3E Relating to human services

ARTICLE 1 - CHILD WELFARE POLICY

Modifying child welfare provisions; expanding certain duties of the commissioner of human services (DHS) to include children under the guardianship of a tribe in the state recognized by the secretary of interior; modifying certain adoption requirements for older children under the guardianship of the commissioner, prohibiting refusal by a child to refuse or waive the efforts of an agent to recruit, identify and place the child in an adoptive home or sign a document relieving county social services agencies of all recruitment efforts on behalf of the child; modifying certain provisions relating to referrals for postplacement assessment; modifying certain court findings provisions; modifying certain adoption assistance eligibility criteria; eliminating certain reasons for deferral of the listing of a child with the state adoption exchange; modifying the duty of the juvenile court to ensure placement prevention and family reunification for permanent
alternative homes consideration purposes; modifying child placement provisions for Indian children under the Minnesota Indian preservation act, applying federal law (Indian child welfare act) and state law in child custody proceedings, modifying Indian tribe jurisdiction and court determinations of tribal affiliation of child provisions; requiring and specifying certain placement procedures for the orderly and timely interstate placement of children; modifying and clarifying certain requirements for protecting or placing children in need of protection services; modifying review of court ordered placement and permanent placement determination requirements; modifying certain out of home placement plan documentation and health and educational records information requirements; requiring a responsible social services agency for children in placement to give a copy of the health and education report to the child leaving foster care by reason of having attained the age of majority; specifying certain review requirements for certain child placements; excluding income of certain age children employed as part of an independent living plan transitioning from foster care and cost of care reimbursement to counties; modifying certain orders for terminating parental rights; requiring local welfare agency responsibility for assessing or investigating reports of sexual abuse under certain conditions; requiring local law enforcement agency responsibility for investigating
maltreatment; modifying certain duties of a local welfare agency and local law enforcement agency upon receipt of a report involving substantial child endangerment and modifying the definition of substantial child endangerment; modifying certain child maltreatment reporting requirements and notice of determinations requirements; specifying certain renumbering and cross reference change instructions to the revisor of statutes

ARTICLE 2 - CHILDREN AND FAMILY

Expanding certain private data disclosure requirements on individuals to include the child care assistance program; prohibiting state interest charges on overpayments of assistance benefits under child care funding; removing the requirement for the commissioner to establish a certain amount of the annual state appropriation for the basic sliding fee program under the at-home infant child care program; modifying child care assistance program financial eligibility, rates provisions, assistance eligibility requirements, payment of other child care expenses, the sliding fee, the parent fee schedule and copayment; prohibiting persons found guilty of wrongfully obtaining public assistance from being authorized as a legal nonlicensed family child care provider; requiring the commissioner to annually survey child care provider rates; limiting rates including special needs rate charged by providers under school readiness service agreements; modifying the family child care provider rate differential for accreditation qualification; requiring provider payment billing authorization of care and billing form and allowing a maximum amount of retroactive child care assistance payment; modifying the number of absent days allowed for reimbursement to child care providers under the child care assistance program, permitting child care center directors, teachers, public health officials or nurses to verify illness in lieu of medical practitioners; authorizing counties to pay for more absent days under certain conditions; expanding child care services grants provisions; making program integrity improvements and expanding certain duties of the department of human services; requiring the commissioner of human services to establish an advisory committee to identify ways to simplify and streamline human services laws and administrative requirements; specifying certain membership requirements; requiring a human services efficiency report to the legislature by a certain date; authorizing the department of labor and industry to allow the department of human services and county agencies direct access and data matching on workers compensation claims information; requiring the commissioner to administer compliance for the child care assistance program; providing for reallocation of penalties withheld under the child care assistance program to counties; requiring written applications for MinnesotaCare and child care assistance to contain a declaration; providing for the expunging or storing off line of food support benefits under certain condition of non use for a certain period, requiring the commissioner to implement simplified reporting and modifying food support recipient reporting requirements; requiring the commissioner to establish a grant program to assist private and public agencies and organizations in providing crisis nurseries to provide services and temporary care to families experiencing crisis situations, specifying crisis nurseries services requirements and providing for the distribution of funds; prohibiting the commissioner from moving programs or activities funded with Minnesota family investment program (MFIP) or temporary assistance for needy families (TANF) funds to other funding sources without legislative approval; authorizing the commissioner to administer and transfer block grant funds under the deficit reduction act of 2005; modifying MFIP expenditures treatment, participant definition, property limitations, income exclusions, recertification for single caregiver households, rental subsidies, time limit, employment plan contents and participant requirements, placing restrictions on sanctions, prohibiting unpaid work performed for cash assistance, exception, requiring assessments to include a determination for referral to family stabilization services, removing the unsubsidized employment requirement for postsecondary education approval and adding additional work activities under certain conditions, establishing family stabilization services under MFIP to serve families failing to make significant progress within MFIP due to certain barriers to employment and to stabilize and improve the lives of families at risk of long term welfare dependency, providing for a work participation bonus for participants exiting the diversionary work program (DWP) or terminating MFIP cash assistance with earnings, expanding MFIP consolidated fund uses, permitting an innovative projects performance incentive, increasing performance base funds allocation, modifying county performance management and DWP eligibility; modifying funding provisions relating to the runaway and homeless youth act; modifying adoption eligibility conditions relating to tribal law and including children over a certain age; authorizing the commissioner of revenue to disclose tax information to the commissioner of human services under the child care assistance program; establishing a pilot MFIP in Stearns and Benton counties to expand the Workforce U program administered by the Stearns Benton employment and training council; requiring the commissioner to provide a planning grant to address local and culturally relevant alcohol and drug treatment for American Indian youth and to develop a plan for a family based youth treatment center in the Leech lake area; simplifying application procedures for certain citizens applying to the Minnesota food support program; providing for inspection of legal unlicensed child care providers; requiring the commissioner in cooperation with the commissioners of education and health to develop and phase-in the implementation of a professional development system for practitioners serving children in early childhood and school-age programs, requiring the commissioner to develop and identify trainings qualifying for the two-hour early childhood development training requirement for new child care practitioners and requiring labor union input for family child care providers; authorizing and providing for school readiness service agreements (SRSA) and funding; establishing a family, friend and neighbor (FFN) grant program to promote children's literacy, healthy development and school readiness and to foster community partnerships to promote school readiness; requiring the commissioner to study the implications of restricting the use of state subsidies in center based child care to centers meeting state quality standards; requiring the commissioner to offer a request for proposals to identify a research and evaluation firm to monitor and evaluate the programs receiving funding; prohibiting TANF grant reduction county penalty assessment due to unmet work participation requirements; repealing certain county reporting and payments termination of allocation requirements, the MFIP family cap, MFIP provisions relating to ineligibility for state funded programs, supplemental security income (SSI) as unearned income and a MFIP consolidated fund report requirement

ARTICLE 3 - LICENSING

Modifying department of human services unlicensed emergency relative placement (foster care) county and private agencies licensing responsibilities, background study requirements, disqualifications, reconsiderations and commissioner notice; establishing adoption background study requirements and child foster care, family child care and tribal organizations background studies, modifying adoption home study requirements; exempting a nonpublic school program for children a certain age or older from human services licensing requirements until a certain date; requiring the commissioner to work with counties to determine the costs and propose an ongoing funding allocation for licensed family child care providers annual license review costs

ARTICLE 4 - HEALTH CARE POLICY

Authorizing health care access fund transfers to meet prior basic health care grants rate increases; requiring the commissioner of human services to fund voluntary outreach programs targeted at women delivering children affected by prenatal alcohol or drug use; requiring individuals enrolled in medical assistance (MA) and charged with a crime and incarcerated for a certain amount of time to have eligibility suspended at the time of incarceration and reinstated upon release; requiring income disregard treatment for any monetary gift or portion received by MA applicants or enrollees for uncovered prosthetic device purchases; requiring the commissioner to provide notice prior to removal of a prescription drug used by a percentage of the fee for service MA recipients from the drug formulary due to failure of manufacturer to sign rebate agreements; allowing MA coverage for community health workers under certain conditions; modifying a MinnesotaCare documentation requirement

ARTICLE 5 - HEALTH CARE

Authorizing health care access fund transfers to meet prior basic health care grants rate increases; requiring the commissioner to design and implement a statewide campaign to raise public awareness on the availability of health coverage through medical assistance (MA), general assistance medical care (GAMC) and MinnesotaCare, providing for outreach grants, providing for a statewide toll free telephone number and incentive program, requiring school districts to provide certain information; requiring the commissioner to provide information on the small employer buy in option for MinnesotaCare; requiring the commissioner to award a grant to implement a web based primary access care pilot project in Hennepin and Ramsey counties to try to divert nonemergency medical patients to community based appointments with a more appropriate outpatient settings; requiring the commissioner to increase the MA payments to a long term care hospital under certain conditions; adding as medicaid disproportionate share hospital payments human services department paid fee for service inpatient and outpatient hospital payments for hospital services occurring between certain dates and certified public expenditures made by Hennepin county medical center; modifying the inpatient hospital payment system payment rate quarterly payment adjustment; authorizing the commissioner to engage in competitive bidding for MA nonemergency medical transportation level of need determinations and disbursements, prohibiting the commissioner from utilizing volume purchases through competitive bidding and negotiation for special transportation services; requiring health care professional determination of level of need nonemergency medical transportation; modifying MA eligibility verification and clarifying circumcision as a noncovered service, extending MA coverage for home based intensive early intervention behavior therapy for children with autism spectrum disorders and Medicare part D or medicare advantage special needs plan prescription copayment coverage, extending intensive early intervention behavior therapy services reporting, modifying MA copayments and prohibiting MA reimbursement increase as a result of copayment removal after a certain date; modifying the definition of participation in reimbursable state health care programs for pediatric dentists to include acceptance of new MA, GAMC and MinnesotaCare pediatric patients with special health care needs, defining special health care needs; requiring the commissioner to apply for MA federal matching funds; requiring children's hospital services provided by a former state hospital to be paid using methodology established for critical access hospitals under MA and increasing the reimbursement rates for critical access dental providers and family planning services; modifying GAMC eligibility and covered services; modifying MinnesotaCare gross individual or family income, covered health services, inpatient hospital services, copayments and coinsurance and single adults and households without children guidelines, application assistance and availability, enrollment by county agencies, commissioner determination of eligibility, eligibility renewal, general requirements, critical access dental providers payments, premium determination, the sliding fee scale and assets consideration, restricting applicability for must not have access to employer subsidized coverage to adults, modifying sliding fee scale exceptions and creating a small employer buy-in option; creating a Hennepin county pilot project to demonstrate alternative strategies effectiveness; requiring a pharmacy report on the fiscal impact of the deficit reduction act; requiring the study of MA chiropractic coverage expansion; requiring a Granite Falls MinnesotaCare application processing center; repealing provisions relating to MinnesotaCare limited benefits coverage for certain single adults and households without children and access to health coverage postsecondary education students and MA copayments as uncollected debt

ARTICLE 6 - CONTINUING CARE POLICY

Modifying continuing care provisions, changing a nursing home biennial legislative report due date; allowing support grant amount cost of living adjustments under services for persons with disabilities; modifying the human services consumer support program, the inpatient hospital payment system, long-term care facility and client definitions; changing the title of the office of ombudsman for older Minnesotans to the office of ombudsman for long-term care and modifying duties; expanding the definition of long-term care facility to include licensed or registered residential settings providing for home care services; conforming changes to the older American act; authorizing the board on aging to conduct electronic meetings; requiring the commissioner under medical assistance (MA) to establish a process with centers for independent living allowing a person residing in a state nursing facility to receive needed information, consultation and assistance from the centers regarding available community support options to enable the person to relocate to the community under certain conditions and requiring the assistance to include information about the centers for independent living, making clarifying changes for MA personal care assistant services definitions, specifying assistant training requirements, provider responsibilities, employment prohibitions and supervision, modifying MA long-term care consultation services admission and screening requirements and certified nursing facilities reimbursement waiver requests and permitting provider withholding for delinquency, modifying the MA alternative care program non-MA recipient funding eligibility, covered services, service definitions and standards, individual care plan requirements and lead agency duty designation in place of county designation, changing the MA adult foster care and family adult day care reimbursement regulation to the medicaid waiver for elderly services exclusively, changing MA quality assurance cost reporting on-site audits, nursing facility rate determination notification and increase deadlines and the replacement costs index, requiring the commissioner to provide the centers for independent living with substantive changes to the MA disabilities services provider manual prior to the effective date; extending an alternative care pilot project and specifying a retroactive date; requiring the commissioner to grant licenses with variances to certain nonresidential programs for youth with disabilities under a certain age during nonschool hours

ARTICLE 7 - CONTINUING CARE

Requiring the commissioner in cooperation with the commissioner of the housing finance agency (HFA) to establish an information and referral system to inform eligible persons regarding the availability of reverse mortgages and available state incentives, requiring the commissioner of the HFA to establish the reverse mortgage incentive program; providing additional criteria for ranking nursing facility moratorium exception proposals; modifying certain parental contribution requirements for the cost of services for children with developmental disabilities; authorizing the commissioner to license a certain number of level B intermediate care facilities for persons with developmental disabilities (ICF/MR) to replace a city of Minneapolis level A facility not accessible to persons with disabilities, requiring the new facilities to be located in Hennepin county, specifying a payment rate; requiring the commissioner to establish the disability linkage line for people with disabilities and chronic illnesses; expanding requirements for the board on aging statewide information and assistance service to incorporate certain information about housing with services and consumer rights and financial self-sufficiency; modifying MA eligibility asset limitations for aged, blind and disabled individuals, expanding MA covered services to sign language interpreter services, establishing the MA self directed supports option and including self directed supports under covered services, modifying MA personal care provider prior authorization time limits, personal care assistant services assessment service updates, requirements and payment rates, allowing long-term placement individual decision between nursing facility placement and community placement after screening, permitting face to face assessment for certain MA programs eligibility determination, specifying transition to housing with services MA disclosure requirements, defining case management services and case aide duties under MA medicaid waiver for elderly services, specifying the conversion rate limit for conversions from nursing home to the elderly waiver with consumer directed community support services, changing the assisted living service rate and specifying service rate limits for 24 hour customized living services, authorizing the expansion of the quality assurance system to include programs for persons with disabilities and older adults, extending the expiration date, developing a statewide quality assurance and improvement system for Minnesotans receiving disability services, placing a nursing facility in Waseca county providing ventilator dependent care in partnership with Mayo health systems into a different geographic group for operating costs reimbursement purposes, increasing MA nursing home allowable interest expense, authorizing nursing facilities rate increases for complying with certain federal certification standards or codes, authorizing a Chisago county nursing facilities operating payment rates increase, increasing the MA nursing facility cost of living adjustment (COLA), providing a method to determine costs reimbursement for nursing facilities participating in the public employee retirement association (PERA) and requiring commissioner determination using a certain formula, authorizing the commissioner to approve a planned MA closure rate adjustment for a Big Stone county nursing facility in Clinton for a facility in Graceville, permitting rebasing of nursing facility operating cost payment rates, modifying the MA value-based nursing facility reimburse system and classifying facility type groups, increasing MA rate adjustments for intermediate care facilities for persons with mental retardation and related conditions (ICF/MR), extending the time for expansion of developmental disability pilot projects; providing a single grant program for deaf blind persons services; modifying the group residential housing (GRH) beds development moratorium for Hennepin, Stearns and Crow Wing county facilities serving recovering and chemically dependent persons, for a provider operating facilities in Hennepin and Ramsey counties providing community support and supervision and for a Hennepin county facility licensed as a board and lodging facility operating as a licensed chemical dependency treatment program, authorizing Ramsey, Hennepin, Crow Wing, Stearns and St. Louis counties to negotiate supplementary rates for certain facilities serving chemically dependent persons and homeless persons; extending overspending forgiveness under the waivered services program for persons with developmental disabilities to Fillmore, Steele and St. Louis counties and delaying the repayment due date for Carver county; requiring the council on disability to facilitate a statewide study of the assistive technology needs of people with disabilities and senior citizens; requiring the commissioner to increase community service provider reimbursement rates or limits by a certain percentage; requiring department of administration rules publication; requiring the commissioner to conduct a study of housing with services establishments and home care providers to assess spend down impact on public expenditures; authorizing a provider rate increase to a St. Louis county day training and habilitation provider; specifying instructions to the revisor of statuses; repealing miscellaneous provisions relating to services for persons with disabilities, inpatient hospital payment system reporting, the MA alternative care program and the value-based nursing facility reimbursement system

ARTICLE 8 - MENTAL HEALTH

Requiring the commissioner of administration to reserve a portion of janitorial contracts for rehabilitation programs and extended employment providers; modifying alcohol and drug counselor licensure exception provision and the definition of mental illness; clarifying county board responsibility under the adult and children's mental health acts; requiring and providing for the commissioner to undertake mental health service delivery and finance reform; requiring county boards to provide or contract for sufficient community support services to meet the needs of adults having an acute episode regardless of insurance status, requiring the community support services program to promote mental health stabilization and increase functioning, defining community support services, requiring the use of all available funding streams and requiring the commissioner to collect data on community support services programs; providing for children's mental health grants; providing for examiners for state residents admitted to bordering states; expanding the compulsive gambling treatment program to residents in temporary or permanent residential settings for mental health or chemical dependency, jails and correctional facilities; requiring licensed child foster care providers to complete a certain amount of mental health disorders training prior to licensure; modifying county liability cost of care reimbursement for regional treatment centers or state nursing facilities, specifying exceptions; requiring under civil commitment a determination of petition and report necessity for sexual psychopathic personalities and sexually dangerous persons upon receipt of a court petition for civil commitment; requiring the commissioner to develop a directory identifying key characteristics of each licensed chemical dependency treatment program; authorizing and providing for the commissioner to establish a mental health certified peer specialist program model to provide nonclinical peer support counseling by certified peer specialists, requiring the commissioner to develop a process to certify peer support specialist programs and to develop a training and certification process for certified peer specialists; adding intensive mental health outpatient treatment under covered services for medical assistance (MA), modifying MA mental health case management covered services county and state financial responsibilities; renewing treatment foster care services MA coverage, requiring parent team training curricula to be approved in advance by the commissioner, requiring provider per diem payment rates by prepaid plans for services for children with severe emotional disturbance to be a proportion of the per day contract rate and excluding group foster care costs payment, modifying the limitation of choice exception for children with severe emotional disturbance under the prepayment demonstration project, excluding mental health services added as covered benefits from the MA payment for covered services reductions, expanding the MA critical access mental health rate increase to certain services; extending general assistance medical care (GAMC) to MA covered mental health services and specifying a reduction exemption; modifying MinnesotaCare covered health services, copayments and coinsurance to not apply to mental health services and exempting mental health services from rate reductions; requiring the commissioner to standardize reimbursement rates for compulsive gambling assessments; requiring a legislative report on funds transfer to counties for state registered nurses (RN) in community mental health pilot projects; requiring the commissioner to develop change recommendations in the adult mental health act related to case management; authorizing a regional children's mental health initiative pilot project to improve children's mental health service coordination, communication and processes in Blue Earth, Brown, Faribault, Freeborn, Le Sueur, Martin, Nicollet, Rice, Sibley, Waseca and Watonwan counties; requiring the commissioner to fund a pilot project to measure the impact of children's mental health needs on Minnesota family investment program (MFIP) participant ability to obtain and retain employment; requiring the commissioner of revenue to study the costs of the truth in taxation property tax program and the level of taxpayer participation; providing a revisor of statutes instruction

ARTICLE 9 - DEPARTMENT OF HEALTH POLICY

Relating to health care cost containment, modifying certain definitions relating to expenditure reporting and defining specialty care, requiring hospitals, outpatient surgical centers, diagnostic imaging centers and physician clinics to report annually to the commissioner of health on all major spending commitments and prescribing report contents, modifying prospective review and approval requirements, certain exceptions relating to reporting requirements, cost containment data collected by health care providers, certain billing procedures and Minnesota uniform health care identification card organization; modifying dental plans community-based health care coverage program approval and reporting requirements and delaying the sunset; modifying diagnostic imaging facilities and the providers of diagnostic imaging services reporting requirements to the commissioner of health, the definition of diagnostic imaging facilities and defining diagnostic imaging service and providing all reports be open to public inspection; requiring hospitals to establish methicillin-resistant staphylococcus aureus (MRSA) control programs; modifying the health care bill of rights, establishing the right to visitation by an individual appointed by the patient as the patient health care agent and the right to visitation and health care decision making by an individual designated by the patient, requiring upon facility admission the patient or patient representative to be given the opportunity to designate an unrelated person with the status of patient next of kin with respect to visitation and health care decision making, requiring designation to be included in the patient health record, specifying health care directive or health care agent appointment prevalence, permitting unrelated person identification by patient or family of patient, allowing health care agent visitation; modifying occupational therapist and therapy assistants initial and renewal licensure fees; specifying certain physical therapist and physical therapist assistant fees; ensuring in the patient bill of rights the presence of a doula upon patient request; defining certain terms, requiring the commissioner to establish a doula registry of certified doulas, specifying qualifications and providing for renewal, fee imposition; modifying fees for licensed professional counselors (LPC) and alcohol and drug counselors by the board of behavioral health and therapy; establishing fees for licensed professional clinical counselors (LPCC); establishing mortuary science fees and increasing a certain filing fee; requiring the commissioner to present a legislative injunctive relief report; delaying hearing aid dispenser fee increases

ARTICLE 10 - DEPARTMENT OF HEALTH

Authorizing the commissioner of health to award a demonstration project grant to a community based health care initiative to develop and operate a community based health care coverage program within Carlton, Cook, Lake, and St. Louis counties; ¿Minnesota Health Records Act", defining certain terms, specifying certain patients rights regarding access to patients health records, requiring providers to provide patients a written notice concerning practices and rights with respect to health records, specifying certain cost requirements, authorizing providers to withhold health records from patients under certain conditions, providing for release or disclosure of health records under certain conditions, specifying certain conditions for the disclosure of health records relating to mental health by a provider, limitations, permitting a provider or group purchaser to send patient identifying information and information about the location of patient health records to a record locator service without patient consent, requiring providers to disclose mental health records to law enforcement agencies and family and caretakers under certain conditions, providing for the release of health records to an external researcher solely for purposes of medical or scientific research under certain conditions, regulating the release of a videotape copy of a child victim or alleged victim of physical or sexual abuse without a court order, requiring providers to release health records created as part of an independent medical examination to a third party, imposing penalties, providing for allocation of liability and liability for a record locator service; modifying the department of health interconnected electronic health record grants for data exchange; increasing the housing with services registration fee; defining federally qualified health centers and providing for subsidies allocation; requiring the commissioner to develop a plan to fund and implement an ongoing comprehensive health promotion program; requiring the commissioner to reconvene the cervical cancer elimination study to conduct a study on the human papilloma virus vaccine; providing a revisor instruction

ARTICLE 11 - MISCELLANEOUS POLICY

Specifying data access governance for the prescription electronic reporting system; authorizing registered nurses (RN) to dispense oral contraceptives in family planning clinics; "Long Term Care Resident Access to Pharmaceuticals Act", defining certain terms, authorizing long term care facilities to administer and long term care pharmacies to dispense drugs acquired from a drug source to patients under certain conditions; requiring photographic identification (photo ID) for schedule II or III controlled substance dispensing; requiring the board of pharmacy to establish an electronic system for reporting on dispensed controlled substances schedule II and III prescriptions, requiring the board to develop and maintain a database of reported data, providing for access to reporting system data and the use of the data by certain permissible users, providing for disciplinary action for failure to submit data to the board; requiring counties to ensure mental health screening for children receiving certain county services unless a diagnostic assessment has been performed; eliminating certain rules relating to chemical dependency care, modifying the chemical dependency treatment allocations reserved for Native American tribes, the administrative adjustment of the chemical dependency allocation process, the payment process for counties paying their share of chemical dependency treatment costs and the billing procedure for children's therapeutic services and supports; requiring providers to bill only for direct service time; modifying the community action agency definition qualification under community social services for family assets for independence; authorizing the board of pharmacy to apply for federal grants and other nonstate funds and prohibiting the board from increasing license fees of pharmacists or pharmacies to fund the system; requiring the board of medical practice to convene a work group to discuss controlled substances appropriate prescribing; repealing certain department of human services obsolete provisions and miscellaneous provisions relating alcohol and drug abuse treatment and the Minnesota family investment program

ARTICLE 12 - MISCELLANEOUS

Requiring the commissioner of administration to provide to the legislature at a certain time a base budget detail for the department of human services and health; extending dependent health care coverage to unmarried dependents up to a certain age regardless of enrollment in an educational institution; requiring the legislative commission on health care access to make legislative recommendations on universal health coverage achievement, increasing commission membership, expanding reporting requirements to the commission; requiring the commissioner of health to provide the commissioner of finance with information necessary for a legislative base budget detail; specifying criteria for prescriptions or drug orders for legend drugs issued for a legitimate medical purpose arising from a prescriber patient relationship to include a documented patient evaluation to establish diagnoses and to identify underlying conditions, specifying as invalid and without legitimate medical purpose online (web, internet) questionnaires or consultations for prescriptions (medications); requiring photographic identification (photo ID) for schedule II or III controlled substance dispensing under certain conditions; modifying essential employee definition under public employment labor relations (PELRA); requiring chemical use assessments to be completed by the county of residence of the arrested person within a certain time period; requiring the commissioner of human services to provide the commissioner of finance with information necessary for a legislative base budget detail; requiring the commissioner to develop and implement a plan to monitor controlled substances prescriptions, to report potential patient abuse and provide education to health plan enrollees; requiring the commissioner of health to convene a work group to study the provision of interpreter services to patients in medical and dental care settings; providing for an agricultural cooperative health plan pilot project for farmers; providing for the creation of a health plan purchasing pool study group to study and make recommendations regarding the creation of a voluntary and statewide health plan purchasing pool to contract directly with providers to provide affordable health coverage to eligible residents; repealing certain provisions relating to group accident and health coverage of full time students and health plan coverage guarantees

ARTICLE 13 - CHILDREN'S HEALTH PROGRAMS; MINNESOTACARE

Extending temporarily medical assistance (MA) coverage for certain recently ineligible children due to excess income and providing MinnesotaCare automatic eligibility and providing an exception to certain MinnesotaCare requirements upon automatic eligibility, defining the children¿s health program and health care eligibility for children, requiring commissioner assistance, requiring the commissioner to seek federal waivers and approval necessary to implement MA and MinnesotaCare coordination for children¿s coverage and maximize the federal MA match for covered children

ARTICLE 14 - HEALTH CARE REFORM POLICY

Requiring the Minnesota hospital association to report hospital performance on measures of care developed to prevent hospital acquired infections, specifying infections to be included, requiring the commissioner of health to provide a web link for results, clarifying commissioner enforcement powers for noncompliance

ARTICLE 15 - HEALTH CARE REFORM

"Minnesota Health Insurance Exchange"; providing for greater individual choice of health insurance products, specifying organization, operation and requirements, requiring referral of all MinnesotaCare applicants; requiring certain employers to offer section 125 plans; defining certain terms, specifying certain employer requirements and certain section 125 eligible health plans; specifying criteria for evidence-based health care guidelines; requiring hospitals and health care providers to implement interoperable electronic health records systems by a certain date; requiring the commissioner of finance to establish and implement the electronic health record system revolving account and loan program; specifying uniform electronic transactions and implementation guide standards under the health care administrative simplification act of 1994; modifying the definition of medical education full time equivalent (FTE) trainees and medical education funds distribution, adding a supplemental public program volume factor and removing a sponsoring institution reporting requirement and a funds transfer requirement for federal financial participation maximization for medical education and research (MERC); expanding estimated payment required disclosures under the patient protection act; conforming small employer insurance reform prohibited practice exception provisions for the health insurance exchange and clarifying a prohibition; specifying health plan companies and risk management services vendors provider performance evaluation requirements; specifying a year for state universal health care coverage; specifying department of health care cost information yearly report contents requirements; requiring community health boards to work with schools, health care providers and others to coordinate community health and wellness programs; authorizing the commissioner of human services to receive federal matching money made available through MA for managed care oversight contracted through vendors; requiring the commissioner to develop and implement a patient incentive health program to provide patient rewards under MA, GAMC and MinnesotaCare; requiring the commissioner to develop and implement a provider directed care coordination program for certain MA recipients; requiring the commissioners of employee relations, human services, commerce and health to develop a health care payment reform plan; establishing community initiatives to cover the uninsured and underinsured population, requiring the commissioner of health to provide grants and authorize up to a maximum number of partnerships, specifying community partnership grant eligibility; requiring the commissioner of human services to develop and administer up to four pilot projects for children and adults with complex health care needs enrolled in fee-for-service MA, requiring a minimum number to focus on children with autism or children with complex multi-diagnoses physical conditions; requiring the commissioner of health to report on the MERC distribution formula revisions; establishing a health care transformation task force and requiring the development of a statewide action plan for transforming the health care system to improve affordability, quality and access; repealing a health care providers cost disclosure requirement and medical education transfers from the university of Minnesota

ARTICLE 16 - PUBLIC HEALTH POLICY

Requiring the commissioner of labor and industry to adopt rules for window fall prevention devices as part of the state building code; increasing certain well and well disclosure fees; prohibiting fee collection for certain diagnostic laboratory services and increasing allowed fees; increasing fees for infant tests for heritable and congenital disorders and hearing loss detection through the early hearing detection and intervention program; modifying certain provisions relating to the lead abatement program, specifying MA reimbursement use for lead risk assessment services to not be used to replace or decrease existing state or local funding for lead services; requiring the commissioner of health to establish a newborn hearing screening advisory committee to advise the
commissioners of health and education, requiring all hospitals to establish a universal newborn hearing and infant screening (UNHS) program as a condition of licensure, requiring the commissioner of health to exercise oversight responsibility for UNHS programs, providing for immunity from civil and criminal liability and penalties; modifying certain provisions relating to basic life support ambulance services and interfacility transfers, increasing repayment amounts for volunteer training and continuing education courses; authorizing the board of veterinary medicine to charge certain fees; authorizing commissary privileges to veterans homes employees under certain conditions; expanding MA coverage to include lead risk assessments provided by assessors licensed by the commissioner of health for children with certain blood lead levels; expanding the definition of governmental unit to include nonprofit community health clinics providing family planning services; restoring family planning grants appropriations; requiring the commissioner of health in consultation with the commissioner of human services, cities of the first class, health care providers and other interested parties to conduct a study to evaluate blood lead testing methods used to confirm elevated blood lead status; requiring commissioner of health to create in the current department educational safety program a component targeted at parents and caregivers of young children to provide awareness of the need to take precautions to prevent children from falling through open windows; providing a revisor instruction; repealing a fetal alcohol spectrum disorder appropriation transfer

ARTICLE 17 - PUBLIC HEALTH

Requiring the commissioner of health to make available to the parents a visit by a public health nurse to interview parents on exposure to toxic substances and other subjects; modifying community health family home visiting programs; requiring private wells and public waters systems contaminants health risk limits to be the more stringent of state and federal standards, requiring the commissioner of health to publish notice of rule adoption intent by a certain date for drinking water contaminants health risk limits and to review current scientific information to establish health risk limits for commonly detected contaminants in groundwater and private wells, requiring rule adoption and a legislative report by certain dates; requiring the commissioner of health in conjunction with the commissioner of the pollution control agency (PCA) to apply for federal funding to renew and expand the environmental justice mapping capacity, requiring the commissioner to coordinate the project with the PCA and the department of agriculture to explore possible links between environmental health and toxic exposures and to help create a system for environmental public health tracking; requiring the commissioner of health in collaboration with the commissioner of education and the Minneapolis board of education to create a working group to recommend an education campaign in Minneapolis public schools to inform students and parents about the potentially harmful effects of the use of fragrance products in schools; requiring the commissioner of human services to ensure the testing for arsenic is covered under MA

ARTICLE 18 - HUMAN SERVICES FORECAST ADJUSTMENTS

Providing a department of human services forecast adjustment for fiscal year ending June, 2007

ARTICLE 19 - HUMAN SERVICES APPROPRIATIONS

Appropriating money to the department of human services for systems projects, pay for performance, working family credit expenditures as TANF/MOE, additional working family credit expenditures to the claimed for TANF/MOE, capitation rate increase, agency management and operations, child care licensing, revenue and pass-through expenditures, TANF transfer to federal child care and development fund, MFIP/DWP and support services grants, a MFIP pilot program, supported work, work study, integrated service projects, MFIP child care assistance grants, basic sliding fee child care assistance grants, child care development grants, child care services grants, early childhood professional development system, the family friend and neighbor grant program, increased child car provider connections, child support enforcement grants, child support enforcement, children¿s services grants, county allocations for rate increases, privatized adoption grants, adoption assistance incentive grants, adoption assistance and relative custody assistance, adoption assistance and relative custody assistance subsidy payment increase, crisis nurseries, children¿s mental health grants, mental health crisis services, children¿s mental health evidence-based and best practices, culturally specific mental health treatment grants, mental health services for children with special treatment needs, MFIP and children¿s mental health pilot project, regional children¿s mental health initiative, fetal alcohol syndrome (FAS), prenatal alcohol or drug use, children and community services grants, targeted case management temporary funding, the American Indian child welfare project expansion, GA grants, GA standard, emergency GA, Minnesota supplemental aid grants, emergency Minnesota supplemental aid funds, group residential housing grants (GRH), people incorporated, other children and economic assistance grants, grants for programs serving young parents, alcohol and drug intervention, homeless and runaway youth, transitional housing and emergency services, foodshelf programs, community action grants, the tenant hotline services program, children and economic assistance, financial institution data match and payment of fees, MinnesotaCare grants, HealthMatch delay, MA basic health care for families, children, elderly and disabled, provider-directed care coordination, GAMC, a community-based health care demonstration project, health care payment reform pilot, patient incentive programs, oral health care innovation grants, state health policies grant, senior health options reimbursement, disproportionate share hospital payment formulas, utilization review, health care outreach funding, aging and adult services grants, senior linkage line, senior companion program, volunteer senior citizens, foster grandparent program, senior nutrition, the kinship navigator program, the reverse mortgage incentive program, alternative care grants, long-term care, nursing facilities, MA long-term care waivers and home care grants, mental health crisis services, adult mental health evidence-based and best practices, culturally specific mental health treatment grants, mental health services for adults with special treatment needs, supportive housing services for adults with mental illness, the national council on problem gambling, compulsive gambling and study, hearing loss mentors, chemical dependency entitlement and nonentitlement grants, methamphetamine abuse grants, the White Earth native American juvenile treatment center, the Leech lake youth treatment center, quality assurance system expansion, disability linkage line, home health reimbursement study, Advocating Change Together for the remembering with dignity project, community behavioral health hospitals, sex offender services, security hospital and METO, to the commissioner of health for pay for performance, TANF, loan forgiveness, MN ENABL, fetal alcohol spectrum disorder (FAS), deaf or hearing loss support, heart disease and stroke prevention, family planning grants, suicide prevention programs, the hearing aid and instrument loan bank, the medical home learning collaborative, community collaboratives, a health care access survey, MERC federal compliance, health information technology, the health insurance exchange, uniform electronic transactions, federally qualified health centers, pandemic influenza preparedness, an AIDS prevention initiative focusing on foreign-born residents, lead abatement, water treatment evaluation, HIV information, birth defects information system, disease surveillance and for minority and multicultural home visiting, nutrition and infant mortality rates disparities decrease, to the veterans nursing homes board for repair and betterment and pay for performance, to the health-related boards, to the emergency medical services board for regional grants, the longevity award and incentive program and the health professional services program, to the council on disability for assistive technology, to the ombudsman for mental health and developmental disabilities and to the ombudsman for families; authorizing certain nonfederal share transfer and certain other transfers, providing for a TANF prior appropriation cancellation, certain base adjustments, county CADI allocation adjustment, prohibiting expenditure on the at-home infant care program and prohibiting mental health treatment services appropriations at the regional treatment centers to be used for the sex offender program; specifying deposit requirements for certain MinnesotaCare federal receipts; authorizing the commissioner of human services to expend money appropriated from the health care access fund for MinnesotaCare in either year of the biennium; requiring a certain cancellation of balance in the excess police state-aid holding account; appropriating food stamp performance bonus awards to the commissioner of human services in the event of federal qualification; authorizing the commissioner of human services to accept additional funding from sources other than state funds for program costs and to use available grant appropriations to ensure systems continuity; requiring TANF block grant expenditures to be expended in accordance with federal guidelines; excepting food stamp benefits from aging of cash benefits provisions; requiring payments to the commissioner from governmental units, private enterprises and individual for services performed by the child support payment center to be deposited in the state systems account; providing for state employees compensation increase; providing for certain nongrant operating balances carryforward; prohibiting the commissioners of health and human services to use indirect cost allocations to pay for operational program costs; providing an uncodified language sunset
(Ch. 58, 2007 - VETO)