl.16.1"></a><var>16.1</var>who are transferred to a receiving state under this section continue to be in the legal <br/>
<a id="pl.16.2"></a><var>16.2</var>custody of the authority responsible for them under the law of the sending state. Except <br/>
<a id="pl.16.3"></a><var>16.3</var>in emergencies, those individuals may not be transferred, removed, or furloughed from <br/>
<a id="pl.16.4"></a><var>16.4</var>a receiving agency without the specific approval of the authority responsible for them <br/>
<a id="pl.16.5"></a><var>16.5</var>under the law of the sending state.<br/>
<a id="pl.16.6"></a><var>16.6</var>    (b) While in the receiving state pursuant to a contract under this section, an <br/>
<a id="pl.16.7"></a><var>16.7</var>individual shall be subject to the sending state's laws and rules relating to length of <br/>
<a id="pl.16.8"></a><var>16.8</var>confinement, reexaminations, and extensions of confinement. No individual may be sent <br/>
<a id="pl.16.9"></a><var>16.9</var>to another state pursuant to a contract under this section until the receiving state has <br/>
<a id="pl.16.10"></a><var>16.10</var>enacted a law recognizing the validity and applicability of this section.<br/>
<a id="pl.16.11"></a><var>16.11</var>    (c) If an individual receiving services pursuant to a contract under this section leaves <br/>
<a id="pl.16.12"></a><var>16.12</var>the receiving agency without permission and the individual is subject to involuntary <br/>
<a id="pl.16.13"></a><var>16.13</var>confinement under the law of the sending state, the receiving agency shall use all <br/>
<a id="pl.16.14"></a><var>16.14</var>reasonable means to return the individual to the receiving agency. The receiving agency <br/>
<a id="pl.16.15"></a><var>16.15</var>shall immediately report the absence to the sending agency. The receiving state has the <br/>
<a id="pl.16.16"></a><var>16.16</var>primary responsibility for, and the authority to direct, the return of these individuals <br/>
<a id="pl.16.17"></a><var>16.17</var>within its borders and is liable for the cost of the action to the extent that it would be <br/>
<a id="pl.16.18"></a><var>16.18</var>liable for costs of its own resident.<br/>
<a id="pl.16.19"></a><var>16.19</var>    (d) Responsibility for payment for the cost of care remains with the sending agency.<br/>
<a id="pl.16.20"></a><var>16.20</var>    (e) This subdivision also applies to county contracts under subdivision 2 which <br/>
<a id="pl.16.21"></a><var>16.21</var>include emergency care and treatment provided to a county resident in a bordering state.<br/>
<a id="pl.16.22"></a><var>16.22</var>    (f) If a Minnesota resident is admitted to a facility in a bordering state under this <br/>
<a id="pl.16.23"></a><var>16.23</var>chapter, a physician, licensed psychologist who has a doctoral degree in psychology, or <br/>
<a id="pl.16.24"></a><var>16.24</var>an advance practice registered nurse certified in mental health, who is licensed in the <br/>
<a id="pl.16.25"></a><var>16.25</var>bordering state, may act as an examiner under sections 253B.07, 253B.08, 253B.092, <br/>
<a id="pl.16.26"></a><var>16.26</var>253B.12, and 253B.17 subject to the same requirements and limitations in section <br/>
<a id="pl.16.27"></a><var>16.27</var>253B.02, subdivision 7.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.16.28"></a><var>16.28</var>    Sec. 5. <b>[245.6961] CULTURALLY COMPETENT MENTAL HEALTH </b><br/>
<a id="pl.16.29"></a><var>16.29</var><b>SERVICES.</b><br/>
<a id="pl.16.30"></a><var>16.30</var>    Subdivision 1. <b>Services; grants.</b> The commissioner is authorized to make grants <br/>
<a id="pl.16.31"></a><var>16.31</var>to nonprofit organizations to ensure that culturally competent mental health services are <br/>
<a id="pl.16.32"></a><var>16.32</var>provided to individuals throughout the state. The grants are intended to provide direct <br/>
<a id="pl.16.33"></a><var>16.33</var>services and to serve as a bridge to existing mental health providers and organizations that <br/>
<a id="pl.16.34"></a><var>16.34</var>reflect the community they serve. The grants may be used to:<br/>
<a id="pl.16.35"></a><var>16.35</var>    (1) provide services and supports to low-income families from different cultures;<br/>
<a id="pl.17.1"></a><var>17.1</var>    (2) provide technical assistance to mental health and health care providers who have <br/>
<a id="pl.17.2"></a><var>17.2</var>clients in need of culturally appropriate services;<br/>
<a id="pl.17.3"></a><var>17.3</var>    (3) translate information for patients and their families;<br/>
<a id="pl.17.4"></a><var>17.4</var>    (4) colocate services at clinics, schools, and other locations; <br/>
<a id="pl.17.5"></a><var>17.5</var>    (5) provide services and supports using telemedicine to reach families in need of <br/>
<a id="pl.17.6"></a><var>17.6</var>information and support in communities where there are no culturally specific providers; <br/>
<a id="pl.17.7"></a><var>17.7</var>and<br/>
<a id="pl.17.8"></a><var>17.8</var>    (6) provide culturally specific support services.<br/>
<a id="pl.17.9"></a><var>17.9</var>    Subd. 2. <b>Task force.</b> The commissioner shall appoint a task force to develop <br/>
<a id="pl.17.10"></a><var>17.10</var>criteria for eligibility, services, and outcome measurement. Meeting children's therapeutic <br/>
<a id="pl.17.11"></a><var>17.11</var>services and support standards cannot be one of the criteria for receiving funding through <br/>
<a id="pl.17.12"></a><var>17.12</var>this program.<br/>
<br/>
<a id="bill.3.6.0"></a><a id="pl.17.13"></a><var>17.13</var>    Sec. 6. <b>[626.96] CRISIS INTERVENTION TEAM GRANTS.</b><br/>
<a id="pl.17.14"></a><var>17.14</var>    Subdivision 1. <b>Request for proposals.</b> The commissioner of public safety shall <br/>
<a id="pl.17.15"></a><var>17.15</var>create a competitive grant process using request for proposals for crisis intervention team <br/>
<a id="pl.17.16"></a><var>17.16</var>training for local police and sheriff departments.  Before making grants under this section, <br/>
<a id="pl.17.17"></a><var>17.17</var>the commissioner shall consult with the following organizations or individuals regarding <br/>
<a id="pl.17.18"></a><var>17.18</var>the development of the request for proposals:<br/>
<a id="pl.17.19"></a><var>17.19</var>    (1) the Barbara Schneider Foundation;<br/>
<a id="pl.17.20"></a><var>17.20</var>    (2) the National Alliance on Mental Illness;<br/>
<a id="pl.17.21"></a><var>17.21</var>    (3) the Minnesota Mental Health Association; and<br/>
<a id="pl.17.22"></a><var>17.22</var>    (4) national experts on crisis intervention team training. <br/>
<a id="pl.17.23"></a><var>17.23</var>    Subd. 2. <b>Training requirements.</b> The training provided with grants made under <br/>
<a id="pl.17.24"></a><var>17.24</var>this section must include, but is not limited to, the following components:<br/>
<a id="pl.17.25"></a><var>17.25</var>    (1) an overview of mental illnesses and the mental health system;<br/>
<a id="pl.17.26"></a><var>17.26</var>    (2) site visits to psychiatric receiving facilities;<br/>
<a id="pl.17.27"></a><var>17.27</var>    (3) an overview of mental health courts;<br/>
<a id="pl.17.28"></a><var>17.28</var>    (4) an overview of specific psychiatric conditions, their manifestations, and <br/>
<a id="pl.17.29"></a><var>17.29</var>treatment; and<br/>
<a id="pl.17.30"></a><var>17.30</var>    (5) crisis intervention team reporting and data collection.<br/>
<a id="pl.17.31"></a><var>17.31</var>    At least 20 percent of each training session must involve scenario-based role play <br/>
<a id="pl.17.32"></a><var>17.32</var>training with the use of a professional acting company with crisis intervention team <br/>
<a id="pl.17.33"></a><var>17.33</var>training experience. The training provided under this subdivision must be at least 40 <br/>
<a id="pl.17.34"></a><var>17.34</var>hours.  The training must encourage and support the statewide development of crisis <br/>
<a id="pl.17.35"></a><var>17.35</var>intervention teams for law enforcement.  The training must promote the development of <br/>
<a id="pl.18.1"></a><var>18.1</var>local collaboration among public safety professionals, community mental health and <br/>
<a id="pl.18.2"></a><var>18.2</var>emergency medicine providers, and members of the public.<br/>
<br/>
<a id="bill.3.7.0"></a><a id="pl.18.3"></a><var>18.3</var>    Sec. 7. <b>MINNESOTA FAMILY INVESTMENT PROGRAM AND CHILDREN'S </b><br/>
<a id="pl.18.4"></a><var>18.4</var><b>MENTAL HEALTH PILOT PROJECT.</b><br/>
<a id="pl.18.5"></a><var>18.5</var>    Subdivision 1. <b>Pilot project authorized.</b> The commissioner of human services <br/>
<a id="pl.18.6"></a><var>18.6</var>shall fund a two-year pilot project to measure the impact of children's identified mental <br/>
<a id="pl.18.7"></a><var>18.7</var>health needs, including social and emotional needs, on Minnesota family investment <br/>
<a id="pl.18.8"></a><var>18.8</var>program (MFIP) participants' ability to obtain and retain employment. The project shall <br/>
<a id="pl.18.9"></a><var>18.9</var>also measure the impact on work activity of MFIP participants' needs to address their <br/>
<a id="pl.18.10"></a><var>18.10</var>children's identified mental health needs.<br/>
<a id="pl.18.11"></a><var>18.11</var>    Subd. 2. <b>Provider and agency proposals.</b> (a) Interested MFIP providers and <br/>
<a id="pl.18.12"></a><var>18.12</var>agencies shall: <br/>
<a id="pl.18.13"></a><var>18.13</var>    (1) submit proposals defining how they will identify participants whose children <br/>
<a id="pl.18.14"></a><var>18.14</var>have mental health needs that hinder the employment process; <br/>
<a id="pl.18.15"></a><var>18.15</var>    (2) connect families with appropriate developmental, social, and emotional <br/>
<a id="pl.18.16"></a><var>18.16</var>screenings and services; and <br/>
<a id="pl.18.17"></a><var>18.17</var>    (3) incorporate those services into the participant's employment plan.<br/>
<a id="pl.18.18"></a><var>18.18</var>Each proposal under this paragraph must include an evaluation component.<br/>
<a id="pl.18.19"></a><var>18.19</var>    (b) Interested MFIP providers and agencies shall develop a protocol to inform MFIP <br/>
<a id="pl.18.20"></a><var>18.20</var>participants of the following: <br/>
<a id="pl.18.21"></a><var>18.21</var>    (1) the availability of developmental, social, and emotional screening tools for <br/>
<a id="pl.18.22"></a><var>18.22</var>children and youth; <br/>
<a id="pl.18.23"></a><var>18.23</var>    (2) the purpose of the screenings; <br/>
<a id="pl.18.24"></a><var>18.24</var>    (3) how the information will be used to assist the participants in identifying and <br/>
<a id="pl.18.25"></a><var>18.25</var>addressing potential barriers to employment; and <br/>
<a id="pl.18.26"></a><var>18.26</var>    (4) that their employment plan may be modified based on the screening results.<br/>
<a id="pl.18.27"></a><var>18.27</var>    Subd. 3. <b>Program components.</b> (a) MFIP providers shall obtain the participant's <br/>
<a id="pl.18.28"></a><var>18.28</var>written consent for participation in the pilot project, including consent for developmental, <br/>
<a id="pl.18.29"></a><var>18.29</var>social, and emotional screening.<br/>
<a id="pl.18.30"></a><var>18.30</var>    (b) MFIP providers shall coordinate with county social service agencies and health <br/>
<a id="pl.18.31"></a><var>18.31</var>plans to assist recipients in arranging referrals indicated by the screening results.<br/>
<a id="pl.18.32"></a><var>18.32</var>    (c) Tools used for developmental, social, and emotional screenings shall be approved <br/>
<a id="pl.18.33"></a><var>18.33</var>by the commissioner of human services.<br/>
<a id="pl.18.34"></a><var>18.34</var>    Subd. 4. <b>Program evaluation.</b> The commissioner of human services shall conduct <br/>
<a id="pl.18.35"></a><var>18.35</var>an evaluation of the pilot project to determine:<br/>
<a id="pl.19.1"></a><var>19.1</var>    (1) the number of participants who took part in the screening;<br/>
<a id="pl.19.2"></a><var>19.2</var>    (2) the number of children who were screened and what screening tools were used;<br/>
<a id="pl.19.3"></a><var>19.3</var>    (3) the number of children who were identified in the screening who needed referral <br/>
<a id="pl.19.4"></a><var>19.4</var>or follow-up services;<br/>
<a id="pl.19.5"></a><var>19.5</var>    (4) the number of children who received services, what agency provided the services, <br/>
<a id="pl.19.6"></a><var>19.6</var>and what type of services were provided;<br/>
<a id="pl.19.7"></a><var>19.7</var>    (5) the number of employment plans that were adjusted to include the activities <br/>
<a id="pl.19.8"></a><var>19.8</var>recommended in the screenings;<br/>
<a id="pl.19.9"></a><var>19.9</var>    (6) the changes in work participation rates;<br/>
<a id="pl.19.10"></a><var>19.10</var>    (7) the changes in earned income;<br/>
<a id="pl.19.11"></a><var>19.11</var>    (8) the changes in sanction rates; and<br/>
<a id="pl.19.12"></a><var>19.12</var>    (9) the participants' report of program effectiveness.<br/>
<a id="pl.19.13"></a><var>19.13</var>    Subd. 5. <b>Work activity.</b> Participant involvement in screenings and subsequent <br/>
<a id="pl.19.14"></a><var>19.14</var>referral and follow-up services shall count as work activity under Minnesota Statutes, <br/>
<a id="pl.19.15"></a><var>19.15</var>section 256J.49, subdivision 13.<br/>
<br/>
<a id="bill.3.8.0"></a><a id="pl.19.16"></a><var>19.16</var>    Sec. 8. <b>EVIDENCE-BASED PRACTICE.</b><br/>
<a id="pl.19.17"></a><var>19.17</var>    The commissioner of human services shall make a onetime consultation with <br/>
<a id="pl.19.18"></a><var>19.18</var>stakeholder groups and make budget-neutral changes to medical assistance coverage and <br/>
<a id="pl.19.19"></a><var>19.19</var>benefits to implement evidence-based practices as defined by the Agency for Healthcare <br/>
<a id="pl.19.20"></a><var>19.20</var>Research and Quality Practice Guidelines or Substance Abuse and Mental Health Services <br/>
<a id="pl.19.21"></a><var>19.21</var>Administration.<br/>
<br/>
<a id="bill.3.9.0"></a><a id="pl.19.22"></a><var>19.22</var>    Sec. 9. <b>EMPLOYMENT SUPPORT.</b><br/>
<a id="pl.19.23"></a><var>19.23</var>    (a) The commissioner of the Department of Employment and Economic <br/>
<a id="pl.19.24"></a><var>19.24</var>Development shall fund special projects providing employment support to:<br/>
<a id="pl.19.25"></a><var>19.25</var>    (1) young people with mental illness who are transitioning from school to work; <br/>
<a id="pl.19.26"></a><var>19.26</var>    (2) people with a serious mental illness who are receiving services through a mental <br/>
<a id="pl.19.27"></a><var>19.27</var>health court; and<br/>
<a id="pl.19.28"></a><var>19.28</var>    (3) people with serious mental illness who are receiving services through a civil <br/>
<a id="pl.19.29"></a><var>19.29</var>commitment court.<br/>
<a id="pl.19.30"></a><var>19.30</var>    (b) Special projects shall include incentive payments to providers that place <br/>
<a id="pl.19.31"></a><var>19.31</var>individuals in jobs that allow them to leave SSI and SSDI dependency and become <br/>
<a id="pl.19.32"></a><var>19.32</var>economically self-sufficient.<br/>
<a id="pl.19.33"></a><var>19.33</var>    (c) Projects under paragraph (a) must demonstrate interagency collaboration.<br/>
<br/>
<a id="bill.3.10.0"></a><a id="pl.20.1"></a><var>20.1</var>    Sec. 10. <b>TELEHEALTH.</b><br/>
<a id="pl.20.2"></a><var>20.2</var>    (a) The Office of Enterprise Technology in consultation with the commissioner <br/>
<a id="pl.20.3"></a><var>20.3</var>of human services shall provide interconnectivity, bridging, or gateway for televideo <br/>
<a id="pl.20.4"></a><var>20.4</var>conferencing at no cost to the providers between:<br/>
<a id="pl.20.5"></a><var>20.5</var>    (1) state and county agency sites; and<br/>
<a id="pl.20.6"></a><var>20.6</var>    (2) community provider sites or association of community providers sites.<br/>
<a id="pl.20.7"></a><var>20.7</var>    (b) Community providers eligible for the televideo conferencing interconnectivity <br/>
<a id="pl.20.8"></a><var>20.8</var>are those enrolled as medical assistance providers under Minnesota Statutes, section <br/>
<a id="pl.20.9"></a><var>20.9</var>256B.0625, subdivision 5, or under contract with counties to provide services under <br/>
<a id="pl.20.10"></a><var>20.10</var>Minnesota Statutes, sections 245.461 to 245.486, the Minnesota Comprehensive Adult <br/>
<a id="pl.20.11"></a><var>20.11</var>Mental Health Act; Minnesota Statutes, sections 245.4712 to 245.4861, community <br/>
<a id="pl.20.12"></a><var>20.12</var>support and day treatment services; or Minnesota Statutes, sections 245.487 to 245.4887, <br/>
<a id="pl.20.13"></a><var>20.13</var>the Minnesota Comprehensive Children's Mental Health Act.<br/>
<br/>
<a id="bill.3.11.0"></a><a id="pl.20.14"></a><var>20.14</var>    Sec. 11. <b>DUAL DIAGNOSIS; DEMONSTRATION PROJECT.</b><br/>
<a id="pl.20.15"></a><var>20.15</var>    (a) The commissioner of human services shall fund demonstration projects for high <br/>
<a id="pl.20.16"></a><var>20.16</var>risk adults with serious mental illness and co-occurring substance abuse problems. The <br/>
<a id="pl.20.17"></a><var>20.17</var>projects must include, but not be limited to, the following:<br/>
<a id="pl.20.18"></a><var>20.18</var>    (1) housing services, including rent or housing subsidies, housing with clinical <br/>
<a id="pl.20.19"></a><var>20.19</var>staff, or housing support;<br/>
<a id="pl.20.20"></a><var>20.20</var>    (2) assertive outreach services; and<br/>
<a id="pl.20.21"></a><var>20.21</var>    (3) intensive direct therapeutic, rehabilitative, and care management services <br/>
<a id="pl.20.22"></a><var>20.22</var>oriented to harm reduction.<br/>
<a id="pl.20.23"></a><var>20.23</var>    (b) The commissioner shall work with providers to ensure proper licensure or <br/>
<a id="pl.20.24"></a><var>20.24</var>certification to meet medical assistance or third-party payor reimbursement requirements.<br/>
<br/>
<a id="bill.3.12.0"></a><a id="pl.20.25"></a><var>20.25</var>    Sec. 12. <b>INPATIENT PSYCHIATRIC BEDS; STUDY.</b><br/>
<a id="pl.20.26"></a><var>20.26</var>    (a) The commissioner of health shall study the status of inpatient psychiatric beds <br/>
<a id="pl.20.27"></a><var>20.27</var>in Minnesota and provide recommendations to the legislature on improving access to <br/>
<a id="pl.20.28"></a><var>20.28</var>inpatient care, especially for children and adolescents. In conducting the study, the <br/>
<a id="pl.20.29"></a><var>20.29</var>commissioner shall consult with the commissioner of human services and representatives <br/>
<a id="pl.20.30"></a><var>20.30</var>from psychiatry, hospitals, emergency medicine, and mental health advocacy.<br/>
<a id="pl.20.31"></a><var>20.31</var>    (b) The study shall consider the following:<br/>
<a id="pl.20.32"></a><var>20.32</var>    (1) the number and frequency of patients, both adults and children, diverted to other <br/>
<a id="pl.20.33"></a><var>20.33</var>hospitals because of the unavailability of an appropriate psychiatric bed in the hospital for <br/>
<a id="pl.20.34"></a><var>20.34</var>which they sought care;<br/>
<a id="pl.21.1"></a><var>21.1</var>    (2) the effect on emergency rooms due to the inability to place a patient in a <br/>
<a id="pl.21.2"></a><var>21.2</var>psychiatric hospital bed;<br/>
<a id="pl.21.3"></a><var>21.3</var>    (3) the difference in health plan reimbursement for psychiatric beds compared <br/>
<a id="pl.21.4"></a><var>21.4</var>to beds devoted to general medical care and the effect this reimbursement has on the <br/>
<a id="pl.21.5"></a><var>21.5</var>availability of inpatient psychiatric beds;<br/>
<a id="pl.21.6"></a><var>21.6</var>    (4) the number of psychiatric beds per capita in Minnesota compared to the number <br/>
<a id="pl.21.7"></a><var>21.7</var>of psychiatric beds per capita in the United States, and the appropriate number of <br/>
<a id="pl.21.8"></a><var>21.8</var>psychiatric beds per capita in Minnesota; and<br/>
<a id="pl.21.9"></a><var>21.9</var>    (5) the number of practicing child and adolescent psychiatrists and the number <br/>
<a id="pl.21.10"></a><var>21.10</var>necessary per capita to meet the needs of Minnesota children.<br/>
<a id="pl.21.11"></a><var>21.11</var>    (c) The commissioner shall report recommendations to the legislature by January <br/>
<a id="pl.21.12"></a><var>21.12</var>15, 2008.<br/>
<br/>
<a id="bill.3.13.0"></a><a id="pl.21.13"></a><var>21.13</var>    Sec. 13. <b>INCENTIVE PAYMENTS; RULES.</b><br/>
<a id="pl.21.14"></a><var>21.14</var>    (a) The commissioner of employment and economic development under rulemaking <br/>
<a id="pl.21.15"></a><var>21.15</var>authority granted in Minnesota Statutes, section 116J.035, shall develop rules to <br/>
<a id="pl.21.16"></a><var>21.16</var>implement incentive payments to providers that place individuals in jobs that allow them <br/>
<a id="pl.21.17"></a><var>21.17</var>to leave SSI and SSDI dependency and become economically self-sufficient.<br/>
<a id="pl.21.18"></a><var>21.18</var>    (b) The commissioner of employment and economic development under rulemaking <br/>
<a id="pl.21.19"></a><var>21.19</var>authority granted in Minnesota Statutes, section 116J.035, shall develop rules to implement <br/>
<a id="pl.21.20"></a><var>21.20</var>incentive payments for providers that place individuals in jobs that provide benefits.<br/>
<br/>
<a id="bill.3.14.0"></a><a id="pl.21.21"></a><var>21.21</var>    Sec. 14. <b>APPROPRIATIONS.</b><br/>
<a id="pl.21.22"></a><var>21.22</var>    Subdivision 1. <b>Employment support.</b> (a) $....... is appropriated in fiscal year 2008 <br/>
<a id="pl.21.23"></a><var>21.23</var>from the general fund to the commissioner of employment and economic development to <br/>
<a id="pl.21.24"></a><var>21.24</var>fund special projects focused on providing employment support under section 9.<br/>
<a id="pl.21.25"></a><var>21.25</var>    (b) $....... in fiscal year 2008 and $....... in fiscal year 2009 are appropriated <br/>
<a id="pl.21.26"></a><var>21.26</var>to the commissioner of employment and economic development for the extended <br/>
<a id="pl.21.27"></a><var>21.27</var>employment-serious mental illness program under section 9.<br/>
<a id="pl.21.28"></a><var>21.28</var>    (c) $1,000,000 in fiscal year 2008 and $1,000,000 in fiscal year 2009 are appropriated <br/>
<a id="pl.21.29"></a><var>21.29</var>to the commissioner of employment and economic development to supplement funds <br/>
<a id="pl.21.30"></a><var>21.30</var>paid for wage incentive for the community support fund established in Minnesota Rules, <br/>
<a id="pl.21.31"></a><var>21.31</var>part 3300.2045.<br/>
<a id="pl.21.32"></a><var>21.32</var>    Subd. 2. <b>Community mental health programs.</b> $....... is appropriated in fiscal year <br/>
<a id="pl.21.33"></a><var>21.33</var>2008 from the general fund to the commissioner of human services to contract for training <br/>
<a id="pl.22.1"></a><var>22.1</var>and consultation for clinical supervisors and staff of community mental health centers who <br/>
<a id="pl.22.2"></a><var>22.2</var>provide services to children and adults. The purpose of the training and consultation is to <br/>
<a id="pl.22.3"></a><var>22.3</var>improve clinical supervision of staff, strengthen compliance with federal and state rules <br/>
<a id="pl.22.4"></a><var>22.4</var>and regulations, and to recommend strategies for standardization and simplification of <br/>
<a id="pl.22.5"></a><var>22.5</var>administrative functions among community mental health centers.<br/>
<a id="pl.22.6"></a><var>22.6</var>    Subd. 3. <b>Culturally competent mental health services grants.</b> $....... in fiscal <br/>
<a id="pl.22.7"></a><var>22.7</var>year 2008 and $....... in fiscal year 2009 are appropriated from the general fund to the <br/>
<a id="pl.22.8"></a><var>22.8</var>commissioner of human services for development and implementation of grants for <br/>
<a id="pl.22.9"></a><var>22.9</var>culturally competent mental health services under section 5.<br/>
<a id="pl.22.10"></a><var>22.10</var>    Subd. 4. <b>Bridges rental housing assistance program.</b> $3,400,000 in fiscal year <br/>
<a id="pl.22.11"></a><var>22.11</var>2008 and $3,400,000 in fiscal year 2009 are appropriated from the general fund to the <br/>
<a id="pl.22.12"></a><var>22.12</var>Housing Finance Agency for the Bridges rental housing assistance program under <br/>
<a id="pl.22.13"></a><var>22.13</var>Minnesota Statutes, section 462A.2097. These appropriations are in addition to any base <br/>
<a id="pl.22.14"></a><var>22.14</var>appropriations for this purpose and shall become part of the agency's base.<br/>
<a id="pl.22.15"></a><var>22.15</var>    Subd. 5. <b>MFIP and children's mental health pilot project.</b> $....... in fiscal <br/>
<a id="pl.22.16"></a><var>22.16</var>year 2008 and $....... in fiscal year 2009 are appropriated from the general fund to the <br/>
<a id="pl.22.17"></a><var>22.17</var>commissioner of human services to fund the pilot project under section 7.<br/>
<a id="pl.22.18"></a><var>22.18</var>    Subd. 6. <b>Crisis intervention training.</b> $144,000 is appropriated in fiscal year 2008 <br/>
<a id="pl.22.19"></a><var>22.19</var>from the general fund to the commissioner of public safety to fund grants to local police <br/>
<a id="pl.22.20"></a><var>22.20</var>departments to conduct crisis intervention training under section 6. The commissioner <br/>
<a id="pl.22.21"></a><var>22.21</var>may use up to 2.5 percent of the amount appropriated under this subdivision for costs of <br/>
<a id="pl.22.22"></a><var>22.22</var>administering the grant program.<br/>
<a id="pl.22.23"></a><var>22.23</var>    Subd. 7. <b>Televideo conferencing.</b> (b)  $....... in fiscal year 2008 and $....... in fiscal <br/>
<a id="pl.22.24"></a><var>22.24</var>year 2009 are appropriated from the general fund to the Office of Enterprise Technology <br/>
<a id="pl.22.25"></a><var>22.25</var>to provide televideo conferencing under section 10.<br/>
<a id="pl.22.26"></a><var>22.26</var>    Subd. 8. <b>Dual diagnosis; demonstration project.</b> $....... in fiscal year 2008 and <br/>
<a id="pl.22.27"></a><var>22.27</var>$....... in fiscal year 2009 are appropriated from the general fund to the commissioner of <br/>
<a id="pl.22.28"></a><var>22.28</var>human services to fund the demonstration projects under section 11.<br/>
<br/>
<a id="bill.4.0.0"></a>

<a id="bill.4.1.0"></a><a id="pl.22.31"></a><var>22.31</var>    Section 1. Minnesota Statutes 2006, section 256B.038, is amended to read:<br/>
<a id="pl.22.32"></a><var>22.32</var><b>256B.038 PROVIDER RATE INCREASES AFTER JUNE 30, 1999.</b><br/>
<a id="pl.23.1"></a><var>23.1</var>    (a) For fiscal years beginning on or after July 1, 1999, the commissioner of finance <br/>
<a id="pl.23.2"></a><var>23.2</var>shall include an annual inflationary adjustment in payment rates for the services listed <br/>
<a id="pl.23.3"></a><var>23.3</var>in paragraph (b) as a budget change request in each biennial detailed expenditure budget <br/>
<a id="pl.23.4"></a><var>23.4</var>submitted to the legislature under section 
         <statute_ref>16A.11</statute_ref>. The adjustment shall be accomplished <br/>
<a id="pl.23.5"></a><var>23.5</var>by indexing the rates in effect for inflation based on the change in the Consumer Price <br/>
<a id="pl.23.6"></a><var>23.6</var>Index-All Items (United States city average)(CPI-U) as forecasted by Data Resources, <br/>
<a id="pl.23.7"></a><var>23.7</var>Inc., in the fourth quarter of the prior year for the calendar year during which the rate <br/>
<a id="pl.23.8"></a><var>23.8</var>increase occurs. <br/>
<a id="pl.23.9"></a><var>23.9</var>    (b) Within the limits of appropriations specifically for this purpose, the commissioner <br/>
<a id="pl.23.10"></a><var>23.10</var>shall apply the rate increases in paragraph (a) to home and community-based waiver <br/>
<a id="pl.23.11"></a><var>23.11</var>services for persons with developmental disabilities under section 
         <statute_ref>256B.501</statute_ref>; home and <br/>
<a id="pl.23.12"></a><var>23.12</var>community-based waiver services for the elderly under section 
         <statute_ref>256B.0915</statute_ref>; waivered <br/>
<a id="pl.23.13"></a><var>23.13</var>services under community alternatives for disabled individuals under section 
         <statute_ref>256B.49</statute_ref>; <br/>
<a id="pl.23.14"></a><var>23.14</var>community alternative care waivered services under section 
         <statute_ref>256B.49</statute_ref>; traumatic brain <br/>
<a id="pl.23.15"></a><var>23.15</var>injury waivered services under section 
         <statute_ref>256B.49</statute_ref>; nursing services and home health services <br/>
<a id="pl.23.16"></a><var>23.16</var>under section 
         <statute_ref>256B.0625, subdivision 6a</statute_ref>; personal care services and nursing supervision <br/>
<a id="pl.23.17"></a><var>23.17</var>of personal care services under section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>; private duty nursing <br/>
<a id="pl.23.18"></a><var>23.18</var>services under section 
         <statute_ref>256B.0625, subdivision 7</statute_ref>; day training and habilitation services <br/>
<a id="pl.23.19"></a><var>23.19</var>for adults with developmental disabilities under sections 
         <statute_ref>252.40</statute_ref> to 
         <statute_ref>252.46</statute_ref>; physical <br/>
<a id="pl.23.20"></a><var>23.20</var>therapy services under sections 
         <statute_ref>256B.0625, subdivision 8</statute_ref>, and 
         <statute_ref>256D.03, subdivision 4</statute_ref>; <br/>
<a id="pl.23.21"></a><var>23.21</var>occupational therapy services under sections 
         <statute_ref>256B.0625, subdivision 8a</statute_ref>, and 
         <statute_ref>256D.03, <br/>
<a id="pl.23.22"></a><var>23.22</var>subdivision 4
         </statute_ref>; speech-language therapy services under section 
         <statute_ref>256D.03, subdivision <br/>
<a id="pl.23.23"></a><var>23.23</var>4
         </statute_ref>, and Minnesota Rules, part 9505.0390; respiratory therapy services under section <br/>
<statute_ref><a id="pl.23.24"></a><var>23.24</var>256D.03, subdivision 4
         </statute_ref>, and Minnesota Rules, part 9505.0295; physician services under <br/>
<a id="pl.23.25"></a><var>23.25</var>section 
         <statute_ref>256B.0625, subdivision 3</statute_ref>; dental services under sections 
         <statute_ref>256B.0625, subdivision <br/>
<a id="pl.23.26"></a><var>23.26</var>9
         </statute_ref>, and 
         <statute_ref>256D.03, subdivision 4</statute_ref>; alternative care services under section 
         <statute_ref>256B.0913</statute_ref>; adult <br/>
<a id="pl.23.27"></a><var>23.27</var>residential program grants under Minnesota Rules, parts 9535.2000 to 9535.3000; <br/>
<a id="pl.23.28"></a><var>23.28</var>adult and family community support grants under Minnesota Rules, parts 9535.1700 <br/>
<a id="pl.23.29"></a><var>23.29</var>to 9535.1760; and semi-independent living services under section 
         <statute_ref>252.275</statute_ref>, including <br/>
<a id="pl.23.30"></a><var>23.30</var>SILS funding under county social services grants formerly funded under chapter 256I; <br/>
<a id="pl.23.31"></a><var>23.31</var>children's therapeutic services and support services under section 256B.0943; and adult <br/>
<a id="pl.23.32"></a><var>23.32</var>rehabilitative mental health services under section 256B.0623. <br/>
<a id="pl.23.33"></a><var>23.33</var>    (c) The commissioner shall increase prepaid medical assistance program capitation <br/>
<a id="pl.23.34"></a><var>23.34</var>rates as appropriate to reflect the rate increases in this section.<br/>
<a id="pl.23.35"></a><var>23.35</var>    (d) In implementing this section, the commissioner shall consider proposing a <br/>
<a id="pl.23.36"></a><var>23.36</var>schedule to equalize rates paid by different programs for the same service.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.24.1"></a><var>24.1</var>    Sec. 2. <b>[256B.0615] MENTAL HEALTH CERTIFIED PEER SPECIALIST.</b><br/>
<a id="pl.24.2"></a><var>24.2</var>    Subdivision 1. <b>Scope.</b> Medical assistance covers mental health certified peers <br/>
<a id="pl.24.3"></a><var>24.3</var>specialists services, as established in subdivision 2, subject to federal approval, if provided <br/>
<a id="pl.24.4"></a><var>24.4</var>to recipients who are eligible for services under sections 256B.0622 and 256B.0623, <br/>
<a id="pl.24.5"></a><var>24.5</var>and are provided by a certified peer specialist who has completed the training under <br/>
<a id="pl.24.6"></a><var>24.6</var>subdivision 5.<br/>
<a id="pl.24.7"></a><var>24.7</var>    Subd. 2. <b>Establishment.</b> The commissioner of human services shall establish a <br/>
<a id="pl.24.8"></a><var>24.8</var>certified peer specialists program model, which:<br/>
<a id="pl.24.9"></a><var>24.9</var>    (1) provides nonclinical peer support counseling by certified peer specialists;<br/>
<a id="pl.24.10"></a><var>24.10</var>    (2) provides a part of a wraparound continuum of services in conjunction with <br/>
<a id="pl.24.11"></a><var>24.11</var>other community mental health services;<br/>
<a id="pl.24.12"></a><var>24.12</var>    (3) is individualized to the consumer; and<br/>
<a id="pl.24.13"></a><var>24.13</var>    (4) promotes socialization, recovery, self-sufficiency, self-advocacy, development of <br/>
<a id="pl.24.14"></a><var>24.14</var>natural supports, and maintenance of skills learned in other support services.<br/>
<a id="pl.24.15"></a><var>24.15</var>    Subd. 3. <b>Eligibility.</b> Peer support services may be made available to consumers <br/>
<a id="pl.24.16"></a><var>24.16</var>of the intensive rehabilitative mental health services under section 256B.0622 and adult <br/>
<a id="pl.24.17"></a><var>24.17</var>rehabilitative mental health services under section 256B.0623.<br/>
<a id="pl.24.18"></a><var>24.18</var>    Subd. 4. <b>Peer support specialist program providers.</b> The commissioner shall <br/>
<a id="pl.24.19"></a><var>24.19</var>develop a process to certify peer support specialist programs, in accordance with the <br/>
<a id="pl.24.20"></a><var>24.20</var>federal guidelines, in order for the program to bill for reimbursable services. Peer support <br/>
<a id="pl.24.21"></a><var>24.21</var>programs may be freestanding or within existing mental health community provider <br/>
<a id="pl.24.22"></a><var>24.22</var>centers.<br/>
<a id="pl.24.23"></a><var>24.23</var>    Subd. 5. <b>Certified peer specialist training and certification.</b> The commissioner <br/>
<a id="pl.24.24"></a><var>24.24</var>of human services shall develop a training and certification process for certified peer <br/>
<a id="pl.24.25"></a><var>24.25</var>specialists who must be at least 21 years of age and have a high school diploma or its <br/>
<a id="pl.24.26"></a><var>24.26</var>equivalent. The candidates must have had a primary diagnosis of mental illness and be a <br/>
<a id="pl.24.27"></a><var>24.27</var>current or former consumer of mental health services, must demonstrate leadership and <br/>
<a id="pl.24.28"></a><var>24.28</var>advocacy skills, and must have a strong dedication to recovery. The training curriculum <br/>
<a id="pl.24.29"></a><var>24.29</var>must teach participating consumers specific skills relevant to providing peer support <br/>
<a id="pl.24.30"></a><var>24.30</var>to other consumers. In addition to initial training and certification, the commissioner <br/>
<a id="pl.24.31"></a><var>24.31</var>shall develop ongoing continuing educational workshops on pertinent issues related to <br/>
<a id="pl.24.32"></a><var>24.32</var>peer support counseling.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.24.33"></a><var>24.33</var>    Sec. 3. Minnesota Statutes 2006, section 256B.0622, subdivision 2, is amended to read:<br/>
<a id="pl.24.34"></a><var>24.34</var>    Subd. 2. <b>Definitions.</b> For purposes of this section, the following terms have the <br/>
<a id="pl.24.35"></a><var>24.35</var>meanings given them.<br/>
<a id="pl.25.1"></a><var>25.1</var>    (a) "Intensive nonresidential rehabilitative mental health services" means adult <br/>
<a id="pl.25.2"></a><var>25.2</var>rehabilitative mental health services as defined in section 
         <statute_ref>256B.0623, subdivision 2</statute_ref>, <br/>
<a id="pl.25.3"></a><var>25.3</var>paragraph (a), except that these services are provided by a multidisciplinary staff using <br/>
<a id="pl.25.4"></a><var>25.4</var>a total team approach consistent with assertive community treatment, the Fairweather <br/>
<a id="pl.25.5"></a><var>25.5</var>Lodge treatment model, as defined by the standards established by the National Coalition <br/>
<a id="pl.25.6"></a><var>25.6</var>for Community Living, and other evidence-based practices, and directed to recipients with <br/>
<a id="pl.25.7"></a><var>25.7</var>a serious mental illness who require intensive services.<br/>
<a id="pl.25.8"></a><var>25.8</var>    (b) "Intensive residential rehabilitative mental health services" means short-term, <br/>
<a id="pl.25.9"></a><var>25.9</var>time-limited services provided in a residential setting to recipients who are in need of <br/>
<a id="pl.25.10"></a><var>25.10</var>more restrictive settings and are at risk of significant functional deterioration if they do <br/>
<a id="pl.25.11"></a><var>25.11</var>not receive these services. Services are designed to develop and enhance psychiatric <br/>
<a id="pl.25.12"></a><var>25.12</var>stability, personal and emotional adjustment, self-sufficiency, and skills to live in a more <br/>
<a id="pl.25.13"></a><var>25.13</var>independent setting. Services must be directed toward a targeted discharge date with <br/>
<a id="pl.25.14"></a><var>25.14</var>specified client outcomes and must be consistent with the Fairweather Lodge treatment <br/>
<a id="pl.25.15"></a><var>25.15</var>model as defined in paragraph (a), and other evidence-based practices.<br/>
<a id="pl.25.16"></a><var>25.16</var>    (c) "Evidence-based practices" are nationally recognized mental health services that <br/>
<a id="pl.25.17"></a><var>25.17</var>are proven by substantial research to be effective in helping individuals with serious <br/>
<a id="pl.25.18"></a><var>25.18</var>mental illness obtain specific treatment goals.<br/>
<a id="pl.25.19"></a><var>25.19</var>    (d) "Overnight staff" means a member of the intensive residential rehabilitative <br/>
<a id="pl.25.20"></a><var>25.20</var>mental health treatment team who is responsible during hours when recipients are <br/>
<a id="pl.25.21"></a><var>25.21</var>typically asleep.<br/>
<a id="pl.25.22"></a><var>25.22</var>    (e) "Treatment team" means all staff who provide services under this section <br/>
<a id="pl.25.23"></a><var>25.23</var>to recipients. At a minimum, this includes the clinical supervisor, mental health <br/>
<a id="pl.25.24"></a><var>25.24</var>professionals, as defined in section 245.462, subdivision 18, clauses (1) to (5); mental <br/>
<a id="pl.25.25"></a><var>25.25</var>health practitioners, and as defined in section 245.462, subdivision 17; mental health <br/>
<a id="pl.25.26"></a><var>25.26</var>rehabilitation workers under section 256B.0623, subdivision 5, clause (3); and certified <br/>
<a id="pl.25.27"></a><var>25.27</var>peer specialists under section 256B.0615.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.25.28"></a><var>25.28</var>    Sec. 4. Minnesota Statutes 2006, section 256B.0623, subdivision 2, is amended to read:<br/>
<a id="pl.25.29"></a><var>25.29</var>    Subd. 2. <b>Definitions.</b> For purposes of this section, the following terms have the <br/>
<a id="pl.25.30"></a><var>25.30</var>meanings given them.<br/>
<a id="pl.25.31"></a><var>25.31</var>    (a) "Adult rehabilitative mental health services" means mental health services which <br/>
<a id="pl.25.32"></a><var>25.32</var>are rehabilitative and enable the recipient to develop and enhance psychiatric stability, <br/>
<a id="pl.25.33"></a><var>25.33</var>social competencies, personal and emotional adjustment, and independent living and <br/>
<a id="pl.25.34"></a><var>25.34</var>community skills, when these abilities are impaired by the symptoms of mental illness. <br/>
<a id="pl.25.35"></a><var>25.35</var>Adult rehabilitative mental health services are also appropriate when provided to enable a <br/>
<a id="pl.26.1"></a><var>26.1</var>recipient to retain stability and functioning, if the recipient would be at risk of significant <br/>
<a id="pl.26.2"></a><var>26.2</var>functional decompensation or more restrictive service settings without these services.<br/>
<a id="pl.26.3"></a><var>26.3</var>    (1) Adult rehabilitative mental health services instruct, assist, and support the <br/>
<a id="pl.26.4"></a><var>26.4</var>recipient in areas such as: interpersonal communication skills, community resource <br/>
<a id="pl.26.5"></a><var>26.5</var>utilization and integration skills, crisis assistance, relapse prevention skills, health care <br/>
<a id="pl.26.6"></a><var>26.6</var>directives, budgeting and shopping skills, healthy lifestyle skills and practices, cooking <br/>
<a id="pl.26.7"></a><var>26.7</var>and nutrition skills, transportation skills, medication education and monitoring, mental <br/>
<a id="pl.26.8"></a><var>26.8</var>illness symptom management skills, household management skills, employment-related <br/>
<a id="pl.26.9"></a><var>26.9</var>skills, and transition to community living services.<br/>
<a id="pl.26.10"></a><var>26.10</var>    (2) These services shall be provided to the recipient on a one-to-one basis in the <br/>
<a id="pl.26.11"></a><var>26.11</var>recipient's home or another community setting or in groups.<br/>
<a id="pl.26.12"></a><var>26.12</var>    (b) "Medication education services" means services provided individually or in <br/>
<a id="pl.26.13"></a><var>26.13</var>groups which focus on educating the recipient about mental illness and symptoms; the role <br/>
<a id="pl.26.14"></a><var>26.14</var>and effects of medications in treating symptoms of mental illness; and the side effects of <br/>
<a id="pl.26.15"></a><var>26.15</var>medications. Medication education is coordinated with medication management services <br/>
<a id="pl.26.16"></a><var>26.16</var>and does not duplicate it. Medication education services are provided by physicians, <br/>
<a id="pl.26.17"></a><var>26.17</var>pharmacists, physician's assistants, or registered nurses.<br/>
<a id="pl.26.18"></a><var>26.18</var>    (c) "Transition to community living services" means services which maintain <br/>
<a id="pl.26.19"></a><var>26.19</var>continuity of contact between the rehabilitation services provider and the recipient and <br/>
<a id="pl.26.20"></a><var>26.20</var>which facilitate discharge from a hospital, residential treatment program under Minnesota <br/>
<a id="pl.26.21"></a><var>26.21</var>Rules, chapter 9505, board and lodging facility, or nursing home. Transition to community <br/>
<a id="pl.26.22"></a><var>26.22</var>living services are not intended to provide other areas of adult rehabilitative mental health <br/>
<a id="pl.26.23"></a><var>26.23</var>services.<br/>
<a id="pl.26.24"></a><var>26.24</var>    (d) "Family psychoeducation" is a multimodal outpatient therapy and rehabilitative <br/>
<a id="pl.26.25"></a><var>26.25</var>service that involves parents, families, and others as resources in the treatment, recovery, <br/>
<a id="pl.26.26"></a><var>26.26</var>and improved functioning of a person with mental illness or emotional disturbance, <br/>
<a id="pl.26.27"></a><var>26.27</var>in which families learn about the illness, family reactions, and types of treatment and <br/>
<a id="pl.26.28"></a><var>26.28</var>supports. Families learn to develop skills to handle problems posed by mental illness <br/>
<a id="pl.26.29"></a><var>26.29</var>including coping, managing stress, ensuring safety, creating social support, identifying <br/>
<a id="pl.26.30"></a><var>26.30</var>resources, and supporting treatment and recovery goals. Services include family <br/>
<a id="pl.26.31"></a><var>26.31</var>counseling, family treatment planning, and family support using cognitive, behavioral, <br/>
<a id="pl.26.32"></a><var>26.32</var>problem-solving, and communication strategies, and may involve individual, family, and <br/>
<a id="pl.26.33"></a><var>26.33</var>group intervention activities for consumers and families together, families only, or brief <br/>
<a id="pl.26.34"></a><var>26.34</var>intermittent consultations at critical times in an episode of care. Eligible providers must <br/>
<a id="pl.26.35"></a><var>26.35</var>be certified to provide both outpatient mental health services and rehabilitative services <br/>
<a id="pl.26.36"></a><var>26.36</var>under this section.<br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.27.1"></a><var>27.1</var>    Sec. 5. Minnesota Statutes 2006, section 256B.0623, subdivision 5, is amended to read:<br/>
<a id="pl.27.2"></a><var>27.2</var>    Subd. 5. <b>Qualifications of provider staff.</b> Adult rehabilitative mental health <br/>
<a id="pl.27.3"></a><var>27.3</var>services must be provided by qualified individual provider staff of a certified provider <br/>
<a id="pl.27.4"></a><var>27.4</var>entity. Individual provider staff must be qualified under one of the following criteria:<br/>
<a id="pl.27.5"></a><var>27.5</var>    (1) a mental health professional as defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, <br/>
<a id="pl.27.6"></a><var>27.6</var>clauses (1) to (5). If the recipient has a current diagnostic assessment by a licensed <br/>
<a id="pl.27.7"></a><var>27.7</var>mental health professional as defined in section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clauses (1) to <br/>
<a id="pl.27.8"></a><var>27.8</var>(5), recommending receipt of adult mental health rehabilitative services, the definition of <br/>
<a id="pl.27.9"></a><var>27.9</var>mental health professional for purposes of this section includes a person who is qualified <br/>
<a id="pl.27.10"></a><var>27.10</var>under section 
         <statute_ref>245.462, subdivision 18</statute_ref>, clause (6), and who holds a current and valid <br/>
<a id="pl.27.11"></a><var>27.11</var>national certification as a certified rehabilitation counselor or certified psychosocial <br/>
<a id="pl.27.12"></a><var>27.12</var>rehabilitation practitioner; <br/>
<a id="pl.27.13"></a><var>27.13</var>    (2) a mental health practitioner as defined in section 
         <statute_ref>245.462, subdivision 17</statute_ref>. The <br/>
<a id="pl.27.14"></a><var>27.14</var>mental health practitioner must work under the clinical supervision of a mental health <br/>
<a id="pl.27.15"></a><var>27.15</var>professional; or <br/>
<a id="pl.27.16"></a><var>27.16</var>    (3) a certified peer specialist under section 256B.0615. The certified peer specialist <br/>
<a id="pl.27.17"></a><var>27.17</var>must work under the clinical supervision of a mental health professional; or<br/>
<a id="pl.27.18"></a><var>27.18</var>    (3) (4) a mental health rehabilitation worker. A mental health rehabilitation worker <br/>
<a id="pl.27.19"></a><var>27.19</var>means a staff person working under the direction of a mental health practitioner or mental <br/>
<a id="pl.27.20"></a><var>27.20</var>health professional and under the clinical supervision of a mental health professional in <br/>
<a id="pl.27.21"></a><var>27.21</var>the implementation of rehabilitative mental health services as identified in the recipient's <br/>
<a id="pl.27.22"></a><var>27.22</var>individual treatment plan who:<br/>
<a id="pl.27.23"></a><var>27.23</var>    (i) is at least 21 years of age;<br/>
<a id="pl.27.24"></a><var>27.24</var>    (ii) has a high school diploma or equivalent;<br/>
<a id="pl.27.25"></a><var>27.25</var>    (iii) has successfully completed 30 hours of training during the past two years in all <br/>
<a id="pl.27.26"></a><var>27.26</var>of the following areas: recipient rights, recipient-centered individual treatment planning, <br/>
<a id="pl.27.27"></a><var>27.27</var>behavioral terminology, mental illness, co-occurring mental illness and substance abuse, <br/>
<a id="pl.27.28"></a><var>27.28</var>psychotropic medications and side effects, functional assessment, local community <br/>
<a id="pl.27.29"></a><var>27.29</var>resources, adult vulnerability, recipient confidentiality; and<br/>
<a id="pl.27.30"></a><var>27.30</var>    (iv) meets the qualifications in subitem (A) or (B):<br/>
<a id="pl.27.31"></a><var>27.31</var>    (A) has an associate of arts degree in one of the behavioral sciences or human <br/>
<a id="pl.27.32"></a><var>27.32</var>services, or is a registered nurse without a bachelor's degree, or who within the previous <br/>
<a id="pl.27.33"></a><var>27.33</var>ten years has:<br/>
<a id="pl.27.34"></a><var>27.34</var>    (1) three years of personal life experience with serious and persistent mental illness;<br/>
<a id="pl.27.35"></a><var>27.35</var>    (2) three years of life experience as a primary caregiver to an adult with a serious <br/>
<a id="pl.27.36"></a><var>27.36</var>mental illness or traumatic brain injury; or<br/>
<a id="pl.28.1"></a><var>28.1</var>    (3) 4,000 hours of supervised paid work experience in the delivery of mental health <br/>
<a id="pl.28.2"></a><var>28.2</var>services to adults with a serious mental illness or traumatic brain injury; or<br/>
<a id="pl.28.3"></a><var>28.3</var>    (B)(1) is fluent in the non-English language or competent in the culture of the <br/>
<a id="pl.28.4"></a><var>28.4</var>ethnic group to which at least 20 percent of the mental health rehabilitation worker's <br/>
<a id="pl.28.5"></a><var>28.5</var>clients belong;<br/>
<a id="pl.28.6"></a><var>28.6</var>    (2) receives during the first 2,000 hours of work, monthly documented individual <br/>
<a id="pl.28.7"></a><var>28.7</var>clinical supervision by a mental health professional;<br/>
<a id="pl.28.8"></a><var>28.8</var>    (3) has 18 hours of documented field supervision by a mental health professional <br/>
<a id="pl.28.9"></a><var>28.9</var>or practitioner during the first 160 hours of contact work with recipients, and at least six <br/>
<a id="pl.28.10"></a><var>28.10</var>hours of field supervision quarterly during the following year;<br/>
<a id="pl.28.11"></a><var>28.11</var>    (4) has review and cosignature of charting of recipient contacts during field <br/>
<a id="pl.28.12"></a><var>28.12</var>supervision by a mental health professional or practitioner; and<br/>
<a id="pl.28.13"></a><var>28.13</var>    (5) has 40 hours of additional continuing education on mental health topics during <br/>
<a id="pl.28.14"></a><var>28.14</var>the first year of employment.<br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.28.15"></a><var>28.15</var>    Sec. 6. Minnesota Statutes 2006, section 256B.0623, subdivision 8, is amended to read:<br/>
<a id="pl.28.16"></a><var>28.16</var>    Subd. 8. <b>Diagnostic assessment.</b> Providers of adult rehabilitative mental <br/>
<a id="pl.28.17"></a><var>28.17</var>health services must complete a diagnostic assessment as defined in section 
         <statute_ref>245.462, <br/>
<a id="pl.28.18"></a><var>28.18</var>subdivision 9
         </statute_ref>, within five days after the recipient's second visit or within 30 days after <br/>
<a id="pl.28.19"></a><var>28.19</var>intake, whichever occurs first. A diagnostic assessment must be reimbursed at the <br/>
<a id="pl.28.20"></a><var>28.20</var>same rate as an assessment under section 256B.0655, subdivision 8. In cases where a <br/>
<a id="pl.28.21"></a><var>28.21</var>diagnostic assessment is available that reflects the recipient's current status, and has been <br/>
<a id="pl.28.22"></a><var>28.22</var>completed within 180 days preceding admission, an update must be completed. An <br/>
<a id="pl.28.23"></a><var>28.23</var>update shall include a written summary by a mental health professional of the recipient's <br/>
<a id="pl.28.24"></a><var>28.24</var>current mental health status and service needs. If the recipient's mental health status <br/>
<a id="pl.28.25"></a><var>28.25</var>has changed significantly since the adult's most recent diagnostic assessment, a new <br/>
<a id="pl.28.26"></a><var>28.26</var>diagnostic assessment is required. For initial implementation of adult rehabilitative mental <br/>
<a id="pl.28.27"></a><var>28.27</var>health services, until June 30, 2005, a diagnostic assessment that reflects the recipient's <br/>
<a id="pl.28.28"></a><var>28.28</var>current status and has been completed within the past three years preceding admission <br/>
<a id="pl.28.29"></a><var>28.29</var>is acceptable. <br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.28.30"></a><var>28.30</var>    Sec. 7. Minnesota Statutes 2006, section 256B.0623, subdivision 12, is amended to <br/>
<a id="pl.28.31"></a><var>28.31</var>read:<br/>
<a id="pl.28.32"></a><var>28.32</var>    Subd. 12. <b>Additional requirements.</b> (a) Providers of adult rehabilitative <br/>
<a id="pl.28.33"></a><var>28.33</var>mental health services must comply with the requirements relating to referrals for case <br/>
<a id="pl.28.34"></a><var>28.34</var>management in section 
         <statute_ref>245.467, subdivision 4</statute_ref>. <br/>
<a id="pl.29.1"></a><var>29.1</var>    (b) Adult rehabilitative mental health services are provided for most recipients <br/>
<a id="pl.29.2"></a><var>29.2</var>in the recipient's home and community. Services may also be provided at the home of <br/>
<a id="pl.29.3"></a><var>29.3</var>a relative or significant other, job site, psychosocial clubhouse, drop-in center, social <br/>
<a id="pl.29.4"></a><var>29.4</var>setting, classroom, or other places in the community. Except for "transition to community <br/>
<a id="pl.29.5"></a><var>29.5</var>services," the place of service does not include a regional treatment center, nursing <br/>
<a id="pl.29.6"></a><var>29.6</var>home, residential treatment facility licensed under Minnesota Rules, parts 9520.0500 to <br/>
<a id="pl.29.7"></a><var>29.7</var>9520.0670 (Rule 36), or an acute care hospital.<br/>
<a id="pl.29.8"></a><var>29.8</var>    (c) Adult rehabilitative mental health services may be provided in group settings if <br/>
<a id="pl.29.9"></a><var>29.9</var>appropriate to each participating recipient's needs and treatment plan. A group is defined <br/>
<a id="pl.29.10"></a><var>29.10</var>as two to ten clients, at least one of whom is a recipient, who is concurrently receiving a <br/>
<a id="pl.29.11"></a><var>29.11</var>service which is identified in this section. The service and group must be specified in the <br/>
<a id="pl.29.12"></a><var>29.12</var>recipient's treatment plan. No more than two qualified staff may bill Medicaid for services <br/>
<a id="pl.29.13"></a><var>29.13</var>provided to the same group of recipients. If two adult rehabilitative mental health workers <br/>
<a id="pl.29.14"></a><var>29.14</var>bill for recipients in the same group session, they must each bill for different recipients.<br/>
<a id="pl.29.15"></a><var>29.15</var>    (d) Subject to federal approval, adult rehabilitative mental health services include <br/>
<a id="pl.29.16"></a><var>29.16</var>family psychoeducation, coordination and care management, and collateral contacts.<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.29.17"></a><var>29.17</var>    Sec. 8. Minnesota Statutes 2006, section 256B.0625, subdivision 38, is amended to <br/>
<a id="pl.29.18"></a><var>29.18</var>read:<br/>
<a id="pl.29.19"></a><var>29.19</var>    Subd. 38. <b>Payments for mental health services.</b> (a) Payments for mental <br/>
<a id="pl.29.20"></a><var>29.20</var>health services covered under the medical assistance program that are provided by <br/>
<a id="pl.29.21"></a><var>29.21</var>masters-prepared mental health professionals shall be 80 percent of the rate paid to <br/>
<a id="pl.29.22"></a><var>29.22</var>doctoral-prepared professionals. Payments for mental health services covered under <br/>
<a id="pl.29.23"></a><var>29.23</var>the medical assistance program that are provided by masters-prepared mental health <br/>
<a id="pl.29.24"></a><var>29.24</var>professionals employed by community mental health centers shall be 100 percent of the <br/>
<a id="pl.29.25"></a><var>29.25</var>rate paid to doctoral-prepared professionals. For purposes of reimbursement of mental <br/>
<a id="pl.29.26"></a><var>29.26</var>health professionals under the medical assistance program, all<br/>
<a id="pl.29.27"></a><var>29.27</var>    (b) Payments for mental health services covered under the medical assistance <br/>
<a id="pl.29.28"></a><var>29.28</var>program that are provided by social workers who:<br/>
<a id="pl.29.29"></a><var>29.29</var>    (1) have received a master's degree in social work from a program accredited by the <br/>
<a id="pl.29.30"></a><var>29.30</var>Council on Social Work Education;<br/>
<a id="pl.29.31"></a><var>29.31</var>    (2) are licensed at the level of graduate social worker or independent social worker; <br/>
<a id="pl.29.32"></a><var>29.32</var>and<br/>
<a id="pl.29.33"></a><var>29.33</var>    (3) are practicing clinical social work under appropriate supervision, as defined by <br/>
<a id="pl.29.34"></a><var>29.34</var>chapter 148D; and<br/>
<a id="pl.30.1"></a><var>30.1</var>    (4) meet all requirements under Minnesota Rules, part 9505.0323, subpart 24, and. <br/>
<a id="pl.30.2"></a><var>30.2</var>Payments under this paragraph  shall be paid accordingly according to Minnesota Rules, <br/>
<a id="pl.30.3"></a><var>30.3</var>part 9505.0323, subpart 24, unless paragraph (c) is applicable.<br/>
<a id="pl.30.4"></a><var>30.4</var>    (c) Payments for mental health services covered under the medical assistance <br/>
<a id="pl.30.5"></a><var>30.5</var>program that are provided by an individual who: <br/>
<a id="pl.30.6"></a><var>30.6</var>    (1) is employed by a community mental health center and who has completed all <br/>
<a id="pl.30.7"></a><var>30.7</var>requirements for licensure or board certification as a mental health professional except for <br/>
<a id="pl.30.8"></a><var>30.8</var>the requirements for supervised experience in the delivery of mental health services; and <br/>
<a id="pl.30.9"></a><var>30.9</var>    (2) who is a student in a bona fide field placement or internship under a program <br/>
<a id="pl.30.10"></a><var>30.10</var>leading to completion of the requirements for licensure as a mental health professional<br/>
<a id="pl.30.11"></a><var>30.11</var>shall be reimbursed at 100 percent of the rate paid to the supervising professional. <br/>
<a id="pl.30.12"></a><var>30.12</var>The individual providing the service under this paragraph must be under the clinical <br/>
<a id="pl.30.13"></a><var>30.13</var>supervision of a fully qualified mental health professional.<br/>
<a id="pl.30.14"></a><var>30.14</var>    (d) Subject to federal approval, medical assistance covers clinical supervision of <br/>
<a id="pl.30.15"></a><var>30.15</var>mental health practitioners by a mental health professional when clinical supervision is <br/>
<a id="pl.30.16"></a><var>30.16</var>required as part of other medical assistance services.<br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.30.17"></a><var>30.17</var>    Sec. 9. Minnesota Statutes 2006, section 256B.0625, subdivision 43, is amended to <br/>
<a id="pl.30.18"></a><var>30.18</var>read:<br/>
<a id="pl.30.19"></a><var>30.19</var>    Subd. 43. <b>Mental health provider travel time.</b> Medical assistance covers provider <br/>
<a id="pl.30.20"></a><var>30.20</var>travel time. The per-minute rate is to be calculated at two times the IRS mileage rate if <br/>
<a id="pl.30.21"></a><var>30.21</var>a recipient's individual treatment plan requires the provision of mental health services <br/>
<a id="pl.30.22"></a><var>30.22</var>outside of the provider's normal place of business. This Reimbursement under this <br/>
<a id="pl.30.23"></a><var>30.23</var>subdivision does not include any travel time which is included in other billable services, <br/>
<a id="pl.30.24"></a><var>30.24</var>and is only covered when the mental health service being provided to a recipient is <br/>
<a id="pl.30.25"></a><var>30.25</var>covered under medical assistance.<br/>
<br/>
<a id="bill.4.10.0"></a><a id="pl.30.26"></a><var>30.26</var>    Sec. 10. Minnesota Statutes 2006, section 256B.0625, subdivision 46, is amended to <br/>
<a id="pl.30.27"></a><var>30.27</var>read:<br/>
<a id="pl.30.28"></a><var>30.28</var>    Subd. 46. <b>Mental health telemedicine.</b> Effective January 1, 2006, and subject to <br/>
<a id="pl.30.29"></a><var>30.29</var>federal approval, mental health services that are otherwise covered by medical assistance <br/>
<a id="pl.30.30"></a><var>30.30</var>as direct face-to-face services may be provided via two-way interactive video. Use of <br/>
<a id="pl.30.31"></a><var>30.31</var>two-way interactive video must be medically appropriate to the condition and needs <br/>
<a id="pl.30.32"></a><var>30.32</var>of the person being served. Reimbursement is at the same rates and under the same <br/>
<a id="pl.30.33"></a><var>30.33</var>conditions that would otherwise apply to the service and shall include payment for the <br/>
<a id="pl.30.34"></a><var>30.34</var>originating facility fee and the cost of broadband connections. The interactive video <br/>
<a id="pl.31.1"></a><var>31.1</var>equipment and connection must comply with Medicare standards in effect at the time <br/>
<a id="pl.31.2"></a><var>31.2</var>the service is provided.<br/>
<br/>
<a id="bill.4.11.0"></a><a id="pl.31.3"></a><var>31.3</var>    Sec. 11. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.31.4"></a><var>31.4</var>subdivision to read:<br/>
<a id="pl.31.5"></a><var>31.5</var>    Subd. 50. <b>Intensive mental health outpatient treatment.</b> (a) Effective January <br/>
<a id="pl.31.6"></a><var>31.6</var>1, 2008, and subject to federal approval, medical assistance covers intensive mental <br/>
<a id="pl.31.7"></a><var>31.7</var>health outpatient treatment.  Intensive mental health outpatient treatment is a multimodal, <br/>
<a id="pl.31.8"></a><var>31.8</var>therapeutic, and rehabilitative service that is provided for at least two hours per day and at <br/>
<a id="pl.31.9"></a><var>31.9</var>least nine to 20 hours per week. The service provides an opportunity to combine existing <br/>
<a id="pl.31.10"></a><var>31.10</var>covered services to deliver the necessary intensity and frequency of services identified <br/>
<a id="pl.31.11"></a><var>31.11</var>in the individual treatment plan. Components of intensive mental health outpatient <br/>
<a id="pl.31.12"></a><var>31.12</var>treatment include, but are not limited to:<br/>
<a id="pl.31.13"></a><var>31.13</var>    (1) individual, family, or multifamily group psychotherapy or psychoeducational <br/>
<a id="pl.31.14"></a><var>31.14</var>services;<br/>
<a id="pl.31.15"></a><var>31.15</var>    (2) adjunctive services such as medical monitoring, family psychoeducation, <br/>
<a id="pl.31.16"></a><var>31.16</var>behavioral parent training, rehabilitative services, medication education, relapse <br/>
<a id="pl.31.17"></a><var>31.17</var>prevention, illness management and recovery services, and care coordination; and<br/>
<a id="pl.31.18"></a><var>31.18</var>    (3) service coordination and referral for medical care or social services.<br/>
<a id="pl.31.19"></a><var>31.19</var>    (b) During transition into or from services, intensive outpatient treatment under <br/>
<a id="pl.31.20"></a><var>31.20</var>paragraph (a) may include time-limited services in multiple settings as clinically <br/>
<a id="pl.31.21"></a><var>31.21</var>necessary. The service must be paid as a per diem based on 90 percent of the rate paid <br/>
<a id="pl.31.22"></a><var>31.22</var>for partial hospitalization. Eligible providers must be licensed or certified to provide <br/>
<a id="pl.31.23"></a><var>31.23</var>all aspects of the service.<br/>
<br/>
<a id="bill.4.12.0"></a><a id="pl.31.24"></a><var>31.24</var>    Sec. 12. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.31.25"></a><var>31.25</var>subdivision to read:<br/>
<a id="pl.31.26"></a><var>31.26</var>    Subd. 51. <b>Care management.</b> Effective January 1, 2008, and subject to <br/>
<a id="pl.31.27"></a><var>31.27</var>federal approval, medical assistance covers up to six hours of service per client per <br/>
<a id="pl.31.28"></a><var>31.28</var>year, without authorization, of coordination and care management as a component of <br/>
<a id="pl.31.29"></a><var>31.29</var>children's therapeutic services and supports, adult rehabilitative mental health services, <br/>
<a id="pl.31.30"></a><var>31.30</var>or community mental health services. These services must be directed by an individual <br/>
<a id="pl.31.31"></a><var>31.31</var>treatment plan and are solely for the purpose of improving continuity and access to <br/>
<a id="pl.31.32"></a><var>31.32</var>appropriate and necessary services.<br/>
<br/>
<a id="bill.4.13.0"></a><a id="pl.32.1"></a><var>32.1</var>    Sec. 13. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.32.2"></a><var>32.2</var>subdivision to read:<br/>
<a id="pl.32.3"></a><var>32.3</var>    Subd. 52. <b>Collateral contacts.</b> Effective January 1, 2008, and subject to federal <br/>
<a id="pl.32.4"></a><var>32.4</var>approval, medical assistance covers up to six hours of service per client per year of <br/>
<a id="pl.32.5"></a><var>32.5</var>collateral contacts as a component of children's therapeutic services and supports, adult <br/>
<a id="pl.32.6"></a><var>32.6</var>rehabilitative mental health services, and community mental health services. These <br/>
<a id="pl.32.7"></a><var>32.7</var>services must be directed by an individual treatment plan, and are solely for the purpose of <br/>
<a id="pl.32.8"></a><var>32.8</var>assisting parents and others toward understanding, accommodating, and better caregiving <br/>
<a id="pl.32.9"></a><var>32.9</var>of the person with mental illness or emotional disturbance.<br/>
<br/>
<a id="bill.4.14.0"></a><a id="pl.32.10"></a><var>32.10</var>    Sec. 14. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.32.11"></a><var>32.11</var>subdivision to read:<br/>
<a id="pl.32.12"></a><var>32.12</var>    Subd. 53. <b>Mental health services; dual eligible clients.</b> Effective for services <br/>
<a id="pl.32.13"></a><var>32.13</var>rendered on or after January 1, 2008, and subject to federal approval, medical assistance <br/>
<a id="pl.32.14"></a><var>32.14</var>payments for community mental health and psychiatry services provided to dual eligible <br/>
<a id="pl.32.15"></a><var>32.15</var>clients shall be paid at the Medicare reimbursement rate or at the medical assistance <br/>
<a id="pl.32.16"></a><var>32.16</var>payment rate in effect on January 1, 2008, whichever is greater.<br/>
<br/>
<a id="bill.4.15.0"></a><a id="pl.32.17"></a><var>32.17</var>    Sec. 15. Minnesota Statutes 2006, section 256B.0943, subdivision 1, is amended to <br/>
<a id="pl.32.18"></a><var>32.18</var>read:<br/>
<a id="pl.32.19"></a><var>32.19</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the following terms have <br/>
<a id="pl.32.20"></a><var>32.20</var>the meanings given them.<br/>
<a id="pl.32.21"></a><var>32.21</var>    (a) "Children's therapeutic services and supports" means the flexible package of <br/>
<a id="pl.32.22"></a><var>32.22</var>mental health services for children who require varying therapeutic and rehabilitative <br/>
<a id="pl.32.23"></a><var>32.23</var>levels of intervention. The services are time-limited interventions that are delivered using <br/>
<a id="pl.32.24"></a><var>32.24</var>various treatment modalities and combinations of services designed to reach treatment <br/>
<a id="pl.32.25"></a><var>32.25</var>outcomes identified in the individual treatment plan.<br/>
<a id="pl.32.26"></a><var>32.26</var>    (b) "Clinical supervision" means the overall responsibility of the mental health <br/>
<a id="pl.32.27"></a><var>32.27</var>professional for the control and direction of individualized treatment planning, service <br/>
<a id="pl.32.28"></a><var>32.28</var>delivery, and treatment review for each client. A mental health professional who is an <br/>
<a id="pl.32.29"></a><var>32.29</var>enrolled Minnesota health care program provider accepts full professional responsibility <br/>
<a id="pl.32.30"></a><var>32.30</var>for a supervisee's actions and decisions, instructs the supervisee in the supervisee's work, <br/>
<a id="pl.32.31"></a><var>32.31</var>and oversees or directs the supervisee's work.<br/>
<a id="pl.32.32"></a><var>32.32</var>    (c) "County board" means the county board of commissioners or board established <br/>
<a id="pl.32.33"></a><var>32.33</var>under sections 
         <statute_ref>402.01</statute_ref> to 
         <statute_ref>402.10</statute_ref> or 
         <statute_ref>471.59</statute_ref>. <br/>
<a id="pl.32.34"></a><var>32.34</var>    (d) "Crisis assistance" has the meaning given in section 
         <statute_ref>245.4871, subdivision 9a</statute_ref>. <br/>
<a id="pl.33.1"></a><var>33.1</var>    (e) "Culturally competent provider" means a provider who understands and can <br/>
<a id="pl.33.2"></a><var>33.2</var>utilize to a client's benefit the client's culture when providing services to the client. A <br/>
<a id="pl.33.3"></a><var>33.3</var>provider may be culturally competent because the provider is of the same cultural or <br/>
<a id="pl.33.4"></a><var>33.4</var>ethnic group as the client or the provider has developed the knowledge and skills through <br/>
<a id="pl.33.5"></a><var>33.5</var>training and experience to provide services to culturally diverse clients.<br/>
<a id="pl.33.6"></a><var>33.6</var>    (f) "Day treatment program" for children means a site-based structured program <br/>
<a id="pl.33.7"></a><var>33.7</var>consisting of group psychotherapy for more than three individuals and other intensive <br/>
<a id="pl.33.8"></a><var>33.8</var>therapeutic services provided by a multidisciplinary team, under the clinical supervision <br/>
<a id="pl.33.9"></a><var>33.9</var>of a mental health professional.<br/>
<a id="pl.33.10"></a><var>33.10</var>    (g) "Diagnostic assessment" has the meaning given in section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.33.11"></a><var>33.11</var>11
         </statute_ref>. <br/>
<a id="pl.33.12"></a><var>33.12</var>    (h) "Direct service time" means the time that a mental health professional, mental <br/>
<a id="pl.33.13"></a><var>33.13</var>health practitioner, or mental health behavioral aide spends face-to-face with a client <br/>
<a id="pl.33.14"></a><var>33.14</var>and the client's family. Direct service time includes time in which the provider obtains <br/>
<a id="pl.33.15"></a><var>33.15</var>a client's history or provides service components of children's therapeutic services and <br/>
<a id="pl.33.16"></a><var>33.16</var>supports. Direct service time does not include time doing work before and after providing <br/>
<a id="pl.33.17"></a><var>33.17</var>direct services, including scheduling, maintaining clinical records, consulting with others <br/>
<a id="pl.33.18"></a><var>33.18</var>about the client's mental health status, preparing reports, receiving clinical supervision <br/>
<a id="pl.33.19"></a><var>33.19</var>directly related to the client's psychotherapy session, and revising the client's individual <br/>
<a id="pl.33.20"></a><var>33.20</var>treatment plan.<br/>
<a id="pl.33.21"></a><var>33.21</var>    (i) "Direction of mental health behavioral aide" means the activities of a mental <br/>
<a id="pl.33.22"></a><var>33.22</var>health professional or mental health practitioner in guiding the mental health behavioral <br/>
<a id="pl.33.23"></a><var>33.23</var>aide in providing services to a client. The direction of a mental health behavioral aide <br/>
<a id="pl.33.24"></a><var>33.24</var>must be based on the client's individualized treatment plan and meet the requirements in <br/>
<a id="pl.33.25"></a><var>33.25</var>subdivision 6, paragraph (b), clause (5).<br/>
<a id="pl.33.26"></a><var>33.26</var>    (j) "Emotional disturbance" has the meaning given in section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.33.27"></a><var>33.27</var>15
         </statute_ref>. For persons at least age 18 but under age 21, mental illness has the meaning given in <br/>
<a id="pl.33.28"></a><var>33.28</var>section 
         <statute_ref>245.462, subdivision 20</statute_ref>, paragraph (a). <br/>
<a id="pl.33.29"></a><var>33.29</var>    (k) "Family psychoeducation" is a multimodal outpatient therapy and rehabilitative <br/>
<a id="pl.33.30"></a><var>33.30</var>service that involves parents, families, and others as resources in the treatment, recovery, <br/>
<a id="pl.33.31"></a><var>33.31</var>and improved functioning of a person with mental illness or emotional disturbance, <br/>
<a id="pl.33.32"></a><var>33.32</var>in which families learn about the illness, family reactions, and types of treatment and <br/>
<a id="pl.33.33"></a><var>33.33</var>supports. Families learn to develop skills to handle problems posed by mental illness <br/>
<a id="pl.33.34"></a><var>33.34</var>including coping, managing stress, ensuring safety, creating social support, identifying <br/>
<a id="pl.33.35"></a><var>33.35</var>resources, and supporting treatment and recovery goals. Services include family <br/>
<a id="pl.33.36"></a><var>33.36</var>counseling, family treatment planning, and family support using cognitive, behavioral, <br/>
<a id="pl.34.1"></a><var>34.1</var>problem-solving, and communication strategies, and may involve individual, family, and <br/>
<a id="pl.34.2"></a><var>34.2</var>group intervention activities for consumers and families together, families only, or brief <br/>
<a id="pl.34.3"></a><var>34.3</var>intermittent consultations at critical times in an episode of care. Eligible providers must <br/>
<a id="pl.34.4"></a><var>34.4</var>be certified to provide both outpatient mental health services and rehabilitative services <br/>
<a id="pl.34.5"></a><var>34.5</var>under section 256B.0943.<br/>
<a id="pl.34.6"></a><var>34.6</var>    (l) "Individual behavioral plan" means a plan of intervention, treatment, and services <br/>
<a id="pl.34.7"></a><var>34.7</var>for a child written by a mental health professional or mental health practitioner, under <br/>
<a id="pl.34.8"></a><var>34.8</var>the clinical supervision of a mental health professional, to guide the work of the mental <br/>
<a id="pl.34.9"></a><var>34.9</var>health behavioral aide.<br/>
<a id="pl.34.10"></a><var>34.10</var>    (l) (m) "Individual treatment plan" has the meaning given in section 
         <statute_ref>245.4871, <br/>
<a id="pl.34.11"></a><var>34.11</var>subdivision 21
         </statute_ref>. <br/>
<a id="pl.34.12"></a><var>34.12</var>    (m) (n) "Mental health professional" means an individual as defined in section <br/>
<statute_ref><a id="pl.34.13"></a><var>34.13</var>245.4871, subdivision 27
         </statute_ref>, clauses (1) to (5), or tribal vendor as defined in section 
         <statute_ref>256B.02, <br/>
<a id="pl.34.14"></a><var>34.14</var>subdivision 7
         </statute_ref>, paragraph (b). <br/>
<a id="pl.34.15"></a><var>34.15</var>    (n) (o) "Preschool program" means a day program licensed under Minnesota Rules, <br/>
<a id="pl.34.16"></a><var>34.16</var>parts 9503.0005 to 9503.0175, and enrolled as a children's therapeutic services and <br/>
<a id="pl.34.17"></a><var>34.17</var>supports provider to provide a structured treatment program to a child who is at least 33 <br/>
<a id="pl.34.18"></a><var>34.18</var>months old but who has not yet attended the first day of kindergarten.<br/>
<a id="pl.34.19"></a><var>34.19</var>    (o) (p) "Skills training" means individual, family, or group training designed to <br/>
<a id="pl.34.20"></a><var>34.20</var>improve the basic functioning of the child with emotional disturbance and the child's <br/>
<a id="pl.34.21"></a><var>34.21</var>family in the activities of daily living and community living, and to improve the social <br/>
<a id="pl.34.22"></a><var>34.22</var>functioning of the child and the child's family in areas important to the child's maintaining <br/>
<a id="pl.34.23"></a><var>34.23</var>or reestablishing residency in the community. Individual, family, and group skills training <br/>
<a id="pl.34.24"></a><var>34.24</var>must:<br/>
<a id="pl.34.25"></a><var>34.25</var>    (1) consist of activities designed to promote skill development of the child and the <br/>
<a id="pl.34.26"></a><var>34.26</var>child's family in the use of age-appropriate daily living skills, interpersonal and family <br/>
<a id="pl.34.27"></a><var>34.27</var>relationships, and leisure and recreational services;<br/>
<a id="pl.34.28"></a><var>34.28</var>    (2) consist of activities that will assist the family's understanding of normal child <br/>
<a id="pl.34.29"></a><var>34.29</var>development and to use parenting skills that will help the child with emotional disturbance <br/>
<a id="pl.34.30"></a><var>34.30</var>achieve the goals outlined in the child's individual treatment plan; and<br/>
<a id="pl.34.31"></a><var>34.31</var>    (3) promote family preservation and unification, promote the family's integration <br/>
<a id="pl.34.32"></a><var>34.32</var>with the community, and reduce the use of unnecessary out-of-home placement or <br/>
<a id="pl.34.33"></a><var>34.33</var>institutionalization of children with emotional disturbance.<br/>
<br/>
<a id="bill.4.16.0"></a><a id="pl.34.34"></a><var>34.34</var>    Sec. 16. Minnesota Statutes 2006, section 256B.0943, subdivision 2, is amended to <br/>
<a id="pl.34.35"></a><var>34.35</var>read:<br/>
<a id="pl.35.1"></a><var>35.1</var>    Subd. 2. <b>Covered service components of children's therapeutic services and </b><br/>
<a id="pl.35.2"></a><var>35.2</var><b>supports.</b> (a) Subject to federal approval, medical assistance covers medically necessary <br/>
<a id="pl.35.3"></a><var>35.3</var>children's therapeutic services and supports as defined in this section that an eligible <br/>
<a id="pl.35.4"></a><var>35.4</var>provider entity under subdivisions 4 and 5 provides to a client eligible under subdivision 3.<br/>
<a id="pl.35.5"></a><var>35.5</var>    (b) The service components of children's therapeutic services and supports are:<br/>
<a id="pl.35.6"></a><var>35.6</var>    (1) individual, family, and group psychotherapy, and family psychoeducation;<br/>
<a id="pl.35.7"></a><var>35.7</var>    (2) individual, family, or group skills training provided by a mental health <br/>
<a id="pl.35.8"></a><var>35.8</var>professional or mental health practitioner;<br/>
<a id="pl.35.9"></a><var>35.9</var>    (3) crisis assistance;<br/>
<a id="pl.35.10"></a><var>35.10</var>    (4) mental health behavioral aide services; and<br/>
<a id="pl.35.11"></a><var>35.11</var>    (5) direction of a mental health behavioral aide;<br/>
<a id="pl.35.12"></a><var>35.12</var>    (6) coordination and care management; and<br/>
<a id="pl.35.13"></a><var>35.13</var>    (7) collateral contacts.<br/>
<a id="pl.35.14"></a><var>35.14</var>    (c) Service components may be combined to constitute therapeutic programs, <br/>
<a id="pl.35.15"></a><var>35.15</var>including day treatment programs and preschool programs. Although day treatment and <br/>
<a id="pl.35.16"></a><var>35.16</var>preschool programs have specific client and provider eligibility requirements, medical <br/>
<a id="pl.35.17"></a><var>35.17</var>assistance only pays for the service components listed in paragraph (b).<br/>
<br/>
<a id="bill.4.17.0"></a><a id="pl.35.18"></a><var>35.18</var>    Sec. 17. Minnesota Statutes 2006, section 256B.0943, is amended by adding a <br/>
<a id="pl.35.19"></a><var>35.19</var>subdivision to read:<br/>
<a id="pl.35.20"></a><var>35.20</var>    Subd. 11a. <b>Reimbursement of diagnostic assessments.</b> A diagnostic assessment <br/>
<a id="pl.35.21"></a><var>35.21</var>under this section must be reimbursed at the same rate as an assessment under section <br/>
<a id="pl.35.22"></a><var>35.22</var>256B.0655, subdivision 8.<br/>
<br/>
<a id="bill.4.18.0"></a><a id="pl.35.23"></a><var>35.23</var>    Sec. 18. Minnesota Statutes 2006, section 256B.69, subdivision 5g, is amended to read:<br/>
<a id="pl.35.24"></a><var>35.24</var>    Subd. 5g. <b>Payment for covered services.</b> For services rendered on or after January <br/>
<a id="pl.35.25"></a><var>35.25</var>1, 2003, the total payment made to managed care plans for providing covered services <br/>
<a id="pl.35.26"></a><var>35.26</var>under the medical assistance and general assistance medical care programs is reduced by <br/>
<a id="pl.35.27"></a><var>35.27</var>.5 percent from their current statutory rates. This provision excludes payments for nursing <br/>
<a id="pl.35.28"></a><var>35.28</var>home services, home and community-based waivers, and payments to demonstration <br/>
<a id="pl.35.29"></a><var>35.29</var>projects for persons with disabilities, and mental health services added as covered benefits <br/>
<a id="pl.35.30"></a><var>35.30</var>after December 31, 2007.<br/>
<br/>
<a id="bill.4.19.0"></a><a id="pl.35.31"></a><var>35.31</var>    Sec. 19. Minnesota Statutes 2006, section 256B.69, subdivision 5h, is amended to read:<br/>
<a id="pl.35.32"></a><var>35.32</var>    Subd. 5h. <b>Payment reduction.</b> In addition to the reduction in subdivision 5g, <br/>
<a id="pl.35.33"></a><var>35.33</var>the total payment made to managed care plans under the medical assistance program is <br/>
<a id="pl.36.1"></a><var>36.1</var>reduced 1.0 percent for services provided on or after October 1, 2003, and an additional <br/>
<a id="pl.36.2"></a><var>36.2</var>1.0 percent for services provided on or after January 1, 2004. This provision excludes <br/>
<a id="pl.36.3"></a><var>36.3</var>payments for nursing home services, home and community-based waivers, and payments <br/>
<a id="pl.36.4"></a><var>36.4</var>to demonstration projects for persons with disabilities, and mental health services added as <br/>
<a id="pl.36.5"></a><var>36.5</var>covered benefits after December 1, 2007.<br/>
<br/>
<a id="bill.4.20.0"></a><a id="pl.36.6"></a><var>36.6</var>    Sec. 20. Minnesota Statutes 2006, section 256B.763, is amended to read:<br/>
<a id="pl.36.7"></a><var>36.7</var><b>256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.</b><br/>
<a id="pl.36.8"></a><var>36.8</var>    (a) For services defined in paragraph (b) and rendered on or after July 1, 2007, <br/>
<a id="pl.36.9"></a><var>36.9</var>payment rates shall be increased by 23.7 percent over the rates in effect on January 1, <br/>
<a id="pl.36.10"></a><var>36.10</var>2006, for:<br/>
<a id="pl.36.11"></a><var>36.11</var>    (1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;<br/>
<a id="pl.36.12"></a><var>36.12</var>    (2) community mental health centers under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 5; and<br/>
<a id="pl.36.13"></a><var>36.13</var>    (3) mental health clinics and centers certified under Minnesota Rules, parts <br/>
<statute_ref><a id="pl.36.14"></a><var>36.14</var>9520.0750
         </statute_ref> to 
         <statute_ref>9520.0870</statute_ref>, or hospital outpatient psychiatric departments that are designated <br/>
<a id="pl.36.15"></a><var>36.15</var>as essential community providers under section 
         <statute_ref>62Q.19</statute_ref>.<br/>
<a id="pl.36.16"></a><var>36.16</var>    (b) This increase applies to group skills training when provided as a component of <br/>
<a id="pl.36.17"></a><var>36.17</var>children's therapeutic services and support, psychotherapy, medication management, <br/>
<a id="pl.36.18"></a><var>36.18</var>evaluation and management, diagnostic assessment, explanation of findings, psychological <br/>
<a id="pl.36.19"></a><var>36.19</var>testing, neuropsychological services, direction of behavioral aides, and inpatient <br/>
<a id="pl.36.20"></a><var>36.20</var>consultation.<br/>
<a id="pl.36.21"></a><var>36.21</var>    (c) This increase does not apply to rates that are governed by section 
         <statute_ref>256B.0625</statute_ref>, <br/>
<a id="pl.36.22"></a><var>36.22</var>subdivision 30, or 
         <statute_ref>256B.761</statute_ref>, paragraph (b), other cost-based rates, rates that are <br/>
<a id="pl.36.23"></a><var>36.23</var>negotiated with the county, rates that are established by the federal government, or rates <br/>
<a id="pl.36.24"></a><var>36.24</var>that increased between January 1, 2004, and January 1, 2005.<br/>
<a id="pl.36.25"></a><var>36.25</var>    (d) Effective January 1, 2008, this increase applies to providers of individual and <br/>
<a id="pl.36.26"></a><var>36.26</var>group skills training, individual and group psychotherapy, diagnostic assessments, travel, <br/>
<a id="pl.36.27"></a><var>36.27</var>and other services when provided as a component of children's therapeutic services and <br/>
<a id="pl.36.28"></a><var>36.28</var>support.<br/>
<a id="pl.36.29"></a><var>36.29</var>    (e) Effective January 1, 2008, payment rates for all services not included in <br/>
<a id="pl.36.30"></a><var>36.30</var>paragraph (b) shall increase by 23.7 percent over rates in effect on January 1, 2006, for all <br/>
<a id="pl.36.31"></a><var>36.31</var>services provided by community mental health centers under 256B.0625, subdivision 5.<br/>
<a id="pl.36.32"></a><var>36.32</var>    (f) The commissioner shall adjust rates paid to prepaid health plans under contract <br/>
<a id="pl.36.33"></a><var>36.33</var>with the commissioner to reflect the rate increases provided in paragraph paragraphs (a), <br/>
<a id="pl.36.34"></a><var>36.34</var>(d), and (e). The prepaid health plan must pass this rate increase to the providers identified <br/>
<a id="pl.36.35"></a><var>36.35</var>in paragraph paragraphs (a), (d), and (e).<br/>
<br/>
<a id="bill.4.21.0"></a><a id="pl.37.1"></a><var>37.1</var>    Sec. 21. Minnesota Statutes 2006, section 256D.03, subdivision 4, is amended to read:<br/>
<a id="pl.37.2"></a><var>37.2</var>    Subd. 4. <b>General assistance medical care; services.</b> (a)(i) For a person who is <br/>
<a id="pl.37.3"></a><var>37.3</var>eligible under subdivision 3, paragraph (a), clause (2), item (i), general assistance medical <br/>
<a id="pl.37.4"></a><var>37.4</var>care covers, except as provided in paragraph (c):<br/>
<a id="pl.37.5"></a><var>37.5</var>    (1) inpatient hospital services;<br/>
<a id="pl.37.6"></a><var>37.6</var>    (2) outpatient hospital services;<br/>
<a id="pl.37.7"></a><var>37.7</var>    (3) services provided by Medicare certified rehabilitation agencies;<br/>
<a id="pl.37.8"></a><var>37.8</var>    (4) prescription drugs and other products recommended through the process <br/>
<a id="pl.37.9"></a><var>37.9</var>established in section 
         <statute_ref>256B.0625, subdivision 13</statute_ref>;<br/>
<a id="pl.37.10"></a><var>37.10</var>    (5) equipment necessary to administer insulin and diagnostic supplies and equipment <br/>
<a id="pl.37.11"></a><var>37.11</var>for diabetics to monitor blood sugar level;<br/>
<a id="pl.37.12"></a><var>37.12</var>    (6) eyeglasses and eye examinations provided by a physician or optometrist;<br/>
<a id="pl.37.13"></a><var>37.13</var>    (7) hearing aids;<br/>
<a id="pl.37.14"></a><var>37.14</var>    (8) prosthetic devices;<br/>
<a id="pl.37.15"></a><var>37.15</var>    (9) laboratory and X-ray services;<br/>
<a id="pl.37.16"></a><var>37.16</var>    (10) physician's services;<br/>
<a id="pl.37.17"></a><var>37.17</var>    (11) medical transportation except special transportation;<br/>
<a id="pl.37.18"></a><var>37.18</var>    (12) chiropractic services as covered under the medical assistance program;<br/>
<a id="pl.37.19"></a><var>37.19</var>    (13) podiatric services;<br/>
<a id="pl.37.20"></a><var>37.20</var>    (14) dental services as covered under the medical assistance program;<br/>
<a id="pl.37.21"></a><var>37.21</var>    (15) outpatient services provided by a mental health center or clinic that is under <br/>
<a id="pl.37.22"></a><var>37.22</var>contract with the county board and is established under section 
<statute_ref>245.62</statute_ref> mental health <br/>
<a id="pl.37.23"></a><var>37.23</var>services covered under chapter 256B;<br/>
<a id="pl.37.24"></a><var>37.24</var>    (16) day treatment services for mental illness provided under contract with the <br/>
<a id="pl.37.25"></a><var>37.25</var>county board;<br/>
<a id="pl.37.26"></a><var>37.26</var>    (17) prescribed medications for persons who have been diagnosed as mentally ill as <br/>
<a id="pl.37.27"></a><var>37.27</var>necessary to prevent more restrictive institutionalization;<br/>
<a id="pl.37.28"></a><var>37.28</var>    (18) psychological services, (17) medical supplies and equipment, and Medicare <br/>
<a id="pl.37.29"></a><var>37.29</var>premiums, coinsurance and deductible payments;<br/>
<a id="pl.37.30"></a><var>37.30</var>    (19) (18) medical equipment not specifically listed in this paragraph when the use <br/>
<a id="pl.37.31"></a><var>37.31</var>of the equipment will prevent the need for costlier services that are reimbursable under <br/>
<a id="pl.37.32"></a><var>37.32</var>this subdivision;<br/>
<a id="pl.37.33"></a><var>37.33</var>    (20) (19) services performed by a certified pediatric nurse practitioner, a <br/>
<a id="pl.37.34"></a><var>37.34</var>certified family nurse practitioner, a certified adult nurse practitioner, a certified <br/>
<a id="pl.37.35"></a><var>37.35</var>obstetric/gynecological nurse practitioner, a certified neonatal nurse practitioner, or a <br/>
<a id="pl.37.36"></a><var>37.36</var>certified geriatric nurse practitioner in independent practice, if (1) the service is otherwise <br/>
<a id="pl.38.1"></a><var>38.1</var>covered under this chapter as a physician service, (2) the service provided on an inpatient <br/>
<a id="pl.38.2"></a><var>38.2</var>basis is not included as part of the cost for inpatient services included in the operating <br/>
<a id="pl.38.3"></a><var>38.3</var>payment rate, and (3) the service is within the scope of practice of the nurse practitioner's <br/>
<a id="pl.38.4"></a><var>38.4</var>license as a registered nurse, as defined in section 
         <statute_ref>148.171</statute_ref>;<br/>
<a id="pl.38.5"></a><var>38.5</var>    (21) (20) services of a certified public health nurse or a registered nurse practicing <br/>
<a id="pl.38.6"></a><var>38.6</var>in a public health nursing clinic that is a department of, or that operates under the direct <br/>
<a id="pl.38.7"></a><var>38.7</var>authority of, a unit of government, if the service is within the scope of practice of the <br/>
<a id="pl.38.8"></a><var>38.8</var>public health nurse's license as a registered nurse, as defined in section 
         <statute_ref>148.171</statute_ref>;<br/>
<a id="pl.38.9"></a><var>38.9</var>    (22) (21) telemedicine consultations, to the extent they are covered under section <br/>
<statute_ref><a id="pl.38.10"></a><var>38.10</var>256B.0625, subdivision 3b
         </statute_ref>; and<br/>
<a id="pl.38.11"></a><var>38.11</var>    (23) mental health telemedicine and psychiatric consultation as covered under <br/>
<a id="pl.38.12"></a><var>38.12</var>section 
<statute_ref>256B.0625, subdivisions 46 and 48<br/>
</statute_ref><a id="pl.38.13"></a><var>38.13</var>    (22) up to six hours of service per client per year, without authorization, of <br/>
<a id="pl.38.14"></a><var>38.14</var>consultation and care coordination as directed by an individual treatment plan, and as a <br/>
<a id="pl.38.15"></a><var>38.15</var>component of children's therapeutic services and supports, adult rehabilitative mental <br/>
<a id="pl.38.16"></a><var>38.16</var>health services, or community mental health services; and<br/>
<a id="pl.38.17"></a><var>38.17</var>    (23) up to six hours of service per client per year for collateral contacts as a <br/>
<a id="pl.38.18"></a><var>38.18</var>component of children's therapeutic services and supports, adult rehabilitative mental <br/>
<a id="pl.38.19"></a><var>38.19</var>health services, or community mental health services. These services must be directed <br/>
<a id="pl.38.20"></a><var>38.20</var>by an individual treatment plan and are solely for the purpose of assisting parents and <br/>
<a id="pl.38.21"></a><var>38.21</var>others toward understanding, accommodating, and better caregiving of the person with <br/>
<a id="pl.38.22"></a><var>38.22</var>mental illness or emotional disturbance.<br/>
<a id="pl.38.23"></a><var>38.23</var>    (ii) Effective October 1, 2003, for a person who is eligible under subdivision 3, <br/>
<a id="pl.38.24"></a><var>38.24</var>paragraph (a), clause (2), item (ii), general assistance medical care coverage is limited <br/>
<a id="pl.38.25"></a><var>38.25</var>to inpatient hospital services, including physician services provided during the inpatient <br/>
<a id="pl.38.26"></a><var>38.26</var>hospital stay. A $1,000 deductible is required for each inpatient hospitalization.<br/>
<a id="pl.38.27"></a><var>38.27</var>    (b) Effective August 1, 2005, sex reassignment surgery is not covered under this <br/>
<a id="pl.38.28"></a><var>38.28</var>subdivision.<br/>
<a id="pl.38.29"></a><var>38.29</var>    (c) In order to contain costs, the commissioner of human services shall select <br/>
<a id="pl.38.30"></a><var>38.30</var>vendors of medical care who can provide the most economical care consistent with high <br/>
<a id="pl.38.31"></a><var>38.31</var>medical standards and shall where possible contract with organizations on a prepaid <br/>
<a id="pl.38.32"></a><var>38.32</var>capitation basis to provide these services. The commissioner shall consider proposals by <br/>
<a id="pl.38.33"></a><var>38.33</var>counties and vendors for prepaid health plans, competitive bidding programs, block grants, <br/>
<a id="pl.38.34"></a><var>38.34</var>or other vendor payment mechanisms designed to provide services in an economical <br/>
<a id="pl.38.35"></a><var>38.35</var>manner or to control utilization, with safeguards to ensure that necessary services are <br/>
<a id="pl.38.36"></a><var>38.36</var>provided. Before implementing prepaid programs in counties with a county operated or <br/>
<a id="pl.39.1"></a><var>39.1</var>affiliated public teaching hospital or a hospital or clinic operated by the University of <br/>
<a id="pl.39.2"></a><var>39.2</var>Minnesota, the commissioner shall consider the risks the prepaid program creates for the <br/>
<a id="pl.39.3"></a><var>39.3</var>hospital and allow the county or hospital the opportunity to participate in the program in a <br/>
<a id="pl.39.4"></a><var>39.4</var>manner that reflects the risk of adverse selection and the nature of the patients served by <br/>
<a id="pl.39.5"></a><var>39.5</var>the hospital, provided the terms of participation in the program are competitive with the <br/>
<a id="pl.39.6"></a><var>39.6</var>terms of other participants considering the nature of the population served. Payment for <br/>
<a id="pl.39.7"></a><var>39.7</var>services provided pursuant to this subdivision shall be as provided to medical assistance <br/>
<a id="pl.39.8"></a><var>39.8</var>vendors of these services under sections 
         <statute_ref>256B.02, subdivision 8</statute_ref>, and 
         <statute_ref>256B.0625</statute_ref>. For <br/>
<a id="pl.39.9"></a><var>39.9</var>payments made during fiscal year 1990 and later years, the commissioner shall consult <br/>
<a id="pl.39.10"></a><var>39.10</var>with an independent actuary in establishing prepayment rates, but shall retain final control <br/>
<a id="pl.39.11"></a><var>39.11</var>over the rate methodology.<br/>
<a id="pl.39.12"></a><var>39.12</var>    (d) Recipients eligible under subdivision 3, paragraph (a), shall pay the following <br/>
<a id="pl.39.13"></a><var>39.13</var>co-payments for services provided on or after October 1, 2003:<br/>
<a id="pl.39.14"></a><var>39.14</var>    (1) $25 for eyeglasses;<br/>
<a id="pl.39.15"></a><var>39.15</var>    (2) $25 for nonemergency visits to a hospital-based emergency room;<br/>
<a id="pl.39.16"></a><var>39.16</var>    (3) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.39.17"></a><var>39.17</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.39.18"></a><var>39.18</var>shall apply to antipsychotic drugs when used for the treatment of mental illness; and<br/>
<a id="pl.39.19"></a><var>39.19</var>    (4) 50 percent coinsurance on restorative dental services.<br/>
<a id="pl.39.20"></a><var>39.20</var>    (e) Co-payments shall be limited to one per day per provider for nonpreventive visits, <br/>
<a id="pl.39.21"></a><var>39.21</var>eyeglasses, and nonemergency visits to a hospital-based emergency room. Recipients of <br/>
<a id="pl.39.22"></a><var>39.22</var>general assistance medical care are responsible for all co-payments in this subdivision. <br/>
<a id="pl.39.23"></a><var>39.23</var>The general assistance medical care reimbursement to the provider shall be reduced by <br/>
<a id="pl.39.24"></a><var>39.24</var>the amount of the co-payment, except that reimbursement for prescription drugs shall not <br/>
<a id="pl.39.25"></a><var>39.25</var>be reduced once a recipient has reached the $12 per month maximum for prescription <br/>
<a id="pl.39.26"></a><var>39.26</var>drug co-payments. The provider collects the co-payment from the recipient. Providers <br/>
<a id="pl.39.27"></a><var>39.27</var>may not deny services to recipients who are unable to pay the co-payment, except as <br/>
<a id="pl.39.28"></a><var>39.28</var>provided in paragraph (f).<br/>
<a id="pl.39.29"></a><var>39.29</var>    (f) If it is the routine business practice of a provider to refuse service to an individual <br/>
<a id="pl.39.30"></a><var>39.30</var>with uncollected debt, the provider may include uncollected co-payments under this <br/>
<a id="pl.39.31"></a><var>39.31</var>section. A provider must give advance notice to a recipient with uncollected debt before <br/>
<a id="pl.39.32"></a><var>39.32</var>services can be denied.<br/>
<a id="pl.39.33"></a><var>39.33</var>    (g) Any county may, from its own resources, provide medical payments for which <br/>
<a id="pl.39.34"></a><var>39.34</var>state payments are not made.<br/>
<a id="pl.39.35"></a><var>39.35</var>    (h) Chemical dependency services that are reimbursed under chapter 254B must not <br/>
<a id="pl.39.36"></a><var>39.36</var>be reimbursed under general assistance medical care.<br/>
<a id="pl.40.1"></a><var>40.1</var>    (i) The maximum payment for new vendors enrolled in the general assistance <br/>
<a id="pl.40.2"></a><var>40.2</var>medical care program after the base year shall be determined from the average usual and <br/>
<a id="pl.40.3"></a><var>40.3</var>customary charge of the same vendor type enrolled in the base year.<br/>
<a id="pl.40.4"></a><var>40.4</var>    (j) The conditions of payment for services under this subdivision are the same as the <br/>
<a id="pl.40.5"></a><var>40.5</var>conditions specified in rules adopted under chapter 256B governing the medical assistance <br/>
<a id="pl.40.6"></a><var>40.6</var>program, unless otherwise provided by statute or rule.<br/>
<a id="pl.40.7"></a><var>40.7</var>    (k) Inpatient and outpatient payments shall be reduced by five percent, effective July <br/>
<a id="pl.40.8"></a><var>40.8</var>1, 2003. This reduction is in addition to the five percent reduction effective July 1, 2003, <br/>
<a id="pl.40.9"></a><var>40.9</var>and incorporated by reference in paragraph (i).<br/>
<a id="pl.40.10"></a><var>40.10</var>    (l) Payments for all other health services except inpatient, outpatient, and pharmacy <br/>
<a id="pl.40.11"></a><var>40.11</var>services shall be reduced by five percent, effective July 1, 2003.<br/>
<a id="pl.40.12"></a><var>40.12</var>    (m) Payments to managed care plans shall be reduced by five percent for services <br/>
<a id="pl.40.13"></a><var>40.13</var>provided on or after October 1, 2003.<br/>
<a id="pl.40.14"></a><var>40.14</var>    (n) A hospital receiving a reduced payment as a result of this section may apply the <br/>
<a id="pl.40.15"></a><var>40.15</var>unpaid balance toward satisfaction of the hospital's bad debts.<br/>
<a id="pl.40.16"></a><var>40.16</var>    (o) Fee-for-service payments for nonpreventive visits shall be reduced by $3 <br/>
<a id="pl.40.17"></a><var>40.17</var>for services provided on or after January 1, 2006. For purposes of this subdivision, a <br/>
<a id="pl.40.18"></a><var>40.18</var>visit means an episode of service which is required because of a recipient's symptoms, <br/>
<a id="pl.40.19"></a><var>40.19</var>diagnosis, or established illness, and which is delivered in an ambulatory setting by <br/>
<a id="pl.40.20"></a><var>40.20</var>a physician or physician ancillary, chiropractor, podiatrist, advance practice nurse, <br/>
<a id="pl.40.21"></a><var>40.21</var>audiologist, optician, or optometrist.<br/>
<a id="pl.40.22"></a><var>40.22</var>    (p) Payments to managed care plans shall not be increased as a result of the removal <br/>
<a id="pl.40.23"></a><var>40.23</var>of the $3 nonpreventive visit co-payment effective January 1, 2006.<br/>
<a id="pl.40.24"></a><var>40.24</var>    (q) Payments for mental health services added as covered benefits after December 1, <br/>
<a id="pl.40.25"></a><var>40.25</var>2007, are not subject to the reductions in paragraphs (i), (k), (l), and (m).<br/>
<br/>
<a id="bill.4.22.0"></a><a id="pl.40.26"></a><var>40.26</var>    Sec. 22. Minnesota Statutes 2006, section 256D.44, subdivision 5, is amended to read:<br/>
<a id="pl.40.27"></a><var>40.27</var>    Subd. 5. <b>Special needs.</b> In addition to the state standards of assistance established in <br/>
<a id="pl.40.28"></a><var>40.28</var>subdivisions 1 to 4, payments are allowed for the following special needs of recipients of <br/>
<a id="pl.40.29"></a><var>40.29</var>Minnesota supplemental aid who are not residents of a nursing home, a regional treatment <br/>
<a id="pl.40.30"></a><var>40.30</var>center, or a group residential housing facility.<br/>
<a id="pl.40.31"></a><var>40.31</var>    (a) The county agency shall pay a monthly allowance for medically prescribed <br/>
<a id="pl.40.32"></a><var>40.32</var>diets if the cost of those additional dietary needs cannot be met through some other <br/>
<a id="pl.40.33"></a><var>40.33</var>maintenance benefit. The need for special diets or dietary items must be prescribed by <br/>
<a id="pl.40.34"></a><var>40.34</var>a licensed physician. Costs for special diets shall be determined as percentages of the <br/>
<a id="pl.40.35"></a><var>40.35</var>allotment for a one-person household under the thrifty food plan as defined by the United <br/>
<a id="pl.41.1"></a><var>41.1</var>States Department of Agriculture. The types of diets and the percentages of the thrifty <br/>
<a id="pl.41.2"></a><var>41.2</var>food plan that are covered are as follows:<br/>
<a id="pl.41.3"></a><var>41.3</var>    (1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;<br/>
<a id="pl.41.4"></a><var>41.4</var>    (2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent <br/>
<a id="pl.41.5"></a><var>41.5</var>of thrifty food plan;<br/>
<a id="pl.41.6"></a><var>41.6</var>    (3) controlled protein diet, less than 40 grams and requires special products, 125 <br/>
<a id="pl.41.7"></a><var>41.7</var>percent of thrifty food plan;<br/>
<a id="pl.41.8"></a><var>41.8</var>    (4) low cholesterol diet, 25 percent of thrifty food plan;<br/>
<a id="pl.41.9"></a><var>41.9</var>    (5) high residue diet, 20 percent of thrifty food plan;<br/>
<a id="pl.41.10"></a><var>41.10</var>    (6) pregnancy and lactation diet, 35 percent of thrifty food plan;<br/>
<a id="pl.41.11"></a><var>41.11</var>    (7) gluten-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.41.12"></a><var>41.12</var>    (8) lactose-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.41.13"></a><var>41.13</var>    (9) antidumping diet, 15 percent of thrifty food plan;<br/>
<a id="pl.41.14"></a><var>41.14</var>    (10) hypoglycemic diet, 15 percent of thrifty food plan; or<br/>
<a id="pl.41.15"></a><var>41.15</var>    (11) ketogenic diet, 25 percent of thrifty food plan.<br/>
<a id="pl.41.16"></a><var>41.16</var>    (b) Payment for nonrecurring special needs must be allowed for necessary home <br/>
<a id="pl.41.17"></a><var>41.17</var>repairs or necessary repairs or replacement of household furniture and appliances using <br/>
<a id="pl.41.18"></a><var>41.18</var>the payment standard of the AFDC program in effect on July 16, 1996, for these expenses, <br/>
<a id="pl.41.19"></a><var>41.19</var>as long as other funding sources are not available.<br/>
<a id="pl.41.20"></a><var>41.20</var>    (c) A fee for guardian or conservator service is allowed at a reasonable rate <br/>
<a id="pl.41.21"></a><var>41.21</var>negotiated by the county or approved by the court. This rate shall not exceed five percent <br/>
<a id="pl.41.22"></a><var>41.22</var>of the assistance unit's gross monthly income up to a maximum of $100 per month. If the <br/>
<a id="pl.41.23"></a><var>41.23</var>guardian or conservator is a member of the county agency staff, no fee is allowed.<br/>
<a id="pl.41.24"></a><var>41.24</var>    (d) The county agency shall continue to pay a monthly allowance of $68 for <br/>
<a id="pl.41.25"></a><var>41.25</var>restaurant meals for a person who was receiving a restaurant meal allowance on June 1, <br/>
<a id="pl.41.26"></a><var>41.26</var>1990, and who eats two or more meals in a restaurant daily. The allowance must continue <br/>
<a id="pl.41.27"></a><var>41.27</var>until the person has not received Minnesota supplemental aid for one full calendar month <br/>
<a id="pl.41.28"></a><var>41.28</var>or until the person's living arrangement changes and the person no longer meets the criteria <br/>
<a id="pl.41.29"></a><var>41.29</var>for the restaurant meal allowance, whichever occurs first.<br/>
<a id="pl.41.30"></a><var>41.30</var>    (e) A fee of ten percent of the recipient's gross income or $25, whichever is less, <br/>
<a id="pl.41.31"></a><var>41.31</var>is allowed for representative payee services provided by an agency that meets the <br/>
<a id="pl.41.32"></a><var>41.32</var>requirements under SSI regulations to charge a fee for representative payee services. This <br/>
<a id="pl.41.33"></a><var>41.33</var>special need is available to all recipients of Minnesota supplemental aid regardless of <br/>
<a id="pl.41.34"></a><var>41.34</var>their living arrangement.<br/>
<a id="pl.41.35"></a><var>41.35</var>    (f) Notwithstanding the language in this subdivision, an amount equal to the <br/>
<a id="pl.41.36"></a><var>41.36</var>maximum allotment authorized by the federal Food Stamp Program for a single individual <br/>
<a id="pl.42.1"></a><var>42.1</var>which is in effect on the first day of January July of the previous current state fiscal <br/>
<a id="pl.42.2"></a><var>42.2</var>year will be added to the standards of assistance established in subdivisions 1 to 4 for <br/>
<a id="pl.42.3"></a><var>42.3</var>individuals under the age of 65 who are relocating from an institution, or an adult mental <br/>
<a id="pl.42.4"></a><var>42.4</var>health residential treatment program under section 
         <statute_ref>256B.0622</statute_ref>, or an adult eligible for the <br/>
<a id="pl.42.5"></a><var>42.5</var>community alternatives for disabled individuals waiver, and who are shelter needy. An <br/>
<a id="pl.42.6"></a><var>42.6</var>eligible individual who receives this benefit prior to age 65 may continue to receive the <br/>
<a id="pl.42.7"></a><var>42.7</var>benefit after the age of 65.<br/>
<a id="pl.42.8"></a><var>42.8</var>    "Shelter needy" means that the assistance unit incurs monthly shelter costs that <br/>
<a id="pl.42.9"></a><var>42.9</var>exceed 40 percent of the assistance unit's gross income before the application of this <br/>
<a id="pl.42.10"></a><var>42.10</var>special needs standard. "Gross income" for the purposes of this section is the applicant's or <br/>
<a id="pl.42.11"></a><var>42.11</var>recipient's income as defined in section 
         <statute_ref>256D.35, subdivision 10</statute_ref>, or the standard specified <br/>
<a id="pl.42.12"></a><var>42.12</var>in subdivision 3, whichever is greater. A recipient of a federal or state housing subsidy, <br/>
<a id="pl.42.13"></a><var>42.13</var>that limits shelter costs to a percentage of gross income, shall not be considered shelter <br/>
<a id="pl.42.14"></a><var>42.14</var>needy for purposes of this paragraph.<br/>
<br/>
<a id="bill.4.23.0"></a><a id="pl.42.15"></a><var>42.15</var>    Sec. 23. Minnesota Statutes 2006, section 256L.03, subdivision 1, is amended to read:<br/>
<a id="pl.42.16"></a><var>42.16</var>    Subdivision 1. <b>Covered health services.</b> For individuals under section 
         <statute_ref>256L.04, <br/>
<a id="pl.42.17"></a><var>42.17</var>subdivision 7
         </statute_ref>, with income no greater than 75 percent of the federal poverty guidelines <br/>
<a id="pl.42.18"></a><var>42.18</var>or for families with children under section 
         <statute_ref>256L.04, subdivision 1</statute_ref>, all subdivisions of <br/>
<a id="pl.42.19"></a><var>42.19</var>this section apply. "Covered health services" means the health services reimbursed <br/>
<a id="pl.42.20"></a><var>42.20</var>under chapter 256B, with the exception of inpatient hospital services, special education <br/>
<a id="pl.42.21"></a><var>42.21</var>services, private duty nursing services, adult dental care services other than services <br/>
<a id="pl.42.22"></a><var>42.22</var>covered under section 
         <statute_ref>256B.0625, subdivision 9</statute_ref>, orthodontic services, nonemergency <br/>
<a id="pl.42.23"></a><var>42.23</var>medical transportation services, personal care assistant and case management services, <br/>
<a id="pl.42.24"></a><var>42.24</var>nursing home or intermediate care facilities services, inpatient mental health services, <br/>
<a id="pl.42.25"></a><var>42.25</var>and chemical dependency services. Outpatient mental health services covered under the <br/>
<a id="pl.42.26"></a><var>42.26</var>MinnesotaCare program are limited to diagnostic assessments, psychological testing, <br/>
<a id="pl.42.27"></a><var>42.27</var>explanation of findings, mental health telemedicine, psychiatric consultation, medication <br/>
<a id="pl.42.28"></a><var>42.28</var>management by a physician, day treatment, partial hospitalization, and individual, family, <br/>
<a id="pl.42.29"></a><var>42.29</var>and group psychotherapy.<br/>
<a id="pl.42.30"></a><var>42.30</var>    No public funds shall be used for coverage of abortion under MinnesotaCare <br/>
<a id="pl.42.31"></a><var>42.31</var>except where the life of the female would be endangered or substantial and irreversible <br/>
<a id="pl.42.32"></a><var>42.32</var>impairment of a major bodily function would result if the fetus were carried to term; or <br/>
<a id="pl.42.33"></a><var>42.33</var>where the pregnancy is the result of rape or incest.<br/>
<a id="pl.42.34"></a><var>42.34</var>    Covered health services shall be expanded as provided in this section.<br/>
<br/>
<a id="bill.4.24.0"></a><a id="pl.43.1"></a><var>43.1</var>    Sec. 24. Minnesota Statutes 2006, section 256L.03, subdivision 5, is amended to read:<br/>
<a id="pl.43.2"></a><var>43.2</var>    Subd. 5. <b>Co-payments and coinsurance.</b> (a) Except as provided in paragraphs (b) <br/>
<a id="pl.43.3"></a><var>43.3</var>and (c), the MinnesotaCare benefit plan shall include the following co-payments and <br/>
<a id="pl.43.4"></a><var>43.4</var>coinsurance requirements for all enrollees:<br/>
<a id="pl.43.5"></a><var>43.5</var>    (1) ten percent of the paid charges for inpatient hospital services for adult enrollees, <br/>
<a id="pl.43.6"></a><var>43.6</var>subject to an annual inpatient out-of-pocket maximum of $1,000 per individual and <br/>
<a id="pl.43.7"></a><var>43.7</var>$3,000 per family;<br/>
<a id="pl.43.8"></a><var>43.8</var>    (2) $3 per prescription for adult enrollees;<br/>
<a id="pl.43.9"></a><var>43.9</var>    (3) $25 for eyeglasses for adult enrollees;<br/>
<a id="pl.43.10"></a><var>43.10</var>    (4) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means an <br/>
<a id="pl.43.11"></a><var>43.11</var>episode of service which is required because of a recipient's symptoms, diagnosis, or <br/>
<a id="pl.43.12"></a><var>43.12</var>established illness, and which is delivered in an ambulatory setting by a physician or <br/>
<a id="pl.43.13"></a><var>43.13</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse, <br/>
<a id="pl.43.14"></a><var>43.14</var>audiologist, optician, or optometrist; and<br/>
<a id="pl.43.15"></a><var>43.15</var>    (5) $6 for nonemergency visits to a hospital-based emergency room.<br/>
<a id="pl.43.16"></a><var>43.16</var>    (b) Paragraph (a), clause (1), does not apply to parents and relative caretakers of <br/>
<a id="pl.43.17"></a><var>43.17</var>children under the age of 21 in households with family income equal to or less than 175 <br/>
<a id="pl.43.18"></a><var>43.18</var>percent of the federal poverty guidelines. Paragraph (a), clause (1), does not apply to <br/>
<a id="pl.43.19"></a><var>43.19</var>parents and relative caretakers of children under the age of 21 in households with family <br/>
<a id="pl.43.20"></a><var>43.20</var>income greater than 175 percent of the federal poverty guidelines for inpatient hospital <br/>
<a id="pl.43.21"></a><var>43.21</var>admissions occurring on or after January 1, 2001.<br/>
<a id="pl.43.22"></a><var>43.22</var>    (c) Paragraph (a), clauses (1) to (4), do not apply to pregnant women and children <br/>
<a id="pl.43.23"></a><var>43.23</var>under the age of 21.<br/>
<a id="pl.43.24"></a><var>43.24</var>    (d) Paragraph (a), clause (4), does not apply to mental health services.<br/>
<a id="pl.43.25"></a><var>43.25</var>    (e) Adult enrollees with family gross income that exceeds 175 percent of the <br/>
<a id="pl.43.26"></a><var>43.26</var>federal poverty guidelines and who are not pregnant shall be financially responsible for <br/>
<a id="pl.43.27"></a><var>43.27</var>the coinsurance amount, if applicable, and amounts which exceed the $10,000 inpatient <br/>
<a id="pl.43.28"></a><var>43.28</var>hospital benefit limit.<br/>
<a id="pl.43.29"></a><var>43.29</var>    (e) (f) When a MinnesotaCare enrollee becomes a member of a prepaid health plan, <br/>
<a id="pl.43.30"></a><var>43.30</var>or changes from one prepaid health plan to another during a calendar year, any charges <br/>
<a id="pl.43.31"></a><var>43.31</var>submitted towards the $10,000 annual inpatient benefit limit, and any out-of-pocket <br/>
<a id="pl.43.32"></a><var>43.32</var>expenses incurred by the enrollee for inpatient services, that were submitted or incurred <br/>
<a id="pl.43.33"></a><var>43.33</var>prior to enrollment, or prior to the change in health plans, shall be disregarded.<br/>
<br/>
<a id="bill.4.25.0"></a><a id="pl.44.1"></a><var>44.1</var>    Sec. 25. Minnesota Statutes 2006, section 256L.035, is amended to read:<br/>
<a id="pl.44.2"></a><var>44.2</var><b>256L.035 LIMITED BENEFITS COVERAGE FOR CERTAIN SINGLE </b><br/>
<a id="pl.44.3"></a><var>44.3</var><b>ADULTS AND HOUSEHOLDS WITHOUT CHILDREN.</b><br/>
<a id="pl.44.4"></a><var>44.4</var>    (a) "Covered health services" for individuals under section 
         <statute_ref>256L.04, subdivision <br/>
<a id="pl.44.5"></a><var>44.5</var>7
         </statute_ref>, with income above 75 percent, but not exceeding 175 percent, of the federal poverty <br/>
<a id="pl.44.6"></a><var>44.6</var>guideline means:<br/>
<a id="pl.44.7"></a><var>44.7</var>    (1) inpatient hospitalization benefits with a ten percent co-payment up to $1,000 and <br/>
<a id="pl.44.8"></a><var>44.8</var>subject to an annual limitation of $10,000;<br/>
<a id="pl.44.9"></a><var>44.9</var>    (2) physician services provided during an inpatient stay; and<br/>
<a id="pl.44.10"></a><var>44.10</var>    (3) physician services not provided during an inpatient stay; outpatient hospital <br/>
<a id="pl.44.11"></a><var>44.11</var>services; freestanding ambulatory surgical center services; chiropractic services; lab and <br/>
<a id="pl.44.12"></a><var>44.12</var>diagnostic services; diabetic supplies and equipment; mental health services as covered <br/>
<a id="pl.44.13"></a><var>44.13</var>under chapter 256B; and prescription drugs; subject to the following co-payments:<br/>
<a id="pl.44.14"></a><var>44.14</var>    (i) $50 co-pay per emergency room visit;<br/>
<a id="pl.44.15"></a><var>44.15</var>    (ii) $3 co-pay per prescription drug; and<br/>
<a id="pl.44.16"></a><var>44.16</var>    (iii) $5 co-pay per nonpreventive visit; except this co-pay does not apply to mental <br/>
<a id="pl.44.17"></a><var>44.17</var>health services or community mental health services.<br/>
<a id="pl.44.18"></a><var>44.18</var>The services covered under this section may be provided by a physician, physician <br/>
<a id="pl.44.19"></a><var>44.19</var>ancillary, chiropractor, psychologist, or licensed independent clinical social worker, or <br/>
<a id="pl.44.20"></a><var>44.20</var>other mental health providers covered under chapter 256B if the services are within the <br/>
<a id="pl.44.21"></a><var>44.21</var>scope of practice of that health care professional.<br/>
<a id="pl.44.22"></a><var>44.22</var>    For purposes of this section, "a visit" means an episode of service which is required <br/>
<a id="pl.44.23"></a><var>44.23</var>because of a recipient's symptoms, diagnosis, or established illness, and which is delivered <br/>
<a id="pl.44.24"></a><var>44.24</var>in an ambulatory setting by any health care provider identified in this paragraph.<br/>
<a id="pl.44.25"></a><var>44.25</var>    Enrollees are responsible for all co-payments in this section.<br/>
<a id="pl.44.26"></a><var>44.26</var>    (b) Reimbursement to the providers shall be reduced by the amount of the <br/>
<a id="pl.44.27"></a><var>44.27</var>co-payment, except that reimbursement for prescription drugs shall not be reduced once a <br/>
<a id="pl.44.28"></a><var>44.28</var>recipient has reached the $20 per month maximum for prescription drug co-payments. <br/>
<a id="pl.44.29"></a><var>44.29</var>The provider collects the co-payment from the recipient. Providers may not deny services <br/>
<a id="pl.44.30"></a><var>44.30</var>to recipients who are unable to pay the co-payment, except as provided in paragraph (c).<br/>
<a id="pl.44.31"></a><var>44.31</var>    (c) If it is the routine business practice of a provider to refuse service to an individual <br/>
<a id="pl.44.32"></a><var>44.32</var>with uncollected debt, the provider may include uncollected co-payments under this <br/>
<a id="pl.44.33"></a><var>44.33</var>section. A provider must give advance notice to a recipient with uncollected debt before <br/>
<a id="pl.44.34"></a><var>44.34</var>services can be denied.<br/>
<br/>
<a id="bill.4.26.0"></a><a id="pl.44.35"></a><var>44.35</var>    Sec. 26. Minnesota Statutes 2006, section 256L.07, subdivision 3, is amended to read:<br/>
<a id="pl.45.1"></a><var>45.1</var>    Subd. 3. <b>Other health coverage.</b> (a) Families and individuals enrolled in the <br/>
<a id="pl.45.2"></a><var>45.2</var>MinnesotaCare program must have no health coverage while enrolled or for at least four <br/>
<a id="pl.45.3"></a><var>45.3</var>months prior to application and renewal. Children enrolled in the original children's health <br/>
<a id="pl.45.4"></a><var>45.4</var>plan and children in families with income equal to or less than 150 percent of the federal <br/>
<a id="pl.45.5"></a><var>45.5</var>poverty guidelines, who have other health insurance, are eligible if the coverage:<br/>
<a id="pl.45.6"></a><var>45.6</var>    (1) lacks two or more of the following:<br/>
<a id="pl.45.7"></a><var>45.7</var>    (i) basic hospital insurance;<br/>
<a id="pl.45.8"></a><var>45.8</var>    (ii) medical-surgical insurance;<br/>
<a id="pl.45.9"></a><var>45.9</var>    (iii) prescription drug coverage;<br/>
<a id="pl.45.10"></a><var>45.10</var>    (iv) dental coverage; or<br/>
<a id="pl.45.11"></a><var>45.11</var>    (v) vision coverage; or<br/>
<a id="pl.45.12"></a><var>45.12</var>    (vi) mental health coverage;<br/>
<a id="pl.45.13"></a><var>45.13</var>    (2) requires a deductible of $100 or more per person per year; or<br/>
<a id="pl.45.14"></a><var>45.14</var>    (3) lacks coverage because the child has exceeded the maximum coverage for a <br/>
<a id="pl.45.15"></a><var>45.15</var>particular diagnosis or the policy excludes a particular diagnosis.<br/>
<a id="pl.45.16"></a><var>45.16</var>    The commissioner may change this eligibility criterion for sliding scale premiums <br/>
<a id="pl.45.17"></a><var>45.17</var>in order to remain within the limits of available appropriations. The requirement of no <br/>
<a id="pl.45.18"></a><var>45.18</var>health coverage does not apply to newborns.<br/>
<a id="pl.45.19"></a><var>45.19</var>    (b) Medical assistance, general assistance medical care, and the Civilian Health and <br/>
<a id="pl.45.20"></a><var>45.20</var>Medical Program of the Uniformed Service, CHAMPUS, or other coverage provided under <br/>
<a id="pl.45.21"></a><var>45.21</var>United States Code, title 10, subtitle A, part II, chapter 55, are not considered insurance or <br/>
<a id="pl.45.22"></a><var>45.22</var>health coverage for purposes of the four-month requirement described in this subdivision.<br/>
<a id="pl.45.23"></a><var>45.23</var>    (c) For purposes of this subdivision, an applicant or enrollee who is entitled to <br/>
<a id="pl.45.24"></a><var>45.24</var>Medicare Part A or enrolled in Medicare Part B coverage under title XVIII of the Social <br/>
<a id="pl.45.25"></a><var>45.25</var>Security Act, United States Code, title 42, sections 1395c to 1395w-152, is considered to <br/>
<a id="pl.45.26"></a><var>45.26</var>have health coverage. An applicant or enrollee who is entitled to premium-free Medicare <br/>
<a id="pl.45.27"></a><var>45.27</var>Part A may not refuse to apply for or enroll in Medicare coverage to establish eligibility <br/>
<a id="pl.45.28"></a><var>45.28</var>for MinnesotaCare.<br/>
<a id="pl.45.29"></a><var>45.29</var>    (d) Applicants who were recipients of medical assistance or general assistance <br/>
<a id="pl.45.30"></a><var>45.30</var>medical care within one month of application must meet the provisions of this subdivision <br/>
<a id="pl.45.31"></a><var>45.31</var>and subdivision 2.<br/>
<a id="pl.45.32"></a><var>45.32</var>    (e) Cost-effective health insurance that was paid for by medical assistance is not <br/>
<a id="pl.45.33"></a><var>45.33</var>considered health coverage for purposes of the four-month requirement under this <br/>
<a id="pl.45.34"></a><var>45.34</var>section, except if the insurance continued after medical assistance no longer considered it <br/>
<a id="pl.45.35"></a><var>45.35</var>cost-effective or after medical assistance closed.<br/>
<br/>
<a id="bill.4.27.0"></a><a id="pl.46.1"></a><var>46.1</var>    Sec. 27. Minnesota Statutes 2006, section 256L.12, subdivision 9a, is amended to read:<br/>
<a id="pl.46.2"></a><var>46.2</var>    Subd. 9a. <b>Rate setting; ratable reduction.</b> For services rendered on or after <br/>
<a id="pl.46.3"></a><var>46.3</var>October 1, 2003, the total payment made to managed care plans under the MinnesotaCare <br/>
<a id="pl.46.4"></a><var>46.4</var>program is reduced 1.0 percent. This provision excludes payments for mental health <br/>
<a id="pl.46.5"></a><var>46.5</var>services added as covered benefits after December 31, 2007.<br/>
<br/>
<a id="bill.4.28.0"></a><a id="pl.46.6"></a><var>46.6</var>    Sec. 28. <b>MENTAL HEALTH SERVICES PROVIDER RATE INCREASES.</b><br/>
<a id="pl.46.7"></a><var>46.7</var>    (a) The commissioner of human services shall increase reimbursement rates or rate <br/>
<a id="pl.46.8"></a><var>46.8</var>limits, as applicable, by ... percent for the rate period beginning October 1, 2007, and the <br/>
<a id="pl.46.9"></a><var>46.9</var>rate period beginning October 1, 2008, effective for services  rendered on or after those <br/>
<a id="pl.46.10"></a><var>46.10</var>dates.<br/>
<a id="pl.46.11"></a><var>46.11</var>    (b) The ... percent annual rate increase described in this section must be provided to:<br/>
<a id="pl.46.12"></a><var>46.12</var>    (1) children's therapeutic services and supports under Minnesota Statutes, section <br/>
<a id="pl.46.13"></a><var>46.13</var>256B.0943; and<br/>
<a id="pl.46.14"></a><var>46.14</var>    (2) adult rehabilitative mental health services under Minnesota Statutes, section <br/>
<a id="pl.46.15"></a><var>46.15</var>256B.0623.<br/>
<a id="pl.46.16"></a><var>46.16</var>    (c) Providers that receive a rate increase under this section shall use 75 percent of <br/>
<a id="pl.46.17"></a><var>46.17</var>the additional revenue to increase wages and benefits and pay associated costs for all <br/>
<a id="pl.46.18"></a><var>46.18</var>employees, except for management fees, the administrator, and central office staffs.<br/>
<a id="pl.46.19"></a><var>46.19</var>    (d) For public employees, the increase for wages and benefits for certain staff is <br/>
<a id="pl.46.20"></a><var>46.20</var>available and pay rates shall be increased only to the extent that they comply with laws <br/>
<a id="pl.46.21"></a><var>46.21</var>governing public employees collective bargaining. Money received by a provider for pay <br/>
<a id="pl.46.22"></a><var>46.22</var>increases under this section may be used only for increases implemented on or after the <br/>
<a id="pl.46.23"></a><var>46.23</var>first day of the rate period in which the increase is available and must not be used for <br/>
<a id="pl.46.24"></a><var>46.24</var>increases implemented prior to that date.<br/>
<a id="pl.46.25"></a><var>46.25</var>    (e) A copy of the provider's plan for complying with paragraph (c) must be made <br/>
<a id="pl.46.26"></a><var>46.26</var>available to all employees by giving each employee a copy or by posting a copy in an area <br/>
<a id="pl.46.27"></a><var>46.27</var>of the provider's operation to which all employees have access. If an employee does not <br/>
<a id="pl.46.28"></a><var>46.28</var>receive the adjustment, if any, described in the plan and is unable to resolve the problem <br/>
<a id="pl.46.29"></a><var>46.29</var>with the provider, the employee may contact the employee's union representative. If the <br/>
<a id="pl.46.30"></a><var>46.30</var>employee is not covered by a collective bargaining agreement, the employee may contact <br/>
<a id="pl.46.31"></a><var>46.31</var>the commissioner at a telephone number provided by the commissioner and included in <br/>
<a id="pl.46.32"></a><var>46.32</var>the provider's plan.<br/>
<br/>
<a id="bill.4.29.0"></a><a id="pl.46.33"></a><var>46.33</var>    Sec. 29. <b>APPROPRIATIONS.</b><br/>
<a id="pl.47.1"></a><var>47.1</var>    Subdivision 1. <b>Mobile mental health crisis services.</b> (a) $5,000,000 in fiscal year <br/>
<a id="pl.47.2"></a><var>47.2</var>2008 and $7,250,000 in fiscal year 2009 are appropriated from the general fund to the <br/>
<a id="pl.47.3"></a><var>47.3</var>commissioner of human services for statewide funding of mobile mental health crisis <br/>
<a id="pl.47.4"></a><var>47.4</var>services.<br/>
<a id="pl.47.5"></a><var>47.5</var>    (b) Providers must utilize all available funding streams.<br/>
<a id="pl.47.6"></a><var>47.6</var>    Subd. 2. <b>Mental health tracking system.</b> $448,000 in fiscal year 2008 and <br/>
<a id="pl.47.7"></a><var>47.7</var>$324,000 in fiscal year 2009 are appropriated from the general fund to the commissioner <br/>
<a id="pl.47.8"></a><var>47.8</var>of human services to fund implementation of the mental health services outcomes and <br/>
<a id="pl.47.9"></a><var>47.9</var>tracking system.<br/>
<a id="pl.47.10"></a><var>47.10</var>    Subd. 3. <b>Suicide prevention programs.</b> $....... in fiscal year 2008 and $....... in <br/>
<a id="pl.47.11"></a><var>47.11</var>fiscal year 2009 are appropriated from the general fund to the commissioner of health to <br/>
<a id="pl.47.12"></a><var>47.12</var>fund the suicide prevention program and to administer grants for institutions of higher <br/>
<a id="pl.47.13"></a><var>47.13</var>education in the state of Minnesota to coordinate implementation of youth suicide early <br/>
<a id="pl.47.14"></a><var>47.14</var>intervention and prevention strategies.<br/>