<a id="pl.1.3"></a><var>1.3</var>programs; changing children and family provisions; modifying licensing <br/>
<a id="pl.1.4"></a><var>1.4</var>provisions; amending health care law; modifying continuing care provisions; <br/>
<a id="pl.1.5"></a><var>1.5</var>amending mental health provisions; changing Department of Health provisions; <br/>
<a id="pl.1.6"></a><var>1.6</var>establishing a children's health security program; changing public health <br/>
<a id="pl.1.7"></a><var>1.7</var>provisions; amending MinnesotaCare, medical assistance, and general assistance <br/>
<a id="pl.1.8"></a><var>1.8</var>medical care; instituting health care reform; establishing the Minnesota <br/>
<a id="pl.1.9"></a><var>1.9</var>Health Insurance Exchange; requiring Section 125 Plans; modifying health <br/>
<a id="pl.1.10"></a><var>1.10</var>insurance provisions; regulating anatomical gifts; establishing family supportive <br/>
<a id="pl.1.11"></a><var>1.11</var>services; providing rate increases for certain providers; changing health <br/>
<a id="pl.1.12"></a><var>1.12</var>records information provisions; making technical changes; providing civil and <br/>
<a id="pl.1.13"></a><var>1.13</var>criminal penalties; establishing task forces; requiring reports; making forecast <br/>
<a id="pl.1.14"></a><var>1.14</var>adjustments; appropriating money for human services and health;amending <br/>
<a id="pl.1.15"></a><var>1.15</var>Minnesota Statutes 2006, sections 13.3806, by adding a subdivision; 13.46, <br/>
<a id="pl.1.16"></a><var>1.16</var>subdivision 2; 16A.10, by adding a subdivision; 16A.724, subdivision 2; 16B.61, <br/>
<a id="pl.1.17"></a><var>1.17</var>by adding a subdivision; 16D.13, subdivision 3; 43A.316; 62A.65, subdivision 3; <br/>
<a id="pl.1.18"></a><var>1.18</var>62E.141; 62H.02; 62J.04, subdivision 3; 62J.17, subdivisions 2, 4a, 7; 62J.41, <br/>
<a id="pl.1.19"></a><var>1.19</var>subdivision 1; 62J.495; 62J.52, subdivisions 1, 2; 62J.60, subdivisions 2, 3; <br/>
<a id="pl.1.20"></a><var>1.20</var>62J.692, subdivisions 1, 4, 7a, 8, 10; 62J.81, subdivision 1; 62J.82; 62L.12, <br/>
<a id="pl.1.21"></a><var>1.21</var>subdivisions 2, 4; 62Q.165, subdivisions 1, 2; 62Q.80, subdivisions 3, 4, 13, 14, <br/>
<a id="pl.1.22"></a><var>1.22</var>by adding a subdivision; 103I.101, subdivision 6; 103I.208, subdivisions 1, 2; <br/>
<a id="pl.1.23"></a><var>1.23</var>103I.235, subdivision 1; 119B.05, subdivision 1; 119B.09, subdivisions 1, 7, by <br/>
<a id="pl.1.24"></a><var>1.24</var>adding subdivisions; 119B.12; 119B.125, subdivision 2; 119B.13, subdivisions <br/>
<a id="pl.1.25"></a><var>1.25</var>1, 3a, 6, 7; 119B.21, subdivision 5; 144.05, by adding a subdivision; 144.123; <br/>
<a id="pl.1.26"></a><var>1.26</var>144.125; 144.2215, subdivision 1; 144.3345; 144.565; 144.651, subdivision <br/>
<a id="pl.1.27"></a><var>1.27</var>26; 144.672, subdivision 1; 144.698, subdivision 1; 144.699, by adding a <br/>
<a id="pl.1.28"></a><var>1.28</var>subdivision; 144.9502, subdivision 3; 144.9504, subdivision 2; 144.9507, <br/>
<a id="pl.1.29"></a><var>1.29</var>by adding a subdivision; 144.9512; 144A.071, subdivision 4c; 144E.101, <br/>
<a id="pl.1.30"></a><var>1.30</var>subdivision 6; 144E.127; 144E.35, subdivision 1; 145A.17; 145C.05; 145C.07, <br/>
<a id="pl.1.31"></a><var>1.31</var>by adding a subdivision; 148.235, by adding a subdivision; 151.37, subdivision <br/>
<a id="pl.1.32"></a><var>1.32</var>2; 152.11, by adding a subdivision; 156.001, by adding a subdivision; 156.02, <br/>
<a id="pl.1.33"></a><var>1.33</var>subdivisions 1, 2; 156.04; 156.072, subdivision 2; 156.073; 156.12, subdivisions <br/>
<a id="pl.1.34"></a><var>1.34</var>2, 4, 6; 156.15, subdivision 2; 156.16, subdivisions 3, 10; 156.18, subdivisions <br/>
<a id="pl.1.35"></a><var>1.35</var>1, 2; 156.19; 157.16, subdivision 1; 179A.03, subdivision 7; 198.075; 245.462, <br/>
<a id="pl.1.36"></a><var>1.36</var>subdivision 20; 245.465, by adding a subdivision; 245.4874; 245.50, subdivision <br/>
<a id="pl.1.37"></a><var>1.37</var>5; 245.98, subdivisions 2, 5; 245A.035; 245A.10, subdivision 2; 245A.16, <br/>
<a id="pl.1.38"></a><var>1.38</var>subdivisions 1, 3; 245C.02, by adding a subdivision; 245C.04, subdivision 1; <br/>
<a id="pl.1.39"></a><var>1.39</var>245C.05, subdivisions 1, 4, 5, 7, by adding subdivisions; 245C.08, subdivisions <br/>
<a id="pl.2.1"></a><var>2.1</var>1, 2; 245C.10, by adding a subdivision; 245C.11, subdivisions 1, 2; 245C.12; <br/>
<a id="pl.2.2"></a><var>2.2</var>245C.16, subdivision 1; 245C.17, by adding subdivisions; 245C.21, by adding <br/>
<a id="pl.2.3"></a><var>2.3</var>a subdivision; 245C.23, subdivision 2; 245C.24, subdivision 2; 246.54, <br/>
<a id="pl.2.4"></a><var>2.4</var>subdivision 1; 252.27, subdivision 2a; 252.32, subdivision 3; 252.46, by adding <br/>
<a id="pl.2.5"></a><var>2.5</var>a subdivision; 253B.185, subdivision 2; 254A.03, subdivision 3; 254A.16, <br/>
<a id="pl.2.6"></a><var>2.6</var>subdivision 2; 254B.02, subdivisions 1, 5; 254B.03, subdivisions 1, 3; 254B.06, <br/>
<a id="pl.2.7"></a><var>2.7</var>subdivision 3; 256.01, subdivisions 2, 2b, 4, 18, by adding subdivisions; <br/>
<a id="pl.2.8"></a><var>2.8</var>256.015, subdivision 7; 256.017, subdivisions 1, 9; 256.0471, subdivision 1; <br/>
<a id="pl.2.9"></a><var>2.9</var>256.476, subdivisions 1, 2, 3, 4, 5, 10; 256.969, subdivisions 3a, 9, by adding <br/>
<a id="pl.2.10"></a><var>2.10</var>a subdivision; 256.974; 256.9741, subdivisions 1, 3; 256.9742, subdivisions 3, <br/>
<a id="pl.2.11"></a><var>2.11</var>4, 6; 256.9744, subdivision 1; 256.975, subdivision 7; 256.984, subdivision 1; <br/>
<a id="pl.2.12"></a><var>2.12</var>256B.04, subdivision 14, by adding a subdivision; 256B.056, subdivisions 1a, 3, <br/>
<a id="pl.2.13"></a><var>2.13</var>5c, by adding a subdivision; 256B.057, subdivision 8; 256B.0621, subdivision <br/>
<a id="pl.2.14"></a><var>2.14</var>11; 256B.0625, subdivisions 3f, 13c, 13d, 14, 17, 18a, 20, 23, 47, by adding <br/>
<a id="pl.2.15"></a><var>2.15</var>subdivisions; 256B.0644; 256B.0911, subdivisions 3a, 3b, 4b, 4c, 6, 7, by <br/>
<a id="pl.2.16"></a><var>2.16</var>adding subdivisions; 256B.0913, subdivisions 4, 5, 5a, 8, 9, 10, 11, 12, 13, 14; <br/>
<a id="pl.2.17"></a><var>2.17</var>256B.0915; 256B.0917, subdivision 8; 256B.0919, subdivision 3; 256B.0943, <br/>
<a id="pl.2.18"></a><var>2.18</var>subdivisions 6, 9, 11, 12; 256B.0945, subdivision 4; 256B.095; 256B.0951, <br/>
<a id="pl.2.19"></a><var>2.19</var>subdivision 1; 256B.199; 256B.431, subdivisions 1, 2e, 3f, 17e; 256B.434, <br/>
<a id="pl.2.20"></a><var>2.20</var>subdivision 4, by adding subdivisions; 256B.437, by adding a subdivision; <br/>
<a id="pl.2.21"></a><var>2.21</var>256B.438, subdivision 3; 256B.439, subdivision 1; 256B.441, subdivisions 1, 2, <br/>
<a id="pl.2.22"></a><var>2.22</var>5, 6, 10, 11, 13, 14, 17, 20, 24, 30, 31, 34, 38, by adding subdivisions; 256B.49, <br/>
<a id="pl.2.23"></a><var>2.23</var>subdivision 11, by adding a subdivision; 256B.5012, by adding a subdivision; <br/>
<a id="pl.2.24"></a><var>2.24</var>256B.69, subdivisions 5g, 5h, 23, 28; 256B.75; 256B.76; 256B.763; 256D.03, <br/>
<a id="pl.2.25"></a><var>2.25</var>subdivision 4; 256D.44, subdivisions 2, 5; 256E.35, subdivision 2; 256I.04, <br/>
<a id="pl.2.26"></a><var>2.26</var>subdivision 3; 256I.05, by adding subdivisions; 256J.01, by adding a subdivision; <br/>
<a id="pl.2.27"></a><var>2.27</var>256J.02, subdivisions 1, 4; 256J.021; 256J.08, subdivision 65; 256J.21, <br/>
<a id="pl.2.28"></a><var>2.28</var>subdivision 2; 256J.24, subdivision 10; 256J.42, subdivision 1; 256J.425, <br/>
<a id="pl.2.29"></a><var>2.29</var>subdivisions 3, 4; 256J.46, by adding a subdivision; 256J.49, subdivision 13; <br/>
<a id="pl.2.30"></a><var>2.30</var>256J.521, subdivisions 1, 2, by adding a subdivision; 256J.53, subdivision <br/>
<a id="pl.2.31"></a><var>2.31</var>2; 256J.55, subdivision 1; 256J.626, subdivisions 1, 2, 3, 4, 5, 6; 256J.751, <br/>
<a id="pl.2.32"></a><var>2.32</var>subdivisions 2, 5; 256J.95, subdivisions 3, 13; 256K.45, by adding a subdivision; <br/>
<a id="pl.2.33"></a><var>2.33</var>256L.01, subdivision 4; 256L.03, subdivisions 1, 5; 256L.035; 256L.04, <br/>
<a id="pl.2.34"></a><var>2.34</var>subdivisions 1, 12; 256L.11, subdivision 7; 256L.12, subdivision 9a; 259.20, <br/>
<a id="pl.2.35"></a><var>2.35</var>subdivision 2; 259.24, subdivision 3; 259.29, subdivision 1; 259.41; 259.53, <br/>
<a id="pl.2.36"></a><var>2.36</var>subdivisions 1, 2; 259.57, subdivisions 1, 2; 259.67, subdivisions 4, 7; 259.75, <br/>
<a id="pl.2.37"></a><var>2.37</var>subdivision 8; 260.012; 260.755, subdivisions 12, 20; 260.761, subdivision <br/>
<a id="pl.2.38"></a><var>2.38</var>7; 260.765, subdivision 5; 260.771, subdivisions 1, 2; 260B.157, subdivision <br/>
<a id="pl.2.39"></a><var>2.39</var>1; 260C.152, subdivision 5; 260C.163, subdivision 1; 260C.201, subdivision <br/>
<a id="pl.2.40"></a><var>2.40</var>11; 260C.209; 260C.212, subdivisions 1, 2, 4, 9; 260C.317, subdivision 3; <br/>
<a id="pl.2.41"></a><var>2.41</var>260C.331, subdivision 1; 270B.14, subdivision 1; 609.115, subdivision 9; <br/>
<a id="pl.2.42"></a><var>2.42</var>626.556, subdivisions 2, 3, 10, 10a, 10c, 10f, by adding subdivisions; Laws 2000, <br/>
<a id="pl.2.43"></a><var>2.43</var>chapter 340, section 19; Laws 2005, chapter 98, article 3, section 25; Laws 2005, <br/>
<a id="pl.2.44"></a><var>2.44</var>First Special Session chapter 4, article 9, section 3, subdivision 2; Laws 2006, <br/>
<a id="pl.2.45"></a><var>2.45</var>chapter 282, article 20, section 37; proposing coding for new law in Minnesota <br/>
<a id="pl.2.46"></a><var>2.46</var>Statutes, chapters 16A; 62A; 62J; 62Q; 144; 145; 152; 156; 245A; 245C; 254A; <br/>
<a id="pl.2.47"></a><var>2.47</var>256B; 256C; 256D; 256F; 256J; 260; 325E; proposing coding for new law as <br/>
<a id="pl.2.48"></a><var>2.48</var>Minnesota Statutes, chapters 256N; 525A; repealing Minnesota Statutes 2006, <br/>
<a id="pl.2.49"></a><var>2.49</var>sections 62J.052, subdivision 1; 62J.17, subdivisions 1, 5a, 6a, 8; 119B.08, <br/>
<a id="pl.2.50"></a><var>2.50</var>subdivision 4; 144.335; 252.21; 252.22; 252.23; 252.24; 252.25; 252.261; <br/>
<a id="pl.2.51"></a><var>2.51</var>252.275, subdivision 5; 254A.02, subdivisions 7, 9, 12, 14, 15, 16; 254A.085; <br/>
<a id="pl.2.52"></a><var>2.52</var>254A.086; 254A.12; 254A.14; 254A.15; 254A.16, subdivision 5; 254A.175; <br/>
<a id="pl.2.53"></a><var>2.53</var>254A.18; 256.969, subdivision 27; 256.9743; 256B.0913, subdivisions 5b, 5c, <br/>
<a id="pl.2.54"></a><var>2.54</var>5d, 5e, 5f, 5g, 5h; 256B.441, subdivisions 12, 16, 21, 26, 28, 42, 45; 256J.29; <br/>
<a id="pl.2.55"></a><var>2.55</var>256J.37, subdivisions 3a, 3b; 256J.561, subdivision 1; 256J.62, subdivision 9; <br/>
<a id="pl.2.56"></a><var>2.56</var>256J.626, subdivisions 7, 9; 256J.65; 525.921; 525.9211; 525.9212; 525.9213; <br/>
<a id="pl.2.57"></a><var>2.57</var>525.9214; 525.9215; 525.9216; 525.9217; 525.9218; 525.9219; 525.9221; <br/>
<a id="pl.2.58"></a><var>2.58</var>525.9222; 525.9223; 525.9224; Laws 1997, chapter 8, section 1; Laws 2004, <br/>
<a id="pl.3.1"></a><var>3.1</var>chapter 288, article 6, section 27; Minnesota Rules, parts 9503.0035, subpart 2; <br/>
<a id="pl.3.2"></a><var>3.2</var>9560.0102, subpart 2, item C; 9585.0030.<br/>
<a id="pl.3.3"></a><var>3.3</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.3.6"></a><var>3.6</var>    Section 1. Minnesota Statutes 2006, section 13.46, subdivision 2, is amended to read:<br/>
<a id="pl.3.7"></a><var>3.7</var>    Subd. 2. <b>General.</b> (a) Unless the data is summary data or a statute specifically <br/>
<a id="pl.3.8"></a><var>3.8</var>provides a different classification, data on individuals collected, maintained, used, or <br/>
<a id="pl.3.9"></a><var>3.9</var>disseminated by the welfare system is private data on individuals, and shall not be <br/>
<a id="pl.3.10"></a><var>3.10</var>disclosed except:<br/>
<a id="pl.3.11"></a><var>3.11</var>    (1) according to section 
         <statute_ref>13.05</statute_ref>;<br/>
<a id="pl.3.12"></a><var>3.12</var>    (2) according to court order;<br/>
<a id="pl.3.13"></a><var>3.13</var>    (3) according to a statute specifically authorizing access to the private data;<br/>
<a id="pl.3.14"></a><var>3.14</var>    (4) to an agent of the welfare system, including a law enforcement person, attorney, <br/>
<a id="pl.3.15"></a><var>3.15</var>or investigator acting for it in the investigation or prosecution of a criminal or civil <br/>
<a id="pl.3.16"></a><var>3.16</var>proceeding relating to the administration of a program;<br/>
<a id="pl.3.17"></a><var>3.17</var>    (5) to personnel of the welfare system who require the data to verify an individual's <br/>
<a id="pl.3.18"></a><var>3.18</var>identity; determine eligibility, amount of assistance, and the need to provide services to <br/>
<a id="pl.3.19"></a><var>3.19</var>an individual or family across programs; evaluate the effectiveness of programs; and <br/>
<a id="pl.3.20"></a><var>3.20</var>investigate suspected fraud;<br/>
<a id="pl.3.21"></a><var>3.21</var>    (6) to administer federal funds or programs;<br/>
<a id="pl.3.22"></a><var>3.22</var>    (7) between personnel of the welfare system working in the same program;<br/>
<a id="pl.3.23"></a><var>3.23</var>    (8) to the Department of Revenue to administer and evaluate tax refund or tax credit <br/>
<a id="pl.3.24"></a><var>3.24</var>programs and to identify individuals who may benefit from these programs. The following <br/>
<a id="pl.3.25"></a><var>3.25</var>information may be disclosed under this paragraph: an individual's and their dependent's <br/>
<a id="pl.3.26"></a><var>3.26</var>names, dates of birth, Social Security numbers, income, addresses, and other data as <br/>
<a id="pl.3.27"></a><var>3.27</var>required, upon request by the Department of Revenue. Disclosures by the commissioner <br/>
<a id="pl.3.28"></a><var>3.28</var>of revenue to the commissioner of human services for the purposes described in this clause <br/>
<a id="pl.3.29"></a><var>3.29</var>are governed by section 
         <statute_ref>270B.14, subdivision 1</statute_ref>. Tax refund or tax credit programs include, <br/>
<a id="pl.3.30"></a><var>3.30</var>but are not limited to, the dependent care credit under section 
         <statute_ref>290.067</statute_ref>, the Minnesota <br/>
<a id="pl.3.31"></a><var>3.31</var>working family credit under section 
         <statute_ref>290.0671</statute_ref>, the property tax refund and rental credit <br/>
<a id="pl.3.32"></a><var>3.32</var>under section 
         <statute_ref>290A.04</statute_ref>, and the Minnesota education credit under section 
         <statute_ref>290.0674</statute_ref>;<br/>
<a id="pl.3.33"></a><var>3.33</var>    (9) between the Department of Human Services, the Department of Education, and <br/>
<a id="pl.3.34"></a><var>3.34</var>the Department of Employment and Economic Development for the purpose of monitoring <br/>
<a id="pl.3.35"></a><var>3.35</var>the eligibility of the data subject for unemployment benefits, for any employment or <br/>
<a id="pl.4.1"></a><var>4.1</var>training program administered, supervised, or certified by that agency, for the purpose of <br/>
<a id="pl.4.2"></a><var>4.2</var>administering any rehabilitation program or child care assistance program, whether alone <br/>
<a id="pl.4.3"></a><var>4.3</var>or in conjunction with the welfare system, or to monitor and evaluate the Minnesota <br/>
<a id="pl.4.4"></a><var>4.4</var>family investment program or the child care assistance program by exchanging data on <br/>
<a id="pl.4.5"></a><var>4.5</var>recipients and former recipients of food support, cash assistance under chapter 256, 256D, <br/>
<a id="pl.4.6"></a><var>4.6</var>256J, or 256K, child care assistance under chapter 119B, or medical programs under <br/>
<a id="pl.4.7"></a><var>4.7</var>chapter 256B, 256D, or 256L;<br/>
<a id="pl.4.8"></a><var>4.8</var>    (10) to appropriate parties in connection with an emergency if knowledge of <br/>
<a id="pl.4.9"></a><var>4.9</var>the information is necessary to protect the health or safety of the individual or other <br/>
<a id="pl.4.10"></a><var>4.10</var>individuals or persons;<br/>
<a id="pl.4.11"></a><var>4.11</var>    (11) data maintained by residential programs as defined in section 
         <statute_ref>245A.02</statute_ref> may <br/>
<a id="pl.4.12"></a><var>4.12</var>be disclosed to the protection and advocacy system established in this state according <br/>
<a id="pl.4.13"></a><var>4.13</var>to Part C of Public Law 98-527 to protect the legal and human rights of persons with <br/>
<a id="pl.4.14"></a><var>4.14</var>developmental disabilities or other related conditions who live in residential facilities for <br/>
<a id="pl.4.15"></a><var>4.15</var>these persons if the protection and advocacy system receives a complaint by or on behalf <br/>
<a id="pl.4.16"></a><var>4.16</var>of that person and the person does not have a legal guardian or the state or a designee of <br/>
<a id="pl.4.17"></a><var>4.17</var>the state is the legal guardian of the person;<br/>
<a id="pl.4.18"></a><var>4.18</var>    (12) to the county medical examiner or the county coroner for identifying or locating <br/>
<a id="pl.4.19"></a><var>4.19</var>relatives or friends of a deceased person;<br/>
<a id="pl.4.20"></a><var>4.20</var>    (13) data on a child support obligor who makes payments to the public agency <br/>
<a id="pl.4.21"></a><var>4.21</var>may be disclosed to the Minnesota Office of Higher Education to the extent necessary to <br/>
<a id="pl.4.22"></a><var>4.22</var>determine eligibility under section 
         <statute_ref>136A.121, subdivision 2</statute_ref>, clause (5);<br/>
<a id="pl.4.23"></a><var>4.23</var>    (14) participant Social Security numbers and names collected by the telephone <br/>
<a id="pl.4.24"></a><var>4.24</var>assistance program may be disclosed to the Department of Revenue to conduct an <br/>
<a id="pl.4.25"></a><var>4.25</var>electronic data match with the property tax refund database to determine eligibility under <br/>
<a id="pl.4.26"></a><var>4.26</var>section 
         <statute_ref>237.70, subdivision 4a</statute_ref>;<br/>
<a id="pl.4.27"></a><var>4.27</var>    (15) the current address of a Minnesota family investment program participant <br/>
<a id="pl.4.28"></a><var>4.28</var>may be disclosed to law enforcement officers who provide the name of the participant <br/>
<a id="pl.4.29"></a><var>4.29</var>and notify the agency that:<br/>
<a id="pl.4.30"></a><var>4.30</var>    (i) the participant:<br/>
<a id="pl.4.31"></a><var>4.31</var>    (A) is a fugitive felon fleeing to avoid prosecution, or custody or confinement after <br/>
<a id="pl.4.32"></a><var>4.32</var>conviction, for a crime or attempt to commit a crime that is a felony under the laws of the <br/>
<a id="pl.4.33"></a><var>4.33</var>jurisdiction from which the individual is fleeing; or<br/>
<a id="pl.4.34"></a><var>4.34</var>    (B) is violating a condition of probation or parole imposed under state or federal law;<br/>
<a id="pl.4.35"></a><var>4.35</var>    (ii) the location or apprehension of the felon is within the law enforcement officer's <br/>
<a id="pl.4.36"></a><var>4.36</var>official duties; and<br/>
<a id="pl.5.1"></a><var>5.1</var>    (iii) the request is made in writing and in the proper exercise of those duties;<br/>
<a id="pl.5.2"></a><var>5.2</var>    (16) the current address of a recipient of general assistance or general assistance <br/>
<a id="pl.5.3"></a><var>5.3</var>medical care may be disclosed to probation officers and corrections agents who are <br/>
<a id="pl.5.4"></a><var>5.4</var>supervising the recipient and to law enforcement officers who are investigating the <br/>
<a id="pl.5.5"></a><var>5.5</var>recipient in connection with a felony level offense;<br/>
<a id="pl.5.6"></a><var>5.6</var>    (17) information obtained from food support applicant or recipient households may <br/>
<a id="pl.5.7"></a><var>5.7</var>be disclosed to local, state, or federal law enforcement officials, upon their written request, <br/>
<a id="pl.5.8"></a><var>5.8</var>for the purpose of investigating an alleged violation of the Food Stamp Act, according <br/>
<a id="pl.5.9"></a><var>5.9</var>to Code of Federal Regulations, title 7, section 272.1(c);<br/>
<a id="pl.5.10"></a><var>5.10</var>    (18) the address, Social Security number, and, if available, photograph of any <br/>
<a id="pl.5.11"></a><var>5.11</var>member of a household receiving food support shall be made available, on request, to a <br/>
<a id="pl.5.12"></a><var>5.12</var>local, state, or federal law enforcement officer if the officer furnishes the agency with the <br/>
<a id="pl.5.13"></a><var>5.13</var>name of the member and notifies the agency that:<br/>
<a id="pl.5.14"></a><var>5.14</var>    (i) the member:<br/>
<a id="pl.5.15"></a><var>5.15</var>    (A) is fleeing to avoid prosecution, or custody or confinement after conviction, for a <br/>
<a id="pl.5.16"></a><var>5.16</var>crime or attempt to commit a crime that is a felony in the jurisdiction the member is fleeing;<br/>
<a id="pl.5.17"></a><var>5.17</var>    (B) is violating a condition of probation or parole imposed under state or federal <br/>
<a id="pl.5.18"></a><var>5.18</var>law; or<br/>
<a id="pl.5.19"></a><var>5.19</var>    (C) has information that is necessary for the officer to conduct an official duty related <br/>
<a id="pl.5.20"></a><var>5.20</var>to conduct described in subitem (A) or (B);<br/>
<a id="pl.5.21"></a><var>5.21</var>    (ii) locating or apprehending the member is within the officer's official duties; and<br/>
<a id="pl.5.22"></a><var>5.22</var>    (iii) the request is made in writing and in the proper exercise of the officer's official <br/>
<a id="pl.5.23"></a><var>5.23</var>duty;<br/>
<a id="pl.5.24"></a><var>5.24</var>    (19) the current address of a recipient of Minnesota family investment program, <br/>
<a id="pl.5.25"></a><var>5.25</var>general assistance, general assistance medical care, or food support may be disclosed to <br/>
<a id="pl.5.26"></a><var>5.26</var>law enforcement officers who, in writing, provide the name of the recipient and notify the <br/>
<a id="pl.5.27"></a><var>5.27</var>agency that the recipient is a person required to register under section 
         <statute_ref>243.166</statute_ref>, but is not <br/>
<a id="pl.5.28"></a><var>5.28</var>residing at the address at which the recipient is registered under section 
         <statute_ref>243.166</statute_ref>;<br/>
<a id="pl.5.29"></a><var>5.29</var>    (20) certain information regarding child support obligors who are in arrears may be <br/>
<a id="pl.5.30"></a><var>5.30</var>made public according to section 
         <statute_ref>518A.74</statute_ref>;<br/>
<a id="pl.5.31"></a><var>5.31</var>    (21) data on child support payments made by a child support obligor and data on <br/>
<a id="pl.5.32"></a><var>5.32</var>the distribution of those payments excluding identifying information on obligees may be <br/>
<a id="pl.5.33"></a><var>5.33</var>disclosed to all obligees to whom the obligor owes support, and data on the enforcement <br/>
<a id="pl.5.34"></a><var>5.34</var>actions undertaken by the public authority, the status of those actions, and data on the <br/>
<a id="pl.5.35"></a><var>5.35</var>income of the obligor or obligee may be disclosed to the other party;<br/>
<a id="pl.6.1"></a><var>6.1</var>    (22) data in the work reporting system may be disclosed under section 
         <statute_ref>256.998, <br/>
<a id="pl.6.2"></a><var>6.2</var>subdivision 7
         </statute_ref>;<br/>
<a id="pl.6.3"></a><var>6.3</var>    (23) to the Department of Education for the purpose of matching Department of <br/>
<a id="pl.6.4"></a><var>6.4</var>Education student data with public assistance data to determine students eligible for free <br/>
<a id="pl.6.5"></a><var>6.5</var>and reduced price meals, meal supplements, and free milk according to United States <br/>
<a id="pl.6.6"></a><var>6.6</var>Code, title 42, sections 1758, 1761, 1766, 1766a, 1772, and 1773; to allocate federal and <br/>
<a id="pl.6.7"></a><var>6.7</var>state funds that are distributed based on income of the student's family; and to verify <br/>
<a id="pl.6.8"></a><var>6.8</var>receipt of energy assistance for the telephone assistance plan;<br/>
<a id="pl.6.9"></a><var>6.9</var>    (24) the current address and telephone number of program recipients and emergency <br/>
<a id="pl.6.10"></a><var>6.10</var>contacts may be released to the commissioner of health or a local board of health as <br/>
<a id="pl.6.11"></a><var>6.11</var>defined in section 
         <statute_ref>145A.02, subdivision 2</statute_ref>, when the commissioner or local board of health <br/>
<a id="pl.6.12"></a><var>6.12</var>has reason to believe that a program recipient is a disease case, carrier, suspect case, or at <br/>
<a id="pl.6.13"></a><var>6.13</var>risk of illness, and the data are necessary to locate the person;<br/>
<a id="pl.6.14"></a><var>6.14</var>    (25) to other state agencies, statewide systems, and political subdivisions of this <br/>
<a id="pl.6.15"></a><var>6.15</var>state, including the attorney general, and agencies of other states, interstate information <br/>
<a id="pl.6.16"></a><var>6.16</var>networks, federal agencies, and other entities as required by federal regulation or law for <br/>
<a id="pl.6.17"></a><var>6.17</var>the administration of the child support enforcement program;<br/>
<a id="pl.6.18"></a><var>6.18</var>    (26) to personnel of public assistance programs as defined in section 
         <statute_ref>256.741</statute_ref>, for <br/>
<a id="pl.6.19"></a><var>6.19</var>access to the child support system database for the purpose of administration, including <br/>
<a id="pl.6.20"></a><var>6.20</var>monitoring and evaluation of those public assistance programs;<br/>
<a id="pl.6.21"></a><var>6.21</var>    (27) to monitor and evaluate the Minnesota family investment program by <br/>
<a id="pl.6.22"></a><var>6.22</var>exchanging data between the Departments of Human Services and Education, on <br/>
<a id="pl.6.23"></a><var>6.23</var>recipients and former recipients of food support, cash assistance under chapter 256, 256D, <br/>
<a id="pl.6.24"></a><var>6.24</var>256J, or 256K, child care assistance under chapter 119B, or medical programs under <br/>
<a id="pl.6.25"></a><var>6.25</var>chapter 256B, 256D, or 256L;<br/>
<a id="pl.6.26"></a><var>6.26</var>    (28) to evaluate child support program performance and to identify and prevent <br/>
<a id="pl.6.27"></a><var>6.27</var>fraud in the child support program by exchanging data between the Department of Human <br/>
<a id="pl.6.28"></a><var>6.28</var>Services, Department of Revenue under section 
         <statute_ref>270B.14, subdivision 1</statute_ref>, paragraphs (a) <br/>
<a id="pl.6.29"></a><var>6.29</var>and (b), without regard to the limitation of use in paragraph (c), Department of Health, <br/>
<a id="pl.6.30"></a><var>6.30</var>Department of Employment and Economic Development, and other state agencies as is <br/>
<a id="pl.6.31"></a><var>6.31</var>reasonably necessary to perform these functions; or<br/>
<a id="pl.6.32"></a><var>6.32</var>    (29) counties operating child care assistance programs under chapter 119B may <br/>
<a id="pl.6.33"></a><var>6.33</var>disseminate data on program participants, applicants, and providers to the commissioner <br/>
<a id="pl.6.34"></a><var>6.34</var>of education.<br/>
<a id="pl.7.1"></a><var>7.1</var>    (b) Information on persons who have been treated for drug or alcohol abuse may <br/>
<a id="pl.7.2"></a><var>7.2</var>only be disclosed according to the requirements of Code of Federal Regulations, title <br/>
<a id="pl.7.3"></a><var>7.3</var>42, sections 2.1 to 
         <statute_ref>2.67</statute_ref>.<br/>
<a id="pl.7.4"></a><var>7.4</var>    (c) Data provided to law enforcement agencies under paragraph (a), clause (15), <br/>
<a id="pl.7.5"></a><var>7.5</var>(16), (17), or (18), or paragraph (b), are investigative data and are confidential or protected <br/>
<a id="pl.7.6"></a><var>7.6</var>nonpublic while the investigation is active. The data are private after the investigation <br/>
<a id="pl.7.7"></a><var>7.7</var>becomes inactive under section 
         <statute_ref>13.82, subdivision 5</statute_ref>, paragraph (a) or (b).<br/>
<a id="pl.7.8"></a><var>7.8</var>    (d) Mental health data shall be treated as provided in subdivisions 7, 8, and 9, but is <br/>
<a id="pl.7.9"></a><var>7.9</var>not subject to the access provisions of subdivision 10, paragraph (b).<br/>
<a id="pl.7.10"></a><var>7.10</var>    For the purposes of this subdivision, a request will be deemed to be made in writing <br/>
<a id="pl.7.11"></a><var>7.11</var>if made through a computer interface system.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.7.12"></a><var>7.12</var>    Sec. 2. Minnesota Statutes 2006, section 16D.13, subdivision 3, is amended to read:<br/>
<a id="pl.7.13"></a><var>7.13</var>    Subd. 3. <b>Exclusion.</b> A state agency may not charge interest under this section on <br/>
<a id="pl.7.14"></a><var>7.14</var>overpayments of assistance benefits under the programs formerly codified in sections <br/>
<statute_ref><a id="pl.7.15"></a><var>7.15</var>256.031
         </statute_ref> to 
         <statute_ref>256.0361</statute_ref>, 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, and under chapters 119B, 256D, and 256I, or the <br/>
<a id="pl.7.16"></a><var>7.16</var>federal food stamp program. Notwithstanding this prohibition, any debts that have been <br/>
<a id="pl.7.17"></a><var>7.17</var>reduced to judgment under these programs are subject to the interest charges provided <br/>
<a id="pl.7.18"></a><var>7.18</var>under section 
         <statute_ref>549.09</statute_ref>.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.7.19"></a><var>7.19</var>    Sec. 3. Minnesota Statutes 2006, section 119B.05, subdivision 1, is amended to read:<br/>
<a id="pl.7.20"></a><var>7.20</var>    Subdivision 1. <b>Eligible participants.</b> Families eligible for child care assistance <br/>
<a id="pl.7.21"></a><var>7.21</var>under the MFIP child care program are:<br/>
<a id="pl.7.22"></a><var>7.22</var>    (1) MFIP participants who are employed or in job search and meet the requirements <br/>
<a id="pl.7.23"></a><var>7.23</var>of section 
         <statute_ref>119B.10</statute_ref>; <br/>
<a id="pl.7.24"></a><var>7.24</var>    (2) persons who are members of transition year families under section 
         <statute_ref>119B.011, <br/>
<a id="pl.7.25"></a><var>7.25</var>subdivision 20
         </statute_ref>, and meet the requirements of section 
         <statute_ref>119B.10</statute_ref>; <br/>
<a id="pl.7.26"></a><var>7.26</var>    (3) families who are participating in employment orientation or job search, or <br/>
<a id="pl.7.27"></a><var>7.27</var>other employment or training activities that are included in an approved employability <br/>
<a id="pl.7.28"></a><var>7.28</var>development plan under section sections 256J.09 and
<statute_ref>256J.95</statute_ref>; <br/>
<a id="pl.7.29"></a><var>7.29</var>    (4) MFIP families who are participating in work job search, job support, <br/>
<a id="pl.7.30"></a><var>7.30</var>employment, or training activities as required in their employment plan, or in appeals, <br/>
<a id="pl.7.31"></a><var>7.31</var>hearings, assessments, or orientations according to chapter 256J;<br/>
<a id="pl.7.32"></a><var>7.32</var>    (5) MFIP families who are participating in social services activities under chapter <br/>
<a id="pl.7.33"></a><var>7.33</var>256J as required in their employment plan approved according to chapter 256J;<br/>
<a id="pl.8.1"></a><var>8.1</var>    (6) families who are participating in programs as required in tribal contracts under <br/>
<a id="pl.8.2"></a><var>8.2</var>section 
         <statute_ref>119B.02, subdivision 2</statute_ref>, or 
         <statute_ref>256.01, subdivision 2</statute_ref>; and <br/>
<a id="pl.8.3"></a><var>8.3</var>    (7) families who are participating in the transition year extension under section <br/>
<statute_ref><a id="pl.8.4"></a><var>8.4</var>119B.011, subdivision 20a
         </statute_ref>. <br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.8.5"></a><var>8.5</var>    Sec. 4. Minnesota Statutes 2006, section 119B.09, subdivision 1, is amended to read:<br/>
<a id="pl.8.6"></a><var>8.6</var>    Subdivision 1. <b>General</b><b> Eligibility requirements for </b><b>all applicants for</b><b> child </b><br/>
<a id="pl.8.7"></a><var>8.7</var><b>care assistance.</b> (a) Child care services must be available to families who need child <br/>
<a id="pl.8.8"></a><var>8.8</var>care to find or keep employment or to obtain the training or education necessary to find <br/>
<a id="pl.8.9"></a><var>8.9</var>employment and who:<br/>
<a id="pl.8.10"></a><var>8.10</var>    (1) have household income less than or equal to 250 percent of the federal poverty <br/>
<a id="pl.8.11"></a><var>8.11</var>guidelines, adjusted for family size, and meet the requirements of section 
         <statute_ref>119B.05</statute_ref>; <br/>
<a id="pl.8.12"></a><var>8.12</var>receive MFIP assistance; and are participating in employment and training services under <br/>
<a id="pl.8.13"></a><var>8.13</var>chapter 256J or 256K; or<br/>
<a id="pl.8.14"></a><var>8.14</var>    (2) have household income less than or equal to 175 percent of the federal poverty <br/>
<a id="pl.8.15"></a><var>8.15</var>guidelines, adjusted for family size, at program entry and less than 250 percent of the <br/>
<a id="pl.8.16"></a><var>8.16</var>federal poverty guidelines, adjusted for family size, at program exit.; or<br/>
<a id="pl.8.17"></a><var>8.17</var>    (3) have household income less than or equal to 250 percent of the federal poverty <br/>
<a id="pl.8.18"></a><var>8.18</var>guidelines, adjusted for family size, and were a family whose child care assistance was <br/>
<a id="pl.8.19"></a><var>8.19</var>terminated due to insufficient funds under Minnesota Rules, part 3400.0183.<br/>
<a id="pl.8.20"></a><var>8.20</var>    (b) Child care services must be made available as in-kind services.<br/>
<a id="pl.8.21"></a><var>8.21</var>    (c) All applicants for child care assistance and families currently receiving child care <br/>
<a id="pl.8.22"></a><var>8.22</var>assistance must be assisted and required to cooperate in establishment of paternity and <br/>
<a id="pl.8.23"></a><var>8.23</var>enforcement of child support obligations for all children in the family as a condition <br/>
<a id="pl.8.24"></a><var>8.24</var>of program eligibility. For purposes of this section, a family is considered to meet the <br/>
<a id="pl.8.25"></a><var>8.25</var>requirement for cooperation when the family complies with the requirements of section <br/>
<statute_ref><a id="pl.8.26"></a><var>8.26</var>256.741
         </statute_ref>.<br/>
<a id="pl.8.27"></a><var>8.27</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008.<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.8.28"></a><var>8.28</var>    Sec. 5. Minnesota Statutes 2006, section 119B.09, subdivision 7, is amended to read:<br/>
<a id="pl.8.29"></a><var>8.29</var>    Subd. 7. <b>Date of eligibility for assistance.</b> (a) The date of eligibility for child <br/>
<a id="pl.8.30"></a><var>8.30</var>care assistance under this chapter is the later of the date the application was signed; the <br/>
<a id="pl.8.31"></a><var>8.31</var>beginning date of employment, education, or training; the date the infant is born for <br/>
<a id="pl.8.32"></a><var>8.32</var>applicants to the at-home infant care program; or the date a determination has been made <br/>
<a id="pl.8.33"></a><var>8.33</var>that the applicant is a participant in employment and training services under Minnesota <br/>
<a id="pl.8.34"></a><var>8.34</var>Rules, part 3400.0080, subpart 2a, or chapter 256J.<br/>
<a id="pl.9.1"></a><var>9.1</var>    (b) Payment ceases for a family under the at-home infant child care program when a <br/>
<a id="pl.9.2"></a><var>9.2</var>family has used a total of 12 months of assistance as specified under section 
         <statute_ref>119B.035</statute_ref>. <br/>
<a id="pl.9.3"></a><var>9.3</var>Payment of child care assistance for employed persons on MFIP is effective the date of <br/>
<a id="pl.9.4"></a><var>9.4</var>employment or the date of MFIP eligibility, whichever is later. Payment of child care <br/>
<a id="pl.9.5"></a><var>9.5</var>assistance for MFIP or DWP participants in employment and training services is effective <br/>
<a id="pl.9.6"></a><var>9.6</var>the date of commencement of the services or the date of MFIP or DWP eligibility, <br/>
<a id="pl.9.7"></a><var>9.7</var>whichever is later. Payment of child care assistance for transition year child care must be <br/>
<a id="pl.9.8"></a><var>9.8</var>made retroactive to the date of eligibility for transition year child care. <br/>
<a id="pl.9.9"></a><var>9.9</var>    (c) Notwithstanding paragraph (b), payment of child care assistance for participants <br/>
<a id="pl.9.10"></a><var>9.10</var>eligible under section 119B.05, may only be made retroactively for a maximum of six <br/>
<a id="pl.9.11"></a><var>9.11</var>months from the date of application for child care assistance.<br/>
<a id="pl.9.12"></a><var>9.12</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.9.13"></a><var>9.13</var>    Sec. 6. Minnesota Statutes 2006, section 119B.09, is amended by adding a subdivision <br/>
<a id="pl.9.14"></a><var>9.14</var>to read:<br/>
<a id="pl.9.15"></a><var>9.15</var>    Subd. 11. <b>Payment of other child care expenses.</b> Payment by a source other <br/>
<a id="pl.9.16"></a><var>9.16</var>than the family, of part or all of a family's child care expenses not payable under this <br/>
<a id="pl.9.17"></a><var>9.17</var>chapter, does not affect the family's eligibility for child care assistance, and the amount <br/>
<a id="pl.9.18"></a><var>9.18</var>paid is excluded from the family's income, if the funds are paid directly to the family's <br/>
<a id="pl.9.19"></a><var>9.19</var>child care provider on behalf of the family. Child care providers who accept third-party <br/>
<a id="pl.9.20"></a><var>9.20</var>payments must maintain family-specific documentation of payment source, amount, type <br/>
<a id="pl.9.21"></a><var>9.21</var>of expenses, and time period covered by the payment.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.9.22"></a><var>9.22</var>    Sec. 7. Minnesota Statutes 2006, section 119B.09, is amended by adding a subdivision <br/>
<a id="pl.9.23"></a><var>9.23</var>to read:<br/>
<a id="pl.9.24"></a><var>9.24</var>    Subd. 13. <b>Sliding fee.</b> Child care services to families must be made available on <br/>
<a id="pl.9.25"></a><var>9.25</var>a sliding fee basis.<br/>
<a id="pl.9.26"></a><var>9.26</var>    (a) The commissioner shall convert eligibility requirements in section 119B.09 and <br/>
<a id="pl.9.27"></a><var>9.27</var>parent fee schedules in 119B.12 to state median income, based on a family size of three, <br/>
<a id="pl.9.28"></a><var>9.28</var>adjusted for family size,  Subd. 2(a) shall be implemented July 1, 2008. The commissioner <br/>
<a id="pl.9.29"></a><var>9.29</var>shall report to the 2008 legislature with the necessary statutory changes to codify this <br/>
<a id="pl.9.30"></a><var>9.30</var>conversion to state median income. <br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.9.31"></a><var>9.31</var>    Sec. 8. Minnesota Statutes 2006, section 119B.12, is amended to read:<br/>
<a id="pl.9.32"></a><var>9.32</var><b>119B.12 SLIDING FEE SCALE.</b><br/>
<a id="pl.10.1"></a><var>10.1</var>    Subdivision 1. <b>Fee schedule.</b> In setting the sliding fee schedule, the commissioner <br/>
<a id="pl.10.2"></a><var>10.2</var>shall exclude from the amount of income used to determine eligibility an amount for <br/>
<a id="pl.10.3"></a><var>10.3</var>federal and state income and Social Security taxes attributable to that income level <br/>
<a id="pl.10.4"></a><var>10.4</var>according to federal and state standardized tax tables. The commissioner shall base the <br/>
<a id="pl.10.5"></a><var>10.5</var>parent fee on the ability of the family to pay for child care. The fee schedule must be <br/>
<a id="pl.10.6"></a><var>10.6</var>designed to use any available tax credits.<br/>
<a id="pl.10.7"></a><var>10.7</var>    PARENT FEE SCHEDULE.   The parent fee schedule is as follows: <br/>
<table width="100%">
<tr>
<td><a id="pl.10.8"></a><var>10.8</var><br/>
<a id="pl.10.9"></a><var>10.9</var><br/>
</td>
<td align="left" valign="bottom">Income Range (as a percent of the federal <br/>
poverty guidelines)<br/>
</td>
<td align="left" valign="bottom">Co-payment (as a percentage of adjusted <br/>
gross income)<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.10"></a><var>10.10</var><br/>
</td>
<td align="left" valign="bottom"> 0-74.99%<br/>
</td>
<td align="left" valign="bottom">$0/month<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.11"></a><var>10.11</var><br/>
</td>
<td align="left" valign="bottom">75.00-99.99%<br/>
</td>
<td align="left" valign="bottom">$5/month<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.12"></a><var>10.12</var><br/>
</td>
<td align="left" valign="bottom">100.00-104.99%<br/>
</td>
<td align="left" valign="bottom">2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.13"></a><var>10.13</var><br/>
</td>
<td align="left" valign="bottom">105.00-109.99%<br/>
</td>
<td align="left" valign="bottom">2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.14"></a><var>10.14</var><br/>
</td>
<td align="left" valign="bottom">110.00-114.99%<br/>
</td>
<td align="left" valign="bottom">2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.15"></a><var>10.15</var><br/>
</td>
<td align="left" valign="bottom">115.00-119.99%<br/>
</td>
<td align="left" valign="bottom">2.61%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.16"></a><var>10.16</var><br/>
</td>
<td align="left" valign="bottom">120.00-124.99%<br/>
</td>
<td align="left" valign="bottom">2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.17"></a><var>10.17</var><br/>
</td>
<td align="left" valign="bottom">125.00-129.99%<br/>
</td>
<td align="left" valign="bottom">2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.18"></a><var>10.18</var><br/>
</td>
<td align="left" valign="bottom">130.00-134.99%<br/>
</td>
<td align="left" valign="bottom">2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.19"></a><var>10.19</var><br/>
</td>
<td align="left" valign="bottom">135.00-139.99%<br/>
</td>
<td align="left" valign="bottom">2.91%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.20"></a><var>10.20</var><br/>
</td>
<td align="left" valign="bottom">140.00-144.99%<br/>
</td>
<td align="left" valign="bottom">3.21%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.21"></a><var>10.21</var><br/>
</td>
<td align="left" valign="bottom">145.00-149.99%<br/>
</td>
<td align="left" valign="bottom">3.21%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.22"></a><var>10.22</var><br/>
</td>
<td align="left" valign="bottom">150.00-154.99%<br/>
</td>
<td align="left" valign="bottom">3.21%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.23"></a><var>10.23</var><br/>
</td>
<td align="left" valign="bottom">155.00-159.99%<br/>
</td>
<td align="left" valign="bottom">3.84%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.24"></a><var>10.24</var><br/>
</td>
<td align="left" valign="bottom">160.00-164.99%<br/>
</td>
<td align="left" valign="bottom">3.84%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.25"></a><var>10.25</var><br/>
</td>
<td align="left" valign="bottom">165.00-169.99%<br/>
</td>
<td align="left" valign="bottom">4.46%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.26"></a><var>10.26</var><br/>
</td>
<td align="left" valign="bottom">170.00-174.99%<br/>
</td>
<td align="left" valign="bottom">4.76%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.27"></a><var>10.27</var><br/>
</td>
<td align="left" valign="bottom">175.00-179.99%<br/>
</td>
<td align="left" valign="bottom">5.05%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.28"></a><var>10.28</var><br/>
</td>
<td align="left" valign="bottom">180.00-184.99%<br/>
</td>
<td align="left" valign="bottom">5.65%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.29"></a><var>10.29</var><br/>
</td>
<td align="left" valign="bottom">185.00-189.99%<br/>
</td>
<td align="left" valign="bottom">5.95%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.30"></a><var>10.30</var><br/>
</td>
<td align="left" valign="bottom">190.00-194.99%<br/>
</td>
<td align="left" valign="bottom">6.24%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.31"></a><var>10.31</var><br/>
</td>
<td align="left" valign="bottom">195.00-199.99%<br/>
</td>
<td align="left" valign="bottom">6.84%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.32"></a><var>10.32</var><br/>
</td>
<td align="left" valign="bottom">200.00-204.99%<br/>
</td>
<td align="left" valign="bottom">7.58%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.33"></a><var>10.33</var><br/>
</td>
<td align="left" valign="bottom">205.00-209.99%<br/>
</td>
<td align="left" valign="bottom">8.33%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.34"></a><var>10.34</var><br/>
</td>
<td align="left" valign="bottom">210.00-214.99%<br/>
</td>
<td align="left" valign="bottom">9.20%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.35"></a><var>10.35</var><br/>
</td>
<td align="left" valign="bottom">215.00-219.99%<br/>
</td>
<td align="left" valign="bottom">10.07%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.36"></a><var>10.36</var><br/>
</td>
<td align="left" valign="bottom">220.00-224.99%<br/>
</td>
<td align="left" valign="bottom">10.94%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.37"></a><var>10.37</var><br/>
</td>
<td align="left" valign="bottom">225.00-229.99%<br/>
</td>
<td align="left" valign="bottom">11.55%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.38"></a><var>10.38</var><br/>
</td>
<td align="left" valign="bottom">230.00-234.99%<br/>
</td>
<td align="left" valign="bottom">12.16%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.39"></a><var>10.39</var><br/>
</td>
<td align="left" valign="bottom">235.00-239.99%<br/>
</td>
<td align="left" valign="bottom">12.77%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.40"></a><var>10.40</var><br/>
</td>
<td align="left" valign="bottom">240.00-244.99%<br/>
</td>
<td align="left" valign="bottom">13.38%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.41"></a><var>10.41</var><br/>
</td>
<td align="left" valign="bottom">245.00-249.99%<br/>
</td>
<td align="left" valign="bottom">14.00%<br/>
</td>
</tr>
<tr>
<td><a id="pl.10.42"></a><var>10.42</var><br/>
</td>
<td align="left" valign="bottom">250%<br/>
</td>
<td align="left" valign="bottom">ineligible<br/>
</td>
</tr>
</table><a id="pl.11.1"></a><var>11.1</var>    A family's monthly co-payment fee is the fixed percentage established for the <br/>
<a id="pl.11.2"></a><var>11.2</var>income range multiplied by the highest possible income within that income range.<br/>
<a id="pl.11.3"></a><var>11.3</var>    Subd. 2. <b>Parent fee.</b> A family must be assessed a parent fee for each service period. <br/>
<a id="pl.11.4"></a><var>11.4</var>A family's parent fee must be a fixed percentage of its annual gross income. Parent fees <br/>
<a id="pl.11.5"></a><var>11.5</var>must apply to families eligible for child care assistance under sections 
         <statute_ref>119B.03</statute_ref> and <br/>
<statute_ref><a id="pl.11.6"></a><var>11.6</var>119B.05
         </statute_ref>. Income must be as defined in section 
         <statute_ref>119B.011, subdivision 15</statute_ref>. The fixed <br/>
<a id="pl.11.7"></a><var>11.7</var>percent is based on the relationship of the family's annual gross income to 100 percent <br/>
<a id="pl.11.8"></a><var>11.8</var>of the annual federal poverty guidelines. Parent fees must begin at 75 percent of the <br/>
<a id="pl.11.9"></a><var>11.9</var>poverty level. The minimum parent fees for families between 75 percent and 100 percent <br/>
<a id="pl.11.10"></a><var>11.10</var>of poverty level must be $10 $5 per month. Parent fees must provide for graduated <br/>
<a id="pl.11.11"></a><var>11.11</var>movement to full payment. Payment of part or all of a family's parent fee directly to the <br/>
<a id="pl.11.12"></a><var>11.12</var>family's child care provider on behalf of the family by a source other than the family shall <br/>
<a id="pl.11.13"></a><var>11.13</var>not affect the family's eligibility for child care assistance, and the amount paid shall be <br/>
<a id="pl.11.14"></a><var>11.14</var>excluded from the family's income. Child care providers who accept third-party payments <br/>
<a id="pl.11.15"></a><var>11.15</var>must maintain family specific documentation of payment source, amount, and time period <br/>
<a id="pl.11.16"></a><var>11.16</var>covered by the payment.<br/>
<a id="pl.11.17"></a><var>11.17</var><b>EFFECTIVE DATE.</b>(a) This section is effective July 1, 2007. <br/>
<a id="pl.11.18"></a><var>11.18</var>    (b) Effective July 1, 2008, the parent fee scale for families with incomes greater than <br/>
<a id="pl.11.19"></a><var>11.19</var>or equal to 100 percent of FPG shall be converted to state median income for a family size <br/>
<a id="pl.11.20"></a><var>11.20</var>of three, adjusted for family size, as directed in section 119B.09, subdivision 2(a). <br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.11.21"></a><var>11.21</var>    Sec. 9. Minnesota Statutes 2006, section 119B.125, subdivision 2, is amended to read:<br/>
<a id="pl.11.22"></a><var>11.22</var>    Subd. 2. <b>Persons who cannot be authorized.</b> (a) A person who meets any of the <br/>
<a id="pl.11.23"></a><var>11.23</var>conditions under paragraphs (b) to (n) must not be authorized as a legal nonlicensed <br/>
<a id="pl.11.24"></a><var>11.24</var>family child care provider. To determine whether any of the listed conditions exist, <br/>
<a id="pl.11.25"></a><var>11.25</var>the county must request information about the provider from the Bureau of Criminal <br/>
<a id="pl.11.26"></a><var>11.26</var>Apprehension, the juvenile courts, and social service agencies. When one of the listed <br/>
<a id="pl.11.27"></a><var>11.27</var>entities does not maintain information on a statewide basis, the county must contact the <br/>
<a id="pl.11.28"></a><var>11.28</var>entity in the county where the provider resides and any other county in which the provider <br/>
<a id="pl.11.29"></a><var>11.29</var>previously resided in the past year. For purposes of this subdivision, a finding that a <br/>
<a id="pl.11.30"></a><var>11.30</var>delinquency petition is proven in juvenile court must be considered a conviction in state <br/>
<a id="pl.11.31"></a><var>11.31</var>district court. If a county has determined that a provider is able to be authorized in that <br/>
<a id="pl.11.32"></a><var>11.32</var>county, and a family in another county later selects that provider, the provider is able to <br/>
<a id="pl.11.33"></a><var>11.33</var>be authorized in the second county without undergoing a new background investigation <br/>
<a id="pl.11.34"></a><var>11.34</var>unless one of the following conditions exists:<br/>
<a id="pl.11.35"></a><var>11.35</var>    (1) two years have passed since the first authorization;<br/>
<a id="pl.12.1"></a><var>12.1</var>    (2) another person age 13 or older has joined the provider's household since the <br/>
<a id="pl.12.2"></a><var>12.2</var>last authorization;<br/>
<a id="pl.12.3"></a><var>12.3</var>    (3) a current household member has turned 13 since the last authorization; or<br/>
<a id="pl.12.4"></a><var>12.4</var>    (4) there is reason to believe that a household member has a factor that prevents <br/>
<a id="pl.12.5"></a><var>12.5</var>authorization.<br/>
<a id="pl.12.6"></a><var>12.6</var>    (b) The person has been convicted of one of the following offenses or has admitted to <br/>
<a id="pl.12.7"></a><var>12.7</var>committing or a preponderance of the evidence indicates that the person has committed an <br/>
<a id="pl.12.8"></a><var>12.8</var>act that meets the definition of one of the following offenses: sections 
         <statute_ref>609.185</statute_ref> to 
         <statute_ref>609.195</statute_ref>, <br/>
<a id="pl.12.9"></a><var>12.9</var>murder in the first, second, or third degree; 
         <statute_ref>609.2661</statute_ref> to 
         <statute_ref>609.2663</statute_ref>, murder of an unborn <br/>
<a id="pl.12.10"></a><var>12.10</var>child in the first, second, or third degree; 
         <statute_ref>609.322</statute_ref>, solicitation, inducement, promotion <br/>
<a id="pl.12.11"></a><var>12.11</var>of prostitution, or receiving profit from prostitution; 
         <statute_ref>609.342</statute_ref> to 
         <statute_ref>609.345</statute_ref>, criminal sexual <br/>
<a id="pl.12.12"></a><var>12.12</var>conduct in the first, second, third, or fourth degree; 
         <statute_ref>609.352</statute_ref>, solicitation of children to <br/>
<a id="pl.12.13"></a><var>12.13</var>engage in sexual conduct; 
         <statute_ref>609.365</statute_ref>, incest; 
         <statute_ref>609.377</statute_ref>, felony malicious punishment of a <br/>
<a id="pl.12.14"></a><var>12.14</var>child; 
         <statute_ref>617.246</statute_ref>, use of minors in sexual performance; 
         <statute_ref>617.247</statute_ref>, possession of pictorial <br/>
<a id="pl.12.15"></a><var>12.15</var>representation of a minor; 
         <statute_ref>609.2242</statute_ref> to 
         <statute_ref>609.2243</statute_ref>, felony domestic assault; a felony offense <br/>
<a id="pl.12.16"></a><var>12.16</var>of spousal abuse; a felony offense of child abuse or neglect; a felony offense of a crime <br/>
<a id="pl.12.17"></a><var>12.17</var>against children; or an attempt or conspiracy to commit any of these offenses as defined in <br/>
<a id="pl.12.18"></a><var>12.18</var>Minnesota Statutes; or an offense in any other state or country where the elements are <br/>
<a id="pl.12.19"></a><var>12.19</var>substantially similar to any of the offenses listed in this paragraph.<br/>
<a id="pl.12.20"></a><var>12.20</var>    (c) Less than 15 years have passed since the discharge of the sentence imposed for <br/>
<a id="pl.12.21"></a><var>12.21</var>the offense and the person has received a felony conviction for one of the following <br/>
<a id="pl.12.22"></a><var>12.22</var>offenses, or the person has admitted to committing or a preponderance of the evidence <br/>
<a id="pl.12.23"></a><var>12.23</var>indicates that the person has committed an act that meets the definition of a felony <br/>
<a id="pl.12.24"></a><var>12.24</var>conviction for one of the following offenses: sections 
         <statute_ref>609.20</statute_ref> to 
         <statute_ref>609.205</statute_ref>, manslaughter in <br/>
<a id="pl.12.25"></a><var>12.25</var>the first or second degree; 
         <statute_ref>609.21</statute_ref>, criminal vehicular homicide; 
         <statute_ref>609.215</statute_ref>, aiding suicide <br/>
<a id="pl.12.26"></a><var>12.26</var>or aiding attempted suicide; 
         <statute_ref>609.221</statute_ref> to 
         <statute_ref>609.2231</statute_ref>, assault in the first, second, third, or <br/>
<a id="pl.12.27"></a><var>12.27</var>fourth degree; 
         <statute_ref>609.224</statute_ref>, repeat offenses of fifth degree assault; 
         <statute_ref>609.228</statute_ref>, great bodily <br/>
<a id="pl.12.28"></a><var>12.28</var>harm caused by distribution of drugs; 
         <statute_ref>609.2325</statute_ref>, criminal abuse of a vulnerable adult; <br/>
<statute_ref><a id="pl.12.29"></a><var>12.29</var>609.2335
         </statute_ref>, financial exploitation of a vulnerable adult; 
         <statute_ref>609.235</statute_ref>, use of drugs to injure or <br/>
<a id="pl.12.30"></a><var>12.30</var>facilitate a crime; 
         <statute_ref>609.24</statute_ref>, simple robbery; 
         <statute_ref>617.241</statute_ref>, repeat offenses of obscene materials <br/>
<a id="pl.12.31"></a><var>12.31</var>and performances; 
         <statute_ref>609.245</statute_ref>, aggravated robbery; 
         <statute_ref>609.25</statute_ref>, kidnapping; 
         <statute_ref>609.255</statute_ref>, false <br/>
<a id="pl.12.32"></a><var>12.32</var>imprisonment; 
         <statute_ref>609.2664</statute_ref> to 
         <statute_ref>609.2665</statute_ref>, manslaughter of an unborn child in the first or <br/>
<a id="pl.12.33"></a><var>12.33</var>second degree; 
         <statute_ref>609.267</statute_ref> to 
         <statute_ref>609.2672</statute_ref>, assault of an unborn child in the first, second, or third <br/>
<a id="pl.12.34"></a><var>12.34</var>degree; 
         <statute_ref>609.268</statute_ref>, injury or death of an unborn child in the commission of a crime; 
         <statute_ref>609.27</statute_ref>, <br/>
<a id="pl.12.35"></a><var>12.35</var>coercion; 
         <statute_ref>609.275</statute_ref>, attempt to coerce; 
         <statute_ref>609.324, subdivision 1</statute_ref>, other prohibited acts, minor <br/>
<a id="pl.12.36"></a><var>12.36</var>engaged in prostitution; 
         <statute_ref>609.3451</statute_ref>, repeat offenses of criminal sexual conduct in the fifth <br/>
<a id="pl.13.1"></a><var>13.1</var>degree; 
         <statute_ref>609.378</statute_ref>, neglect or endangerment of a child; 
         <statute_ref>609.52</statute_ref>, theft; 
         <statute_ref>609.521</statute_ref>, possession of <br/>
<a id="pl.13.2"></a><var>13.2</var>shoplifting gear; 
         <statute_ref>609.561</statute_ref> to 
         <statute_ref>609.563</statute_ref>, arson in the first, second, or third degree; 
         <statute_ref>609.582</statute_ref>, <br/>
<a id="pl.13.3"></a><var>13.3</var>burglary in the first, second, third, or fourth degree; 
         <statute_ref>609.625</statute_ref>, aggravated forgery; 
         <statute_ref>609.63</statute_ref>, <br/>
<a id="pl.13.4"></a><var>13.4</var>forgery; 
         <statute_ref>609.631</statute_ref>, check forgery, offering a forged check; 
         <statute_ref>609.635</statute_ref>, obtaining signature <br/>
<a id="pl.13.5"></a><var>13.5</var>by false pretenses; 
         <statute_ref>609.66</statute_ref>, dangerous weapon; 
         <statute_ref>609.665</statute_ref>, setting a spring gun; 
         <statute_ref>609.67</statute_ref>, <br/>
<a id="pl.13.6"></a><var>13.6</var>unlawfully owning, possessing, or operating a machine gun; 
         <statute_ref>609.687</statute_ref>, adulteration; 
         <statute_ref>609.71</statute_ref>, <br/>
<a id="pl.13.7"></a><var>13.7</var>riot; 
         <statute_ref>609.713</statute_ref>, terrorist threats; 
         <statute_ref>609.749</statute_ref>, harassment, stalking; 
         <statute_ref>260C.301</statute_ref>, termination of <br/>
<a id="pl.13.8"></a><var>13.8</var>parental rights; 
         <statute_ref>152.021</statute_ref> to 
         <statute_ref>152.022</statute_ref> and 
         <statute_ref>152.0262</statute_ref>, controlled substance crime in the first <br/>
<a id="pl.13.9"></a><var>13.9</var>or second degree; 
         <statute_ref>152.023, subdivision 1</statute_ref>, clause (3) or (4), or 
         <statute_ref>152.023, subdivision 2</statute_ref>, <br/>
<a id="pl.13.10"></a><var>13.10</var>clause (4), controlled substance crime in third degree; 
         <statute_ref>152.024, subdivision 1</statute_ref>, clause <br/>
<a id="pl.13.11"></a><var>13.11</var>(2), (3), or (4), controlled substance crime in fourth degree; 
         <statute_ref>617.23</statute_ref>, repeat offenses of <br/>
<a id="pl.13.12"></a><var>13.12</var>indecent exposure; an attempt or conspiracy to commit any of these offenses as defined in <br/>
<a id="pl.13.13"></a><var>13.13</var>Minnesota Statutes; or an offense in any other state or country where the elements are <br/>
<a id="pl.13.14"></a><var>13.14</var>substantially similar to any of the offenses listed in this paragraph.<br/>
<a id="pl.13.15"></a><var>13.15</var>    (d) Less than ten years have passed since the discharge of the sentence imposed for <br/>
<a id="pl.13.16"></a><var>13.16</var>the offense and the person has received a gross misdemeanor conviction for one of the <br/>
<a id="pl.13.17"></a><var>13.17</var>following offenses or the person has admitted to committing or a preponderance of the <br/>
<a id="pl.13.18"></a><var>13.18</var>evidence indicates that the person has committed an act that meets the definition of a gross <br/>
<a id="pl.13.19"></a><var>13.19</var>misdemeanor conviction for one of the following offenses: sections 
         <statute_ref>609.224</statute_ref>, fifth degree <br/>
<a id="pl.13.20"></a><var>13.20</var>assault; 
         <statute_ref>609.2242</statute_ref> to 
         <statute_ref>609.2243</statute_ref>, domestic assault; 
         <statute_ref>518B.01, subdivision 14</statute_ref>, violation of <br/>
<a id="pl.13.21"></a><var>13.21</var>an order for protection; 
         <statute_ref>609.3451</statute_ref>, fifth degree criminal sexual conduct; 
         <statute_ref>609.746</statute_ref>, repeat <br/>
<a id="pl.13.22"></a><var>13.22</var>offenses of interference with privacy; 
         <statute_ref>617.23</statute_ref>, repeat offenses of indecent exposure; <br/>
<statute_ref><a id="pl.13.23"></a><var>13.23</var>617.241
         </statute_ref>, obscene materials and performances; 
         <statute_ref>617.243</statute_ref>, indecent literature, distribution; <br/>
<statute_ref><a id="pl.13.24"></a><var>13.24</var>617.293
         </statute_ref>, disseminating or displaying harmful material to minors; 
         <statute_ref>609.71</statute_ref>, riot; 
         <statute_ref>609.66</statute_ref>, <br/>
<a id="pl.13.25"></a><var>13.25</var>dangerous weapons; 
         <statute_ref>609.749</statute_ref>, harassment, stalking; 
         <statute_ref>609.224, subdivision 2</statute_ref>, paragraph <br/>
<a id="pl.13.26"></a><var>13.26</var>(c), fifth degree assault against a vulnerable adult by a caregiver; 
         <statute_ref>609.23</statute_ref>, mistreatment <br/>
<a id="pl.13.27"></a><var>13.27</var>of persons confined; 
         <statute_ref>609.231</statute_ref>, mistreatment of residents or patients; 
         <statute_ref>609.2325</statute_ref>, criminal <br/>
<a id="pl.13.28"></a><var>13.28</var>abuse of a vulnerable adult; 
         <statute_ref>609.2335</statute_ref>, financial exploitation of a vulnerable adult; <br/>
<statute_ref><a id="pl.13.29"></a><var>13.29</var>609.233
         </statute_ref>, criminal neglect of a vulnerable adult; 
         <statute_ref>609.234</statute_ref>, failure to report maltreatment of <br/>
<a id="pl.13.30"></a><var>13.30</var>a vulnerable adult; 
         <statute_ref>609.72, subdivision 3</statute_ref>, disorderly conduct against a vulnerable adult; <br/>
<statute_ref><a id="pl.13.31"></a><var>13.31</var>609.265
         </statute_ref>, abduction; 
         <statute_ref>609.378</statute_ref>, neglect or endangerment of a child; 
         <statute_ref>609.377</statute_ref>, malicious <br/>
<a id="pl.13.32"></a><var>13.32</var>punishment of a child; 
         <statute_ref>609.324, subdivision 1a</statute_ref>, other prohibited acts, minor engaged <br/>
<a id="pl.13.33"></a><var>13.33</var>in prostitution; 
         <statute_ref>609.33</statute_ref>, disorderly house; 
         <statute_ref>609.52</statute_ref>, theft; 
         <statute_ref>609.582</statute_ref>, burglary in the first, <br/>
<a id="pl.13.34"></a><var>13.34</var>second, third, or fourth degree; 
         <statute_ref>609.631</statute_ref>, check forgery, offering a forged check; 
         <statute_ref>609.275</statute_ref>, <br/>
<a id="pl.13.35"></a><var>13.35</var>attempt to coerce; an attempt or conspiracy to commit any of these offenses as defined in <br/>
<a id="pl.14.1"></a><var>14.1</var>Minnesota Statutes; or an offense in any other state or country where the elements are <br/>
<a id="pl.14.2"></a><var>14.2</var>substantially similar to any of the offenses listed in this paragraph.<br/>
<a id="pl.14.3"></a><var>14.3</var>    (e) Less than seven years have passed since the discharge of the sentence imposed <br/>
<a id="pl.14.4"></a><var>14.4</var>for the offense and the person has received a misdemeanor conviction for one of the <br/>
<a id="pl.14.5"></a><var>14.5</var>following offenses or the person has admitted to committing or a preponderance of <br/>
<a id="pl.14.6"></a><var>14.6</var>the evidence indicates that the person has committed an act that meets the definition <br/>
<a id="pl.14.7"></a><var>14.7</var>of a misdemeanor conviction for one of the following offenses: sections 
         <statute_ref>609.224</statute_ref>, fifth <br/>
<a id="pl.14.8"></a><var>14.8</var>degree assault; 
         <statute_ref>609.2242</statute_ref>, domestic assault; 
         <statute_ref>518B.01</statute_ref>, violation of an order for protection; <br/>
<statute_ref><a id="pl.14.9"></a><var>14.9</var>609.3232
         </statute_ref>, violation of an order for protection; 
         <statute_ref>609.746</statute_ref>, interference with privacy; 
         <statute_ref>609.79</statute_ref>, <br/>
<a id="pl.14.10"></a><var>14.10</var>obscene or harassing telephone calls; 
         <statute_ref>609.795</statute_ref>, letter, telegram, or package opening, <br/>
<a id="pl.14.11"></a><var>14.11</var>harassment; 
         <statute_ref>617.23</statute_ref>, indecent exposure; 
         <statute_ref>609.2672</statute_ref>, assault of an unborn child, third degree; <br/>
<statute_ref><a id="pl.14.12"></a><var>14.12</var>617.293
         </statute_ref>, dissemination and display of harmful materials to minors; 
         <statute_ref>609.66</statute_ref>, dangerous <br/>
<a id="pl.14.13"></a><var>14.13</var>weapons; 
         <statute_ref>609.665</statute_ref>, spring guns; an attempt or conspiracy to commit any of these offenses <br/>
<a id="pl.14.14"></a><var>14.14</var>as defined in Minnesota Statutes; or an offense in any other state or country where the <br/>
<a id="pl.14.15"></a><var>14.15</var>elements are substantially similar to any of the offenses listed in this paragraph.<br/>
<a id="pl.14.16"></a><var>14.16</var>    (f) The person has been identified by the child protection agency in the county where <br/>
<a id="pl.14.17"></a><var>14.17</var>the provider resides or a county where the provider has resided or by the statewide child <br/>
<a id="pl.14.18"></a><var>14.18</var>protection database as a person found by a preponderance of evidence under section <br/>
<statute_ref><a id="pl.14.19"></a><var>14.19</var>626.556
         </statute_ref> to be responsible for physical or sexual abuse of a child within the last seven years.<br/>
<a id="pl.14.20"></a><var>14.20</var>    (g) The person has been identified by the adult protection agency in the county <br/>
<a id="pl.14.21"></a><var>14.21</var>where the provider resides or a county where the provider has resided or by the statewide <br/>
<a id="pl.14.22"></a><var>14.22</var>adult protection database as the person responsible for abuse or neglect of a vulnerable <br/>
<a id="pl.14.23"></a><var>14.23</var>adult within the last seven years.<br/>
<a id="pl.14.24"></a><var>14.24</var>    (h) The person has refused to give written consent for disclosure of criminal history <br/>
<a id="pl.14.25"></a><var>14.25</var>records.<br/>
<a id="pl.14.26"></a><var>14.26</var>    (i) The person has been denied a family child care license or has received a fine or a <br/>
<a id="pl.14.27"></a><var>14.27</var>sanction as a licensed child care provider that has not been reversed on appeal.<br/>
<a id="pl.14.28"></a><var>14.28</var>    (j) The person has a family child care licensing disqualification that has not been <br/>
<a id="pl.14.29"></a><var>14.29</var>set aside.<br/>
<a id="pl.14.30"></a><var>14.30</var>    (k) The person has admitted or a county has found that there is a preponderance of <br/>
<a id="pl.14.31"></a><var>14.31</var>evidence that fraudulent information was given to the county for child care assistance <br/>
<a id="pl.14.32"></a><var>14.32</var>application purposes or was used in submitting child care assistance bills for payment.<br/>
<a id="pl.14.33"></a><var>14.33</var>    (l) The person has been convicted of the crime of theft by wrongfully obtaining <br/>
<a id="pl.14.34"></a><var>14.34</var>public assistance or has been found guilty of wrongfully obtaining public assistance by a <br/>
<a id="pl.14.35"></a><var>14.35</var>federal court, state court, or an administrative hearing determination or waiver, through a <br/>
<a id="pl.15.1"></a><var>15.1</var>disqualification consent agreement, as part of an approved diversion plan under section <br/>
<a id="pl.15.2"></a><var>15.2</var>401.065, or a court-ordered stay with probationary or other conditions.<br/>
<a id="pl.15.3"></a><var>15.3</var>    (m) The person has a household member age 13 or older who has access to children <br/>
<a id="pl.15.4"></a><var>15.4</var>during the hours that care is provided and who meets one of the conditions listed in <br/>
<a id="pl.15.5"></a><var>15.5</var>paragraphs (b) to (l).<br/>
<a id="pl.15.6"></a><var>15.6</var>    (n) The person has a household member ages ten to 12 who has access to children <br/>
<a id="pl.15.7"></a><var>15.7</var>during the hours that care is provided; information or circumstances exist which provide <br/>
<a id="pl.15.8"></a><var>15.8</var>the county with articulable suspicion that further pertinent information may exist showing <br/>
<a id="pl.15.9"></a><var>15.9</var>the household member meets one of the conditions listed in paragraphs (b) to (l); and the <br/>
<a id="pl.15.10"></a><var>15.10</var>household member actually meets one of the conditions listed in paragraphs (b) to (l).<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.15.11"></a><var>15.11</var>    Sec. 10. Minnesota Statutes 2006, section 119B.13, subdivision 1, is amended to read:<br/>
<a id="pl.15.12"></a><var>15.12</var>    Subdivision 1. <b>Subsidy restrictions.</b> (a) Beginning July 1, 2006 2007, the <br/>
<a id="pl.15.13"></a><var>15.13</var>maximum rate paid for child care assistance in any county or multicounty region under the <br/>
<a id="pl.15.14"></a><var>15.14</var>child care fund shall be the  rate for like-care arrangements in the county effective January <br/>
<a id="pl.15.15"></a><var>15.15</var>July 1, 2006, increased by six two percent.<br/>
<a id="pl.15.16"></a><var>15.16</var>    (b) Rate changes shall be implemented for services provided in September 2006 <br/>
<a id="pl.15.17"></a><var>15.17</var>2007 unless a participant eligibility redetermination or a new provider agreement is <br/>
<a id="pl.15.18"></a><var>15.18</var>completed between July 1, 2006 2007, and August 31, 2006 2007.<br/>
<a id="pl.15.19"></a><var>15.19</var>    As necessary, appropriate notice of adverse action must be made according to <br/>
<a id="pl.15.20"></a><var>15.20</var>Minnesota Rules, part 
         <statute_ref>3400.0185</statute_ref>, subparts 3 and 4.<br/>
<a id="pl.15.21"></a><var>15.21</var>    New cases approved on or after  July 1, 2006 2007, shall have the maximum rates <br/>
<a id="pl.15.22"></a><var>15.22</var>under paragraph (a), implemented immediately.<br/>
<a id="pl.15.23"></a><var>15.23</var>    (c) Not less than once every two years year, the commissioner shall survey rates <br/>
<a id="pl.15.24"></a><var>15.24</var>charged by child care providers in Minnesota to determine the 75th percentile for <br/>
<a id="pl.15.25"></a><var>15.25</var>like-care arrangements in counties. When the commissioner determines that, using the <br/>
<a id="pl.15.26"></a><var>15.26</var>commissioner's established protocol, the number of providers responding to the survey is <br/>
<a id="pl.15.27"></a><var>15.27</var>too small to determine the 75th percentile rate for like-care arrangements in a county or <br/>
<a id="pl.15.28"></a><var>15.28</var>multicounty region, the commissioner may establish the 75th percentile maximum rate <br/>
<a id="pl.15.29"></a><var>15.29</var>based on like-care arrangements in a county, region, or category that the commissioner <br/>
<a id="pl.15.30"></a><var>15.30</var>deems to be similar.<br/>
<a id="pl.15.31"></a><var>15.31</var>    (d) A rate which includes a special needs rate paid under subdivision 3 or under <br/>
<a id="pl.15.32"></a><var>15.32</var>a school readiness service agreement paid under section 30 may be in excess of the <br/>
<a id="pl.15.33"></a><var>15.33</var>maximum rate allowed under this subdivision.<br/>
<a id="pl.15.34"></a><var>15.34</var>    (e) The department shall monitor the effect of this paragraph on provider rates. The <br/>
<a id="pl.15.35"></a><var>15.35</var>county shall pay the provider's full charges for every child in care up to the maximum <br/>
<a id="pl.16.1"></a><var>16.1</var>established. The commissioner shall determine the maximum rate for each type of care <br/>
<a id="pl.16.2"></a><var>16.2</var>on an hourly, full-day, and weekly basis, including special needs and disability care. The <br/>
<a id="pl.16.3"></a><var>16.3</var>half-day rates are effective beginning July 1, 2008.<br/>
<a id="pl.16.4"></a><var>16.4</var>    (f) When the provider charge is greater than the maximum provider rate allowed, <br/>
<a id="pl.16.5"></a><var>16.5</var>the parent is responsible for payment of the difference in the rates in addition to any <br/>
<a id="pl.16.6"></a><var>16.6</var>family co-payment fee.<br/>
<a id="pl.16.7"></a><var>16.7</var>    (g) All maximum provider rate changes shall be implemented on the Monday <br/>
<a id="pl.16.8"></a><var>16.8</var>following the effective date of the maximum provider rate.<br/>
<br/>
<a id="bill.1.11.0"></a><a id="pl.16.9"></a><var>16.9</var>    Sec. 11. Minnesota Statutes 2006, section 119B.13, subdivision 3a, is amended to read:<br/>
<a id="pl.16.10"></a><var>16.10</var>    Subd. 3a. <b>Provider rate differential for accreditation.</b> A family child care <br/>
<a id="pl.16.11"></a><var>16.11</var>provider or child care center shall be paid a 15 percent differential above the maximum <br/>
<a id="pl.16.12"></a><var>16.12</var>rate established in subdivision 1, up to the actual provider rate, if the provider or center <br/>
<a id="pl.16.13"></a><var>16.13</var>holds a current early childhood development credential or is accredited.  For a family <br/>
<a id="pl.16.14"></a><var>16.14</var>child care provider, early childhood development credential and accreditation includes <br/>
<a id="pl.16.15"></a><var>16.15</var>an individual who has earned a child development associate degree, a child development <br/>
<a id="pl.16.16"></a><var>16.16</var>associate credential, a diploma in child development from a Minnesota state technical <br/>
<a id="pl.16.17"></a><var>16.17</var>college, or a bachelor's or post baccalaureate degree in early childhood education from <br/>
<a id="pl.16.18"></a><var>16.18</var>an accredited college or university, or who is accredited by the National Association for <br/>
<a id="pl.16.19"></a><var>16.19</var>Family Child Care or the Competency Based Training and Assessment Program.  For a <br/>
<a id="pl.16.20"></a><var>16.20</var>child care center, accreditation includes accreditation by the National Association for the <br/>
<a id="pl.16.21"></a><var>16.21</var>Education of Young Children, the Council on Accreditation, the National Early Childhood <br/>
<a id="pl.16.22"></a><var>16.22</var>Program Accreditation, the National School-Age Care Association, or the National Head <br/>
<a id="pl.16.23"></a><var>16.23</var>Start Association Program of Excellence.  For Montessori programs, accreditation includes <br/>
<a id="pl.16.24"></a><var>16.24</var>the American Montessori Society, Association of Montessori International-USA, or the <br/>
<a id="pl.16.25"></a><var>16.25</var>National Center for Montessori Education.<br/>
<br/>
<a id="bill.1.12.0"></a><a id="pl.16.26"></a><var>16.26</var>    Sec. 12. Minnesota Statutes 2006, section 119B.13, subdivision 6, is amended to read:<br/>
<a id="pl.16.27"></a><var>16.27</var>    Subd. 6. <b>Provider payments.</b> (a) Counties or the state shall make vendor payments <br/>
<a id="pl.16.28"></a><var>16.28</var>to the child care provider or pay the parent directly for eligible child care expenses.<br/>
<a id="pl.16.29"></a><var>16.29</var>    (b) If payments for child care assistance are made to providers, the provider shall <br/>
<a id="pl.16.30"></a><var>16.30</var>bill the county for services provided within ten days of the end of the service period. If <br/>
<a id="pl.16.31"></a><var>16.31</var>bills are submitted within ten days of the end of the service period, a county or the state <br/>
<a id="pl.16.32"></a><var>16.32</var>shall issue payment to the provider of child care under the child care fund within 30 days <br/>
<a id="pl.16.33"></a><var>16.33</var>of receiving a bill from the provider. Counties or the state may establish policies that <br/>
<a id="pl.16.34"></a><var>16.34</var>make payments on a more frequent basis.<br/>
<a id="pl.17.1"></a><var>17.1</var>    (c) All bills If a provider has received an authorization of care and has been issued a <br/>
<a id="pl.17.2"></a><var>17.2</var>billing form for an eligible family, the bill must be submitted within 60 days of the last <br/>
<a id="pl.17.3"></a><var>17.3</var>date of service on the bill. A county may pay a bill submitted more than 60 days after <br/>
<a id="pl.17.4"></a><var>17.4</var>the last date of service if the provider shows good cause why the bill was not submitted <br/>
<a id="pl.17.5"></a><var>17.5</var>within 60 days. Good cause must be defined in the county's child care fund plan under <br/>
<a id="pl.17.6"></a><var>17.6</var>section 
         <statute_ref>119B.08, subdivision 3</statute_ref>, and the definition of good cause must include county <br/>
<a id="pl.17.7"></a><var>17.7</var>error. A county may not pay any bill submitted more than a year after the last date of <br/>
<a id="pl.17.8"></a><var>17.8</var>service on the bill. <br/>
<a id="pl.17.9"></a><var>17.9</var>    (d) If a provider provided care for a time period without receiving an authorization <br/>
<a id="pl.17.10"></a><var>17.10</var>of care and a billing form for an eligible family, payment of child care assistance may only <br/>
<a id="pl.17.11"></a><var>17.11</var>be made retroactively for a maximum of six months from the date the provider is issued an <br/>
<a id="pl.17.12"></a><var>17.12</var>authorization of care and a billing form.<br/>
<a id="pl.17.13"></a><var>17.13</var>    (d) (e) A county may stop payment issued to a provider or may refuse to pay a <br/>
<a id="pl.17.14"></a><var>17.14</var>bill submitted by a provider if:<br/>
<a id="pl.17.15"></a><var>17.15</var>    (1) the provider admits to intentionally giving the county materially false information <br/>
<a id="pl.17.16"></a><var>17.16</var>on the provider's billing forms; or<br/>
<a id="pl.17.17"></a><var>17.17</var>    (2) a county finds by a preponderance of the evidence that the provider intentionally <br/>
<a id="pl.17.18"></a><var>17.18</var>gave the county materially false information on the provider's billing forms.<br/>
<a id="pl.17.19"></a><var>17.19</var>    (e) (f) A county's payment policies must be included in the county's child care plan <br/>
<a id="pl.17.20"></a><var>17.20</var>under section 
         <statute_ref>119B.08, subdivision 3</statute_ref>. If payments are made by the state, in addition to <br/>
<a id="pl.17.21"></a><var>17.21</var>being in compliance with this subdivision, the payments must be made in compliance <br/>
<a id="pl.17.22"></a><var>17.22</var>with section 
         <statute_ref>16A.124</statute_ref>. <br/>
<br/>
<a id="bill.1.13.0"></a><a id="pl.17.23"></a><var>17.23</var>    Sec. 13. Minnesota Statutes 2006, section 119B.13, subdivision 7, is amended to read:<br/>
<a id="pl.17.24"></a><var>17.24</var>    Subd. 7. <b>Absent days.</b> (a) Child care providers may not be reimbursed for more <br/>
<a id="pl.17.25"></a><var>17.25</var>than 25 full-day absent days per child, excluding holidays, in a fiscal year, or for more <br/>
<a id="pl.17.26"></a><var>17.26</var>than ten consecutive full-day absent days, unless the child has a documented medical <br/>
<a id="pl.17.27"></a><var>17.27</var>condition that causes more frequent absences. Absences due to a documented medical <br/>
<a id="pl.17.28"></a><var>17.28</var>condition of a parent or sibling who lives in the same residence as the child receiving <br/>
<a id="pl.17.29"></a><var>17.29</var>child care assistance do not count against the 25-day absent day limit in a fiscal year. <br/>
<a id="pl.17.30"></a><var>17.30</var>Documentation of medical conditions must be on the forms and submitted according to <br/>
<a id="pl.17.31"></a><var>17.31</var>the timelines established by the commissioner. A public health nurse or school nurse <br/>
<a id="pl.17.32"></a><var>17.32</var>may verify the illness in lieu of a medical practitioner. If a provider sends a child home <br/>
<a id="pl.17.33"></a><var>17.33</var>early due to a medical reason including, but not limited to, fever or contagious illness, <br/>
<a id="pl.17.34"></a><var>17.34</var>the child care center director or lead teacher may verify the illness in lieu of a medical <br/>
<a id="pl.17.35"></a><var>17.35</var>practitioner. If a child attends for part of the time authorized to be in care in a day, but is <br/>
<a id="pl.18.1"></a><var>18.1</var>absent for part of the time authorized to be in care in that same day, the absent time will be <br/>
<a id="pl.18.2"></a><var>18.2</var>reimbursed but the time will not count toward the ten consecutive or 25 cumulative absent <br/>
<a id="pl.18.3"></a><var>18.3</var>day limits. Children in families where at least one parent is under the age of 21, does not <br/>
<a id="pl.18.4"></a><var>18.4</var>have a high school or general education development (GED) diploma, and is a student in a <br/>
<a id="pl.18.5"></a><var>18.5</var>school district or another similar program that provides or arranges for child care, as well <br/>
<a id="pl.18.6"></a><var>18.6</var>as parenting, social services, career and employment supports, and academic support to <br/>
<a id="pl.18.7"></a><var>18.7</var>achieve high school graduation, may be exempt from the absent day limits upon request <br/>
<a id="pl.18.8"></a><var>18.8</var>of the program and approval of the county. If a child attends part of an authorized day, <br/>
<a id="pl.18.9"></a><var>18.9</var>payment to the provider must be for the full amount of care authorized for that day. Child <br/>
<a id="pl.18.10"></a><var>18.10</var>care providers may only be reimbursed for absent days if the provider has a written policy <br/>
<a id="pl.18.11"></a><var>18.11</var>for child absences and charges all other families in care for similar absences. <br/>
<a id="pl.18.12"></a><var>18.12</var>    (b) Child care providers must be reimbursed for up to ten federal or state holidays <br/>
<a id="pl.18.13"></a><var>18.13</var>or designated holidays per year when the provider charges all families for these days <br/>
<a id="pl.18.14"></a><var>18.14</var>and the holiday or designated holiday falls on a day when the child is authorized to be <br/>
<a id="pl.18.15"></a><var>18.15</var>in attendance. Parents may substitute other cultural or religious holidays for the ten <br/>
<a id="pl.18.16"></a><var>18.16</var>recognized state and federal holidays. Holidays do not count toward the ten consecutive or <br/>
<a id="pl.18.17"></a><var>18.17</var>25 cumulative absent day limits. <br/>
<a id="pl.18.18"></a><var>18.18</var>    (c) A family or child care provider may not be assessed an overpayment for an <br/>
<a id="pl.18.19"></a><var>18.19</var>absent day payment unless (1) there was an error in the amount of care authorized for the <br/>
<a id="pl.18.20"></a><var>18.20</var>family, (2) all of the allowed full-day absent payments for the child have been paid, or (3) <br/>
<a id="pl.18.21"></a><var>18.21</var>the family or provider did not timely report a change as required under law.<br/>
<a id="pl.18.22"></a><var>18.22</var>    (d) The provider and family must receive notification of the number of absent days <br/>
<a id="pl.18.23"></a><var>18.23</var>used upon initial provider authorization for a family and when the family has used 15 <br/>
<a id="pl.18.24"></a><var>18.24</var>cumulative absent days. Upon statewide implementation of the Minnesota Electronic <br/>
<a id="pl.18.25"></a><var>18.25</var>Child Care System, the provider and family authorization for a family and ongoing <br/>
<a id="pl.18.26"></a><var>18.26</var>notification of the number of absent days used as of the date of the notification.<br/>
<a id="pl.18.27"></a><var>18.27</var>    (e) A county may pay for more absent days than the statewide absent day policy <br/>
<a id="pl.18.28"></a><var>18.28</var>established under this subdivision, if current market practice in the county justifies <br/>
<a id="pl.18.29"></a><var>18.29</var>payment for those additional days. County policies for payment of absent days in excess <br/>
<a id="pl.18.30"></a><var>18.30</var>of the statewide absent day policy and justification for these county policies must be <br/>
<a id="pl.18.31"></a><var>18.31</var>included in the county's child care fund plan under section 119B.08, subdivision 3. This <br/>
<a id="pl.18.32"></a><var>18.32</var>paragraph may be implemented by counties on or after July 1, 2008.<br/>
<br/>
<a id="bill.1.14.0"></a><a id="pl.18.33"></a><var>18.33</var>    Sec. 14. Minnesota Statutes 2006, section 119B.21, subdivision 5, is amended to read:<br/>
<a id="pl.19.1"></a><var>19.1</var>    Subd. 5. <b>Child care services grants.</b> (a) A child care resource and referral program <br/>
<a id="pl.19.2"></a><var>19.2</var>designated under section 
         <statute_ref>119B.19, subdivision 1a</statute_ref>, may award child care services grants <br/>
<a id="pl.19.3"></a><var>19.3</var>for: <br/>
<a id="pl.19.4"></a><var>19.4</var>    (1) creating new licensed child care facilities and expanding existing facilities, <br/>
<a id="pl.19.5"></a><var>19.5</var>including, but not limited to, supplies, equipment, facility renovation, and remodeling;<br/>
<a id="pl.19.6"></a><var>19.6</var>    (2) improving licensed child care facility programs;<br/>
<a id="pl.19.7"></a><var>19.7</var>    (3) staff training and development services including, but not limited to, in-service <br/>
<a id="pl.19.8"></a><var>19.8</var>training, curriculum development, accreditation, certification, consulting, resource centers, <br/>
<a id="pl.19.9"></a><var>19.9</var>and program and resource materials, supporting effective teacher-child interactions, <br/>
<a id="pl.19.10"></a><var>19.10</var>child-focused teaching, and content-driven classroom instruction;<br/>
<a id="pl.19.11"></a><var>19.11</var>    (4) interim financing;<br/>
<a id="pl.19.12"></a><var>19.12</var>    (5) capacity building through the purchase of appropriate technology to create, <br/>
<a id="pl.19.13"></a><var>19.13</var>enhance, and maintain business management systems;<br/>
<a id="pl.19.14"></a><var>19.14</var>    (6) emergency assistance for child care programs;<br/>
<a id="pl.19.15"></a><var>19.15</var>    (7) new programs or projects for the creation, expansion, or improvement of <br/>
<a id="pl.19.16"></a><var>19.16</var>programs that serve ethnic immigrant and refugee communities; and<br/>
<a id="pl.19.17"></a><var>19.17</var>    (8) targeted recruitment initiatives to expand and build the capacity of the child <br/>
<a id="pl.19.18"></a><var>19.18</var>care system and to improve the quality of care provided by legal nonlicensed child care <br/>
<a id="pl.19.19"></a><var>19.19</var>providers.<br/>
<a id="pl.19.20"></a><var>19.20</var>    (b) A child care resource and referral program designated under section 
         <statute_ref>119B.19, <br/>
<a id="pl.19.21"></a><var>19.21</var>subdivision 1a
         </statute_ref>, may award child care services grants to: <br/>
<a id="pl.19.22"></a><var>19.22</var>    (1) licensed providers;<br/>
<a id="pl.19.23"></a><var>19.23</var>    (2) providers in the process of being licensed;<br/>
<a id="pl.19.24"></a><var>19.24</var>    (3) corporations or public agencies that develop or provide child care services;<br/>
<a id="pl.19.25"></a><var>19.25</var>    (4) school-age care programs; or<br/>
<a id="pl.19.26"></a><var>19.26</var>    (5) any combination of clauses (1) to (4).<br/>
<a id="pl.19.27"></a><var>19.27</var>Unlicensed providers are only eligible for grants under paragraph (a), clause (7).<br/>
<a id="pl.19.28"></a><var>19.28</var>    (c) A recipient of a child care services grant for facility improvements, interim <br/>
<a id="pl.19.29"></a><var>19.29</var>financing, or staff training and development must provide a 25 percent local match.<br/>
<br/>
<a id="bill.1.15.0"></a><a id="pl.19.30"></a><var>19.30</var>    Sec. 15. Minnesota Statutes 2006, section 256.01, subdivision 2, is amended to read:<br/>
<a id="pl.19.31"></a><var>19.31</var>    Subd. 2. <b>Specific powers.</b> Subject to the provisions of section 
         <statute_ref>241.021, subdivision <br/>
<a id="pl.19.32"></a><var>19.32</var>2
         </statute_ref>, the commissioner of human services shall carry out the specific duties in paragraphs (a) <br/>
<a id="pl.19.33"></a><var>19.33</var>through (cc):<br/>
<a id="pl.19.34"></a><var>19.34</var>    (a) Administer and supervise all forms of public assistance provided for by state law <br/>
<a id="pl.19.35"></a><var>19.35</var>and other welfare activities or services as are vested in the commissioner. Administration <br/>
<a id="pl.20.1"></a><var>20.1</var>and supervision of human services activities or services includes, but is not limited to, <br/>
<a id="pl.20.2"></a><var>20.2</var>assuring timely and accurate distribution of benefits, completeness of service, and quality <br/>
<a id="pl.20.3"></a><var>20.3</var>program management. In addition to administering and supervising human services <br/>
<a id="pl.20.4"></a><var>20.4</var>activities vested by law in the department, the commissioner shall have the authority to:<br/>
<a id="pl.20.5"></a><var>20.5</var>    (1) require county agency participation in training and technical assistance programs <br/>
<a id="pl.20.6"></a><var>20.6</var>to promote compliance with statutes, rules, federal laws, regulations, and policies <br/>
<a id="pl.20.7"></a><var>20.7</var>governing human services;<br/>
<a id="pl.20.8"></a><var>20.8</var>    (2) monitor, on an ongoing basis, the performance of county agencies in the <br/>
<a id="pl.20.9"></a><var>20.9</var>operation and administration of human services, enforce compliance with statutes, rules, <br/>
<a id="pl.20.10"></a><var>20.10</var>federal laws, regulations, and policies governing welfare services and promote excellence <br/>
<a id="pl.20.11"></a><var>20.11</var>of administration and program operation;<br/>
<a id="pl.20.12"></a><var>20.12</var>    (3) develop a quality control program or other monitoring program to review county <br/>
<a id="pl.20.13"></a><var>20.13</var>performance and accuracy of benefit determinations;<br/>
<a id="pl.20.14"></a><var>20.14</var>    (4) require county agencies to make an adjustment to the public assistance benefits <br/>
<a id="pl.20.15"></a><var>20.15</var>issued to any individual consistent with federal law and regulation and state law and rule <br/>
<a id="pl.20.16"></a><var>20.16</var>and to issue or recover benefits as appropriate;<br/>
<a id="pl.20.17"></a><var>20.17</var>    (5) delay or deny payment of all or part of the state and federal share of benefits and <br/>
<a id="pl.20.18"></a><var>20.18</var>administrative reimbursement according to the procedures set forth in section 
         <statute_ref>256.017</statute_ref>;<br/>
<a id="pl.20.19"></a><var>20.19</var>    (6) make contracts with and grants to public and private agencies and organizations, <br/>
<a id="pl.20.20"></a><var>20.20</var>both profit and nonprofit, and individuals, using appropriated funds; and<br/>
<a id="pl.20.21"></a><var>20.21</var>    (7) enter into contractual agreements with federally recognized Indian tribes with <br/>
<a id="pl.20.22"></a><var>20.22</var>a reservation in Minnesota to the extent necessary for the tribe to operate a federally <br/>
<a id="pl.20.23"></a><var>20.23</var>approved family assistance program or any other program under the supervision of the <br/>
<a id="pl.20.24"></a><var>20.24</var>commissioner. The commissioner shall consult with the affected county or counties in <br/>
<a id="pl.20.25"></a><var>20.25</var>the contractual agreement negotiations, if the county or counties wish to be included, <br/>
<a id="pl.20.26"></a><var>20.26</var>in order to avoid the duplication of county and tribal assistance program services. The <br/>
<a id="pl.20.27"></a><var>20.27</var>commissioner may establish necessary accounts for the purposes of receiving and <br/>
<a id="pl.20.28"></a><var>20.28</var>disbursing funds as necessary for the operation of the programs.<br/>
<a id="pl.20.29"></a><var>20.29</var>    (b) Inform county agencies, on a timely basis, of changes in statute, rule, federal law, <br/>
<a id="pl.20.30"></a><var>20.30</var>regulation, and policy necessary to county agency administration of the programs.<br/>
<a id="pl.20.31"></a><var>20.31</var>    (c) Administer and supervise all child welfare activities; promote the enforcement of <br/>
<a id="pl.20.32"></a><var>20.32</var>laws protecting disabled, dependent, neglected and delinquent children, and children born <br/>
<a id="pl.20.33"></a><var>20.33</var>to mothers who were not married to the children's fathers at the times of the conception <br/>
<a id="pl.20.34"></a><var>20.34</var>nor at the births of the children; license and supervise child-caring and child-placing <br/>
<a id="pl.20.35"></a><var>20.35</var>agencies and institutions; supervise the care of children in boarding and foster homes or <br/>
<a id="pl.21.1"></a><var>21.1</var>in private institutions; and generally perform all functions relating to the field of child <br/>
<a id="pl.21.2"></a><var>21.2</var>welfare now vested in the State Board of Control.<br/>
<a id="pl.21.3"></a><var>21.3</var>    (d) Administer and supervise all noninstitutional service to disabled persons, <br/>
<a id="pl.21.4"></a><var>21.4</var>including those who are visually impaired, hearing impaired, or physically impaired <br/>
<a id="pl.21.5"></a><var>21.5</var>or otherwise disabled. The commissioner may provide and contract for the care and <br/>
<a id="pl.21.6"></a><var>21.6</var>treatment of qualified indigent children in facilities other than those located and available <br/>
<a id="pl.21.7"></a><var>21.7</var>at state hospitals when it is not feasible to provide the service in state hospitals.<br/>
<a id="pl.21.8"></a><var>21.8</var>    (e) Assist and actively cooperate with other departments, agencies and institutions, <br/>
<a id="pl.21.9"></a><var>21.9</var>local, state, and federal, by performing services in conformity with the purposes of Laws <br/>
<a id="pl.21.10"></a><var>21.10</var>1939, chapter 431.<br/>
<a id="pl.21.11"></a><var>21.11</var>    (f) Act as the agent of and cooperate with the federal government in matters of <br/>
<a id="pl.21.12"></a><var>21.12</var>mutual concern relative to and in conformity with the provisions of Laws 1939, chapter <br/>
<a id="pl.21.13"></a><var>21.13</var>431, including the administration of any federal funds granted to the state to aid in the <br/>
<a id="pl.21.14"></a><var>21.14</var>performance of any functions of the commissioner as specified in Laws 1939, chapter 431, <br/>
<a id="pl.21.15"></a><var>21.15</var>and including the promulgation of rules making uniformly available medical care benefits <br/>
<a id="pl.21.16"></a><var>21.16</var>to all recipients of public assistance, at such times as the federal government increases its <br/>
<a id="pl.21.17"></a><var>21.17</var>participation in assistance expenditures for medical care to recipients of public assistance, <br/>
<a id="pl.21.18"></a><var>21.18</var>the cost thereof to be borne in the same proportion as are grants of aid to said recipients.<br/>
<a id="pl.21.19"></a><var>21.19</var>    (g) Establish and maintain any administrative units reasonably necessary for the <br/>
<a id="pl.21.20"></a><var>21.20</var>performance of administrative functions common to all divisions of the department.<br/>
<a id="pl.21.21"></a><var>21.21</var>    (h) Act as designated guardian of both the estate and the person of all the wards of <br/>
<a id="pl.21.22"></a><var>21.22</var>the state of Minnesota, whether by operation of law or by an order of court, without any <br/>
<a id="pl.21.23"></a><var>21.23</var>further act or proceeding whatever, except as to persons committed as developmentally <br/>
<a id="pl.21.24"></a><var>21.24</var>disabled. For children under the guardianship of the commissioner or a tribe in Minnesota <br/>
<a id="pl.21.25"></a><var>21.25</var>recognized by the Secretary of the Interior whose interests would be best served by <br/>
<a id="pl.21.26"></a><var>21.26</var>adoptive placement, the commissioner may contract with a licensed child-placing agency <br/>
<a id="pl.21.27"></a><var>21.27</var>or a Minnesota tribal social services agency to provide adoption services. A contract <br/>
<a id="pl.21.28"></a><var>21.28</var>with a licensed child-placing agency must be designed to supplement existing county <br/>
<a id="pl.21.29"></a><var>21.29</var>efforts and may not replace existing county programs or tribal social services, unless the <br/>
<a id="pl.21.30"></a><var>21.30</var>replacement is agreed to by the county board and the appropriate exclusive bargaining <br/>
<a id="pl.21.31"></a><var>21.31</var>representative, tribal governing body, or the commissioner has evidence that child <br/>
<a id="pl.21.32"></a><var>21.32</var>placements of the county continue to be substantially below that of other counties. Funds <br/>
<a id="pl.21.33"></a><var>21.33</var>encumbered and obligated under an agreement for a specific child shall remain available <br/>
<a id="pl.21.34"></a><var>21.34</var>until the terms of the agreement are fulfilled or the agreement is terminated.<br/>
<a id="pl.21.35"></a><var>21.35</var>    (i) Act as coordinating referral and informational center on requests for service for <br/>
<a id="pl.21.36"></a><var>21.36</var>newly arrived immigrants coming to Minnesota.<br/>
<a id="pl.22.1"></a><var>22.1</var>    (j) The specific enumeration of powers and duties as hereinabove set forth shall in no <br/>
<a id="pl.22.2"></a><var>22.2</var>way be construed to be a limitation upon the general transfer of powers herein contained.<br/>
<a id="pl.22.3"></a><var>22.3</var>    (k) Establish county, regional, or statewide schedules of maximum fees and charges <br/>
<a id="pl.22.4"></a><var>22.4</var>which may be paid by county agencies for medical, dental, surgical, hospital, nursing and <br/>
<a id="pl.22.5"></a><var>22.5</var>nursing home care and medicine and medical supplies under all programs of medical <br/>
<a id="pl.22.6"></a><var>22.6</var>care provided by the state and for congregate living care under the income maintenance <br/>
<a id="pl.22.7"></a><var>22.7</var>programs.<br/>
<a id="pl.22.8"></a><var>22.8</var>    (l) Have the authority to conduct and administer experimental projects to test <br/>
<a id="pl.22.9"></a><var>22.9</var>methods and procedures of administering assistance and services to recipients or potential <br/>
<a id="pl.22.10"></a><var>22.10</var>recipients of public welfare. To carry out such experimental projects, it is further provided <br/>
<a id="pl.22.11"></a><var>22.11</var>that the commissioner of human services is authorized to waive the enforcement of <br/>
<a id="pl.22.12"></a><var>22.12</var>existing specific statutory program requirements, rules, and standards in one or more <br/>
<a id="pl.22.13"></a><var>22.13</var>counties. The order establishing the waiver shall provide alternative methods and <br/>
<a id="pl.22.14"></a><var>22.14</var>procedures of administration, shall not be in conflict with the basic purposes, coverage, or <br/>
<a id="pl.22.15"></a><var>22.15</var>benefits provided by law, and in no event shall the duration of a project exceed four years. <br/>
<a id="pl.22.16"></a><var>22.16</var>It is further provided that no order establishing an experimental project as authorized by <br/>
<a id="pl.22.17"></a><var>22.17</var>the provisions of this section shall become effective until the following conditions have <br/>
<a id="pl.22.18"></a><var>22.18</var>been met:<br/>
<a id="pl.22.19"></a><var>22.19</var>    (1) the secretary of health and human services of the United States has agreed, for <br/>
<a id="pl.22.20"></a><var>22.20</var>the same project, to waive state plan requirements relative to statewide uniformity; and<br/>
<a id="pl.22.21"></a><var>22.21</var>    (2) a comprehensive plan, including estimated project costs, shall be approved by <br/>
<a id="pl.22.22"></a><var>22.22</var>the Legislative Advisory Commission and filed with the commissioner of administration.<br/>
<a id="pl.22.23"></a><var>22.23</var>    (m) According to federal requirements, establish procedures to be followed by <br/>
<a id="pl.22.24"></a><var>22.24</var>local welfare boards in creating citizen advisory committees, including procedures for <br/>
<a id="pl.22.25"></a><var>22.25</var>selection of committee members.<br/>
<a id="pl.22.26"></a><var>22.26</var>    (n) Allocate federal fiscal disallowances or sanctions which are based on quality <br/>
<a id="pl.22.27"></a><var>22.27</var>control error rates for the aid to families with dependent children program formerly <br/>
<a id="pl.22.28"></a><var>22.28</var>codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, medical assistance, or food stamp program in the <br/>
<a id="pl.22.29"></a><var>22.29</var>following manner:<br/>
<a id="pl.22.30"></a><var>22.30</var>    (1) one-half of the total amount of the disallowance shall be borne by the county <br/>
<a id="pl.22.31"></a><var>22.31</var>boards responsible for administering the programs. For the medical assistance and the <br/>
<a id="pl.22.32"></a><var>22.32</var>AFDC program formerly codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, disallowances shall be <br/>
<a id="pl.22.33"></a><var>22.33</var>shared by each county board in the same proportion as that county's expenditures for the <br/>
<a id="pl.22.34"></a><var>22.34</var>sanctioned program are to the total of all counties' expenditures for the AFDC program <br/>
<a id="pl.22.35"></a><var>22.35</var>formerly codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, and medical assistance programs. For the <br/>
<a id="pl.22.36"></a><var>22.36</var>food stamp program, sanctions shall be shared by each county board, with 50 percent of <br/>
<a id="pl.23.1"></a><var>23.1</var>the sanction being distributed to each county in the same proportion as that county's <br/>
<a id="pl.23.2"></a><var>23.2</var>administrative costs for food stamps are to the total of all food stamp administrative costs <br/>
<a id="pl.23.3"></a><var>23.3</var>for all counties, and 50 percent of the sanctions being distributed to each county in the <br/>
<a id="pl.23.4"></a><var>23.4</var>same proportion as that county's value of food stamp benefits issued are to the total of <br/>
<a id="pl.23.5"></a><var>23.5</var>all benefits issued for all counties. Each county shall pay its share of the disallowance <br/>
<a id="pl.23.6"></a><var>23.6</var>to the state of Minnesota. When a county fails to pay the amount due hereunder, the <br/>
<a id="pl.23.7"></a><var>23.7</var>commissioner may deduct the amount from reimbursement otherwise due the county, or <br/>
<a id="pl.23.8"></a><var>23.8</var>the attorney general, upon the request of the commissioner, may institute civil action <br/>
<a id="pl.23.9"></a><var>23.9</var>to recover the amount due; and<br/>
<a id="pl.23.10"></a><var>23.10</var>    (2) notwithstanding the provisions of clause (1), if the disallowance results from <br/>
<a id="pl.23.11"></a><var>23.11</var>knowing noncompliance by one or more counties with a specific program instruction, and <br/>
<a id="pl.23.12"></a><var>23.12</var>that knowing noncompliance is a matter of official county board record, the commissioner <br/>
<a id="pl.23.13"></a><var>23.13</var>may require payment or recover from the county or counties, in the manner prescribed in <br/>
<a id="pl.23.14"></a><var>23.14</var>clause (1), an amount equal to the portion of the total disallowance which resulted from the <br/>
<a id="pl.23.15"></a><var>23.15</var>noncompliance, and may distribute the balance of the disallowance according to clause (1).<br/>
<a id="pl.23.16"></a><var>23.16</var>    (o) Develop and implement special projects that maximize reimbursements and <br/>
<a id="pl.23.17"></a><var>23.17</var>result in the recovery of money to the state. For the purpose of recovering state money, <br/>
<a id="pl.23.18"></a><var>23.18</var>the commissioner may enter into contracts with third parties. Any recoveries that result <br/>
<a id="pl.23.19"></a><var>23.19</var>from projects or contracts entered into under this paragraph shall be deposited in the <br/>
<a id="pl.23.20"></a><var>23.20</var>state treasury and credited to a special account until the balance in the account reaches <br/>
<a id="pl.23.21"></a><var>23.21</var>$1,000,000. When the balance in the account exceeds $1,000,000, the excess shall be <br/>
<a id="pl.23.22"></a><var>23.22</var>transferred and credited to the general fund. All money in the account is appropriated to <br/>
<a id="pl.23.23"></a><var>23.23</var>the commissioner for the purposes of this paragraph.<br/>
<a id="pl.23.24"></a><var>23.24</var>    (p) Have the authority to make direct payments to facilities providing shelter <br/>
<a id="pl.23.25"></a><var>23.25</var>to women and their children according to section 
         <statute_ref>256D.05, subdivision 3</statute_ref>. Upon <br/>
<a id="pl.23.26"></a><var>23.26</var>the written request of a shelter facility that has been denied payments under section <br/>
<statute_ref><a id="pl.23.27"></a><var>23.27</var>256D.05, subdivision 3
         </statute_ref>, the commissioner shall review all relevant evidence and make <br/>
<a id="pl.23.28"></a><var>23.28</var>a determination within 30 days of the request for review regarding issuance of direct <br/>
<a id="pl.23.29"></a><var>23.29</var>payments to the shelter facility. Failure to act within 30 days shall be considered a <br/>
<a id="pl.23.30"></a><var>23.30</var>determination not to issue direct payments.<br/>
<a id="pl.23.31"></a><var>23.31</var>    (q) Have the authority to establish and enforce the following county reporting <br/>
<a id="pl.23.32"></a><var>23.32</var>requirements:<br/>
<a id="pl.23.33"></a><var>23.33</var>    (1) the commissioner shall establish fiscal and statistical reporting requirements <br/>
<a id="pl.23.34"></a><var>23.34</var>necessary to account for the expenditure of funds allocated to counties for human <br/>
<a id="pl.23.35"></a><var>23.35</var>services programs. When establishing financial and statistical reporting requirements, the <br/>
<a id="pl.24.1"></a><var>24.1</var>commissioner shall evaluate all reports, in consultation with the counties, to determine if <br/>
<a id="pl.24.2"></a><var>24.2</var>the reports can be simplified or the number of reports can be reduced;<br/>
<a id="pl.24.3"></a><var>24.3</var>    (2) the county board shall submit monthly or quarterly reports to the department <br/>
<a id="pl.24.4"></a><var>24.4</var>as required by the commissioner. Monthly reports are due no later than 15 working days <br/>
<a id="pl.24.5"></a><var>24.5</var>after the end of the month. Quarterly reports are due no later than 30 calendar days after <br/>
<a id="pl.24.6"></a><var>24.6</var>the end of the quarter, unless the commissioner determines that the deadline must be <br/>
<a id="pl.24.7"></a><var>24.7</var>shortened to 20 calendar days to avoid jeopardizing compliance with federal deadlines <br/>
<a id="pl.24.8"></a><var>24.8</var>or risking a loss of federal funding. Only reports that are complete, legible, and in the <br/>
<a id="pl.24.9"></a><var>24.9</var>required format shall be accepted by the commissioner;<br/>
<a id="pl.24.10"></a><var>24.10</var>    (3) if the required reports are not received by the deadlines established in clause (2), <br/>
<a id="pl.24.11"></a><var>24.11</var>the commissioner may delay payments and withhold funds from the county board until <br/>
<a id="pl.24.12"></a><var>24.12</var>the next reporting period. When the report is needed to account for the use of federal <br/>
<a id="pl.24.13"></a><var>24.13</var>funds and the late report results in a reduction in federal funding, the commissioner shall <br/>
<a id="pl.24.14"></a><var>24.14</var>withhold from the county boards with late reports an amount equal to the reduction in <br/>
<a id="pl.24.15"></a><var>24.15</var>federal funding until full federal funding is received;<br/>
<a id="pl.24.16"></a><var>24.16</var>    (4) a county board that submits reports that are late, illegible, incomplete, or not <br/>
<a id="pl.24.17"></a><var>24.17</var>in the required format for two out of three consecutive reporting periods is considered <br/>
<a id="pl.24.18"></a><var>24.18</var>noncompliant. When a county board is found to be noncompliant, the commissioner <br/>
<a id="pl.24.19"></a><var>24.19</var>shall notify the county board of the reason the county board is considered noncompliant <br/>
<a id="pl.24.20"></a><var>24.20</var>and request that the county board develop a corrective action plan stating how the <br/>
<a id="pl.24.21"></a><var>24.21</var>county board plans to correct the problem. The corrective action plan must be submitted <br/>
<a id="pl.24.22"></a><var>24.22</var>to the commissioner within 45 days after the date the county board received notice <br/>
<a id="pl.24.23"></a><var>24.23</var>of noncompliance;<br/>
<a id="pl.24.24"></a><var>24.24</var>    (5) the final deadline for fiscal reports or amendments to fiscal reports is one year <br/>
<a id="pl.24.25"></a><var>24.25</var>after the date the report was originally due. If the commissioner does not receive a report <br/>
<a id="pl.24.26"></a><var>24.26</var>by the final deadline, the county board forfeits the funding associated with the report for <br/>
<a id="pl.24.27"></a><var>24.27</var>that reporting period and the county board must repay any funds associated with the <br/>
<a id="pl.24.28"></a><var>24.28</var>report received for that reporting period;<br/>
<a id="pl.24.29"></a><var>24.29</var>    (6) the commissioner may not delay payments, withhold funds, or require repayment <br/>
<a id="pl.24.30"></a><var>24.30</var>under clause (3) or (5) if the county demonstrates that the commissioner failed to <br/>
<a id="pl.24.31"></a><var>24.31</var>provide appropriate forms, guidelines, and technical assistance to enable the county to <br/>
<a id="pl.24.32"></a><var>24.32</var>comply with the requirements. If the county board disagrees with an action taken by the <br/>
<a id="pl.24.33"></a><var>24.33</var>commissioner under clause (3) or (5), the county board may appeal the action according <br/>
<a id="pl.24.34"></a><var>24.34</var>to sections 
         <statute_ref>14.57</statute_ref> to 
         <statute_ref>14.69</statute_ref>; and<br/>
<a id="pl.24.35"></a><var>24.35</var>    (7) counties subject to withholding of funds under clause (3) or forfeiture or <br/>
<a id="pl.24.36"></a><var>24.36</var>repayment of funds under clause (5) shall not reduce or withhold benefits or services to <br/>
<a id="pl.25.1"></a><var>25.1</var>clients to cover costs incurred due to actions taken by the commissioner under clause <br/>
<a id="pl.25.2"></a><var>25.2</var>(3) or (5).<br/>
<a id="pl.25.3"></a><var>25.3</var>    (r) Allocate federal fiscal disallowances or sanctions for audit exceptions when <br/>
<a id="pl.25.4"></a><var>25.4</var>federal fiscal disallowances or sanctions are based on a statewide random sample for <br/>
<a id="pl.25.5"></a><var>25.5</var>the foster care program under title IV-E of the Social Security Act, United States Code, <br/>
<a id="pl.25.6"></a><var>25.6</var>title 42, in direct proportion to each county's title IV-E foster care maintenance claim <br/>
<a id="pl.25.7"></a><var>25.7</var>for that period.<br/>
<a id="pl.25.8"></a><var>25.8</var>    (s) Be responsible for ensuring the detection, prevention, investigation, and <br/>
<a id="pl.25.9"></a><var>25.9</var>resolution of fraudulent activities or behavior by applicants, recipients, and other <br/>
<a id="pl.25.10"></a><var>25.10</var>participants in the human services programs administered by the department.<br/>
<a id="pl.25.11"></a><var>25.11</var>    (t) Require county agencies to identify overpayments, establish claims, and utilize <br/>
<a id="pl.25.12"></a><var>25.12</var>all available and cost-beneficial methodologies to collect and recover these overpayments <br/>
<a id="pl.25.13"></a><var>25.13</var>in the human services programs administered by the department.<br/>
<a id="pl.25.14"></a><var>25.14</var>    (u) Have the authority to administer a drug rebate program for drugs purchased <br/>
<a id="pl.25.15"></a><var>25.15</var>pursuant to the prescription drug program established under section 
         <statute_ref>256.955</statute_ref> after the <br/>
<a id="pl.25.16"></a><var>25.16</var>beneficiary's satisfaction of any deductible established in the program. The commissioner <br/>
<a id="pl.25.17"></a><var>25.17</var>shall require a rebate agreement from all manufacturers of covered drugs as defined in <br/>
<a id="pl.25.18"></a><var>25.18</var>section 
         <statute_ref>256B.0625, subdivision 13</statute_ref>. Rebate agreements for prescription drugs delivered on <br/>
<a id="pl.25.19"></a><var>25.19</var>or after July 1, 2002, must include rebates for individuals covered under the prescription <br/>
<a id="pl.25.20"></a><var>25.20</var>drug program who are under 65 years of age. For each drug, the amount of the rebate shall <br/>
<a id="pl.25.21"></a><var>25.21</var>be equal to the rebate as defined for purposes of the federal rebate program in United <br/>
<a id="pl.25.22"></a><var>25.22</var>States Code, title 42, section 1396r-8. The manufacturers must provide full payment <br/>
<a id="pl.25.23"></a><var>25.23</var>within 30 days of receipt of the state invoice for the rebate within the terms and conditions <br/>
<a id="pl.25.24"></a><var>25.24</var>used for the federal rebate program established pursuant to section 1927 of title XIX of <br/>
<a id="pl.25.25"></a><var>25.25</var>the Social Security Act. The manufacturers must provide the commissioner with any <br/>
<a id="pl.25.26"></a><var>25.26</var>information necessary to verify the rebate determined per drug. The rebate program shall <br/>
<a id="pl.25.27"></a><var>25.27</var>utilize the terms and conditions used for the federal rebate program established pursuant to <br/>
<a id="pl.25.28"></a><var>25.28</var>section 1927 of title XIX of the Social Security Act.<br/>
<a id="pl.25.29"></a><var>25.29</var>    (v) Have the authority to administer the federal drug rebate program for drugs <br/>
<a id="pl.25.30"></a><var>25.30</var>purchased under the medical assistance program as allowed by section 1927 of title XIX <br/>
<a id="pl.25.31"></a><var>25.31</var>of the Social Security Act and according to the terms and conditions of section 1927. <br/>
<a id="pl.25.32"></a><var>25.32</var>Rebates shall be collected for all drugs that have been dispensed or administered in an <br/>
<a id="pl.25.33"></a><var>25.33</var>outpatient setting and that are from manufacturers who have signed a rebate agreement <br/>
<a id="pl.25.34"></a><var>25.34</var>with the United States Department of Health and Human Services.<br/>
<a id="pl.25.35"></a><var>25.35</var>    (w) Have the authority to administer a supplemental drug rebate program for drugs <br/>
<a id="pl.25.36"></a><var>25.36</var>purchased under the medical assistance program. The commissioner may enter into <br/>
<a id="pl.26.1"></a><var>26.1</var>supplemental rebate contracts with pharmaceutical manufacturers and may require prior <br/>
<a id="pl.26.2"></a><var>26.2</var>authorization for drugs that are from manufacturers that have not signed a supplemental <br/>
<a id="pl.26.3"></a><var>26.3</var>rebate contract. Prior authorization of drugs shall be subject to the provisions of section <br/>
<statute_ref><a id="pl.26.4"></a><var>26.4</var>256B.0625, subdivision 13
         </statute_ref>.<br/>
<a id="pl.26.5"></a><var>26.5</var>    (x) Operate the department's communication systems account established in Laws <br/>
<a id="pl.26.6"></a><var>26.6</var>1993, First Special Session chapter 1, article 1, section 2, subdivision 2, to manage shared <br/>
<a id="pl.26.7"></a><var>26.7</var>communication costs necessary for the operation of the programs the commissioner <br/>
<a id="pl.26.8"></a><var>26.8</var>supervises. A communications account may also be established for each regional <br/>
<a id="pl.26.9"></a><var>26.9</var>treatment center which operates communications systems. Each account must be used <br/>
<a id="pl.26.10"></a><var>26.10</var>to manage shared communication costs necessary for the operations of the programs the <br/>
<a id="pl.26.11"></a><var>26.11</var>commissioner supervises. The commissioner may distribute the costs of operating and <br/>
<a id="pl.26.12"></a><var>26.12</var>maintaining communication systems to participants in a manner that reflects actual usage. <br/>
<a id="pl.26.13"></a><var>26.13</var>Costs may include acquisition, licensing, insurance, maintenance, repair, staff time and <br/>
<a id="pl.26.14"></a><var>26.14</var>other costs as determined by the commissioner. Nonprofit organizations and state, county, <br/>
<a id="pl.26.15"></a><var>26.15</var>and local government agencies involved in the operation of programs the commissioner <br/>
<a id="pl.26.16"></a><var>26.16</var>supervises may participate in the use of the department's communications technology and <br/>
<a id="pl.26.17"></a><var>26.17</var>share in the cost of operation. The commissioner may accept on behalf of the state any <br/>
<a id="pl.26.18"></a><var>26.18</var>gift, bequest, devise or personal property of any kind, or money tendered to the state for <br/>
<a id="pl.26.19"></a><var>26.19</var>any lawful purpose pertaining to the communication activities of the department. Any <br/>
<a id="pl.26.20"></a><var>26.20</var>money received for this purpose must be deposited in the department's communication <br/>
<a id="pl.26.21"></a><var>26.21</var>systems accounts. Money collected by the commissioner for the use of communication <br/>
<a id="pl.26.22"></a><var>26.22</var>systems must be deposited in the state communication systems account and is appropriated <br/>
<a id="pl.26.23"></a><var>26.23</var>to the commissioner for purposes of this section.<br/>
<a id="pl.26.24"></a><var>26.24</var>    (y) Receive any federal matching money that is made available through the medical <br/>
<a id="pl.26.25"></a><var>26.25</var>assistance program for the consumer satisfaction survey. Any federal money received for <br/>
<a id="pl.26.26"></a><var>26.26</var>the survey is appropriated to the commissioner for this purpose. The commissioner may <br/>
<a id="pl.26.27"></a><var>26.27</var>expend the federal money received for the consumer satisfaction survey in either year of <br/>
<a id="pl.26.28"></a><var>26.28</var>the biennium.<br/>
<a id="pl.26.29"></a><var>26.29</var>    (z) Designate community information and referral call centers and incorporate <br/>
<a id="pl.26.30"></a><var>26.30</var>cost reimbursement claims from the designated community information and referral <br/>
<a id="pl.26.31"></a><var>26.31</var>call centers into the federal cost reimbursement claiming processes of the department <br/>
<a id="pl.26.32"></a><var>26.32</var>according to federal law, rule, and regulations. Existing information and referral centers <br/>
<a id="pl.26.33"></a><var>26.33</var>provided by Greater Twin Cities United Way or existing call centers for which Greater <br/>
<a id="pl.26.34"></a><var>26.34</var>Twin Cities United Way has legal authority to represent, shall be included in these <br/>
<a id="pl.26.35"></a><var>26.35</var>designations upon review by the commissioner and assurance that these services are <br/>
<a id="pl.26.36"></a><var>26.36</var>accredited and in compliance with national standards. Any reimbursement is appropriated <br/>
<a id="pl.27.1"></a><var>27.1</var>to the commissioner and all designated information and referral centers shall receive <br/>
<a id="pl.27.2"></a><var>27.2</var>payments according to normal department schedules established by the commissioner <br/>
<a id="pl.27.3"></a><var>27.3</var>upon final approval of allocation methodologies from the United States Department of <br/>
<a id="pl.27.4"></a><var>27.4</var>Health and Human Services Division of Cost Allocation or other appropriate authorities.<br/>
<a id="pl.27.5"></a><var>27.5</var>    (aa) Develop recommended standards for foster care homes that address the <br/>
<a id="pl.27.6"></a><var>27.6</var>components of specialized therapeutic services to be provided by foster care homes with <br/>
<a id="pl.27.7"></a><var>27.7</var>those services.<br/>
<a id="pl.27.8"></a><var>27.8</var>    (bb) Authorize the method of payment to or from the department as part of the <br/>
<a id="pl.27.9"></a><var>27.9</var>human services programs administered by the department. This authorization includes the <br/>
<a id="pl.27.10"></a><var>27.10</var>receipt or disbursement of funds held by the department in a fiduciary capacity as part of <br/>
<a id="pl.27.11"></a><var>27.11</var>the human services programs administered by the department.<br/>
<a id="pl.27.12"></a><var>27.12</var>    (cc) Have the authority to administer a drug rebate program for drugs purchased for <br/>
<a id="pl.27.13"></a><var>27.13</var>persons eligible for general assistance medical care under section 
         <statute_ref>256D.03, subdivision 3</statute_ref>. <br/>
<a id="pl.27.14"></a><var>27.14</var>For manufacturers that agree to participate in the general assistance medical care rebate <br/>
<a id="pl.27.15"></a><var>27.15</var>program, the commissioner shall enter into a rebate agreement for covered drugs as <br/>
<a id="pl.27.16"></a><var>27.16</var>defined in section 
         <statute_ref>256B.0625, subdivisions 13 and 13d</statute_ref>. For each drug, the amount of the <br/>
<a id="pl.27.17"></a><var>27.17</var>rebate shall be equal to the rebate as defined for purposes of the federal rebate program in <br/>
<a id="pl.27.18"></a><var>27.18</var>United States Code, title 42, section 1396r-8. The manufacturers must provide payment <br/>
<a id="pl.27.19"></a><var>27.19</var>within the terms and conditions used for the federal rebate program established under <br/>
<a id="pl.27.20"></a><var>27.20</var>section 1927 of title XIX of the Social Security Act. The rebate program shall utilize <br/>
<a id="pl.27.21"></a><var>27.21</var>the terms and conditions used for the federal rebate program established under section <br/>
<a id="pl.27.22"></a><var>27.22</var>1927 of title XIX of the Social Security Act.<br/>
<a id="pl.27.23"></a><var>27.23</var>    Effective January 1, 2006, drug coverage under general assistance medical care shall <br/>
<a id="pl.27.24"></a><var>27.24</var>be limited to those prescription drugs that:<br/>
<a id="pl.27.25"></a><var>27.25</var>    (1) are covered under the medical assistance program as described in section <br/>
<statute_ref><a id="pl.27.26"></a><var>27.26</var>256B.0625, subdivisions 13 and 13d
         </statute_ref>; and<br/>
<a id="pl.27.27"></a><var>27.27</var>    (2) are provided by manufacturers that have fully executed general assistance <br/>
<a id="pl.27.28"></a><var>27.28</var>medical care rebate agreements with the commissioner and comply with such agreements. <br/>
<a id="pl.27.29"></a><var>27.29</var>Prescription drug coverage under general assistance medical care shall conform to <br/>
<a id="pl.27.30"></a><var>27.30</var>coverage under the medical assistance program according to section 
         <statute_ref>256B.0625, <br/>
<a id="pl.27.31"></a><var>27.31</var>subdivisions 13 to 13g
         </statute_ref>.<br/>
<a id="pl.27.32"></a><var>27.32</var>    The rebate revenues collected under the drug rebate program are deposited in the <br/>
<a id="pl.27.33"></a><var>27.33</var>general fund.<br/>
<br/>
<a id="bill.1.16.0"></a><a id="pl.27.34"></a><var>27.34</var>    Sec. 16. Minnesota Statutes 2006, section 256.01, subdivision 4, is amended to read:<br/>
<a id="pl.27.35"></a><var>27.35</var>    Subd. 4. <b>Duties as state agency.</b> (a) The state agency shall:<br/>
<a id="pl.28.1"></a><var>28.1</var>    (1) supervise the administration of assistance to dependent children under Laws <br/>
<a id="pl.28.2"></a><var>28.2</var>1937, chapter 438, by the county agencies in an integrated program with other service for <br/>
<a id="pl.28.3"></a><var>28.3</var>dependent children maintained under the direction of the state agency;<br/>
<a id="pl.28.4"></a><var>28.4</var>    (2) may subpoena witnesses and administer oaths, make rules, and take such action <br/>
<a id="pl.28.5"></a><var>28.5</var>as may be necessary, or desirable for carrying out the provisions of Laws 1937, chapter <br/>
<a id="pl.28.6"></a><var>28.6</var>438. All rules made by the state agency shall be binding on the counties and shall be <br/>
<a id="pl.28.7"></a><var>28.7</var>complied with by the respective county agencies;<br/>
<a id="pl.28.8"></a><var>28.8</var>    (3) (2) establish adequate standards for personnel employed by the counties and the <br/>
<a id="pl.28.9"></a><var>28.9</var>state agency in the administration of Laws 1937, chapter 438, and make the necessary <br/>
<a id="pl.28.10"></a><var>28.10</var>rules to maintain such standards;<br/>
<a id="pl.28.11"></a><var>28.11</var>    (4) (3) prescribe the form of and print and supply to the county agencies blanks <br/>
<a id="pl.28.12"></a><var>28.12</var>for applications, reports, affidavits, and such other forms as it may deem necessary and <br/>
<a id="pl.28.13"></a><var>28.13</var>advisable;<br/>
<a id="pl.28.14"></a><var>28.14</var>    (5) (4) cooperate with the federal government and its public welfare agencies <br/>
<a id="pl.28.15"></a><var>28.15</var>in any reasonable manner as may be necessary to qualify for federal aid for temporary <br/>
<a id="pl.28.16"></a><var>28.16</var>assistance for needy families and in conformity with title I of Public Law 104-193, the <br/>
<a id="pl.28.17"></a><var>28.17</var>Personal Responsibility and Work Opportunity Reconciliation Act of 1996 and successor <br/>
<a id="pl.28.18"></a><var>28.18</var>amendments, including the making of such reports and such forms and containing such <br/>
<a id="pl.28.19"></a><var>28.19</var>information as the Federal Social Security Board may from time to time require, and <br/>
<a id="pl.28.20"></a><var>28.20</var>comply with such provisions as such board may from time to time find necessary to assure <br/>
<a id="pl.28.21"></a><var>28.21</var>the correctness and verification of such reports;<br/>
<a id="pl.28.22"></a><var>28.22</var>    (6) may cooperate with other state agencies in establishing reciprocal agreements in <br/>
<a id="pl.28.23"></a><var>28.23</var>instances where a child receiving Minnesota family investment program assistance moves <br/>
<a id="pl.28.24"></a><var>28.24</var>or contemplates moving into or out of the state, in order that such child may continue to <br/>
<a id="pl.28.25"></a><var>28.25</var>receive supervised aid from the state moved from until the child shall have resided for <br/>
<a id="pl.28.26"></a><var>28.26</var>one year in the state moved to;<br/>
<a id="pl.28.27"></a><var>28.27</var>    (7) (5) on or before October 1 in each even-numbered year make a biennial report <br/>
<a id="pl.28.28"></a><var>28.28</var>to the governor concerning the activities of the agency;<br/>
<a id="pl.28.29"></a><var>28.29</var>    (8) (6) enter into agreements with other departments of the state as necessary to meet <br/>
<a id="pl.28.30"></a><var>28.30</var>all requirements of the federal government; and<br/>
<a id="pl.28.31"></a><var>28.31</var>    (9) (7) cooperate with the commissioner of education to enforce the requirements <br/>
<a id="pl.28.32"></a><var>28.32</var>for program integrity and fraud prevention for investigation for child care assistance <br/>
<a id="pl.28.33"></a><var>28.33</var>under chapter 119B.<br/>
<a id="pl.28.34"></a><var>28.34</var>    (b) The state agency may:<br/>
<a id="pl.28.35"></a><var>28.35</var>    (1) subpoena witnesses and administer oaths, make rules, and take such action as <br/>
<a id="pl.28.36"></a><var>28.36</var>may be necessary or desirable for carrying out the provisions of Laws 1937, chapter 438. <br/>
<a id="pl.29.1"></a><var>29.1</var>All rules made by the state agency shall be binding on the counties and shall be complied <br/>
<a id="pl.29.2"></a><var>29.2</var>with by the respective county agencies;<br/>
<a id="pl.29.3"></a><var>29.3</var>    (2) cooperate with other state agencies in establishing reciprocal agreements in <br/>
<a id="pl.29.4"></a><var>29.4</var>instances where a child receiving Minnesota family investment program assistance moves <br/>
<a id="pl.29.5"></a><var>29.5</var>or contemplates moving into or out of the state, in order that the child may continue <br/>
<a id="pl.29.6"></a><var>29.6</var>to receive supervised aid from the state moved from until the child has resided for one <br/>
<a id="pl.29.7"></a><var>29.7</var>year in the state moved to; and<br/>
<a id="pl.29.8"></a><var>29.8</var>    (3) administer oaths and affirmations, take depositions, certify to official acts, and <br/>
<a id="pl.29.9"></a><var>29.9</var>issue subpoenas to compel the attendance of individuals and the production of documents <br/>
<a id="pl.29.10"></a><var>29.10</var>and other personal property necessary in connection with the administration of programs <br/>
<a id="pl.29.11"></a><var>29.11</var>administered by the Department of Human Services.<br/>
<a id="pl.29.12"></a><var>29.12</var>    (c) The fees for service of a subpoena in paragraph (b), clause (3), must be paid in <br/>
<a id="pl.29.13"></a><var>29.13</var>the same manner as prescribed by law for a service of process issued by a district court. <br/>
<a id="pl.29.14"></a><var>29.14</var>Witnesses must receive the same fees and mileage as in civil actions.<br/>
<a id="pl.29.15"></a><var>29.15</var>    (d) The subpoena in paragraph (b), clause (3), shall be enforceable through the <br/>
<a id="pl.29.16"></a><var>29.16</var>district court in the district where the subpoena is issued.<br/>
<br/>
<a id="bill.1.17.0"></a><a id="pl.29.17"></a><var>29.17</var>    Sec. 17. Minnesota Statutes 2006, section 256.01, subdivision 18, is amended to read:<br/>
<a id="pl.29.18"></a><var>29.18</var>    Subd. 18. <b>Immigration status verifications.</b> (a) Notwithstanding any waiver of <br/>
<a id="pl.29.19"></a><var>29.19</var>this requirement by the secretary of the United States Department of Health and Human <br/>
<a id="pl.29.20"></a><var>29.20</var>Services, effective July 1, 2001, the commissioner shall utilize the Systematic Alien <br/>
<a id="pl.29.21"></a><var>29.21</var>Verification for Entitlements (SAVE) program to conduct immigration status verifications:<br/>
<a id="pl.29.22"></a><var>29.22</var>    (1) as required under United States Code, title 8, section 1642;<br/>
<a id="pl.29.23"></a><var>29.23</var>    (2) for all applicants and recipients at recertification for food assistance benefits, <br/>
<a id="pl.29.24"></a><var>29.24</var>whether under the federal food stamp program, the MFIP or work first program, or the <br/>
<a id="pl.29.25"></a><var>29.25</var>Minnesota food assistance program;<br/>
<a id="pl.29.26"></a><var>29.26</var>    (3) for all applicants and recipients at recertification for general assistance medical <br/>
<a id="pl.29.27"></a><var>29.27</var>care, except assistance for an emergency medical condition, for immunization with respect <br/>
<a id="pl.29.28"></a><var>29.28</var>to an immunizable disease, or for testing and treatment of symptoms of a communicable <br/>
<a id="pl.29.29"></a><var>29.29</var>disease; and<br/>
<a id="pl.29.30"></a><var>29.30</var>    (4) for all applicants and recipients at recertification for general assistance, <br/>
<a id="pl.29.31"></a><var>29.31</var>Minnesota supplemental aid, MinnesotaCare, or group residential housing, when the <br/>
<a id="pl.29.32"></a><var>29.32</var>benefits provided by these programs would fall under the definition of "federal public <br/>
<a id="pl.29.33"></a><var>29.33</var>benefit" under United States Code, title 8, section 1642, if federal funds were used to <br/>
<a id="pl.29.34"></a><var>29.34</var>pay for all or part of the benefits.<br/>
<a id="pl.30.1"></a><var>30.1</var>    (b) The commissioner shall comply with the reporting requirements under United <br/>
<a id="pl.30.2"></a><var>30.2</var>States Code, title 42, section 611a, and any federal regulation or guidance adopted under <br/>
<a id="pl.30.3"></a><var>30.3</var>that law.<br/>
<br/>
<a id="bill.1.18.0"></a><a id="pl.30.4"></a><var>30.4</var>    Sec. 18. Minnesota Statutes 2006, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.30.5"></a><var>30.5</var>to read:<br/>
<a id="pl.30.6"></a><var>30.6</var>    Subd. 23. <b>Administrative simplification; county cost study.</b> (a) The commissioner <br/>
<a id="pl.30.7"></a><var>30.7</var>shall establish and convene the first meeting of an advisory committee to identify ways <br/>
<a id="pl.30.8"></a><var>30.8</var>to simplify and streamline human services laws and administrative requirements. The <br/>
<a id="pl.30.9"></a><var>30.9</var>advisory committee shall select its chair from its membership at the first meeting.<br/>
<a id="pl.30.10"></a><var>30.10</var>    (b) The committee shall consist of three senators appointed by the senate Committee <br/>
<a id="pl.30.11"></a><var>30.11</var>on Rules and Administration, three state representatives appointed by the speaker of the <br/>
<a id="pl.30.12"></a><var>30.12</var>house of representatives, four department staff, and five county representatives appointed <br/>
<a id="pl.30.13"></a><var>30.13</var>by the Association of Minnesota Counties after consultation with other relevant county <br/>
<a id="pl.30.14"></a><var>30.14</var>organizations. <br/>
<a id="pl.30.15"></a><var>30.15</var>    (c) The committee shall annually select up to two topics for review. The goals of <br/>
<a id="pl.30.16"></a><var>30.16</var>the reviews are to discuss opportunities for administrative improvements and increased <br/>
<a id="pl.30.17"></a><var>30.17</var>simplification and streamlining to improve consistency, efficiency, fairness, and to reduce <br/>
<a id="pl.30.18"></a><var>30.18</var>the risk of recipient noncompliance. In reviewing the topics selected, consideration shall <br/>
<a id="pl.30.19"></a><var>30.19</var>be given to:<br/>
<a id="pl.30.20"></a><var>30.20</var>    (1) current challenges in administrative complexity and service delivery and whether <br/>
<a id="pl.30.21"></a><var>30.21</var>the sharing of responsibilities between the state and the county should be altered in any <br/>
<a id="pl.30.22"></a><var>30.22</var>way, including transferring responsibilities from one entity to the other;<br/>
<a id="pl.30.23"></a><var>30.23</var>    (2) methods of reducing inconsistency with similar programs; and<br/>
<a id="pl.30.24"></a><var>30.24</var>    (3) the current funding mechanism, whether funding formulas should be adjusted for <br/>
<a id="pl.30.25"></a><var>30.25</var>special demographic or geographic factors that influence program costs, differences in <br/>
<a id="pl.30.26"></a><var>30.26</var>county property tax contributions and maintenance of effort obligations, and whether the <br/>
<a id="pl.30.27"></a><var>30.27</var>mix of state and county obligations for financial support of this service should be changed.<br/>
<a id="pl.30.28"></a><var>30.28</var>    (d) The committee members shall assume responsibility for reporting progress to <br/>
<a id="pl.30.29"></a><var>30.29</var>the appropriate leadership of the groups they represent. The commissioner, in partnership <br/>
<a id="pl.30.30"></a><var>30.30</var>with the advisory committee, shall report to the legislative committees and divisions with <br/>
<a id="pl.30.31"></a><var>30.31</var>jurisdiction over the Department of Human Services on the findings and recommendations <br/>
<a id="pl.30.32"></a><var>30.32</var>of the advisory committee by December 15 of each year.<br/>
<a id="pl.30.33"></a><var>30.33</var>    (e) This section expires June 30, 2012.<br/>
<br/>
<a id="bill.1.19.0"></a><a id="pl.30.34"></a><var>30.34</var>    Sec. 19. Minnesota Statutes 2006, section 256.015, subdivision 7, is amended to read:<br/>
<a id="pl.31.1"></a><var>31.1</var>    Subd. 7. <b>Cooperation required.</b> Upon the request of the Department of Human <br/>
<a id="pl.31.2"></a><var>31.2</var>Services, any state agency or third party payer shall cooperate with the department in <br/>
<a id="pl.31.3"></a><var>31.3</var>furnishing information to help establish a third party liability. Upon the request of the <br/>
<a id="pl.31.4"></a><var>31.4</var>Department of Human Services or county child support or human service agencies, any <br/>
<a id="pl.31.5"></a><var>31.5</var>employer or third party payer shall cooperate in furnishing information about group health <br/>
<a id="pl.31.6"></a><var>31.6</var>insurance plans or medical benefit plans available to its employees. For purposes of <br/>
<a id="pl.31.7"></a><var>31.7</var>section 176.191, subdivision 4, the Department of Labor and Industry may allow the <br/>
<a id="pl.31.8"></a><var>31.8</var>Department of Human Services and county agencies direct access and data matching on <br/>
<a id="pl.31.9"></a><var>31.9</var>information relating to workers' compensation claims in order to determine whether the <br/>
<a id="pl.31.10"></a><var>31.10</var>claimant has reported the fact of a pending claim and the amount paid to or on behalf of <br/>
<a id="pl.31.11"></a><var>31.11</var>the claimant to the Department of Human Services. The Department of Human Services <br/>
<a id="pl.31.12"></a><var>31.12</var>and county agencies shall limit its use of information gained from agencies, third party <br/>
<a id="pl.31.13"></a><var>31.13</var>payers, and employers to purposes directly connected with the administration of its public <br/>
<a id="pl.31.14"></a><var>31.14</var>assistance and child support programs. The provision of information by agencies, third <br/>
<a id="pl.31.15"></a><var>31.15</var>party payers, and employers to the department under this subdivision is not a violation of <br/>
<a id="pl.31.16"></a><var>31.16</var>any right of confidentiality or data privacy.<br/>
<br/>
<a id="bill.1.20.0"></a><a id="pl.31.17"></a><var>31.17</var>    Sec. 20. Minnesota Statutes 2006, section 256.017, subdivision 1, is amended to read:<br/>
<a id="pl.31.18"></a><var>31.18</var>    Subdivision 1. <b>Authority and purpose.</b> The commissioner shall administer a <br/>
<a id="pl.31.19"></a><var>31.19</var>compliance system for the Minnesota family investment program, the food stamp or food <br/>
<a id="pl.31.20"></a><var>31.20</var>support program, emergency assistance, general assistance, medical assistance, general <br/>
<a id="pl.31.21"></a><var>31.21</var>assistance medical care, emergency general assistance, Minnesota supplemental assistance, <br/>
<a id="pl.31.22"></a><var>31.22</var>preadmission screening, and alternative care grants, and the child care assistance program <br/>
<a id="pl.31.23"></a><var>31.23</var>under the powers and authorities named in section 
         <statute_ref>256.01, subdivision 2</statute_ref>. The purpose of <br/>
<a id="pl.31.24"></a><var>31.24</var>the compliance system is to permit the commissioner to supervise the administration of <br/>
<a id="pl.31.25"></a><var>31.25</var>public assistance programs and to enforce timely and accurate distribution of benefits, <br/>
<a id="pl.31.26"></a><var>31.26</var>completeness of service and efficient and effective program management and operations, <br/>
<a id="pl.31.27"></a><var>31.27</var>to increase uniformity and consistency in the administration and delivery of public <br/>
<a id="pl.31.28"></a><var>31.28</var>assistance programs throughout the state, and to reduce the possibility of sanctions and <br/>
<a id="pl.31.29"></a><var>31.29</var>fiscal disallowances for noncompliance with federal regulations and state statutes. <br/>
<a id="pl.31.30"></a><var>31.30</var>    The commissioner shall utilize training, technical assistance, and monitoring <br/>
<a id="pl.31.31"></a><var>31.31</var>activities, as specified in section 
         <statute_ref>256.01, subdivision 2</statute_ref>, to encourage county agency <br/>
<a id="pl.31.32"></a><var>31.32</var>compliance with written policies and procedures. <br/>
<br/>
<a id="bill.1.21.0"></a><a id="pl.31.33"></a><var>31.33</var>    Sec. 21. Minnesota Statutes 2006, section 256.017, subdivision 9, is amended to read:<br/>
<a id="pl.32.1"></a><var>32.1</var>    Subd. 9. <b>Timing and disposition of penalty and case disallowance funds.</b> Quality <br/>
<a id="pl.32.2"></a><var>32.2</var>control case penalty and administrative penalty amounts shall be disallowed or withheld <br/>
<a id="pl.32.3"></a><var>32.3</var>from the next regular reimbursement made to the county agency for state and federal <br/>
<a id="pl.32.4"></a><var>32.4</var>benefit reimbursements and federal administrative reimbursements for all programs <br/>
<a id="pl.32.5"></a><var>32.5</var>covered in this section, according to procedures established in statute, but shall not be <br/>
<a id="pl.32.6"></a><var>32.6</var>imposed sooner than 30 calendar days from the date of written notice of such penalties. <br/>
<a id="pl.32.7"></a><var>32.7</var>Except for penalties withheld under the child care assistance program, all penalties <br/>
<a id="pl.32.8"></a><var>32.8</var>must be deposited in the county incentive fund provided in section 
         <statute_ref>256.018</statute_ref>. Penalties <br/>
<a id="pl.32.9"></a><var>32.9</var>withheld under the child care assistance program shall be reallocated to counties using the <br/>
<a id="pl.32.10"></a><var>32.10</var>allocation formula under section 119B.03, subdivision 5. All penalties must be imposed <br/>
<a id="pl.32.11"></a><var>32.11</var>according to this provision until a decision is made regarding the status of a written <br/>
<a id="pl.32.12"></a><var>32.12</var>exception. Penalties must be returned to county agencies when a review of a written <br/>
<a id="pl.32.13"></a><var>32.13</var>exception results in a decision in their favor. <br/>
<br/>
<a id="bill.1.22.0"></a><a id="pl.32.14"></a><var>32.14</var>    Sec. 22. Minnesota Statutes 2006, section 256.0471, subdivision 1, is amended to read:<br/>
<a id="pl.32.15"></a><var>32.15</var>    Subdivision 1. <b>Qualifying overpayment.</b> Any overpayment for assistance granted <br/>
<a id="pl.32.16"></a><var>32.16</var>under chapter 119B, the MFIP program formerly codified under sections 
         <statute_ref>256.031</statute_ref> to <br/>
<statute_ref><a id="pl.32.17"></a><var>32.17</var>256.0361
         </statute_ref>, and the AFDC program formerly codified under sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.871</statute_ref>; <br/>
<a id="pl.32.18"></a><var>32.18</var>chapters 256B, 256D, 256I, 256J, and 256K, and 256L; and the food stamp or food support <br/>
<a id="pl.32.19"></a><var>32.19</var>program, except agency error claims, become a judgment by operation of law 90 days <br/>
<a id="pl.32.20"></a><var>32.20</var>after the notice of overpayment is personally served upon the recipient in a manner that <br/>
<a id="pl.32.21"></a><var>32.21</var>is sufficient under rule 4.03(a) of the Rules of Civil Procedure for district courts, or by <br/>
<a id="pl.32.22"></a><var>32.22</var>certified mail, return receipt requested. This judgment shall be entitled to full faith and <br/>
<a id="pl.32.23"></a><var>32.23</var>credit in this and any other state. <br/>
<br/>
<a id="bill.1.23.0"></a><a id="pl.32.24"></a><var>32.24</var>    Sec. 23. Minnesota Statutes 2006, section 256.984, subdivision 1, is amended to read:<br/>
<a id="pl.32.25"></a><var>32.25</var>    Subdivision 1. <b>Declaration.</b> Every application for public assistance under this <br/>
<a id="pl.32.26"></a><var>32.26</var>chapter or chapters 256B, 256D, 256J, and 256L; child care programs under chapter 119B; <br/>
<a id="pl.32.27"></a><var>32.27</var>and food stamps or food support under chapter 393 shall be in writing or reduced to <br/>
<a id="pl.32.28"></a><var>32.28</var>writing as prescribed by the state agency and shall contain the following declaration which <br/>
<a id="pl.32.29"></a><var>32.29</var>shall be signed by the applicant:<br/>
<a id="pl.32.30"></a><var>32.30</var>"I declare under the penalties of perjury that this application has been examined <br/>
<a id="pl.32.31"></a><var>32.31</var>by me and to the best of my knowledge is a true and correct statement of every <br/>
<a id="pl.32.32"></a><var>32.32</var>material point. I understand that a person convicted of perjury may be sentenced <br/>
<a id="pl.32.33"></a><var>32.33</var>to imprisonment of not more than five years or to payment of a fine of not more <br/>
<a id="pl.32.34"></a><var>32.34</var>than $10,000, or both."<br/>
<br/>
<a id="bill.1.24.0"></a><a id="pl.33.1"></a><var>33.1</var>    Sec. 24. <b>[256D.0516] EXPIRATION OF FOOD SUPPORT BENEFITS AND </b><br/>
<a id="pl.33.2"></a><var>33.2</var><b>REPORTING REQUIREMENTS.</b><br/>
<a id="pl.33.3"></a><var>33.3</var>    Subdivision 1. <b>Expiration of food support benefits.</b> Food support benefits shall <br/>
<a id="pl.33.4"></a><var>33.4</var>not be stored off line or expunged from a recipient's account unless the benefits have not <br/>
<a id="pl.33.5"></a><var>33.5</var>been accessed for 12 months after the month they were issued.<br/>
<a id="pl.33.6"></a><var>33.6</var>    Subd. 2. <b>Food support reporting requirements.</b> The Department of Human <br/>
<a id="pl.33.7"></a><var>33.7</var>Services shall implement simplified reporting as permitted under the Food Stamp Act of <br/>
<a id="pl.33.8"></a><var>33.8</var>1977, as amended, and the food stamp regulations in Code of Federal Regulations, title <br/>
<a id="pl.33.9"></a><var>33.9</var>7, part 273. Food support recipient households required to report periodically shall not <br/>
<a id="pl.33.10"></a><var>33.10</var>be required to report more often than one time every six months. This provision shall <br/>
<a id="pl.33.11"></a><var>33.11</var>not apply to households receiving food benefits under the Minnesota family investment <br/>
<a id="pl.33.12"></a><var>33.12</var>program waiver.<br/>
<a id="pl.33.13"></a><var>33.13</var><b>EFFECTIVE DATE.</b>Subdivision 1 is effective February 1, 2008, and subdivision <br/>
<a id="pl.33.14"></a><var>33.14</var>2 is effective May 1, 2008.<br/>
<br/>
<a id="bill.1.25.0"></a><a id="pl.33.15"></a><var>33.15</var>    Sec. 25. <b>[256F.15] GRANT PROGRAM FOR CRISIS NURSERIES.</b><br/>
<a id="pl.33.16"></a><var>33.16</var>    Subdivision 1. <b>Crisis nurseries.</b> The commissioner of human services shall <br/>
<a id="pl.33.17"></a><var>33.17</var>establish a grant program to assist private and public agencies and organizations to <br/>
<a id="pl.33.18"></a><var>33.18</var>provide crisis nurseries to offer services and temporary care to families experiencing crisis <br/>
<a id="pl.33.19"></a><var>33.19</var>situations including children who are at high risk of abuse and neglect, children who have <br/>
<a id="pl.33.20"></a><var>33.20</var>been abused and neglected, and children who are in families receiving child protective <br/>
<a id="pl.33.21"></a><var>33.21</var>services. This service shall be provided without a fee for a maximum of 30 days in any <br/>
<a id="pl.33.22"></a><var>33.22</var>year. Crisis nurseries shall provide short-term case management, family support services, <br/>
<a id="pl.33.23"></a><var>33.23</var>parent education, crisis intervention, referrals, and resources, as needed.<br/>
<a id="pl.33.24"></a><var>33.24</var>    (a) The crisis nurseries must provide a spectrum of services that may include, but <br/>
<a id="pl.33.25"></a><var>33.25</var>are not limited to:<br/>
<a id="pl.33.26"></a><var>33.26</var>    (1) being available 24 hours a day, seven days a week;<br/>
<a id="pl.33.27"></a><var>33.27</var>    (2) providing services for children up to 72 hours at any one time;<br/>
<a id="pl.33.28"></a><var>33.28</var>    (3) providing short-term case management to bridge the gap between crisis and <br/>
<a id="pl.33.29"></a><var>33.29</var>successful living;<br/>
<a id="pl.33.30"></a><var>33.30</var>    (4) making referrals for parents to counseling services and other community <br/>
<a id="pl.33.31"></a><var>33.31</var>resources to help alleviate the underlying cause of the precipitating stress or crisis;<br/>
<a id="pl.33.32"></a><var>33.32</var>    (5) providing services without a fee for a maximum of 30 days in any year;<br/>
<a id="pl.33.33"></a><var>33.33</var>    (6) providing services to families with children from birth through 12 years of age, <br/>
<a id="pl.33.34"></a><var>33.34</var>as services are available;<br/>
<a id="pl.34.1"></a><var>34.1</var>    (7) providing an immediate response to family needs and strengths with an initial <br/>
<a id="pl.34.2"></a><var>34.2</var>assessment and intake interview, making referrals to appropriate agencies or programs, <br/>
<a id="pl.34.3"></a><var>34.3</var>and providing temporary care of children, as needed;<br/>
<a id="pl.34.4"></a><var>34.4</var>    (8) maintaining the clients' confidentiality to the extent required by law, and also <br/>
<a id="pl.34.5"></a><var>34.5</var>complying with statutory reporting requirements which may mandate a report to child <br/>
<a id="pl.34.6"></a><var>34.6</var>protective services;<br/>
<a id="pl.34.7"></a><var>34.7</var>    (9) providing a volunteer component and support for volunteers;<br/>
<a id="pl.34.8"></a><var>34.8</var>    (10) providing preservice training and ongoing training to providers and volunteers;<br/>
<a id="pl.34.9"></a><var>34.9</var>    (11) evaluating the services provided by documenting use of services, the result of <br/>
<a id="pl.34.10"></a><var>34.10</var>family referrals made to community resources, and how the services reduced the risk of <br/>
<a id="pl.34.11"></a><var>34.11</var>maltreatment;<br/>
<a id="pl.34.12"></a><var>34.12</var>    (12) providing developmental assessments;<br/>
<a id="pl.34.13"></a><var>34.13</var>    (13) providing medical assessments as determined by using a risk screening tool;<br/>
<a id="pl.34.14"></a><var>34.14</var>    (14) providing parent education classes or programs that include parent-child <br/>
<a id="pl.34.15"></a><var>34.15</var>interaction either on site or in collaboration with other community agencies; and<br/>
<a id="pl.34.16"></a><var>34.16</var>    (15) having a multidisciplinary advisory board which may include one or more <br/>
<a id="pl.34.17"></a><var>34.17</var>parents who have used the crisis nursery services.<br/>
<a id="pl.34.18"></a><var>34.18</var>    (b) The crisis nurseries are encouraged to provide opportunities for parents to <br/>
<a id="pl.34.19"></a><var>34.19</var>volunteer, if appropriate.<br/>
<a id="pl.34.20"></a><var>34.20</var>    (c) Parents shall retain custody of their children during placement in a crisis facility.<br/>
<a id="pl.34.21"></a><var>34.21</var>    Subd. 2. <b>Fund distribution.</b> In distributing funds, the commissioner shall give <br/>
<a id="pl.34.22"></a><var>34.22</var>priority consideration to agencies and organizations with experience in working with <br/>
<a id="pl.34.23"></a><var>34.23</var>abused or neglected children and their families, and with children at high risk of abuse and <br/>
<a id="pl.34.24"></a><var>34.24</var>neglect and their families, and serve communities which demonstrate the greatest need <br/>
<a id="pl.34.25"></a><var>34.25</var>for these services. Funds shall be distributed to crisis nurseries according to a formula <br/>
<a id="pl.34.26"></a><var>34.26</var>developed by the commissioner in consultation with the Minnesota Crisis Nursery <br/>
<a id="pl.34.27"></a><var>34.27</var>Association. The formula shall include funding for all existing crisis nursery programs <br/>
<a id="pl.34.28"></a><var>34.28</var>that have been previously funded through the Department of Human Services and that <br/>
<a id="pl.34.29"></a><var>34.29</var>meet program requirements as specified in subdivision 1, paragraph (a), and consideration <br/>
<a id="pl.34.30"></a><var>34.30</var>of factors reflecting the need for services in each service area, including but not limited to <br/>
<a id="pl.34.31"></a><var>34.31</var>the number of children 18 years of age and under living in the service area, the percent <br/>
<a id="pl.34.32"></a><var>34.32</var>of children 18 years of age and under living in poverty in the service area, and factors <br/>
<a id="pl.34.33"></a><var>34.33</var>reflecting the cost of providing services, including but not limited to the number of hours <br/>
<a id="pl.34.34"></a><var>34.34</var>of service provided in the previous year.<br/>
<br/>
<a id="bill.1.26.0"></a><a id="pl.35.1"></a><var>35.1</var>    Sec. 26. Minnesota Statutes 2006, section 256J.01, is amended by adding a subdivision <br/>
<a id="pl.35.2"></a><var>35.2</var>to read:<br/>
<a id="pl.35.3"></a><var>35.3</var>    Subd. 6. <b>Legislative approval to move programs or activities.</b> The commissioner <br/>
<a id="pl.35.4"></a><var>35.4</var>shall not move programs or activities funded with MFIP or TANF maintenance of effort <br/>
<a id="pl.35.5"></a><var>35.5</var>funds to other funding sources without legislative approval.<br/>
<br/>
<a id="bill.1.27.0"></a><a id="pl.35.6"></a><var>35.6</var>    Sec. 27. Minnesota Statutes 2006, section 256J.02, subdivision 1, is amended to read:<br/>
<a id="pl.35.7"></a><var>35.7</var>    Subdivision 1. <b>Commissioner's authority to administer block grant funds.</b> The <br/>
<a id="pl.35.8"></a><var>35.8</var>commissioner of human services is authorized to receive, administer, and expend funds <br/>
<a id="pl.35.9"></a><var>35.9</var>available under the TANF block grant authorized under title I of Public Law 104-193, the <br/>
<a id="pl.35.10"></a><var>35.10</var>Personal Responsibility and Work Opportunity Reconciliation Act of 1996, and under <br/>
<a id="pl.35.11"></a><var>35.11</var>Public Law 109-171, the Deficit Reduction Act of 2005.<br/>
<br/>
<a id="bill.1.28.0"></a><a id="pl.35.12"></a><var>35.12</var>    Sec. 28. Minnesota Statutes 2006, section 256J.02, subdivision 4, is amended to read:<br/>
<a id="pl.35.13"></a><var>35.13</var>    Subd. 4. <b>Authority to transfer.</b> Subject to limitations of title I of Public Law <br/>
<a id="pl.35.14"></a><var>35.14</var>104-193, the Personal Responsibility and Work Opportunity Reconciliation Act of 1996, <br/>
<a id="pl.35.15"></a><var>35.15</var>as amended, and under Public Law 109-171, the Deficit Reduction Act of 2005, the <br/>
<a id="pl.35.16"></a><var>35.16</var>legislature may transfer money from the TANF block grant to the child care fund under <br/>
<a id="pl.35.17"></a><var>35.17</var>chapter 119B, or the Title XX block grant.<br/>
<br/>
<a id="bill.1.29.0"></a><a id="pl.35.18"></a><var>35.18</var>    Sec. 29. Minnesota Statutes 2006, section 256J.021, is amended to read:<br/>
<a id="pl.35.19"></a><var>35.19</var><b>256J.021 SEPARATE STATE PROGRAM FOR USE OF STATE MONEY.</b><br/>
<a id="pl.35.20"></a><var>35.20</var>    Families receiving assistance under this section must comply with all applicable <br/>
<a id="pl.35.21"></a><var>35.21</var>requirements in this chapter.<br/>
<a id="pl.35.22"></a><var>35.22</var>    (a) Until October 1,  2006, the commissioner of human services must treat MFIP <br/>
<a id="pl.35.23"></a><var>35.23</var>expenditures made to or on behalf of any minor child under section 
<statute_ref>256J.02, subdivision <br/>
<a id="pl.35.24"></a><var>35.24</var>2
</statute_ref>, clause (1), who is a resident of this state under section 
<statute_ref>256J.12</statute_ref>, and who is part of a <br/>
<a id="pl.35.25"></a><var>35.25</var>two-parent eligible household as expenditures under a separately funded state program <br/>
<a id="pl.35.26"></a><var>35.26</var>and report those expenditures to the federal Department of Health and Human Services <br/>
<a id="pl.35.27"></a><var>35.27</var>as separate state program expenditures under Code of Federal Regulations, title 45, <br/>
<a id="pl.35.28"></a><var>35.28</var>section 
<statute_ref>263.5</statute_ref>. <br/>
<a id="pl.35.29"></a><var>35.29</var>    (b) Beginning October 1, 2006, and each year thereafter, the commissioner of human <br/>
<a id="pl.35.30"></a><var>35.30</var>services must treat MFIP expenditures made to or on behalf of any minor child under <br/>
<a id="pl.35.31"></a><var>35.31</var>section 
         <statute_ref>256J.02</statute_ref>, subdivision 2, clause (1), who is a resident of this state under section <br/>
<a id="pl.35.32"></a><var>35.32</var><statute_ref>256J.12</statute_ref>, and who is part of a two-parent eligible household, as expenditures under a <br/>
<a id="pl.35.33"></a><var>35.33</var>separately funded state program. These expenditures shall not count toward the state's <br/>
<a id="pl.36.1"></a><var>36.1</var>maintenance of effort (MOE) requirements under the federal Temporary Assistance to <br/>
<a id="pl.36.2"></a><var>36.2</var>Needy Families (TANF) program except if counting certain families would allow the <br/>
<a id="pl.36.3"></a><var>36.3</var>commissioner to avoid a federal penalty. Families receiving assistance under this section <br/>
<a id="pl.36.4"></a><var>36.4</var>must comply with all applicable requirements in this chapter.<br/>
<br/>
<a id="bill.1.30.0"></a><a id="pl.36.5"></a><var>36.5</var>    Sec. 30. Minnesota Statutes 2006, section 256J.08, subdivision 65, is amended to read:<br/>
<a id="pl.36.6"></a><var>36.6</var>    Subd. 65. <b>Participant.</b> (a) "Participant" means includes any of the following:<br/>
<a id="pl.36.7"></a><var>36.7</var>    (1) a person who is currently receiving cash assistance or the food portion available <br/>
<a id="pl.36.8"></a><var>36.8</var>through MFIP. A person who fails to withdraw or access electronically any portion of the <br/>
<a id="pl.36.9"></a><var>36.9</var>person's cash and food assistance payment by the end of the payment month, who makes a <br/>
<a id="pl.36.10"></a><var>36.10</var>written request for closure before the first of a payment month and repays cash and food <br/>
<a id="pl.36.11"></a><var>36.11</var>assistance electronically issued for that payment month within that payment month, or <br/>
<a id="pl.36.12"></a><var>36.12</var>who returns any uncashed assistance check and food coupons and withdraws from the <br/>
<a id="pl.36.13"></a><var>36.13</var>program is not a participant.;<br/>
<a id="pl.36.14"></a><var>36.14</var>    (2) a person who withdraws a cash or food assistance payment by electronic transfer <br/>
<a id="pl.36.15"></a><var>36.15</var>or receives and cashes an MFIP assistance check or food coupons and is subsequently <br/>
<a id="pl.36.16"></a><var>36.16</var>determined to be ineligible for assistance for that period of time is a participant, regardless <br/>
<a id="pl.36.17"></a><var>36.17</var>whether that assistance is repaid. The term "participant" includes;<br/>
<a id="pl.36.18"></a><var>36.18</var>    (3) the caregiver relative and the minor child whose needs are included in the <br/>
<a id="pl.36.19"></a><var>36.19</var>assistance payment.;<br/>
<a id="pl.36.20"></a><var>36.20</var>    (4) a person in an assistance unit who does not receive a cash and food assistance <br/>
<a id="pl.36.21"></a><var>36.21</var>payment because the case has been suspended from MFIP is a participant.;<br/>
<a id="pl.36.22"></a><var>36.22</var>    (5) a person who receives cash payments under the diversionary work program <br/>
<a id="pl.36.23"></a><var>36.23</var>under section 
         <statute_ref>256J.95</statute_ref> is a participant.; and<br/>
<a id="pl.36.24"></a><var>36.24</var>    (6) a person who receives cash payments under the family stabilization services <br/>
<a id="pl.36.25"></a><var>36.25</var>program under section 256J.575.<br/>
<a id="pl.36.26"></a><var>36.26</var>    (b) "Participant" does not include a person who fails to withdraw or access <br/>
<a id="pl.36.27"></a><var>36.27</var>electronically any portion of the person's cash and food assistance payment by the end of <br/>
<a id="pl.36.28"></a><var>36.28</var>the payment month, who makes a written request for closure before the first of a payment <br/>
<a id="pl.36.29"></a><var>36.29</var>month and repays cash and food assistance electronically issued for that payment month <br/>
<a id="pl.36.30"></a><var>36.30</var>within that payment month, or who returns any uncashed assistance check and food <br/>
<a id="pl.36.31"></a><var>36.31</var>coupons and withdraws from the program.<br/>
<a id="pl.36.32"></a><var>36.32</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.31.0"></a><a id="pl.36.33"></a><var>36.33</var>    Sec. 31. Minnesota Statutes 2006, section 256J.21, subdivision 2, is amended to read:<br/>
<a id="pl.37.1"></a><var>37.1</var>    Subd. 2. <b>Income exclusions.</b> The following must be excluded in determining a <br/>
<a id="pl.37.2"></a><var>37.2</var>family's available income:<br/>
<a id="pl.37.3"></a><var>37.3</var>    (1) payments for basic care, difficulty of care, and clothing allowances received for <br/>
<a id="pl.37.4"></a><var>37.4</var>providing family foster care to children or adults under Minnesota Rules, parts 9555.5050 <br/>
<a id="pl.37.5"></a><var>37.5</var>to 9555.6265, 9560.0521, and 9560.0650 to 9560.0655, and payments received and used <br/>
<a id="pl.37.6"></a><var>37.6</var>for care and maintenance of a third-party beneficiary who is not a household member;<br/>
<a id="pl.37.7"></a><var>37.7</var>    (2) reimbursements for employment training received through the Workforce <br/>
<a id="pl.37.8"></a><var>37.8</var>Investment Act of 1998, United States Code, title 20, chapter 73, section 9201;<br/>
<a id="pl.37.9"></a><var>37.9</var>    (3) reimbursement for out-of-pocket expenses incurred while performing volunteer <br/>
<a id="pl.37.10"></a><var>37.10</var>services, jury duty, employment, or informal carpooling arrangements directly related to <br/>
<a id="pl.37.11"></a><var>37.11</var>employment;<br/>
<a id="pl.37.12"></a><var>37.12</var>    (4) all educational assistance, except the county agency must count graduate student <br/>
<a id="pl.37.13"></a><var>37.13</var>teaching assistantships, fellowships, and other similar paid work as earned income and, <br/>
<a id="pl.37.14"></a><var>37.14</var>after allowing deductions for any unmet and necessary educational expenses, shall <br/>
<a id="pl.37.15"></a><var>37.15</var>count scholarships or grants awarded to graduate students that do not require teaching <br/>
<a id="pl.37.16"></a><var>37.16</var>or research as unearned income;<br/>
<a id="pl.37.17"></a><var>37.17</var>    (5) loans, regardless of purpose, from public or private lending institutions, <br/>
<a id="pl.37.18"></a><var>37.18</var>governmental lending institutions, or governmental agencies;<br/>
<a id="pl.37.19"></a><var>37.19</var>    (6) loans from private individuals, regardless of purpose, provided an applicant or <br/>
<a id="pl.37.20"></a><var>37.20</var>participant documents that the lender expects repayment;<br/>
<a id="pl.37.21"></a><var>37.21</var>    (7)(i) state income tax refunds; and<br/>
<a id="pl.37.22"></a><var>37.22</var>    (ii) federal income tax refunds;<br/>
<a id="pl.37.23"></a><var>37.23</var>    (8)(i) federal earned income credits;<br/>
<a id="pl.37.24"></a><var>37.24</var>    (ii) Minnesota working family credits;<br/>
<a id="pl.37.25"></a><var>37.25</var>    (iii) state homeowners and renters credits under chapter 290A; and<br/>
<a id="pl.37.26"></a><var>37.26</var>    (iv) federal or state tax rebates;<br/>
<a id="pl.37.27"></a><var>37.27</var>    (9) funds received for reimbursement, replacement, or rebate of personal or real <br/>
<a id="pl.37.28"></a><var>37.28</var>property when these payments are made by public agencies, awarded by a court, solicited <br/>
<a id="pl.37.29"></a><var>37.29</var>through public appeal, or made as a grant by a federal agency, state or local government, <br/>
<a id="pl.37.30"></a><var>37.30</var>or disaster assistance organizations, subsequent to a presidential declaration of disaster;<br/>
<a id="pl.37.31"></a><var>37.31</var>    (10) the portion of an insurance settlement that is used to pay medical, funeral, and <br/>
<a id="pl.37.32"></a><var>37.32</var>burial expenses, or to repair or replace insured property;<br/>
<a id="pl.37.33"></a><var>37.33</var>    (11) reimbursements for medical expenses that cannot be paid by medical assistance;<br/>
<a id="pl.37.34"></a><var>37.34</var>    (12) payments by a vocational rehabilitation program administered by the state <br/>
<a id="pl.37.35"></a><var>37.35</var>under chapter 268A, except those payments that are for current living expenses;<br/>
<a id="pl.38.1"></a><var>38.1</var>    (13) in-kind income, including any payments directly made by a third party to a <br/>
<a id="pl.38.2"></a><var>38.2</var>provider of goods and services;<br/>
<a id="pl.38.3"></a><var>38.3</var>    (14) assistance payments to correct underpayments, but only for the month in which <br/>
<a id="pl.38.4"></a><var>38.4</var>the payment is received;<br/>
<a id="pl.38.5"></a><var>38.5</var>    (15) payments for short-term emergency needs under section 
         <statute_ref>256J.626, subdivision <br/>
<a id="pl.38.6"></a><var>38.6</var>2
         </statute_ref>;<br/>
<a id="pl.38.7"></a><var>38.7</var>    (16) funeral and cemetery payments as provided by section 
         <statute_ref>256.935</statute_ref>;<br/>
<a id="pl.38.8"></a><var>38.8</var>    (17) nonrecurring cash gifts of $30 or less, not exceeding $30 per participant in <br/>
<a id="pl.38.9"></a><var>38.9</var>a calendar month;<br/>
<a id="pl.38.10"></a><var>38.10</var>    (18) any form of energy assistance payment made through Public Law 97-35, <br/>
<a id="pl.38.11"></a><var>38.11</var>Low-Income Home Energy Assistance Act of 1981, payments made directly to energy <br/>
<a id="pl.38.12"></a><var>38.12</var>providers by other public and private agencies, and any form of credit or rebate payment <br/>
<a id="pl.38.13"></a><var>38.13</var>issued by energy providers;<br/>
<a id="pl.38.14"></a><var>38.14</var>    (19) Supplemental Security Income (SSI), including retroactive SSI payments and <br/>
<a id="pl.38.15"></a><var>38.15</var>other income of an SSI recipient, except as described in section 
         <statute_ref>256J.37, subdivision 3b</statute_ref>;<br/>
<a id="pl.38.16"></a><var>38.16</var>    (20) Minnesota supplemental aid, including retroactive payments;<br/>
<a id="pl.38.17"></a><var>38.17</var>    (21) proceeds from the sale of real or personal property;<br/>
<a id="pl.38.18"></a><var>38.18</var>    (22) state adoption assistance payments under section 
         <statute_ref>259.67</statute_ref>, and up to an equal <br/>
<a id="pl.38.19"></a><var>38.19</var>amount of county adoption assistance payments;<br/>
<a id="pl.38.20"></a><var>38.20</var>    (23) state-funded family subsidy program payments made under section 
         <statute_ref>252.32</statute_ref> <br/>
<a id="pl.38.21"></a><var>38.21</var>to help families care for children with developmental disabilities, consumer support <br/>
<a id="pl.38.22"></a><var>38.22</var>grant funds under section 
         <statute_ref>256.476</statute_ref>, and resources and services for a disabled household <br/>
<a id="pl.38.23"></a><var>38.23</var>member under one of the home and community-based waiver services programs under <br/>
<a id="pl.38.24"></a><var>38.24</var>chapter 256B;<br/>
<a id="pl.38.25"></a><var>38.25</var>    (24) interest payments and dividends from property that is not excluded from and <br/>
<a id="pl.38.26"></a><var>38.26</var>that does not exceed the asset limit;<br/>
<a id="pl.38.27"></a><var>38.27</var>    (25) rent rebates;<br/>
<a id="pl.38.28"></a><var>38.28</var>    (26) income earned by a minor caregiver, minor child through age 6, or a minor <br/>
<a id="pl.38.29"></a><var>38.29</var>child who is at least a half-time student in an approved elementary or secondary education <br/>
<a id="pl.38.30"></a><var>38.30</var>program;<br/>
<a id="pl.38.31"></a><var>38.31</var>    (27) income earned by a caregiver under age 20 who is at least a half-time student in <br/>
<a id="pl.38.32"></a><var>38.32</var>an approved elementary or secondary education program;<br/>
<a id="pl.38.33"></a><var>38.33</var>    (28) MFIP child care payments under section 
         <statute_ref>119B.05</statute_ref>;<br/>
<a id="pl.38.34"></a><var>38.34</var>    (29) all other payments made through MFIP to support a caregiver's pursuit of <br/>
<a id="pl.38.35"></a><var>38.35</var>greater economic stability;<br/>
<a id="pl.38.36"></a><var>38.36</var>    (30) income a participant receives related to shared living expenses;<br/>
<a id="pl.39.1"></a><var>39.1</var>    (31) reverse mortgages;<br/>
<a id="pl.39.2"></a><var>39.2</var>    (32) benefits provided by the Child Nutrition Act of 1966, United States Code, title <br/>
<a id="pl.39.3"></a><var>39.3</var>42, chapter 13A, sections 1771 to 1790;<br/>
<a id="pl.39.4"></a><var>39.4</var>    (33) benefits provided by the women, infants, and children (WIC) nutrition program, <br/>
<a id="pl.39.5"></a><var>39.5</var>United States Code, title 42, chapter 13A, section 1786;<br/>
<a id="pl.39.6"></a><var>39.6</var>    (34) benefits from the National School Lunch Act, United States Code, title 42, <br/>
<a id="pl.39.7"></a><var>39.7</var>chapter 13, sections 1751 to 1769e;<br/>
<a id="pl.39.8"></a><var>39.8</var>    (35) relocation assistance for displaced persons under the Uniform Relocation <br/>
<a id="pl.39.9"></a><var>39.9</var>Assistance and Real Property Acquisition Policies Act of 1970, United States Code, title <br/>
<a id="pl.39.10"></a><var>39.10</var>42, chapter 61, subchapter II, section 4636, or the National Housing Act, United States <br/>
<a id="pl.39.11"></a><var>39.11</var>Code, title 12, chapter 13, sections 1701 to 1750jj;<br/>
<a id="pl.39.12"></a><var>39.12</var>    (36) benefits from the Trade Act of 1974, United States Code, title 19, chapter <br/>
<a id="pl.39.13"></a><var>39.13</var>12, part 2, sections 2271 to 2322;<br/>
<a id="pl.39.14"></a><var>39.14</var>    (37) war reparations payments to Japanese Americans and Aleuts under United <br/>
<a id="pl.39.15"></a><var>39.15</var>States Code, title 50, sections 1989 to 1989d;<br/>
<a id="pl.39.16"></a><var>39.16</var>    (38) payments to veterans or their dependents as a result of legal settlements <br/>
<a id="pl.39.17"></a><var>39.17</var>regarding Agent Orange or other chemical exposure under Public Law 101-239, section <br/>
<a id="pl.39.18"></a><var>39.18</var>10405, paragraph (a)(2)(E);<br/>
<a id="pl.39.19"></a><var>39.19</var>    (39) income that is otherwise specifically excluded from MFIP consideration in <br/>
<a id="pl.39.20"></a><var>39.20</var>federal law, state law, or federal regulation;<br/>
<a id="pl.39.21"></a><var>39.21</var>    (40) security and utility deposit refunds;<br/>
<a id="pl.39.22"></a><var>39.22</var>    (41) American Indian tribal land settlements excluded under Public Laws 98-123, <br/>
<a id="pl.39.23"></a><var>39.23</var>98-124, and 99-377 to the Mississippi Band Chippewa Indians of White Earth, Leech <br/>
<a id="pl.39.24"></a><var>39.24</var>Lake, and Mille Lacs reservations and payments to members of the White Earth Band, <br/>
<a id="pl.39.25"></a><var>39.25</var>under United States Code, title 25, chapter 9, section 331, and chapter 16, section 1407;<br/>
<a id="pl.39.26"></a><var>39.26</var>    (42) all income of the minor parent's parents and stepparents when determining the <br/>
<a id="pl.39.27"></a><var>39.27</var>grant for the minor parent in households that include a minor parent living with parents or <br/>
<a id="pl.39.28"></a><var>39.28</var>stepparents on MFIP with other children;<br/>
<a id="pl.39.29"></a><var>39.29</var>    (43) income of the minor parent's parents and stepparents equal to 200 percent of the <br/>
<a id="pl.39.30"></a><var>39.30</var>federal poverty guideline for a family size not including the minor parent and the minor <br/>
<a id="pl.39.31"></a><var>39.31</var>parent's child in households that include a minor parent living with parents or stepparents <br/>
<a id="pl.39.32"></a><var>39.32</var>not on MFIP when determining the grant for the minor parent. The remainder of income is <br/>
<a id="pl.39.33"></a><var>39.33</var>deemed as specified in section 
         <statute_ref>256J.37, subdivision 1b</statute_ref>;<br/>
<a id="pl.39.34"></a><var>39.34</var>    (44) payments made to children eligible for relative custody assistance under section <br/>
<statute_ref><a id="pl.39.35"></a><var>39.35</var>257.85
         </statute_ref>;<br/>
<a id="pl.40.1"></a><var>40.1</var>    (45) vendor payments for goods and services made on behalf of a client unless the <br/>
<a id="pl.40.2"></a><var>40.2</var>client has the option of receiving the payment in cash; and<br/>
<a id="pl.40.3"></a><var>40.3</var>    (46) the principal portion of a contract for deed payment.; and<br/>
<a id="pl.40.4"></a><var>40.4</var>    (47) cash payments to individuals enrolled for full-time service as a volunteer under <br/>
<a id="pl.40.5"></a><var>40.5</var>AmeriCorps programs including AmeriCorps VISTA, AmeriCorps State, AmeriCorps <br/>
<a id="pl.40.6"></a><var>40.6</var>National, and AmeriCorps NCCC.<br/>
<br/>
<a id="bill.1.32.0"></a><a id="pl.40.7"></a><var>40.7</var>    Sec. 32. Minnesota Statutes 2006, section 256J.24, subdivision 10, is amended to read:<br/>
<a id="pl.40.8"></a><var>40.8</var>    Subd. 10. <b>MFIP exit level.</b> The commissioner shall adjust the MFIP earned income <br/>
<a id="pl.40.9"></a><var>40.9</var>disregard to ensure that most participants do not lose eligibility for MFIP until their <br/>
<a id="pl.40.10"></a><var>40.10</var>income reaches at least 115 140 percent of the federal poverty guidelines in effect in <br/>
<a id="pl.40.11"></a><var>40.11</var>October of each fiscal year. The adjustment to the disregard shall be based on a household <br/>
<a id="pl.40.12"></a><var>40.12</var>size of three, and the resulting earned income disregard percentage must be applied to all <br/>
<a id="pl.40.13"></a><var>40.13</var>household sizes. The adjustment under this subdivision must be implemented at the same <br/>
<a id="pl.40.14"></a><var>40.14</var>time as the October food stamp or food support cost-of-living adjustment is reflected in <br/>
<a id="pl.40.15"></a><var>40.15</var>the food portion of MFIP transitional standard as required under subdivision 5a.<br/>
<br/>
<a id="bill.1.33.0"></a><a id="pl.40.16"></a><var>40.16</var>    Sec. 33. Minnesota Statutes 2006, section 256J.42, subdivision 1, is amended to read:<br/>
<a id="pl.40.17"></a><var>40.17</var>    Subdivision 1. <b>Time limit.</b> (a) Except as otherwise provided for in this section, an <br/>
<a id="pl.40.18"></a><var>40.18</var>assistance unit in which any adult caregiver has received 60 months of cash assistance <br/>
<a id="pl.40.19"></a><var>40.19</var>funded in whole or in part by the TANF block grant in this or any other state or <br/>
<a id="pl.40.20"></a><var>40.20</var>United States territory, or from a tribal TANF program, MFIP, the AFDC program <br/>
<a id="pl.40.21"></a><var>40.21</var>formerly codified in sections 
         <statute_ref>256.72</statute_ref> to 
         <statute_ref>256.87</statute_ref>, or the family general assistance program <br/>
<a id="pl.40.22"></a><var>40.22</var>formerly codified in sections 
         <statute_ref>256D.01</statute_ref> to 
         <statute_ref>256D.23</statute_ref>, funded in whole or in part by state <br/>
<a id="pl.40.23"></a><var>40.23</var>appropriations, is ineligible to receive MFIP. Any cash assistance funded with TANF <br/>
<a id="pl.40.24"></a><var>40.24</var>dollars in this or any other state or United States territory, or from a tribal TANF program, <br/>
<a id="pl.40.25"></a><var>40.25</var>or MFIP assistance funded in whole or in part by state appropriations, that was received <br/>
<a id="pl.40.26"></a><var>40.26</var>by the unit on or after the date TANF was implemented, including any assistance received <br/>
<a id="pl.40.27"></a><var>40.27</var>in states or United States territories of prior residence, counts toward the 60-month <br/>
<a id="pl.40.28"></a><var>40.28</var>limitation. Months during which any cash assistance is received by an assistance unit <br/>
<a id="pl.40.29"></a><var>40.29</var>with a mandatory member who is disqualified for wrongfully obtaining public assistance <br/>
<a id="pl.40.30"></a><var>40.30</var>under section 256.98, subdivision 8, counts toward the time limit for the disqualified <br/>
<a id="pl.40.31"></a><var>40.31</var>member. The 60-month limit applies to a minor caregiver except under subdivision 5. The <br/>
<a id="pl.40.32"></a><var>40.32</var>60-month time period does not need to be consecutive months for this provision to apply. <br/>
<a id="pl.41.1"></a><var>41.1</var>    (b) The months before July 1998 in which individuals received assistance as part of <br/>
<a id="pl.41.2"></a><var>41.2</var>the field trials as an MFIP, MFIP-R, or MFIP or MFIP-R comparison group family are <br/>
<a id="pl.41.3"></a><var>41.3</var>not included in the 60-month time limit.<br/>
<a id="pl.41.4"></a><var>41.4</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2007.<br/>
<br/>
<a id="bill.1.34.0"></a><a id="pl.41.5"></a><var>41.5</var>    Sec. 34. Minnesota Statutes 2006, section 256J.425, subdivision 3, is amended to read:<br/>
<a id="pl.41.6"></a><var>41.6</var>    Subd. 3. <b>Hard-to-employ participants.</b> An assistance unit subject to the time <br/>
<a id="pl.41.7"></a><var>41.7</var>limit in section 
         <statute_ref>256J.42, subdivision 1</statute_ref>, is eligible to receive months of assistance under <br/>
<a id="pl.41.8"></a><var>41.8</var>a hardship extension if the participant who reached the time limit belongs to any of the <br/>
<a id="pl.41.9"></a><var>41.9</var>following groups: <br/>
<a id="pl.41.10"></a><var>41.10</var>    (1) a person who is diagnosed by a licensed physician, psychological practitioner, <br/>
<a id="pl.41.11"></a><var>41.11</var>or other qualified professional, as developmentally disabled or mentally ill, and that <br/>
<a id="pl.41.12"></a><var>41.12</var>condition prevents the person from obtaining or retaining unsubsidized employment;<br/>
<a id="pl.41.13"></a><var>41.13</var>    (2) a person who:<br/>
<a id="pl.41.14"></a><var>41.14</var>    (i) has been assessed by a vocational specialist or the county agency to be <br/>
<a id="pl.41.15"></a><var>41.15</var>unemployable for purposes of this subdivision; or<br/>
<a id="pl.41.16"></a><var>41.16</var>    (ii) has an IQ below 80 who has been assessed by a vocational specialist or a county <br/>
<a id="pl.41.17"></a><var>41.17</var>agency to be employable, but not at a level that makes the participant eligible for an <br/>
<a id="pl.41.18"></a><var>41.18</var>extension under subdivision 4. The determination of IQ level must be made by a qualified <br/>
<a id="pl.41.19"></a><var>41.19</var>professional. In the case of a non-English-speaking person: (A) the determination must <br/>
<a id="pl.41.20"></a><var>41.20</var>be made by a qualified professional with experience conducting culturally appropriate <br/>
<a id="pl.41.21"></a><var>41.21</var>assessments, whenever possible; (B) the county may accept reports that identify an <br/>
<a id="pl.41.22"></a><var>41.22</var>IQ range as opposed to a specific score; (C) these reports must include a statement of <br/>
<a id="pl.41.23"></a><var>41.23</var>confidence in the results;<br/>
<a id="pl.41.24"></a><var>41.24</var>    (3) a person who is determined by a qualified professional to be learning disabled, <br/>
<a id="pl.41.25"></a><var>41.25</var>and the disability severely limits the person's ability to obtain, perform, or maintain <br/>
<a id="pl.41.26"></a><var>41.26</var>suitable employment. For purposes of the initial approval of a learning disability <br/>
<a id="pl.41.27"></a><var>41.27</var>extension, the determination must have been made or confirmed within the previous 12 <br/>
<a id="pl.41.28"></a><var>41.28</var>months. In the case of a non-English-speaking person: (i) the determination must be made <br/>
<a id="pl.41.29"></a><var>41.29</var>by a qualified professional with experience conducting culturally appropriate assessments, <br/>
<a id="pl.41.30"></a><var>41.30</var>whenever possible; and (ii) these reports must include a statement of confidence in the <br/>
<a id="pl.41.31"></a><var>41.31</var>results. If a rehabilitation plan for a participant extended as learning disabled is developed <br/>
<a id="pl.41.32"></a><var>41.32</var>or approved by the county agency, the plan must be incorporated into the employment <br/>
<a id="pl.41.33"></a><var>41.33</var>plan. However, a rehabilitation plan does not replace the requirement to develop and <br/>
<a id="pl.41.34"></a><var>41.34</var>comply with an employment plan under section 
         <statute_ref>256J.521</statute_ref>; or <br/>
<a id="pl.42.1"></a><var>42.1</var>    (4) a person who has been granted a family violence waiver, and who is complying <br/>
<a id="pl.42.2"></a><var>42.2</var>with an employment plan under section 
         <statute_ref>256J.521, subdivision 3; or<br/>
</statute_ref><a id="pl.42.3"></a><var>42.3</var>    (5) a participant under section 256J.561, subdivision 2, paragraph (d), who is <br/>
<a id="pl.42.4"></a><var>42.4</var>complying with an employment plan tailored to recognize the special circumstances of <br/>
<a id="pl.42.5"></a><var>42.5</var>the caregivers and family, including limitations due to illness or disability, and caregiving <br/>
<a id="pl.42.6"></a><var>42.6</var>needs.<br/>
<br/>
<a id="bill.1.35.0"></a><a id="pl.42.7"></a><var>42.7</var>    Sec. 35. Minnesota Statutes 2006, section 256J.425, subdivision 4, is amended to read:<br/>
<a id="pl.42.8"></a><var>42.8</var>    Subd. 4. <b>Employed participants.</b> (a) An assistance unit subject to the time limit <br/>
<a id="pl.42.9"></a><var>42.9</var>under section 
         <statute_ref>256J.42, subdivision 1</statute_ref>, is eligible to receive assistance under a hardship <br/>
<a id="pl.42.10"></a><var>42.10</var>extension if the participant who reached the time limit belongs to: <br/>
<a id="pl.42.11"></a><var>42.11</var>    (1) a one-parent assistance unit in which the participant is participating in work <br/>
<a id="pl.42.12"></a><var>42.12</var>activities for at least 30 hours per week, of which an average of at least 25 hours per week <br/>
<a id="pl.42.13"></a><var>42.13</var>every month are spent participating in employment;<br/>
<a id="pl.42.14"></a><var>42.14</var>    (2) a two-parent assistance unit in which the participants are participating in work <br/>
<a id="pl.42.15"></a><var>42.15</var>activities for at least 55 hours per week, of which an average of at least 45 hours per week <br/>
<a id="pl.42.16"></a><var>42.16</var>every month are spent participating in employment; or<br/>
<a id="pl.42.17"></a><var>42.17</var>    (3) an assistance unit in which a participant is participating in employment for fewer <br/>
<a id="pl.42.18"></a><var>42.18</var>hours than those specified in clause (1) or (2), and the participant submits verification from <br/>
<a id="pl.42.19"></a><var>42.19</var>a qualified professional, in a form acceptable to the commissioner, stating that the number <br/>
<a id="pl.42.20"></a><var>42.20</var>of hours the participant may work is limited due to illness or disability, as long as the <br/>
<a id="pl.42.21"></a><var>42.21</var>participant is participating in employment for at least the number of hours specified by the <br/>
<a id="pl.42.22"></a><var>42.22</var>qualified professional. The participant must be following the treatment recommendations <br/>
<a id="pl.42.23"></a><var>42.23</var>of the qualified professional providing the verification. The commissioner shall develop a <br/>
<a id="pl.42.24"></a><var>42.24</var>form to be completed and signed by the qualified professional, documenting the diagnosis <br/>
<a id="pl.42.25"></a><var>42.25</var>and any additional information necessary to document the functional limitations of the <br/>
<a id="pl.42.26"></a><var>42.26</var>participant that limit work hours. If the participant is part of a two-parent assistance unit, <br/>
<a id="pl.42.27"></a><var>42.27</var>the other parent must be treated as a one-parent assistance unit for purposes of meeting the <br/>
<a id="pl.42.28"></a><var>42.28</var>work requirements under this subdivision.<br/>
<a id="pl.42.29"></a><var>42.29</var>    (b) For purposes of this section, employment means:<br/>
<a id="pl.42.30"></a><var>42.30</var>    (1) unsubsidized employment under section 
<statute_ref>256J.49, subdivision 13</statute_ref>, clause (1); <br/>
<a id="pl.42.31"></a><var>42.31</var>    (2) subsidized employment under section 
<statute_ref>256J.49, subdivision 13</statute_ref>, clause (2); <br/>
<a id="pl.42.32"></a><var>42.32</var>    (3) on-the-job training under section 
<statute_ref>256J.49, subdivision 13</statute_ref>, clause (2); <br/>
<a id="pl.42.33"></a><var>42.33</var>    (4) an apprenticeship under section 
<statute_ref>256J.49, subdivision 13</statute_ref>, clause (1); <br/>
<a id="pl.42.34"></a><var>42.34</var>    (5) supported work under section 
<statute_ref>256J.49, subdivision 13</statute_ref>, clause (2); <br/>
<a id="pl.42.35"></a><var>42.35</var>    (6) a combination of clauses (1) to (5); or<br/>
<a id="pl.43.1"></a><var>43.1</var>    (7) child care under section 
<statute_ref>256J.49, subdivision 13</statute_ref>, clause (7), if it is in combination <br/>
<a id="pl.43.2"></a><var>43.2</var>with paid employment.<br/>
<a id="pl.43.3"></a><var>43.3</var>    (c) If a participant is complying with a child protection plan under chapter 260C, <br/>
<a id="pl.43.4"></a><var>43.4</var>the number of hours required under the child protection plan count toward the number <br/>
<a id="pl.43.5"></a><var>43.5</var>of hours required under this subdivision.<br/>
<a id="pl.43.6"></a><var>43.6</var>    (d) (c) The county shall provide the opportunity for subsidized employment to <br/>
<a id="pl.43.7"></a><var>43.7</var>participants needing that type of employment within available appropriations.<br/>
<a id="pl.43.8"></a><var>43.8</var>    (e) (d) To be eligible for a hardship extension for employed participants under this <br/>
<a id="pl.43.9"></a><var>43.9</var>subdivision, a participant must be in compliance for at least ten out of the 12 months <br/>
<a id="pl.43.10"></a><var>43.10</var>the participant received MFIP immediately preceding the participant's 61st month on <br/>
<a id="pl.43.11"></a><var>43.11</var>assistance. If ten or fewer months of eligibility for TANF assistance remain at the time the <br/>
<a id="pl.43.12"></a><var>43.12</var>participant from another state applies for assistance, the participant must be in compliance <br/>
<a id="pl.43.13"></a><var>43.13</var>every month.<br/>
<a id="pl.43.14"></a><var>43.14</var>    (f) (e) The employment plan developed under section 
         <statute_ref>256J.521, subdivision 2</statute_ref>, for <br/>
<a id="pl.43.15"></a><var>43.15</var>participants under this subdivision must contain at least the minimum number of hours <br/>
<a id="pl.43.16"></a><var>43.16</var>specified in paragraph (a) for the purpose of meeting the requirements for an extension <br/>
<a id="pl.43.17"></a><var>43.17</var>under this subdivision. The job counselor and the participant must sign the employment <br/>
<a id="pl.43.18"></a><var>43.18</var>plan to indicate agreement between the job counselor and the participant on the contents <br/>
<a id="pl.43.19"></a><var>43.19</var>of the plan. <br/>
<a id="pl.43.20"></a><var>43.20</var>    (g) (f) Participants who fail to meet the requirements in paragraph (a), without <br/>
<a id="pl.43.21"></a><var>43.21</var>good cause under section 
         <statute_ref>256J.57</statute_ref>, shall be sanctioned or permanently disqualified under <br/>
<a id="pl.43.22"></a><var>43.22</var>subdivision 6. Good cause may only be granted for that portion of the month for which <br/>
<a id="pl.43.23"></a><var>43.23</var>the good cause reason applies. Participants must meet all remaining requirements in the <br/>
<a id="pl.43.24"></a><var>43.24</var>approved employment plan or be subject to sanction or permanent disqualification. <br/>
<a id="pl.43.25"></a><var>43.25</var>    (h) (g) If the noncompliance with an employment plan is due to the involuntary loss <br/>
<a id="pl.43.26"></a><var>43.26</var>of employment, the participant is exempt from the hourly employment requirement under <br/>
<a id="pl.43.27"></a><var>43.27</var>this subdivision for one month. Participants must meet all remaining requirements in the <br/>
<a id="pl.43.28"></a><var>43.28</var>approved employment plan or be subject to sanction or permanent disqualification. This <br/>
<a id="pl.43.29"></a><var>43.29</var>exemption is available to each participant two times in a 12-month period.<br/>
<br/>
<a id="bill.1.36.0"></a><a id="pl.43.30"></a><var>43.30</var>    Sec. 36. Minnesota Statutes 2006, section 256J.46, is amended by adding a subdivision <br/>
<a id="pl.43.31"></a><var>43.31</var>to read:<br/>
<a id="pl.43.32"></a><var>43.32</var>    Subd. 3. <b>Restrictions on sanctions.</b> A participant shall not be sanctioned for failure <br/>
<a id="pl.43.33"></a><var>43.33</var>to meet the agreed upon hours in a participant's employment plan under section 256J.521, <br/>
<a id="pl.43.34"></a><var>43.34</var>subdivision 2, when the participant:<br/>
<a id="pl.44.1"></a><var>44.1</var>    (1) fails to meet the agreed upon hours of participation in paid employment because <br/>
<a id="pl.44.2"></a><var>44.2</var>the participant is not eligible for holiday pay and the participant's place of employment is <br/>
<a id="pl.44.3"></a><var>44.3</var>closed for a holiday; or<br/>
<a id="pl.44.4"></a><var>44.4</var>    (2) is otherwise meeting or exceeding the federal TANF work participation rate <br/>
<a id="pl.44.5"></a><var>44.5</var>hourly requirements.<br/>
<br/>
<a id="bill.1.37.0"></a><a id="pl.44.6"></a><var>44.6</var>    Sec. 37. Minnesota Statutes 2006, section 256J.49, subdivision 13, is amended to read:<br/>
<a id="pl.44.7"></a><var>44.7</var>    Subd. 13. <b>Work activity.</b> "Work activity" means any activity in a participant's <br/>
<a id="pl.44.8"></a><var>44.8</var>approved employment plan that leads to employment. For purposes of the MFIP program, <br/>
<a id="pl.44.9"></a><var>44.9</var>this includes activities that meet the definition of work activity under the participation <br/>
<a id="pl.44.10"></a><var>44.10</var>requirements of TANF. Work activity includes:<br/>
<a id="pl.44.11"></a><var>44.11</var>    (1) unsubsidized employment, including work study and paid apprenticeships or <br/>
<a id="pl.44.12"></a><var>44.12</var>internships;<br/>
<a id="pl.44.13"></a><var>44.13</var>    (2) subsidized private sector or public sector employment, including grant diversion <br/>
<a id="pl.44.14"></a><var>44.14</var>as specified in section 
         <statute_ref>256J.69</statute_ref>, on-the-job training as specified in section 
         <statute_ref>256J.66</statute_ref>, <br/>
<a id="pl.44.15"></a><var>44.15</var>the self-employment investment demonstration program (SEID) as specified in section <br/>
<statute_ref><a id="pl.44.16"></a><var>44.16</var>256J.65
         </statute_ref>, paid work experience, and supported work when a wage subsidy is provided; <br/>
<a id="pl.44.17"></a><var>44.17</var>    (3) unpaid work experience, including community service, volunteer work, <br/>
<a id="pl.44.18"></a><var>44.18</var>the community work experience program as specified in section 
         <statute_ref>256J.67</statute_ref>, unpaid <br/>
<a id="pl.44.19"></a><var>44.19</var>apprenticeships or internships, and supported work when a wage subsidy is not provided. <br/>
<a id="pl.44.20"></a><var>44.20</var>Unpaid work performed in return for cash assistance is prohibited and does not count <br/>
<a id="pl.44.21"></a><var>44.21</var>as a work activity, unless the participant voluntarily agrees, in writing, to engage in <br/>
<a id="pl.44.22"></a><var>44.22</var>unpaid work in return for cash assistance. The participant may terminate the unpaid <br/>
<a id="pl.44.23"></a><var>44.23</var>work arrangement, in writing, at any time;<br/>
<a id="pl.44.24"></a><var>44.24</var>    (4) job search including job readiness assistance, job clubs, job placement, <br/>
<a id="pl.44.25"></a><var>44.25</var>job-related counseling, and job retention services;<br/>
<a id="pl.44.26"></a><var>44.26</var>    (5) job readiness education, including English as a second language (ESL) or <br/>
<a id="pl.44.27"></a><var>44.27</var>functional work literacy classes as limited by the provisions of section 
         <statute_ref>256J.531, <br/>
<a id="pl.44.28"></a><var>44.28</var>subdivision 2
         </statute_ref>, general educational development (GED) course work, high school <br/>
<a id="pl.44.29"></a><var>44.29</var>completion, and adult basic education as limited by the provisions of section 
         <statute_ref>256J.531, <br/>
<a id="pl.44.30"></a><var>44.30</var>subdivision 1
         </statute_ref>; <br/>
<a id="pl.44.31"></a><var>44.31</var>    (6) job skills training directly related to employment, including education and <br/>
<a id="pl.44.32"></a><var>44.32</var>training that can reasonably be expected to lead to employment, as limited by the <br/>
<a id="pl.44.33"></a><var>44.33</var>provisions of section 
         <statute_ref>256J.53</statute_ref>; <br/>
<a id="pl.44.34"></a><var>44.34</var>    (7) providing child care services to a participant who is working in a community <br/>
<a id="pl.44.35"></a><var>44.35</var>service program;<br/>
<a id="pl.45.1"></a><var>45.1</var>    (8) activities included in the employment plan that is developed under section <br/>
<statute_ref><a id="pl.45.2"></a><var>45.2</var>256J.521, subdivision 3
         </statute_ref>; and <br/>
<a id="pl.45.3"></a><var>45.3</var>    (9) preemployment activities including chemical and mental health assessments, <br/>
<a id="pl.45.4"></a><var>45.4</var>treatment, and services; learning disabilities services; child protective services; family <br/>
<a id="pl.45.5"></a><var>45.5</var>stabilization services; or other programs designed to enhance employability.<br/>
<br/>
<a id="bill.1.38.0"></a><a id="pl.45.6"></a><var>45.6</var>    Sec. 38. Minnesota Statutes 2006, section 256J.521, subdivision 1, is amended to read:<br/>
<a id="pl.45.7"></a><var>45.7</var>    Subdivision 1. <b>Assessments.</b> (a) For purposes of MFIP employment services, <br/>
<a id="pl.45.8"></a><var>45.8</var>assessment is a continuing process of gathering information related to employability <br/>
<a id="pl.45.9"></a><var>45.9</var>for the purpose of identifying both participant's strengths and strategies for coping with <br/>
<a id="pl.45.10"></a><var>45.10</var>issues that interfere with employment. The job counselor must use information from the <br/>
<a id="pl.45.11"></a><var>45.11</var>assessment process to develop and update the employment plan under subdivision 2 or 3, <br/>
<a id="pl.45.12"></a><var>45.12</var>as appropriate, and to determine whether the participant qualifies for a family violence <br/>
<a id="pl.45.13"></a><var>45.13</var>waiver including an employment plan under subdivision 3, and to determine whether the <br/>
<a id="pl.45.14"></a><var>45.14</var>participant should be referred to the family stabilization services program under section <br/>
<a id="pl.45.15"></a><var>45.15</var>256J.575.<br/>
<a id="pl.45.16"></a><var>45.16</var>    (b) The scope of assessment must cover at least the following areas:<br/>
<a id="pl.45.17"></a><var>45.17</var>    (1) basic information about the participant's ability to obtain and retain employment, <br/>
<a id="pl.45.18"></a><var>45.18</var>including: a review of the participant's education level; interests, skills, and abilities; prior <br/>
<a id="pl.45.19"></a><var>45.19</var>employment or work experience; transferable work skills; child care and transportation <br/>
<a id="pl.45.20"></a><var>45.20</var>needs;<br/>
<a id="pl.45.21"></a><var>45.21</var>    (2) identification of personal and family circumstances that impact the participant's <br/>
<a id="pl.45.22"></a><var>45.22</var>ability to obtain and retain employment, including: any special needs of the children, the <br/>
<a id="pl.45.23"></a><var>45.23</var>level of English proficiency, family violence issues, and any involvement with social <br/>
<a id="pl.45.24"></a><var>45.24</var>services or the legal system;<br/>
<a id="pl.45.25"></a><var>45.25</var>    (3) the results of a mental and chemical health screening tool designed by the <br/>
<a id="pl.45.26"></a><var>45.26</var>commissioner and results of the brief screening tool for special learning needs. Screening <br/>
<a id="pl.45.27"></a><var>45.27</var>tools for mental and chemical health and special learning needs must be approved by the <br/>
<a id="pl.45.28"></a><var>45.28</var>commissioner and may only be administered by job counselors or county staff trained in <br/>
<a id="pl.45.29"></a><var>45.29</var>using such screening tools. The commissioner shall work with county agencies to develop <br/>
<a id="pl.45.30"></a><var>45.30</var>protocols for referrals and follow-up actions after screens are administered to participants, <br/>
<a id="pl.45.31"></a><var>45.31</var>including guidance on how employment plans may be modified based upon outcomes <br/>
<a id="pl.45.32"></a><var>45.32</var>of certain screens. Participants must be told of the purpose of the screens and how the <br/>
<a id="pl.45.33"></a><var>45.33</var>information will be used to assist the participant in identifying and overcoming barriers to <br/>
<a id="pl.45.34"></a><var>45.34</var>employment. Screening for mental and chemical health and special learning needs must <br/>
<a id="pl.45.35"></a><var>45.35</var>be completed by participants who are unable to find suitable employment after six weeks <br/>
<a id="pl.46.1"></a><var>46.1</var>of job search under subdivision 2, paragraph (b), and participants who are determined to <br/>
<a id="pl.46.2"></a><var>46.2</var>have barriers to employment under subdivision 2, paragraph (d). Failure to complete the <br/>
<a id="pl.46.3"></a><var>46.3</var>screens will result in sanction under section 
         <statute_ref>256J.46</statute_ref>; and <br/>
<a id="pl.46.4"></a><var>46.4</var>    (4) a comprehensive review of participation and progress for participants who have <br/>
<a id="pl.46.5"></a><var>46.5</var>received MFIP assistance and have not worked in unsubsidized employment during the <br/>
<a id="pl.46.6"></a><var>46.6</var>past 12 months. The purpose of the review is to determine the need for additional services <br/>
<a id="pl.46.7"></a><var>46.7</var>and supports, including placement in subsidized employment or unpaid work experience <br/>
<a id="pl.46.8"></a><var>46.8</var>under section 
         <statute_ref>256J.49, subdivision 13, or referral to the family stabilization services <br/>
<a id="pl.46.9"></a><var>46.9</var>program under section 256J.575
</statute_ref>. <br/>
<a id="pl.46.10"></a><var>46.10</var>    (c) Information gathered during a caregiver's participation in the diversionary work <br/>
<a id="pl.46.11"></a><var>46.11</var>program under section 
         <statute_ref>256J.95</statute_ref> must be incorporated into the assessment process. <br/>
<a id="pl.46.12"></a><var>46.12</var>    (d) The job counselor may require the participant to complete a professional chemical <br/>
<a id="pl.46.13"></a><var>46.13</var>use assessment to be performed according to the rules adopted under section 
         <statute_ref>254A.03, <br/>
<a id="pl.46.14"></a><var>46.14</var>subdivision 3
         </statute_ref>, including provisions in the administrative rules which recognize the cultural <br/>
<a id="pl.46.15"></a><var>46.15</var>background of the participant, or a professional psychological assessment as a component <br/>
<a id="pl.46.16"></a><var>46.16</var>of the assessment process, when the job counselor has a reasonable belief, based on <br/>
<a id="pl.46.17"></a><var>46.17</var>objective evidence, that a participant's ability to obtain and retain suitable employment <br/>
<a id="pl.46.18"></a><var>46.18</var>is impaired by a medical condition. The job counselor may assist the participant with <br/>
<a id="pl.46.19"></a><var>46.19</var>arranging services, including child care assistance and transportation, necessary to meet <br/>
<a id="pl.46.20"></a><var>46.20</var>needs identified by the assessment. Data gathered as part of a professional assessment <br/>
<a id="pl.46.21"></a><var>46.21</var>must be classified and disclosed according to the provisions in section 
         <statute_ref>13.46</statute_ref>.<br/>
<br/>
<a id="bill.1.39.0"></a><a id="pl.46.22"></a><var>46.22</var>    Sec. 39. Minnesota Statutes 2006, section 256J.521, subdivision 2, is amended to read:<br/>
<a id="pl.46.23"></a><var>46.23</var>    Subd. 2. <b>Employment plan; contents.</b> (a) Based on the assessment under <br/>
<a id="pl.46.24"></a><var>46.24</var>subdivision 1, the job counselor and the participant must develop an employment plan <br/>
<a id="pl.46.25"></a><var>46.25</var>that includes participation in activities and hours that meet the requirements of section <br/>
<statute_ref><a id="pl.46.26"></a><var>46.26</var>256J.55, subdivision 1
         </statute_ref>. The purpose of the employment plan is to identify for each <br/>
<a id="pl.46.27"></a><var>46.27</var>participant the most direct path to unsubsidized employment and any subsequent steps that <br/>
<a id="pl.46.28"></a><var>46.28</var>support long-term economic stability. The employment plan should be developed using <br/>
<a id="pl.46.29"></a><var>46.29</var>the highest level of activity appropriate for the participant. Activities must be chosen from <br/>
<a id="pl.46.30"></a><var>46.30</var>clauses (1) to (6), which are listed in order of preference. Notwithstanding this order of <br/>
<a id="pl.46.31"></a><var>46.31</var>preference for activities, priority must be given for activities related to a family violence <br/>
<a id="pl.46.32"></a><var>46.32</var>waiver when developing the employment plan. The employment plan must also list the <br/>
<a id="pl.46.33"></a><var>46.33</var>specific steps the participant will take to obtain employment, including steps necessary <br/>
<a id="pl.46.34"></a><var>46.34</var>for the participant to progress from one level of activity to another, and a timetable for <br/>
<a id="pl.46.35"></a><var>46.35</var>completion of each step. Levels of activity include:<br/>
<a id="pl.47.1"></a><var>47.1</var>    (1) unsubsidized employment;<br/>
<a id="pl.47.2"></a><var>47.2</var>    (2) job search;<br/>
<a id="pl.47.3"></a><var>47.3</var>    (3) subsidized employment or unpaid work experience;<br/>
<a id="pl.47.4"></a><var>47.4</var>    (4) unsubsidized employment and job readiness education or job skills training;<br/>
<a id="pl.47.5"></a><var>47.5</var>    (5) unsubsidized employment or unpaid work experience and activities related to <br/>
<a id="pl.47.6"></a><var>47.6</var>a family violence waiver or preemployment needs; and<br/>
<a id="pl.47.7"></a><var>47.7</var>    (6) activities related to a family violence waiver or preemployment needs.<br/>
<a id="pl.47.8"></a><var>47.8</var>    (b) Participants who are determined to possess sufficient skills such that the <br/>
<a id="pl.47.9"></a><var>47.9</var>participant is likely to succeed in obtaining unsubsidized employment must job search at <br/>
<a id="pl.47.10"></a><var>47.10</var>least 30 hours per week for up to six weeks and accept any offer of suitable employment. <br/>
<a id="pl.47.11"></a><var>47.11</var>The remaining hours necessary to meet the requirements of section 
         <statute_ref>256J.55, subdivision <br/>
<a id="pl.47.12"></a><var>47.12</var>1
         </statute_ref>, may be met through participation in other work activities under section 
         <statute_ref>256J.49, <br/>
<a id="pl.47.13"></a><var>47.13</var>subdivision 13
         </statute_ref>. The participant's employment plan must specify, at a minimum: (1) <br/>
<a id="pl.47.14"></a><var>47.14</var>whether the job search is supervised or unsupervised; (2) support services that will <br/>
<a id="pl.47.15"></a><var>47.15</var>be provided; and (3) how frequently the participant must report to the job counselor. <br/>
<a id="pl.47.16"></a><var>47.16</var>Participants who are unable to find suitable employment after six weeks must meet <br/>
<a id="pl.47.17"></a><var>47.17</var>with the job counselor to determine whether other activities in paragraph (a) should be <br/>
<a id="pl.47.18"></a><var>47.18</var>incorporated into the employment plan. Job search activities which are continued after six <br/>
<a id="pl.47.19"></a><var>47.19</var>weeks must be structured and supervised. <br/>
<a id="pl.47.20"></a><var>47.20</var>    (c) Beginning July 1, 2004, activities and hourly requirements in the employment <br/>
<a id="pl.47.21"></a><var>47.21</var>plan may be adjusted as necessary to accommodate the personal and family circumstances <br/>
<a id="pl.47.22"></a><var>47.22</var>of participants identified under section 
         <statute_ref>256J.561, subdivision 2</statute_ref>, paragraph (d). Participants <br/>
<a id="pl.47.23"></a><var>47.23</var>who no longer meet the provisions of section 
         <statute_ref>256J.561, subdivision 2</statute_ref>, paragraph (d), <br/>
<a id="pl.47.24"></a><var>47.24</var>must meet with the job counselor within ten days of the determination to revise the <br/>
<a id="pl.47.25"></a><var>47.25</var>employment plan. <br/>
<a id="pl.47.26"></a><var>47.26</var>    (d) Participants who are determined to have barriers to obtaining or retaining <br/>
<a id="pl.47.27"></a><var>47.27</var>employment that will not be overcome during six weeks of job search under paragraph (b) <br/>
<a id="pl.47.28"></a><var>47.28</var>must work with the job counselor to develop an employment plan that addresses those <br/>
<a id="pl.47.29"></a><var>47.29</var>barriers by incorporating appropriate activities from paragraph (a), clauses (1) to (6). <br/>
<a id="pl.47.30"></a><var>47.30</var>The employment plan must include enough hours to meet the participation requirements <br/>
<a id="pl.47.31"></a><var>47.31</var>in section 
         <statute_ref>256J.55, subdivision 1</statute_ref>, unless a compelling reason to require fewer hours <br/>
<a id="pl.47.32"></a><var>47.32</var>is noted in the participant's file. <br/>
<a id="pl.47.33"></a><var>47.33</var>    (e) The job counselor and the participant must sign the employment plan to indicate <br/>
<a id="pl.47.34"></a><var>47.34</var>agreement on the contents.<br/>
<a id="pl.47.35"></a><var>47.35</var>    (f) Except as provided under paragraphs (g) and (h), failure to develop or comply <br/>
<a id="pl.47.36"></a><var>47.36</var>with activities in the plan, or voluntarily quitting suitable employment without good <br/>
<a id="pl.48.1"></a><var>48.1</var>cause, will result in the imposition of a sanction under section 
         <statute_ref>256J.46</statute_ref>. The job counselor <br/>
<a id="pl.48.2"></a><var>48.2</var>is encouraged to allow participants who are participating in at least 20 hours of work <br/>
<a id="pl.48.3"></a><var>48.3</var>activities to also participate in employment and training activities in order to meet the <br/>
<a id="pl.48.4"></a><var>48.4</var>federal hourly participation rates.<br/>
<a id="pl.48.5"></a><var>48.5</var>    (g) When a participant fails to meet the agreed upon hours of participation in paid <br/>
<a id="pl.48.6"></a><var>48.6</var>employment because the participant is not eligible for holiday pay and the participant's <br/>
<a id="pl.48.7"></a><var>48.7</var>place of employment is closed for a holiday, the job counselor shall not impose a sanction <br/>
<a id="pl.48.8"></a><var>48.8</var>or increase the hours of participation in any other activity, including paid employment, to <br/>
<a id="pl.48.9"></a><var>48.9</var>offset the hours that were missed due to the holiday.<br/>
<a id="pl.48.10"></a><var>48.10</var>    (h) The job counselor shall not impose a sanction for failure to meet the agreed upon <br/>
<a id="pl.48.11"></a><var>48.11</var>hours in a participant's employment plan under this subdivision when the participant <br/>
<a id="pl.48.12"></a><var>48.12</var>is otherwise meeting or exceeding the federal TANF work participation rate hourly <br/>
<a id="pl.48.13"></a><var>48.13</var>requirements.<br/>
<a id="pl.48.14"></a><var>48.14</var>    (f) (i) Employment plans must be reviewed at least every three months to determine <br/>
<a id="pl.48.15"></a><var>48.15</var>whether activities and hourly requirements should be revised.<br/>
<br/>
<a id="bill.1.40.0"></a><a id="pl.48.16"></a><var>48.16</var>    Sec. 40. Minnesota Statutes 2006, section 256J.521, is amended by adding a <br/>
<a id="pl.48.17"></a><var>48.17</var>subdivision to read:<br/>
<a id="pl.48.18"></a><var>48.18</var>    Subd. 7. <b>Employment plan; nonmaintenance of effort; single caregivers.</b> (a) <br/>
<a id="pl.48.19"></a><var>48.19</var>When a single caregiver is moved to the nonmaintenance of effort state-funded program <br/>
<a id="pl.48.20"></a><var>48.20</var>under section 256J.021, paragraphs (a) and (b), the single caregiver shall develop or revise <br/>
<a id="pl.48.21"></a><var>48.21</var>the employment plan as specified in this subdivision with a job counselor or county. The <br/>
<a id="pl.48.22"></a><var>48.22</var>plan must address issues interfering with employment, including physical and mental <br/>
<a id="pl.48.23"></a><var>48.23</var>health, substance use, and social service issues of the caregiver and the caregiver's family. <br/>
<a id="pl.48.24"></a><var>48.24</var>Job search and employment must also be included in the plan to the extent possible.<br/>
<a id="pl.48.25"></a><var>48.25</var>    (b) Counties must coordinate services by ensuring that all workers involved with <br/>
<a id="pl.48.26"></a><var>48.26</var>the family communicate on a regular basis, and that expectations for the family across <br/>
<a id="pl.48.27"></a><var>48.27</var>service areas lead to common goals.<br/>
<a id="pl.48.28"></a><var>48.28</var>    (c) Activities and hourly requirements in the employment plan may be adjusted as <br/>
<a id="pl.48.29"></a><var>48.29</var>necessary to accommodate the personal and family circumstances of the participant. <br/>
<a id="pl.48.30"></a><var>48.30</var>Participants who no longer meet the criteria for the nonmaintenance of effort state-funded <br/>
<a id="pl.48.31"></a><var>48.31</var>program shall meet with the job counselor or county within ten days of the determination <br/>
<a id="pl.48.32"></a><var>48.32</var>to revise the employment plan.<br/>
<br/>
<a id="bill.1.41.0"></a><a id="pl.48.33"></a><var>48.33</var>    Sec. 41. Minnesota Statutes 2006, section 256J.53, subdivision 2, is amended to read:<br/>
<a id="pl.49.1"></a><var>49.1</var>    Subd. 2. <b>Approval of postsecondary education or training.</b> (a) In order for a <br/>
<a id="pl.49.2"></a><var>49.2</var>postsecondary education or training program to be an approved activity in an employment <br/>
<a id="pl.49.3"></a><var>49.3</var>plan, the participant must be working in unsubsidized employment at least 20 hours per <br/>
<a id="pl.49.4"></a><var>49.4</var>week.<br/>
<a id="pl.49.5"></a><var>49.5</var>    (b) Participants seeking approval of a postsecondary education or training plan <br/>
<a id="pl.49.6"></a><var>49.6</var>must provide documentation that:<br/>
<a id="pl.49.7"></a><var>49.7</var>    (1) the employment goal can only be met with the additional education or training;<br/>
<a id="pl.49.8"></a><var>49.8</var>    (2) there are suitable employment opportunities that require the specific education or <br/>
<a id="pl.49.9"></a><var>49.9</var>training in the area in which the participant resides or is willing to reside;<br/>
<a id="pl.49.10"></a><var>49.10</var>    (3) the education or training will result in significantly higher wages for the <br/>
<a id="pl.49.11"></a><var>49.11</var>participant than the participant could earn without the education or training;<br/>
<a id="pl.49.12"></a><var>49.12</var>    (4) the participant can meet the requirements for admission into the program; and<br/>
<a id="pl.49.13"></a><var>49.13</var>    (5) there is a reasonable expectation that the participant will complete the training <br/>
<a id="pl.49.14"></a><var>49.14</var>program based on such factors as the participant's MFIP assessment, previous education, <br/>
<a id="pl.49.15"></a><var>49.15</var>training, and work history; current motivation; and changes in previous circumstances.<br/>
<a id="pl.49.16"></a><var>49.16</var>    (c) The hourly unsubsidized employment requirement does not apply for intensive <br/>
<a id="pl.49.17"></a><var>49.17</var>education or training programs lasting 12 weeks or less when full-time attendance is <br/>
<a id="pl.49.18"></a><var>49.18</var>required.<br/>
<a id="pl.49.19"></a><var>49.19</var>    (d) (b) Participants with an approved employment plan in place on July 1, 2003, <br/>
<a id="pl.49.20"></a><var>49.20</var>which includes more than 12 months of postsecondary education or training shall be <br/>
<a id="pl.49.21"></a><var>49.21</var>allowed to complete that plan provided that hourly requirements in section 
         <statute_ref>256J.55, <br/>
<a id="pl.49.22"></a><var>49.22</var>subdivision 1
         </statute_ref>, and conditions specified in paragraph (b) (a), and subdivisions 3 and 5 are <br/>
<a id="pl.49.23"></a><var>49.23</var>met. A participant whose case is subsequently closed for three months or less for reasons <br/>
<a id="pl.49.24"></a><var>49.24</var>other than noncompliance with program requirements and who returns to MFIP shall <br/>
<a id="pl.49.25"></a><var>49.25</var>be allowed to complete that plan provided that hourly requirements in section 
         <statute_ref>256J.55, <br/>
<a id="pl.49.26"></a><var>49.26</var>subdivision 1
         </statute_ref>, and conditions specified in paragraph (b) (a) and subdivisions 3 and 5 are <br/>
<a id="pl.49.27"></a><var>49.27</var>met.<br/>
<br/>
<a id="bill.1.42.0"></a><a id="pl.49.28"></a><var>49.28</var>    Sec. 42. Minnesota Statutes 2006, section 256J.55, subdivision 1, is amended to read:<br/>
<a id="pl.49.29"></a><var>49.29</var>    Subdivision 1. <b>Participation requirements.</b> (a) All caregivers must participate <br/>
<a id="pl.49.30"></a><var>49.30</var>in employment services under sections 
         <statute_ref>256J.515</statute_ref> to 
         <statute_ref>256J.57</statute_ref> concurrent with receipt of <br/>
<a id="pl.49.31"></a><var>49.31</var>MFIP assistance. <br/>
<a id="pl.49.32"></a><var>49.32</var>    (b) Until July 1, 2004, participants who meet the requirements of section 
         <statute_ref>256J.56</statute_ref> are <br/>
<a id="pl.49.33"></a><var>49.33</var>exempt from participation requirements.<br/>
<a id="pl.50.1"></a><var>50.1</var>    (c) Participants under paragraph (a) must develop and comply with an employment <br/>
<a id="pl.50.2"></a><var>50.2</var>plan under section 
         <statute_ref>256J.521</statute_ref> or section 
         <statute_ref>256J.54</statute_ref> in the case of a participant under the age of <br/>
<a id="pl.50.3"></a><var>50.3</var>20 who has not obtained a high school diploma or its equivalent.<br/>
<a id="pl.50.4"></a><var>50.4</var>    (d) With the exception of participants under the age of 20 who must meet the <br/>
<a id="pl.50.5"></a><var>50.5</var>education requirements of section 
         <statute_ref>256J.54</statute_ref>, all participants must meet the hourly <br/>
<a id="pl.50.6"></a><var>50.6</var>participation requirements of TANF or the hourly requirements listed in clauses (1) to <br/>
<a id="pl.50.7"></a><var>50.7</var>(3), whichever is higher.<br/>
<a id="pl.50.8"></a><var>50.8</var>    (1) In single-parent families with no children under six years of age, the job <br/>
<a id="pl.50.9"></a><var>50.9</var>counselor and the caregiver must develop an employment plan that includes 30 to 35 hours <br/>
<a id="pl.50.10"></a><var>50.10</var>per week of work activities 130 hours per month of work activities.<br/>
<a id="pl.50.11"></a><var>50.11</var>    (2) In single-parent families with a child under six years of age, the job counselor <br/>
<a id="pl.50.12"></a><var>50.12</var>and the caregiver must develop an employment plan that includes 20 to 35 hours per week <br/>
<a id="pl.50.13"></a><var>50.13</var>of work activities 87 hours per month of work activities.<br/>
<a id="pl.50.14"></a><var>50.14</var>    (3) In two-parent families, the job counselor and the caregivers must develop <br/>
<a id="pl.50.15"></a><var>50.15</var>employment plans which result in a combined total of at least 55 hours per week of work <br/>
<a id="pl.50.16"></a><var>50.16</var>activities.<br/>
<a id="pl.50.17"></a><var>50.17</var>    (e) Failure to participate in employment services, including the requirement to <br/>
<a id="pl.50.18"></a><var>50.18</var>develop and comply with an employment plan, including hourly requirements, without <br/>
<a id="pl.50.19"></a><var>50.19</var>good cause under section 
         <statute_ref>256J.57</statute_ref>, shall result in the imposition of a sanction under section <br/>
<statute_ref><a id="pl.50.20"></a><var>50.20</var>256J.46
         </statute_ref>.<br/>
<br/>
<a id="bill.1.43.0"></a><a id="pl.50.21"></a><var>50.21</var>    Sec. 43. <b>[256J.575] FAMILY STABILIZATION SERVICES.</b><br/>
<a id="pl.50.22"></a><var>50.22</var>    Subdivision 1. <b>Purpose.</b> (a) The family stabilization services serve families who are <br/>
<a id="pl.50.23"></a><var>50.23</var>not making significant progress within the Minnesota family investment program (MFIP) <br/>
<a id="pl.50.24"></a><var>50.24</var>due to a variety of barriers to employment.<br/>
<a id="pl.50.25"></a><var>50.25</var>    (b) The goal of the services is to stabilize and improve the lives of families at risk <br/>
<a id="pl.50.26"></a><var>50.26</var>of long-term welfare dependency or family instability due to employment barriers such <br/>
<a id="pl.50.27"></a><var>50.27</var>as physical disability, mental disability, age, or providing care for a disabled household <br/>
<a id="pl.50.28"></a><var>50.28</var>member. These services promote and support families to achieve the greatest possible <br/>
<a id="pl.50.29"></a><var>50.29</var>degree of self-sufficiency.<br/>
<a id="pl.50.30"></a><var>50.30</var>    Subd. 2. <b>Definitions.</b> The terms used in this section have the meanings given them <br/>
<a id="pl.50.31"></a><var>50.31</var>in paragraphs (a) to (e).<br/>
<a id="pl.50.32"></a><var>50.32</var>    (a) "Family stabilization services" means the services established under this section.<br/>
<a id="pl.50.33"></a><var>50.33</var>    (b) "Case management" means the services provided by or through the county <br/>
<a id="pl.50.34"></a><var>50.34</var>agency or through the employment services agency to participating families, including <br/>
<a id="pl.51.1"></a><var>51.1</var>assessment, information, referrals, and assistance in the preparation and implementation <br/>
<a id="pl.51.2"></a><var>51.2</var>of a family stabilization plan under subdivision 5.<br/>
<a id="pl.51.3"></a><var>51.3</var>    (c) "Family stabilization plan" means a plan developed by a case manager and <br/>
<a id="pl.51.4"></a><var>51.4</var>the participant, which identifies the participant's most appropriate path to unsubsidized <br/>
<a id="pl.51.5"></a><var>51.5</var>employment, family stability, and barrier reduction, taking into account the family's <br/>
<a id="pl.51.6"></a><var>51.6</var>circumstances.<br/>
<a id="pl.51.7"></a><var>51.7</var>    (d) "Family stabilization services" means programs, activities, and services in this <br/>
<a id="pl.51.8"></a><var>51.8</var>section that provide participants and their family members with assistance regarding, <br/>
<a id="pl.51.9"></a><var>51.9</var>but not limited to:<br/>
<a id="pl.51.10"></a><var>51.10</var>    (1) obtaining and retaining unsubsidized employment;<br/>
<a id="pl.51.11"></a><var>51.11</var>    (2) family stability;<br/>
<a id="pl.51.12"></a><var>51.12</var>    (3) economic stability; and<br/>
<a id="pl.51.13"></a><var>51.13</var>    (4) barrier reduction.<br/>
<a id="pl.51.14"></a><var>51.14</var>    The goal of the services is to achieve the greatest degree of economic self-sufficiency <br/>
<a id="pl.51.15"></a><var>51.15</var>and family well-being possible for the family under the circumstances.<br/>
<a id="pl.51.16"></a><var>51.16</var>    (e) "Case manager" means the county-designated staff person or employment <br/>
<a id="pl.51.17"></a><var>51.17</var>services counselor.<br/>
<a id="pl.51.18"></a><var>51.18</var>    Subd. 3. <b>Eligibility.</b> (a) The following MFIP or diversionary work program (DWP) <br/>
<a id="pl.51.19"></a><var>51.19</var>participants are eligible for the services under this section:<br/>
<a id="pl.51.20"></a><var>51.20</var>    (1) a participant identified under section 256J.561, subdivision 2, paragraph (d), who <br/>
<a id="pl.51.21"></a><var>51.21</var>has or is eligible for an employment plan developed under section 256J.521, subdivision <br/>
<a id="pl.51.22"></a><var>51.22</var>2, paragraph (c);<br/>
<a id="pl.51.23"></a><var>51.23</var>    (2) a participant identified under section 256J.95, subdivision 12, paragraph (b), as <br/>
<a id="pl.51.24"></a><var>51.24</var>unlikely to benefit from the DWP;<br/>
<a id="pl.51.25"></a><var>51.25</var>    (3) a participant who meets the requirements for or has been granted a hardship <br/>
<a id="pl.51.26"></a><var>51.26</var>extension under section 256J.425, subdivision 2 or 3;<br/>
<a id="pl.51.27"></a><var>51.27</var>    (4) a participant who is applying for supplemental security income or Social Security <br/>
<a id="pl.51.28"></a><var>51.28</var>disability insurance; <br/>
<a id="pl.51.29"></a><var>51.29</var>    (5) a participant who is a noncitizen who has been in the United States for 12 or <br/>
<a id="pl.51.30"></a><var>51.30</var>fewer months; and<br/>
<a id="pl.51.31"></a><var>51.31</var>    (6) a new MFIP participant, for the first 30 days the participant receives assistance or <br/>
<a id="pl.51.32"></a><var>51.32</var>when the participant's employment plan is completed, whichever is sooner.<br/>
<a id="pl.51.33"></a><var>51.33</var>    (b) Families must meet all other eligibility requirements for MFIP established in <br/>
<a id="pl.51.34"></a><var>51.34</var>this chapter. Families are eligible for financial assistance to the same extent as if they <br/>
<a id="pl.51.35"></a><var>51.35</var>were participating in MFIP.<br/>
<a id="pl.52.1"></a><var>52.1</var>    (c) A participant under paragraph (a), clause (5), must be provided with English as a <br/>
<a id="pl.52.2"></a><var>52.2</var>second language opportunities and skills training for up to 12 months. After 12 months, <br/>
<a id="pl.52.3"></a><var>52.3</var>the case manager and participant must determine whether the participant should continue <br/>
<a id="pl.52.4"></a><var>52.4</var>with English as a second language classes or skills training, or both, or if the participant <br/>
<a id="pl.52.5"></a><var>52.5</var>should become an MFIP participant.<br/>
<a id="pl.52.6"></a><var>52.6</var>    Subd. 4. <b>Universal participation.</b> All caregivers must participate in family <br/>
<a id="pl.52.7"></a><var>52.7</var>stabilization services as defined in subdivision 2.<br/>
<a id="pl.52.8"></a><var>52.8</var>    Subd. 5. <b>Case management; family stabilization plans; coordinated services.</b> (a) <br/>
<a id="pl.52.9"></a><var>52.9</var>The county agency shall provide family stabilization services to families through a case <br/>
<a id="pl.52.10"></a><var>52.10</var>management model. A case manager shall be assigned to each participating family within <br/>
<a id="pl.52.11"></a><var>52.11</var>30 days after the family begins to receive financial assistance as a participant of the family <br/>
<a id="pl.52.12"></a><var>52.12</var>stabilization services. The case manager, with the full involvement of the participant, shall <br/>
<a id="pl.52.13"></a><var>52.13</var>recommend, and the county agency shall establish and modify as necessary, a family <br/>
<a id="pl.52.14"></a><var>52.14</var>stabilization plan for each participating family. If a participant is already assigned to a <br/>
<a id="pl.52.15"></a><var>52.15</var>county case manager or a county-designated case manager in social services, disability <br/>
<a id="pl.52.16"></a><var>52.16</var>services, or housing services that case manager already assigned may be the case manager <br/>
<a id="pl.52.17"></a><var>52.17</var>for purposes of these services.<br/>
<a id="pl.52.18"></a><var>52.18</var>    (b) The family stabilization plan must include:<br/>
<a id="pl.52.19"></a><var>52.19</var>    (1) each participant's plan for long-term self-sufficiency, including an employment <br/>
<a id="pl.52.20"></a><var>52.20</var>goal where applicable;<br/>
<a id="pl.52.21"></a><var>52.21</var>    (2) an assessment of each participant's strengths and barriers, and any special <br/>
<a id="pl.52.22"></a><var>52.22</var>circumstances of the participant's family that impact, or are likely to impact, the <br/>
<a id="pl.52.23"></a><var>52.23</var>participant's progress towards the goals in the plan; and<br/>
<a id="pl.52.24"></a><var>52.24</var>    (3) an identification of the services, supports, education, training, and <br/>
<a id="pl.52.25"></a><var>52.25</var>accommodations needed to reduce or overcome any barriers to enable the family to <br/>
<a id="pl.52.26"></a><var>52.26</var>achieve self-sufficiency and to fulfill each caregiver's personal and family responsibilities.<br/>
<a id="pl.52.27"></a><var>52.27</var>    (c) The case manager and the participant shall meet within 30 days of the family's <br/>
<a id="pl.52.28"></a><var>52.28</var>referral to the case manager. The initial family stabilization plan must be completed within <br/>
<a id="pl.52.29"></a><var>52.29</var>30 days of the first meeting with the case manager. The case manager shall establish a <br/>
<a id="pl.52.30"></a><var>52.30</var>schedule for periodic review of the family stabilization plan that includes personal contact <br/>
<a id="pl.52.31"></a><var>52.31</var>with the participant at least once per month. In addition, the case manager shall review <br/>
<a id="pl.52.32"></a><var>52.32</var>and, if necessary, modify the plan under the following circumstances:<br/>
<a id="pl.52.33"></a><var>52.33</var>    (1) there is a lack of satisfactory progress in achieving the goals of the plan;<br/>
<a id="pl.52.34"></a><var>52.34</var>    (2) the participant has lost unsubsidized or subsidized employment;<br/>
<a id="pl.52.35"></a><var>52.35</var>    (3) a family member has failed or is unable to comply with a family stabilization <br/>
<a id="pl.52.36"></a><var>52.36</var>plan requirement;<br/>
<a id="pl.53.1"></a><var>53.1</var>    (4) services, supports, or other activities required by the plan are unavailable;<br/>
<a id="pl.53.2"></a><var>53.2</var>    (5) changes to the plan are needed to promote the well-being of the children; or<br/>
<a id="pl.53.3"></a><var>53.3</var>    (6) the participant and case manager determine that the plan is no longer appropriate <br/>
<a id="pl.53.4"></a><var>53.4</var>for any other reason.<br/>
<a id="pl.53.5"></a><var>53.5</var>    Subd. 6. <b>Cooperation with services requirements.</b> (a) To be eligible, a participant <br/>
<a id="pl.53.6"></a><var>53.6</var>shall comply with paragraphs (b) to (e).<br/>
<a id="pl.53.7"></a><var>53.7</var>    (b) Participants shall engage in family stabilization plan services for the appropriate <br/>
<a id="pl.53.8"></a><var>53.8</var>number of hours per week that the activities are scheduled and available, unless good <br/>
<a id="pl.53.9"></a><var>53.9</var>cause exists for not doing so, as defined in section 256J.57, subdivision 1. The appropriate <br/>
<a id="pl.53.10"></a><var>53.10</var>number of hours must be based on the participant's plan.<br/>
<a id="pl.53.11"></a><var>53.11</var>    (c) The case manager shall review the participant's progress toward the goals in the <br/>
<a id="pl.53.12"></a><var>53.12</var>family stabilization plan every six months to determine whether conditions have changed, <br/>
<a id="pl.53.13"></a><var>53.13</var>including whether revisions to the plan are needed.<br/>
<a id="pl.53.14"></a><var>53.14</var>    (d) When the participant has increased participation in work-related activities <br/>
<a id="pl.53.15"></a><var>53.15</var>sufficient to meet the federal participation requirements of TANF, the county agency shall <br/>
<a id="pl.53.16"></a><var>53.16</var>refer the participant to the MFIP program and assign the participant to a job counselor. <br/>
<a id="pl.53.17"></a><var>53.17</var>The participant and the job counselor shall meet within 15 days of referral to the MFIP <br/>
<a id="pl.53.18"></a><var>53.18</var>program to develop an employment plan under section 256J.521. No reapplication is <br/>
<a id="pl.53.19"></a><var>53.19</var>necessary and financial assistance continues without interruption.<br/>
<a id="pl.53.20"></a><var>53.20</var>    (e) A participant's requirement to comply with any or all family stabilization plan <br/>
<a id="pl.53.21"></a><var>53.21</var>requirements under this subdivision is excused when the case management services, <br/>
<a id="pl.53.22"></a><var>53.22</var>training and educational services, and family support services identified in the participant's <br/>
<a id="pl.53.23"></a><var>53.23</var>family stabilization plan are unavailable for reasons beyond the control of the participant, <br/>
<a id="pl.53.24"></a><var>53.24</var>including when money appropriated is not sufficient to provide the services.<br/>
<a id="pl.53.25"></a><var>53.25</var>    Subd. 7. <b>Sanctions.</b> (a) The financial assistance grant of a participating family is <br/>
<a id="pl.53.26"></a><var>53.26</var>reduced according to section 256J.46, if a participating adult fails without good cause to <br/>
<a id="pl.53.27"></a><var>53.27</var>comply or continue to comply with the family stabilization plan requirements in this <br/>
<a id="pl.53.28"></a><var>53.28</var>subdivision, unless compliance has been excused under subdivision 6, paragraph (e).<br/>
<a id="pl.53.29"></a><var>53.29</var>    (b) Given the purpose of the family stabilization services in this section and the <br/>
<a id="pl.53.30"></a><var>53.30</var>nature of the underlying family circumstances that act as barriers to both employment and <br/>
<a id="pl.53.31"></a><var>53.31</var>full compliance with program requirements, sanctions are appropriate only when it is clear <br/>
<a id="pl.53.32"></a><var>53.32</var>that there is both the ability to comply and willful noncompliance by the participant, as <br/>
<a id="pl.53.33"></a><var>53.33</var>confirmed by a behavioral health or medical professional.<br/>
<a id="pl.53.34"></a><var>53.34</var>    (c) Prior to the imposition of a sanction, the county agency shall review the <br/>
<a id="pl.53.35"></a><var>53.35</var>participant's case to determine if the family stabilization plan is still appropriate and <br/>
<a id="pl.54.1"></a><var>54.1</var>meet with the participant face-to-face. The participant may bring an advocate to the <br/>
<a id="pl.54.2"></a><var>54.2</var>face-to-face meeting. <br/>
<a id="pl.54.3"></a><var>54.3</var>    During the face-to-face meeting, the county agency must:<br/>
<a id="pl.54.4"></a><var>54.4</var>    (1) determine whether the continued noncompliance can be explained and mitigated <br/>
<a id="pl.54.5"></a><var>54.5</var>by providing a needed family stabilization service, as defined in subdivision 2, paragraph <br/>
<a id="pl.54.6"></a><var>54.6</var>(d);<br/>
<a id="pl.54.7"></a><var>54.7</var>    (2) determine whether the participant qualifies for a good cause exemption under <br/>
<a id="pl.54.8"></a><var>54.8</var>section 256J.57, or if the sanction is for noncooperation with child support requirements, <br/>
<a id="pl.54.9"></a><var>54.9</var>determine if the participant qualifies for a good cause exemption under section 256.741, <br/>
<a id="pl.54.10"></a><var>54.10</var>subdivision 10;<br/>
<a id="pl.54.11"></a><var>54.11</var>    (3) determine whether activities in the family stabilization plan are appropriate <br/>
<a id="pl.54.12"></a><var>54.12</var>based on the family's circumstances;<br/>
<a id="pl.54.13"></a><var>54.13</var>    (4) explain the consequences of continuing noncompliance;<br/>
<a id="pl.54.14"></a><var>54.14</var>    (5) identify other resources that may be available to the participant to meet the <br/>
<a id="pl.54.15"></a><var>54.15</var>needs of the family; and<br/>
<a id="pl.54.16"></a><var>54.16</var>    (6) inform the participant of the right to appeal under section 256J.40.<br/>
<a id="pl.54.17"></a><var>54.17</var>    If the lack of an identified activity or service can explain the noncompliance, the <br/>
<a id="pl.54.18"></a><var>54.18</var>county shall work with the participant to provide the identified activity.<br/>
<a id="pl.54.19"></a><var>54.19</var>    (d) If the participant fails to come to the face-to-face meeting, the case manager or a <br/>
<a id="pl.54.20"></a><var>54.20</var>designee shall attempt at least one home visit. If a face-to-face meeting is not conducted, <br/>
<a id="pl.54.21"></a><var>54.21</var>the county agency shall send the participant a written notice that includes the information <br/>
<a id="pl.54.22"></a><var>54.22</var>under paragraph (c).<br/>
<a id="pl.54.23"></a><var>54.23</var>    (e) After the requirements of paragraphs (c) and (d) are met and prior to imposition <br/>
<a id="pl.54.24"></a><var>54.24</var>of a sanction, the county agency shall provide a notice of intent to sanction under section <br/>
<a id="pl.54.25"></a><var>54.25</var>256J.57, subdivision 2, and, when applicable, a notice of adverse action under section <br/>
<a id="pl.54.26"></a><var>54.26</var>256J.31.<br/>
<a id="pl.54.27"></a><var>54.27</var>    (f) Section 256J.57 applies to this section except to the extent that it is modified <br/>
<a id="pl.54.28"></a><var>54.28</var>by this subdivision.<br/>
<a id="pl.54.29"></a><var>54.29</var>    Subd. 8. <b>Funding.</b> (a) The commissioner of human services must treat MFIP <br/>
<a id="pl.54.30"></a><var>54.30</var>expenditures made to or on behalf of any minor child under this section, who is part of a <br/>
<a id="pl.54.31"></a><var>54.31</var>household that meets criteria in subdivision 3, as expenditures under a separately funded <br/>
<a id="pl.54.32"></a><var>54.32</var>state program. These expenditures shall not count toward the state's maintenance of effort <br/>
<a id="pl.54.33"></a><var>54.33</var>requirements under the federal TANF program.<br/>
<a id="pl.54.34"></a><var>54.34</var>    (b) A family is no longer part of a separately funded program under this section, if <br/>
<a id="pl.54.35"></a><var>54.35</var>the caregiver no longer meets the criteria for family stabilization services in subdivision <br/>
<a id="pl.55.1"></a><var>55.1</var>3 or if it is determined at recertification that the caregiver is meeting the federal work <br/>
<a id="pl.55.2"></a><var>55.2</var>participation rate, whichever occurs sooner.<br/>
<br/>
<a id="bill.1.44.0"></a><a id="pl.55.3"></a><var>55.3</var>    Sec. 44. Minnesota Statutes 2006, section 256J.626, subdivision 1, is amended to read:<br/>
<a id="pl.55.4"></a><var>55.4</var>    Subdivision 1. <b>Consolidated fund.</b> The consolidated fund is established to support <br/>
<a id="pl.55.5"></a><var>55.5</var>counties and tribes in meeting their duties under this chapter. Counties and tribes must use <br/>
<a id="pl.55.6"></a><var>55.6</var>funds from the consolidated fund to develop programs and services that are designed to <br/>
<a id="pl.55.7"></a><var>55.7</var>improve participant outcomes as measured in section 
         <statute_ref>256J.751, subdivision 2</statute_ref>. Counties <br/>
<a id="pl.55.8"></a><var>55.8</var>may use the funds for any allowable expenditures under subdivision 2, and to provide case <br/>
<a id="pl.55.9"></a><var>55.9</var>management services to participants of the family stabilization services program. Tribes <br/>
<a id="pl.55.10"></a><var>55.10</var>may use the funds for any allowable expenditures under subdivision 2, except those in <br/>
<a id="pl.55.11"></a><var>55.11</var>subdivision 2, paragraph (a), clauses (1) and (6). <br/>
<br/>
<a id="bill.1.45.0"></a><a id="pl.55.12"></a><var>55.12</var>    Sec. 45. Minnesota Statutes 2006, section 256J.626, subdivision 2, is amended to read:<br/>
<a id="pl.55.13"></a><var>55.13</var>    Subd. 2. <b>Allowable expenditures.</b> (a) The commissioner must restrict expenditures <br/>
<a id="pl.55.14"></a><var>55.14</var>under the consolidated fund to benefits and services allowed under title IV-A of the federal <br/>
<a id="pl.55.15"></a><var>55.15</var>Social Security Act. Allowable expenditures under the consolidated fund may include, but <br/>
<a id="pl.55.16"></a><var>55.16</var>are not limited to:<br/>
<a id="pl.55.17"></a><var>55.17</var>    (1) short-term, nonrecurring shelter and utility needs that are excluded from the <br/>
<a id="pl.55.18"></a><var>55.18</var>definition of assistance under Code of Federal Regulations, title 45, section 
         <statute_ref>260.31</statute_ref>, for <br/>
<a id="pl.55.19"></a><var>55.19</var>families who meet the residency requirement in section 
         <statute_ref>256J.12, subdivisions 1 and 1a</statute_ref>. <br/>
<a id="pl.55.20"></a><var>55.20</var>Payments under this subdivision are not considered TANF cash assistance and are not <br/>
<a id="pl.55.21"></a><var>55.21</var>counted towards the 60-month time limit; <br/>
<a id="pl.55.22"></a><var>55.22</var>    (2) transportation needed to obtain or retain employment or to participate in other <br/>
<a id="pl.55.23"></a><var>55.23</var>approved work activities or activities under a family stabilization plan;<br/>
<a id="pl.55.24"></a><var>55.24</var>    (3) direct and administrative costs of staff to deliver employment services for <br/>
<a id="pl.55.25"></a><var>55.25</var>MFIP or,  the diversionary work program, or the family stabilization services program; <br/>
<a id="pl.55.26"></a><var>55.26</var> to administer financial assistance,;  and to provide specialized services intended to assist <br/>
<a id="pl.55.27"></a><var>55.27</var>hard-to-employ participants to transition to work or transition from the family stabilization <br/>
<a id="pl.55.28"></a><var>55.28</var>services program to MFIP;<br/>
<a id="pl.55.29"></a><var>55.29</var>    (4) costs of education and training including functional work literacy and English as <br/>
<a id="pl.55.30"></a><var>55.30</var>a second language;<br/>
<a id="pl.55.31"></a><var>55.31</var>    (5) cost of work supports including tools, clothing, boots, telephone service, and <br/>
<a id="pl.55.32"></a><var>55.32</var>other work-related expenses;<br/>
<a id="pl.55.33"></a><var>55.33</var>    (6) county administrative expenses as defined in Code of Federal Regulations, title <br/>
<a id="pl.55.34"></a><var>55.34</var>45, section 260(b);<br/>
<a id="pl.56.1"></a><var>56.1</var>    (7) services to parenting and pregnant teens;<br/>
<a id="pl.56.2"></a><var>56.2</var>    (8) supported work;<br/>
<a id="pl.56.3"></a><var>56.3</var>    (9) wage subsidies;<br/>
<a id="pl.56.4"></a><var>56.4</var>    (10) child care needed for MFIP or, the  diversionary work program, or the family <br/>
<a id="pl.56.5"></a><var>56.5</var>stabilization services program  participants to participate in social services;<br/>
<a id="pl.56.6"></a><var>56.6</var>    (11) child care to ensure that families leaving MFIP or diversionary work program <br/>
<a id="pl.56.7"></a><var>56.7</var>will continue to receive child care assistance from the time the family no longer qualifies <br/>
<a id="pl.56.8"></a><var>56.8</var>for transition year child care until an opening occurs under the basic sliding fee child <br/>
<a id="pl.56.9"></a><var>56.9</var>care program; and<br/>
<a id="pl.56.10"></a><var>56.10</var>    (12) services to help noncustodial parents who live in Minnesota and have minor <br/>
<a id="pl.56.11"></a><var>56.11</var>children receiving MFIP or DWP assistance, but do not live in the same household as the <br/>
<a id="pl.56.12"></a><var>56.12</var>child, obtain or retain employment; and<br/>
<a id="pl.56.13"></a><var>56.13</var>    (13) services to help families participating in the family stabilization services <br/>
<a id="pl.56.14"></a><var>56.14</var>program achieve the greatest possible degree of self-sufficiency.<br/>
<a id="pl.56.15"></a><var>56.15</var>    (b) Administrative costs that are not matched with county funds as provided in <br/>
<a id="pl.56.16"></a><var>56.16</var>subdivision 8 may not exceed 7.5 percent of a county's or 15 percent of a tribe's allocation <br/>
<a id="pl.56.17"></a><var>56.17</var>under this section. The commissioner shall define administrative costs for purposes of <br/>
<a id="pl.56.18"></a><var>56.18</var>this subdivision.<br/>
<a id="pl.56.19"></a><var>56.19</var>    (c) The commissioner may waive the cap on administrative costs for a county or tribe <br/>
<a id="pl.56.20"></a><var>56.20</var>that elects to provide an approved supported employment, unpaid work, or community <br/>
<a id="pl.56.21"></a><var>56.21</var>work experience program for a major segment of the county's or tribe's MFIP population. <br/>
<a id="pl.56.22"></a><var>56.22</var>The county or tribe must apply for the waiver on forms provided by the commissioner. In <br/>
<a id="pl.56.23"></a><var>56.23</var>no case shall total administrative costs exceed the TANF limits.<br/>
<br/>
<a id="bill.1.46.0"></a><a id="pl.56.24"></a><var>56.24</var>    Sec. 46. Minnesota Statutes 2006, section 256J.626, subdivision 3, is amended to read:<br/>
<a id="pl.56.25"></a><var>56.25</var>    Subd. 3. <b>Eligibility for services.</b> Families with a minor child, a pregnant woman, <br/>
<a id="pl.56.26"></a><var>56.26</var>or a noncustodial parent of a minor child receiving assistance, with incomes below 200 <br/>
<a id="pl.56.27"></a><var>56.27</var>percent of the federal poverty guideline for a family of the applicable size, are eligible <br/>
<a id="pl.56.28"></a><var>56.28</var>for services funded under the consolidated fund. Counties and tribes must give priority <br/>
<a id="pl.56.29"></a><var>56.29</var>to families currently receiving MFIP or, the  diversionary work program, or the family <br/>
<a id="pl.56.30"></a><var>56.30</var>stabilization services program, and families at risk of receiving MFIP or diversionary <br/>
<a id="pl.56.31"></a><var>56.31</var>work program.<br/>
<br/>
<a id="bill.1.47.0"></a><a id="pl.56.32"></a><var>56.32</var>    Sec. 47. Minnesota Statutes 2006, section 256J.626, subdivision 4, is amended to read:<br/>
<a id="pl.56.33"></a><var>56.33</var>    Subd. 4. <b>County and tribal biennial service agreements.</b> (a) Effective January 1, <br/>
<a id="pl.56.34"></a><var>56.34</var>2004, and each two-year period thereafter, each county and tribe must have in place an <br/>
<a id="pl.57.1"></a><var>57.1</var>approved biennial service agreement related to the services and programs in this chapter. <br/>
<a id="pl.57.2"></a><var>57.2</var>In counties with a city of the first class with a population over 300,000, the county must <br/>
<a id="pl.57.3"></a><var>57.3</var>consider a service agreement that includes a jointly developed plan for the delivery of <br/>
<a id="pl.57.4"></a><var>57.4</var>employment services with the city. Counties may collaborate to develop multicounty, <br/>
<a id="pl.57.5"></a><var>57.5</var>multitribal, or regional service agreements.<br/>
<a id="pl.57.6"></a><var>57.6</var>    (b) The service agreements will be completed in a form prescribed by the <br/>
<a id="pl.57.7"></a><var>57.7</var>commissioner. The agreement must include:<br/>
<a id="pl.57.8"></a><var>57.8</var>    (1) a statement of the needs of the service population and strengths and resources <br/>
<a id="pl.57.9"></a><var>57.9</var>in the community;<br/>
<a id="pl.57.10"></a><var>57.10</var>    (2) numerical goals for participant outcomes measures to be accomplished during <br/>
<a id="pl.57.11"></a><var>57.11</var>the biennial period. The commissioner may identify outcomes from section 
         <statute_ref>256J.751, <br/>
<a id="pl.57.12"></a><var>57.12</var>subdivision 2
         </statute_ref>, as core outcomes for all counties and tribes; <br/>
<a id="pl.57.13"></a><var>57.13</var>    (3) strategies the county or tribe will pursue to achieve the outcome targets. <br/>
<a id="pl.57.14"></a><var>57.14</var>Strategies must include specification of how funds under this section will be used and may <br/>
<a id="pl.57.15"></a><var>57.15</var>include community partnerships that will be established or strengthened; and<br/>
<a id="pl.57.16"></a><var>57.16</var>    (4) strategies the county or tribe will pursue under the family stabilization services <br/>
<a id="pl.57.17"></a><var>57.17</var>program; and <br/>
<a id="pl.57.18"></a><var>57.18</var>    (5) other items prescribed by the commissioner in consultation with counties and <br/>
<a id="pl.57.19"></a><var>57.19</var>tribes.<br/>
<a id="pl.57.20"></a><var>57.20</var>    (c) The commissioner shall provide each county and tribe with information needed <br/>
<a id="pl.57.21"></a><var>57.21</var>to complete an agreement, including: (1) information on MFIP cases in the county or <br/>
<a id="pl.57.22"></a><var>57.22</var>tribe; (2) comparisons with the rest of the state; (3) baseline performance on outcome <br/>
<a id="pl.57.23"></a><var>57.23</var>measures; and (4) promising program practices.<br/>
<a id="pl.57.24"></a><var>57.24</var>    (d) The service agreement must be submitted to the commissioner by October 15, <br/>
<a id="pl.57.25"></a><var>57.25</var>2003, and October 15 of each second year thereafter. The county or tribe must allow <br/>
<a id="pl.57.26"></a><var>57.26</var>a period of not less than 30 days prior to the submission of the agreement to solicit <br/>
<a id="pl.57.27"></a><var>57.27</var>comments from the public on the contents of the agreement.<br/>
<a id="pl.57.28"></a><var>57.28</var>    (e) The commissioner must, within 60 days of receiving each county or tribal service <br/>
<a id="pl.57.29"></a><var>57.29</var>agreement, inform the county or tribe if the service agreement is approved. If the service <br/>
<a id="pl.57.30"></a><var>57.30</var>agreement is not approved, the commissioner must inform the county or tribe of any <br/>
<a id="pl.57.31"></a><var>57.31</var>revisions needed prior to approval.<br/>
<a id="pl.57.32"></a><var>57.32</var>    (f) The service agreement in this subdivision supersedes the plan requirements <br/>
<a id="pl.57.33"></a><var>57.33</var>of section 
         <statute_ref>116L.88</statute_ref>. <br/>
<br/>
<a id="bill.1.48.0"></a><a id="pl.57.34"></a><var>57.34</var>    Sec. 48. Minnesota Statutes 2006, section 256J.626, subdivision 5, is amended to read:<br/>
<a id="pl.58.1"></a><var>58.1</var>    Subd. 5. <b>Innovation projects.</b> Beginning January 1, 2005, no more than $3,000,000 <br/>
<a id="pl.58.2"></a><var>58.2</var>of the funds annually appropriated to the commissioner for use in the consolidated <br/>
<a id="pl.58.3"></a><var>58.3</var>fund shall be available to the commissioner for projects testing innovative approaches <br/>
<a id="pl.58.4"></a><var>58.4</var>to improving outcomes for MFIP participants, family stabilization services program <br/>
<a id="pl.58.5"></a><var>58.5</var>participants, and persons at risk of receiving MFIP as detailed in subdivision 3, and <br/>
<a id="pl.58.6"></a><var>58.6</var>for providing incentives to counties and tribes that exceed performance. Projects shall <br/>
<a id="pl.58.7"></a><var>58.7</var>be targeted to geographic areas with poor outcomes as specified in section 
         <statute_ref>256J.751, <br/>
<a id="pl.58.8"></a><var>58.8</var>subdivision 5
         </statute_ref>, or to subgroups within the MFIP case load who are experiencing poor <br/>
<a id="pl.58.9"></a><var>58.9</var>outcomes. For purposes of an incentive, a county or tribe exceeds performance if the <br/>
<a id="pl.58.10"></a><var>58.10</var>county or tribe is above the top of the county's or tribe's annualized range of expected <br/>
<a id="pl.58.11"></a><var>58.11</var>performance on the three-year self-support index under section 256J.751, subdivision 2, <br/>
<a id="pl.58.12"></a><var>58.12</var>clause (7), and achieves a 50 percent TANF participation rate under section 256J.751, <br/>
<a id="pl.58.13"></a><var>58.13</var>subdivision 2, clause (7), as averaged across the four quarterly measurements for the most <br/>
<a id="pl.58.14"></a><var>58.14</var>recent year for which the measurements are available.<br/>
<br/>
<a id="bill.1.49.0"></a><a id="pl.58.15"></a><var>58.15</var>    Sec. 49. Minnesota Statutes 2006, section 256J.626, subdivision 6, is amended to read:<br/>
<a id="pl.58.16"></a><var>58.16</var>    Subd. 6. <b>Base allocation to counties and tribes; definitions.</b> (a) For purposes of <br/>
<a id="pl.58.17"></a><var>58.17</var>this section, the following terms have the meanings given.<br/>
<a id="pl.58.18"></a><var>58.18</var>    (1) "2002 historic spending base" means the commissioner's determination of <br/>
<a id="pl.58.19"></a><var>58.19</var>the sum of the reimbursement related to fiscal year 2002 of county or tribal agency <br/>
<a id="pl.58.20"></a><var>58.20</var>expenditures for the base programs listed in clause (6), items (i) through (iv), and earnings <br/>
<a id="pl.58.21"></a><var>58.21</var>related to calendar year 2002 in the base program listed in clause (6), item (v), and the <br/>
<a id="pl.58.22"></a><var>58.22</var>amount of spending in fiscal year 2002 in the base program listed in clause (6), item (vi), <br/>
<a id="pl.58.23"></a><var>58.23</var>issued to or on behalf of persons residing in the county or tribal service delivery area.<br/>
<a id="pl.58.24"></a><var>58.24</var>    (2) "Adjusted caseload factor" means a factor weighted:<br/>
<a id="pl.58.25"></a><var>58.25</var>    (i) 47 percent on the MFIP cases in each county at four points in time in the most <br/>
<a id="pl.58.26"></a><var>58.26</var>recent 12-month period for which data is available multiplied by the county's caseload <br/>
<a id="pl.58.27"></a><var>58.27</var>difficulty factor; and<br/>
<a id="pl.58.28"></a><var>58.28</var>    (ii) 53 percent on the count of adults on MFIP in each county and tribe at four points <br/>
<a id="pl.58.29"></a><var>58.29</var>in time in the most recent 12-month period for which data is available multiplied by the <br/>
<a id="pl.58.30"></a><var>58.30</var>county or tribe's caseload difficulty factor.<br/>
<a id="pl.58.31"></a><var>58.31</var>    (3) "Caseload difficulty factor" means a factor determined by the commissioner for <br/>
<a id="pl.58.32"></a><var>58.32</var>each county and tribe based upon the self-support index described in section 
         <statute_ref>256J.751, <br/>
<a id="pl.58.33"></a><var>58.33</var>subdivision 2
         </statute_ref>, clause (7).<br/>
<a id="pl.58.34"></a><var>58.34</var>    (4) "Initial allocation" means the amount potentially available to each county or tribe <br/>
<a id="pl.58.35"></a><var>58.35</var>based on the formula in paragraphs (b) through (h).<br/>
<a id="pl.59.1"></a><var>59.1</var>    (5) "Final allocation" means the amount available to each county or tribe based on <br/>
<a id="pl.59.2"></a><var>59.2</var>the formula in paragraphs (b) through (h), after adjustment by subdivision 7.<br/>
<a id="pl.59.3"></a><var>59.3</var>    (6) "Base programs" means the:<br/>
<a id="pl.59.4"></a><var>59.4</var>    (i) MFIP employment and training services under Minnesota Statutes 2002, section <br/>
<statute_ref><a id="pl.59.5"></a><var>59.5</var>256J.62, subdivision 1
         </statute_ref>, in effect June 30, 2002;<br/>
<a id="pl.59.6"></a><var>59.6</var>    (ii) bilingual employment and training services to refugees under Minnesota Statutes <br/>
<a id="pl.59.7"></a><var>59.7</var>2002, section 
         <statute_ref>256J.62, subdivision 6</statute_ref>, in effect June 30, 2002;<br/>
<a id="pl.59.8"></a><var>59.8</var>    (iii) work literacy language programs under Minnesota Statutes 2002, section <br/>
<statute_ref><a id="pl.59.9"></a><var>59.9</var>256J.62, subdivision 7
         </statute_ref>, in effect June 30, 2002;<br/>
<a id="pl.59.10"></a><var>59.10</var>    (iv) supported work program authorized in Laws 2001, First Special Session chapter <br/>
<a id="pl.59.11"></a><var>59.11</var>9, article 17, section 2, in effect June 30, 2002;<br/>
<a id="pl.59.12"></a><var>59.12</var>    (v) administrative aid program under section 
         <statute_ref>256J.76</statute_ref> in effect December 31, 2002; <br/>
<a id="pl.59.13"></a><var>59.13</var>and<br/>
<a id="pl.59.14"></a><var>59.14</var>    (vi) emergency assistance program under Minnesota Statutes 2002, section 
         <statute_ref>256J.48</statute_ref>, <br/>
<a id="pl.59.15"></a><var>59.15</var>in effect June 30, 2002.<br/>
<a id="pl.59.16"></a><var>59.16</var>    (b) The commissioner shall:<br/>
<a id="pl.59.17"></a><var>59.17</var>    (1) beginning July 1, 2003, determine the initial allocation of funds available under <br/>
<a id="pl.59.18"></a><var>59.18</var>this section according to clause (2);<br/>
<a id="pl.59.19"></a><var>59.19</var>    (2) allocate all of the funds available for the period beginning July 1, 2003, and <br/>
<a id="pl.59.20"></a><var>59.20</var>ending December 31, 2004, to each county or tribe in proportion to the county's or tribe's <br/>
<a id="pl.59.21"></a><var>59.21</var>share of the statewide 2002 historic spending base;<br/>
<a id="pl.59.22"></a><var>59.22</var>    (3) determine for calendar year 2005 the initial allocation of funds to be made <br/>
<a id="pl.59.23"></a><var>59.23</var>available under this section in proportion to the county or tribe's initial allocation for the <br/>
<a id="pl.59.24"></a><var>59.24</var>period of July 1, 2003, to December 31, 2004;<br/>
<a id="pl.59.25"></a><var>59.25</var>    (4) determine for calendar year 2006 the initial allocation of funds to be made <br/>
<a id="pl.59.26"></a><var>59.26</var>available under this section based 90 percent on the proportion of the county or tribe's <br/>
<a id="pl.59.27"></a><var>59.27</var>share of the statewide 2002 historic spending base and ten percent on the proportion of <br/>
<a id="pl.59.28"></a><var>59.28</var>the county or tribe's share of the adjusted caseload factor;<br/>
<a id="pl.59.29"></a><var>59.29</var>    (5) determine for calendar year 2007 the initial allocation of funds to be made <br/>
<a id="pl.59.30"></a><var>59.30</var>available under this section based 70 percent on the proportion of the county or tribe's <br/>
<a id="pl.59.31"></a><var>59.31</var>share of the statewide 2002 historic spending base and 30 percent on the proportion of the <br/>
<a id="pl.59.32"></a><var>59.32</var>county or tribe's share of the adjusted caseload factor; and<br/>
<a id="pl.59.33"></a><var>59.33</var>    (6) determine for calendar year 2008 and subsequent years the initial allocation of <br/>
<a id="pl.59.34"></a><var>59.34</var>funds to be made available under this section based 50 percent on the proportion of the <br/>
<a id="pl.59.35"></a><var>59.35</var>county or tribe's share of the statewide 2002 historic spending base and 50 percent on the <br/>
<a id="pl.59.36"></a><var>59.36</var>proportion of the county or tribe's share of the adjusted caseload factor.<br/>
<a id="pl.60.1"></a><var>60.1</var>    (c) With the commencement of a new or expanded tribal TANF program or an <br/>
<a id="pl.60.2"></a><var>60.2</var>agreement under section 
         <statute_ref>256.01, subdivision 2</statute_ref>, paragraph (g), in which some or all of <br/>
<a id="pl.60.3"></a><var>60.3</var>the responsibilities of particular counties under this section are transferred to a tribe, <br/>
<a id="pl.60.4"></a><var>60.4</var>the commissioner shall:<br/>
<a id="pl.60.5"></a><var>60.5</var>    (1) in the case where all responsibilities under this section are transferred to a tribal <br/>
<a id="pl.60.6"></a><var>60.6</var>program, determine the percentage of the county's current caseload that is transferring to a <br/>
<a id="pl.60.7"></a><var>60.7</var>tribal program and adjust the affected county's allocation accordingly; and<br/>
<a id="pl.60.8"></a><var>60.8</var>    (2) in the case where a portion of the responsibilities under this section are <br/>
<a id="pl.60.9"></a><var>60.9</var>transferred to a tribal program, the commissioner shall consult with the affected county or <br/>
<a id="pl.60.10"></a><var>60.10</var>counties to determine an appropriate adjustment to the allocation.<br/>
<a id="pl.60.11"></a><var>60.11</var>    (d) Effective January 1, 2005, counties and tribes will have their final allocations <br/>
<a id="pl.60.12"></a><var>60.12</var>adjusted based on the performance provisions of subdivision 7.<br/>
<br/>
<a id="bill.1.50.0"></a><a id="pl.60.13"></a><var>60.13</var>    Sec. 50. Minnesota Statutes 2006, section 256J.751, subdivision 2, is amended to read:<br/>
<a id="pl.60.14"></a><var>60.14</var>    Subd. 2. <b>Quarterly comparison report.</b> The commissioner shall report quarterly to <br/>
<a id="pl.60.15"></a><var>60.15</var>all counties on each county's performance on the following measures:<br/>
<a id="pl.60.16"></a><var>60.16</var>    (1) percent of MFIP caseload working in paid employment;<br/>
<a id="pl.60.17"></a><var>60.17</var>    (2) percent of MFIP caseload receiving only the food portion of assistance;<br/>
<a id="pl.60.18"></a><var>60.18</var>    (3) number of MFIP cases that have left assistance;<br/>
<a id="pl.60.19"></a><var>60.19</var>    (4) median placement wage rate;<br/>
<a id="pl.60.20"></a><var>60.20</var>    (5) caseload by months of TANF assistance;<br/>
<a id="pl.60.21"></a><var>60.21</var>    (6) percent of MFIP and diversionary work program (DWP) cases off cash assistance <br/>
<a id="pl.60.22"></a><var>60.22</var>or working 30 or more hours per week at one-year, two-year, and three-year follow-up <br/>
<a id="pl.60.23"></a><var>60.23</var>points from a baseline quarter. This measure is called the self-support index. The <br/>
<a id="pl.60.24"></a><var>60.24</var>commissioner shall report quarterly an expected range of performance for each county, <br/>
<a id="pl.60.25"></a><var>60.25</var>county grouping, and tribe on the self-support index. The expected range shall be derived <br/>
<a id="pl.60.26"></a><var>60.26</var>by a statistical methodology developed by the commissioner in consultation with the <br/>
<a id="pl.60.27"></a><var>60.27</var>counties and tribes. The statistical methodology shall control differences across counties <br/>
<a id="pl.60.28"></a><var>60.28</var>in economic conditions and demographics of the MFIP and DWP case load; and<br/>
<a id="pl.60.29"></a><var>60.29</var>    (7) the MFIP TANF work participation rate, defined as the participation requirements <br/>
<a id="pl.60.30"></a><var>60.30</var>specified in title 1 of Public Law 104-193 applied to all MFIP cases except child only <br/>
<a id="pl.60.31"></a><var>60.31</var>cases under Public Law 109-171, the Deficit Reduction Act of 2005.<br/>
<br/>
<a id="bill.1.51.0"></a><a id="pl.60.32"></a><var>60.32</var>    Sec. 51. Minnesota Statutes 2006, section 256J.751, subdivision 5, is amended to read:<br/>
<a id="pl.60.33"></a><var>60.33</var>    Subd. 5. <b>Failure to meet federal performance standards.</b> (a) If sanctions occur <br/>
<a id="pl.60.34"></a><var>60.34</var>for failure to meet the performance standards specified in title 1 of Public Law 104-193 <br/>
<a id="pl.61.1"></a><var>61.1</var>of the Personal Responsibility and Work Opportunity Act of 1996, and under Public <br/>
<a id="pl.61.2"></a><var>61.2</var>Law 109-171, the Deficit Reduction Act of 2005, the state shall pay 88 percent of the <br/>
<a id="pl.61.3"></a><var>61.3</var>sanction. The remaining 12 percent of the sanction will be paid by the counties. The <br/>
<a id="pl.61.4"></a><var>61.4</var>county portion of the sanction will be distributed across all counties in proportion to each <br/>
<a id="pl.61.5"></a><var>61.5</var>county's percentage of the MFIP average monthly caseload during the period for which <br/>
<a id="pl.61.6"></a><var>61.6</var>the sanction was applied.<br/>
<a id="pl.61.7"></a><var>61.7</var>    (b) If a county fails to meet the performance standards specified in title 1 of Public <br/>
<a id="pl.61.8"></a><var>61.8</var>Law 104-193 of the Personal Responsibility and Work Opportunity Act of 1996, and <br/>
<a id="pl.61.9"></a><var>61.9</var>Public Law 109-171, the Deficit Reduction Act of 2005, for any year, the commissioner <br/>
<a id="pl.61.10"></a><var>61.10</var>shall work with counties to organize a joint state-county technical assistance team to work <br/>
<a id="pl.61.11"></a><var>61.11</var>with the county. The commissioner shall coordinate any technical assistance with other <br/>
<a id="pl.61.12"></a><var>61.12</var>departments and agencies including the Departments of Employment and Economic <br/>
<a id="pl.61.13"></a><var>61.13</var>Development and Education as necessary to achieve the purpose of this paragraph.<br/>
<a id="pl.61.14"></a><var>61.14</var>    (c) For state performance measures, a low-performing county is one that:<br/>
<a id="pl.61.15"></a><var>61.15</var>    (1) performs below the bottom of their expected range for the measure in subdivision <br/>
<a id="pl.61.16"></a><var>61.16</var>2, clause (7) (6), in an annualized measurement reported in October of each year; or<br/>
<a id="pl.61.17"></a><var>61.17</var>    (2) performs below 40 percent for the measure in subdivision 2, clause (8) (7), as <br/>
<a id="pl.61.18"></a><var>61.18</var>averaged across the four quarterly measurements for the year, or the ten counties with the <br/>
<a id="pl.61.19"></a><var>61.19</var>lowest rates if more than ten are below 40 percent.<br/>
<a id="pl.61.20"></a><var>61.20</var>    (d) Low-performing counties under paragraph (c) must engage in corrective action <br/>
<a id="pl.61.21"></a><var>61.21</var>planning as defined by the commissioner. The commissioner may coordinate technical <br/>
<a id="pl.61.22"></a><var>61.22</var>assistance as specified in paragraph (b) for low-performing counties under paragraph (c).<br/>
<br/>
<a id="bill.1.52.0"></a><a id="pl.61.23"></a><var>61.23</var>    Sec. 52. Minnesota Statutes 2006, section 256J.95, subdivision 3, is amended to read:<br/>
<a id="pl.61.24"></a><var>61.24</var>    Subd. 3. <b>Eligibility for diversionary work program.</b> (a) Except for the categories <br/>
<a id="pl.61.25"></a><var>61.25</var>of family units listed below, all family units who apply for cash benefits and who <br/>
<a id="pl.61.26"></a><var>61.26</var>meet MFIP eligibility as required in sections 
         <statute_ref>256J.11</statute_ref> to 
         <statute_ref>256J.15</statute_ref> are eligible and must <br/>
<a id="pl.61.27"></a><var>61.27</var>participate in the diversionary work program. Family units that are not eligible for the <br/>
<a id="pl.61.28"></a><var>61.28</var>diversionary work program include:<br/>
<a id="pl.61.29"></a><var>61.29</var>    (1) child only cases;<br/>
<a id="pl.61.30"></a><var>61.30</var>    (2) a single-parent family unit that includes a child under 12 weeks of age. A parent <br/>
<a id="pl.61.31"></a><var>61.31</var>is eligible for this exception once in a parent's lifetime and is not eligible if the parent <br/>
<a id="pl.61.32"></a><var>61.32</var>has already used the previously allowed child under age one exemption from MFIP <br/>
<a id="pl.61.33"></a><var>61.33</var>employment services;<br/>
<a id="pl.61.34"></a><var>61.34</var>    (3) a minor parent without a high school diploma or its equivalent;<br/>
<a id="pl.62.1"></a><var>62.1</var>    (4) an 18- or 19-year-old caregiver without a high school diploma or its equivalent <br/>
<a id="pl.62.2"></a><var>62.2</var>who chooses to have an employment plan with an education option;<br/>
<a id="pl.62.3"></a><var>62.3</var>    (5) a caregiver age 60 or over;<br/>
<a id="pl.62.4"></a><var>62.4</var>    (6) family units with a caregiver who received DWP benefits in the 12 months prior <br/>
<a id="pl.62.5"></a><var>62.5</var>to the month the family applied for DWP, except as provided in paragraph (c);<br/>
<a id="pl.62.6"></a><var>62.6</var>    (7) family units with a caregiver who received MFIP within the 12 months prior to <br/>
<a id="pl.62.7"></a><var>62.7</var>the month the family unit applied for DWP;<br/>
<a id="pl.62.8"></a><var>62.8</var>    (8) a family unit with a caregiver who received 60 or more months of TANF <br/>
<a id="pl.62.9"></a><var>62.9</var>assistance; and<br/>
<a id="pl.62.10"></a><var>62.10</var>    (9) a family unit with a caregiver who is disqualified from DWP or MFIP due to <br/>
<a id="pl.62.11"></a><var>62.11</var>fraud.; and<br/>
<a id="pl.62.12"></a><var>62.12</var>    (10) refugees as defined in Code of Federal Regulations, title 45, chapter IV, section <br/>
<a id="pl.62.13"></a><var>62.13</var>444.43, who arrived in the United States in the 12 months prior to the date of application <br/>
<a id="pl.62.14"></a><var>62.14</var>for family cash assistance.<br/>
<a id="pl.62.15"></a><var>62.15</var>    (b) A two-parent family must participate in DWP unless both caregivers meet the <br/>
<a id="pl.62.16"></a><var>62.16</var>criteria for an exception under paragraph (a), clauses (1) through (5), or the family unit <br/>
<a id="pl.62.17"></a><var>62.17</var>includes a parent who meets the criteria in paragraph (a), clause (6), (7), (8), or (9).<br/>
<a id="pl.62.18"></a><var>62.18</var>    (c) Once DWP eligibility is determined, the four months run consecutively. If a <br/>
<a id="pl.62.19"></a><var>62.19</var>participant leaves the program for any reason and reapplies during the four-month period, <br/>
<a id="pl.62.20"></a><var>62.20</var>the county must redetermine eligibility for DWP.<br/>
<a id="pl.62.21"></a><var>62.21</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.53.0"></a><a id="pl.62.22"></a><var>62.22</var>    Sec. 53. Minnesota Statutes 2006, section 256J.95, subdivision 13, is amended to read:<br/>
<a id="pl.62.23"></a><var>62.23</var>    Subd. 13. <b>Immediate referral to employment services.</b> Within one working day of <br/>
<a id="pl.62.24"></a><var>62.24</var>determination that the applicant is eligible for the diversionary work program, but before <br/>
<a id="pl.62.25"></a><var>62.25</var>benefits are issued to or on behalf of the family unit, the county shall refer all caregivers to <br/>
<a id="pl.62.26"></a><var>62.26</var>employment services. The referral to the DWP employment services must be in writing <br/>
<a id="pl.62.27"></a><var>62.27</var>and must contain the following information:<br/>
<a id="pl.62.28"></a><var>62.28</var>    (1) notification that, as part of the application process, applicants are required to <br/>
<a id="pl.62.29"></a><var>62.29</var>develop an employment plan or the DWP application will be denied;<br/>
<a id="pl.62.30"></a><var>62.30</var>    (2) the employment services provider name and phone number;<br/>
<a id="pl.62.31"></a><var>62.31</var>    (3) the date, time, and location of the scheduled employment services interview;<br/>
<a id="pl.62.32"></a><var>62.32</var>    (4) (3) the immediate availability of supportive services, including, but not limited <br/>
<a id="pl.62.33"></a><var>62.33</var>to, child care, transportation, and other work-related aid; and<br/>
<a id="pl.63.1"></a><var>63.1</var>    (5) (4) the rights, responsibilities, and obligations of participants in the program, <br/>
<a id="pl.63.2"></a><var>63.2</var>including, but not limited to, the grounds for good cause, the consequences of refusing or <br/>
<a id="pl.63.3"></a><var>63.3</var>failing to participate fully with program requirements, and the appeal process.<br/>
<br/>
<a id="bill.1.54.0"></a><a id="pl.63.4"></a><var>63.4</var>    Sec. 54. Minnesota Statutes 2006, section 256K.45, is amended by adding a <br/>
<a id="pl.63.5"></a><var>63.5</var>subdivision to read:<br/>
<a id="pl.63.6"></a><var>63.6</var>    Subd. 6. <b>Funding.</b> Any funds appropriated for this section may be expended <br/>
<a id="pl.63.7"></a><var>63.7</var>on programs described under subdivisions 3 to 5, technical assistance, and capacity <br/>
<a id="pl.63.8"></a><var>63.8</var>building. In addition, up to five percent of funds appropriated may be used for program <br/>
<a id="pl.63.9"></a><var>63.9</var>administration and up to eight percent of funds appropriated may be used for the purpose <br/>
<a id="pl.63.10"></a><var>63.10</var>of monitoring and evaluating runaway and homeless youth programs receiving funding <br/>
<a id="pl.63.11"></a><var>63.11</var>under this section. Funding shall be directed to meet the greatest need, with a significant <br/>
<a id="pl.63.12"></a><var>63.12</var>share of the funding focused on homeless youth providers in greater Minnesota.<br/>
<br/>
<a id="bill.1.55.0"></a><a id="pl.63.13"></a><var>63.13</var>    Sec. 55. Minnesota Statutes 2006, section 259.24, subdivision 3, is amended to read:<br/>
<a id="pl.63.14"></a><var>63.14</var>    Subd. 3. <b>Child.</b> When the child to be adopted is over 14 years of age, the child's <br/>
<a id="pl.63.15"></a><var>63.15</var>written consent to adoption by a particular person is also shall be necessary. A child <br/>
<a id="pl.63.16"></a><var>63.16</var>of any age who is under the guardianship of the commissioner and is legally available <br/>
<a id="pl.63.17"></a><var>63.17</var>for adoption may not refuse or waive the commissioner's agent's exhaustive efforts to <br/>
<a id="pl.63.18"></a><var>63.18</var>recruit, identify, and place the child in an adoptive home required under section 260C.317, <br/>
<a id="pl.63.19"></a><var>63.19</var>subdivision 3, paragraph (b), or sign a document relieving county social services agencies <br/>
<a id="pl.63.20"></a><var>63.20</var>of all recruitment efforts on the child's behalf.<br/>
<br/>
<a id="bill.1.56.0"></a><a id="pl.63.21"></a><var>63.21</var>    Sec. 56. Minnesota Statutes 2006, section 259.53, subdivision 1, is amended to read:<br/>
<a id="pl.63.22"></a><var>63.22</var>    Subdivision 1. <b>Notice to commissioner; referral for postplacement assessment.</b><br/>
<a id="pl.63.23"></a><var>63.23</var>    (a) Upon the filing of a petition for adoption of a child who is:<br/>
<a id="pl.63.24"></a><var>63.24</var>    (1) under the guardianship of the commissioner or a licensed child-placing agency <br/>
<a id="pl.63.25"></a><var>63.25</var>according to section 260C.201, subdivision 11, or 260C.317;<br/>
<a id="pl.63.26"></a><var>63.26</var>    (2) placed by the commissioner, commissioner's agent, or licensed child-placing <br/>
<a id="pl.63.27"></a><var>63.27</var>agency after a consent to adopt according to section 259.24 or under an agreement <br/>
<a id="pl.63.28"></a><var>63.28</var>conferring authority to place for adoption according to section 259.25; or<br/>
<a id="pl.63.29"></a><var>63.29</var>    (3) placed by preadoptive custody order for a direct adoptive placement ordered <br/>
<a id="pl.63.30"></a><var>63.30</var>by the district court under section 259.47,<br/>
<a id="pl.63.31"></a><var>63.31</var>the court administrator shall immediately transmit a copy of the petition to the <br/>
<a id="pl.63.32"></a><var>63.32</var>commissioner of human services.<br/>
<a id="pl.64.1"></a><var>64.1</var>    (b) The court shall immediately refer the petition to the agency specified below for <br/>
<a id="pl.64.2"></a><var>64.2</var>completion of a postplacement assessment and report as required by subdivision 2.<br/>
<a id="pl.64.3"></a><var>64.3</var>    (1) If the child to be adopted has been committed to the guardianship of the <br/>
<a id="pl.64.4"></a><var>64.4</var>commissioner or an agency under section 
         <statute_ref>260C.317</statute_ref> or an agency has been given authority <br/>
<a id="pl.64.5"></a><var>64.5</var>to place the child under section 
         <statute_ref>259.25</statute_ref>, the court shall refer the petition to that agency, <br/>
<a id="pl.64.6"></a><var>64.6</var>unless another agency is supervising the placement, in which case the court shall refer the <br/>
<a id="pl.64.7"></a><var>64.7</var>petition to the supervising agency. <br/>
<a id="pl.64.8"></a><var>64.8</var>    (2) If the child to be adopted has been placed in the petitioner's home by a direct <br/>
<a id="pl.64.9"></a><var>64.9</var>adoptive placement, the court shall refer the petition to the agency supervising the <br/>
<a id="pl.64.10"></a><var>64.10</var>placement under section 
         <statute_ref>259.47, subdivision 3</statute_ref>, paragraph (a), clause (6). <br/>
<a id="pl.64.11"></a><var>64.11</var>    (3) If the child is to be adopted by an individual who is related to the child as defined <br/>
<a id="pl.64.12"></a><var>64.12</var>by section 
         <statute_ref>245A.02, subdivision 13</statute_ref>, and in all other instances not described in clause (1) <br/>
<a id="pl.64.13"></a><var>64.13</var>or (2), the court shall refer the petition to the local social services agency of the county in <br/>
<a id="pl.64.14"></a><var>64.14</var>which the prospective adoptive parent lives. <br/>
<br/>
<a id="bill.1.57.0"></a><a id="pl.64.15"></a><var>64.15</var>    Sec. 57. Minnesota Statutes 2006, section 259.57, subdivision 1, is amended to read:<br/>
<a id="pl.64.16"></a><var>64.16</var>    Subdivision 1. <b>Findings; orders.</b> Upon the hearing,<br/>
<a id="pl.64.17"></a><var>64.17</var>    (a) if the court finds that it is in the best interests of the child that the petition <br/>
<a id="pl.64.18"></a><var>64.18</var>be granted, a decree of adoption shall be made and recorded in the office of the court <br/>
<a id="pl.64.19"></a><var>64.19</var>administrator, ordering that henceforth the child shall be the child of the petitioner. In the <br/>
<a id="pl.64.20"></a><var>64.20</var>decree the court may change the name of the child if desired. After the decree is granted <br/>
<a id="pl.64.21"></a><var>64.21</var>for a child who is: <br/>
<a id="pl.64.22"></a><var>64.22</var>    (1) under the guardianship of the commissioner or a licensed child-placing agency <br/>
<a id="pl.64.23"></a><var>64.23</var>according to section 260C.201, subdivision 11, or 260C.317;<br/>
<a id="pl.64.24"></a><var>64.24</var>    (2) placed by the commissioner, commissioner's agent, or licensed child-placing <br/>
<a id="pl.64.25"></a><var>64.25</var>agency after a consent to adopt according to section 259.24 or under an agreement <br/>
<a id="pl.64.26"></a><var>64.26</var>conferring authority to place for adoption according to section 259.25; or<br/>
<a id="pl.64.27"></a><var>64.27</var>    (3) adopted after a direct adoptive placement ordered by the district court under <br/>
<a id="pl.64.28"></a><var>64.28</var>section 259.47,<br/>
<a id="pl.64.29"></a><var>64.29</var>the court administrator shall immediately mail a copy of the recorded decree to the <br/>
<a id="pl.64.30"></a><var>64.30</var>commissioner of human services;<br/>
<a id="pl.64.31"></a><var>64.31</var>    (b) if the court is not satisfied that the proposed adoption is in the best interests <br/>
<a id="pl.64.32"></a><var>64.32</var>of the child, the court shall deny the petition, and shall order the child returned to the <br/>
<a id="pl.64.33"></a><var>64.33</var>custody of the person or agency legally vested with permanent custody or certify the <br/>
<a id="pl.64.34"></a><var>64.34</var>case for appropriate action and disposition to the court having jurisdiction to determine <br/>
<a id="pl.64.35"></a><var>64.35</var>the custody and guardianship of the child.<br/>
<br/>
<a id="bill.1.58.0"></a><a id="pl.65.1"></a><var>65.1</var>    Sec. 58. Minnesota Statutes 2006, section 259.67, subdivision 4, is amended to read:<br/>
<a id="pl.65.2"></a><var>65.2</var>    Subd. 4. <b>Eligibility conditions.</b> (a) The placing agency shall use the AFDC <br/>
<a id="pl.65.3"></a><var>65.3</var>requirements as specified in federal law as of July 16, 1996, when determining the child's <br/>
<a id="pl.65.4"></a><var>65.4</var>eligibility for adoption assistance under title IV-E of the Social Security Act. If the child <br/>
<a id="pl.65.5"></a><var>65.5</var>does not qualify, the placing agency shall certify a child as eligible for state funded <br/>
<a id="pl.65.6"></a><var>65.6</var>adoption assistance only if the following criteria are met:<br/>
<a id="pl.65.7"></a><var>65.7</var>    (1) Due to the child's characteristics or circumstances it would be difficult to provide <br/>
<a id="pl.65.8"></a><var>65.8</var>the child an adoptive home without adoption assistance.<br/>
<a id="pl.65.9"></a><var>65.9</var>    (2)(i) A placement agency has made reasonable efforts to place the child for adoption <br/>
<a id="pl.65.10"></a><var>65.10</var>without adoption assistance, but has been unsuccessful; or<br/>
<a id="pl.65.11"></a><var>65.11</var>    (ii) the child's licensed foster parents desire to adopt the child and it is determined by <br/>
<a id="pl.65.12"></a><var>65.12</var>the placing agency that the adoption is in the best interest of the child.<br/>
<a id="pl.65.13"></a><var>65.13</var>    (3)(i) The child has been a ward of the commissioner, a Minnesota-licensed <br/>
<a id="pl.65.14"></a><var>65.14</var>child-placing agency, or a tribal social service agency of Minnesota recognized by the <br/>
<a id="pl.65.15"></a><var>65.15</var>Secretary of the Interior; or (ii) the child will be adopted according to tribal law without a <br/>
<a id="pl.65.16"></a><var>65.16</var>termination of parental rights or relinquishment, provided that the tribe has documented <br/>
<a id="pl.65.17"></a><var>65.17</var>the valid reason why the child cannot or should not be returned to the home of the child's <br/>
<a id="pl.65.18"></a><var>65.18</var>parent. The placing agency shall not certify a child who remains under the jurisdiction <br/>
<a id="pl.65.19"></a><var>65.19</var>of the sending agency pursuant to section 
         <statute_ref>260.851</statute_ref>, article 5, for state-funded adoption <br/>
<a id="pl.65.20"></a><var>65.20</var>assistance when Minnesota is the receiving state.<br/>
<a id="pl.65.21"></a><var>65.21</var>    (b) For purposes of this subdivision, the characteristics or circumstances that may <br/>
<a id="pl.65.22"></a><var>65.22</var>be considered in determining whether a child is a child with special needs under United <br/>
<a id="pl.65.23"></a><var>65.23</var>States Code, title 42, chapter 7, subchapter IV, part E, or meets the requirements of <br/>
<a id="pl.65.24"></a><var>65.24</var>paragraph (a), clause (1), are the following:<br/>
<a id="pl.65.25"></a><var>65.25</var>    (1) The child is a member of a sibling group to be placed as one unit in which at <br/>
<a id="pl.65.26"></a><var>65.26</var>least one sibling is older than 15 months of age or is described in clause (2) or (3).<br/>
<a id="pl.65.27"></a><var>65.27</var>    (2) The child has documented physical, mental, emotional, or behavioral disabilities.<br/>
<a id="pl.65.28"></a><var>65.28</var>    (3) The child has a high risk of developing physical, mental, emotional, or behavioral <br/>
<a id="pl.65.29"></a><var>65.29</var>disabilities.<br/>
<a id="pl.65.30"></a><var>65.30</var>    (4) The child is adopted according to tribal law without a termination of parental <br/>
<a id="pl.65.31"></a><var>65.31</var>rights or relinquishment, provided that the tribe has documented the valid reason why the <br/>
<a id="pl.65.32"></a><var>65.32</var>child cannot or should not be returned to the home of the child's parent.<br/>
<a id="pl.65.33"></a><var>65.33</var>    (4) The child is five years of age or older.<br/>
<a id="pl.65.34"></a><var>65.34</var>    (c) When a child's eligibility for adoption assistance is based upon the high risk of <br/>
<a id="pl.65.35"></a><var>65.35</var>developing physical, mental, emotional, or behavioral disabilities, payments shall not be <br/>
<a id="pl.66.1"></a><var>66.1</var>made under the adoption assistance agreement unless and until the potential disability <br/>
<a id="pl.66.2"></a><var>66.2</var>manifests itself as documented by an appropriate health care professional.<br/>
<br/>
<a id="bill.1.59.0"></a><a id="pl.66.3"></a><var>66.3</var>    Sec. 59. Minnesota Statutes 2006, section 259.67, subdivision 7, is amended to read:<br/>
<a id="pl.66.4"></a><var>66.4</var>    Subd. 7. <b>Reimbursement of costs.</b> (a) Subject to rules of the commissioner, and <br/>
<a id="pl.66.5"></a><var>66.5</var>the provisions of this subdivision a child-placing agency licensed in Minnesota or any <br/>
<a id="pl.66.6"></a><var>66.6</var>other state, or local or tribal social services agency shall receive a reimbursement from the <br/>
<a id="pl.66.7"></a><var>66.7</var>commissioner equal to 100 percent of the reasonable and appropriate cost of providing <br/>
<a id="pl.66.8"></a><var>66.8</var>adoption services for a child certified as eligible for adoption assistance under subdivision <br/>
<a id="pl.66.9"></a><var>66.9</var>4. Such assistance. Adoption services under this subdivision may include adoptive family <br/>
<a id="pl.66.10"></a><var>66.10</var>recruitment, counseling, and special training when needed. <br/>
<a id="pl.66.11"></a><var>66.11</var>    (b) An eligible child must have a goal of adoption, which may include an adoption <br/>
<a id="pl.66.12"></a><var>66.12</var>in accordance with tribal law, and meet one of the following criteria: <br/>
<a id="pl.66.13"></a><var>66.13</var>    (1) is a ward of the commissioner of human services or a ward of tribal court <br/>
<a id="pl.66.14"></a><var>66.14</var>pursuant to section 260.755, subdivision 20, who meets one of the criteria in subdivision <br/>
<a id="pl.66.15"></a><var>66.15</var>4, paragraph (b), clause (1), (2), or (3); or <br/>
<a id="pl.66.16"></a><var>66.16</var>    (2) is under the guardianship of a Minnesota-licensed child-placing agency who <br/>
<a id="pl.66.17"></a><var>66.17</var>meets one of the criteria in subdivision 4, paragraph (b), clause (1) or (2).<br/>
<a id="pl.66.18"></a><var>66.18</var>    (c) A child-placing agency licensed in Minnesota or any other state shall receive <br/>
<a id="pl.66.19"></a><var>66.19</var>reimbursement for adoption services it purchases for or directly provides to an eligible <br/>
<a id="pl.66.20"></a><var>66.20</var>child. Tribal social services shall receive reimbursement for adoption services it purchases <br/>
<a id="pl.66.21"></a><var>66.21</var>for or directly provides to an eligible child. A local or tribal social services agency shall <br/>
<a id="pl.66.22"></a><var>66.22</var>receive such reimbursement only for adoption services it purchases for an eligible child.<br/>
<a id="pl.66.23"></a><var>66.23</var>    (b) A child-placing agency licensed in Minnesota or any other state or local or tribal <br/>
<a id="pl.66.24"></a><var>66.24</var>social services agency seeking reimbursement under this subdivision shall enter into <br/>
<a id="pl.66.25"></a><var>66.25</var>Before providing adoption services for which reimbursement will be sought under this <br/>
<a id="pl.66.26"></a><var>66.26</var>subdivision, a reimbursement agreement, on the designated format, must be entered into <br/>
<a id="pl.66.27"></a><var>66.27</var>with the commissioner before providing adoption services for which reimbursement <br/>
<a id="pl.66.28"></a><var>66.28</var>is sought. No reimbursement under this subdivision shall be made to an agency for <br/>
<a id="pl.66.29"></a><var>66.29</var>services provided prior to entering a reimbursement agreement. Separate reimbursement <br/>
<a id="pl.66.30"></a><var>66.30</var>agreements shall be made for each child and separate records shall be kept on each child <br/>
<a id="pl.66.31"></a><var>66.31</var>for whom a reimbursement agreement is made. The commissioner of human services shall <br/>
<a id="pl.66.32"></a><var>66.32</var>agree that the reimbursement costs are reasonable and appropriate. The commissioner <br/>
<a id="pl.66.33"></a><var>66.33</var>may spend up to $16,000 for each purchase of service agreement. Only one agreement per <br/>
<a id="pl.66.34"></a><var>66.34</var>child is allowed, unless an exception is granted by the commissioner. Funds encumbered <br/>
<a id="pl.67.1"></a><var>67.1</var>and obligated under such an agreement for the child remain available until the terms of <br/>
<a id="pl.67.2"></a><var>67.2</var>the agreement are fulfilled or the agreement is terminated.<br/>
<a id="pl.67.3"></a><var>67.3</var>    (c) When a local or tribal social services agency uses a purchase of service agreement <br/>
<a id="pl.67.4"></a><var>67.4</var>to provide services reimbursable under a reimbursement agreement, The commissioner <br/>
<a id="pl.67.5"></a><var>67.5</var>may shall make reimbursement payments directly to the agency providing the service if <br/>
<a id="pl.67.6"></a><var>67.6</var>direct reimbursement is specified by the purchase of service agreement, and if the request <br/>
<a id="pl.67.7"></a><var>67.7</var>for reimbursement is submitted by the local or tribal social services agency along with a <br/>
<a id="pl.67.8"></a><var>67.8</var>verification that the service was provided.<br/>
<br/>
<a id="bill.1.60.0"></a><a id="pl.67.9"></a><var>67.9</var>    Sec. 60. Minnesota Statutes 2006, section 259.75, subdivision 8, is amended to read:<br/>
<a id="pl.67.10"></a><var>67.10</var>    Subd. 8. <b>Reasons for deferral.</b> Deferral of the listing of a child with the state <br/>
<a id="pl.67.11"></a><var>67.11</var>adoption exchange shall be only for one or more of the following reasons:<br/>
<a id="pl.67.12"></a><var>67.12</var>    (a) the child is in an adoptive placement but is not legally adopted;<br/>
<a id="pl.67.13"></a><var>67.13</var>    (b) the child's foster parents or other individuals are now considering adoption;<br/>
<a id="pl.67.14"></a><var>67.14</var>    (c) diagnostic study or testing is required to clarify the child's problem and provide <br/>
<a id="pl.67.15"></a><var>67.15</var>an adequate description; or<br/>
<a id="pl.67.16"></a><var>67.16</var>    (d) the child is currently in a hospital and continuing need for daily professional care <br/>
<a id="pl.67.17"></a><var>67.17</var>will not permit placement in a family setting; or.<br/>
<a id="pl.67.18"></a><var>67.18</var>    (e) the child is 14 years of age or older and will not consent to an adoption plan.<br/>
<a id="pl.67.19"></a><var>67.19</var>Approval of a request to defer listing for any of the reasons specified in paragraph (b) or <br/>
<a id="pl.67.20"></a><var>67.20</var>(c) shall be valid for a period not to exceed 90 days, with no subsequent deferrals for <br/>
<a id="pl.67.21"></a><var>67.21</var>those reasons.<br/>
<br/>
<a id="bill.1.61.0"></a><a id="pl.67.22"></a><var>67.22</var>    Sec. 61. Minnesota Statutes 2006, section 260.012, is amended to read:<br/>
<a id="pl.67.23"></a><var>67.23</var><b>260.012 DUTY TO ENSURE PLACEMENT PREVENTION AND FAMILY </b><br/>
<a id="pl.67.24"></a><var>67.24</var><b>REUNIFICATION; REASONABLE EFFORTS.</b><br/>
<a id="pl.67.25"></a><var>67.25</var>    (a) Once a child alleged to be in need of protection or services is under the court's <br/>
<a id="pl.67.26"></a><var>67.26</var>jurisdiction, the court shall ensure that reasonable efforts, including culturally appropriate <br/>
<a id="pl.67.27"></a><var>67.27</var>services, by the social services agency are made to prevent placement or to eliminate the <br/>
<a id="pl.67.28"></a><var>67.28</var>need for removal and to reunite the child with the child's family at the earliest possible <br/>
<a id="pl.67.29"></a><var>67.29</var>time, and when a child cannot be reunified with the parent or guardian from whom the <br/>
<a id="pl.67.30"></a><var>67.30</var>child was removed, the court must ensure that the responsible social services agency <br/>
<a id="pl.67.31"></a><var>67.31</var>makes reasonable efforts to finalize an alternative permanent plan for the child as provided <br/>
<a id="pl.67.32"></a><var>67.32</var>in paragraph (e). In determining reasonable efforts to be made with respect to a child and <br/>
<a id="pl.67.33"></a><var>67.33</var>in making those reasonable efforts, the child's best interests, health, and safety must be of <br/>
<a id="pl.67.34"></a><var>67.34</var>paramount concern. Reasonable efforts to prevent placement and for rehabilitation and <br/>
<a id="pl.68.1"></a><var>68.1</var>reunification are always required except upon a determination by the court that a petition <br/>
<a id="pl.68.2"></a><var>68.2</var>has been filed stating a prima facie case that:<br/>
<a id="pl.68.3"></a><var>68.3</var>    (1) the parent has subjected a child to egregious harm as defined in section <br/>
<statute_ref><a id="pl.68.4"></a><var>68.4</var>260C.007, subdivision 14
         </statute_ref>;<br/>
<a id="pl.68.5"></a><var>68.5</var>    (2) the parental rights of the parent to another child have been terminated <br/>
<a id="pl.68.6"></a><var>68.6</var>involuntarily;<br/>
<a id="pl.68.7"></a><var>68.7</var>    (3) the child is an abandoned infant under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>, <br/>
<a id="pl.68.8"></a><var>68.8</var>paragraph (a), clause (2);<br/>
<a id="pl.68.9"></a><var>68.9</var>    (4) the parent's custodial rights to another child have been involuntarily transferred <br/>
<a id="pl.68.10"></a><var>68.10</var>to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, paragraph (e), clause (1), or a similar <br/>
<a id="pl.68.11"></a><var>68.11</var>law of another jurisdiction; or<br/>
<a id="pl.68.12"></a><var>68.12</var>    (5) the provision of services or further services for the purpose of reunification is <br/>
<a id="pl.68.13"></a><var>68.13</var>futile and therefore unreasonable under the circumstances.<br/>
<a id="pl.68.14"></a><var>68.14</var>    (b) When the court makes one of the prima facie determinations under paragraph (a), <br/>
<a id="pl.68.15"></a><var>68.15</var>either permanency pleadings under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, or a termination <br/>
<a id="pl.68.16"></a><var>68.16</var>of parental rights petition under sections 
         <statute_ref>260C.141</statute_ref> and 
         <statute_ref>260C.301</statute_ref> must be filed. A <br/>
<a id="pl.68.17"></a><var>68.17</var>permanency hearing under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, must be held within 30 <br/>
<a id="pl.68.18"></a><var>68.18</var>days of this determination.<br/>
<a id="pl.68.19"></a><var>68.19</var>    (c) In the case of an Indian child, in proceedings under sections 
         <statute_ref>260B.178</statute_ref> or <br/>
<statute_ref><a id="pl.68.20"></a><var>68.20</var>260C.178
         </statute_ref>, 
         <statute_ref>260C.201</statute_ref>, and 
         <statute_ref>260C.301</statute_ref> the juvenile court must make findings and conclusions <br/>
<a id="pl.68.21"></a><var>68.21</var>consistent with the Indian Child Welfare Act of 1978, United States Code, title 25, section <br/>
<a id="pl.68.22"></a><var>68.22</var>1901 et seq., as to the provision of active efforts. In cases governed by the Indian Child <br/>
<a id="pl.68.23"></a><var>68.23</var>Welfare Act of 1978, United States Code, title 25, section 1901, the responsible social <br/>
<a id="pl.68.24"></a><var>68.24</var>services agency must provide active efforts as required under United States Code, title <br/>
<a id="pl.68.25"></a><var>68.25</var>25, section 1911(d).<br/>
<a id="pl.68.26"></a><var>68.26</var>    (d) "Reasonable efforts to prevent placement" means:<br/>
<a id="pl.68.27"></a><var>68.27</var>    (1) the agency has made reasonable efforts to prevent the placement of the child in <br/>
<a id="pl.68.28"></a><var>68.28</var>foster care; or<br/>
<a id="pl.68.29"></a><var>68.29</var>    (2) given the particular circumstances of the child and family at the time of the <br/>
<a id="pl.68.30"></a><var>68.30</var>child's removal, there are no services or efforts available which could allow the child to <br/>
<a id="pl.68.31"></a><var>68.31</var>safely remain in the home.<br/>
<a id="pl.68.32"></a><var>68.32</var>    (e) "Reasonable efforts to finalize a permanent plan for the child" means due <br/>
<a id="pl.68.33"></a><var>68.33</var>diligence by the responsible social services agency to:<br/>
<a id="pl.68.34"></a><var>68.34</var>    (1) reunify the child with the parent or guardian from whom the child was removed;<br/>
<a id="pl.69.1"></a><var>69.1</var>    (2) assess a noncustodial parent's ability to provide day-to-day care for the child and, <br/>
<a id="pl.69.2"></a><var>69.2</var>where appropriate, provide services necessary to enable the noncustodial parent to safely <br/>
<a id="pl.69.3"></a><var>69.3</var>provide the care, as required by section 
         <statute_ref>260C.212, subdivision 4</statute_ref>;<br/>
<a id="pl.69.4"></a><var>69.4</var>    (3) conduct a relative search as required under section 
         <statute_ref>260C.212, subdivision 5</statute_ref>; and<br/>
<a id="pl.69.5"></a><var>69.5</var>    (4) when the child cannot return to the parent or guardian from whom the child was <br/>
<a id="pl.69.6"></a><var>69.6</var>removed, to plan for and finalize a safe and legally permanent alternative home for the <br/>
<a id="pl.69.7"></a><var>69.7</var>child, and considers permanent alternative homes for the child inside or outside of the <br/>
<a id="pl.69.8"></a><var>69.8</var>state, preferably through adoption or transfer of permanent legal and physical custody of <br/>
<a id="pl.69.9"></a><var>69.9</var>the child.<br/>
<a id="pl.69.10"></a><var>69.10</var>    (f) Reasonable efforts are made upon the exercise of due diligence by the responsible <br/>
<a id="pl.69.11"></a><var>69.11</var>social services agency to use culturally appropriate and available services to meet the <br/>
<a id="pl.69.12"></a><var>69.12</var>needs of the child and the child's family. Services may include those provided by the <br/>
<a id="pl.69.13"></a><var>69.13</var>responsible social services agency and other culturally appropriate services available in <br/>
<a id="pl.69.14"></a><var>69.14</var>the community. At each stage of the proceedings where the court is required to review <br/>
<a id="pl.69.15"></a><var>69.15</var>the appropriateness of the responsible social services agency's reasonable efforts as <br/>
<a id="pl.69.16"></a><var>69.16</var>described in paragraphs (a), (d), and (e), the social services agency has the burden of <br/>
<a id="pl.69.17"></a><var>69.17</var>demonstrating that:<br/>
<a id="pl.69.18"></a><var>69.18</var>    (1) it has made reasonable efforts to prevent placement of the child in foster care;<br/>
<a id="pl.69.19"></a><var>69.19</var>    (2) it has made reasonable efforts to eliminate the need for removal of the child from <br/>
<a id="pl.69.20"></a><var>69.20</var>the child's home and to reunify the child with the child's family at the earliest possible time;<br/>
<a id="pl.69.21"></a><var>69.21</var>    (3) it has made reasonable efforts to finalize an alternative permanent home for <br/>
<a id="pl.69.22"></a><var>69.22</var>the child, and considers permanent alternative homes for the child inside or outside of <br/>
<a id="pl.69.23"></a><var>69.23</var>the state; or<br/>
<a id="pl.69.24"></a><var>69.24</var>    (4) reasonable efforts to prevent placement and to reunify the child with the parent <br/>
<a id="pl.69.25"></a><var>69.25</var>or guardian are not required. The agency may meet this burden by stating facts in a sworn <br/>
<a id="pl.69.26"></a><var>69.26</var>petition filed under section 
         <statute_ref>260C.141</statute_ref>, by filing an affidavit summarizing the agency's <br/>
<a id="pl.69.27"></a><var>69.27</var>reasonable efforts or facts the agency believes demonstrate there is no need for reasonable <br/>
<a id="pl.69.28"></a><var>69.28</var>efforts to reunify the parent and child, or through testimony or a certified report required <br/>
<a id="pl.69.29"></a><var>69.29</var>under juvenile court rules.<br/>
<a id="pl.69.30"></a><var>69.30</var>    (g) Once the court determines that reasonable efforts for reunification are not <br/>
<a id="pl.69.31"></a><var>69.31</var>required because the court has made one of the prima facie determinations under paragraph <br/>
<a id="pl.69.32"></a><var>69.32</var>(a), the court may only require reasonable efforts for reunification after a hearing according <br/>
<a id="pl.69.33"></a><var>69.33</var>to section 
         <statute_ref>260C.163</statute_ref>, where the court finds there is not clear and convincing evidence of <br/>
<a id="pl.69.34"></a><var>69.34</var>the facts upon which the court based its prima facie determination. In this case when there <br/>
<a id="pl.69.35"></a><var>69.35</var>is clear and convincing evidence that the child is in need of protection or services, the <br/>
<a id="pl.69.36"></a><var>69.36</var>court may find the child in need of protection or services and order any of the dispositions <br/>
<a id="pl.70.1"></a><var>70.1</var>available under section 
         <statute_ref>260C.201, subdivision 1</statute_ref>. Reunification of a surviving child with a <br/>
<a id="pl.70.2"></a><var>70.2</var>parent is not required if the parent has been convicted of:<br/>
<a id="pl.70.3"></a><var>70.3</var>    (1) a violation of, or an attempt or conspiracy to commit a violation of, sections <br/>
<statute_ref><a id="pl.70.4"></a><var>70.4</var>609.185
         </statute_ref> to 
         <statute_ref>609.20</statute_ref>; 
         <statute_ref>609.222, subdivision 2</statute_ref>; or 
         <statute_ref>609.223</statute_ref> in regard to another child of the <br/>
<a id="pl.70.5"></a><var>70.5</var>parent;<br/>
<a id="pl.70.6"></a><var>70.6</var>    (2) a violation of section 
         <statute_ref>609.222, subdivision 2</statute_ref>; or 
         <statute_ref>609.223</statute_ref>, in regard to the <br/>
<a id="pl.70.7"></a><var>70.7</var>surviving child; or<br/>
<a id="pl.70.8"></a><var>70.8</var>    (3) a violation of, or an attempt or conspiracy to commit a violation of, United States <br/>
<a id="pl.70.9"></a><var>70.9</var>Code, title 18, section 1111(a) or 1112(a), in regard to another child of the parent.<br/>
<a id="pl.70.10"></a><var>70.10</var>    (h) The juvenile court, in proceedings under sections 
         <statute_ref>260B.178</statute_ref> or 
         <statute_ref>260C.178</statute_ref>, <br/>
<statute_ref><a id="pl.70.11"></a><var>70.11</var>260C.201
         </statute_ref>, and 
         <statute_ref>260C.301</statute_ref> shall make findings and conclusions as to the provision of <br/>
<a id="pl.70.12"></a><var>70.12</var>reasonable efforts. When determining whether reasonable efforts have been made, the <br/>
<a id="pl.70.13"></a><var>70.13</var>court shall consider whether services to the child and family were:<br/>
<a id="pl.70.14"></a><var>70.14</var>    (1) relevant to the safety and protection of the child;<br/>
<a id="pl.70.15"></a><var>70.15</var>    (2) adequate to meet the needs of the child and family;<br/>
<a id="pl.70.16"></a><var>70.16</var>    (3) culturally appropriate;<br/>
<a id="pl.70.17"></a><var>70.17</var>    (4) available and accessible;<br/>
<a id="pl.70.18"></a><var>70.18</var>    (5) consistent and timely; and<br/>
<a id="pl.70.19"></a><var>70.19</var>    (6) realistic under the circumstances.<br/>
<a id="pl.70.20"></a><var>70.20</var>    In the alternative, the court may determine that provision of services or further <br/>
<a id="pl.70.21"></a><var>70.21</var>services for the purpose of rehabilitation is futile and therefore unreasonable under the <br/>
<a id="pl.70.22"></a><var>70.22</var>circumstances or that reasonable efforts are not required as provided in paragraph (a).<br/>
<a id="pl.70.23"></a><var>70.23</var>    (i) This section does not prevent out-of-home placement for treatment of a child with <br/>
<a id="pl.70.24"></a><var>70.24</var>a mental disability when the child's diagnostic assessment or individual treatment plan <br/>
<a id="pl.70.25"></a><var>70.25</var>indicates that appropriate and necessary treatment cannot be effectively provided outside <br/>
<a id="pl.70.26"></a><var>70.26</var>of a residential or inpatient treatment program.<br/>
<a id="pl.70.27"></a><var>70.27</var>    (j) If continuation of reasonable efforts to prevent placement or reunify the child <br/>
<a id="pl.70.28"></a><var>70.28</var>with the parent or guardian from whom the child was removed is determined by the court <br/>
<a id="pl.70.29"></a><var>70.29</var>to be inconsistent with the permanent plan for the child or upon the court making one of <br/>
<a id="pl.70.30"></a><var>70.30</var>the prima facie determinations under paragraph (a), reasonable efforts must be made to <br/>
<a id="pl.70.31"></a><var>70.31</var>place the child in a timely manner in a safe and permanent home and to complete whatever <br/>
<a id="pl.70.32"></a><var>70.32</var>steps are necessary to legally finalize the permanent placement of the child.<br/>
<a id="pl.70.33"></a><var>70.33</var>    (k) Reasonable efforts to place a child for adoption or in another permanent <br/>
<a id="pl.70.34"></a><var>70.34</var>placement may be made concurrently with reasonable efforts to prevent placement or to <br/>
<a id="pl.70.35"></a><var>70.35</var>reunify the child with the parent or guardian from whom the child was removed. When <br/>
<a id="pl.70.36"></a><var>70.36</var>the responsible social services agency decides to concurrently make reasonable efforts for <br/>
<a id="pl.71.1"></a><var>71.1</var>both reunification and permanent placement away from the parent under paragraph (a), the <br/>
<a id="pl.71.2"></a><var>71.2</var>agency shall disclose its decision and both plans for concurrent reasonable efforts to all <br/>
<a id="pl.71.3"></a><var>71.3</var>parties and the court. When the agency discloses its decision to proceed on both plans for <br/>
<a id="pl.71.4"></a><var>71.4</var>reunification and permanent placement away from the parent, the court's review of the <br/>
<a id="pl.71.5"></a><var>71.5</var>agency's reasonable efforts shall include the agency's efforts under both plans.<br/>
<br/>
<a id="bill.1.62.0"></a><a id="pl.71.6"></a><var>71.6</var>    Sec. 62. Minnesota Statutes 2006, section 260.755, subdivision 12, is amended to read:<br/>
<a id="pl.71.7"></a><var>71.7</var>    Subd. 12. <b>Indian tribe.</b> "Indian tribe" means an Indian tribe, band, nation, or <br/>
<a id="pl.71.8"></a><var>71.8</var>other organized group or community of Indians recognized as eligible for the services <br/>
<a id="pl.71.9"></a><var>71.9</var>provided to Indians by the secretary because of their status as Indians, including any band <br/>
<a id="pl.71.10"></a><var>71.10</var>Native group under the Alaska Native Claims Settlement Act, United States Code, title 43, <br/>
<a id="pl.71.11"></a><var>71.11</var>section 1602, and exercising tribal governmental powers.<br/>
<br/>
<a id="bill.1.63.0"></a><a id="pl.71.12"></a><var>71.12</var>    Sec. 63. Minnesota Statutes 2006, section 260.755, subdivision 20, is amended to read:<br/>
<a id="pl.71.13"></a><var>71.13</var>    Subd. 20. <b>Tribal court.</b> "Tribal court" means a court with federally recognized <br/>
<a id="pl.71.14"></a><var>71.14</var>jurisdiction over child custody proceedings and which is either a court of Indian offenses, <br/>
<a id="pl.71.15"></a><var>71.15</var>or a court established and operated under the code or custom of an Indian tribe, or the <br/>
<a id="pl.71.16"></a><var>71.16</var>any other administrative body of a tribe which is vested with authority over child custody <br/>
<a id="pl.71.17"></a><var>71.17</var>proceedings. Except as provided in section 
         <statute_ref>260.771, subdivision 5</statute_ref>, nothing in this chapter <br/>
<a id="pl.71.18"></a><var>71.18</var>shall be construed as conferring jurisdiction on an Indian tribe. <br/>
<br/>
<a id="bill.1.64.0"></a><a id="pl.71.19"></a><var>71.19</var>    Sec. 64. Minnesota Statutes 2006, section 260.761, subdivision 7, is amended to read:<br/>
<a id="pl.71.20"></a><var>71.20</var>    Subd. 7. <b>Identification of extended family members.</b> Any agency considering <br/>
<a id="pl.71.21"></a><var>71.21</var>placement of an Indian child shall make reasonable active efforts to identify and locate <br/>
<a id="pl.71.22"></a><var>71.22</var>extended family members.<br/>
<br/>
<a id="bill.1.65.0"></a><a id="pl.71.23"></a><var>71.23</var>    Sec. 65. Minnesota Statutes 2006, section 260.765, subdivision 5, is amended to read:<br/>
<a id="pl.71.24"></a><var>71.24</var>    Subd. 5. <b>Identification of extended family members.</b> Any agency considering <br/>
<a id="pl.71.25"></a><var>71.25</var>placement of an Indian child shall make reasonable active efforts to identify and locate <br/>
<a id="pl.71.26"></a><var>71.26</var>extended family members.<br/>
<br/>
<a id="bill.1.66.0"></a><a id="pl.71.27"></a><var>71.27</var>    Sec. 66. Minnesota Statutes 2006, section 260.771, subdivision 1, is amended to read:<br/>
<a id="pl.71.28"></a><var>71.28</var>    Subdivision 1. <b>Indian tribe jurisdiction.</b> An Indian tribe with a tribal court has <br/>
<a id="pl.71.29"></a><var>71.29</var>exclusive jurisdiction over a child placement proceeding involving an Indian child who <br/>
<a id="pl.71.30"></a><var>71.30</var>resides or is domiciled within the reservation of such the tribe at the commencement of <br/>
<a id="pl.71.31"></a><var>71.31</var>the proceedings, except where jurisdiction is otherwise vested in the state by existing <br/>
<a id="pl.72.1"></a><var>72.1</var>federal law. When an Indian child is in the legal custody of a person or agency pursuant <br/>
<a id="pl.72.2"></a><var>72.2</var>to an order of a ward of the tribal court, the Indian tribe retains exclusive jurisdiction, <br/>
<a id="pl.72.3"></a><var>72.3</var>notwithstanding the residence or domicile of the child.<br/>
<br/>
<a id="bill.1.67.0"></a><a id="pl.72.4"></a><var>72.4</var>    Sec. 67. Minnesota Statutes 2006, section 260.771, subdivision 2, is amended to read:<br/>
<a id="pl.72.5"></a><var>72.5</var>    Subd. 2. <b>Court determination of tribal affiliation of child.</b> In any child placement <br/>
<a id="pl.72.6"></a><var>72.6</var>proceeding, the court shall establish whether an Indian child is involved and the identity <br/>
<a id="pl.72.7"></a><var>72.7</var>of the Indian child's tribe. This chapter and the federal Indian Child Welfare Act are <br/>
<a id="pl.72.8"></a><var>72.8</var>applicable without exception in any child custody proceeding, as defined in the federal act, <br/>
<a id="pl.72.9"></a><var>72.9</var>involving an Indian child. This chapter applies to child custody proceedings involving <br/>
<a id="pl.72.10"></a><var>72.10</var>an Indian child whether the child is in the physical or legal custody of an Indian parent, <br/>
<a id="pl.72.11"></a><var>72.11</var>Indian custodian, Indian extended family member, or other person at the commencement <br/>
<a id="pl.72.12"></a><var>72.12</var>of the proceedings. A court shall not determine the applicability of this chapter or the <br/>
<a id="pl.72.13"></a><var>72.13</var>federal Indian Child Welfare Act to a child custody proceeding based upon whether an <br/>
<a id="pl.72.14"></a><var>72.14</var>Indian child is part of an existing Indian family or based upon the level of contact a child <br/>
<a id="pl.72.15"></a><var>72.15</var>has with the child's Indian tribe, reservation, society, or off-reservation community.<br/>
<br/>
<a id="bill.1.68.0"></a><a id="pl.72.16"></a><var>72.16</var>    Sec. 68. <b>[260.852] PLACEMENT PROCEDURES.</b><br/>
<a id="pl.72.17"></a><var>72.17</var>    Subdivision 1. <b>Home study.</b> The state must have procedures for the orderly and <br/>
<a id="pl.72.18"></a><var>72.18</var>timely interstate placement of children that are implemented in accordance with an <br/>
<a id="pl.72.19"></a><var>72.19</var>interstate compact and that, within 60 days after the state receives from another state a <br/>
<a id="pl.72.20"></a><var>72.20</var>request to conduct a study of a home environment for purposes of assessing the safety <br/>
<a id="pl.72.21"></a><var>72.21</var>and suitability of placing a child in the home, the state shall, directly or by contract, <br/>
<a id="pl.72.22"></a><var>72.22</var>conduct and complete a home study and return to the other state a report on the results of <br/>
<a id="pl.72.23"></a><var>72.23</var>the study, which shall address the extent to which placement in the home would meet the <br/>
<a id="pl.72.24"></a><var>72.24</var>needs of the child; except in the case of a home study begun before October 1, 2008, if the <br/>
<a id="pl.72.25"></a><var>72.25</var>state fails to comply with conducting and completing the home study within the 60-day <br/>
<a id="pl.72.26"></a><var>72.26</var>period and this is as a result of circumstances beyond the control of the state, the state has <br/>
<a id="pl.72.27"></a><var>72.27</var>75 days to comply if the state documents the circumstances involved and certifies that <br/>
<a id="pl.72.28"></a><var>72.28</var>completing the home study is in the best interests of the child. <br/>
<a id="pl.72.29"></a><var>72.29</var>    This subdivision does not require the completion within the applicable period of <br/>
<a id="pl.72.30"></a><var>72.30</var>the parts of the home study involving the education and training of the prospective foster <br/>
<a id="pl.72.31"></a><var>72.31</var>or adoptive parents.<br/>
<a id="pl.72.32"></a><var>72.32</var>    Subd. 2. <b>Effect of received report.</b> The state shall treat any report described in <br/>
<a id="pl.72.33"></a><var>72.33</var>subdivision 1 that is received from another state, an Indian tribe, or a private agency <br/>
<a id="pl.72.34"></a><var>72.34</var>under contract with another state or Indian tribe as meeting any requirements imposed by <br/>
<a id="pl.73.1"></a><var>73.1</var>the state for the completion of a home study before placing a child in the home, unless, <br/>
<a id="pl.73.2"></a><var>73.2</var>within 14 days after receipt of the report, the state determines, based on grounds that <br/>
<a id="pl.73.3"></a><var>73.3</var>are specific to the content of the report, that making a decision in reliance on the report <br/>
<a id="pl.73.4"></a><var>73.4</var>would be contrary to the welfare of the child.<br/>
<a id="pl.73.5"></a><var>73.5</var>    Subd. 3. <b>Resources.</b> The state shall make effective use of cross-jurisdictional <br/>
<a id="pl.73.6"></a><var>73.6</var>resources, including through contract for the purchase of services, and shall eliminate <br/>
<a id="pl.73.7"></a><var>73.7</var>legal barriers to facilitate timely adoptive or permanent placements for waiting children. <br/>
<a id="pl.73.8"></a><var>73.8</var>The state shall not impose any restriction on the use of private agencies for the purpose of <br/>
<a id="pl.73.9"></a><var>73.9</var>conducting a home study to meet the 60-day requirement.<br/>
<a id="pl.73.10"></a><var>73.10</var>    Subd. 4. <b>Incentive eligibility.</b> Minnesota is an incentive-eligible state and must:<br/>
<a id="pl.73.11"></a><var>73.11</var>    (1) have an approved plan as required by the United States Secretary of Health <br/>
<a id="pl.73.12"></a><var>73.12</var>and Human Services;<br/>
<a id="pl.73.13"></a><var>73.13</var>    (2) be in compliance with the data requirements of the United States Department of <br/>
<a id="pl.73.14"></a><var>73.14</var>Health and Human Services; and<br/>
<a id="pl.73.15"></a><var>73.15</var>    (3) have data that verify that a home study is completed within 30 days.<br/>
<a id="pl.73.16"></a><var>73.16</var>    Subd. 5. <b>Data requirements.</b> The state shall provide to the United States Secretary <br/>
<a id="pl.73.17"></a><var>73.17</var>of Health and Human Services a written report, covering the preceding fiscal year, that <br/>
<a id="pl.73.18"></a><var>73.18</var>specifies:<br/>
<a id="pl.73.19"></a><var>73.19</var>    (1) the total number of interstate home studies requested by the state with respect <br/>
<a id="pl.73.20"></a><var>73.20</var>to children in foster care under the responsibility of the state, and with respect to each <br/>
<a id="pl.73.21"></a><var>73.21</var>study, the identity of the other state involved;<br/>
<a id="pl.73.22"></a><var>73.22</var>    (2) the total number of timely interstate home studies completed by the state with <br/>
<a id="pl.73.23"></a><var>73.23</var>respect to children in foster care under the responsibility of other states and, with respect <br/>
<a id="pl.73.24"></a><var>73.24</var>to each study, the identity of the other state involved; and<br/>
<a id="pl.73.25"></a><var>73.25</var>    (3) other information the United States Secretary of Health and Human Services <br/>
<a id="pl.73.26"></a><var>73.26</var>requires in order to determine whether Minnesota is a home study incentive-eligible state.<br/>
<a id="pl.73.27"></a><var>73.27</var>    Subd. 6. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br/>
<a id="pl.73.28"></a><var>73.28</var>    (b) "Home study" means an evaluation of a home environment conducted in <br/>
<a id="pl.73.29"></a><var>73.29</var>accordance with applicable requirements of the state in which the home is located, to <br/>
<a id="pl.73.30"></a><var>73.30</var>determine whether a proposed placement of a child would meet the individual needs of the <br/>
<a id="pl.73.31"></a><var>73.31</var>child, including the child's safety; permanency; health; well-being; and mental, emotional, <br/>
<a id="pl.73.32"></a><var>73.32</var>and physical development.<br/>
<a id="pl.73.33"></a><var>73.33</var>    (c) "Interstate home study" means a home study conducted by a state at the request <br/>
<a id="pl.73.34"></a><var>73.34</var>of another state to facilitate an adoptive or foster placement in the state of a child in foster <br/>
<a id="pl.73.35"></a><var>73.35</var>care under the responsibility of the state.<br/>
<a id="pl.74.1"></a><var>74.1</var>    (d) "Timely interstate home study" means an interstate home study completed by a <br/>
<a id="pl.74.2"></a><var>74.2</var>state if the state provides to the state that requested the study, within 30 days after receipt <br/>
<a id="pl.74.3"></a><var>74.3</var>of the request, a report on the results of the study, except that there is no requirement <br/>
<a id="pl.74.4"></a><var>74.4</var>for completion within the 30-day period of the parts of the home study involving the <br/>
<a id="pl.74.5"></a><var>74.5</var>education and training of the prospective foster or adoptive parents.<br/>
<a id="pl.74.6"></a><var>74.6</var>    Subd. 7. <b>Background study requirements for adoption and foster care.</b> (a) <br/>
<a id="pl.74.7"></a><var>74.7</var>Background study requirements for an adoption home study must be completed consistent <br/>
<a id="pl.74.8"></a><var>74.8</var>with section 259.41, subdivisions 1, 2, and 3.<br/>
<a id="pl.74.9"></a><var>74.9</var>    (b) Background study requirements for a foster care license must be completed <br/>
<a id="pl.74.10"></a><var>74.10</var>consistent with section 245C.08.<br/>
<a id="pl.74.11"></a><var>74.11</var>    Subd. 8. <b>Home visits.</b> If a child has been placed in foster care outside the state in <br/>
<a id="pl.74.12"></a><var>74.12</var>which the home of the parents of the child is located, periodically, but at least every six <br/>
<a id="pl.74.13"></a><var>74.13</var>months, a caseworker on the staff of the agency of the state in which the home of the <br/>
<a id="pl.74.14"></a><var>74.14</var>parents of the child is located or the state in which the child has been placed, or a private <br/>
<a id="pl.74.15"></a><var>74.15</var>agency under contract with either state, must visit the child in the home or institution and <br/>
<a id="pl.74.16"></a><var>74.16</var>submit a report on each visit to the agency of the state in which the home of the parents of <br/>
<a id="pl.74.17"></a><var>74.17</var>the child is located.<br/>
<br/>
<a id="bill.1.69.0"></a><a id="pl.74.18"></a><var>74.18</var>    Sec. 69. Minnesota Statutes 2006, section 260B.157, subdivision 1, is amended to read:<br/>
<a id="pl.74.19"></a><var>74.19</var>    Subdivision 1. <b>Investigation.</b> Upon request of the court the local social services <br/>
<a id="pl.74.20"></a><var>74.20</var>agency or probation officer shall investigate the personal and family history and <br/>
<a id="pl.74.21"></a><var>74.21</var>environment of any minor coming within the jurisdiction of the court under section <br/>
<statute_ref><a id="pl.74.22"></a><var>74.22</var>260B.101
         </statute_ref> and shall report its findings to the court. The court may order any minor coming <br/>
<a id="pl.74.23"></a><var>74.23</var>within its jurisdiction to be examined by a duly qualified physician, psychiatrist, or <br/>
<a id="pl.74.24"></a><var>74.24</var>psychologist appointed by the court. <br/>
<a id="pl.74.25"></a><var>74.25</var>    The court shall have order a chemical use assessment conducted when a child is <br/>
<a id="pl.74.26"></a><var>74.26</var>(1) found to be delinquent for violating a provision of chapter 152, or for committing a <br/>
<a id="pl.74.27"></a><var>74.27</var>felony-level violation of a provision of chapter 609 if the probation officer determines <br/>
<a id="pl.74.28"></a><var>74.28</var>that alcohol or drug use was a contributing factor in the commission of the offense, or <br/>
<a id="pl.74.29"></a><var>74.29</var>(2) alleged to be delinquent for violating a provision of chapter 152, if the child is being <br/>
<a id="pl.74.30"></a><var>74.30</var>held in custody under a detention order. The assessor's qualifications and the assessment <br/>
<a id="pl.74.31"></a><var>74.31</var>criteria shall comply with Minnesota Rules, parts 9530.6600 to 9530.6655. If funds under <br/>
<a id="pl.74.32"></a><var>74.32</var>chapter 254B are to be used to pay for the recommended treatment, the assessment and <br/>
<a id="pl.74.33"></a><var>74.33</var>placement must comply with all provisions of Minnesota Rules, parts 9530.6600 to <br/>
<a id="pl.74.34"></a><var>74.34</var>9530.6655 and 9530.7000 to 9530.7030. The commissioner of human services shall <br/>
<a id="pl.74.35"></a><var>74.35</var>reimburse the court for the cost of the chemical use assessment, up to a maximum of $100.<br/>
<a id="pl.75.1"></a><var>75.1</var>    The court shall have order a children's mental health screening conducted when <br/>
<a id="pl.75.2"></a><var>75.2</var>a child is found to be delinquent. The screening shall be conducted with a screening <br/>
<a id="pl.75.3"></a><var>75.3</var>instrument approved by the commissioner of human services and shall be conducted by a <br/>
<a id="pl.75.4"></a><var>75.4</var>mental health practitioner as defined in section 
         <statute_ref>245.4871, subdivision 26</statute_ref>, or a probation <br/>
<a id="pl.75.5"></a><var>75.5</var>officer who is trained in the use of the screening instrument. If the screening indicates <br/>
<a id="pl.75.6"></a><var>75.6</var>a need for assessment, the local social services agency, in consultation with the child's <br/>
<a id="pl.75.7"></a><var>75.7</var>family, shall have a diagnostic assessment conducted, including a functional assessment, <br/>
<a id="pl.75.8"></a><var>75.8</var>as defined in section 
         <statute_ref>245.4871</statute_ref>. <br/>
<a id="pl.75.9"></a><var>75.9</var>    With the consent of the commissioner of corrections and agreement of the county to <br/>
<a id="pl.75.10"></a><var>75.10</var>pay the costs thereof, the court may, by order, place a minor coming within its jurisdiction <br/>
<a id="pl.75.11"></a><var>75.11</var>in an institution maintained by the commissioner for the detention, diagnosis, custody and <br/>
<a id="pl.75.12"></a><var>75.12</var>treatment of persons adjudicated to be delinquent, in order that the condition of the minor <br/>
<a id="pl.75.13"></a><var>75.13</var>be given due consideration in the disposition of the case. Any funds received under the <br/>
<a id="pl.75.14"></a><var>75.14</var>provisions of this subdivision shall not cancel until the end of the fiscal year immediately <br/>
<a id="pl.75.15"></a><var>75.15</var>following the fiscal year in which the funds were received. The funds are available for <br/>
<a id="pl.75.16"></a><var>75.16</var>use by the commissioner of corrections during that period and are hereby appropriated <br/>
<a id="pl.75.17"></a><var>75.17</var>annually to the commissioner of corrections as reimbursement of the costs of providing <br/>
<a id="pl.75.18"></a><var>75.18</var>these services to the juvenile courts.<br/>
<br/>
<a id="bill.1.70.0"></a><a id="pl.75.19"></a><var>75.19</var>    Sec. 70. Minnesota Statutes 2006, section 260C.152, subdivision 5, is amended to read:<br/>
<a id="pl.75.20"></a><var>75.20</var>    Subd. 5. <b>Notice to foster parents and preadoptive parents and relatives.</b> The <br/>
<a id="pl.75.21"></a><var>75.21</var>foster parents, if any, of a child and any preadoptive parent or relative providing care <br/>
<a id="pl.75.22"></a><var>75.22</var>for the child must be provided notice of and an opportunity a right to be heard in any <br/>
<a id="pl.75.23"></a><var>75.23</var>review or hearing to be held with respect to the child. Any other relative may also request, <br/>
<a id="pl.75.24"></a><var>75.24</var>and must be granted, a notice and the opportunity to be heard under this section. This <br/>
<a id="pl.75.25"></a><var>75.25</var>subdivision does not require that a foster parent, preadoptive parent, or relative providing <br/>
<a id="pl.75.26"></a><var>75.26</var>care for the child be made a party to a review or hearing solely on the basis of the notice <br/>
<a id="pl.75.27"></a><var>75.27</var>and opportunity right to be heard.<br/>
<br/>
<a id="bill.1.71.0"></a><a id="pl.75.28"></a><var>75.28</var>    Sec. 71. Minnesota Statutes 2006, section 260C.163, subdivision 1, is amended to read:<br/>
<a id="pl.75.29"></a><var>75.29</var>    Subdivision 1. <b>General.</b> (a) Except for hearings arising under section 
         <statute_ref>260C.425</statute_ref>, <br/>
<a id="pl.75.30"></a><var>75.30</var>hearings on any matter shall be without a jury and may be conducted in an informal <br/>
<a id="pl.75.31"></a><var>75.31</var>manner. In all adjudicatory proceedings involving a child alleged to be in need of <br/>
<a id="pl.75.32"></a><var>75.32</var>protection or services, the court shall admit only evidence that would be admissible in a <br/>
<a id="pl.75.33"></a><var>75.33</var>civil trial. To be proved at trial, allegations of a petition alleging a child to be in need of <br/>
<a id="pl.75.34"></a><var>75.34</var>protection or services must be proved by clear and convincing evidence. <br/>
<a id="pl.76.1"></a><var>76.1</var>    (b) Except for proceedings involving a child alleged to be in need of protection or <br/>
<a id="pl.76.2"></a><var>76.2</var>services and petitions for the termination of parental rights, hearings may be continued or <br/>
<a id="pl.76.3"></a><var>76.3</var>adjourned from time to time. In proceedings involving a child alleged to be in need of <br/>
<a id="pl.76.4"></a><var>76.4</var>protection or services and petitions for the termination of parental rights, hearings may not <br/>
<a id="pl.76.5"></a><var>76.5</var>be continued or adjourned for more than one week unless the court makes specific findings <br/>
<a id="pl.76.6"></a><var>76.6</var>that the continuance or adjournment is in the best interests of the child. If a hearing is held <br/>
<a id="pl.76.7"></a><var>76.7</var>on a petition involving physical or sexual abuse of a child who is alleged to be in need of <br/>
<a id="pl.76.8"></a><var>76.8</var>protection or services or neglected and in foster care, the court shall file the decision with <br/>
<a id="pl.76.9"></a><var>76.9</var>the court administrator as soon as possible but no later than 15 days after the matter is <br/>
<a id="pl.76.10"></a><var>76.10</var>submitted to the court. When a continuance or adjournment is ordered in any proceeding, <br/>
<a id="pl.76.11"></a><var>76.11</var>the court may make any interim orders as it deems in the best interests of the minor in <br/>
<a id="pl.76.12"></a><var>76.12</var>accordance with the provisions of sections 
         <statute_ref>260C.001</statute_ref> to 
         <statute_ref>260C.421</statute_ref>. <br/>
<a id="pl.76.13"></a><var>76.13</var>    (c) Except as otherwise provided in this paragraph, the court shall exclude the <br/>
<a id="pl.76.14"></a><var>76.14</var>general public from hearings under this chapter and shall admit only those persons who, in <br/>
<a id="pl.76.15"></a><var>76.15</var>the discretion of the court, have a direct interest in the case or in the work of the court.<br/>
<a id="pl.76.16"></a><var>76.16</var>    (d) Adoption hearings shall be conducted in accordance with the provisions of <br/>
<a id="pl.76.17"></a><var>76.17</var>laws relating to adoptions.<br/>
<a id="pl.76.18"></a><var>76.18</var>    (e) In any permanency hearing, including the transition of a child from foster care <br/>
<a id="pl.76.19"></a><var>76.19</var>to independent living, the court shall ensure that any consult with the child is in an <br/>
<a id="pl.76.20"></a><var>76.20</var>age-appropriate manner.<br/>
<br/>
<a id="bill.1.72.0"></a><a id="pl.76.21"></a><var>76.21</var>    Sec. 72. Minnesota Statutes 2006, section 260C.201, subdivision 11, is amended to <br/>
<a id="pl.76.22"></a><var>76.22</var>read:<br/>
<a id="pl.76.23"></a><var>76.23</var>    Subd. 11. <b>Review of court-ordered placements; permanent placement </b><br/>
<a id="pl.76.24"></a><var>76.24</var><b>determination.</b> (a) This subdivision and subdivision 11a do not apply in cases where <br/>
<a id="pl.76.25"></a><var>76.25</var>the child is in placement due solely to the child's developmental disability or emotional <br/>
<a id="pl.76.26"></a><var>76.26</var>disturbance, where legal custody has not been transferred to the responsible social services <br/>
<a id="pl.76.27"></a><var>76.27</var>agency, and where the court finds compelling reasons under section 
         <statute_ref>260C.007, subdivision <br/>
<a id="pl.76.28"></a><var>76.28</var>8
         </statute_ref>, to continue the child in foster care past the time periods specified in this subdivision. <br/>
<a id="pl.76.29"></a><var>76.29</var>Foster care placements of children due solely to their disability are governed by section <br/>
<statute_ref><a id="pl.76.30"></a><var>76.30</var>260C.141, subdivision 2a
         </statute_ref>. In all other cases where the child is in foster care or in the care <br/>
<a id="pl.76.31"></a><var>76.31</var>of a noncustodial parent under subdivision 1, the court shall commence proceedings <br/>
<a id="pl.76.32"></a><var>76.32</var>to determine the permanent status of a child not later than 12 months after the child is <br/>
<a id="pl.76.33"></a><var>76.33</var>placed in foster care or in the care of a noncustodial parent. At the admit-deny hearing <br/>
<a id="pl.76.34"></a><var>76.34</var>commencing such proceedings, the court shall determine whether there is a prima facie <br/>
<a id="pl.76.35"></a><var>76.35</var>basis for finding that the agency made reasonable efforts, or in the case of an Indian <br/>
<a id="pl.77.1"></a><var>77.1</var>child active efforts, required under section 
         <statute_ref>260.012</statute_ref> and proceed according to the rules of <br/>
<a id="pl.77.2"></a><var>77.2</var>juvenile court.<br/>
<a id="pl.77.3"></a><var>77.3</var>    For purposes of this subdivision, the date of the child's placement in foster care is <br/>
<a id="pl.77.4"></a><var>77.4</var>the earlier of the first court-ordered placement or 60 days after the date on which the <br/>
<a id="pl.77.5"></a><var>77.5</var>child has been voluntarily placed in foster care by the child's parent or guardian. For <br/>
<a id="pl.77.6"></a><var>77.6</var>purposes of this subdivision, time spent by a child under the protective supervision of <br/>
<a id="pl.77.7"></a><var>77.7</var>the responsible social services agency in the home of a noncustodial parent pursuant to <br/>
<a id="pl.77.8"></a><var>77.8</var>an order under subdivision 1 counts towards the requirement of a permanency hearing <br/>
<a id="pl.77.9"></a><var>77.9</var>under this subdivision or subdivision 11a. Time spent on a trial home visit does not count <br/>
<a id="pl.77.10"></a><var>77.10</var>counts towards the requirement of a permanency hearing under this subdivision or and a <br/>
<a id="pl.77.11"></a><var>77.11</var>permanency review for a child under eight years of age under subdivision 11a.<br/>
<a id="pl.77.12"></a><var>77.12</var>    For purposes of this subdivision, 12 months is calculated as follows:<br/>
<a id="pl.77.13"></a><var>77.13</var>    (1) during the pendency of a petition alleging that a child is in need of protection <br/>
<a id="pl.77.14"></a><var>77.14</var>or services, all time periods when a child is placed in foster care or in the home of a <br/>
<a id="pl.77.15"></a><var>77.15</var>noncustodial parent are cumulated;<br/>
<a id="pl.77.16"></a><var>77.16</var>    (2) if a child has been placed in foster care within the previous five years under one <br/>
<a id="pl.77.17"></a><var>77.17</var>or more previous petitions, the lengths of all prior time periods when the child was placed <br/>
<a id="pl.77.18"></a><var>77.18</var>in foster care within the previous five years are cumulated. If a child under this clause <br/>
<a id="pl.77.19"></a><var>77.19</var>has been in foster care for 12 months or more, the court, if it is in the best interests of the <br/>
<a id="pl.77.20"></a><var>77.20</var>child and for compelling reasons, may extend the total time the child may continue out <br/>
<a id="pl.77.21"></a><var>77.21</var>of the home under the current petition up to an additional six months before making a <br/>
<a id="pl.77.22"></a><var>77.22</var>permanency determination.<br/>
<a id="pl.77.23"></a><var>77.23</var>    (b) Unless the responsible social services agency recommends return of the child <br/>
<a id="pl.77.24"></a><var>77.24</var>to the custodial parent or parents, not later than 30 days prior to the admit-deny hearing <br/>
<a id="pl.77.25"></a><var>77.25</var>required under paragraph (a) and the rules of juvenile court, the responsible social services <br/>
<a id="pl.77.26"></a><var>77.26</var>agency shall file pleadings in juvenile court to establish the basis for the juvenile court to <br/>
<a id="pl.77.27"></a><var>77.27</var>order permanent placement of the child, including a termination of parental rights petition, <br/>
<a id="pl.77.28"></a><var>77.28</var>according to paragraph (d). Notice of the hearing and copies of the pleadings must be <br/>
<a id="pl.77.29"></a><var>77.29</var>provided pursuant to section 
         <statute_ref>260C.152</statute_ref>.<br/>
<a id="pl.77.30"></a><var>77.30</var>    (c) The permanency proceedings shall be conducted in a timely fashion including <br/>
<a id="pl.77.31"></a><var>77.31</var>that any trial required under section 
         <statute_ref>260C.163</statute_ref> shall be commenced within 60 days of the <br/>
<a id="pl.77.32"></a><var>77.32</var>admit-deny hearing required under paragraph (a). At the conclusion of the permanency <br/>
<a id="pl.77.33"></a><var>77.33</var>proceedings, the court shall:<br/>
<a id="pl.77.34"></a><var>77.34</var>    (1) order the child returned to the care of the parent or guardian from whom the <br/>
<a id="pl.77.35"></a><var>77.35</var>child was removed; or<br/>
<a id="pl.78.1"></a><var>78.1</var>    (2) order a permanent placement or termination of parental rights if permanent <br/>
<a id="pl.78.2"></a><var>78.2</var>placement or termination of parental rights is in the child's best interests. The "best <br/>
<a id="pl.78.3"></a><var>78.3</var>interests of the child" means all relevant factors to be considered and evaluated. Transfer <br/>
<a id="pl.78.4"></a><var>78.4</var>of permanent legal and physical custody, termination of parental rights, or guardianship <br/>
<a id="pl.78.5"></a><var>78.5</var>and legal custody to the commissioner through a consent to adopt are preferred <br/>
<a id="pl.78.6"></a><var>78.6</var>permanency options for a child who cannot return home.<br/>
<a id="pl.78.7"></a><var>78.7</var>    (d) If the child is not returned to the home, the court must order one of the following <br/>
<a id="pl.78.8"></a><var>78.8</var>dispositions:<br/>
<a id="pl.78.9"></a><var>78.9</var>    (1) permanent legal and physical custody to a relative in the best interests of the <br/>
<a id="pl.78.10"></a><var>78.10</var>child according to the following conditions:<br/>
<a id="pl.78.11"></a><var>78.11</var>    (i) an order for transfer of permanent legal and physical custody to a relative shall <br/>
<a id="pl.78.12"></a><var>78.12</var>only be made after the court has reviewed the suitability of the prospective legal and <br/>
<a id="pl.78.13"></a><var>78.13</var>physical custodian;<br/>
<a id="pl.78.14"></a><var>78.14</var>    (ii) in transferring permanent legal and physical custody to a relative, the juvenile <br/>
<a id="pl.78.15"></a><var>78.15</var>court shall follow the standards applicable under this chapter and chapter 260, and the <br/>
<a id="pl.78.16"></a><var>78.16</var>procedures set out in the juvenile court rules;<br/>
<a id="pl.78.17"></a><var>78.17</var>    (iii) an order establishing permanent legal and physical custody under this <br/>
<a id="pl.78.18"></a><var>78.18</var>subdivision must be filed with the family court;<br/>
<a id="pl.78.19"></a><var>78.19</var>    (iv) a transfer of legal and physical custody includes responsibility for the protection, <br/>
<a id="pl.78.20"></a><var>78.20</var>education, care, and control of the child and decision making on behalf of the child;<br/>
<a id="pl.78.21"></a><var>78.21</var>    (v) the social services agency may bring a petition or motion naming a fit and <br/>
<a id="pl.78.22"></a><var>78.22</var>willing relative as a proposed permanent legal and physical custodian. The commissioner <br/>
<a id="pl.78.23"></a><var>78.23</var>of human services shall annually prepare for counties information that must be given to <br/>
<a id="pl.78.24"></a><var>78.24</var>proposed custodians about their legal rights and obligations as custodians together with <br/>
<a id="pl.78.25"></a><var>78.25</var>information on financial and medical benefits for which the child is eligible; and<br/>
<a id="pl.78.26"></a><var>78.26</var>    (vi) the juvenile court may maintain jurisdiction over the responsible social services <br/>
<a id="pl.78.27"></a><var>78.27</var>agency, the parents or guardian of the child, the child, and the permanent legal and <br/>
<a id="pl.78.28"></a><var>78.28</var>physical custodian for purposes of ensuring appropriate services are delivered to the child <br/>
<a id="pl.78.29"></a><var>78.29</var>and permanent legal custodian or for the purpose of ensuring conditions ordered by the <br/>
<a id="pl.78.30"></a><var>78.30</var>court related to the care and custody of the child are met;<br/>
<a id="pl.78.31"></a><var>78.31</var>    (2) termination of parental rights when the requirements of sections 
         <statute_ref>260C.301</statute_ref> to <br/>
<statute_ref><a id="pl.78.32"></a><var>78.32</var>260C.328
         </statute_ref> are met or according to the following conditions:<br/>
<a id="pl.78.33"></a><var>78.33</var>    (i) order the social services agency to file a petition for termination of parental <br/>
<a id="pl.78.34"></a><var>78.34</var>rights in which case all the requirements of sections 
         <statute_ref>260C.301</statute_ref> to 
         <statute_ref>260C.328</statute_ref> remain <br/>
<a id="pl.78.35"></a><var>78.35</var>applicable; and<br/>
<a id="pl.79.1"></a><var>79.1</var>    (ii) an adoption completed subsequent to a determination under this subdivision may <br/>
<a id="pl.79.2"></a><var>79.2</var>include an agreement for communication or contact under section 
         <statute_ref>259.58</statute_ref>;<br/>
<a id="pl.79.3"></a><var>79.3</var>    (3) long-term foster care according to the following conditions:<br/>
<a id="pl.79.4"></a><var>79.4</var>    (i) the court may order a child into long-term foster care only if it approves the <br/>
<a id="pl.79.5"></a><var>79.5</var>responsible social service agency's compelling reasons that neither an award of permanent <br/>
<a id="pl.79.6"></a><var>79.6</var>legal and physical custody to a relative, nor termination of parental rights is in the child's <br/>
<a id="pl.79.7"></a><var>79.7</var>best interests;<br/>
<a id="pl.79.8"></a><var>79.8</var>    (ii) further, the court may only order long-term foster care for the child under this <br/>
<a id="pl.79.9"></a><var>79.9</var>section if it finds the following:<br/>
<a id="pl.79.10"></a><var>79.10</var>    (A) the child has reached age 12 and the responsible social services agency has made <br/>
<a id="pl.79.11"></a><var>79.11</var>reasonable efforts to locate and place the child with an adoptive family or with a fit and <br/>
<a id="pl.79.12"></a><var>79.12</var>willing relative who will agree to a transfer of permanent legal and physical custody of <br/>
<a id="pl.79.13"></a><var>79.13</var>the child, but such efforts have not proven successful; or<br/>
<a id="pl.79.14"></a><var>79.14</var>    (B) the child is a sibling of a child described in subitem (A) and the siblings have <br/>
<a id="pl.79.15"></a><var>79.15</var>a significant positive relationship and are ordered into the same long-term foster care <br/>
<a id="pl.79.16"></a><var>79.16</var>home; and<br/>
<a id="pl.79.17"></a><var>79.17</var>    (iii) at least annually, the responsible social services agency reconsiders its provision <br/>
<a id="pl.79.18"></a><var>79.18</var>of services to the child and the child's placement in long-term foster care to ensure that:<br/>
<a id="pl.79.19"></a><var>79.19</var>    (A) long-term foster care continues to be the most appropriate legal arrangement <br/>
<a id="pl.79.20"></a><var>79.20</var>for meeting the child's need for permanency and stability, including whether there is <br/>
<a id="pl.79.21"></a><var>79.21</var>another permanent placement option under this chapter that would better serve the child's <br/>
<a id="pl.79.22"></a><var>79.22</var>needs and best interests;<br/>
<a id="pl.79.23"></a><var>79.23</var>    (B) whenever possible, there is an identified long-term foster care family that is <br/>
<a id="pl.79.24"></a><var>79.24</var>committed to being the foster family for the child as long as the child is a minor or under <br/>
<a id="pl.79.25"></a><var>79.25</var>the jurisdiction of the court;<br/>
<a id="pl.79.26"></a><var>79.26</var>    (C) the child is receiving appropriate services or assistance to maintain or build <br/>
<a id="pl.79.27"></a><var>79.27</var>connections with the child's family and community;<br/>
<a id="pl.79.28"></a><var>79.28</var>    (D) the child's physical and mental health needs are being appropriately provided <br/>
<a id="pl.79.29"></a><var>79.29</var>for; and<br/>
<a id="pl.79.30"></a><var>79.30</var>    (E) the child's educational needs are being met;<br/>
<a id="pl.79.31"></a><var>79.31</var>    (4) foster care for a specified period of time according to the following conditions:<br/>
<a id="pl.79.32"></a><var>79.32</var>    (i) foster care for a specified period of time may be ordered only if:<br/>
<a id="pl.79.33"></a><var>79.33</var>    (A) the sole basis for an adjudication that the child is in need of protection or <br/>
<a id="pl.79.34"></a><var>79.34</var>services is the child's behavior;<br/>
<a id="pl.79.35"></a><var>79.35</var>    (B) the court finds that foster care for a specified period of time is in the best <br/>
<a id="pl.79.36"></a><var>79.36</var>interests of the child; and<br/>
<a id="pl.80.1"></a><var>80.1</var>    (C) the court approves the responsible social services agency's compelling reasons <br/>
<a id="pl.80.2"></a><var>80.2</var>that neither an award of permanent legal and physical custody to a relative, nor termination <br/>
<a id="pl.80.3"></a><var>80.3</var>of parental rights is in the child's best interests;<br/>
<a id="pl.80.4"></a><var>80.4</var>    (ii) the order does not specify that the child continue in foster care for any period <br/>
<a id="pl.80.5"></a><var>80.5</var>exceeding one year; or<br/>
<a id="pl.80.6"></a><var>80.6</var>    (5) guardianship and legal custody to the commissioner of human services under <br/>
<a id="pl.80.7"></a><var>80.7</var>the following procedures and conditions:<br/>
<a id="pl.80.8"></a><var>80.8</var>    (i) there is an identified prospective adoptive home agreed to by the responsible <br/>
<a id="pl.80.9"></a><var>80.9</var>social services agency having legal custody of the child pursuant to court order under this <br/>
<a id="pl.80.10"></a><var>80.10</var>section that has agreed to adopt the child and the court accepts the parent's voluntary <br/>
<a id="pl.80.11"></a><var>80.11</var>consent to adopt under section 
         <statute_ref>259.24</statute_ref>, except that such consent executed by a parent under <br/>
<a id="pl.80.12"></a><var>80.12</var>this item, following proper notice that consent given under this provision is irrevocable <br/>
<a id="pl.80.13"></a><var>80.13</var>upon acceptance by the court, shall be irrevocable unless fraud is established and an order <br/>
<a id="pl.80.14"></a><var>80.14</var>issues permitting revocation as stated in item (vii);<br/>
<a id="pl.80.15"></a><var>80.15</var>    (ii) if the court accepts a consent to adopt in lieu of ordering one of the other <br/>
<a id="pl.80.16"></a><var>80.16</var>enumerated permanency dispositions, the court must review the matter at least every 90 <br/>
<a id="pl.80.17"></a><var>80.17</var>days. The review will address the reasonable efforts of the agency to achieve a finalized <br/>
<a id="pl.80.18"></a><var>80.18</var>adoption;<br/>
<a id="pl.80.19"></a><var>80.19</var>    (iii) a consent to adopt under this clause vests all legal authority regarding the child, <br/>
<a id="pl.80.20"></a><var>80.20</var>including guardianship and legal custody of the child, with the commissioner of human <br/>
<a id="pl.80.21"></a><var>80.21</var>services as if the child were a state ward after termination of parental rights;<br/>
<a id="pl.80.22"></a><var>80.22</var>    (iv) the court must forward a copy of the consent to adopt, together with a certified <br/>
<a id="pl.80.23"></a><var>80.23</var>copy of the order transferring guardianship and legal custody to the commissioner, to <br/>
<a id="pl.80.24"></a><var>80.24</var>the commissioner;<br/>
<a id="pl.80.25"></a><var>80.25</var>    (v) if an adoption is not finalized by the identified prospective adoptive parent within <br/>
<a id="pl.80.26"></a><var>80.26</var>12 months of the execution of the consent to adopt under this clause, the commissioner of <br/>
<a id="pl.80.27"></a><var>80.27</var>human services or the commissioner's delegate shall pursue adoptive placement in another <br/>
<a id="pl.80.28"></a><var>80.28</var>home unless the commissioner certifies that the failure to finalize is not due to either an <br/>
<a id="pl.80.29"></a><var>80.29</var>action or a failure to act by the prospective adoptive parent;<br/>
<a id="pl.80.30"></a><var>80.30</var>    (vi) notwithstanding item (v), the commissioner of human services or the <br/>
<a id="pl.80.31"></a><var>80.31</var>commissioner's designee must pursue adoptive placement in another home as soon as the <br/>
<a id="pl.80.32"></a><var>80.32</var>commissioner or commissioner's designee determines that finalization of the adoption with <br/>
<a id="pl.80.33"></a><var>80.33</var>the identified prospective adoptive parent is not possible, that the identified prospective <br/>
<a id="pl.80.34"></a><var>80.34</var>adoptive parent is not willing to adopt the child, that the identified prospective adoptive <br/>
<a id="pl.80.35"></a><var>80.35</var>parent is not cooperative in completing the steps necessary to finalize the adoption, or <br/>
<a id="pl.80.36"></a><var>80.36</var>upon the commissioner's determination to withhold consent to the adoption.<br/>
<a id="pl.81.1"></a><var>81.1</var>    (vii) unless otherwise required by the Indian Child Welfare Act, United States Code, <br/>
<a id="pl.81.2"></a><var>81.2</var>title 25, section 1913, a consent to adopt executed under this section, following proper <br/>
<a id="pl.81.3"></a><var>81.3</var>notice that consent given under this provision is irrevocable upon acceptance by the court, <br/>
<a id="pl.81.4"></a><var>81.4</var>shall be irrevocable upon acceptance by the court except upon order permitting revocation <br/>
<a id="pl.81.5"></a><var>81.5</var>issued by the same court after written findings that consent was obtained by fraud.<br/>
<a id="pl.81.6"></a><var>81.6</var>    (e) In ordering a permanent placement of a child, the court must be governed by the <br/>
<a id="pl.81.7"></a><var>81.7</var>best interests of the child, including a review of the relationship between the child and <br/>
<a id="pl.81.8"></a><var>81.8</var>relatives and the child and other important persons with whom the child has resided or <br/>
<a id="pl.81.9"></a><var>81.9</var>had significant contact. When the court has determined that permanent placement of the <br/>
<a id="pl.81.10"></a><var>81.10</var>child away from the parent is necessary, the court shall consider permanent alternative <br/>
<a id="pl.81.11"></a><var>81.11</var>homes that are available both inside and outside the state.<br/>
<a id="pl.81.12"></a><var>81.12</var>    (f) Once a permanent placement determination has been made and permanent <br/>
<a id="pl.81.13"></a><var>81.13</var>placement has been established, further court reviews are necessary if:<br/>
<a id="pl.81.14"></a><var>81.14</var>    (1) the placement is long-term foster care or foster care for a specified period of time;<br/>
<a id="pl.81.15"></a><var>81.15</var>    (2) the court orders further hearings because it has retained jurisdiction of a transfer <br/>
<a id="pl.81.16"></a><var>81.16</var>of permanent legal and physical custody matter;<br/>
<a id="pl.81.17"></a><var>81.17</var>    (3) an adoption has not yet been finalized; or<br/>
<a id="pl.81.18"></a><var>81.18</var>    (4) there is a disruption of the permanent or long-term placement.<br/>
<a id="pl.81.19"></a><var>81.19</var>    (g) Court reviews of an order for long-term foster care, whether under this section <br/>
<a id="pl.81.20"></a><var>81.20</var>or section 
         <statute_ref>260C.317, subdivision 3, paragraph (d)</statute_ref>, must be conducted at least yearly and <br/>
<a id="pl.81.21"></a><var>81.21</var>must review the child's out-of-home placement plan and the reasonable efforts of the <br/>
<a id="pl.81.22"></a><var>81.22</var>agency to finalize the permanent plan for the child including the agency's efforts to:<br/>
<a id="pl.81.23"></a><var>81.23</var>    (1) ensure that long-term foster care continues to be the most appropriate legal <br/>
<a id="pl.81.24"></a><var>81.24</var>arrangement for meeting the child's need for permanency and stability or, if not, to identify <br/>
<a id="pl.81.25"></a><var>81.25</var>and attempt to finalize another permanent placement option under this chapter that would <br/>
<a id="pl.81.26"></a><var>81.26</var>better serve the child's needs and best interests;<br/>
<a id="pl.81.27"></a><var>81.27</var>    (2) identify a specific long-term foster home for the child, if one has not already <br/>
<a id="pl.81.28"></a><var>81.28</var>been identified;<br/>
<a id="pl.81.29"></a><var>81.29</var>    (3) support continued placement of the child in the identified home, if one has been <br/>
<a id="pl.81.30"></a><var>81.30</var>identified;<br/>
<a id="pl.81.31"></a><var>81.31</var>    (4) ensure appropriate services are provided to address the physical health, mental <br/>
<a id="pl.81.32"></a><var>81.32</var>health, and educational needs of the child during the period of long-term foster care and <br/>
<a id="pl.81.33"></a><var>81.33</var>also ensure appropriate services or assistance to maintain relationships with appropriate <br/>
<a id="pl.81.34"></a><var>81.34</var>family members and the child's community; and<br/>
<a id="pl.81.35"></a><var>81.35</var>    (5) plan for the child's independence upon the child's leaving long-term foster care <br/>
<a id="pl.81.36"></a><var>81.36</var>living as required under section 
         <statute_ref>260C.212, subdivision 1</statute_ref>.<br/>
<a id="pl.82.1"></a><var>82.1</var>    (h) In the event it is necessary for a child that has been ordered into foster care for a <br/>
<a id="pl.82.2"></a><var>82.2</var>specified period of time to be in foster care longer than one year after the permanency <br/>
<a id="pl.82.3"></a><var>82.3</var>hearing held under this section, not later than 12 months after the time the child was <br/>
<a id="pl.82.4"></a><var>82.4</var>ordered into foster care for a specified period of time, the matter must be returned to <br/>
<a id="pl.82.5"></a><var>82.5</var>court for a review of the appropriateness of continuing the child in foster care and of the <br/>
<a id="pl.82.6"></a><var>82.6</var>responsible social services agency's reasonable efforts to finalize a permanent plan for <br/>
<a id="pl.82.7"></a><var>82.7</var>the child; if it is in the child's best interests to continue the order for foster care for a <br/>
<a id="pl.82.8"></a><var>82.8</var>specified period of time past a total of 12 months, the court shall set objectives for the <br/>
<a id="pl.82.9"></a><var>82.9</var>child's continuation in foster care, specify any further amount of time the child may be in <br/>
<a id="pl.82.10"></a><var>82.10</var>foster care, and review the plan for the safe return of the child to the parent.<br/>
<a id="pl.82.11"></a><var>82.11</var>    (i) An order permanently placing a child out of the home of the parent or guardian <br/>
<a id="pl.82.12"></a><var>82.12</var>must include the following detailed findings:<br/>
<a id="pl.82.13"></a><var>82.13</var>    (1) how the child's best interests are served by the order;<br/>
<a id="pl.82.14"></a><var>82.14</var>    (2) the nature and extent of the responsible social service agency's reasonable efforts, <br/>
<a id="pl.82.15"></a><var>82.15</var>or, in the case of an Indian child, active efforts to reunify the child with the parent or <br/>
<a id="pl.82.16"></a><var>82.16</var>guardian where reasonable efforts are required;<br/>
<a id="pl.82.17"></a><var>82.17</var>    (3) the parent's or parents' efforts and ability to use services to correct the conditions <br/>
<a id="pl.82.18"></a><var>82.18</var>which led to the out-of-home placement; and<br/>
<a id="pl.82.19"></a><var>82.19</var>    (4) that the conditions which led to the out-of-home placement have not been <br/>
<a id="pl.82.20"></a><var>82.20</var>corrected so that the child can safely return home.<br/>
<a id="pl.82.21"></a><var>82.21</var>    (j) An order for permanent legal and physical custody of a child may be modified <br/>
<a id="pl.82.22"></a><var>82.22</var>under sections 
         <statute_ref>518.18</statute_ref> and 
         <statute_ref>518.185</statute_ref>. The social services agency is a party to the proceeding <br/>
<a id="pl.82.23"></a><var>82.23</var>and must receive notice. A parent may only seek modification of an order for long-term <br/>
<a id="pl.82.24"></a><var>82.24</var>foster care upon motion and a showing by the parent of a substantial change in the parent's <br/>
<a id="pl.82.25"></a><var>82.25</var>circumstances such that the parent could provide appropriate care for the child and that <br/>
<a id="pl.82.26"></a><var>82.26</var>removal of the child from the child's permanent placement and the return to the parent's <br/>
<a id="pl.82.27"></a><var>82.27</var>care would be in the best interest of the child. The responsible social services agency may <br/>
<a id="pl.82.28"></a><var>82.28</var>ask the court to vacate an order for long-term foster care upon a prima facie showing <br/>
<a id="pl.82.29"></a><var>82.29</var>that there is a factual basis for the court to order another permanency option under this <br/>
<a id="pl.82.30"></a><var>82.30</var>chapter and that such an option is in the child's best interests. Upon a hearing where <br/>
<a id="pl.82.31"></a><var>82.31</var>the court determines that there is a factual basis for vacating the order for long-term <br/>
<a id="pl.82.32"></a><var>82.32</var>foster care and that another permanent order regarding the placement of the child is in <br/>
<a id="pl.82.33"></a><var>82.33</var>the child's best interests, the court may vacate the order for long-term foster care and <br/>
<a id="pl.82.34"></a><var>82.34</var>enter a different order for permanent placement that is in the child's best interests. The <br/>
<a id="pl.82.35"></a><var>82.35</var>court shall not require further reasonable efforts to reunify the child with the parent or <br/>
<a id="pl.82.36"></a><var>82.36</var>guardian as a basis for vacating the order for long-term foster care and ordering a different <br/>
<a id="pl.83.1"></a><var>83.1</var>permanent placement in the child's best interests. The county attorney must file pleadings <br/>
<a id="pl.83.2"></a><var>83.2</var>and give notice as required under the rules of juvenile court in order to modify an order for <br/>
<a id="pl.83.3"></a><var>83.3</var>long-term foster care under this paragraph.<br/>
<a id="pl.83.4"></a><var>83.4</var>    (k) The court shall issue an order required under this section within 15 days of the <br/>
<a id="pl.83.5"></a><var>83.5</var>close of the proceedings. The court may extend issuing the order an additional 15 days <br/>
<a id="pl.83.6"></a><var>83.6</var>when necessary in the interests of justice and the best interests of the child.<br/>
<a id="pl.83.7"></a><var>83.7</var>    (l) This paragraph applies to proceedings required under this subdivision when <br/>
<a id="pl.83.8"></a><var>83.8</var>the child is on a trial home visit:<br/>
<a id="pl.83.9"></a><var>83.9</var>    (1) if the child is on a trial home visit 12 months after the child was placed in <br/>
<a id="pl.83.10"></a><var>83.10</var>foster care or in the care of a noncustodial parent as calculated in this subdivision, the <br/>
<a id="pl.83.11"></a><var>83.11</var>responsible social services agency may file a report with the court regarding the child's and <br/>
<a id="pl.83.12"></a><var>83.12</var>parent's progress on the trial home visit and its reasonable efforts to finalize the child's safe <br/>
<a id="pl.83.13"></a><var>83.13</var>and permanent return to the care of the parent in lieu of filing the pleadings required under <br/>
<a id="pl.83.14"></a><var>83.14</var>paragraph (b). The court shall make findings regarding reasonableness of the responsible <br/>
<a id="pl.83.15"></a><var>83.15</var>social services efforts to finalize the child's return home as the permanent order in the best <br/>
<a id="pl.83.16"></a><var>83.16</var>interests of the child. The court may continue the trial home visit to a total time not to <br/>
<a id="pl.83.17"></a><var>83.17</var>exceed six months as provided in subdivision 1. If the court finds the responsible social <br/>
<a id="pl.83.18"></a><var>83.18</var>services agency has not made reasonable efforts to finalize the child's return home as the <br/>
<a id="pl.83.19"></a><var>83.19</var>permanent order in the best interests of the child, the court may order other or additional <br/>
<a id="pl.83.20"></a><var>83.20</var>efforts to support the child remaining in the care of the parent; and<br/>
<a id="pl.83.21"></a><var>83.21</var>    (2) if a trial home visit ordered or continued at proceedings under this subdivision <br/>
<a id="pl.83.22"></a><var>83.22</var>terminates, the court shall re-commence proceedings under this subdivision to determine <br/>
<a id="pl.83.23"></a><var>83.23</var>the permanent status of the child not later than 30 days after the child is returned to foster <br/>
<a id="pl.83.24"></a><var>83.24</var>care.<br/>
<br/>
<a id="bill.1.73.0"></a><a id="pl.83.25"></a><var>83.25</var>    Sec. 73. Minnesota Statutes 2006, section 260C.212, subdivision 1, is amended to read:<br/>
<a id="pl.83.26"></a><var>83.26</var>    Subdivision 1. <b>Out-of-home placement; plan.</b> (a) An out-of-home placement plan <br/>
<a id="pl.83.27"></a><var>83.27</var>shall be prepared within 30 days after any child is placed in a residential facility by court <br/>
<a id="pl.83.28"></a><var>83.28</var>order or by the voluntary release of the child by the parent or parents.<br/>
<a id="pl.83.29"></a><var>83.29</var>    For purposes of this section, a residential facility means any group home, family <br/>
<a id="pl.83.30"></a><var>83.30</var>foster home or other publicly supported out-of-home residential facility, including any <br/>
<a id="pl.83.31"></a><var>83.31</var>out-of-home residential facility under contract with the state, county or other political <br/>
<a id="pl.83.32"></a><var>83.32</var>subdivision, or any agency thereof, to provide those services or foster care as defined in <br/>
<a id="pl.83.33"></a><var>83.33</var>section 
         <statute_ref>260C.007, subdivision 18</statute_ref>.<br/>
<a id="pl.83.34"></a><var>83.34</var>    (b) An out-of-home placement plan means a written document which is prepared by <br/>
<a id="pl.83.35"></a><var>83.35</var>the responsible social services agency jointly with the parent or parents or guardian of the <br/>
<a id="pl.84.1"></a><var>84.1</var>child and in consultation with the child's guardian ad litem, the child's tribe, if the child is <br/>
<a id="pl.84.2"></a><var>84.2</var>an Indian child, the child's foster parent or representative of the residential facility, and, <br/>
<a id="pl.84.3"></a><var>84.3</var>where appropriate, the child. For a child in placement due solely or in part to the child's <br/>
<a id="pl.84.4"></a><var>84.4</var>emotional disturbance, preparation of the out-of-home placement plan shall additionally <br/>
<a id="pl.84.5"></a><var>84.5</var>include the child's mental health treatment provider. As appropriate, the plan shall be:<br/>
<a id="pl.84.6"></a><var>84.6</var>    (1) submitted to the court for approval under section 
         <statute_ref>260C.178, subdivision 7</statute_ref>;<br/>
<a id="pl.84.7"></a><var>84.7</var>    (2) ordered by the court, either as presented or modified after hearing, under section <br/>
<statute_ref><a id="pl.84.8"></a><var>84.8</var>260C.178, subdivision 7
         </statute_ref>, or 
         <statute_ref>260C.201, subdivision 6</statute_ref>; and<br/>
<a id="pl.84.9"></a><var>84.9</var>    (3) signed by the parent or parents or guardian of the child, the child's guardian ad <br/>
<a id="pl.84.10"></a><var>84.10</var>litem, a representative of the child's tribe, the responsible social services agency, and, if <br/>
<a id="pl.84.11"></a><var>84.11</var>possible, the child.<br/>
<a id="pl.84.12"></a><var>84.12</var>    (c) The out-of-home placement plan shall be explained to all persons involved in its <br/>
<a id="pl.84.13"></a><var>84.13</var>implementation, including the child who has signed the plan, and shall set forth:<br/>
<a id="pl.84.14"></a><var>84.14</var>    (1) a description of the residential facility including how the out-of-home placement <br/>
<a id="pl.84.15"></a><var>84.15</var>plan is designed to achieve a safe placement for the child in the least restrictive, most <br/>
<a id="pl.84.16"></a><var>84.16</var>family-like, setting available which is in close proximity to the home of the parent or <br/>
<a id="pl.84.17"></a><var>84.17</var>parents or guardian of the child when the case plan goal is reunification, and how the <br/>
<a id="pl.84.18"></a><var>84.18</var>placement is consistent with the best interests and special needs of the child according to <br/>
<a id="pl.84.19"></a><var>84.19</var>the factors under subdivision 2, paragraph (b);<br/>
<a id="pl.84.20"></a><var>84.20</var>    (2) the specific reasons for the placement of the child in a residential facility, and <br/>
<a id="pl.84.21"></a><var>84.21</var>when reunification is the plan, a description of the problems or conditions in the home of <br/>
<a id="pl.84.22"></a><var>84.22</var>the parent or parents which necessitated removal of the child from home and the changes <br/>
<a id="pl.84.23"></a><var>84.23</var>the parent or parents must make in order for the child to safely return home;<br/>
<a id="pl.84.24"></a><var>84.24</var>    (3) a description of the services offered and provided to prevent removal of the child <br/>
<a id="pl.84.25"></a><var>84.25</var>from the home and to reunify the family including:<br/>
<a id="pl.84.26"></a><var>84.26</var>    (i) the specific actions to be taken by the parent or parents of the child to eliminate <br/>
<a id="pl.84.27"></a><var>84.27</var>or correct the problems or conditions identified in clause (2), and the time period during <br/>
<a id="pl.84.28"></a><var>84.28</var>which the actions are to be taken; and<br/>
<a id="pl.84.29"></a><var>84.29</var>    (ii) the reasonable efforts, or in the case of an Indian child, active efforts to be made <br/>
<a id="pl.84.30"></a><var>84.30</var>to achieve a safe and stable home for the child including social and other supportive <br/>
<a id="pl.84.31"></a><var>84.31</var>services to be provided or offered to the parent or parents or guardian of the child, the <br/>
<a id="pl.84.32"></a><var>84.32</var>child, and the residential facility during the period the child is in the residential facility;<br/>
<a id="pl.84.33"></a><var>84.33</var>    (4) a description of any services or resources that were requested by the child or the <br/>
<a id="pl.84.34"></a><var>84.34</var>child's parent, guardian, foster parent, or custodian since the date of the child's placement <br/>
<a id="pl.84.35"></a><var>84.35</var>in the residential facility, and whether those services or resources were provided and if <br/>
<a id="pl.84.36"></a><var>84.36</var>not, the basis for the denial of the services or resources;<br/>
<a id="pl.85.1"></a><var>85.1</var>    (5) the visitation plan for the parent or parents or guardian, other relatives as defined <br/>
<a id="pl.85.2"></a><var>85.2</var>in section 
         <statute_ref>260C.007, subdivision 27</statute_ref>, and siblings of the child if the siblings are not placed <br/>
<a id="pl.85.3"></a><var>85.3</var>together in the residential facility, and whether visitation is consistent with the best interest <br/>
<a id="pl.85.4"></a><var>85.4</var>of the child, during the period the child is in the residential facility;<br/>
<a id="pl.85.5"></a><var>85.5</var>    (6) documentation of steps to finalize the adoption or legal guardianship of the child <br/>
<a id="pl.85.6"></a><var>85.6</var>if the court has issued an order terminating the rights of both parents of the child or of <br/>
<a id="pl.85.7"></a><var>85.7</var>the only known, living parent of the child, and. At a minimum, the documentation must <br/>
<a id="pl.85.8"></a><var>85.8</var>include child-specific recruitment efforts such as relative search and the use of state, <br/>
<a id="pl.85.9"></a><var>85.9</var>regional, and national adoption exchanges to facilitate orderly and timely placements in <br/>
<a id="pl.85.10"></a><var>85.10</var>and outside of the state. A copy of this documentation shall be provided to the court in the <br/>
<a id="pl.85.11"></a><var>85.11</var>review required under section 
         <statute_ref>260C.317, subdivision 3, paragraph (b)</statute_ref>;<br/>
<a id="pl.85.12"></a><var>85.12</var>    (7) to the extent available and accessible, the health and educational records of the <br/>
<a id="pl.85.13"></a><var>85.13</var>child including the most recent information available regarding:<br/>
<a id="pl.85.14"></a><var>85.14</var>    (i) the names and addresses of the child's health and educational providers;<br/>
<a id="pl.85.15"></a><var>85.15</var>    (ii) the child's grade level performance;<br/>
<a id="pl.85.16"></a><var>85.16</var>    (iii) the child's school record;<br/>
<a id="pl.85.17"></a><var>85.17</var>    (iv) assurances that the child's placement in foster care takes into account proximity <br/>
<a id="pl.85.18"></a><var>85.18</var>to the school in which the child is enrolled at the time of placement;<br/>
<a id="pl.85.19"></a><var>85.19</var>    (v) a record of the child's immunizations;<br/>
<a id="pl.85.20"></a><var>85.20</var>    (vi) the child's known medical problems, including any known communicable <br/>
<a id="pl.85.21"></a><var>85.21</var>diseases, as defined in section 
         <statute_ref>144.4172, subdivision 2</statute_ref>;<br/>
<a id="pl.85.22"></a><var>85.22</var>    (vii) the child's medications; and<br/>
<a id="pl.85.23"></a><var>85.23</var>    (viii) any other relevant health and education information;<br/>
<a id="pl.85.24"></a><var>85.24</var>    (8) an independent living plan for a child age 16 or older who is in placement as <br/>
<a id="pl.85.25"></a><var>85.25</var>a result of a permanency disposition. The plan should include, but not be limited to, <br/>
<a id="pl.85.26"></a><var>85.26</var>the following objectives:<br/>
<a id="pl.85.27"></a><var>85.27</var>    (i) educational, vocational, or employment planning;<br/>
<a id="pl.85.28"></a><var>85.28</var>    (ii) health care planning and medical coverage;<br/>
<a id="pl.85.29"></a><var>85.29</var>    (iii) transportation including, where appropriate, assisting the child in obtaining a <br/>
<a id="pl.85.30"></a><var>85.30</var>driver's license;<br/>
<a id="pl.85.31"></a><var>85.31</var>    (iv) money management;<br/>
<a id="pl.85.32"></a><var>85.32</var>    (v) planning for housing;<br/>
<a id="pl.85.33"></a><var>85.33</var>    (vi) social and recreational skills; and<br/>
<a id="pl.85.34"></a><var>85.34</var>    (vii) establishing and maintaining connections with the child's family and <br/>
<a id="pl.85.35"></a><var>85.35</var>community; and<br/>
<a id="pl.86.1"></a><var>86.1</var>    (9) for a child in placement due solely or in part to the child's emotional disturbance, <br/>
<a id="pl.86.2"></a><var>86.2</var>diagnostic and assessment information, specific services relating to meeting the mental <br/>
<a id="pl.86.3"></a><var>86.3</var>health care needs of the child, and treatment outcomes.<br/>
<a id="pl.86.4"></a><var>86.4</var>    (d) The parent or parents or guardian and the child each shall have the right to legal <br/>
<a id="pl.86.5"></a><var>86.5</var>counsel in the preparation of the case plan and shall be informed of the right at the time <br/>
<a id="pl.86.6"></a><var>86.6</var>of placement of the child. The child shall also have the right to a guardian ad litem. <br/>
<a id="pl.86.7"></a><var>86.7</var>If unable to employ counsel from their own resources, the court shall appoint counsel <br/>
<a id="pl.86.8"></a><var>86.8</var>upon the request of the parent or parents or the child or the child's legal guardian. The <br/>
<a id="pl.86.9"></a><var>86.9</var>parent or parents may also receive assistance from any person or social services agency <br/>
<a id="pl.86.10"></a><var>86.10</var>in preparation of the case plan.<br/>
<a id="pl.86.11"></a><var>86.11</var>    After the plan has been agreed upon by the parties involved or approved or ordered <br/>
<a id="pl.86.12"></a><var>86.12</var>by the court, the foster parents shall be fully informed of the provisions of the case plan <br/>
<a id="pl.86.13"></a><var>86.13</var>and shall be provided a copy of the plan.<br/>
<a id="pl.86.14"></a><var>86.14</var>    Upon discharge from foster care, the parent, adoptive parent, or permanent legal and <br/>
<a id="pl.86.15"></a><var>86.15</var>physical custodian, as appropriate, and the child, if appropriate, must be provided with <br/>
<a id="pl.86.16"></a><var>86.16</var>a current copy of the child's health and education record.<br/>
<br/>
<a id="bill.1.74.0"></a><a id="pl.86.17"></a><var>86.17</var>    Sec. 74. Minnesota Statutes 2006, section 260C.212, subdivision 4, is amended to read:<br/>
<a id="pl.86.18"></a><var>86.18</var>    Subd. 4. <b>Responsible social service agency's duties for children in placement.</b> (a) <br/>
<a id="pl.86.19"></a><var>86.19</var>When a child is in placement, the responsible social services agency shall make diligent <br/>
<a id="pl.86.20"></a><var>86.20</var>efforts to identify, locate, and, where appropriate, offer services to both parents of the child.<br/>
<a id="pl.86.21"></a><var>86.21</var>    (1) The responsible social services agency shall assess whether a noncustodial or <br/>
<a id="pl.86.22"></a><var>86.22</var>nonadjudicated parent is willing and capable of providing for the day-to-day care of the <br/>
<a id="pl.86.23"></a><var>86.23</var>child temporarily or permanently. An assessment under this clause may include, but <br/>
<a id="pl.86.24"></a><var>86.24</var>is not limited to, obtaining information under section 
         <statute_ref>260C.209</statute_ref>. If after assessment, <br/>
<a id="pl.86.25"></a><var>86.25</var>the responsible social services agency determines that a noncustodial or nonadjudicated <br/>
<a id="pl.86.26"></a><var>86.26</var>parent is willing and capable of providing day-to-day care of the child, the responsible <br/>
<a id="pl.86.27"></a><var>86.27</var>social services agency may seek authority from the custodial parent or the court to have <br/>
<a id="pl.86.28"></a><var>86.28</var>that parent assume day-to-day care of the child. If a parent is not an adjudicated parent, <br/>
<a id="pl.86.29"></a><var>86.29</var>the responsible social services agency shall require the nonadjudicated parent to cooperate <br/>
<a id="pl.86.30"></a><var>86.30</var>with paternity establishment procedures as part of the case plan.<br/>
<a id="pl.86.31"></a><var>86.31</var>    (2) If, after assessment, the responsible social services agency determines that the <br/>
<a id="pl.86.32"></a><var>86.32</var>child cannot be in the day-to-day care of either parent, the agency shall:<br/>
<a id="pl.86.33"></a><var>86.33</var>    (i) prepare an out-of-home placement plan addressing the conditions that each parent <br/>
<a id="pl.86.34"></a><var>86.34</var>must meet before the child can be in that parent's day-to-day care; and<br/>
<a id="pl.87.1"></a><var>87.1</var>    (ii) provide a parent who is the subject of a background study under section <br/>
<statute_ref><a id="pl.87.2"></a><var>87.2</var>260C.209
         </statute_ref> 15 days' notice that it intends to use the study to recommend against putting the <br/>
<a id="pl.87.3"></a><var>87.3</var>child with that parent, as well as the notice provided in section 
         <statute_ref>260C.209, subdivision 4</statute_ref>, <br/>
<a id="pl.87.4"></a><var>87.4</var>and the court shall afford the parent an opportunity to be heard concerning the study.<br/>
<a id="pl.87.5"></a><var>87.5</var>    The results of a background study of a noncustodial parent shall not be used by the <br/>
<a id="pl.87.6"></a><var>87.6</var>agency to determine that the parent is incapable of providing day-to-day care of the child <br/>
<a id="pl.87.7"></a><var>87.7</var>unless the agency reasonably believes that placement of the child into the home of that <br/>
<a id="pl.87.8"></a><var>87.8</var>parent would endanger the child's health, safety, or welfare.<br/>
<a id="pl.87.9"></a><var>87.9</var>    (3) If, after the provision of services following an out-of-home placement plan under <br/>
<a id="pl.87.10"></a><var>87.10</var>this section, the child cannot return to the care of the parent from whom the child was <br/>
<a id="pl.87.11"></a><var>87.11</var>removed or who had legal custody at the time the child was placed in foster care, the <br/>
<a id="pl.87.12"></a><var>87.12</var>agency may petition on behalf of a noncustodial parent to establish legal custody with <br/>
<a id="pl.87.13"></a><var>87.13</var>that parent under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>. If paternity has not already been <br/>
<a id="pl.87.14"></a><var>87.14</var>established, it may be established in the same proceeding in the manner provided for <br/>
<a id="pl.87.15"></a><var>87.15</var>under chapter 257.<br/>
<a id="pl.87.16"></a><var>87.16</var>    (4) The responsible social services agency may be relieved of the requirement to <br/>
<a id="pl.87.17"></a><var>87.17</var>locate and offer services to both parents by the juvenile court upon a finding of good cause <br/>
<a id="pl.87.18"></a><var>87.18</var>after the filing of a petition under section 
         <statute_ref>260C.141</statute_ref>.<br/>
<a id="pl.87.19"></a><var>87.19</var>    (b) The responsible social services agency shall give notice to the parent or parents <br/>
<a id="pl.87.20"></a><var>87.20</var>or guardian of each child in a residential facility, other than a child in placement due <br/>
<a id="pl.87.21"></a><var>87.21</var>solely to that child's developmental disability or emotional disturbance, of the following <br/>
<a id="pl.87.22"></a><var>87.22</var>information:<br/>
<a id="pl.87.23"></a><var>87.23</var>    (1) that residential care of the child may result in termination of parental rights or an <br/>
<a id="pl.87.24"></a><var>87.24</var>order permanently placing the child out of the custody of the parent, but only after notice <br/>
<a id="pl.87.25"></a><var>87.25</var>and a hearing as required under chapter 260C and the juvenile court rules;<br/>
<a id="pl.87.26"></a><var>87.26</var>    (2) time limits on the length of placement and of reunification services, including <br/>
<a id="pl.87.27"></a><var>87.27</var>the date on which the child is expected to be returned to and safely maintained in the <br/>
<a id="pl.87.28"></a><var>87.28</var>home of the parent or parents or placed for adoption or otherwise permanently removed <br/>
<a id="pl.87.29"></a><var>87.29</var>from the care of the parent by court order;<br/>
<a id="pl.87.30"></a><var>87.30</var>    (3) the nature of the services available to the parent;<br/>
<a id="pl.87.31"></a><var>87.31</var>    (4) the consequences to the parent and the child if the parent fails or is unable to use <br/>
<a id="pl.87.32"></a><var>87.32</var>services to correct the circumstances that led to the child's placement;<br/>
<a id="pl.87.33"></a><var>87.33</var>    (5) the first consideration for placement with relatives;<br/>
<a id="pl.87.34"></a><var>87.34</var>    (6) the benefit to the child in getting the child out of residential care as soon as <br/>
<a id="pl.87.35"></a><var>87.35</var>possible, preferably by returning the child home, but if that is not possible, through a <br/>
<a id="pl.87.36"></a><var>87.36</var>permanent legal placement of the child away from the parent;<br/>
<a id="pl.88.1"></a><var>88.1</var>    (7) when safe for the child, the benefits to the child and the parent of maintaining <br/>
<a id="pl.88.2"></a><var>88.2</var>visitation with the child as soon as possible in the course of the case and, in any event, <br/>
<a id="pl.88.3"></a><var>88.3</var>according to the visitation plan under this section; and<br/>
<a id="pl.88.4"></a><var>88.4</var>    (8) the financial responsibilities and obligations, if any, of the parent or parents for <br/>
<a id="pl.88.5"></a><var>88.5</var>the support of the child during the period the child is in the residential facility.<br/>
<a id="pl.88.6"></a><var>88.6</var>    (c) The responsible social services agency shall inform a parent considering <br/>
<a id="pl.88.7"></a><var>88.7</var>voluntary placement of a child who is not developmentally disabled or emotionally <br/>
<a id="pl.88.8"></a><var>88.8</var>disturbed of the following information:<br/>
<a id="pl.88.9"></a><var>88.9</var>    (1) the parent and the child each has a right to separate legal counsel before signing a <br/>
<a id="pl.88.10"></a><var>88.10</var>voluntary placement agreement, but not to counsel appointed at public expense;<br/>
<a id="pl.88.11"></a><var>88.11</var>    (2) the parent is not required to agree to the voluntary placement, and a parent <br/>
<a id="pl.88.12"></a><var>88.12</var>who enters a voluntary placement agreement may at any time request that the agency <br/>
<a id="pl.88.13"></a><var>88.13</var>return the child. If the parent so requests, the child must be returned within 24 hours of <br/>
<a id="pl.88.14"></a><var>88.14</var>the receipt of the request;<br/>
<a id="pl.88.15"></a><var>88.15</var>    (3) evidence gathered during the time the child is voluntarily placed may be used <br/>
<a id="pl.88.16"></a><var>88.16</var>at a later time as the basis for a petition alleging that the child is in need of protection <br/>
<a id="pl.88.17"></a><var>88.17</var>or services or as the basis for a petition seeking termination of parental rights or other <br/>
<a id="pl.88.18"></a><var>88.18</var>permanent placement of the child away from the parent;<br/>
<a id="pl.88.19"></a><var>88.19</var>    (4) if the responsible social services agency files a petition alleging that the child is <br/>
<a id="pl.88.20"></a><var>88.20</var>in need of protection or services or a petition seeking the termination of parental rights <br/>
<a id="pl.88.21"></a><var>88.21</var>or other permanent placement of the child away from the parent, the parent would have <br/>
<a id="pl.88.22"></a><var>88.22</var>the right to appointment of separate legal counsel and the child would have a right to the <br/>
<a id="pl.88.23"></a><var>88.23</var>appointment of counsel and a guardian ad litem as provided by law, and that counsel will <br/>
<a id="pl.88.24"></a><var>88.24</var>be appointed at public expense if they are unable to afford counsel; and<br/>
<a id="pl.88.25"></a><var>88.25</var>    (5) the timelines and procedures for review of voluntary placements under <br/>
<a id="pl.88.26"></a><var>88.26</var>subdivision 3, and the effect the time spent in voluntary placement on the scheduling of a <br/>
<a id="pl.88.27"></a><var>88.27</var>permanent placement determination hearing under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>.<br/>
<a id="pl.88.28"></a><var>88.28</var>    (d) When an agency accepts a child for placement, the agency shall determine <br/>
<a id="pl.88.29"></a><var>88.29</var>whether the child has had a physical examination by or under the direction of a licensed <br/>
<a id="pl.88.30"></a><var>88.30</var>physician within the 12 months immediately preceding the date when the child came into <br/>
<a id="pl.88.31"></a><var>88.31</var>the agency's care. If there is documentation that the child has had an examination within <br/>
<a id="pl.88.32"></a><var>88.32</var>the last 12 months, the agency is responsible for seeing that the child has another physical <br/>
<a id="pl.88.33"></a><var>88.33</var>examination within one year of the documented examination and annually in subsequent <br/>
<a id="pl.88.34"></a><var>88.34</var>years. If the agency determines that the child has not had a physical examination within <br/>
<a id="pl.88.35"></a><var>88.35</var>the 12 months immediately preceding placement, the agency shall ensure that the child <br/>
<a id="pl.89.1"></a><var>89.1</var>has an examination within 30 days of coming into the agency's care and once a year <br/>
<a id="pl.89.2"></a><var>89.2</var>in subsequent years.<br/>
<a id="pl.89.3"></a><var>89.3</var>    (e) If a child leaves foster care by reason of having attained the age of majority <br/>
<a id="pl.89.4"></a><var>89.4</var>under state law, the child must be given at no cost a copy of the child's health and <br/>
<a id="pl.89.5"></a><var>89.5</var>education report.<br/>
<br/>
<a id="bill.1.75.0"></a><a id="pl.89.6"></a><var>89.6</var>    Sec. 75. Minnesota Statutes 2006, section 260C.212, subdivision 9, is amended to read:<br/>
<a id="pl.89.7"></a><var>89.7</var>    Subd. 9. <b>Review of certain child placements.</b> (a) When a developmentally <br/>
<a id="pl.89.8"></a><var>89.8</var>disabled child or emotionally disturbed child needs placement in a residential facility for <br/>
<a id="pl.89.9"></a><var>89.9</var>the sole reason of accessing services or a level of skilled care that cannot be provided in <br/>
<a id="pl.89.10"></a><var>89.10</var>the parent's home, the child must be placed pursuant to a voluntary placement agreement <br/>
<a id="pl.89.11"></a><var>89.11</var>between the responsible social services agency and the child's parent. The voluntary <br/>
<a id="pl.89.12"></a><var>89.12</var>placement agreement must give the responsible social services agency legal responsibility <br/>
<a id="pl.89.13"></a><var>89.13</var>for the child's physical care, custody, and control, but must not transfer legal custody of <br/>
<a id="pl.89.14"></a><var>89.14</var>the child to the agency. The voluntary placement agreement must be executed in a form <br/>
<a id="pl.89.15"></a><var>89.15</var>developed and promulgated by the commissioner of human services. The responsible <br/>
<a id="pl.89.16"></a><var>89.16</var>social services agency shall report to the commissioner the number of children who are the <br/>
<a id="pl.89.17"></a><var>89.17</var>subject of a voluntary placement agreement under this subdivision and other information <br/>
<a id="pl.89.18"></a><var>89.18</var>regarding these children as the commissioner may require.<br/>
<a id="pl.89.19"></a><var>89.19</var>    (b) If a developmentally disabled child or a child diagnosed as emotionally disturbed <br/>
<a id="pl.89.20"></a><var>89.20</var>has been placed in a residential facility pursuant to a voluntary release by the child's parent <br/>
<a id="pl.89.21"></a><var>89.21</var>or parents because of the child's disabling conditions or need for long-term residential <br/>
<a id="pl.89.22"></a><var>89.22</var>treatment or supervision, the social services agency responsible for the placement shall <br/>
<a id="pl.89.23"></a><var>89.23</var>report to the court and bring a petition for review of the child's foster care status as <br/>
<a id="pl.89.24"></a><var>89.24</var>required in section 
         <statute_ref>260C.141, subdivision 2a</statute_ref>. <br/>
<a id="pl.89.25"></a><var>89.25</var>    (b) (c) If a child is in placement due solely to the child's developmental disability or <br/>
<a id="pl.89.26"></a><var>89.26</var>emotional disturbance, and the court finds compelling reasons not to proceed under section <br/>
<statute_ref><a id="pl.89.27"></a><var>89.27</var>260C.201, subdivision 11
         </statute_ref>, and custody of the child is not transferred to the responsible <br/>
<a id="pl.89.28"></a><var>89.28</var>social services agency under section 
         <statute_ref>260C.201, subdivision 1, paragraph (a), clause (2)</statute_ref>, <br/>
<a id="pl.89.29"></a><var>89.29</var>and no petition is required by section 
         <statute_ref>260C.201, subdivision 11</statute_ref>. <br/>
<a id="pl.89.30"></a><var>89.30</var>    (c) (d) Whenever a petition for review is brought pursuant to this subdivision, a <br/>
<a id="pl.89.31"></a><var>89.31</var>guardian ad litem shall be appointed for the child.<br/>
<br/>
<a id="bill.1.76.0"></a><a id="pl.89.32"></a><var>89.32</var>    Sec. 76. Minnesota Statutes 2006, section 260C.317, subdivision 3, is amended to read:<br/>
<a id="pl.89.33"></a><var>89.33</var>    Subd. 3. <b>Order; retention of jurisdiction.</b> (a) A certified copy of the findings and <br/>
<a id="pl.89.34"></a><var>89.34</var>the order terminating parental rights, and a summary of the court's information concerning <br/>
<a id="pl.90.1"></a><var>90.1</var>the child shall be furnished by the court to the commissioner or the agency to which <br/>
<a id="pl.90.2"></a><var>90.2</var>guardianship is transferred. The orders shall be on a document separate from the findings. <br/>
<a id="pl.90.3"></a><var>90.3</var>The court shall furnish the individual to whom guardianship is transferred a copy of the <br/>
<a id="pl.90.4"></a><var>90.4</var>order terminating parental rights.<br/>
<a id="pl.90.5"></a><var>90.5</var>    (b) The court shall retain jurisdiction in a case where adoption is the intended <br/>
<a id="pl.90.6"></a><var>90.6</var>permanent placement disposition until the child's adoption is finalized, the child is 18 years <br/>
<a id="pl.90.7"></a><var>90.7</var>of age, or the child is otherwise ordered discharged from the jurisdiction of the court. The <br/>
<a id="pl.90.8"></a><var>90.8</var>guardian ad litem and counsel for the child shall continue on the case until an adoption <br/>
<a id="pl.90.9"></a><var>90.9</var>decree is entered. A hearing must be held every 90 days following termination of parental <br/>
<a id="pl.90.10"></a><var>90.10</var>rights for the court to review progress toward an adoptive placement and the specific <br/>
<a id="pl.90.11"></a><var>90.11</var>recruitment efforts the agency has taken to find an adoptive family or other placement <br/>
<a id="pl.90.12"></a><var>90.12</var>living arrangement for the child and to finalize the adoption or other permanency plan.<br/>
<a id="pl.90.13"></a><var>90.13</var>    (c) The responsible social services agency may make a determination of compelling <br/>
<a id="pl.90.14"></a><var>90.14</var>reasons for a child to be in long-term foster care when the agency has made exhaustive <br/>
<a id="pl.90.15"></a><var>90.15</var>efforts to recruit, identify, and place the child in an adoptive home, and the child continues <br/>
<a id="pl.90.16"></a><var>90.16</var>in foster care for at least 24 months after the court has issued the order terminating <br/>
<a id="pl.90.17"></a><var>90.17</var>parental rights. A child of any age who is under the guardianship of the commissioner of <br/>
<a id="pl.90.18"></a><var>90.18</var>the Department of Human Services and is legally available for adoption may not refuse <br/>
<a id="pl.90.19"></a><var>90.19</var>or waive the commissioner's agent's exhaustive efforts to recruit, identify, and place the <br/>
<a id="pl.90.20"></a><var>90.20</var>child in an adoptive home required under paragraph (b) or sign a document relieving <br/>
<a id="pl.90.21"></a><var>90.21</var>county social services agencies of all recruitment efforts on the child's behalf. Upon <br/>
<a id="pl.90.22"></a><var>90.22</var>approving the agency's determination of compelling reasons, the court may order the <br/>
<a id="pl.90.23"></a><var>90.23</var>child placed in long-term foster care. At least every 12 months thereafter as long as the <br/>
<a id="pl.90.24"></a><var>90.24</var>child continues in out-of-home placement, the court shall conduct a permanency review <br/>
<a id="pl.90.25"></a><var>90.25</var>hearing to determine the future status of the child using the review requirements of section <br/>
<statute_ref><a id="pl.90.26"></a><var>90.26</var>260C.201, subdivision 11
         </statute_ref>, paragraph (g).<br/>
<a id="pl.90.27"></a><var>90.27</var>    (d) The court shall retain jurisdiction through the child's minority in a case where <br/>
<a id="pl.90.28"></a><var>90.28</var>long-term foster care is the permanent disposition whether under paragraph (c) or section <br/>
<statute_ref><a id="pl.90.29"></a><var>90.29</var>260C.201, subdivision 11
         </statute_ref>.<br/>
<br/>
<a id="bill.1.77.0"></a><a id="pl.90.30"></a><var>90.30</var>    Sec. 77. Minnesota Statutes 2006, section 260C.331, subdivision 1, is amended to read:<br/>
<a id="pl.90.31"></a><var>90.31</var>    Subdivision 1. <b>Care, examination, or treatment.</b> (a) Except where parental rights <br/>
<a id="pl.90.32"></a><var>90.32</var>are terminated,<br/>
<a id="pl.90.33"></a><var>90.33</var>    (1) whenever legal custody of a child is transferred by the court to a responsible <br/>
<a id="pl.90.34"></a><var>90.34</var>social services agency,<br/>
<a id="pl.91.1"></a><var>91.1</var>    (2) whenever legal custody is transferred to a person other than the responsible social <br/>
<a id="pl.91.2"></a><var>91.2</var>services agency, but under the supervision of the responsible social services agency, or<br/>
<a id="pl.91.3"></a><var>91.3</var>    (3) whenever a child is given physical or mental examinations or treatment under <br/>
<a id="pl.91.4"></a><var>91.4</var>order of the court, and no provision is otherwise made by law for payment for the care, <br/>
<a id="pl.91.5"></a><var>91.5</var>examination, or treatment of the child, these costs are a charge upon the welfare funds of <br/>
<a id="pl.91.6"></a><var>91.6</var>the county in which proceedings are held upon certification of the judge of juvenile court.<br/>
<a id="pl.91.7"></a><var>91.7</var>    (b) The court shall order, and the responsible social services agency shall require, <br/>
<a id="pl.91.8"></a><var>91.8</var>the parents or custodian of a child, while the child is under the age of 18, to use the <br/>
<a id="pl.91.9"></a><var>91.9</var>total income and resources attributable to the child for the period of care, examination, <br/>
<a id="pl.91.10"></a><var>91.10</var>or treatment, except for clothing and personal needs allowance as provided in section <br/>
<statute_ref><a id="pl.91.11"></a><var>91.11</var>256B.35
         </statute_ref>, to reimburse the county for the cost of care, examination, or treatment. Income <br/>
<a id="pl.91.12"></a><var>91.12</var>and resources attributable to the child include, but are not limited to, Social Security <br/>
<a id="pl.91.13"></a><var>91.13</var>benefits, supplemental security income (SSI), veterans benefits, railroad retirement <br/>
<a id="pl.91.14"></a><var>91.14</var>benefits and child support. When the child is over the age of 18, and continues to receive <br/>
<a id="pl.91.15"></a><var>91.15</var>care, examination, or treatment, the court shall order, and the responsible social services <br/>
<a id="pl.91.16"></a><var>91.16</var>agency shall require, reimbursement from the child for the cost of care, examination, or <br/>
<a id="pl.91.17"></a><var>91.17</var>treatment from the income and resources attributable to the child less the clothing and <br/>
<a id="pl.91.18"></a><var>91.18</var>personal needs allowance. Income does not include earnings from a child over the age of <br/>
<a id="pl.91.19"></a><var>91.19</var>18 who is working as part of a plan under section 260C.212, subdivision 1, paragraph (c), <br/>
<a id="pl.91.20"></a><var>91.20</var>clause (8), to transition from foster care. <br/>
<a id="pl.91.21"></a><var>91.21</var>    (c) If the income and resources attributable to the child are not enough to reimburse <br/>
<a id="pl.91.22"></a><var>91.22</var>the county for the full cost of the care, examination, or treatment, the court shall inquire <br/>
<a id="pl.91.23"></a><var>91.23</var>into the ability of the parents to support the child and, after giving the parents a reasonable <br/>
<a id="pl.91.24"></a><var>91.24</var>opportunity to be heard, the court shall order, and the responsible social services agency <br/>
<a id="pl.91.25"></a><var>91.25</var>shall require, the parents to contribute to the cost of care, examination, or treatment of <br/>
<a id="pl.91.26"></a><var>91.26</var>the child. When determining the amount to be contributed by the parents, the court shall <br/>
<a id="pl.91.27"></a><var>91.27</var>use a fee schedule based upon ability to pay that is established by the responsible social <br/>
<a id="pl.91.28"></a><var>91.28</var>services agency and approved by the commissioner of human services. The income of <br/>
<a id="pl.91.29"></a><var>91.29</var>a stepparent who has not adopted a child shall be excluded in calculating the parental <br/>
<a id="pl.91.30"></a><var>91.30</var>contribution under this section.<br/>
<a id="pl.91.31"></a><var>91.31</var>    (d) The court shall order the amount of reimbursement attributable to the parents <br/>
<a id="pl.91.32"></a><var>91.32</var>or custodian, or attributable to the child, or attributable to both sources, withheld under <br/>
<a id="pl.91.33"></a><var>91.33</var>chapter 518A from the income of the parents or the custodian of the child. A parent or <br/>
<a id="pl.91.34"></a><var>91.34</var>custodian who fails to pay without good reason may be proceeded against for contempt, or <br/>
<a id="pl.91.35"></a><var>91.35</var>the court may inform the county attorney, who shall proceed to collect the unpaid sums, <br/>
<a id="pl.91.36"></a><var>91.36</var>or both procedures may be used.<br/>
<a id="pl.92.1"></a><var>92.1</var>    (e) If the court orders a physical or mental examination for a child, the examination <br/>
<a id="pl.92.2"></a><var>92.2</var>is a medically necessary service for purposes of determining whether the service is <br/>
<a id="pl.92.3"></a><var>92.3</var>covered by a health insurance policy, health maintenance contract, or other health <br/>
<a id="pl.92.4"></a><var>92.4</var>coverage plan. Court-ordered treatment shall be subject to policy, contract, or plan <br/>
<a id="pl.92.5"></a><var>92.5</var>requirements for medical necessity. Nothing in this paragraph changes or eliminates <br/>
<a id="pl.92.6"></a><var>92.6</var>benefit limits, conditions of coverage, co-payments or deductibles, provider restrictions, <br/>
<a id="pl.92.7"></a><var>92.7</var>or other requirements in the policy, contract, or plan that relate to coverage of other <br/>
<a id="pl.92.8"></a><var>92.8</var>medically necessary services.<br/>
<br/>
<a id="bill.1.78.0"></a><a id="pl.92.9"></a><var>92.9</var>    Sec. 78. Minnesota Statutes 2006, section 270B.14, subdivision 1, is amended to read:<br/>
<a id="pl.92.10"></a><var>92.10</var>    Subdivision 1. <b>Disclosure to commissioner of human services.</b> (a) On the request <br/>
<a id="pl.92.11"></a><var>92.11</var>of the commissioner of human services, the commissioner shall disclose return information <br/>
<a id="pl.92.12"></a><var>92.12</var>regarding taxes imposed by chapter 290, and claims for refunds under chapter 290A, to <br/>
<a id="pl.92.13"></a><var>92.13</var>the extent provided in paragraph (b) and for the purposes set forth in paragraph (c).<br/>
<a id="pl.92.14"></a><var>92.14</var>    (b) Data that may be disclosed are limited to data relating to the identity, <br/>
<a id="pl.92.15"></a><var>92.15</var>whereabouts, employment, income, and property of a person owing or alleged to be owing <br/>
<a id="pl.92.16"></a><var>92.16</var>an obligation of child support.<br/>
<a id="pl.92.17"></a><var>92.17</var>    (c) The commissioner of human services may request data only for the purposes of <br/>
<a id="pl.92.18"></a><var>92.18</var>carrying out the child support enforcement program and to assist in the location of parents <br/>
<a id="pl.92.19"></a><var>92.19</var>who have, or appear to have, deserted their children. Data received may be used only <br/>
<a id="pl.92.20"></a><var>92.20</var>as set forth in section 
         <statute_ref>256.978</statute_ref>. <br/>
<a id="pl.92.21"></a><var>92.21</var>    (d) The commissioner shall provide the records and information necessary to <br/>
<a id="pl.92.22"></a><var>92.22</var>administer the supplemental housing allowance to the commissioner of human services.<br/>
<a id="pl.92.23"></a><var>92.23</var>    (e) At the request of the commissioner of human services, the commissioner of <br/>
<a id="pl.92.24"></a><var>92.24</var>revenue shall electronically match the Social Security numbers and names of participants <br/>
<a id="pl.92.25"></a><var>92.25</var>in the telephone assistance plan operated under sections 
         <statute_ref>237.69</statute_ref> to 
         <statute_ref>237.711</statute_ref>, with those of <br/>
<a id="pl.92.26"></a><var>92.26</var>property tax refund filers, and determine whether each participant's household income is <br/>
<a id="pl.92.27"></a><var>92.27</var>within the eligibility standards for the telephone assistance plan. <br/>
<a id="pl.92.28"></a><var>92.28</var>    (f) The commissioner may provide records and information collected under sections <br/>
<statute_ref><a id="pl.92.29"></a><var>92.29</var>295.50
         </statute_ref> to 
         <statute_ref>295.59</statute_ref> to the commissioner of human services for purposes of the Medicaid <br/>
<a id="pl.92.30"></a><var>92.30</var>Voluntary Contribution and Provider-Specific Tax Amendments of 1991, Public Law <br/>
<a id="pl.92.31"></a><var>92.31</var>102-234. Upon the written agreement by the United States Department of Health and <br/>
<a id="pl.92.32"></a><var>92.32</var>Human Services to maintain the confidentiality of the data, the commissioner may provide <br/>
<a id="pl.92.33"></a><var>92.33</var>records and information collected under sections 
         <statute_ref>295.50</statute_ref> to 
         <statute_ref>295.59</statute_ref> to the Centers for <br/>
<a id="pl.92.34"></a><var>92.34</var>Medicare and Medicaid Services section of the United States Department of Health and <br/>
<a id="pl.92.35"></a><var>92.35</var>Human Services for purposes of meeting federal reporting requirements. <br/>
<a id="pl.93.1"></a><var>93.1</var>    (g) The commissioner may provide records and information to the commissioner of <br/>
<a id="pl.93.2"></a><var>93.2</var>human services as necessary to administer the early refund of refundable tax credits.<br/>
<a id="pl.93.3"></a><var>93.3</var>    (h) The commissioner may disclose information to the commissioner of human <br/>
<a id="pl.93.4"></a><var>93.4</var>services necessary to verify income for eligibility and premium payment under the <br/>
<a id="pl.93.5"></a><var>93.5</var>MinnesotaCare program, under section 
         <statute_ref>256L.05, subdivision 2</statute_ref>. <br/>
<a id="pl.93.6"></a><var>93.6</var>    (i) The commissioner may disclose information to the commissioner of human <br/>
<a id="pl.93.7"></a><var>93.7</var>services necessary to verify whether applicants or recipients for the Minnesota family <br/>
<a id="pl.93.8"></a><var>93.8</var>investment program, general assistance, food support, and Minnesota supplemental aid <br/>
<a id="pl.93.9"></a><var>93.9</var>program, and child care assistance have claimed refundable tax credits under chapter 290 <br/>
<a id="pl.93.10"></a><var>93.10</var>and the property tax refund under chapter 290A, and the amounts of the credits.<br/>
<br/>
<a id="bill.1.79.0"></a><a id="pl.93.11"></a><var>93.11</var>    Sec. 79. Minnesota Statutes 2006, section 626.556, subdivision 2, is amended to read:<br/>
<a id="pl.93.12"></a><var>93.12</var>    Subd. 2. <b>Definitions.</b> As used in this section, the following terms have the meanings <br/>
<a id="pl.93.13"></a><var>93.13</var>given them unless the specific content indicates otherwise:<br/>
<a id="pl.93.14"></a><var>93.14</var>    (a) "Family assessment" means a comprehensive assessment of child safety, risk <br/>
<a id="pl.93.15"></a><var>93.15</var>of subsequent child maltreatment, and family strengths and needs that is applied to a <br/>
<a id="pl.93.16"></a><var>93.16</var>child maltreatment report that does not allege substantial child endangerment. Family <br/>
<a id="pl.93.17"></a><var>93.17</var>assessment does not include a determination as to whether child maltreatment occurred <br/>
<a id="pl.93.18"></a><var>93.18</var>but does determine the need for services to address the safety of family members and the <br/>
<a id="pl.93.19"></a><var>93.19</var>risk of subsequent maltreatment.<br/>
<a id="pl.93.20"></a><var>93.20</var>    (b) "Investigation" means fact gathering related to the current safety of a child <br/>
<a id="pl.93.21"></a><var>93.21</var>and the risk of subsequent maltreatment that determines whether child maltreatment <br/>
<a id="pl.93.22"></a><var>93.22</var>occurred and whether child protective services are needed. An investigation must be used <br/>
<a id="pl.93.23"></a><var>93.23</var>when reports involve substantial child endangerment, and for reports of maltreatment in <br/>
<a id="pl.93.24"></a><var>93.24</var>facilities required to be licensed under chapter 245A or 245B; under sections 144.50 to <br/>
<a id="pl.93.25"></a><var>93.25</var>144.58 and 241.021; in a school as defined in sections 120A.05, subdivisions 9, 11, and <br/>
<a id="pl.93.26"></a><var>93.26</var>13, and 124D.10; or in a nonlicensed personal care provider association as defined in <br/>
<a id="pl.93.27"></a><var>93.27</var>sections 256B.04, subdivision 16, and 256B.0625, subdivision 19a.<br/>
<a id="pl.93.28"></a><var>93.28</var>    (c) "Substantial child endangerment" means a person responsible for a child's care, <br/>
<a id="pl.93.29"></a><var>93.29</var>and in the case of sexual abuse includes a person who has a significant relationship to the <br/>
<a id="pl.93.30"></a><var>93.30</var>child as defined in section 609.341, or a person in a position of authority as defined in <br/>
<a id="pl.93.31"></a><var>93.31</var>section 609.341, who by act or omission commits or attempts to commit an act against a <br/>
<a id="pl.93.32"></a><var>93.32</var>child under their care that constitutes any of the following:<br/>
<a id="pl.93.33"></a><var>93.33</var>    (1) egregious harm as defined in section 260C.007, subdivision 14;<br/>
<a id="pl.93.34"></a><var>93.34</var>    (2) sexual abuse as defined in paragraph (d);<br/>
<a id="pl.93.35"></a><var>93.35</var>    (3) abandonment under section 260C.301, subdivision 2;<br/>
<a id="pl.94.1"></a><var>94.1</var>    (4) neglect as defined in paragraph (f), clause (2), that substantially endangers the <br/>
<a id="pl.94.2"></a><var>94.2</var>child's physical or mental health, including a growth delay, which may be referred to as <br/>
<a id="pl.94.3"></a><var>94.3</var>failure to thrive, that has been diagnosed by a physician and is due to parental neglect;<br/>
<a id="pl.94.4"></a><var>94.4</var>    (5) murder in the first, second, or third degree under section 609.185, 609.19, or <br/>
<a id="pl.94.5"></a><var>94.5</var>609.195;<br/>
<a id="pl.94.6"></a><var>94.6</var>    (6) manslaughter in the first or second degree under section 609.20 or 609.205;<br/>
<a id="pl.94.7"></a><var>94.7</var>    (7) assault in the first, second, or third degree under section 609.221, 609.222, or <br/>
<a id="pl.94.8"></a><var>94.8</var>609.223;<br/>
<a id="pl.94.9"></a><var>94.9</var>    (8) solicitation, inducement, and promotion of prostitution under section 609.322;<br/>
<a id="pl.94.10"></a><var>94.10</var>    (9) criminal sexual conduct under sections 609.342 to 609.3451;<br/>
<a id="pl.94.11"></a><var>94.11</var>    (10) solicitation of children to engage in sexual conduct under section 609.352;<br/>
<a id="pl.94.12"></a><var>94.12</var>    (11) malicious punishment or neglect or endangerment of a child under section <br/>
<a id="pl.94.13"></a><var>94.13</var>609.377 or 609.378;<br/>
<a id="pl.94.14"></a><var>94.14</var>    (12) use of a minor in sexual performance under section 617.246; or<br/>
<a id="pl.94.15"></a><var>94.15</var>    (13) parental behavior, status, or condition which mandates that the county attorney <br/>
<a id="pl.94.16"></a><var>94.16</var>file a termination of parental rights petition under section 260C.301, subdivision 3, <br/>
<a id="pl.94.17"></a><var>94.17</var>paragraph (a).<br/>
<a id="pl.94.18"></a><var>94.18</var>    (d) "Sexual abuse" means the subjection of a child by a person responsible for the <br/>
<a id="pl.94.19"></a><var>94.19</var>child's care, by a person who has a significant relationship to the child, as defined in <br/>
<a id="pl.94.20"></a><var>94.20</var>section 609.341, or by a person in a position of authority, as defined in section 609.341, <br/>
<a id="pl.94.21"></a><var>94.21</var>subdivision 10, to any act which constitutes a violation of section 609.342 (criminal sexual <br/>
<a id="pl.94.22"></a><var>94.22</var>conduct in the first degree), 609.343 (criminal sexual conduct in the second degree), <br/>
<a id="pl.94.23"></a><var>94.23</var>609.344 (criminal sexual conduct in the third degree), 609.345 (criminal sexual conduct <br/>
<a id="pl.94.24"></a><var>94.24</var>in the fourth degree), or 609.3451 (criminal sexual conduct in the fifth degree). Sexual <br/>
<a id="pl.94.25"></a><var>94.25</var>abuse also includes any act which involves a minor which constitutes a violation of <br/>
<a id="pl.94.26"></a><var>94.26</var>prostitution offenses under sections 609.321 to 609.324 or 617.246. Sexual abuse includes <br/>
<a id="pl.94.27"></a><var>94.27</var>threatened sexual abuse.<br/>
<a id="pl.94.28"></a><var>94.28</var>    (e) "Person responsible for the child's care" means (1) an individual functioning <br/>
<a id="pl.94.29"></a><var>94.29</var>within the family unit and having responsibilities for the care of the child such as a <br/>
<a id="pl.94.30"></a><var>94.30</var>parent, guardian, or other person having similar care responsibilities, or (2) an individual <br/>
<a id="pl.94.31"></a><var>94.31</var>functioning outside the family unit and having responsibilities for the care of the child <br/>
<a id="pl.94.32"></a><var>94.32</var>such as a teacher, school administrator, other school employees or agents, or other lawful <br/>
<a id="pl.94.33"></a><var>94.33</var>custodian of a child having either full-time or short-term care responsibilities including, <br/>
<a id="pl.94.34"></a><var>94.34</var>but not limited to, day care, babysitting whether paid or unpaid, counseling, teaching, <br/>
<a id="pl.94.35"></a><var>94.35</var>and coaching.<br/>
<a id="pl.94.36"></a><var>94.36</var>    (f) "Neglect" means:<br/>
<a id="pl.95.1"></a><var>95.1</var>    (1) failure by a person responsible for a child's care to supply a child with necessary <br/>
<a id="pl.95.2"></a><var>95.2</var>food, clothing, shelter, health, medical, or other care required for the child's physical or <br/>
<a id="pl.95.3"></a><var>95.3</var>mental health when reasonably able to do so;<br/>
<a id="pl.95.4"></a><var>95.4</var>    (2) failure to protect a child from conditions or actions that seriously endanger the <br/>
<a id="pl.95.5"></a><var>95.5</var>child's physical or mental health when reasonably able to do so, including a growth delay, <br/>
<a id="pl.95.6"></a><var>95.6</var>which may be referred to as a failure to thrive, that has been diagnosed by a physician and <br/>
<a id="pl.95.7"></a><var>95.7</var>is due to parental neglect;<br/>
<a id="pl.95.8"></a><var>95.8</var>    (3) failure to provide for necessary supervision or child care arrangements <br/>
<a id="pl.95.9"></a><var>95.9</var>appropriate for a child after considering factors as the child's age, mental ability, physical <br/>
<a id="pl.95.10"></a><var>95.10</var>condition, length of absence, or environment, when the child is unable to care for the <br/>
<a id="pl.95.11"></a><var>95.11</var>child's own basic needs or safety, or the basic needs or safety of another child in their care;<br/>
<a id="pl.95.12"></a><var>95.12</var>    (4) failure to ensure that the child is educated as defined in sections 120A.22 and <br/>
<a id="pl.95.13"></a><var>95.13</var>260C.163, subdivision 11, which does not include a parent's refusal to provide the parent's <br/>
<a id="pl.95.14"></a><var>95.14</var>child with sympathomimetic medications, consistent with section 125A.091, subdivision 5;<br/>
<a id="pl.95.15"></a><var>95.15</var>    (5) nothing in this section shall be construed to mean that a child is neglected solely <br/>
<a id="pl.95.16"></a><var>95.16</var>because the child's parent, guardian, or other person responsible for the child's care in <br/>
<a id="pl.95.17"></a><var>95.17</var>good faith selects and depends upon spiritual means or prayer for treatment or care of <br/>
<a id="pl.95.18"></a><var>95.18</var>disease or remedial care of the child in lieu of medical care; except that a parent, guardian, <br/>
<a id="pl.95.19"></a><var>95.19</var>or caretaker, or a person mandated to report pursuant to subdivision 3, has a duty to report <br/>
<a id="pl.95.20"></a><var>95.20</var>if a lack of medical care may cause serious danger to the child's health. This section does <br/>
<a id="pl.95.21"></a><var>95.21</var>not impose upon persons, not otherwise legally responsible for providing a child with <br/>
<a id="pl.95.22"></a><var>95.22</var>necessary food, clothing, shelter, education, or medical care, a duty to provide that care;<br/>
<a id="pl.95.23"></a><var>95.23</var>    (6) prenatal exposure to a controlled substance, as defined in section 253B.02, <br/>
<a id="pl.95.24"></a><var>95.24</var>subdivision 2, used by the mother for a nonmedical purpose, as evidenced by withdrawal <br/>
<a id="pl.95.25"></a><var>95.25</var>symptoms in the child at birth, results of a toxicology test performed on the mother at <br/>
<a id="pl.95.26"></a><var>95.26</var>delivery or the child at birth, or medical effects or developmental delays during the child's <br/>
<a id="pl.95.27"></a><var>95.27</var>first year of life that medically indicate prenatal exposure to a controlled substance;<br/>
<a id="pl.95.28"></a><var>95.28</var>    (7) "medical neglect" as defined in section 260C.007, subdivision 6, clause (5);<br/>
<a id="pl.95.29"></a><var>95.29</var>    (8) chronic and severe use of alcohol or a controlled substance by a parent or <br/>
<a id="pl.95.30"></a><var>95.30</var>person responsible for the care of the child that adversely affects the child's basic needs <br/>
<a id="pl.95.31"></a><var>95.31</var>and safety; or<br/>
<a id="pl.95.32"></a><var>95.32</var>    (9) emotional harm from a pattern of behavior which contributes to impaired <br/>
<a id="pl.95.33"></a><var>95.33</var>emotional functioning of the child which may be demonstrated by a substantial and <br/>
<a id="pl.95.34"></a><var>95.34</var>observable effect in the child's behavior, emotional response, or cognition that is not <br/>
<a id="pl.95.35"></a><var>95.35</var>within the normal range for the child's age and stage of development, with due regard to <br/>
<a id="pl.95.36"></a><var>95.36</var>the child's culture.<br/>
<a id="pl.96.1"></a><var>96.1</var>    (g) "Physical abuse" means any physical injury, mental injury, or threatened injury, <br/>
<a id="pl.96.2"></a><var>96.2</var>inflicted by a person responsible for the child's care on a child other than by accidental <br/>
<a id="pl.96.3"></a><var>96.3</var>means, or any physical or mental injury that cannot reasonably be explained by the child's <br/>
<a id="pl.96.4"></a><var>96.4</var>history of injuries, or any aversive or deprivation procedures, or regulated interventions, <br/>
<a id="pl.96.5"></a><var>96.5</var>that have not been authorized under section 121A.67 or 245.825. Abuse does not include <br/>
<a id="pl.96.6"></a><var>96.6</var>reasonable and moderate physical discipline of a child administered by a parent or legal <br/>
<a id="pl.96.7"></a><var>96.7</var>guardian which does not result in an injury. Abuse does not include the use of reasonable <br/>
<a id="pl.96.8"></a><var>96.8</var>force by a teacher, principal, or school employee as allowed by section 121A.582. Actions <br/>
<a id="pl.96.9"></a><var>96.9</var>which are not reasonable and moderate include, but are not limited to, any of the following <br/>
<a id="pl.96.10"></a><var>96.10</var>that are done in anger or without regard to the safety of the child:<br/>
<a id="pl.96.11"></a><var>96.11</var>    (1) throwing, kicking, burning, biting, or cutting a child;<br/>
<a id="pl.96.12"></a><var>96.12</var>    (2) striking a child with a closed fist;<br/>
<a id="pl.96.13"></a><var>96.13</var>    (3) shaking a child under age three;<br/>
<a id="pl.96.14"></a><var>96.14</var>    (4) striking or other actions which result in any nonaccidental injury to a child <br/>
<a id="pl.96.15"></a><var>96.15</var>under 18 months of age;<br/>
<a id="pl.96.16"></a><var>96.16</var>    (5) unreasonable interference with a child's breathing;<br/>
<a id="pl.96.17"></a><var>96.17</var>    (6) threatening a child with a weapon, as defined in section 609.02, subdivision 6;<br/>
<a id="pl.96.18"></a><var>96.18</var>    (7) striking a child under age one on the face or head;<br/>
<a id="pl.96.19"></a><var>96.19</var>    (8) purposely giving a child poison, alcohol, or dangerous, harmful, or controlled <br/>
<a id="pl.96.20"></a><var>96.20</var>substances which were not prescribed for the child by a practitioner, in order to control or <br/>
<a id="pl.96.21"></a><var>96.21</var>punish the child; or other substances that substantially affect the child's behavior, motor <br/>
<a id="pl.96.22"></a><var>96.22</var>coordination, or judgment or that results in sickness or internal injury, or subjects the <br/>
<a id="pl.96.23"></a><var>96.23</var>child to medical procedures that would be unnecessary if the child were not exposed <br/>
<a id="pl.96.24"></a><var>96.24</var>to the substances;<br/>
<a id="pl.96.25"></a><var>96.25</var>    (9) unreasonable physical confinement or restraint not permitted under section <br/>
<a id="pl.96.26"></a><var>96.26</var>609.379, including but not limited to tying, caging, or chaining; or<br/>
<a id="pl.96.27"></a><var>96.27</var>    (10) in a school facility or school zone, an act by a person responsible for the child's <br/>
<a id="pl.96.28"></a><var>96.28</var>care that is a violation under section 121A.58.<br/>
<a id="pl.96.29"></a><var>96.29</var>    (h) "Report" means any report received by the local welfare agency, police <br/>
<a id="pl.96.30"></a><var>96.30</var>department, county sheriff, or agency responsible for assessing or investigating <br/>
<a id="pl.96.31"></a><var>96.31</var>maltreatment pursuant to this section.<br/>
<a id="pl.96.32"></a><var>96.32</var>    (i) "Facility" means: <br/>
<a id="pl.96.33"></a><var>96.33</var>    (1) a licensed or unlicensed day care facility, residential facility, agency, hospital, <br/>
<a id="pl.96.34"></a><var>96.34</var>sanitarium, or other facility or institution required to be licensed under sections 144.50 to <br/>
<a id="pl.96.35"></a><var>96.35</var>144.58, 241.021, or 245A.01 to 245A.16, or chapter 245B; <br/>
<a id="pl.97.1"></a><var>97.1</var>    (2) a school as defined in sections 120A.05, subdivisions 9, 11, and 13; and <br/>
<a id="pl.97.2"></a><var>97.2</var>124D.10; or <br/>
<a id="pl.97.3"></a><var>97.3</var>    (3) a nonlicensed personal care provider organization as defined in sections 256B.04, <br/>
<a id="pl.97.4"></a><var>97.4</var>subdivision 16, and 256B.0625, subdivision 19a.<br/>
<a id="pl.97.5"></a><var>97.5</var>    (j) "Operator" means an operator or agency as defined in section 245A.02.<br/>
<a id="pl.97.6"></a><var>97.6</var>    (k) "Commissioner" means the commissioner of human services.<br/>
<a id="pl.97.7"></a><var>97.7</var>    (l) "Practice of social services," for the purposes of subdivision 3, includes but is <br/>
<a id="pl.97.8"></a><var>97.8</var>not limited to employee assistance counseling and the provision of guardian ad litem and <br/>
<a id="pl.97.9"></a><var>97.9</var>parenting time expeditor services.<br/>
<a id="pl.97.10"></a><var>97.10</var>    (m) "Mental injury" means an injury to the psychological capacity or emotional <br/>
<a id="pl.97.11"></a><var>97.11</var>stability of a child as evidenced by an observable or substantial impairment in the child's <br/>
<a id="pl.97.12"></a><var>97.12</var>ability to function within a normal range of performance and behavior with due regard to <br/>
<a id="pl.97.13"></a><var>97.13</var>the child's culture.<br/>
<a id="pl.97.14"></a><var>97.14</var>    (n) "Threatened injury" means a statement, overt act, condition, or status that <br/>
<a id="pl.97.15"></a><var>97.15</var>represents a substantial risk of physical or sexual abuse or mental injury. Threatened <br/>
<a id="pl.97.16"></a><var>97.16</var>injury includes, but is not limited to, exposing a child to a person responsible for the <br/>
<a id="pl.97.17"></a><var>97.17</var>child's care, as defined in paragraph (e), clause (1), who has:<br/>
<a id="pl.97.18"></a><var>97.18</var>    (1) subjected a child to, or failed to protect a child from, an overt act or condition <br/>
<a id="pl.97.19"></a><var>97.19</var>that constitutes egregious harm, as defined in section 260C.007, subdivision 14, or a <br/>
<a id="pl.97.20"></a><var>97.20</var>similar law of another jurisdiction;<br/>
<a id="pl.97.21"></a><var>97.21</var>    (2) been found to be palpably unfit under section 260C.301, paragraph (b), clause <br/>
<a id="pl.97.22"></a><var>97.22</var>(4), or a similar law of another jurisdiction;<br/>
<a id="pl.97.23"></a><var>97.23</var>    (3) committed an act that has resulted in an involuntary termination of parental rights <br/>
<a id="pl.97.24"></a><var>97.24</var>under section 260C.301, or a similar law of another jurisdiction; or<br/>
<a id="pl.97.25"></a><var>97.25</var>    (4) committed an act that has resulted in the involuntary transfer of permanent legal <br/>
<a id="pl.97.26"></a><var>97.26</var>and physical custody of a child to a relative under section 260C.201, subdivision 11, <br/>
<a id="pl.97.27"></a><var>97.27</var>paragraph (d), clause (1), or a similar law of another jurisdiction.<br/>
<a id="pl.97.28"></a><var>97.28</var>    (o) Persons who conduct assessments or investigations under this section shall take <br/>
<a id="pl.97.29"></a><var>97.29</var>into account accepted child-rearing practices of the culture in which a child participates <br/>
<a id="pl.97.30"></a><var>97.30</var>and accepted teacher discipline practices, which are not injurious to the child's health, <br/>
<a id="pl.97.31"></a><var>97.31</var>welfare, and safety.<br/>
<br/>
<a id="bill.1.80.0"></a><a id="pl.97.32"></a><var>97.32</var>    Sec. 80. Minnesota Statutes 2006, section 626.556, subdivision 3, is amended to read:<br/>
<a id="pl.97.33"></a><var>97.33</var>    Subd. 3. <b>Persons mandated to report.</b> (a) A person who knows or has reason <br/>
<a id="pl.97.34"></a><var>97.34</var>to believe a child is being neglected or physically or sexually abused, as defined in <br/>
<a id="pl.97.35"></a><var>97.35</var>subdivision 2, or has been neglected or physically or sexually abused within the preceding <br/>
<a id="pl.98.1"></a><var>98.1</var>three years, shall immediately report the information to the local welfare agency, agency <br/>
<a id="pl.98.2"></a><var>98.2</var>responsible for assessing or investigating the report, police department, or the county <br/>
<a id="pl.98.3"></a><var>98.3</var>sheriff if the person is:<br/>
<a id="pl.98.4"></a><var>98.4</var>    (1) a professional or professional's delegate who is engaged in the practice of <br/>
<a id="pl.98.5"></a><var>98.5</var>the healing arts, social services, hospital administration, psychological or psychiatric <br/>
<a id="pl.98.6"></a><var>98.6</var>treatment, child care, education, correctional supervision, probation and correctional <br/>
<a id="pl.98.7"></a><var>98.7</var>services, or law enforcement; or<br/>
<a id="pl.98.8"></a><var>98.8</var>    (2) employed as a member of the clergy and received the information while <br/>
<a id="pl.98.9"></a><var>98.9</var>engaged in ministerial duties, provided that a member of the clergy is not required by <br/>
<a id="pl.98.10"></a><var>98.10</var>this subdivision to report information that is otherwise privileged under section 
         <statute_ref>595.02, <br/>
<a id="pl.98.11"></a><var>98.11</var>subdivision 1
         </statute_ref>, paragraph (c).<br/>
<a id="pl.98.12"></a><var>98.12</var>    The police department or the county sheriff, upon receiving a report, shall <br/>
<a id="pl.98.13"></a><var>98.13</var>immediately notify the local welfare agency or agency responsible for assessing or <br/>
<a id="pl.98.14"></a><var>98.14</var>investigating the report, orally and in writing. The local welfare agency, or agency <br/>
<a id="pl.98.15"></a><var>98.15</var>responsible for assessing or investigating the report, upon receiving a report, shall <br/>
<a id="pl.98.16"></a><var>98.16</var>immediately notify the local police department or the county sheriff orally and in writing. <br/>
<a id="pl.98.17"></a><var>98.17</var>The county sheriff and the head of every local welfare agency, agency responsible <br/>
<a id="pl.98.18"></a><var>98.18</var>for assessing or investigating reports, and police department shall each designate a <br/>
<a id="pl.98.19"></a><var>98.19</var>person within their agency, department, or office who is responsible for ensuring that <br/>
<a id="pl.98.20"></a><var>98.20</var>the notification duties of this paragraph and paragraph (b) are carried out. Nothing in <br/>
<a id="pl.98.21"></a><var>98.21</var>this subdivision shall be construed to require more than one report from any institution, <br/>
<a id="pl.98.22"></a><var>98.22</var>facility, school, or agency.<br/>
<a id="pl.98.23"></a><var>98.23</var>    (b) Any person may voluntarily report to the local welfare agency, agency <br/>
<a id="pl.98.24"></a><var>98.24</var>responsible for assessing or investigating the report, police department, or the county <br/>
<a id="pl.98.25"></a><var>98.25</var>sheriff if the person knows, has reason to believe, or suspects a child is being or has been <br/>
<a id="pl.98.26"></a><var>98.26</var>neglected or subjected to physical or sexual abuse. The police department or the county <br/>
<a id="pl.98.27"></a><var>98.27</var>sheriff, upon receiving a report, shall immediately notify the local welfare agency or <br/>
<a id="pl.98.28"></a><var>98.28</var>agency responsible for assessing or investigating the report, orally and in writing. The <br/>
<a id="pl.98.29"></a><var>98.29</var>local welfare agency or agency responsible for assessing or investigating the report, upon <br/>
<a id="pl.98.30"></a><var>98.30</var>receiving a report, shall immediately notify the local police department or the county <br/>
<a id="pl.98.31"></a><var>98.31</var>sheriff orally and in writing.<br/>
<a id="pl.98.32"></a><var>98.32</var>    (c) A person mandated to report physical or sexual child abuse or neglect occurring <br/>
<a id="pl.98.33"></a><var>98.33</var>within a licensed facility shall report the information to the agency responsible for <br/>
<a id="pl.98.34"></a><var>98.34</var>licensing the facility under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>; 
         <statute_ref>241.021</statute_ref>; 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>; or <br/>
<a id="pl.98.35"></a><var>98.35</var>chapter 245B; or a nonlicensed personal care provider organization as defined in sections <br/>
<statute_ref><a id="pl.98.36"></a><var>98.36</var>256B.04, subdivision 16
         </statute_ref>; and 
         <statute_ref>256B.0625, subdivision 19</statute_ref>. A health or corrections agency <br/>
<a id="pl.99.1"></a><var>99.1</var>receiving a report may request the local welfare agency to provide assistance pursuant <br/>
<a id="pl.99.2"></a><var>99.2</var>to subdivisions 10, 10a, and 10b. A board or other entity whose licensees perform work <br/>
<a id="pl.99.3"></a><var>99.3</var>within a school facility, upon receiving a complaint of alleged maltreatment, shall provide <br/>
<a id="pl.99.4"></a><var>99.4</var>information about the circumstances of the alleged maltreatment to the commissioner of <br/>
<a id="pl.99.5"></a><var>99.5</var>education. Section 
         <statute_ref>13.03, subdivision 4</statute_ref>, applies to data received by the commissioner of <br/>
<a id="pl.99.6"></a><var>99.6</var>education from a licensing entity.<br/>
<a id="pl.99.7"></a><var>99.7</var>    (d) Any person mandated to report shall receive a summary of the disposition of <br/>
<a id="pl.99.8"></a><var>99.8</var>any report made by that reporter, including whether the case has been opened for child <br/>
<a id="pl.99.9"></a><var>99.9</var>protection or other services, or if a referral has been made to a community organization, <br/>
<a id="pl.99.10"></a><var>99.10</var>unless release would be detrimental to the best interests of the child. Any person who is <br/>
<a id="pl.99.11"></a><var>99.11</var>not mandated to report shall, upon request to the local welfare agency, receive a concise <br/>
<a id="pl.99.12"></a><var>99.12</var>summary of the disposition of any report made by that reporter, unless release would be <br/>
<a id="pl.99.13"></a><var>99.13</var>detrimental to the best interests of the child.<br/>
<a id="pl.99.14"></a><var>99.14</var>    (e) For purposes of this subdivision section, "immediately" means as soon as <br/>
<a id="pl.99.15"></a><var>99.15</var>possible but in no event longer than 24 hours.<br/>
<br/>
<a id="bill.1.81.0"></a><a id="pl.99.16"></a><var>99.16</var>    Sec. 81. Minnesota Statutes 2006, section 626.556, is amended by adding a subdivision <br/>
<a id="pl.99.17"></a><var>99.17</var>to read:<br/>
<a id="pl.99.18"></a><var>99.18</var>    Subd. 3e. <b>Agency responsibility for assessing or investigating reports of sexual </b><br/>
<a id="pl.99.19"></a><var>99.19</var><b>abuse.</b> The local welfare agency is the agency responsible for investigating allegations <br/>
<a id="pl.99.20"></a><var>99.20</var>of sexual abuse if the alleged offender is the parent, guardian, sibling, or an individual <br/>
<a id="pl.99.21"></a><var>99.21</var>functioning within the family unit as a person responsible for the child's care, or a person <br/>
<a id="pl.99.22"></a><var>99.22</var>with a significant relationship to the child if that person resides in the child's household.<br/>
<br/>
<a id="bill.1.82.0"></a><a id="pl.99.23"></a><var>99.23</var>    Sec. 82. Minnesota Statutes 2006, section 626.556, is amended by adding a subdivision <br/>
<a id="pl.99.24"></a><var>99.24</var>to read:<br/>
<a id="pl.99.25"></a><var>99.25</var>    Subd. 3f. <b>Law enforcement agency responsibility for investigating </b><br/>
<a id="pl.99.26"></a><var>99.26</var><b>maltreatment.</b> The local law enforcement agency has responsibility for investigating any <br/>
<a id="pl.99.27"></a><var>99.27</var>report of child maltreatment if a violation of a criminal statute is alleged. Law enforcement <br/>
<a id="pl.99.28"></a><var>99.28</var>and the responsible agency must coordinate their investigations or assessments as required <br/>
<a id="pl.99.29"></a><var>99.29</var>under subdivision 10.<br/>
<br/>
<a id="bill.1.83.0"></a><a id="pl.99.30"></a><var>99.30</var>    Sec. 83. Minnesota Statutes 2006, section 626.556, subdivision 10, is amended to read:<br/>
<a id="pl.99.31"></a><var>99.31</var>    Subd. 10. <b>Duties of local welfare agency and local law enforcement agency upon </b><br/>
<a id="pl.99.32"></a><var>99.32</var><b>receipt of a report.</b> (a) Upon receipt of a report, the local welfare agency shall determine <br/>
<a id="pl.100.1"></a><var>100.1</var>whether to conduct a family assessment or an investigation as appropriate to prevent or <br/>
<a id="pl.100.2"></a><var>100.2</var>provide a remedy for child maltreatment. The local welfare agency:<br/>
<a id="pl.100.3"></a><var>100.3</var>    (1) shall conduct an investigation on reports involving substantial child <br/>
<a id="pl.100.4"></a><var>100.4</var>endangerment;<br/>
<a id="pl.100.5"></a><var>100.5</var>    (2) shall begin an immediate investigation if, at any time when it is using a family <br/>
<a id="pl.100.6"></a><var>100.6</var>assessment response, it determines that there is reason to believe that substantial child <br/>
<a id="pl.100.7"></a><var>100.7</var>endangerment or a serious threat to the child's safety exists;<br/>
<a id="pl.100.8"></a><var>100.8</var>    (3) may conduct a family assessment for reports that do not allege substantial child <br/>
<a id="pl.100.9"></a><var>100.9</var>endangerment. In determining that a family assessment is appropriate, the local welfare <br/>
<a id="pl.100.10"></a><var>100.10</var>agency may consider issues of child safety, parental cooperation, and the need for an <br/>
<a id="pl.100.11"></a><var>100.11</var>immediate response; and<br/>
<a id="pl.100.12"></a><var>100.12</var>    (4) may conduct a family assessment on a report that was initially screened and <br/>
<a id="pl.100.13"></a><var>100.13</var>assigned for an investigation. In determining that a complete investigation is not required, <br/>
<a id="pl.100.14"></a><var>100.14</var>the local welfare agency must document the reason for terminating the investigation and <br/>
<a id="pl.100.15"></a><var>100.15</var>notify the local law enforcement agency if the local law enforcement agency is conducting <br/>
<a id="pl.100.16"></a><var>100.16</var>a joint investigation.<br/>
<a id="pl.100.17"></a><var>100.17</var>    If the report alleges neglect, physical abuse, or sexual abuse by a parent, guardian, <br/>
<a id="pl.100.18"></a><var>100.18</var>or individual functioning within the family unit as a person responsible for the child's <br/>
<a id="pl.100.19"></a><var>100.19</var>care, or sexual abuse by a person with a significant relationship to the child when that <br/>
<a id="pl.100.20"></a><var>100.20</var>person resides in the child's household or by a sibling, the local welfare agency shall <br/>
<a id="pl.100.21"></a><var>100.21</var>immediately conduct a family assessment or investigation as identified in clauses (1) to <br/>
<a id="pl.100.22"></a><var>100.22</var>(4). In conducting a family assessment or investigation, the local welfare agency shall <br/>
<a id="pl.100.23"></a><var>100.23</var>gather information on the existence of substance abuse and domestic violence and offer <br/>
<a id="pl.100.24"></a><var>100.24</var>services for purposes of preventing future child maltreatment, safeguarding and enhancing <br/>
<a id="pl.100.25"></a><var>100.25</var>the welfare of the abused or neglected minor, and supporting and preserving family <br/>
<a id="pl.100.26"></a><var>100.26</var>life whenever possible. If the report alleges a violation of a criminal statute involving <br/>
<a id="pl.100.27"></a><var>100.27</var>sexual abuse, physical abuse, or neglect or endangerment, under section 
         <statute_ref>609.378</statute_ref>, the <br/>
<a id="pl.100.28"></a><var>100.28</var>local law enforcement agency and local welfare agency shall coordinate the planning and <br/>
<a id="pl.100.29"></a><var>100.29</var>execution of their respective investigation and assessment efforts to avoid a duplication of <br/>
<a id="pl.100.30"></a><var>100.30</var>fact-finding efforts and multiple interviews. Each agency shall prepare a separate report of <br/>
<a id="pl.100.31"></a><var>100.31</var>the results of its investigation. In cases of alleged child maltreatment resulting in death, <br/>
<a id="pl.100.32"></a><var>100.32</var>the local agency may rely on the fact-finding efforts of a law enforcement investigation <br/>
<a id="pl.100.33"></a><var>100.33</var>to make a determination of whether or not maltreatment occurred. When necessary the <br/>
<a id="pl.100.34"></a><var>100.34</var>local welfare agency shall seek authority to remove the child from the custody of a parent, <br/>
<a id="pl.100.35"></a><var>100.35</var>guardian, or adult with whom the child is living. In performing any of these duties, the <br/>
<a id="pl.100.36"></a><var>100.36</var>local welfare agency shall maintain appropriate records.<br/>
<a id="pl.101.1"></a><var>101.1</var>    If the family assessment or investigation indicates there is a potential for abuse of <br/>
<a id="pl.101.2"></a><var>101.2</var>alcohol or other drugs by the parent, guardian, or person responsible for the child's care, <br/>
<a id="pl.101.3"></a><var>101.3</var>the local welfare agency shall conduct a chemical use assessment pursuant to Minnesota <br/>
<a id="pl.101.4"></a><var>101.4</var>Rules, part 9530.6615. The local welfare agency shall report the determination of the <br/>
<a id="pl.101.5"></a><var>101.5</var>chemical use assessment, and the recommendations and referrals for alcohol and other <br/>
<a id="pl.101.6"></a><var>101.6</var>drug treatment services to the state authority on alcohol and drug abuse.<br/>
<a id="pl.101.7"></a><var>101.7</var>    (b) When a local agency receives a report or otherwise has information indicating <br/>
<a id="pl.101.8"></a><var>101.8</var>that a child who is a client, as defined in section 
         <statute_ref>245.91</statute_ref>, has been the subject of physical <br/>
<a id="pl.101.9"></a><var>101.9</var>abuse, sexual abuse, or neglect at an agency, facility, or program as defined in section <br/>
<statute_ref><a id="pl.101.10"></a><var>101.10</var>245.91
         </statute_ref>, it shall, in addition to its other duties under this section, immediately inform the <br/>
<a id="pl.101.11"></a><var>101.11</var>ombudsman established under sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref>. The commissioner of education <br/>
<a id="pl.101.12"></a><var>101.12</var>shall inform the ombudsman established under sections 
         <statute_ref>245.91</statute_ref> to 
         <statute_ref>245.97</statute_ref> of reports <br/>
<a id="pl.101.13"></a><var>101.13</var>regarding a child defined as a client in section 
         <statute_ref>245.91</statute_ref> that maltreatment occurred at a <br/>
<a id="pl.101.14"></a><var>101.14</var>school as defined in sections 
         <statute_ref>120A.05, subdivisions 9, 11, and 13</statute_ref>, and 
         <statute_ref>124D.10</statute_ref>.<br/>
<a id="pl.101.15"></a><var>101.15</var>    (c) Authority of the local welfare agency responsible for assessing or investigating <br/>
<a id="pl.101.16"></a><var>101.16</var>the child abuse or neglect report, the agency responsible for assessing or investigating <br/>
<a id="pl.101.17"></a><var>101.17</var>the report, and of the local law enforcement agency for investigating the alleged abuse or <br/>
<a id="pl.101.18"></a><var>101.18</var>neglect includes, but is not limited to, authority to interview, without parental consent, <br/>
<a id="pl.101.19"></a><var>101.19</var>the alleged victim and any other minors who currently reside with or who have resided <br/>
<a id="pl.101.20"></a><var>101.20</var>with the alleged offender. The interview may take place at school or at any facility or <br/>
<a id="pl.101.21"></a><var>101.21</var>other place where the alleged victim or other minors might be found or the child may be <br/>
<a id="pl.101.22"></a><var>101.22</var>transported to, and the interview conducted at, a place appropriate for the interview of a <br/>
<a id="pl.101.23"></a><var>101.23</var>child designated by the local welfare agency or law enforcement agency. The interview <br/>
<a id="pl.101.24"></a><var>101.24</var>may take place outside the presence of the alleged offender or parent, legal custodian, <br/>
<a id="pl.101.25"></a><var>101.25</var>guardian, or school official. For family assessments, it is the preferred practice to request <br/>
<a id="pl.101.26"></a><var>101.26</var>a parent or guardian's permission to interview the child prior to conducting the child <br/>
<a id="pl.101.27"></a><var>101.27</var>interview, unless doing so would compromise the safety assessment. Except as provided in <br/>
<a id="pl.101.28"></a><var>101.28</var>this paragraph, the parent, legal custodian, or guardian shall be notified by the responsible <br/>
<a id="pl.101.29"></a><var>101.29</var>local welfare or law enforcement agency no later than the conclusion of the investigation <br/>
<a id="pl.101.30"></a><var>101.30</var>or assessment that this interview has occurred. Notwithstanding rule 
         <statute_ref>49.02</statute_ref> 32 of the <br/>
<a id="pl.101.31"></a><var>101.31</var>Minnesota Rules of Procedure for Juvenile Courts, the juvenile court may, after hearing on <br/>
<a id="pl.101.32"></a><var>101.32</var>an ex parte motion by the local welfare agency, order that, where reasonable cause exists, <br/>
<a id="pl.101.33"></a><var>101.33</var>the agency withhold notification of this interview from the parent, legal custodian, or <br/>
<a id="pl.101.34"></a><var>101.34</var>guardian. If the interview took place or is to take place on school property, the order shall <br/>
<a id="pl.101.35"></a><var>101.35</var>specify that school officials may not disclose to the parent, legal custodian, or guardian the <br/>
<a id="pl.101.36"></a><var>101.36</var>contents of the notification of intent to interview the child on school property, as provided <br/>
<a id="pl.102.1"></a><var>102.1</var>under this paragraph, and any other related information regarding the interview that may <br/>
<a id="pl.102.2"></a><var>102.2</var>be a part of the child's school record. A copy of the order shall be sent by the local welfare <br/>
<a id="pl.102.3"></a><var>102.3</var>or law enforcement agency to the appropriate school official.<br/>
<a id="pl.102.4"></a><var>102.4</var>    (d) When the local welfare, local law enforcement agency, or the agency responsible <br/>
<a id="pl.102.5"></a><var>102.5</var>for assessing or investigating a report of maltreatment determines that an interview should <br/>
<a id="pl.102.6"></a><var>102.6</var>take place on school property, written notification of intent to interview the child on school <br/>
<a id="pl.102.7"></a><var>102.7</var>property must be received by school officials prior to the interview. The notification <br/>
<a id="pl.102.8"></a><var>102.8</var>shall include the name of the child to be interviewed, the purpose of the interview, and <br/>
<a id="pl.102.9"></a><var>102.9</var>a reference to the statutory authority to conduct an interview on school property. For <br/>
<a id="pl.102.10"></a><var>102.10</var>interviews conducted by the local welfare agency, the notification shall be signed by the <br/>
<a id="pl.102.11"></a><var>102.11</var>chair of the local social services agency or the chair's designee. The notification shall be <br/>
<a id="pl.102.12"></a><var>102.12</var>private data on individuals subject to the provisions of this paragraph. School officials <br/>
<a id="pl.102.13"></a><var>102.13</var>may not disclose to the parent, legal custodian, or guardian the contents of the notification <br/>
<a id="pl.102.14"></a><var>102.14</var>or any other related information regarding the interview until notified in writing by the <br/>
<a id="pl.102.15"></a><var>102.15</var>local welfare or law enforcement agency that the investigation or assessment has been <br/>
<a id="pl.102.16"></a><var>102.16</var>concluded, unless a school employee or agent is alleged to have maltreated the child. <br/>
<a id="pl.102.17"></a><var>102.17</var>Until that time, the local welfare or law enforcement agency or the agency responsible <br/>
<a id="pl.102.18"></a><var>102.18</var>for assessing or investigating a report of maltreatment shall be solely responsible for any <br/>
<a id="pl.102.19"></a><var>102.19</var>disclosures regarding the nature of the assessment or investigation.<br/>
<a id="pl.102.20"></a><var>102.20</var>    Except where the alleged offender is believed to be a school official or employee, <br/>
<a id="pl.102.21"></a><var>102.21</var>the time and place, and manner of the interview on school premises shall be within the <br/>
<a id="pl.102.22"></a><var>102.22</var>discretion of school officials, but the local welfare or law enforcement agency shall have <br/>
<a id="pl.102.23"></a><var>102.23</var>the exclusive authority to determine who may attend the interview. The conditions as to <br/>
<a id="pl.102.24"></a><var>102.24</var>time, place, and manner of the interview set by the school officials shall be reasonable and <br/>
<a id="pl.102.25"></a><var>102.25</var>the interview shall be conducted not more than 24 hours after the receipt of the notification <br/>
<a id="pl.102.26"></a><var>102.26</var>unless another time is considered necessary by agreement between the school officials and <br/>
<a id="pl.102.27"></a><var>102.27</var>the local welfare or law enforcement agency. Where the school fails to comply with the <br/>
<a id="pl.102.28"></a><var>102.28</var>provisions of this paragraph, the juvenile court may order the school to comply. Every <br/>
<a id="pl.102.29"></a><var>102.29</var>effort must be made to reduce the disruption of the educational program of the child, other <br/>
<a id="pl.102.30"></a><var>102.30</var>students, or school staff when an interview is conducted on school premises.<br/>
<a id="pl.102.31"></a><var>102.31</var>    (e) Where the alleged offender or a person responsible for the care of the alleged <br/>
<a id="pl.102.32"></a><var>102.32</var>victim or other minor prevents access to the victim or other minor by the local welfare <br/>
<a id="pl.102.33"></a><var>102.33</var>agency, the juvenile court may order the parents, legal custodian, or guardian to produce <br/>
<a id="pl.102.34"></a><var>102.34</var>the alleged victim or other minor for questioning by the local welfare agency or the local <br/>
<a id="pl.102.35"></a><var>102.35</var>law enforcement agency outside the presence of the alleged offender or any person <br/>
<a id="pl.102.36"></a><var>102.36</var>responsible for the child's care at reasonable places and times as specified by court order.<br/>
<a id="pl.103.1"></a><var>103.1</var>    (f) Before making an order under paragraph (e), the court shall issue an order to <br/>
<a id="pl.103.2"></a><var>103.2</var>show cause, either upon its own motion or upon a verified petition, specifying the basis for <br/>
<a id="pl.103.3"></a><var>103.3</var>the requested interviews and fixing the time and place of the hearing. The order to show <br/>
<a id="pl.103.4"></a><var>103.4</var>cause shall be served personally and shall be heard in the same manner as provided in <br/>
<a id="pl.103.5"></a><var>103.5</var>other cases in the juvenile court. The court shall consider the need for appointment of a <br/>
<a id="pl.103.6"></a><var>103.6</var>guardian ad litem to protect the best interests of the child. If appointed, the guardian ad <br/>
<a id="pl.103.7"></a><var>103.7</var>litem shall be present at the hearing on the order to show cause.<br/>
<a id="pl.103.8"></a><var>103.8</var>    (g) The commissioner of human services, the ombudsman for mental health and <br/>
<a id="pl.103.9"></a><var>103.9</var>developmental disabilities, the local welfare agencies responsible for investigating reports, <br/>
<a id="pl.103.10"></a><var>103.10</var>the commissioner of education, and the local law enforcement agencies have the right to <br/>
<a id="pl.103.11"></a><var>103.11</var>enter facilities as defined in subdivision 2 and to inspect and copy the facility's records, <br/>
<a id="pl.103.12"></a><var>103.12</var>including medical records, as part of the investigation. Notwithstanding the provisions of <br/>
<a id="pl.103.13"></a><var>103.13</var>chapter 13, they also have the right to inform the facility under investigation that they are <br/>
<a id="pl.103.14"></a><var>103.14</var>conducting an investigation, to disclose to the facility the names of the individuals under <br/>
<a id="pl.103.15"></a><var>103.15</var>investigation for abusing or neglecting a child, and to provide the facility with a copy of <br/>
<a id="pl.103.16"></a><var>103.16</var>the report and the investigative findings.<br/>
<a id="pl.103.17"></a><var>103.17</var>    (h) The local welfare agency responsible for conducting a family assessment or <br/>
<a id="pl.103.18"></a><var>103.18</var>investigation shall collect available and relevant information to determine child safety, <br/>
<a id="pl.103.19"></a><var>103.19</var>risk of subsequent child maltreatment, and family strengths and needs and share not public <br/>
<a id="pl.103.20"></a><var>103.20</var>information with an Indian's tribal social services agency without violating any law of the <br/>
<a id="pl.103.21"></a><var>103.21</var>state that may otherwise impose duties of confidentiality on the local welfare agency in <br/>
<a id="pl.103.22"></a><var>103.22</var>order to implement the tribal state agreement. The local welfare agency or the agency <br/>
<a id="pl.103.23"></a><var>103.23</var>responsible for investigating the report shall collect available and relevant information <br/>
<a id="pl.103.24"></a><var>103.24</var>to ascertain whether maltreatment occurred and whether protective services are needed. <br/>
<a id="pl.103.25"></a><var>103.25</var>Information collected includes, when relevant, information with regard to the person <br/>
<a id="pl.103.26"></a><var>103.26</var>reporting the alleged maltreatment, including the nature of the reporter's relationship to the <br/>
<a id="pl.103.27"></a><var>103.27</var>child and to the alleged offender, and the basis of the reporter's knowledge for the report; <br/>
<a id="pl.103.28"></a><var>103.28</var>the child allegedly being maltreated; the alleged offender; the child's caretaker; and other <br/>
<a id="pl.103.29"></a><var>103.29</var>collateral sources having relevant information related to the alleged maltreatment. The <br/>
<a id="pl.103.30"></a><var>103.30</var>local welfare agency or the agency responsible for assessing or investigating the report <br/>
<a id="pl.103.31"></a><var>103.31</var>may make a determination of no maltreatment early in an assessment, and close the case <br/>
<a id="pl.103.32"></a><var>103.32</var>and retain immunity, if the collected information shows no basis for a full assessment or <br/>
<a id="pl.103.33"></a><var>103.33</var>investigation.<br/>
<a id="pl.103.34"></a><var>103.34</var>    Information relevant to the assessment or investigation must be asked for, and <br/>
<a id="pl.103.35"></a><var>103.35</var>may include:<br/>
<a id="pl.104.1"></a><var>104.1</var>    (1) the child's sex and age, prior reports of maltreatment, information relating <br/>
<a id="pl.104.2"></a><var>104.2</var>to developmental functioning, credibility of the child's statement, and whether the <br/>
<a id="pl.104.3"></a><var>104.3</var>information provided under this clause is consistent with other information collected <br/>
<a id="pl.104.4"></a><var>104.4</var>during the course of the assessment or investigation;<br/>
<a id="pl.104.5"></a><var>104.5</var>    (2) the alleged offender's age, a record check for prior reports of maltreatment, and <br/>
<a id="pl.104.6"></a><var>104.6</var>criminal charges and convictions. The local welfare agency or the agency responsible for <br/>
<a id="pl.104.7"></a><var>104.7</var>assessing or investigating the report must provide the alleged offender with an opportunity <br/>
<a id="pl.104.8"></a><var>104.8</var>to make a statement. The alleged offender may submit supporting documentation relevant <br/>
<a id="pl.104.9"></a><var>104.9</var>to the assessment or investigation;<br/>
<a id="pl.104.10"></a><var>104.10</var>    (3) collateral source information regarding the alleged maltreatment and care of the <br/>
<a id="pl.104.11"></a><var>104.11</var>child. Collateral information includes, when relevant: (i) a medical examination of the <br/>
<a id="pl.104.12"></a><var>104.12</var>child; (ii) prior medical records relating to the alleged maltreatment or the care of the <br/>
<a id="pl.104.13"></a><var>104.13</var>child maintained by any facility, clinic, or health care professional and an interview with <br/>
<a id="pl.104.14"></a><var>104.14</var>the treating professionals; and (iii) interviews with the child's caretakers, including the <br/>
<a id="pl.104.15"></a><var>104.15</var>child's parent, guardian, foster parent, child care provider, teachers, counselors, family <br/>
<a id="pl.104.16"></a><var>104.16</var>members, relatives, and other persons who may have knowledge regarding the alleged <br/>
<a id="pl.104.17"></a><var>104.17</var>maltreatment and the care of the child; and<br/>
<a id="pl.104.18"></a><var>104.18</var>    (4) information on the existence of domestic abuse and violence in the home of <br/>
<a id="pl.104.19"></a><var>104.19</var>the child, and substance abuse.<br/>
<a id="pl.104.20"></a><var>104.20</var>    Nothing in this paragraph precludes the local welfare agency, the local law <br/>
<a id="pl.104.21"></a><var>104.21</var>enforcement agency, or the agency responsible for assessing or investigating the report <br/>
<a id="pl.104.22"></a><var>104.22</var>from collecting other relevant information necessary to conduct the assessment or <br/>
<a id="pl.104.23"></a><var>104.23</var>investigation. Notwithstanding section 
         <statute_ref>13.384</statute_ref> or 
         <statute_ref>144.335</statute_ref>, the local welfare agency has <br/>
<a id="pl.104.24"></a><var>104.24</var>access to medical data and records for purposes of clause (3). Notwithstanding the data's <br/>
<a id="pl.104.25"></a><var>104.25</var>classification in the possession of any other agency, data acquired by the local welfare <br/>
<a id="pl.104.26"></a><var>104.26</var>agency or the agency responsible for assessing or investigating the report during the course <br/>
<a id="pl.104.27"></a><var>104.27</var>of the assessment or investigation are private data on individuals and must be maintained <br/>
<a id="pl.104.28"></a><var>104.28</var>in accordance with subdivision 11. Data of the commissioner of education collected <br/>
<a id="pl.104.29"></a><var>104.29</var>or maintained during and for the purpose of an investigation of alleged maltreatment <br/>
<a id="pl.104.30"></a><var>104.30</var>in a school are governed by this section, notwithstanding the data's classification as <br/>
<a id="pl.104.31"></a><var>104.31</var>educational, licensing, or personnel data under chapter 13.<br/>
<a id="pl.104.32"></a><var>104.32</var>    In conducting an assessment or investigation involving a school facility as defined <br/>
<a id="pl.104.33"></a><var>104.33</var>in subdivision 2, paragraph (i), the commissioner of education shall collect investigative <br/>
<a id="pl.104.34"></a><var>104.34</var>reports and data that are relevant to a report of maltreatment and are from local law <br/>
<a id="pl.104.35"></a><var>104.35</var>enforcement and the school facility.<br/>
<a id="pl.105.1"></a><var>105.1</var>    (i) Upon receipt of a report, the local welfare agency shall conduct a face-to-face <br/>
<a id="pl.105.2"></a><var>105.2</var>contact with the child reported to be maltreated and with the child's primary caregiver <br/>
<a id="pl.105.3"></a><var>105.3</var>sufficient to complete a safety assessment and ensure the immediate safety of the child. <br/>
<a id="pl.105.4"></a><var>105.4</var>The face-to-face contact with the child and primary caregiver shall occur immediately <br/>
<a id="pl.105.5"></a><var>105.5</var>if substantial child endangerment is alleged and within five calendar days for all other <br/>
<a id="pl.105.6"></a><var>105.6</var>reports. If the alleged offender was not already interviewed as the primary caregiver, the <br/>
<a id="pl.105.7"></a><var>105.7</var>local welfare agency shall also conduct a face-to-face interview with the alleged offender <br/>
<a id="pl.105.8"></a><var>105.8</var>in the early stages of the assessment or investigation. At the initial contact, the local child <br/>
<a id="pl.105.9"></a><var>105.9</var>welfare agency or the agency responsible for assessing or investigating the report must <br/>
<a id="pl.105.10"></a><var>105.10</var>inform the alleged offender of the complaints or allegations made against the individual in <br/>
<a id="pl.105.11"></a><var>105.11</var>a manner consistent with laws protecting the rights of the person who made the report. <br/>
<a id="pl.105.12"></a><var>105.12</var>The interview with the alleged offender may be postponed if it would jeopardize an active <br/>
<a id="pl.105.13"></a><var>105.13</var>law enforcement investigation.<br/>
<a id="pl.105.14"></a><var>105.14</var>    (j) When conducting an investigation, the local welfare agency shall use a question <br/>
<a id="pl.105.15"></a><var>105.15</var>and answer interviewing format with questioning as nondirective as possible to elicit <br/>
<a id="pl.105.16"></a><var>105.16</var>spontaneous responses. For investigations only, the following interviewing methods and <br/>
<a id="pl.105.17"></a><var>105.17</var>procedures must be used whenever possible when collecting information:<br/>
<a id="pl.105.18"></a><var>105.18</var>    (1) audio recordings of all interviews with witnesses and collateral sources; and<br/>
<a id="pl.105.19"></a><var>105.19</var>    (2) in cases of alleged sexual abuse, audio-video recordings of each interview with <br/>
<a id="pl.105.20"></a><var>105.20</var>the alleged victim and child witnesses.<br/>
<a id="pl.105.21"></a><var>105.21</var>    (k) In conducting an assessment or investigation involving a school facility as <br/>
<a id="pl.105.22"></a><var>105.22</var>defined in subdivision 2, paragraph (i), the commissioner of education shall collect <br/>
<a id="pl.105.23"></a><var>105.23</var>available and relevant information and use the procedures in paragraphs (i), (k), and <br/>
<a id="pl.105.24"></a><var>105.24</var>subdivision 3d, except that the requirement for face-to-face observation of the child <br/>
<a id="pl.105.25"></a><var>105.25</var>and face-to-face interview of the alleged offender is to occur in the initial stages of the <br/>
<a id="pl.105.26"></a><var>105.26</var>assessment or investigation provided that the commissioner may also base the assessment <br/>
<a id="pl.105.27"></a><var>105.27</var>or investigation on investigative reports and data received from the school facility and <br/>
<a id="pl.105.28"></a><var>105.28</var>local law enforcement, to the extent those investigations satisfy the requirements of <br/>
<a id="pl.105.29"></a><var>105.29</var>paragraphs (i) and (k), and subdivision 3d.<br/>
<br/>
<a id="bill.1.84.0"></a><a id="pl.105.30"></a><var>105.30</var>    Sec. 84. Minnesota Statutes 2006, section 626.556, subdivision 10a, is amended to <br/>
<a id="pl.105.31"></a><var>105.31</var>read:<br/>
<a id="pl.105.32"></a><var>105.32</var>    Subd. 10a. <b>Abuse outside family unit</b><b> Law enforcement agency responsibility </b><br/>
<a id="pl.105.33"></a><var>105.33</var><b>for investigation; welfare agency reliance on law enforcement fact-finding; welfare </b><br/>
<a id="pl.105.34"></a><var>105.34</var><b>agency offer of services</b><b>.</b> (a) If the report alleges neglect, physical abuse, or sexual abuse <br/>
<a id="pl.105.35"></a><var>105.35</var>by a person who is not a parent, guardian, sibling, person responsible for the child's care <br/>
<a id="pl.106.1"></a><var>106.1</var>functioning outside within the family unit, or a person who lives in the child's household <br/>
<a id="pl.106.2"></a><var>106.2</var>and who has a significant relationship to the child, in a setting other than a facility as <br/>
<a id="pl.106.3"></a><var>106.3</var>defined in subdivision 2, the local welfare agency shall immediately notify the appropriate <br/>
<a id="pl.106.4"></a><var>106.4</var>law enforcement agency, which shall conduct an investigation of the alleged abuse or <br/>
<a id="pl.106.5"></a><var>106.5</var>neglect if a violation of a criminal statute is alleged. <br/>
<a id="pl.106.6"></a><var>106.6</var>    (b) The local agency may rely on the fact-finding efforts of the law enforcement <br/>
<a id="pl.106.7"></a><var>106.7</var>investigation conducted under this subdivision to make a determination whether or not <br/>
<a id="pl.106.8"></a><var>106.8</var>threatened harm or other maltreatment has occurred under subdivision 2 if an alleged <br/>
<a id="pl.106.9"></a><var>106.9</var>offender has minor children or lives with minors.<br/>
<a id="pl.106.10"></a><var>106.10</var>    (c) The local welfare agency shall offer appropriate social services for the purpose of <br/>
<a id="pl.106.11"></a><var>106.11</var>safeguarding and enhancing the welfare of the abused or neglected minor.<br/>
<br/>
<a id="bill.1.85.0"></a><a id="pl.106.12"></a><var>106.12</var>    Sec. 85. Minnesota Statutes 2006, section 626.556, subdivision 10c, is amended to <br/>
<a id="pl.106.13"></a><var>106.13</var>read:<br/>
<a id="pl.106.14"></a><var>106.14</var>    Subd. 10c. <b>Duties of local social service agency upon receipt of a report of </b><br/>
<a id="pl.106.15"></a><var>106.15</var><b>medical neglect.</b> If the report alleges medical neglect as defined in section 
         <statute_ref>260C.007, <br/>
<a id="pl.106.16"></a><var>106.16</var>subdivision 4 6
</statute_ref>, clause (5), the local welfare agency shall, in addition to its other duties <br/>
<a id="pl.106.17"></a><var>106.17</var>under this section, immediately consult with designated hospital staff and with the parents <br/>
<a id="pl.106.18"></a><var>106.18</var>of the infant to verify that appropriate nutrition, hydration, and medication are being <br/>
<a id="pl.106.19"></a><var>106.19</var>provided; and shall immediately secure an independent medical review of the infant's <br/>
<a id="pl.106.20"></a><var>106.20</var>medical charts and records and, if necessary, seek a court order for an independent medical <br/>
<a id="pl.106.21"></a><var>106.21</var>examination of the infant. If the review or examination leads to a conclusion of medical <br/>
<a id="pl.106.22"></a><var>106.22</var>neglect, the agency shall intervene on behalf of the infant by initiating legal proceedings <br/>
<a id="pl.106.23"></a><var>106.23</var>under section 
         <statute_ref>260C.141</statute_ref> and by filing an expedited motion to prevent the withholding <br/>
<a id="pl.106.24"></a><var>106.24</var>of medically indicated treatment. <br/>
<br/>
<a id="bill.1.86.0"></a><a id="pl.106.25"></a><var>106.25</var>    Sec. 86. Minnesota Statutes 2006, section 626.556, subdivision 10f, is amended to read:<br/>
<a id="pl.106.26"></a><var>106.26</var>    Subd. 10f. <b>Notice of determinations.</b> Within ten working days of the conclusion <br/>
<a id="pl.106.27"></a><var>106.27</var>of a family assessment, the local welfare agency shall notify the parent or guardian of <br/>
<a id="pl.106.28"></a><var>106.28</var>the child of the need for services to address child safety concerns or significant risk of <br/>
<a id="pl.106.29"></a><var>106.29</var>subsequent child maltreatment. The local welfare agency and the family may also jointly <br/>
<a id="pl.106.30"></a><var>106.30</var>agree that family support and family preservation services are needed. Within ten working <br/>
<a id="pl.106.31"></a><var>106.31</var>days of the conclusion of an investigation, the local welfare agency or agency responsible <br/>
<a id="pl.106.32"></a><var>106.32</var>for assessing or investigating the report shall notify the parent or guardian of the child, the <br/>
<a id="pl.106.33"></a><var>106.33</var>person determined to be maltreating the child, and if applicable, the director of the facility, <br/>
<a id="pl.106.34"></a><var>106.34</var>of the determination and a summary of the specific reasons for the determination. The <br/>
<a id="pl.107.1"></a><var>107.1</var>notice must also include a certification that the information collection procedures under <br/>
<a id="pl.107.2"></a><var>107.2</var>subdivision 10, paragraphs (h), (i), and (j), were followed and a notice of the right of a <br/>
<a id="pl.107.3"></a><var>107.3</var>data subject to obtain access to other private data on the subject collected, created, or <br/>
<a id="pl.107.4"></a><var>107.4</var>maintained under this section. In addition, the notice shall include the length of time that <br/>
<a id="pl.107.5"></a><var>107.5</var>the records will be kept under subdivision 11c. The investigating agency shall notify the <br/>
<a id="pl.107.6"></a><var>107.6</var>parent or guardian of the child who is the subject of the report, and any person or facility <br/>
<a id="pl.107.7"></a><var>107.7</var>determined to have maltreated a child, of their appeal or review rights under this section <br/>
<a id="pl.107.8"></a><var>107.8</var>or section 
         <statute_ref>256.022</statute_ref>. The notice must also state that a finding of maltreatment may result <br/>
<a id="pl.107.9"></a><var>107.9</var>in denial of a license application or background study disqualification under chapter <br/>
<a id="pl.107.10"></a><var>107.10</var>245C related to employment or services that are licensed by the Department of Human <br/>
<a id="pl.107.11"></a><var>107.11</var>Services under chapter 245A, the Department of Health under chapter 144 or 144A, the <br/>
<a id="pl.107.12"></a><var>107.12</var>Department of Corrections under section 241.021, and from providing services related to <br/>
<a id="pl.107.13"></a><var>107.13</var>an unlicensed personal care provider organization under chapter 256B.<br/>
<br/>
<a id="bill.1.87.0"></a><a id="pl.107.14"></a><var>107.14</var>    Sec. 87. <b>KINSHIP NAVIGATOR PROGRAM; DEMONSTRATION GRANT.</b><br/>
<a id="pl.107.15"></a><var>107.15</var>    (a) The commissioner of human services shall fund a two-year demonstration grant <br/>
<a id="pl.107.16"></a><var>107.16</var>to be transferred to a nonprofit organization experienced in kinship advocacy and policy <br/>
<a id="pl.107.17"></a><var>107.17</var>that has:<br/>
<a id="pl.107.18"></a><var>107.18</var>    (1) experience working with grandparents and relatives who are raising kinship <br/>
<a id="pl.107.19"></a><var>107.19</var>children;<br/>
<a id="pl.107.20"></a><var>107.20</var>    (2) an established statewide outreach network;<br/>
<a id="pl.107.21"></a><var>107.21</var>    (3) established kinship support groups;<br/>
<a id="pl.107.22"></a><var>107.22</var>    (4) an intergenerational approach to programming; and<br/>
<a id="pl.107.23"></a><var>107.23</var>    (5) a board of directors consisting of 50 percent grandparents and relatives raising <br/>
<a id="pl.107.24"></a><var>107.24</var>kinship children.<br/>
<a id="pl.107.25"></a><var>107.25</var>    (b) The purpose of the grant is to provide support to grandparents or relatives raising <br/>
<a id="pl.107.26"></a><var>107.26</var>kinship children. One site must be in the metropolitan area, and the other in the Bemidji <br/>
<a id="pl.107.27"></a><var>107.27</var>region. One-stop services may include, but are not limited to, legal services, education, <br/>
<a id="pl.107.28"></a><var>107.28</var>information, family activities, support groups, mental health access, advocacy, mentors, <br/>
<a id="pl.107.29"></a><var>107.29</var>and information related to foster care licensing. Funds may also be used for a media <br/>
<a id="pl.107.30"></a><var>107.30</var>campaign to inform kinship families about available information and services, support <br/>
<a id="pl.107.31"></a><var>107.31</var>sites, and other program development.<br/>
<br/>
<a id="bill.1.88.0"></a><a id="pl.107.32"></a><var>107.32</var>    Sec. 88. <b>MFIP PILOT PROGRAM; WORKFORCE U.</b><br/>
<a id="pl.108.1"></a><var>108.1</var>    Subdivision 1. <b>Establishment.</b> A pilot program is established in Stearns and <br/>
<a id="pl.108.2"></a><var>108.2</var>Benton Counties to expand the Workforce U program administered by the Stearns-Benton <br/>
<a id="pl.108.3"></a><var>108.3</var>Employment and Training Council.<br/>
<a id="pl.108.4"></a><var>108.4</var>    Subd. 2. <b>Evaluation.</b> The Workforce U pilot program must be evaluated by a <br/>
<a id="pl.108.5"></a><var>108.5</var>research and evaluation organization with experience evaluating welfare programs. The <br/>
<a id="pl.108.6"></a><var>108.6</var>evaluation must include information on the total number of persons served, percentage <br/>
<a id="pl.108.7"></a><var>108.7</var>of participants exiting the program, percentage of former participants reentering the <br/>
<a id="pl.108.8"></a><var>108.8</var>program, average wages of program participants, and recommendations to the legislature <br/>
<a id="pl.108.9"></a><var>108.9</var>for possible statewide implementation of the program. The evaluation must be presented <br/>
<a id="pl.108.10"></a><var>108.10</var>to the legislature by February 15, 2011.<br/>
<a id="pl.108.11"></a><var>108.11</var>    Subd. 3. <b>Expiration.</b> The Workforce U pilot program expires on June 30, 2011.<br/>
<br/>
<a id="bill.1.89.0"></a><a id="pl.108.12"></a><var>108.12</var>    Sec. 89. <b>LEECH LAKE YOUTH TREATMENT CENTER PROPOSAL.</b><br/>
<a id="pl.108.13"></a><var>108.13</var>    (a) The commissioner of human services shall provide a planning grant to address <br/>
<a id="pl.108.14"></a><var>108.14</var>the unmet need for local, effective, culturally relevant alcohol and drug treatment for <br/>
<a id="pl.108.15"></a><var>108.15</var>American Indian youth, and develop a plan for a family-based youth treatment center in <br/>
<a id="pl.108.16"></a><var>108.16</var>the Leech Lake area. The planning grant must be provided to a volunteer board consisting <br/>
<a id="pl.108.17"></a><var>108.17</var>of at least four members appointed by the commissioner, to include at least the following:<br/>
<a id="pl.108.18"></a><var>108.18</var>    (1) two members of the Leech Lake Tribal Council or their designees;<br/>
<a id="pl.108.19"></a><var>108.19</var>    (2) one member appointed by the Cass County Social Services administrator; and<br/>
<a id="pl.108.20"></a><var>108.20</var>    (3) one member appointed by the Cass Lake-Bena Public School superintendent.<br/>
<a id="pl.108.21"></a><var>108.21</var>    (b) The plan must include:<br/>
<a id="pl.108.22"></a><var>108.22</var>    (1) an interest, feasibility, and suitability of location study;<br/>
<a id="pl.108.23"></a><var>108.23</var>    (2) defining scope of programs and services to be offered;<br/>
<a id="pl.108.24"></a><var>108.24</var>    (3) defining site use limitations and restrictions, including physical and capacity;<br/>
<a id="pl.108.25"></a><var>108.25</var>    (4) defining facilities required for programs and services offered;<br/>
<a id="pl.108.26"></a><var>108.26</var>    (5) identifying partners, partnership roles, and partner resources;<br/>
<a id="pl.108.27"></a><var>108.27</var>    (6) developing proposed operating and maintenance budgets;<br/>
<a id="pl.108.28"></a><var>108.28</var>    (7) identifying funding sources;<br/>
<a id="pl.108.29"></a><var>108.29</var>    (8) developing a long-term funding plan; and<br/>
<a id="pl.108.30"></a><var>108.30</var>    (9) developing a formal steering committee, structure, and bylaws.<br/>
<a id="pl.108.31"></a><var>108.31</var>    (c) The plan is due to the legislative committees having jurisdiction over chemical <br/>
<a id="pl.108.32"></a><var>108.32</var>health issues no later than September 2008 in order to provide the 12 months necessary to <br/>
<a id="pl.108.33"></a><var>108.33</var>complete the plan.<br/>
<br/>
<a id="bill.1.90.0"></a><a id="pl.109.1"></a><var>109.1</var>    Sec. 90. <b>MINNESOTA FOOD SUPPORT PROGRAM SIMPLIFIED </b><br/>
<a id="pl.109.2"></a><var>109.2</var><b>APPLICATION.</b><br/>
<a id="pl.109.3"></a><var>109.3</var>    The Department of Human Services shall create a simplified application for the <br/>
<a id="pl.109.4"></a><var>109.4</var>Minnesota food support program for persons over the age of 60 and persons with <br/>
<a id="pl.109.5"></a><var>109.5</var>disabilities. The application must be no longer than three pages in length.<br/>
<a id="pl.109.6"></a><var>109.6</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.1.91.0"></a><a id="pl.109.7"></a><var>109.7</var>    Sec. 91. <b>INSPECTION OF LEGAL UNLICENSED CHILD CARE PROVIDERS.</b><br/>
<a id="pl.109.8"></a><var>109.8</var>    The commissioner of human services, in consultation with the commissioners of <br/>
<a id="pl.109.9"></a><var>109.9</var>health and education and the counties, shall develop and present recommendations to <br/>
<a id="pl.109.10"></a><var>109.10</var>the legislature in January 2008 in order for each legally unlicensed child care provider <br/>
<a id="pl.109.11"></a><var>109.11</var>receiving child care assistance funds to receive a onetime home visit to receive information <br/>
<a id="pl.109.12"></a><var>109.12</var>on health and safety, and school readiness.<br/>
<br/>
<a id="bill.1.92.0"></a><a id="pl.109.13"></a><var>109.13</var>    Sec. 92. <b>COMMISSIONER OF HUMAN SERVICES DUTIES; EARLY </b><br/>
<a id="pl.109.14"></a><var>109.14</var><b>CHILDHOOD AND SCHOOL-AGE PROFESSIONAL DEVELOPMENT </b><br/>
<a id="pl.109.15"></a><var>109.15</var><b>TRAINING.</b><br/>
<a id="pl.109.16"></a><var>109.16</var>    Subdivision 1. <b>Development and implementation of an early childhood and </b><br/>
<a id="pl.109.17"></a><var>109.17</var><b>school-age professional development system.</b> (a) The commissioner of human services, <br/>
<a id="pl.109.18"></a><var>109.18</var>in cooperation with the commissioners of education and health, shall develop and phase-in <br/>
<a id="pl.109.19"></a><var>109.19</var>the implementation of a professional development system for practitioners serving <br/>
<a id="pl.109.20"></a><var>109.20</var>children in early childhood and school-age programs. The system shall provide training <br/>
<a id="pl.109.21"></a><var>109.21</var>options and supports for practitioners to voluntarily choose, as they complete or exceed <br/>
<a id="pl.109.22"></a><var>109.22</var>existing licensing requirements.<br/>
<a id="pl.109.23"></a><var>109.23</var>    The system must, at a minimum, include the following features:<br/>
<a id="pl.109.24"></a><var>109.24</var>    (1) a continuum of training content based on the early childhood and school-age <br/>
<a id="pl.109.25"></a><var>109.25</var>care practitioner core competencies that translates knowledge into improved practice to <br/>
<a id="pl.109.26"></a><var>109.26</var>support children's school success;<br/>
<a id="pl.109.27"></a><var>109.27</var>    (2) training strategies that provide direct feedback about practice to practitioners <br/>
<a id="pl.109.28"></a><var>109.28</var>through ongoing consultation, mentoring, or coaching with special emphasis on early <br/>
<a id="pl.109.29"></a><var>109.29</var>literacy and early mathematics;<br/>
<a id="pl.109.30"></a><var>109.30</var>    (3) an approval process for trainers;<br/>
<a id="pl.109.31"></a><var>109.31</var>    (4) a professional development registry for early childhood and school-age care <br/>
<a id="pl.109.32"></a><var>109.32</var>practitioners that will provide tracking and recognition of practitioner training/career <br/>
<a id="pl.109.33"></a><var>109.33</var>development progress;<br/>
<a id="pl.110.1"></a><var>110.1</var>    (5) a career lattice that includes a range of professional development and educational <br/>
<a id="pl.110.2"></a><var>110.2</var>opportunities that provide appropriate coursework and degree pathways;<br/>
<a id="pl.110.3"></a><var>110.3</var>    (6) development of a plan with public higher education institutions for an articulated <br/>
<a id="pl.110.4"></a><var>110.4</var>system of education, training, and professional development that includes credit for prior <br/>
<a id="pl.110.5"></a><var>110.5</var>learning and development of equivalences to two- and four-year degrees;<br/>
<a id="pl.110.6"></a><var>110.6</var>    (7) incentives and supports for early childhood and school-age care practitioners <br/>
<a id="pl.110.7"></a><var>110.7</var>to seek additional training and education, including TEACH, other scholarships, and <br/>
<a id="pl.110.8"></a><var>110.8</var>career guidance; and<br/>
<a id="pl.110.9"></a><var>110.9</var>    (8) coordinated and accessible delivery of training to early childhood and school-age <br/>
<a id="pl.110.10"></a><var>110.10</var>care practitioners.<br/>
<a id="pl.110.11"></a><var>110.11</var>    (b) By January 1, 2008, the commissioner, in consultation with the organizations <br/>
<a id="pl.110.12"></a><var>110.12</var>named in subdivision 2 shall develop additional opportunities in order to qualify more <br/>
<a id="pl.110.13"></a><var>110.13</var>licensed family child care providers under section 119B.13, subdivision 3a.<br/>
<a id="pl.110.14"></a><var>110.14</var>    (c) The commissioner of human services must evaluate the professional development <br/>
<a id="pl.110.15"></a><var>110.15</var>system and make continuous improvements.<br/>
<a id="pl.110.16"></a><var>110.16</var>    (d) Beginning July 1, 2007, as appropriations permit, the commissioner shall <br/>
<a id="pl.110.17"></a><var>110.17</var>phase-in the professional development system.<br/>
<a id="pl.110.18"></a><var>110.18</var>    Subd. 2. <b>Two-hour early childhood training.</b> By January 15, 2008, the <br/>
<a id="pl.110.19"></a><var>110.19</var>commissioner of human services, with input from the Minnesota Licensed Family Child <br/>
<a id="pl.110.20"></a><var>110.20</var>Care Association and the Minnesota Professional Development Council, shall identify <br/>
<a id="pl.110.21"></a><var>110.21</var>trainings that qualify for the two-hour early childhood development training requirement <br/>
<a id="pl.110.22"></a><var>110.22</var>for new child care practitioners under Minnesota Statutes, section 245A.14, subdivision <br/>
<a id="pl.110.23"></a><var>110.23</var>9a, paragraphs (a) and (b). For licensed family child care, the commissioner shall also <br/>
<a id="pl.110.24"></a><var>110.24</var>seek the input of labor unions that serve licensed family child care providers, if the union <br/>
<a id="pl.110.25"></a><var>110.25</var>has been recognized by a county to serve licensed family child care providers.<br/>
<br/>
<a id="bill.1.93.0"></a><a id="pl.110.26"></a><var>110.26</var>    Sec. 93. <b>SCHOOL READINESS SERVICE AGREEMENTS.</b><br/>
<a id="pl.110.27"></a><var>110.27</var>    Subdivision 1. <b>Overview.</b> (a) Effective July 1, 2007, funds must be made available <br/>
<a id="pl.110.28"></a><var>110.28</var>to allow the commissioner to pay higher rates to up to 50 child care providers who are <br/>
<a id="pl.110.29"></a><var>110.29</var>deemed by the commissioner to meet the requirements of a school readiness service <br/>
<a id="pl.110.30"></a><var>110.30</var>agreement (SRSA) provider and perform services that support school readiness for <br/>
<a id="pl.110.31"></a><var>110.31</var>children and economic stability for parents.<br/>
<a id="pl.110.32"></a><var>110.32</var>    (b) A provider may be paid a rate above that currently allowed under Minnesota <br/>
<a id="pl.110.33"></a><var>110.33</var>Statutes, section 119B.13, if:<br/>
<a id="pl.110.34"></a><var>110.34</var>    (1) the provider has entered into an SRSA with the commissioner; <br/>
<a id="pl.111.1"></a><var>111.1</var>    (2) a family using that provider receives child care assistance under any provision in <br/>
<a id="pl.111.2"></a><var>111.2</var>Minnesota Statutes, chapter 119B, except Minnesota Statutes, section 119B.035; <br/>
<a id="pl.111.3"></a><var>111.3</var>    (3) the family using that provider meets the criteria in this section; and <br/>
<a id="pl.111.4"></a><var>111.4</var>    (4) funding is available under this section.<br/>
<a id="pl.111.5"></a><var>111.5</var>    Subd. 2. <b>Provider eligibility.</b> (a) To be considered for an SRSA, a provider shall <br/>
<a id="pl.111.6"></a><var>111.6</var>apply to the commissioner. To be eligible to apply for an SRSA, a provider shall:<br/>
<a id="pl.111.7"></a><var>111.7</var>    (1) be eligible for child care assistance payments under Minnesota Statutes, chapter <br/>
<a id="pl.111.8"></a><var>111.8</var>119B;<br/>
<a id="pl.111.9"></a><var>111.9</var>    (2) have at least 25 percent of the children enrolled with the provider subsidized <br/>
<a id="pl.111.10"></a><var>111.10</var>through the child care assistance program;<br/>
<a id="pl.111.11"></a><var>111.11</var>    (3) provide full-time, full-year child care services; and <br/>
<a id="pl.111.12"></a><var>111.12</var>    (4) serve at least one child who is subsidized through the child care assistance <br/>
<a id="pl.111.13"></a><var>111.13</var>program and who is expected to enter kindergarten within the following 30 months.<br/>
<a id="pl.111.14"></a><var>111.14</var>    (b) The commissioner may waive the 25 percent requirement in paragraph (a), clause <br/>
<a id="pl.111.15"></a><var>111.15</var>(2), if necessary to achieve geographic distribution of SRSA providers and diversity of <br/>
<a id="pl.111.16"></a><var>111.16</var>types of care provided by SRSA providers.<br/>
<a id="pl.111.17"></a><var>111.17</var>    (c) An eligible provider who would like to enter into an SRSA with the commissioner <br/>
<a id="pl.111.18"></a><var>111.18</var>shall submit an SRSA application. To determine whether to enter into an SRSA with a <br/>
<a id="pl.111.19"></a><var>111.19</var>provider, the commissioner shall evaluate the following factors:<br/>
<a id="pl.111.20"></a><var>111.20</var>    (1) the qualifications of the provider and the provider's staff;<br/>
<a id="pl.111.21"></a><var>111.21</var>    (2) the provider's staff-child ratios;<br/>
<a id="pl.111.22"></a><var>111.22</var>    (3) the provider's curriculum;<br/>
<a id="pl.111.23"></a><var>111.23</var>    (4) the provider's current or planned parent education activities;<br/>
<a id="pl.111.24"></a><var>111.24</var>    (5) the provider's current or planned social service and employment linkages;<br/>
<a id="pl.111.25"></a><var>111.25</var>    (6) the provider's child development assessment plan;<br/>
<a id="pl.111.26"></a><var>111.26</var>    (7) the geographic distribution needed for SRSA providers;<br/>
<a id="pl.111.27"></a><var>111.27</var>    (8) the inclusion of a variety of child care delivery models; and <br/>
<a id="pl.111.28"></a><var>111.28</var>    (9) other related factors determined by the commissioner.<br/>
<a id="pl.111.29"></a><var>111.29</var>    Subd. 3. <b>Family and child eligibility.</b> (a) A family eligible to choose an SRSA <br/>
<a id="pl.111.30"></a><var>111.30</var>provider for their children shall:<br/>
<a id="pl.111.31"></a><var>111.31</var>    (1) be eligible to receive child care assistance under any provision in Minnesota <br/>
<a id="pl.111.32"></a><var>111.32</var>Statutes, chapter 119B, except Minnesota Statutes, section 119B.035; <br/>
<a id="pl.111.33"></a><var>111.33</var>    (2) be in an authorized activity for an average of at least 35 hours per week when <br/>
<a id="pl.111.34"></a><var>111.34</var>initial eligibility is determined; and <br/>
<a id="pl.111.35"></a><var>111.35</var>    (3) include a child who has not yet entered kindergarten.<br/>
<a id="pl.112.1"></a><var>112.1</var>    (b) A family who is determined to be eligible to choose an SRSA provider remains <br/>
<a id="pl.112.2"></a><var>112.2</var>eligible to be paid at a higher rate through the SRSA provider when the following <br/>
<a id="pl.112.3"></a><var>112.3</var>conditions exist:<br/>
<a id="pl.112.4"></a><var>112.4</var>    (1) the child attends child care with the SRSA provider a minimum of 25 hours per <br/>
<a id="pl.112.5"></a><var>112.5</var>week, on average;<br/>
<a id="pl.112.6"></a><var>112.6</var>    (2) the family has a child who has not yet entered kindergarten; and <br/>
<a id="pl.112.7"></a><var>112.7</var>    (3) the family maintains eligibility under Minnesota Statutes, chapter 119B, except <br/>
<a id="pl.112.8"></a><var>112.8</var>Minnesota Statutes, section 119B.035.<br/>
<a id="pl.112.9"></a><var>112.9</var>    (c) For the 12 months after initial eligibility has been determined, a decrease in <br/>
<a id="pl.112.10"></a><var>112.10</var>the family's authorized activities to an average of less than 35 hours per week does not <br/>
<a id="pl.112.11"></a><var>112.11</var>result in ineligibility for the SRSA rate.<br/>
<a id="pl.112.12"></a><var>112.12</var>    (d) A family that moves between counties but continues to use the same SRSA <br/>
<a id="pl.112.13"></a><var>112.13</var>provider shall continue to receive SRSA funding for the increased payments.<br/>
<a id="pl.112.14"></a><var>112.14</var>    Subd. 4. <b>Requirements of providers.</b> An SRSA must include assessment, <br/>
<a id="pl.112.15"></a><var>112.15</var>evaluation, and reporting requirements that promote the goals of improved school <br/>
<a id="pl.112.16"></a><var>112.16</var>readiness and movement toward appropriate child development milestones. A provider <br/>
<a id="pl.112.17"></a><var>112.17</var>who enters into an SRSA shall comply with the assessment, evaluation, and reporting <br/>
<a id="pl.112.18"></a><var>112.18</var>requirements in the SRSA.<br/>
<a id="pl.112.19"></a><var>112.19</var>    Subd. 5. <b>Relationship to current law.</b> (a) The following provisions in Minnesota <br/>
<a id="pl.112.20"></a><var>112.20</var>Statutes, chapter 119B, must be waived or modified for families receiving services under <br/>
<a id="pl.112.21"></a><var>112.21</var>this section.<br/>
<a id="pl.112.22"></a><var>112.22</var>    (b) Notwithstanding Minnesota Statutes, section 119B.13, subdivisions 1 and 1a, <br/>
<a id="pl.112.23"></a><var>112.23</var>maximum weekly rates under this section are 125 percent of the existing maximum <br/>
<a id="pl.112.24"></a><var>112.24</var>weekly rate for like-care. Providers eligible for a differential rate under Minnesota <br/>
<a id="pl.112.25"></a><var>112.25</var>Statutes, section 119B.13, subdivision 3a, remain eligible for the differential above the <br/>
<a id="pl.112.26"></a><var>112.26</var>rate identified in this section. Only care for children who have not yet entered kindergarten <br/>
<a id="pl.112.27"></a><var>112.27</var>may be paid at the maximum rate under this section. The provider's charge for service <br/>
<a id="pl.112.28"></a><var>112.28</var>provided through an SRSA may not exceed the rate that the provider charges a private-pay <br/>
<a id="pl.112.29"></a><var>112.29</var>family for like-care arrangements.<br/>
<a id="pl.112.30"></a><var>112.30</var>    (c) A family or child care provider may not be assessed an overpayment for care <br/>
<a id="pl.112.31"></a><var>112.31</var>provided through an SRSA unless: <br/>
<a id="pl.112.32"></a><var>112.32</var>    (1) there was an error in the amount of care authorized for the family; or <br/>
<a id="pl.112.33"></a><var>112.33</var>    (2) the family or provider did not timely report a change as required under the law.<br/>
<a id="pl.112.34"></a><var>112.34</var>    (d) Care provided through an SRSA is authorized on a weekly basis.<br/>
<a id="pl.112.35"></a><var>112.35</var>    (e) Funds appropriated under this section to serve families eligible under Minnesota <br/>
<a id="pl.112.36"></a><var>112.36</var>Statutes, section 119B.03, are not allocated through the basic sliding fee formula under <br/>
<a id="pl.113.1"></a><var>113.1</var>Minnesota Statutes, section 119B.03. Funds appropriated under this section are used to <br/>
<a id="pl.113.2"></a><var>113.2</var>offset increased costs when payments are made under SRSA's.<br/>
<a id="pl.113.3"></a><var>113.3</var>    (f) Notwithstanding Minnesota Statutes, section 119B.09, subdivision 6, the <br/>
<a id="pl.113.4"></a><var>113.4</var>maximum amount of child care assistance that may be authorized for a child receiving <br/>
<a id="pl.113.5"></a><var>113.5</var>care through an SRSA in a two-week period is 160 hours per child.<br/>
<a id="pl.113.6"></a><var>113.6</var>    Subd. 6. <b>Establishment of service agreements.</b> (a) The commissioner shall <br/>
<a id="pl.113.7"></a><var>113.7</var>approve SRSA's for up to 50 providers that represent diverse parts of the state and a <br/>
<a id="pl.113.8"></a><var>113.8</var>variety of child care delivery models. Entering into a service agreement does not guarantee <br/>
<a id="pl.113.9"></a><var>113.9</var>that a provider will receive payment at a higher rate for families receiving child care <br/>
<a id="pl.113.10"></a><var>113.10</var>assistance. A family eligible under this section shall choose a provider participating in an <br/>
<a id="pl.113.11"></a><var>113.11</var>SRSA in order for a higher rate to be paid. Payments through SRSA's are also limited by <br/>
<a id="pl.113.12"></a><var>113.12</var>the availability of SRSA funds.<br/>
<a id="pl.113.13"></a><var>113.13</var>    (b) Nothing in this section shall be construed to limit parent choice as defined in <br/>
<a id="pl.113.14"></a><var>113.14</var>Minnesota Statutes, section 119B.09, subdivision 5.<br/>
<a id="pl.113.15"></a><var>113.15</var>    (c) The commissioner may allow for startup time for some providers if failing to <br/>
<a id="pl.113.16"></a><var>113.16</var>do so would limit geographic diversity of SRSA providers or a variety of child care <br/>
<a id="pl.113.17"></a><var>113.17</var>delivery models.<br/>
<br/>
<a id="bill.1.94.0"></a><a id="pl.113.18"></a><var>113.18</var>    Sec. 94. <b>FAMILY, FRIEND, AND NEIGHBOR GRANT PROGRAM.</b><br/>
<a id="pl.113.19"></a><var>113.19</var>    Subdivision 1. <b>Establishment.</b> A family, friend, and neighbor (FFN) grant program <br/>
<a id="pl.113.20"></a><var>113.20</var>is established to promote children's early literacy, healthy development, and school <br/>
<a id="pl.113.21"></a><var>113.21</var>readiness, and to foster community partnerships to promote children's school readiness. <br/>
<a id="pl.113.22"></a><var>113.22</var>The commissioner shall attempt to ensure that grants are made in all areas of the state. The <br/>
<a id="pl.113.23"></a><var>113.23</var>commissioner of human services shall make grants available to fund: community-based <br/>
<a id="pl.113.24"></a><var>113.24</var>organizations, nonprofit organizations, and Indian tribes working with FFN caregivers <br/>
<a id="pl.113.25"></a><var>113.25</var>under subdivision 2, paragraph (a); and community-based partnerships to implement early <br/>
<a id="pl.113.26"></a><var>113.26</var>literacy programs under subdivision 2, paragraph (b).<br/>
<a id="pl.113.27"></a><var>113.27</var>    Subd. 2. <b>Program components.</b> (a)(1) Grants that the commissioner awards under <br/>
<a id="pl.113.28"></a><var>113.28</var>this section must be used by community-based organizations, nonprofit organizations, and <br/>
<a id="pl.113.29"></a><var>113.29</var>Indian tribes working with FFN caregivers in local communities, cultural communities, <br/>
<a id="pl.113.30"></a><var>113.30</var>and Indian tribes to:<br/>
<a id="pl.113.31"></a><var>113.31</var>    (i) provide training, support, and resources to FFN caregivers in order to improve <br/>
<a id="pl.113.32"></a><var>113.32</var>and promote children's health, safety, nutrition, and school readiness;<br/>
<a id="pl.113.33"></a><var>113.33</var>    (ii) connect FFN caregivers and children's families with appropriate community <br/>
<a id="pl.113.34"></a><var>113.34</var>resources that support the families' health, mental health, economic, and developmental <br/>
<a id="pl.113.35"></a><var>113.35</var>needs;<br/>
<a id="pl.114.1"></a><var>114.1</var>    (iii) connect FFN caregivers and children's families to early childhood screening <br/>
<a id="pl.114.2"></a><var>114.2</var>programs and facilitate referrals where appropriate;<br/>
<a id="pl.114.3"></a><var>114.3</var>    (iv) provide FFN caregivers and children's families with information about early <br/>
<a id="pl.114.4"></a><var>114.4</var>learning guidelines from the Departments of Human Services and Education;<br/>
<a id="pl.114.5"></a><var>114.5</var>    (v) provide FFN caregivers and children's families with information about becoming <br/>
<a id="pl.114.6"></a><var>114.6</var>a licensed family child care provider; and<br/>
<a id="pl.114.7"></a><var>114.7</var>    (vi) provide FFN caregivers and children's families with information about early <br/>
<a id="pl.114.8"></a><var>114.8</var>learning allowances and enrollment opportunities in high quality community-based <br/>
<a id="pl.114.9"></a><var>114.9</var>child-care and preschool programs.<br/>
<a id="pl.114.10"></a><var>114.10</var>    (2) Grants that the commissioner awards under this paragraph also may be used for:<br/>
<a id="pl.114.11"></a><var>114.11</var>    (i) health and safety and early learning kits for FFN caregivers;<br/>
<a id="pl.114.12"></a><var>114.12</var>    (ii) play-and-learn groups with FFN caregivers;<br/>
<a id="pl.114.13"></a><var>114.13</var>    (iii) culturally appropriate early childhood training for FFN caregivers;<br/>
<a id="pl.114.14"></a><var>114.14</var>    (iv) transportation for FFN caregivers and children's families to school readiness and <br/>
<a id="pl.114.15"></a><var>114.15</var>other early childhood training activities;<br/>
<a id="pl.114.16"></a><var>114.16</var>    (v) other activities that promote school readiness;<br/>
<a id="pl.114.17"></a><var>114.17</var>    (vi) data collection and evaluation;<br/>
<a id="pl.114.18"></a><var>114.18</var>    (vii) staff outreach and outreach activities;<br/>
<a id="pl.114.19"></a><var>114.19</var>    (viii) translation needs; or<br/>
<a id="pl.114.20"></a><var>114.20</var>    (ix) administrative costs that equal up to 12 percent of the recipient's grant award.<br/>
<a id="pl.114.21"></a><var>114.21</var>    (b) Grants that the commissioner awards under this section also must be used to fund <br/>
<a id="pl.114.22"></a><var>114.22</var>partnerships among Minnesota public and regional library systems, community-based <br/>
<a id="pl.114.23"></a><var>114.23</var>organizations, nonprofit organizations, and Indian tribes to implement early literacy <br/>
<a id="pl.114.24"></a><var>114.24</var>programs in low-income communities, including tribal communities, to:<br/>
<a id="pl.114.25"></a><var>114.25</var>    (1) purchase and equip early childhood read-mobiles that provide FFN caregivers <br/>
<a id="pl.114.26"></a><var>114.26</var>and children's families with books, training, and early literacy activities;<br/>
<a id="pl.114.27"></a><var>114.27</var>    (2) provide FFN caregivers and children's families with translations of early <br/>
<a id="pl.114.28"></a><var>114.28</var>childhood books, training, and early literacy activities in native languages; or<br/>
<a id="pl.114.29"></a><var>114.29</var>    (3) provide FFN caregivers and children's families with early literacy activities in <br/>
<a id="pl.114.30"></a><var>114.30</var>local libraries.<br/>
<a id="pl.114.31"></a><var>114.31</var>    Subd. 3. <b>Grant awards.</b> Interested entities eligible to receive a grant under <br/>
<a id="pl.114.32"></a><var>114.32</var>this section may apply to the commissioner in the form and manner the commissioner <br/>
<a id="pl.114.33"></a><var>114.33</var>determines. The commissioner shall awards grants to eligible entities consistent with <br/>
<a id="pl.114.34"></a><var>114.34</var>the requirements of this section.<br/>
<a id="pl.114.35"></a><var>114.35</var>    Subd. 4. <b>Evaluation.</b> The commissioner, in consultation with early childhood <br/>
<a id="pl.114.36"></a><var>114.36</var>care and education experts at the University of Minnesota, must evaluate the impact of <br/>
<a id="pl.115.1"></a><var>115.1</var>the grants under subdivision 2 on children's school readiness and submit a written report <br/>
<a id="pl.115.2"></a><var>115.2</var>to the human services and education finance and policy committees of the legislature by <br/>
<a id="pl.115.3"></a><var>115.3</var>February 15, 2010.<br/>
<a id="pl.115.4"></a><var>115.4</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.95.0"></a><a id="pl.115.5"></a><var>115.5</var>    Sec. 95. <b>CHILD CARE PROVIDER STUDY.</b><br/>
<a id="pl.115.6"></a><var>115.6</var>    The commissioner of human services is directed to study the implications of <br/>
<a id="pl.115.7"></a><var>115.7</var>restricting the use of state subsidies in center-based child care to centers meeting state <br/>
<a id="pl.115.8"></a><var>115.8</var>quality standards under Minnesota Statutes, section 124D.175, paragraph (c), and to <br/>
<a id="pl.115.9"></a><var>115.9</var>publish the results no later than January 1, 2010. The study must include:<br/>
<a id="pl.115.10"></a><var>115.10</var>    (1) the likelihood of there being sufficient child care providers meeting the standards;<br/>
<a id="pl.115.11"></a><var>115.11</var>    (2) the cost to bring providers up to the standards and how this cost would be funded;<br/>
<a id="pl.115.12"></a><var>115.12</var>    (3) how the standards and the ratings would be communicated to both parents and <br/>
<a id="pl.115.13"></a><var>115.13</var>the general public; and<br/>
<a id="pl.115.14"></a><var>115.14</var>    (4) a determination whether a similar system could be implemented for <br/>
<a id="pl.115.15"></a><var>115.15</var>non-center-based care.<br/>
<br/>
<a id="bill.1.96.0"></a><a id="pl.115.16"></a><var>115.16</var>    Sec. 96. <b>DIRECTION TO COMMISSIONER.</b><br/>
<a id="pl.115.17"></a><var>115.17</var>    (a) The commissioner of human services shall offer a request for proposals to <br/>
<a id="pl.115.18"></a><var>115.18</var>identify a research and evaluation firm with experience working with:<br/>
<a id="pl.115.19"></a><var>115.19</var>    (1) homeless youth providers;<br/>
<a id="pl.115.20"></a><var>115.20</var>    (2) data; and<br/>
<a id="pl.115.21"></a><var>115.21</var>    (3) the topics of housing, homelessness, and a continuum of care for youth.<br/>
<a id="pl.115.22"></a><var>115.22</var>    (b) The research and evaluation firm identified under paragraph (a) shall monitor and <br/>
<a id="pl.115.23"></a><var>115.23</var>evaluate the programs receiving funding under Minnesota Statutes, section 256K.45.<br/>
<br/>
<a id="bill.1.97.0"></a><a id="pl.115.24"></a><var>115.24</var>    Sec. 97. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.115.25"></a><var>115.25</var>    (a) The revisor shall renumber Minnesota Statutes, section 626.556, subdivision 3d, <br/>
<a id="pl.115.26"></a><var>115.26</var>as Minnesota Statutes, section 626.556, subdivision 3g.<br/>
<a id="pl.115.27"></a><var>115.27</var>    (b) The revisor shall change references to Minnesota Statutes, section 260.851, <br/>
<a id="pl.115.28"></a><var>115.28</var>to section 260.853 and references to Minnesota Statutes, section 260.851, article 5, to <br/>
<a id="pl.115.29"></a><var>115.29</var>section 260.853, article 4, wherever those references appear in Minnesota Statutes and <br/>
<a id="pl.115.30"></a><var>115.30</var>Minnesota Rules.<br/>
<br/>
<a id="bill.1.98.0"></a><a id="pl.115.31"></a><var>115.31</var>    Sec. 98. <b> REPEALER.</b><br/>
<a id="pl.116.1"></a><var>116.1</var>(a) Minnesota Statutes 2006, sections 119B.08, subdivision 4; 256J.29; 256J.37, <br/>
<a id="pl.116.2"></a><var>116.2</var>subdivisions 3a and 3b; and 256J.626, subdivisions 7 and 9, are repealed.<br/>
<a id="pl.116.3"></a><var>116.3</var>(b) Laws 1997, chapter 8, section 1, is repealed.<br/>
<a id="pl.116.4"></a><var>116.4</var>(c) Minnesota Rules, part 9560.0102, subpart 2, item C, is repealed.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.116.7"></a><var>116.7</var>    Section 1. Minnesota Statutes 2006, section 245A.035, is amended to read:<br/>
<a id="pl.116.8"></a><var>116.8</var><b>245A.035 </b><b>RELATIVE FOSTER CARE;</b><b> UNLICENSED</b><b> EMERGENCY </b><br/>
<a id="pl.116.9"></a><var>116.9</var><b>LICENSE</b><b> RELATIVE PLACEMENT</b><b>.</b><br/>
<a id="pl.116.10"></a><var>116.10</var>    Subdivision 1. <b>Grant of</b><b> Emergency </b><b>license</b><b> placement</b><b>.</b> Notwithstanding section <br/>
<statute_ref><a id="pl.116.11"></a><var>116.11</var>245A.03, subdivision 2a
         </statute_ref>, or 
         <statute_ref>245C.13, subdivision 2</statute_ref>, a county agency may place a child <br/>
<a id="pl.116.12"></a><var>116.12</var>for foster care with a relative who is not licensed to provide foster care, provided the <br/>
<a id="pl.116.13"></a><var>116.13</var>requirements of subdivision 2 this section are met. As used in this section, the term <br/>
<a id="pl.116.14"></a><var>116.14</var>"relative" has the meaning given it under section 
         <statute_ref>260C.007, subdivision 27</statute_ref>.<br/>
<a id="pl.116.15"></a><var>116.15</var>    Subd. 2. <b>Cooperation with emergency </b><b>licensing</b><b> placement</b><b> process.</b> (a) A county <br/>
<a id="pl.116.16"></a><var>116.16</var>agency that places a child with a relative who is not licensed to provide foster care must <br/>
<a id="pl.116.17"></a><var>116.17</var>begin the process of securing an emergency license for the relative as soon as possible <br/>
<a id="pl.116.18"></a><var>116.18</var>and must conduct the initial inspection required by subdivision 3, clause (1), whenever <br/>
<a id="pl.116.19"></a><var>116.19</var>possible, prior to placing the child in the relative's home, but no later than three working <br/>
<a id="pl.116.20"></a><var>116.20</var>days after placing the child in the home. A child placed in the home of a relative who is <br/>
<a id="pl.116.21"></a><var>116.21</var>not licensed to provide foster care must be removed from that home if the relative fails <br/>
<a id="pl.116.22"></a><var>116.22</var>to cooperate with the county agency in securing an emergency foster care license. The <br/>
<a id="pl.116.23"></a><var>116.23</var>commissioner may issue an emergency foster care license to a relative with whom the <br/>
<a id="pl.116.24"></a><var>116.24</var>county agency wishes to place or has placed a child for foster care, or to a relative with <br/>
<a id="pl.116.25"></a><var>116.25</var>whom a child has been placed by court order.<br/>
<a id="pl.116.26"></a><var>116.26</var>    (b) If a child is to be placed in the home of a relative not licensed to provide foster <br/>
<a id="pl.116.27"></a><var>116.27</var>care, either the placing agency or the county agency in the county in which the relative <br/>
<a id="pl.116.28"></a><var>116.28</var>lives shall conduct the emergency licensing placement process as required in this section.<br/>
<a id="pl.116.29"></a><var>116.29</var>    Subd. 3. <b>Requirements for emergency </b><b>license</b><b> placement</b><b>.</b> Before an emergency <br/>
<a id="pl.116.30"></a><var>116.30</var>license placement may be issued made, the following requirements must be met:<br/>
<a id="pl.116.31"></a><var>116.31</var>    (1) the county agency must conduct an initial inspection of the premises where <br/>
<a id="pl.116.32"></a><var>116.32</var>the foster care placement is to be provided made to ensure the health and safety of any <br/>
<a id="pl.116.33"></a><var>116.33</var>child placed in the home. The county agency shall conduct the inspection using a form <br/>
<a id="pl.116.34"></a><var>116.34</var>developed by the commissioner;<br/>
<a id="pl.117.1"></a><var>117.1</var>    (2) at the time of the inspection or placement, whichever is earlier, the county <br/>
<a id="pl.117.2"></a><var>117.2</var>agency must provide the relative being considered for an emergency license shall receive <br/>
<a id="pl.117.3"></a><var>117.3</var>placement an application form for a child foster care license;<br/>
<a id="pl.117.4"></a><var>117.4</var>    (3) whenever possible, prior to placing the child in the relative's home, the relative <br/>
<a id="pl.117.5"></a><var>117.5</var>being considered for an emergency license placement shall provide the information <br/>
<a id="pl.117.6"></a><var>117.6</var>required by section 
         <statute_ref>245C.05</statute_ref>; and <br/>
<a id="pl.117.7"></a><var>117.7</var>    (4) if the county determines, prior to the issuance of an emergency license <br/>
<a id="pl.117.8"></a><var>117.8</var>placement, that anyone requiring a background study may be  prior to licensure of the <br/>
<a id="pl.117.9"></a><var>117.9</var>home is disqualified under section 
<statute_ref>245C.14</statute_ref> and chapter 245C, and the disqualification <br/>
<a id="pl.117.10"></a><var>117.10</var>is one which the commissioner cannot set aside, an emergency license shall placement <br/>
<a id="pl.117.11"></a><var>117.11</var>must not be issued made.<br/>
<a id="pl.117.12"></a><var>117.12</var>    Subd. 4. <b>Applicant study.</b> When the county agency has received the information <br/>
<a id="pl.117.13"></a><var>117.13</var>required by section 
         <statute_ref>245C.05</statute_ref>, the county agency shall begin an applicant study according to <br/>
<a id="pl.117.14"></a><var>117.14</var>the procedures in chapter 245C. The commissioner may issue an emergency license upon <br/>
<a id="pl.117.15"></a><var>117.15</var>recommendation of the county agency once the initial inspection has been successfully <br/>
<a id="pl.117.16"></a><var>117.16</var>completed and the information necessary to begin the applicant background study has been <br/>
<a id="pl.117.17"></a><var>117.17</var>provided. If the county agency does not recommend that the emergency license be granted, <br/>
<a id="pl.117.18"></a><var>117.18</var>the agency shall notify the relative in writing that the agency is recommending denial to the <br/>
<a id="pl.117.19"></a><var>117.19</var>commissioner; shall remove any child who has been placed in the home prior to licensure; <br/>
<a id="pl.117.20"></a><var>117.20</var>and shall inform the relative in writing of the procedure to request review pursuant to <br/>
<a id="pl.117.21"></a><var>117.21</var>subdivision 6. An emergency license shall be effective until a child foster care license is <br/>
<a id="pl.117.22"></a><var>117.22</var>granted or denied, but shall in no case remain in effect more than 120 days from the date <br/>
<a id="pl.117.23"></a><var>117.23</var>of placement submit the information to the commissioner according to section 245C.05.<br/>
<a id="pl.117.24"></a><var>117.24</var>    Subd. 5. <b>Child foster care license application.</b> (a) The relatives with whom the <br/>
<a id="pl.117.25"></a><var>117.25</var>emergency license holder placement has been made shall complete the child foster care <br/>
<a id="pl.117.26"></a><var>117.26</var>license application and necessary paperwork within ten days of the placement. The county <br/>
<a id="pl.117.27"></a><var>117.27</var>agency shall assist the emergency license holder applicant to complete the application. <br/>
<a id="pl.117.28"></a><var>117.28</var>The granting of a child foster care license to a relative shall be under the procedures in this <br/>
<a id="pl.117.29"></a><var>117.29</var>chapter and according to the standards set forth by foster care rule in Minnesota Rules, <br/>
<a id="pl.117.30"></a><var>117.30</var>chapter 2960. In licensing a relative, the commissioner shall consider the importance of <br/>
<a id="pl.117.31"></a><var>117.31</var>maintaining the child's relationship with relatives as an additional significant factor in <br/>
<a id="pl.117.32"></a><var>117.32</var>determining whether to a background study disqualification should be set aside a licensing <br/>
<a id="pl.117.33"></a><var>117.33</var>disqualifier under section 
         <statute_ref>245C.22</statute_ref>, or to grant a variance of licensing requirements should <br/>
<a id="pl.117.34"></a><var>117.34</var>be granted under sections 
<statute_ref>245C.21</statute_ref> to 
<statute_ref>245C.27</statute_ref> section 245C.30.<br/>
<a id="pl.117.35"></a><var>117.35</var>    (b) When the county or private child-placing agency is processing an application <br/>
<a id="pl.117.36"></a><var>117.36</var>for child foster care licensure of a relative as defined in section 
         <statute_ref>260B.007, subdivision <br/>
<a id="pl.118.1"></a><var>118.1</var>12
         </statute_ref>, or 
         <statute_ref>260C.007, subdivision 27</statute_ref>, the county agency or child-placing agency must explain <br/>
<a id="pl.118.2"></a><var>118.2</var>the licensing process to the prospective licensee, including the background study process <br/>
<a id="pl.118.3"></a><var>118.3</var>and the procedure for reconsideration of an initial disqualification for licensure. The <br/>
<a id="pl.118.4"></a><var>118.4</var>county or private child-placing agency must also provide the prospective relative licensee <br/>
<a id="pl.118.5"></a><var>118.5</var>with information regarding appropriate options for legal representation in the pertinent <br/>
<a id="pl.118.6"></a><var>118.6</var>geographic area. If a relative is initially disqualified under section 
         <statute_ref>245C.14</statute_ref>, the county <br/>
<a id="pl.118.7"></a><var>118.7</var>or child-placing agency commissioner must provide written notice of the reasons for the <br/>
<a id="pl.118.8"></a><var>118.8</var>disqualification and the right to request a reconsideration by the commissioner as required <br/>
<a id="pl.118.9"></a><var>118.9</var>under section 
         <statute_ref>245C.17</statute_ref>.<br/>
<a id="pl.118.10"></a><var>118.10</var>    (c) The commissioner shall maintain licensing data so that activities related to <br/>
<a id="pl.118.11"></a><var>118.11</var>applications and licensing actions for relative foster care providers may be distinguished <br/>
<a id="pl.118.12"></a><var>118.12</var>from other child foster care settings.<br/>
<a id="pl.118.13"></a><var>118.13</var>    Subd. 6. <b>Denial of emergency license.</b> If the commissioner denies an application <br/>
<a id="pl.118.14"></a><var>118.14</var>for an emergency foster care license under this section, that denial must be in writing and <br/>
<a id="pl.118.15"></a><var>118.15</var>must include reasons for the denial. Denial of an emergency license is not subject to <br/>
<a id="pl.118.16"></a><var>118.16</var>appeal under chapter 14. The relative may request a review of the denial by submitting <br/>
<a id="pl.118.17"></a><var>118.17</var>to the commissioner a written statement of the reasons an emergency license should be <br/>
<a id="pl.118.18"></a><var>118.18</var>granted. The commissioner shall evaluate the request for review and determine whether <br/>
<a id="pl.118.19"></a><var>118.19</var>to grant the emergency license. The commissioner's review shall be based on a review <br/>
<a id="pl.118.20"></a><var>118.20</var>of the records submitted by the county agency and the relative. Within 15 working <br/>
<a id="pl.118.21"></a><var>118.21</var>days of the receipt of the request for review, the commissioner shall notify the relative <br/>
<a id="pl.118.22"></a><var>118.22</var>requesting review in written form whether the emergency license will be granted. The <br/>
<a id="pl.118.23"></a><var>118.23</var>commissioner's review shall be based on a review of the records submitted by the county <br/>
<a id="pl.118.24"></a><var>118.24</var>agency and the relative. A child shall not be placed or remain placed in the relative's home <br/>
<a id="pl.118.25"></a><var>118.25</var>while the request for review is pending. Denial of an emergency license shall not preclude <br/>
<a id="pl.118.26"></a><var>118.26</var>an individual from reapplying for an emergency license or from applying for a child foster <br/>
<a id="pl.118.27"></a><var>118.27</var>care license. The decision of the commissioner is the final administrative agency action.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.118.28"></a><var>118.28</var>    Sec. 2. Minnesota Statutes 2006, section 245A.10, subdivision 2, is amended to read:<br/>
<a id="pl.118.29"></a><var>118.29</var>    Subd. 2. <b>County fees for background studies and licensing inspections.</b> (a) For <br/>
<a id="pl.118.30"></a><var>118.30</var>purposes of family and group family child care licensing under this chapter, a county <br/>
<a id="pl.118.31"></a><var>118.31</var>agency may charge a fee to an applicant or license holder to recover the actual cost of <br/>
<a id="pl.118.32"></a><var>118.32</var>background studies, but in any case not to exceed $100 annually. A county agency may <br/>
<a id="pl.118.33"></a><var>118.33</var>also charge a license fee to an applicant or license holder to recover the actual cost of <br/>
<a id="pl.118.34"></a><var>118.34</var>licensing inspections, but in any case not to exceed $150 annually $50 for a one-year <br/>
<a id="pl.118.35"></a><var>118.35</var>license or $100 for a two-year license.<br/>
<a id="pl.119.1"></a><var>119.1</var>    (b) A county agency may charge a fee to a legal nonlicensed child care provider or <br/>
<a id="pl.119.2"></a><var>119.2</var>applicant for authorization to recover the actual cost of background studies completed <br/>
<a id="pl.119.3"></a><var>119.3</var>under section  
         <statute_ref>119B.125</statute_ref>, but in any case not to exceed $100 annually. <br/>
<a id="pl.119.4"></a><var>119.4</var>    (c) Counties may elect to reduce or waive the fees in paragraph (a) or (b):<br/>
<a id="pl.119.5"></a><var>119.5</var>    (1) in cases of financial hardship;<br/>
<a id="pl.119.6"></a><var>119.6</var>    (2)  if the county has a shortage of providers in the county's area;<br/>
<a id="pl.119.7"></a><var>119.7</var>    (3) for new providers; or<br/>
<a id="pl.119.8"></a><var>119.8</var>    (4) for providers who have attained at least 16 hours of training before seeking <br/>
<a id="pl.119.9"></a><var>119.9</var>initial licensure.<br/>
<a id="pl.119.10"></a><var>119.10</var>    (d) Counties may allow providers to pay the applicant fees in paragraph (a) or (b) on <br/>
<a id="pl.119.11"></a><var>119.11</var>an installment basis for up to one year. If the provider is receiving child care assistance <br/>
<a id="pl.119.12"></a><var>119.12</var>payments from the state, the provider may have the fees under paragraph (a) or (b) <br/>
<a id="pl.119.13"></a><var>119.13</var>deducted from the child care assistance payments for up to one year and the state shall <br/>
<a id="pl.119.14"></a><var>119.14</var>reimburse the county for the county fees collected in this manner.<br/>
<a id="pl.119.15"></a><var>119.15</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.119.16"></a><var>119.16</var>    Sec. 3. Minnesota Statutes 2006, section 245A.16, subdivision 1, is amended to read:<br/>
<a id="pl.119.17"></a><var>119.17</var>    Subdivision 1. <b>Delegation of authority to agencies.</b> (a) County agencies and <br/>
<a id="pl.119.18"></a><var>119.18</var>private agencies that have been designated or licensed by the commissioner to perform <br/>
<a id="pl.119.19"></a><var>119.19</var>licensing functions and activities under section 
         <statute_ref>245A.04</statute_ref> and background studies for adult <br/>
<a id="pl.119.20"></a><var>119.20</var>foster care, family adult day services, family child care, and child foster care under chapter <br/>
<a id="pl.119.21"></a><var>119.21</var>245C,; to recommend denial of applicants under section 
         <statute_ref>245A.05</statute_ref>,; to issue correction <br/>
<a id="pl.119.22"></a><var>119.22</var>orders, to issue variances, and recommend a conditional license under section 
         <statute_ref>245A.06</statute_ref>, or <br/>
<a id="pl.119.23"></a><var>119.23</var>to recommend suspending or revoking a license or issuing a fine under section 
         <statute_ref>245A.07</statute_ref>, <br/>
<a id="pl.119.24"></a><var>119.24</var>shall comply with rules and directives of the commissioner governing those functions and <br/>
<a id="pl.119.25"></a><var>119.25</var>with this section. The following variances are excluded from the delegation of variance <br/>
<a id="pl.119.26"></a><var>119.26</var>authority and may be issued only by the commissioner:<br/>
<a id="pl.119.27"></a><var>119.27</var>    (1) dual licensure of family child care and child foster care, dual licensure of child <br/>
<a id="pl.119.28"></a><var>119.28</var>and adult foster care, and adult foster care and family child care;<br/>
<a id="pl.119.29"></a><var>119.29</var>    (2) adult foster care maximum capacity;<br/>
<a id="pl.119.30"></a><var>119.30</var>    (3) adult foster care minimum age requirement;<br/>
<a id="pl.119.31"></a><var>119.31</var>    (4) child foster care maximum age requirement;<br/>
<a id="pl.119.32"></a><var>119.32</var>    (5) variances regarding disqualified individuals except that county agencies may <br/>
<a id="pl.119.33"></a><var>119.33</var>issue variances under section 
         <statute_ref>245C.30</statute_ref> regarding disqualified individuals when the county <br/>
<a id="pl.119.34"></a><var>119.34</var>is responsible for conducting a consolidated reconsideration according to sections 
         <statute_ref>245C.25</statute_ref> <br/>
<a id="pl.120.1"></a><var>120.1</var>and 
         <statute_ref>245C.27, subdivision 2</statute_ref>, clauses (a) and (b), of a county maltreatment determination <br/>
<a id="pl.120.2"></a><var>120.2</var>and a disqualification based on serious or recurring maltreatment; and<br/>
<a id="pl.120.3"></a><var>120.3</var>    (6) the required presence of a caregiver in the adult foster care residence during <br/>
<a id="pl.120.4"></a><var>120.4</var>normal sleeping hours.<br/>
<a id="pl.120.5"></a><var>120.5</var>    (b) County agencies must report:<br/>
<a id="pl.120.6"></a><var>120.6</var>    (1) information about disqualification reconsiderations under sections 
         <statute_ref>245C.25</statute_ref> and <br/>
<statute_ref><a id="pl.120.7"></a><var>120.7</var>245C.27, subdivision 2
         </statute_ref>, clauses paragraphs (a) and (b), and variances granted under <br/>
<a id="pl.120.8"></a><var>120.8</var>paragraph (a), clause (5), to the commissioner at least monthly in a format prescribed by <br/>
<a id="pl.120.9"></a><var>120.9</var>the commissioner; and.<br/>
<a id="pl.120.10"></a><var>120.10</var>    (2) for relative child foster care applicants and license holders, the number of <br/>
<a id="pl.120.11"></a><var>120.11</var>relatives, as defined in section 
<statute_ref>260C.007, subdivision 27</statute_ref>, and household members of <br/>
<a id="pl.120.12"></a><var>120.12</var>relatives who are disqualified under section 
<statute_ref>245C.14</statute_ref>; the disqualifying characteristics <br/>
<a id="pl.120.13"></a><var>120.13</var>under section 
<statute_ref>245C.15</statute_ref>; the number of these individuals who requested reconsideration <br/>
<a id="pl.120.14"></a><var>120.14</var>under section 
<statute_ref>245C.21</statute_ref>; the number of set-asides under section 
<statute_ref>245C.22</statute_ref>; and variances <br/>
<a id="pl.120.15"></a><var>120.15</var>under section 
<statute_ref>245C.30</statute_ref> issued. This information shall be reported to the commissioner <br/>
<a id="pl.120.16"></a><var>120.16</var>annually by January 15 of each year in a format prescribed by the commissioner.<br/>
<a id="pl.120.17"></a><var>120.17</var>    (c) For family day care programs, the commissioner may authorize licensing reviews <br/>
<a id="pl.120.18"></a><var>120.18</var>every two years after a licensee has had at least one annual review.<br/>
<a id="pl.120.19"></a><var>120.19</var>    (d) For family adult day services programs, the commissioner may authorize <br/>
<a id="pl.120.20"></a><var>120.20</var>licensing reviews every two years after a licensee has had at least one annual review.<br/>
<a id="pl.120.21"></a><var>120.21</var>    (e) A license issued under this section may be issued for up to two years.<br/>
<a id="pl.120.22"></a><var>120.22</var>    (f) The commissioner shall work with counties to determine the cost and propose <br/>
<a id="pl.120.23"></a><var>120.23</var>an ongoing funding allocation from the general fund to cover the cost to counties <br/>
<a id="pl.120.24"></a><var>120.24</var>to implement an annual license review for licensed family child care providers. <br/>
<a id="pl.120.25"></a><var>120.25</var>The commissioner shall solicit input from counties to determine the outcome. The <br/>
<a id="pl.120.26"></a><var>120.26</var>commissioner shall report to the committees of the house of representatives and senate <br/>
<a id="pl.120.27"></a><var>120.27</var>having jurisdiction over early childhood programs by January 15, 2008, as to the costs <br/>
<a id="pl.120.28"></a><var>120.28</var>and the funding allocation recommended for future use.<br/>
<a id="pl.120.29"></a><var>120.29</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.120.30"></a><var>120.30</var>    Sec. 4. Minnesota Statutes 2006, section 245A.16, subdivision 3, is amended to read:<br/>
<a id="pl.120.31"></a><var>120.31</var>    Subd. 3. <b>Recommendations to the commissioner.</b> The county or private agency <br/>
<a id="pl.120.32"></a><var>120.32</var>shall not make recommendations to the commissioner regarding licensure without first <br/>
<a id="pl.120.33"></a><var>120.33</var>conducting an inspection, and for adult foster care, family adult day services, family child <br/>
<a id="pl.120.34"></a><var>120.34</var>care, and child foster care, a background study of the applicant, and evaluation pursuant to <br/>
<a id="pl.120.35"></a><var>120.35</var>under chapter 245C. The county or private agency must forward its recommendation to <br/>
<a id="pl.121.1"></a><var>121.1</var>the commissioner regarding the appropriate licensing action within 20 working days of <br/>
<a id="pl.121.2"></a><var>121.2</var>receipt of a completed application.<br/>
<a id="pl.121.3"></a><var>121.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.121.4"></a><var>121.4</var>    Sec. 5. Minnesota Statutes 2006, section 245C.02, is amended by adding a subdivision <br/>
<a id="pl.121.5"></a><var>121.5</var>to read:<br/>
<a id="pl.121.6"></a><var>121.6</var>    Subd. 14a. <b>Private agency.</b> "Private agency" has the meaning given in section <br/>
<a id="pl.121.7"></a><var>121.7</var>245A.02, subdivision 12.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.121.8"></a><var>121.8</var>    Sec. 6. Minnesota Statutes 2006, section 245C.04, subdivision 1, is amended to read:<br/>
<a id="pl.121.9"></a><var>121.9</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.121.10"></a><var>121.10</var>background study of an individual required to be studied under section 
         <statute_ref>245C.03, <br/>
<a id="pl.121.11"></a><var>121.11</var>subdivision 1
         </statute_ref>, at least upon application for initial license for all license types. <br/>
<a id="pl.121.12"></a><var>121.12</var>    (b) The commissioner shall conduct a background study of an individual required to <br/>
<a id="pl.121.13"></a><var>121.13</var>be studied under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, at reapplication for a license for family <br/>
<a id="pl.121.14"></a><var>121.14</var>child care, child foster care, and adult foster care, and family adult day services. <br/>
<a id="pl.121.15"></a><var>121.15</var>    (c) The commissioner is not required to conduct a study of an individual at the time <br/>
<a id="pl.121.16"></a><var>121.16</var>of reapplication for a license if the individual's background study was completed by the <br/>
<a id="pl.121.17"></a><var>121.17</var>commissioner of human services for an adult foster care license holder that is also:<br/>
<a id="pl.121.18"></a><var>121.18</var>    (1) registered under chapter 144D; or<br/>
<a id="pl.121.19"></a><var>121.19</var>    (2) licensed to provide home and community-based services to people with <br/>
<a id="pl.121.20"></a><var>121.20</var>disabilities at the foster care location and the license holder does not reside in the foster <br/>
<a id="pl.121.21"></a><var>121.21</var>care residence; and<br/>
<a id="pl.121.22"></a><var>121.22</var>    (3) the following conditions are met:<br/>
<a id="pl.121.23"></a><var>121.23</var>    (i) a study of the individual was conducted either at the time of initial licensure or <br/>
<a id="pl.121.24"></a><var>121.24</var>when the individual became affiliated with the license holder;<br/>
<a id="pl.121.25"></a><var>121.25</var>    (ii) the individual has been continuously affiliated with the license holder since <br/>
<a id="pl.121.26"></a><var>121.26</var>the last study was conducted; and<br/>
<a id="pl.121.27"></a><var>121.27</var>    (iii) the last study of the individual was conducted on or after October 1, 1995.<br/>
<a id="pl.121.28"></a><var>121.28</var>    (d) From July 1, 2007, to June 30, 2009, the commissioner of human services <br/>
<a id="pl.121.29"></a><var>121.29</var>shall conduct a study of an individual required to be studied under section 245C.03, at <br/>
<a id="pl.121.30"></a><var>121.30</var>the time of reapplication for a child foster care license. The county or private agency <br/>
<a id="pl.121.31"></a><var>121.31</var>shall collect and forward to the commissioner the information required under section <br/>
<a id="pl.121.32"></a><var>121.32</var>245C.05, subdivisions 1, paragraphs (a) and (b), and 5, paragraphs (a) and (b). The <br/>
<a id="pl.121.33"></a><var>121.33</var>background study conducted by the commissioner of human services under this paragraph <br/>
<a id="pl.122.1"></a><var>122.1</var>must include a review of the information required under section 245C.08, subdivisions <br/>
<a id="pl.122.2"></a><var>122.2</var>1, paragraph (a), clauses (1) to (4), and 3.<br/>
<a id="pl.122.3"></a><var>122.3</var>    (e) The commissioner of human services shall conduct a background study of an <br/>
<a id="pl.122.4"></a><var>122.4</var>individual specified under section 245C.03, subdivision 1, paragraph (a), clauses (2) <br/>
<a id="pl.122.5"></a><var>122.5</var>to (6), who is newly affiliated with a child foster care license holder. The county or <br/>
<a id="pl.122.6"></a><var>122.6</var>private agency shall collect and forward to the commissioner the information required <br/>
<a id="pl.122.7"></a><var>122.7</var>under section 245C.05, subdivisions 1 and 5. The background study conducted by the <br/>
<a id="pl.122.8"></a><var>122.8</var>commissioner of human services under this paragraph must include a review of the <br/>
<a id="pl.122.9"></a><var>122.9</var>information required under section 245C.08, subdivisions 1, paragraph (a), and 3.<br/>
<a id="pl.122.10"></a><var>122.10</var>    (f) Applicants for licensure, license holders, and other entities as provided in this <br/>
<a id="pl.122.11"></a><var>122.11</var>chapter must submit completed background study forms to the commissioner before <br/>
<a id="pl.122.12"></a><var>122.12</var>individuals specified in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, begin positions allowing direct <br/>
<a id="pl.122.13"></a><var>122.13</var>contact in any licensed program. <br/>
<a id="pl.122.14"></a><var>122.14</var>    (e) (g) For purposes of this section, a physician licensed under chapter 147 is <br/>
<a id="pl.122.15"></a><var>122.15</var>considered to be continuously affiliated upon the license holder's receipt from the <br/>
<a id="pl.122.16"></a><var>122.16</var>commissioner of health or human services of the physician's background study results.<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.122.17"></a><var>122.17</var>    Sec. 7. Minnesota Statutes 2006, section 245C.04, subdivision 1, is amended to read:<br/>
<a id="pl.122.18"></a><var>122.18</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.122.19"></a><var>122.19</var>background study of an individual required to be studied under section 
         <statute_ref>245C.03, <br/>
<a id="pl.122.20"></a><var>122.20</var>subdivision 1
         </statute_ref>, at least upon application for initial license for all license types. <br/>
<a id="pl.122.21"></a><var>122.21</var>    (b) The commissioner shall conduct a background study of an individual required <br/>
<a id="pl.122.22"></a><var>122.22</var>to be studied under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, at reapplication for a license for <br/>
<a id="pl.122.23"></a><var>122.23</var>family child care, child foster care, and adult foster care. <br/>
<a id="pl.122.24"></a><var>122.24</var>    (c) The commissioner is not required to conduct a study of an individual at the time <br/>
<a id="pl.122.25"></a><var>122.25</var>of reapplication for a license if the individual's background study was completed by the <br/>
<a id="pl.122.26"></a><var>122.26</var>commissioner of human services for an adult foster care license holder that is also:<br/>
<a id="pl.122.27"></a><var>122.27</var>    (1) registered under chapter 144D; or<br/>
<a id="pl.122.28"></a><var>122.28</var>    (2) licensed to provide home and community-based services to people with <br/>
<a id="pl.122.29"></a><var>122.29</var>disabilities at the foster care location and the license holder does not reside in the foster <br/>
<a id="pl.122.30"></a><var>122.30</var>care residence; and<br/>
<a id="pl.122.31"></a><var>122.31</var>    (3) the following conditions are met:<br/>
<a id="pl.122.32"></a><var>122.32</var>    (i) a study of the individual was conducted either at the time of initial licensure or <br/>
<a id="pl.122.33"></a><var>122.33</var>when the individual became affiliated with the license holder;<br/>
<a id="pl.122.34"></a><var>122.34</var>    (ii) the individual has been continuously affiliated with the license holder since <br/>
<a id="pl.122.35"></a><var>122.35</var>the last study was conducted; and<br/>
<a id="pl.123.1"></a><var>123.1</var>    (iii) the last study of the individual was conducted on or after October 1, 1995.<br/>
<a id="pl.123.2"></a><var>123.2</var>    (d) From January 1, 2008, to December 31, 2009, the commissioner shall conduct <br/>
<a id="pl.123.3"></a><var>123.3</var>a study of an individual required to be studied under section 245C.03, at the time of <br/>
<a id="pl.123.4"></a><var>123.4</var>reapplication for a family child care license. The county shall collect and forward to the <br/>
<a id="pl.123.5"></a><var>123.5</var>commissioner the information required under section 245C.05, subdivisions 1 and 5. The <br/>
<a id="pl.123.6"></a><var>123.6</var>background study conducted by the commissioner under this paragraph must include a <br/>
<a id="pl.123.7"></a><var>123.7</var>review of the information required under section 245C.08, subdivisions 1, paragraph <br/>
<a id="pl.123.8"></a><var>123.8</var>(a), and 3.<br/>
<a id="pl.123.9"></a><var>123.9</var>    (e) The commissioner shall conduct a background study of an individual specified <br/>
<a id="pl.123.10"></a><var>123.10</var>under section 245C.03, subdivision 1, paragraph (a), clauses (2) to (6), who is newly <br/>
<a id="pl.123.11"></a><var>123.11</var>affiliated with a family child care license holder. The county shall collect and forward <br/>
<a id="pl.123.12"></a><var>123.12</var>to the commissioner the information required under section 245C.05, subdivisions 1 <br/>
<a id="pl.123.13"></a><var>123.13</var>and 5. The background study conducted by the commissioner under this paragraph <br/>
<a id="pl.123.14"></a><var>123.14</var>must include a review of the information required under section 245C.08, subdivisions <br/>
<a id="pl.123.15"></a><var>123.15</var>1, paragraph (a), and 3.<br/>
<a id="pl.123.16"></a><var>123.16</var>    (f) Applicants for licensure, license holders, and other entities as provided in this <br/>
<a id="pl.123.17"></a><var>123.17</var>chapter must submit completed background study forms to the commissioner before <br/>
<a id="pl.123.18"></a><var>123.18</var>individuals specified in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, begin positions allowing direct <br/>
<a id="pl.123.19"></a><var>123.19</var>contact in any licensed program. <br/>
<a id="pl.123.20"></a><var>123.20</var>    (e) (g) For purposes of this section, a physician licensed under chapter 147 is <br/>
<a id="pl.123.21"></a><var>123.21</var>considered to be continuously affiliated upon the license holder's receipt from the <br/>
<a id="pl.123.22"></a><var>123.22</var>commissioner of health or human services of the physician's background study results.<br/>
<a id="pl.123.23"></a><var>123.23</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.123.24"></a><var>123.24</var>    Sec. 8. Minnesota Statutes 2006, section 245C.05, subdivision 1, is amended to read:<br/>
<a id="pl.123.25"></a><var>123.25</var>    Subdivision 1. <b>Individual studied.</b> (a) The individual who is the subject of the <br/>
<a id="pl.123.26"></a><var>123.26</var>background study must provide the applicant, license holder, or other entity under section <br/>
<statute_ref><a id="pl.123.27"></a><var>123.27</var>245C.04
         </statute_ref> with sufficient information to ensure an accurate study, including: <br/>
<a id="pl.123.28"></a><var>123.28</var>    (1) the individual's first, middle, and last name and all other names by which the <br/>
<a id="pl.123.29"></a><var>123.29</var>individual has been known;<br/>
<a id="pl.123.30"></a><var>123.30</var>    (2) home address, city, and state of residence;<br/>
<a id="pl.123.31"></a><var>123.31</var>    (3) zip code;<br/>
<a id="pl.123.32"></a><var>123.32</var>    (4) sex;<br/>
<a id="pl.123.33"></a><var>123.33</var>    (5) date of birth; and<br/>
<a id="pl.123.34"></a><var>123.34</var>    (6) Minnesota driver's license number or state identification number.<br/>
<a id="pl.124.1"></a><var>124.1</var>    (b) Every subject of a background study conducted or initiated by counties or private <br/>
<a id="pl.124.2"></a><var>124.2</var>agencies under this chapter must also provide the home address, city, county, and state of <br/>
<a id="pl.124.3"></a><var>124.3</var>residence for the past five years.<br/>
<a id="pl.124.4"></a><var>124.4</var>    (c) Every subject of a background study related to child foster care licensed through <br/>
<a id="pl.124.5"></a><var>124.5</var>a private agency shall also provide the commissioner a signed consent for the release of <br/>
<a id="pl.124.6"></a><var>124.6</var>any information received from national crime information databases to the private agency <br/>
<a id="pl.124.7"></a><var>124.7</var>that initiated the background study.<br/>
<a id="pl.124.8"></a><var>124.8</var>    (d) The subject of a background study shall provide fingerprints as required in <br/>
<a id="pl.124.9"></a><var>124.9</var>subdivision 5, paragraph (c).<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.124.10"></a><var>124.10</var>    Sec. 9. Minnesota Statutes 2006, section 245C.05, is amended by adding a subdivision <br/>
<a id="pl.124.11"></a><var>124.11</var>to read:<br/>
<a id="pl.124.12"></a><var>124.12</var>    Subd. 2a. <b>County or private agency.</b> For background studies related to child foster <br/>
<a id="pl.124.13"></a><var>124.13</var>care, county and private agencies must collect the information under subdivision 1 and <br/>
<a id="pl.124.14"></a><var>124.14</var>forward it to the commissioner.<br/>
<br/>
<a id="bill.2.10.0"></a><a id="pl.124.15"></a><var>124.15</var>    Sec. 10. Minnesota Statutes 2006, section 245C.05, is amended by adding a <br/>
<a id="pl.124.16"></a><var>124.16</var>subdivision to read:<br/>
<a id="pl.124.17"></a><var>124.17</var>    Subd. 2b. <b>County agency.</b> For background studies related to family child care, <br/>
<a id="pl.124.18"></a><var>124.18</var>county agencies must collect the information under subdivision 1 and forward it to the <br/>
<a id="pl.124.19"></a><var>124.19</var>commissioner.<br/>
<a id="pl.124.20"></a><var>124.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.11.0"></a><a id="pl.124.21"></a><var>124.21</var>    Sec. 11. Minnesota Statutes 2006, section 245C.05, subdivision 4, is amended to read:<br/>
<a id="pl.124.22"></a><var>124.22</var>    Subd. 4. <b>Electronic transmission.</b> For background studies conducted by the <br/>
<a id="pl.124.23"></a><var>124.23</var>Department of Human Services, the commissioner shall implement a system for the <br/>
<a id="pl.124.24"></a><var>124.24</var>electronic transmission of:<br/>
<a id="pl.124.25"></a><var>124.25</var>    (1) background study information to the commissioner; and<br/>
<a id="pl.124.26"></a><var>124.26</var>    (2) background study results to the license holder; and<br/>
<a id="pl.124.27"></a><var>124.27</var>    (3) background study results to county and private agencies for background studies <br/>
<a id="pl.124.28"></a><var>124.28</var>conducted by the commissioner for family child care and child foster care.<br/>
<a id="pl.124.29"></a><var>124.29</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.12.0"></a><a id="pl.124.30"></a><var>124.30</var>    Sec. 12. Minnesota Statutes 2006, section 245C.05, subdivision 5, is amended to read:<br/>
<a id="pl.125.1"></a><var>125.1</var>    Subd. 5. <b>Fingerprints.</b> (a) Except as provided in paragraph (c), for any background <br/>
<a id="pl.125.2"></a><var>125.2</var>study completed under this chapter, when the commissioner has reasonable cause to <br/>
<a id="pl.125.3"></a><var>125.3</var>believe that further pertinent information may exist on the subject of the background <br/>
<a id="pl.125.4"></a><var>125.4</var>study, the subject shall provide the commissioner with a set of classifiable fingerprints <br/>
<a id="pl.125.5"></a><var>125.5</var>obtained from an authorized law enforcement agency.<br/>
<a id="pl.125.6"></a><var>125.6</var>    (b) For purposes of requiring fingerprints, the commissioner has reasonable cause <br/>
<a id="pl.125.7"></a><var>125.7</var>when, but not limited to, the:<br/>
<a id="pl.125.8"></a><var>125.8</var>    (1) information from the Bureau of Criminal Apprehension indicates that the subject <br/>
<a id="pl.125.9"></a><var>125.9</var>is a multistate offender;<br/>
<a id="pl.125.10"></a><var>125.10</var>    (2) information from the Bureau of Criminal Apprehension indicates that multistate <br/>
<a id="pl.125.11"></a><var>125.11</var>offender status is undetermined; or<br/>
<a id="pl.125.12"></a><var>125.12</var>    (3) commissioner has received a report from the subject or a third party indicating <br/>
<a id="pl.125.13"></a><var>125.13</var>that the subject has a criminal history in a jurisdiction other than Minnesota.<br/>
<a id="pl.125.14"></a><var>125.14</var>    (c) Except as specified under section 245C.04, subdivision 1, paragraph (d), for <br/>
<a id="pl.125.15"></a><var>125.15</var>background studies conducted by the commissioner for child foster care, the subject of the <br/>
<a id="pl.125.16"></a><var>125.16</var>background study shall provide the commissioner with a set of classifiable fingerprints <br/>
<a id="pl.125.17"></a><var>125.17</var>obtained from an authorized agency.<br/>
<br/>
<a id="bill.2.13.0"></a><a id="pl.125.18"></a><var>125.18</var>    Sec. 13. Minnesota Statutes 2006, section 245C.05, subdivision 7, is amended to read:<br/>
<a id="pl.125.19"></a><var>125.19</var>    Subd. 7. <b>Probation officer and corrections agent.</b> (a) A probation officer or <br/>
<a id="pl.125.20"></a><var>125.20</var>corrections agent shall notify the commissioner of an individual's conviction if the <br/>
<a id="pl.125.21"></a><var>125.21</var>individual is:<br/>
<a id="pl.125.22"></a><var>125.22</var>    (1) affiliated with a program or facility regulated by the Department of Human <br/>
<a id="pl.125.23"></a><var>125.23</var>Services or Department of Health, a facility serving children or youth licensed by the <br/>
<a id="pl.125.24"></a><var>125.24</var>Department of Corrections, or any type of home care agency or provider of personal care <br/>
<a id="pl.125.25"></a><var>125.25</var>assistance services; and<br/>
<a id="pl.125.26"></a><var>125.26</var>    (2) convicted of a crime constituting a disqualification under section 
         <statute_ref>245C.14</statute_ref>. <br/>
<a id="pl.125.27"></a><var>125.27</var>    (b) For the purpose of this subdivision, "conviction" has the meaning given it <br/>
<a id="pl.125.28"></a><var>125.28</var>in section 
         <statute_ref>609.02, subdivision 5</statute_ref>. <br/>
<a id="pl.125.29"></a><var>125.29</var>    (c) The commissioner, in consultation with the commissioner of corrections, shall <br/>
<a id="pl.125.30"></a><var>125.30</var>develop forms and information necessary to implement this subdivision and shall provide <br/>
<a id="pl.125.31"></a><var>125.31</var>the forms and information to the commissioner of corrections for distribution to local <br/>
<a id="pl.125.32"></a><var>125.32</var>probation officers and corrections agents.<br/>
<a id="pl.125.33"></a><var>125.33</var>    (d) The commissioner shall inform individuals subject to a background study that <br/>
<a id="pl.125.34"></a><var>125.34</var>criminal convictions for disqualifying crimes will be reported to the commissioner by the <br/>
<a id="pl.125.35"></a><var>125.35</var>corrections system.<br/>
<a id="pl.126.1"></a><var>126.1</var>    (e) A probation officer, corrections agent, or corrections agency is not civilly or <br/>
<a id="pl.126.2"></a><var>126.2</var>criminally liable for disclosing or failing to disclose the information required by this <br/>
<a id="pl.126.3"></a><var>126.3</var>subdivision.<br/>
<a id="pl.126.4"></a><var>126.4</var>    (f) Upon receipt of disqualifying information, the commissioner shall provide the <br/>
<a id="pl.126.5"></a><var>126.5</var>notice required under section 
         <statute_ref>245C.17</statute_ref>, as appropriate, to agencies on record as having <br/>
<a id="pl.126.6"></a><var>126.6</var>initiated a background study or making a request for documentation of the background <br/>
<a id="pl.126.7"></a><var>126.7</var>study status of the individual. <br/>
<a id="pl.126.8"></a><var>126.8</var>    (g) This subdivision does not apply to family child care and child foster care <br/>
<a id="pl.126.9"></a><var>126.9</var>programs.<br/>
<br/>
<a id="bill.2.14.0"></a><a id="pl.126.10"></a><var>126.10</var>    Sec. 14. Minnesota Statutes 2006, section 245C.05, subdivision 7, is amended to read:<br/>
<a id="pl.126.11"></a><var>126.11</var>    Subd. 7. <b>Probation officer and corrections agent.</b> (a) A probation officer or <br/>
<a id="pl.126.12"></a><var>126.12</var>corrections agent shall notify the commissioner of an individual's conviction if the <br/>
<a id="pl.126.13"></a><var>126.13</var>individual is:<br/>
<a id="pl.126.14"></a><var>126.14</var>    (1) affiliated with a program or facility regulated by the Department of Human <br/>
<a id="pl.126.15"></a><var>126.15</var>Services or Department of Health, a facility serving children or youth licensed by the <br/>
<a id="pl.126.16"></a><var>126.16</var>Department of Corrections, or any type of home care agency or provider of personal care <br/>
<a id="pl.126.17"></a><var>126.17</var>assistance services; and<br/>
<a id="pl.126.18"></a><var>126.18</var>    (2) convicted of a crime constituting a disqualification under section 
         <statute_ref>245C.14</statute_ref>. <br/>
<a id="pl.126.19"></a><var>126.19</var>    (b) For the purpose of this subdivision, "conviction" has the meaning given it <br/>
<a id="pl.126.20"></a><var>126.20</var>in section 
         <statute_ref>609.02, subdivision 5</statute_ref>. <br/>
<a id="pl.126.21"></a><var>126.21</var>    (c) The commissioner, in consultation with the commissioner of corrections, shall <br/>
<a id="pl.126.22"></a><var>126.22</var>develop forms and information necessary to implement this subdivision and shall provide <br/>
<a id="pl.126.23"></a><var>126.23</var>the forms and information to the commissioner of corrections for distribution to local <br/>
<a id="pl.126.24"></a><var>126.24</var>probation officers and corrections agents.<br/>
<a id="pl.126.25"></a><var>126.25</var>    (d) The commissioner shall inform individuals subject to a background study that <br/>
<a id="pl.126.26"></a><var>126.26</var>criminal convictions for disqualifying crimes will be reported to the commissioner by the <br/>
<a id="pl.126.27"></a><var>126.27</var>corrections system.<br/>
<a id="pl.126.28"></a><var>126.28</var>    (e) A probation officer, corrections agent, or corrections agency is not civilly or <br/>
<a id="pl.126.29"></a><var>126.29</var>criminally liable for disclosing or failing to disclose the information required by this <br/>
<a id="pl.126.30"></a><var>126.30</var>subdivision.<br/>
<a id="pl.126.31"></a><var>126.31</var>    (f) Upon receipt of disqualifying information, the commissioner shall provide the <br/>
<a id="pl.126.32"></a><var>126.32</var>notice required under section 
         <statute_ref>245C.17</statute_ref>, as appropriate, to agencies on record as having <br/>
<a id="pl.126.33"></a><var>126.33</var>initiated a background study or making a request for documentation of the background <br/>
<a id="pl.126.34"></a><var>126.34</var>study status of the individual. <br/>
<a id="pl.127.1"></a><var>127.1</var>    (g) This subdivision does not apply to family child care and child foster care <br/>
<a id="pl.127.2"></a><var>127.2</var>programs.<br/>
<a id="pl.127.3"></a><var>127.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.15.0"></a><a id="pl.127.4"></a><var>127.4</var>    Sec. 15. Minnesota Statutes 2006, section 245C.08, subdivision 1, is amended to read:<br/>
<a id="pl.127.5"></a><var>127.5</var>    Subdivision 1. <b>Background studies conducted by commissioner of human </b><br/>
<a id="pl.127.6"></a><var>127.6</var><b>services.</b> (a) For a background study conducted by the commissioner, the commissioner <br/>
<a id="pl.127.7"></a><var>127.7</var>shall review:<br/>
<a id="pl.127.8"></a><var>127.8</var>    (1) information related to names of substantiated perpetrators of maltreatment of <br/>
<a id="pl.127.9"></a><var>127.9</var>vulnerable adults that has been received by the commissioner as required under section <br/>
<statute_ref><a id="pl.127.10"></a><var>127.10</var>626.557, subdivision 9c
         </statute_ref>, paragraph (i);<br/>
<a id="pl.127.11"></a><var>127.11</var>    (2) the commissioner's records relating to the maltreatment of minors in licensed <br/>
<a id="pl.127.12"></a><var>127.12</var>programs, and from county agency findings of maltreatment of minors as indicated <br/>
<a id="pl.127.13"></a><var>127.13</var>through the social service information system;<br/>
<a id="pl.127.14"></a><var>127.14</var>    (3) information from juvenile courts as required in subdivision 4 for individuals <br/>
<a id="pl.127.15"></a><var>127.15</var>listed in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, clauses (2), (5), and (6); and<br/>
<a id="pl.127.16"></a><var>127.16</var>    (4) information from the Bureau of Criminal Apprehension.; <br/>
<a id="pl.127.17"></a><var>127.17</var>    (5) except as provided in clause (6), information from the national crime information <br/>
<a id="pl.127.18"></a><var>127.18</var>system when the commissioner has reasonable cause as defined under section 245C.05, <br/>
<a id="pl.127.19"></a><var>127.19</var>subdivision 5; and<br/>
<a id="pl.127.20"></a><var>127.20</var>    (6) for a background study related to a child foster care application for licensure, the <br/>
<a id="pl.127.21"></a><var>127.21</var>commissioner shall also review:<br/>
<a id="pl.127.22"></a><var>127.22</var>    (i) information from the child abuse and neglect registry for any state in which the <br/>
<a id="pl.127.23"></a><var>127.23</var>background study subject has resided in for the past five years; and<br/>
<a id="pl.127.24"></a><var>127.24</var>    (ii) information from national crime information databases.<br/>
<a id="pl.127.25"></a><var>127.25</var>    (b) Notwithstanding expungement by a court, the commissioner may consider <br/>
<a id="pl.127.26"></a><var>127.26</var>information obtained under paragraph (a), clauses (3) and (4), unless the commissioner <br/>
<a id="pl.127.27"></a><var>127.27</var>received notice of the petition for expungement and the court order for expungement is <br/>
<a id="pl.127.28"></a><var>127.28</var>directed specifically to the commissioner.<br/>
<br/>
<a id="bill.2.16.0"></a><a id="pl.127.29"></a><var>127.29</var>    Sec. 16. Minnesota Statutes 2006, section 245C.08, subdivision 2, is amended to read:<br/>
<a id="pl.127.30"></a><var>127.30</var>    Subd. 2. <b>Background studies conducted by a county </b><b>or private</b><b> agency.</b> (a) For <br/>
<a id="pl.127.31"></a><var>127.31</var>a background study conducted by a county or private agency for child foster care, adult <br/>
<a id="pl.127.32"></a><var>127.32</var>foster care, family adult day services, and family child care homes, the commissioner <br/>
<a id="pl.127.33"></a><var>127.33</var>shall review:<br/>
<a id="pl.128.1"></a><var>128.1</var>    (1) information from the county agency's record of substantiated maltreatment <br/>
<a id="pl.128.2"></a><var>128.2</var>of adults and the maltreatment of minors;<br/>
<a id="pl.128.3"></a><var>128.3</var>    (2) information from juvenile courts as required in subdivision 4 for individuals <br/>
<a id="pl.128.4"></a><var>128.4</var>listed in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, clauses (2), (5), and (6);<br/>
<a id="pl.128.5"></a><var>128.5</var>    (3) information from the Bureau of Criminal Apprehension; and<br/>
<a id="pl.128.6"></a><var>128.6</var>    (4) arrest and investigative records maintained by the Bureau of Criminal <br/>
<a id="pl.128.7"></a><var>128.7</var>Apprehension, county attorneys, county sheriffs, courts, county agencies, local police, the <br/>
<a id="pl.128.8"></a><var>128.8</var>National Criminal Records Repository, and criminal records from other states.<br/>
<a id="pl.128.9"></a><var>128.9</var>    (b) If the individual has resided in the county for less than five years, the study shall <br/>
<a id="pl.128.10"></a><var>128.10</var>include the records specified under paragraph (a) for the previous county or counties of <br/>
<a id="pl.128.11"></a><var>128.11</var>residence for the past five years.<br/>
<a id="pl.128.12"></a><var>128.12</var>    (c) Notwithstanding expungement by a court, the county or private agency may <br/>
<a id="pl.128.13"></a><var>128.13</var>consider information obtained under paragraph (a), clauses (3) and (4), unless the <br/>
<a id="pl.128.14"></a><var>128.14</var>commissioner received notice of the petition for expungement and the court order for <br/>
<a id="pl.128.15"></a><var>128.15</var>expungement is directed specifically to the commissioner.<br/>
<br/>
<a id="bill.2.17.0"></a><a id="pl.128.16"></a><var>128.16</var>    Sec. 17. Minnesota Statutes 2006, section 245C.08, subdivision 2, is amended to read:<br/>
<a id="pl.128.17"></a><var>128.17</var>    Subd. 2. <b>Background studies conducted by a county or private agency.</b> (a) For a <br/>
<a id="pl.128.18"></a><var>128.18</var>background study conducted by a county or private agency for child foster care, and adult <br/>
<a id="pl.128.19"></a><var>128.19</var>foster care, and family child care homes, the commissioner shall review:<br/>
<a id="pl.128.20"></a><var>128.20</var>    (1) information from the county agency's record of substantiated maltreatment <br/>
<a id="pl.128.21"></a><var>128.21</var>of adults and the maltreatment of minors;<br/>
<a id="pl.128.22"></a><var>128.22</var>    (2) information from juvenile courts as required in subdivision 4 for individuals <br/>
<a id="pl.128.23"></a><var>128.23</var>listed in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, clauses (2), (5), and (6);<br/>
<a id="pl.128.24"></a><var>128.24</var>    (3) information from the Bureau of Criminal Apprehension; and<br/>
<a id="pl.128.25"></a><var>128.25</var>    (4) arrest and investigative records maintained by the Bureau of Criminal <br/>
<a id="pl.128.26"></a><var>128.26</var>Apprehension, county attorneys, county sheriffs, courts, county agencies, local police, the <br/>
<a id="pl.128.27"></a><var>128.27</var>National Criminal Records Repository, and criminal records from other states.<br/>
<a id="pl.128.28"></a><var>128.28</var>    (b) If the individual has resided in the county for less than five years, the study shall <br/>
<a id="pl.128.29"></a><var>128.29</var>include the records specified under paragraph (a) for the previous county or counties of <br/>
<a id="pl.128.30"></a><var>128.30</var>residence for the past five years.<br/>
<a id="pl.128.31"></a><var>128.31</var>    (c) Notwithstanding expungement by a court, the county or private agency may <br/>
<a id="pl.128.32"></a><var>128.32</var>consider information obtained under paragraph (a), clauses (3) and (4), unless the <br/>
<a id="pl.128.33"></a><var>128.33</var>commissioner received notice of the petition for expungement and the court order for <br/>
<a id="pl.128.34"></a><var>128.34</var>expungement is directed specifically to the commissioner.<br/>
<a id="pl.128.35"></a><var>128.35</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.18.0"></a><a id="pl.129.1"></a><var>129.1</var>    Sec. 18. Minnesota Statutes 2006, section 245C.10, is amended by adding a <br/>
<a id="pl.129.2"></a><var>129.2</var>subdivision to read:<br/>
<a id="pl.129.3"></a><var>129.3</var>    Subd. 4. <b>Temporary personnel agencies, educational programs, and professional </b><br/>
<a id="pl.129.4"></a><var>129.4</var><b>services agencies.</b> The commissioner shall recover the cost of the background studies <br/>
<a id="pl.129.5"></a><var>129.5</var>initiated by temporary personnel agencies, educational programs, and professional <br/>
<a id="pl.129.6"></a><var>129.6</var>services agencies that initiate background studies under section 245C.03, subdivision 4, <br/>
<a id="pl.129.7"></a><var>129.7</var>through a fee of no more than $20 per study charged to the agency. In fiscal years 2008 <br/>
<a id="pl.129.8"></a><var>129.8</var>and 2009, the fees collected under this subdivision are appropriated to the commissioner <br/>
<a id="pl.129.9"></a><var>129.9</var>for the purpose of conducting background studies.<br/>
<br/>
<a id="bill.2.19.0"></a><a id="pl.129.10"></a><var>129.10</var>    Sec. 19. Minnesota Statutes 2006, section 245C.11, subdivision 1, is amended to read:<br/>
<a id="pl.129.11"></a><var>129.11</var>    Subdivision 1. <b>Adult </b><b>foster care; criminal conviction data.</b> For individuals who <br/>
<a id="pl.129.12"></a><var>129.12</var>are required to have background studies under section 
         <statute_ref>245C.03, subdivisions 1 and 2</statute_ref>, and <br/>
<a id="pl.129.13"></a><var>129.13</var>who have been continuously affiliated with a an adult foster care provider that is licensed <br/>
<a id="pl.129.14"></a><var>129.14</var>in more than one county, criminal conviction data may be shared among those counties in <br/>
<a id="pl.129.15"></a><var>129.15</var>which the adult foster care programs are licensed. A county agency's receipt of criminal <br/>
<a id="pl.129.16"></a><var>129.16</var>conviction data from another county agency shall meet the criminal data background <br/>
<a id="pl.129.17"></a><var>129.17</var>study requirements of this chapter. <br/>
<br/>
<a id="bill.2.20.0"></a><a id="pl.129.18"></a><var>129.18</var>    Sec. 20. Minnesota Statutes 2006, section 245C.11, subdivision 2, is amended to read:<br/>
<a id="pl.129.19"></a><var>129.19</var>    Subd. 2. <b>Jointly licensed programs.</b> A county agency may accept a background <br/>
<a id="pl.129.20"></a><var>129.20</var>study completed by the commissioner under this chapter in place of the background study <br/>
<a id="pl.129.21"></a><var>129.21</var>required under section 
         <statute_ref>245A.16, subdivision 3</statute_ref>, in programs with joint licensure as home <br/>
<a id="pl.129.22"></a><var>129.22</var>and community-based services and adult foster care for people with developmental <br/>
<a id="pl.129.23"></a><var>129.23</var>disabilities when the license holder does not reside in the adult foster care residence and <br/>
<a id="pl.129.24"></a><var>129.24</var>the subject of the study has been continuously affiliated with the license holder since the <br/>
<a id="pl.129.25"></a><var>129.25</var>date of the commissioner's study. <br/>
<br/>
<a id="bill.2.21.0"></a><a id="pl.129.26"></a><var>129.26</var>    Sec. 21. Minnesota Statutes 2006, section 245C.12, is amended to read:<br/>
<a id="pl.129.27"></a><var>129.27</var><b>245C.12 BACKGROUND STUDY; TRIBAL ORGANIZATIONS.</b><br/>
<a id="pl.129.28"></a><var>129.28</var>    (a) For the purposes of background studies completed by tribal organizations <br/>
<a id="pl.129.29"></a><var>129.29</var>performing licensing activities otherwise required of the commissioner under this chapter, <br/>
<a id="pl.129.30"></a><var>129.30</var>after obtaining consent from the background study subject, tribal licensing agencies shall <br/>
<a id="pl.129.31"></a><var>129.31</var>have access to criminal history data in the same manner as county licensing agencies and <br/>
<a id="pl.129.32"></a><var>129.32</var>private licensing agencies under this chapter.<br/>
<a id="pl.130.1"></a><var>130.1</var>    (b) Tribal organizations may contract with the commissioner to obtain background <br/>
<a id="pl.130.2"></a><var>130.2</var>study data on individuals under tribal jurisdiction related to adoptions according to <br/>
<a id="pl.130.3"></a><var>130.3</var>section 245C.34. Tribal organizations may also contract with the commissioner to obtain <br/>
<a id="pl.130.4"></a><var>130.4</var>background study data on individuals under tribal jurisdiction related to child foster care <br/>
<a id="pl.130.5"></a><var>130.5</var>according to section 245C.34.<br/>
<br/>
<a id="bill.2.22.0"></a><a id="pl.130.6"></a><var>130.6</var>    Sec. 22. Minnesota Statutes 2006, section 245C.16, subdivision 1, is amended to read:<br/>
<a id="pl.130.7"></a><var>130.7</var>    Subdivision 1. <b>Determining immediate risk of harm.</b> (a) If the commissioner <br/>
<a id="pl.130.8"></a><var>130.8</var>determines that the individual studied has a disqualifying characteristic, the commissioner <br/>
<a id="pl.130.9"></a><var>130.9</var>shall review the information immediately available and make a determination as to the <br/>
<a id="pl.130.10"></a><var>130.10</var>subject's immediate risk of harm to persons served by the program where the individual <br/>
<a id="pl.130.11"></a><var>130.11</var>studied will have direct contact.<br/>
<a id="pl.130.12"></a><var>130.12</var>    (b) The commissioner shall consider all relevant information available, including the <br/>
<a id="pl.130.13"></a><var>130.13</var>following factors in determining the immediate risk of harm:<br/>
<a id="pl.130.14"></a><var>130.14</var>    (1) the recency of the disqualifying characteristic;<br/>
<a id="pl.130.15"></a><var>130.15</var>    (2) the recency of discharge from probation for the crimes;<br/>
<a id="pl.130.16"></a><var>130.16</var>    (3) the number of disqualifying characteristics;<br/>
<a id="pl.130.17"></a><var>130.17</var>    (4) the intrusiveness or violence of the disqualifying characteristic;<br/>
<a id="pl.130.18"></a><var>130.18</var>    (5) the vulnerability of the victim involved in the disqualifying characteristic;<br/>
<a id="pl.130.19"></a><var>130.19</var>    (6) the similarity of the victim to the persons served by the program where the <br/>
<a id="pl.130.20"></a><var>130.20</var>individual studied will have direct contact; and<br/>
<a id="pl.130.21"></a><var>130.21</var>    (7) whether the individual has a disqualification from a previous background study <br/>
<a id="pl.130.22"></a><var>130.22</var>that has not been set aside.<br/>
<a id="pl.130.23"></a><var>130.23</var>    (c) This section does not apply when the subject of a background study is regulated <br/>
<a id="pl.130.24"></a><var>130.24</var>by a health-related licensing board as defined in chapter 214, and the subject is determined <br/>
<a id="pl.130.25"></a><var>130.25</var>to be responsible for substantiated maltreatment under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>. <br/>
<a id="pl.130.26"></a><var>130.26</var>    (d) This section does not apply to a background study related to an initial application <br/>
<a id="pl.130.27"></a><var>130.27</var>for a child foster care license.<br/>
<a id="pl.130.28"></a><var>130.28</var>    (e) If the commissioner has reason to believe, based on arrest information or an <br/>
<a id="pl.130.29"></a><var>130.29</var>active maltreatment investigation, that an individual poses an imminent risk of harm to <br/>
<a id="pl.130.30"></a><var>130.30</var>persons receiving services, the commissioner may order that the person be continuously <br/>
<a id="pl.130.31"></a><var>130.31</var>supervised or immediately removed pending the conclusion of the maltreatment <br/>
<a id="pl.130.32"></a><var>130.32</var>investigation or criminal proceedings.<br/>
<br/>
<a id="bill.2.23.0"></a><a id="pl.130.33"></a><var>130.33</var>    Sec. 23. Minnesota Statutes 2006, section 245C.17, is amended by adding a <br/>
<a id="pl.130.34"></a><var>130.34</var>subdivision to read:<br/>
<a id="pl.131.1"></a><var>131.1</var>    Subd. 5. <b>Notice to county or private agency.</b> For studies on individuals related to a <br/>
<a id="pl.131.2"></a><var>131.2</var>license to provide child foster care, the commissioner shall also provide a notice of the <br/>
<a id="pl.131.3"></a><var>131.3</var>background study results to the county or private agency that initiated the background <br/>
<a id="pl.131.4"></a><var>131.4</var>study.<br/>
<br/>
<a id="bill.2.24.0"></a><a id="pl.131.5"></a><var>131.5</var>    Sec. 24. Minnesota Statutes 2006, section 245C.17, is amended by adding a <br/>
<a id="pl.131.6"></a><var>131.6</var>subdivision to read:<br/>
<a id="pl.131.7"></a><var>131.7</var>    Subd. 5a. <b>Notice to county agency.</b> For studies on individuals related to a license to <br/>
<a id="pl.131.8"></a><var>131.8</var>provide family child care, the commissioner shall also provide a notice of the background <br/>
<a id="pl.131.9"></a><var>131.9</var>study results to the county or private agency that initiated the background study.<br/>
<a id="pl.131.10"></a><var>131.10</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.25.0"></a><a id="pl.131.11"></a><var>131.11</var>    Sec. 25. Minnesota Statutes 2006, section 245C.21, is amended by adding a <br/>
<a id="pl.131.12"></a><var>131.12</var>subdivision to read:<br/>
<a id="pl.131.13"></a><var>131.13</var>    Subd. 1a. <b>Submission of reconsideration request to county or private agency.</b><br/>
<a id="pl.131.14"></a><var>131.14</var>    (a) For disqualifications related to studies conducted by county agencies, and for <br/>
<a id="pl.131.15"></a><var>131.15</var>disqualifications related to studies conducted by the commissioner for child foster care, <br/>
<a id="pl.131.16"></a><var>131.16</var>the individual shall submit the request for reconsideration to the county or private agency <br/>
<a id="pl.131.17"></a><var>131.17</var>that initiated the background study.<br/>
<a id="pl.131.18"></a><var>131.18</var>    (b) A reconsideration request shall be submitted within the time frames specified in <br/>
<a id="pl.131.19"></a><var>131.19</var>subdivision 2.<br/>
<a id="pl.131.20"></a><var>131.20</var>    (c) The county or private agency shall forward the individual's request for <br/>
<a id="pl.131.21"></a><var>131.21</var>reconsideration and provide the commissioner with a recommendation whether to set aside <br/>
<a id="pl.131.22"></a><var>131.22</var>the individual's disqualification.<br/>
<br/>
<a id="bill.2.26.0"></a><a id="pl.131.23"></a><var>131.23</var>    Sec. 26. Minnesota Statutes 2006, section 245C.21, is amended by adding a <br/>
<a id="pl.131.24"></a><var>131.24</var>subdivision to read:<br/>
<a id="pl.131.25"></a><var>131.25</var>    Subd. 1a. <b>Submission of reconsideration request to county agency.</b> (a) For <br/>
<a id="pl.131.26"></a><var>131.26</var>disqualifications related to studies conducted by county agencies, and for disqualifications <br/>
<a id="pl.131.27"></a><var>131.27</var>related to studies conducted by the commissioner for family child care, the individual shall <br/>
<a id="pl.131.28"></a><var>131.28</var>submit the request for reconsideration to the county that initiated the background study.<br/>
<a id="pl.131.29"></a><var>131.29</var>    (b) A reconsideration request shall be submitted within the time frames specified in <br/>
<a id="pl.131.30"></a><var>131.30</var>subdivision 2.<br/>
<a id="pl.131.31"></a><var>131.31</var>    (c) The county agency shall forward the individual's request for reconsideration and <br/>
<a id="pl.131.32"></a><var>131.32</var>provide the commissioner with a recommendation whether to set aside the individual's <br/>
<a id="pl.131.33"></a><var>131.33</var>disqualification.<br/>
<a id="pl.132.1"></a><var>132.1</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.27.0"></a><a id="pl.132.2"></a><var>132.2</var>    Sec. 27. Minnesota Statutes 2006, section 245C.23, subdivision 2, is amended to read:<br/>
<a id="pl.132.3"></a><var>132.3</var>    Subd. 2. <b>Commissioner's notice of disqualification that is not set aside.</b> (a) The <br/>
<a id="pl.132.4"></a><var>132.4</var>commissioner shall notify the license holder of the disqualification and order the license <br/>
<a id="pl.132.5"></a><var>132.5</var>holder to immediately remove the individual from any position allowing direct contact <br/>
<a id="pl.132.6"></a><var>132.6</var>with persons receiving services from the license holder if:<br/>
<a id="pl.132.7"></a><var>132.7</var>    (1) the individual studied does not submit a timely request for reconsideration <br/>
<a id="pl.132.8"></a><var>132.8</var>under section 
         <statute_ref>245C.21</statute_ref>;<br/>
<a id="pl.132.9"></a><var>132.9</var>    (2) the individual submits a timely request for reconsideration, but the commissioner <br/>
<a id="pl.132.10"></a><var>132.10</var>does not set aside the disqualification for that license holder under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.132.11"></a><var>132.11</var>    (3) an individual who has a right to request a hearing under sections 
         <statute_ref>245C.27</statute_ref> and <br/>
<statute_ref><a id="pl.132.12"></a><var>132.12</var>256.045
         </statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14 for a disqualification that has not been set aside, does <br/>
<a id="pl.132.13"></a><var>132.13</var>not request a hearing within the specified time; or<br/>
<a id="pl.132.14"></a><var>132.14</var>    (4) an individual submitted a timely request for a hearing under sections 
         <statute_ref>245C.27</statute_ref> <br/>
<a id="pl.132.15"></a><var>132.15</var>and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14, but the commissioner does not set aside the <br/>
<a id="pl.132.16"></a><var>132.16</var>disqualification under section 
         <statute_ref>245A.08, subdivision 5</statute_ref>, or 
         <statute_ref>256.045</statute_ref>.<br/>
<a id="pl.132.17"></a><var>132.17</var>    (b) If the commissioner does not set aside the disqualification under section 
         <statute_ref>245C.22</statute_ref>, <br/>
<a id="pl.132.18"></a><var>132.18</var>and the license holder was previously ordered under section 
         <statute_ref>245C.17</statute_ref> to immediately <br/>
<a id="pl.132.19"></a><var>132.19</var>remove the disqualified individual from direct contact with persons receiving services or <br/>
<a id="pl.132.20"></a><var>132.20</var>to ensure that the individual is under continuous, direct supervision when providing direct <br/>
<a id="pl.132.21"></a><var>132.21</var>contact services, the order remains in effect pending the outcome of a hearing under <br/>
<a id="pl.132.22"></a><var>132.22</var>sections 
         <statute_ref>245C.27</statute_ref> and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14.<br/>
<a id="pl.132.23"></a><var>132.23</var>    (c) For background studies related to child foster care, the commissioner shall <br/>
<a id="pl.132.24"></a><var>132.24</var>also notify the county or private agency that initiated the study of the results of the <br/>
<a id="pl.132.25"></a><var>132.25</var>reconsideration.<br/>
<br/>
<a id="bill.2.28.0"></a><a id="pl.132.26"></a><var>132.26</var>    Sec. 28. Minnesota Statutes 2006, section 245C.23, subdivision 2, is amended to read:<br/>
<a id="pl.132.27"></a><var>132.27</var>    Subd. 2. <b>Commissioner's notice of disqualification that is not set aside.</b> (a) The <br/>
<a id="pl.132.28"></a><var>132.28</var>commissioner shall notify the license holder of the disqualification and order the license <br/>
<a id="pl.132.29"></a><var>132.29</var>holder to immediately remove the individual from any position allowing direct contact <br/>
<a id="pl.132.30"></a><var>132.30</var>with persons receiving services from the license holder if:<br/>
<a id="pl.132.31"></a><var>132.31</var>    (1) the individual studied does not submit a timely request for reconsideration <br/>
<a id="pl.132.32"></a><var>132.32</var>under section 
         <statute_ref>245C.21</statute_ref>; <br/>
<a id="pl.132.33"></a><var>132.33</var>    (2) the individual submits a timely request for reconsideration, but the commissioner <br/>
<a id="pl.132.34"></a><var>132.34</var>does not set aside the disqualification for that license holder under section 
         <statute_ref>245C.22</statute_ref>; <br/>
<a id="pl.133.1"></a><var>133.1</var>    (3) an individual who has a right to request a hearing under sections 
         <statute_ref>245C.27</statute_ref> and <br/>
<statute_ref><a id="pl.133.2"></a><var>133.2</var>256.045
         </statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14 for a disqualification that has not been set aside, does <br/>
<a id="pl.133.3"></a><var>133.3</var>not request a hearing within the specified time; or <br/>
<a id="pl.133.4"></a><var>133.4</var>    (4) an individual submitted a timely request for a hearing under sections 
         <statute_ref>245C.27</statute_ref> <br/>
<a id="pl.133.5"></a><var>133.5</var>and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14, but the commissioner does not set aside the <br/>
<a id="pl.133.6"></a><var>133.6</var>disqualification under section 
         <statute_ref>245A.08, subdivision 5</statute_ref>, or 
         <statute_ref>256.045</statute_ref>. <br/>
<a id="pl.133.7"></a><var>133.7</var>    (b) If the commissioner does not set aside the disqualification under section 
         <statute_ref>245C.22</statute_ref>, <br/>
<a id="pl.133.8"></a><var>133.8</var>and the license holder was previously ordered under section 
         <statute_ref>245C.17</statute_ref> to immediately <br/>
<a id="pl.133.9"></a><var>133.9</var>remove the disqualified individual from direct contact with persons receiving services or <br/>
<a id="pl.133.10"></a><var>133.10</var>to ensure that the individual is under continuous, direct supervision when providing direct <br/>
<a id="pl.133.11"></a><var>133.11</var>contact services, the order remains in effect pending the outcome of a hearing under <br/>
<a id="pl.133.12"></a><var>133.12</var>sections 
         <statute_ref>245C.27</statute_ref> and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14. <br/>
<a id="pl.133.13"></a><var>133.13</var>    (c) For background studies related to family child care, the commissioner shall also <br/>
<a id="pl.133.14"></a><var>133.14</var>notify the county that initiated the study of the results of the reconsideration.<br/>
<a id="pl.133.15"></a><var>133.15</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008.<br/>
<br/>
<a id="bill.2.29.0"></a><a id="pl.133.16"></a><var>133.16</var>    Sec. 29. Minnesota Statutes 2006, section 245C.24, subdivision 2, is amended to read:<br/>
<a id="pl.133.17"></a><var>133.17</var>    Subd. 2. <b>Permanent bar to set aside a disqualification.</b> (a) Except as provided in <br/>
<a id="pl.133.18"></a><var>133.18</var>paragraph (b), the commissioner may not set aside the disqualification of any individual <br/>
<a id="pl.133.19"></a><var>133.19</var>disqualified pursuant to this chapter, in connection with a license to provide family child <br/>
<a id="pl.133.20"></a><var>133.20</var>care for children, foster care for children in the provider's home, or foster care or day care <br/>
<a id="pl.133.21"></a><var>133.21</var>services for adults in the provider's home regardless of how much time has passed, if the <br/>
<a id="pl.133.22"></a><var>133.22</var>individual was disqualified for a crime or conduct listed in section 
         <statute_ref>245C.15, subdivision 1</statute_ref>.<br/>
<a id="pl.133.23"></a><var>133.23</var>    (b) For an individual in the chemical dependency field who was disqualified for a <br/>
<a id="pl.133.24"></a><var>133.24</var>crime or conduct listed under section 
         <statute_ref>245C.15</statute_ref>, subdivision 1, and whose disqualification <br/>
<a id="pl.133.25"></a><var>133.25</var>was set aside prior to July 1, 2005, the commissioner must consider granting a variance <br/>
<a id="pl.133.26"></a><var>133.26</var>pursuant to section 
         <statute_ref>245C.30</statute_ref> for the license holder for a program dealing primarily with <br/>
<a id="pl.133.27"></a><var>133.27</var>adults. A request for reconsideration evaluated under this paragraph must include a <br/>
<a id="pl.133.28"></a><var>133.28</var>letter of recommendation from the license holder that was subject to the prior set-aside <br/>
<a id="pl.133.29"></a><var>133.29</var>decision addressing the individual's quality of care to children or vulnerable adults and the <br/>
<a id="pl.133.30"></a><var>133.30</var>circumstances of the individual's departure from that service.<br/>
<br/>
<a id="bill.2.30.0"></a><a id="pl.133.31"></a><var>133.31</var>    Sec. 30. <b>[245C.33] ADOPTION BACKGROUND STUDY REQUIREMENTS.</b><br/>
<a id="pl.133.32"></a><var>133.32</var>    Subdivision 1. <b>Background studies conducted by commissioner.</b> Before <br/>
<a id="pl.133.33"></a><var>133.33</var>placement of a child for purposes of adoption, the commissioner shall conduct a <br/>
<a id="pl.134.1"></a><var>134.1</var>background study on individuals listed in section 259.41, subdivision 3, for county <br/>
<a id="pl.134.2"></a><var>134.2</var>agencies and private agencies licensed to place children for adoption.<br/>
<a id="pl.134.3"></a><var>134.3</var>    Subd. 2. <b>Information and data provided to county or private agency.</b> The <br/>
<a id="pl.134.4"></a><var>134.4</var>subject of the background study shall provide the following information to the county <br/>
<a id="pl.134.5"></a><var>134.5</var>or private agency:<br/>
<a id="pl.134.6"></a><var>134.6</var>    (1) the information specified in section 245C.05;<br/>
<a id="pl.134.7"></a><var>134.7</var>    (2) a set of classifiable fingerprints obtained from an authorized agency; and<br/>
<a id="pl.134.8"></a><var>134.8</var>    (3) for studies initiated by a private agency, a signed consent for the release of <br/>
<a id="pl.134.9"></a><var>134.9</var>information received from national crime information databases to the private agency.<br/>
<a id="pl.134.10"></a><var>134.10</var>    Subd. 3. <b>Information and data provided to commissioner.</b> The county or private <br/>
<a id="pl.134.11"></a><var>134.11</var>agency shall forward the data collected under subdivision 2 to the commissioner.<br/>
<a id="pl.134.12"></a><var>134.12</var>    Subd. 4. <b>Information commissioner reviews.</b> (a) The commissioner shall review <br/>
<a id="pl.134.13"></a><var>134.13</var>the following information regarding the background study subject:<br/>
<a id="pl.134.14"></a><var>134.14</var>    (1) the information under section 245C.08, subdivisions 1, 3, and 4;<br/>
<a id="pl.134.15"></a><var>134.15</var>    (2) information from the child abuse and neglect registry for any state in which the <br/>
<a id="pl.134.16"></a><var>134.16</var>subject has resided for the past five years; and<br/>
<a id="pl.134.17"></a><var>134.17</var>    (3) information from national crime information databases.<br/>
<a id="pl.134.18"></a><var>134.18</var>    (b) The commissioner shall provide any information collected under this subdivision <br/>
<a id="pl.134.19"></a><var>134.19</var>to the county or private agency that initiated the background study. The commissioner <br/>
<a id="pl.134.20"></a><var>134.20</var>shall indicate if the information collected shows that the subject of the background study <br/>
<a id="pl.134.21"></a><var>134.21</var>has a conviction listed in United States Code, title 42, section 671(a)(20)(A).<br/>
<br/>
<a id="bill.2.31.0"></a><a id="pl.134.22"></a><var>134.22</var>    Sec. 31. <b>[245C.34] ADOPTION AND CHILD FOSTER CARE BACKGROUND </b><br/>
<a id="pl.134.23"></a><var>134.23</var><b>STUDIES; TRIBAL ORGANIZATIONS.</b><br/>
<a id="pl.134.24"></a><var>134.24</var>    Subdivision 1. <b>Background studies may be conducted by commissioner.</b> (a) <br/>
<a id="pl.134.25"></a><var>134.25</var>Tribal organizations may contract with the commissioner under section 245C.12 to obtain <br/>
<a id="pl.134.26"></a><var>134.26</var>background study data on individuals under tribal jurisdiction related to adoptions.<br/>
<a id="pl.134.27"></a><var>134.27</var>    (b) Tribal organizations may contract with the commissioner under section 245C.12 <br/>
<a id="pl.134.28"></a><var>134.28</var>to obtain background study data on individuals under tribal jurisdiction related to child <br/>
<a id="pl.134.29"></a><var>134.29</var>foster care.<br/>
<a id="pl.134.30"></a><var>134.30</var>    (c) Background studies initiated by tribal organizations under paragraphs (a) and (b) <br/>
<a id="pl.134.31"></a><var>134.31</var>must be conducted as provided in subdivisions 2 and 3.<br/>
<a id="pl.134.32"></a><var>134.32</var>    Subd. 2. <b>Information and data provided to tribal organization.</b> The background <br/>
<a id="pl.134.33"></a><var>134.33</var>study subject must provide the following information to the tribal organization:<br/>
<a id="pl.134.34"></a><var>134.34</var>    (1) for background studies related to adoptions, the information under section <br/>
<a id="pl.134.35"></a><var>134.35</var>245C.05;<br/>
<a id="pl.135.1"></a><var>135.1</var>    (2) for background studies related to child foster care, the information under section <br/>
<a id="pl.135.2"></a><var>135.2</var>245C.05;<br/>
<a id="pl.135.3"></a><var>135.3</var>    (3) a set of classifiable fingerprints obtained from an authorized agency; and<br/>
<a id="pl.135.4"></a><var>135.4</var>    (4) a signed consent for the release of information received from national crime <br/>
<a id="pl.135.5"></a><var>135.5</var>information databases to the tribal organization.<br/>
<a id="pl.135.6"></a><var>135.6</var>    Subd. 3. <b>Information and data provided to commissioner.</b> The tribal organization <br/>
<a id="pl.135.7"></a><var>135.7</var>shall forward the data collected under subdivision 2 to the commissioner.<br/>
<a id="pl.135.8"></a><var>135.8</var>    Subd. 4. <b>Information commissioner reviews.</b> (a) The commissioner shall review <br/>
<a id="pl.135.9"></a><var>135.9</var>the following information regarding the background study subject:<br/>
<a id="pl.135.10"></a><var>135.10</var>    (1) the information under section 245C.08, subdivisions 1, 3, and 4;<br/>
<a id="pl.135.11"></a><var>135.11</var>    (2) information from the child abuse and neglect registry for any state in which the <br/>
<a id="pl.135.12"></a><var>135.12</var>subject has resided for the past five years; and<br/>
<a id="pl.135.13"></a><var>135.13</var>    (3) information from national crime information databases.<br/>
<a id="pl.135.14"></a><var>135.14</var>    (b) The commissioner shall provide any information collected under this subdivision <br/>
<a id="pl.135.15"></a><var>135.15</var>to the tribal organization that initiated the background study. The commissioner shall <br/>
<a id="pl.135.16"></a><var>135.16</var>indicate if the information collected shows that the subject of the background study has a <br/>
<a id="pl.135.17"></a><var>135.17</var>conviction listed in United States Code, title 42, section 671(a)(20)(A).<br/>
<br/>
<a id="bill.2.32.0"></a><a id="pl.135.18"></a><var>135.18</var>    Sec. 32. Minnesota Statutes 2006, section 259.20, subdivision 2, is amended to read:<br/>
<a id="pl.135.19"></a><var>135.19</var>    Subd. 2. <b>Other applicable law.</b> (a) Portions of chapters 245A, 245C, 257, 260, and <br/>
<a id="pl.135.20"></a><var>135.20</var>317A may also affect the adoption of a particular child. <br/>
<a id="pl.135.21"></a><var>135.21</var>    (b) Provisions of the Indian Child Welfare Act, United States Code, title 25, chapter <br/>
<a id="pl.135.22"></a><var>135.22</var>21, sections 1901-1923, may also apply in the adoption of an Indian child, and may <br/>
<a id="pl.135.23"></a><var>135.23</var>preempt specific provisions of this chapter.<br/>
<a id="pl.135.24"></a><var>135.24</var>    (c) Consistent with section 245C.33 and Public Law 109-248, a completed <br/>
<a id="pl.135.25"></a><var>135.25</var>background study is required before the approval of any foster or adoptive placement in <br/>
<a id="pl.135.26"></a><var>135.26</var>a related or an unrelated home.<br/>
<br/>
<a id="bill.2.33.0"></a><a id="pl.135.27"></a><var>135.27</var>    Sec. 33. Minnesota Statutes 2006, section 259.29, subdivision 1, is amended to read:<br/>
<a id="pl.135.28"></a><var>135.28</var>    Subdivision 1. <b>Best interests of the child.</b> (a) The policy of the state of Minnesota <br/>
<a id="pl.135.29"></a><var>135.29</var>is to ensure that the best interests of the child are met by requiring individualized <br/>
<a id="pl.135.30"></a><var>135.30</var>determination of the needs of the child and of how the adoptive placement will serve the <br/>
<a id="pl.135.31"></a><var>135.31</var>needs of the child.<br/>
<a id="pl.135.32"></a><var>135.32</var>    (b) Among the factors the agency shall consider in determining the needs of the child <br/>
<a id="pl.135.33"></a><var>135.33</var>are those specified under section 
         <statute_ref>260C.193, subdivision 3</statute_ref>, paragraph (b).<br/>
<a id="pl.136.1"></a><var>136.1</var>    (c) Except for emergency placements provided for in section 245A.035, a completed <br/>
<a id="pl.136.2"></a><var>136.2</var>background study is required under section 245C.33 before the approval of an adoptive <br/>
<a id="pl.136.3"></a><var>136.3</var>placement in a home.<br/>
<br/>
<a id="bill.2.34.0"></a><a id="pl.136.4"></a><var>136.4</var>    Sec. 34. Minnesota Statutes 2006, section 259.41, is amended to read:<br/>
<a id="pl.136.5"></a><var>136.5</var><b>259.41 ADOPTION STUDY.</b><br/>
<a id="pl.136.6"></a><var>136.6</var>    Subdivision 1. <b>Study required before placement; certain relatives excepted.</b> (a) <br/>
<a id="pl.136.7"></a><var>136.7</var>An approved adoption study; completed background study, as required under section <br/>
<a id="pl.136.8"></a><var>136.8</var>245C.33; and written report must be completed before the child is placed in a prospective <br/>
<a id="pl.136.9"></a><var>136.9</var>adoptive home under this chapter, except as allowed by section 
         <statute_ref>259.47, subdivision 6</statute_ref>. <br/>
<a id="pl.136.10"></a><var>136.10</var>In an agency placement, the report must be filed with the court at the time the adoption <br/>
<a id="pl.136.11"></a><var>136.11</var>petition is filed. In a direct adoptive placement, the report must be filed with the court in <br/>
<a id="pl.136.12"></a><var>136.12</var>support of a motion for temporary preadoptive custody under section 
         <statute_ref>259.47, subdivision <br/>
<a id="pl.136.13"></a><var>136.13</var>3
         </statute_ref>, or, if the study and report are complete, in support of an emergency order under section <br/>
<statute_ref><a id="pl.136.14"></a><var>136.14</var>259.47, subdivision 6
         </statute_ref>. The study and report shall be completed by a licensed child-placing <br/>
<a id="pl.136.15"></a><var>136.15</var>agency and must be thorough and comprehensive. The study and report shall be paid for <br/>
<a id="pl.136.16"></a><var>136.16</var>by the prospective adoptive parent, except as otherwise required under section 
         <statute_ref>259.67</statute_ref> <br/>
<a id="pl.136.17"></a><var>136.17</var>or 
         <statute_ref>259.73</statute_ref>. <br/>
<a id="pl.136.18"></a><var>136.18</var>    (b) A placement for adoption with an individual who is related to the child, as <br/>
<a id="pl.136.19"></a><var>136.19</var>defined by section 
         <statute_ref>245A.02, subdivision 13</statute_ref>, is not subject to this section except as required <br/>
<a id="pl.136.20"></a><var>136.20</var>by section sections 245C.33 and
<statute_ref>259.53, subdivision 2</statute_ref>, paragraph (c). <br/>
<a id="pl.136.21"></a><var>136.21</var>    (c) In the case of a licensed foster parent seeking to adopt a child who is in the foster <br/>
<a id="pl.136.22"></a><var>136.22</var>parent's care, any portions of the foster care licensing process that duplicate requirements <br/>
<a id="pl.136.23"></a><var>136.23</var>of the home study may be submitted in satisfaction of the relevant requirements of this <br/>
<a id="pl.136.24"></a><var>136.24</var>section.<br/>
<a id="pl.136.25"></a><var>136.25</var>    Subd. 2. <b>Form of study.</b> (a) The adoption study must include at least one in-home <br/>
<a id="pl.136.26"></a><var>136.26</var>visit with the prospective adoptive parent. At a minimum, the study must include <br/>
<a id="pl.136.27"></a><var>136.27</var>document the following information about the prospective adoptive parent:<br/>
<a id="pl.136.28"></a><var>136.28</var>    (1) a background check study as required by subdivision 3 and section 245C.33, <br/>
<a id="pl.136.29"></a><var>136.29</var>and including:<br/>
<a id="pl.136.30"></a><var>136.30</var>    (i) an evaluation assessment of the data and information provided by section <br/>
<a id="pl.136.31"></a><var>136.31</var>245C.33, subdivision 4, to determine if the prospective adoptive parent and any other <br/>
<a id="pl.136.32"></a><var>136.32</var>person over the age of 13 living in the home has a felony conviction consistent with <br/>
<a id="pl.136.33"></a><var>136.33</var>subdivision 3 and section 471(a)(2) of the Social Security Act; and<br/>
<a id="pl.137.1"></a><var>137.1</var>    (ii) an assessment of the effect of a any conviction or finding of substantiated <br/>
<a id="pl.137.2"></a><var>137.2</var>maltreatment on the ability to capacity of the prospective adoptive parent to safely care <br/>
<a id="pl.137.3"></a><var>137.3</var>for and parent a child;<br/>
<a id="pl.137.4"></a><var>137.4</var>    (2) a medical and social history and assessment of current health;<br/>
<a id="pl.137.5"></a><var>137.5</var>    (3) an assessment of potential parenting skills;<br/>
<a id="pl.137.6"></a><var>137.6</var>    (4) an assessment of ability to provide adequate financial support for a child; and<br/>
<a id="pl.137.7"></a><var>137.7</var>    (5) an assessment of the level of knowledge and awareness of adoption issues <br/>
<a id="pl.137.8"></a><var>137.8</var>including, where appropriate, matters relating to interracial, cross-cultural, and special <br/>
<a id="pl.137.9"></a><var>137.9</var>needs adoptions.<br/>
<a id="pl.137.10"></a><var>137.10</var>    (b) The adoption study is the basis for completion of a written report. The report <br/>
<a id="pl.137.11"></a><var>137.11</var>must be in a format specified by the commissioner and must contain recommendations <br/>
<a id="pl.137.12"></a><var>137.12</var>regarding the suitability of the subject of the study to be an adoptive parent.<br/>
<a id="pl.137.13"></a><var>137.13</var>    Subd. 3. <b>Background </b><b>check; affidavit of history</b><b> study</b><b>.</b> (a) At the time an adoption <br/>
<a id="pl.137.14"></a><var>137.14</var>study is commenced, each prospective adoptive parent must:<br/>
<a id="pl.137.15"></a><var>137.15</var>    (1) authorize access by the agency to any private data needed to complete the study;<br/>
<a id="pl.137.16"></a><var>137.16</var>    (2) provide all addresses at which the prospective adoptive parent and anyone in the <br/>
<a id="pl.137.17"></a><var>137.17</var>household over the age of 13 has resided in the previous five years; and<br/>
<a id="pl.137.18"></a><var>137.18</var>    (3) disclose any names used previously other than the name used at the time of <br/>
<a id="pl.137.19"></a><var>137.19</var>the study.<br/>
<a id="pl.137.20"></a><var>137.20</var>    (b) When the requirements of paragraph (a) have been met, the agency shall <br/>
<a id="pl.137.21"></a><var>137.21</var>immediately begin initiate a background check, study under section 245C.33 to be <br/>
<a id="pl.137.22"></a><var>137.22</var>completed by the commissioner on each person over the age of 13 living in the home, <br/>
<a id="pl.137.23"></a><var>137.23</var>consisting, at a minimum, of the following:. As required under section 245C.33 and Public <br/>
<a id="pl.137.24"></a><var>137.24</var>Law 109-248, a completed background study is required before the approval of any foster <br/>
<a id="pl.137.25"></a><var>137.25</var>or adoptive placement in a related or an unrelated home. The required background study <br/>
<a id="pl.137.26"></a><var>137.26</var>must be completed as part of the home study.<br/>
<a id="pl.137.27"></a><var>137.27</var>    (1) a check of criminal conviction data with the Bureau of Criminal Apprehension <br/>
<a id="pl.137.28"></a><var>137.28</var>and local law enforcement authorities;<br/>
<a id="pl.137.29"></a><var>137.29</var>    (2) a check for data on substantiated maltreatment of a child or vulnerable adult <br/>
<a id="pl.137.30"></a><var>137.30</var>and domestic violence data with local law enforcement and social services agencies and <br/>
<a id="pl.137.31"></a><var>137.31</var>district courts; and<br/>
<a id="pl.137.32"></a><var>137.32</var>    (3) for those persons under the age of 25, a check of juvenile court records.<br/>
<a id="pl.137.33"></a><var>137.33</var>    Notwithstanding the provisions of section 
<statute_ref>260B.171</statute_ref> or 
<statute_ref>260C.171</statute_ref>, the Bureau of <br/>
<a id="pl.137.34"></a><var>137.34</var>Criminal Apprehension, local law enforcement and social services agencies, district courts, <br/>
<a id="pl.137.35"></a><var>137.35</var>and juvenile courts shall release the requested information to the agency completing <br/>
<a id="pl.137.36"></a><var>137.36</var>the adoption study.<br/>
<a id="pl.138.1"></a><var>138.1</var>    (c) When paragraph (b) requires checking the data or records of local law <br/>
<a id="pl.138.2"></a><var>138.2</var>enforcement and social services agencies and district and juvenile courts, the agency <br/>
<a id="pl.138.3"></a><var>138.3</var>shall check with the law enforcement and social services agencies and courts whose <br/>
<a id="pl.138.4"></a><var>138.4</var>jurisdictions cover the addresses under paragraph (a), clause (2). In the event that the <br/>
<a id="pl.138.5"></a><var>138.5</var>agency is unable to complete any of the record checks required by paragraph (b), the <br/>
<a id="pl.138.6"></a><var>138.6</var>agency shall document the fact and the agency's efforts to obtain the information.<br/>
<a id="pl.138.7"></a><var>138.7</var>    (d) For a study completed under this section, when the agency has reasonable <br/>
<a id="pl.138.8"></a><var>138.8</var>cause to believe that further information may exist on the prospective adoptive parent or <br/>
<a id="pl.138.9"></a><var>138.9</var>household member over the age of 13 that may relate to the health, safety, or welfare of <br/>
<a id="pl.138.10"></a><var>138.10</var>the child, the prospective adoptive parent or household member over the age of 13 shall <br/>
<a id="pl.138.11"></a><var>138.11</var>provide the agency with a set of classifiable fingerprints obtained from an authorized law <br/>
<a id="pl.138.12"></a><var>138.12</var>enforcement agency and the agency may obtain criminal history data from the National <br/>
<a id="pl.138.13"></a><var>138.13</var>Criminal Records Repository by submitting fingerprints to the Bureau of Criminal <br/>
<a id="pl.138.14"></a><var>138.14</var>Apprehension. The agency has reasonable cause when, but not limited to, the:<br/>
<a id="pl.138.15"></a><var>138.15</var>    (1) information from the Bureau of Criminal Apprehension indicates that the <br/>
<a id="pl.138.16"></a><var>138.16</var>prospective adoptive parent or household member over the age of 13 is a multistate <br/>
<a id="pl.138.17"></a><var>138.17</var>offender;<br/>
<a id="pl.138.18"></a><var>138.18</var>    (2) information from the Bureau of Criminal Apprehension indicates that multistate <br/>
<a id="pl.138.19"></a><var>138.19</var>offender status is undetermined;<br/>
<a id="pl.138.20"></a><var>138.20</var>    (3) the agency has received a report from the prospective adoptive parent or <br/>
<a id="pl.138.21"></a><var>138.21</var>household member over the age of 13 or a third party indicating that the prospective <br/>
<a id="pl.138.22"></a><var>138.22</var>adoptive parent or household member over the age of 13 has a criminal history in a <br/>
<a id="pl.138.23"></a><var>138.23</var>jurisdiction other than Minnesota; or<br/>
<a id="pl.138.24"></a><var>138.24</var>    (4) the prospective adoptive parent or household member over the age of 13 is or has <br/>
<a id="pl.138.25"></a><var>138.25</var>been a resident of a state other than Minnesota in the prior five years.<br/>
<a id="pl.138.26"></a><var>138.26</var>    (e) At any time prior to completion of the background check required under <br/>
<a id="pl.138.27"></a><var>138.27</var>paragraph (b), a prospective adoptive parent may submit to the agency conducting the <br/>
<a id="pl.138.28"></a><var>138.28</var>study a sworn affidavit stating whether they or any person residing in the household have <br/>
<a id="pl.138.29"></a><var>138.29</var>been convicted of a crime. The affidavit shall also state whether the adoptive parent or any <br/>
<a id="pl.138.30"></a><var>138.30</var>other person residing in the household is the subject of an open investigation of, or have <br/>
<a id="pl.138.31"></a><var>138.31</var>been the subject of a substantiated allegation of, child or vulnerable-adult maltreatment <br/>
<a id="pl.138.32"></a><var>138.32</var>within the past ten years. A complete description of the crime, open investigation, or <br/>
<a id="pl.138.33"></a><var>138.33</var>substantiated abuse, and a complete description of any sentence, treatment, or disposition <br/>
<a id="pl.138.34"></a><var>138.34</var>must be included. The affidavit must contain an acknowledgment that if, at any time <br/>
<a id="pl.138.35"></a><var>138.35</var>before the adoption is final, a court receives evidence leading to a conclusion that a <br/>
<a id="pl.138.36"></a><var>138.36</var>prospective adoptive parent knowingly gave false information in the affidavit, it shall be <br/>
<a id="pl.139.1"></a><var>139.1</var>determined that the adoption of the child by the prospective adoptive parent is not in the <br/>
<a id="pl.139.2"></a><var>139.2</var>best interests of the child.<br/>
<a id="pl.139.3"></a><var>139.3</var>    (f) For the purposes of subdivision 1 and section 
<statute_ref>259.47, subdivisions 3 and 6</statute_ref>, an <br/>
<a id="pl.139.4"></a><var>139.4</var>adoption study is complete for placement, even though the background checks required by <br/>
<a id="pl.139.5"></a><var>139.5</var>paragraph (b) have not been completed, if each prospective adoptive parent has completed <br/>
<a id="pl.139.6"></a><var>139.6</var>the affidavit allowed by paragraph (e) and the other requirements of this section have been <br/>
<a id="pl.139.7"></a><var>139.7</var>met. The background checks required by paragraph (b) must be completed before an <br/>
<a id="pl.139.8"></a><var>139.8</var>adoption petition is filed. If an adoption study has been submitted to the court under section <br/>
<a id="pl.139.9"></a><var>139.9</var><statute_ref>259.47, subdivision 3</statute_ref> or 6, before the background checks required by paragraph (b) were <br/>
<a id="pl.139.10"></a><var>139.10</var>complete, an updated adoption study report which includes the results of the background <br/>
<a id="pl.139.11"></a><var>139.11</var>check must be filed with the adoption petition. In the event that an agency is unable to <br/>
<a id="pl.139.12"></a><var>139.12</var>complete any of the records checks required by paragraph (b), the agency shall submit with <br/>
<a id="pl.139.13"></a><var>139.13</var>the petition to adopt an affidavit documenting the agency's efforts to complete the checks.<br/>
<a id="pl.139.14"></a><var>139.14</var>    (c) A home study under paragraph (b) used to consider placement of any child <br/>
<a id="pl.139.15"></a><var>139.15</var>on whose behalf Title IV-E adoption assistance payments are to be made must not be <br/>
<a id="pl.139.16"></a><var>139.16</var>approved if a background study reveals a felony conviction at any time for:<br/>
<a id="pl.139.17"></a><var>139.17</var>    (1) child abuse or neglect;<br/>
<a id="pl.139.18"></a><var>139.18</var>    (2) spousal abuse;<br/>
<a id="pl.139.19"></a><var>139.19</var>    (3) a crime against children, including child pornography; or<br/>
<a id="pl.139.20"></a><var>139.20</var>    (4) a crime involving violence, including rape, sexual assault, or homicide, but not <br/>
<a id="pl.139.21"></a><var>139.21</var>including other physical assault or battery.<br/>
<a id="pl.139.22"></a><var>139.22</var>    (d) A home study under paragraph (b) used to consider placement of any child <br/>
<a id="pl.139.23"></a><var>139.23</var>on whose behalf Title IV-E adoption assistance payments are to be made must not be <br/>
<a id="pl.139.24"></a><var>139.24</var>approved if a background study reveals a felony conviction within the past five years for:<br/>
<a id="pl.139.25"></a><var>139.25</var>    (1) physical assault or battery; or<br/>
<a id="pl.139.26"></a><var>139.26</var>    (2) a drug-related offense.<br/>
<a id="pl.139.27"></a><var>139.27</var>    Subd. 4. <b>Updates to adoption study; period of validity.</b> An agency may update <br/>
<a id="pl.139.28"></a><var>139.28</var>an adoption study and report as needed, regardless of when the original study and report <br/>
<a id="pl.139.29"></a><var>139.29</var>or most recent update was completed. An update must be in a format specified by the <br/>
<a id="pl.139.30"></a><var>139.30</var>commissioner and must verify the continuing accuracy of the elements of the original <br/>
<a id="pl.139.31"></a><var>139.31</var>report and document any changes to elements of the original report. An update to a study <br/>
<a id="pl.139.32"></a><var>139.32</var>and report not originally completed under this section must ensure that the study and <br/>
<a id="pl.139.33"></a><var>139.33</var>report, as updated, meet the requirements of this section. An adoption study is valid if the <br/>
<a id="pl.139.34"></a><var>139.34</var>report has been completed or updated within the previous 12 months.<br/>
<br/>
<a id="bill.2.35.0"></a><a id="pl.139.35"></a><var>139.35</var>    Sec. 35. Minnesota Statutes 2006, section 259.53, subdivision 2, is amended to read:<br/>
<a id="pl.140.1"></a><var>140.1</var>    Subd. 2. <b>Adoption agencies; postplacement assessment and report.</b> (a) The <br/>
<a id="pl.140.2"></a><var>140.2</var>agency to which the petition has been referred under subdivision 1 shall conduct a <br/>
<a id="pl.140.3"></a><var>140.3</var>postplacement assessment and file a report with the court within 90 days of receipt <br/>
<a id="pl.140.4"></a><var>140.4</var>of a copy of the adoption petition. The agency shall send a copy of the report to the <br/>
<a id="pl.140.5"></a><var>140.5</var>commissioner at the time it files the report with the court. The assessment and report <br/>
<a id="pl.140.6"></a><var>140.6</var>must evaluate the environment and antecedents of the child to be adopted, the home of <br/>
<a id="pl.140.7"></a><var>140.7</var>the petitioners, whether placement with the petitioners meets the needs of the child as <br/>
<a id="pl.140.8"></a><var>140.8</var>described in section 
         <statute_ref>259.57, subdivision 2</statute_ref>. The report must include a recommendation to <br/>
<a id="pl.140.9"></a><var>140.9</var>the court as to whether the petition should or should not be granted. <br/>
<a id="pl.140.10"></a><var>140.10</var>    In making evaluations and recommendations, the postplacement assessment and <br/>
<a id="pl.140.11"></a><var>140.11</var>report must, at a minimum, address the following:<br/>
<a id="pl.140.12"></a><var>140.12</var>    (1) the level of adaptation by the prospective adoptive parents to parenting the child;<br/>
<a id="pl.140.13"></a><var>140.13</var>    (2) the health and well-being of the child in the prospective adoptive parents' home;<br/>
<a id="pl.140.14"></a><var>140.14</var>    (3) the level of incorporation by the child into the prospective adoptive parents' <br/>
<a id="pl.140.15"></a><var>140.15</var>home, extended family, and community; and<br/>
<a id="pl.140.16"></a><var>140.16</var>    (4) the level of inclusion of the child's previous history into the prospective adoptive <br/>
<a id="pl.140.17"></a><var>140.17</var>home, such as cultural or ethnic practices, or contact with former foster parents or <br/>
<a id="pl.140.18"></a><var>140.18</var>biological relatives.<br/>
<a id="pl.140.19"></a><var>140.19</var>    (b) A postplacement adoption report is valid for 12 months following its date <br/>
<a id="pl.140.20"></a><var>140.20</var>of completion.<br/>
<a id="pl.140.21"></a><var>140.21</var>    (c) If the petitioner is an individual who is related to the child, as defined by section <br/>
<a id="pl.140.22"></a><var>140.22</var><statute_ref>245A.02, subdivision 13</statute_ref>, the agency, as part of its postplacement assessment and report <br/>
<a id="pl.140.23"></a><var>140.23</var>under paragraph (a), shall conduct a background check meeting the requirements of <br/>
<a id="pl.140.24"></a><var>140.24</var>section 
<statute_ref>259.41, subdivision 3</statute_ref>, paragraph (b). The prospective adoptive parent shall <br/>
<a id="pl.140.25"></a><var>140.25</var>cooperate in the completion of the background check by supplying the information and <br/>
<a id="pl.140.26"></a><var>140.26</var>authorizations described in section 
<statute_ref>259.41, subdivision 3</statute_ref>, paragraph (a).<br/>
<a id="pl.140.27"></a><var>140.27</var>    (d) (c) If the report recommends that the court not grant the petition to adopt the <br/>
<a id="pl.140.28"></a><var>140.28</var>child, the provisions of this paragraph apply. Unless the assessment and report were <br/>
<a id="pl.140.29"></a><var>140.29</var>completed by the local social services agency, the agency completing the report, at the <br/>
<a id="pl.140.30"></a><var>140.30</var>time it files the report with the court under paragraph (a), must provide a copy of the report <br/>
<a id="pl.140.31"></a><var>140.31</var>to the local social services agency in the county where the prospective adoptive parent <br/>
<a id="pl.140.32"></a><var>140.32</var>lives. The agency or local social services agency may recommend that the court dismiss <br/>
<a id="pl.140.33"></a><var>140.33</var>the petition. If the local social services agency determines that continued placement in the <br/>
<a id="pl.140.34"></a><var>140.34</var>home endangers the child's physical or emotional health, the agency shall seek a court <br/>
<a id="pl.140.35"></a><var>140.35</var>order to remove the child from the home.<br/>
<a id="pl.141.1"></a><var>141.1</var>    (e) (d) If, through no fault of the petitioner, the agency to whom the petition was <br/>
<a id="pl.141.2"></a><var>141.2</var>referred under subdivision 1, paragraph (b), fails to complete the assessment and file the <br/>
<a id="pl.141.3"></a><var>141.3</var>report within 90 days of the date it received a copy of the adoption petition, the court may <br/>
<a id="pl.141.4"></a><var>141.4</var>hear the petition upon giving the agency and the local social services agency, if different, <br/>
<a id="pl.141.5"></a><var>141.5</var>five days' notice by mail of the time and place of the hearing.<br/>
<br/>
<a id="bill.2.36.0"></a><a id="pl.141.6"></a><var>141.6</var>    Sec. 36. Minnesota Statutes 2006, section 259.57, subdivision 2, is amended to read:<br/>
<a id="pl.141.7"></a><var>141.7</var>    Subd. 2. <b>Protection of child's best interests.</b> (a) The policy of the state of <br/>
<a id="pl.141.8"></a><var>141.8</var>Minnesota is to ensure that the best interests of children are met by requiring an <br/>
<a id="pl.141.9"></a><var>141.9</var>individualized determination of the needs of the child and how the adoptive placement <br/>
<a id="pl.141.10"></a><var>141.10</var>will serve the needs of the child.<br/>
<a id="pl.141.11"></a><var>141.11</var>    (b) Among the factors the court shall consider in determining the needs of the child <br/>
<a id="pl.141.12"></a><var>141.12</var>are those specified under section 
         <statute_ref>260C.193, subdivision 3</statute_ref>, paragraph (b). Consistent with <br/>
<a id="pl.141.13"></a><var>141.13</var>section 245C.33 and Public Law 109-248, a complete background study is required before <br/>
<a id="pl.141.14"></a><var>141.14</var>the approval of an adoptive placement in a home. <br/>
<a id="pl.141.15"></a><var>141.15</var>    (c) In reviewing adoptive placement and in determining appropriate adoption, <br/>
<a id="pl.141.16"></a><var>141.16</var>the court shall consider placement, consistent with the child's best interests and in the <br/>
<a id="pl.141.17"></a><var>141.17</var>following order, with (1) a relative or relatives of the child, or (2) an important friend with <br/>
<a id="pl.141.18"></a><var>141.18</var>whom the child has resided or had significant contact. Placement of a child cannot be <br/>
<a id="pl.141.19"></a><var>141.19</var>delayed or denied based on race, color, or national origin of the adoptive parent or the <br/>
<a id="pl.141.20"></a><var>141.20</var>child. Whenever possible, siblings should be placed together unless it is determined <br/>
<a id="pl.141.21"></a><var>141.21</var>not to be in the best interests of a sibling.<br/>
<a id="pl.141.22"></a><var>141.22</var>    (d) If the child's birth parent or parents explicitly request that relatives and important <br/>
<a id="pl.141.23"></a><var>141.23</var>friends not be considered, the court shall honor that request consistent with the best <br/>
<a id="pl.141.24"></a><var>141.24</var>interests of the child.<br/>
<a id="pl.141.25"></a><var>141.25</var>    If the child's birth parent or parents express a preference for placing the child in an <br/>
<a id="pl.141.26"></a><var>141.26</var>adoptive home of the same or a similar religious background to that of the birth parent <br/>
<a id="pl.141.27"></a><var>141.27</var>or parents, the court shall place the child with a family that also meets the birth parent's <br/>
<a id="pl.141.28"></a><var>141.28</var>religious preference. Only if no family is available as described in clause (a) or (b) <br/>
<a id="pl.141.29"></a><var>141.29</var>may the court give preference to a family described in clause (c) that meets the parent's <br/>
<a id="pl.141.30"></a><var>141.30</var>religious preference.<br/>
<a id="pl.141.31"></a><var>141.31</var>    (e) This subdivision does not affect the Indian Child Welfare Act, United States <br/>
<a id="pl.141.32"></a><var>141.32</var>Code, title 25, sections 1901 to 1923, and the Minnesota Indian Family Preservation <br/>
<a id="pl.141.33"></a><var>141.33</var>Act, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref>.<br/>
<br/>
<a id="bill.2.37.0"></a><a id="pl.142.1"></a><var>142.1</var>    Sec. 37. Minnesota Statutes 2006, section 260C.209, is amended to read:<br/>
<a id="pl.142.2"></a><var>142.2</var><b>260C.209 BACKGROUND CHECKS.</b><br/>
<a id="pl.142.3"></a><var>142.3</var>    Subdivision 1. <b>Subjects.</b> The responsible social services agency must conduct <br/>
<a id="pl.142.4"></a><var>142.4</var>initiate a background check study to be completed by the commissioner under this section <br/>
<a id="pl.142.5"></a><var>142.5</var>of chapter 245C on the following individuals:<br/>
<a id="pl.142.6"></a><var>142.6</var>    (1) a noncustodial parent or nonadjudicated parent who is being assessed for <br/>
<a id="pl.142.7"></a><var>142.7</var>purposes of providing day-to-day care of a child temporarily or permanently under section <br/>
<statute_ref><a id="pl.142.8"></a><var>142.8</var>260C.212, subdivision 4
         </statute_ref>, and any member of the parent's household who is over the age of <br/>
<a id="pl.142.9"></a><var>142.9</var>13 when there is a reasonable cause to believe that the parent or household member over <br/>
<a id="pl.142.10"></a><var>142.10</var>age 13 has a criminal history or a history of maltreatment of a child or vulnerable adult <br/>
<a id="pl.142.11"></a><var>142.11</var>which would endanger the child's health, safety, or welfare;<br/>
<a id="pl.142.12"></a><var>142.12</var>    (2) an individual whose suitability for relative placement under section 
         <statute_ref>260C.212, <br/>
<a id="pl.142.13"></a><var>142.13</var>subdivision 5
         </statute_ref>, is being determined and any member of the relative's household who is <br/>
<a id="pl.142.14"></a><var>142.14</var>over the age of 13 when:<br/>
<a id="pl.142.15"></a><var>142.15</var>    (i) the relative must be licensed for foster care; or<br/>
<a id="pl.142.16"></a><var>142.16</var>    (ii) the agency must conduct a background study is required under section 
         <statute_ref>259.53, <br/>
<a id="pl.142.17"></a><var>142.17</var>subdivision 2
         </statute_ref>; or<br/>
<a id="pl.142.18"></a><var>142.18</var>    (iii) the agency or the commissioner has reasonable cause to believe the relative <br/>
<a id="pl.142.19"></a><var>142.19</var>or household member over the age of 13 has a criminal history which would not make <br/>
<a id="pl.142.20"></a><var>142.20</var>transfer of permanent legal and physical custody to the relative under section 
         <statute_ref>260C.201, <br/>
<a id="pl.142.21"></a><var>142.21</var>subdivision 11
         </statute_ref>, in the child's best interest; and<br/>
<a id="pl.142.22"></a><var>142.22</var>    (3) a parent, following an out-of-home placement, when the responsible social <br/>
<a id="pl.142.23"></a><var>142.23</var>services agency has reasonable cause to believe that the parent has been convicted of a <br/>
<a id="pl.142.24"></a><var>142.24</var>crime directly related to the parent's capacity to maintain the child's health, safety, or <br/>
<a id="pl.142.25"></a><var>142.25</var>welfare or the parent is the subject of an open investigation of, or has been the subject <br/>
<a id="pl.142.26"></a><var>142.26</var>of a substantiated allegation of, child or vulnerable-adult maltreatment within the past <br/>
<a id="pl.142.27"></a><var>142.27</var>ten years.<br/>
<a id="pl.142.28"></a><var>142.28</var>"Reasonable cause" means that the agency has received information or a report from the <br/>
<a id="pl.142.29"></a><var>142.29</var>subject or a third person that creates an articulable suspicion that the individual has a <br/>
<a id="pl.142.30"></a><var>142.30</var>history that may pose a risk to the health, safety, or welfare of the child. The information <br/>
<a id="pl.142.31"></a><var>142.31</var>or report must be specific to the potential subject of the background check and shall not <br/>
<a id="pl.142.32"></a><var>142.32</var>be based on the race, religion, ethnic background, age, class, or lifestyle of the potential <br/>
<a id="pl.142.33"></a><var>142.33</var>subject.<br/>
<a id="pl.142.34"></a><var>142.34</var>    Subd. 2. <b>General procedures.</b> (a) When conducting initiating a background check <br/>
<a id="pl.142.35"></a><var>142.35</var>under subdivision 1, the agency may shall require the individual being assessed to provide <br/>
<a id="pl.142.36"></a><var>142.36</var>sufficient information to ensure an accurate assessment under this section, including:<br/>
<a id="pl.143.1"></a><var>143.1</var>    (1) the individual's first, middle, and last name and all other names by which the <br/>
<a id="pl.143.2"></a><var>143.2</var>individual has been known;<br/>
<a id="pl.143.3"></a><var>143.3</var>    (2) home address, zip code, city, county, and state of residence for the past ten five <br/>
<a id="pl.143.4"></a><var>143.4</var>years;<br/>
<a id="pl.143.5"></a><var>143.5</var>    (3) sex;<br/>
<a id="pl.143.6"></a><var>143.6</var>    (4) date of birth; and<br/>
<a id="pl.143.7"></a><var>143.7</var>    (5) driver's license number or state identification number.<br/>
<a id="pl.143.8"></a><var>143.8</var>    (b) When notified by the commissioner or the responsible social services agency that <br/>
<a id="pl.143.9"></a><var>143.9</var>it is conducting an assessment under this section, the Bureau of Criminal Apprehension, <br/>
<a id="pl.143.10"></a><var>143.10</var>commissioners of health and human services, law enforcement, and county agencies must <br/>
<a id="pl.143.11"></a><var>143.11</var>provide the commissioner or the responsible social services agency or county attorney <br/>
<a id="pl.143.12"></a><var>143.12</var>with the following information on the individual being assessed: criminal history data, <br/>
<a id="pl.143.13"></a><var>143.13</var>reports about the maltreatment of adults substantiated under section 
         <statute_ref>626.557</statute_ref>, and reports <br/>
<a id="pl.143.14"></a><var>143.14</var>of maltreatment of minors substantiated under section 
         <statute_ref>626.556</statute_ref>.<br/>
<a id="pl.143.15"></a><var>143.15</var>    Subd. 3. <b>Multistate information.</b> (a) For any assessment every background study <br/>
<a id="pl.143.16"></a><var>143.16</var>completed under this section, if the responsible social services agency has reasonable <br/>
<a id="pl.143.17"></a><var>143.17</var>cause to believe that the individual is a multistate offender, the individual must the subject <br/>
<a id="pl.143.18"></a><var>143.18</var>of the background study shall provide the responsible social services agency or the <br/>
<a id="pl.143.19"></a><var>143.19</var>county attorney with a set of classifiable fingerprints obtained from an authorized law <br/>
<a id="pl.143.20"></a><var>143.20</var>enforcement agency. The responsible social services agency or county attorney may shall <br/>
<a id="pl.143.21"></a><var>143.21</var>provide the fingerprints to the commissioner, and the commissioner shall obtain criminal <br/>
<a id="pl.143.22"></a><var>143.22</var>history data from the National Criminal Records Repository by submitting the fingerprints <br/>
<a id="pl.143.23"></a><var>143.23</var>to the Bureau of Criminal Apprehension.<br/>
<a id="pl.143.24"></a><var>143.24</var>    (b) For purposes of this subdivision, the responsible social services agency has <br/>
<a id="pl.143.25"></a><var>143.25</var>reasonable cause when, but not limited to:<br/>
<a id="pl.143.26"></a><var>143.26</var>    (1) information from the Bureau of Criminal Apprehension indicates that the <br/>
<a id="pl.143.27"></a><var>143.27</var>individual is a multistate offender;<br/>
<a id="pl.143.28"></a><var>143.28</var>    (2) information from the Bureau of Criminal Apprehension indicates that multistate <br/>
<a id="pl.143.29"></a><var>143.29</var>offender status is undetermined;<br/>
<a id="pl.143.30"></a><var>143.30</var>    (3) the social services agency has received a report from the individual or a third <br/>
<a id="pl.143.31"></a><var>143.31</var>party indicating that the individual has a criminal history in a jurisdiction other than <br/>
<a id="pl.143.32"></a><var>143.32</var>Minnesota; or<br/>
<a id="pl.143.33"></a><var>143.33</var>    (4) the individual is or has been a resident of a state other than Minnesota at any <br/>
<a id="pl.143.34"></a><var>143.34</var>time during the prior ten years.<br/>
<a id="pl.143.35"></a><var>143.35</var>    Subd. 4. <b>Notice upon receipt.</b> The responsible social services agency commissioner <br/>
<a id="pl.143.36"></a><var>143.36</var>must provide the subject of the background study with the results of the study as required <br/>
<a id="pl.144.1"></a><var>144.1</var>under this section within 15 business days of receipt or at least 15 days prior to the hearing <br/>
<a id="pl.144.2"></a><var>144.2</var>at which the results will be presented, whichever comes first. The subject may provide <br/>
<a id="pl.144.3"></a><var>144.3</var>written information to the agency that the results are incorrect and may provide additional <br/>
<a id="pl.144.4"></a><var>144.4</var>or clarifying information to the agency and to the court through a party to the proceeding. <br/>
<a id="pl.144.5"></a><var>144.5</var>This provision does not apply to any background study conducted under chapters 245A <br/>
<a id="pl.144.6"></a><var>144.6</var>and chapter 245C.<br/>
<br/>
<a id="bill.2.38.0"></a><a id="pl.144.7"></a><var>144.7</var>    Sec. 38. Minnesota Statutes 2006, section 260C.212, subdivision 2, is amended to read:<br/>
<a id="pl.144.8"></a><var>144.8</var>    Subd. 2. <b>Placement decisions based on best interest of the child.</b> (a) The policy <br/>
<a id="pl.144.9"></a><var>144.9</var>of the state of Minnesota is to ensure that the child's best interests are met by requiring an <br/>
<a id="pl.144.10"></a><var>144.10</var>individualized determination of the needs of the child and of how the selected placement <br/>
<a id="pl.144.11"></a><var>144.11</var>will serve the needs of the child being placed. The authorized child-placing agency shall <br/>
<a id="pl.144.12"></a><var>144.12</var>place a child, released by court order or by voluntary release by the parent or parents, in <br/>
<a id="pl.144.13"></a><var>144.13</var>a family foster home selected by considering placement with relatives and important <br/>
<a id="pl.144.14"></a><var>144.14</var>friends in the following order:<br/>
<a id="pl.144.15"></a><var>144.15</var>    (1) with an individual who is related to the child by blood, marriage, or adoption; or<br/>
<a id="pl.144.16"></a><var>144.16</var>    (2) with an individual who is an important friend with whom the child has resided or <br/>
<a id="pl.144.17"></a><var>144.17</var>had significant contact.<br/>
<a id="pl.144.18"></a><var>144.18</var>    (b) Among the factors the agency shall consider in determining the needs of the <br/>
<a id="pl.144.19"></a><var>144.19</var>child are the following:<br/>
<a id="pl.144.20"></a><var>144.20</var>    (1) the child's current functioning and behaviors;<br/>
<a id="pl.144.21"></a><var>144.21</var>    (2) the medical, educational, and developmental needs of the child;<br/>
<a id="pl.144.22"></a><var>144.22</var>    (3) the child's history and past experience;<br/>
<a id="pl.144.23"></a><var>144.23</var>    (4) the child's religious and cultural needs;<br/>
<a id="pl.144.24"></a><var>144.24</var>    (5) the child's connection with a community, school, and church;<br/>
<a id="pl.144.25"></a><var>144.25</var>    (6) the child's interests and talents;<br/>
<a id="pl.144.26"></a><var>144.26</var>    (7) the child's relationship to current caretakers, parents, siblings, and relatives; and<br/>
<a id="pl.144.27"></a><var>144.27</var>    (8) the reasonable preference of the child, if the court, or the child-placing agency <br/>
<a id="pl.144.28"></a><var>144.28</var>in the case of a voluntary placement, deems the child to be of sufficient age to express <br/>
<a id="pl.144.29"></a><var>144.29</var>preferences.<br/>
<a id="pl.144.30"></a><var>144.30</var>    (c) Placement of a child cannot be delayed or denied based on race, color, or national <br/>
<a id="pl.144.31"></a><var>144.31</var>origin of the foster parent or the child.<br/>
<a id="pl.144.32"></a><var>144.32</var>    (d) Siblings should be placed together for foster care and adoption at the earliest <br/>
<a id="pl.144.33"></a><var>144.33</var>possible time unless it is determined not to be in the best interests of a sibling or unless it <br/>
<a id="pl.144.34"></a><var>144.34</var>is not possible after appropriate efforts by the responsible social services agency.<br/>
<a id="pl.145.1"></a><var>145.1</var>    (e) Except for emergency placement as provided for in section 245A.035, a <br/>
<a id="pl.145.2"></a><var>145.2</var>completed background study is required under section 245C.08 before the approval of a <br/>
<a id="pl.145.3"></a><var>145.3</var>foster placement in a related or unrelated home.<br/>
<br/>
<a id="bill.3.0.0"></a>

<a id="bill.3.1.0"></a><a id="pl.145.6"></a><var>145.6</var>    Section 1. Minnesota Statutes 2006, section 16A.724, subdivision 2, is amended to <br/>
<a id="pl.145.7"></a><var>145.7</var>read:<br/>
<a id="pl.145.8"></a><var>145.8</var>    Subd. 2. <b>Transfers.</b> (a) Notwithstanding section 
         <statute_ref>295.581</statute_ref>, to the extent available <br/>
<a id="pl.145.9"></a><var>145.9</var>resources in the health care access fund exceed expenditures in that fund, effective with <br/>
<a id="pl.145.10"></a><var>145.10</var>the biennium beginning July 1, 2007, the commissioner shall transfer funds from the <br/>
<a id="pl.145.11"></a><var>145.11</var>health care access fund to the general fund to offset the costs of MinnesotaCare enrollees <br/>
<a id="pl.145.12"></a><var>145.12</var>shifting to medical assistance due to the implementation of an automated eligibility <br/>
<a id="pl.145.13"></a><var>145.13</var>determination system. The medical assistance costs shall be identified and updated in the <br/>
<a id="pl.145.14"></a><var>145.14</var>November and February forecasts.<br/>
<a id="pl.145.15"></a><var>145.15</var>    (b) In addition to the amounts in paragraph (a), the commissioner of finance shall <br/>
<a id="pl.145.16"></a><var>145.16</var>transfer the excess funds from the health care access fund to the general fund on June <br/>
<a id="pl.145.17"></a><var>145.17</var>30 of each year, provided that the amount transferred in any fiscal biennium shall not <br/>
<a id="pl.145.18"></a><var>145.18</var>exceed $96,000,000. For the biennium ending June 30, 2011, the transfer shall not exceed <br/>
<a id="pl.145.19"></a><var>145.19</var>$48,000,000.<br/>
<a id="pl.145.20"></a><var>145.20</var>    (b) (c) For fiscal years 2006 to 2009, MinnesotaCare shall be a forecasted program, <br/>
<a id="pl.145.21"></a><var>145.21</var>and, if necessary, the commissioner shall reduce these transfers from the health care access <br/>
<a id="pl.145.22"></a><var>145.22</var>fund to the general fund to meet annual MinnesotaCare expenditures or, if necessary, <br/>
<a id="pl.145.23"></a><var>145.23</var>transfer sufficient funds from the general fund to the health care access fund to meet <br/>
<a id="pl.145.24"></a><var>145.24</var>annual MinnesotaCare expenditures.<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.145.25"></a><var>145.25</var>    Sec. 2. Minnesota Statutes 2006, section 256.969, subdivision 3a, is amended to read:<br/>
<a id="pl.145.26"></a><var>145.26</var>    Subd. 3a. <b>Payments.</b> (a) Acute care hospital billings under the medical <br/>
<a id="pl.145.27"></a><var>145.27</var>assistance program must not be submitted until the recipient is discharged. However, <br/>
<a id="pl.145.28"></a><var>145.28</var>the commissioner shall establish monthly interim payments for inpatient hospitals that <br/>
<a id="pl.145.29"></a><var>145.29</var>have individual patient lengths of stay over 30 days regardless of diagnostic category. <br/>
<a id="pl.145.30"></a><var>145.30</var>Except as provided in section 
         <statute_ref>256.9693</statute_ref>, medical assistance reimbursement for treatment <br/>
<a id="pl.145.31"></a><var>145.31</var>of mental illness shall be reimbursed based on diagnostic classifications. Individual <br/>
<a id="pl.145.32"></a><var>145.32</var>hospital payments established under this section and sections 
         <statute_ref>256.9685</statute_ref>, 
         <statute_ref>256.9686</statute_ref>, and <br/>
<statute_ref><a id="pl.145.33"></a><var>145.33</var>256.9695
         </statute_ref>, in addition to third party and recipient liability, for discharges occurring during <br/>
<a id="pl.145.34"></a><var>145.34</var>the rate year shall not exceed, in aggregate, the charges for the medical assistance covered <br/>
<a id="pl.146.1"></a><var>146.1</var>inpatient services paid for the same period of time to the hospital. This payment limitation <br/>
<a id="pl.146.2"></a><var>146.2</var>shall be calculated separately for medical assistance and general assistance medical <br/>
<a id="pl.146.3"></a><var>146.3</var>care services. The limitation on general assistance medical care shall be effective for <br/>
<a id="pl.146.4"></a><var>146.4</var>admissions occurring on or after July 1, 1991. Services that have rates established under <br/>
<a id="pl.146.5"></a><var>146.5</var>subdivision 11 or 12, must be limited separately from other services. After consulting with <br/>
<a id="pl.146.6"></a><var>146.6</var>the affected hospitals, the commissioner may consider related hospitals one entity and <br/>
<a id="pl.146.7"></a><var>146.7</var>may merge the payment rates while maintaining separate provider numbers. The operating <br/>
<a id="pl.146.8"></a><var>146.8</var>and property base rates per admission or per day shall be derived from the best Medicare <br/>
<a id="pl.146.9"></a><var>146.9</var>and claims data available when rates are established. The commissioner shall determine <br/>
<a id="pl.146.10"></a><var>146.10</var>the best Medicare and claims data, taking into consideration variables of recency of the <br/>
<a id="pl.146.11"></a><var>146.11</var>data, audit disposition, settlement status, and the ability to set rates in a timely manner. <br/>
<a id="pl.146.12"></a><var>146.12</var>The commissioner shall notify hospitals of payment rates by December 1 of the year <br/>
<a id="pl.146.13"></a><var>146.13</var>preceding the rate year. The rate setting data must reflect the admissions data used to <br/>
<a id="pl.146.14"></a><var>146.14</var>establish relative values. Base year changes from 1981 to the base year established for the <br/>
<a id="pl.146.15"></a><var>146.15</var>rate year beginning January 1, 1991, and for subsequent rate years, shall not be limited <br/>
<a id="pl.146.16"></a><var>146.16</var>to the limits ending June 30, 1987, on the maximum rate of increase under subdivision <br/>
<a id="pl.146.17"></a><var>146.17</var>1. The commissioner may adjust base year cost, relative value, and case mix index data <br/>
<a id="pl.146.18"></a><var>146.18</var>to exclude the costs of services that have been discontinued by the October 1 of the year <br/>
<a id="pl.146.19"></a><var>146.19</var>preceding the rate year or that are paid separately from inpatient services. Inpatient stays <br/>
<a id="pl.146.20"></a><var>146.20</var>that encompass portions of two or more rate years shall have payments established based <br/>
<a id="pl.146.21"></a><var>146.21</var>on payment rates in effect at the time of admission unless the date of admission preceded <br/>
<a id="pl.146.22"></a><var>146.22</var>the rate year in effect by six months or more. In this case, operating payment rates for <br/>
<a id="pl.146.23"></a><var>146.23</var>services rendered during the rate year in effect and established based on the date of <br/>
<a id="pl.146.24"></a><var>146.24</var>admission shall be adjusted to the rate year in effect by the hospital cost index.<br/>
<a id="pl.146.25"></a><var>146.25</var>    (b) For fee-for-service admissions occurring on or after July 1, 2002, the total <br/>
<a id="pl.146.26"></a><var>146.26</var>payment, before third-party liability and spenddown, made to hospitals for inpatient <br/>
<a id="pl.146.27"></a><var>146.27</var>services is reduced by .5 percent from the current statutory rates.<br/>
<a id="pl.146.28"></a><var>146.28</var>    (c) In addition to the reduction in paragraph (b), the total payment for fee-for-service <br/>
<a id="pl.146.29"></a><var>146.29</var>admissions occurring on or after July 1, 2003, made to hospitals for inpatient services <br/>
<a id="pl.146.30"></a><var>146.30</var>before third-party liability and spenddown, is reduced five percent from the current <br/>
<a id="pl.146.31"></a><var>146.31</var>statutory rates. Mental health services within diagnosis related groups 424 to 432, and <br/>
<a id="pl.146.32"></a><var>146.32</var>facilities defined under subdivision 16, and, effective for admissions occurring on or after <br/>
<a id="pl.146.33"></a><var>146.33</var>July 1, 2007, a long-term hospital as designated by the Medicare program that is located in <br/>
<a id="pl.146.34"></a><var>146.34</var>a city of the first class as defined in section 410.01, are excluded from this paragraph.<br/>
<a id="pl.146.35"></a><var>146.35</var>    (d) In addition to the reduction in paragraphs (b) and (c), the total payment for <br/>
<a id="pl.146.36"></a><var>146.36</var>fee-for-service admissions occurring on or after July 1, 2005, made to hospitals for <br/>
<a id="pl.147.1"></a><var>147.1</var>inpatient services before third-party liability and spenddown, is reduced 6.0 percent from <br/>
<a id="pl.147.2"></a><var>147.2</var>the current statutory rates. Mental health services within diagnosis related groups 424 to <br/>
<a id="pl.147.3"></a><var>147.3</var>432 and, facilities defined under subdivision 16, and, effective for admissions occurring <br/>
<a id="pl.147.4"></a><var>147.4</var>on or after July 1, 2007, a long-term hospital as designated by the Medicare program <br/>
<a id="pl.147.5"></a><var>147.5</var>that is located in a city of the first class as defined in section 410.01, are excluded from <br/>
<a id="pl.147.6"></a><var>147.6</var>this paragraph. Notwithstanding section 
         <statute_ref>256.9686, subdivision 7</statute_ref>, for purposes of this <br/>
<a id="pl.147.7"></a><var>147.7</var>paragraph, medical assistance does not include general assistance medical care. Payments <br/>
<a id="pl.147.8"></a><var>147.8</var>made to managed care plans shall be reduced for services provided on or after January <br/>
<a id="pl.147.9"></a><var>147.9</var>1, 2006, to reflect this reduction.<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.147.10"></a><var>147.10</var>    Sec. 3. Minnesota Statutes 2006, section 256.969, subdivision 9, is amended to read:<br/>
<a id="pl.147.11"></a><var>147.11</var>    Subd. 9. <b>Disproportionate numbers of low-income patients served.</b> (a) For <br/>
<a id="pl.147.12"></a><var>147.12</var>admissions occurring on or after October 1, 1992, through December 31, 1992, the <br/>
<a id="pl.147.13"></a><var>147.13</var>medical assistance disproportionate population adjustment shall comply with federal law <br/>
<a id="pl.147.14"></a><var>147.14</var>and shall be paid to a hospital, excluding regional treatment centers and facilities of the <br/>
<a id="pl.147.15"></a><var>147.15</var>federal Indian Health Service, with a medical assistance inpatient utilization rate in excess <br/>
<a id="pl.147.16"></a><var>147.16</var>of the arithmetic mean. The adjustment must be determined as follows:<br/>
<a id="pl.147.17"></a><var>147.17</var>    (1) for a hospital with a medical assistance inpatient utilization rate above the <br/>
<a id="pl.147.18"></a><var>147.18</var>arithmetic mean for all hospitals excluding regional treatment centers and facilities of the <br/>
<a id="pl.147.19"></a><var>147.19</var>federal Indian Health Service but less than or equal to one standard deviation above the <br/>
<a id="pl.147.20"></a><var>147.20</var>mean, the adjustment must be determined by multiplying the total of the operating and <br/>
<a id="pl.147.21"></a><var>147.21</var>property payment rates by the difference between the hospital's actual medical assistance <br/>
<a id="pl.147.22"></a><var>147.22</var>inpatient utilization rate and the arithmetic mean for all hospitals excluding regional <br/>
<a id="pl.147.23"></a><var>147.23</var>treatment centers and facilities of the federal Indian Health Service; and<br/>
<a id="pl.147.24"></a><var>147.24</var>    (2) for a hospital with a medical assistance inpatient utilization rate above one <br/>
<a id="pl.147.25"></a><var>147.25</var>standard deviation above the mean, the adjustment must be determined by multiplying <br/>
<a id="pl.147.26"></a><var>147.26</var>the adjustment that would be determined under clause (1) for that hospital by 1.1. If <br/>
<a id="pl.147.27"></a><var>147.27</var>federal matching funds are not available for all adjustments under this subdivision, the <br/>
<a id="pl.147.28"></a><var>147.28</var>commissioner shall reduce payments on a pro rata basis so that all adjustments qualify for <br/>
<a id="pl.147.29"></a><var>147.29</var>federal match. The commissioner may establish a separate disproportionate population <br/>
<a id="pl.147.30"></a><var>147.30</var>operating payment rate adjustment under the general assistance medical care program. <br/>
<a id="pl.147.31"></a><var>147.31</var>For purposes of this subdivision medical assistance does not include general assistance <br/>
<a id="pl.147.32"></a><var>147.32</var>medical care. The commissioner shall report annually on the number of hospitals likely to <br/>
<a id="pl.147.33"></a><var>147.33</var>receive the adjustment authorized by this paragraph. The commissioner shall specifically <br/>
<a id="pl.147.34"></a><var>147.34</var>report on the adjustments received by public hospitals and public hospital corporations <br/>
<a id="pl.147.35"></a><var>147.35</var>located in cities of the first class.<br/>
<a id="pl.148.1"></a><var>148.1</var>    (b) For admissions occurring on or after July 1, 1993, the medical assistance <br/>
<a id="pl.148.2"></a><var>148.2</var>disproportionate population adjustment shall comply with federal law and shall be paid to <br/>
<a id="pl.148.3"></a><var>148.3</var>a hospital, excluding regional treatment centers and facilities of the federal Indian Health <br/>
<a id="pl.148.4"></a><var>148.4</var>Service, with a medical assistance inpatient utilization rate in excess of the arithmetic <br/>
<a id="pl.148.5"></a><var>148.5</var>mean. The adjustment must be determined as follows:<br/>
<a id="pl.148.6"></a><var>148.6</var>    (1) for a hospital with a medical assistance inpatient utilization rate above the <br/>
<a id="pl.148.7"></a><var>148.7</var>arithmetic mean for all hospitals excluding regional treatment centers and facilities of the <br/>
<a id="pl.148.8"></a><var>148.8</var>federal Indian Health Service but less than or equal to one standard deviation above the <br/>
<a id="pl.148.9"></a><var>148.9</var>mean, the adjustment must be determined by multiplying the total of the operating and <br/>
<a id="pl.148.10"></a><var>148.10</var>property payment rates by the difference between the hospital's actual medical assistance <br/>
<a id="pl.148.11"></a><var>148.11</var>inpatient utilization rate and the arithmetic mean for all hospitals excluding regional <br/>
<a id="pl.148.12"></a><var>148.12</var>treatment centers and facilities of the federal Indian Health Service;<br/>
<a id="pl.148.13"></a><var>148.13</var>    (2) for a hospital with a medical assistance inpatient utilization rate above one <br/>
<a id="pl.148.14"></a><var>148.14</var>standard deviation above the mean, the adjustment must be determined by multiplying <br/>
<a id="pl.148.15"></a><var>148.15</var>the adjustment that would be determined under clause (1) for that hospital by 1.1. The <br/>
<a id="pl.148.16"></a><var>148.16</var>commissioner may establish a separate disproportionate population operating payment <br/>
<a id="pl.148.17"></a><var>148.17</var>rate adjustment under the general assistance medical care program. For purposes of this <br/>
<a id="pl.148.18"></a><var>148.18</var>subdivision, medical assistance does not include general assistance medical care. The <br/>
<a id="pl.148.19"></a><var>148.19</var>commissioner shall report annually on the number of hospitals likely to receive the <br/>
<a id="pl.148.20"></a><var>148.20</var>adjustment authorized by this paragraph. The commissioner shall specifically report on <br/>
<a id="pl.148.21"></a><var>148.21</var>the adjustments received by public hospitals and public hospital corporations located <br/>
<a id="pl.148.22"></a><var>148.22</var>in cities of the first class;<br/>
<a id="pl.148.23"></a><var>148.23</var>    (3) for a hospital that had medical assistance fee-for-service payment volume during <br/>
<a id="pl.148.24"></a><var>148.24</var>calendar year 1991 in excess of 13 percent of total medical assistance fee-for-service <br/>
<a id="pl.148.25"></a><var>148.25</var>payment volume, a medical assistance disproportionate population adjustment shall be <br/>
<a id="pl.148.26"></a><var>148.26</var>paid in addition to any other disproportionate payment due under this subdivision as <br/>
<a id="pl.148.27"></a><var>148.27</var>follows: $1,515,000 due on the 15th of each month after noon, beginning July 15, 1995. <br/>
<a id="pl.148.28"></a><var>148.28</var>For a hospital that had medical assistance fee-for-service payment volume during calendar <br/>
<a id="pl.148.29"></a><var>148.29</var>year 1991 in excess of eight percent of total medical assistance fee-for-service payment <br/>
<a id="pl.148.30"></a><var>148.30</var>volume and was the primary hospital affiliated with the University of Minnesota, a <br/>
<a id="pl.148.31"></a><var>148.31</var>medical assistance disproportionate population adjustment shall be paid in addition to any <br/>
<a id="pl.148.32"></a><var>148.32</var>other disproportionate payment due under this subdivision as follows: $505,000 due on <br/>
<a id="pl.148.33"></a><var>148.33</var>the 15th of each month after noon, beginning July 15, 1995; and<br/>
<a id="pl.148.34"></a><var>148.34</var>    (4) effective August 1, 2005, the payments in paragraph (b), clause (3), shall be <br/>
<a id="pl.148.35"></a><var>148.35</var>reduced to zero.<br/>
<a id="pl.149.1"></a><var>149.1</var>    (c) The commissioner shall adjust rates paid to a health maintenance organization <br/>
<a id="pl.149.2"></a><var>149.2</var>under contract with the commissioner to reflect rate increases provided in paragraph (b), <br/>
<a id="pl.149.3"></a><var>149.3</var>clauses (1) and (2), on a nondiscounted hospital-specific basis but shall not adjust those <br/>
<a id="pl.149.4"></a><var>149.4</var>rates to reflect payments provided in clause (3).<br/>
<a id="pl.149.5"></a><var>149.5</var>    (d) If federal matching funds are not available for all adjustments under paragraph <br/>
<a id="pl.149.6"></a><var>149.6</var>(b), the commissioner shall reduce payments under paragraph (b), clauses (1) and (2), on a <br/>
<a id="pl.149.7"></a><var>149.7</var>pro rata basis so that all adjustments under paragraph (b) qualify for federal match.<br/>
<a id="pl.149.8"></a><var>149.8</var>    (e) For purposes of this subdivision, medical assistance does not include general <br/>
<a id="pl.149.9"></a><var>149.9</var>assistance medical care.<br/>
<a id="pl.149.10"></a><var>149.10</var>    (f) For hospital services occurring on or after July 1, 2005, to June 30, 2007, general <br/>
<a id="pl.149.11"></a><var>149.11</var>assistance medical care expenditures for fee-for-service inpatient and outpatient hospital <br/>
<a id="pl.149.12"></a><var>149.12</var>services made by the department and by prepaid health plans participating in general <br/>
<a id="pl.149.13"></a><var>149.13</var>assistance medical care effective July 1, 2007, payments under section 256B.199 shall be <br/>
<a id="pl.149.14"></a><var>149.14</var>considered Medicaid disproportionate share hospital payments, except as limited below: <br/>
<a id="pl.149.15"></a><var>149.15</var>by clauses (1) to (5);<br/>
<a id="pl.149.16"></a><var>149.16</var>    (1) only the portion of Minnesota's disproportionate share hospital allotment under <br/>
<a id="pl.149.17"></a><var>149.17</var>section 1923(f) of the Social Security Act that is not spent on the disproportionate <br/>
<a id="pl.149.18"></a><var>149.18</var>population adjustments in paragraph (b), clauses (1) and (2), may be used for general <br/>
<a id="pl.149.19"></a><var>149.19</var>assistance medical care expenditures;<br/>
<a id="pl.149.20"></a><var>149.20</var>    (2) only those general assistance medical care expenditures made to hospitals that <br/>
<a id="pl.149.21"></a><var>149.21</var>qualify for disproportionate share payments under section 1923 of the Social Security Act <br/>
<a id="pl.149.22"></a><var>149.22</var>and the Medicaid state plan may be considered disproportionate share hospital payments;<br/>
<a id="pl.149.23"></a><var>149.23</var>    (3) only those general assistance medical care expenditures made to an individual <br/>
<a id="pl.149.24"></a><var>149.24</var>hospital that would not cause the hospital to exceed its individual hospital limits under <br/>
<a id="pl.149.25"></a><var>149.25</var>section 1923 of the Social Security Act may be considered; and<br/>
<a id="pl.149.26"></a><var>149.26</var>    (4) general assistance medical care expenditures may be considered only to the <br/>
<a id="pl.149.27"></a><var>149.27</var>extent of Minnesota's aggregate allotment under section 1923 of the Social Security Act.<br/>
<a id="pl.149.28"></a><var>149.28</var>All hospitals and prepaid health plans participating in general assistance medical care <br/>
<a id="pl.149.29"></a><var>149.29</var>must provide any necessary expenditure, cost, and revenue information required by <br/>
<a id="pl.149.30"></a><var>149.30</var>the commissioner as necessary for purposes of obtaining federal Medicaid matching <br/>
<a id="pl.149.31"></a><var>149.31</var>funds for general assistance medical care expenditures. Medicaid disproportionate share <br/>
<a id="pl.149.32"></a><var>149.32</var>payments; and<br/>
<a id="pl.149.33"></a><var>149.33</var>    (5) expenditures under general assistance medical care shall be used to the fullest <br/>
<a id="pl.149.34"></a><var>149.34</var>extent before payments under section 256B.199.<br/>
<a id="pl.150.1"></a><var>150.1</var>    (g) Upon federal approval of the related state plan amendment, paragraph (f) is <br/>
<a id="pl.150.2"></a><var>150.2</var>effective retroactively from July 1, 2005, or the earliest effective date approved by the <br/>
<a id="pl.150.3"></a><var>150.3</var>Centers for Medicare and Medicaid Services.<br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.150.4"></a><var>150.4</var>    Sec. 4. Minnesota Statutes 2006, section 256.969, is amended by adding a subdivision <br/>
<a id="pl.150.5"></a><var>150.5</var>to read:<br/>
<a id="pl.150.6"></a><var>150.6</var>    Subd. 28. <b>Long-term hospital payment adjustment.</b> For admissions occurring on <br/>
<a id="pl.150.7"></a><var>150.7</var>or after July 1, 2009, the commissioner shall increase the medical assistance payments <br/>
<a id="pl.150.8"></a><var>150.8</var>to a long-term hospital with a medical assistance inpatient utilization rate of 17.95 <br/>
<a id="pl.150.9"></a><var>150.9</var>percent of total patient days as of the base year in effect on July 1, 2005, by an amount <br/>
<a id="pl.150.10"></a><var>150.10</var>equal to 13 percent of the total of the operating and property payment rates. Payments <br/>
<a id="pl.150.11"></a><var>150.11</var>made to managed care plans shall not reflect this payment increase. For purposes of <br/>
<a id="pl.150.12"></a><var>150.12</var>this subdivision, medical assistance does not include general assistance medical care. <br/>
<a id="pl.150.13"></a><var>150.13</var>Payments to a hospital under this subdivision shall be reduced by the amount of any <br/>
<a id="pl.150.14"></a><var>150.14</var>payments made under subdivision 27.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.150.15"></a><var>150.15</var>    Sec. 5. Minnesota Statutes 2006, section 256B.04, subdivision 14, is amended to read:<br/>
<a id="pl.150.16"></a><var>150.16</var>    Subd. 14. <b>Competitive bidding.</b> (a) When determined to be effective, economical, <br/>
<a id="pl.150.17"></a><var>150.17</var>and feasible, the commissioner may utilize volume purchase through competitive bidding <br/>
<a id="pl.150.18"></a><var>150.18</var>and negotiation under the provisions of chapter 16C, to provide items under the medical <br/>
<a id="pl.150.19"></a><var>150.19</var>assistance program including but not limited to the following:<br/>
<a id="pl.150.20"></a><var>150.20</var>    (1) eyeglasses;<br/>
<a id="pl.150.21"></a><var>150.21</var>    (2) oxygen. The commissioner shall provide for oxygen needed in an emergency <br/>
<a id="pl.150.22"></a><var>150.22</var>situation on a short-term basis, until the vendor can obtain the necessary supply from <br/>
<a id="pl.150.23"></a><var>150.23</var>the contract dealer;<br/>
<a id="pl.150.24"></a><var>150.24</var>    (3) hearing aids and supplies; and<br/>
<a id="pl.150.25"></a><var>150.25</var>    (4) durable medical equipment, including but not limited to:<br/>
<a id="pl.150.26"></a><var>150.26</var>    (i) hospital beds;<br/>
<a id="pl.150.27"></a><var>150.27</var>    (ii) commodes;<br/>
<a id="pl.150.28"></a><var>150.28</var>    (iii) glide-about chairs;<br/>
<a id="pl.150.29"></a><var>150.29</var>    (iv) patient lift apparatus;<br/>
<a id="pl.150.30"></a><var>150.30</var>    (v) wheelchairs and accessories;<br/>
<a id="pl.150.31"></a><var>150.31</var>    (vi) oxygen administration equipment;<br/>
<a id="pl.150.32"></a><var>150.32</var>    (vii) respiratory therapy equipment;<br/>
<a id="pl.150.33"></a><var>150.33</var>    (viii) electronic diagnostic, therapeutic and life support systems;<br/>
<a id="pl.151.1"></a><var>151.1</var>    (5) special nonemergency transportation services level of need determinations, <br/>
<a id="pl.151.2"></a><var>151.2</var>disbursement of public transportation passes and tokens, and volunteer and recipient <br/>
<a id="pl.151.3"></a><var>151.3</var>mileage and parking reimbursements; and<br/>
<a id="pl.151.4"></a><var>151.4</var>    (6) drugs.<br/>
<a id="pl.151.5"></a><var>151.5</var>    (b) Rate changes under this chapter and chapters 256D and 256L do not affect <br/>
<a id="pl.151.6"></a><var>151.6</var>contract payments under this subdivision unless specifically identified.<br/>
<br/>
<a id="bill.3.6.0"></a><a id="pl.151.7"></a><var>151.7</var>    Sec. 6. Minnesota Statutes 2006, section 256B.04, is amended by adding a subdivision <br/>
<a id="pl.151.8"></a><var>151.8</var>to read:<br/>
<a id="pl.151.9"></a><var>151.9</var>    Subd. 14a. <b>Level of need determination.</b> Nonemergency medical transportation <br/>
<a id="pl.151.10"></a><var>151.10</var>level of need determinations must be performed by a physician, a registered nurse working <br/>
<a id="pl.151.11"></a><var>151.11</var>under direct supervision of a physician, a physician's assistant, a nurse practitioner, a <br/>
<a id="pl.151.12"></a><var>151.12</var>licensed practical nurse, or a discharge planner. Nonemergency medical transportation <br/>
<a id="pl.151.13"></a><var>151.13</var>level of need determinations must not be performed more than semiannually on any <br/>
<a id="pl.151.14"></a><var>151.14</var>individual, unless the individual's circumstances have sufficiently changed so as to <br/>
<a id="pl.151.15"></a><var>151.15</var>require a new level of need determination. Individuals residing in licensed nursing <br/>
<a id="pl.151.16"></a><var>151.16</var>facilities and individuals requiring stretcher transportation are exempt from a level of need <br/>
<a id="pl.151.17"></a><var>151.17</var>determination and are eligible for special transportation services until the individual no <br/>
<a id="pl.151.18"></a><var>151.18</var>longer resides in a licensed nursing facility or no longer requires stretcher transportation.<br/>
<br/>
<a id="bill.3.7.0"></a><a id="pl.151.19"></a><var>151.19</var>    Sec. 7. Minnesota Statutes 2006, section 256B.056, is amended by adding a <br/>
<a id="pl.151.20"></a><var>151.20</var>subdivision to read:<br/>
<a id="pl.151.21"></a><var>151.21</var>    Subd. 1d. <b>Treatment of certain monetary gifts.</b> The commissioner shall disregard <br/>
<a id="pl.151.22"></a><var>151.22</var>as income any portion of a monetary gift received by an applicant or enrollee that is <br/>
<a id="pl.151.23"></a><var>151.23</var>designated to purchase a prosthetic device not covered by insurance, other third-party <br/>
<a id="pl.151.24"></a><var>151.24</var>payers, or medical assistance.<br/>
<br/>
<a id="bill.3.8.0"></a><a id="pl.151.25"></a><var>151.25</var>    Sec. 8. Minnesota Statutes 2006, section 256B.0625, subdivision 3f, is amended to <br/>
<a id="pl.151.26"></a><var>151.26</var>read:<br/>
<a id="pl.151.27"></a><var>151.27</var>    Subd. 3f. <b>Circumcision </b><b>for newborns</b><b>.</b> Newborn Circumcision is not covered, <br/>
<a id="pl.151.28"></a><var>151.28</var>unless the procedure is medically necessary or required because of a well-established <br/>
<a id="pl.151.29"></a><var>151.29</var>religious practice.<br/>
<br/>
<a id="bill.3.9.0"></a><a id="pl.151.30"></a><var>151.30</var>    Sec. 9. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.151.31"></a><var>151.31</var>subdivision to read:<br/>
<a id="pl.152.1"></a><var>152.1</var>    Subd. 8d. <b>Chiropractic services.</b> Medical assistance covers the following <br/>
<a id="pl.152.2"></a><var>152.2</var>medically necessary chiropractic services: one initial or progress exam per year, manual <br/>
<a id="pl.152.3"></a><var>152.3</var>manipulation of the spine, and x-rays.<br/>
<a id="pl.152.4"></a><var>152.4</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.3.10.0"></a><a id="pl.152.5"></a><var>152.5</var>    Sec. 10. Minnesota Statutes 2006, section 256B.0625, subdivision 13c, is amended to <br/>
<a id="pl.152.6"></a><var>152.6</var>read:<br/>
<a id="pl.152.7"></a><var>152.7</var>    Subd. 13c. <b>Formulary committee.</b> The commissioner, after receiving <br/>
<a id="pl.152.8"></a><var>152.8</var>recommendations from professional medical associations and professional pharmacy <br/>
<a id="pl.152.9"></a><var>152.9</var>associations, and consumer groups shall designate a Formulary Committee to carry <br/>
<a id="pl.152.10"></a><var>152.10</var>out duties as described in subdivisions 13 to 13g. The Formulary Committee shall be <br/>
<a id="pl.152.11"></a><var>152.11</var>comprised of four licensed physicians actively engaged in the practice of medicine in <br/>
<a id="pl.152.12"></a><var>152.12</var>Minnesota one of whom must be actively engaged in the treatment of persons with mental <br/>
<a id="pl.152.13"></a><var>152.13</var>illness; at least three licensed pharmacists actively engaged in the practice of pharmacy <br/>
<a id="pl.152.14"></a><var>152.14</var>in Minnesota; and one consumer representative; the remainder to be made up of health <br/>
<a id="pl.152.15"></a><var>152.15</var>care professionals who are licensed in their field and have recognized knowledge in the <br/>
<a id="pl.152.16"></a><var>152.16</var>clinically appropriate prescribing, dispensing, and monitoring of covered outpatient drugs. <br/>
<a id="pl.152.17"></a><var>152.17</var>Members of the Formulary Committee shall not be employed by the Department of <br/>
<a id="pl.152.18"></a><var>152.18</var>Human Services, but the committee shall be staffed by an employee of the department <br/>
<a id="pl.152.19"></a><var>152.19</var>who shall serve as an ex officio, nonvoting member of the board committee. The <br/>
<a id="pl.152.20"></a><var>152.20</var>department's medical director shall also serve as an ex officio, nonvoting member for the <br/>
<a id="pl.152.21"></a><var>152.21</var>committee. Committee members shall serve three-year terms and may be reappointed <br/>
<a id="pl.152.22"></a><var>152.22</var>by the commissioner. The Formulary Committee shall meet at least quarterly. The <br/>
<a id="pl.152.23"></a><var>152.23</var>commissioner may require more frequent Formulary Committee meetings as needed. An <br/>
<a id="pl.152.24"></a><var>152.24</var>honorarium of $100 per meeting and reimbursement for mileage shall be paid to each <br/>
<a id="pl.152.25"></a><var>152.25</var>committee member in attendance.<br/>
<br/>
<a id="bill.3.11.0"></a><a id="pl.152.26"></a><var>152.26</var>    Sec. 11. Minnesota Statutes 2006, section 256B.0625, subdivision 13d, is amended to <br/>
<a id="pl.152.27"></a><var>152.27</var>read:<br/>
<a id="pl.152.28"></a><var>152.28</var>    Subd. 13d. <b>Drug formulary.</b> (a) The commissioner shall establish a drug <br/>
<a id="pl.152.29"></a><var>152.29</var>formulary. Its establishment and publication shall not be subject to the requirements of the <br/>
<a id="pl.152.30"></a><var>152.30</var>Administrative Procedure Act, but the Formulary Committee shall review and comment <br/>
<a id="pl.152.31"></a><var>152.31</var>on the formulary contents.<br/>
<a id="pl.152.32"></a><var>152.32</var>    (b) The formulary shall not include:<br/>
<a id="pl.152.33"></a><var>152.33</var>    (1) drugs or products for which there is no federal funding;<br/>
<a id="pl.152.34"></a><var>152.34</var>    (2) over-the-counter drugs, except as provided in subdivision 13;<br/>
<a id="pl.153.1"></a><var>153.1</var>    (3) drugs used for weight loss, except that medically necessary lipase inhibitors may <br/>
<a id="pl.153.2"></a><var>153.2</var>be covered for a recipient with type II diabetes;<br/>
<a id="pl.153.3"></a><var>153.3</var>    (4) drugs when used for the treatment of impotence or erectile dysfunction;<br/>
<a id="pl.153.4"></a><var>153.4</var>    (5) drugs for which medical value has not been established; and<br/>
<a id="pl.153.5"></a><var>153.5</var>    (6) drugs from manufacturers who have not signed a rebate agreement with the <br/>
<a id="pl.153.6"></a><var>153.6</var>Department of Health and Human Services pursuant to section 1927 of title XIX of the <br/>
<a id="pl.153.7"></a><var>153.7</var>Social Security Act.<br/>
<a id="pl.153.8"></a><var>153.8</var>    (c) If a single-source drug used by at least two percent of the fee-for-service <br/>
<a id="pl.153.9"></a><var>153.9</var>medical assistance recipients is removed from the formulary due to the failure of the <br/>
<a id="pl.153.10"></a><var>153.10</var>manufacturer to sign a rebate agreement with the Department of Health and Human <br/>
<a id="pl.153.11"></a><var>153.11</var>Services, the commissioner shall notify prescribing practitioners within 30 days of <br/>
<a id="pl.153.12"></a><var>153.12</var>receiving notification from the Centers for Medicare and Medicaid Services (CMS) that a <br/>
<a id="pl.153.13"></a><var>153.13</var>rebate agreement was not signed.<br/>
<a id="pl.153.14"></a><var>153.14</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.3.12.0"></a><a id="pl.153.15"></a><var>153.15</var>    Sec. 12. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.153.16"></a><var>153.16</var>subdivision to read:<br/>
<a id="pl.153.17"></a><var>153.17</var>    Subd. 13i. <b>Medicare Part D.</b> Notwithstanding subdivision 13, paragraph (d), for <br/>
<a id="pl.153.18"></a><var>153.18</var>recipients who are enrolled in a Medicare Part D prescription drug plan or Medicare <br/>
<a id="pl.153.19"></a><var>153.19</var>Advantage special needs plan, medical assistance covers co-payments which the recipient <br/>
<a id="pl.153.20"></a><var>153.20</var>is responsible for under a Medicare Part D prescription drug plan or Medicare Advantage <br/>
<a id="pl.153.21"></a><var>153.21</var>special needs plan, once the recipient has paid $12 per month in prescription drug <br/>
<a id="pl.153.22"></a><var>153.22</var>co-payments, and according to the requirements of the plan.<br/>
<br/>
<a id="bill.3.13.0"></a><a id="pl.153.23"></a><var>153.23</var>    Sec. 13. Minnesota Statutes 2006, section 256B.0625, subdivision 17, is amended to <br/>
<a id="pl.153.24"></a><var>153.24</var>read:<br/>
<a id="pl.153.25"></a><var>153.25</var>    Subd. 17. <b>Transportation costs.</b> (a) Medical assistance covers transportation costs <br/>
<a id="pl.153.26"></a><var>153.26</var>incurred solely for obtaining emergency medical care or transportation costs incurred <br/>
<a id="pl.153.27"></a><var>153.27</var>by eligible persons in obtaining emergency or nonemergency medical care when paid <br/>
<a id="pl.153.28"></a><var>153.28</var>directly to an ambulance company, common carrier, or other recognized providers of <br/>
<a id="pl.153.29"></a><var>153.29</var>transportation services.<br/>
<a id="pl.153.30"></a><var>153.30</var>    (b) Medical assistance covers special transportation, as defined in Minnesota Rules, <br/>
<a id="pl.153.31"></a><var>153.31</var>part 9505.0315, subpart 1, item F, if the recipient has a physical or mental impairment that <br/>
<a id="pl.153.32"></a><var>153.32</var>would prohibit the recipient from safely accessing and using a bus, taxi, other commercial <br/>
<a id="pl.153.33"></a><var>153.33</var>transportation, or private automobile.<br/>
<a id="pl.154.1"></a><var>154.1</var>The commissioner may use an order by the recipient's attending physician to certify that <br/>
<a id="pl.154.2"></a><var>154.2</var>the recipient requires special transportation services. Special transportation includes <br/>
<a id="pl.154.3"></a><var>154.3</var>driver-assisted service to eligible individuals. Driver-assisted service includes passenger <br/>
<a id="pl.154.4"></a><var>154.4</var>pickup at and return to the individual's residence or place of business, assistance with <br/>
<a id="pl.154.5"></a><var>154.5</var>admittance of the individual to the medical facility, and assistance in passenger securement <br/>
<a id="pl.154.6"></a><var>154.6</var>or in securing of wheelchairs or stretchers in the vehicle. Special transportation providers <br/>
<a id="pl.154.7"></a><var>154.7</var>must obtain written documentation from the health care service provider who is serving <br/>
<a id="pl.154.8"></a><var>154.8</var>the recipient being transported, identifying the time that the recipient arrived. Special <br/>
<a id="pl.154.9"></a><var>154.9</var>transportation providers may not bill for separate base rates for the continuation of a trip <br/>
<a id="pl.154.10"></a><var>154.10</var>beyond the original destination. Special transportation providers must take recipients <br/>
<a id="pl.154.11"></a><var>154.11</var>to the nearest appropriate health care provider, using the most direct quickest route <br/>
<a id="pl.154.12"></a><var>154.12</var>available as determined by a commercially available mileage software program approved <br/>
<a id="pl.154.13"></a><var>154.13</var>by the commissioner. The maximum medical assistance reimbursement rates for special <br/>
<a id="pl.154.14"></a><var>154.14</var>transportation services are:<br/>
<a id="pl.154.15"></a><var>154.15</var>    (1) $17 for the base rate and $1.35 $1.43 per mile for services to eligible persons <br/>
<a id="pl.154.16"></a><var>154.16</var>who need a wheelchair-accessible van;<br/>
<a id="pl.154.17"></a><var>154.17</var>    (2) $11.50 for the base rate and $1.30 per mile for services to eligible persons who <br/>
<a id="pl.154.18"></a><var>154.18</var>do not need a wheelchair-accessible van; and<br/>
<a id="pl.154.19"></a><var>154.19</var>    (3) $60 for the base rate and $2.40 per mile, and an attendant rate of $9 per trip, for <br/>
<a id="pl.154.20"></a><var>154.20</var>services to eligible persons who need a stretcher-accessible vehicle.<br/>
<br/>
<a id="bill.3.14.0"></a><a id="pl.154.21"></a><var>154.21</var>    Sec. 14. Minnesota Statutes 2006, section 256B.0625, subdivision 18a, is amended to <br/>
<a id="pl.154.22"></a><var>154.22</var>read:<br/>
<a id="pl.154.23"></a><var>154.23</var>    Subd. 18a. <b>Access to medical services.</b> (a) Medical assistance reimbursement for <br/>
<a id="pl.154.24"></a><var>154.24</var>meals for persons traveling to receive medical care may not exceed $5.50 for breakfast, <br/>
<a id="pl.154.25"></a><var>154.25</var>$6.50 for lunch, or $8 for dinner.<br/>
<a id="pl.154.26"></a><var>154.26</var>    (b) Medical assistance reimbursement for lodging for persons traveling to receive <br/>
<a id="pl.154.27"></a><var>154.27</var>medical care may not exceed $50 per day unless prior authorized by the local agency.<br/>
<a id="pl.154.28"></a><var>154.28</var>    (c) Medical assistance direct mileage reimbursement to the an eligible person or the <br/>
<a id="pl.154.29"></a><var>154.29</var>an eligible person's driver may not exceed 20 cents per mile friend, neighbor, or relative <br/>
<a id="pl.154.30"></a><var>154.30</var>that is providing direct transportation to a covered service shall be at 15 cents below the <br/>
<a id="pl.154.31"></a><var>154.31</var>current Internal Revenue Service mileage reimbursement for business purposes.<br/>
<a id="pl.154.32"></a><var>154.32</var>    (d) Medical assistance covers oral language interpreter services when provided by <br/>
<a id="pl.154.33"></a><var>154.33</var>an enrolled health care provider during the course of providing a direct, person-to-person <br/>
<a id="pl.154.34"></a><var>154.34</var>covered health care service to an enrolled recipient with limited English proficiency.<br/>
<br/>
<a id="bill.3.15.0"></a><a id="pl.155.1"></a><var>155.1</var>    Sec. 15. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.155.2"></a><var>155.2</var>subdivision to read:<br/>
<a id="pl.155.3"></a><var>155.3</var>    Subd. 49. <b>Community health worker.</b> (a) Medical assistance covers the care <br/>
<a id="pl.155.4"></a><var>155.4</var>coordination and patient education services provided by a community health worker if <br/>
<a id="pl.155.5"></a><var>155.5</var>the community health worker has: <br/>
<a id="pl.155.6"></a><var>155.6</var>    (1) received a certificate from the Minnesota State Colleges and Universities System <br/>
<a id="pl.155.7"></a><var>155.7</var>approved community health worker curriculum; or<br/>
<a id="pl.155.8"></a><var>155.8</var>    (2) at least five years of supervised experience with an enrolled physician or <br/>
<a id="pl.155.9"></a><var>155.9</var>advanced practice registered nurse.<br/>
<a id="pl.155.10"></a><var>155.10</var>Community health workers eligible for payment under clause (2) must complete the <br/>
<a id="pl.155.11"></a><var>155.11</var>certification program by January 1, 2010, to continue to be eligible for payment.<br/>
<a id="pl.155.12"></a><var>155.12</var>    (b) Community health workers must work under the supervision of a medical <br/>
<a id="pl.155.13"></a><var>155.13</var>assistance enrolled physician or advanced practice registered nurse.<br/>
<br/>
<a id="bill.3.16.0"></a><a id="pl.155.14"></a><var>155.14</var>    Sec. 16. Minnesota Statutes 2006, section 256B.0644, is amended to read:<br/>
<a id="pl.155.15"></a><var>155.15</var><b>256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE </b><br/>
<a id="pl.155.16"></a><var>155.16</var><b>PROGRAMS.</b><br/>
<a id="pl.155.17"></a><var>155.17</var>    (a) A vendor of medical care, as defined in section 
         <statute_ref>256B.02, subdivision 7</statute_ref>, and a <br/>
<a id="pl.155.18"></a><var>155.18</var>health maintenance organization, as defined in chapter 62D, must participate as a provider <br/>
<a id="pl.155.19"></a><var>155.19</var>or contractor in the medical assistance program, general assistance medical care program, <br/>
<a id="pl.155.20"></a><var>155.20</var>and MinnesotaCare as a condition of participating as a provider in health insurance plans <br/>
<a id="pl.155.21"></a><var>155.21</var>and programs or contractor for state employees established under section 
         <statute_ref>43A.18</statute_ref>, the <br/>
<a id="pl.155.22"></a><var>155.22</var>public employees insurance program under section 
         <statute_ref>43A.316</statute_ref>, for health insurance plans <br/>
<a id="pl.155.23"></a><var>155.23</var>offered to local statutory or home rule charter city, county, and school district employees, <br/>
<a id="pl.155.24"></a><var>155.24</var>the workers' compensation system under section 
         <statute_ref>176.135</statute_ref>, and insurance plans provided <br/>
<a id="pl.155.25"></a><var>155.25</var>through the Minnesota Comprehensive Health Association under sections 
         <statute_ref>62E.01</statute_ref> to <br/>
<statute_ref><a id="pl.155.26"></a><var>155.26</var>62E.19
         </statute_ref>. The limitations on insurance plans offered to local government employees shall <br/>
<a id="pl.155.27"></a><var>155.27</var>not be applicable in geographic areas where provider participation is limited by managed <br/>
<a id="pl.155.28"></a><var>155.28</var>care contracts with the Department of Human Services. <br/>
<a id="pl.155.29"></a><var>155.29</var>    (b) For providers other than health maintenance organizations, participation in the <br/>
<a id="pl.155.30"></a><var>155.30</var>medical assistance program means that:<br/>
<a id="pl.155.31"></a><var>155.31</var>     (1) the provider accepts new medical assistance, general assistance medical care, <br/>
<a id="pl.155.32"></a><var>155.32</var>and MinnesotaCare patients or; <br/>
<a id="pl.155.33"></a><var>155.33</var>    (2) for providers other than dental service providers, at least 20 percent of the <br/>
<a id="pl.155.34"></a><var>155.34</var>provider's patients are covered by medical assistance, general assistance medical care, and <br/>
<a id="pl.155.35"></a><var>155.35</var>MinnesotaCare as their primary source of coverage, or; or <br/>
<a id="pl.156.1"></a><var>156.1</var>    (3) for dental service providers, at least ten percent of the provider's patients are <br/>
<a id="pl.156.2"></a><var>156.2</var>covered by medical assistance, general assistance medical care, and MinnesotaCare as <br/>
<a id="pl.156.3"></a><var>156.3</var>their primary source of coverage, or the provider accepts new medical assistance and <br/>
<a id="pl.156.4"></a><var>156.4</var>MinnesotaCare patients who are children with special health care needs. For purposes <br/>
<a id="pl.156.5"></a><var>156.5</var>of this section, "children with special health care needs" means children up to age 18 <br/>
<a id="pl.156.6"></a><var>156.6</var>who: (i) require health and related services beyond that required by children generally; <br/>
<a id="pl.156.7"></a><var>156.7</var>and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional <br/>
<a id="pl.156.8"></a><var>156.8</var>condition, including: bleeding and coagulation disorders; immunodeficiency disorders; <br/>
<a id="pl.156.9"></a><var>156.9</var>cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other <br/>
<a id="pl.156.10"></a><var>156.10</var>neurological diseases; visual impairment or deafness; Down syndrome and other genetic <br/>
<a id="pl.156.11"></a><var>156.11</var>disorders; autism; fetal alcohol syndrome; and other conditions designated by the <br/>
<a id="pl.156.12"></a><var>156.12</var>commissioner after consultation with representatives of pediatric dental providers and <br/>
<a id="pl.156.13"></a><var>156.13</var>consumers. <br/>
<a id="pl.156.14"></a><var>156.14</var>    (c) Patients seen on a volunteer basis by the provider at a location other than the <br/>
<a id="pl.156.15"></a><var>156.15</var>provider's usual place of practice may be considered in meeting this the participation <br/>
<a id="pl.156.16"></a><var>156.16</var>requirement in this section. The commissioner shall establish participation requirements <br/>
<a id="pl.156.17"></a><var>156.17</var>for health maintenance organizations. The commissioner shall provide lists of <br/>
<a id="pl.156.18"></a><var>156.18</var>participating medical assistance providers on a quarterly basis to the commissioner of <br/>
<a id="pl.156.19"></a><var>156.19</var>employee relations, the commissioner of labor and industry, and the commissioner of <br/>
<a id="pl.156.20"></a><var>156.20</var>commerce. Each of the commissioners shall develop and implement procedures to exclude <br/>
<a id="pl.156.21"></a><var>156.21</var>as participating providers in the program or programs under their jurisdiction those <br/>
<a id="pl.156.22"></a><var>156.22</var>providers who do not participate in the medical assistance program. The commissioner <br/>
<a id="pl.156.23"></a><var>156.23</var>of employee relations shall implement this section through contracts with participating <br/>
<a id="pl.156.24"></a><var>156.24</var>health and dental carriers. <br/>
<br/>
<a id="bill.3.17.0"></a><a id="pl.156.25"></a><var>156.25</var>    Sec. 17. <b>[256B.0751] CARE COORDINATION FOR CHILDREN WITH </b><br/>
<a id="pl.156.26"></a><var>156.26</var><b>HIGH-COST MEDICAL CONDITIONS.</b><br/>
<a id="pl.156.27"></a><var>156.27</var>    Subdivision 1. <b>Care coordination required.</b> (a) The commissioner of human <br/>
<a id="pl.156.28"></a><var>156.28</var>services shall contract with the U special kids program to provide care coordination, <br/>
<a id="pl.156.29"></a><var>156.29</var>beginning October 1, 2007, for medical assistance enrollees who are children with <br/>
<a id="pl.156.30"></a><var>156.30</var>high-cost medical conditions, and to perform the other duties specified in this section.<br/>
<a id="pl.156.31"></a><var>156.31</var>    (b) For purposes of this section, "care coordination" means collaboration with <br/>
<a id="pl.156.32"></a><var>156.32</var>primary care physicians and specialists to manage care, development of medical <br/>
<a id="pl.156.33"></a><var>156.33</var>management plans for recurrent acute illnesses, oversight and coordination of all aspects <br/>
<a id="pl.156.34"></a><var>156.34</var>of care in partnership with families, organization of medical information into a summary <br/>
<a id="pl.156.35"></a><var>156.35</var>of critical information, coordination and appropriate sequencing of tests and multiple <br/>
<a id="pl.157.1"></a><var>157.1</var>appointments, information and assistance with accessing resources, and telephone triage <br/>
<a id="pl.157.2"></a><var>157.2</var>for acute illnesses or problems.<br/>
<a id="pl.157.3"></a><var>157.3</var>    Subd. 2. <b>Referrals.</b> The commissioner shall develop a mechanism to refer <br/>
<a id="pl.157.4"></a><var>157.4</var>children to the U special kids program for care coordination. Beginning October 1, 2007, <br/>
<a id="pl.157.5"></a><var>157.5</var>and subject to the limits on total program enrollment specified in subdivision 3, the <br/>
<a id="pl.157.6"></a><var>157.6</var>commissioner shall refer to the U special kids program children who:<br/>
<a id="pl.157.7"></a><var>157.7</var>    (1) incur medical expenses that exceed the qualifying level specified in subdivision 3;<br/>
<a id="pl.157.8"></a><var>157.8</var>    (2) have medical conditions that involve four or more major systems; require <br/>
<a id="pl.157.9"></a><var>157.9</var>multiple specialists; require use of technology such as G-tube, trach, central line, or <br/>
<a id="pl.157.10"></a><var>157.10</var>oxygen; and require multiple medications;<br/>
<a id="pl.157.11"></a><var>157.11</var>    (3) do not have a medical case manager for cancer, organ transplantation, epilepsy, <br/>
<a id="pl.157.12"></a><var>157.12</var>or bone marrow replacement; and<br/>
<a id="pl.157.13"></a><var>157.13</var>    (4) voluntarily agree to participate in the program.<br/>
<a id="pl.157.14"></a><var>157.14</var>    Subd. 3. <b>Qualifying level of medical expenses.</b> (a) For the period October 1, 2007, <br/>
<a id="pl.157.15"></a><var>157.15</var>through September 30, 2008, the commissioner shall refer children for care coordination <br/>
<a id="pl.157.16"></a><var>157.16</var>under this section if they incurred medical expenses of $500,000 or more during the <br/>
<a id="pl.157.17"></a><var>157.17</var>fiscal year ending June 30, 2007.<br/>
<a id="pl.157.18"></a><var>157.18</var>    (b) For the period October 1, 2008, through September 30, 2009, the commissioner <br/>
<a id="pl.157.19"></a><var>157.19</var>shall refer children for care coordination under this section if they incurred medical <br/>
<a id="pl.157.20"></a><var>157.20</var>expenses of $400,000 or more during the fiscal year ending June 30, 2008.<br/>
<a id="pl.157.21"></a><var>157.21</var>    (c) For the period October 1, 2009, through September 30, 2010, the commissioner <br/>
<a id="pl.157.22"></a><var>157.22</var>shall refer children for care coordination under this section if they incurred medical <br/>
<a id="pl.157.23"></a><var>157.23</var>expenses of $300,000 or more during the fiscal year ending June 30, 2009.<br/>
<a id="pl.157.24"></a><var>157.24</var>    (d) Beginning October 1, 2010, the commissioner shall refer children for care <br/>
<a id="pl.157.25"></a><var>157.25</var>coordination under this section if they incurred medical expenses of $250,000 or more <br/>
<a id="pl.157.26"></a><var>157.26</var>during the previous fiscal year.<br/>
<a id="pl.157.27"></a><var>157.27</var>    (e) The commissioner shall limit referrals to the extent necessary to ensure that <br/>
<a id="pl.157.28"></a><var>157.28</var>total enrollment in the U special kids program does not exceed 100 children for the <br/>
<a id="pl.157.29"></a><var>157.29</var>period October 1, 2007, through September 30, 2008, and does not exceed 150 children <br/>
<a id="pl.157.30"></a><var>157.30</var>beginning October 1, 2008.<br/>
<a id="pl.157.31"></a><var>157.31</var>    Subd. 4. <b>Case management.</b> Beginning October 1, 2007, the U special kids <br/>
<a id="pl.157.32"></a><var>157.32</var>program shall coordinate all nonmedical case management services provided to children <br/>
<a id="pl.157.33"></a><var>157.33</var>who are required to receive care coordination under this section. The program may <br/>
<a id="pl.157.34"></a><var>157.34</var>require all nonmedical case managers, including, but not limited to, county case managers <br/>
<a id="pl.157.35"></a><var>157.35</var>and case managers for children served under a home and community-based waiver, <br/>
<a id="pl.157.36"></a><var>157.36</var>to submit care plans for approval, and to document client compliance with the care <br/>
<a id="pl.158.1"></a><var>158.1</var>plans. The U special kids program, beginning October 1, 2008, may employ or contract <br/>
<a id="pl.158.2"></a><var>158.2</var>with nonmedical case managers to provide all nonmedical case management services to <br/>
<a id="pl.158.3"></a><var>158.3</var>children required to receive care coordination under this section. The commissioner shall <br/>
<a id="pl.158.4"></a><var>158.4</var>reimburse the U special kids program for case management services through the medical <br/>
<a id="pl.158.5"></a><var>158.5</var>assistance program.<br/>
<a id="pl.158.6"></a><var>158.6</var>    Subd. 5. <b>Statewide availability of care coordination.</b> The U special kids program <br/>
<a id="pl.158.7"></a><var>158.7</var>may contract with other entities to provide care coordination services as defined in <br/>
<a id="pl.158.8"></a><var>158.8</var>subdivision 1, in order to ensure the availability of these services in all regions of the state.<br/>
<a id="pl.158.9"></a><var>158.9</var>    Subd. 6. <b>Advance practice nurse telephone triage system.</b> The U special kids <br/>
<a id="pl.158.10"></a><var>158.10</var>program shall establish and operate an advance practice nurse telephone triage system that <br/>
<a id="pl.158.11"></a><var>158.11</var>is available statewide, 24 hours a day, seven days per week. The system must provide <br/>
<a id="pl.158.12"></a><var>158.12</var>advance practice nurses with access to a Web-based information system to appropriately <br/>
<a id="pl.158.13"></a><var>158.13</var>triage medical problems, manage care, and reduce unnecessary hospitalizations.<br/>
<a id="pl.158.14"></a><var>158.14</var>    Subd. 7. <b>Monitoring and evaluation.</b> The commissioner shall monitor program <br/>
<a id="pl.158.15"></a><var>158.15</var>outcomes and evaluate the extent to which referrals to the U special kids program have <br/>
<a id="pl.158.16"></a><var>158.16</var>improved the quality and coordination of care and provided financial savings to the <br/>
<a id="pl.158.17"></a><var>158.17</var>medical assistance program. The U special kids program shall submit to the commissioner, <br/>
<a id="pl.158.18"></a><var>158.18</var>in the form and manner specified by the commissioner, all data and information necessary <br/>
<a id="pl.158.19"></a><var>158.19</var>to monitor program outcomes and evaluate the program. The commissioner shall present a <br/>
<a id="pl.158.20"></a><var>158.20</var>preliminary evaluation to the legislature by January 15, 2008, and a final evaluation to the <br/>
<a id="pl.158.21"></a><var>158.21</var>legislature by January 15, 2010.<br/>
<a id="pl.158.22"></a><var>158.22</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2007, or upon federal <br/>
<a id="pl.158.23"></a><var>158.23</var>approval, whichever is later.<br/>
<br/>
<a id="bill.3.18.0"></a><a id="pl.158.24"></a><var>158.24</var>    Sec. 18. <b>[256B.0752] CARE COORDINATION FOR CHILDREN WITH </b><br/>
<a id="pl.158.25"></a><var>158.25</var><b>HIGH-COST MENTAL HEALTH CONDITIONS.</b><br/>
<a id="pl.158.26"></a><var>158.26</var>    Subdivision 1. <b>Care coordination required.</b> (a) The commissioner of human <br/>
<a id="pl.158.27"></a><var>158.27</var>services shall contract with the U special kids program to provide care coordination, <br/>
<a id="pl.158.28"></a><var>158.28</var>beginning October 1, 2007, for medical assistance enrollees who are children with <br/>
<a id="pl.158.29"></a><var>158.29</var>high-cost mental health conditions and behavioral problems, and to perform the other <br/>
<a id="pl.158.30"></a><var>158.30</var>duties specified in this section.<br/>
<a id="pl.158.31"></a><var>158.31</var>    (b) For purposes of this section, "care coordination" means: collaboration with <br/>
<a id="pl.158.32"></a><var>158.32</var>primary care physicians and specialists to manage care; development of mental health <br/>
<a id="pl.158.33"></a><var>158.33</var>management plans for recurrent mental health issues; oversight and coordination of all <br/>
<a id="pl.158.34"></a><var>158.34</var>aspects of care in partnership with families; organization of medical, treatment, and <br/>
<a id="pl.158.35"></a><var>158.35</var>therapy information into a summary of critical information; coordination and appropriate <br/>
<a id="pl.159.1"></a><var>159.1</var>sequencing of evaluations and multiple appointments; information and assistance with <br/>
<a id="pl.159.2"></a><var>159.2</var>accessing resources; and telephone triage for behavior or other problems.<br/>
<a id="pl.159.3"></a><var>159.3</var>    Subd. 2. <b>Referrals.</b> The commissioner shall develop a mechanism to refer children <br/>
<a id="pl.159.4"></a><var>159.4</var>to the program for care coordination. Beginning October 1, 2007, and subject to the limits <br/>
<a id="pl.159.5"></a><var>159.5</var>on total program enrollment specified in subdivision 3, the commissioner shall refer to <br/>
<a id="pl.159.6"></a><var>159.6</var>the U special kids program children who:<br/>
<a id="pl.159.7"></a><var>159.7</var>    (1) incur mental health expenses that exceed the qualifying level specified in <br/>
<a id="pl.159.8"></a><var>159.8</var>subdivision 3;<br/>
<a id="pl.159.9"></a><var>159.9</var>    (2) are currently receiving or at risk of needing inpatient mental health treatment, <br/>
<a id="pl.159.10"></a><var>159.10</var>foster home care, or both; and<br/>
<a id="pl.159.11"></a><var>159.11</var>    (3) voluntarily agree to participate in the program.<br/>
<a id="pl.159.12"></a><var>159.12</var>    Subd. 3. <b>Qualifying level of medical expenses.</b> (a) Beginning October 1, 2007, the <br/>
<a id="pl.159.13"></a><var>159.13</var>commissioner shall refer children for care coordination under this section if they incurred <br/>
<a id="pl.159.14"></a><var>159.14</var>medical and mental health expenses of $250,000 or more in the previous fiscal year.<br/>
<a id="pl.159.15"></a><var>159.15</var>    (b) The commissioner shall limit referrals to the extent necessary to ensure that total <br/>
<a id="pl.159.16"></a><var>159.16</var>enrollment in the U special kids program does not exceed 25 children for the period <br/>
<a id="pl.159.17"></a><var>159.17</var>October 1, 2007, through September 30, 2008; does not exceed 75 children for the <br/>
<a id="pl.159.18"></a><var>159.18</var>period October 1, 2008, through September 30, 2009; and does not exceed 125 children <br/>
<a id="pl.159.19"></a><var>159.19</var>beginning October 1, 2009.<br/>
<a id="pl.159.20"></a><var>159.20</var>    Subd. 4. <b>Case management.</b> The U special kids program, beginning October 1, <br/>
<a id="pl.159.21"></a><var>159.21</var>2007, shall coordinate all nonmedical case management services provided to children who <br/>
<a id="pl.159.22"></a><var>159.22</var>are required to receive care coordination under this section. The program may require all <br/>
<a id="pl.159.23"></a><var>159.23</var>nonmedical case managers, including but not limited to county case managers and case <br/>
<a id="pl.159.24"></a><var>159.24</var>managers for children served under a home and community-based waiver, to submit care <br/>
<a id="pl.159.25"></a><var>159.25</var>plans for approval, and to document client compliance with the care plans. The U special <br/>
<a id="pl.159.26"></a><var>159.26</var>kids program, beginning October 1, 2008, may employ or contract with nonmedical case <br/>
<a id="pl.159.27"></a><var>159.27</var>managers to provide all nonmedical case management services to children required to <br/>
<a id="pl.159.28"></a><var>159.28</var>receive care coordination under this section. The commissioner shall reimburse the <br/>
<a id="pl.159.29"></a><var>159.29</var>U special kids program for case management services through the medical assistance <br/>
<a id="pl.159.30"></a><var>159.30</var>program.<br/>
<a id="pl.159.31"></a><var>159.31</var>    Subd. 5. <b>Statewide availability of care coordination.</b> The program may contract <br/>
<a id="pl.159.32"></a><var>159.32</var>with other entities to provide care coordination services as defined in subdivision 1, in <br/>
<a id="pl.159.33"></a><var>159.33</var>order to ensure the availability of these services in all regions of the state.<br/>
<a id="pl.159.34"></a><var>159.34</var>    Subd. 6. <b>Monitoring and evaluation.</b> The commissioner shall monitor program <br/>
<a id="pl.159.35"></a><var>159.35</var>outcomes and shall evaluate the extent to which referrals to the U special kids program <br/>
<a id="pl.159.36"></a><var>159.36</var>have improved the quality and coordination of care and provided financial savings to the <br/>
<a id="pl.160.1"></a><var>160.1</var>medical assistance program. The U special kids program shall submit to the commissioner, <br/>
<a id="pl.160.2"></a><var>160.2</var>in the form and manner specified by the commissioner, all data and information necessary <br/>
<a id="pl.160.3"></a><var>160.3</var>to monitor program outcomes and evaluate the program. The commissioner shall present a <br/>
<a id="pl.160.4"></a><var>160.4</var>preliminary evaluation to the legislature by January 15, 2008, and a final evaluation to the <br/>
<a id="pl.160.5"></a><var>160.5</var>legislature by January 15, 2010.<br/>
<a id="pl.160.6"></a><var>160.6</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2007, or upon federal <br/>
<a id="pl.160.7"></a><var>160.7</var>approval, whichever is later. The commissioner shall notify the Office of the Revisor of <br/>
<a id="pl.160.8"></a><var>160.8</var>Statutes when federal approval is obtained.<br/>
<br/>
<a id="bill.3.19.0"></a><a id="pl.160.9"></a><var>160.9</var>    Sec. 19. <b>[256B.194] FEDERAL PAYMENTS.</b><br/>
<a id="pl.160.10"></a><var>160.10</var>    Subdivision 1. <b>Payments at actual cost.</b> If the Centers for Medicare &amp; Medicaid <br/>
<a id="pl.160.11"></a><var>160.11</var>Services (CMS) promulgates a final rule consistent with its stated intent in the proposed <br/>
<a id="pl.160.12"></a><var>160.12</var>rule published at 72 Federal Register, No. 11, January 18, 2007, regarding limiting <br/>
<a id="pl.160.13"></a><var>160.13</var>payments to units of government, and notwithstanding Minnesota Statutes or Minnesota <br/>
<a id="pl.160.14"></a><var>160.14</var>Rules to the contrary, for providers that are units of government, the commissioner may <br/>
<a id="pl.160.15"></a><var>160.15</var>limit medical assistance and MinnesotaCare payments to a provider's actual cost of <br/>
<a id="pl.160.16"></a><var>160.16</var>providing services, in accordance with the CMS final rule. If a final rule is promulgated, <br/>
<a id="pl.160.17"></a><var>160.17</var>the commissioner may also require medical assistance and MinnesotaCare providers to <br/>
<a id="pl.160.18"></a><var>160.18</var>provide any information necessary to determine Medicaid-related costs, and require the <br/>
<a id="pl.160.19"></a><var>160.19</var>cooperation of providers in any audit or review necessary to ensure payments are limited <br/>
<a id="pl.160.20"></a><var>160.20</var>to cost. This section does not apply to providers who are exempt from the provisions of <br/>
<a id="pl.160.21"></a><var>160.21</var>the CMS final rule.<br/>
<a id="pl.160.22"></a><var>160.22</var>    Subd. 2. <b>Loss of federal financial participation.</b> For all transfers, certified <br/>
<a id="pl.160.23"></a><var>160.23</var>expenditures, and medical assistance payments listed below, if the commissioner <br/>
<a id="pl.160.24"></a><var>160.24</var>determines that federal financial participation is no longer available for the medical <br/>
<a id="pl.160.25"></a><var>160.25</var>assistance payments listed, then related obligations for the nonfederal share of payments <br/>
<a id="pl.160.26"></a><var>160.26</var>and the medical assistance payments shall terminate. The commissioner shall notify all <br/>
<a id="pl.160.27"></a><var>160.27</var>affected parties of the loss of federal financial participation, and the resulting payments <br/>
<a id="pl.160.28"></a><var>160.28</var>and obligations that are terminated. If the commissioner determines that federal financial <br/>
<a id="pl.160.29"></a><var>160.29</var>participation is no longer available for any medical assistance payments or contributions <br/>
<a id="pl.160.30"></a><var>160.30</var>to the nonfederal share of medical assistance payments that have already been made, the <br/>
<a id="pl.160.31"></a><var>160.31</var>commissioner may collect the medical assistance payments from providers and return <br/>
<a id="pl.160.32"></a><var>160.32</var>contributions of the nonfederal share to its source. The transfers, certified expenditures, <br/>
<a id="pl.160.33"></a><var>160.33</var>and medical assistance payments subject to this section are those specified in: sections <br/>
<a id="pl.160.34"></a><var>160.34</var>62J.692, subdivision 7, paragraphs (b) and (c); 256B.19, subdivisions 1c and 1d; <br/>
<a id="pl.160.35"></a><var>160.35</var>256B.195; 256B.431, subdivision 23; and 256B.69, subdivision 5c, paragraph (a), clauses <br/>
<a id="pl.161.1"></a><var>161.1</var>(2), (3), and (4); Laws 2002, chapter 220, article 17, section 2, subdivision 3; and Laws <br/>
<a id="pl.161.2"></a><var>161.2</var>2005, First Special Session chapter 4, article 9, section 2, subdivision 1.<br/>
<br/>
<a id="bill.3.20.0"></a><a id="pl.161.3"></a><var>161.3</var>    Sec. 20. Minnesota Statutes 2006, section 256B.199, is amended to read:<br/>
<a id="pl.161.4"></a><var>161.4</var><b>256B.199 PAYMENTS REPORTED BY GOVERNMENTAL ENTITIES.</b><br/>
<a id="pl.161.5"></a><var>161.5</var>    (a) Hennepin County, and Hennepin County Medical Center, Ramsey County, <br/>
<a id="pl.161.6"></a><var>161.6</var>Regions Hospital, the University of Minnesota, and Fairview-University Medical Center <br/>
<a id="pl.161.7"></a><var>161.7</var>shall report quarterly to the commissioner beginning June 1, 2007, payments made during <br/>
<a id="pl.161.8"></a><var>161.8</var>the second previous quarter that may qualify for reimbursement under federal law.<br/>
<a id="pl.161.9"></a><var>161.9</var>    (b) Based on these reports, the commissioner shall apply for federal matching funds. <br/>
<a id="pl.161.10"></a><var>161.10</var>These funds are appropriated to the commissioner for the payments under section 
<statute_ref>256.969, <br/>
<a id="pl.161.11"></a><var>161.11</var>subdivision 27
</statute_ref> to Hennepin County Medical Center.<br/>
<a id="pl.161.12"></a><var>161.12</var>    (c) By May 1 of each year, beginning May 1, 2007, the commissioner shall inform <br/>
<a id="pl.161.13"></a><var>161.13</var>the nonstate entities listed in paragraph (a) of the amount of federal disproportionate share <br/>
<a id="pl.161.14"></a><var>161.14</var>hospital payment money expected to be available in the current federal fiscal year.<br/>
<a id="pl.161.15"></a><var>161.15</var>    (d) This section sunsets on June 30, 2009. The commissioner shall report to <br/>
<a id="pl.161.16"></a><var>161.16</var>the legislature by December 15, 2008, with recommendations for maximizing federal <br/>
<a id="pl.161.17"></a><var>161.17</var>disproportionate share hospital payments after June 30, 2009.<br/>
<br/>
<a id="bill.3.21.0"></a><a id="pl.161.18"></a><var>161.18</var>    Sec. 21. Minnesota Statutes 2006, section 256B.75, is amended to read:<br/>
<a id="pl.161.19"></a><var>161.19</var><b>256B.75 HOSPITAL OUTPATIENT REIMBURSEMENT.</b><br/>
<a id="pl.161.20"></a><var>161.20</var>    (a) For outpatient hospital facility fee payments for services rendered on or after <br/>
<a id="pl.161.21"></a><var>161.21</var>October 1, 1992, the commissioner of human services shall pay the lower of (1) submitted <br/>
<a id="pl.161.22"></a><var>161.22</var>charge, or (2) 32 percent above the rate in effect on June 30, 1992, except for those <br/>
<a id="pl.161.23"></a><var>161.23</var>services for which there is a federal maximum allowable payment. Effective for services <br/>
<a id="pl.161.24"></a><var>161.24</var>rendered on or after January 1, 2000, payment rates for nonsurgical outpatient hospital <br/>
<a id="pl.161.25"></a><var>161.25</var>facility fees and emergency room facility fees shall be increased by eight percent over the <br/>
<a id="pl.161.26"></a><var>161.26</var>rates in effect on December 31, 1999, except for those services for which there is a federal <br/>
<a id="pl.161.27"></a><var>161.27</var>maximum allowable payment. Services for which there is a federal maximum allowable <br/>
<a id="pl.161.28"></a><var>161.28</var>payment shall be paid at the lower of (1) submitted charge, or (2) the federal maximum <br/>
<a id="pl.161.29"></a><var>161.29</var>allowable payment. Total aggregate payment for outpatient hospital facility fee services <br/>
<a id="pl.161.30"></a><var>161.30</var>shall not exceed the Medicare upper limit. If it is determined that a provision of this <br/>
<a id="pl.161.31"></a><var>161.31</var>section conflicts with existing or future requirements of the United States government with <br/>
<a id="pl.161.32"></a><var>161.32</var>respect to federal financial participation in medical assistance, the federal requirements <br/>
<a id="pl.161.33"></a><var>161.33</var>prevail. The commissioner may, in the aggregate, prospectively reduce payment rates to <br/>
<a id="pl.162.1"></a><var>162.1</var>avoid reduced federal financial participation resulting from rates that are in excess of <br/>
<a id="pl.162.2"></a><var>162.2</var>the Medicare upper limitations.<br/>
<a id="pl.162.3"></a><var>162.3</var>    (b) Notwithstanding paragraph (a), payment for outpatient, emergency, and <br/>
<a id="pl.162.4"></a><var>162.4</var>ambulatory surgery hospital facility fee services for critical access hospitals designated <br/>
<a id="pl.162.5"></a><var>162.5</var>under section 
         <statute_ref>144.1483</statute_ref>, clause (10), shall be paid on a cost-based payment system that <br/>
<a id="pl.162.6"></a><var>162.6</var>is based on the cost-finding methods and allowable costs of the Medicare program. All <br/>
<a id="pl.162.7"></a><var>162.7</var>hospital outpatient services provided by any hospital exclusively devoted to the care of <br/>
<a id="pl.162.8"></a><var>162.8</var>pediatric patients under age 21 that is located in a Minnesota metropolitan statistical area <br/>
<a id="pl.162.9"></a><var>162.9</var>must be paid for using the methodology established for critical access hospitals at a rate <br/>
<a id="pl.162.10"></a><var>162.10</var>equal to fee-for-service rates plus 46 percent, as limited by allowable costs.<br/>
<a id="pl.162.11"></a><var>162.11</var>    (c) Effective for services provided on or after July 1, 2003, rates that are based <br/>
<a id="pl.162.12"></a><var>162.12</var>on the Medicare outpatient prospective payment system shall be replaced by a budget <br/>
<a id="pl.162.13"></a><var>162.13</var>neutral prospective payment system that is derived using medical assistance data. The <br/>
<a id="pl.162.14"></a><var>162.14</var>commissioner shall provide a proposal to the 2003 legislature to define and implement <br/>
<a id="pl.162.15"></a><var>162.15</var>this provision.<br/>
<a id="pl.162.16"></a><var>162.16</var>    (d) For fee-for-service services provided on or after July 1, 2002, the total payment, <br/>
<a id="pl.162.17"></a><var>162.17</var>before third-party liability and spenddown, made to hospitals for outpatient hospital <br/>
<a id="pl.162.18"></a><var>162.18</var>facility services is reduced by .5 percent from the current statutory rate.<br/>
<a id="pl.162.19"></a><var>162.19</var>    (e) In addition to the reduction in paragraph (d), the total payment for fee-for-service <br/>
<a id="pl.162.20"></a><var>162.20</var>services provided on or after July 1, 2003, made to hospitals for outpatient hospital <br/>
<a id="pl.162.21"></a><var>162.21</var>facility services before third-party liability and spenddown, is reduced five percent from <br/>
<a id="pl.162.22"></a><var>162.22</var>the current statutory rates. Facilities defined under section 
         <statute_ref>256.969, subdivision 16</statute_ref>, are <br/>
<a id="pl.162.23"></a><var>162.23</var>excluded from this paragraph.<br/>
<a id="pl.162.24"></a><var>162.24</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007, and applies to services <br/>
<a id="pl.162.25"></a><var>162.25</var>provided on or after that date.<br/>
<br/>
<a id="bill.3.22.0"></a><a id="pl.162.26"></a><var>162.26</var>    Sec. 22. Minnesota Statutes 2006, section 256B.76, is amended to read:<br/>
<a id="pl.162.27"></a><var>162.27</var><b>256B.76 PHYSICIAN AND DENTAL REIMBURSEMENT.</b><br/>
<a id="pl.162.28"></a><var>162.28</var>    (a) Effective for services rendered on or after October 1, 1992, the commissioner <br/>
<a id="pl.162.29"></a><var>162.29</var>shall make payments for physician services as follows:<br/>
<a id="pl.162.30"></a><var>162.30</var>    (1) payment for level one Centers for Medicare and Medicaid Services' common <br/>
<a id="pl.162.31"></a><var>162.31</var>procedural coding system codes titled "office and other outpatient services," "preventive <br/>
<a id="pl.162.32"></a><var>162.32</var>medicine new and established patient," "delivery, antepartum, and postpartum care," <br/>
<a id="pl.162.33"></a><var>162.33</var>"critical care," cesarean delivery and pharmacologic management provided to psychiatric <br/>
<a id="pl.162.34"></a><var>162.34</var>patients, and level three codes for enhanced services for prenatal high risk, shall be paid <br/>
<a id="pl.163.1"></a><var>163.1</var>at the lower of (i) submitted charges, or (ii) 25 percent above the rate in effect on June <br/>
<a id="pl.163.2"></a><var>163.2</var>30, 1992. If the rate on any procedure code within these categories is different than the <br/>
<a id="pl.163.3"></a><var>163.3</var>rate that would have been paid under the methodology in section 
         <statute_ref>256B.74, subdivision 2</statute_ref>, <br/>
<a id="pl.163.4"></a><var>163.4</var>then the larger rate shall be paid; <br/>
<a id="pl.163.5"></a><var>163.5</var>    (2) payments for all other services shall be paid at the lower of (i) submitted charges, <br/>
<a id="pl.163.6"></a><var>163.6</var>or (ii) 15.4 percent above the rate in effect on June 30, 1992;<br/>
<a id="pl.163.7"></a><var>163.7</var>    (3) all physician rates shall be converted from the 50th percentile of 1982 to the 50th <br/>
<a id="pl.163.8"></a><var>163.8</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases <br/>
<a id="pl.163.9"></a><var>163.9</var>except that payment rates for home health agency services shall be the rates in effect <br/>
<a id="pl.163.10"></a><var>163.10</var>on September 30, 1992;<br/>
<a id="pl.163.11"></a><var>163.11</var>    (4) effective for services rendered on or after January 1, 2000, payment rates for <br/>
<a id="pl.163.12"></a><var>163.12</var>physician and professional services shall be increased by three percent over the rates in <br/>
<a id="pl.163.13"></a><var>163.13</var>effect on December 31, 1999, except for home health agency and family planning agency <br/>
<a id="pl.163.14"></a><var>163.14</var>services; and<br/>
<a id="pl.163.15"></a><var>163.15</var>    (5) the increases in clause (4) shall be implemented January 1, 2000, for managed <br/>
<a id="pl.163.16"></a><var>163.16</var>care.<br/>
<a id="pl.163.17"></a><var>163.17</var>    (b) Effective for services rendered on or after October 1, 1992, the commissioner <br/>
<a id="pl.163.18"></a><var>163.18</var>shall make payments for dental services as follows:<br/>
<a id="pl.163.19"></a><var>163.19</var>    (1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25 <br/>
<a id="pl.163.20"></a><var>163.20</var>percent above the rate in effect on June 30, 1992;<br/>
<a id="pl.163.21"></a><var>163.21</var>    (2) dental rates shall be converted from the 50th percentile of 1982 to the 50th <br/>
<a id="pl.163.22"></a><var>163.22</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases;<br/>
<a id="pl.163.23"></a><var>163.23</var>    (3) effective for services rendered on or after January 1, 2000, payment rates for <br/>
<a id="pl.163.24"></a><var>163.24</var>dental services shall be increased by three percent over the rates in effect on December <br/>
<a id="pl.163.25"></a><var>163.25</var>31, 1999;<br/>
<a id="pl.163.26"></a><var>163.26</var>    (4) the commissioner shall award grants to community clinics or other nonprofit <br/>
<a id="pl.163.27"></a><var>163.27</var>community organizations, political subdivisions, professional associations, or other <br/>
<a id="pl.163.28"></a><var>163.28</var>organizations that demonstrate the ability to provide dental services effectively to public <br/>
<a id="pl.163.29"></a><var>163.29</var>program recipients. Grants may be used to fund the costs related to coordinating access for <br/>
<a id="pl.163.30"></a><var>163.30</var>recipients, developing and implementing patient care criteria, upgrading or establishing <br/>
<a id="pl.163.31"></a><var>163.31</var>new facilities, acquiring furnishings or equipment, recruiting new providers, or other <br/>
<a id="pl.163.32"></a><var>163.32</var>development costs that will improve access to dental care in a region. In awarding grants, <br/>
<a id="pl.163.33"></a><var>163.33</var>the commissioner shall give priority to applicants that plan to serve areas of the state in <br/>
<a id="pl.163.34"></a><var>163.34</var>which the number of dental providers is not currently sufficient to meet the needs of <br/>
<a id="pl.163.35"></a><var>163.35</var>recipients of public programs or uninsured individuals. The commissioner shall consider <br/>
<a id="pl.163.36"></a><var>163.36</var>the following in awarding the grants:<br/>
<a id="pl.164.1"></a><var>164.1</var>    (i) potential to successfully increase access to an underserved population;<br/>
<a id="pl.164.2"></a><var>164.2</var>    (ii) the ability to raise matching funds;<br/>
<a id="pl.164.3"></a><var>164.3</var>    (iii) the long-term viability of the project to improve access beyond the period <br/>
<a id="pl.164.4"></a><var>164.4</var>of initial funding;<br/>
<a id="pl.164.5"></a><var>164.5</var>    (iv) the efficiency in the use of the funding; and<br/>
<a id="pl.164.6"></a><var>164.6</var>    (v) the experience of the proposers in providing services to the target population.<br/>
<a id="pl.164.7"></a><var>164.7</var>    The commissioner shall monitor the grants and may terminate a grant if the grantee <br/>
<a id="pl.164.8"></a><var>164.8</var>does not increase dental access for public program recipients. The commissioner shall <br/>
<a id="pl.164.9"></a><var>164.9</var>consider grants for the following:<br/>
<a id="pl.164.10"></a><var>164.10</var>    (i) implementation of new programs or continued expansion of current access <br/>
<a id="pl.164.11"></a><var>164.11</var>programs that have demonstrated success in providing dental services in underserved <br/>
<a id="pl.164.12"></a><var>164.12</var>areas;<br/>
<a id="pl.164.13"></a><var>164.13</var>    (ii) a pilot program for utilizing hygienists outside of a traditional dental office to <br/>
<a id="pl.164.14"></a><var>164.14</var>provide dental hygiene services; and<br/>
<a id="pl.164.15"></a><var>164.15</var>    (iii) a program that organizes a network of volunteer dentists, establishes a system to <br/>
<a id="pl.164.16"></a><var>164.16</var>refer eligible individuals to volunteer dentists, and through that network provides donated <br/>
<a id="pl.164.17"></a><var>164.17</var>dental care services to public program recipients or uninsured individuals;<br/>
<a id="pl.164.18"></a><var>164.18</var>    (5) beginning October 1, 1999, the payment for tooth sealants and fluoride treatments <br/>
<a id="pl.164.19"></a><var>164.19</var>shall be the lower of (i) submitted charge, or (ii) 80 percent of median 1997 charges;<br/>
<a id="pl.164.20"></a><var>164.20</var>    (6) the increases listed in clauses (3) and (5) shall be implemented January 1, 2000, <br/>
<a id="pl.164.21"></a><var>164.21</var>for managed care; and<br/>
<a id="pl.164.22"></a><var>164.22</var>    (7) effective for services provided on or after January 1, 2002, payment for <br/>
<a id="pl.164.23"></a><var>164.23</var>diagnostic examinations and dental x-rays provided to children under age 21 shall be the <br/>
<a id="pl.164.24"></a><var>164.24</var>lower of (i) the submitted charge, or (ii) 85 percent of median 1999 charges.<br/>
<a id="pl.164.25"></a><var>164.25</var>    (c) Effective for dental services rendered on or after January 1, 2002, the <br/>
<a id="pl.164.26"></a><var>164.26</var>commissioner may, within the limits of available appropriation, increase reimbursements <br/>
<a id="pl.164.27"></a><var>164.27</var>to dentists and dental clinics deemed by the commissioner to be critical access dental <br/>
<a id="pl.164.28"></a><var>164.28</var>providers. Reimbursement to a critical access dental provider may be increased by not <br/>
<a id="pl.164.29"></a><var>164.29</var>more than 50 percent above the reimbursement rate that would otherwise be paid to the <br/>
<a id="pl.164.30"></a><var>164.30</var>provider. Payments to For dental services rendered after June 30, 2007, the commissioner <br/>
<a id="pl.164.31"></a><var>164.31</var>shall increase reimbursement by 33 percent above the reimbursement rate that would <br/>
<a id="pl.164.32"></a><var>164.32</var>otherwise be paid to the provider. The commissioner shall pay the health plan companies <br/>
<a id="pl.164.33"></a><var>164.33</var>shall be adjusted in amounts sufficient to reflect increased reimbursements to critical <br/>
<a id="pl.164.34"></a><var>164.34</var>access dental providers as approved by the commissioner. In determining which dentists <br/>
<a id="pl.164.35"></a><var>164.35</var>and dental clinics shall be deemed critical access dental providers, the commissioner <br/>
<a id="pl.164.36"></a><var>164.36</var>shall review:<br/>
<a id="pl.165.1"></a><var>165.1</var>    (1) the utilization rate in the service area in which the dentist or dental clinic operates <br/>
<a id="pl.165.2"></a><var>165.2</var>for dental services to patients covered by medical assistance, general assistance medical <br/>
<a id="pl.165.3"></a><var>165.3</var>care, or MinnesotaCare as their primary source of coverage;<br/>
<a id="pl.165.4"></a><var>165.4</var>    (2) the level of services provided by the dentist or dental clinic to patients covered <br/>
<a id="pl.165.5"></a><var>165.5</var>by medical assistance, general assistance medical care, or MinnesotaCare as their primary <br/>
<a id="pl.165.6"></a><var>165.6</var>source of coverage; and<br/>
<a id="pl.165.7"></a><var>165.7</var>    (3) whether the level of services provided by the dentist or dental clinic is critical to <br/>
<a id="pl.165.8"></a><var>165.8</var>maintaining adequate levels of patient access within the service area.<br/>
<a id="pl.165.9"></a><var>165.9</var>In the absence of a critical access dental provider in a service area, the commissioner may <br/>
<a id="pl.165.10"></a><var>165.10</var>designate a dentist or dental clinic as a critical access dental provider if the dentist or <br/>
<a id="pl.165.11"></a><var>165.11</var>dental clinic is willing to provide care to patients covered by medical assistance, general <br/>
<a id="pl.165.12"></a><var>165.12</var>assistance medical care, or MinnesotaCare at a level which significantly increases access <br/>
<a id="pl.165.13"></a><var>165.13</var>to dental care in the service area.<br/>
<a id="pl.165.14"></a><var>165.14</var>    The commissioner shall annually establish a reimbursement schedule for critical <br/>
<a id="pl.165.15"></a><var>165.15</var>access dental providers and provider-specific limits on total reimbursement received <br/>
<a id="pl.165.16"></a><var>165.16</var>under the reimbursement schedule, and shall notify each critical access dental provider <br/>
<a id="pl.165.17"></a><var>165.17</var>of the schedule and limit.<br/>
<a id="pl.165.18"></a><var>165.18</var>    (d) An entity that operates both a Medicare certified comprehensive outpatient <br/>
<a id="pl.165.19"></a><var>165.19</var>rehabilitation facility and a facility which was certified prior to January 1, 1993, that is <br/>
<a id="pl.165.20"></a><var>165.20</var>licensed under Minnesota Rules, parts 
         <statute_ref>9570.2000</statute_ref> to 
         <statute_ref>9570.3600</statute_ref>, and for whom at least 33 <br/>
<a id="pl.165.21"></a><var>165.21</var>percent of the clients receiving rehabilitation services in the most recent calendar year are <br/>
<a id="pl.165.22"></a><var>165.22</var>medical assistance recipients, shall be reimbursed by the commissioner for rehabilitation <br/>
<a id="pl.165.23"></a><var>165.23</var>services at rates that are 38 percent greater than the maximum reimbursement rate <br/>
<a id="pl.165.24"></a><var>165.24</var>allowed under paragraph (a), clause (2), when those services are (1) provided within the <br/>
<a id="pl.165.25"></a><var>165.25</var>comprehensive outpatient rehabilitation facility and (2) provided to residents of nursing <br/>
<a id="pl.165.26"></a><var>165.26</var>facilities owned by the entity.<br/>
<a id="pl.165.27"></a><var>165.27</var>    (e) Effective for services rendered on or after January 1, 2007, the commissioner <br/>
<a id="pl.165.28"></a><var>165.28</var>shall make payments for physician and professional services based on the Medicare <br/>
<a id="pl.165.29"></a><var>165.29</var>relative value units (RVU's). This change shall be budget neutral and the cost of <br/>
<a id="pl.165.30"></a><var>165.30</var>implementing RVU's will be incorporated in the established conversion factor.<br/>
<br/>
<a id="bill.3.23.0"></a><a id="pl.165.31"></a><var>165.31</var>    Sec. 23. Minnesota Statutes 2006, section 256D.03, subdivision 4, is amended to read:<br/>
<a id="pl.165.32"></a><var>165.32</var>    Subd. 4. <b>General assistance medical care; services.</b> (a)(i) For a person who is <br/>
<a id="pl.165.33"></a><var>165.33</var>eligible under subdivision 3, paragraph (a), clause (2), item (i), general assistance medical <br/>
<a id="pl.165.34"></a><var>165.34</var>care covers, except as provided in paragraph (c):<br/>
<a id="pl.165.35"></a><var>165.35</var>    (1) inpatient hospital services;<br/>
<a id="pl.166.1"></a><var>166.1</var>    (2) outpatient hospital services;<br/>
<a id="pl.166.2"></a><var>166.2</var>    (3) services provided by Medicare certified rehabilitation agencies;<br/>
<a id="pl.166.3"></a><var>166.3</var>    (4) prescription drugs and other products recommended through the process <br/>
<a id="pl.166.4"></a><var>166.4</var>established in section 
         <statute_ref>256B.0625, subdivision 13</statute_ref>;<br/>
<a id="pl.166.5"></a><var>166.5</var>    (5) equipment necessary to administer insulin and diagnostic supplies and equipment <br/>
<a id="pl.166.6"></a><var>166.6</var>for diabetics to monitor blood sugar level;<br/>
<a id="pl.166.7"></a><var>166.7</var>    (6) eyeglasses and eye examinations provided by a physician or optometrist;<br/>
<a id="pl.166.8"></a><var>166.8</var>    (7) hearing aids;<br/>
<a id="pl.166.9"></a><var>166.9</var>    (8) prosthetic devices;<br/>
<a id="pl.166.10"></a><var>166.10</var>    (9) laboratory and X-ray services;<br/>
<a id="pl.166.11"></a><var>166.11</var>    (10) physician's services;<br/>
<a id="pl.166.12"></a><var>166.12</var>    (11) medical transportation except special transportation;<br/>
<a id="pl.166.13"></a><var>166.13</var>    (12) chiropractic services as covered under the medical assistance program;<br/>
<a id="pl.166.14"></a><var>166.14</var>    (13) podiatric services;<br/>
<a id="pl.166.15"></a><var>166.15</var>    (14) dental services as covered under the medical assistance program;<br/>
<a id="pl.166.16"></a><var>166.16</var>    (15) outpatient services provided by a mental health center or clinic that is under <br/>
<a id="pl.166.17"></a><var>166.17</var>contract with the county board and is established under section 
         <statute_ref>245.62</statute_ref>;<br/>
<a id="pl.166.18"></a><var>166.18</var>    (16) day treatment services for mental illness provided under contract with the <br/>
<a id="pl.166.19"></a><var>166.19</var>county board;<br/>
<a id="pl.166.20"></a><var>166.20</var>    (17) prescribed medications for persons who have been diagnosed as mentally ill as <br/>
<a id="pl.166.21"></a><var>166.21</var>necessary to prevent more restrictive institutionalization;<br/>
<a id="pl.166.22"></a><var>166.22</var>    (18) psychological services, medical supplies and equipment, and Medicare <br/>
<a id="pl.166.23"></a><var>166.23</var>premiums, coinsurance and deductible payments;<br/>
<a id="pl.166.24"></a><var>166.24</var>    (19) medical equipment not specifically listed in this paragraph when the use of <br/>
<a id="pl.166.25"></a><var>166.25</var>the equipment will prevent the need for costlier services that are reimbursable under <br/>
<a id="pl.166.26"></a><var>166.26</var>this subdivision;<br/>
<a id="pl.166.27"></a><var>166.27</var>    (20) services performed by a certified pediatric nurse practitioner, a certified family <br/>
<a id="pl.166.28"></a><var>166.28</var>nurse practitioner, a certified adult nurse practitioner, a certified obstetric/gynecological <br/>
<a id="pl.166.29"></a><var>166.29</var>nurse practitioner, a certified neonatal nurse practitioner, or a certified geriatric nurse <br/>
<a id="pl.166.30"></a><var>166.30</var>practitioner in independent practice, if (1) the service is otherwise covered under this <br/>
<a id="pl.166.31"></a><var>166.31</var>chapter as a physician service, (2) the service provided on an inpatient basis is not included <br/>
<a id="pl.166.32"></a><var>166.32</var>as part of the cost for inpatient services included in the operating payment rate, and (3) the <br/>
<a id="pl.166.33"></a><var>166.33</var>service is within the scope of practice of the nurse practitioner's license as a registered <br/>
<a id="pl.166.34"></a><var>166.34</var>nurse, as defined in section 
         <statute_ref>148.171</statute_ref>;<br/>
<a id="pl.166.35"></a><var>166.35</var>    (21) services of a certified public health nurse or a registered nurse practicing in <br/>
<a id="pl.166.36"></a><var>166.36</var>a public health nursing clinic that is a department of, or that operates under the direct <br/>
<a id="pl.167.1"></a><var>167.1</var>authority of, a unit of government, if the service is within the scope of practice of the <br/>
<a id="pl.167.2"></a><var>167.2</var>public health nurse's license as a registered nurse, as defined in section 
         <statute_ref>148.171</statute_ref>;<br/>
<a id="pl.167.3"></a><var>167.3</var>    (22) telemedicine consultations, to the extent they are covered under section <br/>
<statute_ref><a id="pl.167.4"></a><var>167.4</var>256B.0625, subdivision 3b
         </statute_ref>; and<br/>
<a id="pl.167.5"></a><var>167.5</var>    (23) mental health telemedicine and psychiatric consultation as covered under <br/>
<a id="pl.167.6"></a><var>167.6</var>section 
         <statute_ref>256B.0625, subdivisions 46 and 48</statute_ref>.;<br/>
<a id="pl.167.7"></a><var>167.7</var>    (24) care coordination and patient education services provided by a community <br/>
<a id="pl.167.8"></a><var>167.8</var>health worker according to section 256B.0625, subdivision 49; and<br/>
<a id="pl.167.9"></a><var>167.9</var>    (25) regardless of the number of employees that an enrolled health care provider <br/>
<a id="pl.167.10"></a><var>167.10</var>may have, sign language interpreter services when provided by an enrolled health care <br/>
<a id="pl.167.11"></a><var>167.11</var>provider during the course of providing a direct, person-to-person covered health care <br/>
<a id="pl.167.12"></a><var>167.12</var>service to an enrolled recipient who has a hearing loss and uses interpreting services.<br/>
<a id="pl.167.13"></a><var>167.13</var>    (ii) Effective October 1, 2003, for a person who is eligible under subdivision 3, <br/>
<a id="pl.167.14"></a><var>167.14</var>paragraph (a), clause (2), item (ii), general assistance medical care coverage is limited <br/>
<a id="pl.167.15"></a><var>167.15</var>to inpatient hospital services, including physician services provided during the inpatient <br/>
<a id="pl.167.16"></a><var>167.16</var>hospital stay. A $1,000 deductible is required for each inpatient hospitalization.<br/>
<a id="pl.167.17"></a><var>167.17</var>    (b) Effective August 1, 2005, sex reassignment surgery is not covered under this <br/>
<a id="pl.167.18"></a><var>167.18</var>subdivision.<br/>
<a id="pl.167.19"></a><var>167.19</var>    (c) In order to contain costs, the commissioner of human services shall select <br/>
<a id="pl.167.20"></a><var>167.20</var>vendors of medical care who can provide the most economical care consistent with high <br/>
<a id="pl.167.21"></a><var>167.21</var>medical standards and shall where possible contract with organizations on a prepaid <br/>
<a id="pl.167.22"></a><var>167.22</var>capitation basis to provide these services. The commissioner shall consider proposals by <br/>
<a id="pl.167.23"></a><var>167.23</var>counties and vendors for prepaid health plans, competitive bidding programs, block grants, <br/>
<a id="pl.167.24"></a><var>167.24</var>or other vendor payment mechanisms designed to provide services in an economical <br/>
<a id="pl.167.25"></a><var>167.25</var>manner or to control utilization, with safeguards to ensure that necessary services are <br/>
<a id="pl.167.26"></a><var>167.26</var>provided. Before implementing prepaid programs in counties with a county operated or <br/>
<a id="pl.167.27"></a><var>167.27</var>affiliated public teaching hospital or a hospital or clinic operated by the University of <br/>
<a id="pl.167.28"></a><var>167.28</var>Minnesota, the commissioner shall consider the risks the prepaid program creates for the <br/>
<a id="pl.167.29"></a><var>167.29</var>hospital and allow the county or hospital the opportunity to participate in the program in a <br/>
<a id="pl.167.30"></a><var>167.30</var>manner that reflects the risk of adverse selection and the nature of the patients served by <br/>
<a id="pl.167.31"></a><var>167.31</var>the hospital, provided the terms of participation in the program are competitive with the <br/>
<a id="pl.167.32"></a><var>167.32</var>terms of other participants considering the nature of the population served. Payment for <br/>
<a id="pl.167.33"></a><var>167.33</var>services provided pursuant to this subdivision shall be as provided to medical assistance <br/>
<a id="pl.167.34"></a><var>167.34</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.167.35"></a><var>167.35</var>payments made during fiscal year 1990 and later years, the commissioner shall consult <br/>
<a id="pl.168.1"></a><var>168.1</var>with an independent actuary in establishing prepayment rates, but shall retain final control <br/>
<a id="pl.168.2"></a><var>168.2</var>over the rate methodology.<br/>
<a id="pl.168.3"></a><var>168.3</var>    (d) Effective January 1, 2008, drug coverage under general assistance medical care <br/>
<a id="pl.168.4"></a><var>168.4</var>is limited to prescription drugs that:<br/>
<a id="pl.168.5"></a><var>168.5</var>    (i) are covered under the medical assistance program as described in section <br/>
<a id="pl.168.6"></a><var>168.6</var>256B.0625, subdivisions 13 and 13d; and<br/>
<a id="pl.168.7"></a><var>168.7</var>    (ii) are provided by manufacturers that have fully executed general assistance <br/>
<a id="pl.168.8"></a><var>168.8</var>medical care rebate agreements with the commissioner and comply with the agreements. <br/>
<a id="pl.168.9"></a><var>168.9</var>Prescription drug coverage under general assistance medical care must conform to <br/>
<a id="pl.168.10"></a><var>168.10</var>coverage under the medical assistance program according to section 256B.0625, <br/>
<a id="pl.168.11"></a><var>168.11</var>subdivisions 13 to 13g.<br/>
<a id="pl.168.12"></a><var>168.12</var>    (d) (e) Recipients eligible under subdivision 3, paragraph (a), shall pay the following <br/>
<a id="pl.168.13"></a><var>168.13</var>co-payments for services provided on or after October 1, 2003:<br/>
<a id="pl.168.14"></a><var>168.14</var>    (1) $25 for eyeglasses;<br/>
<a id="pl.168.15"></a><var>168.15</var>    (2) $25 for nonemergency visits to a hospital-based emergency room;<br/>
<a id="pl.168.16"></a><var>168.16</var>    (3) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.168.17"></a><var>168.17</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.168.18"></a><var>168.18</var>shall apply to antipsychotic drugs when used for the treatment of mental illness; and<br/>
<a id="pl.168.19"></a><var>168.19</var>    (4) 50 percent coinsurance on restorative dental services.<br/>
<a id="pl.168.20"></a><var>168.20</var>    (e) (f) Co-payments shall be limited to one per day per provider for nonpreventive <br/>
<a id="pl.168.21"></a><var>168.21</var>visits, eyeglasses, and nonemergency visits to a hospital-based emergency room. <br/>
<a id="pl.168.22"></a><var>168.22</var>Recipients of general assistance medical care are responsible for all co-payments in this <br/>
<a id="pl.168.23"></a><var>168.23</var>subdivision. The general assistance medical care reimbursement to the provider shall be <br/>
<a id="pl.168.24"></a><var>168.24</var>reduced by the amount of the co-payment, except that reimbursement for prescription <br/>
<a id="pl.168.25"></a><var>168.25</var>drugs shall not be reduced once a recipient has reached the $12 per month maximum for <br/>
<a id="pl.168.26"></a><var>168.26</var>prescription drug co-payments. The provider collects the co-payment from the recipient. <br/>
<a id="pl.168.27"></a><var>168.27</var>Providers may not deny services to recipients who are unable to pay the co-payment, <br/>
<a id="pl.168.28"></a><var>168.28</var>except as provided in paragraph (f).<br/>
<a id="pl.168.29"></a><var>168.29</var>    (f) (g) If it is the routine business practice of a provider to refuse service to an <br/>
<a id="pl.168.30"></a><var>168.30</var>individual with uncollected debt, the provider may include uncollected co-payments <br/>
<a id="pl.168.31"></a><var>168.31</var>under this section. A provider must give advance notice to a recipient with uncollected <br/>
<a id="pl.168.32"></a><var>168.32</var>debt before services can be denied.<br/>
<a id="pl.168.33"></a><var>168.33</var>    (g) (h) Any county may, from its own resources, provide medical payments for <br/>
<a id="pl.168.34"></a><var>168.34</var>which state payments are not made.<br/>
<a id="pl.168.35"></a><var>168.35</var>    (h) (i) Chemical dependency services that are reimbursed under chapter 254B must <br/>
<a id="pl.168.36"></a><var>168.36</var>not be reimbursed under general assistance medical care.<br/>
<a id="pl.169.1"></a><var>169.1</var>    (i) (j) The maximum payment for new vendors enrolled in the general assistance <br/>
<a id="pl.169.2"></a><var>169.2</var>medical care program after the base year shall be determined from the average usual and <br/>
<a id="pl.169.3"></a><var>169.3</var>customary charge of the same vendor type enrolled in the base year.<br/>
<a id="pl.169.4"></a><var>169.4</var>    (j) (k) The conditions of payment for services under this subdivision are the same <br/>
<a id="pl.169.5"></a><var>169.5</var>as the conditions specified in rules adopted under chapter 256B governing the medical <br/>
<a id="pl.169.6"></a><var>169.6</var>assistance program, unless otherwise provided by statute or rule.<br/>
<a id="pl.169.7"></a><var>169.7</var>    (k) (l) Inpatient and outpatient payments shall be reduced by five percent, effective <br/>
<a id="pl.169.8"></a><var>169.8</var>July 1, 2003. This reduction is in addition to the five percent reduction effective July 1, <br/>
<a id="pl.169.9"></a><var>169.9</var>2003, and incorporated by reference in paragraph (i).<br/>
<a id="pl.169.10"></a><var>169.10</var>    (l) (m) Payments for all other health services except inpatient, outpatient, and <br/>
<a id="pl.169.11"></a><var>169.11</var>pharmacy services shall be reduced by five percent, effective July 1, 2003.<br/>
<a id="pl.169.12"></a><var>169.12</var>    (m) (n) Payments to managed care plans shall be reduced by five percent for services <br/>
<a id="pl.169.13"></a><var>169.13</var>provided on or after October 1, 2003.<br/>
<a id="pl.169.14"></a><var>169.14</var>    (n) (o) A hospital receiving a reduced payment as a result of this section may apply <br/>
<a id="pl.169.15"></a><var>169.15</var>the unpaid balance toward satisfaction of the hospital's bad debts.<br/>
<a id="pl.169.16"></a><var>169.16</var>    (o) (p) Fee-for-service payments for nonpreventive visits shall be reduced by $3 <br/>
<a id="pl.169.17"></a><var>169.17</var>for services provided on or after January 1, 2006. For purposes of this subdivision, a <br/>
<a id="pl.169.18"></a><var>169.18</var>visit means an episode of service which is required because of a recipient's symptoms, <br/>
<a id="pl.169.19"></a><var>169.19</var>diagnosis, or established illness, and which is delivered in an ambulatory setting by <br/>
<a id="pl.169.20"></a><var>169.20</var>a physician or physician ancillary, chiropractor, podiatrist, advance practice nurse, <br/>
<a id="pl.169.21"></a><var>169.21</var>audiologist, optician, or optometrist.<br/>
<a id="pl.169.22"></a><var>169.22</var>    (p) (q) Payments to managed care plans shall not be increased as a result of the <br/>
<a id="pl.169.23"></a><var>169.23</var>removal of the $3 nonpreventive visit co-payment effective January 1, 2006.<br/>
<br/>
<a id="bill.3.24.0"></a><a id="pl.169.24"></a><var>169.24</var>    Sec. 24. Minnesota Statutes 2006, section 256L.03, subdivision 5, is amended to read:<br/>
<a id="pl.169.25"></a><var>169.25</var>    Subd. 5. <b>Co-payments and coinsurance.</b> (a) Except as provided in paragraphs (b) <br/>
<a id="pl.169.26"></a><var>169.26</var>and (c), the MinnesotaCare benefit plan shall include the following co-payments and <br/>
<a id="pl.169.27"></a><var>169.27</var>coinsurance requirements for all enrollees:<br/>
<a id="pl.169.28"></a><var>169.28</var>    (1) ten percent of the paid charges for inpatient hospital services for adult enrollees, <br/>
<a id="pl.169.29"></a><var>169.29</var>subject to an annual inpatient out-of-pocket maximum of $1,000 per individual and <br/>
<a id="pl.169.30"></a><var>169.30</var>$3,000 per family;<br/>
<a id="pl.169.31"></a><var>169.31</var>    (2) $3 per prescription for adult enrollees;<br/>
<a id="pl.169.32"></a><var>169.32</var>    (3) $25 for eyeglasses for adult enrollees;<br/>
<a id="pl.169.33"></a><var>169.33</var>    (4) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means an <br/>
<a id="pl.169.34"></a><var>169.34</var>episode of service which is required because of a recipient's symptoms, diagnosis, or <br/>
<a id="pl.169.35"></a><var>169.35</var>established illness, and which is delivered in an ambulatory setting by a physician or <br/>
<a id="pl.170.1"></a><var>170.1</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse, <br/>
<a id="pl.170.2"></a><var>170.2</var>audiologist, optician, or optometrist; and<br/>
<a id="pl.170.3"></a><var>170.3</var>    (5) $6 for nonemergency visits to a hospital-based emergency room.<br/>
<a id="pl.170.4"></a><var>170.4</var>    (b) Paragraph (a), clause (1), does not apply to parents and relative caretakers of <br/>
<a id="pl.170.5"></a><var>170.5</var>children under the age of 21 in households with family income equal to or less than 175 <br/>
<a id="pl.170.6"></a><var>170.6</var>percent of the federal poverty guidelines. Paragraph (a), clause (1), does not apply to <br/>
<a id="pl.170.7"></a><var>170.7</var>parents and relative caretakers of children under the age of 21 in households with family <br/>
<a id="pl.170.8"></a><var>170.8</var>income greater than 175 percent of the federal poverty guidelines for inpatient hospital <br/>
<a id="pl.170.9"></a><var>170.9</var>admissions occurring on or after January 1, 2001.<br/>
<a id="pl.170.10"></a><var>170.10</var>    (c) Paragraph (a), clauses (1) to (4), do does not apply to pregnant women and <br/>
<a id="pl.170.11"></a><var>170.11</var>children under the age of 21.<br/>
<a id="pl.170.12"></a><var>170.12</var>    (d) Adult enrollees with family gross income that exceeds 175 percent of the <br/>
<a id="pl.170.13"></a><var>170.13</var>federal poverty guidelines and who are not pregnant shall be financially responsible for <br/>
<a id="pl.170.14"></a><var>170.14</var>the coinsurance amount, if applicable, and amounts which exceed the $10,000 inpatient <br/>
<a id="pl.170.15"></a><var>170.15</var>hospital benefit limit.<br/>
<a id="pl.170.16"></a><var>170.16</var>    (e) When a MinnesotaCare enrollee becomes a member of a prepaid health plan, <br/>
<a id="pl.170.17"></a><var>170.17</var>or changes from one prepaid health plan to another during a calendar year, any charges <br/>
<a id="pl.170.18"></a><var>170.18</var>submitted towards the $10,000 annual inpatient benefit limit, and any out-of-pocket <br/>
<a id="pl.170.19"></a><var>170.19</var>expenses incurred by the enrollee for inpatient services, that were submitted or incurred <br/>
<a id="pl.170.20"></a><var>170.20</var>prior to enrollment, or prior to the change in health plans, shall be disregarded.<br/>
<br/>
<a id="bill.3.25.0"></a><a id="pl.170.21"></a><var>170.21</var>    Sec. 25. Minnesota Statutes 2006, section 256L.04, subdivision 1, is amended to read:<br/>
<a id="pl.170.22"></a><var>170.22</var>    Subdivision 1. <b>Families with children.</b> (a) Families with children with family <br/>
<a id="pl.170.23"></a><var>170.23</var>income equal to or less than 275 percent of the federal poverty guidelines for the <br/>
<a id="pl.170.24"></a><var>170.24</var>applicable family size shall be eligible for MinnesotaCare according to this section. All <br/>
<a id="pl.170.25"></a><var>170.25</var>other provisions of sections 
         <statute_ref>256L.01</statute_ref> to 
         <statute_ref>256L.18</statute_ref>, including the insurance-related barriers <br/>
<a id="pl.170.26"></a><var>170.26</var>to enrollment under section 
         <statute_ref>256L.07</statute_ref>, shall apply unless otherwise specified. <br/>
<a id="pl.170.27"></a><var>170.27</var>    (b) Parents who enroll in the MinnesotaCare program must also enroll their children, <br/>
<a id="pl.170.28"></a><var>170.28</var>if the children are eligible. Children may be enrolled separately without enrollment by <br/>
<a id="pl.170.29"></a><var>170.29</var>parents. However, if one parent in the household enrolls, both parents must enroll, unless <br/>
<a id="pl.170.30"></a><var>170.30</var>other insurance is available. If one child from a family is enrolled, all children must <br/>
<a id="pl.170.31"></a><var>170.31</var>be enrolled, unless other insurance is available. If one spouse in a household enrolls, <br/>
<a id="pl.170.32"></a><var>170.32</var>the other spouse in the household must also enroll, unless other insurance is available. <br/>
<a id="pl.170.33"></a><var>170.33</var>Families cannot choose to enroll only certain uninsured members.<br/>
<a id="pl.171.1"></a><var>171.1</var>    (c) Beginning October 1, 2003, the dependent sibling definition no longer applies <br/>
<a id="pl.171.2"></a><var>171.2</var>to the MinnesotaCare program. These persons are no longer counted in the parental <br/>
<a id="pl.171.3"></a><var>171.3</var>household and may apply as a separate household.<br/>
<a id="pl.171.4"></a><var>171.4</var>    (d) Beginning July 1, 2003, or upon federal approval, whichever is later, parents <br/>
<a id="pl.171.5"></a><var>171.5</var>are not eligible for MinnesotaCare if their gross income exceeds $50,000 $25,000 for the <br/>
<a id="pl.171.6"></a><var>171.6</var>six-month period of eligibility.<br/>
<br/>
<a id="bill.3.26.0"></a><a id="pl.171.7"></a><var>171.7</var>    Sec. 26. Minnesota Statutes 2006, section 256L.04, subdivision 12, is amended to read:<br/>
<a id="pl.171.8"></a><var>171.8</var>    Subd. 12. <b>Persons in detention.</b> Beginning January 1, 1999, an applicant residing <br/>
<a id="pl.171.9"></a><var>171.9</var>in a correctional or detention facility is not eligible for MinnesotaCare. An enrollee <br/>
<a id="pl.171.10"></a><var>171.10</var>residing in a correctional or detention facility is not eligible at renewal of eligibility under <br/>
<a id="pl.171.11"></a><var>171.11</var>section 
         <statute_ref>256L.05, subdivision 3b 3a</statute_ref>.<br/>
<br/>
<a id="bill.3.27.0"></a><a id="pl.171.12"></a><var>171.12</var>    Sec. 27. Minnesota Statutes 2006, section 256L.11, subdivision 7, is amended to read:<br/>
<a id="pl.171.13"></a><var>171.13</var>    Subd. 7. <b>Critical access dental providers.</b> Effective for dental services provided <br/>
<a id="pl.171.14"></a><var>171.14</var>to MinnesotaCare enrollees on or after between January 1, 2007, and June 30, 2007, the <br/>
<a id="pl.171.15"></a><var>171.15</var>commissioner shall increase payment rates to dentists and dental clinics deemed by the <br/>
<a id="pl.171.16"></a><var>171.16</var>commissioner to be critical access providers under section 
         <statute_ref>256B.76</statute_ref>, paragraph (c), by 50 <br/>
<a id="pl.171.17"></a><var>171.17</var>percent above the payment rate that would otherwise be paid to the provider. Effective <br/>
<a id="pl.171.18"></a><var>171.18</var>for dental services provided to MinnesotaCare enrollees on or after July 1, 2007, the <br/>
<a id="pl.171.19"></a><var>171.19</var>commissioner shall increase payment rates to dentists and dental clinics deemed by the <br/>
<a id="pl.171.20"></a><var>171.20</var>commissioner to be critical access providers under section 256B.76, paragraph (c), by <br/>
<a id="pl.171.21"></a><var>171.21</var>33 percent above the payment rate that would otherwise be paid to the provider. The <br/>
<a id="pl.171.22"></a><var>171.22</var>commissioner shall adjust the rates paid on or after January 1, 2007, to pay the prepaid <br/>
<a id="pl.171.23"></a><var>171.23</var>health plans under contract with the commissioner amounts sufficient to reflect this rate <br/>
<a id="pl.171.24"></a><var>171.24</var>increase. The prepaid health plan must pass this rate increase to providers who have <br/>
<a id="pl.171.25"></a><var>171.25</var>been identified by the commissioner as critical access dental providers under section <br/>
<statute_ref><a id="pl.171.26"></a><var>171.26</var>256B.76
         </statute_ref>, paragraph (c).<br/>
<br/>
<a id="bill.3.28.0"></a><a id="pl.171.27"></a><var>171.27</var>    Sec. 28. <b>HENNEPIN COUNTY PILOT PROJECT.</b><br/>
<a id="pl.171.28"></a><var>171.28</var>    The commissioner of human services shall support a pilot project in Hennepin <br/>
<a id="pl.171.29"></a><var>171.29</var>County to demonstrate the effectiveness of alternative strategies to redetermine eligibility <br/>
<a id="pl.171.30"></a><var>171.30</var>for certain recipient populations in the medical assistance program. The target populations <br/>
<a id="pl.171.31"></a><var>171.31</var>for the demonstration are persons who are eligible based upon disability or age, who have <br/>
<a id="pl.171.32"></a><var>171.32</var>chronic medical conditions, and who are expected to experience minimal change in income <br/>
<a id="pl.171.33"></a><var>171.33</var>or assets from month to month. The commissioner and the county shall analyze the issues <br/>
<a id="pl.172.1"></a><var>172.1</var>and strategies employed and the outcomes to determine reasonable efforts to streamline <br/>
<a id="pl.172.2"></a><var>172.2</var>eligibility statewide. The duration of the pilot project shall be no more than two years. <br/>
<a id="pl.172.3"></a><var>172.3</var>The commissioner shall apply for any federal waivers needed to implement this section.<br/>
<br/>
<a id="bill.3.29.0"></a><a id="pl.172.4"></a><var>172.4</var>    Sec. 29. <b>COUNTY-BASED PURCHASING STUDY.</b><br/>
<a id="pl.172.5"></a><var>172.5</var>    The commissioner of health shall study county-based purchasing initiatives <br/>
<a id="pl.172.6"></a><var>172.6</var>established under Minnesota Statutes, section 256B.692, and compare these initiatives <br/>
<a id="pl.172.7"></a><var>172.7</var>to managed care plans serving medical assistance, general assistance medical care, and <br/>
<a id="pl.172.8"></a><var>172.8</var>MinnesotaCare enrollees. The study must:<br/>
<a id="pl.172.9"></a><var>172.9</var>    (1) provide a history and description of county-based purchasing initiatives, <br/>
<a id="pl.172.10"></a><var>172.10</var>including state and federal requirements and any federal waivers Minnesota counties have <br/>
<a id="pl.172.11"></a><var>172.11</var>applied for or received;<br/>
<a id="pl.172.12"></a><var>172.12</var>    (2) provide a history and description of managed care plan participation in the <br/>
<a id="pl.172.13"></a><var>172.13</var>prepaid medical assistance, prepaid general assistance medical care, and prepaid <br/>
<a id="pl.172.14"></a><var>172.14</var>Minnesota programs, and the provision by managed care plans of third-party administrator <br/>
<a id="pl.172.15"></a><var>172.15</var>services for county-based purchasing initiatives;<br/>
<a id="pl.172.16"></a><var>172.16</var>    (3) provide relevant data, including limitations on data, data that was requested but <br/>
<a id="pl.172.17"></a><var>172.17</var>not received, and explanations for why requested data was not received;<br/>
<a id="pl.172.18"></a><var>172.18</var>    (4) provide recommendations for further data collection and research;<br/>
<a id="pl.172.19"></a><var>172.19</var>    (5) summarize successes and challenges of the two service delivery methods;<br/>
<a id="pl.172.20"></a><var>172.20</var>    (6) provide recommendations for possible expansion of county-based purchasing <br/>
<a id="pl.172.21"></a><var>172.21</var>in rural and urban settings; and<br/>
<a id="pl.172.22"></a><var>172.22</var>    (7) identify and describe features of county-based purchasing and managed care <br/>
<a id="pl.172.23"></a><var>172.23</var>plans serving medical assistance, general assistance medical care, and MinnesotaCare <br/>
<a id="pl.172.24"></a><var>172.24</var>enrollees, to provide a comparison of cost, quality, access, and community health <br/>
<a id="pl.172.25"></a><var>172.25</var>improvement that includes, but is not limited to:<br/>
<a id="pl.172.26"></a><var>172.26</var>    (i) descriptions of how health care and social services are integrated and coordinated <br/>
<a id="pl.172.27"></a><var>172.27</var>for persons with complex care needs, including persons with high-risk pregnancies, <br/>
<a id="pl.172.28"></a><var>172.28</var>adolescents, persons who are disabled, persons who are elderly, and persons with chronic <br/>
<a id="pl.172.29"></a><var>172.29</var>health care and social needs;<br/>
<a id="pl.172.30"></a><var>172.30</var>    (ii) use of monetary grants and surpluses to:<br/>
<a id="pl.172.31"></a><var>172.31</var>    (A) increase provider reimbursement, including dental care reimbursement, in order <br/>
<a id="pl.172.32"></a><var>172.32</var>to improve health care access; and<br/>
<a id="pl.172.33"></a><var>172.33</var>    (B) improve community health beyond the requirements of the public health care <br/>
<a id="pl.172.34"></a><var>172.34</var>programs, such as the funding of public education, research, and community initiatives to <br/>
<a id="pl.172.35"></a><var>172.35</var>enhance utilization of preventive services, social services, or mental health care;<br/>
<a id="pl.173.1"></a><var>173.1</var>    (iii) administrative costs, including billing and collection of unpaid fees, co-pays or <br/>
<a id="pl.173.2"></a><var>173.2</var>other charges, and top five management salaries;<br/>
<a id="pl.173.3"></a><var>173.3</var>    (iv) reporting requirements of contracts with the Department of Human Services;<br/>
<a id="pl.173.4"></a><var>173.4</var>    (v) public access to all information about management and administration, including <br/>
<a id="pl.173.5"></a><var>173.5</var>but not limited to provider contracts and reimbursement, models of care management and <br/>
<a id="pl.173.6"></a><var>173.6</var>coordination, utilization review, contracts with consultants and other vendors, handling of <br/>
<a id="pl.173.7"></a><var>173.7</var>monetary grants and surpluses, and health outcomes data;<br/>
<a id="pl.173.8"></a><var>173.8</var>    (vi) provider reimbursement by clinical practice area;<br/>
<a id="pl.173.9"></a><var>173.9</var>    (vii) populations served, described by age, disability, income, race, language, <br/>
<a id="pl.173.10"></a><var>173.10</var>occupation, and other demographic characteristics;<br/>
<a id="pl.173.11"></a><var>173.11</var>    (viii) utilization of community-based prevention interventions, including but not <br/>
<a id="pl.173.12"></a><var>173.12</var>limited to public health nursing visits to new parents, use of nurse-managed interventions <br/>
<a id="pl.173.13"></a><var>173.13</var>to reduce cardiac hospitalizations, and the use of medical homes for chronic disease <br/>
<a id="pl.173.14"></a><var>173.14</var>management;<br/>
<a id="pl.173.15"></a><var>173.15</var>    (ix) utilization of cancer screening;<br/>
<a id="pl.173.16"></a><var>173.16</var>    (x) utilization of interpreter services;<br/>
<a id="pl.173.17"></a><var>173.17</var>    (xi) immunization rates for children age five and under;<br/>
<a id="pl.173.18"></a><var>173.18</var>    (xii) hospitalization rates for conditions related to diabetes, asthma, or cardiac <br/>
<a id="pl.173.19"></a><var>173.19</var>illnesses;<br/>
<a id="pl.173.20"></a><var>173.20</var>    (xiii) rates of rehospitalization within a month of hospital discharge;<br/>
<a id="pl.173.21"></a><var>173.21</var>    (xiv) coordination with county agencies to increase enrollment;<br/>
<a id="pl.173.22"></a><var>173.22</var>    (xv) number of new program enrollees and the rate of enrollment, including the <br/>
<a id="pl.173.23"></a><var>173.23</var>percentage of eligible persons who become enrollees;<br/>
<a id="pl.173.24"></a><var>173.24</var>    (xvi) enrollee satisfaction with their care; and<br/>
<a id="pl.173.25"></a><var>173.25</var>    (xvii) number of enrollees who do not receive care.<br/>
<a id="pl.173.26"></a><var>173.26</var>    Managed care plans, county-based purchasing initiatives, health care providers, <br/>
<a id="pl.173.27"></a><var>173.27</var>counties, and the commissioner of human services shall, upon request, provide data to <br/>
<a id="pl.173.28"></a><var>173.28</var>the commissioner of health that is necessary to complete the study. The commissioner of <br/>
<a id="pl.173.29"></a><var>173.29</var>health shall submit the study to the legislature by December 31, 2007.<br/>
<br/>
<a id="bill.3.30.0"></a><a id="pl.173.30"></a><var>173.30</var>    Sec. 30. <b>GRANT FOR TOLL-FREE HEALTH CARE ACCESS NUMBER.</b><br/>
<a id="pl.173.31"></a><var>173.31</var>    The commissioner of human services shall award a grant to the Neighborhood <br/>
<a id="pl.173.32"></a><var>173.32</var>Health Care Network to pay the costs of maintaining and staffing a toll-free telephone <br/>
<a id="pl.173.33"></a><var>173.33</var>number to provide callers with information on health coverage options, eligibility for <br/>
<a id="pl.173.34"></a><var>173.34</var>MinnesotaCare and other health care programs, and health care providers that offer free or <br/>
<a id="pl.173.35"></a><var>173.35</var>reduced-cost health care services.<br/>
<br/>
<a id="bill.3.31.0"></a><a id="pl.174.1"></a><var>174.1</var>    Sec. 31. <b>IMPLEMENTATION OF PHARMACY DISPENSING FEE INCREASE.</b><br/>
<a id="pl.174.2"></a><var>174.2</var>    The commissioner, after consulting with the Pharmacy Payment Reform Advisory <br/>
<a id="pl.174.3"></a><var>174.3</var>Committee established under Laws 2006, chapter 282, article 16, section 15, may <br/>
<a id="pl.174.4"></a><var>174.4</var>proportionally increase or decrease the dispensing fee for multiple-source generic drugs <br/>
<a id="pl.174.5"></a><var>174.5</var>under Minnesota Statutes, section 256B.0625, subdivision 13e, paragraph (a), to reflect <br/>
<a id="pl.174.6"></a><var>174.6</var>the actual amount of reductions in program cost for ingredient reimbursement savings <br/>
<a id="pl.174.7"></a><var>174.7</var>obtained.<br/>
<a id="pl.174.8"></a><var>174.8</var><b>EFFECTIVE DATE.</b>This section is effective upon implementation of changes to <br/>
<a id="pl.174.9"></a><var>174.9</var>the federal upper reimbursement limit under title VI, chapter IV of the federal Deficit <br/>
<a id="pl.174.10"></a><var>174.10</var>Reduction Act of 2005, United States Code, title 42, section 1396r-8(e)(5).<br/>
<br/>
<a id="bill.3.32.0"></a><a id="pl.174.11"></a><var>174.11</var>    Sec. 32. <b>REPEALER.</b><br/>
<a id="pl.174.12"></a><var>174.12</var>Minnesota Statutes 2006, section 256.969, subdivision 27, is repealed effective <br/>
<a id="pl.174.13"></a><var>174.13</var>July 1, 2007.<br/>
<br/>
<a id="bill.4.0.0"></a>

<a id="bill.4.1.0"></a><a id="pl.174.16"></a><var>174.16</var>    Section 1. Minnesota Statutes 2006, section 144A.071, subdivision 4c, is amended to <br/>
<a id="pl.174.17"></a><var>174.17</var>read:<br/>
<a id="pl.174.18"></a><var>174.18</var>    Subd. 4c. <b>Exceptions for replacement beds after June 30, 2003.</b> (a) The <br/>
<a id="pl.174.19"></a><var>174.19</var>commissioner of health, in coordination with the commissioner of human services, may <br/>
<a id="pl.174.20"></a><var>174.20</var>approve the renovation, replacement, upgrading, or relocation of a nursing home or <br/>
<a id="pl.174.21"></a><var>174.21</var>boarding care home, under the following conditions:<br/>
<a id="pl.174.22"></a><var>174.22</var>    (1) to license and certify an 80-bed city-owned facility in Nicollet County to be <br/>
<a id="pl.174.23"></a><var>174.23</var>constructed on the site of a new city-owned hospital to replace an existing 85-bed facility <br/>
<a id="pl.174.24"></a><var>174.24</var>attached to a hospital that is also being replaced. The threshold allowed for this project <br/>
<a id="pl.174.25"></a><var>174.25</var>under section 
         <statute_ref>144A.073</statute_ref> shall be the maximum amount available to pay the additional <br/>
<a id="pl.174.26"></a><var>174.26</var>medical assistance costs of the new facility; <br/>
<a id="pl.174.27"></a><var>174.27</var>    (2) to license and certify 29 beds to be added to an existing 69-bed facility in St. <br/>
<a id="pl.174.28"></a><var>174.28</var>Louis County, provided that the 29 beds must be transferred from active or layaway status <br/>
<a id="pl.174.29"></a><var>174.29</var>at an existing facility in St. Louis County that had 235 beds on April 1, 2003.<br/>
<a id="pl.174.30"></a><var>174.30</var>The licensed capacity at the 235-bed facility must be reduced to 206 beds, but the payment <br/>
<a id="pl.174.31"></a><var>174.31</var>rate at that facility shall not be adjusted as a result of this transfer. The operating payment <br/>
<a id="pl.174.32"></a><var>174.32</var>rate of the facility adding beds after completion of this project shall be the same as it was <br/>
<a id="pl.175.1"></a><var>175.1</var>on the day prior to the day the beds are licensed and certified. This project shall not <br/>
<a id="pl.175.2"></a><var>175.2</var>proceed unless it is approved and financed under the provisions of section 
         <statute_ref>144A.073</statute_ref>;  <br/>
<a id="pl.175.3"></a><var>175.3</var>    (3) to license and certify a new 60-bed facility in Austin, provided that: (i) 45 of <br/>
<a id="pl.175.4"></a><var>175.4</var>the new beds are transferred from a 45-bed facility in Austin under common ownership <br/>
<a id="pl.175.5"></a><var>175.5</var>that is closed and 15 of the new beds are transferred from a 182-bed facility in Albert Lea <br/>
<a id="pl.175.6"></a><var>175.6</var>under common ownership; (ii) the commissioner of human services is authorized by the <br/>
<a id="pl.175.7"></a><var>175.7</var>2004 legislature to negotiate budget-neutral planned nursing facility closures; and (iii) <br/>
<a id="pl.175.8"></a><var>175.8</var>money is available from planned closures of facilities under common ownership to make <br/>
<a id="pl.175.9"></a><var>175.9</var>implementation of this clause budget-neutral to the state. The bed capacity of the Albert <br/>
<a id="pl.175.10"></a><var>175.10</var>Lea facility shall be reduced to 167 beds following the transfer. Of the 60 beds at the <br/>
<a id="pl.175.11"></a><var>175.11</var>new facility, 20 beds shall be used for a special care unit for persons with Alzheimer's <br/>
<a id="pl.175.12"></a><var>175.12</var>disease or related dementias; and<br/>
<a id="pl.175.13"></a><var>175.13</var>    (4) to license and certify up to 80 beds transferred from an existing state-owned <br/>
<a id="pl.175.14"></a><var>175.14</var>nursing facility in Cass County to a new facility located on the grounds of the <br/>
<a id="pl.175.15"></a><var>175.15</var>Ah-Gwah-Ching campus. The operating cost payment rates for the new facility shall be <br/>
<a id="pl.175.16"></a><var>175.16</var>determined based on the interim and settle-up payment provisions of Minnesota Rules, <br/>
<a id="pl.175.17"></a><var>175.17</var>part 
         <statute_ref>9549.0057</statute_ref>, and the reimbursement provisions of section 
         <statute_ref>256B.431</statute_ref>. The property <br/>
<a id="pl.175.18"></a><var>175.18</var>payment rate for the first three years of operation shall be $35 per day. For subsequent <br/>
<a id="pl.175.19"></a><var>175.19</var>years, the property payment rate of $35 per day shall be adjusted for inflation as provided <br/>
<a id="pl.175.20"></a><var>175.20</var>in section 
         <statute_ref>256B.434</statute_ref>, subdivision 4, paragraph (c), as long as the facility has a contract <br/>
<a id="pl.175.21"></a><var>175.21</var>under section 
         <statute_ref>256B.434</statute_ref>.; and<br/>
<a id="pl.175.22"></a><var>175.22</var>    (5) to license and certify 180 beds transferred from an existing facility in <br/>
<a id="pl.175.23"></a><var>175.23</var>Minneapolis to a new facility in Robbinsdale; provided that the beds are transferred from a <br/>
<a id="pl.175.24"></a><var>175.24</var>219-bed facility under common ownership that shall be closed following the transfer. The <br/>
<a id="pl.175.25"></a><var>175.25</var>operating payment rate of the new facility after completion of this project shall be adjusted <br/>
<a id="pl.175.26"></a><var>175.26</var>upward by $35 per day and the property payment rate shall be $34.049 per day.<br/>
<a id="pl.175.27"></a><var>175.27</var>    (b) Projects approved under this subdivision shall be treated in a manner equivalent <br/>
<a id="pl.175.28"></a><var>175.28</var>to projects approved under subdivision 4a.<br/>
<a id="pl.175.29"></a><var>175.29</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.175.30"></a><var>175.30</var>    Sec. 2. Minnesota Statutes 2006, section 252.27, subdivision 2a, is amended to read:<br/>
<a id="pl.175.31"></a><var>175.31</var>    Subd. 2a. <b>Contribution amount.</b> (a) The natural or adoptive parents of a minor <br/>
<a id="pl.175.32"></a><var>175.32</var>child, including a child determined eligible for medical assistance without consideration of <br/>
<a id="pl.175.33"></a><var>175.33</var>parental income, must contribute to the cost of services used by making monthly payments <br/>
<a id="pl.175.34"></a><var>175.34</var>on a sliding scale based on income, unless the child is married or has been married, <br/>
<a id="pl.175.35"></a><var>175.35</var>parental rights have been terminated, or the child's adoption is subsidized according to <br/>
<a id="pl.176.1"></a><var>176.1</var>section 
         <statute_ref>259.67</statute_ref> or through title IV-E of the Social Security Act. The parental contribution <br/>
<a id="pl.176.2"></a><var>176.2</var>is a partial or full payment for medical services provided for diagnostic, therapeutic, <br/>
<a id="pl.176.3"></a><var>176.3</var>curing, treating, mitigating, rehabilitation, and maintenance and personal care services as <br/>
<a id="pl.176.4"></a><var>176.4</var>defined in United States Code, title 26, section 213, needed by the child with a chronic <br/>
<a id="pl.176.5"></a><var>176.5</var>illness or disability.<br/>
<a id="pl.176.6"></a><var>176.6</var>    (b) For households with adjusted gross income equal to or greater than 100 percent <br/>
<a id="pl.176.7"></a><var>176.7</var>of federal poverty guidelines, the parental contribution shall be computed by applying the <br/>
<a id="pl.176.8"></a><var>176.8</var>following schedule of rates to the adjusted gross income of the natural or adoptive parents:<br/>
<a id="pl.176.9"></a><var>176.9</var>    (1) if the adjusted gross income is equal to or greater than 100 percent of federal <br/>
<a id="pl.176.10"></a><var>176.10</var>poverty guidelines and less than 175 percent of federal poverty guidelines, the parental <br/>
<a id="pl.176.11"></a><var>176.11</var>contribution is $4 per month;<br/>
<a id="pl.176.12"></a><var>176.12</var>    (2) if the adjusted gross income is equal to or greater than 175 percent of federal <br/>
<a id="pl.176.13"></a><var>176.13</var>poverty guidelines and less than or equal to 545 percent of federal poverty guidelines, <br/>
<a id="pl.176.14"></a><var>176.14</var>the parental contribution shall be determined using a sliding fee scale established by the <br/>
<a id="pl.176.15"></a><var>176.15</var>commissioner of human services which begins at one percent of adjusted gross income <br/>
<a id="pl.176.16"></a><var>176.16</var>at 175 percent of federal poverty guidelines and increases to 7.5 percent of adjusted <br/>
<a id="pl.176.17"></a><var>176.17</var>gross income for those with adjusted gross income up to 545 percent of federal poverty <br/>
<a id="pl.176.18"></a><var>176.18</var>guidelines;<br/>
<a id="pl.176.19"></a><var>176.19</var>    (3) if the adjusted gross income is greater than 545 percent of federal poverty <br/>
<a id="pl.176.20"></a><var>176.20</var>guidelines and less than 675 percent of federal poverty guidelines, the parental <br/>
<a id="pl.176.21"></a><var>176.21</var>contribution shall be 7.5 percent of adjusted gross income;<br/>
<a id="pl.176.22"></a><var>176.22</var>    (4) if the adjusted gross income is equal to or greater than 675 percent of federal <br/>
<a id="pl.176.23"></a><var>176.23</var>poverty guidelines and less than 975 percent of federal poverty guidelines, the parental <br/>
<a id="pl.176.24"></a><var>176.24</var>contribution shall be determined using a sliding fee scale established by the commissioner <br/>
<a id="pl.176.25"></a><var>176.25</var>of human services which begins at 7.5 percent of adjusted gross income at 675 percent of <br/>
<a id="pl.176.26"></a><var>176.26</var>federal poverty guidelines and increases to ten percent of adjusted gross income for those <br/>
<a id="pl.176.27"></a><var>176.27</var>with adjusted gross income up to 975 percent of federal poverty guidelines; and<br/>
<a id="pl.176.28"></a><var>176.28</var>    (5) if the adjusted gross income is equal to or greater than 975 percent of federal <br/>
<a id="pl.176.29"></a><var>176.29</var>poverty guidelines, the parental contribution shall be 12.5 percent of adjusted gross <br/>
<a id="pl.176.30"></a><var>176.30</var>income.<br/>
<a id="pl.176.31"></a><var>176.31</var>    If the child lives with the parent, the annual adjusted gross income parental <br/>
<a id="pl.176.32"></a><var>176.32</var>contribution is reduced by $2,400 prior to calculating the parental contribution $100 <br/>
<a id="pl.176.33"></a><var>176.33</var>per month. If the child resides in an institution specified in section 
         <statute_ref>256B.35</statute_ref>, the parent <br/>
<a id="pl.176.34"></a><var>176.34</var>is responsible for the personal needs allowance specified under that section in addition <br/>
<a id="pl.176.35"></a><var>176.35</var>to the parental contribution determined under this section. The parental contribution is <br/>
<a id="pl.177.1"></a><var>177.1</var>reduced by any amount required to be paid directly to the child pursuant to a court order, <br/>
<a id="pl.177.2"></a><var>177.2</var>but only if actually paid.<br/>
<a id="pl.177.3"></a><var>177.3</var>    (c) The household size to be used in determining the amount of contribution under <br/>
<a id="pl.177.4"></a><var>177.4</var>paragraph (b) includes natural and adoptive parents and their dependents, including the <br/>
<a id="pl.177.5"></a><var>177.5</var>child receiving services. Adjustments in the contribution amount due to annual changes <br/>
<a id="pl.177.6"></a><var>177.6</var>in the federal poverty guidelines shall be implemented on the first day of July following <br/>
<a id="pl.177.7"></a><var>177.7</var>publication of the changes.<br/>
<a id="pl.177.8"></a><var>177.8</var>    (d) For purposes of paragraph (b), "income" means the adjusted gross income of the <br/>
<a id="pl.177.9"></a><var>177.9</var>natural or adoptive parents determined according to the previous year's federal tax form, <br/>
<a id="pl.177.10"></a><var>177.10</var>except, effective retroactive to July 1, 2003, taxable capital gains to the extent the funds <br/>
<a id="pl.177.11"></a><var>177.11</var>have been used to purchase a home shall not be counted as income.<br/>
<a id="pl.177.12"></a><var>177.12</var>    (e) The contribution shall be explained in writing to the parents at the time eligibility <br/>
<a id="pl.177.13"></a><var>177.13</var>for services is being determined. The contribution shall be made on a monthly basis <br/>
<a id="pl.177.14"></a><var>177.14</var>effective with the first month in which the child receives services. Annually upon <br/>
<a id="pl.177.15"></a><var>177.15</var>redetermination or at termination of eligibility, if the contribution exceeded the cost of <br/>
<a id="pl.177.16"></a><var>177.16</var>services provided, the local agency or the state shall reimburse that excess amount to <br/>
<a id="pl.177.17"></a><var>177.17</var>the parents, either by direct reimbursement if the parent is no longer required to pay <br/>
<a id="pl.177.18"></a><var>177.18</var>a contribution, or by a reduction in or waiver of parental fees until the excess amount <br/>
<a id="pl.177.19"></a><var>177.19</var>is exhausted.<br/>
<a id="pl.177.20"></a><var>177.20</var>    (f) The monthly contribution amount must be reviewed at least every 12 months; <br/>
<a id="pl.177.21"></a><var>177.21</var>when there is a change in household size; and when there is a loss of or gain in income <br/>
<a id="pl.177.22"></a><var>177.22</var>from one month to another in excess of ten percent. The local agency shall mail a written <br/>
<a id="pl.177.23"></a><var>177.23</var>notice 30 days in advance of the effective date of a change in the contribution amount. <br/>
<a id="pl.177.24"></a><var>177.24</var>A decrease in the contribution amount is effective in the month that the parent verifies a <br/>
<a id="pl.177.25"></a><var>177.25</var>reduction in income or change in household size.<br/>
<a id="pl.177.26"></a><var>177.26</var>    (g) Parents of a minor child who do not live with each other shall each pay the <br/>
<a id="pl.177.27"></a><var>177.27</var>contribution required under paragraph (a). An amount equal to the annual court-ordered <br/>
<a id="pl.177.28"></a><var>177.28</var>child support payment actually paid on behalf of the child receiving services shall be <br/>
<a id="pl.177.29"></a><var>177.29</var>deducted from the adjusted gross income of the parent making the payment prior to <br/>
<a id="pl.177.30"></a><var>177.30</var>calculating the parental contribution under paragraph (b).<br/>
<a id="pl.177.31"></a><var>177.31</var>    (h) The contribution under paragraph (b) shall be increased by an additional five <br/>
<a id="pl.177.32"></a><var>177.32</var>percent if the local agency determines that insurance coverage is available but not <br/>
<a id="pl.177.33"></a><var>177.33</var>obtained for the child. For purposes of this section, "available" means the insurance is a <br/>
<a id="pl.177.34"></a><var>177.34</var>benefit of employment for a family member at an annual cost of no more than five percent <br/>
<a id="pl.177.35"></a><var>177.35</var>of the family's annual income. For purposes of this section, "insurance" means health <br/>
<a id="pl.178.1"></a><var>178.1</var>and accident insurance coverage, enrollment in a nonprofit health service plan, health <br/>
<a id="pl.178.2"></a><var>178.2</var>maintenance organization, self-insured plan, or preferred provider organization.<br/>
<a id="pl.178.3"></a><var>178.3</var>    Parents who have more than one child receiving services shall not be required <br/>
<a id="pl.178.4"></a><var>178.4</var>to pay more than the amount for the child with the highest expenditures. There shall <br/>
<a id="pl.178.5"></a><var>178.5</var>be no resource contribution from the parents. The parent shall not be required to pay <br/>
<a id="pl.178.6"></a><var>178.6</var>a contribution in excess of the cost of the services provided to the child, not counting <br/>
<a id="pl.178.7"></a><var>178.7</var>payments made to school districts for education-related services. Notice of an increase in <br/>
<a id="pl.178.8"></a><var>178.8</var>fee payment must be given at least 30 days before the increased fee is due.<br/>
<a id="pl.178.9"></a><var>178.9</var>    (i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year if, <br/>
<a id="pl.178.10"></a><var>178.10</var>in the 12 months prior to July 1:<br/>
<a id="pl.178.11"></a><var>178.11</var>    (1) the parent applied for insurance for the child;<br/>
<a id="pl.178.12"></a><var>178.12</var>    (2) the insurer denied insurance;<br/>
<a id="pl.178.13"></a><var>178.13</var>    (3) the parents submitted a complaint or appeal, in writing to the insurer, submitted <br/>
<a id="pl.178.14"></a><var>178.14</var>a complaint or appeal, in writing, to the commissioner of health or the commissioner of <br/>
<a id="pl.178.15"></a><var>178.15</var>commerce, or litigated the complaint or appeal; and<br/>
<a id="pl.178.16"></a><var>178.16</var>    (4) as a result of the dispute, the insurer reversed its decision and granted insurance.<br/>
<a id="pl.178.17"></a><var>178.17</var>    For purposes of this section, "insurance" has the meaning given in paragraph (h).<br/>
<a id="pl.178.18"></a><var>178.18</var>    A parent who has requested a reduction in the contribution amount under this <br/>
<a id="pl.178.19"></a><var>178.19</var>paragraph shall submit proof in the form and manner prescribed by the commissioner or <br/>
<a id="pl.178.20"></a><var>178.20</var>county agency, including, but not limited to, the insurer's denial of insurance, the written <br/>
<a id="pl.178.21"></a><var>178.21</var>letter or complaint of the parents, court documents, and the written response of the insurer <br/>
<a id="pl.178.22"></a><var>178.22</var>approving insurance. The determinations of the commissioner or county agency under this <br/>
<a id="pl.178.23"></a><var>178.23</var>paragraph are not rules subject to chapter 14.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.178.24"></a><var>178.24</var>    Sec. 3. Minnesota Statutes 2006, section 252.32, subdivision 3, is amended to read:<br/>
<a id="pl.178.25"></a><var>178.25</var>    Subd. 3. <b>Amount of support grant; use.</b> Support grant amounts shall be <br/>
<a id="pl.178.26"></a><var>178.26</var>determined by the county social service agency. Services and items purchased with a <br/>
<a id="pl.178.27"></a><var>178.27</var>support grant must:<br/>
<a id="pl.178.28"></a><var>178.28</var>    (1) be over and above the normal costs of caring for the dependent if the dependent <br/>
<a id="pl.178.29"></a><var>178.29</var>did not have a disability;<br/>
<a id="pl.178.30"></a><var>178.30</var>    (2) be directly attributable to the dependent's disabling condition; and<br/>
<a id="pl.178.31"></a><var>178.31</var>    (3) enable the family to delay or prevent the out-of-home placement of the dependent.<br/>
<a id="pl.178.32"></a><var>178.32</var>    The design and delivery of services and items purchased under this section must <br/>
<a id="pl.178.33"></a><var>178.33</var>suit the dependent's chronological age and be provided in the least restrictive environment <br/>
<a id="pl.178.34"></a><var>178.34</var>possible, consistent with the needs identified in the individual service plan.<br/>
<a id="pl.179.1"></a><var>179.1</var>    Items and services purchased with support grants must be those for which there <br/>
<a id="pl.179.2"></a><var>179.2</var>are no other public or private funds available to the family. Fees assessed to parents <br/>
<a id="pl.179.3"></a><var>179.3</var>for health or human services that are funded by federal, state, or county dollars are not <br/>
<a id="pl.179.4"></a><var>179.4</var>reimbursable through this program.<br/>
<a id="pl.179.5"></a><var>179.5</var>    In approving or denying applications, the county shall consider the following factors:<br/>
<a id="pl.179.6"></a><var>179.6</var>    (1) the extent and areas of the functional limitations of the disabled child;<br/>
<a id="pl.179.7"></a><var>179.7</var>    (2) the degree of need in the home environment for additional support; and<br/>
<a id="pl.179.8"></a><var>179.8</var>    (3) the potential effectiveness of the grant to maintain and support the person in <br/>
<a id="pl.179.9"></a><var>179.9</var>the family environment.<br/>
<a id="pl.179.10"></a><var>179.10</var>    The maximum monthly grant amount shall be $250 per eligible dependent, or <br/>
<a id="pl.179.11"></a><var>179.11</var>$3,000 per eligible dependent per state fiscal year, within the limits of available funds and <br/>
<a id="pl.179.12"></a><var>179.12</var>as adjusted by any legislatively authorized cost of living adjustment. The county social <br/>
<a id="pl.179.13"></a><var>179.13</var>service agency may consider the dependent's supplemental security income in determining <br/>
<a id="pl.179.14"></a><var>179.14</var>the amount of the support grant.<br/>
<a id="pl.179.15"></a><var>179.15</var>    Any adjustments to their monthly grant amount must be based on the needs of the <br/>
<a id="pl.179.16"></a><var>179.16</var>family and funding availability.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.179.17"></a><var>179.17</var>    Sec. 4. Minnesota Statutes 2006, section 252.46, is amended by adding a subdivision <br/>
<a id="pl.179.18"></a><var>179.18</var>to read:<br/>
<a id="pl.179.19"></a><var>179.19</var>    Subd. 22. <b>Provider rate increase; St. Louis County.</b> A day training and <br/>
<a id="pl.179.20"></a><var>179.20</var>habilitation provider in St. Louis County licensed to provide services to up to 80 <br/>
<a id="pl.179.21"></a><var>179.21</var>individuals shall receive a per diem rate increase that does not exceed 95 percent of the <br/>
<a id="pl.179.22"></a><var>179.22</var>greater of 125 percent of the current statewide median or 125 percent of the regional <br/>
<a id="pl.179.23"></a><var>179.23</var>average per diem rate, whichever is higher.<br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.179.24"></a><var>179.24</var>    Sec. 5. Minnesota Statutes 2006, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.179.25"></a><var>179.25</var>to read:<br/>
<a id="pl.179.26"></a><var>179.26</var>    Subd. 24. <b>Disability linkage line.</b> The commissioner shall establish the disability <br/>
<a id="pl.179.27"></a><var>179.27</var>linkage line, a statewide consumer information, referral, and assistance system for people <br/>
<a id="pl.179.28"></a><var>179.28</var>with disabilities and chronic illnesses that: <br/>
<a id="pl.179.29"></a><var>179.29</var>    (1) provides information about state and federal eligibility requirements, benefits, <br/>
<a id="pl.179.30"></a><var>179.30</var>and service options; <br/>
<a id="pl.179.31"></a><var>179.31</var>    (2) makes referrals to appropriate support entities; <br/>
<a id="pl.179.32"></a><var>179.32</var>    (3) delivers information and assistance based on national and state standards; <br/>
<a id="pl.179.33"></a><var>179.33</var>    (4) assists people to make well-informed decisions; and <br/>
<a id="pl.179.34"></a><var>179.34</var>    (5) supports the timely resolution of service access and benefit issues.<br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.180.1"></a><var>180.1</var>    Sec. 6. Minnesota Statutes 2006, section 256.476, subdivision 1, is amended to read:<br/>
<a id="pl.180.2"></a><var>180.2</var>    Subdivision 1. <b>Purpose and goals.</b> The commissioner of human services shall <br/>
<a id="pl.180.3"></a><var>180.3</var>establish a consumer support grant program for individuals with functional limitations and <br/>
<a id="pl.180.4"></a><var>180.4</var>their families who wish to purchase and secure their own supports. The commissioner and <br/>
<a id="pl.180.5"></a><var>180.5</var>local agencies shall jointly develop an implementation plan which must include a way to <br/>
<a id="pl.180.6"></a><var>180.6</var>resolve the issues related to county liability. The program shall:<br/>
<a id="pl.180.7"></a><var>180.7</var>    (1) make support grants available to individuals or families as an effective alternative <br/>
<a id="pl.180.8"></a><var>180.8</var>to the developmental disability family support program, personal care attendant services, <br/>
<a id="pl.180.9"></a><var>180.9</var>home health aide services, and private duty nursing services;<br/>
<a id="pl.180.10"></a><var>180.10</var>    (2) provide consumers more control, flexibility, and responsibility over their services <br/>
<a id="pl.180.11"></a><var>180.11</var>and supports;<br/>
<a id="pl.180.12"></a><var>180.12</var>    (3) promote local program management and decision making; and<br/>
<a id="pl.180.13"></a><var>180.13</var>    (4) encourage the use of informal and typical community supports.<br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.180.14"></a><var>180.14</var>    Sec. 7. Minnesota Statutes 2006, section 256.476, subdivision 2, is amended to read:<br/>
<a id="pl.180.15"></a><var>180.15</var>    Subd. 2. <b>Definitions.</b> For purposes of this section, the following terms have the <br/>
<a id="pl.180.16"></a><var>180.16</var>meanings given them:<br/>
<a id="pl.180.17"></a><var>180.17</var>    (a) "County board" means the county board of commissioners for the county of <br/>
<a id="pl.180.18"></a><var>180.18</var>financial responsibility as defined in section 
         <statute_ref>256G.02, subdivision 4</statute_ref>, or its designated <br/>
<a id="pl.180.19"></a><var>180.19</var>representative. When a human services board has been established under sections 
         <statute_ref>402.01</statute_ref> <br/>
<a id="pl.180.20"></a><var>180.20</var>to 
         <statute_ref>402.10</statute_ref>, it shall be considered the county board for the purposes of this section. <br/>
<a id="pl.180.21"></a><var>180.21</var>    (b) "Family" means the person's birth parents, adoptive parents or stepparents, <br/>
<a id="pl.180.22"></a><var>180.22</var>siblings or stepsiblings, children or stepchildren, grandparents, grandchildren, niece, <br/>
<a id="pl.180.23"></a><var>180.23</var>nephew, aunt, uncle, or spouse. For the purposes of this section, a family member is <br/>
<a id="pl.180.24"></a><var>180.24</var>at least 18 years of age.<br/>
<a id="pl.180.25"></a><var>180.25</var>    (c) "Functional limitations" means the long-term inability to perform an activity or <br/>
<a id="pl.180.26"></a><var>180.26</var>task in one or more areas of major life activity, including self-care, understanding and use <br/>
<a id="pl.180.27"></a><var>180.27</var>of language, learning, mobility, self-direction, and capacity for independent living. For the <br/>
<a id="pl.180.28"></a><var>180.28</var>purpose of this section, the inability to perform an activity or task results from a mental, <br/>
<a id="pl.180.29"></a><var>180.29</var>emotional, psychological, sensory, or physical disability, condition, or illness.<br/>
<a id="pl.180.30"></a><var>180.30</var>    (d) "Informed choice" means a voluntary decision made by the person or, <br/>
<a id="pl.180.31"></a><var>180.31</var>the person's legal representative, or other authorized representative after becoming <br/>
<a id="pl.180.32"></a><var>180.32</var>familiarized with the alternatives to:<br/>
<a id="pl.180.33"></a><var>180.33</var>    (1) select a preferred alternative from a number of feasible alternatives;<br/>
<a id="pl.180.34"></a><var>180.34</var>    (2) select an alternative which may be developed in the future; and<br/>
<a id="pl.180.35"></a><var>180.35</var>    (3) refuse any or all alternatives.<br/>
<a id="pl.181.1"></a><var>181.1</var>    (e) "Local agency" means the local agency authorized by the county board or, <br/>
<a id="pl.181.2"></a><var>181.2</var>for counties not participating in the consumer grant program by July 1, 2002, the <br/>
<a id="pl.181.3"></a><var>181.3</var>commissioner, to carry out the provisions of this section.<br/>
<a id="pl.181.4"></a><var>181.4</var>    (f) "Person" or "persons" means a person or persons meeting the eligibility criteria in <br/>
<a id="pl.181.5"></a><var>181.5</var>subdivision 3.<br/>
<a id="pl.181.6"></a><var>181.6</var>    (g) "Authorized representative" means an individual designated by the person or <br/>
<a id="pl.181.7"></a><var>181.7</var>their legal representative to act on their behalf. This individual may be a family member, <br/>
<a id="pl.181.8"></a><var>181.8</var>guardian, representative payee, or other individual designated by the person or their legal <br/>
<a id="pl.181.9"></a><var>181.9</var>representative, if any, to assist in purchasing and arranging for supports. For the purposes <br/>
<a id="pl.181.10"></a><var>181.10</var>of this section, an authorized representative is at least 18 years of age.<br/>
<a id="pl.181.11"></a><var>181.11</var>    (h) "Screening" means the screening of a person's service needs under sections <br/>
<statute_ref><a id="pl.181.12"></a><var>181.12</var>256B.0911
         </statute_ref> and 
         <statute_ref>256B.092</statute_ref>. <br/>
<a id="pl.181.13"></a><var>181.13</var>    (i) "Supports" means services, care, aids, environmental modifications, or assistance <br/>
<a id="pl.181.14"></a><var>181.14</var>purchased by the person or the person's family, the person's legal representative, or other <br/>
<a id="pl.181.15"></a><var>181.15</var>authorized representative. Examples of supports include respite care, assistance with daily <br/>
<a id="pl.181.16"></a><var>181.16</var>living, and assistive technology. For the purpose of this section, notwithstanding the <br/>
<a id="pl.181.17"></a><var>181.17</var>provisions of section 
         <statute_ref>144A.43</statute_ref>, supports purchased under the consumer support program <br/>
<a id="pl.181.18"></a><var>181.18</var>are not considered home care services. <br/>
<a id="pl.181.19"></a><var>181.19</var>    (j) "Program of origination" means the program the individual transferred from <br/>
<a id="pl.181.20"></a><var>181.20</var>when approved for the consumer support grant program.<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.181.21"></a><var>181.21</var>    Sec. 8. Minnesota Statutes 2006, section 256.476, subdivision 3, is amended to read:<br/>
<a id="pl.181.22"></a><var>181.22</var>    Subd. 3. <b>Eligibility to apply for grants.</b> (a) A person is eligible to apply for a <br/>
<a id="pl.181.23"></a><var>181.23</var>consumer support grant if the person meets all of the following criteria:<br/>
<a id="pl.181.24"></a><var>181.24</var>    (1) the person is eligible for and has been approved to receive services under <br/>
<a id="pl.181.25"></a><var>181.25</var>medical assistance as determined under sections 
         <statute_ref>256B.055</statute_ref> and 
         <statute_ref>256B.056</statute_ref> or the person <br/>
<a id="pl.181.26"></a><var>181.26</var>has been approved to receive a grant under the developmental disability family support <br/>
<a id="pl.181.27"></a><var>181.27</var>program under section 
         <statute_ref>252.32</statute_ref>; <br/>
<a id="pl.181.28"></a><var>181.28</var>    (2) the person is able to direct and purchase the person's own care and supports, or <br/>
<a id="pl.181.29"></a><var>181.29</var>the person has a family member, legal representative, or other authorized representative <br/>
<a id="pl.181.30"></a><var>181.30</var>who can purchase and arrange supports on the person's behalf;<br/>
<a id="pl.181.31"></a><var>181.31</var>    (3) the person has functional limitations, requires ongoing supports to live in the <br/>
<a id="pl.181.32"></a><var>181.32</var>community, and is at risk of or would continue institutionalization without such supports; <br/>
<a id="pl.181.33"></a><var>181.33</var>and<br/>
<a id="pl.182.1"></a><var>182.1</var>    (4) the person will live in a home. For the purpose of this section, "home" means the <br/>
<a id="pl.182.2"></a><var>182.2</var>person's own home or home of a person's family member. These homes are natural home <br/>
<a id="pl.182.3"></a><var>182.3</var>settings and are not licensed by the Department of Health or Human Services.<br/>
<a id="pl.182.4"></a><var>182.4</var>    (b) Persons may not concurrently receive a consumer support grant if they are:<br/>
<a id="pl.182.5"></a><var>182.5</var>    (1) receiving personal care attendant and home health aide services, or private duty <br/>
<a id="pl.182.6"></a><var>182.6</var>nursing under section 
         <statute_ref>256B.0625</statute_ref>; a developmental disability family support grant; or <br/>
<a id="pl.182.7"></a><var>182.7</var>alternative care services under section 
         <statute_ref>256B.0913</statute_ref>; or <br/>
<a id="pl.182.8"></a><var>182.8</var>    (2) residing in an institutional or congregate care setting.<br/>
<a id="pl.182.9"></a><var>182.9</var>    (c) A person or person's family receiving a consumer support grant shall not be <br/>
<a id="pl.182.10"></a><var>182.10</var>charged a fee or premium by a local agency for participating in the program.<br/>
<a id="pl.182.11"></a><var>182.11</var>    (d) Individuals receiving home and community-based waivers under United States <br/>
<a id="pl.182.12"></a><var>182.12</var>Code, title 42, section 1396h(c), are not eligible for the consumer support grant, except <br/>
<a id="pl.182.13"></a><var>182.13</var>for individuals receiving consumer support grants before July 1, 2003, as long as other <br/>
<a id="pl.182.14"></a><var>182.14</var>eligibility criteria are met.<br/>
<a id="pl.182.15"></a><var>182.15</var>    (e) The commissioner shall establish a budgeted appropriation each fiscal year <br/>
<a id="pl.182.16"></a><var>182.16</var>for the consumer support grant program. The number of individuals participating in <br/>
<a id="pl.182.17"></a><var>182.17</var>the program will be adjusted so the total amount allocated to counties does not exceed <br/>
<a id="pl.182.18"></a><var>182.18</var>the amount of the budgeted appropriation. The budgeted appropriation will be adjusted <br/>
<a id="pl.182.19"></a><var>182.19</var>annually to accommodate changes in demand for the consumer support grants.<br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.182.20"></a><var>182.20</var>    Sec. 9. Minnesota Statutes 2006, section 256.476, subdivision 4, is amended to read:<br/>
<a id="pl.182.21"></a><var>182.21</var>    Subd. 4. <b>Support grants; criteria and limitations.</b> (a) A county board may <br/>
<a id="pl.182.22"></a><var>182.22</var>choose to participate in the consumer support grant program. If a county has not chosen <br/>
<a id="pl.182.23"></a><var>182.23</var>to participate by July 1, 2002, the commissioner shall contract with another county or <br/>
<a id="pl.182.24"></a><var>182.24</var>other entity to provide access to residents of the nonparticipating county who choose <br/>
<a id="pl.182.25"></a><var>182.25</var>the consumer support grant option. The commissioner shall notify the county board <br/>
<a id="pl.182.26"></a><var>182.26</var>in a county that has declined to participate of the commissioner's intent to enter into <br/>
<a id="pl.182.27"></a><var>182.27</var>a contract with another county or other entity at least 30 days in advance of entering <br/>
<a id="pl.182.28"></a><var>182.28</var>into the contract. The local agency shall establish written procedures and criteria to <br/>
<a id="pl.182.29"></a><var>182.29</var>determine the amount and use of support grants. These procedures must include, at least, <br/>
<a id="pl.182.30"></a><var>182.30</var>the availability of respite care, assistance with daily living, and adaptive aids. The local <br/>
<a id="pl.182.31"></a><var>182.31</var>agency may establish monthly or annual maximum amounts for grants and procedures <br/>
<a id="pl.182.32"></a><var>182.32</var>where exceptional resources may be required to meet the health and safety needs of the <br/>
<a id="pl.182.33"></a><var>182.33</var>person on a time-limited basis, however, the total amount awarded to each individual may <br/>
<a id="pl.182.34"></a><var>182.34</var>not exceed the limits established in subdivision 11.<br/>
<a id="pl.183.1"></a><var>183.1</var>    (b) Support grants to a person or a person's family, a person's legal representative, <br/>
<a id="pl.183.2"></a><var>183.2</var>or other authorized representative will be provided through a monthly subsidy payment <br/>
<a id="pl.183.3"></a><var>183.3</var>and be in the form of cash, voucher, or direct county payment to vendor. Support grant <br/>
<a id="pl.183.4"></a><var>183.4</var>amounts must be determined by the local agency. Each service and item purchased with a <br/>
<a id="pl.183.5"></a><var>183.5</var>support grant must meet all of the following criteria:<br/>
<a id="pl.183.6"></a><var>183.6</var>    (1) it must be over and above the normal cost of caring for the person if the person <br/>
<a id="pl.183.7"></a><var>183.7</var>did not have functional limitations;<br/>
<a id="pl.183.8"></a><var>183.8</var>    (2) it must be directly attributable to the person's functional limitations;<br/>
<a id="pl.183.9"></a><var>183.9</var>    (3) it must enable the person or the person's family, a person's legal representative, <br/>
<a id="pl.183.10"></a><var>183.10</var>or other authorized representative to delay or prevent out-of-home placement of the <br/>
<a id="pl.183.11"></a><var>183.11</var>person; and<br/>
<a id="pl.183.12"></a><var>183.12</var>    (4) it must be consistent with the needs identified in the service agreement, when <br/>
<a id="pl.183.13"></a><var>183.13</var>applicable.<br/>
<a id="pl.183.14"></a><var>183.14</var>    (c) Items and services purchased with support grants must be those for which there <br/>
<a id="pl.183.15"></a><var>183.15</var>are no other public or private funds available to the person or the person's family, a person's <br/>
<a id="pl.183.16"></a><var>183.16</var>legal representative, or other authorized representative. Fees assessed to the person or the <br/>
<a id="pl.183.17"></a><var>183.17</var>person's family for health and human services are not reimbursable through the grant.<br/>
<a id="pl.183.18"></a><var>183.18</var>    (d) In approving or denying applications, the local agency shall consider the <br/>
<a id="pl.183.19"></a><var>183.19</var>following factors:<br/>
<a id="pl.183.20"></a><var>183.20</var>    (1) the extent and areas of the person's functional limitations;<br/>
<a id="pl.183.21"></a><var>183.21</var>    (2) the degree of need in the home environment for additional support; and<br/>
<a id="pl.183.22"></a><var>183.22</var>    (3) the potential effectiveness of the grant to maintain and support the person in the <br/>
<a id="pl.183.23"></a><var>183.23</var>family environment or the person's own home.<br/>
<a id="pl.183.24"></a><var>183.24</var>    (e) At the time of application to the program or screening for other services, <br/>
<a id="pl.183.25"></a><var>183.25</var>the person or the person's family, a person's legal representative, or other authorized <br/>
<a id="pl.183.26"></a><var>183.26</var>representative shall be provided sufficient information to ensure an informed choice <br/>
<a id="pl.183.27"></a><var>183.27</var>of alternatives by the person, the person's legal representative, or other authorized <br/>
<a id="pl.183.28"></a><var>183.28</var>representative, if any, or the person's family. The application shall be made to the local <br/>
<a id="pl.183.29"></a><var>183.29</var>agency and shall specify the needs of the person and family, the form and amount of <br/>
<a id="pl.183.30"></a><var>183.30</var>grant requested, the items and services to be reimbursed, and evidence of eligibility for <br/>
<a id="pl.183.31"></a><var>183.31</var>medical assistance.<br/>
<a id="pl.183.32"></a><var>183.32</var>    (f) Upon approval of an application by the local agency and agreement on a support <br/>
<a id="pl.183.33"></a><var>183.33</var>plan for the person or person's family, the local agency shall make grants to the person or <br/>
<a id="pl.183.34"></a><var>183.34</var>the person's family. The grant shall be in an amount for the direct costs of the services or <br/>
<a id="pl.183.35"></a><var>183.35</var>supports outlined in the service agreement.<br/>
<a id="pl.184.1"></a><var>184.1</var>    (g) Reimbursable costs shall not include costs for resources already available, such as <br/>
<a id="pl.184.2"></a><var>184.2</var>special education classes, day training and habilitation, case management, other services to <br/>
<a id="pl.184.3"></a><var>184.3</var>which the person is entitled, medical costs covered by insurance or other health programs, <br/>
<a id="pl.184.4"></a><var>184.4</var>or other resources usually available at no cost to the person or the person's family.<br/>
<a id="pl.184.5"></a><var>184.5</var>    (h) The state of Minnesota, the county boards participating in the consumer <br/>
<a id="pl.184.6"></a><var>184.6</var>support grant program, or the agencies acting on behalf of the county boards in the <br/>
<a id="pl.184.7"></a><var>184.7</var>implementation and administration of the consumer support grant program shall not be <br/>
<a id="pl.184.8"></a><var>184.8</var>liable for damages, injuries, or liabilities sustained through the purchase of support by <br/>
<a id="pl.184.9"></a><var>184.9</var>the individual, the individual's family, or the authorized representative under this section <br/>
<a id="pl.184.10"></a><var>184.10</var>with funds received through the consumer support grant program. Liabilities include but <br/>
<a id="pl.184.11"></a><var>184.11</var>are not limited to: workers' compensation liability, the Federal Insurance Contributions <br/>
<a id="pl.184.12"></a><var>184.12</var>Act (FICA), or the Federal Unemployment Tax Act (FUTA). For purposes of this section, <br/>
<a id="pl.184.13"></a><var>184.13</var>participating county boards and agencies acting on behalf of county boards are exempt <br/>
<a id="pl.184.14"></a><var>184.14</var>from the provisions of section 
         <statute_ref>268.04</statute_ref>.<br/>
<br/>
<a id="bill.4.10.0"></a><a id="pl.184.15"></a><var>184.15</var>    Sec. 10. Minnesota Statutes 2006, section 256.476, subdivision 5, is amended to read:<br/>
<a id="pl.184.16"></a><var>184.16</var>    Subd. 5. <b>Reimbursement, allocations, and reporting.</b> (a) For the purpose of <br/>
<a id="pl.184.17"></a><var>184.17</var>transferring persons to the consumer support grant program from the developmental <br/>
<a id="pl.184.18"></a><var>184.18</var>disability family support program and personal care assistant services, home health <br/>
<a id="pl.184.19"></a><var>184.19</var>aide services, or private duty nursing services, the amount of funds transferred by the <br/>
<a id="pl.184.20"></a><var>184.20</var>commissioner between the developmental disability family support program account, the <br/>
<a id="pl.184.21"></a><var>184.21</var>medical assistance account, or the consumer support grant account shall be based on each <br/>
<a id="pl.184.22"></a><var>184.22</var>county's participation in transferring persons to the consumer support grant program <br/>
<a id="pl.184.23"></a><var>184.23</var>from those programs and services.<br/>
<a id="pl.184.24"></a><var>184.24</var>    (b) At the beginning of each fiscal year, county allocations for consumer support <br/>
<a id="pl.184.25"></a><var>184.25</var>grants shall be based on:<br/>
<a id="pl.184.26"></a><var>184.26</var>    (1) the number of persons to whom the county board expects to provide consumer <br/>
<a id="pl.184.27"></a><var>184.27</var>supports grants;<br/>
<a id="pl.184.28"></a><var>184.28</var>    (2) their eligibility for current program and services;<br/>
<a id="pl.184.29"></a><var>184.29</var>    (3) the amount of nonfederal dollars allowed under subdivision 11; and<br/>
<a id="pl.184.30"></a><var>184.30</var>    (4) projected dates when persons will start receiving grants. County allocations shall <br/>
<a id="pl.184.31"></a><var>184.31</var>be adjusted periodically by the commissioner based on the actual transfer of persons or <br/>
<a id="pl.184.32"></a><var>184.32</var>service openings, and the nonfederal dollars associated with those persons or service <br/>
<a id="pl.184.33"></a><var>184.33</var>openings, to the consumer support grant program.<br/>
<a id="pl.185.1"></a><var>185.1</var>    (c) The amount of funds transferred by the commissioner from the medical <br/>
<a id="pl.185.2"></a><var>185.2</var>assistance account for an individual may be changed if it is determined by the county or its <br/>
<a id="pl.185.3"></a><var>185.3</var>agent that the individual's need for support has changed.<br/>
<a id="pl.185.4"></a><var>185.4</var>    (d) The authority to utilize funds transferred to the consumer support grant account <br/>
<a id="pl.185.5"></a><var>185.5</var>for the purposes of implementing and administering the consumer support grant program <br/>
<a id="pl.185.6"></a><var>185.6</var>will not be limited or constrained by the spending authority provided to the program <br/>
<a id="pl.185.7"></a><var>185.7</var>of origination.<br/>
<a id="pl.185.8"></a><var>185.8</var>    (e) The commissioner may use up to five percent of each county's allocation, as <br/>
<a id="pl.185.9"></a><var>185.9</var>adjusted, for payments for administrative expenses, to be paid as a proportionate addition <br/>
<a id="pl.185.10"></a><var>185.10</var>to reported direct service expenditures.<br/>
<a id="pl.185.11"></a><var>185.11</var>    (f) The county allocation for each individual or individual's family cannot exceed <br/>
<a id="pl.185.12"></a><var>185.12</var>the amount allowed under subdivision 11.<br/>
<a id="pl.185.13"></a><var>185.13</var>    (g) The commissioner may recover, suspend, or withhold payments if the county <br/>
<a id="pl.185.14"></a><var>185.14</var>board, local agency, or grantee does not comply with the requirements of this section.<br/>
<a id="pl.185.15"></a><var>185.15</var>    (h) Grant funds unexpended by consumers shall return to the state once a year. The <br/>
<a id="pl.185.16"></a><var>185.16</var>annual return of unexpended grant funds shall occur in the quarter following the end of <br/>
<a id="pl.185.17"></a><var>185.17</var>the state fiscal year.<br/>
<br/>
<a id="bill.4.11.0"></a><a id="pl.185.18"></a><var>185.18</var>    Sec. 11. Minnesota Statutes 2006, section 256.476, subdivision 10, is amended to read:<br/>
<a id="pl.185.19"></a><var>185.19</var>    Subd. 10. <b>Consumer responsibilities.</b> Persons receiving grants under this section <br/>
<a id="pl.185.20"></a><var>185.20</var>shall:<br/>
<a id="pl.185.21"></a><var>185.21</var>    (1) spend the grant money in a manner consistent with their agreement with the <br/>
<a id="pl.185.22"></a><var>185.22</var>local agency;<br/>
<a id="pl.185.23"></a><var>185.23</var>    (2) notify the local agency of any necessary changes in the grant or the items on <br/>
<a id="pl.185.24"></a><var>185.24</var>which it is spent;<br/>
<a id="pl.185.25"></a><var>185.25</var>    (3) notify the local agency of any decision made by the person, the a person's legal <br/>
<a id="pl.185.26"></a><var>185.26</var>representative, or the person's family or other authorized representative that would change <br/>
<a id="pl.185.27"></a><var>185.27</var>their eligibility for consumer support grants;<br/>
<a id="pl.185.28"></a><var>185.28</var>    (4) arrange and pay for supports; and<br/>
<a id="pl.185.29"></a><var>185.29</var>    (5) inform the local agency of areas where they have experienced difficulty securing <br/>
<a id="pl.185.30"></a><var>185.30</var>or maintaining supports.<br/>
<br/>
<a id="bill.4.12.0"></a><a id="pl.185.31"></a><var>185.31</var>    Sec. 12. Minnesota Statutes 2006, section 256.974, is amended to read:<br/>
<a id="pl.185.32"></a><var>185.32</var><b>256.974 OFFICE OF OMBUDSMAN FOR </b><b>OLDER MINNESOTANS</b><b> </b><br/>
<a id="pl.185.33"></a><var>185.33</var><b>LONG-TERM CARE</b><b>; LOCAL PROGRAMS.</b><br/>
<a id="pl.186.1"></a><var>186.1</var>    The ombudsman for older Minnesotans long-term care serves in the classified service <br/>
<a id="pl.186.2"></a><var>186.2</var>under section 
         <statute_ref>256.01, subdivision 7</statute_ref>, in an office within the Minnesota Board on Aging that <br/>
<a id="pl.186.3"></a><var>186.3</var>incorporates the long-term care ombudsman program required by the Older Americans <br/>
<a id="pl.186.4"></a><var>186.4</var>Act, Public Law 100-75 as amended, United States Code, title 42, section 3027(a)(12) <br/>
<a id="pl.186.5"></a><var>186.5</var>(9) and 3058g (a), and established within the Minnesota Board on Aging. The Minnesota <br/>
<a id="pl.186.6"></a><var>186.6</var>Board on Aging may make grants to and designate local programs for the provision of <br/>
<a id="pl.186.7"></a><var>186.7</var>ombudsman services to clients in county or multicounty areas. The local program may not <br/>
<a id="pl.186.8"></a><var>186.8</var>be an agency engaged in the provision of nursing home care, hospital care, or home care <br/>
<a id="pl.186.9"></a><var>186.9</var>services either directly or by contract, or have the responsibility for planning, coordinating, <br/>
<a id="pl.186.10"></a><var>186.10</var>funding, or administering nursing home care, hospital care, or home care services.<br/>
<br/>
<a id="bill.4.13.0"></a><a id="pl.186.11"></a><var>186.11</var>    Sec. 13. Minnesota Statutes 2006, section 256.9741, subdivision 1, is amended to read:<br/>
<a id="pl.186.12"></a><var>186.12</var>    Subdivision 1. <b>Long-term care facility.</b> "Long-term care facility" means a nursing <br/>
<a id="pl.186.13"></a><var>186.13</var>home licensed under sections 
         <statute_ref>144A.02</statute_ref> to 
         <statute_ref>144A.10</statute_ref> or; a boarding care home licensed <br/>
<a id="pl.186.14"></a><var>186.14</var>under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.56</statute_ref>; or a licensed or registered residential setting which <br/>
<a id="pl.186.15"></a><var>186.15</var>provides or arranges for the provision of home care services. <br/>
<br/>
<a id="bill.4.14.0"></a><a id="pl.186.16"></a><var>186.16</var>    Sec. 14. Minnesota Statutes 2006, section 256.9741, subdivision 3, is amended to read:<br/>
<a id="pl.186.17"></a><var>186.17</var>    Subd. 3. <b>Client.</b> "Client" means an individual who requests, or on whose behalf a <br/>
<a id="pl.186.18"></a><var>186.18</var>request is made for, ombudsman services and is (a) a resident of a long-term care facility <br/>
<a id="pl.186.19"></a><var>186.19</var>or (b) a Medicare beneficiary who requests assistance relating to access, discharge, or <br/>
<a id="pl.186.20"></a><var>186.20</var>denial of inpatient or outpatient services, or (c) an individual reserving, receiving, or <br/>
<a id="pl.186.21"></a><var>186.21</var>requesting a home care service.<br/>
<br/>
<a id="bill.4.15.0"></a><a id="pl.186.22"></a><var>186.22</var>    Sec. 15. Minnesota Statutes 2006, section 256.9742, subdivision 3, is amended to read:<br/>
<a id="pl.186.23"></a><var>186.23</var>    Subd. 3. <b>Posting.</b> Every long-term care facility and acute care facility shall post in a <br/>
<a id="pl.186.24"></a><var>186.24</var>conspicuous place the address and telephone number of the office. A home care service <br/>
<a id="pl.186.25"></a><var>186.25</var>provider shall provide all recipients, including those in elderly housing with services <br/>
<a id="pl.186.26"></a><var>186.26</var>under chapter 144D, with the address and telephone number of the office. Counties shall <br/>
<a id="pl.186.27"></a><var>186.27</var>provide clients receiving a consumer support grant or a service allowance long-term care <br/>
<a id="pl.186.28"></a><var>186.28</var>consultation services under section 256B.0911 or home and community-based services <br/>
<a id="pl.186.29"></a><var>186.29</var>through a state or federally funded program with the name, address, and telephone number <br/>
<a id="pl.186.30"></a><var>186.30</var>of the office. The posting or notice is subject to approval by the ombudsman.<br/>
<br/>
<a id="bill.4.16.0"></a><a id="pl.186.31"></a><var>186.31</var>    Sec. 16. Minnesota Statutes 2006, section 256.9742, subdivision 4, is amended to read:<br/>
<a id="pl.187.1"></a><var>187.1</var>    Subd. 4. <b>Access to long-term care and acute care facilities and clients.</b> The <br/>
<a id="pl.187.2"></a><var>187.2</var>ombudsman or designee may:<br/>
<a id="pl.187.3"></a><var>187.3</var>    (1) enter any long-term care facility without notice at any time;<br/>
<a id="pl.187.4"></a><var>187.4</var>    (2) enter any acute care facility without notice during normal business hours;<br/>
<a id="pl.187.5"></a><var>187.5</var>    (3) enter any acute care facility without notice at any time to interview a patient or <br/>
<a id="pl.187.6"></a><var>187.6</var>observe services being provided to the patient as part of an investigation of a matter that is <br/>
<a id="pl.187.7"></a><var>187.7</var>within the scope of the ombudsman's authority, but only if the ombudsman's or designee's <br/>
<a id="pl.187.8"></a><var>187.8</var>presence does not intrude upon the privacy of another patient or interfere with routine <br/>
<a id="pl.187.9"></a><var>187.9</var>hospital services provided to any patient in the facility;<br/>
<a id="pl.187.10"></a><var>187.10</var>    (4) communicate privately and without restriction with any client in accordance <br/>
<a id="pl.187.11"></a><var>187.11</var>with section 
<statute_ref>144.651</statute_ref>, as long as the ombudsman has the client's consent for such <br/>
<a id="pl.187.12"></a><var>187.12</var>communication; <br/>
<a id="pl.187.13"></a><var>187.13</var>    (5) inspect records of a long-term care facility, home care service provider, or acute <br/>
<a id="pl.187.14"></a><var>187.14</var>care facility that pertain to the care of the client according to sections
<statute_ref>section 144.335</statute_ref> and <br/>
<a id="pl.187.15"></a><var>187.15</var><statute_ref>144.651</statute_ref>; and <br/>
<a id="pl.187.16"></a><var>187.16</var>    (6) with the consent of a client or client's legal guardian, the ombudsman or <br/>
<a id="pl.187.17"></a><var>187.17</var>designated staff shall have access to review records pertaining to the care of the client <br/>
<a id="pl.187.18"></a><var>187.18</var>according to sections section 
<statute_ref>144.335</statute_ref> and 
<statute_ref>144.651</statute_ref>. If a client cannot consent and has no <br/>
<a id="pl.187.19"></a><var>187.19</var>legal guardian, access to the records is authorized by this section. <br/>
<a id="pl.187.20"></a><var>187.20</var>    A person who denies access to the ombudsman or designee in violation of this <br/>
<a id="pl.187.21"></a><var>187.21</var>subdivision or aids, abets, invites, compels, or coerces another to do so is guilty of a <br/>
<a id="pl.187.22"></a><var>187.22</var>misdemeanor.<br/>
<br/>
<a id="bill.4.17.0"></a><a id="pl.187.23"></a><var>187.23</var>    Sec. 17. Minnesota Statutes 2006, section 256.9742, subdivision 6, is amended to read:<br/>
<a id="pl.187.24"></a><var>187.24</var>    Subd. 6. <b>Prohibition against discrimination or retaliation.</b> (a) No entity shall take <br/>
<a id="pl.187.25"></a><var>187.25</var>discriminatory, disciplinary, or retaliatory action against an employee or volunteer, or a <br/>
<a id="pl.187.26"></a><var>187.26</var>patient, resident, or guardian or family member of a patient, resident, or guardian for filing <br/>
<a id="pl.187.27"></a><var>187.27</var>in good faith a complaint with or providing information to the ombudsman or designee <br/>
<a id="pl.187.28"></a><var>187.28</var>including volunteers. A person who violates this subdivision or who aids, abets, invites, <br/>
<a id="pl.187.29"></a><var>187.29</var>compels, or coerces another to do so is guilty of a misdemeanor.<br/>
<a id="pl.187.30"></a><var>187.30</var>    (b) There shall be a rebuttable presumption that any adverse action, as defined below, <br/>
<a id="pl.187.31"></a><var>187.31</var>within 90 days of report, is discriminatory, disciplinary, or retaliatory. For the purpose <br/>
<a id="pl.187.32"></a><var>187.32</var>of this clause, the term "adverse action" refers to action taken by the entity involved in a <br/>
<a id="pl.187.33"></a><var>187.33</var>report against the person making the report or the person with respect to whom the report <br/>
<a id="pl.187.34"></a><var>187.34</var>was made because of the report, and includes, but is not limited to:<br/>
<a id="pl.187.35"></a><var>187.35</var>    (1) discharge or transfer from a facility;<br/>
<a id="pl.188.1"></a><var>188.1</var>    (2) termination of service;<br/>
<a id="pl.188.2"></a><var>188.2</var>    (3) restriction or prohibition of access to the facility or its residents;<br/>
<a id="pl.188.3"></a><var>188.3</var>    (4) discharge from or termination of employment;<br/>
<a id="pl.188.4"></a><var>188.4</var>    (5) demotion or reduction in remuneration for services; and<br/>
<a id="pl.188.5"></a><var>188.5</var>    (6) any restriction of rights set forth in section 
         <statute_ref>144.651</statute_ref> or,
<statute_ref>144A.44, or 144A.751</statute_ref>. <br/>
<br/>
<a id="bill.4.18.0"></a><a id="pl.188.6"></a><var>188.6</var>    Sec. 18. Minnesota Statutes 2006, section 256.9744, subdivision 1, is amended to read:<br/>
<a id="pl.188.7"></a><var>188.7</var>    Subdivision 1. <b>Classification.</b> Except as provided in this section, data maintained <br/>
<a id="pl.188.8"></a><var>188.8</var>by the office under sections 
         <statute_ref>256.974</statute_ref> to 
         <statute_ref>256.9744</statute_ref> are private data on individuals or <br/>
<a id="pl.188.9"></a><var>188.9</var>nonpublic data as defined in section 
         <statute_ref>13.02, subdivision 9</statute_ref> or 12, and must be maintained <br/>
<a id="pl.188.10"></a><var>188.10</var>in accordance with the requirements of Public Law 100-75 the Older Americans Act, as <br/>
<a id="pl.188.11"></a><var>188.11</var>amended, United States Code, title 42, section 3027(a)(12)(D) 3058g(d).<br/>
<br/>
<a id="bill.4.19.0"></a><a id="pl.188.12"></a><var>188.12</var>    Sec. 19. Minnesota Statutes 2006, section 256.975, subdivision 7, is amended to read:<br/>
<a id="pl.188.13"></a><var>188.13</var>    Subd. 7. <b>Consumer information and assistance; senior linkage.</b> (a) The <br/>
<a id="pl.188.14"></a><var>188.14</var>Minnesota Board on Aging shall operate a statewide information and assistance service <br/>
<a id="pl.188.15"></a><var>188.15</var>to aid older Minnesotans and their families in making informed choices about long-term <br/>
<a id="pl.188.16"></a><var>188.16</var>care options and health care benefits. Language services to persons with limited English <br/>
<a id="pl.188.17"></a><var>188.17</var>language skills may be made available. The service, known as Senior LinkAge Line, must <br/>
<a id="pl.188.18"></a><var>188.18</var>be available during business hours through a statewide toll-free number and must also <br/>
<a id="pl.188.19"></a><var>188.19</var>be available through the Internet.<br/>
<a id="pl.188.20"></a><var>188.20</var>    (b) The service must assist older adults, caregivers, and providers in accessing <br/>
<a id="pl.188.21"></a><var>188.21</var>information about choices in long-term care services that are purchased through private <br/>
<a id="pl.188.22"></a><var>188.22</var>providers or available through public options. The service must:<br/>
<a id="pl.188.23"></a><var>188.23</var>    (1) develop a comprehensive database that includes detailed listings in both <br/>
<a id="pl.188.24"></a><var>188.24</var>consumer- and provider-oriented formats;<br/>
<a id="pl.188.25"></a><var>188.25</var>    (2) make the database accessible on the Internet and through other telecommunication <br/>
<a id="pl.188.26"></a><var>188.26</var>and media-related tools;<br/>
<a id="pl.188.27"></a><var>188.27</var>    (3) link callers to interactive long-term care screening tools and make these tools <br/>
<a id="pl.188.28"></a><var>188.28</var>available through the Internet by integrating the tools with the database;<br/>
<a id="pl.188.29"></a><var>188.29</var>    (4) develop community education materials with a focus on planning for long-term <br/>
<a id="pl.188.30"></a><var>188.30</var>care and evaluating independent living, housing, and service options;<br/>
<a id="pl.188.31"></a><var>188.31</var>    (5) conduct an outreach campaign to assist older adults and their caregivers in <br/>
<a id="pl.188.32"></a><var>188.32</var>finding information on the Internet and through other means of communication;<br/>
<a id="pl.188.33"></a><var>188.33</var>    (6) implement a messaging system for overflow callers and respond to these callers <br/>
<a id="pl.188.34"></a><var>188.34</var>by the next business day;<br/>
<a id="pl.189.1"></a><var>189.1</var>    (7) link callers with county human services and other providers to receive more <br/>
<a id="pl.189.2"></a><var>189.2</var>in-depth assistance and consultation related to long-term care options; and<br/>
<a id="pl.189.3"></a><var>189.3</var>    (8) link callers with quality profiles for nursing facilities and other providers <br/>
<a id="pl.189.4"></a><var>189.4</var>developed by the commissioner of health.; and<br/>
<a id="pl.189.5"></a><var>189.5</var>    (9) incorporate information about housing with services and consumer rights <br/>
<a id="pl.189.6"></a><var>189.6</var>within the MinnesotaHelp.info network long-term care database to facilitate consumer <br/>
<a id="pl.189.7"></a><var>189.7</var>comparison of services and costs among housing with services establishments and with <br/>
<a id="pl.189.8"></a><var>189.8</var>other in-home services and to support financial self-sufficiency as long as possible. <br/>
<a id="pl.189.9"></a><var>189.9</var>Housing with services establishments and their arranged home care providers shall provide <br/>
<a id="pl.189.10"></a><var>189.10</var>information to the commissioner of human services that is consistent with information <br/>
<a id="pl.189.11"></a><var>189.11</var>required by the commissioner of health under section 144G.06, the Uniform Consumer <br/>
<a id="pl.189.12"></a><var>189.12</var>Information Guide. The commissioner of human services shall provide the data to the <br/>
<a id="pl.189.13"></a><var>189.13</var>Minnesota Board on Aging for inclusion in the MinnesotaHelp.info network long-term <br/>
<a id="pl.189.14"></a><var>189.14</var>care database.<br/>
<a id="pl.189.15"></a><var>189.15</var>    (c) The Minnesota Board on Aging shall conduct an evaluation of the effectiveness <br/>
<a id="pl.189.16"></a><var>189.16</var>of the statewide information and assistance, and submit this evaluation to the legislature <br/>
<a id="pl.189.17"></a><var>189.17</var>by December 1, 2002. The evaluation must include an analysis of funding adequacy, gaps <br/>
<a id="pl.189.18"></a><var>189.18</var>in service delivery, continuity in information between the service and identified linkages, <br/>
<a id="pl.189.19"></a><var>189.19</var>and potential use of private funding to enhance the service.<br/>
<a id="pl.189.20"></a><var>189.20</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.20.0"></a><a id="pl.189.21"></a><var>189.21</var>    Sec. 20. Minnesota Statutes 2006, section 256B.056, subdivision 1a, is amended to <br/>
<a id="pl.189.22"></a><var>189.22</var>read:<br/>
<a id="pl.189.23"></a><var>189.23</var>    Subd. 1a. <b>Income and assets generally.</b> Unless specifically required by state law or <br/>
<a id="pl.189.24"></a><var>189.24</var>rule or federal law or regulation, the methodologies used in counting income and assets <br/>
<a id="pl.189.25"></a><var>189.25</var>to determine eligibility for medical assistance for persons whose eligibility category is <br/>
<a id="pl.189.26"></a><var>189.26</var>based on blindness, disability, or age of 65 or more years, the methodologies for the <br/>
<a id="pl.189.27"></a><var>189.27</var>supplemental security income program shall be used, except as provided under subdivision <br/>
<a id="pl.189.28"></a><var>189.28</var>3, paragraph (f). Increases in benefits under title II of the Social Security Act shall not be <br/>
<a id="pl.189.29"></a><var>189.29</var>counted as income for purposes of this subdivision until July 1 of each year. Effective <br/>
<a id="pl.189.30"></a><var>189.30</var>upon federal approval, for children eligible under section 
         <statute_ref>256B.055, subdivision 12</statute_ref>, or <br/>
<a id="pl.189.31"></a><var>189.31</var>for home and community-based waiver services whose eligibility for medical assistance <br/>
<a id="pl.189.32"></a><var>189.32</var>is determined without regard to parental income, child support payments, including any <br/>
<a id="pl.189.33"></a><var>189.33</var>payments made by an obligor in satisfaction of or in addition to a temporary or permanent <br/>
<a id="pl.189.34"></a><var>189.34</var>order for child support, and Social Security payments are not counted as income. For <br/>
<a id="pl.189.35"></a><var>189.35</var>families and children, which includes all other eligibility categories, the methodologies <br/>
<a id="pl.190.1"></a><var>190.1</var>under the state's AFDC plan in effect as of July 16, 1996, as required by the Personal <br/>
<a id="pl.190.2"></a><var>190.2</var>Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA), Public <br/>
<a id="pl.190.3"></a><var>190.3</var>Law 104-193, shall be used, except that effective October 1, 2003, the earned income <br/>
<a id="pl.190.4"></a><var>190.4</var>disregards and deductions are limited to those in subdivision 1c. For these purposes, a <br/>
<a id="pl.190.5"></a><var>190.5</var>"methodology" does not include an asset or income standard, or accounting method, <br/>
<a id="pl.190.6"></a><var>190.6</var>or method of determining effective dates.<br/>
<br/>
<a id="bill.4.21.0"></a><a id="pl.190.7"></a><var>190.7</var>    Sec. 21. Minnesota Statutes 2006, section 256B.056, subdivision 3, is amended to read:<br/>
<a id="pl.190.8"></a><var>190.8</var>    Subd. 3. <b>Asset limitations for </b><b>aged, blind, or disabled </b><b>individuals </b><b>and families</b><b>.</b><br/>
<a id="pl.190.9"></a><var>190.9</var>    To be eligible for medical assistance, a person whose eligibility is based on blindness, <br/>
<a id="pl.190.10"></a><var>190.10</var>disability, or age of 65 or more years must not individually own more than $3,000 $6,000 <br/>
<a id="pl.190.11"></a><var>190.11</var>in assets, or if a member of a household with two family members, husband and wife, or <br/>
<a id="pl.190.12"></a><var>190.12</var>parent and child, the household must not own more than $6,000 $12,000 in assets, plus <br/>
<a id="pl.190.13"></a><var>190.13</var>$200 $400 for each additional legal dependent. In addition to these maximum amounts, <br/>
<a id="pl.190.14"></a><var>190.14</var>an eligible individual or family may accrue interest on these amounts, but they must be <br/>
<a id="pl.190.15"></a><var>190.15</var>reduced to the maximum at the time of an eligibility redetermination. The accumulation <br/>
<a id="pl.190.16"></a><var>190.16</var>of the clothing and personal needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be <br/>
<a id="pl.190.17"></a><var>190.17</var>reduced to the maximum at the time of the eligibility redetermination. The value of assets <br/>
<a id="pl.190.18"></a><var>190.18</var>that are not considered in determining eligibility for medical assistance is the value of <br/>
<a id="pl.190.19"></a><var>190.19</var>those assets excluded under the supplemental security income program for aged, blind, <br/>
<a id="pl.190.20"></a><var>190.20</var>and disabled persons, with the following exceptions: <br/>
<a id="pl.190.21"></a><var>190.21</var>    (a) Household goods and personal effects are not considered.<br/>
<a id="pl.190.22"></a><var>190.22</var>    (b) Capital and operating assets of a trade or business that the local agency <br/>
<a id="pl.190.23"></a><var>190.23</var>determines are necessary to the person's ability to earn an income are not considered.<br/>
<a id="pl.190.24"></a><var>190.24</var>    (c) Motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.190.25"></a><var>190.25</var>security income program.<br/>
<a id="pl.190.26"></a><var>190.26</var>    (d) Assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.190.27"></a><var>190.27</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.190.28"></a><var>190.28</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.190.29"></a><var>190.29</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses.<br/>
<a id="pl.190.30"></a><var>190.30</var>    (e) Effective upon federal approval, for a person who no longer qualifies as an <br/>
<a id="pl.190.31"></a><var>190.31</var>employed person with a disability due to loss of earnings, assets allowed while eligible <br/>
<a id="pl.190.32"></a><var>190.32</var>for medical assistance under section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, are not considered for 12 <br/>
<a id="pl.190.33"></a><var>190.33</var>months, beginning with the first month of ineligibility as an employed person with a <br/>
<a id="pl.190.34"></a><var>190.34</var>disability, to the extent that the person's total assets remain within the allowed limits of <br/>
<a id="pl.190.35"></a><var>190.35</var>section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph (b). <br/>
<a id="pl.191.1"></a><var>191.1</var>    (f) When a person enrolled in medical assistance under section 256B.057, <br/>
<a id="pl.191.2"></a><var>191.2</var>subdivision 9, reaches age 65 and has been enrolled during each of the 24 consecutive <br/>
<a id="pl.191.3"></a><var>191.3</var>months before the person's 65th birthday, the assets owned by the person and the person's <br/>
<a id="pl.191.4"></a><var>191.4</var>spouse must be disregarded, up to the limits of section 256B.057, subdivision 9, paragraph <br/>
<a id="pl.191.5"></a><var>191.5</var>(b), when determining eligibility for medical assistance under section 256B.055, <br/>
<a id="pl.191.6"></a><var>191.6</var>subdivision 7. The income of a spouse of a person enrolled in medical assistance under <br/>
<a id="pl.191.7"></a><var>191.7</var>section 256B.057, subdivision 9, during each of the 24 consecutive months before the <br/>
<a id="pl.191.8"></a><var>191.8</var>person's 65th birthday must be disregarded when determining eligibility for medical <br/>
<a id="pl.191.9"></a><var>191.9</var>assistance under section 256B.055, subdivision 7, when the person reaches age 65. This <br/>
<a id="pl.191.10"></a><var>191.10</var>paragraph does not apply at the time the person or the person's spouse requests medical <br/>
<a id="pl.191.11"></a><var>191.11</var>assistance payment for long-term care services.<br/>
<a id="pl.191.12"></a><var>191.12</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007, except that the increase <br/>
<a id="pl.191.13"></a><var>191.13</var>in the asset standard for persons whose eligibility for medical assistance is based on <br/>
<a id="pl.191.14"></a><var>191.14</var>blindness, disability, or age of 65 or more years is effective July 1, 2008.<br/>
<br/>
<a id="bill.4.22.0"></a><a id="pl.191.15"></a><var>191.15</var>    Sec. 22. Minnesota Statutes 2006, section 256B.056, subdivision 5c, is amended to <br/>
<a id="pl.191.16"></a><var>191.16</var>read:<br/>
<a id="pl.191.17"></a><var>191.17</var>    Subd. 5c. <b>Excess income standard.</b> (a) The excess income standard for families <br/>
<a id="pl.191.18"></a><var>191.18</var>with children is the standard specified in subdivision 4.<br/>
<a id="pl.191.19"></a><var>191.19</var>    (b) The excess income standard for a person whose eligibility is based on blindness, <br/>
<a id="pl.191.20"></a><var>191.20</var>disability, or age of 65 or more years is 70 percent of the federal poverty guidelines for the <br/>
<a id="pl.191.21"></a><var>191.21</var>family size. Effective July 1, 2002, the excess income standard for this paragraph shall <br/>
<a id="pl.191.22"></a><var>191.22</var>equal 75 percent of the federal poverty guidelines. Effective July 1, 2007, the excess <br/>
<a id="pl.191.23"></a><var>191.23</var>income standard for this paragraph shall equal 85 percent of the federal poverty guidelines. <br/>
<a id="pl.191.24"></a><var>191.24</var>The excess income standard for this paragraph shall be increased by five percentage points <br/>
<a id="pl.191.25"></a><var>191.25</var>on July 1 of each of the next three years, so that the excess income standard shall equal <br/>
<a id="pl.191.26"></a><var>191.26</var>100 percent of the federal poverty guidelines effective July 1, 2010.<br/>
<a id="pl.191.27"></a><var>191.27</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.4.23.0"></a><a id="pl.191.28"></a><var>191.28</var>    Sec. 23. Minnesota Statutes 2006, section 256B.0621, subdivision 11, is amended to <br/>
<a id="pl.191.29"></a><var>191.29</var>read:<br/>
<a id="pl.191.30"></a><var>191.30</var>    Subd. 11. <b>Data use agreement;</b><b> Notice of relocation assistance.</b> The commissioner <br/>
<a id="pl.191.31"></a><var>191.31</var>shall execute a data use agreement with the Centers for Medicare and Medicaid Services <br/>
<a id="pl.191.32"></a><var>191.32</var>to obtain the long-term care minimum data set data to assist residents of nursing facilities <br/>
<a id="pl.191.33"></a><var>191.33</var>who have establish a process with the Centers for Independent Living that allows a person <br/>
<a id="pl.192.1"></a><var>192.1</var>residing in a Minnesota nursing facility to receive needed information, consultation, and <br/>
<a id="pl.192.2"></a><var>192.2</var>assistance from one of the centers about the available community support options that may <br/>
<a id="pl.192.3"></a><var>192.3</var>enable the person to relocate to the community, if the person: (1) is under the age of 65, <br/>
<a id="pl.192.4"></a><var>192.4</var>(2) has indicated a desire to live in the community. The commissioner shall in turn enter <br/>
<a id="pl.192.5"></a><var>192.5</var>into agreements with the Centers for Independent Living to provide information about <br/>
<a id="pl.192.6"></a><var>192.6</var>assistance for persons who want to move to the community. The commissioner shall work <br/>
<a id="pl.192.7"></a><var>192.7</var>with the Centers for Independent Living on both the content of the information to be <br/>
<a id="pl.192.8"></a><var>192.8</var>provided and privacy protections for the individual residents, and (3) has signed a release <br/>
<a id="pl.192.9"></a><var>192.9</var>of information authorized by the person or the person's appointed legal representative. <br/>
<a id="pl.192.10"></a><var>192.10</var>The process established under this subdivision shall be coordinated with the long-term <br/>
<a id="pl.192.11"></a><var>192.11</var>care consultation service activities established in section 256B.0911.<br/>
<br/>
<a id="bill.4.24.0"></a><a id="pl.192.12"></a><var>192.12</var>    Sec. 24. Minnesota Statutes 2006, section 256B.0625, subdivision 18a, is amended to <br/>
<a id="pl.192.13"></a><var>192.13</var>read:<br/>
<a id="pl.192.14"></a><var>192.14</var>    Subd. 18a. <b>Access to medical services.</b> (a) Medical assistance reimbursement for <br/>
<a id="pl.192.15"></a><var>192.15</var>meals for persons traveling to receive medical care may not exceed $5.50 for breakfast, <br/>
<a id="pl.192.16"></a><var>192.16</var>$6.50 for lunch, or $8 for dinner.<br/>
<a id="pl.192.17"></a><var>192.17</var>    (b) Medical assistance reimbursement for lodging for persons traveling to receive <br/>
<a id="pl.192.18"></a><var>192.18</var>medical care may not exceed $50 per day unless prior authorized by the local agency.<br/>
<a id="pl.192.19"></a><var>192.19</var>    (c) Medical assistance direct mileage reimbursement to the eligible person or the <br/>
<a id="pl.192.20"></a><var>192.20</var>eligible person's driver may not exceed 20 cents per mile.<br/>
<a id="pl.192.21"></a><var>192.21</var>    (d) Regardless of the number of employees that an enrolled health care provider <br/>
<a id="pl.192.22"></a><var>192.22</var>may have, medical assistance covers sign and oral language interpreter services when <br/>
<a id="pl.192.23"></a><var>192.23</var>provided by an enrolled health care provider during the course of providing a direct, <br/>
<a id="pl.192.24"></a><var>192.24</var>person-to-person covered health care service to an enrolled recipient with limited English <br/>
<a id="pl.192.25"></a><var>192.25</var>proficiency or who has a hearing loss and uses interpreting services.<br/>
<br/>
<a id="bill.4.25.0"></a><a id="pl.192.26"></a><var>192.26</var>    Sec. 25. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.192.27"></a><var>192.27</var>subdivision to read:<br/>
<a id="pl.192.28"></a><var>192.28</var>    Subd. 49. <b>Self-directed supports option.</b> Upon federal approval, medical <br/>
<a id="pl.192.29"></a><var>192.29</var>assistance covers the self-directed supports option as defined under section 256B.0657 and <br/>
<a id="pl.192.30"></a><var>192.30</var>section 6087 of the Federal Deficit Reduction Act of 2005, Public Law 109-171.<br/>
<a id="pl.192.31"></a><var>192.31</var><b>EFFECTIVE DATE.</b>This section is effective upon federal approval of the state <br/>
<a id="pl.192.32"></a><var>192.32</var>Medicaid plan amendment. The commissioner of human services shall inform the Office <br/>
<a id="pl.192.33"></a><var>192.33</var>of the Revisor of Statutes when approval is obtained.<br/>
<br/>
<a id="bill.4.26.0"></a><a id="pl.193.1"></a><var>193.1</var>    Sec. 26. <b>[256B.0657] SELF-DIRECTED SUPPORTS OPTION.</b><br/>
<a id="pl.193.2"></a><var>193.2</var>    Subdivision 1. <b>Definition.</b> "Self-directed supports option" means personal <br/>
<a id="pl.193.3"></a><var>193.3</var>assistance, supports, items, and related services purchased under an approved budget <br/>
<a id="pl.193.4"></a><var>193.4</var>plan and budget by a recipient.<br/>
<a id="pl.193.5"></a><var>193.5</var>    Subd. 2. <b>Eligibility.</b> (a) The self-directed supports option is available to a person <br/>
<a id="pl.193.6"></a><var>193.6</var>who:<br/>
<a id="pl.193.7"></a><var>193.7</var>    (1) is a recipient of medical assistance as determined under sections 256B.055, <br/>
<a id="pl.193.8"></a><var>193.8</var>256B.056, and 256B.057, subdivision 9;<br/>
<a id="pl.193.9"></a><var>193.9</var>    (2) is eligible for personal care assistant services under section 256B.0655;<br/>
<a id="pl.193.10"></a><var>193.10</var>    (3) lives in the person's own apartment or home, which is not owned, operated, or <br/>
<a id="pl.193.11"></a><var>193.11</var>controlled by a provider of services not related by blood or marriage;<br/>
<a id="pl.193.12"></a><var>193.12</var>    (4) has the ability to hire, fire, supervise, establish staff compensation for, and <br/>
<a id="pl.193.13"></a><var>193.13</var>manage the individuals providing services, and to choose and obtain items, related <br/>
<a id="pl.193.14"></a><var>193.14</var>services, and supports as described in the participant's plan. If the recipient is not able to <br/>
<a id="pl.193.15"></a><var>193.15</var>carry out these functions but has a legal guardian or parent to carry them out, the guardian <br/>
<a id="pl.193.16"></a><var>193.16</var>or parent may fulfill these functions on behalf of the recipient; and<br/>
<a id="pl.193.17"></a><var>193.17</var>    (5) has not been excluded or disenrolled by the commissioner.<br/>
<a id="pl.193.18"></a><var>193.18</var>    (b) The commissioner may disenroll or exclude recipients, including guardians and <br/>
<a id="pl.193.19"></a><var>193.19</var>parents, under the following circumstances:<br/>
<a id="pl.193.20"></a><var>193.20</var>    (1) recipients who have been restricted by the Primary Care Utilization Review <br/>
<a id="pl.193.21"></a><var>193.21</var>Committee may be excluded for a specified time period; and <br/>
<a id="pl.193.22"></a><var>193.22</var>    (2) recipients who exit the self-directed supports option during the recipient's <br/>
<a id="pl.193.23"></a><var>193.23</var>service plan year shall not access the self-directed supports option for the remainder <br/>
<a id="pl.193.24"></a><var>193.24</var>of that service plan year.<br/>
<a id="pl.193.25"></a><var>193.25</var>    Subd. 3. <b>Eligibility for other services.</b> Selection of the self-directed supports <br/>
<a id="pl.193.26"></a><var>193.26</var>option by a recipient shall not restrict access to other medically necessary care and <br/>
<a id="pl.193.27"></a><var>193.27</var>services furnished under the state plan medical assistance benefit, including home care <br/>
<a id="pl.193.28"></a><var>193.28</var>targeted case management, except that a person receiving home and community-based <br/>
<a id="pl.193.29"></a><var>193.29</var>waiver services, a family support grant or a consumer support grant is not eligible for <br/>
<a id="pl.193.30"></a><var>193.30</var>funding under the self-directed supports option.<br/>
<a id="pl.193.31"></a><var>193.31</var>    Subd. 4. <b>Assessment requirements.</b> (a) The self-directed supports option <br/>
<a id="pl.193.32"></a><var>193.32</var>assessment must meet the following requirements:<br/>
<a id="pl.193.33"></a><var>193.33</var>    (1) it shall be conducted by the county public health nurse or a certified public <br/>
<a id="pl.193.34"></a><var>193.34</var>health nurse under contract with the county;<br/>
<a id="pl.193.35"></a><var>193.35</var>    (2) it shall be conducted face-to-face in the recipient's home initially, and at least <br/>
<a id="pl.193.36"></a><var>193.36</var>annually thereafter; when there is a significant change in the recipient's condition; and <br/>
<a id="pl.194.1"></a><var>194.1</var>when there is a change in the need for personal care assistant services. A recipient who is <br/>
<a id="pl.194.2"></a><var>194.2</var>residing in a facility may be assessed for the self-directed support option for the purpose <br/>
<a id="pl.194.3"></a><var>194.3</var>of returning to the community using this option; and <br/>
<a id="pl.194.4"></a><var>194.4</var>    (3) it shall be completed using the format established by the commissioner.<br/>
<a id="pl.194.5"></a><var>194.5</var>    (b) The results of the assessment and recommendations shall be communicated to <br/>
<a id="pl.194.6"></a><var>194.6</var>the commissioner and the recipient by the county public health nurse or certified public <br/>
<a id="pl.194.7"></a><var>194.7</var>health nurse under contract with the county.<br/>
<a id="pl.194.8"></a><var>194.8</var>    Subd. 5. <b>Self-directed supports option plan requirements.</b> (a) The plan for the <br/>
<a id="pl.194.9"></a><var>194.9</var>self-directed supports option must meet the following requirements:<br/>
<a id="pl.194.10"></a><var>194.10</var>    (1) the plan must be completed using a person-centered process that:<br/>
<a id="pl.194.11"></a><var>194.11</var>    (i) builds upon the recipient's capacity to engage in activities that promote <br/>
<a id="pl.194.12"></a><var>194.12</var>community life;<br/>
<a id="pl.194.13"></a><var>194.13</var>    (ii) respects the recipient's preferences, choices, and abilities;<br/>
<a id="pl.194.14"></a><var>194.14</var>    (iii) involves families, friends, and professionals in the planning or delivery of <br/>
<a id="pl.194.15"></a><var>194.15</var>services or supports as desired or required by the recipient; and <br/>
<a id="pl.194.16"></a><var>194.16</var>    (iv) addresses the need for personal care assistant services identified in the recipient's <br/>
<a id="pl.194.17"></a><var>194.17</var>self-directed supports option assessment;<br/>
<a id="pl.194.18"></a><var>194.18</var>    (2) the plan shall be developed by the recipient or by the guardian of an adult <br/>
<a id="pl.194.19"></a><var>194.19</var>recipient or by a parent or guardian of a minor child, with the assistance of an enrolled <br/>
<a id="pl.194.20"></a><var>194.20</var>medical assistance home care targeted case manager provider who meets the requirements <br/>
<a id="pl.194.21"></a><var>194.21</var>established for using a person-centered planning process and shall be reviewed at least <br/>
<a id="pl.194.22"></a><var>194.22</var>annually upon reassessment or when there is a significant change in the recipient's <br/>
<a id="pl.194.23"></a><var>194.23</var>condition; and <br/>
<a id="pl.194.24"></a><var>194.24</var>    (3) the plan must include the total budget amount available divided into monthly <br/>
<a id="pl.194.25"></a><var>194.25</var>amounts that cover the number of months of personal care assistant services authorization <br/>
<a id="pl.194.26"></a><var>194.26</var>included in the budget. The amount used each month may vary, but additional funds shall <br/>
<a id="pl.194.27"></a><var>194.27</var>not be provided above the annual personal care assistant services authorized amount <br/>
<a id="pl.194.28"></a><var>194.28</var>unless a change in condition is documented.<br/>
<a id="pl.194.29"></a><var>194.29</var>    (b) The commissioner shall:<br/>
<a id="pl.194.30"></a><var>194.30</var>    (1) establish the format and criteria for the plan as well as the requirements for <br/>
<a id="pl.194.31"></a><var>194.31</var>providers who assist with plan development;<br/>
<a id="pl.194.32"></a><var>194.32</var>    (2) review the assessment and plan and, within 30 days after receiving the <br/>
<a id="pl.194.33"></a><var>194.33</var>assessment and plan, make a decision on approval of the plan;<br/>
<a id="pl.194.34"></a><var>194.34</var>    (3) notify the recipient, parent, or guardian of approval or denial of the plan and <br/>
<a id="pl.194.35"></a><var>194.35</var>provide notice of the right to appeal under section 256.045; and <br/>
<a id="pl.194.36"></a><var>194.36</var>    (4) provide a copy of the plan to the fiscal support entity selected by the recipient.<br/>
<a id="pl.195.1"></a><var>195.1</var>    Subd. 6. <b>Services covered.</b> (a) Services covered under the self-directed supports <br/>
<a id="pl.195.2"></a><var>195.2</var>option include:<br/>
<a id="pl.195.3"></a><var>195.3</var>    (1) personal care assistant services under section 256B.0655; and <br/>
<a id="pl.195.4"></a><var>195.4</var>    (2) items, related services, and supports, including assistive technology, that increase <br/>
<a id="pl.195.5"></a><var>195.5</var>independence or substitute for human assistance to the extent expenditures would <br/>
<a id="pl.195.6"></a><var>195.6</var>otherwise be used for human assistance.<br/>
<a id="pl.195.7"></a><var>195.7</var>    (b) Items, supports, and related services purchased under this option shall not be <br/>
<a id="pl.195.8"></a><var>195.8</var>considered home care services for the purposes of section 144A.43.<br/>
<a id="pl.195.9"></a><var>195.9</var>    Subd. 7. <b>Noncovered services.</b> Services or supports that are not eligible for <br/>
<a id="pl.195.10"></a><var>195.10</var>payment under the self-directed supports option include:<br/>
<a id="pl.195.11"></a><var>195.11</var>    (1) services, goods, or supports that do not benefit the recipient;<br/>
<a id="pl.195.12"></a><var>195.12</var>    (2) any fees incurred by the recipient, such as Minnesota health care program fees <br/>
<a id="pl.195.13"></a><var>195.13</var>and co-pays, legal fees, or costs related to advocate agencies;<br/>
<a id="pl.195.14"></a><var>195.14</var>    (3) insurance, except for insurance costs related to employee coverage or fiscal <br/>
<a id="pl.195.15"></a><var>195.15</var>support entity payments;<br/>
<a id="pl.195.16"></a><var>195.16</var>    (4) room and board and personal items that are not related to the disability, except <br/>
<a id="pl.195.17"></a><var>195.17</var>that medically prescribed specialized diet items may be covered if they reduce the need for <br/>
<a id="pl.195.18"></a><var>195.18</var>human assistance;<br/>
<a id="pl.195.19"></a><var>195.19</var>    (5) home modifications that add square footage;<br/>
<a id="pl.195.20"></a><var>195.20</var>    (6) home modifications for a residence other than the primary residence of the <br/>
<a id="pl.195.21"></a><var>195.21</var>recipient, or in the event of a minor with parents not living together, the primary residences <br/>
<a id="pl.195.22"></a><var>195.22</var>of the parents;<br/>
<a id="pl.195.23"></a><var>195.23</var>    (7) expenses for travel, lodging, or meals related to training the recipient, the parent <br/>
<a id="pl.195.24"></a><var>195.24</var>or guardian of an adult recipient, or the parent or guardian of a minor child, or paid or <br/>
<a id="pl.195.25"></a><var>195.25</var>unpaid caregivers that exceed $500 in a 12-month period;<br/>
<a id="pl.195.26"></a><var>195.26</var>    (8) experimental treatment;<br/>
<a id="pl.195.27"></a><var>195.27</var>    (9) any service or item covered by other medical assistance state plan services, <br/>
<a id="pl.195.28"></a><var>195.28</var>including prescription and over-the-counter medications, compounds, and solutions and <br/>
<a id="pl.195.29"></a><var>195.29</var>related fees, including premiums and co-payments;<br/>
<a id="pl.195.30"></a><var>195.30</var>    (10) membership dues or costs, except when the service is necessary and appropriate <br/>
<a id="pl.195.31"></a><var>195.31</var>to treat a physical condition or to improve or maintain the recipient's physical condition. <br/>
<a id="pl.195.32"></a><var>195.32</var>The condition must be identified in the recipient's plan of care and monitored by a <br/>
<a id="pl.195.33"></a><var>195.33</var>Minnesota health care program enrolled physician;<br/>
<a id="pl.195.34"></a><var>195.34</var>    (11) vacation expenses other than the cost of direct services;<br/>
<a id="pl.195.35"></a><var>195.35</var>    (12) vehicle maintenance or modifications not related to the disability;<br/>
<a id="pl.195.36"></a><var>195.36</var>    (13) tickets and related costs to attend sporting or other recreational events; and<br/>
<a id="pl.196.1"></a><var>196.1</var>    (14) costs related to Internet access, except when necessary for operation of assistive <br/>
<a id="pl.196.2"></a><var>196.2</var>technology, to increase independence, or to substitute for human assistance.<br/>
<a id="pl.196.3"></a><var>196.3</var>    Subd. 8. <b>Self-directed budget requirements.</b> The budget for the provision of the <br/>
<a id="pl.196.4"></a><var>196.4</var>self-directed service option shall be equal to the greater of either:<br/>
<a id="pl.196.5"></a><var>196.5</var>    (1) the annual amount of personal care assistant services under section 256B.0655 <br/>
<a id="pl.196.6"></a><var>196.6</var>that the recipient has used in the most recent 12-month period; or <br/>
<a id="pl.196.7"></a><var>196.7</var>    (2) the amount determined using the consumer support grant methodology under <br/>
<a id="pl.196.8"></a><var>196.8</var>section 256.476, subdivision 11, except that the budget amount shall include the federal <br/>
<a id="pl.196.9"></a><var>196.9</var>and nonfederal share of the average service costs.<br/>
<a id="pl.196.10"></a><var>196.10</var>    Subd. 9. <b>Quality assurance and risk management.</b> (a) The commissioner <br/>
<a id="pl.196.11"></a><var>196.11</var>shall establish quality assurance and risk management measures for use in developing <br/>
<a id="pl.196.12"></a><var>196.12</var>and implementing self-directed plans and budgets that (1) recognize the roles and <br/>
<a id="pl.196.13"></a><var>196.13</var>responsibilities involved in obtaining services in a self-directed manner, and (2) assure <br/>
<a id="pl.196.14"></a><var>196.14</var>the appropriateness of such plans and budgets based upon a recipient's resources and <br/>
<a id="pl.196.15"></a><var>196.15</var>capabilities. These measures must include (i) background studies, and (ii) backup and <br/>
<a id="pl.196.16"></a><var>196.16</var>emergency plans, including disaster planning.<br/>
<a id="pl.196.17"></a><var>196.17</var>    (b) The commissioner shall provide ongoing technical assistance and resource and <br/>
<a id="pl.196.18"></a><var>196.18</var>educational materials for families and recipients selecting the self-directed option.<br/>
<a id="pl.196.19"></a><var>196.19</var>    (c) Performance assessments measures, such as of a recipient's satisfaction with the <br/>
<a id="pl.196.20"></a><var>196.20</var>services and supports, and ongoing monitoring of health and well-being shall be identified <br/>
<a id="pl.196.21"></a><var>196.21</var>in consultation with the stakeholder group.<br/>
<a id="pl.196.22"></a><var>196.22</var>    Subd. 10. <b>Fiscal support entity.</b> (a) Each recipient shall choose a fiscal support <br/>
<a id="pl.196.23"></a><var>196.23</var>entity provider certified by the commissioner to make payments for services, items, <br/>
<a id="pl.196.24"></a><var>196.24</var>supports, and administrative costs related to managing a self-directed service plan <br/>
<a id="pl.196.25"></a><var>196.25</var>authorized for payment in the approved plan and budget. Recipients shall also choose <br/>
<a id="pl.196.26"></a><var>196.26</var>the payroll, agency with choice, or the fiscal conduit model of financial and service <br/>
<a id="pl.196.27"></a><var>196.27</var>management.<br/>
<a id="pl.196.28"></a><var>196.28</var>    (b) The fiscal support entity:<br/>
<a id="pl.196.29"></a><var>196.29</var>    (1) may not limit or restrict the recipient's choice of service or support providers, <br/>
<a id="pl.196.30"></a><var>196.30</var>including use of the payroll, agency with choice, or fiscal conduit model of financial <br/>
<a id="pl.196.31"></a><var>196.31</var>and service management; <br/>
<a id="pl.196.32"></a><var>196.32</var>    (2) must have a written agreement with the recipient or the recipient's representative <br/>
<a id="pl.196.33"></a><var>196.33</var>that identifies the duties and responsibilities to be performed and the specific related <br/>
<a id="pl.196.34"></a><var>196.34</var>charges; <br/>
<a id="pl.197.1"></a><var>197.1</var>    (3) must provide the recipient and the home care targeted case manager with a <br/>
<a id="pl.197.2"></a><var>197.2</var>monthly written summary of the self-directed supports option services that were billed, <br/>
<a id="pl.197.3"></a><var>197.3</var>including charges from the fiscal support entity;<br/>
<a id="pl.197.4"></a><var>197.4</var>    (4) must be knowledgeable of and comply with Internal Revenue Service <br/>
<a id="pl.197.5"></a><var>197.5</var>requirements necessary to process employer and employee deductions, provide appropriate <br/>
<a id="pl.197.6"></a><var>197.6</var>and timely submission of employer tax liabilities, and maintain documentation to support <br/>
<a id="pl.197.7"></a><var>197.7</var>medical assistance claims; <br/>
<a id="pl.197.8"></a><var>197.8</var>    (5) must have current and adequate liability insurance and bonding and sufficient <br/>
<a id="pl.197.9"></a><var>197.9</var>cash flow and have on staff or under contract a certified public accountant or an individual <br/>
<a id="pl.197.10"></a><var>197.10</var>with a baccalaureate degree in accounting; and <br/>
<a id="pl.197.11"></a><var>197.11</var>    (6) must maintain records to track all self-directed supports option services <br/>
<a id="pl.197.12"></a><var>197.12</var>expenditures, including time records of persons paid to provide supports and receipts for <br/>
<a id="pl.197.13"></a><var>197.13</var>any goods purchased. The records must be maintained for a minimum of five years from <br/>
<a id="pl.197.14"></a><var>197.14</var>the claim date and be available for audit or review upon request. Claims submitted by <br/>
<a id="pl.197.15"></a><var>197.15</var>the fiscal support entity must correspond with services, amounts, and time periods as <br/>
<a id="pl.197.16"></a><var>197.16</var>authorized in the recipient's self-directed supports option plan.<br/>
<a id="pl.197.17"></a><var>197.17</var>    (c) The commissioner shall have authority to:<br/>
<a id="pl.197.18"></a><var>197.18</var>    (1) set or negotiate rates with fiscal support entities;<br/>
<a id="pl.197.19"></a><var>197.19</var>    (2) limit the number of fiscal support entities;<br/>
<a id="pl.197.20"></a><var>197.20</var>    (3) identify a process to certify and recertify fiscal support entities and assure fiscal <br/>
<a id="pl.197.21"></a><var>197.21</var>support entities are available to recipients throughout the state; and <br/>
<a id="pl.197.22"></a><var>197.22</var>    (4) establish a uniform format and protocol to be used by eligible fiscal support <br/>
<a id="pl.197.23"></a><var>197.23</var>entities.<br/>
<a id="pl.197.24"></a><var>197.24</var>    Subd. 11. <b>Stakeholder consultation.</b> The commissioner shall consult with a <br/>
<a id="pl.197.25"></a><var>197.25</var>statewide consumer-directed services stakeholder group, including representatives of <br/>
<a id="pl.197.26"></a><var>197.26</var>all types of consumer-directed service users, advocacy organizations, counties, and <br/>
<a id="pl.197.27"></a><var>197.27</var>consumer-directed service providers. The commissioner shall seek recommendations <br/>
<a id="pl.197.28"></a><var>197.28</var>from this stakeholder group in developing:<br/>
<a id="pl.197.29"></a><var>197.29</var>    (1) the self-directed plan format;<br/>
<a id="pl.197.30"></a><var>197.30</var>    (2) requirements and guidelines for the person-centered plan assessment and <br/>
<a id="pl.197.31"></a><var>197.31</var>planning process;<br/>
<a id="pl.197.32"></a><var>197.32</var>    (3) implementation of the option and the quality assurance and risk management <br/>
<a id="pl.197.33"></a><var>197.33</var>techniques; and <br/>
<a id="pl.197.34"></a><var>197.34</var>    (4) standards and requirements, including rates for the personal support plan <br/>
<a id="pl.197.35"></a><var>197.35</var>development provider and the fiscal support entity; policies; training; and implementation. <br/>
<a id="pl.197.36"></a><var>197.36</var>The stakeholder group shall provide recommendations on the repeal of the personal care <br/>
<a id="pl.198.1"></a><var>198.1</var>assistant choice option, transition issues, and whether the consumer support grant program <br/>
<a id="pl.198.2"></a><var>198.2</var>under section 256.476 should be modified. The stakeholder group shall meet at least <br/>
<a id="pl.198.3"></a><var>198.3</var>three times each year to provide advice on policy, implementation, and other aspects of <br/>
<a id="pl.198.4"></a><var>198.4</var>consumer and self-directed services.<br/>
<a id="pl.198.5"></a><var>198.5</var><b>EFFECTIVE DATE.</b>Subdivisions 1 to 10 are effective upon federal approval of <br/>
<a id="pl.198.6"></a><var>198.6</var>the state Medicaid plan amendment. The commissioner of human services shall inform <br/>
<a id="pl.198.7"></a><var>198.7</var>the Office of the Revisor of Statutes when federal approval is obtained. Subdivision 11 <br/>
<a id="pl.198.8"></a><var>198.8</var>is effective July 1, 2007.<br/>
<br/>
<a id="bill.4.27.0"></a><a id="pl.198.9"></a><var>198.9</var>    Sec. 27. Minnesota Statutes 2006, section 256B.0911, subdivision 3a, is amended to <br/>
<a id="pl.198.10"></a><var>198.10</var>read:<br/>
<a id="pl.198.11"></a><var>198.11</var>    Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, <br/>
<a id="pl.198.12"></a><var>198.12</var>services planning, or other assistance intended to support community-based living, <br/>
<a id="pl.198.13"></a><var>198.13</var>including persons who need assessment in order to determine waiver or alternative care <br/>
<a id="pl.198.14"></a><var>198.14</var>program eligibility, must be visited by a long-term care consultation team within ten <br/>
<a id="pl.198.15"></a><var>198.15</var>working days after the date on which an assessment was requested or recommended. <br/>
<a id="pl.198.16"></a><var>198.16</var>Assessments must be conducted according to paragraphs (b) to (g) (i).<br/>
<a id="pl.198.17"></a><var>198.17</var>    (b) The county may utilize a team of either the social worker or public health nurse, <br/>
<a id="pl.198.18"></a><var>198.18</var>or both, to conduct the assessment in a face-to-face interview. The consultation team <br/>
<a id="pl.198.19"></a><var>198.19</var>members must confer regarding the most appropriate care for each individual screened or <br/>
<a id="pl.198.20"></a><var>198.20</var>assessed.<br/>
<a id="pl.198.21"></a><var>198.21</var>    (c) The long-term care consultation team must assess the health and social needs of <br/>
<a id="pl.198.22"></a><var>198.22</var>the person, using an assessment form provided by the commissioner.<br/>
<a id="pl.198.23"></a><var>198.23</var>    (d) The team must conduct the assessment in a face-to-face interview with the <br/>
<a id="pl.198.24"></a><var>198.24</var>person being assessed and the person's legal representative, if applicable.<br/>
<a id="pl.198.25"></a><var>198.25</var>    (e) The team must provide the person, or the person's legal representative, with <br/>
<a id="pl.198.26"></a><var>198.26</var>written recommendations for facility- or community-based services. The team must <br/>
<a id="pl.198.27"></a><var>198.27</var>document that the most cost-effective alternatives available were offered to the individual. <br/>
<a id="pl.198.28"></a><var>198.28</var>For purposes of this requirement, "cost-effective alternatives" means community services <br/>
<a id="pl.198.29"></a><var>198.29</var>and living arrangements that cost the same as or less than nursing facility care.<br/>
<a id="pl.198.30"></a><var>198.30</var>    (f) If the person chooses to use community-based services, the team must provide <br/>
<a id="pl.198.31"></a><var>198.31</var>the person or the person's legal representative with a written community support plan, <br/>
<a id="pl.198.32"></a><var>198.32</var>regardless of whether the individual is eligible for Minnesota health care programs. <br/>
<a id="pl.198.33"></a><var>198.33</var>The person may request assistance in developing a community support plan without <br/>
<a id="pl.198.34"></a><var>198.34</var>participating in a complete assessment.<br/>
<a id="pl.199.1"></a><var>199.1</var>    (g) The person has the right to make the final decision between nursing facility <br/>
<a id="pl.199.2"></a><var>199.2</var>placement and community placement after the screening team's recommendation, except <br/>
<a id="pl.199.3"></a><var>199.3</var>as provided in subdivision 4a, paragraph (c).<br/>
<a id="pl.199.4"></a><var>199.4</var>    (h) The team must give the person receiving assessment or support planning, or <br/>
<a id="pl.199.5"></a><var>199.5</var>the person's legal representative, materials, and forms supplied by the commissioner <br/>
<a id="pl.199.6"></a><var>199.6</var>containing the following information:<br/>
<a id="pl.199.7"></a><var>199.7</var>    (1) the need for and purpose of preadmission screening and assessment if the person <br/>
<a id="pl.199.8"></a><var>199.8</var>selects nursing facility placement;<br/>
<a id="pl.199.9"></a><var>199.9</var>    (2) the role of the long-term care consultation assessment and support planning in <br/>
<a id="pl.199.10"></a><var>199.10</var>waiver and alternative care program eligibility determination;<br/>
<a id="pl.199.11"></a><var>199.11</var>    (2) (3) information about Minnesota health care programs;<br/>
<a id="pl.199.12"></a><var>199.12</var>    (3) (4) the person's freedom to accept or reject the recommendations of the team;<br/>
<a id="pl.199.13"></a><var>199.13</var>    (4) (5) the person's right to confidentiality under the Minnesota Government Data <br/>
<a id="pl.199.14"></a><var>199.14</var>Practices Act, chapter 13; and<br/>
<a id="pl.199.15"></a><var>199.15</var>    (6) the long-term care consultant's decision regarding the person's need for nursing <br/>
<a id="pl.199.16"></a><var>199.16</var>facility level of care;<br/>
<a id="pl.199.17"></a><var>199.17</var>    (5) (7) the person's right to appeal the decision regarding the need for nursing facility <br/>
<a id="pl.199.18"></a><var>199.18</var>level of care or the county's final decisions regarding public programs eligibility according <br/>
<a id="pl.199.19"></a><var>199.19</var>to section 
         <statute_ref>256.045, subdivision 3</statute_ref>. <br/>
<a id="pl.199.20"></a><var>199.20</var>    (i) Face-to-face assessment completed as part of eligibility determination for <br/>
<a id="pl.199.21"></a><var>199.21</var>the alternative care, elderly waiver, community alternatives for disabled individuals, <br/>
<a id="pl.199.22"></a><var>199.22</var>community alternative care, and traumatic brain injury waiver programs under sections <br/>
<a id="pl.199.23"></a><var>199.23</var>256B.0915, 256B.0917, and 256B.49 is valid to establish service eligibility for no more <br/>
<a id="pl.199.24"></a><var>199.24</var>than 60 calendar days after the date of assessment. The effective eligibility start date <br/>
<a id="pl.199.25"></a><var>199.25</var>for these programs can never be prior to the date of assessment. If an assessment was <br/>
<a id="pl.199.26"></a><var>199.26</var>completed more than 60 days before the effective waiver or alternative care program <br/>
<a id="pl.199.27"></a><var>199.27</var>eligibility start date, assessment and support plan information must be updated in a <br/>
<a id="pl.199.28"></a><var>199.28</var>face-to-face visit and documented in the department's Medicaid Management Information <br/>
<a id="pl.199.29"></a><var>199.29</var>System (MMIS). The effective date of program eligibility in this case cannot be prior to <br/>
<a id="pl.199.30"></a><var>199.30</var>the date the updated assessment is completed.<br/>
<br/>
<a id="bill.4.28.0"></a><a id="pl.199.31"></a><var>199.31</var>    Sec. 28. Minnesota Statutes 2006, section 256B.0911, subdivision 3b, is amended to <br/>
<a id="pl.199.32"></a><var>199.32</var>read:<br/>
<a id="pl.199.33"></a><var>199.33</var>    Subd. 3b. <b>Transition assistance.</b> (a) A long-term care consultation team shall <br/>
<a id="pl.199.34"></a><var>199.34</var>provide assistance to persons residing in a nursing facility, hospital, regional treatment <br/>
<a id="pl.199.35"></a><var>199.35</var>center, or intermediate care facility for persons with developmental disabilities who <br/>
<a id="pl.200.1"></a><var>200.1</var>request or are referred for assistance. Transition assistance must include assessment, <br/>
<a id="pl.200.2"></a><var>200.2</var>community support plan development, referrals to Minnesota health care programs, <br/>
<a id="pl.200.3"></a><var>200.3</var>and referrals to programs that provide assistance with housing. Transition assistance <br/>
<a id="pl.200.4"></a><var>200.4</var>must also include information about the Centers for Independent Living and about other <br/>
<a id="pl.200.5"></a><var>200.5</var>organizations that can provide assistance with relocation efforts, and information about <br/>
<a id="pl.200.6"></a><var>200.6</var>contacting these organizations to obtain their assistance and support. <br/>
<a id="pl.200.7"></a><var>200.7</var>    (b) The county shall develop transition processes with institutional social workers <br/>
<a id="pl.200.8"></a><var>200.8</var>and discharge planners to ensure that:<br/>
<a id="pl.200.9"></a><var>200.9</var>    (1) persons admitted to facilities receive information about transition assistance <br/>
<a id="pl.200.10"></a><var>200.10</var>that is available;<br/>
<a id="pl.200.11"></a><var>200.11</var>    (2) the assessment is completed for persons within ten working days of the date of <br/>
<a id="pl.200.12"></a><var>200.12</var>request or recommendation for assessment; and<br/>
<a id="pl.200.13"></a><var>200.13</var>    (3) there is a plan for transition and follow-up for the individual's return to the <br/>
<a id="pl.200.14"></a><var>200.14</var>community. The plan must require notification of other local agencies when a person <br/>
<a id="pl.200.15"></a><var>200.15</var>who may require assistance is screened by one county for admission to a facility located <br/>
<a id="pl.200.16"></a><var>200.16</var>in another county.<br/>
<a id="pl.200.17"></a><var>200.17</var>    (c) If a person who is eligible for a Minnesota health care program is admitted to a <br/>
<a id="pl.200.18"></a><var>200.18</var>nursing facility, the nursing facility must include a consultation team member or the case <br/>
<a id="pl.200.19"></a><var>200.19</var>manager in the discharge planning process.<br/>
<br/>
<a id="bill.4.29.0"></a><a id="pl.200.20"></a><var>200.20</var>    Sec. 29. Minnesota Statutes 2006, section 256B.0911, is amended by adding a <br/>
<a id="pl.200.21"></a><var>200.21</var>subdivision to read:<br/>
<a id="pl.200.22"></a><var>200.22</var>    Subd. 3c. <b>Transition to housing with services.</b> (a) Transitional consultation shall <br/>
<a id="pl.200.23"></a><var>200.23</var>be offered to all prospective residents 65 years of age or older regardless of income, assets, <br/>
<a id="pl.200.24"></a><var>200.24</var>or funding sources before housing with services establishments offering or providing <br/>
<a id="pl.200.25"></a><var>200.25</var>assisted living execute a lease or contract with the prospective resident. The purpose of <br/>
<a id="pl.200.26"></a><var>200.26</var>transitional long-term care consultation is to support persons with current or anticipated <br/>
<a id="pl.200.27"></a><var>200.27</var>long-term care needs in making informed choices among options that include the most <br/>
<a id="pl.200.28"></a><var>200.28</var>cost-effective and least restrictive settings, and to delay spenddown to eligibility for <br/>
<a id="pl.200.29"></a><var>200.29</var>publicly funded programs by connecting people to alternative services in their homes <br/>
<a id="pl.200.30"></a><var>200.30</var>before transition to housing with services.<br/>
<a id="pl.200.31"></a><var>200.31</var>    (b) Transitional consultation services are provided as determined by the <br/>
<a id="pl.200.32"></a><var>200.32</var>commissioner of human services in partnership with county long-term care consultation <br/>
<a id="pl.200.33"></a><var>200.33</var>units, and the Area Agencies on Aging, and are a combination of telephone-based <br/>
<a id="pl.200.34"></a><var>200.34</var>and in-person assistance provided under models developed by the commissioner. The <br/>
<a id="pl.200.35"></a><var>200.35</var>consultation is to be performed in a manner which provides objective and complete <br/>
<a id="pl.201.1"></a><var>201.1</var>information. Transitional consultation must be provided within five working days of the <br/>
<a id="pl.201.2"></a><var>201.2</var>request of the prospective resident as follows:<br/>
<a id="pl.201.3"></a><var>201.3</var>    (1) the consultation must be provided by a qualified professional as determined by <br/>
<a id="pl.201.4"></a><var>201.4</var>the commissioner;<br/>
<a id="pl.201.5"></a><var>201.5</var>    (2) the consultation must include a review of the prospective resident's reasons for <br/>
<a id="pl.201.6"></a><var>201.6</var>considering assisted living, the prospective resident's personal goals, a discussion of the <br/>
<a id="pl.201.7"></a><var>201.7</var>prospective resident's immediate and projected long-term care needs, and alternative <br/>
<a id="pl.201.8"></a><var>201.8</var>community services or assisted living settings that may meet the prospective resident's <br/>
<a id="pl.201.9"></a><var>201.9</var>needs; and<br/>
<a id="pl.201.10"></a><var>201.10</var>    (3) the prospective resident will be informed of the availability of long-term care <br/>
<a id="pl.201.11"></a><var>201.11</var>consultation services described in subdivision 3a that are available at no charge to the <br/>
<a id="pl.201.12"></a><var>201.12</var>prospective resident to assist the prospective resident in assessment and planning to <br/>
<a id="pl.201.13"></a><var>201.13</var>meet the prospective resident's long-term care needs. Regardless of the consultation, <br/>
<a id="pl.201.14"></a><var>201.14</var>prospective residents maintain the right to choose housing with services or assisted living, <br/>
<a id="pl.201.15"></a><var>201.15</var>if that is their choice.<br/>
<a id="pl.201.16"></a><var>201.16</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2008.<br/>
<br/>
<a id="bill.4.30.0"></a><a id="pl.201.17"></a><var>201.17</var>    Sec. 30. Minnesota Statutes 2006, section 256B.0911, subdivision 4b, is amended to <br/>
<a id="pl.201.18"></a><var>201.18</var>read:<br/>
<a id="pl.201.19"></a><var>201.19</var>    Subd. 4b. <b>Exemptions and emergency admissions.</b> (a) Exemptions from the <br/>
<a id="pl.201.20"></a><var>201.20</var>federal screening requirements outlined in subdivision 4a, paragraphs (b) and (c), are <br/>
<a id="pl.201.21"></a><var>201.21</var>limited to:<br/>
<a id="pl.201.22"></a><var>201.22</var>    (1) a person who, having entered an acute care facility from a certified nursing <br/>
<a id="pl.201.23"></a><var>201.23</var>facility, is returning to a certified nursing facility;<br/>
<a id="pl.201.24"></a><var>201.24</var>    (2) a person transferring from one certified nursing facility in Minnesota to another <br/>
<a id="pl.201.25"></a><var>201.25</var>certified nursing facility in Minnesota; and<br/>
<a id="pl.201.26"></a><var>201.26</var>    (3) a person, 21 years of age or older, who satisfies the following criteria, as specified <br/>
<a id="pl.201.27"></a><var>201.27</var>in Code of Federal Regulations, title 42, section 483.106(b)(2):<br/>
<a id="pl.201.28"></a><var>201.28</var>    (i) the person is admitted to a nursing facility directly from a hospital after receiving <br/>
<a id="pl.201.29"></a><var>201.29</var>acute inpatient care at the hospital;<br/>
<a id="pl.201.30"></a><var>201.30</var>    (ii) the person requires nursing facility services for the same condition for which <br/>
<a id="pl.201.31"></a><var>201.31</var>care was provided in the hospital; and<br/>
<a id="pl.201.32"></a><var>201.32</var>    (iii) the attending physician has certified before the nursing facility admission that <br/>
<a id="pl.201.33"></a><var>201.33</var>the person is likely to receive less than 30 days of nursing facility services.<br/>
<a id="pl.201.34"></a><var>201.34</var>    (b) Persons who are exempt from preadmission screening for purposes of level of <br/>
<a id="pl.201.35"></a><var>201.35</var>care determination include:<br/>
<a id="pl.202.1"></a><var>202.1</var>    (1) persons described in paragraph (a);<br/>
<a id="pl.202.2"></a><var>202.2</var>    (2) an individual who has a contractual right to have nursing facility care paid for <br/>
<a id="pl.202.3"></a><var>202.3</var>indefinitely by the veterans' administration;<br/>
<a id="pl.202.4"></a><var>202.4</var>    (3) an individual enrolled in a demonstration project under section 
         <statute_ref>256B.69, <br/>
<a id="pl.202.5"></a><var>202.5</var>subdivision 8
         </statute_ref>, at the time of application to a nursing facility; and <br/>
<a id="pl.202.6"></a><var>202.6</var>    (4) an individual currently being served under the alternative care program or under <br/>
<a id="pl.202.7"></a><var>202.7</var>a home and community-based services waiver authorized under section 1915(c) of the <br/>
<a id="pl.202.8"></a><var>202.8</var>federal Social Security Act; and.<br/>
<a id="pl.202.9"></a><var>202.9</var>    (5) individuals admitted to a certified nursing facility for a short-term stay, which <br/>
<a id="pl.202.10"></a><var>202.10</var>is expected to be 14 days or less in duration based upon a physician's certification, and <br/>
<a id="pl.202.11"></a><var>202.11</var>who have been assessed and approved for nursing facility admission within the previous <br/>
<a id="pl.202.12"></a><var>202.12</var>six months. This exemption applies only if the consultation team member determines at <br/>
<a id="pl.202.13"></a><var>202.13</var>the time of the initial assessment of the six-month period that it is appropriate to use the <br/>
<a id="pl.202.14"></a><var>202.14</var>nursing facility for short-term stays and that there is an adequate plan of care for return to <br/>
<a id="pl.202.15"></a><var>202.15</var>the home or community-based setting. If a stay exceeds 14 days, the individual must be <br/>
<a id="pl.202.16"></a><var>202.16</var>referred no later than the first county working day following the 14th resident day for a <br/>
<a id="pl.202.17"></a><var>202.17</var>screening, which must be completed within five working days of the referral. The payment <br/>
<a id="pl.202.18"></a><var>202.18</var>limitations in subdivision 7 apply to an individual found at screening to not meet the level <br/>
<a id="pl.202.19"></a><var>202.19</var>of care criteria for admission to a certified nursing facility.<br/>
<a id="pl.202.20"></a><var>202.20</var>    (c) Persons admitted to a Medicaid-certified nursing facility from the community <br/>
<a id="pl.202.21"></a><var>202.21</var>on an emergency basis as described in paragraph (d) or from an acute care facility on a <br/>
<a id="pl.202.22"></a><var>202.22</var>nonworking day must be screened the first working day after admission.<br/>
<a id="pl.202.23"></a><var>202.23</var>    (d) Emergency admission to a nursing facility prior to screening is permitted when <br/>
<a id="pl.202.24"></a><var>202.24</var>all of the following conditions are met:<br/>
<a id="pl.202.25"></a><var>202.25</var>    (1) a person is admitted from the community to a certified nursing or certified <br/>
<a id="pl.202.26"></a><var>202.26</var>boarding care facility during county nonworking hours;<br/>
<a id="pl.202.27"></a><var>202.27</var>    (2) a physician has determined that delaying admission until preadmission screening <br/>
<a id="pl.202.28"></a><var>202.28</var>is completed would adversely affect the person's health and safety;<br/>
<a id="pl.202.29"></a><var>202.29</var>    (3) there is a recent precipitating event that precludes the client from living safely in <br/>
<a id="pl.202.30"></a><var>202.30</var>the community, such as sustaining an injury, sudden onset of acute illness, or a caregiver's <br/>
<a id="pl.202.31"></a><var>202.31</var>inability to continue to provide care;<br/>
<a id="pl.202.32"></a><var>202.32</var>    (4) the attending physician has authorized the emergency placement and has <br/>
<a id="pl.202.33"></a><var>202.33</var>documented the reason that the emergency placement is recommended; and<br/>
<a id="pl.202.34"></a><var>202.34</var>    (5) the county is contacted on the first working day following the emergency <br/>
<a id="pl.202.35"></a><var>202.35</var>admission.<br/>
<a id="pl.203.1"></a><var>203.1</var>Transfer of a patient from an acute care hospital to a nursing facility is not considered <br/>
<a id="pl.203.2"></a><var>203.2</var>an emergency except for a person who has received hospital services in the following <br/>
<a id="pl.203.3"></a><var>203.3</var>situations: hospital admission for observation, care in an emergency room without hospital <br/>
<a id="pl.203.4"></a><var>203.4</var>admission, or following hospital 24-hour bed care.<br/>
<a id="pl.203.5"></a><var>203.5</var>    (e) A nursing facility must provide a written notice to persons who satisfy the criteria <br/>
<a id="pl.203.6"></a><var>203.6</var>in paragraph (a), clause (3), information to all persons admitted regarding the person's <br/>
<a id="pl.203.7"></a><var>203.7</var>right to request and receive long-term care consultation services as defined in subdivision <br/>
<a id="pl.203.8"></a><var>203.8</var>1a. The notice information must be provided prior to the person's discharge from the <br/>
<a id="pl.203.9"></a><var>203.9</var>facility and in a format specified by the commissioner.<br/>
<br/>
<a id="bill.4.31.0"></a><a id="pl.203.10"></a><var>203.10</var>    Sec. 31. Minnesota Statutes 2006, section 256B.0911, subdivision 4c, is amended to <br/>
<a id="pl.203.11"></a><var>203.11</var>read:<br/>
<a id="pl.203.12"></a><var>203.12</var>    Subd. 4c. <b>Screening requirements.</b> (a) A person may be screened for nursing <br/>
<a id="pl.203.13"></a><var>203.13</var>facility admission by telephone or in a face-to-face screening interview. Consultation team <br/>
<a id="pl.203.14"></a><var>203.14</var>members shall identify each individual's needs using the following categories:<br/>
<a id="pl.203.15"></a><var>203.15</var>    (1) the person needs no face-to-face screening interview to determine the need <br/>
<a id="pl.203.16"></a><var>203.16</var>for nursing facility level of care based on information obtained from other health care <br/>
<a id="pl.203.17"></a><var>203.17</var>professionals;<br/>
<a id="pl.203.18"></a><var>203.18</var>    (2) the person needs an immediate face-to-face screening interview to determine the <br/>
<a id="pl.203.19"></a><var>203.19</var>need for nursing facility level of care and complete activities required under subdivision <br/>
<a id="pl.203.20"></a><var>203.20</var>4a; or<br/>
<a id="pl.203.21"></a><var>203.21</var>    (3) the person may be exempt from screening requirements as outlined in subdivision <br/>
<a id="pl.203.22"></a><var>203.22</var>4b, but will need transitional assistance after admission or in-person follow-along after <br/>
<a id="pl.203.23"></a><var>203.23</var>a return home.<br/>
<a id="pl.203.24"></a><var>203.24</var>    (b) Persons admitted on a nonemergency basis to a Medicaid-certified nursing <br/>
<a id="pl.203.25"></a><var>203.25</var>facility must be screened prior to admission.<br/>
<a id="pl.203.26"></a><var>203.26</var>    (c) The long-term care consultation team shall recommend a case mix classification <br/>
<a id="pl.203.27"></a><var>203.27</var>for persons admitted to a certified nursing facility when sufficient information is received <br/>
<a id="pl.203.28"></a><var>203.28</var>to make that classification. The nursing facility is authorized to conduct all case mix <br/>
<a id="pl.203.29"></a><var>203.29</var>assessments for persons who have been screened prior to admission for whom the county <br/>
<a id="pl.203.30"></a><var>203.30</var>did not recommend a case mix classification. The nursing facility is authorized to conduct <br/>
<a id="pl.203.31"></a><var>203.31</var>all case mix assessments for persons admitted to the facility prior to a preadmission <br/>
<a id="pl.203.32"></a><var>203.32</var>screening. The county retains the responsibility of distributing appropriate case mix <br/>
<a id="pl.203.33"></a><var>203.33</var>forms to the nursing facility.<br/>
<a id="pl.203.34"></a><var>203.34</var>    (d) (c) The county screening or intake activity must include processes to identify <br/>
<a id="pl.203.35"></a><var>203.35</var>persons who may require transition assistance as described in subdivision 3b.<br/>
<br/>
<a id="bill.4.32.0"></a><a id="pl.204.1"></a><var>204.1</var>    Sec. 32. Minnesota Statutes 2006, section 256B.0911, subdivision 6, is amended to <br/>
<a id="pl.204.2"></a><var>204.2</var>read:<br/>
<a id="pl.204.3"></a><var>204.3</var>    Subd. 6. <b>Payment for long-term care consultation services.</b> (a) The total payment <br/>
<a id="pl.204.4"></a><var>204.4</var>for each county must be paid monthly by certified nursing facilities in the county. The <br/>
<a id="pl.204.5"></a><var>204.5</var>monthly amount to be paid by each nursing facility for each fiscal year must be determined <br/>
<a id="pl.204.6"></a><var>204.6</var>by dividing the county's annual allocation for long-term care consultation services by 12 <br/>
<a id="pl.204.7"></a><var>204.7</var>to determine the monthly payment and allocating the monthly payment to each nursing <br/>
<a id="pl.204.8"></a><var>204.8</var>facility based on the number of licensed beds in the nursing facility. Payments to counties <br/>
<a id="pl.204.9"></a><var>204.9</var>in which there is no certified nursing facility must be made by increasing the payment <br/>
<a id="pl.204.10"></a><var>204.10</var>rate of the two facilities located nearest to the county seat.<br/>
<a id="pl.204.11"></a><var>204.11</var>    (b) The commissioner shall include the total annual payment determined under <br/>
<a id="pl.204.12"></a><var>204.12</var>paragraph (a) for each nursing facility reimbursed under section 
         <statute_ref>256B.431</statute_ref> or 
         <statute_ref>256B.434</statute_ref> <br/>
<a id="pl.204.13"></a><var>204.13</var>according to section 
         <statute_ref>256B.431, subdivision 2b</statute_ref>, paragraph (g), or 
<statute_ref>256B.435</statute_ref>.<br/>
<a id="pl.204.14"></a><var>204.14</var>    (c) In the event of the layaway, delicensure and decertification, or removal from <br/>
<a id="pl.204.15"></a><var>204.15</var>layaway of 25 percent or more of the beds in a facility, the commissioner may adjust <br/>
<a id="pl.204.16"></a><var>204.16</var>the per diem payment amount in paragraph (b) and may adjust the monthly payment <br/>
<a id="pl.204.17"></a><var>204.17</var>amount in paragraph (a). The effective date of an adjustment made under this paragraph <br/>
<a id="pl.204.18"></a><var>204.18</var>shall be on or after the first day of the month following the effective date of the layaway, <br/>
<a id="pl.204.19"></a><var>204.19</var>delicensure and decertification, or removal from layaway.<br/>
<a id="pl.204.20"></a><var>204.20</var>    (d) Payments for long-term care consultation services are available to the county <br/>
<a id="pl.204.21"></a><var>204.21</var>or counties to cover staff salaries and expenses to provide the services described in <br/>
<a id="pl.204.22"></a><var>204.22</var>subdivision 1a. The county shall employ, or contract with other agencies to employ, within <br/>
<a id="pl.204.23"></a><var>204.23</var>the limits of available funding, sufficient personnel to provide long-term care consultation <br/>
<a id="pl.204.24"></a><var>204.24</var>services while meeting the state's long-term care outcomes and objectives as defined in <br/>
<a id="pl.204.25"></a><var>204.25</var>section 
         <statute_ref>256B.0917, subdivision 1</statute_ref>. The county shall be accountable for meeting local <br/>
<a id="pl.204.26"></a><var>204.26</var>objectives as approved by the commissioner in the biennial home and community-based <br/>
<a id="pl.204.27"></a><var>204.27</var>services quality assurance plan on a form provided by the commissioner.<br/>
<a id="pl.204.28"></a><var>204.28</var>    (e) Notwithstanding section 
         <statute_ref>256B.0641</statute_ref>, overpayments attributable to payment of the <br/>
<a id="pl.204.29"></a><var>204.29</var>screening costs under the medical assistance program may not be recovered from a facility.<br/>
<a id="pl.204.30"></a><var>204.30</var>    (f) The commissioner of human services shall amend the Minnesota medical <br/>
<a id="pl.204.31"></a><var>204.31</var>assistance plan to include reimbursement for the local consultation teams.<br/>
<a id="pl.204.32"></a><var>204.32</var>    (g) The county may bill, as case management services, assessments, support <br/>
<a id="pl.204.33"></a><var>204.33</var>planning, and follow-along provided to persons determined to be eligible for case <br/>
<a id="pl.204.34"></a><var>204.34</var>management under Minnesota health care programs. No individual or family member <br/>
<a id="pl.204.35"></a><var>204.35</var>shall be charged for an initial assessment or initial support plan development provided <br/>
<a id="pl.204.36"></a><var>204.36</var>under subdivision 3a or 3b.<br/>
<br/>
<a id="bill.4.33.0"></a><a id="pl.205.1"></a><var>205.1</var>    Sec. 33. Minnesota Statutes 2006, section 256B.0911, is amended by adding a <br/>
<a id="pl.205.2"></a><var>205.2</var>subdivision to read:<br/>
<a id="pl.205.3"></a><var>205.3</var>    Subd. 6a. <b>Withholding.</b> If any provider obligated to pay the long-term care <br/>
<a id="pl.205.4"></a><var>205.4</var>consultation amount as described in subdivision 6 is more than two months delinquent in <br/>
<a id="pl.205.5"></a><var>205.5</var>the timely payment of the monthly installment, the commissioner may withhold payments, <br/>
<a id="pl.205.6"></a><var>205.6</var>penalties, and interest in accordance with the methods outlined in section 256.9657, <br/>
<a id="pl.205.7"></a><var>205.7</var>subdivision 7a. Any amount withheld under this provision must be returned to the county <br/>
<a id="pl.205.8"></a><var>205.8</var>to whom the delinquent payments were due.<br/>
<br/>
<a id="bill.4.34.0"></a><a id="pl.205.9"></a><var>205.9</var>    Sec. 34. Minnesota Statutes 2006, section 256B.0911, subdivision 7, is amended to <br/>
<a id="pl.205.10"></a><var>205.10</var>read:<br/>
<a id="pl.205.11"></a><var>205.11</var>    Subd. 7. <b>Reimbursement for certified nursing facilities.</b> (a) Medical assistance <br/>
<a id="pl.205.12"></a><var>205.12</var>reimbursement for nursing facilities shall be authorized for a medical assistance recipient <br/>
<a id="pl.205.13"></a><var>205.13</var>only if a preadmission screening has been conducted prior to admission or the county has <br/>
<a id="pl.205.14"></a><var>205.14</var>authorized an exemption. Medical assistance reimbursement for nursing facilities shall <br/>
<a id="pl.205.15"></a><var>205.15</var>not be provided for any recipient who the local screener has determined does not meet the <br/>
<a id="pl.205.16"></a><var>205.16</var>level of care criteria for nursing facility placement or, if indicated, has not had a level II <br/>
<a id="pl.205.17"></a><var>205.17</var>OBRA evaluation as required under the federal Omnibus Budget Reconciliation Act of <br/>
<a id="pl.205.18"></a><var>205.18</var>1987 completed unless an admission for a recipient with mental illness is approved by the <br/>
<a id="pl.205.19"></a><var>205.19</var>local mental health authority or an admission for a recipient with developmental disability <br/>
<a id="pl.205.20"></a><var>205.20</var>is approved by the state developmental disability authority.<br/>
<a id="pl.205.21"></a><var>205.21</var>    (b) The nursing facility must not bill a person who is not a medical assistance <br/>
<a id="pl.205.22"></a><var>205.22</var>recipient for resident days that preceded the date of completion of screening activities as <br/>
<a id="pl.205.23"></a><var>205.23</var>required under subdivisions 4a, 4b, and 4c. The nursing facility must include unreimbursed <br/>
<a id="pl.205.24"></a><var>205.24</var>resident days in the nursing facility resident day totals reported to the commissioner.<br/>
<a id="pl.205.25"></a><var>205.25</var>    (c) The commissioner shall make a request to the Centers for Medicare and Medicaid <br/>
<a id="pl.205.26"></a><var>205.26</var>Services for a waiver allowing team approval of Medicaid payments for certified nursing <br/>
<a id="pl.205.27"></a><var>205.27</var>facility care. An individual has a choice and makes the final decision between nursing <br/>
<a id="pl.205.28"></a><var>205.28</var>facility placement and community placement after the screening team's recommendation, <br/>
<a id="pl.205.29"></a><var>205.29</var>except as provided in subdivision 4a, paragraph (c).<br/>
<br/>
<a id="bill.4.35.0"></a><a id="pl.205.30"></a><var>205.30</var>    Sec. 35. Minnesota Statutes 2006, section 256B.0913, subdivision 4, is amended to <br/>
<a id="pl.205.31"></a><var>205.31</var>read:<br/>
<a id="pl.205.32"></a><var>205.32</var>    Subd. 4. <b>Eligibility for funding for services for nonmedical assistance recipients.</b><br/>
<a id="pl.205.33"></a><var>205.33</var>    (a) Funding for services under the alternative care program is available to persons who <br/>
<a id="pl.205.34"></a><var>205.34</var>meet the following criteria:<br/>
<a id="pl.206.1"></a><var>206.1</var>    (1) the person has been determined by a community assessment under section <br/>
<statute_ref><a id="pl.206.2"></a><var>206.2</var>256B.0911
         </statute_ref> to be a person who would require the level of care provided in a nursing <br/>
<a id="pl.206.3"></a><var>206.3</var>facility, but for the provision of services under the alternative care program;<br/>
<a id="pl.206.4"></a><var>206.4</var>    (2) the person is age 65 or older;<br/>
<a id="pl.206.5"></a><var>206.5</var>    (3) the person would be eligible for medical assistance within 135 days of admission <br/>
<a id="pl.206.6"></a><var>206.6</var>to a nursing facility;<br/>
<a id="pl.206.7"></a><var>206.7</var>    (4) the person is not ineligible for the payment of long-term care services by the <br/>
<a id="pl.206.8"></a><var>206.8</var>medical assistance program due to an asset transfer penalty under section 256B.0595 or <br/>
<a id="pl.206.9"></a><var>206.9</var>equity interest in the home exceeding $500,000 as stated in section 256B.056;<br/>
<a id="pl.206.10"></a><var>206.10</var>    (5) the person needs long-term care services that are not funded through other state <br/>
<a id="pl.206.11"></a><var>206.11</var>or federal funding;<br/>
<a id="pl.206.12"></a><var>206.12</var>    (6) the monthly cost of the alternative care services funded by the program for <br/>
<a id="pl.206.13"></a><var>206.13</var>this person does not exceed 75 percent of the monthly limit described under section <br/>
<statute_ref><a id="pl.206.14"></a><var>206.14</var>256B.0915, subdivision 3a
         </statute_ref>. This monthly limit does not prohibit the alternative care client <br/>
<a id="pl.206.15"></a><var>206.15</var>from payment for additional services, but in no case may the cost of additional services <br/>
<a id="pl.206.16"></a><var>206.16</var>purchased under this section exceed the difference between the client's monthly service <br/>
<a id="pl.206.17"></a><var>206.17</var>limit defined under section 
         <statute_ref>256B.0915, subdivision 3</statute_ref>, and the alternative care program <br/>
<a id="pl.206.18"></a><var>206.18</var>monthly service limit defined in this paragraph. If medical care-related supplies and <br/>
<a id="pl.206.19"></a><var>206.19</var>equipment or environmental modifications and adaptations are or will be purchased for <br/>
<a id="pl.206.20"></a><var>206.20</var>an alternative care services recipient, the costs may be prorated on a monthly basis for <br/>
<a id="pl.206.21"></a><var>206.21</var>up to 12 consecutive months beginning with the month of purchase. If the monthly cost <br/>
<a id="pl.206.22"></a><var>206.22</var>of a recipient's other alternative care services exceeds the monthly limit established in <br/>
<a id="pl.206.23"></a><var>206.23</var>this paragraph, the annual cost of the alternative care services shall be determined. In this <br/>
<a id="pl.206.24"></a><var>206.24</var>event, the annual cost of alternative care services shall not exceed 12 times the monthly <br/>
<a id="pl.206.25"></a><var>206.25</var>limit described in this paragraph; and<br/>
<a id="pl.206.26"></a><var>206.26</var>    (7) the person is making timely payments of the assessed monthly fee.<br/>
<a id="pl.206.27"></a><var>206.27</var>A person is ineligible if payment of the fee is over 60 days past due, unless the person <br/>
<a id="pl.206.28"></a><var>206.28</var>agrees to:<br/>
<a id="pl.206.29"></a><var>206.29</var>    (i) the appointment of a representative payee;<br/>
<a id="pl.206.30"></a><var>206.30</var>    (ii) automatic payment from a financial account;<br/>
<a id="pl.206.31"></a><var>206.31</var>    (iii) the establishment of greater family involvement in the financial management of <br/>
<a id="pl.206.32"></a><var>206.32</var>payments; or<br/>
<a id="pl.206.33"></a><var>206.33</var>    (iv) another method acceptable to the county lead agency to ensure prompt fee <br/>
<a id="pl.206.34"></a><var>206.34</var>payments.<br/>
<a id="pl.206.35"></a><var>206.35</var>    The county shall lead agency may extend the client's eligibility as necessary while <br/>
<a id="pl.206.36"></a><var>206.36</var>making arrangements to facilitate payment of past-due amounts and future premium <br/>
<a id="pl.207.1"></a><var>207.1</var>payments. Following disenrollment due to nonpayment of a monthly fee, eligibility shall <br/>
<a id="pl.207.2"></a><var>207.2</var>not be reinstated for a period of 30 days.<br/>
<a id="pl.207.3"></a><var>207.3</var>    (b) Alternative care funding under this subdivision is not available for a person <br/>
<a id="pl.207.4"></a><var>207.4</var>who is a medical assistance recipient or who would be eligible for medical assistance <br/>
<a id="pl.207.5"></a><var>207.5</var>without a spenddown or waiver obligation. A person whose initial application for medical <br/>
<a id="pl.207.6"></a><var>207.6</var>assistance and the elderly waiver program is being processed may be served under the <br/>
<a id="pl.207.7"></a><var>207.7</var>alternative care program for a period up to 60 days. If the individual is found to be eligible <br/>
<a id="pl.207.8"></a><var>207.8</var>for medical assistance, medical assistance must be billed for services payable under the <br/>
<a id="pl.207.9"></a><var>207.9</var>federally approved elderly waiver plan and delivered from the date the individual was <br/>
<a id="pl.207.10"></a><var>207.10</var>found eligible for the federally approved elderly waiver plan. Notwithstanding this <br/>
<a id="pl.207.11"></a><var>207.11</var>provision, alternative care funds may not be used to pay for any service the cost of which: <br/>
<a id="pl.207.12"></a><var>207.12</var>(i) is payable by medical assistance; (ii) is used by a recipient to meet a waiver obligation; <br/>
<a id="pl.207.13"></a><var>207.13</var>or (iii) is used to pay a medical assistance income spenddown for a person who is eligible <br/>
<a id="pl.207.14"></a><var>207.14</var>to participate in the federally approved elderly waiver program under the special income <br/>
<a id="pl.207.15"></a><var>207.15</var>standard provision.<br/>
<a id="pl.207.16"></a><var>207.16</var>    (c) Alternative care funding is not available for a person who resides in a licensed <br/>
<a id="pl.207.17"></a><var>207.17</var>nursing home, certified boarding care home, hospital, or intermediate care facility, except <br/>
<a id="pl.207.18"></a><var>207.18</var>for case management services which are provided in support of the discharge planning <br/>
<a id="pl.207.19"></a><var>207.19</var>process for a nursing home resident or certified boarding care home resident to assist with <br/>
<a id="pl.207.20"></a><var>207.20</var>a relocation process to a community-based setting.<br/>
<a id="pl.207.21"></a><var>207.21</var>    (d) Alternative care funding is not available for a person whose income is greater <br/>
<a id="pl.207.22"></a><var>207.22</var>than the maintenance needs allowance under section 
         <statute_ref>256B.0915, subdivision 1d</statute_ref>, but equal <br/>
<a id="pl.207.23"></a><var>207.23</var>to or less than 120 percent of the federal poverty guideline effective July 1 in the fiscal <br/>
<a id="pl.207.24"></a><var>207.24</var>year for which alternative care eligibility is determined, who would be eligible for the <br/>
<a id="pl.207.25"></a><var>207.25</var>elderly waiver with a waiver obligation.<br/>
<br/>
<a id="bill.4.36.0"></a><a id="pl.207.26"></a><var>207.26</var>    Sec. 36. Minnesota Statutes 2006, section 256B.0913, subdivision 5, is amended to <br/>
<a id="pl.207.27"></a><var>207.27</var>read:<br/>
<a id="pl.207.28"></a><var>207.28</var>    Subd. 5. <b>Services covered under alternative care.</b> Alternative care funding may <br/>
<a id="pl.207.29"></a><var>207.29</var>be used for payment of costs of:<br/>
<a id="pl.207.30"></a><var>207.30</var>    (1) adult day care;<br/>
<a id="pl.207.31"></a><var>207.31</var>    (2) home health aide;<br/>
<a id="pl.207.32"></a><var>207.32</var>    (3) homemaker services;<br/>
<a id="pl.207.33"></a><var>207.33</var>    (4) personal care;<br/>
<a id="pl.207.34"></a><var>207.34</var>    (5) case management;<br/>
<a id="pl.207.35"></a><var>207.35</var>    (6) respite care;<br/>
<a id="pl.208.1"></a><var>208.1</var>    (7) care-related supplies and equipment;<br/>
<a id="pl.208.2"></a><var>208.2</var>    (8) meals delivered to the home;<br/>
<a id="pl.208.3"></a><var>208.3</var>    (9) nonmedical transportation;<br/>
<a id="pl.208.4"></a><var>208.4</var>    (10) nursing services;<br/>
<a id="pl.208.5"></a><var>208.5</var>    (11) chore services;<br/>
<a id="pl.208.6"></a><var>208.6</var>    (12) companion services;<br/>
<a id="pl.208.7"></a><var>208.7</var>    (13) nutrition services;<br/>
<a id="pl.208.8"></a><var>208.8</var>    (14) training for direct informal caregivers;<br/>
<a id="pl.208.9"></a><var>208.9</var>    (15) telehome care to provide services in their own homes in conjunction with <br/>
<a id="pl.208.10"></a><var>208.10</var>in-home visits;<br/>
<a id="pl.208.11"></a><var>208.11</var>    (16) discretionary services, for which counties may make payment from their <br/>
<a id="pl.208.12"></a><var>208.12</var>alternative care program allocation or services not otherwise defined in this section <br/>
<a id="pl.208.13"></a><var>208.13</var>or section 
<statute_ref>256B.0625</statute_ref>, following approval by the commissioner consumer-directed <br/>
<a id="pl.208.14"></a><var>208.14</var>community services under the alternative care programs which are available statewide and <br/>
<a id="pl.208.15"></a><var>208.15</var>limited to the average monthly expenditures representative of all alternative care program <br/>
<a id="pl.208.16"></a><var>208.16</var>participants for the same case mix resident class assigned in the most recent fiscal year for <br/>
<a id="pl.208.17"></a><var>208.17</var>which complete expenditure data is available;<br/>
<a id="pl.208.18"></a><var>208.18</var>    (17) environmental modifications and adaptations; and<br/>
<a id="pl.208.19"></a><var>208.19</var>    (18) direct cash payments for which counties may make payment from their <br/>
<a id="pl.208.20"></a><var>208.20</var>alternative care program allocation to clients for the purpose of purchasing services, <br/>
<a id="pl.208.21"></a><var>208.21</var>following approval by the commissioner, and subject to the provisions of subdivision 5h, <br/>
<a id="pl.208.22"></a><var>208.22</var>until approval and implementation of consumer-directed services through the federally <br/>
<a id="pl.208.23"></a><var>208.23</var>approved elderly waiver plan. Upon implementation, consumer-directed services under <br/>
<a id="pl.208.24"></a><var>208.24</var>the alternative care program are available statewide and limited to the average monthly <br/>
<a id="pl.208.25"></a><var>208.25</var>expenditures representative of all alternative care program participants for the same case <br/>
<a id="pl.208.26"></a><var>208.26</var>mix resident class assigned in the most recent fiscal year for which complete expenditure <br/>
<a id="pl.208.27"></a><var>208.27</var>data is available discretionary services, for which lead agencies may make payment from <br/>
<a id="pl.208.28"></a><var>208.28</var>their alternative care program allocation for services not otherwise defined in this section <br/>
<a id="pl.208.29"></a><var>208.29</var>or section 256B.0625, following approval by the commissioner.<br/>
<a id="pl.208.30"></a><var>208.30</var>    Total annual payments for discretionary services and direct cash payments, until <br/>
<a id="pl.208.31"></a><var>208.31</var>the federally approved consumer-directed service option is implemented statewide, for <br/>
<a id="pl.208.32"></a><var>208.32</var>all clients within a county may served by a lead agency must not exceed 25 percent of <br/>
<a id="pl.208.33"></a><var>208.33</var>that county's lead agency's annual alternative care program base allocation. Thereafter, <br/>
<a id="pl.208.34"></a><var>208.34</var>discretionary services are limited to 25 percent of the county's annual alternative care <br/>
<a id="pl.208.35"></a><var>208.35</var>program base allocation.<br/>
<br/>
<a id="bill.4.37.0"></a><a id="pl.209.1"></a><var>209.1</var>    Sec. 37. Minnesota Statutes 2006, section 256B.0913, subdivision 5a, is amended to <br/>
<a id="pl.209.2"></a><var>209.2</var>read:<br/>
<a id="pl.209.3"></a><var>209.3</var>    Subd. 5a. <b>Services; service definitions; service standards.</b> (a) Unless specified in <br/>
<a id="pl.209.4"></a><var>209.4</var>statute, the services, service definitions, and standards for alternative care services shall <br/>
<a id="pl.209.5"></a><var>209.5</var>be the same as the services, service definitions, and standards specified in the federally <br/>
<a id="pl.209.6"></a><var>209.6</var>approved elderly waiver plan, except for alternative care does not cover transitional <br/>
<a id="pl.209.7"></a><var>209.7</var>support services, assisted living services, adult foster care services, and residential care <br/>
<a id="pl.209.8"></a><var>209.8</var>services and benefits defined under section 256B.0625 that meet primary and acute <br/>
<a id="pl.209.9"></a><var>209.9</var>health care needs.<br/>
<a id="pl.209.10"></a><var>209.10</var>    (b) The county lead agency must ensure that the funds are not used to supplant <br/>
<a id="pl.209.11"></a><var>209.11</var>or supplement services available through other public assistance or services programs., <br/>
<a id="pl.209.12"></a><var>209.12</var>including supplementation of client co-pays, deductibles, premiums, or other cost-sharing <br/>
<a id="pl.209.13"></a><var>209.13</var>arrangements for health-related benefits and services or entitlement programs and services <br/>
<a id="pl.209.14"></a><var>209.14</var>that are available to the person, but in which they have elected not to enroll. For a provider <br/>
<a id="pl.209.15"></a><var>209.15</var>of supplies and equipment when the monthly cost of the supplies and equipment is less <br/>
<a id="pl.209.16"></a><var>209.16</var>than $250, persons or agencies must be employed by or under a contract with the county <br/>
<a id="pl.209.17"></a><var>209.17</var>lead agency or the public health nursing agency of the local board of health in order to <br/>
<a id="pl.209.18"></a><var>209.18</var>receive funding under the alternative care program. Supplies and equipment may be <br/>
<a id="pl.209.19"></a><var>209.19</var>purchased from a vendor not certified to participate in the Medicaid program if the cost for <br/>
<a id="pl.209.20"></a><var>209.20</var>the item is less than that of a Medicaid vendor.<br/>
<a id="pl.209.21"></a><var>209.21</var>    (c) Personal care services must meet the service standards defined in the federally <br/>
<a id="pl.209.22"></a><var>209.22</var>approved elderly waiver plan, except that a county lead agency may contract with a <br/>
<a id="pl.209.23"></a><var>209.23</var>client's relative who meets the relative hardship waiver requirements or a relative who <br/>
<a id="pl.209.24"></a><var>209.24</var>meets the criteria and is also the responsible party under an individual service plan that <br/>
<a id="pl.209.25"></a><var>209.25</var>ensures the client's health and safety and supervision of the personal care services by a <br/>
<a id="pl.209.26"></a><var>209.26</var>qualified professional as defined in section 
         <statute_ref>256B.0625, subdivision 19c</statute_ref>. Relative hardship <br/>
<a id="pl.209.27"></a><var>209.27</var>is established by the county lead agency when the client's care causes a relative caregiver <br/>
<a id="pl.209.28"></a><var>209.28</var>to do any of the following: resign from a paying job, reduce work hours resulting in lost <br/>
<a id="pl.209.29"></a><var>209.29</var>wages, obtain a leave of absence resulting in lost wages, incur substantial client-related <br/>
<a id="pl.209.30"></a><var>209.30</var>expenses, provide services to address authorized, unstaffed direct care time, or meet <br/>
<a id="pl.209.31"></a><var>209.31</var>special needs of the client unmet in the formal service plan.<br/>
<br/>
<a id="bill.4.38.0"></a><a id="pl.209.32"></a><var>209.32</var>    Sec. 38. Minnesota Statutes 2006, section 256B.0913, subdivision 8, is amended to <br/>
<a id="pl.209.33"></a><var>209.33</var>read:<br/>
<a id="pl.209.34"></a><var>209.34</var>    Subd. 8. <b>Requirements for individual care plan.</b> (a) The case manager shall <br/>
<a id="pl.209.35"></a><var>209.35</var>implement the plan of care for each alternative care client and ensure that a client's <br/>
<a id="pl.210.1"></a><var>210.1</var>service needs and eligibility are reassessed at least every 12 months. The plan shall <br/>
<a id="pl.210.2"></a><var>210.2</var>include any services prescribed by the individual's attending physician as necessary to <br/>
<a id="pl.210.3"></a><var>210.3</var>allow the individual to remain in a community setting. In developing the individual's care <br/>
<a id="pl.210.4"></a><var>210.4</var>plan, the case manager should include the use of volunteers from families and neighbors, <br/>
<a id="pl.210.5"></a><var>210.5</var>religious organizations, social clubs, and civic and service organizations to support the <br/>
<a id="pl.210.6"></a><var>210.6</var>formal home care services. The county lead agency shall be held harmless for damages or <br/>
<a id="pl.210.7"></a><var>210.7</var>injuries sustained through the use of volunteers under this subdivision including workers' <br/>
<a id="pl.210.8"></a><var>210.8</var>compensation liability. The county of service case manager shall provide documentation <br/>
<a id="pl.210.9"></a><var>210.9</var>in each individual's plan of care and, if requested, to the commissioner that the most <br/>
<a id="pl.210.10"></a><var>210.10</var>cost-effective alternatives available have been offered to the individual and that the <br/>
<a id="pl.210.11"></a><var>210.11</var>individual was free to choose among available qualified providers, both public and private, <br/>
<a id="pl.210.12"></a><var>210.12</var>including qualified case management or service coordination providers other than those <br/>
<a id="pl.210.13"></a><var>210.13</var>employed by any county; however, the county or tribe maintains responsibility for prior <br/>
<a id="pl.210.14"></a><var>210.14</var>authorizing services in accordance with statutory and administrative requirements. The <br/>
<a id="pl.210.15"></a><var>210.15</var>case manager must give the individual a ten-day written notice of any denial, termination, <br/>
<a id="pl.210.16"></a><var>210.16</var>or reduction of alternative care services.<br/>
<a id="pl.210.17"></a><var>210.17</var>    (b) The county of service or tribe must provide access to and arrange for case <br/>
<a id="pl.210.18"></a><var>210.18</var>management services, including assuring implementation of the plan. "County of service" <br/>
<a id="pl.210.19"></a><var>210.19</var>has the meaning given it in Minnesota Rules, part 9505.0015, subpart 11. The county of <br/>
<a id="pl.210.20"></a><var>210.20</var>service must notify the county of financial responsibility of the approved care plan and <br/>
<a id="pl.210.21"></a><var>210.21</var>the amount of encumbered funds.<br/>
<br/>
<a id="bill.4.39.0"></a><a id="pl.210.22"></a><var>210.22</var>    Sec. 39. Minnesota Statutes 2006, section 256B.0913, subdivision 9, is amended to <br/>
<a id="pl.210.23"></a><var>210.23</var>read:<br/>
<a id="pl.210.24"></a><var>210.24</var>    Subd. 9. <b>Contracting provisions for providers.</b> Alternative care funds paid to <br/>
<a id="pl.210.25"></a><var>210.25</var>service providers are subject to audit by the commissioner for fiscal and utilization control.<br/>
<a id="pl.210.26"></a><var>210.26</var>    The lead agency must select providers for contracts or agreements using the <br/>
<a id="pl.210.27"></a><var>210.27</var>following criteria and other criteria established by the county lead agency:<br/>
<a id="pl.210.28"></a><var>210.28</var>    (1) the need for the particular services offered by the provider;<br/>
<a id="pl.210.29"></a><var>210.29</var>    (2) the population to be served, including the number of clients, the length of time <br/>
<a id="pl.210.30"></a><var>210.30</var>services will be provided, and the medical condition of clients;<br/>
<a id="pl.210.31"></a><var>210.31</var>    (3) the geographic area to be served;<br/>
<a id="pl.210.32"></a><var>210.32</var>    (4) quality assurance methods, including appropriate licensure, certification, or <br/>
<a id="pl.210.33"></a><var>210.33</var>standards, and supervision of employees when needed;<br/>
<a id="pl.210.34"></a><var>210.34</var>    (5) rates for each service and unit of service exclusive of county lead agency <br/>
<a id="pl.210.35"></a><var>210.35</var>administrative costs;<br/>
<a id="pl.211.1"></a><var>211.1</var>    (6) evaluation of services previously delivered by the provider; and<br/>
<a id="pl.211.2"></a><var>211.2</var>    (7) contract or agreement conditions, including billing requirements, cancellation, <br/>
<a id="pl.211.3"></a><var>211.3</var>and indemnification.<br/>
<a id="pl.211.4"></a><var>211.4</var>    The county lead agency must evaluate its own agency services under the criteria <br/>
<a id="pl.211.5"></a><var>211.5</var>established for other providers.<br/>
<br/>
<a id="bill.4.40.0"></a><a id="pl.211.6"></a><var>211.6</var>    Sec. 40. Minnesota Statutes 2006, section 256B.0913, subdivision 10, is amended to <br/>
<a id="pl.211.7"></a><var>211.7</var>read:<br/>
<a id="pl.211.8"></a><var>211.8</var>    Subd. 10. <b>Allocation formula.</b> (a) The alternative care appropriation for fiscal <br/>
<a id="pl.211.9"></a><var>211.9</var>years 1992 and beyond shall cover only alternative care eligible clients. By July 1 15 of <br/>
<a id="pl.211.10"></a><var>211.10</var>each year, the commissioner shall allocate to county agencies the state funds available for <br/>
<a id="pl.211.11"></a><var>211.11</var>alternative care for persons eligible under subdivision 2.<br/>
<a id="pl.211.12"></a><var>211.12</var>    (b) The adjusted base for each county lead agency is the county's lead agency's <br/>
<a id="pl.211.13"></a><var>211.13</var>current fiscal year base allocation plus any targeted funds approved during the current <br/>
<a id="pl.211.14"></a><var>211.14</var>fiscal year. Calculations for paragraphs (c) and (d) are to be made as follows: for each <br/>
<a id="pl.211.15"></a><var>211.15</var>county lead agency, the determination of alternative care program expenditures shall be <br/>
<a id="pl.211.16"></a><var>211.16</var>based on payments for services rendered from April 1 through March 31 in the base year, <br/>
<a id="pl.211.17"></a><var>211.17</var>to the extent that claims have been submitted and paid by June 1 of that year.<br/>
<a id="pl.211.18"></a><var>211.18</var>    (c) If the alternative care program expenditures as defined in paragraph (b) are 95 <br/>
<a id="pl.211.19"></a><var>211.19</var>percent or more of the county's lead agency's adjusted base allocation, the allocation for <br/>
<a id="pl.211.20"></a><var>211.20</var>the next fiscal year is 100 percent of the adjusted base, plus inflation to the extent that <br/>
<a id="pl.211.21"></a><var>211.21</var>inflation is included in the state budget.<br/>
<a id="pl.211.22"></a><var>211.22</var>    (d) If the alternative care program expenditures as defined in paragraph (b) are less <br/>
<a id="pl.211.23"></a><var>211.23</var>than 95 percent of the county's lead agency's adjusted base allocation, the allocation <br/>
<a id="pl.211.24"></a><var>211.24</var>for the next fiscal year is the adjusted base allocation less the amount of unspent funds <br/>
<a id="pl.211.25"></a><var>211.25</var>below the 95 percent level.<br/>
<a id="pl.211.26"></a><var>211.26</var>    (e) If the annual legislative appropriation for the alternative care program is <br/>
<a id="pl.211.27"></a><var>211.27</var>inadequate to fund the combined county lead agency allocations for a biennium, the <br/>
<a id="pl.211.28"></a><var>211.28</var>commissioner shall distribute to each county lead agency the entire annual appropriation <br/>
<a id="pl.211.29"></a><var>211.29</var>as that county's lead agency's percentage of the computed base as calculated in paragraphs <br/>
<a id="pl.211.30"></a><var>211.30</var>(c) and (d).<br/>
<a id="pl.211.31"></a><var>211.31</var>    (f) On agreement between the commissioner and the lead agency, the commissioner <br/>
<a id="pl.211.32"></a><var>211.32</var>may have discretion to reallocate alternative care base allocations distributed to lead <br/>
<a id="pl.211.33"></a><var>211.33</var>agencies in which the base amount exceeds program expenditures.<br/>
<br/>
<a id="bill.4.41.0"></a><a id="pl.212.1"></a><var>212.1</var>    Sec. 41. Minnesota Statutes 2006, section 256B.0913, subdivision 11, is amended to <br/>
<a id="pl.212.2"></a><var>212.2</var>read:<br/>
<a id="pl.212.3"></a><var>212.3</var>    Subd. 11. <b>Targeted funding.</b> (a) The purpose of targeted funding is to make <br/>
<a id="pl.212.4"></a><var>212.4</var>additional money available to counties lead agencies with the greatest need. Targeted <br/>
<a id="pl.212.5"></a><var>212.5</var>funds are not intended to be distributed equitably among all counties lead agencies, but <br/>
<a id="pl.212.6"></a><var>212.6</var>rather, allocated to those with long-term care strategies that meet state goals.<br/>
<a id="pl.212.7"></a><var>212.7</var>    (b) The funds available for targeted funding shall be the total appropriation for each <br/>
<a id="pl.212.8"></a><var>212.8</var>fiscal year minus county lead agency allocations determined under subdivision 10 as <br/>
<a id="pl.212.9"></a><var>212.9</var>adjusted for any inflation increases provided in appropriations for the biennium.<br/>
<a id="pl.212.10"></a><var>212.10</var>    (c) The commissioner shall allocate targeted funds to counties lead agencies that <br/>
<a id="pl.212.11"></a><var>212.11</var>demonstrate to the satisfaction of the commissioner that they have developed feasible <br/>
<a id="pl.212.12"></a><var>212.12</var>plans to increase alternative care spending. In making targeted funding allocations, the <br/>
<a id="pl.212.13"></a><var>212.13</var>commissioner shall use the following priorities:<br/>
<a id="pl.212.14"></a><var>212.14</var>    (1) counties lead agencies that received a lower allocation in fiscal year 1991 than in <br/>
<a id="pl.212.15"></a><var>212.15</var>fiscal year 1990. Counties remain in this priority until they have been restored to their <br/>
<a id="pl.212.16"></a><var>212.16</var>fiscal year 1990 level plus inflation;<br/>
<a id="pl.212.17"></a><var>212.17</var>    (2) counties lead agencies that sustain a base allocation reduction for failure to spend <br/>
<a id="pl.212.18"></a><var>212.18</var>95 percent of the allocation if they demonstrate that the base reduction should be restored;<br/>
<a id="pl.212.19"></a><var>212.19</var>    (3) counties lead agencies that propose projects to divert community residents from <br/>
<a id="pl.212.20"></a><var>212.20</var>nursing home placement or convert nursing home residents to community living; and<br/>
<a id="pl.212.21"></a><var>212.21</var>    (4) counties lead agencies that can otherwise justify program growth by <br/>
<a id="pl.212.22"></a><var>212.22</var>demonstrating the existence of waiting lists, demographically justified needs, or other <br/>
<a id="pl.212.23"></a><var>212.23</var>unmet needs.<br/>
<a id="pl.212.24"></a><var>212.24</var>    (d) Counties Lead agencies that would receive targeted funds according to <br/>
<a id="pl.212.25"></a><var>212.25</var>paragraph (c) must demonstrate to the commissioner's satisfaction that the funds <br/>
<a id="pl.212.26"></a><var>212.26</var>would be appropriately spent by showing how the funds would be used to further the <br/>
<a id="pl.212.27"></a><var>212.27</var>state's alternative care goals as described in subdivision 1, and that the county has the <br/>
<a id="pl.212.28"></a><var>212.28</var>administrative and service delivery capability to use them.<br/>
<a id="pl.212.29"></a><var>212.29</var>    (e) The commissioner shall request applications make applications available for <br/>
<a id="pl.212.30"></a><var>212.30</var>targeted funds by November 1 of each year. The counties lead agencies selected for <br/>
<a id="pl.212.31"></a><var>212.31</var>targeted funds shall be notified of the amount of their additional funding. Targeted funds <br/>
<a id="pl.212.32"></a><var>212.32</var>allocated to a county lead agency in one year shall be treated as part of the county's lead <br/>
<a id="pl.212.33"></a><var>212.33</var>agency's base allocation for that year in determining allocations for subsequent years. No <br/>
<a id="pl.212.34"></a><var>212.34</var>reallocations between counties lead agencies shall be made.<br/>
<br/>
<a id="bill.4.42.0"></a><a id="pl.213.1"></a><var>213.1</var>    Sec. 42. Minnesota Statutes 2006, section 256B.0913, subdivision 12, is amended to <br/>
<a id="pl.213.2"></a><var>213.2</var>read:<br/>
<a id="pl.213.3"></a><var>213.3</var>    Subd. 12. <b>Client fees.</b> (a) A fee is required for all alternative care eligible clients <br/>
<a id="pl.213.4"></a><var>213.4</var>to help pay for the cost of participating in the program. The amount of the fee for the <br/>
<a id="pl.213.5"></a><var>213.5</var>alternative care client shall be determined as follows:<br/>
<a id="pl.213.6"></a><var>213.6</var>    (1) when the alternative care client's income less recurring and predictable medical <br/>
<a id="pl.213.7"></a><var>213.7</var>expenses is less than 100 percent of the federal poverty guideline effective on July 1 of <br/>
<a id="pl.213.8"></a><var>213.8</var>the state fiscal year in which the fee is being computed, and total assets are less than <br/>
<a id="pl.213.9"></a><var>213.9</var>$10,000, the fee is zero;<br/>
<a id="pl.213.10"></a><var>213.10</var>    (2) when the alternative care client's income less recurring and predictable medical <br/>
<a id="pl.213.11"></a><var>213.11</var>expenses is equal to or greater than 100 percent but less than 150 percent of the federal <br/>
<a id="pl.213.12"></a><var>213.12</var>poverty guideline effective on July 1 of the state fiscal year in which the fee is being <br/>
<a id="pl.213.13"></a><var>213.13</var>computed, and total assets are less than $10,000, the fee is five percent of the cost of <br/>
<a id="pl.213.14"></a><var>213.14</var>alternative care services;<br/>
<a id="pl.213.15"></a><var>213.15</var>    (3) when the alternative care client's income less recurring and predictable medical <br/>
<a id="pl.213.16"></a><var>213.16</var>expenses is equal to or greater than 150 percent but less than 200 percent of the federal <br/>
<a id="pl.213.17"></a><var>213.17</var>poverty guidelines effective on July 1 of the state fiscal year in which the fee is being <br/>
<a id="pl.213.18"></a><var>213.18</var>computed and assets are less than $10,000, the fee is 15 percent of the cost of alternative <br/>
<a id="pl.213.19"></a><var>213.19</var>care services;<br/>
<a id="pl.213.20"></a><var>213.20</var>    (4) when the alternative care client's income less recurring and predictable medical <br/>
<a id="pl.213.21"></a><var>213.21</var>expenses is equal to or greater than 200 percent of the federal poverty guidelines effective <br/>
<a id="pl.213.22"></a><var>213.22</var>on July 1 of the state fiscal year in which the fee is being computed and assets are less than <br/>
<a id="pl.213.23"></a><var>213.23</var>$10,000, the fee is 30 percent of the cost of alternative care services; and<br/>
<a id="pl.213.24"></a><var>213.24</var>    (5) when the alternative care client's assets are equal to or greater than $10,000, the <br/>
<a id="pl.213.25"></a><var>213.25</var>fee is 30 percent of the cost of alternative care services.<br/>
<a id="pl.213.26"></a><var>213.26</var>    For married persons, total assets are defined as the total marital assets less the <br/>
<a id="pl.213.27"></a><var>213.27</var>estimated community spouse asset allowance, under section 
         <statute_ref>256B.059</statute_ref>, if applicable. For <br/>
<a id="pl.213.28"></a><var>213.28</var>married persons, total income is defined as the client's income less the monthly spousal <br/>
<a id="pl.213.29"></a><var>213.29</var>allotment, under section 
         <statute_ref>256B.058</statute_ref>. <br/>
<a id="pl.213.30"></a><var>213.30</var>    All alternative care services shall be included in the estimated costs for the purpose <br/>
<a id="pl.213.31"></a><var>213.31</var>of determining the fee.<br/>
<a id="pl.213.32"></a><var>213.32</var>    Fees are due and payable each month alternative care services are received unless the <br/>
<a id="pl.213.33"></a><var>213.33</var>actual cost of the services is less than the fee, in which case the fee is the lesser amount.<br/>
<a id="pl.213.34"></a><var>213.34</var>    (b) The fee shall be waived by the commissioner when:<br/>
<a id="pl.213.35"></a><var>213.35</var>    (1) a person who is residing in a nursing facility is receiving case management only;<br/>
<a id="pl.214.1"></a><var>214.1</var>    (2) a married couple is requesting an asset assessment under the spousal <br/>
<a id="pl.214.2"></a><var>214.2</var>impoverishment provisions;<br/>
<a id="pl.214.3"></a><var>214.3</var>    (3) a person is found eligible for alternative care, but is not yet receiving alternative <br/>
<a id="pl.214.4"></a><var>214.4</var>care services including case management services; or<br/>
<a id="pl.214.5"></a><var>214.5</var>    (4) a person has chosen to participate in a consumer-directed service plan for which <br/>
<a id="pl.214.6"></a><var>214.6</var>the cost is no greater than the total cost of the person's alternative care service plan less <br/>
<a id="pl.214.7"></a><var>214.7</var>the monthly fee amount that would otherwise be assessed.<br/>
<a id="pl.214.8"></a><var>214.8</var>    (c) The county agency must record in the state's receivable system the client's <br/>
<a id="pl.214.9"></a><var>214.9</var>assessed fee amount or the reason the fee has been waived. The commissioner will bill <br/>
<a id="pl.214.10"></a><var>214.10</var>and collect the fee from the client. Money collected must be deposited in the general fund <br/>
<a id="pl.214.11"></a><var>214.11</var>and is appropriated to the commissioner for the alternative care program. The client must <br/>
<a id="pl.214.12"></a><var>214.12</var>supply the county lead agency with the client's Social Security number at the time of <br/>
<a id="pl.214.13"></a><var>214.13</var>application. The county lead agency shall supply the commissioner with the client's Social <br/>
<a id="pl.214.14"></a><var>214.14</var>Security number and other information the commissioner requires to collect the fee from <br/>
<a id="pl.214.15"></a><var>214.15</var>the client. The commissioner shall collect unpaid fees using the Revenue Recapture Act in <br/>
<a id="pl.214.16"></a><var>214.16</var>chapter 270A and other methods available to the commissioner. The commissioner may <br/>
<a id="pl.214.17"></a><var>214.17</var>require counties lead agencies to inform clients of the collection procedures that may be <br/>
<a id="pl.214.18"></a><var>214.18</var>used by the state if a fee is not paid. This paragraph does not apply to alternative care <br/>
<a id="pl.214.19"></a><var>214.19</var>pilot projects authorized in Laws 1993, First Special Session chapter 1, article 5, section <br/>
<a id="pl.214.20"></a><var>214.20</var>133, if a county operating under the pilot project reports the following dollar amounts <br/>
<a id="pl.214.21"></a><var>214.21</var>to the commissioner quarterly:<br/>
<a id="pl.214.22"></a><var>214.22</var>    (1) total fees billed to clients;<br/>
<a id="pl.214.23"></a><var>214.23</var>    (2) total collections of fees billed; and<br/>
<a id="pl.214.24"></a><var>214.24</var>    (3) balance of fees owed by clients.<br/>
<a id="pl.214.25"></a><var>214.25</var>If a county lead agency does not adhere to these reporting requirements, the commissioner <br/>
<a id="pl.214.26"></a><var>214.26</var>may terminate the billing, collecting, and remitting portions of the pilot project and require <br/>
<a id="pl.214.27"></a><var>214.27</var>the county lead agency involved to operate under the procedures set forth in this paragraph.<br/>
<br/>
<a id="bill.4.43.0"></a><a id="pl.214.28"></a><var>214.28</var>    Sec. 43. Minnesota Statutes 2006, section 256B.0913, subdivision 13, is amended to <br/>
<a id="pl.214.29"></a><var>214.29</var>read:<br/>
<a id="pl.214.30"></a><var>214.30</var>    Subd. 13. <b>County</b><b> Lead agency</b><b> biennial plan.</b> The county lead agency biennial <br/>
<a id="pl.214.31"></a><var>214.31</var>plan for long-term care consultation services under section 
         <statute_ref>256B.0911</statute_ref>, the alternative <br/>
<a id="pl.214.32"></a><var>214.32</var>care program under this section, and waivers for the elderly under section 
         <statute_ref>256B.0915</statute_ref>, <br/>
<a id="pl.214.33"></a><var>214.33</var>shall be submitted by the lead agency as the home and community-based services quality <br/>
<a id="pl.214.34"></a><var>214.34</var>assurance plan on a form provided by the commissioner.<br/>
<br/>
<a id="bill.4.44.0"></a><a id="pl.215.1"></a><var>215.1</var>    Sec. 44. Minnesota Statutes 2006, section 256B.0913, subdivision 14, is amended to <br/>
<a id="pl.215.2"></a><var>215.2</var>read:<br/>
<a id="pl.215.3"></a><var>215.3</var>    Subd. 14. <b>Provider requirements, payment, and rate adjustments.</b> (a) Unless <br/>
<a id="pl.215.4"></a><var>215.4</var>otherwise specified in statute, providers must be enrolled as Minnesota health care <br/>
<a id="pl.215.5"></a><var>215.5</var>program providers and abide by the requirements for provider participation according to <br/>
<a id="pl.215.6"></a><var>215.6</var>Minnesota Rules, part 9505.0195.<br/>
<a id="pl.215.7"></a><var>215.7</var>    (b) Payment for provided alternative care services as approved by the client's <br/>
<a id="pl.215.8"></a><var>215.8</var>case manager shall occur through the invoice processing procedures of the department's <br/>
<a id="pl.215.9"></a><var>215.9</var>Medicaid Management Information System (MMIS). To receive payment, the county lead <br/>
<a id="pl.215.10"></a><var>215.10</var>agency or vendor must submit invoices within 12 months following the date of service. <br/>
<a id="pl.215.11"></a><var>215.11</var>The county lead agency and its vendors under contract shall not be reimbursed for services <br/>
<a id="pl.215.12"></a><var>215.12</var>which exceed the county allocation.<br/>
<a id="pl.215.13"></a><var>215.13</var>    (c) The county lead agency shall negotiate individual rates with vendors and may <br/>
<a id="pl.215.14"></a><var>215.14</var>authorize service payment for actual costs up to the county's current approved rate. <br/>
<a id="pl.215.15"></a><var>215.15</var>Notwithstanding any other rule or statutory provision to the contrary, the commissioner <br/>
<a id="pl.215.16"></a><var>215.16</var>shall not be authorized to increase rates by an annual inflation factor, unless so authorized <br/>
<a id="pl.215.17"></a><var>215.17</var>by the legislature. To improve access to community services and eliminate payment <br/>
<a id="pl.215.18"></a><var>215.18</var>disparities between the alternative care program and the elderly waiver program, the <br/>
<a id="pl.215.19"></a><var>215.19</var>commissioner shall establish statewide maximum service rate limits and eliminate <br/>
<a id="pl.215.20"></a><var>215.20</var>county-specific service rate limits.<br/>
<a id="pl.215.21"></a><var>215.21</var>    (1) Effective July 1, 2001, for service rate limits, except those in subdivision 5, <br/>
<a id="pl.215.22"></a><var>215.22</var>paragraphs (d) and (i), the rate limit for each service shall be the greater of the alternative <br/>
<a id="pl.215.23"></a><var>215.23</var>care statewide maximum rate or the elderly waiver statewide maximum rate.<br/>
<a id="pl.215.24"></a><var>215.24</var>    (2) Counties Lead agencies may negotiate individual service rates with vendors for <br/>
<a id="pl.215.25"></a><var>215.25</var>actual costs up to the statewide maximum service rate limit.<br/>
<br/>
<a id="bill.4.45.0"></a><a id="pl.215.26"></a><var>215.26</var>    Sec. 45. Minnesota Statutes 2006, section 256B.0915, is amended to read:<br/>
<a id="pl.215.27"></a><var>215.27</var><b>256B.0915 MEDICAID WAIVER FOR ELDERLY SERVICES.</b><br/>
<a id="pl.215.28"></a><var>215.28</var>    Subdivision 1. <b>Authority.</b> The commissioner is authorized to apply for a home <br/>
<a id="pl.215.29"></a><var>215.29</var>and community-based services waiver for the elderly, authorized under section 1915(c) <br/>
<a id="pl.215.30"></a><var>215.30</var>of the Social Security Act, in order to obtain federal financial participation to expand <br/>
<a id="pl.215.31"></a><var>215.31</var>the availability of services for persons who are eligible for medical assistance. The <br/>
<a id="pl.215.32"></a><var>215.32</var>commissioner may apply for additional waivers or pursue other federal financial <br/>
<a id="pl.215.33"></a><var>215.33</var>participation which is advantageous to the state for funding home care services for the <br/>
<a id="pl.215.34"></a><var>215.34</var>frail elderly who are eligible for medical assistance. The provision of waivered services <br/>
<a id="pl.216.1"></a><var>216.1</var>to elderly and disabled medical assistance recipients must comply with the criteria for <br/>
<a id="pl.216.2"></a><var>216.2</var>service definitions and provider standards approved in the waiver.<br/>
<a id="pl.216.3"></a><var>216.3</var>    Subd. 1a. <b>Elderly waiver case management services.</b> (a) Elderly case management <br/>
<a id="pl.216.4"></a><var>216.4</var>services under the home and community-based services waiver for elderly individuals are <br/>
<a id="pl.216.5"></a><var>216.5</var>available from providers meeting qualification requirements and the standards specified <br/>
<a id="pl.216.6"></a><var>216.6</var>in subdivision 1b. Eligible recipients may choose any qualified provider of elderly case <br/>
<a id="pl.216.7"></a><var>216.7</var>management services.<br/>
<a id="pl.216.8"></a><var>216.8</var>    Case management services assist individuals who receive waiver services in gaining <br/>
<a id="pl.216.9"></a><var>216.9</var>access to needed waiver and other state plan services, as well as needed medical, social, <br/>
<a id="pl.216.10"></a><var>216.10</var>educational, and other services regardless of the funding source for the services to which <br/>
<a id="pl.216.11"></a><var>216.11</var>access is gained.<br/>
<a id="pl.216.12"></a><var>216.12</var>    A case aide shall provide assistance to the case manager in carrying out <br/>
<a id="pl.216.13"></a><var>216.13</var>administrative activities of the case management function. The case aide may not assume <br/>
<a id="pl.216.14"></a><var>216.14</var>responsibilities that require professional judgment including assessments, reassessments, <br/>
<a id="pl.216.15"></a><var>216.15</var>and care plan development. The case manager is responsible for providing oversight of <br/>
<a id="pl.216.16"></a><var>216.16</var>the case aide.<br/>
<a id="pl.216.17"></a><var>216.17</var>    Case managers shall be responsible for ongoing monitoring of the provision of <br/>
<a id="pl.216.18"></a><var>216.18</var>services included in the individual's plan of care. Case managers shall initiate and oversee <br/>
<a id="pl.216.19"></a><var>216.19</var>the process of assessment and reassessment of the individual's care and review plan of <br/>
<a id="pl.216.20"></a><var>216.20</var>care at intervals specified in the federally approved waiver plan.<br/>
<a id="pl.216.21"></a><var>216.21</var>    (b) The county of service or tribe must provide access to and arrange for case <br/>
<a id="pl.216.22"></a><var>216.22</var>management services. County of service has the meaning given it in Minnesota Rules, <br/>
<a id="pl.216.23"></a><var>216.23</var>part 9505.0015, subpart 11.<br/>
<a id="pl.216.24"></a><var>216.24</var>    Subd. 1b. <b>Provider qualifications and standards.</b> The commissioner must <br/>
<a id="pl.216.25"></a><var>216.25</var>enroll qualified providers of elderly case management services under the home <br/>
<a id="pl.216.26"></a><var>216.26</var>and community-based waiver for the elderly under section 1915(c) of the Social <br/>
<a id="pl.216.27"></a><var>216.27</var>Security Act. The enrollment process shall ensure the provider's ability to meet the <br/>
<a id="pl.216.28"></a><var>216.28</var>qualification requirements and standards in this subdivision and other federal and state <br/>
<a id="pl.216.29"></a><var>216.29</var>requirements of this service. An elderly case management provider is an enrolled medical <br/>
<a id="pl.216.30"></a><var>216.30</var>assistance provider who is determined by the commissioner to have all of the following <br/>
<a id="pl.216.31"></a><var>216.31</var>characteristics:<br/>
<a id="pl.216.32"></a><var>216.32</var>    (1) the demonstrated capacity and experience to provide the components of <br/>
<a id="pl.216.33"></a><var>216.33</var>case management to coordinate and link community resources needed by the eligible <br/>
<a id="pl.216.34"></a><var>216.34</var>population;<br/>
<a id="pl.217.1"></a><var>217.1</var>    (2) administrative capacity and experience in serving the target population for <br/>
<a id="pl.217.2"></a><var>217.2</var>whom it will provide services and in ensuring quality of services under state and federal <br/>
<a id="pl.217.3"></a><var>217.3</var>requirements;<br/>
<a id="pl.217.4"></a><var>217.4</var>    (3) a financial management system that provides accurate documentation of services <br/>
<a id="pl.217.5"></a><var>217.5</var>and costs under state and federal requirements;<br/>
<a id="pl.217.6"></a><var>217.6</var>    (4) the capacity to document and maintain individual case records under state and <br/>
<a id="pl.217.7"></a><var>217.7</var>federal requirements; and<br/>
<a id="pl.217.8"></a><var>217.8</var>    (5) the county lead agency may allow a case manager employed by the county lead <br/>
<a id="pl.217.9"></a><var>217.9</var>agency to delegate certain aspects of the case management activity to another individual <br/>
<a id="pl.217.10"></a><var>217.10</var>employed by the county lead agency provided there is oversight of the individual by <br/>
<a id="pl.217.11"></a><var>217.11</var>the case manager. The case manager may not delegate those aspects which require <br/>
<a id="pl.217.12"></a><var>217.12</var>professional judgment including assessments, reassessments, and care plan development. <br/>
<a id="pl.217.13"></a><var>217.13</var>Lead agencies include counties, health plans, and federally recognized tribes who <br/>
<a id="pl.217.14"></a><var>217.14</var>authorize services under this section.<br/>
<a id="pl.217.15"></a><var>217.15</var>    Subd. 1c. <b>Case management activities under the state plan.</b> The commissioner <br/>
<a id="pl.217.16"></a><var>217.16</var>shall seek an amendment to the home and community-based services waiver for the <br/>
<a id="pl.217.17"></a><var>217.17</var>elderly to implement the provisions of subdivisions 1a and 1b. If the commissioner <br/>
<a id="pl.217.18"></a><var>217.18</var>is unable to secure the approval of the secretary of health and human services for the <br/>
<a id="pl.217.19"></a><var>217.19</var>requested waiver amendment by December 31, 1993, the commissioner shall amend <br/>
<a id="pl.217.20"></a><var>217.20</var>the medical assistance state plan to provide that case management provided under the <br/>
<a id="pl.217.21"></a><var>217.21</var>home and community-based services waiver for the elderly is performed by counties <br/>
<a id="pl.217.22"></a><var>217.22</var>as an administrative function for the proper and effective administration of the state <br/>
<a id="pl.217.23"></a><var>217.23</var>medical assistance plan. The state shall reimburse counties for the nonfederal share of <br/>
<a id="pl.217.24"></a><var>217.24</var>costs for case management performed as an administrative function under the home and <br/>
<a id="pl.217.25"></a><var>217.25</var>community-based services waiver for the elderly.<br/>
<a id="pl.217.26"></a><var>217.26</var>    Subd. 1d. <b>Posteligibility treatment of income and resources for elderly waiver.</b><br/>
<a id="pl.217.27"></a><var>217.27</var>    Notwithstanding the provisions of section 
         <statute_ref>256B.056</statute_ref>, the commissioner shall make the <br/>
<a id="pl.217.28"></a><var>217.28</var>following amendment to the medical assistance elderly waiver program effective July 1, <br/>
<a id="pl.217.29"></a><var>217.29</var>1999, or upon federal approval, whichever is later. <br/>
<a id="pl.217.30"></a><var>217.30</var>    A recipient's maintenance needs will be an amount equal to the Minnesota <br/>
<a id="pl.217.31"></a><var>217.31</var>supplemental aid equivalent rate as defined in section 
         <statute_ref>256I.03, subdivision 5</statute_ref>, plus the <br/>
<a id="pl.217.32"></a><var>217.32</var>medical assistance personal needs allowance as defined in section 
         <statute_ref>256B.35, subdivision <br/>
<a id="pl.217.33"></a><var>217.33</var>1
         </statute_ref>, paragraph (a), when applying posteligibility treatment of income rules to the gross <br/>
<a id="pl.217.34"></a><var>217.34</var>income of elderly waiver recipients, except for individuals whose income is in excess of <br/>
<a id="pl.217.35"></a><var>217.35</var>the special income standard according to Code of Federal Regulations, title 42, section <br/>
<statute_ref><a id="pl.217.36"></a><var>217.36</var>435.236
         </statute_ref>. Recipient maintenance needs shall be adjusted under this provision each July 1. <br/>
<a id="pl.218.1"></a><var>218.1</var>    Subd. 2. <b>Spousal impoverishment policies.</b> The commissioner shall seek to amend <br/>
<a id="pl.218.2"></a><var>218.2</var>the federal waiver and the medical assistance state plan to allow apply:<br/>
<a id="pl.218.3"></a><var>218.3</var>    (1) the spousal impoverishment criteria as authorized under United States Code, title <br/>
<a id="pl.218.4"></a><var>218.4</var>42, section 1396r-5, and as implemented in sections 
         <statute_ref>256B.0575</statute_ref>, 
         <statute_ref>256B.058</statute_ref>, and 
         <statute_ref>256B.059</statute_ref>, <br/>
<a id="pl.218.5"></a><var>218.5</var>except that the amendment shall seek to add to;<br/>
<a id="pl.218.6"></a><var>218.6</var>    (2)  the personal needs allowance permitted in section 
         <statute_ref>256B.0575</statute_ref>,; and <br/>
<a id="pl.218.7"></a><var>218.7</var>    (3) an amount equivalent to the group residential housing rate as set by section <br/>
<statute_ref><a id="pl.218.8"></a><var>218.8</var>256I.03, subdivision 5
         </statute_ref>, and according to the approved federal waiver and medical <br/>
<a id="pl.218.9"></a><var>218.9</var>assistance state plan. <br/>
<a id="pl.218.10"></a><var>218.10</var>    Subd. 3. <b>Limits of cases.</b> The number of medical assistance waiver recipients that <br/>
<a id="pl.218.11"></a><var>218.11</var>a county lead agency may serve must be allocated according to the number of medical <br/>
<a id="pl.218.12"></a><var>218.12</var>assistance waiver cases open on July 1 of each fiscal year. Additional recipients may be <br/>
<a id="pl.218.13"></a><var>218.13</var>served with the approval of the commissioner.<br/>
<a id="pl.218.14"></a><var>218.14</var>    Subd. 3a. <b>Elderly waiver cost limits.</b> (a) The monthly limit for the cost of waivered <br/>
<a id="pl.218.15"></a><var>218.15</var>services to an individual elderly waiver client shall be the weighted average monthly <br/>
<a id="pl.218.16"></a><var>218.16</var>nursing facility rate of the case mix resident class to which the elderly waiver client would <br/>
<a id="pl.218.17"></a><var>218.17</var>be assigned under Minnesota Rules, parts 9549.0050 to 9549.0059, less the recipient's <br/>
<a id="pl.218.18"></a><var>218.18</var>maintenance needs allowance as described in subdivision 1d, paragraph (a), until the first <br/>
<a id="pl.218.19"></a><var>218.19</var>day of the state fiscal year in which the resident assessment system as described in section <br/>
<statute_ref><a id="pl.218.20"></a><var>218.20</var>256B.437
         </statute_ref> for nursing home rate determination is implemented. Effective on the first day <br/>
<a id="pl.218.21"></a><var>218.21</var>of the state fiscal year in which the resident assessment system as described in section <br/>
<statute_ref><a id="pl.218.22"></a><var>218.22</var>256B.437
         </statute_ref> for nursing home rate determination is implemented and the first day of each <br/>
<a id="pl.218.23"></a><var>218.23</var>subsequent state fiscal year, the monthly limit for the cost of waivered services to an <br/>
<a id="pl.218.24"></a><var>218.24</var>individual elderly waiver client shall be the rate of the case mix resident class to which the <br/>
<a id="pl.218.25"></a><var>218.25</var>waiver client would be assigned under Minnesota Rules, parts 9549.0050 to 9549.0059, <br/>
<a id="pl.218.26"></a><var>218.26</var>in effect on the last day of the previous state fiscal year, adjusted by the greater of any <br/>
<a id="pl.218.27"></a><var>218.27</var>legislatively adopted home and community-based services percentage rate increase or the <br/>
<a id="pl.218.28"></a><var>218.28</var>average statewide percentage increase in nursing facility payment rates. <br/>
<a id="pl.218.29"></a><var>218.29</var>    (b) If extended medical supplies and equipment or environmental modifications are <br/>
<a id="pl.218.30"></a><var>218.30</var>or will be purchased for an elderly waiver client, the costs may be prorated for up to <br/>
<a id="pl.218.31"></a><var>218.31</var>12 consecutive months beginning with the month of purchase. If the monthly cost of a <br/>
<a id="pl.218.32"></a><var>218.32</var>recipient's waivered services exceeds the monthly limit established in paragraph (a), the <br/>
<a id="pl.218.33"></a><var>218.33</var>annual cost of all waivered services shall be determined. In this event, the annual cost of <br/>
<a id="pl.218.34"></a><var>218.34</var>all waivered services shall not exceed 12 times the monthly limit of waivered services as <br/>
<a id="pl.218.35"></a><var>218.35</var>described in paragraph (a).<br/>
<a id="pl.219.1"></a><var>219.1</var>    Subd. 3b. <b>Cost limits for elderly waiver applicants who reside in a nursing </b><br/>
<a id="pl.219.2"></a><var>219.2</var><b>facility.</b> (a) For a person who is a nursing facility resident at the time of requesting a <br/>
<a id="pl.219.3"></a><var>219.3</var>determination of eligibility for elderly waivered services, a monthly conversion limit for <br/>
<a id="pl.219.4"></a><var>219.4</var>the cost of elderly waivered services may be requested. The monthly conversion limit for <br/>
<a id="pl.219.5"></a><var>219.5</var>the cost of elderly waiver services shall be the resident class assigned under Minnesota <br/>
<a id="pl.219.6"></a><var>219.6</var>Rules, parts 9549.0050 to 9549.0059, for that resident in the nursing facility where <br/>
<a id="pl.219.7"></a><var>219.7</var>the resident currently resides until July 1 of the state fiscal year in which the resident <br/>
<a id="pl.219.8"></a><var>219.8</var>assessment system as described in section 
         <statute_ref>256B.437</statute_ref> for nursing home rate determination <br/>
<a id="pl.219.9"></a><var>219.9</var>is implemented. Effective on July 1 of the state fiscal year in which the resident <br/>
<a id="pl.219.10"></a><var>219.10</var>assessment system as described in section 
         <statute_ref>256B.437</statute_ref> for nursing home rate determination <br/>
<a id="pl.219.11"></a><var>219.11</var>is implemented, the monthly conversion limit for the cost of elderly waiver services <br/>
<a id="pl.219.12"></a><var>219.12</var>shall be the per diem nursing facility rate as determined by the resident assessment <br/>
<a id="pl.219.13"></a><var>219.13</var>system as described in section 
         <statute_ref>256B.437</statute_ref> for that resident in the nursing facility where <br/>
<a id="pl.219.14"></a><var>219.14</var>the resident currently resides multiplied by 365 and divided by 12, less the recipient's <br/>
<a id="pl.219.15"></a><var>219.15</var>maintenance needs allowance as described in subdivision 1d. The initially approved <br/>
<a id="pl.219.16"></a><var>219.16</var>conversion rate may be adjusted by the greater of any subsequent legislatively adopted <br/>
<a id="pl.219.17"></a><var>219.17</var>home and community-based services percentage rate increase or the average statewide <br/>
<a id="pl.219.18"></a><var>219.18</var>percentage increase in nursing facility payment rates. The limit under this subdivision <br/>
<a id="pl.219.19"></a><var>219.19</var>only applies to persons discharged from a nursing facility after a minimum 30-day stay <br/>
<a id="pl.219.20"></a><var>219.20</var>and found eligible for waivered services on or after July 1, 1997. For conversions from the <br/>
<a id="pl.219.21"></a><var>219.21</var>nursing home to the elderly waiver with consumer directed community support services, <br/>
<a id="pl.219.22"></a><var>219.22</var>the conversion rate limit is equal to the nursing facility rate reduced by a percentage equal <br/>
<a id="pl.219.23"></a><var>219.23</var>to the percentage difference between the consumer directed services budget limit that <br/>
<a id="pl.219.24"></a><var>219.24</var>would be assigned according to the federally approved waiver plan and the corresponding <br/>
<a id="pl.219.25"></a><var>219.25</var>community case mix cap, but not to exceed 50 percent.<br/>
<a id="pl.219.26"></a><var>219.26</var>    (b) The following costs must be included in determining the total monthly costs <br/>
<a id="pl.219.27"></a><var>219.27</var>for the waiver client:<br/>
<a id="pl.219.28"></a><var>219.28</var>    (1) cost of all waivered services, including extended medical supplies and equipment <br/>
<a id="pl.219.29"></a><var>219.29</var>and environmental modifications and adaptations; and<br/>
<a id="pl.219.30"></a><var>219.30</var>    (2) cost of skilled nursing, home health aide, and personal care services reimbursable <br/>
<a id="pl.219.31"></a><var>219.31</var>by medical assistance.<br/>
<a id="pl.219.32"></a><var>219.32</var>    Subd. 3c. <b>Service approval and contracting provisions.</b> (a) Medical assistance <br/>
<a id="pl.219.33"></a><var>219.33</var>funding for skilled nursing services, private duty nursing, home health aide, and personal <br/>
<a id="pl.219.34"></a><var>219.34</var>care services for waiver recipients must be approved by the case manager and included in <br/>
<a id="pl.219.35"></a><var>219.35</var>the individual care plan.<br/>
<a id="pl.220.1"></a><var>220.1</var>    (b) A county lead agency is not required to contract with a provider of supplies and <br/>
<a id="pl.220.2"></a><var>220.2</var>equipment if the monthly cost of the supplies and equipment is less than $250.<br/>
<a id="pl.220.3"></a><var>220.3</var>    Subd. 3d. <b>Adult foster care rate.</b> The adult foster care rate shall be considered <br/>
<a id="pl.220.4"></a><var>220.4</var>a difficulty of care payment and shall not include room and board. The adult foster <br/>
<a id="pl.220.5"></a><var>220.5</var>care service rate shall be negotiated between the county lead agency and the foster care <br/>
<a id="pl.220.6"></a><var>220.6</var>provider. The elderly waiver payment for the foster care service in combination with <br/>
<a id="pl.220.7"></a><var>220.7</var>the payment for all other elderly waiver services, including case management, must not <br/>
<a id="pl.220.8"></a><var>220.8</var>exceed the limit specified in subdivision 3a, paragraph (a).<br/>
<a id="pl.220.9"></a><var>220.9</var>    Subd. 3e. <b>Assisted living</b><b> </b><b>Customized living </b><b>service rate.</b> (a) Payment for assisted <br/>
<a id="pl.220.10"></a><var>220.10</var>living service customize living services shall be a monthly rate negotiated and authorized <br/>
<a id="pl.220.11"></a><var>220.11</var>by the county agency based on an individualized service plan for each resident and may <br/>
<a id="pl.220.12"></a><var>220.12</var>not cover direct rent or food costs. lead agency within the parameters established by <br/>
<a id="pl.220.13"></a><var>220.13</var>the commissioner. The payment agreement must delineate the services that have been <br/>
<a id="pl.220.14"></a><var>220.14</var>customized for each recipient and specify the amount of each service to be provided. The <br/>
<a id="pl.220.15"></a><var>220.15</var>lead agency shall ensure that there is a documented need for all services authorized. <br/>
<a id="pl.220.16"></a><var>220.16</var>Customized living services must not include rent or raw food costs. The negotiated <br/>
<a id="pl.220.17"></a><var>220.17</var>payment rate must be based on services to be provided. Negotiated rates must not exceed <br/>
<a id="pl.220.18"></a><var>220.18</var>payment rates for comparable elderly waiver or medical assistance services and must <br/>
<a id="pl.220.19"></a><var>220.19</var>reflect economies of scale.<br/>
<a id="pl.220.20"></a><var>220.20</var>    (b) The individualized monthly negotiated payment for assisted living customized <br/>
<a id="pl.220.21"></a><var>220.21</var>living services as described in section 
<statute_ref>256B.0913, subdivisions 5d to 5f</statute_ref>, and residential <br/>
<a id="pl.220.22"></a><var>220.22</var>care services as described in section 
<statute_ref>256B.0913, subdivision 5c</statute_ref>, shall not exceed the <br/>
<a id="pl.220.23"></a><var>220.23</var>nonfederal share, in effect on July 1 of the state fiscal year for which the rate limit <br/>
<a id="pl.220.24"></a><var>220.24</var>is being calculated, of the greater of either the statewide or any of the geographic <br/>
<a id="pl.220.25"></a><var>220.25</var>groups' weighted average monthly nursing facility rate of the case mix resident class <br/>
<a id="pl.220.26"></a><var>220.26</var>to which the elderly waiver eligible client would be assigned under Minnesota Rules, <br/>
<a id="pl.220.27"></a><var>220.27</var>parts 9549.0050 to 9549.0059, less the maintenance needs allowance as described in <br/>
<a id="pl.220.28"></a><var>220.28</var>subdivision 1d, paragraph (a), until the July 1 of the state fiscal year in which the resident <br/>
<a id="pl.220.29"></a><var>220.29</var>assessment system as described in section 
         <statute_ref>256B.437</statute_ref> for nursing home rate determination <br/>
<a id="pl.220.30"></a><var>220.30</var>is implemented. Effective on July 1 of the state fiscal year in which the resident <br/>
<a id="pl.220.31"></a><var>220.31</var>assessment system as described in section 
         <statute_ref>256B.437</statute_ref> for nursing home rate determination <br/>
<a id="pl.220.32"></a><var>220.32</var>is implemented and July 1 of each subsequent state fiscal year, the individualized monthly <br/>
<a id="pl.220.33"></a><var>220.33</var>negotiated payment for the services described in this clause shall not exceed the limit <br/>
<a id="pl.220.34"></a><var>220.34</var>described in this clause which was in effect on June 30 of the previous state fiscal year <br/>
<a id="pl.220.35"></a><var>220.35</var>and which has been adjusted by the greater of any legislatively adopted home and <br/>
<a id="pl.221.1"></a><var>221.1</var>community-based services cost-of-living percentage increase or any legislatively adopted <br/>
<a id="pl.221.2"></a><var>221.2</var>statewide percent rate increase for nursing facilities. <br/>
<a id="pl.221.3"></a><var>221.3</var>    (c) The individualized monthly negotiated payment for assisted Customized living <br/>
<a id="pl.221.4"></a><var>221.4</var>services described in section 
<statute_ref>144A.4605</statute_ref> and are delivered by a provider licensed by the <br/>
<a id="pl.221.5"></a><var>221.5</var>Department of Health as a class A or class F home care provider or an assisted living <br/>
<a id="pl.221.6"></a><var>221.6</var>home care provider and provided in a building that is registered as a housing with services <br/>
<a id="pl.221.7"></a><var>221.7</var>establishment under chapter 144D and that provides 24-hour supervision in combination <br/>
<a id="pl.221.8"></a><var>221.8</var>with the payment for other elderly waiver services, including case management, must not <br/>
<a id="pl.221.9"></a><var>221.9</var>exceed the limit specified in subdivision 3a. <br/>
<a id="pl.221.10"></a><var>221.10</var>    Subd. 3f. <b>Individual service rates; expenditure forecasts.</b> (a) The county lead <br/>
<a id="pl.221.11"></a><var>221.11</var>agency shall negotiate individual service rates with vendors and may authorize payment <br/>
<a id="pl.221.12"></a><var>221.12</var>for actual costs up to the county's lead agency's current approved rate. Persons or agencies <br/>
<a id="pl.221.13"></a><var>221.13</var>must be employed by or under a contract with the county lead agency or the public health <br/>
<a id="pl.221.14"></a><var>221.14</var>nursing agency of the local board of health in order to receive funding under the elderly <br/>
<a id="pl.221.15"></a><var>221.15</var>waiver program, except as a provider of supplies and equipment when the monthly cost of <br/>
<a id="pl.221.16"></a><var>221.16</var>the supplies and equipment is less than $250.<br/>
<a id="pl.221.17"></a><var>221.17</var>    (b) Reimbursement for the medical assistance recipients under the approved waiver <br/>
<a id="pl.221.18"></a><var>221.18</var>shall be made from the medical assistance account through the invoice processing <br/>
<a id="pl.221.19"></a><var>221.19</var>procedures of the department's Medicaid Management Information System (MMIS), <br/>
<a id="pl.221.20"></a><var>221.20</var>only with the approval of the client's case manager. The budget for the state share of the <br/>
<a id="pl.221.21"></a><var>221.21</var>Medicaid expenditures shall be forecasted with the medical assistance budget, and shall <br/>
<a id="pl.221.22"></a><var>221.22</var>be consistent with the approved waiver.<br/>
<a id="pl.221.23"></a><var>221.23</var>    Subd. 3g. <b>Service rate limits; state assumption of costs.</b> (a) To improve access <br/>
<a id="pl.221.24"></a><var>221.24</var>to community services and eliminate payment disparities between the alternative care <br/>
<a id="pl.221.25"></a><var>221.25</var>program and the elderly waiver, the commissioner shall establish statewide maximum <br/>
<a id="pl.221.26"></a><var>221.26</var>service rate limits and eliminate county-specific lead agency-specific service rate limits.<br/>
<a id="pl.221.27"></a><var>221.27</var>    (b) Effective July 1, 2001, for service rate limits, except those described or defined in <br/>
<a id="pl.221.28"></a><var>221.28</var>subdivisions 3d and 3e, the rate limit for each service shall be the greater of the alternative <br/>
<a id="pl.221.29"></a><var>221.29</var>care statewide maximum rate or the elderly waiver statewide maximum rate.<br/>
<a id="pl.221.30"></a><var>221.30</var>    (c) Counties Lead agencies may negotiate individual service rates with vendors for <br/>
<a id="pl.221.31"></a><var>221.31</var>actual costs up to the statewide maximum service rate limit.<br/>
<a id="pl.221.32"></a><var>221.32</var>    Subd. 3h. <b>Service rate limits; 24-hour customized living services.</b> The payment <br/>
<a id="pl.221.33"></a><var>221.33</var>rates for 24-hour customized living services is a monthly rate negotiated and authorized by <br/>
<a id="pl.221.34"></a><var>221.34</var>the lead agency within the parameters established by the commissioner of human services. <br/>
<a id="pl.221.35"></a><var>221.35</var>The payment agreement must delineate the services that have been customized for each <br/>
<a id="pl.221.36"></a><var>221.36</var>recipient and specify the amount of each service to be provided. The lead agency shall <br/>
<a id="pl.222.1"></a><var>222.1</var>ensure that there is a documented need for all services authorized. The lead agency shall <br/>
<a id="pl.222.2"></a><var>222.2</var>not authorize 24-hour customized living services unless there is a documented need for <br/>
<a id="pl.222.3"></a><var>222.3</var>24-hour supervision. For purposes of this section, "24-hour supervision" means that the <br/>
<a id="pl.222.4"></a><var>222.4</var>recipient requires assistance due to needs related to one or more of the following:<br/>
<a id="pl.222.5"></a><var>222.5</var>    (1) intermittent assistance with toileting or transferring;<br/>
<a id="pl.222.6"></a><var>222.6</var>    (2) cognitive or behavioral issues;<br/>
<a id="pl.222.7"></a><var>222.7</var>    (3) a medical condition that requires clinical monitoring; or<br/>
<a id="pl.222.8"></a><var>222.8</var>    (4) other conditions or needs as defined by the commissioner of human services. <br/>
<a id="pl.222.9"></a><var>222.9</var>The lead agency shall ensure that the frequency and mode of supervision of the recipient <br/>
<a id="pl.222.10"></a><var>222.10</var>and the qualifications of staff providing supervision are described and meet the needs <br/>
<a id="pl.222.11"></a><var>222.11</var>of the recipient. Customized living services must not include rent or raw food costs. <br/>
<a id="pl.222.12"></a><var>222.12</var>The negotiated payment rate for 24-hour customized living services must be based on <br/>
<a id="pl.222.13"></a><var>222.13</var>services to be provided. Negotiated rates must not exceed payment rates for comparable <br/>
<a id="pl.222.14"></a><var>222.14</var>elderly waiver or medical assistance services and must reflect economies of scale. The <br/>
<a id="pl.222.15"></a><var>222.15</var>individually negotiated 24-hour customized living payments, in combination with the <br/>
<a id="pl.222.16"></a><var>222.16</var>payment for other elderly waiver services, including case management, must not exceed <br/>
<a id="pl.222.17"></a><var>222.17</var>the recipient's community budget cap specified in subdivision 3a.<br/>
<a id="pl.222.18"></a><var>222.18</var>    Subd. 4. <b>Termination notice.</b> The case manager must give the individual a ten-day <br/>
<a id="pl.222.19"></a><var>222.19</var>written notice of any denial, reduction, or termination of waivered services.<br/>
<a id="pl.222.20"></a><var>222.20</var>    Subd. 5. <b>Assessments and reassessments for waiver clients.</b> Each client shall <br/>
<a id="pl.222.21"></a><var>222.21</var>receive an initial assessment of strengths, informal supports, and need for services in <br/>
<a id="pl.222.22"></a><var>222.22</var>accordance with section 
         <statute_ref>256B.0911, subdivisions 3, 3a, and 3b</statute_ref>. A reassessment of a <br/>
<a id="pl.222.23"></a><var>222.23</var>client served under the elderly waiver must be conducted at least every 12 months and <br/>
<a id="pl.222.24"></a><var>222.24</var>at other times when the case manager determines that there has been significant change <br/>
<a id="pl.222.25"></a><var>222.25</var>in the client's functioning. This may include instances where the client is discharged <br/>
<a id="pl.222.26"></a><var>222.26</var>from the hospital. <br/>
<a id="pl.222.27"></a><var>222.27</var>    Subd. 6. <b>Implementation of care plan.</b> Each elderly waiver client shall be provided <br/>
<a id="pl.222.28"></a><var>222.28</var>a copy of a written care plan that meets the requirements outlined in section 
         <statute_ref>256B.0913, <br/>
<a id="pl.222.29"></a><var>222.29</var>subdivision 8
         </statute_ref>. The care plan must be implemented by the county administering waivered <br/>
<a id="pl.222.30"></a><var>222.30</var>services of service when it is different than the county of financial responsibility. The <br/>
<a id="pl.222.31"></a><var>222.31</var>county of service administering waivered services must notify the county of financial <br/>
<a id="pl.222.32"></a><var>222.32</var>responsibility of the approved care plan.<br/>
<a id="pl.222.33"></a><var>222.33</var>    Subd. 7. <b>Prepaid elderly waiver services.</b> An individual for whom a prepaid health <br/>
<a id="pl.222.34"></a><var>222.34</var>plan is liable for nursing home services or elderly waiver services according to section <br/>
<statute_ref><a id="pl.222.35"></a><var>222.35</var>256B.69, subdivision 6a
         </statute_ref>, is not eligible to also receive county-administered elderly waiver <br/>
<a id="pl.222.36"></a><var>222.36</var>services under this section. <br/>
<a id="pl.223.1"></a><var>223.1</var>    Subd. 8. <b>Services and supports.</b> (a) Services and supports shall meet the <br/>
<a id="pl.223.2"></a><var>223.2</var>requirements set out in United States Code, title 42, section 1396n.<br/>
<a id="pl.223.3"></a><var>223.3</var>    (b) Services and supports shall promote consumer choice and be arranged and <br/>
<a id="pl.223.4"></a><var>223.4</var>provided consistent with individualized, written care plans.<br/>
<a id="pl.223.5"></a><var>223.5</var>    (c) The state of Minnesota, county, managed care organization, or tribal government <br/>
<a id="pl.223.6"></a><var>223.6</var>under contract to administer the elderly waiver shall not be liable for damages, injuries, <br/>
<a id="pl.223.7"></a><var>223.7</var>or liabilities sustained through the purchase of direct supports or goods by the person, <br/>
<a id="pl.223.8"></a><var>223.8</var>the person's family, or the authorized representatives with funds received through <br/>
<a id="pl.223.9"></a><var>223.9</var>consumer-directed community support services under the federally approved waiver plan. <br/>
<a id="pl.223.10"></a><var>223.10</var>Liabilities include, but are not limited to, workers' compensation liability, the Federal <br/>
<a id="pl.223.11"></a><var>223.11</var>Insurance Contributions Act (FICA), or the Federal Unemployment Tax Act (FUTA).<br/>
<a id="pl.223.12"></a><var>223.12</var>    Subd. 9. <b>Tribal management of elderly waiver.</b> Notwithstanding contrary <br/>
<a id="pl.223.13"></a><var>223.13</var>provisions of this section, or those in other state laws or rules, the commissioner may <br/>
<a id="pl.223.14"></a><var>223.14</var>develop a model for tribal management of the elderly waiver program and implement this <br/>
<a id="pl.223.15"></a><var>223.15</var>model through a contract between the state and any of the state's federally recognized tribal <br/>
<a id="pl.223.16"></a><var>223.16</var>governments. The model shall include the provision of tribal waiver case management, <br/>
<a id="pl.223.17"></a><var>223.17</var>assessment for personal care assistance, and administrative requirements otherwise carried <br/>
<a id="pl.223.18"></a><var>223.18</var>out by counties lead agencies but shall not include tribal financial eligibility determination <br/>
<a id="pl.223.19"></a><var>223.19</var>for medical assistance.<br/>
<a id="pl.223.20"></a><var>223.20</var><b>EFFECTIVE DATE.</b>Subdivision 3h is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.46.0"></a><a id="pl.223.21"></a><var>223.21</var>    Sec. 46. Minnesota Statutes 2006, section 256B.0917, subdivision 8, is amended to <br/>
<a id="pl.223.22"></a><var>223.22</var>read:<br/>
<a id="pl.223.23"></a><var>223.23</var>    Subd. 8. <b>Living-at-home/block nurse program grant.</b> (a) The organization <br/>
<a id="pl.223.24"></a><var>223.24</var>awarded the contract under subdivision 7, shall develop and administer a grant program <br/>
<a id="pl.223.25"></a><var>223.25</var>to establish or expand up to 33 51 community-based organizations that will implement <br/>
<a id="pl.223.26"></a><var>223.26</var>living-at-home/block nurse programs that are designed to enable senior citizens to live as <br/>
<a id="pl.223.27"></a><var>223.27</var>independently as possible in their homes and in their communities. At least one-half of <br/>
<a id="pl.223.28"></a><var>223.28</var>the programs must be in counties outside the seven-county metropolitan area. Nonprofit <br/>
<a id="pl.223.29"></a><var>223.29</var>organizations and units of local government are eligible to apply for grants to establish <br/>
<a id="pl.223.30"></a><var>223.30</var>the community organizations that will implement living-at-home/block nurse programs. <br/>
<a id="pl.223.31"></a><var>223.31</var>In awarding grants, the organization awarded the contract under subdivision 7 shall give <br/>
<a id="pl.223.32"></a><var>223.32</var>preference to nonprofit organizations and units of local government from communities <br/>
<a id="pl.223.33"></a><var>223.33</var>that:<br/>
<a id="pl.223.34"></a><var>223.34</var>    (1) have high nursing home occupancy rates;<br/>
<a id="pl.223.35"></a><var>223.35</var>    (2) have a shortage of health care professionals;<br/>
<a id="pl.224.1"></a><var>224.1</var>    (3) are located in counties adjacent to, or are located in, counties with existing <br/>
<a id="pl.224.2"></a><var>224.2</var>living-at-home/block nurse programs; and<br/>
<a id="pl.224.3"></a><var>224.3</var>    (4) meet other criteria established by LAH/BN, Inc., in consultation with the <br/>
<a id="pl.224.4"></a><var>224.4</var>commissioner.<br/>
<a id="pl.224.5"></a><var>224.5</var>    (b) Grant applicants must also meet the following criteria:<br/>
<a id="pl.224.6"></a><var>224.6</var>    (1) the local community demonstrates a readiness to establish a community model <br/>
<a id="pl.224.7"></a><var>224.7</var>of care, including the formation of a board of directors, advisory committee, or similar <br/>
<a id="pl.224.8"></a><var>224.8</var>group, of which at least two-thirds is comprised of community citizens interested in <br/>
<a id="pl.224.9"></a><var>224.9</var>community-based care for older persons;<br/>
<a id="pl.224.10"></a><var>224.10</var>    (2) the program has sponsorship by a credible, representative organization within <br/>
<a id="pl.224.11"></a><var>224.11</var>the community;<br/>
<a id="pl.224.12"></a><var>224.12</var>    (3) the program has defined specific geographic boundaries and defined its <br/>
<a id="pl.224.13"></a><var>224.13</var>organization, staffing and coordination/delivery of services;<br/>
<a id="pl.224.14"></a><var>224.14</var>    (4) the program demonstrates a team approach to coordination and care, ensuring <br/>
<a id="pl.224.15"></a><var>224.15</var>that the older adult participants, their families, the formal and informal providers are all <br/>
<a id="pl.224.16"></a><var>224.16</var>part of the effort to plan and provide services; and<br/>
<a id="pl.224.17"></a><var>224.17</var>    (5) the program provides assurances that all community resources and funding will <br/>
<a id="pl.224.18"></a><var>224.18</var>be coordinated and that other funding sources will be maximized, including a person's <br/>
<a id="pl.224.19"></a><var>224.19</var>own resources.<br/>
<a id="pl.224.20"></a><var>224.20</var>    (c) Grant applicants must provide a minimum of five percent of total estimated <br/>
<a id="pl.224.21"></a><var>224.21</var>development costs from local community funding. Grants shall be awarded for four-year <br/>
<a id="pl.224.22"></a><var>224.22</var>periods, and the base amount shall not exceed $80,000 $100,000 per applicant for the grant <br/>
<a id="pl.224.23"></a><var>224.23</var>period. The organization under contract may increase the grant amount for applicants from <br/>
<a id="pl.224.24"></a><var>224.24</var>communities that have socioeconomic characteristics that indicate a higher level of need <br/>
<a id="pl.224.25"></a><var>224.25</var>for assistance. Subject to the availability of funding, grants and grant renewals awarded or <br/>
<a id="pl.224.26"></a><var>224.26</var>entered into on or after July 1, 1997, shall be renewed by LAH/BN, Inc. every four years, <br/>
<a id="pl.224.27"></a><var>224.27</var>unless LAH/BN, Inc. determines that the grant recipient has not satisfactorily operated the <br/>
<a id="pl.224.28"></a><var>224.28</var>living-at-home/block nurse program in compliance with the requirements of paragraphs <br/>
<a id="pl.224.29"></a><var>224.29</var>(b) and (d). Grants provided to living-at-home/block nurse programs under this paragraph <br/>
<a id="pl.224.30"></a><var>224.30</var>may be used for both program development and the delivery of services.<br/>
<a id="pl.224.31"></a><var>224.31</var>    (d) Each living-at-home/block nurse program shall be designed by representatives of <br/>
<a id="pl.224.32"></a><var>224.32</var>the communities being served to ensure that the program addresses the specific needs of <br/>
<a id="pl.224.33"></a><var>224.33</var>the community residents. The programs must be designed to:<br/>
<a id="pl.224.34"></a><var>224.34</var>    (1) incorporate the basic community, organizational, and service delivery principles <br/>
<a id="pl.224.35"></a><var>224.35</var>of the living-at-home/block nurse program model;<br/>
<a id="pl.225.1"></a><var>225.1</var>    (2) provide senior citizens with registered nurse directed assessment, provision and <br/>
<a id="pl.225.2"></a><var>225.2</var>coordination of health and personal care services on a sliding fee basis as an alternative <br/>
<a id="pl.225.3"></a><var>225.3</var>to expensive nursing home care;<br/>
<a id="pl.225.4"></a><var>225.4</var>    (3) provide information, support services, homemaking services, counseling, and <br/>
<a id="pl.225.5"></a><var>225.5</var>training for the client and family caregivers;<br/>
<a id="pl.225.6"></a><var>225.6</var>    (4) encourage the development and use of respite care, caregiver support, and <br/>
<a id="pl.225.7"></a><var>225.7</var>in-home support programs, such as adult foster care and in-home adult day care;<br/>
<a id="pl.225.8"></a><var>225.8</var>    (5) encourage neighborhood residents and local organizations to collaborate in <br/>
<a id="pl.225.9"></a><var>225.9</var>meeting the needs of senior citizens in their communities;<br/>
<a id="pl.225.10"></a><var>225.10</var>    (6) recruit, train, and direct the use of volunteers to provide informal services and <br/>
<a id="pl.225.11"></a><var>225.11</var>other appropriate support to senior citizens and their caregivers; and<br/>
<a id="pl.225.12"></a><var>225.12</var>    (7) provide coordination and management of formal and informal services to senior <br/>
<a id="pl.225.13"></a><var>225.13</var>citizens and their families using less expensive alternatives.<br/>
<br/>
<a id="bill.4.47.0"></a><a id="pl.225.14"></a><var>225.14</var>    Sec. 47. Minnesota Statutes 2006, section 256B.0919, subdivision 3, is amended to <br/>
<a id="pl.225.15"></a><var>225.15</var>read:<br/>
<a id="pl.225.16"></a><var>225.16</var>    Subd. 3. <b>County certification of persons providing adult foster care to related </b><br/>
<a id="pl.225.17"></a><var>225.17</var><b>persons.</b> A person exempt from licensure under section 
         <statute_ref>245A.03, subdivision 2</statute_ref>, who <br/>
<a id="pl.225.18"></a><var>225.18</var>provides adult foster care to a related individual age 65 and older, and who meets the <br/>
<a id="pl.225.19"></a><var>225.19</var>requirements in Minnesota Rules, parts 9555.5105 to 9555.6265, may be certified by the <br/>
<a id="pl.225.20"></a><var>225.20</var>county to provide adult foster care. A person certified by the county to provide adult foster <br/>
<a id="pl.225.21"></a><var>225.21</var>care may be reimbursed for services provided and eligible for funding under sections <br/>
<a id="pl.225.22"></a><var>225.22</var><statute_ref>256B.0913</statute_ref> and section
<statute_ref>256B.0915</statute_ref>, if the relative would suffer a financial hardship as <br/>
<a id="pl.225.23"></a><var>225.23</var>a result of providing care. For purposes of this subdivision, financial hardship refers <br/>
<a id="pl.225.24"></a><var>225.24</var>to a situation in which a relative incurs a substantial reduction in income as a result of <br/>
<a id="pl.225.25"></a><var>225.25</var>resigning from a full-time job or taking a leave of absence without pay from a full-time <br/>
<a id="pl.225.26"></a><var>225.26</var>job to care for the client. <br/>
<br/>
<a id="bill.4.48.0"></a><a id="pl.225.27"></a><var>225.27</var>    Sec. 48. Minnesota Statutes 2006, section 256B.095, is amended to read:<br/>
<a id="pl.225.28"></a><var>225.28</var><b>256B.095 QUALITY ASSURANCE SYSTEM ESTABLISHED.</b><br/>
<a id="pl.225.29"></a><var>225.29</var>    (a) Effective July 1, 1998, a quality assurance system for persons with developmental <br/>
<a id="pl.225.30"></a><var>225.30</var>disabilities, which includes an alternative quality assurance licensing system for programs, <br/>
<a id="pl.225.31"></a><var>225.31</var>is established in Dodge, Fillmore, Freeborn, Goodhue, Houston, Mower, Olmsted, Rice, <br/>
<a id="pl.225.32"></a><var>225.32</var>Steele, Wabasha, and Winona Counties for the purpose of improving the quality of <br/>
<a id="pl.225.33"></a><var>225.33</var>services provided to persons with developmental disabilities. A county, at its option, may <br/>
<a id="pl.225.34"></a><var>225.34</var>choose to have all programs for persons with developmental disabilities located within <br/>
<a id="pl.226.1"></a><var>226.1</var>the county licensed under chapter 245A using standards determined under the alternative <br/>
<a id="pl.226.2"></a><var>226.2</var>quality assurance licensing system or may continue regulation of these programs under <br/>
<a id="pl.226.3"></a><var>226.3</var>the licensing system operated by the commissioner. The project expires on June 30, <br/>
<a id="pl.226.4"></a><var>226.4</var>2009 2014.<br/>
<a id="pl.226.5"></a><var>226.5</var>    (b) Effective July 1, 2003, a county not listed in paragraph (a) may apply to <br/>
<a id="pl.226.6"></a><var>226.6</var>participate in the quality assurance system established under paragraph (a). The <br/>
<a id="pl.226.7"></a><var>226.7</var>commission established under section 
         <statute_ref>256B.0951</statute_ref> may, at its option, allow additional <br/>
<a id="pl.226.8"></a><var>226.8</var>counties to participate in the system.<br/>
<a id="pl.226.9"></a><var>226.9</var>    (c) Effective July 1, 2003, any county or group of counties not listed in paragraph (a) <br/>
<a id="pl.226.10"></a><var>226.10</var>may establish a quality assurance system under this section. A new system established <br/>
<a id="pl.226.11"></a><var>226.11</var>under this section shall have the same rights and duties as the system established <br/>
<a id="pl.226.12"></a><var>226.12</var>under paragraph (a). A new system shall be governed by a commission under section <br/>
<statute_ref><a id="pl.226.13"></a><var>226.13</var>256B.0951
         </statute_ref>. The commissioner shall appoint the initial commission members based <br/>
<a id="pl.226.14"></a><var>226.14</var>on recommendations from advocates, families, service providers, and counties in the <br/>
<a id="pl.226.15"></a><var>226.15</var>geographic area included in the new system. Counties that choose to participate in a <br/>
<a id="pl.226.16"></a><var>226.16</var>new system shall have the duties assigned under section 
         <statute_ref>256B.0952</statute_ref>. The new system <br/>
<a id="pl.226.17"></a><var>226.17</var>shall establish a quality assurance process under section 
         <statute_ref>256B.0953</statute_ref>. The provisions of <br/>
<a id="pl.226.18"></a><var>226.18</var>section 
         <statute_ref>256B.0954</statute_ref> shall apply to a new system established under this paragraph. The <br/>
<a id="pl.226.19"></a><var>226.19</var>commissioner shall delegate authority to a new system established under this paragraph <br/>
<a id="pl.226.20"></a><var>226.20</var>according to section 
         <statute_ref>256B.0955</statute_ref>.<br/>
<a id="pl.226.21"></a><var>226.21</var>    (d) Effective July 1, 2007, the quality assurance system may be expanded to include <br/>
<a id="pl.226.22"></a><var>226.22</var>programs for persons with disabilities and older adults.<br/>
<br/>
<a id="bill.4.49.0"></a><a id="pl.226.23"></a><var>226.23</var>    Sec. 49. Minnesota Statutes 2006, section 256B.0951, subdivision 1, is amended to <br/>
<a id="pl.226.24"></a><var>226.24</var>read:<br/>
<a id="pl.226.25"></a><var>226.25</var>    Subdivision 1. <b>Membership.</b> The Quality Assurance Commission is established. <br/>
<a id="pl.226.26"></a><var>226.26</var>The commission consists of at least 14 but not more than 21 members as follows: at <br/>
<a id="pl.226.27"></a><var>226.27</var>least three but not more than five members representing advocacy organizations; at <br/>
<a id="pl.226.28"></a><var>226.28</var>least three but not more than five members representing consumers, families, and their <br/>
<a id="pl.226.29"></a><var>226.29</var>legal representatives; at least three but not more than five members representing service <br/>
<a id="pl.226.30"></a><var>226.30</var>providers; at least three but not more than five members representing counties; and the <br/>
<a id="pl.226.31"></a><var>226.31</var>commissioner of human services or the commissioner's designee. The first commission <br/>
<a id="pl.226.32"></a><var>226.32</var>shall establish membership guidelines for the transition and recruitment of membership for <br/>
<a id="pl.226.33"></a><var>226.33</var>the commission's ongoing existence. Members of the commission who do not receive a <br/>
<a id="pl.226.34"></a><var>226.34</var>salary or wages from an employer for time spent on commission duties may receive a per <br/>
<a id="pl.226.35"></a><var>226.35</var>diem payment when performing commission duties and functions. All members may be <br/>
<a id="pl.227.1"></a><var>227.1</var>reimbursed for expenses related to commission activities. Notwithstanding the provisions <br/>
<a id="pl.227.2"></a><var>227.2</var>of section 
         <statute_ref>15.059, subdivision 5</statute_ref>, the commission expires on June 30, 2009 2014.<br/>
<br/>
<a id="bill.4.50.0"></a><a id="pl.227.3"></a><var>227.3</var>    Sec. 50. <b>[256B.096] QUALITY MANAGEMENT; ASSURANCE; AND </b><br/>
<a id="pl.227.4"></a><var>227.4</var><b>IMPROVEMENT SYSTEM FOR MINNESOTANS RECEIVING DISABILITY </b><br/>
<a id="pl.227.5"></a><var>227.5</var><b>SERVICES.</b><br/>
<a id="pl.227.6"></a><var>227.6</var>    Subdivision 1. <b>Scope.</b> In order to improve the quality of services provided to <br/>
<a id="pl.227.7"></a><var>227.7</var>Minnesotans with disabilities and to meet the requirements of the federally approved home <br/>
<a id="pl.227.8"></a><var>227.8</var>and community-based waivers under section 1915c of the Social Security Act, a statewide <br/>
<a id="pl.227.9"></a><var>227.9</var>quality assurance and improvement system for Minnesotans receiving disability services <br/>
<a id="pl.227.10"></a><var>227.10</var>shall be developed. The disability services included are the home and community-based <br/>
<a id="pl.227.11"></a><var>227.11</var>services waiver programs for persons with developmental disabilities under section <br/>
<a id="pl.227.12"></a><var>227.12</var>256B.092, subdivision 4, and persons with disabilities under section 256B.49.<br/>
<a id="pl.227.13"></a><var>227.13</var>    Subd. 2. <b>Stakeholder advisory group.</b> The commissioner shall consult with a <br/>
<a id="pl.227.14"></a><var>227.14</var>stakeholder advisory group on the development and implementation of the state quality <br/>
<a id="pl.227.15"></a><var>227.15</var>management, assurance, and improvement system, including representatives from: <br/>
<a id="pl.227.16"></a><var>227.16</var>disability service recipients, disability service providers, disability advocacy groups, <br/>
<a id="pl.227.17"></a><var>227.17</var>county human service agencies, and state agency staff from the Departments of Human <br/>
<a id="pl.227.18"></a><var>227.18</var>Services and Health and ombudsman for mental health and developmental disabilities on <br/>
<a id="pl.227.19"></a><var>227.19</var>the development of a statewide quality assurance and improvement system.<br/>
<a id="pl.227.20"></a><var>227.20</var>    Subd. 3. <b>Annual survey of service recipients.</b> The commissioner, in consultation <br/>
<a id="pl.227.21"></a><var>227.21</var>with the stakeholder advisory group, shall develop and conduct an annual independent <br/>
<a id="pl.227.22"></a><var>227.22</var>random statewide survey of between five and ten percent of service recipients to determine <br/>
<a id="pl.227.23"></a><var>227.23</var>the effectiveness and quality of disability services. The survey shall be consistent with <br/>
<a id="pl.227.24"></a><var>227.24</var>the system performance expectations of the Centers for Medicare and Medicaid Services <br/>
<a id="pl.227.25"></a><var>227.25</var>quality management requirements and framework. The survey shall analyze whether <br/>
<a id="pl.227.26"></a><var>227.26</var>desired outcomes have been achieved for persons with different demographic, diagnostic, <br/>
<a id="pl.227.27"></a><var>227.27</var>health, and functional needs and receiving different types of services, in different settings, <br/>
<a id="pl.227.28"></a><var>227.28</var>with different costs. The survey shall be field tested during 2008 and implemented by <br/>
<a id="pl.227.29"></a><var>227.29</var>February 1, 2009. Annual statewide and regional reports of the results shall be published <br/>
<a id="pl.227.30"></a><var>227.30</var>for use by regions, counties, and providers to plan and measure the impact of quality <br/>
<a id="pl.227.31"></a><var>227.31</var>improvement activities.<br/>
<a id="pl.227.32"></a><var>227.32</var>    Subd. 4. <b>Improvements for incident reporting, investigation, analysis, and </b><br/>
<a id="pl.227.33"></a><var>227.33</var><b>follow-up.</b> In consultation with the stakeholder advisory group, the commissioner shall <br/>
<a id="pl.227.34"></a><var>227.34</var>identify the information, data sources, and technology needed to improve the system <br/>
<a id="pl.227.35"></a><var>227.35</var>of incident reporting, including:<br/>
<a id="pl.228.1"></a><var>228.1</var>    (1) reports made under the Maltreatment of Minors and Vulnerable Adults Acts; and<br/>
<a id="pl.228.2"></a><var>228.2</var>    (2) investigation, analysis, and follow-up for disability services.<br/>
<a id="pl.228.3"></a><var>228.3</var>    The commissioner must ensure that the federal home and community-based waiver <br/>
<a id="pl.228.4"></a><var>228.4</var>requirements are met and that incidents that may have jeopardized safety; health; or <br/>
<a id="pl.228.5"></a><var>228.5</var>violated service-related assurances, civil and human rights, and other protections designed <br/>
<a id="pl.228.6"></a><var>228.6</var>to prevent abuse, neglect, and exploitation are reviewed, investigated, and acted upon <br/>
<a id="pl.228.7"></a><var>228.7</var>in a timely manner.<br/>
<a id="pl.228.8"></a><var>228.8</var>    Subd. 5. <b>Biennial report.</b> The commissioner shall provide a biennial report to the <br/>
<a id="pl.228.9"></a><var>228.9</var>chairs of the legislative committees with jurisdiction over health and human services <br/>
<a id="pl.228.10"></a><var>228.10</var>policy and funding beginning January 15, 2009, on the development and activities of the <br/>
<a id="pl.228.11"></a><var>228.11</var>quality management, assurance, and improvement system designed to meet the federal <br/>
<a id="pl.228.12"></a><var>228.12</var>requirements under the home and community-based services waiver programs for persons <br/>
<a id="pl.228.13"></a><var>228.13</var>with disabilities. By January 15, 2008, the commissioner shall provide a preliminary <br/>
<a id="pl.228.14"></a><var>228.14</var>report on the priorities for meeting the federal requirements, progress on the annual <br/>
<a id="pl.228.15"></a><var>228.15</var>survey, recommendations for improvements in the incident reporting system, and a plan <br/>
<a id="pl.228.16"></a><var>228.16</var>for incorporating the quality assurance efforts under section 256B.095 and other regional <br/>
<a id="pl.228.17"></a><var>228.17</var>efforts into the statewide system.<br/>
<br/>
<a id="bill.4.51.0"></a><a id="pl.228.18"></a><var>228.18</var>    Sec. 51. Minnesota Statutes 2006, section 256B.431, subdivision 1, is amended to read:<br/>
<a id="pl.228.19"></a><var>228.19</var>    Subdivision 1. <b>In general.</b> The commissioner shall determine prospective <br/>
<a id="pl.228.20"></a><var>228.20</var>payment rates for resident care costs. For rates established on or after July 1, 1985, the <br/>
<a id="pl.228.21"></a><var>228.21</var>commissioner shall develop procedures for determining operating cost payment rates that <br/>
<a id="pl.228.22"></a><var>228.22</var>take into account the mix of resident needs, geographic location, and other factors as <br/>
<a id="pl.228.23"></a><var>228.23</var>determined by the commissioner. The commissioner shall consider whether the fact that a <br/>
<a id="pl.228.24"></a><var>228.24</var>facility is attached to a hospital or has an average length of stay of 180 days or less should <br/>
<a id="pl.228.25"></a><var>228.25</var>be taken into account in determining rates. The commissioner shall consider the use of the <br/>
<a id="pl.228.26"></a><var>228.26</var>standard metropolitan statistical areas when developing groups by geographic location. <br/>
<a id="pl.228.27"></a><var>228.27</var>The commissioner shall provide notice to each nursing facility on or before May 1 August <br/>
<a id="pl.228.28"></a><var>228.28</var>15 of the rates effective for the following rate year except that if legislation is pending on <br/>
<a id="pl.228.29"></a><var>228.29</var>May 1 August 15 that may affect rates for nursing facilities, the commissioner shall set the <br/>
<a id="pl.228.30"></a><var>228.30</var>rates after the legislation is enacted and provide notice to each facility as soon as possible.<br/>
<a id="pl.228.31"></a><var>228.31</var>    Compensation for top management personnel shall continue to be categorized as a <br/>
<a id="pl.228.32"></a><var>228.32</var>general and administrative cost and is subject to any limits imposed on that cost category.<br/>
<br/>
<a id="bill.4.52.0"></a><a id="pl.228.33"></a><var>228.33</var>    Sec. 52. Minnesota Statutes 2006, section 256B.431, subdivision 2e, is amended to <br/>
<a id="pl.228.34"></a><var>228.34</var>read:<br/>
<a id="pl.229.1"></a><var>229.1</var>    Subd. 2e. <b>Contracts for services for ventilator-dependent persons.</b> (a) <br/>
<a id="pl.229.2"></a><var>229.2</var>The commissioner may negotiate with a nursing facility eligible to receive medical <br/>
<a id="pl.229.3"></a><var>229.3</var>assistance payments to provide services to a ventilator-dependent person identified by the <br/>
<a id="pl.229.4"></a><var>229.4</var>commissioner according to criteria developed by the commissioner, including:<br/>
<a id="pl.229.5"></a><var>229.5</var>    (1) nursing facility care has been recommended for the person by a preadmission <br/>
<a id="pl.229.6"></a><var>229.6</var>screening team;<br/>
<a id="pl.229.7"></a><var>229.7</var>    (2) the person has been hospitalized and no longer requires inpatient acute care <br/>
<a id="pl.229.8"></a><var>229.8</var>hospital services; and<br/>
<a id="pl.229.9"></a><var>229.9</var>    (3) the commissioner has determined that necessary services for the person cannot <br/>
<a id="pl.229.10"></a><var>229.10</var>be provided under existing nursing facility rates.<br/>
<a id="pl.229.11"></a><var>229.11</var>    The commissioner may negotiate an adjustment to the operating cost payment <br/>
<a id="pl.229.12"></a><var>229.12</var>rate for a nursing facility with a resident who is ventilator-dependent, for that resident. <br/>
<a id="pl.229.13"></a><var>229.13</var>The negotiated adjustment must reflect only the actual additional cost of meeting the <br/>
<a id="pl.229.14"></a><var>229.14</var>specialized care needs of a ventilator-dependent person identified by the commissioner <br/>
<a id="pl.229.15"></a><var>229.15</var>for whom necessary services cannot be provided under existing nursing facility rates and <br/>
<a id="pl.229.16"></a><var>229.16</var>which are not otherwise covered under Minnesota Rules, parts 9549.0010 to 9549.0080 or <br/>
<a id="pl.229.17"></a><var>229.17</var>9505.0170 to 9505.0475. For persons who are initially admitted to a nursing facility before <br/>
<a id="pl.229.18"></a><var>229.18</var>July 1, 2001, and have their payment rate under this subdivision negotiated after July 1, <br/>
<a id="pl.229.19"></a><var>229.19</var>2001, the negotiated payment rate must not exceed 200 percent of the highest multiple <br/>
<a id="pl.229.20"></a><var>229.20</var>bedroom payment rate for the facility, as initially established by the commissioner for the <br/>
<a id="pl.229.21"></a><var>229.21</var>rate year for case mix classification K; or, upon implementation of the RUG's-based case <br/>
<a id="pl.229.22"></a><var>229.22</var>mix system, 200 percent of the highest RUG's rate. For persons initially admitted to a <br/>
<a id="pl.229.23"></a><var>229.23</var>nursing facility on or after July 1, 2001, the negotiated payment rate must not exceed 300 <br/>
<a id="pl.229.24"></a><var>229.24</var>percent of the facility's multiple bedroom payment rate for case mix classification K; or, <br/>
<a id="pl.229.25"></a><var>229.25</var>upon implementation of the RUG's-based case mix system, 300 percent of the highest <br/>
<a id="pl.229.26"></a><var>229.26</var>RUG's rate. The negotiated adjustment shall not affect the payment rate charged to private <br/>
<a id="pl.229.27"></a><var>229.27</var>paying residents under the provisions of section   
         <statute_ref>256B.48, subdivision 1</statute_ref>. <br/>
<a id="pl.229.28"></a><var>229.28</var>    (b) Effective July 1, 2007, or upon opening a unit of at least ten beds dedicated to <br/>
<a id="pl.229.29"></a><var>229.29</var>care of ventilator-dependent persons in partnership with Mayo Health Systems, whichever <br/>
<a id="pl.229.30"></a><var>229.30</var>is later, the operating payment rates for residents determined eligible under paragraph (a) <br/>
<a id="pl.229.31"></a><var>229.31</var>of a nursing facility in Waseca County that on February 1, 2007, was licensed for 70 beds <br/>
<a id="pl.229.32"></a><var>229.32</var>and reimbursed under this section, section 256B.434, or section 256B.441, shall be 300 <br/>
<a id="pl.229.33"></a><var>229.33</var>percent of the facility's highest RUG rate.<br/>
<br/>
<a id="bill.4.53.0"></a><a id="pl.229.34"></a><var>229.34</var>    Sec. 53. Minnesota Statutes 2006, section 256B.431, subdivision 3f, is amended to <br/>
<a id="pl.229.35"></a><var>229.35</var>read:<br/>
<a id="pl.230.1"></a><var>230.1</var>    Subd. 3f. <b>Property costs after July 1, 1988.</b> (a) Investment per bed limit. For the <br/>
<a id="pl.230.2"></a><var>230.2</var>rate year beginning July 1, 1988, the replacement-cost-new per bed limit must be $32,571 <br/>
<a id="pl.230.3"></a><var>230.3</var>per licensed bed in multiple bedrooms and $48,857 per licensed bed in a single bedroom. <br/>
<a id="pl.230.4"></a><var>230.4</var>For the rate year beginning July 1, 1989, the replacement-cost-new per bed limit for a <br/>
<a id="pl.230.5"></a><var>230.5</var>single bedroom must be $49,907 adjusted according to Minnesota Rules, part 9549.0060, <br/>
<a id="pl.230.6"></a><var>230.6</var>subpart 4, item A, subitem (1). Beginning January 1, 1990, the replacement-cost-new per <br/>
<a id="pl.230.7"></a><var>230.7</var>bed limits must be adjusted annually as specified in Minnesota Rules, part 9549.0060, <br/>
<a id="pl.230.8"></a><var>230.8</var>subpart 4, item A, subitem (1). Beginning January 1, 1991, the replacement-cost-new per <br/>
<a id="pl.230.9"></a><var>230.9</var>bed limits will be adjusted annually as specified in Minnesota Rules, part 9549.0060, <br/>
<a id="pl.230.10"></a><var>230.10</var>subpart 4, item A, subitem (1), except that the index utilized will be the Bureau of the <br/>
<a id="pl.230.11"></a><var>230.11</var>Census: Composite fixed-weighted price index as published in the C30 Report, Value <br/>
<a id="pl.230.12"></a><var>230.12</var>of New Construction Put in Place Economic Analysis: Price Indexes for Private Fixed <br/>
<a id="pl.230.13"></a><var>230.13</var>Investments in Structures; Special Care. <br/>
<a id="pl.230.14"></a><var>230.14</var>    (b)  Rental factor. For the rate year beginning July 1, 1988, the commissioner shall <br/>
<a id="pl.230.15"></a><var>230.15</var>increase the rental factor as established in Minnesota Rules, part 9549.0060, subpart 8, <br/>
<a id="pl.230.16"></a><var>230.16</var>item A, by 6.2 percent rounded to the nearest 100th percent for the purpose of reimbursing <br/>
<a id="pl.230.17"></a><var>230.17</var>nursing facilities for soft costs and entrepreneurial profits not included in the cost valuation <br/>
<a id="pl.230.18"></a><var>230.18</var>services used by the state's contracted appraisers. For rate years beginning on or after July <br/>
<a id="pl.230.19"></a><var>230.19</var>1, 1989, the rental factor is the amount determined under this paragraph for the rate year <br/>
<a id="pl.230.20"></a><var>230.20</var>beginning July 1, 1988. <br/>
<a id="pl.230.21"></a><var>230.21</var>    (c)  Occupancy factor. For rate years beginning on or after July 1, 1988, in order <br/>
<a id="pl.230.22"></a><var>230.22</var>to determine property-related payment rates under Minnesota Rules, part 9549.0060, <br/>
<a id="pl.230.23"></a><var>230.23</var>for all nursing facilities except those whose average length of stay in a skilled level of <br/>
<a id="pl.230.24"></a><var>230.24</var>care within a nursing facility is 180 days or less, the commissioner shall use 95 percent <br/>
<a id="pl.230.25"></a><var>230.25</var>of capacity days. For a nursing facility whose average length of stay in a skilled level of <br/>
<a id="pl.230.26"></a><var>230.26</var>care within a nursing facility is 180 days or less, the commissioner shall use the greater of <br/>
<a id="pl.230.27"></a><var>230.27</var>resident days or 80 percent of capacity days but in no event shall the divisor exceed 95 <br/>
<a id="pl.230.28"></a><var>230.28</var>percent of capacity days. <br/>
<a id="pl.230.29"></a><var>230.29</var>    (d)  Equipment allowance. For rate years beginning on July 1, 1988, and July 1, <br/>
<a id="pl.230.30"></a><var>230.30</var>1989, the commissioner shall add ten cents per resident per day to each nursing facility's <br/>
<a id="pl.230.31"></a><var>230.31</var>property-related payment rate. The ten-cent property-related payment rate increase is not <br/>
<a id="pl.230.32"></a><var>230.32</var>cumulative from rate year to rate year. For the rate year beginning July 1, 1990, the <br/>
<a id="pl.230.33"></a><var>230.33</var>commissioner shall increase each nursing facility's equipment allowance as established <br/>
<a id="pl.230.34"></a><var>230.34</var>in Minnesota Rules, part 9549.0060, subpart 10, by ten cents per resident per day. For <br/>
<a id="pl.230.35"></a><var>230.35</var>rate years beginning on or after July 1, 1991, the adjusted equipment allowance must be <br/>
<a id="pl.230.36"></a><var>230.36</var>adjusted annually for inflation as in Minnesota Rules, part 9549.0060, subpart 10, item E. <br/>
<a id="pl.231.1"></a><var>231.1</var>For the rate period beginning October 1, 1992, the equipment allowance for each nursing <br/>
<a id="pl.231.2"></a><var>231.2</var>facility shall be increased by 28 percent. For rate years beginning after June 30, 1993, the <br/>
<a id="pl.231.3"></a><var>231.3</var>allowance must be adjusted annually for inflation. <br/>
<a id="pl.231.4"></a><var>231.4</var>    (e)  Post chapter 199 related-organization debts and interest expense. For rate <br/>
<a id="pl.231.5"></a><var>231.5</var>years beginning on or after July 1, 1990, Minnesota Rules, part 9549.0060, subpart 5, item <br/>
<a id="pl.231.6"></a><var>231.6</var>E, shall not apply to outstanding related organization debt incurred prior to May 23, 1983, <br/>
<a id="pl.231.7"></a><var>231.7</var>provided that the debt was an allowable debt under Minnesota Rules, parts 9510.0010 <br/>
<a id="pl.231.8"></a><var>231.8</var>to 9510.0480, the debt is subject to repayment through annual principal payments, and <br/>
<a id="pl.231.9"></a><var>231.9</var>the nursing facility demonstrates to the commissioner's satisfaction that the interest rate <br/>
<a id="pl.231.10"></a><var>231.10</var>on the debt was less than market interest rates for similar arm's-length transactions at <br/>
<a id="pl.231.11"></a><var>231.11</var>the time the debt was incurred. If the debt was incurred due to a sale between family <br/>
<a id="pl.231.12"></a><var>231.12</var>members, the nursing facility must also demonstrate that the seller no longer participates <br/>
<a id="pl.231.13"></a><var>231.13</var>in the management or operation of the nursing facility. Debts meeting the conditions of <br/>
<a id="pl.231.14"></a><var>231.14</var>this paragraph are subject to all other provisions of Minnesota Rules, parts 9549.0010 <br/>
<a id="pl.231.15"></a><var>231.15</var>to 9549.0080. <br/>
<a id="pl.231.16"></a><var>231.16</var>    (f)  Building capital allowance for nursing facilities with operating leases. For <br/>
<a id="pl.231.17"></a><var>231.17</var>rate years beginning on or after July 1, 1990, a nursing facility with operating lease costs <br/>
<a id="pl.231.18"></a><var>231.18</var>incurred for the nursing facility's buildings shall receive its building capital allowance <br/>
<a id="pl.231.19"></a><var>231.19</var>computed in accordance with Minnesota Rules, part 9549.0060, subpart 8. If an operating <br/>
<a id="pl.231.20"></a><var>231.20</var>lease provides that the lessee's rent is adjusted to recognize improvements made by the <br/>
<a id="pl.231.21"></a><var>231.21</var>lessor and related debt, the costs for capital improvements and related debt shall be allowed <br/>
<a id="pl.231.22"></a><var>231.22</var>in the computation of the lessee's building capital allowance, provided that reimbursement <br/>
<a id="pl.231.23"></a><var>231.23</var>for these costs under an operating lease shall not exceed the rate otherwise paid. <br/>
<br/>
<a id="bill.4.54.0"></a><a id="pl.231.24"></a><var>231.24</var>    Sec. 54. Minnesota Statutes 2006, section 256B.431, subdivision 17e, is amended to <br/>
<a id="pl.231.25"></a><var>231.25</var>read:<br/>
<a id="pl.231.26"></a><var>231.26</var>    Subd. 17e. <b>Replacement-costs-new per bed limit effective July 1, 2001.</b><br/>
<a id="pl.231.27"></a><var>231.27</var>    Notwithstanding Minnesota Rules, part 9549.0060, subpart 11, item C, subitem (2), <br/>
<a id="pl.231.28"></a><var>231.28</var>for a total replacement, as defined in paragraph (f) subdivision 17d, authorized under <br/>
<a id="pl.231.29"></a><var>231.29</var>section   
         <statute_ref>144A.071</statute_ref> or   
         <statute_ref>144A.073</statute_ref> after July 1, 1999, or any building project that is a <br/>
<a id="pl.231.30"></a><var>231.30</var>relocation, renovation, upgrading, or conversion completed on or after July 1, 2001, the <br/>
<a id="pl.231.31"></a><var>231.31</var>replacement-costs-new per bed limit shall be $74,280 per licensed bed in multiple-bed <br/>
<a id="pl.231.32"></a><var>231.32</var>rooms, $92,850 per licensed bed in semiprivate rooms with a fixed partition separating <br/>
<a id="pl.231.33"></a><var>231.33</var>the resident beds, and $111,420 per licensed bed in single rooms. Minnesota Rules, part <br/>
<a id="pl.231.34"></a><var>231.34</var>9549.0060, subpart 11, item C, subitem (2), does not apply. These amounts must be <br/>
<a id="pl.231.35"></a><var>231.35</var>adjusted annually as specified in subdivision 3f, paragraph (a), beginning January 1, 2000. <br/>
<br/>
<a id="bill.4.55.0"></a><a id="pl.232.1"></a><var>232.1</var>    Sec. 55. Minnesota Statutes 2006, section 256B.434, subdivision 4, is amended to read:<br/>
<a id="pl.232.2"></a><var>232.2</var>    Subd. 4. <b>Alternate rates for nursing facilities.</b> (a) For nursing facilities which <br/>
<a id="pl.232.3"></a><var>232.3</var>have their payment rates determined under this section rather than section 
         <statute_ref>256B.431</statute_ref>, the <br/>
<a id="pl.232.4"></a><var>232.4</var>commissioner shall establish a rate under this subdivision. The nursing facility must enter <br/>
<a id="pl.232.5"></a><var>232.5</var>into a written contract with the commissioner.<br/>
<a id="pl.232.6"></a><var>232.6</var>    (b) A nursing facility's case mix payment rate for the first rate year of a facility's <br/>
<a id="pl.232.7"></a><var>232.7</var>contract under this section is the payment rate the facility would have received under <br/>
<a id="pl.232.8"></a><var>232.8</var>section 
         <statute_ref>256B.431</statute_ref>.<br/>
<a id="pl.232.9"></a><var>232.9</var>    (c) A nursing facility's case mix payment rates for the second and subsequent years <br/>
<a id="pl.232.10"></a><var>232.10</var>of a facility's contract under this section are the previous rate year's contract payment <br/>
<a id="pl.232.11"></a><var>232.11</var>rates plus an inflation adjustment and, for facilities reimbursed under this section or <br/>
<a id="pl.232.12"></a><var>232.12</var>section 
         <statute_ref>256B.431</statute_ref>, an adjustment to include the cost of any increase in Health Department <br/>
<a id="pl.232.13"></a><var>232.13</var>licensing fees for the facility taking effect on or after July 1, 2001. The index for the <br/>
<a id="pl.232.14"></a><var>232.14</var>inflation adjustment must be based on the change in the Consumer Price Index-all items <br/>
<a id="pl.232.15"></a><var>232.15</var>(United States City average) (CPI-U) forecasted by the commissioner of finance's national <br/>
<a id="pl.232.16"></a><var>232.16</var>economic consultant, as forecasted in the fourth quarter of the calendar year preceding <br/>
<a id="pl.232.17"></a><var>232.17</var>the rate year. The inflation adjustment must be based on the 12-month period from the <br/>
<a id="pl.232.18"></a><var>232.18</var>midpoint of the previous rate year to the midpoint of the rate year for which the rate <br/>
<a id="pl.232.19"></a><var>232.19</var>is being determined. For the rate years beginning on July 1, 1999, July 1, 2000, July <br/>
<a id="pl.232.20"></a><var>232.20</var>1, 2001, July 1, 2002, July 1, 2003, July 1, 2004, July 1, 2005, July 1, 2006, July 1, <br/>
<a id="pl.232.21"></a><var>232.21</var>2007, and July 1, 2008, July 1, 2009, and July 1, 2010, this paragraph shall apply only <br/>
<a id="pl.232.22"></a><var>232.22</var>to the property-related payment rate, except that adjustments to include the cost of any <br/>
<a id="pl.232.23"></a><var>232.23</var>increase in Health Department licensing fees taking effect on or after July 1, 2001, shall <br/>
<a id="pl.232.24"></a><var>232.24</var>be provided. Beginning in 2005, adjustment to the property payment rate under this <br/>
<a id="pl.232.25"></a><var>232.25</var>section and section 
         <statute_ref>256B.431</statute_ref> shall be effective on October 1. In determining the amount <br/>
<a id="pl.232.26"></a><var>232.26</var>of the property-related payment rate adjustment under this paragraph, the commissioner <br/>
<a id="pl.232.27"></a><var>232.27</var>shall determine the proportion of the facility's rates that are property-related based on the <br/>
<a id="pl.232.28"></a><var>232.28</var>facility's most recent cost report. <br/>
<a id="pl.232.29"></a><var>232.29</var>    (d) The commissioner shall develop additional incentive-based payments of up to <br/>
<a id="pl.232.30"></a><var>232.30</var>five percent above a facility's operating payment rate for achieving outcomes specified <br/>
<a id="pl.232.31"></a><var>232.31</var>in a contract. The commissioner may solicit contract amendments and implement those <br/>
<a id="pl.232.32"></a><var>232.32</var>which, on a competitive basis, best meet the state's policy objectives. The commissioner <br/>
<a id="pl.232.33"></a><var>232.33</var>shall limit the amount of any incentive payment and the number of contract amendments <br/>
<a id="pl.232.34"></a><var>232.34</var>under this paragraph to operate the incentive payments within funds appropriated for this <br/>
<a id="pl.232.35"></a><var>232.35</var>purpose. The contract amendments may specify various levels of payment for various <br/>
<a id="pl.232.36"></a><var>232.36</var>levels of performance. Incentive payments to facilities under this paragraph may be in the <br/>
<a id="pl.233.1"></a><var>233.1</var>form of time-limited rate adjustments or onetime supplemental payments. In establishing <br/>
<a id="pl.233.2"></a><var>233.2</var>the specified outcomes and related criteria, the commissioner shall consider the following <br/>
<a id="pl.233.3"></a><var>233.3</var>state policy objectives:<br/>
<a id="pl.233.4"></a><var>233.4</var>    (1) successful diversion or discharge of residents to the residents' prior home or other <br/>
<a id="pl.233.5"></a><var>233.5</var>community-based alternatives;<br/>
<a id="pl.233.6"></a><var>233.6</var>    (2) adoption of new technology to improve quality or efficiency; <br/>
<a id="pl.233.7"></a><var>233.7</var>    (3) improved quality as measured in the Nursing Home Report Card; <br/>
<a id="pl.233.8"></a><var>233.8</var>    (4) reduced acute care costs; and<br/>
<a id="pl.233.9"></a><var>233.9</var>    (5) any additional outcomes proposed by a nursing facility that the commissioner <br/>
<a id="pl.233.10"></a><var>233.10</var>finds desirable.<br/>
<a id="pl.233.11"></a><var>233.11</var>    (e) Notwithstanding the threshold in section 256B.431, subdivision 16, facilities that <br/>
<a id="pl.233.12"></a><var>233.12</var>take action to come into compliance with existing or pending requirements of the life <br/>
<a id="pl.233.13"></a><var>233.13</var>safety code provisions or other federal regulations governing sprinkler systems shall <br/>
<a id="pl.233.14"></a><var>233.14</var>receive reimbursement for the costs associated with compliance if all of the following <br/>
<a id="pl.233.15"></a><var>233.15</var>conditions are met:<br/>
<a id="pl.233.16"></a><var>233.16</var>    (1) the expenses associated with compliance occurred on or after January 1, 2005, <br/>
<a id="pl.233.17"></a><var>233.17</var>and before December 31, 2008;<br/>
<a id="pl.233.18"></a><var>233.18</var>    (2) the costs were not otherwise reimbursed under section 144A.071, 144A.073, <br/>
<a id="pl.233.19"></a><var>233.19</var>or 256B.434, subdivision 4f; and<br/>
<a id="pl.233.20"></a><var>233.20</var>    (3) the total allowable costs reported under this paragraph are less than the minimum <br/>
<a id="pl.233.21"></a><var>233.21</var>threshold established under section 256B.431, subdivisions 15, paragraph (e), and 16.<br/>
<a id="pl.233.22"></a><var>233.22</var>The commissioner shall use funds appropriated for this purpose to provide to qualifying <br/>
<a id="pl.233.23"></a><var>233.23</var>nursing facilities a rate adjustment beginning October 1, 2007, and ending September <br/>
<a id="pl.233.24"></a><var>233.24</var>30, 2008. Nursing facilities that have expended funds or anticipate the need to expend <br/>
<a id="pl.233.25"></a><var>233.25</var>funds to satisfy the most recent life safety code requirements by (1) installing a sprinkler <br/>
<a id="pl.233.26"></a><var>233.26</var>system or (2) replacing all or portions of an existing sprinkler system may submit to the <br/>
<a id="pl.233.27"></a><var>233.27</var>commissioner by June 30, 2007, on a form provided by the commissioner the actual <br/>
<a id="pl.233.28"></a><var>233.28</var>costs of a completed project or the estimated costs, based on a project bid, of a planned <br/>
<a id="pl.233.29"></a><var>233.29</var>project. The commissioner shall calculate a rate adjustment equal to the allowable <br/>
<a id="pl.233.30"></a><var>233.30</var>costs of the project divided by the resident days reported for the report year ending <br/>
<a id="pl.233.31"></a><var>233.31</var>September 30, 2006. If the costs from all projects exceed the appropriation for this <br/>
<a id="pl.233.32"></a><var>233.32</var>purpose, the commissioner shall allocate the funds appropriated on a pro rata basis to the <br/>
<a id="pl.233.33"></a><var>233.33</var>qualifying facilities by reducing the rate adjustment determined for each facility by an <br/>
<a id="pl.233.34"></a><var>233.34</var>equal percentage. If the rate adjustments under this subdivision are reduced to fit the <br/>
<a id="pl.233.35"></a><var>233.35</var>appropriation, facilities may include the portion of the costs that are not reimbursed by <br/>
<a id="pl.233.36"></a><var>233.36</var>the rate adjustment as part of a project that meets the requirements of subdivision 4f. <br/>
<a id="pl.234.1"></a><var>234.1</var>If the commissioner determines that there are any unexpended funds for the purposes <br/>
<a id="pl.234.2"></a><var>234.2</var>of this paragraph, the commissioner may allocate the remainder of the funds to the <br/>
<a id="pl.234.3"></a><var>234.3</var>qualifying facilities on a pro rata basis for other physical plant changes required by the <br/>
<a id="pl.234.4"></a><var>234.4</var>nursing facility in order to meet the most recent life safety code compliance standards. <br/>
<a id="pl.234.5"></a><var>234.5</var>Facilities that used estimated costs when requesting the rate adjustment shall report to <br/>
<a id="pl.234.6"></a><var>234.6</var>the commissioner by January 31, 2009, on the use of these funds on a form provided by <br/>
<a id="pl.234.7"></a><var>234.7</var>the commissioner. If the nursing facility fails to provide the report, the commissioner <br/>
<a id="pl.234.8"></a><var>234.8</var>shall recoup the funds appropriated to the facility for this purpose. If the facility reports <br/>
<a id="pl.234.9"></a><var>234.9</var>expenditures allowable under this subdivision that are less than the amount received in the <br/>
<a id="pl.234.10"></a><var>234.10</var>facility's annualized rate adjustment, the commissioner shall recoup the difference.<br/>
<br/>
<a id="bill.4.56.0"></a><a id="pl.234.11"></a><var>234.11</var>    Sec. 56. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.234.12"></a><var>234.12</var>subdivision to read:<br/>
<a id="pl.234.13"></a><var>234.13</var>    Subd. 4i. <b>Nursing facility rate increase effective October 1, 2007; Hennepin </b><br/>
<a id="pl.234.14"></a><var>234.14</var><b>County.</b> For the rate year beginning October 1, 2007, the commissioner shall provide to <br/>
<a id="pl.234.15"></a><var>234.15</var>a nursing facility in Hennepin County licensed for 268 beds as of February 1, 2007, an <br/>
<a id="pl.234.16"></a><var>234.16</var>increase in the property payment rate of $6.52 per resident per day. The increase under <br/>
<a id="pl.234.17"></a><var>234.17</var>this subdivision must be added following the determination under this chapter of the <br/>
<a id="pl.234.18"></a><var>234.18</var>payment rate for the rate year beginning October 1, 2007, and must be included in the <br/>
<a id="pl.234.19"></a><var>234.19</var>facility's total payment rate for purposes of determining future rates under this section or <br/>
<a id="pl.234.20"></a><var>234.20</var>any other section.<br/>
<br/>
<a id="bill.4.57.0"></a><a id="pl.234.21"></a><var>234.21</var>    Sec. 57. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.234.22"></a><var>234.22</var>subdivision to read:<br/>
<a id="pl.234.23"></a><var>234.23</var>    Subd. 4j. <b>Rate increase for facilities in Chisago County.</b> Effective October <br/>
<a id="pl.234.24"></a><var>234.24</var>1, 2007, operating payment rates of all nursing facilities in Chisago County that are <br/>
<a id="pl.234.25"></a><var>234.25</var>reimbursed under this section or section 256B.441 shall be increased to be equal, for <br/>
<a id="pl.234.26"></a><var>234.26</var>a RUG's rate with a weight of 1.00, to the geographic group III median rate for the <br/>
<a id="pl.234.27"></a><var>234.27</var>same RUG's weight. The percentage of the operating payment rate for each facility to <br/>
<a id="pl.234.28"></a><var>234.28</var>be case-mix adjusted shall be equal to the percentage that is case-mix adjusted in that <br/>
<a id="pl.234.29"></a><var>234.29</var>facility's September 30, 2007, operating payment rate. This subdivision applies only if it <br/>
<a id="pl.234.30"></a><var>234.30</var>results in a rate increase. Increases provided by this subdivision shall be added to the rate <br/>
<a id="pl.234.31"></a><var>234.31</var>determined under any new reimbursement system established under section 256B.441.<br/>
<br/>
<a id="bill.4.58.0"></a><a id="pl.234.32"></a><var>234.32</var>    Sec. 58. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.234.33"></a><var>234.33</var>subdivision to read:<br/>
<a id="pl.235.1"></a><var>235.1</var>    Subd. 4k. <b>Nursing facility rate increase effective January 1, 2008; Hennepin </b><br/>
<a id="pl.235.2"></a><var>235.2</var><b>County.</b> Effective January 1, 2008, a nursing facility in Hennepin County licensed for <br/>
<a id="pl.235.3"></a><var>235.3</var>137 beds as of February 1, 2007, shall receive an increase of $2.81 in each case mix <br/>
<a id="pl.235.4"></a><var>235.4</var>payment rate to offset property tax payments due as a result of the facility's conversion <br/>
<a id="pl.235.5"></a><var>235.5</var>from nonprofit to for-profit status. The increase under this subdivision must be added <br/>
<a id="pl.235.6"></a><var>235.6</var>following the determination under this chapter of the payment rate for the rate year <br/>
<a id="pl.235.7"></a><var>235.7</var>beginning October 1, 2007, and must be included in the facility's total payment rate for the <br/>
<a id="pl.235.8"></a><var>235.8</var>purposes of determining future rates under this section or any other section.<br/>
<br/>
<a id="bill.4.59.0"></a><a id="pl.235.9"></a><var>235.9</var>    Sec. 59. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.235.10"></a><var>235.10</var>subdivision to read:<br/>
<a id="pl.235.11"></a><var>235.11</var>    Subd. 4l. <b>Property rate adjustment; Kanabec County.</b> The commissioner <br/>
<a id="pl.235.12"></a><var>235.12</var>shall allow a property rate adjustment for a facility located in Kanabec County that <br/>
<a id="pl.235.13"></a><var>235.13</var>was approved for a moratorium exception project in 2001, but experienced a delay and <br/>
<a id="pl.235.14"></a><var>235.14</var>additional costs associated with the project, and completed the project in 2005. The <br/>
<a id="pl.235.15"></a><var>235.15</var>property payment rate for the rate years beginning October 1, 2007, and ending September <br/>
<a id="pl.235.16"></a><var>235.16</var>30, 2009, must be $22.73 per resident day. For subsequent years, the property rate of <br/>
<a id="pl.235.17"></a><var>235.17</var>$22.73 per resident day shall be adjusted as provided in subdivision 4, paragraph (c), as <br/>
<a id="pl.235.18"></a><var>235.18</var>long as the facility has a contract under this section.<br/>
<br/>
<a id="bill.4.60.0"></a><a id="pl.235.19"></a><var>235.19</var>    Sec. 60. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.235.20"></a><var>235.20</var>subdivision to read:<br/>
<a id="pl.235.21"></a><var>235.21</var>    Subd. 4m. <b>Rate increase for facilities in Rice County.</b> Effective July 1, 2007, <br/>
<a id="pl.235.22"></a><var>235.22</var>operating payment rates of nursing facilities in Rice County located within two miles <br/>
<a id="pl.235.23"></a><var>235.23</var>of Scott County or Dakota County that are reimbursed under this section or section <br/>
<a id="pl.235.24"></a><var>235.24</var>256B.441 must be increased to be equal, for a RUG's rate with a weight of 1.00, to the <br/>
<a id="pl.235.25"></a><var>235.25</var>geographic group III median rate for the same RUG's weight. The percentage of the <br/>
<a id="pl.235.26"></a><var>235.26</var>operating payment rate for each facility to be case-mix adjusted must be equal to the <br/>
<a id="pl.235.27"></a><var>235.27</var>percentage that is case-mix adjusted in that facility's June 30, 2006, operating payment <br/>
<a id="pl.235.28"></a><var>235.28</var>rate. This subdivision applies only if it results in a rate increase.<br/>
<br/>
<a id="bill.4.61.0"></a><a id="pl.235.29"></a><var>235.29</var>    Sec. 61. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.235.30"></a><var>235.30</var>subdivision to read:<br/>
<a id="pl.235.31"></a><var>235.31</var>    Subd. 4n. <b>Facility rate increase.</b> Forthe rate year beginning October 1, 2007, a <br/>
<a id="pl.235.32"></a><var>235.32</var>nursing facility in Faribault County licensed for 50 beds as of April 19, 2006, shall receive <br/>
<a id="pl.235.33"></a><var>235.33</var>a rate increase of $2.64 in each case mix payment rate to offset property tax payments <br/>
<a id="pl.236.1"></a><var>236.1</var>due as a result of the facility's conversion from nonprofit to for-profit status. The increase <br/>
<a id="pl.236.2"></a><var>236.2</var>under this subdivision shall be added to the payment rates in effect for the facility on <br/>
<a id="pl.236.3"></a><var>236.3</var>September 30, 2007, and shall be included in the facility's total payment rates for the <br/>
<a id="pl.236.4"></a><var>236.4</var>purposes of determining future rates under this section or any other section.<br/>
<br/>
<a id="bill.4.62.0"></a><a id="pl.236.5"></a><var>236.5</var>    Sec. 62. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.236.6"></a><var>236.6</var>subdivision to read:<br/>
<a id="pl.236.7"></a><var>236.7</var>    Subd. 19. <b>Nursing facility rate increases beginning October 1, 2007, and </b><br/>
<a id="pl.236.8"></a><var>236.8</var><b>October 1, 2008.</b> (a) For the rate year beginning October 1, 2007, the commissioner <br/>
<a id="pl.236.9"></a><var>236.9</var>shall make available to each nursing facility reimbursed under this section operating <br/>
<a id="pl.236.10"></a><var>236.10</var>payment rate adjustments equal to three percent of the operating payment rates in effect <br/>
<a id="pl.236.11"></a><var>236.11</var>on September 30, 2007. For the rate year beginning October 1, 2008, the commissioner <br/>
<a id="pl.236.12"></a><var>236.12</var>shall make available to each nursing facility reimbursed under this section operating <br/>
<a id="pl.236.13"></a><var>236.13</var>payment rate adjustments equal to three percent of the operating payment rates in effect <br/>
<a id="pl.236.14"></a><var>236.14</var>on September 30, 2008.<br/>
<a id="pl.236.15"></a><var>236.15</var>    (b) Seventy-five percent of the money resulting from the rate adjustments under <br/>
<a id="pl.236.16"></a><var>236.16</var>paragraph (a) must be used for increases in compensation-related costs of eligible <br/>
<a id="pl.236.17"></a><var>236.17</var>employees. <br/>
<a id="pl.236.18"></a><var>236.18</var>    (c) For purposes of this subdivision, eligible employees includes all persons directly <br/>
<a id="pl.236.19"></a><var>236.19</var>employed by the nursing facility on or after the effective date of the rate adjustments, <br/>
<a id="pl.236.20"></a><var>236.20</var>except:<br/>
<a id="pl.236.21"></a><var>236.21</var>    (1) persons employed in the central office of a corporation that has an ownership <br/>
<a id="pl.236.22"></a><var>236.22</var>interest in the nursing facility or exercises control over the nursing facility; and <br/>
<a id="pl.236.23"></a><var>236.23</var>    (2) persons paid by the nursing facility under a management contract.<br/>
<a id="pl.236.24"></a><var>236.24</var>    (d) The commissioner shall allow as compensation-related costs all costs for:<br/>
<a id="pl.236.25"></a><var>236.25</var>    (1) wages and salaries;<br/>
<a id="pl.236.26"></a><var>236.26</var>    (2) FICA taxes, Medicare taxes, state and federal unemployment taxes, and workers' <br/>
<a id="pl.236.27"></a><var>236.27</var>compensation;<br/>
<a id="pl.236.28"></a><var>236.28</var>    (3) the employer's share of health and dental insurance, life insurance, disability <br/>
<a id="pl.236.29"></a><var>236.29</var>insurance, long-term care insurance, uniform allowance, and pensions; and<br/>
<a id="pl.236.30"></a><var>236.30</var>    (4) other benefits provided, subject to the approval of the commissioner.<br/>
<a id="pl.236.31"></a><var>236.31</var>    (e) The portion of the rate adjustments under paragraph (a) that is not subject to the <br/>
<a id="pl.236.32"></a><var>236.32</var>requirements in paragraph (b) shall be provided to nursing facilities effective October <br/>
<a id="pl.236.33"></a><var>236.33</var>1 of each year.<br/>
<a id="pl.236.34"></a><var>236.34</var>    (f) Nursing facilities may apply for the portion of the rate adjustments under <br/>
<a id="pl.236.35"></a><var>236.35</var>paragraph (a) that is subject to the requirements in paragraph (b). The application <br/>
<a id="pl.237.1"></a><var>237.1</var>must be submitted to the commissioner within six months of the effective date of the <br/>
<a id="pl.237.2"></a><var>237.2</var>rate adjustments, and the nursing facility must provide additional information required <br/>
<a id="pl.237.3"></a><var>237.3</var>by the commissioner within nine months of the effective date of the rate adjustments. <br/>
<a id="pl.237.4"></a><var>237.4</var>The commissioner must respond to all applications within three weeks of receipt. <br/>
<a id="pl.237.5"></a><var>237.5</var>The commissioner may waive the deadlines in this paragraph under extraordinary <br/>
<a id="pl.237.6"></a><var>237.6</var>circumstances, to be determined at the sole discretion of the commissioner. The <br/>
<a id="pl.237.7"></a><var>237.7</var>application must contain:<br/>
<a id="pl.237.8"></a><var>237.8</var>    (1) an estimate of the amounts of money that must be used as specified in paragraph <br/>
<a id="pl.237.9"></a><var>237.9</var>(b);<br/>
<a id="pl.237.10"></a><var>237.10</var>    (2) a detailed distribution plan specifying the allowable compensation-related <br/>
<a id="pl.237.11"></a><var>237.11</var>increases the nursing facility will implement to use the funds available in clause (1);<br/>
<a id="pl.237.12"></a><var>237.12</var>    (3) a description of how the nursing facility will notify eligible employees of <br/>
<a id="pl.237.13"></a><var>237.13</var>the contents of the approved application, which must provide for giving each eligible <br/>
<a id="pl.237.14"></a><var>237.14</var>employee a copy of the approved application, excluding the information required in clause <br/>
<a id="pl.237.15"></a><var>237.15</var>(1), or posting a copy of the approved application, excluding the information required in <br/>
<a id="pl.237.16"></a><var>237.16</var>clause (1), for a period of at least six weeks in an area of the nursing facility to which all <br/>
<a id="pl.237.17"></a><var>237.17</var>eligible employees have access; and<br/>
<a id="pl.237.18"></a><var>237.18</var>    (4) instructions for employees who believe they have not received the <br/>
<a id="pl.237.19"></a><var>237.19</var>compensation-related increases specified in clause (2), as approved by the commissioner, <br/>
<a id="pl.237.20"></a><var>237.20</var>and which must include a mailing address, e-mail address, and the telephone number <br/>
<a id="pl.237.21"></a><var>237.21</var>that may be used by the employee to contact the commissioner or the commissioner's <br/>
<a id="pl.237.22"></a><var>237.22</var>representative.<br/>
<a id="pl.237.23"></a><var>237.23</var>    (g) The commissioner shall ensure that cost increases in distribution plans under <br/>
<a id="pl.237.24"></a><var>237.24</var>paragraph (f), clause (2), that may be included in approved applications, comply with <br/>
<a id="pl.237.25"></a><var>237.25</var>requirements in clauses (1) to (4):<br/>
<a id="pl.237.26"></a><var>237.26</var>    (1) costs to be incurred during the applicable rate year resulting from wage and <br/>
<a id="pl.237.27"></a><var>237.27</var>salary increases implemented prior to the first day of the nursing facility's payroll period <br/>
<a id="pl.237.28"></a><var>237.28</var>that includes October 1 of each year shall be allowed if they were not used in a prior <br/>
<a id="pl.237.29"></a><var>237.29</var>year's application;<br/>
<a id="pl.237.30"></a><var>237.30</var>    (2) a portion of the costs resulting from tenure-related wage or salary increases may <br/>
<a id="pl.237.31"></a><var>237.31</var>be considered to be allowable compensation-related increases, in accordance with existing <br/>
<a id="pl.237.32"></a><var>237.32</var>formulas that the commissioner shall provide;<br/>
<a id="pl.237.33"></a><var>237.33</var>    (3) the annualized amount of increases in costs for the employer's share of health <br/>
<a id="pl.237.34"></a><var>237.34</var>and dental insurance, life insurance, disability insurance, and workers' compensation shall <br/>
<a id="pl.237.35"></a><var>237.35</var>be allowable compensation-related increases if they are effective on or after April 1 of <br/>
<a id="pl.238.1"></a><var>238.1</var>the year in which the rate adjustments are effective and prior to April 1 of the following <br/>
<a id="pl.238.2"></a><var>238.2</var>year; and <br/>
<a id="pl.238.3"></a><var>238.3</var>    (4) for nursing facilities in which employees are represented by an exclusive <br/>
<a id="pl.238.4"></a><var>238.4</var>bargaining representative, an agreement negotiated and agreed to by the employer and <br/>
<a id="pl.238.5"></a><var>238.5</var>the exclusive bargaining representative constitutes the plan. The commissioner shall not <br/>
<a id="pl.238.6"></a><var>238.6</var>review and shall not require changes to the portions of the plan covered by collective <br/>
<a id="pl.238.7"></a><var>238.7</var>bargaining agreements. A negotiated agreement may constitute the plan only if the <br/>
<a id="pl.238.8"></a><var>238.8</var>agreement is finalized after the date of enactment of all increases for the rate year and <br/>
<a id="pl.238.9"></a><var>238.9</var>signed by both parties prior to submission to the commissioner.<br/>
<a id="pl.238.10"></a><var>238.10</var>    (h) The commissioner shall review applications received under paragraph (f) and <br/>
<a id="pl.238.11"></a><var>238.11</var>shall provide the portion of the rate adjustments under paragraph (b) if the requirements of <br/>
<a id="pl.238.12"></a><var>238.12</var>this subdivision have been met. The rate adjustments shall be effective October 1 of each <br/>
<a id="pl.238.13"></a><var>238.13</var>year. Notwithstanding paragraph (a), if the approved application distributes less money <br/>
<a id="pl.238.14"></a><var>238.14</var>than is available, the amount of the rate adjustment shall be reduced so that the amount of <br/>
<a id="pl.238.15"></a><var>238.15</var>money made available is equal to the amount to be distributed.<br/>
<br/>
<a id="bill.4.63.0"></a><a id="pl.238.16"></a><var>238.16</var>    Sec. 63. Minnesota Statutes 2006, section 256B.434, is amended by adding a <br/>
<a id="pl.238.17"></a><var>238.17</var>subdivision to read:<br/>
<a id="pl.238.18"></a><var>238.18</var>    Subd. 20. <b>Payment of Public Employees Retirement Association costs.</b> Nursing <br/>
<a id="pl.238.19"></a><var>238.19</var>facilities that participate in the Public Employees Retirement Association (PERA) shall <br/>
<a id="pl.238.20"></a><var>238.20</var>have the component of their payment rate associated with the costs of PERA determined <br/>
<a id="pl.238.21"></a><var>238.21</var>for each rate year. Effective for rate years beginning on and after October 1, 2007, the <br/>
<a id="pl.238.22"></a><var>238.22</var>commissioner shall determine the portion of the payment rate in effect on September 30 <br/>
<a id="pl.238.23"></a><var>238.23</var>each year and shall subtract that amount from the payment rate to be effective on the <br/>
<a id="pl.238.24"></a><var>238.24</var>following October 1. The portion that shall be deemed to be included in the September 30, <br/>
<a id="pl.238.25"></a><var>238.25</var>2007, rate that is associated with PERA costs shall be the allowed costs in the facility's <br/>
<a id="pl.238.26"></a><var>238.26</var>base for determining rates under this section, divided by the resident days reported for that <br/>
<a id="pl.238.27"></a><var>238.27</var>year. The commissioner shall add to the payment rate to be effective on October 1 each <br/>
<a id="pl.238.28"></a><var>238.28</var>year an amount equal to the reported costs associated with PERA, for the year ended on <br/>
<a id="pl.238.29"></a><var>238.29</var>the most recent September 30 for which data is available, divided by total resident days <br/>
<a id="pl.238.30"></a><var>238.30</var>for that year, as reported by the facility and audited under section 256B.441.<br/>
<br/>
<a id="bill.4.64.0"></a><a id="pl.238.31"></a><var>238.31</var>    Sec. 64. Minnesota Statutes 2006, section 256B.437, is amended by adding a <br/>
<a id="pl.238.32"></a><var>238.32</var>subdivision to read:<br/>
<a id="pl.238.33"></a><var>238.33</var>    Subd. 11. <b>Big Stone County rate adjustment.</b>  Notwithstanding the time period <br/>
<a id="pl.238.34"></a><var>238.34</var>specified in subdivision 3, the commissioner shall approve a planned closure rate <br/>
<a id="pl.239.1"></a><var>239.1</var>adjustment in Big Stone County for an eight-bed facility in Clinton for reassignment to a <br/>
<a id="pl.239.2"></a><var>239.2</var>50-bed facility in Graceville. The adjustment shall be calculated according to subdivisions <br/>
<a id="pl.239.3"></a><var>239.3</var>3 and 6.<br/>
<br/>
<a id="bill.4.65.0"></a><a id="pl.239.4"></a><var>239.4</var>    Sec. 65. Minnesota Statutes 2006, section 256B.438, subdivision 3, is amended to read:<br/>
<a id="pl.239.5"></a><var>239.5</var>    Subd. 3. <b>Case mix indices.</b> (a) The commissioner of human services shall assign a <br/>
<a id="pl.239.6"></a><var>239.6</var>case mix index to each resident class based on the Centers for Medicare and Medicaid <br/>
<a id="pl.239.7"></a><var>239.7</var>Services staff time measurement study and adjusted for Minnesota-specific wage indices. <br/>
<a id="pl.239.8"></a><var>239.8</var>The case mix indices assigned to each resident class shall be published in the Minnesota <br/>
<a id="pl.239.9"></a><var>239.9</var>State Register at least 120 days prior to the implementation of the 34 group, RUG-III <br/>
<a id="pl.239.10"></a><var>239.10</var>resident classification system.<br/>
<a id="pl.239.11"></a><var>239.11</var>    (b) An index maximization approach shall be used to classify residents.<br/>
<a id="pl.239.12"></a><var>239.12</var>    (c) After implementation of the revised case mix system, the commissioner of <br/>
<a id="pl.239.13"></a><var>239.13</var>human services may annually rebase case mix indices and base rates using more current <br/>
<a id="pl.239.14"></a><var>239.14</var>data on average wage rates and staff time measurement studies. This rebasing shall be <br/>
<a id="pl.239.15"></a><var>239.15</var>calculated under subdivision 7, paragraph (b). The commissioner shall publish in the <br/>
<a id="pl.239.16"></a><var>239.16</var>Minnesota State Register adjusted case mix indices at least 45 days prior to the effective <br/>
<a id="pl.239.17"></a><var>239.17</var>date of the adjusted case mix indices.<br/>
<br/>
<a id="bill.4.66.0"></a><a id="pl.239.18"></a><var>239.18</var>    Sec. 66. Minnesota Statutes 2006, section 256B.439, subdivision 1, is amended to read:<br/>
<a id="pl.239.19"></a><var>239.19</var>    Subdivision 1. <b>Development and implementation of quality profiles.</b> (a) The <br/>
<a id="pl.239.20"></a><var>239.20</var>commissioner of human services, in cooperation with the commissioner of health, shall <br/>
<a id="pl.239.21"></a><var>239.21</var>develop and implement a quality profile system for nursing facilities and, beginning not <br/>
<a id="pl.239.22"></a><var>239.22</var>later than July 1, 2004, other providers of long-term care services, except when the quality <br/>
<a id="pl.239.23"></a><var>239.23</var>profile system would duplicate requirements under section 
         <statute_ref>256B.5011</statute_ref>, 
         <statute_ref>256B.5012</statute_ref>, or <br/>
<statute_ref><a id="pl.239.24"></a><var>239.24</var>256B.5013
         </statute_ref>. Beginning July 1, 2008, the commissioners shall include quality profiles of <br/>
<a id="pl.239.25"></a><var>239.25</var>nursing homes that are not medical assistance certified in the Minnesota Nursing Home <br/>
<a id="pl.239.26"></a><var>239.26</var>Report Card. The nonmedical assistance certified nursing homes may provide to the <br/>
<a id="pl.239.27"></a><var>239.27</var>commissioners information necessary to conduct consumer satisfaction surveys and to <br/>
<a id="pl.239.28"></a><var>239.28</var>determine other quality measures. The system must be developed and implemented to the <br/>
<a id="pl.239.29"></a><var>239.29</var>extent possible without the collection of significant amounts of new data. To the extent <br/>
<a id="pl.239.30"></a><var>239.30</var>possible, the system must incorporate or be coordinated with information on quality <br/>
<a id="pl.239.31"></a><var>239.31</var>maintained by area agencies on aging, long-term care trade associations, and other entities. <br/>
<a id="pl.239.32"></a><var>239.32</var>The system must be designed to provide information on quality to: <br/>
<a id="pl.239.33"></a><var>239.33</var>    (1) consumers and their families to facilitate informed choices of service providers;<br/>
<a id="pl.240.1"></a><var>240.1</var>    (2) providers to enable them to measure the results of their quality improvement <br/>
<a id="pl.240.2"></a><var>240.2</var>efforts and compare quality achievements with other service providers; and<br/>
<a id="pl.240.3"></a><var>240.3</var>    (3) public and private purchasers of long-term care services to enable them to <br/>
<a id="pl.240.4"></a><var>240.4</var>purchase high-quality care.<br/>
<a id="pl.240.5"></a><var>240.5</var>    (b) The system must be developed in consultation with the long-term care task force, <br/>
<a id="pl.240.6"></a><var>240.6</var>area agencies on aging, and representatives of consumers, providers, and labor unions. <br/>
<a id="pl.240.7"></a><var>240.7</var>Within the limits of available appropriations, the commissioners may employ consultants <br/>
<a id="pl.240.8"></a><var>240.8</var>to assist with this project.<br/>
<br/>
<a id="bill.4.67.0"></a><a id="pl.240.9"></a><var>240.9</var>    Sec. 67. Minnesota Statutes 2006, section 256B.441, subdivision 1, is amended to read:<br/>
<a id="pl.240.10"></a><var>240.10</var>    Subdivision 1. <b>Rate determination</b><b> Rebasing of nursing facility operating cost </b><br/>
<a id="pl.240.11"></a><var>240.11</var><b>payment rates</b><b>.</b> (a) The commissioner shall establish a value-based nursing facility <br/>
<a id="pl.240.12"></a><var>240.12</var>reimbursement system which will provide facility-specific, prospective rates for nursing <br/>
<a id="pl.240.13"></a><var>240.13</var>facilities participating in the medical assistance program. The rates shall be determined <br/>
<a id="pl.240.14"></a><var>240.14</var>using an annual statistical and cost report filed by each nursing facility. The total payment <br/>
<a id="pl.240.15"></a><var>240.15</var>rate shall be composed of four rate components: direct care services, support services, <br/>
<a id="pl.240.16"></a><var>240.16</var>external fixed, and property-related rate components. The payment rate shall be derived <br/>
<a id="pl.240.17"></a><var>240.17</var>from statistical measures of actual costs incurred in facility operation of nursing facilities. <br/>
<a id="pl.240.18"></a><var>240.18</var>From this cost basis, the components of the total payment rate shall be adjusted for quality <br/>
<a id="pl.240.19"></a><var>240.19</var>of services provided, recognition of staffing levels, geographic variation in labor costs, and <br/>
<a id="pl.240.20"></a><var>240.20</var>resident acuity. The commissioner shall rebase nursing facility operating cost payment <br/>
<a id="pl.240.21"></a><var>240.21</var>rates to align payments to facilities with the cost of providing care. The rebased operating <br/>
<a id="pl.240.22"></a><var>240.22</var>cost payment rates shall be calculated using the statistical and cost report filed by each <br/>
<a id="pl.240.23"></a><var>240.23</var>nursing facility for the report period ending one year prior to the rate year.<br/>
<a id="pl.240.24"></a><var>240.24</var>    (b) Rates shall be rebased annually. The new operating cost payment rates based on <br/>
<a id="pl.240.25"></a><var>240.25</var>this section shall take effect beginning with the rate year beginning October 1, 2009, and <br/>
<a id="pl.240.26"></a><var>240.26</var>shall be phased in over three rate years through October 1, 2011.<br/>
<a id="pl.240.27"></a><var>240.27</var>    (c) Operating cost payment rates shall be rebased on October 1, 2012, and every <br/>
<a id="pl.240.28"></a><var>240.28</var>two years after that date.<br/>
<a id="pl.240.29"></a><var>240.29</var>    (d) Operating cost payment rates for rate years in which rebasing does not occur <br/>
<a id="pl.240.30"></a><var>240.30</var>shall be increased by the Global Insight SNF Market Basket inflation factor from the <br/>
<a id="pl.240.31"></a><var>240.31</var>midpoint of the previous rate year to the midpoint of the next rate year.<br/>
<a id="pl.240.32"></a><var>240.32</var>    (e) Each cost reporting year shall begin on October 1 and end on the following <br/>
<a id="pl.240.33"></a><var>240.33</var>September 30. Beginning in 2006, a statistical and cost report shall be filed by each <br/>
<a id="pl.240.34"></a><var>240.34</var>nursing facility by January 15. Notice of rates shall be distributed by August 15 and the <br/>
<a id="pl.240.35"></a><var>240.35</var>rates shall go into effect on October 1 for one year.<br/>
<a id="pl.241.1"></a><var>241.1</var>    (c) The commissioner shall begin to phase in the new reimbursement system <br/>
<a id="pl.241.2"></a><var>241.2</var>beginning October 1, 2007. Full phase-in shall be completed by October 1, 2011.<br/>
<br/>
<a id="bill.4.68.0"></a><a id="pl.241.3"></a><var>241.3</var>    Sec. 68. Minnesota Statutes 2006, section 256B.441, subdivision 2, is amended to read:<br/>
<a id="pl.241.4"></a><var>241.4</var>    Subd. 2. <b>Definitions.</b> For purposes of this section, the terms in subdivisions 3 to <br/>
<a id="pl.241.5"></a><var>241.5</var>42 42a  have the meanings given unless otherwise provided for in this section.<br/>
<br/>
<a id="bill.4.69.0"></a><a id="pl.241.6"></a><var>241.6</var>    Sec. 69. Minnesota Statutes 2006, section 256B.441, subdivision 5, is amended to read:<br/>
<a id="pl.241.7"></a><var>241.7</var>    Subd. 5. <b>Administrative costs.</b> "Administrative costs" means the direct costs for <br/>
<a id="pl.241.8"></a><var>241.8</var>administering the overall activities of the nursing home. These costs include salaries and <br/>
<a id="pl.241.9"></a><var>241.9</var>wages of the administrator, assistant administrator, business office employees, security <br/>
<a id="pl.241.10"></a><var>241.10</var>guards, and associated fringe benefits and payroll taxes, fees, contracts, or purchases <br/>
<a id="pl.241.11"></a><var>241.11</var>related to business office functions, licenses, and permits except as provided in the <br/>
<a id="pl.241.12"></a><var>241.12</var>external fixed costs category, employee recognition, travel including meals and lodging, <br/>
<a id="pl.241.13"></a><var>241.13</var>training, voice and data communication or transmission, office supplies, liability insurance <br/>
<a id="pl.241.14"></a><var>241.14</var>and other forms of insurance not designated to other areas, personnel recruitment, legal <br/>
<a id="pl.241.15"></a><var>241.15</var>services, accounting services, management or business consultants, data processing, <br/>
<a id="pl.241.16"></a><var>241.16</var>information technology, Web site, central or home office costs, business meetings and <br/>
<a id="pl.241.17"></a><var>241.17</var>seminars, postage, fees for professional organizations, subscriptions, security services, <br/>
<a id="pl.241.18"></a><var>241.18</var>advertising, board of director's fees, working capital interest expense, and bad debts and <br/>
<a id="pl.241.19"></a><var>241.19</var>bad debt collection fees.<br/>
<br/>
<a id="bill.4.70.0"></a><a id="pl.241.20"></a><var>241.20</var>    Sec. 70. Minnesota Statutes 2006, section 256B.441, subdivision 6, is amended to read:<br/>
<a id="pl.241.21"></a><var>241.21</var>    Subd. 6. <b>Allowed costs.</b> "Allowed costs" means the amounts reported by the facility <br/>
<a id="pl.241.22"></a><var>241.22</var>which are necessary for the operation of the facility and the care of residents and which <br/>
<a id="pl.241.23"></a><var>241.23</var>are reviewed by the department for accuracy, reasonableness, and compliance with this <br/>
<a id="pl.241.24"></a><var>241.24</var>section and generally accepted accounting principles. All references to costs in this section <br/>
<a id="pl.241.25"></a><var>241.25</var>shall be assumed to refer to allowed costs.<br/>
<br/>
<a id="bill.4.71.0"></a><a id="pl.241.26"></a><var>241.26</var>    Sec. 71. Minnesota Statutes 2006, section 256B.441, subdivision 10, is amended to <br/>
<a id="pl.241.27"></a><var>241.27</var>read:<br/>
<a id="pl.241.28"></a><var>241.28</var>    Subd. 10. <b>Dietary costs.</b> "Dietary costs" means the costs for the salaries and wages <br/>
<a id="pl.241.29"></a><var>241.29</var>of the dietary supervisor, dietitians, chefs, cooks, dishwashers, and other employees <br/>
<a id="pl.241.30"></a><var>241.30</var>assigned to the kitchen and dining room, and associated fringe benefits and payroll <br/>
<a id="pl.241.31"></a><var>241.31</var>taxes. Dietary costs also includes the salaries or fees of dietary consultants, direct costs <br/>
<a id="pl.241.32"></a><var>241.32</var>of raw food (both normal and special diet food), dietary supplies, and food preparation <br/>
<a id="pl.242.1"></a><var>242.1</var>and serving. Also included are special dietary supplements used for tube feeding or oral <br/>
<a id="pl.242.2"></a><var>242.2</var>feeding, such as elemental high nitrogen diet, even if written as a prescription item by a <br/>
<a id="pl.242.3"></a><var>242.3</var>physician.<br/>
<br/>
<a id="bill.4.72.0"></a><a id="pl.242.4"></a><var>242.4</var>    Sec. 72. Minnesota Statutes 2006, section 256B.441, subdivision 11, is amended to <br/>
<a id="pl.242.5"></a><var>242.5</var>read:<br/>
<a id="pl.242.6"></a><var>242.6</var>    Subd. 11. <b>Direct care costs </b><b>category</b><b>.</b> "Direct care costs category" "Direct care <br/>
<a id="pl.242.7"></a><var>242.7</var>costs" means costs for nursing services, activities, and social services the wages of nursing <br/>
<a id="pl.242.8"></a><var>242.8</var>administration, staff education, direct care registered nurses, licensed practical nurses, <br/>
<a id="pl.242.9"></a><var>242.9</var>certified nursing assistants, trained medication aides, and associated fringe benefits and <br/>
<a id="pl.242.10"></a><var>242.10</var>payroll taxes; services from a supplemental nursing services agency; supplies that are <br/>
<a id="pl.242.11"></a><var>242.11</var>stocked at nursing stations or on the floor and distributed or used individually, including, <br/>
<a id="pl.242.12"></a><var>242.12</var>but not limited to: alcohol, applicators, cotton balls, incontinence pads, disposable ice <br/>
<a id="pl.242.13"></a><var>242.13</var>bags, dressings, bandages, water pitchers, tongue depressors, disposable gloves, enemas, <br/>
<a id="pl.242.14"></a><var>242.14</var>enema equipment, soap, medication cups, diapers, plastic waste bags, sanitary products, <br/>
<a id="pl.242.15"></a><var>242.15</var>thermometers, hypodermic needles and syringes, clinical reagents or similar diagnostic <br/>
<a id="pl.242.16"></a><var>242.16</var>agents, drugs that are not paid for on a separate fee schedule by the medical assistance <br/>
<a id="pl.242.17"></a><var>242.17</var>program or any other payer, and technology related to the provision of nursing care to <br/>
<a id="pl.242.18"></a><var>242.18</var>residents, such as electronic charting systems.<br/>
<br/>
<a id="bill.4.73.0"></a><a id="pl.242.19"></a><var>242.19</var>    Sec. 73. Minnesota Statutes 2006, section 256B.441, subdivision 13, is amended to <br/>
<a id="pl.242.20"></a><var>242.20</var>read:<br/>
<a id="pl.242.21"></a><var>242.21</var>    Subd. 13. <b>External fixed costs </b><b>category</b><b>.</b> "External fixed costs category" "External <br/>
<a id="pl.242.22"></a><var>242.22</var>fixed costs"  means costs related to the nursing home surcharge under section 
         <statute_ref>256.9657, <br/>
<a id="pl.242.23"></a><var>242.23</var>subdivision 1
         </statute_ref>; licensure fees under section 
         <statute_ref>144.122</statute_ref>; long-term care consultation fees <br/>
<a id="pl.242.24"></a><var>242.24</var>under section 
         <statute_ref>256B.0911, subdivision 6</statute_ref>; family advisory council fee under section <br/>
<statute_ref><a id="pl.242.25"></a><var>242.25</var> 144A.33
         </statute_ref>; scholarships under section 
         <statute_ref>256B.431, subdivision 36</statute_ref>; planned closure rate <br/>
<a id="pl.242.26"></a><var>242.26</var>adjustments under section 256B.436 or
<statute_ref>256B.437</statute_ref>; or single bed room incentives under <br/>
<a id="pl.242.27"></a><var>242.27</var>section 256B.431, subdivision 42; property taxes and property insurance; and PERA.<br/>
<br/>
<a id="bill.4.74.0"></a><a id="pl.242.28"></a><var>242.28</var>    Sec. 74. Minnesota Statutes 2006, section 256B.441, subdivision 14, is amended to <br/>
<a id="pl.242.29"></a><var>242.29</var>read:<br/>
<a id="pl.242.30"></a><var>242.30</var>    Subd. 14. <b>Facility average case mix index.</b> "Facility average case mix index" or <br/>
<a id="pl.242.31"></a><var>242.31</var>"CMI" means a numerical value score that describes the relative resource use for all <br/>
<a id="pl.242.32"></a><var>242.32</var>residents within the groups under the resource utilization group (RUG-III) classification <br/>
<a id="pl.242.33"></a><var>242.33</var>system prescribed by the commissioner based on an assessment of each resident. The <br/>
<a id="pl.243.1"></a><var>243.1</var>facility average CMI shall be computed as the standardized days divided by total days for <br/>
<a id="pl.243.2"></a><var>243.2</var>all residents in the facility. The RUG's weights used in this section shall be as follows <br/>
<a id="pl.243.3"></a><var>243.3</var>for each RUG's class: SE3 1.605; SE2 1.247; SE1 1.081; RAD 1.509; RAC 1.259; RAB <br/>
<a id="pl.243.4"></a><var>243.4</var>1.109; RAA 0.957; SSC 1.453; SSB 1.254; SSA 1.047; CC2 1.292; CC1 1.200; CB2 <br/>
<a id="pl.243.5"></a><var>243.5</var>1.086; CB1 1.017; CA2 0.908; CA1 0.834; IB2 0.877; IB1 0.817; IA2 0.720; IA1 0.676; <br/>
<a id="pl.243.6"></a><var>243.6</var>BB2 0.956; BB1 0.885; BA2 0.716; BA1 0.673; PE2 1.199; PE1 1.104; PD2 1.023; <br/>
<a id="pl.243.7"></a><var>243.7</var>PD1 0.948; PC2 0.926; PC1 0.860; PB2 0.786; PB1 0.734; PA2 0.691; PA1 0.651; BC1 <br/>
<a id="pl.243.8"></a><var>243.8</var>0.651; and DDF 1.000<br/>
<br/>
<a id="bill.4.75.0"></a><a id="pl.243.9"></a><var>243.9</var>    Sec. 75. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.243.10"></a><var>243.10</var>subdivision to read:<br/>
<a id="pl.243.11"></a><var>243.11</var>    Subd. 14a. <b>Facility type groups.</b> Facilities shall be classified into two groups, <br/>
<a id="pl.243.12"></a><var>243.12</var>called "facility type groups," which shall consist of:<br/>
<a id="pl.243.13"></a><var>243.13</var>    (1) C&amp;NC/R80: facilities that are hospital-attached, or are licensed under Minnesota <br/>
<a id="pl.243.14"></a><var>243.14</var>Rules, parts 9570.2000 to 9570.3400; and <br/>
<a id="pl.243.15"></a><var>243.15</var>    (2) freestanding: all other facilities.<br/>
<br/>
<a id="bill.4.76.0"></a><a id="pl.243.16"></a><var>243.16</var>    Sec. 76. Minnesota Statutes 2006, section 256B.441, subdivision 17, is amended to <br/>
<a id="pl.243.17"></a><var>243.17</var>read:<br/>
<a id="pl.243.18"></a><var>243.18</var>    Subd. 17. <b>Fringe benefit costs.</b> "Fringe benefit costs" means the costs for group <br/>
<a id="pl.243.19"></a><var>243.19</var>life, health, dental, workers' compensation, and other employee insurances and pension, <br/>
<a id="pl.243.20"></a><var>243.20</var>profit-sharing, and retirement plans for which the employer pays all or a portion of the <br/>
<a id="pl.243.21"></a><var>243.21</var>costs and that are available to at least all employees who work at least 20 hours per week.<br/>
<br/>
<a id="bill.4.77.0"></a><a id="pl.243.22"></a><var>243.22</var>    Sec. 77. Minnesota Statutes 2006, section 256B.441, subdivision 20, is amended to <br/>
<a id="pl.243.23"></a><var>243.23</var>read:<br/>
<a id="pl.243.24"></a><var>243.24</var>    Subd. 20. <b>Housekeeping costs.</b> "Housekeeping costs" means the costs for the <br/>
<a id="pl.243.25"></a><var>243.25</var>salaries and wages of the housekeeping supervisor, housekeepers, and other cleaning <br/>
<a id="pl.243.26"></a><var>243.26</var>employees and associated fringe benefits and payroll taxes. It also includes the cost of <br/>
<a id="pl.243.27"></a><var>243.27</var>housekeeping supplies, including, but not limited to,  cleaning and lavatory supplies and <br/>
<a id="pl.243.28"></a><var>243.28</var>contract services.<br/>
<br/>
<a id="bill.4.78.0"></a><a id="pl.243.29"></a><var>243.29</var>    Sec. 78. Minnesota Statutes 2006, section 256B.441, subdivision 24, is amended to <br/>
<a id="pl.243.30"></a><var>243.30</var>read:<br/>
<a id="pl.243.31"></a><var>243.31</var>    Subd. 24. <b>Maintenance and plant operations costs.</b> "Maintenance and plant <br/>
<a id="pl.243.32"></a><var>243.32</var>operations costs" means the costs for the salaries and wages of the maintenance supervisor, <br/>
<a id="pl.244.1"></a><var>244.1</var>engineers, heating-plant employees, and other maintenance employees and associated <br/>
<a id="pl.244.2"></a><var>244.2</var>fringe benefits and payroll taxes. It also includes direct costs for maintenance and <br/>
<a id="pl.244.3"></a><var>244.3</var>operation of the building and grounds, including, but not limited to,  fuel, electricity, <br/>
<a id="pl.244.4"></a><var>244.4</var>medical waste and garbage removal, water, sewer, supplies, tools, and repairs.<br/>
<br/>
<a id="bill.4.79.0"></a><a id="pl.244.5"></a><var>244.5</var>    Sec. 79. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.244.6"></a><var>244.6</var>subdivision to read:<br/>
<a id="pl.244.7"></a><var>244.7</var>    Subd. 28a. <b>Other direct care costs.</b> "Other direct care costs" means the costs <br/>
<a id="pl.244.8"></a><var>244.8</var>for the salaries and wages and associated fringe benefits and payroll taxes of mental <br/>
<a id="pl.244.9"></a><var>244.9</var>health workers, religious personnel, and other direct care employees not specified in <br/>
<a id="pl.244.10"></a><var>244.10</var>the definition of direct care costs. <br/>
<br/>
<a id="bill.4.80.0"></a><a id="pl.244.11"></a><var>244.11</var>    Sec. 80. Minnesota Statutes 2006, section 256B.441, subdivision 30, is amended to <br/>
<a id="pl.244.12"></a><var>244.12</var>read:<br/>
<a id="pl.244.13"></a><var>244.13</var>    Subd. 30. <b>Peer groups.</b> Facilities shall be classified into three groups, called "peer <br/>
<a id="pl.244.14"></a><var>244.14</var>groups," which by county. The groups  shall consist of:<br/>
<a id="pl.244.15"></a><var>244.15</var>    (1) C&amp;NC/Short Stay/R80 - facilities that have three or more admissions per bed <br/>
<a id="pl.244.16"></a><var>244.16</var>per year, are hospital-attached, or are licensed under Minnesota Rules, parts 9570.2000 <br/>
<a id="pl.244.17"></a><var>244.17</var>to 9570.3600 group one: facilities in Anoka, Benton, Carlton, Carver, Chisago, Dakota, <br/>
<a id="pl.244.18"></a><var>244.18</var>Dodge, Goodhue, Hennepin, Isanti, Mille Lacs, Morrison, Olmsted, Ramsey, Rice, Scott, <br/>
<a id="pl.244.19"></a><var>244.19</var>Sherburne, St. Louis, Stearns, Steele, Wabasha, Washington, Winona, or Wright County;<br/>
<a id="pl.244.20"></a><var>244.20</var>    (2) boarding care homes - facilities that have more than 50 percent of their beds <br/>
<a id="pl.244.21"></a><var>244.21</var>licensed as boarding care homes group two: facilities in Aitkin, Beltrami, Blue Earth, <br/>
<a id="pl.244.22"></a><var>244.22</var>Brown, Cass, Clay, Cook, Crow Wing, Faribault, Fillmore, Freeborn, Houston, Hubbard, <br/>
<a id="pl.244.23"></a><var>244.23</var>Itasca, Kanabec, Koochiching, Lake, Lake of the Woods, Le Sueur, Martin, McLeod, <br/>
<a id="pl.244.24"></a><var>244.24</var>Meeker, Mower, Nicollet, Norman, Pine, Roseau, Sibley, Todd, Wadena, Waseca, <br/>
<a id="pl.244.25"></a><var>244.25</var>Watonwan, or Wilkin County; and<br/>
<a id="pl.244.26"></a><var>244.26</var>    (3) standard - all other facilities group three: facilities in all other counties.<br/>
<br/>
<a id="bill.4.81.0"></a><a id="pl.244.27"></a><var>244.27</var>    Sec. 81. Minnesota Statutes 2006, section 256B.441, subdivision 31, is amended to <br/>
<a id="pl.244.28"></a><var>244.28</var>read:<br/>
<a id="pl.244.29"></a><var>244.29</var>    Subd. 31. <b>Prior </b><b>rate-setting method</b><b> system operating cost payment rate</b><b>.</b> "Prior <br/>
<a id="pl.244.30"></a><var>244.30</var>rate-setting method" "Prior system operating cost payment rate"  means the operating cost <br/>
<a id="pl.244.31"></a><var>244.31</var>payment rate determination process in effect prior to October 1, 2006 on September 30, <br/>
<a id="pl.244.32"></a><var>244.32</var>2009, under Minnesota Rules and Minnesota Statutes, not including planned closure rate <br/>
<a id="pl.245.1"></a><var>245.1</var>adjustments under section 256B.436 or 256B.437, or single bed room incentives under <br/>
<a id="pl.245.2"></a><var>245.2</var>section 256B.431, subdivision 42.<br/>
<br/>
<a id="bill.4.82.0"></a><a id="pl.245.3"></a><var>245.3</var>    Sec. 82. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.245.4"></a><var>245.4</var>subdivision to read:<br/>
<a id="pl.245.5"></a><var>245.5</var>    Subd. 33a. <b>Raw food costs.</b> "Raw food costs" means the cost of food provided to <br/>
<a id="pl.245.6"></a><var>245.6</var>nursing facility residents. Also included are special dietary supplements used for tube <br/>
<a id="pl.245.7"></a><var>245.7</var>feeding or oral feeding, such as elemental high nitrogen diet.<br/>
<br/>
<a id="bill.4.83.0"></a><a id="pl.245.8"></a><var>245.8</var>    Sec. 83. Minnesota Statutes 2006, section 256B.441, subdivision 34, is amended to <br/>
<a id="pl.245.9"></a><var>245.9</var>read:<br/>
<a id="pl.245.10"></a><var>245.10</var>    Subd. 34. <b>Related organization.</b> "Related organization" means a person that <br/>
<a id="pl.245.11"></a><var>245.11</var>furnishes goods or services to a nursing facility and that is a close relative of a nursing <br/>
<a id="pl.245.12"></a><var>245.12</var>facility, an affiliate of a nursing facility, a close relative of an affiliate of a nursing facility, <br/>
<a id="pl.245.13"></a><var>245.13</var>or an affiliate of a close relative of an affiliate of a nursing facility. As used in this <br/>
<a id="pl.245.14"></a><var>245.14</var>subdivision, paragraphs (a) to (d) apply:<br/>
<a id="pl.245.15"></a><var>245.15</var>    (a) "Affiliate" means a person that directly, or indirectly through one or more <br/>
<a id="pl.245.16"></a><var>245.16</var>intermediaries, controls or is controlled by, or is under common control with another <br/>
<a id="pl.245.17"></a><var>245.17</var>person.<br/>
<a id="pl.245.18"></a><var>245.18</var>    (b) "Person" means an individual, a corporation, a partnership, an association, a <br/>
<a id="pl.245.19"></a><var>245.19</var>trust, an unincorporated organization, or a government or political subdivision.<br/>
<a id="pl.245.20"></a><var>245.20</var>    (c) "Close relative of an affiliate of a nursing facility" means an individual whose <br/>
<a id="pl.245.21"></a><var>245.21</var>relationship by blood, marriage, or adoption to an individual who is an affiliate of a <br/>
<a id="pl.245.22"></a><var>245.22</var>nursing facility is no more remote than first cousin.<br/>
<a id="pl.245.23"></a><var>245.23</var>    (d) "Control" including the terms "controlling," "controlled by," and "under common <br/>
<a id="pl.245.24"></a><var>245.24</var>control with" means the possession, direct or indirect, of the power to direct or cause the <br/>
<a id="pl.245.25"></a><var>245.25</var>direction of the management, operations, or policies of a person, whether through the <br/>
<a id="pl.245.26"></a><var>245.26</var>ownership of voting securities, by contract, or otherwise, or to influence in any manner <br/>
<a id="pl.245.27"></a><var>245.27</var>other than through an arms length, legal transaction.<br/>
<br/>
<a id="bill.4.84.0"></a><a id="pl.245.28"></a><var>245.28</var>    Sec. 84. Minnesota Statutes 2006, section 256B.441, subdivision 38, is amended to <br/>
<a id="pl.245.29"></a><var>245.29</var>read:<br/>
<a id="pl.245.30"></a><var>245.30</var>    Subd. 38. <b>Social services costs.</b> "Social services costs" means the costs for the <br/>
<a id="pl.245.31"></a><var>245.31</var>salaries and wages of the supervisor and other social work employees, associated fringe <br/>
<a id="pl.245.32"></a><var>245.32</var>benefits and payroll taxes, supplies, services, and consultants. This category includes the <br/>
<a id="pl.245.33"></a><var>245.33</var>cost of those employees who manage and process admission to the nursing facility.<br/>
<br/>
<a id="bill.4.85.0"></a><a id="pl.246.1"></a><var>246.1</var>    Sec. 85. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.246.2"></a><var>246.2</var>subdivision to read:<br/>
<a id="pl.246.3"></a><var>246.3</var>    Subd. 42a. <b>Therapy costs.</b> "Therapy costs" means any costs related to medical <br/>
<a id="pl.246.4"></a><var>246.4</var>assistance therapy services provided to residents that are not billed separately from the <br/>
<a id="pl.246.5"></a><var>246.5</var>daily operating rate.<br/>
<br/>
<a id="bill.4.86.0"></a><a id="pl.246.6"></a><var>246.6</var>    Sec. 86. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.246.7"></a><var>246.7</var>subdivision to read:<br/>
<a id="pl.246.8"></a><var>246.8</var>    Subd. 48. <b>Calculation of operating per diems.</b> The direct care per diem for <br/>
<a id="pl.246.9"></a><var>246.9</var>each facility shall be the facility's direct care costs divided by its standardized days. <br/>
<a id="pl.246.10"></a><var>246.10</var>The other care-related per diem shall be the sum of the facility's activities costs, other <br/>
<a id="pl.246.11"></a><var>246.11</var>direct care costs, raw food costs, therapy costs, and social services costs, divided by the <br/>
<a id="pl.246.12"></a><var>246.12</var>facility's resident days. The other operating per diem shall be the sum of the facility's <br/>
<a id="pl.246.13"></a><var>246.13</var>administrative costs, dietary costs, housekeeping costs, laundry costs, and maintenance <br/>
<a id="pl.246.14"></a><var>246.14</var>and plant operations costs divided by the facility's resident days.<br/>
<br/>
<a id="bill.4.87.0"></a><a id="pl.246.15"></a><var>246.15</var>    Sec. 87. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.246.16"></a><var>246.16</var>subdivision to read:<br/>
<a id="pl.246.17"></a><var>246.17</var>    Subd. 49. <b>Determination of total care-related per diem.</b> The total care-related <br/>
<a id="pl.246.18"></a><var>246.18</var>per diem for each facility shall be the sum of the direct care per diem and the other <br/>
<a id="pl.246.19"></a><var>246.19</var>care-related per diem.<br/>
<br/>
<a id="bill.4.88.0"></a><a id="pl.246.20"></a><var>246.20</var>    Sec. 88. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.246.21"></a><var>246.21</var>subdivision to read:<br/>
<a id="pl.246.22"></a><var>246.22</var>    Subd. 50. <b>Determination of total care-related limit.</b> The limit on the total <br/>
<a id="pl.246.23"></a><var>246.23</var>care-related per diem shall be determined for each peer group and facility type group <br/>
<a id="pl.246.24"></a><var>246.24</var>combination. A facility's total care-related per diems shall be limited to 120 percent of the <br/>
<a id="pl.246.25"></a><var>246.25</var>median for the facility's peer and facility type group. The facility-specific direct care costs <br/>
<a id="pl.246.26"></a><var>246.26</var>used in making this comparison and in the calculation of the median shall be based on a <br/>
<a id="pl.246.27"></a><var>246.27</var>RUG's weight of 1.00. A facility that is above that limit shall have its total care-related per <br/>
<a id="pl.246.28"></a><var>246.28</var>diem reduced to the limit. If a reduction of the total care-related per diem is necessary <br/>
<a id="pl.246.29"></a><var>246.29</var>because of this limit, the reduction shall be made proportionally to both the direct care per <br/>
<a id="pl.246.30"></a><var>246.30</var>diem and the other care-related per diem.<br/>
<br/>
<a id="bill.4.89.0"></a><a id="pl.246.31"></a><var>246.31</var>    Sec. 89. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.246.32"></a><var>246.32</var>subdivision to read:<br/>
<a id="pl.247.1"></a><var>247.1</var>    Subd. 51. <b>Determination of other operating limit.</b> The limit on the other operating <br/>
<a id="pl.247.2"></a><var>247.2</var>per diem shall be determined for each peer group. A facility's other operating per diem <br/>
<a id="pl.247.3"></a><var>247.3</var>shall be limited to 105 percent of the median for its peer group. A facility that is above <br/>
<a id="pl.247.4"></a><var>247.4</var>that limit shall have its other operating per diem reduced to the limit.<br/>
<br/>
<a id="bill.4.90.0"></a><a id="pl.247.5"></a><var>247.5</var>    Sec. 90. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.247.6"></a><var>247.6</var>subdivision to read:<br/>
<a id="pl.247.7"></a><var>247.7</var>    Subd. 52. <b>Determination of efficiency incentive.</b> Each facility shall be eligible <br/>
<a id="pl.247.8"></a><var>247.8</var>for an efficiency incentive based on its other operating per diem. A facility with an other <br/>
<a id="pl.247.9"></a><var>247.9</var>operating per diem that exceeds the limit in subdivision 51 shall receive no efficiency <br/>
<a id="pl.247.10"></a><var>247.10</var>incentive. All other facilities shall receive an incentive calculated as 50 percent times the <br/>
<a id="pl.247.11"></a><var>247.11</var>difference between the facility's other operating per diem and its other operating per diem <br/>
<a id="pl.247.12"></a><var>247.12</var>limit, up to a maximum incentive of $3.<br/>
<br/>
<a id="bill.4.91.0"></a><a id="pl.247.13"></a><var>247.13</var>    Sec. 91. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.247.14"></a><var>247.14</var>subdivision to read:<br/>
<a id="pl.247.15"></a><var>247.15</var>    Subd. 53. <b>Calculation of payment rate for external fixed costs.</b> The commissioner <br/>
<a id="pl.247.16"></a><var>247.16</var>shall calculate a payment rate for external fixed costs.<br/>
<a id="pl.247.17"></a><var>247.17</var>    (a) For a facility licensed as a nursing home, the portion related to section 256.9657 <br/>
<a id="pl.247.18"></a><var>247.18</var>shall be equal to $8.86. For a facility licensed as both a nursing home and a boarding care <br/>
<a id="pl.247.19"></a><var>247.19</var>home, the portion related to section 256.9657 shall be equal to $8.86 multiplied by the <br/>
<a id="pl.247.20"></a><var>247.20</var>result of its number of nursing home beds divided by its total number of licensed beds.<br/>
<a id="pl.247.21"></a><var>247.21</var>    (b) The portion related to the licensure fee under section 144.122, paragraph (d), <br/>
<a id="pl.247.22"></a><var>247.22</var>shall be the amount of the fee divided by actual resident days.<br/>
<a id="pl.247.23"></a><var>247.23</var>    (c) The portion related to scholarships shall be determined under section 256B.431, <br/>
<a id="pl.247.24"></a><var>247.24</var>subdivision 36.<br/>
<a id="pl.247.25"></a><var>247.25</var>    (d) The portion related to long-term care consultation shall be determined according <br/>
<a id="pl.247.26"></a><var>247.26</var>to section 256B.0911, subdivision 6.<br/>
<a id="pl.247.27"></a><var>247.27</var>    (e) The portion related to development and education of resident and family advisory <br/>
<a id="pl.247.28"></a><var>247.28</var>councils under section 144A.33 shall be $5 divided by 365.<br/>
<a id="pl.247.29"></a><var>247.29</var>    (f) The portion related to planned closure rate adjustments shall be as determined <br/>
<a id="pl.247.30"></a><var>247.30</var>under sections 256B.436 and 256B.437, subdivision 6.<br/>
<a id="pl.247.31"></a><var>247.31</var>    (g) The portions related to property insurance, real estate taxes, special assessments, <br/>
<a id="pl.247.32"></a><var>247.32</var>and payments made in lieu of real estate taxes directly identified or allocated to the nursing <br/>
<a id="pl.247.33"></a><var>247.33</var>facility shall be the actual amounts divided by actual resident days.<br/>
<a id="pl.248.1"></a><var>248.1</var>    (h) The portion related to the Public Employees Retirement Association shall be <br/>
<a id="pl.248.2"></a><var>248.2</var>actual costs divided by resident days.<br/>
<a id="pl.248.3"></a><var>248.3</var>    (i) The single bed room incentives shall be as determined under section 256B.431, <br/>
<a id="pl.248.4"></a><var>248.4</var>subdivision 42.<br/>
<a id="pl.248.5"></a><var>248.5</var>    (j) The payment rate for external fixed costs shall be the sum of the amounts in <br/>
<a id="pl.248.6"></a><var>248.6</var>paragraphs (a) to (i).<br/>
<br/>
<a id="bill.4.92.0"></a><a id="pl.248.7"></a><var>248.7</var>    Sec. 92. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.248.8"></a><var>248.8</var>subdivision to read:<br/>
<a id="pl.248.9"></a><var>248.9</var>    Subd. 54. <b>Adjustment of per diem for inflation.</b> The total care-related per diem <br/>
<a id="pl.248.10"></a><var>248.10</var>and other operating per diem calculated under this section shall be adjusted for inflation to <br/>
<a id="pl.248.11"></a><var>248.11</var>adjust for the delay between the reporting year and the rate year. The total care-related <br/>
<a id="pl.248.12"></a><var>248.12</var>payment rate and other operating payment rate shall be calculated as the per diem <br/>
<a id="pl.248.13"></a><var>248.13</var>increased by the Global Insight Consumer Price Index urban inflation factor for the period <br/>
<a id="pl.248.14"></a><var>248.14</var>from the midpoint of the reporting year to the midpoint of the rate year. <br/>
<br/>
<a id="bill.4.93.0"></a><a id="pl.248.15"></a><var>248.15</var>    Sec. 93. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.248.16"></a><var>248.16</var>subdivision to read:<br/>
<a id="pl.248.17"></a><var>248.17</var>    Subd. 55. <b>Determination of total payment rates.</b> In rate years when rates are <br/>
<a id="pl.248.18"></a><var>248.18</var>rebased, the total payment rate for a RUG's weight of 1.00 shall be the sum of the total <br/>
<a id="pl.248.19"></a><var>248.19</var>care-related payment rate, other operating payment rate, efficiency incentive, external <br/>
<a id="pl.248.20"></a><var>248.20</var>fixed cost rate, and the property rate determined under section 256B.434. To determine <br/>
<a id="pl.248.21"></a><var>248.21</var>a total payment rate for each RUG's level, the total care-related payment rate shall be <br/>
<a id="pl.248.22"></a><var>248.22</var>divided into the direct care payment rate and the other care-related payment rate, and the <br/>
<a id="pl.248.23"></a><var>248.23</var>direct care payment rate multiplied by the RUG's weight for each RUG's level using the <br/>
<a id="pl.248.24"></a><var>248.24</var>weights in subdivision 14.<br/>
<br/>
<a id="bill.4.94.0"></a><a id="pl.248.25"></a><var>248.25</var>    Sec. 94. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.248.26"></a><var>248.26</var>subdivision to read:<br/>
<a id="pl.248.27"></a><var>248.27</var>    Subd. 56. <b>Phase-in of rebased operating cost payment rates.</b> For the rate years <br/>
<a id="pl.248.28"></a><var>248.28</var>beginning October 1, 2009, October 1, 2010, and October 1, 2011, the operating cost <br/>
<a id="pl.248.29"></a><var>248.29</var>payment rate calculated under this section shall be phased in by blending it with the <br/>
<a id="pl.248.30"></a><var>248.30</var>operating cost payment rate determined under section 256B.434. For the rate year <br/>
<a id="pl.248.31"></a><var>248.31</var>beginning October 1, 2009, the operating cost payment rate for each facility shall be <br/>
<a id="pl.248.32"></a><var>248.32</var>25 percent of the operating cost payment rate from this section, and 75 percent of the <br/>
<a id="pl.248.33"></a><var>248.33</var>operating cost payment rate from section 256B.434. For the rate year beginning October 1, <br/>
<a id="pl.249.1"></a><var>249.1</var>2010, the operating cost payment rate for each facility shall be 35 percent of the operating <br/>
<a id="pl.249.2"></a><var>249.2</var>cost payment rate from this section, and 65 percent of the operating cost payment rate <br/>
<a id="pl.249.3"></a><var>249.3</var>from section 256B.434. For the rate year beginning October 1, 2011, the operating cost <br/>
<a id="pl.249.4"></a><var>249.4</var>payment rate for each facility shall be the operating cost payment rate determined under <br/>
<a id="pl.249.5"></a><var>249.5</var>this section. The blending of operating cost payment rates under this section shall be <br/>
<a id="pl.249.6"></a><var>249.6</var>performed separately for each RUG's class.<br/>
<br/>
<a id="bill.4.95.0"></a><a id="pl.249.7"></a><var>249.7</var>    Sec. 95. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.249.8"></a><var>249.8</var>subdivision to read:<br/>
<a id="pl.249.9"></a><var>249.9</var>    Subd. 57. <b>Adjustment for inflation during phase-in of rebased operating cost </b><br/>
<a id="pl.249.10"></a><var>249.10</var><b>payment rates.</b> During the phase-in of operating cost payment rates under subdivision <br/>
<a id="pl.249.11"></a><var>249.11</var>56, both the operating costs per diem under this section and the operating cost payment <br/>
<a id="pl.249.12"></a><var>249.12</var>rate under section 256B.434 shall be adjusted for inflation. The adjustment for each year <br/>
<a id="pl.249.13"></a><var>249.13</var>for the operating cost per diems shall be the Global Insight Consumer Price Index urban <br/>
<a id="pl.249.14"></a><var>249.14</var>inflation factor from the midpoint of the reporting year to the midpoint of the current rate <br/>
<a id="pl.249.15"></a><var>249.15</var>year. The adjustment for each year for the operating cost payment rate under section <br/>
<a id="pl.249.16"></a><var>249.16</var>256B.434 shall be the Global Insight Consumer Price Index urban inflation factor from the <br/>
<a id="pl.249.17"></a><var>249.17</var>midpoint of the October 1, 2007, rate year to the midpoint of the current rate year.<br/>
<br/>
<a id="bill.4.96.0"></a><a id="pl.249.18"></a><var>249.18</var>    Sec. 96. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.249.19"></a><var>249.19</var>subdivision to read:<br/>
<a id="pl.249.20"></a><var>249.20</var>    Subd. 58. <b>Hold harmless.</b> For the rate years beginning October 1, 2009, October 1, <br/>
<a id="pl.249.21"></a><var>249.21</var>2010, and October 1, 2011, no nursing facility shall receive an operating cost payment <br/>
<a id="pl.249.22"></a><var>249.22</var>rate less than its operating cost payment rate under section 256B.434. The comparison <br/>
<a id="pl.249.23"></a><var>249.23</var>of operating cost payment rates under this section shall be made for each of the RUG's <br/>
<a id="pl.249.24"></a><var>249.24</var>classes separately, and the operating cost payment rates under section 256B.434 used <br/>
<a id="pl.249.25"></a><var>249.25</var>under this section shall not include the inflation increases described in subdivision 57.<br/>
<br/>
<a id="bill.4.97.0"></a><a id="pl.249.26"></a><var>249.26</var>    Sec. 97. Minnesota Statutes 2006, section 256B.441, is amended by adding a <br/>
<a id="pl.249.27"></a><var>249.27</var>subdivision to read:<br/>
<a id="pl.249.28"></a><var>249.28</var>    Subd. 59. <b>Appeals.</b> Nursing facilities may appeal, as defined under section 256B.50, <br/>
<a id="pl.249.29"></a><var>249.29</var>the determination of a payment rate established under this chapter.<br/>
<br/>
<a id="bill.4.98.0"></a><a id="pl.249.30"></a><var>249.30</var>    Sec. 98. Minnesota Statutes 2006, section 256B.49, subdivision 11, is amended to read:<br/>
<a id="pl.249.31"></a><var>249.31</var>    Subd. 11. <b>Authority.</b> (a) The commissioner is authorized to apply for home and <br/>
<a id="pl.249.32"></a><var>249.32</var>community-based service waivers, as authorized under section 1915(c) of the Social <br/>
<a id="pl.250.1"></a><var>250.1</var>Security Act to serve persons under the age of 65 who are determined to require the level <br/>
<a id="pl.250.2"></a><var>250.2</var>of care provided in a nursing home and persons who require the level of care provided in a <br/>
<a id="pl.250.3"></a><var>250.3</var>hospital. The commissioner shall apply for the home and community-based waivers in <br/>
<a id="pl.250.4"></a><var>250.4</var>order to:<br/>
<a id="pl.250.5"></a><var>250.5</var>    (i) promote the support of persons with disabilities in the most integrated settings;<br/>
<a id="pl.250.6"></a><var>250.6</var>    (ii) expand the availability of services for persons who are eligible for medical <br/>
<a id="pl.250.7"></a><var>250.7</var>assistance;<br/>
<a id="pl.250.8"></a><var>250.8</var>    (iii) promote cost-effective options to institutional care; and<br/>
<a id="pl.250.9"></a><var>250.9</var>    (iv) obtain federal financial participation.<br/>
<a id="pl.250.10"></a><var>250.10</var>    (b) The provision of waivered services to medical assistance recipients with <br/>
<a id="pl.250.11"></a><var>250.11</var>disabilities shall comply with the requirements outlined in the federally approved <br/>
<a id="pl.250.12"></a><var>250.12</var>applications for home and community-based services and subsequent amendments, <br/>
<a id="pl.250.13"></a><var>250.13</var>including provision of services according to a service plan designed to meet the needs of <br/>
<a id="pl.250.14"></a><var>250.14</var>the individual. For purposes of this section, the approved home and community-based <br/>
<a id="pl.250.15"></a><var>250.15</var>application is considered the necessary federal requirement.<br/>
<a id="pl.250.16"></a><var>250.16</var>    (c) The commissioner shall provide interested persons serving on agency advisory <br/>
<a id="pl.250.17"></a><var>250.17</var>committees and, task forces, the Centers for Independent Living, and others upon who <br/>
<a id="pl.250.18"></a><var>250.18</var>request, with to be on a list to receive, notice of, and an opportunity to comment on, <br/>
<a id="pl.250.19"></a><var>250.19</var>at least 30 days before any effective dates, (1) any substantive changes to the state's <br/>
<a id="pl.250.20"></a><var>250.20</var>disability services program manual, or (2) changes or amendments to the federally <br/>
<a id="pl.250.21"></a><var>250.21</var>approved applications for home and community-based waivers, prior to their submission <br/>
<a id="pl.250.22"></a><var>250.22</var>to the federal Centers for Medicare and Medicaid Services.<br/>
<a id="pl.250.23"></a><var>250.23</var>    (d) The commissioner shall seek approval, as authorized under section 1915(c) of <br/>
<a id="pl.250.24"></a><var>250.24</var>the Social Security Act, to allow medical assistance eligibility under this section for <br/>
<a id="pl.250.25"></a><var>250.25</var>children under age 21 without deeming of parental income or assets.<br/>
<a id="pl.250.26"></a><var>250.26</var>    (e) The commissioner shall seek approval, as authorized under section 1915(c) of <br/>
<a id="pl.250.27"></a><var>250.27</var>the Social Act, to allow medical assistance eligibility under this section for individuals <br/>
<a id="pl.250.28"></a><var>250.28</var>under age 65 without deeming the spouse's income or assets.<br/>
<br/>
<a id="bill.4.99.0"></a><a id="pl.250.29"></a><var>250.29</var>    Sec. 99. Minnesota Statutes 2006, section 256B.49, is amended by adding a <br/>
<a id="pl.250.30"></a><var>250.30</var>subdivision to read:<br/>
<a id="pl.250.31"></a><var>250.31</var>    Subd. 16a. <b>Medical assistance reimbursement.</b> (a) The commissioner shall <br/>
<a id="pl.250.32"></a><var>250.32</var>seek federal approval for medical assistance reimbursement of independent living skills <br/>
<a id="pl.250.33"></a><var>250.33</var>services, foster care waiver service, supported employment, prevocational service, <br/>
<a id="pl.250.34"></a><var>250.34</var>structured day service, and adult day care under the home and community-based waiver <br/>
<a id="pl.251.1"></a><var>251.1</var>for persons with a traumatic brain injury, the community alternatives for disabled <br/>
<a id="pl.251.2"></a><var>251.2</var>individuals waivers, and the community alternative care waivers.<br/>
<a id="pl.251.3"></a><var>251.3</var>    (b) Medical reimbursement shall be made only when the provider demonstrates <br/>
<a id="pl.251.4"></a><var>251.4</var>evidence of its capacity to meet basic health, safety, and protection standards through <br/>
<a id="pl.251.5"></a><var>251.5</var>one of the methods in paragraphs (c) to (e).<br/>
<a id="pl.251.6"></a><var>251.6</var>    (c) The provider is licensed to provide services under chapter 245B and agrees to <br/>
<a id="pl.251.7"></a><var>251.7</var>apply these standards to services funded through the traumatic brain injury, community <br/>
<a id="pl.251.8"></a><var>251.8</var>alternatives for disabled, or community alternative care home and community-based <br/>
<a id="pl.251.9"></a><var>251.9</var>waivers.<br/>
<a id="pl.251.10"></a><var>251.10</var>    (d) The local agency contracting for the services certifies on a form provided by the <br/>
<a id="pl.251.11"></a><var>251.11</var>commissioner that the provider has the capacity to meet the individual needs as identified <br/>
<a id="pl.251.12"></a><var>251.12</var>in each person's individual service plan. When certifying that the service provider meets <br/>
<a id="pl.251.13"></a><var>251.13</var>the necessary provider qualifications, the local agency shall verify that the provider has <br/>
<a id="pl.251.14"></a><var>251.14</var>policies and procedures governing the following:<br/>
<a id="pl.251.15"></a><var>251.15</var>    (1) protection of the consumer's rights and privacy;<br/>
<a id="pl.251.16"></a><var>251.16</var>    (2) risk assessment and planning;<br/>
<a id="pl.251.17"></a><var>251.17</var>    (3) record keeping and reporting of incidents and emergencies with documentation <br/>
<a id="pl.251.18"></a><var>251.18</var>of corrective action if needed;<br/>
<a id="pl.251.19"></a><var>251.19</var>    (4) service outcomes, regular reviews of progress, and periodic reports;<br/>
<a id="pl.251.20"></a><var>251.20</var>    (5) complaint and grievance procedures;<br/>
<a id="pl.251.21"></a><var>251.21</var>    (6) service termination or suspension;<br/>
<a id="pl.251.22"></a><var>251.22</var>    (7) necessary training and supervision of direct care staff that includes:<br/>
<a id="pl.251.23"></a><var>251.23</var>    (i) documentation in personnel files of 20 hours of orientation training in providing <br/>
<a id="pl.251.24"></a><var>251.24</var>training related to service provision;<br/>
<a id="pl.251.25"></a><var>251.25</var>    (ii) training in recognizing the symptoms and effects of certain disabilities, health <br/>
<a id="pl.251.26"></a><var>251.26</var>conditions, and positive behavioral supports and interventions; and <br/>
<a id="pl.251.27"></a><var>251.27</var>    (iii) a minimum of five hours of related training annually; and <br/>
<a id="pl.251.28"></a><var>251.28</var>    (8) when applicable, the local agency shall verify that the provider has policies and <br/>
<a id="pl.251.29"></a><var>251.29</var>procedures in place governing the following:<br/>
<a id="pl.251.30"></a><var>251.30</var>    (i) safe medication administration;<br/>
<a id="pl.251.31"></a><var>251.31</var>    (ii) proper handling of consumer funds; and <br/>
<a id="pl.251.32"></a><var>251.32</var>    (iii) behavioral interventions that are in compliance with prohibitions and standards <br/>
<a id="pl.251.33"></a><var>251.33</var>developed by the commissioner to meet federal requirements regarding the use of <br/>
<a id="pl.251.34"></a><var>251.34</var>restraints and restrictive interventions.<br/>
<a id="pl.252.1"></a><var>252.1</var>    (e) For foster care waiver services or independent living skills services, the local <br/>
<a id="pl.252.2"></a><var>252.2</var>agency contracting for the services certifies on a form provided by the commissioner that <br/>
<a id="pl.252.3"></a><var>252.3</var>the provider meets the following:<br/>
<a id="pl.252.4"></a><var>252.4</var>    (1) the provider of foster care waiver services is licensed to provide adult foster <br/>
<a id="pl.252.5"></a><var>252.5</var>care under Minnesota Rules, parts 9555.5105 to 9555.6265, or child foster care under <br/>
<a id="pl.252.6"></a><var>252.6</var>Minnesota Rules, parts 2960.3000 to 2960.3230;<br/>
<a id="pl.252.7"></a><var>252.7</var>    (2) the provider of independent living skills services also provides licensed foster <br/>
<a id="pl.252.8"></a><var>252.8</var>care services and agrees to apply the foster care standards under Minnesota Rules, parts <br/>
<a id="pl.252.9"></a><var>252.9</var>9555.5105; 9555.5705, subpart 2; 9555.6167; 9555.6185; 9555.6195; 9555.6225, subpart <br/>
<a id="pl.252.10"></a><var>252.10</var>8; 9555.6245; 9555.6255; and 9555.6265, or parts 2960.3010; 2960.3080, subparts 10 <br/>
<a id="pl.252.11"></a><var>252.11</var>and 11; 2960.3210; 2960.3220, subparts 5 to 7; and 2960.3230, for the provision of those <br/>
<a id="pl.252.12"></a><var>252.12</var>services; and<br/>
<a id="pl.252.13"></a><var>252.13</var>    (3) the provider has policies and procedures applying to the provision of foster <br/>
<a id="pl.252.14"></a><var>252.14</var>care waiver services or independent living skills services that govern (i) behavioral <br/>
<a id="pl.252.15"></a><var>252.15</var>interventions that are in compliance with prohibitions and standards developed by the <br/>
<a id="pl.252.16"></a><var>252.16</var>commissioner to meet federal requirements regarding the use of restraints and restrictive <br/>
<a id="pl.252.17"></a><var>252.17</var>interventions and (ii) documentation of service needs and outcomes, regular reviews <br/>
<a id="pl.252.18"></a><var>252.18</var>of progress, and periodic reports.<br/>
<a id="pl.252.19"></a><var>252.19</var>    (f) The local agency shall review each provider's continued compliance with <br/>
<a id="pl.252.20"></a><var>252.20</var>the basic health, safety, and protection standards on a regular basis. For the review <br/>
<a id="pl.252.21"></a><var>252.21</var>of paragraph (e), the local agency shall coordinate the review with the county review <br/>
<a id="pl.252.22"></a><var>252.22</var>of foster care licensure.<br/>
<a id="pl.252.23"></a><var>252.23</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.100.0"></a><a id="pl.252.24"></a><var>252.24</var>    Sec. 100. Minnesota Statutes 2006, section 256B.5012, is amended by adding a <br/>
<a id="pl.252.25"></a><var>252.25</var>subdivision to read:<br/>
<a id="pl.252.26"></a><var>252.26</var>    Subd. 7. <b>ICF/MR rate increases October 1, 2007, and October 1, 2008.</b> (a) For <br/>
<a id="pl.252.27"></a><var>252.27</var>the rate periods beginning October 1, 2007, and October 1, 2008, the commissioner shall <br/>
<a id="pl.252.28"></a><var>252.28</var>make available to each facility reimbursed under this section an adjustment to the total <br/>
<a id="pl.252.29"></a><var>252.29</var>operating payment rate of three percent.<br/>
<a id="pl.252.30"></a><var>252.30</var>    (b) Seventy-five percent of the money resulting from the rate adjustment under <br/>
<a id="pl.252.31"></a><var>252.31</var>paragraph (a) must be used to increase wages and benefits and pay associated costs for <br/>
<a id="pl.252.32"></a><var>252.32</var>employees, except for administrative and central office employees. Seventy-five percent <br/>
<a id="pl.252.33"></a><var>252.33</var>of the money received by a facility as a result of the rate adjustment provided in paragraph <br/>
<a id="pl.252.34"></a><var>252.34</var>(a) must be used only for wage, benefit, and staff increases implemented on or after <br/>
<a id="pl.252.35"></a><var>252.35</var>the effective date of the rate increase each year, and must not be used for increases <br/>
<a id="pl.253.1"></a><var>253.1</var>implemented prior to that date. The wage adjustment eligible employees may receive may <br/>
<a id="pl.253.2"></a><var>253.2</var>vary based on merit, seniority, or other factors determined by the provider.<br/>
<a id="pl.253.3"></a><var>253.3</var>    (c) For each facility, the commissioner shall make available an adjustment, based <br/>
<a id="pl.253.4"></a><var>253.4</var>on occupied beds, using the percentage specified in paragraph (a) multiplied by the total <br/>
<a id="pl.253.5"></a><var>253.5</var>payment rate, including variable rate but excluding the property-related payment rate, in <br/>
<a id="pl.253.6"></a><var>253.6</var>effect on the preceding day. The total payment rate must include the adjustment provided <br/>
<a id="pl.253.7"></a><var>253.7</var>in section 
<statute_ref>256B.501, subdivision 12</statute_ref>.<br/>
<a id="pl.253.8"></a><var>253.8</var>    (d) A facility whose payment rates are governed by closure agreements, receivership <br/>
<a id="pl.253.9"></a><var>253.9</var>agreements, or Minnesota Rules, part 
<statute_ref>9553.0075</statute_ref>, is not eligible for an adjustment <br/>
<a id="pl.253.10"></a><var>253.10</var>otherwise granted under this subdivision.<br/>
<a id="pl.253.11"></a><var>253.11</var>    (e) A facility may apply for the portion of the payment rate adjustment provided <br/>
<a id="pl.253.12"></a><var>253.12</var>under paragraph (a) for employee wages and benefits and associated costs. The application <br/>
<a id="pl.253.13"></a><var>253.13</var>must be made to the commissioner and contain a plan by which the facility will distribute <br/>
<a id="pl.253.14"></a><var>253.14</var>the funds according to paragraph (b). For facilities in which the employees are represented <br/>
<a id="pl.253.15"></a><var>253.15</var>by an exclusive bargaining representative, an agreement negotiated and agreed to by <br/>
<a id="pl.253.16"></a><var>253.16</var>the employer and the exclusive bargaining representative constitutes the plan. The <br/>
<a id="pl.253.17"></a><var>253.17</var>commissioner shall not review, and shall not require changes, to the portion or portions <br/>
<a id="pl.253.18"></a><var>253.18</var>of the plan covered by collective bargaining agreements. A negotiated agreement may <br/>
<a id="pl.253.19"></a><var>253.19</var>constitute the plan only if the agreement is finalized after the date of enactment of all rate <br/>
<a id="pl.253.20"></a><var>253.20</var>increases for the rate year. The commissioner shall review the plan to ensure that the <br/>
<a id="pl.253.21"></a><var>253.21</var>payment rate adjustment per diem is used as provided in this subdivision. To be eligible, a <br/>
<a id="pl.253.22"></a><var>253.22</var>facility must submit its plan by March 31, 2008, and December 31, 2008, respectively. <br/>
<a id="pl.253.23"></a><var>253.23</var>If a facility's plan is effective for its employees after the first day of the applicable rate <br/>
<a id="pl.253.24"></a><var>253.24</var>period that the funds are available, the payment rate adjustment per diem is effective <br/>
<a id="pl.253.25"></a><var>253.25</var>the same date as its plan.<br/>
<a id="pl.253.26"></a><var>253.26</var>    (f) A copy of the approved distribution plan must be made available to all employees <br/>
<a id="pl.253.27"></a><var>253.27</var>by giving each employee a copy or by posting it in an area of the facility to which all <br/>
<a id="pl.253.28"></a><var>253.28</var>employees have access. If an employee does not receive the wage and benefit adjustment <br/>
<a id="pl.253.29"></a><var>253.29</var>described in the facility's approved plan and is unable to resolve the problem with the <br/>
<a id="pl.253.30"></a><var>253.30</var>facility's management or through the employee's union representative, the employee <br/>
<a id="pl.253.31"></a><var>253.31</var>may contact the commissioner at an address or telephone number provided by the <br/>
<a id="pl.253.32"></a><var>253.32</var>commissioner and included in the approved plan.<br/>
<br/>
<a id="bill.4.101.0"></a><a id="pl.253.33"></a><var>253.33</var>    Sec. 101. Minnesota Statutes 2006, section 256B.69, subdivision 23, is amended to <br/>
<a id="pl.253.34"></a><var>253.34</var>read:<br/>
<a id="pl.254.1"></a><var>254.1</var>    Subd. 23. <b>Alternative services; elderly and disabled persons.</b> (a) The <br/>
<a id="pl.254.2"></a><var>254.2</var>commissioner may implement demonstration projects to create alternative integrated <br/>
<a id="pl.254.3"></a><var>254.3</var>delivery systems for acute and long-term care services to elderly persons and persons <br/>
<a id="pl.254.4"></a><var>254.4</var>with disabilities as defined in section 
         <statute_ref>256B.77, subdivision 7a</statute_ref>, that provide increased <br/>
<a id="pl.254.5"></a><var>254.5</var>coordination, improve access to quality services, and mitigate future cost increases. <br/>
<a id="pl.254.6"></a><var>254.6</var>The commissioner may seek federal authority to combine Medicare and Medicaid <br/>
<a id="pl.254.7"></a><var>254.7</var>capitation payments for the purpose of such demonstrations and may contract with <br/>
<a id="pl.254.8"></a><var>254.8</var>Medicare-approved special needs plans to provide Medicaid services. Medicare funds and <br/>
<a id="pl.254.9"></a><var>254.9</var>services shall be administered according to the terms and conditions of the federal contract <br/>
<a id="pl.254.10"></a><var>254.10</var>and demonstration provisions. For the purpose of administering medical assistance funds, <br/>
<a id="pl.254.11"></a><var>254.11</var>demonstrations under this subdivision are subject to subdivisions 1 to 22. The provisions <br/>
<a id="pl.254.12"></a><var>254.12</var>of Minnesota Rules, parts 
         <statute_ref>9500.1450</statute_ref> to 
         <statute_ref>9500.1464</statute_ref>, apply to these demonstrations, <br/>
<a id="pl.254.13"></a><var>254.13</var>with the exceptions of parts 
         <statute_ref>9500.1452</statute_ref>, subpart 2, item B; and 
         <statute_ref>9500.1457</statute_ref>, subpart 1, <br/>
<a id="pl.254.14"></a><var>254.14</var>items B and C, which do not apply to persons enrolling in demonstrations under this <br/>
<a id="pl.254.15"></a><var>254.15</var>section. An initial open enrollment period may be provided. Persons who disenroll from <br/>
<a id="pl.254.16"></a><var>254.16</var>demonstrations under this subdivision remain subject to Minnesota Rules, parts 
         <statute_ref>9500.1450</statute_ref> <br/>
<a id="pl.254.17"></a><var>254.17</var>to 
         <statute_ref>9500.1464</statute_ref>. When a person is enrolled in a health plan under these demonstrations and <br/>
<a id="pl.254.18"></a><var>254.18</var>the health plan's participation is subsequently terminated for any reason, the person shall <br/>
<a id="pl.254.19"></a><var>254.19</var>be provided an opportunity to select a new health plan and shall have the right to change <br/>
<a id="pl.254.20"></a><var>254.20</var>health plans within the first 60 days of enrollment in the second health plan. Persons <br/>
<a id="pl.254.21"></a><var>254.21</var>required to participate in health plans under this section who fail to make a choice of <br/>
<a id="pl.254.22"></a><var>254.22</var>health plan shall not be randomly assigned to health plans under these demonstrations. <br/>
<a id="pl.254.23"></a><var>254.23</var>Notwithstanding section 
         <statute_ref>256L.12, subdivision 5</statute_ref>, and Minnesota Rules, part 
         <statute_ref>9505.5220</statute_ref>, <br/>
<a id="pl.254.24"></a><var>254.24</var>subpart 1, item A, if adopted, for the purpose of demonstrations under this subdivision, <br/>
<a id="pl.254.25"></a><var>254.25</var>the commissioner may contract with managed care organizations, including counties, to <br/>
<a id="pl.254.26"></a><var>254.26</var>serve only elderly persons eligible for medical assistance, elderly and disabled persons, or <br/>
<a id="pl.254.27"></a><var>254.27</var>disabled persons only. For persons with a primary diagnosis of developmental disability, <br/>
<a id="pl.254.28"></a><var>254.28</var>serious and persistent mental illness, or serious emotional disturbance, the commissioner <br/>
<a id="pl.254.29"></a><var>254.29</var>must ensure that the county authority has approved the demonstration and contracting <br/>
<a id="pl.254.30"></a><var>254.30</var>design. Enrollment in these projects for persons with disabilities shall be voluntary. The <br/>
<a id="pl.254.31"></a><var>254.31</var>commissioner shall not implement any demonstration project under this subdivision for <br/>
<a id="pl.254.32"></a><var>254.32</var>persons with a primary diagnosis of developmental disabilities, serious and persistent <br/>
<a id="pl.254.33"></a><var>254.33</var>mental illness, or serious emotional disturbance, without approval of the county board of <br/>
<a id="pl.254.34"></a><var>254.34</var>the county in which the demonstration is being implemented.<br/>
<a id="pl.254.35"></a><var>254.35</var>    (b) Notwithstanding chapter 245B, sections 
         <statute_ref>252.40</statute_ref> to 
         <statute_ref>252.46</statute_ref>, 
         <statute_ref>256B.092</statute_ref>, 
         <statute_ref>256B.501</statute_ref> <br/>
<a id="pl.254.36"></a><var>254.36</var>to 
         <statute_ref>256B.5015</statute_ref>, and Minnesota Rules, parts 
         <statute_ref>9525.0004</statute_ref> to 
         <statute_ref>9525.0036</statute_ref>, 
         <statute_ref>9525.1200</statute_ref> to <br/>
<statute_ref><a id="pl.255.1"></a><var>255.1</var>9525.1330
         </statute_ref>, 
         <statute_ref>9525.1580</statute_ref>, and 
         <statute_ref>9525.1800</statute_ref> to 
         <statute_ref>9525.1930</statute_ref>, the commissioner may implement <br/>
<a id="pl.255.2"></a><var>255.2</var>under this section projects for persons with developmental disabilities. The commissioner <br/>
<a id="pl.255.3"></a><var>255.3</var>may capitate payments for ICF/MR services, waivered services for developmental <br/>
<a id="pl.255.4"></a><var>255.4</var>disabilities, including case management services, day training and habilitation and <br/>
<a id="pl.255.5"></a><var>255.5</var>alternative active treatment services, and other services as approved by the state and by <br/>
<a id="pl.255.6"></a><var>255.6</var>the federal government. Case management and active treatment must be individualized <br/>
<a id="pl.255.7"></a><var>255.7</var>and developed in accordance with a person-centered plan. Costs under these projects may <br/>
<a id="pl.255.8"></a><var>255.8</var>not exceed costs that would have been incurred under fee-for-service. Beginning July 1, <br/>
<a id="pl.255.9"></a><var>255.9</var>2003, and until two four years after the pilot project implementation date, subcontractor <br/>
<a id="pl.255.10"></a><var>255.10</var>participation in the long-term care developmental disability pilot is limited to a nonprofit <br/>
<a id="pl.255.11"></a><var>255.11</var>long-term care system providing ICF/MR services, home and community-based waiver <br/>
<a id="pl.255.12"></a><var>255.12</var>services, and in-home services to no more than 120 consumers with developmental <br/>
<a id="pl.255.13"></a><var>255.13</var>disabilities in Carver, Hennepin, and Scott Counties. The commissioner shall report to the <br/>
<a id="pl.255.14"></a><var>255.14</var>legislature prior to expansion of the developmental disability pilot project. This paragraph <br/>
<a id="pl.255.15"></a><var>255.15</var>expires two four years after the implementation date of the pilot project.<br/>
<a id="pl.255.16"></a><var>255.16</var>    (c) Before implementation of a demonstration project for disabled persons, the <br/>
<a id="pl.255.17"></a><var>255.17</var>commissioner must provide information to appropriate committees of the house of <br/>
<a id="pl.255.18"></a><var>255.18</var>representatives and senate and must involve representatives of affected disability groups <br/>
<a id="pl.255.19"></a><var>255.19</var>in the design of the demonstration projects.<br/>
<a id="pl.255.20"></a><var>255.20</var>    (d) A nursing facility reimbursed under the alternative reimbursement methodology <br/>
<a id="pl.255.21"></a><var>255.21</var>in section 
         <statute_ref>256B.434</statute_ref> may, in collaboration with a hospital, clinic, or other health care entity <br/>
<a id="pl.255.22"></a><var>255.22</var>provide services under paragraph (a). The commissioner shall amend the state plan and <br/>
<a id="pl.255.23"></a><var>255.23</var>seek any federal waivers necessary to implement this paragraph.<br/>
<a id="pl.255.24"></a><var>255.24</var>    (e) The commissioner, in consultation with the commissioners of commerce and <br/>
<a id="pl.255.25"></a><var>255.25</var>health, may approve and implement programs for all-inclusive care for the elderly (PACE) <br/>
<a id="pl.255.26"></a><var>255.26</var>according to federal laws and regulations governing that program and state laws or rules <br/>
<a id="pl.255.27"></a><var>255.27</var>applicable to participating providers. The process for approval of these programs shall <br/>
<a id="pl.255.28"></a><var>255.28</var>begin only after the commissioner receives grant money in an amount sufficient to cover <br/>
<a id="pl.255.29"></a><var>255.29</var>the state share of the administrative and actuarial costs to implement the programs during <br/>
<a id="pl.255.30"></a><var>255.30</var>state fiscal years 2006 and 2007. Grant amounts for this purpose shall be deposited in an <br/>
<a id="pl.255.31"></a><var>255.31</var>account in the special revenue fund and are appropriated to the commissioner to be used <br/>
<a id="pl.255.32"></a><var>255.32</var>solely for the purpose of PACE administrative and actuarial costs. A PACE provider is <br/>
<a id="pl.255.33"></a><var>255.33</var>not required to be licensed or certified as a health plan company as defined in section <br/>
<statute_ref><a id="pl.255.34"></a><var>255.34</var>62Q.01, subdivision 4
         </statute_ref>. Persons age 55 and older who have been screened by the county <br/>
<a id="pl.255.35"></a><var>255.35</var>and found to be eligible for services under the elderly waiver or community alternatives <br/>
<a id="pl.255.36"></a><var>255.36</var>for disabled individuals or who are already eligible for Medicaid but meet level of <br/>
<a id="pl.256.1"></a><var>256.1</var>care criteria for receipt of waiver services may choose to enroll in the PACE program. <br/>
<a id="pl.256.2"></a><var>256.2</var>Medicare and Medicaid services will be provided according to this subdivision and <br/>
<a id="pl.256.3"></a><var>256.3</var>federal Medicare and Medicaid requirements governing PACE providers and programs. <br/>
<a id="pl.256.4"></a><var>256.4</var>PACE enrollees will receive Medicaid home and community-based services through the <br/>
<a id="pl.256.5"></a><var>256.5</var>PACE provider as an alternative to services for which they would otherwise be eligible <br/>
<a id="pl.256.6"></a><var>256.6</var>through home and community-based waiver programs and Medicaid State Plan Services. <br/>
<a id="pl.256.7"></a><var>256.7</var>The commissioner shall establish Medicaid rates for PACE providers that do not exceed <br/>
<a id="pl.256.8"></a><var>256.8</var>costs that would have been incurred under fee-for-service or other relevant managed care <br/>
<a id="pl.256.9"></a><var>256.9</var>programs operated by the state.<br/>
<a id="pl.256.10"></a><var>256.10</var>    (f) The commissioner shall seek federal approval to expand the Minnesota disability <br/>
<a id="pl.256.11"></a><var>256.11</var>health options (MnDHO) program established under this subdivision in stages, first to <br/>
<a id="pl.256.12"></a><var>256.12</var>regional population centers outside the seven-county metro area and then to all areas <br/>
<a id="pl.256.13"></a><var>256.13</var>of the state. Until January 1, 2008 July 1, 2009, expansion for MnDHO projects that <br/>
<a id="pl.256.14"></a><var>256.14</var>include home and community-based services is limited to the two projects and service <br/>
<a id="pl.256.15"></a><var>256.15</var>areas in effect on March 1, 2006.  Enrollment in integrated MnDHO programs that <br/>
<a id="pl.256.16"></a><var>256.16</var>include home and community-based services shall remain voluntary. Costs for home <br/>
<a id="pl.256.17"></a><var>256.17</var>and community-based services included under MnDHO must not exceed costs that <br/>
<a id="pl.256.18"></a><var>256.18</var>would have been incurred under the fee-for-service program. In developing program <br/>
<a id="pl.256.19"></a><var>256.19</var>specifications for expansion of integrated programs, the commissioner shall involve and <br/>
<a id="pl.256.20"></a><var>256.20</var>consult the state-level stakeholder group established in subdivision 28, paragraph (d), <br/>
<a id="pl.256.21"></a><var>256.21</var>including consultation on whether and how to include home and community-based waiver <br/>
<a id="pl.256.22"></a><var>256.22</var>programs. Plans for further expansion of MnDHO projects shall be presented to the chairs <br/>
<a id="pl.256.23"></a><var>256.23</var>of the house and senate committees with jurisdiction over health and human services <br/>
<a id="pl.256.24"></a><var>256.24</var>policy and finance by February 1, 2007.<br/>
<a id="pl.256.25"></a><var>256.25</var>    (g) Notwithstanding section 
         <statute_ref>256B.0261</statute_ref>, health plans providing services under this <br/>
<a id="pl.256.26"></a><var>256.26</var>section are responsible for home care targeted case management and relocation targeted <br/>
<a id="pl.256.27"></a><var>256.27</var>case management. Services must be provided according to the terms of the waivers and <br/>
<a id="pl.256.28"></a><var>256.28</var>contracts approved by the federal government.<br/>
<br/>
<a id="bill.4.102.0"></a><a id="pl.256.29"></a><var>256.29</var>    Sec. 102. Minnesota Statutes 2006, section 256B.69, subdivision 28, is amended to <br/>
<a id="pl.256.30"></a><var>256.30</var>read:<br/>
<a id="pl.256.31"></a><var>256.31</var>    Subd. 28. <b>Medicare special needs plans; medical assistance basic health care.</b><br/>
<a id="pl.256.32"></a><var>256.32</var>    (a) The commissioner may contract with qualified Medicare-approved special needs <br/>
<a id="pl.256.33"></a><var>256.33</var>plans to provide medical assistance basic health care services to persons with disabilities, <br/>
<a id="pl.256.34"></a><var>256.34</var>including those with developmental disabilities. Basic health care services include:<br/>
<a id="pl.257.1"></a><var>257.1</var>    (1) those services covered by the medical assistance state plan except for ICF/MR <br/>
<a id="pl.257.2"></a><var>257.2</var>services, home and community-based waiver services, case management for persons with <br/>
<a id="pl.257.3"></a><var>257.3</var>developmental disabilities under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 20a, and personal care <br/>
<a id="pl.257.4"></a><var>257.4</var>and certain home care services defined by the commissioner in consultation with the <br/>
<a id="pl.257.5"></a><var>257.5</var>stakeholder group established under paragraph (d); and<br/>
<a id="pl.257.6"></a><var>257.6</var>    (2) basic health care services may also include risk for up to 100 days of nursing <br/>
<a id="pl.257.7"></a><var>257.7</var>facility services for persons who reside in a noninstitutional setting and home health <br/>
<a id="pl.257.8"></a><var>257.8</var>services related to rehabilitation as defined by the commissioner after consultation with <br/>
<a id="pl.257.9"></a><var>257.9</var>the stakeholder group.<br/>
<a id="pl.257.10"></a><var>257.10</var>    The commissioner may exclude other medical assistance services from the basic <br/>
<a id="pl.257.11"></a><var>257.11</var>health care benefit set. Enrollees in these plans can access any excluded services on the <br/>
<a id="pl.257.12"></a><var>257.12</var>same basis as other medical assistance recipients who have not enrolled.<br/>
<a id="pl.257.13"></a><var>257.13</var>    Unless a person is otherwise required to enroll in managed care, enrollment in these <br/>
<a id="pl.257.14"></a><var>257.14</var>plans for Medicaid services must be voluntary. For purposes of this subdivision, automatic <br/>
<a id="pl.257.15"></a><var>257.15</var>enrollment with an option to opt out is not voluntary enrollment. <br/>
<a id="pl.257.16"></a><var>257.16</var>    (b) Beginning January 1, 2007, the commissioner may contract with qualified <br/>
<a id="pl.257.17"></a><var>257.17</var>Medicare special needs plans to provide basic health care services under medical <br/>
<a id="pl.257.18"></a><var>257.18</var>assistance to persons who are dually eligible for both Medicare and Medicaid and those <br/>
<a id="pl.257.19"></a><var>257.19</var>Social Security beneficiaries eligible for Medicaid but in the waiting period for Medicare. <br/>
<a id="pl.257.20"></a><var>257.20</var>The commissioner shall consult with the stakeholder group under paragraph (d) (e) in <br/>
<a id="pl.257.21"></a><var>257.21</var>developing program specifications for these services. The commissioner shall report to <br/>
<a id="pl.257.22"></a><var>257.22</var>the chairs of the house and senate committees with jurisdiction over health and human <br/>
<a id="pl.257.23"></a><var>257.23</var>services policy and finance by February 1, 2007, on implementation of these programs and <br/>
<a id="pl.257.24"></a><var>257.24</var>the need for increased funding for the ombudsman for managed care and other consumer <br/>
<a id="pl.257.25"></a><var>257.25</var>assistance and protections needed due to enrollment in managed care of persons with <br/>
<a id="pl.257.26"></a><var>257.26</var>disabilities. Payment for Medicaid services provided under this subdivision for the months <br/>
<a id="pl.257.27"></a><var>257.27</var>of May and June will be made no earlier than July 1 of the same calendar year.<br/>
<a id="pl.257.28"></a><var>257.28</var>    (c) Beginning January 1, 2008, the commissioner may expand contracting under this <br/>
<a id="pl.257.29"></a><var>257.29</var>subdivision to all persons with disabilities not otherwise required to enroll in managed <br/>
<a id="pl.257.30"></a><var>257.30</var>care.<br/>
<a id="pl.257.31"></a><var>257.31</var>    (d) By February 1, 2009, the commissioner shall report to the chairs of the house and <br/>
<a id="pl.257.32"></a><var>257.32</var>senate committees with jurisdiction over health and human services policy and finance on <br/>
<a id="pl.257.33"></a><var>257.33</var>the initial results of implementation of contracts with qualified Medicare special needs <br/>
<a id="pl.257.34"></a><var>257.34</var>plans to provide basic health care services under medical assistance to persons who are <br/>
<a id="pl.257.35"></a><var>257.35</var>dually eligible for both Medicare and Medicaid. This report shall include an overall <br/>
<a id="pl.257.36"></a><var>257.36</var>assessment of the impact on quality of care including actual costs and benefits.<br/>
<a id="pl.258.1"></a><var>258.1</var>    (e) The commissioner shall establish a state-level stakeholder group to provide <br/>
<a id="pl.258.2"></a><var>258.2</var>advice on managed care programs for persons with disabilities, including both MnDHO <br/>
<a id="pl.258.3"></a><var>258.3</var>and contracts with special needs plans that provide basic health care services as described <br/>
<a id="pl.258.4"></a><var>258.4</var>in paragraphs (a) and (b). The stakeholder group shall include representatives of the <br/>
<a id="pl.258.5"></a><var>258.5</var>counties and labor organizations representing county social service workers, members, <br/>
<a id="pl.258.6"></a><var>258.6</var>consumer advocates, and providers, and provide advice on program expansions under this <br/>
<a id="pl.258.7"></a><var>258.7</var>subdivision and subdivision 23, including:<br/>
<a id="pl.258.8"></a><var>258.8</var>    (1) implementation efforts; <br/>
<a id="pl.258.9"></a><var>258.9</var>    (2) consumer protections; and <br/>
<a id="pl.258.10"></a><var>258.10</var>    (3) program specifications such as quality assurance measures, data collection and <br/>
<a id="pl.258.11"></a><var>258.11</var>reporting, and evaluation of costs, quality, and results.; and<br/>
<a id="pl.258.12"></a><var>258.12</var>    (4) county safety net protections for persons with disabilities.<br/>
<a id="pl.258.13"></a><var>258.13</var>    (e) (f) Each plan under contract to provide medical assistance basic health care <br/>
<a id="pl.258.14"></a><var>258.14</var>services shall establish a local or regional stakeholder group, including representatives <br/>
<a id="pl.258.15"></a><var>258.15</var>of the counties covered by the plan and labor organizations representing county social <br/>
<a id="pl.258.16"></a><var>258.16</var>service workers, members, consumer advocates, and current providers, for advice on <br/>
<a id="pl.258.17"></a><var>258.17</var>issues that arise in the local or regional area.<br/>
<br/>
<a id="bill.4.103.0"></a><a id="pl.258.18"></a><var>258.18</var>    Sec. 103. <b>[256C.261] SERVICES FOR DEAF-BLIND PERSONS.</b><br/>
<a id="pl.258.19"></a><var>258.19</var>     (a) The commissioner of human services shall combine the existing biennial base <br/>
<a id="pl.258.20"></a><var>258.20</var>level funding for deaf-blind services into a single grant program. At least 35 percent <br/>
<a id="pl.258.21"></a><var>258.21</var>of the total funding is awarded for services and other supports to deaf-blind children <br/>
<a id="pl.258.22"></a><var>258.22</var>and their families and at least 25 percent is awarded for services and other supports to <br/>
<a id="pl.258.23"></a><var>258.23</var>deaf-blind adults.<br/>
<a id="pl.258.24"></a><var>258.24</var>    The commissioner shall award grants for the purposes of: <br/>
<a id="pl.258.25"></a><var>258.25</var>    (1) providing services and supports to individuals who are deaf-blind; and <br/>
<a id="pl.258.26"></a><var>258.26</var>    (2) developing and providing training to counties and the network of senior citizen <br/>
<a id="pl.258.27"></a><var>258.27</var>service providers. The purpose of the training grants is to teach counties how to use <br/>
<a id="pl.258.28"></a><var>258.28</var>existing programs that capture federal financial participation to meet the needs of eligible <br/>
<a id="pl.258.29"></a><var>258.29</var>deaf-blind persons and to build capacity of senior service programs to meet the needs of <br/>
<a id="pl.258.30"></a><var>258.30</var>seniors with a dual sensory hearing and vision loss.<br/>
<a id="pl.258.31"></a><var>258.31</var>    (b) The commissioner may make grants:<br/>
<a id="pl.258.32"></a><var>258.32</var>    (1) for services and training provided by organizations; and<br/>
<a id="pl.258.33"></a><var>258.33</var>    (2) to develop and administer consumer-directed services.<br/>
<a id="pl.258.34"></a><var>258.34</var>    (c) Any entity that is able to satisfy the grant criteria is eligible to receive a grant <br/>
<a id="pl.258.35"></a><var>258.35</var>under paragraph (a).<br/>
<a id="pl.259.1"></a><var>259.1</var>    (d) Deaf-blind service providers are not required to, but may, provide intervenor <br/>
<a id="pl.259.2"></a><var>259.2</var>services as part of the service package provided with grant funds under this section.<br/>
<br/>
<a id="bill.4.104.0"></a><a id="pl.259.3"></a><var>259.3</var>    Sec. 104. Minnesota Statutes 2006, section 256D.44, subdivision 2, is amended to read:<br/>
<a id="pl.259.4"></a><var>259.4</var>    Subd. 2. <b>Standard of assistance for persons eligible for medical assistance </b><br/>
<a id="pl.259.5"></a><var>259.5</var><b>waivers or at risk of placement in a group residential housing facility.</b> The state <br/>
<a id="pl.259.6"></a><var>259.6</var>standard of assistance for a person (1) who is eligible for a medical assistance home <br/>
<a id="pl.259.7"></a><var>259.7</var>and community-based services waiver or a person, (2) who has been determined by the <br/>
<a id="pl.259.8"></a><var>259.8</var>local agency to meet the plan requirements for placement in a group residential housing <br/>
<a id="pl.259.9"></a><var>259.9</var>facility under section 
         <statute_ref>256I.04, subdivision 1a</statute_ref>, or (3) who is eligible for a shelter needy <br/>
<a id="pl.259.10"></a><var>259.10</var>payment under subdivision 5, paragraph (f), is the standard established in subdivision 3, <br/>
<a id="pl.259.11"></a><var>259.11</var>paragraph (a) or (b).<br/>
<br/>
<a id="bill.4.105.0"></a><a id="pl.259.12"></a><var>259.12</var>    Sec. 105. Minnesota Statutes 2006, section 256D.44, subdivision 5, is amended to read:<br/>
<a id="pl.259.13"></a><var>259.13</var>    Subd. 5. <b>Special needs.</b> In addition to the state standards of assistance established in <br/>
<a id="pl.259.14"></a><var>259.14</var>subdivisions 1 to 4, payments are allowed for the following special needs of recipients of <br/>
<a id="pl.259.15"></a><var>259.15</var>Minnesota supplemental aid who are not residents of a nursing home, a regional treatment <br/>
<a id="pl.259.16"></a><var>259.16</var>center, or a group residential housing facility.<br/>
<a id="pl.259.17"></a><var>259.17</var>    (a) The county agency shall pay a monthly allowance for medically prescribed <br/>
<a id="pl.259.18"></a><var>259.18</var>diets if the cost of those additional dietary needs cannot be met through some other <br/>
<a id="pl.259.19"></a><var>259.19</var>maintenance benefit. The need for special diets or dietary items must be prescribed by <br/>
<a id="pl.259.20"></a><var>259.20</var>a licensed physician. Costs for special diets shall be determined as percentages of the <br/>
<a id="pl.259.21"></a><var>259.21</var>allotment for a one-person household under the thrifty food plan as defined by the United <br/>
<a id="pl.259.22"></a><var>259.22</var>States Department of Agriculture. The types of diets and the percentages of the thrifty <br/>
<a id="pl.259.23"></a><var>259.23</var>food plan that are covered are as follows:<br/>
<a id="pl.259.24"></a><var>259.24</var>    (1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;<br/>
<a id="pl.259.25"></a><var>259.25</var>    (2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent <br/>
<a id="pl.259.26"></a><var>259.26</var>of thrifty food plan;<br/>
<a id="pl.259.27"></a><var>259.27</var>    (3) controlled protein diet, less than 40 grams and requires special products, 125 <br/>
<a id="pl.259.28"></a><var>259.28</var>percent of thrifty food plan;<br/>
<a id="pl.259.29"></a><var>259.29</var>    (4) low cholesterol diet, 25 percent of thrifty food plan;<br/>
<a id="pl.259.30"></a><var>259.30</var>    (5) high residue diet, 20 percent of thrifty food plan;<br/>
<a id="pl.259.31"></a><var>259.31</var>    (6) pregnancy and lactation diet, 35 percent of thrifty food plan;<br/>
<a id="pl.259.32"></a><var>259.32</var>    (7) gluten-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.259.33"></a><var>259.33</var>    (8) lactose-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.259.34"></a><var>259.34</var>    (9) antidumping diet, 15 percent of thrifty food plan;<br/>
<a id="pl.260.1"></a><var>260.1</var>    (10) hypoglycemic diet, 15 percent of thrifty food plan; or<br/>
<a id="pl.260.2"></a><var>260.2</var>    (11) ketogenic diet, 25 percent of thrifty food plan.<br/>
<a id="pl.260.3"></a><var>260.3</var>    (b) Payment for nonrecurring special needs must be allowed for necessary home <br/>
<a id="pl.260.4"></a><var>260.4</var>repairs or necessary repairs or replacement of household furniture and appliances using <br/>
<a id="pl.260.5"></a><var>260.5</var>the payment standard of the AFDC program in effect on July 16, 1996, for these expenses, <br/>
<a id="pl.260.6"></a><var>260.6</var>as long as other funding sources are not available.<br/>
<a id="pl.260.7"></a><var>260.7</var>    (c) A fee for guardian or conservator service is allowed at a reasonable rate <br/>
<a id="pl.260.8"></a><var>260.8</var>negotiated by the county or approved by the court. This rate shall not exceed five percent <br/>
<a id="pl.260.9"></a><var>260.9</var>of the assistance unit's gross monthly income up to a maximum of $100 per month. If the <br/>
<a id="pl.260.10"></a><var>260.10</var>guardian or conservator is a member of the county agency staff, no fee is allowed.<br/>
<a id="pl.260.11"></a><var>260.11</var>    (d) The county agency shall continue to pay a monthly allowance of $68 for <br/>
<a id="pl.260.12"></a><var>260.12</var>restaurant meals for a person who was receiving a restaurant meal allowance on June 1, <br/>
<a id="pl.260.13"></a><var>260.13</var>1990, and who eats two or more meals in a restaurant daily. The allowance must continue <br/>
<a id="pl.260.14"></a><var>260.14</var>until the person has not received Minnesota supplemental aid for one full calendar month <br/>
<a id="pl.260.15"></a><var>260.15</var>or until the person's living arrangement changes and the person no longer meets the criteria <br/>
<a id="pl.260.16"></a><var>260.16</var>for the restaurant meal allowance, whichever occurs first.<br/>
<a id="pl.260.17"></a><var>260.17</var>    (e) A fee of ten percent of the recipient's gross income or $25, whichever is less, <br/>
<a id="pl.260.18"></a><var>260.18</var>is allowed for representative payee services provided by an agency that meets the <br/>
<a id="pl.260.19"></a><var>260.19</var>requirements under SSI regulations to charge a fee for representative payee services. This <br/>
<a id="pl.260.20"></a><var>260.20</var>special need is available to all recipients of Minnesota supplemental aid regardless of <br/>
<a id="pl.260.21"></a><var>260.21</var>their living arrangement.<br/>
<a id="pl.260.22"></a><var>260.22</var>    (f) Notwithstanding the language in this subdivision, an amount equal to the <br/>
<a id="pl.260.23"></a><var>260.23</var>maximum allotment authorized by the federal Food Stamp Program for a single individual <br/>
<a id="pl.260.24"></a><var>260.24</var>which is in effect on the first day of January July of the previous each year will be added to <br/>
<a id="pl.260.25"></a><var>260.25</var>the standards of assistance established in subdivisions 1 to 4 for individuals adults under <br/>
<a id="pl.260.26"></a><var>260.26</var>the age of 65 who qualify as shelter needy and are: (1) relocating from an institution, or <br/>
<a id="pl.260.27"></a><var>260.27</var>an adult mental health residential treatment program under section 
         <statute_ref>256B.0622</statute_ref>, and who <br/>
<a id="pl.260.28"></a><var>260.28</var>are shelter needy; (2) self-directed supports option participants defined under section <br/>
<a id="pl.260.29"></a><var>260.29</var>256B.0657 if enacted in the 2007 legislative session; or (3) home and community-based <br/>
<a id="pl.260.30"></a><var>260.30</var>waiver recipients living in their own rented, leased, or owned apartment or home not <br/>
<a id="pl.260.31"></a><var>260.31</var>owned, operated, or controlled by a provider of service not related by blood or marriage. <br/>
<a id="pl.260.32"></a><var>260.32</var>Notwithstanding subdivision 3, paragraph (c), an individual eligible for the shelter needy <br/>
<a id="pl.260.33"></a><var>260.33</var>benefit under subdivision 5, paragraph (f), is considered a household of one. An eligible <br/>
<a id="pl.260.34"></a><var>260.34</var>individual who receives this benefit prior to age 65 may continue to receive the benefit <br/>
<a id="pl.260.35"></a><var>260.35</var>after the age of 65.<br/>
<a id="pl.261.1"></a><var>261.1</var>    (g)(1) Persons eligible for shelter needy funding under paragraph (f), who are not <br/>
<a id="pl.261.2"></a><var>261.2</var>receiving medial assistance home and community-based waiver services, are eligible for <br/>
<a id="pl.261.3"></a><var>261.3</var>a state-funded transitional supports allowance under section 256B.49, subdivision 16, <br/>
<a id="pl.261.4"></a><var>261.4</var>paragraph (e), to establish their own residence not owned, operated, or controlled by a <br/>
<a id="pl.261.5"></a><var>261.5</var>provider of service not related by blood or marriage.<br/>
<a id="pl.261.6"></a><var>261.6</var>    (2) "Shelter needy" means that the assistance unit incurs monthly shelter costs that <br/>
<a id="pl.261.7"></a><var>261.7</var>exceed 40 percent of the assistance unit's gross income before the application of this <br/>
<a id="pl.261.8"></a><var>261.8</var>special needs standard. "Gross income" for the purposes of this section is the applicant's or <br/>
<a id="pl.261.9"></a><var>261.9</var>recipient's income as defined in section 
         <statute_ref>256D.35, subdivision 10</statute_ref>, or the standard specified <br/>
<a id="pl.261.10"></a><var>261.10</var>in subdivision 3, paragraph (a) or (b), whichever is greater. A recipient of a federal or <br/>
<a id="pl.261.11"></a><var>261.11</var>state housing subsidy, that limits shelter costs to a percentage of gross income, shall not be <br/>
<a id="pl.261.12"></a><var>261.12</var>considered shelter needy for purposes of this paragraph.<br/>
<br/>
<a id="bill.4.106.0"></a><a id="pl.261.13"></a><var>261.13</var>    Sec. 106. Minnesota Statutes 2006, section 256I.04, subdivision 3, is amended to read:<br/>
<a id="pl.261.14"></a><var>261.14</var>    Subd. 3. <b>Moratorium on the development of group residential housing beds.</b> (a) <br/>
<a id="pl.261.15"></a><var>261.15</var>County agencies shall not enter into agreements for new group residential housing beds <br/>
<a id="pl.261.16"></a><var>261.16</var>with total rates in excess of the MSA equivalent rate except: (1) for group residential <br/>
<a id="pl.261.17"></a><var>261.17</var>housing establishments licensed under Minnesota Rules, parts 9525.0215 to 9525.0355, <br/>
<a id="pl.261.18"></a><var>261.18</var>provided the facility is needed to meet the census reduction targets for persons with <br/>
<a id="pl.261.19"></a><var>261.19</var>developmental disabilities at regional treatment centers; (2) to ensure compliance with <br/>
<a id="pl.261.20"></a><var>261.20</var>the federal Omnibus Budget Reconciliation Act alternative disposition plan requirements <br/>
<a id="pl.261.21"></a><var>261.21</var>for inappropriately placed persons with developmental disabilities or mental illness; <br/>
<a id="pl.261.22"></a><var>261.22</var>(3) up to 80 beds in a single, specialized facility located in Hennepin County that will <br/>
<a id="pl.261.23"></a><var>261.23</var>provide housing for chronic inebriates who are repetitive users of detoxification centers <br/>
<a id="pl.261.24"></a><var>261.24</var>and are refused placement in emergency shelters because of their state of intoxication, <br/>
<a id="pl.261.25"></a><var>261.25</var>and planning for the specialized facility must have been initiated before July 1, 1991, in <br/>
<a id="pl.261.26"></a><var>261.26</var>anticipation of receiving a grant from the Housing Finance Agency under section 
         <statute_ref>462A.05, <br/>
<a id="pl.261.27"></a><var>261.27</var>subdivision 20a
         </statute_ref>, paragraph (b); (4) notwithstanding the provisions of subdivision 2a, for <br/>
<a id="pl.261.28"></a><var>261.28</var>up to 190 supportive housing units in Anoka, Dakota, Hennepin, or Ramsey County <br/>
<a id="pl.261.29"></a><var>261.29</var>for homeless adults with a mental illness, a history of substance abuse, or human <br/>
<a id="pl.261.30"></a><var>261.30</var>immunodeficiency virus or acquired immunodeficiency syndrome. For purposes of this <br/>
<a id="pl.261.31"></a><var>261.31</var>section, "homeless adult" means a person who is living on the street or in a shelter or <br/>
<a id="pl.261.32"></a><var>261.32</var>discharged from a regional treatment center, community hospital, or residential treatment <br/>
<a id="pl.261.33"></a><var>261.33</var>program and has no appropriate housing available and lacks the resources and support <br/>
<a id="pl.261.34"></a><var>261.34</var>necessary to access appropriate housing. At least 70 percent of the supportive housing <br/>
<a id="pl.261.35"></a><var>261.35</var>units must serve homeless adults with mental illness, substance abuse problems, or human <br/>
<a id="pl.262.1"></a><var>262.1</var>immunodeficiency virus or acquired immunodeficiency syndrome who are about to be <br/>
<a id="pl.262.2"></a><var>262.2</var>or, within the previous six months, has been discharged from a regional treatment center, <br/>
<a id="pl.262.3"></a><var>262.3</var>or a state-contracted psychiatric bed in a community hospital, or a residential mental <br/>
<a id="pl.262.4"></a><var>262.4</var>health or chemical dependency treatment program. If a person meets the requirements of <br/>
<a id="pl.262.5"></a><var>262.5</var>subdivision 1, paragraph (a), and receives a federal or state housing subsidy, the group <br/>
<a id="pl.262.6"></a><var>262.6</var>residential housing rate for that person is limited to the supplementary rate under section <br/>
<statute_ref><a id="pl.262.7"></a><var>262.7</var>256I.05, subdivision 1a
         </statute_ref>, and is determined by subtracting the amount of the person's <br/>
<a id="pl.262.8"></a><var>262.8</var>countable income that exceeds the MSA equivalent rate from the group residential housing <br/>
<a id="pl.262.9"></a><var>262.9</var>supplementary rate. A resident in a demonstration project site who no longer participates <br/>
<a id="pl.262.10"></a><var>262.10</var>in the demonstration program shall retain eligibility for a group residential housing <br/>
<a id="pl.262.11"></a><var>262.11</var>payment in an amount determined under section 
         <statute_ref>256I.06, subdivision 8</statute_ref>, using the MSA <br/>
<a id="pl.262.12"></a><var>262.12</var>equivalent rate. Service funding under section 
         <statute_ref>256I.05, subdivision 1a</statute_ref>, will end June 30, <br/>
<a id="pl.262.13"></a><var>262.13</var>1997, if federal matching funds are available and the services can be provided through a <br/>
<a id="pl.262.14"></a><var>262.14</var>managed care entity. If federal matching funds are not available, then service funding will <br/>
<a id="pl.262.15"></a><var>262.15</var>continue under section 
         <statute_ref>256I.05, subdivision 1a</statute_ref>; or (6) (5) for group residential housing <br/>
<a id="pl.262.16"></a><var>262.16</var>beds in settings meeting the requirements of subdivision 2a, clauses (1) and (3), which <br/>
<a id="pl.262.17"></a><var>262.17</var>are used exclusively for recipients receiving home and community-based waiver services <br/>
<a id="pl.262.18"></a><var>262.18</var>under sections 
         <statute_ref>256B.0915</statute_ref>, 
         <statute_ref>256B.092, subdivision 5</statute_ref>, 
         <statute_ref>256B.093</statute_ref>, and 
         <statute_ref>256B.49</statute_ref>, and who <br/>
<a id="pl.262.19"></a><var>262.19</var>resided in a nursing facility for the six months immediately prior to the month of entry <br/>
<a id="pl.262.20"></a><var>262.20</var>into the group residential housing setting. The group residential housing rate for these <br/>
<a id="pl.262.21"></a><var>262.21</var>beds must be set so that the monthly group residential housing payment for an individual <br/>
<a id="pl.262.22"></a><var>262.22</var>occupying the bed when combined with the nonfederal share of services delivered under <br/>
<a id="pl.262.23"></a><var>262.23</var>the waiver for that person does not exceed the nonfederal share of the monthly medical <br/>
<a id="pl.262.24"></a><var>262.24</var>assistance payment made for the person to the nursing facility in which the person resided <br/>
<a id="pl.262.25"></a><var>262.25</var>prior to entry into the group residential housing establishment. The rate may not exceed <br/>
<a id="pl.262.26"></a><var>262.26</var>the MSA equivalent rate plus $426.37 for any case.; or (6) for an additional two beds, <br/>
<a id="pl.262.27"></a><var>262.27</var>resulting in a total of 32 beds, for a facility located in Hennepin County providing services <br/>
<a id="pl.262.28"></a><var>262.28</var>for recovering and chemically dependent men that has had a group residential housing <br/>
<a id="pl.262.29"></a><var>262.29</var>contract with the county and has been licensed as a board and lodge facility with special <br/>
<a id="pl.262.30"></a><var>262.30</var>services since 1980; (7) for a group residential housing provider located in Stearns County <br/>
<a id="pl.262.31"></a><var>262.31</var>that operates a 40-bed facility, that received financing through the Minnesota Housing <br/>
<a id="pl.262.32"></a><var>262.32</var>Finance Agency Ending Long-Term Homelessness Initiative and serves chemically <br/>
<a id="pl.262.33"></a><var>262.33</var>dependent clientele, providing 24-hour-a-day supervision; (8) for a group residential <br/>
<a id="pl.262.34"></a><var>262.34</var>housing provider located in Crow Wing County that serves a chemically dependent <br/>
<a id="pl.262.35"></a><var>262.35</var>clientele, providing 24-hour-a-day supervision and limiting a resident's maximum length <br/>
<a id="pl.262.36"></a><var>262.36</var>of stay to 13 months out of a consecutive 24-month period; (9) for a 60-bed facility in <br/>
<a id="pl.263.1"></a><var>263.1</var>St. Louis County which opened in January 2006 that will serve chemically dependent <br/>
<a id="pl.263.2"></a><var>263.2</var>persons operated by a group residential housing provider that currently operates a 304-bed <br/>
<a id="pl.263.3"></a><var>263.3</var>facility in Minneapolis; and (10) for a group residential housing provider that operates two <br/>
<a id="pl.263.4"></a><var>263.4</var>ten-bed facilities, one located in Hennepin County and one located in Ramsey County, <br/>
<a id="pl.263.5"></a><var>263.5</var>which provide community support and serve the mental health needs of individuals who <br/>
<a id="pl.263.6"></a><var>263.6</var>have chronically lived unsheltered, providing 24-hour-a-day supervision.<br/>
<a id="pl.263.7"></a><var>263.7</var>    (b) A county agency may enter into a group residential housing agreement for beds <br/>
<a id="pl.263.8"></a><var>263.8</var>with rates in excess of the MSA equivalent rate in addition to those currently covered <br/>
<a id="pl.263.9"></a><var>263.9</var>under a group residential housing agreement if the additional beds are only a replacement <br/>
<a id="pl.263.10"></a><var>263.10</var>of beds with rates in excess of the MSA equivalent rate which have been made available <br/>
<a id="pl.263.11"></a><var>263.11</var>due to closure of a setting, a change of licensure or certification which removes the beds <br/>
<a id="pl.263.12"></a><var>263.12</var>from group residential housing payment, or as a result of the downsizing of a group <br/>
<a id="pl.263.13"></a><var>263.13</var>residential housing setting. The transfer of available beds from one county to another can <br/>
<a id="pl.263.14"></a><var>263.14</var>only occur by the agreement of both counties.<br/>
<br/>
<a id="bill.4.107.0"></a><a id="pl.263.15"></a><var>263.15</var>    Sec. 107. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.263.16"></a><var>263.16</var>subdivision to read:<br/>
<a id="pl.263.17"></a><var>263.17</var>    Subd. 1h. <b>Supplementary rate for certain facilities serving chemically </b><br/>
<a id="pl.263.18"></a><var>263.18</var><b>dependent males.</b> Notwithstanding subdivisions 1a and 1c, beginning July 1, 2007, a <br/>
<a id="pl.263.19"></a><var>263.19</var>county agency shall negotiate a supplementary rate in addition to the rate specified in <br/>
<a id="pl.263.20"></a><var>263.20</var>subdivision 1, not to exceed $737.87 per month, including any legislatively authorized <br/>
<a id="pl.263.21"></a><var>263.21</var>inflationary adjustments, for a group residential housing provider that:<br/>
<a id="pl.263.22"></a><var>263.22</var>    (1) is located in Ramsey County and has had a group residential housing contract <br/>
<a id="pl.263.23"></a><var>263.23</var>with the county since 1982 and has been licensed as a board and lodge facility with special <br/>
<a id="pl.263.24"></a><var>263.24</var>services since 1979; and<br/>
<a id="pl.263.25"></a><var>263.25</var>    (2) serves recovering and chemically dependent males, providing 24-hour-a-day <br/>
<a id="pl.263.26"></a><var>263.26</var>supervision.<br/>
<br/>
<a id="bill.4.108.0"></a><a id="pl.263.27"></a><var>263.27</var>    Sec. 108. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.263.28"></a><var>263.28</var>subdivision to read:<br/>
<a id="pl.263.29"></a><var>263.29</var>    Subd. 1i. <b>Supplementary rate for certain facilities; Hennepin County.</b><br/>
<a id="pl.263.30"></a><var>263.30</var>    Notwithstanding the provisions of subdivisions 1a and 1c, a county agency shall negotiate <br/>
<a id="pl.263.31"></a><var>263.31</var>a supplementary rate in addition to the rate specified in subdivision 1, not to exceed $700 <br/>
<a id="pl.263.32"></a><var>263.32</var>per month, including any legislatively authorized inflationary adjustments, for a facility <br/>
<a id="pl.263.33"></a><var>263.33</var>located in Hennepin County with a capacity of up to 48 beds that has been licensed since <br/>
<a id="pl.264.1"></a><var>264.1</var>1978 as a board and lodging facility and that until August 1, 2007, operated as a licensed <br/>
<a id="pl.264.2"></a><var>264.2</var>chemical dependency treatment program.<br/>
<a id="pl.264.3"></a><var>264.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.109.0"></a><a id="pl.264.4"></a><var>264.4</var>    Sec. 109. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.264.5"></a><var>264.5</var>subdivision to read:<br/>
<a id="pl.264.6"></a><var>264.6</var>    Subd. 1j. <b>Supplementary rate for certain facilities; St. Louis County.</b> (a) <br/>
<a id="pl.264.7"></a><var>264.7</var>Notwithstanding the provisions of subdivisions 1a and 1c, beginning July 1, 2007, a <br/>
<a id="pl.264.8"></a><var>264.8</var>county agency shall negotiate a supplementary rate in addition to the rate specified in <br/>
<a id="pl.264.9"></a><var>264.9</var>subdivision 1, not to exceed $700 per month, including any legislatively authorized <br/>
<a id="pl.264.10"></a><var>264.10</var>inflationary adjustments, for a 60-bed facility in St. Louis County which opened in <br/>
<a id="pl.264.11"></a><var>264.11</var>January 2006 that will serve chemically dependent persons operated by a group residential <br/>
<a id="pl.264.12"></a><var>264.12</var>housing provider that currently operates a 304-bed facility in Minneapolis.<br/>
<a id="pl.264.13"></a><var>264.13</var>    (b) The supplementary rate in paragraph (a) applies to the 48 beds which do not <br/>
<a id="pl.264.14"></a><var>264.14</var>already receive a supplementary rate.<br/>
<br/>
<a id="bill.4.110.0"></a><a id="pl.264.15"></a><var>264.15</var>    Sec. 110. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.264.16"></a><var>264.16</var>subdivision to read:<br/>
<a id="pl.264.17"></a><var>264.17</var>    Subd. 1k. <b>Supplementary rate for certain facilities; Crow Wing County.</b><br/>
<a id="pl.264.18"></a><var>264.18</var>    Notwithstanding the provisions of subdivisions 1a and 1c, beginning July 1, 2007, a <br/>
<a id="pl.264.19"></a><var>264.19</var>county agency shall negotiate a supplementary rate in addition to the rate specified in <br/>
<a id="pl.264.20"></a><var>264.20</var>subdivision 1, not to exceed $700 per month, including any legislatively authorized <br/>
<a id="pl.264.21"></a><var>264.21</var>inflationary adjustments, for a new 65-bed facility in Crow Wing County that will serve <br/>
<a id="pl.264.22"></a><var>264.22</var>chemically dependent persons operated by a group residential housing provider that <br/>
<a id="pl.264.23"></a><var>264.23</var>currently operates a 304-bed facility in Minneapolis and a 44-bed facility in Duluth which <br/>
<a id="pl.264.24"></a><var>264.24</var>opened in January of 2006.<br/>
<br/>
<a id="bill.4.111.0"></a><a id="pl.264.25"></a><var>264.25</var>    Sec. 111. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.264.26"></a><var>264.26</var>subdivision to read:<br/>
<a id="pl.264.27"></a><var>264.27</var>    Subd. 1l. <b>Supplementary rate for certain facilities; Stearns County.</b><br/>
<a id="pl.264.28"></a><var>264.28</var>    Notwithstanding the provisions of this section, beginning July 1, 2007, a county agency <br/>
<a id="pl.264.29"></a><var>264.29</var>shall negotiate a supplementary service rate in addition to the rate specified in subdivision <br/>
<a id="pl.264.30"></a><var>264.30</var>1, not to exceed $700 per month, including any legislatively authorized inflationary <br/>
<a id="pl.264.31"></a><var>264.31</var>adjustments, for a group residential housing provider located in Stearns County that <br/>
<a id="pl.264.32"></a><var>264.32</var>operates a 40-bed facility, that received financing through the Minnesota Housing Finance <br/>
<a id="pl.265.1"></a><var>265.1</var>Agency Ending Long-Term Homelessness Initiative and serves chemically dependent <br/>
<a id="pl.265.2"></a><var>265.2</var>clientele, providing 24-hour-a-day supervision.<br/>
<br/>
<a id="bill.4.112.0"></a><a id="pl.265.3"></a><var>265.3</var>    Sec. 112. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.265.4"></a><var>265.4</var>subdivision to read:<br/>
<a id="pl.265.5"></a><var>265.5</var>    Subd. 1m. <b>Supplementary rate for certain facilities; St. Louis County.</b><br/>
<a id="pl.265.6"></a><var>265.6</var>    Notwithstanding the provisions of this section, beginning July 1, 2007, a county agency <br/>
<a id="pl.265.7"></a><var>265.7</var>shall negotiate a supplementary service rate in addition to the rate specified in subdivision <br/>
<a id="pl.265.8"></a><var>265.8</var>1, not to exceed $700 per month, including any legislatively authorized inflationary <br/>
<a id="pl.265.9"></a><var>265.9</var>adjustments, for a group residential housing provider located in St. Louis County that <br/>
<a id="pl.265.10"></a><var>265.10</var>operates a 30-bed facility, that received financing through the Minnesota Housing Finance <br/>
<a id="pl.265.11"></a><var>265.11</var>Agency Ending Long-Term Homelessness Initiative and serves chemically dependent <br/>
<a id="pl.265.12"></a><var>265.12</var>clientele, providing 24-hour-a-day supervision. <br/>
<br/>
<a id="bill.4.113.0"></a><a id="pl.265.13"></a><var>265.13</var>    Sec. 113. Minnesota Statutes 2006, section 256I.05, is amended by adding a <br/>
<a id="pl.265.14"></a><var>265.14</var>subdivision to read:<br/>
<a id="pl.265.15"></a><var>265.15</var>    Subd. 1n. <b>Supplemental rate for certain facilities; Hennepin and Ramsey </b><br/>
<a id="pl.265.16"></a><var>265.16</var><b>Counties.</b> Notwithstanding the provisions of this section, beginning July 1, 2007, a county <br/>
<a id="pl.265.17"></a><var>265.17</var>agency shall negotiate a supplemental service rate in addition to the rate specified in <br/>
<a id="pl.265.18"></a><var>265.18</var>subdivision 1, not to exceed $715.78 per month, including any legislatively authorized <br/>
<a id="pl.265.19"></a><var>265.19</var>inflationary adjustments, for a group residential housing provider that operates two <br/>
<a id="pl.265.20"></a><var>265.20</var>ten-bed facilities, one located in Hennepin County and one located in Ramsey County, <br/>
<a id="pl.265.21"></a><var>265.21</var>which provide community support and serve the mental health needs of individuals who <br/>
<a id="pl.265.22"></a><var>265.22</var>have chronically lived unsheltered, providing 24-hour-a-day supervision.<br/>
<br/>
<a id="bill.4.114.0"></a><a id="pl.265.23"></a><var>265.23</var>    Sec. 114. Laws 2000, chapter 340, section 19, is amended to read:<br/>
<a id="pl.265.24"></a><var>265.24</var>    Sec. 19. <b>ALTERNATIVE CARE PILOT PROJECTS.</b><br/>
<a id="pl.265.25"></a><var>265.25</var>    (a) Expenditures for housing with services and adult foster care shall be excluded <br/>
<a id="pl.265.26"></a><var>265.26</var>when determining average monthly expenditures per client for alternative care pilot <br/>
<a id="pl.265.27"></a><var>265.27</var>projects authorized in Laws 1993, First Special Session chapter 1, article 5, section 133.<br/>
<a id="pl.265.28"></a><var>265.28</var>    (b) Alternative care pilot projects shall not expire on June 30, 2001, but shall <br/>
<a id="pl.265.29"></a><var>265.29</var>continue until June 30, 2005 2007.<br/>
<a id="pl.265.30"></a><var>265.30</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from June 29, 2005, for <br/>
<a id="pl.265.31"></a><var>265.31</var>activities related to discontinuing pilot projects under this section.<br/>
<br/>
<a id="bill.4.115.0"></a><a id="pl.265.32"></a><var>265.32</var>    Sec. 115. Laws 2006, chapter 282, article 20, section 37, is amended to read:<br/>
<a id="pl.266.1"></a><var>266.1</var>    Sec. 37. <b>REPAYMENT DELAY.</b><br/>
<a id="pl.266.2"></a><var>266.2</var>    A county that overspent its allowed amounts in calendar year 2004 or 2005 under <br/>
<a id="pl.266.3"></a><var>266.3</var>the waivered services program for persons with developmental disabilities shall not be <br/>
<a id="pl.266.4"></a><var>266.4</var>required to pay back the amount of overspending until May 31, 2007.<br/>
<a id="pl.266.5"></a><var>266.5</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.4.116.0"></a><a id="pl.266.6"></a><var>266.6</var>    Sec. 116. <b>LICENSURE; SERVICES FOR YOUTH WITH DISABILITIES.</b><br/>
<a id="pl.266.7"></a><var>266.7</var>    (a) Notwithstanding the requirements of Minnesota Statutes, chapter 245A, upon the <br/>
<a id="pl.266.8"></a><var>266.8</var>recommendation of a county agency, the commissioner of human services shall grant a <br/>
<a id="pl.266.9"></a><var>266.9</var>license with any necessary variances to a nonresidential program for youth which provides <br/>
<a id="pl.266.10"></a><var>266.10</var>services to youth with disabilities under age 21 during nonschool hours established <br/>
<a id="pl.266.11"></a><var>266.11</var>to ensure health and safety, prevent out-of-home placement, and increase community <br/>
<a id="pl.266.12"></a><var>266.12</var>inclusion of youth with disabilities. The nonresidential youth program is subject to the <br/>
<a id="pl.266.13"></a><var>266.13</var>conditions of any variances granted and with consumer rights under Minnesota Statutes, <br/>
<a id="pl.266.14"></a><var>266.14</var>section 245B.04, consumer protection standards under Minnesota Statutes, section <br/>
<a id="pl.266.15"></a><var>266.15</var>245B.05, service standards under Minnesota Statutes, section 245B.06, management <br/>
<a id="pl.266.16"></a><var>266.16</var>standards under Minnesota Statutes, section 245B.07, and fire marshal inspections under <br/>
<a id="pl.266.17"></a><var>266.17</var>Minnesota Statutes, section 245A.151, until the commissioner develops other licensure <br/>
<a id="pl.266.18"></a><var>266.18</var>requirements for this type of program.<br/>
<a id="pl.266.19"></a><var>266.19</var>    (b) By February 1, 2008, the commissioner shall recommend amendments to <br/>
<a id="pl.266.20"></a><var>266.20</var>licensure requirements in Minnesota Statutes, chapter 245A, to allow licensure of <br/>
<a id="pl.266.21"></a><var>266.21</var>appropriate services for school-age youth with disabilities under age 21 who need <br/>
<a id="pl.266.22"></a><var>266.22</var>supervision and services to develop skills necessary to maintain personal safety and <br/>
<a id="pl.266.23"></a><var>266.23</var>increase their independence, productivity, and participation in their communities during <br/>
<a id="pl.266.24"></a><var>266.24</var>nonschool hours. As part of developing the recommendations, the commissioner shall <br/>
<a id="pl.266.25"></a><var>266.25</var>survey county agencies to determine how the needs of youth with disabilities under age 21 <br/>
<a id="pl.266.26"></a><var>266.26</var>who require supervision and support services are being met and the funding sources used. <br/>
<a id="pl.266.27"></a><var>266.27</var>The recommendations must be provided to the house and senate chairs of the committees <br/>
<a id="pl.266.28"></a><var>266.28</var>with jurisdiction over licensing of programs for youth with disabilities.<br/>
<br/>
<a id="bill.4.117.0"></a><a id="pl.266.29"></a><var>266.29</var>    Sec. 117. <b>INDEPENDENT LIVING.</b><br/>
<a id="pl.266.30"></a><var>266.30</var>    An individual who has lived in one of the facilities under Minnesota Statutes, <br/>
<a id="pl.266.31"></a><var>266.31</var>section 256I.05, subdivision 1n, who is being transitioned to independent living as <br/>
<a id="pl.266.32"></a><var>266.32</var>part of the program plan continues to be eligible for group residential housing and the <br/>
<a id="pl.266.33"></a><var>266.33</var>supplemental service rate negotiated with the county under Minnesota Statutes, section <br/>
<a id="pl.266.34"></a><var>266.34</var>256I.05, subdivision 1n.<br/>
<br/>
<a id="bill.4.118.0"></a><a id="pl.267.1"></a><var>267.1</var>    Sec. 118. <b>ASSISTIVE TECHNOLOGY STUDY AND REPORT.</b><br/>
<a id="pl.267.2"></a><var>267.2</var>    Subdivision 1. <b>Study.</b> (a) During the biennium ending June 30, 2009, the Council <br/>
<a id="pl.267.3"></a><var>267.3</var>on Disability shall facilitate a statewide study of the assistive technology needs of <br/>
<a id="pl.267.4"></a><var>267.4</var>people with disabling conditions, and seniors. As part of the study, the council shall <br/>
<a id="pl.267.5"></a><var>267.5</var>identify community-based service providers, state agencies, and other entities involved in <br/>
<a id="pl.267.6"></a><var>267.6</var>providing assistive technology supports. The study shall also examine the creation of an <br/>
<a id="pl.267.7"></a><var>267.7</var>assistive technology pretax savings account to allow disabled persons to set aside pretax <br/>
<a id="pl.267.8"></a><var>267.8</var>and unearned income to purchase assistive technology devices, equipment, and services.<br/>
<a id="pl.267.9"></a><var>267.9</var>    (b) The council shall provide oversight and direction to the Minnesota Regions <br/>
<a id="pl.267.10"></a><var>267.10</var>Assistive Technology Collaborative during the biennium ending June 30, 2009.<br/>
<a id="pl.267.11"></a><var>267.11</var>    Subd. 2. <b>Report.</b> The council shall present to the chairs of the house and senate <br/>
<a id="pl.267.12"></a><var>267.12</var>committees having jurisdiction over human services, by January 1, 2009, a report of the <br/>
<a id="pl.267.13"></a><var>267.13</var>findings of the study, including proposed legislation creating a statewide comprehensive <br/>
<a id="pl.267.14"></a><var>267.14</var>plan to meet the assistive technology needs of people with disabling conditions and <br/>
<a id="pl.267.15"></a><var>267.15</var>seniors. The statewide plan must include steps to coordinate and streamline assistive <br/>
<a id="pl.267.16"></a><var>267.16</var>technology services and the creation of an assistive technology pretax savings account.<br/>
<br/>
<a id="bill.4.119.0"></a><a id="pl.267.17"></a><var>267.17</var>    Sec. 119. <b>COMMUNITY SERVICES PROVIDER RATE INCREASES.</b><br/>
<a id="pl.267.18"></a><var>267.18</var>    (a) The commissioner of human services shall increase allocations, reimbursement <br/>
<a id="pl.267.19"></a><var>267.19</var>rates, or rate limits, as applicable, by three percent for the rate period beginning October 1, <br/>
<a id="pl.267.20"></a><var>267.20</var>2007, and the rate period beginning October 1, 2008, effective for services rendered on <br/>
<a id="pl.267.21"></a><var>267.21</var>or after those dates.<br/>
<a id="pl.267.22"></a><var>267.22</var>    (b) The three percent annual rate increase described in this section must be provided <br/>
<a id="pl.267.23"></a><var>267.23</var>to:<br/>
<a id="pl.267.24"></a><var>267.24</var>    (1) home and community-based waivered services for persons with developmental <br/>
<a id="pl.267.25"></a><var>267.25</var>disabilities or related conditions under Minnesota Statutes, section 256B.501;<br/>
<a id="pl.267.26"></a><var>267.26</var>    (2) home and community-based waivered services for the elderly under Minnesota <br/>
<a id="pl.267.27"></a><var>267.27</var>Statutes, section 256B.0915;<br/>
<a id="pl.267.28"></a><var>267.28</var>    (3) waivered services under community alternatives for disabled individuals under <br/>
<a id="pl.267.29"></a><var>267.29</var>Minnesota Statutes, section 256B.49;<br/>
<a id="pl.267.30"></a><var>267.30</var>    (4) community alternative care waivered services under Minnesota Statutes, section <br/>
<a id="pl.267.31"></a><var>267.31</var>256B.49;<br/>
<a id="pl.267.32"></a><var>267.32</var>    (5) traumatic brain injury waivered services under Minnesota Statutes, section <br/>
<a id="pl.267.33"></a><var>267.33</var>256B.49;<br/>
<a id="pl.267.34"></a><var>267.34</var>    (6) nursing services and home health services under Minnesota Statutes, section <br/>
<a id="pl.267.35"></a><var>267.35</var>256B.0625, subdivision 6a;<br/>
<a id="pl.268.1"></a><var>268.1</var>    (7) personal care services and nursing supervision of personal care services under <br/>
<a id="pl.268.2"></a><var>268.2</var>Minnesota Statutes, section 256B.0625, subdivision 19a;<br/>
<a id="pl.268.3"></a><var>268.3</var>    (8) private duty nursing services under Minnesota Statutes, section 256B.0625, <br/>
<a id="pl.268.4"></a><var>268.4</var>subdivision 7;<br/>
<a id="pl.268.5"></a><var>268.5</var>    (9) day training and habilitation services for adults with developmental disabilities <br/>
<a id="pl.268.6"></a><var>268.6</var>or related conditions under Minnesota Statutes, sections 252.40 to 252.46, including the <br/>
<a id="pl.268.7"></a><var>268.7</var>additional cost of rate adjustments on day training and habilitation service, provided as a <br/>
<a id="pl.268.8"></a><var>268.8</var>social service under Minnesota Statutes, section 256M.60;<br/>
<a id="pl.268.9"></a><var>268.9</var>    (10) alternative care services under Minnesota Statutes, section 256B.0913;<br/>
<a id="pl.268.10"></a><var>268.10</var>    (11) adult residential program grants under Minnesota Statutes, section 245.73;<br/>
<a id="pl.268.11"></a><var>268.11</var>    (12) adult and children's mental health grants under Minnesota Rules, parts <br/>
<a id="pl.268.12"></a><var>268.12</var>9535.1700 to 9535.1760;<br/>
<a id="pl.268.13"></a><var>268.13</var>    (13) the group residential housing supplementary service rate under Minnesota <br/>
<a id="pl.268.14"></a><var>268.14</var>Statutes, section 256I.05, subdivision 1a;<br/>
<a id="pl.268.15"></a><var>268.15</var>    (14) adult mental health integrated fund grants under Minnesota Statutes, section <br/>
<a id="pl.268.16"></a><var>268.16</var>245.4661;<br/>
<a id="pl.268.17"></a><var>268.17</var>    (15) semi-independent living services (SILS) under Minnesota Statutes, section <br/>
<a id="pl.268.18"></a><var>268.18</var>252.275, including SILS funding under county social services grants formerly funded <br/>
<a id="pl.268.19"></a><var>268.19</var>under Minnesota Statutes, chapter 256I;<br/>
<a id="pl.268.20"></a><var>268.20</var>    (16) community support services for deaf and hard-of-hearing adults with mental <br/>
<a id="pl.268.21"></a><var>268.21</var>illness who use or wish to use sign language as their primary means of communication <br/>
<a id="pl.268.22"></a><var>268.22</var>under Minnesota Statutes, section 256.01, subdivision 2;<br/>
<a id="pl.268.23"></a><var>268.23</var>    (17) living skills training programs for persons with intractable epilepsy who need <br/>
<a id="pl.268.24"></a><var>268.24</var>assistance in the transition to independent living under Laws 1988, chapter 689;<br/>
<a id="pl.268.25"></a><var>268.25</var>    (18) physical therapy services under Minnesota Statutes, sections 256B.0625, <br/>
<a id="pl.268.26"></a><var>268.26</var>subdivision 8, and 256D.03, subdivision 4;<br/>
<a id="pl.268.27"></a><var>268.27</var>    (19) occupational therapy services under Minnesota Statutes, sections 256B.0625, <br/>
<a id="pl.268.28"></a><var>268.28</var>subdivision 8a, and 256D.03, subdivision 4;<br/>
<a id="pl.268.29"></a><var>268.29</var>    (20) speech-language therapy services under Minnesota Statutes, section 256D.03, <br/>
<a id="pl.268.30"></a><var>268.30</var>subdivision 4, and Minnesota Rules, part 9505.0390; <br/>
<a id="pl.268.31"></a><var>268.31</var>    (21) respiratory therapy services under Minnesota Statutes, section 256D.03, <br/>
<a id="pl.268.32"></a><var>268.32</var>subdivision 4, and Minnesota Rules, part 9505.0295;<br/>
<a id="pl.268.33"></a><var>268.33</var>    (22) aging grants under Minnesota Statutes, sections 256.975 to 256.977, 256B.0917, <br/>
<a id="pl.268.34"></a><var>268.34</var>and 256B.0928;<br/>
<a id="pl.269.1"></a><var>269.1</var>    (23) deaf and hard-of-hearing grants under Minnesota Statutes, sections 256C.233; <br/>
<a id="pl.269.2"></a><var>269.2</var>256C.25; Laws 1985, chapter 9, article 1; and Laws 1997, First Special Session chapter <br/>
<a id="pl.269.3"></a><var>269.3</var>5, section 20;<br/>
<a id="pl.269.4"></a><var>269.4</var>    (24) children's therapeutic services and supports under Minnesota Statutes, section <br/>
<a id="pl.269.5"></a><var>269.5</var>256B.0943;<br/>
<a id="pl.269.6"></a><var>269.6</var>    (25) tier I chemical health services under Minnesota Statutes, chapter 254B;<br/>
<a id="pl.269.7"></a><var>269.7</var>    (26) consumer support grants under Minnesota Statutes, section 256.476;<br/>
<a id="pl.269.8"></a><var>269.8</var>    (27) family support grants under Minnesota Statutes, section 252.32;<br/>
<a id="pl.269.9"></a><var>269.9</var>    (28) case management services to persons with HIV or AIDS under Minnesota <br/>
<a id="pl.269.10"></a><var>269.10</var>Statutes, section 256.01, subdivision 19; and<br/>
<a id="pl.269.11"></a><var>269.11</var>    (29) adult rehabilitative mental health services under Minnesota Statutes, section <br/>
<a id="pl.269.12"></a><var>269.12</var>256B.0623.<br/>
<a id="pl.269.13"></a><var>269.13</var>    (c) Providers that receive a rate increase under this section shall use 75 percent of <br/>
<a id="pl.269.14"></a><var>269.14</var>the additional revenue to increase wages and benefits and pay associated costs for all <br/>
<a id="pl.269.15"></a><var>269.15</var>employees, except for management fees, the administrator, and central office staff.<br/>
<a id="pl.269.16"></a><var>269.16</var>    (d) For public employees, the increase for wages and benefits for certain staff is <br/>
<a id="pl.269.17"></a><var>269.17</var>available and pay rates must be increased only to the extent that they comply with laws <br/>
<a id="pl.269.18"></a><var>269.18</var>governing public employees' collective bargaining. Money received by a provider for pay <br/>
<a id="pl.269.19"></a><var>269.19</var>increases under this section may be used only for increases implemented on or after the <br/>
<a id="pl.269.20"></a><var>269.20</var>first day of the rate period in which the increase is available and must not be used for <br/>
<a id="pl.269.21"></a><var>269.21</var>increases implemented prior to that date.<br/>
<a id="pl.269.22"></a><var>269.22</var>    (e) A copy of the provider's plan for complying with paragraph (c) must be made <br/>
<a id="pl.269.23"></a><var>269.23</var>available to all employees by giving each employee a copy or by posting a copy in an area <br/>
<a id="pl.269.24"></a><var>269.24</var>of the provider's operation to which all employees have access. If an employee does not <br/>
<a id="pl.269.25"></a><var>269.25</var>receive the adjustment, if any, described in the plan and is unable to resolve the problem <br/>
<a id="pl.269.26"></a><var>269.26</var>with the provider, the employee may contact the employee's union representative. If the <br/>
<a id="pl.269.27"></a><var>269.27</var>employee is not covered by a collective bargaining agreement, the employee may contact <br/>
<a id="pl.269.28"></a><var>269.28</var>the commissioner at a telephone number provided by the commissioner and included in <br/>
<a id="pl.269.29"></a><var>269.29</var>the provider's plan. <br/>
<a id="pl.269.30"></a><var>269.30</var>    (f) The commissioner and each county agency shall take steps necessary to <br/>
<a id="pl.269.31"></a><var>269.31</var>implement the increases required by this section on the dates specified, and the increases <br/>
<a id="pl.269.32"></a><var>269.32</var>must be effective on the dates specified, regardless of the client's service authorization date <br/>
<a id="pl.269.33"></a><var>269.33</var>and notwithstanding the terms of any provider contract, service agreement, or schedule <br/>
<a id="pl.269.34"></a><var>269.34</var>that limits when a county may increase payment rates.<br/>
<br/>
<a id="bill.4.120.0"></a><a id="pl.269.35"></a><var>269.35</var>    Sec. 120. <b>DENTAL ACCESS FOR PERSONS WITH DISABILITIES.</b><br/>
<a id="pl.270.1"></a><var>270.1</var>    The commissioner of human services shall study access to dental services for <br/>
<a id="pl.270.2"></a><var>270.2</var>persons with disabilities, and shall present recommendations for improving access to <br/>
<a id="pl.270.3"></a><var>270.3</var>dental services to the legislature by January 15, 2008. The study must examine physical <br/>
<a id="pl.270.4"></a><var>270.4</var>and geographic access, the willingness of dentists to serve persons with disabilities <br/>
<a id="pl.270.5"></a><var>270.5</var>enrolled in state health care programs, reimbursement rates for dental service providers, <br/>
<a id="pl.270.6"></a><var>270.6</var>and other factors identified by the commissioner.<br/>
<br/>
<a id="bill.4.121.0"></a><a id="pl.270.7"></a><var>270.7</var>    Sec. 121. <b>COMMISSIONER REQUIRED TO SEEK FEDERAL APPROVAL.</b><br/>
<a id="pl.270.8"></a><var>270.8</var>    By October 1, 2007, the commissioner shall seek federal approval to allow persons <br/>
<a id="pl.270.9"></a><var>270.9</var>who have been eligible for medical assistance for employed persons with disabilities <br/>
<a id="pl.270.10"></a><var>270.10</var>(MA-EPD) under Minnesota Statutes, section 256B.057, subdivision 9, for each of the 24 <br/>
<a id="pl.270.11"></a><var>270.11</var>consecutive months prior to becoming age 65 to continue using the MA-EPD eligibility <br/>
<a id="pl.270.12"></a><var>270.12</var>rules as long as they qualify.<br/>
<br/>
<a id="bill.4.122.0"></a><a id="pl.270.13"></a><var>270.13</var>    Sec. 122. <b>MINNESOTA RULES.</b><br/>
<a id="pl.270.14"></a><var>270.14</var>    The Department of Administration shall publish adopted rules in the State Register <br/>
<a id="pl.270.15"></a><var>270.15</var>making the terminology changes specified in section 92 in Minnesota Rules. Upon <br/>
<a id="pl.270.16"></a><var>270.16</var>publication in the State Register, the terminology changes for Minnesota Rules are <br/>
<a id="pl.270.17"></a><var>270.17</var>adopted without further administrative action.<br/>
<br/>
<a id="bill.4.123.0"></a><a id="pl.270.18"></a><var>270.18</var>    Sec. 123. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.270.19"></a><var>270.19</var>    The revisor of statutes shall change the terms in column A to the terms in column B <br/>
<a id="pl.270.20"></a><var>270.20</var>wherever they appear in Minnesota Statutes:<br/>
<table width="100%">
<tr>
<td><a id="pl.270.21"></a><var>270.21</var><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="center" valign="bottom">Column A<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="center" valign="bottom">Column B<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.22"></a><var>270.22</var><br/>
<a id="pl.270.23"></a><var>270.23</var><br/>
<a id="pl.270.24"></a><var>270.24</var><br/>
<a id="pl.270.25"></a><var>270.25</var><br/>
<a id="pl.270.26"></a><var>270.26</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom">"Office of Ombudsman <br/>
for Older Minnesotans" <br/>
and "Office of the <br/>
Ombudsman for Older <br/>
Minnesotans"<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="top">"Office of Ombudsman <br/>
for Long-Term Care"<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.27"></a><var>270.27</var><br/>
<a id="pl.270.28"></a><var>270.28</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom">"ombudsman for older <br/>
Minnesotans"<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom">"ombudsman for <br/>
long-term care"<br/>
</td>
</tr>
</table><br/>
<a id="bill.4.124.0"></a><a id="pl.270.29"></a><var>270.29</var>    Sec. 124. <b>REPEALER.</b><br/>
<a id="pl.270.30"></a><var>270.30</var>Minnesota Statutes 2006, sections 252.21; 252.22; 252.23; 252.24; 252.25; 252.261; <br/>
<a id="pl.270.31"></a><var>270.31</var>252.275, subdivision 5; 256.9743; 256B.0913, subdivisions 5b, 5c, 5d, 5e, 5f, 5g, and 5h; <br/>
<a id="pl.270.32"></a><var>270.32</var>and 256B.441, subdivisions 12, 16, 21, 26, 28, 42, and 45, are repealed.<br/>
<br/>
<a id="bill.5.0.0"></a>

<a id="bill.5.1.0"></a><a id="pl.271.3"></a><var>271.3</var>    Section 1. Minnesota Statutes 2006, section 245.462, subdivision 20, is amended to <br/>
<a id="pl.271.4"></a><var>271.4</var>read:<br/>
<a id="pl.271.5"></a><var>271.5</var>    Subd. 20. <b>Mental illness.</b> (a) "Mental illness" means an organic disorder of the <br/>
<a id="pl.271.6"></a><var>271.6</var>brain or a clinically significant disorder of thought, mood, perception, orientation, <br/>
<a id="pl.271.7"></a><var>271.7</var>memory, or behavior that is listed in the clinical manual of the International Classification <br/>
<a id="pl.271.8"></a><var>271.8</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.271.9"></a><var>271.9</var>or the corresponding code in the American Psychiatric Association's Diagnostic and <br/>
<a id="pl.271.10"></a><var>271.10</var>Statistical Manual of Mental Disorders (DSM-MD), current edition, Axes I, II, or III, and <br/>
<a id="pl.271.11"></a><var>271.11</var>that seriously limits a person's capacity to function in primary aspects of daily living such <br/>
<a id="pl.271.12"></a><var>271.12</var>as personal relations, living arrangements, work, and recreation. <br/>
<a id="pl.271.13"></a><var>271.13</var>    (b) An "adult with acute mental illness" means an adult who has a mental illness that <br/>
<a id="pl.271.14"></a><var>271.14</var>is serious enough to require prompt intervention.<br/>
<a id="pl.271.15"></a><var>271.15</var>    (c) For purposes of case management and community support services, a "person <br/>
<a id="pl.271.16"></a><var>271.16</var>with serious and persistent mental illness" means an adult who has a mental illness and <br/>
<a id="pl.271.17"></a><var>271.17</var>meets at least one of the following criteria:<br/>
<a id="pl.271.18"></a><var>271.18</var>    (1) the adult has undergone two or more episodes of inpatient care for a mental <br/>
<a id="pl.271.19"></a><var>271.19</var>illness within the preceding 24 months;<br/>
<a id="pl.271.20"></a><var>271.20</var>    (2) the adult has experienced a continuous psychiatric hospitalization or residential <br/>
<a id="pl.271.21"></a><var>271.21</var>treatment exceeding six months' duration within the preceding 12 months;<br/>
<a id="pl.271.22"></a><var>271.22</var>    (3) the adult has been treated by a crisis team two or more times within the preceding <br/>
<a id="pl.271.23"></a><var>271.23</var>24 months;<br/>
<a id="pl.271.24"></a><var>271.24</var>    (4) the adult:<br/>
<a id="pl.271.25"></a><var>271.25</var>    (i) has a diagnosis of schizophrenia, bipolar disorder, major depression, or borderline <br/>
<a id="pl.271.26"></a><var>271.26</var>personality disorder;<br/>
<a id="pl.271.27"></a><var>271.27</var>    (ii) indicates a significant impairment in functioning; and<br/>
<a id="pl.271.28"></a><var>271.28</var>    (iii) has a written opinion from a mental health professional, in the last three years, <br/>
<a id="pl.271.29"></a><var>271.29</var>stating that the adult is reasonably likely to have future episodes requiring inpatient or <br/>
<a id="pl.271.30"></a><var>271.30</var>residential treatment, of a frequency described in clause (1) or (2), unless ongoing case <br/>
<a id="pl.271.31"></a><var>271.31</var>management or community support services are provided;<br/>
<a id="pl.271.32"></a><var>271.32</var>    (4) (5) the adult has, in the last three years, been committed by a court as a person <br/>
<a id="pl.271.33"></a><var>271.33</var>who is mentally ill under chapter 253B, or the adult's commitment has been stayed or <br/>
<a id="pl.271.34"></a><var>271.34</var>continued; or<br/>
<a id="pl.272.1"></a><var>272.1</var>    (5) (6) the adult (i) was eligible under clauses (1) to (4) (5), but the specified time <br/>
<a id="pl.272.2"></a><var>272.2</var>period has expired or the adult was eligible as a child under section 
         <statute_ref>245.4871, subdivision <br/>
<a id="pl.272.3"></a><var>272.3</var>6
         </statute_ref>; and (ii) has a written opinion from a mental health professional, in the last three years, <br/>
<a id="pl.272.4"></a><var>272.4</var>stating that the adult is reasonably likely to have future episodes requiring inpatient or <br/>
<a id="pl.272.5"></a><var>272.5</var>residential treatment, of a frequency described in clause (1) or (2), unless ongoing case <br/>
<a id="pl.272.6"></a><var>272.6</var>management or community support services are provided. <br/>
<br/>
<a id="bill.5.2.0"></a><a id="pl.272.7"></a><var>272.7</var>    Sec. 2. Minnesota Statutes 2006, section 245.465, is amended by adding a subdivision <br/>
<a id="pl.272.8"></a><var>272.8</var>to read:<br/>
<a id="pl.272.9"></a><var>272.9</var>    Subd. 3. <b>Responsibility not duplicated.</b> For individuals who have health care <br/>
<a id="pl.272.10"></a><var>272.10</var>coverage, the county board is not responsible for providing mental health services which <br/>
<a id="pl.272.11"></a><var>272.11</var>are within the limits of the individual's health care coverage.<br/>
<br/>
<a id="bill.5.3.0"></a><a id="pl.272.12"></a><var>272.12</var>    Sec. 3. Minnesota Statutes 2006, section 245.4874, is amended to read:<br/>
<a id="pl.272.13"></a><var>272.13</var><b>245.4874 DUTIES OF COUNTY BOARD.</b><br/>
<a id="pl.272.14"></a><var>272.14</var>    Subdivision 1. <b>Duties of the county board.</b> (a) The county board must:<br/>
<a id="pl.272.15"></a><var>272.15</var>    (1) develop a system of affordable and locally available children's mental health <br/>
<a id="pl.272.16"></a><var>272.16</var>services according to sections 
         <statute_ref>245.487</statute_ref> to 
         <statute_ref>245.4887</statute_ref>;<br/>
<a id="pl.272.17"></a><var>272.17</var>    (2) establish a mechanism providing for interagency coordination as specified in <br/>
<a id="pl.272.18"></a><var>272.18</var>section 
         <statute_ref>245.4875, subdivision 6</statute_ref>;<br/>
<a id="pl.272.19"></a><var>272.19</var>    (3) consider the assessment of unmet needs in the county as reported by the local <br/>
<a id="pl.272.20"></a><var>272.20</var>children's mental health advisory council under section 
         <statute_ref>245.4875, subdivision 5</statute_ref>, paragraph <br/>
<a id="pl.272.21"></a><var>272.21</var>(b), clause (3). The county shall provide, upon request of the local children's mental health <br/>
<a id="pl.272.22"></a><var>272.22</var>advisory council, readily available data to assist in the determination of unmet needs;<br/>
<a id="pl.272.23"></a><var>272.23</var>    (4) assure that parents and providers in the county receive information about how to <br/>
<a id="pl.272.24"></a><var>272.24</var>gain access to services provided according to sections 
         <statute_ref>245.487</statute_ref> to 
         <statute_ref>245.4887</statute_ref>;<br/>
<a id="pl.272.25"></a><var>272.25</var>    (5) coordinate the delivery of children's mental health services with services <br/>
<a id="pl.272.26"></a><var>272.26</var>provided by social services, education, corrections, health, and vocational agencies to <br/>
<a id="pl.272.27"></a><var>272.27</var>improve the availability of mental health services to children and the cost-effectiveness of <br/>
<a id="pl.272.28"></a><var>272.28</var>their delivery;<br/>
<a id="pl.272.29"></a><var>272.29</var>    (6) assure that mental health services delivered according to sections 
         <statute_ref>245.487</statute_ref> <br/>
<a id="pl.272.30"></a><var>272.30</var>to 
         <statute_ref>245.4887</statute_ref> are delivered expeditiously and are appropriate to the child's diagnostic <br/>
<a id="pl.272.31"></a><var>272.31</var>assessment and individual treatment plan;<br/>
<a id="pl.272.32"></a><var>272.32</var>    (7) provide the community with information about predictors and symptoms of <br/>
<a id="pl.272.33"></a><var>272.33</var>emotional disturbances and how to access children's mental health services according to <br/>
<a id="pl.272.34"></a><var>272.34</var>sections 
         <statute_ref>245.4877</statute_ref> and 
         <statute_ref>245.4878</statute_ref>;<br/>
<a id="pl.273.1"></a><var>273.1</var>    (8) provide for case management services to each child with severe emotional <br/>
<a id="pl.273.2"></a><var>273.2</var>disturbance according to sections 
         <statute_ref>245.486</statute_ref>; 
         <statute_ref>245.4871, subdivisions 3 and 4</statute_ref>; and 
         <statute_ref>245.4881, <br/>
<a id="pl.273.3"></a><var>273.3</var>subdivisions 1, 3, and 5
         </statute_ref>;<br/>
<a id="pl.273.4"></a><var>273.4</var>    (9) provide for screening of each child under section 
         <statute_ref>245.4885</statute_ref> upon admission <br/>
<a id="pl.273.5"></a><var>273.5</var>to a residential treatment facility, acute care hospital inpatient treatment, or informal <br/>
<a id="pl.273.6"></a><var>273.6</var>admission to a regional treatment center;<br/>
<a id="pl.273.7"></a><var>273.7</var>    (10) prudently administer grants and purchase-of-service contracts that the county <br/>
<a id="pl.273.8"></a><var>273.8</var>board determines are necessary to fulfill its responsibilities under sections 
         <statute_ref>245.487</statute_ref> to <br/>
<statute_ref><a id="pl.273.9"></a><var>273.9</var>245.4887
         </statute_ref>;<br/>
<a id="pl.273.10"></a><var>273.10</var>    (11) assure that mental health professionals, mental health practitioners, and case <br/>
<a id="pl.273.11"></a><var>273.11</var>managers employed by or under contract to the county to provide mental health services <br/>
<a id="pl.273.12"></a><var>273.12</var>are qualified under section 
         <statute_ref>245.4871</statute_ref>;<br/>
<a id="pl.273.13"></a><var>273.13</var>    (12) assure that children's mental health services are coordinated with adult mental <br/>
<a id="pl.273.14"></a><var>273.14</var>health services specified in sections 
         <statute_ref>245.461</statute_ref> to 
         <statute_ref>245.486</statute_ref> so that a continuum of mental <br/>
<a id="pl.273.15"></a><var>273.15</var>health services is available to serve persons with mental illness, regardless of the person's <br/>
<a id="pl.273.16"></a><var>273.16</var>age;<br/>
<a id="pl.273.17"></a><var>273.17</var>    (13) assure that culturally informed mental health consultants are used as necessary <br/>
<a id="pl.273.18"></a><var>273.18</var>to assist the county board in assessing and providing appropriate treatment for children of <br/>
<a id="pl.273.19"></a><var>273.19</var>cultural or racial minority heritage; and<br/>
<a id="pl.273.20"></a><var>273.20</var>    (14) consistent with section 
         <statute_ref>245.486</statute_ref>, arrange for or provide a children's mental <br/>
<a id="pl.273.21"></a><var>273.21</var>health screening to a child receiving child protective services or a child in out-of-home <br/>
<a id="pl.273.22"></a><var>273.22</var>placement, a child for whom parental rights have been terminated, a child found to be <br/>
<a id="pl.273.23"></a><var>273.23</var>delinquent, and a child found to have committed a juvenile petty offense for the third or <br/>
<a id="pl.273.24"></a><var>273.24</var>subsequent time, unless a screening has been performed within the previous 180 days, or <br/>
<a id="pl.273.25"></a><var>273.25</var>the child is currently under the care of a mental health professional. The court or county <br/>
<a id="pl.273.26"></a><var>273.26</var>agency must notify a parent or guardian whose parental rights have not been terminated of <br/>
<a id="pl.273.27"></a><var>273.27</var>the potential mental health screening and the option to prevent the screening by notifying <br/>
<a id="pl.273.28"></a><var>273.28</var>the court or county agency in writing. The screening shall be conducted with a screening <br/>
<a id="pl.273.29"></a><var>273.29</var>instrument approved by the commissioner of human services according to criteria that <br/>
<a id="pl.273.30"></a><var>273.30</var>are updated and issued annually to ensure that approved screening instruments are valid <br/>
<a id="pl.273.31"></a><var>273.31</var>and useful for child welfare and juvenile justice populations, and shall be conducted <br/>
<a id="pl.273.32"></a><var>273.32</var>by a mental health practitioner as defined in section 
         <statute_ref>245.4871, subdivision 26</statute_ref>, or a <br/>
<a id="pl.273.33"></a><var>273.33</var>probation officer or local social services agency staff person who is trained in the use of <br/>
<a id="pl.273.34"></a><var>273.34</var>the screening instrument. Training in the use of the instrument shall include training in the <br/>
<a id="pl.273.35"></a><var>273.35</var>administration of the instrument, the interpretation of its validity given the child's current <br/>
<a id="pl.273.36"></a><var>273.36</var>circumstances, the state and federal data practices laws and confidentiality standards, the <br/>
<a id="pl.274.1"></a><var>274.1</var>parental consent requirement, and providing respect for families and cultural values. <br/>
<a id="pl.274.2"></a><var>274.2</var>If the screen indicates a need for assessment, the child's family, or if the family lacks <br/>
<a id="pl.274.3"></a><var>274.3</var>mental health insurance, the local social services agency, in consultation with the child's <br/>
<a id="pl.274.4"></a><var>274.4</var>family, shall have conducted a diagnostic assessment, including a functional assessment, <br/>
<a id="pl.274.5"></a><var>274.5</var>as defined in section 
         <statute_ref>245.4871</statute_ref>. The administration of the screening shall safeguard the <br/>
<a id="pl.274.6"></a><var>274.6</var>privacy of children receiving the screening and their families and shall comply with the <br/>
<a id="pl.274.7"></a><var>274.7</var>Minnesota Government Data Practices Act, chapter 13, and the federal Health Insurance <br/>
<a id="pl.274.8"></a><var>274.8</var>Portability and Accountability Act of 1996, Public Law 104-191. Screening results shall be <br/>
<a id="pl.274.9"></a><var>274.9</var>considered private data and the commissioner shall not collect individual screening results.<br/>
<a id="pl.274.10"></a><var>274.10</var>    (b) When the county board refers clients to providers of children's therapeutic <br/>
<a id="pl.274.11"></a><var>274.11</var>services and supports under section 
         <statute_ref>256B.0943</statute_ref>, the county board must clearly identify <br/>
<a id="pl.274.12"></a><var>274.12</var>the desired services components not covered under section 
         <statute_ref>256B.0943</statute_ref> and identify the <br/>
<a id="pl.274.13"></a><var>274.13</var>reimbursement source for those requested services, the method of payment, and the <br/>
<a id="pl.274.14"></a><var>274.14</var>payment rate to the provider.<br/>
<a id="pl.274.15"></a><var>274.15</var>    Subd. 2. <b>Responsibility not duplicated.</b> For individuals who have health care <br/>
<a id="pl.274.16"></a><var>274.16</var>coverage, the county board is not responsible for providing mental health services which <br/>
<a id="pl.274.17"></a><var>274.17</var>are within the limits of the individual's health care coverage.<br/>
<br/>
<a id="bill.5.4.0"></a><a id="pl.274.18"></a><var>274.18</var>    Sec. 4. Minnesota Statutes 2006, section 245.50, subdivision 5, is amended to read:<br/>
<a id="pl.274.19"></a><var>274.19</var>    Subd. 5. <b>Special contracts; bordering states.</b> (a) An individual who is detained, <br/>
<a id="pl.274.20"></a><var>274.20</var>committed, or placed on an involuntary basis under chapter 253B may be confined or <br/>
<a id="pl.274.21"></a><var>274.21</var>treated in a bordering state pursuant to a contract under this section. An individual who is <br/>
<a id="pl.274.22"></a><var>274.22</var>detained, committed, or placed on an involuntary basis under the civil law of a bordering <br/>
<a id="pl.274.23"></a><var>274.23</var>state may be confined or treated in Minnesota pursuant to a contract under this section. A <br/>
<a id="pl.274.24"></a><var>274.24</var>peace or health officer who is acting under the authority of the sending state may transport <br/>
<a id="pl.274.25"></a><var>274.25</var>an individual to a receiving agency that provides services pursuant to a contract under <br/>
<a id="pl.274.26"></a><var>274.26</var>this section and may transport the individual back to the sending state under the laws <br/>
<a id="pl.274.27"></a><var>274.27</var>of the sending state. Court orders valid under the law of the sending state are granted <br/>
<a id="pl.274.28"></a><var>274.28</var>recognition and reciprocity in the receiving state for individuals covered by a contract <br/>
<a id="pl.274.29"></a><var>274.29</var>under this section to the extent that the court orders relate to confinement for treatment <br/>
<a id="pl.274.30"></a><var>274.30</var>or care of mental illness or chemical dependency. Such treatment or care may address <br/>
<a id="pl.274.31"></a><var>274.31</var>other conditions that may be co-occurring with the mental illness or chemical dependency. <br/>
<a id="pl.274.32"></a><var>274.32</var>These court orders are not subject to legal challenge in the courts of the receiving state. <br/>
<a id="pl.274.33"></a><var>274.33</var>Individuals who are detained, committed, or placed under the law of a sending state and <br/>
<a id="pl.274.34"></a><var>274.34</var>who are transferred to a receiving state under this section continue to be in the legal <br/>
<a id="pl.274.35"></a><var>274.35</var>custody of the authority responsible for them under the law of the sending state. Except <br/>
<a id="pl.275.1"></a><var>275.1</var>in emergencies, those individuals may not be transferred, removed, or furloughed from <br/>
<a id="pl.275.2"></a><var>275.2</var>a receiving agency without the specific approval of the authority responsible for them <br/>
<a id="pl.275.3"></a><var>275.3</var>under the law of the sending state.<br/>
<a id="pl.275.4"></a><var>275.4</var>    (b) While in the receiving state pursuant to a contract under this section, an <br/>
<a id="pl.275.5"></a><var>275.5</var>individual shall be subject to the sending state's laws and rules relating to length of <br/>
<a id="pl.275.6"></a><var>275.6</var>confinement, reexaminations, and extensions of confinement. No individual may be sent <br/>
<a id="pl.275.7"></a><var>275.7</var>to another state pursuant to a contract under this section until the receiving state has <br/>
<a id="pl.275.8"></a><var>275.8</var>enacted a law recognizing the validity and applicability of this section.<br/>
<a id="pl.275.9"></a><var>275.9</var>    (c) If an individual receiving services pursuant to a contract under this section leaves <br/>
<a id="pl.275.10"></a><var>275.10</var>the receiving agency without permission and the individual is subject to involuntary <br/>
<a id="pl.275.11"></a><var>275.11</var>confinement under the law of the sending state, the receiving agency shall use all <br/>
<a id="pl.275.12"></a><var>275.12</var>reasonable means to return the individual to the receiving agency. The receiving agency <br/>
<a id="pl.275.13"></a><var>275.13</var>shall immediately report the absence to the sending agency. The receiving state has the <br/>
<a id="pl.275.14"></a><var>275.14</var>primary responsibility for, and the authority to direct, the return of these individuals <br/>
<a id="pl.275.15"></a><var>275.15</var>within its borders and is liable for the cost of the action to the extent that it would be <br/>
<a id="pl.275.16"></a><var>275.16</var>liable for costs of its own resident.<br/>
<a id="pl.275.17"></a><var>275.17</var>    (d) Responsibility for payment for the cost of care remains with the sending agency.<br/>
<a id="pl.275.18"></a><var>275.18</var>    (e) This subdivision also applies to county contracts under subdivision 2 which <br/>
<a id="pl.275.19"></a><var>275.19</var>include emergency care and treatment provided to a county resident in a bordering state.<br/>
<a id="pl.275.20"></a><var>275.20</var>    (f) If a Minnesota resident is admitted to a facility in a bordering state under this <br/>
<a id="pl.275.21"></a><var>275.21</var>chapter, a physician, licensed psychologist who has a doctoral degree in psychology, or <br/>
<a id="pl.275.22"></a><var>275.22</var>an advance practice registered nurse certified in mental health, who is licensed in the <br/>
<a id="pl.275.23"></a><var>275.23</var>bordering state, may act as an examiner under sections 253B.07, 253B.08, 253B.092, <br/>
<a id="pl.275.24"></a><var>275.24</var>253B.12, and 253B.17 subject to the same requirements and limitations in section <br/>
<a id="pl.275.25"></a><var>275.25</var>253B.02, subdivision 7.<br/>
<br/>
<a id="bill.5.5.0"></a><a id="pl.275.26"></a><var>275.26</var>    Sec. 5. Minnesota Statutes 2006, section 245.98, subdivision 2, is amended to read:<br/>
<a id="pl.275.27"></a><var>275.27</var>    Subd. 2. <b>Program.</b> The commissioner of human services shall establish a program <br/>
<a id="pl.275.28"></a><var>275.28</var>for the treatment of compulsive gamblers. The commissioner may contract with an <br/>
<a id="pl.275.29"></a><var>275.29</var>entity with expertise regarding the treatment of compulsive gambling to operate the <br/>
<a id="pl.275.30"></a><var>275.30</var>program. The program may include the establishment of a statewide toll-free number, <br/>
<a id="pl.275.31"></a><var>275.31</var>resource library, public education programs; regional in-service training programs and <br/>
<a id="pl.275.32"></a><var>275.32</var>conferences for health care professionals, educators, treatment providers, employee <br/>
<a id="pl.275.33"></a><var>275.33</var>assistance programs, and criminal justice representatives; and the establishment of <br/>
<a id="pl.275.34"></a><var>275.34</var>certification standards for programs and service providers. The commissioner may enter <br/>
<a id="pl.275.35"></a><var>275.35</var>into agreements with other entities and may employ or contract with consultants to <br/>
<a id="pl.276.1"></a><var>276.1</var>facilitate the provision of these services or the training of individuals to qualify them to <br/>
<a id="pl.276.2"></a><var>276.2</var>provide these services. The program may also include inpatient and outpatient treatment <br/>
<a id="pl.276.3"></a><var>276.3</var>and rehabilitation services and for residents in a temporary or permanent residential <br/>
<a id="pl.276.4"></a><var>276.4</var>setting for mental health or chemical dependency, and individuals in jails or correctional <br/>
<a id="pl.276.5"></a><var>276.5</var>facilities. The program may also include research studies. The research studies must <br/>
<a id="pl.276.6"></a><var>276.6</var>include baseline and prevalence studies for adolescents and adults to identify those at the <br/>
<a id="pl.276.7"></a><var>276.7</var>highest risk. The program must be approved by the commissioner before it is established.<br/>
<br/>
<a id="bill.5.6.0"></a><a id="pl.276.8"></a><var>276.8</var>    Sec. 6. Minnesota Statutes 2006, section 245.98, subdivision 5, is amended to read:<br/>
<a id="pl.276.9"></a><var>276.9</var>    Subd. 5. <b>Standards.</b> The commissioner shall create standards for treatment and <br/>
<a id="pl.276.10"></a><var>276.10</var>provider qualifications for the treatment component of the compulsive gambling program. <br/>
<a id="pl.276.11"></a><var>276.11</var>The commissioner, in coordination with the commissioner of corrections, shall create <br/>
<a id="pl.276.12"></a><var>276.12</var>standards for the assessment and treatment of compulsive gamblers in programs operated <br/>
<a id="pl.276.13"></a><var>276.13</var>by the commissioner of corrections.<br/>
<br/>
<a id="bill.5.7.0"></a><a id="pl.276.14"></a><var>276.14</var>    Sec. 7. <b>[245A.175] MENTAL HEALTH TRAINING REQUIREMENT.</b><br/>
<a id="pl.276.15"></a><var>276.15</var>    Prior to placement of a child in a foster care home, the child foster care provider, if <br/>
<a id="pl.276.16"></a><var>276.16</var>required to be licensed, must complete two hours of training that addresses the causes, <br/>
<a id="pl.276.17"></a><var>276.17</var>symptoms, and key warning signs of mental health disorders; cultural considerations; and <br/>
<a id="pl.276.18"></a><var>276.18</var>effective approaches for dealing with a child's behaviors. At least one hour of the annual <br/>
<a id="pl.276.19"></a><var>276.19</var>12-hour training requirement for foster parents must be on children's mental health issues <br/>
<a id="pl.276.20"></a><var>276.20</var>and treatment. Training curriculum shall be approved by the commissioner of human <br/>
<a id="pl.276.21"></a><var>276.21</var>services.<br/>
<br/>
<a id="bill.5.8.0"></a><a id="pl.276.22"></a><var>276.22</var>    Sec. 8. Minnesota Statutes 2006, section 246.54, subdivision 1, is amended to read:<br/>
<a id="pl.276.23"></a><var>276.23</var>    Subdivision 1. <b>County portion for cost of care.</b> Except for chemical dependency <br/>
<a id="pl.276.24"></a><var>276.24</var>services provided under sections 
         <statute_ref>254B.01</statute_ref> to 
         <statute_ref>254B.09</statute_ref>, the client's county shall pay to the <br/>
<a id="pl.276.25"></a><var>276.25</var>state of Minnesota a portion of the cost of care provided in a regional treatment center <br/>
<a id="pl.276.26"></a><var>276.26</var>or a state nursing facility to a client legally settled in that county. A county's payment <br/>
<a id="pl.276.27"></a><var>276.27</var>shall be made from the county's own sources of revenue and payments shall be paid as <br/>
<a id="pl.276.28"></a><var>276.28</var>follows: payments to the state from the county shall equal 20 percent a percentage of the <br/>
<a id="pl.276.29"></a><var>276.29</var>cost of care, as determined by the commissioner, for each day, or the portion thereof, that <br/>
<a id="pl.276.30"></a><var>276.30</var>the client spends at a regional treatment center or a state nursing facility. according to <br/>
<a id="pl.276.31"></a><var>276.31</var>the following schedule for each admission:<br/>
<a id="pl.276.32"></a><var>276.32</var>    (1) for the first 30 days: 20 percent until January 1, 2008, ten percent from January <br/>
<a id="pl.276.33"></a><var>276.33</var>1, 2008, to June 30, 2009, and zero percent thereafter;<br/>
<a id="pl.277.1"></a><var>277.1</var>    (2) 20 percent for days 31 to 60; and<br/>
<a id="pl.277.2"></a><var>277.2</var>    (3) for any days over 60: 20 percent until January 1, 2008, 30 percent from January <br/>
<a id="pl.277.3"></a><var>277.3</var>1, 2008, to June 30, 2009, 40 percent from July 1, 2009, to June 30, 2010, and 50 percent <br/>
<a id="pl.277.4"></a><var>277.4</var>thereafter.<br/>
<a id="pl.277.5"></a><var>277.5</var> If payments received by the state under sections 
         <statute_ref>246.50</statute_ref> to 
         <statute_ref>246.53</statute_ref> exceed 80 percent the <br/>
<a id="pl.277.6"></a><var>277.6</var>noncounty portion of the cost of care, the county shall be responsible for paying the state <br/>
<a id="pl.277.7"></a><var>277.7</var>only the remaining amount. The county shall not be entitled to reimbursement from <br/>
<a id="pl.277.8"></a><var>277.8</var>the client, the client's estate, or from the client's relatives, except as provided in section <br/>
<statute_ref><a id="pl.277.9"></a><var>277.9</var>246.53
         </statute_ref>. No such payments shall be made for any client who was last committed prior to <br/>
<a id="pl.277.10"></a><var>277.10</var>July 1, 1947.<br/>
<br/>
<a id="bill.5.9.0"></a><a id="pl.277.11"></a><var>277.11</var>    Sec. 9. Minnesota Statutes 2006, section 256B.0625, subdivision 20, is amended to <br/>
<a id="pl.277.12"></a><var>277.12</var>read:<br/>
<a id="pl.277.13"></a><var>277.13</var>    Subd. 20. <b>Mental health case management.</b> (a) To the extent authorized by rule <br/>
<a id="pl.277.14"></a><var>277.14</var>of the state agency, medical assistance covers case management services to persons with <br/>
<a id="pl.277.15"></a><var>277.15</var>serious and persistent mental illness and children with severe emotional disturbance. <br/>
<a id="pl.277.16"></a><var>277.16</var>Services provided under this section must meet the relevant standards in sections 
         <statute_ref>245.461</statute_ref> <br/>
<a id="pl.277.17"></a><var>277.17</var>to 
         <statute_ref>245.4887</statute_ref>, the Comprehensive Adult and Children's Mental Health Acts, Minnesota <br/>
<a id="pl.277.18"></a><var>277.18</var>Rules, parts 
         <statute_ref>9520.0900</statute_ref> to 
         <statute_ref>9520.0926</statute_ref>, and 
         <statute_ref>9505.0322</statute_ref>, excluding subpart 10. <br/>
<a id="pl.277.19"></a><var>277.19</var>    (b) Entities meeting program standards set out in rules governing family community <br/>
<a id="pl.277.20"></a><var>277.20</var>support services as defined in section 
         <statute_ref>245.4871, subdivision 17</statute_ref>, are eligible for medical <br/>
<a id="pl.277.21"></a><var>277.21</var>assistance reimbursement for case management services for children with severe <br/>
<a id="pl.277.22"></a><var>277.22</var>emotional disturbance when these services meet the program standards in Minnesota <br/>
<a id="pl.277.23"></a><var>277.23</var>Rules, parts 
         <statute_ref>9520.0900</statute_ref> to 
         <statute_ref>9520.0926</statute_ref> and 
         <statute_ref>9505.0322</statute_ref>, excluding subparts 6 and 10. <br/>
<a id="pl.277.24"></a><var>277.24</var>    (c) Medical assistance and MinnesotaCare payment for mental health case <br/>
<a id="pl.277.25"></a><var>277.25</var>management shall be made on a monthly basis. In order to receive payment for an eligible <br/>
<a id="pl.277.26"></a><var>277.26</var>child, the provider must document at least a face-to-face contact with the child, the child's <br/>
<a id="pl.277.27"></a><var>277.27</var>parents, or the child's legal representative. To receive payment for an eligible adult, the <br/>
<a id="pl.277.28"></a><var>277.28</var>provider must document:<br/>
<a id="pl.277.29"></a><var>277.29</var>    (1) at least a face-to-face contact with the adult or the adult's legal representative; or<br/>
<a id="pl.277.30"></a><var>277.30</var>    (2) at least a telephone contact with the adult or the adult's legal representative and <br/>
<a id="pl.277.31"></a><var>277.31</var>document a face-to-face contact with the adult or the adult's legal representative within <br/>
<a id="pl.277.32"></a><var>277.32</var>the preceding two months.<br/>
<a id="pl.277.33"></a><var>277.33</var>    (d) Payment for mental health case management provided by county or state staff <br/>
<a id="pl.277.34"></a><var>277.34</var>shall be based on the monthly rate methodology under section 
         <statute_ref>256B.094, subdivision 6</statute_ref>, <br/>
<a id="pl.278.1"></a><var>278.1</var>paragraph (b), with separate rates calculated for child welfare and mental health, and <br/>
<a id="pl.278.2"></a><var>278.2</var>within mental health, separate rates for children and adults. <br/>
<a id="pl.278.3"></a><var>278.3</var>    (e) Payment for mental health case management provided by Indian health services <br/>
<a id="pl.278.4"></a><var>278.4</var>or by agencies operated by Indian tribes may be made according to this section or other <br/>
<a id="pl.278.5"></a><var>278.5</var>relevant federally approved rate setting methodology.<br/>
<a id="pl.278.6"></a><var>278.6</var>    (f) Payment for mental health case management provided by vendors who contract <br/>
<a id="pl.278.7"></a><var>278.7</var>with a county or Indian tribe shall be based on a monthly rate negotiated by the host county <br/>
<a id="pl.278.8"></a><var>278.8</var>or tribe. The negotiated rate must not exceed the rate charged by the vendor for the same <br/>
<a id="pl.278.9"></a><var>278.9</var>service to other payers. If the service is provided by a team of contracted vendors, the <br/>
<a id="pl.278.10"></a><var>278.10</var>county or tribe may negotiate a team rate with a vendor who is a member of the team. The <br/>
<a id="pl.278.11"></a><var>278.11</var>team shall determine how to distribute the rate among its members. No reimbursement <br/>
<a id="pl.278.12"></a><var>278.12</var>received by contracted vendors shall be returned to the county or tribe, except to reimburse <br/>
<a id="pl.278.13"></a><var>278.13</var>the county or tribe for advance funding provided by the county or tribe to the vendor.<br/>
<a id="pl.278.14"></a><var>278.14</var>    (g) If the service is provided by a team which includes contracted vendors, tribal <br/>
<a id="pl.278.15"></a><var>278.15</var>staff, and county or state staff, the costs for county or state staff participation in the team <br/>
<a id="pl.278.16"></a><var>278.16</var>shall be included in the rate for county-provided services. In this case, the contracted <br/>
<a id="pl.278.17"></a><var>278.17</var>vendor, the tribal agency, and the county may each receive separate payment for services <br/>
<a id="pl.278.18"></a><var>278.18</var>provided by each entity in the same month. In order to prevent duplication of services, <br/>
<a id="pl.278.19"></a><var>278.19</var>each entity must document, in the recipient's file, the need for team case management and <br/>
<a id="pl.278.20"></a><var>278.20</var>a description of the roles of the team members.<br/>
<a id="pl.278.21"></a><var>278.21</var>    (h) The commissioner shall calculate the nonfederal share of actual medical <br/>
<a id="pl.278.22"></a><var>278.22</var>assistance and general assistance medical care payments for each county, based on the <br/>
<a id="pl.278.23"></a><var>278.23</var>higher of calendar year 1995 or 1996, by service date, project that amount forward to 1999, <br/>
<a id="pl.278.24"></a><var>278.24</var>and transfer one-half of the result from medical assistance and general assistance medical <br/>
<a id="pl.278.25"></a><var>278.25</var>care to each county's mental health grants under section 
         <statute_ref>256E.12</statute_ref> for calendar year 1999. <br/>
<a id="pl.278.26"></a><var>278.26</var>The annualized minimum amount added to each county's mental health grant shall be <br/>
<a id="pl.278.27"></a><var>278.27</var>$3,000 per year for children and $5,000 per year for adults. The commissioner may reduce <br/>
<a id="pl.278.28"></a><var>278.28</var>the statewide growth factor in order to fund these minimums. The annualized total amount <br/>
<a id="pl.278.29"></a><var>278.29</var>transferred shall become part of the base for future mental health grants for each county. <br/>
<a id="pl.278.30"></a><var>278.30</var>    (i) Notwithstanding section 
         <statute_ref>256B.19, subdivision 1</statute_ref>, the nonfederal share of costs <br/>
<a id="pl.278.31"></a><var>278.31</var>for mental health case management shall be provided by the recipient's county of <br/>
<a id="pl.278.32"></a><var>278.32</var>responsibility, as defined in sections 
         <statute_ref>256G.01</statute_ref> to 
         <statute_ref>256G.12</statute_ref>, from sources other than federal <br/>
<a id="pl.278.33"></a><var>278.33</var>funds or funds used to match other federal funds. If the service is provided by a tribal <br/>
<a id="pl.278.34"></a><var>278.34</var>agency, the nonfederal share, if any, shall be provided by the recipient's tribe. When this <br/>
<a id="pl.278.35"></a><var>278.35</var>service is paid by the state without a federal share through fee-for-service, 50 percent of <br/>
<a id="pl.278.36"></a><var>278.36</var>the cost shall be provided by the recipient's county of responsibility.<br/>
<a id="pl.279.1"></a><var>279.1</var>    (j) Notwithstanding any administrative rule to the contrary, prepaid medical <br/>
<a id="pl.279.2"></a><var>279.2</var>assistance, general assistance medical care, and MinnesotaCare include mental health case <br/>
<a id="pl.279.3"></a><var>279.3</var>management. When the service is provided through prepaid capitation, the nonfederal <br/>
<a id="pl.279.4"></a><var>279.4</var>share is paid by the state and the county pays no share.<br/>
<a id="pl.279.5"></a><var>279.5</var>    (j) (k) The commissioner may suspend, reduce, or terminate the reimbursement to a <br/>
<a id="pl.279.6"></a><var>279.6</var>provider that does not meet the reporting or other requirements of this section. The county <br/>
<a id="pl.279.7"></a><var>279.7</var>of responsibility, as defined in sections 
         <statute_ref>256G.01</statute_ref> to 
         <statute_ref>256G.12</statute_ref>, or, if applicable, the tribal <br/>
<a id="pl.279.8"></a><var>279.8</var>agency, is responsible for any federal disallowances. The county or tribe may share this <br/>
<a id="pl.279.9"></a><var>279.9</var>responsibility with its contracted vendors. <br/>
<a id="pl.279.10"></a><var>279.10</var>    (k) (l) The commissioner shall set aside a portion of the federal funds earned for <br/>
<a id="pl.279.11"></a><var>279.11</var>county expenditures under this section to repay the special revenue maximization account <br/>
<a id="pl.279.12"></a><var>279.12</var>under section 
         <statute_ref>256.01, subdivision 2</statute_ref>, clause (15). The repayment is limited to: <br/>
<a id="pl.279.13"></a><var>279.13</var>    (1) the costs of developing and implementing this section; and<br/>
<a id="pl.279.14"></a><var>279.14</var>    (2) programming the information systems.<br/>
<a id="pl.279.15"></a><var>279.15</var>    (l) (m) Payments to counties and tribal agencies for case management expenditures <br/>
<a id="pl.279.16"></a><var>279.16</var>under this section shall only be made from federal earnings from services provided <br/>
<a id="pl.279.17"></a><var>279.17</var>under this section. When this service is paid by the state without a federal share through <br/>
<a id="pl.279.18"></a><var>279.18</var>fee-for-service, 50 percent of the cost shall be provided by the state. Payments to <br/>
<a id="pl.279.19"></a><var>279.19</var>county-contracted vendors shall include both the federal earnings, the state share, and the <br/>
<a id="pl.279.20"></a><var>279.20</var>county share.<br/>
<a id="pl.279.21"></a><var>279.21</var>    (m) (n) Notwithstanding section 
         <statute_ref>256B.041</statute_ref>, county payments for the cost of mental <br/>
<a id="pl.279.22"></a><var>279.22</var>health case management services provided by county or state staff shall not be made <br/>
<a id="pl.279.23"></a><var>279.23</var>to the commissioner of finance. For the purposes of mental health case management <br/>
<a id="pl.279.24"></a><var>279.24</var>services provided by county or state staff under this section, the centralized disbursement <br/>
<a id="pl.279.25"></a><var>279.25</var>of payments to counties under section 
         <statute_ref>256B.041</statute_ref> consists only of federal earnings from <br/>
<a id="pl.279.26"></a><var>279.26</var>services provided under this section. <br/>
<a id="pl.279.27"></a><var>279.27</var>    (n) (o) Case management services under this subdivision do not include therapy, <br/>
<a id="pl.279.28"></a><var>279.28</var>treatment, legal, or outreach services.<br/>
<a id="pl.279.29"></a><var>279.29</var>    (o) (p) If the recipient is a resident of a nursing facility, intermediate care facility, <br/>
<a id="pl.279.30"></a><var>279.30</var>or hospital, and the recipient's institutional care is paid by medical assistance, payment <br/>
<a id="pl.279.31"></a><var>279.31</var>for case management services under this subdivision is limited to the last 180 days of <br/>
<a id="pl.279.32"></a><var>279.32</var>the recipient's residency in that facility and may not exceed more than six months in a <br/>
<a id="pl.279.33"></a><var>279.33</var>calendar year.<br/>
<a id="pl.279.34"></a><var>279.34</var>    (p) (q) Payment for case management services under this subdivision shall not <br/>
<a id="pl.279.35"></a><var>279.35</var>duplicate payments made under other program authorities for the same purpose.<br/>
<a id="pl.280.1"></a><var>280.1</var>    (q) (r) By July 1, 2000, the commissioner shall evaluate the effectiveness of the <br/>
<a id="pl.280.2"></a><var>280.2</var>changes required by this section, including changes in number of persons receiving <br/>
<a id="pl.280.3"></a><var>280.3</var>mental health case management, changes in hours of service per person, and changes in <br/>
<a id="pl.280.4"></a><var>280.4</var>caseload size.<br/>
<a id="pl.280.5"></a><var>280.5</var>    (r) (s) For each calendar year beginning with the calendar year 2001, the annualized <br/>
<a id="pl.280.6"></a><var>280.6</var>amount of state funds for each county determined under paragraph (h) shall be adjusted by <br/>
<a id="pl.280.7"></a><var>280.7</var>the county's percentage change in the average number of clients per month who received <br/>
<a id="pl.280.8"></a><var>280.8</var>case management under this section during the fiscal year that ended six months prior to <br/>
<a id="pl.280.9"></a><var>280.9</var>the calendar year in question, in comparison to the prior fiscal year.<br/>
<a id="pl.280.10"></a><var>280.10</var>    (s) (t) For counties receiving the minimum allocation of $3,000 or $5,000 described <br/>
<a id="pl.280.11"></a><var>280.11</var>in paragraph (h), the adjustment in paragraph (s) shall be determined so that the county <br/>
<a id="pl.280.12"></a><var>280.12</var>receives the higher of the following amounts:<br/>
<a id="pl.280.13"></a><var>280.13</var>    (1) a continuation of the minimum allocation in paragraph (h); or<br/>
<a id="pl.280.14"></a><var>280.14</var>    (2) an amount based on that county's average number of clients per month who <br/>
<a id="pl.280.15"></a><var>280.15</var>received case management under this section during the fiscal year that ended six months <br/>
<a id="pl.280.16"></a><var>280.16</var>prior to the calendar year in question, times the average statewide grant per person per <br/>
<a id="pl.280.17"></a><var>280.17</var>month for counties not receiving the minimum allocation.<br/>
<a id="pl.280.18"></a><var>280.18</var>    (t) (u) The adjustments in paragraphs (s) and (t) shall be calculated separately for <br/>
<a id="pl.280.19"></a><var>280.19</var>children and adults.<br/>
<a id="pl.280.20"></a><var>280.20</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2009, except the <br/>
<a id="pl.280.21"></a><var>280.21</var>amendment to paragraph (i) is effective January 1, 2008.<br/>
<br/>
<a id="bill.5.10.0"></a><a id="pl.280.22"></a><var>280.22</var>    Sec. 10. Minnesota Statutes 2006, section 256B.0625, subdivision 47, is amended to <br/>
<a id="pl.280.23"></a><var>280.23</var>read:<br/>
<a id="pl.280.24"></a><var>280.24</var>    Subd. 47. <b>Treatment foster care services.</b> Effective July 1, 2006 2009, and subject <br/>
<a id="pl.280.25"></a><var>280.25</var>to federal approval, medical assistance covers treatment foster care services according to <br/>
<a id="pl.280.26"></a><var>280.26</var>section 
         <statute_ref>256B.0946</statute_ref>.<br/>
<br/>
<a id="bill.5.11.0"></a><a id="pl.280.27"></a><var>280.27</var>    Sec. 11. Minnesota Statutes 2006, section 256B.0945, subdivision 4, is amended to <br/>
<a id="pl.280.28"></a><var>280.28</var>read:<br/>
<a id="pl.280.29"></a><var>280.29</var>    Subd. 4. <b>Payment rates.</b> (a) Notwithstanding sections 
         <statute_ref>256B.19</statute_ref> and 
         <statute_ref>256B.041</statute_ref>, <br/>
<a id="pl.280.30"></a><var>280.30</var>payments to counties for residential services provided by a residential facility shall only <br/>
<a id="pl.280.31"></a><var>280.31</var>be made of federal earnings for services provided under this section, and the nonfederal <br/>
<a id="pl.280.32"></a><var>280.32</var>share of costs for services provided under this section shall be paid by the county from <br/>
<a id="pl.280.33"></a><var>280.33</var>sources other than federal funds or funds used to match other federal funds. Payment to <br/>
<a id="pl.280.34"></a><var>280.34</var>counties for services provided according to this section shall be a proportion of the per <br/>
<a id="pl.281.1"></a><var>281.1</var>day contract rate that relates to rehabilitative mental health services and shall not include <br/>
<a id="pl.281.2"></a><var>281.2</var>payment for costs or services that are billed to the IV-E program as room and board. <br/>
<a id="pl.281.3"></a><var>281.3</var>    (b) Per diem rates paid to providers under this section by prepaid plans shall be the <br/>
<a id="pl.281.4"></a><var>281.4</var>proportion of the per-day contract rate that relates to rehabilitative mental health services <br/>
<a id="pl.281.5"></a><var>281.5</var>and shall not include payment for group foster care costs or services that are billed to the <br/>
<a id="pl.281.6"></a><var>281.6</var>county of financial responsibility.<br/>
<a id="pl.281.7"></a><var>281.7</var>    (c) The commissioner shall set aside a portion not to exceed five percent of the <br/>
<a id="pl.281.8"></a><var>281.8</var>federal funds earned for county expenditures under this section to cover the state costs of <br/>
<a id="pl.281.9"></a><var>281.9</var>administering this section. Any unexpended funds from the set-aside shall be distributed <br/>
<a id="pl.281.10"></a><var>281.10</var>to the counties in proportion to their earnings under this section.<br/>
<a id="pl.281.11"></a><var>281.11</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2009.<br/>
<br/>
<a id="bill.5.12.0"></a><a id="pl.281.12"></a><var>281.12</var>    Sec. 12. Minnesota Statutes 2006, section 256B.69, subdivision 5g, is amended to read:<br/>
<a id="pl.281.13"></a><var>281.13</var>    Subd. 5g. <b>Payment for covered services.</b> For services rendered on or after January <br/>
<a id="pl.281.14"></a><var>281.14</var>1, 2003, the total payment made to managed care plans for providing covered services <br/>
<a id="pl.281.15"></a><var>281.15</var>under the medical assistance and general assistance medical care programs is reduced by <br/>
<a id="pl.281.16"></a><var>281.16</var>.5 percent from their current statutory rates. This provision excludes payments for nursing <br/>
<a id="pl.281.17"></a><var>281.17</var>home services, home and community-based waivers, and payments to demonstration <br/>
<a id="pl.281.18"></a><var>281.18</var>projects for persons with disabilities, and mental health services added as covered benefits <br/>
<a id="pl.281.19"></a><var>281.19</var>after December 31, 2007.<br/>
<br/>
<a id="bill.5.13.0"></a><a id="pl.281.20"></a><var>281.20</var>    Sec. 13. Minnesota Statutes 2006, section 256B.69, subdivision 5h, is amended to read:<br/>
<a id="pl.281.21"></a><var>281.21</var>    Subd. 5h. <b>Payment reduction.</b> In addition to the reduction in subdivision 5g, <br/>
<a id="pl.281.22"></a><var>281.22</var>the total payment made to managed care plans under the medical assistance program is <br/>
<a id="pl.281.23"></a><var>281.23</var>reduced 1.0 percent for services provided on or after October 1, 2003, and an additional <br/>
<a id="pl.281.24"></a><var>281.24</var>1.0 percent for services provided on or after January 1, 2004. This provision excludes <br/>
<a id="pl.281.25"></a><var>281.25</var>payments for nursing home services, home and community-based waivers, and payments <br/>
<a id="pl.281.26"></a><var>281.26</var>to demonstration projects for persons with disabilities, and mental health services added as <br/>
<a id="pl.281.27"></a><var>281.27</var>covered benefits after December 1, 2007.<br/>
<br/>
<a id="bill.5.14.0"></a><a id="pl.281.28"></a><var>281.28</var>    Sec. 14. Minnesota Statutes 2006, section 256B.763, is amended to read:<br/>
<a id="pl.281.29"></a><var>281.29</var><b>256B.763 CRITICAL ACCESS MENTAL HEALTH RATE INCREASE.</b><br/>
<a id="pl.281.30"></a><var>281.30</var>    (a) For services defined in paragraph (b) and rendered on or after July 1, 2007, <br/>
<a id="pl.281.31"></a><var>281.31</var>payment rates shall be increased by 23.7 percent over the rates in effect on January 1, <br/>
<a id="pl.281.32"></a><var>281.32</var>2006, for:<br/>
<a id="pl.282.1"></a><var>282.1</var>    (1) psychiatrists and advanced practice registered nurses with a psychiatric specialty;<br/>
<a id="pl.282.2"></a><var>282.2</var>    (2) community mental health centers under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 5; and<br/>
<a id="pl.282.3"></a><var>282.3</var>    (3) mental health clinics and centers certified under Minnesota Rules, parts <br/>
<statute_ref><a id="pl.282.4"></a><var>282.4</var>9520.0750
         </statute_ref> to 
         <statute_ref>9520.0870</statute_ref>, or hospital outpatient psychiatric departments that are designated <br/>
<a id="pl.282.5"></a><var>282.5</var>as essential community providers under section 
         <statute_ref>62Q.19</statute_ref>.<br/>
<a id="pl.282.6"></a><var>282.6</var>    (b) This increase applies to group skills training when provided as a component of <br/>
<a id="pl.282.7"></a><var>282.7</var>children's therapeutic services and support, psychotherapy, medication management, <br/>
<a id="pl.282.8"></a><var>282.8</var>evaluation and management, diagnostic assessment, explanation of findings, psychological <br/>
<a id="pl.282.9"></a><var>282.9</var>testing, neuropsychological services, direction of behavioral aides, and inpatient <br/>
<a id="pl.282.10"></a><var>282.10</var>consultation.<br/>
<a id="pl.282.11"></a><var>282.11</var>    (c) This increase does not apply to rates that are governed by section 
         <statute_ref>256B.0625</statute_ref>, <br/>
<a id="pl.282.12"></a><var>282.12</var>subdivision 30, or 
         <statute_ref>256B.761</statute_ref>, paragraph (b), other cost-based rates, rates that are <br/>
<a id="pl.282.13"></a><var>282.13</var>negotiated with the county, rates that are established by the federal government, or rates <br/>
<a id="pl.282.14"></a><var>282.14</var>that increased between January 1, 2004, and January 1, 2005.<br/>
<a id="pl.282.15"></a><var>282.15</var>    (d) The commissioner shall adjust rates paid to prepaid health plans under contract <br/>
<a id="pl.282.16"></a><var>282.16</var>with the commissioner to reflect the rate increases provided in paragraph (a). The prepaid <br/>
<a id="pl.282.17"></a><var>282.17</var>health plan must pass this rate increase to the providers identified in paragraph (a) <br/>
<a id="pl.282.18"></a><var>282.18</var>paragraphs (a), (e), and (f). The prepaid plan must pass this rate increase to the providers <br/>
<a id="pl.282.19"></a><var>282.19</var>identified in paragraphs (a), (e), and (f).<br/>
<a id="pl.282.20"></a><var>282.20</var>    (e) For MinnesotaCare only, payment rates shall be increased by 23.7 percent over <br/>
<a id="pl.282.21"></a><var>282.21</var>the rates in effect on December 31, 2007, for:<br/>
<a id="pl.282.22"></a><var>282.22</var>    (1) medication education services provided on or after January 1, 2008, by adult <br/>
<a id="pl.282.23"></a><var>282.23</var>rehabilitative mental health services providers certified under section 256B.0623; and<br/>
<a id="pl.282.24"></a><var>282.24</var>    (2) mental health behavioral aide services provided on or after January 1, 2008, by <br/>
<a id="pl.282.25"></a><var>282.25</var>children's therapeutic services and support providers certified under section 256B.0943.<br/>
<a id="pl.282.26"></a><var>282.26</var>    (f) For services defined in paragraph (b) and rendered on or after January 1, 2008, by <br/>
<a id="pl.282.27"></a><var>282.27</var>children's therapeutic services and support providers certified under section 256B.0943 <br/>
<a id="pl.282.28"></a><var>282.28</var>and not already included in paragraph (a), payment rates for MinnesotaCare shall be <br/>
<a id="pl.282.29"></a><var>282.29</var>increased by 23.7 percent over the rates in effect on December 31, 2007.<br/>
<br/>
<a id="bill.5.15.0"></a><a id="pl.282.30"></a><var>282.30</var>    Sec. 15. Minnesota Statutes 2006, section 256L.03, subdivision 1, is amended to read:<br/>
<a id="pl.282.31"></a><var>282.31</var>    Subdivision 1. <b>Covered health services.</b> For individuals under section 
         <statute_ref>256L.04, <br/>
<a id="pl.282.32"></a><var>282.32</var>subdivision 7
         </statute_ref>, with income no greater than 75 percent of the federal poverty guidelines <br/>
<a id="pl.282.33"></a><var>282.33</var>or for families with children under section 
         <statute_ref>256L.04, subdivision 1</statute_ref>, all subdivisions of <br/>
<a id="pl.282.34"></a><var>282.34</var>this section apply. "Covered health services" means the health services reimbursed <br/>
<a id="pl.282.35"></a><var>282.35</var>under chapter 256B, with the exception of inpatient hospital services, special education <br/>
<a id="pl.283.1"></a><var>283.1</var>services, private duty nursing services, adult dental care services other than services <br/>
<a id="pl.283.2"></a><var>283.2</var>covered under section 
         <statute_ref>256B.0625, subdivision 9</statute_ref>, orthodontic services, nonemergency <br/>
<a id="pl.283.3"></a><var>283.3</var>medical transportation services, personal care assistant and case management services, <br/>
<a id="pl.283.4"></a><var>283.4</var>nursing home or intermediate care facilities services, inpatient mental health services, <br/>
<a id="pl.283.5"></a><var>283.5</var>and chemical dependency services. Outpatient mental health services covered under the <br/>
<a id="pl.283.6"></a><var>283.6</var>MinnesotaCare program are limited to diagnostic assessments, psychological testing, <br/>
<a id="pl.283.7"></a><var>283.7</var>explanation of findings, mental health telemedicine, psychiatric consultation, medication <br/>
<a id="pl.283.8"></a><var>283.8</var>management by a physician, day treatment, partial hospitalization, and individual, family, <br/>
<a id="pl.283.9"></a><var>283.9</var>and group psychotherapy.<br/>
<a id="pl.283.10"></a><var>283.10</var>    "Covered health services" also includes intensive mental health outpatient treatment <br/>
<a id="pl.283.11"></a><var>283.11</var>for dialectical behavioral therapy for adults.<br/>
<a id="pl.283.12"></a><var>283.12</var>    No public funds shall be used for coverage of abortion under MinnesotaCare <br/>
<a id="pl.283.13"></a><var>283.13</var>except where the life of the female would be endangered or substantial and irreversible <br/>
<a id="pl.283.14"></a><var>283.14</var>impairment of a major bodily function would result if the fetus were carried to term; or <br/>
<a id="pl.283.15"></a><var>283.15</var>where the pregnancy is the result of rape or incest.<br/>
<a id="pl.283.16"></a><var>283.16</var>    Covered health services shall be expanded as provided in this section.<br/>
<a id="pl.283.17"></a><var>283.17</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008, except coverage for <br/>
<a id="pl.283.18"></a><var>283.18</var>mental health case management is effective January 1, 2009.<br/>
<br/>
<a id="bill.5.16.0"></a><a id="pl.283.19"></a><var>283.19</var>    Sec. 16. Minnesota Statutes 2006, section 256L.03, subdivision 5, is amended to read:<br/>
<a id="pl.283.20"></a><var>283.20</var>    Subd. 5. <b>Co-payments and coinsurance.</b> (a) Except as provided in paragraphs (b) <br/>
<a id="pl.283.21"></a><var>283.21</var>and (c), the MinnesotaCare benefit plan shall include the following co-payments and <br/>
<a id="pl.283.22"></a><var>283.22</var>coinsurance requirements for all enrollees:<br/>
<a id="pl.283.23"></a><var>283.23</var>    (1) ten percent of the paid charges for inpatient hospital services for adult enrollees, <br/>
<a id="pl.283.24"></a><var>283.24</var>subject to an annual inpatient out-of-pocket maximum of $1,000 per individual and <br/>
<a id="pl.283.25"></a><var>283.25</var>$3,000 per family;<br/>
<a id="pl.283.26"></a><var>283.26</var>    (2) $3 per prescription for adult enrollees;<br/>
<a id="pl.283.27"></a><var>283.27</var>    (3) $25 for eyeglasses for adult enrollees;<br/>
<a id="pl.283.28"></a><var>283.28</var>    (4) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means an <br/>
<a id="pl.283.29"></a><var>283.29</var>episode of service which is required because of a recipient's symptoms, diagnosis, or <br/>
<a id="pl.283.30"></a><var>283.30</var>established illness, and which is delivered in an ambulatory setting by a physician or <br/>
<a id="pl.283.31"></a><var>283.31</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse, <br/>
<a id="pl.283.32"></a><var>283.32</var>audiologist, optician, or optometrist; and<br/>
<a id="pl.283.33"></a><var>283.33</var>    (5) $6 for nonemergency visits to a hospital-based emergency room.<br/>
<a id="pl.283.34"></a><var>283.34</var>    (b) Paragraph (a), clause (1), does not apply to parents and relative caretakers of <br/>
<a id="pl.283.35"></a><var>283.35</var>children under the age of 21 in households with family income equal to or less than 175 <br/>
<a id="pl.284.1"></a><var>284.1</var>percent of the federal poverty guidelines. Paragraph (a), clause (1), does not apply to <br/>
<a id="pl.284.2"></a><var>284.2</var>parents and relative caretakers of children under the age of 21 in households with family <br/>
<a id="pl.284.3"></a><var>284.3</var>income greater than 175 percent of the federal poverty guidelines for inpatient hospital <br/>
<a id="pl.284.4"></a><var>284.4</var>admissions occurring on or after January 1, 2001.<br/>
<a id="pl.284.5"></a><var>284.5</var>    (c) Paragraph (a), clauses (1) to (4), do not apply to pregnant women and children <br/>
<a id="pl.284.6"></a><var>284.6</var>under the age of 21.<br/>
<a id="pl.284.7"></a><var>284.7</var>    (d) Paragraph (a), clause (4), does not apply to mental health services.<br/>
<a id="pl.284.8"></a><var>284.8</var>    (e) Adult enrollees with family gross income that exceeds 175 percent of the <br/>
<a id="pl.284.9"></a><var>284.9</var>federal poverty guidelines and who are not pregnant shall be financially responsible for <br/>
<a id="pl.284.10"></a><var>284.10</var>the coinsurance amount, if applicable, and amounts which exceed the $10,000 inpatient <br/>
<a id="pl.284.11"></a><var>284.11</var>hospital benefit limit.<br/>
<a id="pl.284.12"></a><var>284.12</var>    (e) (f) When a MinnesotaCare enrollee becomes a member of a prepaid health plan, <br/>
<a id="pl.284.13"></a><var>284.13</var>or changes from one prepaid health plan to another during a calendar year, any charges <br/>
<a id="pl.284.14"></a><var>284.14</var>submitted towards the $10,000 annual inpatient benefit limit, and any out-of-pocket <br/>
<a id="pl.284.15"></a><var>284.15</var>expenses incurred by the enrollee for inpatient services, that were submitted or incurred <br/>
<a id="pl.284.16"></a><var>284.16</var>prior to enrollment, or prior to the change in health plans, shall be disregarded.<br/>
<br/>
<a id="bill.5.17.0"></a><a id="pl.284.17"></a><var>284.17</var>    Sec. 17. Minnesota Statutes 2006, section 256L.035, is amended to read:<br/>
<a id="pl.284.18"></a><var>284.18</var><b>256L.035 LIMITED BENEFITS COVERAGE FOR CERTAIN SINGLE </b><br/>
<a id="pl.284.19"></a><var>284.19</var><b>ADULTS AND HOUSEHOLDS WITHOUT CHILDREN.</b><br/>
<a id="pl.284.20"></a><var>284.20</var>    (a) "Covered health services" for individuals under section 
         <statute_ref>256L.04, subdivision <br/>
<a id="pl.284.21"></a><var>284.21</var>7
         </statute_ref>, with income above 75 percent, but not exceeding 175 percent, of the federal poverty <br/>
<a id="pl.284.22"></a><var>284.22</var>guideline means:<br/>
<a id="pl.284.23"></a><var>284.23</var>    (1) inpatient hospitalization benefits with a ten percent co-payment up to $1,000 and <br/>
<a id="pl.284.24"></a><var>284.24</var>subject to an annual limitation of $10,000;<br/>
<a id="pl.284.25"></a><var>284.25</var>    (2) physician services provided during an inpatient stay; and<br/>
<a id="pl.284.26"></a><var>284.26</var>    (3) physician services not provided during an inpatient stay; outpatient hospital <br/>
<a id="pl.284.27"></a><var>284.27</var>services; freestanding ambulatory surgical center services; chiropractic services; lab and <br/>
<a id="pl.284.28"></a><var>284.28</var>diagnostic services; diabetic supplies and equipment; mental health services as covered <br/>
<a id="pl.284.29"></a><var>284.29</var>under chapter 256B; and prescription drugs; subject to the following co-payments:<br/>
<a id="pl.284.30"></a><var>284.30</var>    (i) $50 co-pay per emergency room visit;<br/>
<a id="pl.284.31"></a><var>284.31</var>    (ii) $3 co-pay per prescription drug; and<br/>
<a id="pl.284.32"></a><var>284.32</var>    (iii) $5 co-pay per nonpreventive visit; except this co-pay does not apply to mental <br/>
<a id="pl.284.33"></a><var>284.33</var>health services or community mental health services.<br/>
<a id="pl.284.34"></a><var>284.34</var>The services covered under this section may be provided by a physician, physician <br/>
<a id="pl.284.35"></a><var>284.35</var>ancillary, chiropractor, psychologist, or licensed independent clinical social worker, or <br/>
<a id="pl.285.1"></a><var>285.1</var>other mental health providers covered under chapter 256B if the services are within the <br/>
<a id="pl.285.2"></a><var>285.2</var>scope of practice of that health care professional.<br/>
<a id="pl.285.3"></a><var>285.3</var>    For purposes of this section, "a visit" means an episode of service which is required <br/>
<a id="pl.285.4"></a><var>285.4</var>because of a recipient's symptoms, diagnosis, or established illness, and which is delivered <br/>
<a id="pl.285.5"></a><var>285.5</var>in an ambulatory setting by any health care provider identified in this paragraph.<br/>
<a id="pl.285.6"></a><var>285.6</var>    Enrollees are responsible for all co-payments in this section.<br/>
<a id="pl.285.7"></a><var>285.7</var>    (b) Reimbursement to the providers shall be reduced by the amount of the <br/>
<a id="pl.285.8"></a><var>285.8</var>co-payment, except that reimbursement for prescription drugs shall not be reduced once a <br/>
<a id="pl.285.9"></a><var>285.9</var>recipient has reached the $20 per month maximum for prescription drug co-payments. <br/>
<a id="pl.285.10"></a><var>285.10</var>The provider collects the co-payment from the recipient. Providers may not deny services <br/>
<a id="pl.285.11"></a><var>285.11</var>to recipients who are unable to pay the co-payment, except as provided in paragraph (c).<br/>
<a id="pl.285.12"></a><var>285.12</var>    (c) If it is the routine business practice of a provider to refuse service to an individual <br/>
<a id="pl.285.13"></a><var>285.13</var>with uncollected debt, the provider may include uncollected co-payments under this <br/>
<a id="pl.285.14"></a><var>285.14</var>section. A provider must give advance notice to a recipient with uncollected debt before <br/>
<a id="pl.285.15"></a><var>285.15</var>services can be denied.<br/>
<a id="pl.285.16"></a><var>285.16</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2008, except coverage <br/>
<a id="pl.285.17"></a><var>285.17</var>for mental health case management under paragraph (a), clause (3), is effective January <br/>
<a id="pl.285.18"></a><var>285.18</var>1, 2009.<br/>
<br/>
<a id="bill.5.18.0"></a><a id="pl.285.19"></a><var>285.19</var>    Sec. 18. Minnesota Statutes 2006, section 256L.12, subdivision 9a, is amended to read:<br/>
<a id="pl.285.20"></a><var>285.20</var>    Subd. 9a. <b>Rate setting; ratable reduction.</b> For services rendered on or after <br/>
<a id="pl.285.21"></a><var>285.21</var>October 1, 2003, the total payment made to managed care plans under the MinnesotaCare <br/>
<a id="pl.285.22"></a><var>285.22</var>program is reduced 1.0 percent. This provision excludes payments for mental health <br/>
<a id="pl.285.23"></a><var>285.23</var>services added as covered benefits after December 31, 2007.<br/>
<br/>
<a id="bill.5.19.0"></a><a id="pl.285.24"></a><var>285.24</var>    Sec. 19. Minnesota Statutes 2006, section 609.115, subdivision 9, is amended to read:<br/>
<a id="pl.285.25"></a><var>285.25</var>    Subd. 9. <b>Compulsive gambling assessment required.</b> (a) If a person is convicted <br/>
<a id="pl.285.26"></a><var>285.26</var>of theft under section 
         <statute_ref>609.52</statute_ref>, embezzlement of public funds under section 
         <statute_ref>609.54</statute_ref>, or <br/>
<a id="pl.285.27"></a><var>285.27</var>forgery under section 
         <statute_ref>609.625</statute_ref>, 
         <statute_ref>609.63</statute_ref>, or 
         <statute_ref>609.631</statute_ref>, the probation officer shall determine in <br/>
<a id="pl.285.28"></a><var>285.28</var>the report prepared under subdivision 1 whether or not compulsive gambling contributed <br/>
<a id="pl.285.29"></a><var>285.29</var>to the commission of the offense. If so, the report shall contain the results of a compulsive <br/>
<a id="pl.285.30"></a><var>285.30</var>gambling assessment conducted in accordance with this subdivision. The probation officer <br/>
<a id="pl.285.31"></a><var>285.31</var>shall make an appointment for the offender to undergo the assessment if so indicated. <br/>
<a id="pl.285.32"></a><var>285.32</var>    (b) The compulsive gambling assessment report must include a recommended level <br/>
<a id="pl.285.33"></a><var>285.33</var>of treatment for the offender if the assessor concludes that the offender is in need of <br/>
<a id="pl.285.34"></a><var>285.34</var>compulsive gambling treatment. The assessment must be conducted by an assessor <br/>
<a id="pl.286.1"></a><var>286.1</var>qualified under section 
         <statute_ref>245.98, subdivision 2a</statute_ref>, to perform these assessments or to <br/>
<a id="pl.286.2"></a><var>286.2</var>provide compulsive gambling treatment. An assessor providing a compulsive gambling <br/>
<a id="pl.286.3"></a><var>286.3</var>assessment may not have any direct or shared financial interest or referral relationship <br/>
<a id="pl.286.4"></a><var>286.4</var>resulting in shared financial gain with a treatment provider. If an independent assessor is <br/>
<a id="pl.286.5"></a><var>286.5</var>not available, the probation officer may use the services of an assessor with a financial <br/>
<a id="pl.286.6"></a><var>286.6</var>interest or referral relationship as authorized under rules adopted by the commissioner <br/>
<a id="pl.286.7"></a><var>286.7</var>of human services under section 
         <statute_ref>245.98, subdivision 2a</statute_ref>. <br/>
<a id="pl.286.8"></a><var>286.8</var>    (c) The commissioner of human services shall reimburse the assessor for the <br/>
<a id="pl.286.9"></a><var>286.9</var>costs associated with a compulsive gambling assessment at a rate established by the <br/>
<a id="pl.286.10"></a><var>286.10</var>commissioner up to a maximum of $100 for each assessment. To the extent practicable, the <br/>
<a id="pl.286.11"></a><var>286.11</var>commissioner shall standardize reimbursement rates for assessments. The commissioner <br/>
<a id="pl.286.12"></a><var>286.12</var>shall reimburse these costs after receiving written verification from the probation officer <br/>
<a id="pl.286.13"></a><var>286.13</var>that the assessment was performed and found acceptable.<br/>
<a id="pl.286.14"></a><var>286.14</var>    (d) The commissioner shall make a report to the legislature by January 15, 2008, <br/>
<a id="pl.286.15"></a><var>286.15</var>regarding the transfer of funds to counties for state registered nurses employed in <br/>
<a id="pl.286.16"></a><var>286.16</var>community mental health pilot projects as part of the assertive community treatment <br/>
<a id="pl.286.17"></a><var>286.17</var>teams under section 245.4661. The report shall address the impact of the nursing shortage <br/>
<a id="pl.286.18"></a><var>286.18</var>on replacing these positions, continuity of patient care if these positions cannot be filled, <br/>
<a id="pl.286.19"></a><var>286.19</var>and ways to maintain state registered nurses in these positions until the nurse retires or <br/>
<a id="pl.286.20"></a><var>286.20</var>leaves employment. No funds for state registered nurse positions may be transferred <br/>
<a id="pl.286.21"></a><var>286.21</var>before the report date.<br/>
<br/>
<a id="bill.5.20.0"></a><a id="pl.286.22"></a><var>286.22</var>    Sec. 20. <b>CASE MANAGEMENT; BEST PRACTICES.</b><br/>
<a id="pl.286.23"></a><var>286.23</var>    The commissioner of human services, in consultation with consumers, families, <br/>
<a id="pl.286.24"></a><var>286.24</var>counties, and other interested stakeholders, will develop recommendations for changes in <br/>
<a id="pl.286.25"></a><var>286.25</var>the adult mental health act related to case management, consistent with evidence-based <br/>
<a id="pl.286.26"></a><var>286.26</var>and best practices.<br/>
<br/>
<a id="bill.5.21.0"></a><a id="pl.286.27"></a><var>286.27</var>    Sec. 21. <b>REGIONAL CHILDREN'S MENTAL HEALTH INITIATIVE.</b><br/>
<a id="pl.286.28"></a><var>286.28</var>    Subdivision 1. <b>Pilot project authorized; purpose.</b> A two-year Regional Children's <br/>
<a id="pl.286.29"></a><var>286.29</var>Mental Health Initiative pilot project is established to improve children's mental health <br/>
<a id="pl.286.30"></a><var>286.30</var>service coordination, communication, and processes in Blue Earth, Brown, Faribault, <br/>
<a id="pl.286.31"></a><var>286.31</var>Freeborn, Le Sueur, Martin, Nicollet, Rice, Sibley, Waseca, and Watonwan Counties. The <br/>
<a id="pl.286.32"></a><var>286.32</var>purpose of the Regional Children's Mental Health Initiative will be to plan and develop <br/>
<a id="pl.286.33"></a><var>286.33</var>new programs and services related to children's mental health in south central Minnesota.<br/>
<a id="pl.287.1"></a><var>287.1</var>    Subd. 2. <b>Goals.</b> To accomplish its purpose, the Regional Children's Mental Health <br/>
<a id="pl.287.2"></a><var>287.2</var>Initiative shall have the following goals:<br/>
<a id="pl.287.3"></a><var>287.3</var>    (1) work to streamline delivery and regional access to services;<br/>
<a id="pl.287.4"></a><var>287.4</var>    (2) share strategies and resources for the management of out-of-home placements;<br/>
<a id="pl.287.5"></a><var>287.5</var>    (3) establish standard protocols and operating procedures for functions that are <br/>
<a id="pl.287.6"></a><var>287.6</var>performed across all counties;<br/>
<a id="pl.287.7"></a><var>287.7</var>    (4) share information to improve resource allocation and service delivery across <br/>
<a id="pl.287.8"></a><var>287.8</var>counties;<br/>
<a id="pl.287.9"></a><var>287.9</var>    (5) evaluate outcomes of various treatment alternatives;<br/>
<a id="pl.287.10"></a><var>287.10</var>    (6) create a network for and provide support to service delivery groups;<br/>
<a id="pl.287.11"></a><var>287.11</var>    (7) establish a regional process to match children in need of out-of-home placement <br/>
<a id="pl.287.12"></a><var>287.12</var>with foster homes that can meet their needs; and<br/>
<a id="pl.287.13"></a><var>287.13</var>    (8) recruit and retain foster homes.<br/>
<a id="pl.287.14"></a><var>287.14</var>    Subd. 3. <b>Director's Council.</b> The Director's Council shall govern the operations of <br/>
<a id="pl.287.15"></a><var>287.15</var>the Regional Children's Mental Health Initiative. Members of the Director's Council shall <br/>
<a id="pl.287.16"></a><var>287.16</var>represent each of the 11 counties participating in the pilot project.<br/>
<a id="pl.287.17"></a><var>287.17</var>    Subd. 4. <b>Regional Children's Mental Health Initiative Team.</b> The members <br/>
<a id="pl.287.18"></a><var>287.18</var>of the Regional Children's Mental Health Initiative Team shall conduct planning and <br/>
<a id="pl.287.19"></a><var>287.19</var>development of new and modified children's mental health programs and services in the <br/>
<a id="pl.287.20"></a><var>287.20</var>region. Members of the team shall reflect the cultural, demographic, and geographic <br/>
<a id="pl.287.21"></a><var>287.21</var>diversity of the region and shall be composed of representatives from each of the <br/>
<a id="pl.287.22"></a><var>287.22</var>following:<br/>
<a id="pl.287.23"></a><var>287.23</var>    (1) the medical community;<br/>
<a id="pl.287.24"></a><var>287.24</var>    (2) human services;<br/>
<a id="pl.287.25"></a><var>287.25</var>    (3) corrections;<br/>
<a id="pl.287.26"></a><var>287.26</var>    (4) education;<br/>
<a id="pl.287.27"></a><var>287.27</var>    (5) mental health providers and vendors;<br/>
<a id="pl.287.28"></a><var>287.28</var>    (6) advocacy organizations;<br/>
<a id="pl.287.29"></a><var>287.29</var>    (7) parents; and<br/>
<a id="pl.287.30"></a><var>287.30</var>    (8) children and youth.<br/>
<a id="pl.287.31"></a><var>287.31</var>    Subd. 5. <b>Authority.</b> The regional children's mental health initiative shall have the <br/>
<a id="pl.287.32"></a><var>287.32</var>authority to develop and implement the following programs:<br/>
<a id="pl.287.33"></a><var>287.33</var>    (1) Flexible funding payments. This program will make funds available to respond to <br/>
<a id="pl.287.34"></a><var>287.34</var>the unique and unpredictable needs of children with mental health issues such as the need <br/>
<a id="pl.287.35"></a><var>287.35</var>for prescription drugs, transportation, clothing, and assessments not otherwise available.<br/>
<a id="pl.288.1"></a><var>288.1</var>    (2) Transition to self-sufficiency. This program will help youths between the ages of <br/>
<a id="pl.288.2"></a><var>288.2</var>14 and 21 establish professional relationships, find jobs, build financial foundations, and <br/>
<a id="pl.288.3"></a><var>288.3</var>learn to fulfill their roles as productive citizens.<br/>
<a id="pl.288.4"></a><var>288.4</var>    (3) Crisis response. This program will establish public and private partnerships <br/>
<a id="pl.288.5"></a><var>288.5</var>to offer a range of options to meet the needs of children in crisis. Methods to meet <br/>
<a id="pl.288.6"></a><var>288.6</var>these needs may include accessible local services, holistic assessments, urgent care and <br/>
<a id="pl.288.7"></a><var>288.7</var>stabilization services, and telehealth for specialized diagnosis and therapeutic sessions.<br/>
<a id="pl.288.8"></a><var>288.8</var>    (4) Integrated services for complex conditions. This program will design, develop, <br/>
<a id="pl.288.9"></a><var>288.9</var>and implement packages of integrated services to meet the needs of children with specific, <br/>
<a id="pl.288.10"></a><var>288.10</var>complex conditions.<br/>
<a id="pl.288.11"></a><var>288.11</var>    Subd. 6. <b>Evaluation and report.</b> The regional children's mental health initiative <br/>
<a id="pl.288.12"></a><var>288.12</var>shall develop a method for evaluating the effectiveness of this pilot project focusing on <br/>
<a id="pl.288.13"></a><var>288.13</var>identifiable goals and outcomes. An interim report on the pilot project's effectiveness <br/>
<a id="pl.288.14"></a><var>288.14</var>shall be submitted to the house and senate finance committees having jurisdiction over <br/>
<a id="pl.288.15"></a><var>288.15</var>mental health, the commissioner of human services, and the Minnesota Association of <br/>
<a id="pl.288.16"></a><var>288.16</var>County Social Service Administrators no later than December 31, 2008. A final report <br/>
<a id="pl.288.17"></a><var>288.17</var>is due no later than December 31, 2009.<br/>
<br/>
<a id="bill.5.22.0"></a><a id="pl.288.18"></a><var>288.18</var>    Sec. 22. <b>TRAUMA-FOCUSED EVIDENCE-BASED PRACTICES TO </b><br/>
<a id="pl.288.19"></a><var>288.19</var><b>CHILDREN.</b><br/>
<a id="pl.288.20"></a><var>288.20</var>    Organizations that are certified to provide children's therapeutic services and <br/>
<a id="pl.288.21"></a><var>288.21</var>supports under Minnesota Statutes, section 256B.0943, are eligible to apply for a grant. <br/>
<a id="pl.288.22"></a><var>288.22</var>Grants are to be used to provide trauma-focused evidence-based practices to children <br/>
<a id="pl.288.23"></a><var>288.23</var>who are living in a battered women's shelter, homeless shelter, transitional housing, or <br/>
<a id="pl.288.24"></a><var>288.24</var>supported housing. Children served must have been exposed to or witnessed domestic <br/>
<a id="pl.288.25"></a><var>288.25</var>violence, have been exposed to or witnessed community violence, or be a refugee. Priority <br/>
<a id="pl.288.26"></a><var>288.26</var>shall be given to organizations that demonstrate collaboration with battered women's <br/>
<a id="pl.288.27"></a><var>288.27</var>shelters, homeless shelters, or providers of transitional housing or supported housing. The <br/>
<a id="pl.288.28"></a><var>288.28</var>commissioner shall specify which constitutes evidence-based practice. Organizations shall <br/>
<a id="pl.288.29"></a><var>288.29</var>use all available funding streams.<br/>
<br/>
<a id="bill.5.23.0"></a><a id="pl.288.30"></a><var>288.30</var>    Sec. 23. <b>DUAL DIAGNOSIS; DEMONSTRATION PROJECT.</b><br/>
<a id="pl.288.31"></a><var>288.31</var>    (a) The commissioner of human services shall fund demonstration projects for high <br/>
<a id="pl.288.32"></a><var>288.32</var>risk adults with serious mental illness and co-occurring substance abuse problems. The <br/>
<a id="pl.288.33"></a><var>288.33</var>projects must include, but not be limited to, the following:<br/>
<a id="pl.289.1"></a><var>289.1</var>    (1) housing services, including rent or housing subsidies, housing with clinical <br/>
<a id="pl.289.2"></a><var>289.2</var>staff, or housing support;<br/>
<a id="pl.289.3"></a><var>289.3</var>    (2) assertive outreach services; and<br/>
<a id="pl.289.4"></a><var>289.4</var>    (3) intensive direct therapeutic, rehabilitative, and care management services <br/>
<a id="pl.289.5"></a><var>289.5</var>oriented to harm reduction.<br/>
<a id="pl.289.6"></a><var>289.6</var>    (b) The commissioner shall work with providers to ensure proper licensure or <br/>
<a id="pl.289.7"></a><var>289.7</var>certification to meet medical assistance or third-party payor reimbursement requirements.<br/>
<br/>
<a id="bill.5.24.0"></a><a id="pl.289.8"></a><var>289.8</var>    Sec. 24. <b>MINNESOTA FAMILY INVESTMENT PROGRAM AND CHILDREN'S </b><br/>
<a id="pl.289.9"></a><var>289.9</var><b>MENTAL HEALTH PILOT PROJECT.</b><br/>
<a id="pl.289.10"></a><var>289.10</var>    Subdivision 1. <b>Pilot project authorized.</b> The commissioner of human services <br/>
<a id="pl.289.11"></a><var>289.11</var>shall fund a three-year pilot project to measure the effect of children's identified mental <br/>
<a id="pl.289.12"></a><var>289.12</var>health needs, including social and emotional needs, on Minnesota family investment <br/>
<a id="pl.289.13"></a><var>289.13</var>program (MFIP) participants' ability to obtain and retain employment. The project shall <br/>
<a id="pl.289.14"></a><var>289.14</var>also measure the effect on work activity of MFIP participants' needs to address their <br/>
<a id="pl.289.15"></a><var>289.15</var>children's identified mental health needs.<br/>
<a id="pl.289.16"></a><var>289.16</var>    Subd. 2. <b>Provider and agency proposals.</b> (a) Interested MFIP providers and <br/>
<a id="pl.289.17"></a><var>289.17</var>agencies shall: <br/>
<a id="pl.289.18"></a><var>289.18</var>    (1) submit proposals defining how they will identify participants whose children <br/>
<a id="pl.289.19"></a><var>289.19</var>have mental health needs that hinder the employment process; <br/>
<a id="pl.289.20"></a><var>289.20</var>    (2) connect families with appropriate developmental, social, and emotional <br/>
<a id="pl.289.21"></a><var>289.21</var>screenings and services; and <br/>
<a id="pl.289.22"></a><var>289.22</var>    (3) incorporate those services into the participant's employment plan.<br/>
<a id="pl.289.23"></a><var>289.23</var>Each proposal under this paragraph must include an evaluation component.<br/>
<a id="pl.289.24"></a><var>289.24</var>    (b) Interested MFIP providers and agencies shall develop a protocol to inform MFIP <br/>
<a id="pl.289.25"></a><var>289.25</var>participants of the following: <br/>
<a id="pl.289.26"></a><var>289.26</var>    (1) the availability of developmental, social, and emotional screening tools for <br/>
<a id="pl.289.27"></a><var>289.27</var>children and youth; <br/>
<a id="pl.289.28"></a><var>289.28</var>    (2) the purpose of the screenings; <br/>
<a id="pl.289.29"></a><var>289.29</var>    (3) how the information will be used to assist the participants in identifying and <br/>
<a id="pl.289.30"></a><var>289.30</var>addressing potential barriers to employment; and <br/>
<a id="pl.289.31"></a><var>289.31</var>    (4) that their employment plan may be modified based on the screening results.<br/>
<a id="pl.289.32"></a><var>289.32</var>    Subd. 3. <b>Program components.</b> (a) MFIP providers shall obtain the participant's <br/>
<a id="pl.289.33"></a><var>289.33</var>written consent for participation in the pilot project, including consent for developmental, <br/>
<a id="pl.289.34"></a><var>289.34</var>social, and emotional screening.<br/>
<a id="pl.290.1"></a><var>290.1</var>    (b) MFIP providers shall coordinate with county social service agencies and health <br/>
<a id="pl.290.2"></a><var>290.2</var>plans to assist recipients in arranging referrals indicated by the screening results.<br/>
<a id="pl.290.3"></a><var>290.3</var>    (c) Tools used for developmental, social, and emotional screenings shall be approved <br/>
<a id="pl.290.4"></a><var>290.4</var>by the commissioner of human services.<br/>
<a id="pl.290.5"></a><var>290.5</var>    Subd. 4. <b>Program evaluation.</b> The commissioner of human services shall conduct <br/>
<a id="pl.290.6"></a><var>290.6</var>an evaluation of the pilot project to determine:<br/>
<a id="pl.290.7"></a><var>290.7</var>    (1) the number of participants who took part in the screening;<br/>
<a id="pl.290.8"></a><var>290.8</var>    (2) the number of children who were screened and what screening tools were used;<br/>
<a id="pl.290.9"></a><var>290.9</var>    (3) the number of children who were identified in the screening who needed referral <br/>
<a id="pl.290.10"></a><var>290.10</var>or follow-up services;<br/>
<a id="pl.290.11"></a><var>290.11</var>    (4) the number of children who received services, what agency provided the services, <br/>
<a id="pl.290.12"></a><var>290.12</var>and what type of services were provided;<br/>
<a id="pl.290.13"></a><var>290.13</var>    (5) the number of employment plans that were adjusted to include the activities <br/>
<a id="pl.290.14"></a><var>290.14</var>recommended in the screenings;<br/>
<a id="pl.290.15"></a><var>290.15</var>    (6) the changes in work participation rates;<br/>
<a id="pl.290.16"></a><var>290.16</var>    (7) the changes in earned income;<br/>
<a id="pl.290.17"></a><var>290.17</var>    (8) the changes in sanction rates; and<br/>
<a id="pl.290.18"></a><var>290.18</var>    (9) the participants' report of program effectiveness.<br/>
<a id="pl.290.19"></a><var>290.19</var>    Subd. 5. <b>Work activity.</b> Participant involvement in screenings and subsequent <br/>
<a id="pl.290.20"></a><var>290.20</var>referral and follow-up services shall count as work activity under Minnesota Statutes, <br/>
<a id="pl.290.21"></a><var>290.21</var>section 256J.49, subdivision 13.<br/>
<br/>
<a id="bill.5.25.0"></a><a id="pl.290.22"></a><var>290.22</var>    Sec. 25. <b>SOCIAL AND ECONOMIC COSTS OF GAMBLING.</b><br/>
<a id="pl.290.23"></a><var>290.23</var>    Subdivision 1. <b>Report.</b> The commissioner of human services, in consultation with <br/>
<a id="pl.290.24"></a><var>290.24</var>the state affiliate of the National Council on Problem Gambling, stakeholders, and licensed <br/>
<a id="pl.290.25"></a><var>290.25</var>vendors, shall prepare a report that provides a process and funding mechanism to study the <br/>
<a id="pl.290.26"></a><var>290.26</var>issues in subdivisions 2 and 3. The commissioner, in consultation with the state affiliate <br/>
<a id="pl.290.27"></a><var>290.27</var>of the National Council on Problem Gambling, stakeholders, and licensed vendors, shall <br/>
<a id="pl.290.28"></a><var>290.28</var>include in the report potential financial commitments made by stakeholders and others in <br/>
<a id="pl.290.29"></a><var>290.29</var>order to fund the study. The report is due to the legislative committees having jurisdiction <br/>
<a id="pl.290.30"></a><var>290.30</var>over compulsive gambling issues by December 1, 2007. <br/>
<a id="pl.290.31"></a><var>290.31</var>    Subd. 2. <b>Issues to be addressed.</b> The study must address:<br/>
<a id="pl.290.32"></a><var>290.32</var>    (1) state, local, and tribal government policies and practices in Minnesota to legalize <br/>
<a id="pl.290.33"></a><var>290.33</var>or prohibit gambling;<br/>
<a id="pl.290.34"></a><var>290.34</var>    (2) the relationship between gambling and crime in Minnesota, including: (i) the <br/>
<a id="pl.290.35"></a><var>290.35</var>relationship between gambling and overall crime rates; (ii) the relationship between <br/>
<a id="pl.291.1"></a><var>291.1</var>gambling and crimes rates for specific crimes, such as forgery, domestic abuse, child <br/>
<a id="pl.291.2"></a><var>291.2</var>neglect and abuse, alcohol and drug offenses, and youth crime; and (iii) enforcement <br/>
<a id="pl.291.3"></a><var>291.3</var>and regulation practices that are intended to address the relationship between gambling <br/>
<a id="pl.291.4"></a><var>291.4</var>and levels of crime;<br/>
<a id="pl.291.5"></a><var>291.5</var>    (3) the relationship between expanded gambling and increased rates of problem <br/>
<a id="pl.291.6"></a><var>291.6</var>gambling in Minnesota, including the impact of pathological or problem gambling on <br/>
<a id="pl.291.7"></a><var>291.7</var>individuals, families, businesses, social institutions, and the economy;<br/>
<a id="pl.291.8"></a><var>291.8</var>    (4) the social impact of gambling on individuals, families, businesses, and social <br/>
<a id="pl.291.9"></a><var>291.9</var>institutions in Minnesota, including an analysis of the relationship between gambling and <br/>
<a id="pl.291.10"></a><var>291.10</var>depression, abuse, divorce, homelessness, suicide, and bankruptcy;<br/>
<a id="pl.291.11"></a><var>291.11</var>    (5) the economic impact of gambling on state, local, and tribal economies in <br/>
<a id="pl.291.12"></a><var>291.12</var>Minnesota; and<br/>
<a id="pl.291.13"></a><var>291.13</var>    (6) any other issues deemed necessary in assessing the social and economic impact <br/>
<a id="pl.291.14"></a><var>291.14</var>of gambling in Minnesota.<br/>
<a id="pl.291.15"></a><var>291.15</var>    Subd. 3. <b>Quantification of social and economic impact.</b> The study shall quantify <br/>
<a id="pl.291.16"></a><var>291.16</var>the social and economic impact on both (1) state, local, and tribal governments in <br/>
<a id="pl.291.17"></a><var>291.17</var>Minnesota, and (2) Minnesota's communities and social institutions, including individuals, <br/>
<a id="pl.291.18"></a><var>291.18</var>families, and businesses within those communities and institutions.<br/>
<br/>
<a id="bill.5.26.0"></a><a id="pl.291.19"></a><var>291.19</var>    Sec. 26. <b> REPEALER.</b><br/>
<a id="pl.291.20"></a><var>291.20</var>Minnesota Rules, part 9585.0030, is repealed.<br/>
<br/>
<a id="bill.6.0.0"></a>

<a id="bill.6.1.0"></a><a id="pl.291.23"></a><var>291.23</var>    Section 1. Minnesota Statutes 2006, section 62J.17, subdivision 2, is amended to read:<br/>
<a id="pl.291.24"></a><var>291.24</var>    Subd. 2. <b>Definitions.</b> For purposes of this section, the terms defined in this <br/>
<a id="pl.291.25"></a><var>291.25</var>subdivision have the meanings given.<br/>
<a id="pl.291.26"></a><var>291.26</var>    (a) "Access" means the financial, temporal, and geographic availability of health <br/>
<a id="pl.291.27"></a><var>291.27</var>care to individuals who need it.<br/>
<a id="pl.291.28"></a><var>291.28</var>    (b) (a) "Capital expenditure" means an expenditure which, under generally accepted <br/>
<a id="pl.291.29"></a><var>291.29</var>accounting principles, is not properly chargeable as an expense of operation and <br/>
<a id="pl.291.30"></a><var>291.30</var>maintenance.<br/>
<a id="pl.291.31"></a><var>291.31</var>    (c) "Cost" means the amount paid by consumers or third party payers for health <br/>
<a id="pl.291.32"></a><var>291.32</var>care services or products.<br/>
<a id="pl.291.33"></a><var>291.33</var>    (d) "Date of the major spending commitment" means the date the provider formally <br/>
<a id="pl.291.34"></a><var>291.34</var>obligated itself to the major spending commitment. The obligation may be incurred <br/>
<a id="pl.292.1"></a><var>292.1</var>by entering into a contract, making a down payment, issuing bonds or entering a loan <br/>
<a id="pl.292.2"></a><var>292.2</var>agreement to provide financing for the major spending commitment, or taking some other <br/>
<a id="pl.292.3"></a><var>292.3</var>formal, tangible action evidencing the provider's intention to make the major spending <br/>
<a id="pl.292.4"></a><var>292.4</var>commitment.<br/>
<a id="pl.292.5"></a><var>292.5</var>    (e) (b) "Health care service" means:<br/>
<a id="pl.292.6"></a><var>292.6</var>    (1) a service or item that would be covered by the medical assistance program <br/>
<a id="pl.292.7"></a><var>292.7</var>under chapter 256B if provided in accordance with medical assistance requirements to an <br/>
<a id="pl.292.8"></a><var>292.8</var>eligible medical assistance recipient; and<br/>
<a id="pl.292.9"></a><var>292.9</var>    (2) a service or item that would be covered by medical assistance except that it is <br/>
<a id="pl.292.10"></a><var>292.10</var>characterized as experimental, cosmetic, or voluntary.<br/>
<a id="pl.292.11"></a><var>292.11</var>    "Health care service" does not include retail, over-the-counter sales of <br/>
<a id="pl.292.12"></a><var>292.12</var>nonprescription drugs and other retail sales of health-related products that are not generally <br/>
<a id="pl.292.13"></a><var>292.13</var>paid for by medical assistance and other third-party coverage.<br/>
<a id="pl.292.14"></a><var>292.14</var>    (f) (c) "Major spending commitment" means an expenditure in excess of $1,000,000 <br/>
<a id="pl.292.15"></a><var>292.15</var>for:<br/>
<a id="pl.292.16"></a><var>292.16</var>    (1) acquisition of a unit of medical equipment;<br/>
<a id="pl.292.17"></a><var>292.17</var>    (2) a capital expenditure for a single project for the purposes of providing health <br/>
<a id="pl.292.18"></a><var>292.18</var>care services, other than for the acquisition of medical equipment;<br/>
<a id="pl.292.19"></a><var>292.19</var>    (3) offering a new specialized service not offered before;<br/>
<a id="pl.292.20"></a><var>292.20</var>    (4) planning for an activity that would qualify as a major spending commitment <br/>
<a id="pl.292.21"></a><var>292.21</var>under this paragraph; or<br/>
<a id="pl.292.22"></a><var>292.22</var>    (5) a project involving a combination of two or more of the activities in clauses <br/>
<a id="pl.292.23"></a><var>292.23</var>(1) to (4).<br/>
<a id="pl.292.24"></a><var>292.24</var>    The cost of acquisition of medical equipment, and the amount of a capital <br/>
<a id="pl.292.25"></a><var>292.25</var>expenditure, is the total cost to the provider regardless of whether the cost is distributed <br/>
<a id="pl.292.26"></a><var>292.26</var>over time through a lease arrangement or other financing or payment mechanism.<br/>
<a id="pl.292.27"></a><var>292.27</var>    (g) (d) "Medical equipment" means fixed and movable equipment that is used by <br/>
<a id="pl.292.28"></a><var>292.28</var>a provider in the provision of a health care service. "Medical equipment" includes, but <br/>
<a id="pl.292.29"></a><var>292.29</var>is not limited to, the following:<br/>
<a id="pl.292.30"></a><var>292.30</var>    (1) an extracorporeal shock wave lithotripter;<br/>
<a id="pl.292.31"></a><var>292.31</var>    (2) a computerized axial tomography (CAT) scanner;<br/>
<a id="pl.292.32"></a><var>292.32</var>    (3) a magnetic resonance imaging (MRI) unit;<br/>
<a id="pl.292.33"></a><var>292.33</var>    (4) a positron emission tomography (PET) scanner; and<br/>
<a id="pl.292.34"></a><var>292.34</var>    (5) emergency and nonemergency medical transportation equipment and vehicles.<br/>
<a id="pl.293.1"></a><var>293.1</var>    (h) (e) "New specialized service" means a specialized health care procedure or <br/>
<a id="pl.293.2"></a><var>293.2</var>treatment regimen offered by a provider that was not previously offered by the provider, <br/>
<a id="pl.293.3"></a><var>293.3</var>including, but not limited to:<br/>
<a id="pl.293.4"></a><var>293.4</var>    (1) cardiac catheterization services involving high-risk patients as defined in the <br/>
<a id="pl.293.5"></a><var>293.5</var>Guidelines for Coronary Angiography established by the American Heart Association <br/>
<a id="pl.293.6"></a><var>293.6</var>and the American College of Cardiology;<br/>
<a id="pl.293.7"></a><var>293.7</var>    (2) heart, heart-lung, liver, kidney, bowel, or pancreas transplantation service, or <br/>
<a id="pl.293.8"></a><var>293.8</var>any other service for transplantation of any other organ;<br/>
<a id="pl.293.9"></a><var>293.9</var>    (3) megavoltage radiation therapy;<br/>
<a id="pl.293.10"></a><var>293.10</var>    (4) open heart surgery;<br/>
<a id="pl.293.11"></a><var>293.11</var>    (5) neonatal intensive care services; and<br/>
<a id="pl.293.12"></a><var>293.12</var>    (6) any new medical technology for which premarket approval has been granted by <br/>
<a id="pl.293.13"></a><var>293.13</var>the United States Food and Drug Administration, excluding implantable and wearable <br/>
<a id="pl.293.14"></a><var>293.14</var>devices.<br/>
<a id="pl.293.15"></a><var>293.15</var>    (f) "Specialty care" includes but is not limited to cardiac, neurology, orthopedic, <br/>
<a id="pl.293.16"></a><var>293.16</var>obstetrics, mental health, chemical dependency, and emergency services.<br/>
<br/>
<a id="bill.6.2.0"></a><a id="pl.293.17"></a><var>293.17</var>    Sec. 2. Minnesota Statutes 2006, section 62J.17, subdivision 4a, is amended to read:<br/>
<a id="pl.293.18"></a><var>293.18</var>    Subd. 4a. <b>Expenditure reporting.</b> (a) A provider making a major spending <br/>
<a id="pl.293.19"></a><var>293.19</var>commitment after April 1, 1992, shall submit notification of the expenditure to the <br/>
<a id="pl.293.20"></a><var>293.20</var>commissioner and provide the commissioner with any relevant background information.<br/>
<a id="pl.293.21"></a><var>293.21</var>    (b) Notification must include a report, submitted within 60 days after the date of the <br/>
<a id="pl.293.22"></a><var>293.22</var>major spending commitment, using terms conforming to the definitions in section 
<statute_ref>62J.03</statute_ref> <br/>
<a id="pl.293.23"></a><var>293.23</var>and this section. Each report is subject to retrospective review and must contain: <br/>
<a id="pl.293.24"></a><var>293.24</var>    (1) a detailed description of the major spending commitment, including the specific <br/>
<a id="pl.293.25"></a><var>293.25</var>dollar amount of each expenditure, and its purpose;<br/>
<a id="pl.293.26"></a><var>293.26</var>    (2) the date of the major spending commitment;<br/>
<a id="pl.293.27"></a><var>293.27</var>    (3) a statement of the expected impact that the major spending commitment will <br/>
<a id="pl.293.28"></a><var>293.28</var>have on charges by the provider to patients and third party payers;<br/>
<a id="pl.293.29"></a><var>293.29</var>    (4) a statement of the expected impact on the clinical effectiveness or quality of care <br/>
<a id="pl.293.30"></a><var>293.30</var>received by the patients that the provider expects to serve;<br/>
<a id="pl.293.31"></a><var>293.31</var>    (5) a statement of the extent to which equivalent services or technology are already <br/>
<a id="pl.293.32"></a><var>293.32</var>available to the provider's actual and potential patient population;<br/>
<a id="pl.293.33"></a><var>293.33</var>    (6) a statement of the distance from which the nearest equivalent services or <br/>
<a id="pl.293.34"></a><var>293.34</var>technology are already available to the provider's actual and potential population;<br/>
<a id="pl.293.35"></a><var>293.35</var>    (7) a statement describing the pursuit of any lawful collaborative arrangements; and<br/>
<a id="pl.294.1"></a><var>294.1</var>    (8) a statement of assurance that the provider will not use, purchase, or perform <br/>
<a id="pl.294.2"></a><var>294.2</var>health care technologies and procedures that are not clinically effective and cost-effective, <br/>
<a id="pl.294.3"></a><var>294.3</var>unless the technology is used for experimental or research purposes to determine whether <br/>
<a id="pl.294.4"></a><var>294.4</var>a technology or procedure is clinically effective and cost-effective.<br/>
<a id="pl.294.5"></a><var>294.5</var>    The provider may submit any additional information that it deems relevant.<br/>
<a id="pl.294.6"></a><var>294.6</var>    (c) The commissioner may request additional information from a provider for the <br/>
<a id="pl.294.7"></a><var>294.7</var>purpose of review of a report submitted by that provider, and may consider relevant <br/>
<a id="pl.294.8"></a><var>294.8</var>information from other sources. A provider shall provide any information requested by <br/>
<a id="pl.294.9"></a><var>294.9</var>the commissioner within the time period stated in the request, or within 30 days after the <br/>
<a id="pl.294.10"></a><var>294.10</var>date of the request if the request does not state a time.<br/>
<a id="pl.294.11"></a><var>294.11</var>    (d) If the provider fails to submit a complete and timely expenditure report, including <br/>
<a id="pl.294.12"></a><var>294.12</var>any additional information requested by the commissioner, the commissioner may make <br/>
<a id="pl.294.13"></a><var>294.13</var>the provider's subsequent major spending commitments subject to the procedures of <br/>
<a id="pl.294.14"></a><var>294.14</var>prospective review and approval under subdivision 6a.<br/>
<a id="pl.294.15"></a><var>294.15</var>    Each hospital, outpatient surgical center, diagnostic imaging center, and physician <br/>
<a id="pl.294.16"></a><var>294.16</var>clinic shall report annually to the commissioner on all major spending commitments, <br/>
<a id="pl.294.17"></a><var>294.17</var>in the form and manner specified by the commissioner. The report shall include the <br/>
<a id="pl.294.18"></a><var>294.18</var>following information:<br/>
<a id="pl.294.19"></a><var>294.19</var>    (a) a description of major spending commitments made during the previous year, <br/>
<a id="pl.294.20"></a><var>294.20</var>including the total dollar amount of major spending commitments and purpose of the <br/>
<a id="pl.294.21"></a><var>294.21</var>expenditures;<br/>
<a id="pl.294.22"></a><var>294.22</var>    (b) the cost of land acquisition, construction of new facilities, and renovation of <br/>
<a id="pl.294.23"></a><var>294.23</var>existing facilities;<br/>
<a id="pl.294.24"></a><var>294.24</var>    (c) the cost of purchased or leased medical equipment, by type of equipment;<br/>
<a id="pl.294.25"></a><var>294.25</var>    (d) expenditures by type for specialty care and new specialized services;<br/>
<a id="pl.294.26"></a><var>294.26</var>    (e) information on the amount and types of added capacity for diagnostic imaging <br/>
<a id="pl.294.27"></a><var>294.27</var>services, outpatient surgical services, and new specialized services; and<br/>
<a id="pl.294.28"></a><var>294.28</var>    (f) information on investments in electronic medical records systems.<br/>
<a id="pl.294.29"></a><var>294.29</var>For hospitals and outpatient surgical centers, this information shall be included in reports <br/>
<a id="pl.294.30"></a><var>294.30</var>to the commissioner that are required under section 144.698. For diagnostic imaging <br/>
<a id="pl.294.31"></a><var>294.31</var>centers, this information shall be included in reports to the commissioner that are required <br/>
<a id="pl.294.32"></a><var>294.32</var>under section 144.565. For physician clinics, this information shall be included in reports <br/>
<a id="pl.294.33"></a><var>294.33</var>to the commissioner that are required under section 62J.41. For all other health care <br/>
<a id="pl.294.34"></a><var>294.34</var>providers that are subject to this reporting requirement, reports must be submitted to the <br/>
<a id="pl.294.35"></a><var>294.35</var>commissioner by March 1 each year for the preceding calendar year.<br/>
<br/>
<a id="bill.6.3.0"></a><a id="pl.295.1"></a><var>295.1</var>    Sec. 3. Minnesota Statutes 2006, section 62J.17, subdivision 7, is amended to read:<br/>
<a id="pl.295.2"></a><var>295.2</var>    Subd. 7. <b>Exceptions.</b> (a) The retrospective review process as described in <br/>
<a id="pl.295.3"></a><var>295.3</var>subdivision 5a and the prospective review and approval process as described in subdivision <br/>
<a id="pl.295.4"></a><var>295.4</var>6a reporting requirement in subdivision 4a do does not apply to:<br/>
<a id="pl.295.5"></a><var>295.5</var>    (1) a major spending commitment to replace existing equipment with comparable <br/>
<a id="pl.295.6"></a><var>295.6</var>equipment used for direct patient care, upgrades of equipment beyond the current model, <br/>
<a id="pl.295.7"></a><var>295.7</var>or comparable model must be reported;<br/>
<a id="pl.295.8"></a><var>295.8</var>    (2) (1) a major spending commitment made by a research and teaching institution <br/>
<a id="pl.295.9"></a><var>295.9</var>for purposes of conducting medical education, medical research supported or sponsored <br/>
<a id="pl.295.10"></a><var>295.10</var>by a medical school, or by a federal or foundation grant or clinical trials;<br/>
<a id="pl.295.11"></a><var>295.11</var>    (3) a major spending commitment to repair, remodel, or replace existing buildings or <br/>
<a id="pl.295.12"></a><var>295.12</var>fixtures if, in the judgment of the commissioner, the project does not involve a substantial <br/>
<a id="pl.295.13"></a><var>295.13</var>expansion of service capacity or a substantial change in the nature of health care services <br/>
<a id="pl.295.14"></a><var>295.14</var>provided;<br/>
<a id="pl.295.15"></a><var>295.15</var>    (4) (2) a major spending commitment for building maintenance including heating, <br/>
<a id="pl.295.16"></a><var>295.16</var>water, electricity, and other maintenance-related expenditures; and<br/>
<a id="pl.295.17"></a><var>295.17</var>    (5) (3) a major spending commitment for activities, not directly related to the <br/>
<a id="pl.295.18"></a><var>295.18</var>delivery of patient care services, including food service, laundry, housekeeping, and <br/>
<a id="pl.295.19"></a><var>295.19</var>other service-related activities; and.<br/>
<a id="pl.295.20"></a><var>295.20</var>    (6) a major spending commitment for computer equipment or data systems not <br/>
<a id="pl.295.21"></a><var>295.21</var>directly related to the delivery of patient care services, including computer equipment or <br/>
<a id="pl.295.22"></a><var>295.22</var>data systems related to medical record automation.<br/>
<a id="pl.295.23"></a><var>295.23</var>    (b) In addition to the exceptions listed in paragraph (a), the prospective review and <br/>
<a id="pl.295.24"></a><var>295.24</var>approval process described in subdivision 6a reporting requirement in subdivision 4a does <br/>
<a id="pl.295.25"></a><var>295.25</var>not apply to mergers, acquisitions, and other changes in ownership or control that, in the <br/>
<a id="pl.295.26"></a><var>295.26</var>judgment of the commissioner, do not involve a substantial expansion of service capacity <br/>
<a id="pl.295.27"></a><var>295.27</var>or a substantial change in the nature of health care services provided.<br/>
<br/>
<a id="bill.6.4.0"></a><a id="pl.295.28"></a><var>295.28</var>    Sec. 4. Minnesota Statutes 2006, section 62J.41, subdivision 1, is amended to read:<br/>
<a id="pl.295.29"></a><var>295.29</var>    Subdivision 1. <b>Cost containment data to be collected from providers.</b> The <br/>
<a id="pl.295.30"></a><var>295.30</var>commissioner shall require health care providers to collect and provide both patient <br/>
<a id="pl.295.31"></a><var>295.31</var>specific information and descriptive and financial aggregate data on:<br/>
<a id="pl.295.32"></a><var>295.32</var>    (1) the total number of patients served;<br/>
<a id="pl.295.33"></a><var>295.33</var>    (2) the total number of patients served by state of residence and Minnesota county;<br/>
<a id="pl.295.34"></a><var>295.34</var>    (3) the site or sites where the health care provider provides services;<br/>
<a id="pl.296.1"></a><var>296.1</var>    (4) the number of individuals employed, by type of employee, by the health care <br/>
<a id="pl.296.2"></a><var>296.2</var>provider;<br/>
<a id="pl.296.3"></a><var>296.3</var>    (5) the services and their costs for which no payment was received;<br/>
<a id="pl.296.4"></a><var>296.4</var>    (6) total revenue by type of payer or by groups of payers, including but not limited <br/>
<a id="pl.296.5"></a><var>296.5</var>to, revenue from Medicare, medical assistance, MinnesotaCare, nonprofit health service <br/>
<a id="pl.296.6"></a><var>296.6</var>plan corporations, commercial insurers, health maintenance organizations, and individual <br/>
<a id="pl.296.7"></a><var>296.7</var>patients;<br/>
<a id="pl.296.8"></a><var>296.8</var>    (7) revenue from research activities;<br/>
<a id="pl.296.9"></a><var>296.9</var>    (8) revenue from educational activities;<br/>
<a id="pl.296.10"></a><var>296.10</var>    (9) revenue from out-of-pocket payments by patients;<br/>
<a id="pl.296.11"></a><var>296.11</var>    (10) revenue from donations; and<br/>
<a id="pl.296.12"></a><var>296.12</var>    (11) a report on health care capital expenditures during the previous year, as required <br/>
<a id="pl.296.13"></a><var>296.13</var>by section 62J.17; and<br/>
<a id="pl.296.14"></a><var>296.14</var>    (11) (12) any other data required by the commissioner, including data in <br/>
<a id="pl.296.15"></a><var>296.15</var>unaggregated form, for the purposes of developing spending estimates, setting spending <br/>
<a id="pl.296.16"></a><var>296.16</var>limits, monitoring actual spending, and monitoring costs.<br/>
<a id="pl.296.17"></a><var>296.17</var>The commissioner may, by rule, modify the data submission categories listed above if the <br/>
<a id="pl.296.18"></a><var>296.18</var>commissioner determines that this will reduce the reporting burden on providers without <br/>
<a id="pl.296.19"></a><var>296.19</var>having a significant negative effect on necessary data collection efforts.<br/>
<br/>
<a id="bill.6.5.0"></a><a id="pl.296.20"></a><var>296.20</var>    Sec. 5. Minnesota Statutes 2006, section 62J.52, subdivision 1, is amended to read:<br/>
<a id="pl.296.21"></a><var>296.21</var>    Subdivision 1. <b>Uniform billing form CMS 1450.</b> (a) On and after January 1, <br/>
<a id="pl.296.22"></a><var>296.22</var>1996, all institutional inpatient hospital services, ancillary services, institutionally owned <br/>
<a id="pl.296.23"></a><var>296.23</var>or operated outpatient services rendered by providers in Minnesota, and institutional <br/>
<a id="pl.296.24"></a><var>296.24</var>or noninstitutional home health services that are not being billed using an equivalent <br/>
<a id="pl.296.25"></a><var>296.25</var>electronic billing format, must be billed using the uniform billing form CMS 1450, except <br/>
<a id="pl.296.26"></a><var>296.26</var>as provided in subdivision 5.<br/>
<a id="pl.296.27"></a><var>296.27</var>    (b) The instructions and definitions for the use of the uniform billing form CMS <br/>
<a id="pl.296.28"></a><var>296.28</var>1450 shall be in accordance with the uniform billing form manual specified by the <br/>
<a id="pl.296.29"></a><var>296.29</var>commissioner. In promulgating these instructions, the commissioner may utilize the <br/>
<a id="pl.296.30"></a><var>296.30</var>manual developed by the National Uniform Billing Committee, as adopted and finalized <br/>
<a id="pl.296.31"></a><var>296.31</var>by the Minnesota Uniform Billing Committee.<br/>
<a id="pl.296.32"></a><var>296.32</var>    (c) Services to be billed using the uniform billing form CMS 1450 include: <br/>
<a id="pl.296.33"></a><var>296.33</var>institutional inpatient hospital services and distinct units in the hospital such as psychiatric <br/>
<a id="pl.296.34"></a><var>296.34</var>unit services, physical therapy unit services, swing bed (SNF) services, inpatient state <br/>
<a id="pl.296.35"></a><var>296.35</var>psychiatric hospital services, inpatient skilled nursing facility services, home health <br/>
<a id="pl.297.1"></a><var>297.1</var>services (Medicare part A), and hospice services; ancillary services, where benefits are <br/>
<a id="pl.297.2"></a><var>297.2</var>exhausted or patient has no Medicare part A, from hospitals, state psychiatric hospitals, <br/>
<a id="pl.297.3"></a><var>297.3</var>skilled nursing facilities, and home health (Medicare part B); institutional owned or <br/>
<a id="pl.297.4"></a><var>297.4</var>operated outpatient services such as waivered services, hospital outpatient services, <br/>
<a id="pl.297.5"></a><var>297.5</var>including ambulatory surgical center services, hospital referred laboratory services, <br/>
<a id="pl.297.6"></a><var>297.6</var>hospital-based ambulance services, and other hospital outpatient services, skilled nursing <br/>
<a id="pl.297.7"></a><var>297.7</var>facilities, home health, freestanding renal dialysis centers, comprehensive outpatient <br/>
<a id="pl.297.8"></a><var>297.8</var>rehabilitation facilities (CORF), outpatient rehabilitation facilities (ORF), rural health <br/>
<a id="pl.297.9"></a><var>297.9</var>clinics, and community mental health centers; home health services such as home health <br/>
<a id="pl.297.10"></a><var>297.10</var>intravenous therapy providers, waivered services, personal care attendants, and hospice; <br/>
<a id="pl.297.11"></a><var>297.11</var>and any other health care provider certified by the Medicare program to use this form.<br/>
<a id="pl.297.12"></a><var>297.12</var>    (d) On and after January 1, 1996, a mother and newborn child must be billed <br/>
<a id="pl.297.13"></a><var>297.13</var>separately, and must not be combined on one claim form.<br/>
<a id="pl.297.14"></a><var>297.14</var>    (e) Services provided by Medicare Critical Access Hospitals electing Method <br/>
<a id="pl.297.15"></a><var>297.15</var>II billing will be allowed an exception to this provision to allow the inclusion of the <br/>
<a id="pl.297.16"></a><var>297.16</var>professional fees on the CMS 1450.<br/>
<br/>
<a id="bill.6.6.0"></a><a id="pl.297.17"></a><var>297.17</var>    Sec. 6. Minnesota Statutes 2006, section 62J.52, subdivision 2, is amended to read:<br/>
<a id="pl.297.18"></a><var>297.18</var>    Subd. 2. <b>Uniform billing form CMS 1500.</b> (a) On and after January 1, 1996, all <br/>
<a id="pl.297.19"></a><var>297.19</var>noninstitutional health care services rendered by providers in Minnesota except dental <br/>
<a id="pl.297.20"></a><var>297.20</var>or pharmacy providers, that are not currently being billed using an equivalent electronic <br/>
<a id="pl.297.21"></a><var>297.21</var>billing format, must be billed using the health insurance claim form CMS 1500, except as <br/>
<a id="pl.297.22"></a><var>297.22</var>provided in subdivision 5.<br/>
<a id="pl.297.23"></a><var>297.23</var>    (b) The instructions and definitions for the use of the uniform billing form CMS <br/>
<a id="pl.297.24"></a><var>297.24</var>1500 shall be in accordance with the manual developed by the Administrative Uniformity <br/>
<a id="pl.297.25"></a><var>297.25</var>Committee entitled standards for the use of the CMS 1500 form, dated February 1994, <br/>
<a id="pl.297.26"></a><var>297.26</var>as further defined by the commissioner.<br/>
<a id="pl.297.27"></a><var>297.27</var>    (c) Services to be billed using the uniform billing form CMS 1500 include physician <br/>
<a id="pl.297.28"></a><var>297.28</var>services and supplies, durable medical equipment, noninstitutional ambulance services, <br/>
<a id="pl.297.29"></a><var>297.29</var>independent ancillary services including occupational therapy, physical therapy, speech <br/>
<a id="pl.297.30"></a><var>297.30</var>therapy and audiology, home infusion therapy, podiatry services, optometry services, <br/>
<a id="pl.297.31"></a><var>297.31</var>mental health licensed professional services, substance abuse licensed professional <br/>
<a id="pl.297.32"></a><var>297.32</var>services, nursing practitioner professional services, certified registered nurse anesthetists, <br/>
<a id="pl.297.33"></a><var>297.33</var>chiropractors, physician assistants, laboratories, medical suppliers, and other health care <br/>
<a id="pl.297.34"></a><var>297.34</var>providers such as day activity centers and freestanding ambulatory surgical centers.<br/>
<a id="pl.298.1"></a><var>298.1</var>    (d) Services provided by Medicare Critical Access Hospitals electing Method <br/>
<a id="pl.298.2"></a><var>298.2</var>II billing will be allowed an exception to this provision to allow the inclusion of the <br/>
<a id="pl.298.3"></a><var>298.3</var>professional fees on the CMS 1450.<br/>
<br/>
<a id="bill.6.7.0"></a><a id="pl.298.4"></a><var>298.4</var>    Sec. 7. Minnesota Statutes 2006, section 62J.60, subdivision 2, is amended to read:<br/>
<a id="pl.298.5"></a><var>298.5</var>    Subd. 2. <b>General characteristics.</b> (a) The Minnesota uniform health care <br/>
<a id="pl.298.6"></a><var>298.6</var>identification card must be a preprinted card constructed of plastic, paper, or any other <br/>
<a id="pl.298.7"></a><var>298.7</var>medium that conforms with ANSI and ISO 7810 physical characteristics standards. The <br/>
<a id="pl.298.8"></a><var>298.8</var>card dimensions must also conform to ANSI and ISO 7810 physical characteristics <br/>
<a id="pl.298.9"></a><var>298.9</var>standard. The use of a signature panel is optional. The uniform prescription drug <br/>
<a id="pl.298.10"></a><var>298.10</var>information contained on the card must conform with the format adopted by the NCPDP <br/>
<a id="pl.298.11"></a><var>298.11</var>and, except as provided in subdivision 3, paragraph (a), clause (2), must include all of <br/>
<a id="pl.298.12"></a><var>298.12</var>the fields required to submit a claim in conformance with the most recent pharmacy <br/>
<a id="pl.298.13"></a><var>298.13</var>identification card implementation guide produced by the NCPDP. All information <br/>
<a id="pl.298.14"></a><var>298.14</var>required to submit a prescription drug claim, exclusive of information provided on a <br/>
<a id="pl.298.15"></a><var>298.15</var>prescription that is required by law, must be included on the card in a clear, readable, and <br/>
<a id="pl.298.16"></a><var>298.16</var>understandable manner. If a health benefit plan requires a conditional or situational field, <br/>
<a id="pl.298.17"></a><var>298.17</var>as defined by the NCPDP, the conditional or situational field must conform to the most <br/>
<a id="pl.298.18"></a><var>298.18</var>recent pharmacy information card implementation guide produced by the NCPDP.<br/>
<a id="pl.298.19"></a><var>298.19</var>    (b) The Minnesota uniform health care identification card must have an essential <br/>
<a id="pl.298.20"></a><var>298.20</var>information window on the front side with the following data elements: card issuer name, <br/>
<a id="pl.298.21"></a><var>298.21</var>electronic transaction routing information, card issuer identification number, cardholder <br/>
<a id="pl.298.22"></a><var>298.22</var>(insured) identification number, and cardholder (insured) identification name. No optional <br/>
<a id="pl.298.23"></a><var>298.23</var>data may be interspersed between these data elements. <br/>
<a id="pl.298.24"></a><var>298.24</var>    (c) Standardized labels are required next to human readable data elements and <br/>
<a id="pl.298.25"></a><var>298.25</var>must come before the human data elements.<br/>
<br/>
<a id="bill.6.8.0"></a><a id="pl.298.26"></a><var>298.26</var>    Sec. 8. Minnesota Statutes 2006, section 62J.60, subdivision 3, is amended to read:<br/>
<a id="pl.298.27"></a><var>298.27</var>    Subd. 3. <b>Human readable data elements.</b> (a) The following are the minimum <br/>
<a id="pl.298.28"></a><var>298.28</var>human readable data elements that must be present on the front side of the Minnesota <br/>
<a id="pl.298.29"></a><var>298.29</var>uniform health care identification card:<br/>
<a id="pl.298.30"></a><var>298.30</var>    (1) card issuer name or logo, which is the name or logo that identifies the card issuer. <br/>
<a id="pl.298.31"></a><var>298.31</var>The card issuer name or logo may be located at the top of the card. No standard label <br/>
<a id="pl.298.32"></a><var>298.32</var>is required for this data element;<br/>
<a id="pl.298.33"></a><var>298.33</var>    (2) complete electronic transaction routing information including, at a minimum, <br/>
<a id="pl.298.34"></a><var>298.34</var>the international identification number. The standardized label of this data element <br/>
<a id="pl.299.1"></a><var>299.1</var>is "RxBIN." Processor control numbers and group numbers are required if needed to <br/>
<a id="pl.299.2"></a><var>299.2</var>electronically process a prescription drug claim. The standardized label for the process <br/>
<a id="pl.299.3"></a><var>299.3</var>control numbers data element is "RxPCN" and the standardized label for the group <br/>
<a id="pl.299.4"></a><var>299.4</var>numbers data element is "RxGrp," except that if the group number data element is a <br/>
<a id="pl.299.5"></a><var>299.5</var>universal element to be used by all health care providers, the standardized label may be <br/>
<a id="pl.299.6"></a><var>299.6</var>"Grp." To conserve vertical space on the card, the international identification number and <br/>
<a id="pl.299.7"></a><var>299.7</var>the processor control number may be printed on the same line;<br/>
<a id="pl.299.8"></a><var>299.8</var>     (3) cardholder (insured) identification number, which is the unique identification <br/>
<a id="pl.299.9"></a><var>299.9</var>number of the individual card holder established and defined under this section. The <br/>
<a id="pl.299.10"></a><var>299.10</var>standardized label for the data element is "ID";<br/>
<a id="pl.299.11"></a><var>299.11</var>    (4) cardholder (insured) identification name, which is the name of the individual <br/>
<a id="pl.299.12"></a><var>299.12</var>card holder. The identification name must be formatted as follows: first name, space, <br/>
<a id="pl.299.13"></a><var>299.13</var>optional middle initial, space, last name, optional space and name suffix. The standardized <br/>
<a id="pl.299.14"></a><var>299.14</var>label for this data element is "Name";<br/>
<a id="pl.299.15"></a><var>299.15</var>    (5) care type, which is the description of the group purchaser's plan product under <br/>
<a id="pl.299.16"></a><var>299.16</var>which the beneficiary is covered. The description shall include the health plan company <br/>
<a id="pl.299.17"></a><var>299.17</var>name and the plan or product name. The standardized label for this data element is <br/>
<a id="pl.299.18"></a><var>299.18</var>"Care Type";<br/>
<a id="pl.299.19"></a><var>299.19</var>    (6) service type, which is the description of coverage provided such as hospital, <br/>
<a id="pl.299.20"></a><var>299.20</var>dental, vision, prescription, or mental health. The standard label for this data element <br/>
<a id="pl.299.21"></a><var>299.21</var>is "Svc Type"; and<br/>
<a id="pl.299.22"></a><var>299.22</var>    (7) provider/clinic name, which is the name of the primary care clinic the card <br/>
<a id="pl.299.23"></a><var>299.23</var>holder is assigned to by the health plan company. The standard label for this field is <br/>
<a id="pl.299.24"></a><var>299.24</var>"PCP." This information is mandatory only if the health plan company assigns a specific <br/>
<a id="pl.299.25"></a><var>299.25</var>primary care provider to the card holder.<br/>
<a id="pl.299.26"></a><var>299.26</var>    (b) The following human readable data elements shall be present on the back side <br/>
<a id="pl.299.27"></a><var>299.27</var>of the Minnesota uniform health care identification card. These elements must be left <br/>
<a id="pl.299.28"></a><var>299.28</var>justified, and no optional data elements may be interspersed between them:<br/>
<a id="pl.299.29"></a><var>299.29</var>    (1) claims submission names and addresses, which are the names and addresses of <br/>
<a id="pl.299.30"></a><var>299.30</var>the entity or entities to which claims should be submitted. If different destinations are <br/>
<a id="pl.299.31"></a><var>299.31</var>required for different types of claims, this must be labeled;<br/>
<a id="pl.299.32"></a><var>299.32</var>    (2) telephone numbers and names that pharmacies and other health care providers <br/>
<a id="pl.299.33"></a><var>299.33</var>may call for assistance. These telephone numbers and names are required on the back <br/>
<a id="pl.299.34"></a><var>299.34</var>side of the card only if one of the contacts listed in clause (3) cannot provide pharmacies <br/>
<a id="pl.299.35"></a><var>299.35</var>or other providers with assistance or with the telephone numbers and names of contacts <br/>
<a id="pl.299.36"></a><var>299.36</var>for assistance; and<br/>
<a id="pl.300.1"></a><var>300.1</var>    (3) telephone numbers and names; which are the telephone numbers and names of the <br/>
<a id="pl.300.2"></a><var>300.2</var>following contacts with a standardized label describing the service function as applicable:<br/>
<a id="pl.300.3"></a><var>300.3</var>    (i) eligibility and benefit information;<br/>
<a id="pl.300.4"></a><var>300.4</var>    (ii) utilization review;<br/>
<a id="pl.300.5"></a><var>300.5</var>    (iii) precertification; or<br/>
<a id="pl.300.6"></a><var>300.6</var>    (iv) customer services.<br/>
<a id="pl.300.7"></a><var>300.7</var>    (c) The following human readable data elements are mandatory on the back <br/>
<a id="pl.300.8"></a><var>300.8</var>side of the Minnesota uniform health care identification card for health maintenance <br/>
<a id="pl.300.9"></a><var>300.9</var>organizations:<br/>
<a id="pl.300.10"></a><var>300.10</var>    (1) emergency care authorization telephone number or instruction on how to receive <br/>
<a id="pl.300.11"></a><var>300.11</var>authorization for emergency care. There is no standard label required for this information; <br/>
<a id="pl.300.12"></a><var>300.12</var>and<br/>
<a id="pl.300.13"></a><var>300.13</var>    (2) one of the following:<br/>
<a id="pl.300.14"></a><var>300.14</var>    (i) telephone number to call to appeal to or file a complaint with the commissioner of <br/>
<a id="pl.300.15"></a><var>300.15</var>health; or<br/>
<a id="pl.300.16"></a><var>300.16</var>    (ii) for persons enrolled under section 
         <statute_ref>256B.69</statute_ref>, 
         <statute_ref>256D.03</statute_ref>, or 
         <statute_ref>256L.12</statute_ref>, the telephone <br/>
<a id="pl.300.17"></a><var>300.17</var>number to call to file a complaint with the ombudsperson designated by the commissioner <br/>
<a id="pl.300.18"></a><var>300.18</var>of human services under section 
         <statute_ref>256B.69</statute_ref> and the address to appeal to the commissioner of <br/>
<a id="pl.300.19"></a><var>300.19</var>human services. There is no standard label required for this information. <br/>
<a id="pl.300.20"></a><var>300.20</var>    (d) All human readable data elements not required under paragraphs (a) to (c) are <br/>
<a id="pl.300.21"></a><var>300.21</var>optional and may be used at the issuer's discretion.<br/>
<br/>
<a id="bill.6.9.0"></a><a id="pl.300.22"></a><var>300.22</var>    Sec. 9. Minnesota Statutes 2006, section 62Q.80, is amended by adding a subdivision <br/>
<a id="pl.300.23"></a><var>300.23</var>to read:<br/>
<a id="pl.300.24"></a><var>300.24</var>    Subd. 1a. <b>Demonstration project.</b> The commissioner of health shall award a <br/>
<a id="pl.300.25"></a><var>300.25</var>demonstration project grant to a community-based health care initiative to develop and <br/>
<a id="pl.300.26"></a><var>300.26</var>operate a community-based health care coverage program to operate within Carlton, <br/>
<a id="pl.300.27"></a><var>300.27</var>Cook, Lake, and St. Louis Counties. The demonstration project shall extend for five years <br/>
<a id="pl.300.28"></a><var>300.28</var>and must comply with all the requirements of this section.<br/>
<br/>
<a id="bill.6.10.0"></a><a id="pl.300.29"></a><var>300.29</var>    Sec. 10. Minnesota Statutes 2006, section 62Q.80, subdivision 3, is amended to read:<br/>
<a id="pl.300.30"></a><var>300.30</var>    Subd. 3. <b>Approval. </b> (a) Prior to the operation of a community-based health care <br/>
<a id="pl.300.31"></a><var>300.31</var>coverage program, a community-based health initiative shall submit to the commissioner <br/>
<a id="pl.300.32"></a><var>300.32</var>of health for approval the community-based health care coverage program developed by <br/>
<a id="pl.300.33"></a><var>300.33</var>the initiative. The commissioner shall only approve a program that has been awarded <br/>
<a id="pl.300.34"></a><var>300.34</var>a community access program grant from the United States Department of Health and <br/>
<a id="pl.301.1"></a><var>301.1</var>Human Services. The commissioner shall ensure that the program meets the federal grant <br/>
<a id="pl.301.2"></a><var>301.2</var>requirements and any requirements described in this section and is actuarially sound based <br/>
<a id="pl.301.3"></a><var>301.3</var>on a review of appropriate records and methods utilized by the community-based health <br/>
<a id="pl.301.4"></a><var>301.4</var>initiative in establishing premium rates for the community-based health care coverage <br/>
<a id="pl.301.5"></a><var>301.5</var>program. <br/>
<a id="pl.301.6"></a><var>301.6</var>    (b) Prior to approval, the commissioner shall also ensure that:<br/>
<a id="pl.301.7"></a><var>301.7</var>    (1) the benefits offered comply with subdivision 8 and that there are adequate <br/>
<a id="pl.301.8"></a><var>301.8</var>numbers of health care providers participating in the community-based health network to <br/>
<a id="pl.301.9"></a><var>301.9</var>deliver the benefits offered under the program;<br/>
<a id="pl.301.10"></a><var>301.10</var>    (2) the activities of the program are limited to activities that are exempt under this <br/>
<a id="pl.301.11"></a><var>301.11</var>section or otherwise from regulation by the commissioner of commerce;<br/>
<a id="pl.301.12"></a><var>301.12</var>    (3) the complaint resolution process meets the requirements of subdivision 10; and <br/>
<a id="pl.301.13"></a><var>301.13</var>    (4) the data privacy policies and procedures comply with state and federal law.<br/>
<br/>
<a id="bill.6.11.0"></a><a id="pl.301.14"></a><var>301.14</var>    Sec. 11. Minnesota Statutes 2006, section 62Q.80, subdivision 4, is amended to read:<br/>
<a id="pl.301.15"></a><var>301.15</var>    Subd. 4. <b>Establishment. </b> (a) The initiative shall establish and operate upon approval <br/>
<a id="pl.301.16"></a><var>301.16</var>by the commissioner of health a community-based health care coverage program. The <br/>
<a id="pl.301.17"></a><var>301.17</var>operational structure established by the initiative shall include, but is not limited to: <br/>
<a id="pl.301.18"></a><var>301.18</var>    (1) establishing a process for enrolling eligible individuals and their dependents; <br/>
<a id="pl.301.19"></a><var>301.19</var>    (2) collecting and coordinating premiums from enrollees and employers of enrollees;<br/>
<a id="pl.301.20"></a><var>301.20</var>    (3) providing payment to participating providers; <br/>
<a id="pl.301.21"></a><var>301.21</var>    (4) establishing a benefit set according to subdivision 8 and establishing premium <br/>
<a id="pl.301.22"></a><var>301.22</var>rates and cost-sharing requirements; <br/>
<a id="pl.301.23"></a><var>301.23</var>    (5) creating incentives to encourage primary care and wellness services; and <br/>
<a id="pl.301.24"></a><var>301.24</var>    (6) initiating disease management services, as appropriate. <br/>
<a id="pl.301.25"></a><var>301.25</var>    (b) The payments collected under paragraph (a), clause (2), may be used to capture <br/>
<a id="pl.301.26"></a><var>301.26</var>available federal funds.<br/>
<br/>
<a id="bill.6.12.0"></a><a id="pl.301.27"></a><var>301.27</var>    Sec. 12. Minnesota Statutes 2006, section 62Q.80, subdivision 13, is amended to read:<br/>
<a id="pl.301.28"></a><var>301.28</var>    Subd. 13. <b>Report. </b> (a) The initiative shall submit quarterly status reports to the <br/>
<a id="pl.301.29"></a><var>301.29</var>commissioner of health on January 15, April 15, July 15, and October 15 of each year, <br/>
<a id="pl.301.30"></a><var>301.30</var>with the first report due January 15, 2007 2008. The status report shall include:<br/>
<a id="pl.301.31"></a><var>301.31</var>    (1) the financial status of the program, including the premium rates, cost per member <br/>
<a id="pl.301.32"></a><var>301.32</var>per month, claims paid out, premiums received, and administrative expenses; <br/>
<a id="pl.301.33"></a><var>301.33</var>    (2) a description of the health care benefits offered and the services utilized; <br/>
<a id="pl.302.1"></a><var>302.1</var>    (3) the number of employers participating, the number of employees and dependents <br/>
<a id="pl.302.2"></a><var>302.2</var>covered under the program, and the number of health care providers participating; <br/>
<a id="pl.302.3"></a><var>302.3</var>    (4) a description of the health outcomes to be achieved by the program and a status <br/>
<a id="pl.302.4"></a><var>302.4</var>report on the performance measurements to be used and collected; and <br/>
<a id="pl.302.5"></a><var>302.5</var>    (5) any other information requested by the commissioner of health or commerce or <br/>
<a id="pl.302.6"></a><var>302.6</var>the legislature. <br/>
<a id="pl.302.7"></a><var>302.7</var>    (b) The initiative shall contract with an independent entity to conduct an evaluation <br/>
<a id="pl.302.8"></a><var>302.8</var>of the program to be submitted to the commissioners of health and commerce and the <br/>
<a id="pl.302.9"></a><var>302.9</var>legislature by January 15, 2009 2010. The evaluation shall include:<br/>
<a id="pl.302.10"></a><var>302.10</var>    (1) an analysis of the health outcomes established by the initiative and the <br/>
<a id="pl.302.11"></a><var>302.11</var>performance measurements to determine whether the outcomes are being achieved;<br/>
<a id="pl.302.12"></a><var>302.12</var>    (2) an analysis of the financial status of the program, including the claims to <br/>
<a id="pl.302.13"></a><var>302.13</var>premiums loss ratio and utilization and cost experience; <br/>
<a id="pl.302.14"></a><var>302.14</var>    (3) the demographics of the enrollees, including their age, gender, family income, <br/>
<a id="pl.302.15"></a><var>302.15</var>and the number of dependents; <br/>
<a id="pl.302.16"></a><var>302.16</var>    (4) the number of employers and employees who have been denied access to the <br/>
<a id="pl.302.17"></a><var>302.17</var>program and the basis for the denial; <br/>
<a id="pl.302.18"></a><var>302.18</var>    (5) specific analysis on enrollees who have aggregate medical claims totaling over <br/>
<a id="pl.302.19"></a><var>302.19</var>$5,000 per year, including data on the enrollee's main diagnosis and whether all the <br/>
<a id="pl.302.20"></a><var>302.20</var>medical claims were covered by the program; <br/>
<a id="pl.302.21"></a><var>302.21</var>    (6) number of enrollees referred to state public assistance programs; <br/>
<a id="pl.302.22"></a><var>302.22</var>    (7) a comparison of employer-subsidized health coverage provided in a comparable <br/>
<a id="pl.302.23"></a><var>302.23</var>geographic area to the designated community-based geographic area served by the <br/>
<a id="pl.302.24"></a><var>302.24</var>program, including, to the extent available: <br/>
<a id="pl.302.25"></a><var>302.25</var>    (i) the difference in the number of employers with 50 or fewer employees offering <br/>
<a id="pl.302.26"></a><var>302.26</var>employer-subsidized health coverage; <br/>
<a id="pl.302.27"></a><var>302.27</var>    (ii) the difference in uncompensated care being provided in each area; and<br/>
<a id="pl.302.28"></a><var>302.28</var>    (iii) a comparison of health care outcomes and measurements established by the <br/>
<a id="pl.302.29"></a><var>302.29</var>initiative; and <br/>
<a id="pl.302.30"></a><var>302.30</var>    (8) any other information requested by the commissioner of health or commerce.<br/>
<br/>
<a id="bill.6.13.0"></a><a id="pl.302.31"></a><var>302.31</var>    Sec. 13. Minnesota Statutes 2006, section 62Q.80, subdivision 14, is amended to read:<br/>
<a id="pl.302.32"></a><var>302.32</var>    Subd. 14. <b>Sunset.</b> This section expires December 31, 2011 2012.<br/>
<br/>
<a id="bill.6.14.0"></a><a id="pl.302.33"></a><var>302.33</var>    Sec. 14. <b>[144.291] MINNESOTA HEALTH RECORDS ACT.</b><br/>
<a id="pl.303.1"></a><var>303.1</var>    Subdivision 1. <b>Short title.</b> Sections 144.291 to 144.298 may be cited as the <br/>
<a id="pl.303.2"></a><var>303.2</var>Minnesota Health Records Act.<br/>
<a id="pl.303.3"></a><var>303.3</var>    Subd. 2. <b>Definitions.</b> For the purposes of sections 144.291 to 144.298, the following <br/>
<a id="pl.303.4"></a><var>303.4</var>terms have the meanings given.<br/>
<a id="pl.303.5"></a><var>303.5</var>    (a) Affiliate. "Affiliate" has the meaning given in section 144.6521, subdivision 3, <br/>
<a id="pl.303.6"></a><var>303.6</var>paragraph (b).<br/>
<a id="pl.303.7"></a><var>303.7</var>    (b) Group purchaser. "Group purchaser" has the meaning given in section 62J.03, <br/>
<a id="pl.303.8"></a><var>303.8</var>subdivision 6.<br/>
<a id="pl.303.9"></a><var>303.9</var>    (c) Health record. "Health record" means any information, whether oral or recorded <br/>
<a id="pl.303.10"></a><var>303.10</var>in any form or medium, that relates to the past, present, or future physical or mental health <br/>
<a id="pl.303.11"></a><var>303.11</var>or condition of a patient; the provision of health care to a patient; or the past, present, or <br/>
<a id="pl.303.12"></a><var>303.12</var>future payment for the provision of health care to a patient.<br/>
<a id="pl.303.13"></a><var>303.13</var>    (d) Identifying information. "Identifying information" means the patient's name, <br/>
<a id="pl.303.14"></a><var>303.14</var>address, date of birth, gender, parent's or guardian's name regardless of the age of the <br/>
<a id="pl.303.15"></a><var>303.15</var>patient, and other nonclinical data which can be used to uniquely identify a patient.<br/>
<a id="pl.303.16"></a><var>303.16</var>    (e) Individually identifiable form. "Individually identifiable form" means a form in <br/>
<a id="pl.303.17"></a><var>303.17</var>which the patient is or can be identified as the subject of the health records.<br/>
<a id="pl.303.18"></a><var>303.18</var>    (f) Medical emergency. "Medical emergency" means medically necessary care <br/>
<a id="pl.303.19"></a><var>303.19</var>which is immediately needed to preserve life, prevent serious impairment to bodily <br/>
<a id="pl.303.20"></a><var>303.20</var>functions, organs, or parts, or prevent placing the physical or mental health of the patient <br/>
<a id="pl.303.21"></a><var>303.21</var>in serious jeopardy.<br/>
<a id="pl.303.22"></a><var>303.22</var>    (g) Patient. "Patient" means a natural person who has received health care services <br/>
<a id="pl.303.23"></a><var>303.23</var>from a provider for treatment or examination of a medical, psychiatric, or mental <br/>
<a id="pl.303.24"></a><var>303.24</var>condition, the surviving spouse and parents of a deceased patient, or a person the patient <br/>
<a id="pl.303.25"></a><var>303.25</var>appoints in writing as a representative, including a health care agent acting according to <br/>
<a id="pl.303.26"></a><var>303.26</var>chapter 145C, unless the authority of the agent has been limited by the principal in the <br/>
<a id="pl.303.27"></a><var>303.27</var>principal's health care directive. Except for minors who have received health care services <br/>
<a id="pl.303.28"></a><var>303.28</var>under sections 144.341 to 144.347, in the case of a minor, patient includes a parent or <br/>
<a id="pl.303.29"></a><var>303.29</var>guardian, or a person acting as a parent or guardian in the absence of a parent or guardian.<br/>
<a id="pl.303.30"></a><var>303.30</var>    (h) Provider. "Provider" means: <br/>
<a id="pl.303.31"></a><var>303.31</var>    (1) any person who furnishes health care services and is regulated to furnish the <br/>
<a id="pl.303.32"></a><var>303.32</var>services under chapter 147, 147A, 147B, 147C, 147D, 148, 148B, 148C, 148D, 150A, <br/>
<a id="pl.303.33"></a><var>303.33</var>151, 153, or 153A; <br/>
<a id="pl.303.34"></a><var>303.34</var>    (2) a home care provider licensed under section 144A.46; <br/>
<a id="pl.303.35"></a><var>303.35</var>    (3) a health care facility licensed under this chapter or chapter 144A; <br/>
<a id="pl.303.36"></a><var>303.36</var>    (4) a physician assistant registered under chapter 147A; and <br/>
<a id="pl.304.1"></a><var>304.1</var>    (5) an unlicensed mental health practitioner regulated under sections 148B.60 to <br/>
<a id="pl.304.2"></a><var>304.2</var>148B.71.<br/>
<a id="pl.304.3"></a><var>304.3</var>    (i) Record locator service. "Record locator service" means an electronic index of <br/>
<a id="pl.304.4"></a><var>304.4</var>patient identifying information that directs providers in a health information exchange to <br/>
<a id="pl.304.5"></a><var>304.5</var>the location of patient health records held by providers and group purchasers.<br/>
<a id="pl.304.6"></a><var>304.6</var>    (j) Related health care entity. "Related health care entity" means an affiliate of <br/>
<a id="pl.304.7"></a><var>304.7</var>the provider releasing the health records.<br/>
<br/>
<a id="bill.6.15.0"></a><a id="pl.304.8"></a><var>304.8</var>    Sec. 15. <b>[144.292] PATIENT RIGHTS.</b><br/>
<a id="pl.304.9"></a><var>304.9</var>    Subdivision 1. <b>Scope.</b> Patients have the rights specified in this section regarding the <br/>
<a id="pl.304.10"></a><var>304.10</var>treatment the patient receives and the patient's health record.<br/>
<a id="pl.304.11"></a><var>304.11</var>    Subd. 2. <b>Patient access.</b> Upon request, a provider shall supply to a patient complete <br/>
<a id="pl.304.12"></a><var>304.12</var>and current information possessed by that provider concerning any diagnosis, treatment, <br/>
<a id="pl.304.13"></a><var>304.13</var>and prognosis of the patient in terms and language the patient can reasonably be expected <br/>
<a id="pl.304.14"></a><var>304.14</var>to understand.<br/>
<a id="pl.304.15"></a><var>304.15</var>    Subd. 3. <b>Additional patient rights.</b> A patient's right specified in this section and <br/>
<a id="pl.304.16"></a><var>304.16</var>sections 144.293 to 144.298 are in addition to the rights specified in sections 144.651 and <br/>
<a id="pl.304.17"></a><var>304.17</var>144.652 and any other provision of law relating to the access of a patient to the patient's <br/>
<a id="pl.304.18"></a><var>304.18</var>health records.<br/>
<a id="pl.304.19"></a><var>304.19</var>    Subd. 4. <b>Notice of rights; information on release.</b> A provider shall provide to <br/>
<a id="pl.304.20"></a><var>304.20</var>patients, in a clear and conspicuous manner, a written notice concerning practices and <br/>
<a id="pl.304.21"></a><var>304.21</var>rights with respect to access to health records. The notice must include an explanation of:<br/>
<a id="pl.304.22"></a><var>304.22</var>    (1) disclosures of health records that may be made without the written consent of the <br/>
<a id="pl.304.23"></a><var>304.23</var>patient, including the type of records and to whom the records may be disclosed; and<br/>
<a id="pl.304.24"></a><var>304.24</var>    (2) the right of the patient to have access to and obtain copies of the patient's health <br/>
<a id="pl.304.25"></a><var>304.25</var>records and other information about the patient that is maintained by the provider.<br/>
<a id="pl.304.26"></a><var>304.26</var>    The notice requirements of this subdivision are satisfied if the notice is included with <br/>
<a id="pl.304.27"></a><var>304.27</var>the notice and copy of the patient and resident bill of rights under section 144.652 or if it <br/>
<a id="pl.304.28"></a><var>304.28</var>is displayed prominently in the provider's place of business. The commissioner of health <br/>
<a id="pl.304.29"></a><var>304.29</var>shall develop the notice required in this subdivision and publish it in the State Register.<br/>
<a id="pl.304.30"></a><var>304.30</var>    Subd. 5. <b>Copies of health records to patients.</b> Except as provided in section <br/>
<a id="pl.304.31"></a><var>304.31</var>144.296, upon a patient's written request, a provider, at a reasonable cost to the patient, <br/>
<a id="pl.304.32"></a><var>304.32</var>shall promptly furnish to the patient:<br/>
<a id="pl.304.33"></a><var>304.33</var>    (1) copies of the patient's health record, including but not limited to laboratory <br/>
<a id="pl.304.34"></a><var>304.34</var>reports, x-rays, prescriptions, and other technical information used in assessing the <br/>
<a id="pl.304.35"></a><var>304.35</var>patient's health conditions; or<br/>
<a id="pl.305.1"></a><var>305.1</var>    (2) the pertinent portion of the record relating to a condition specified by the patient.<br/>
<a id="pl.305.2"></a><var>305.2</var>    With the consent of the patient, the provider may instead furnish only a summary <br/>
<a id="pl.305.3"></a><var>305.3</var>of the record. The provider may exclude from the health record written speculations <br/>
<a id="pl.305.4"></a><var>305.4</var>about the patient's health condition, except that all information necessary for the patient's <br/>
<a id="pl.305.5"></a><var>305.5</var>informed consent must be provided.<br/>
<a id="pl.305.6"></a><var>305.6</var>    Subd. 6. <b>Cost.</b> (a) When a patient requests a copy of the patient's record for <br/>
<a id="pl.305.7"></a><var>305.7</var>purposes of reviewing current medical care, the provider must not charge a fee.<br/>
<a id="pl.305.8"></a><var>305.8</var>    (b) When a provider or its representative makes copies of patient records upon a <br/>
<a id="pl.305.9"></a><var>305.9</var>patient's request under this section, the provider or its representative may charge the <br/>
<a id="pl.305.10"></a><var>305.10</var>patient or the patient's representative no more than 75 cents per page, plus $10 for time <br/>
<a id="pl.305.11"></a><var>305.11</var>spent retrieving and copying the records, unless other law or a rule or contract provide for <br/>
<a id="pl.305.12"></a><var>305.12</var>a lower maximum charge. This limitation does not apply to x-rays. The provider may <br/>
<a id="pl.305.13"></a><var>305.13</var>charge a patient no more than the actual cost of reproducing x-rays, plus no more than <br/>
<a id="pl.305.14"></a><var>305.14</var>$10 for the time spent retrieving and copying the x-rays.<br/>
<a id="pl.305.15"></a><var>305.15</var>    (c) The respective maximum charges of 75 cents per page and $10 for time provided <br/>
<a id="pl.305.16"></a><var>305.16</var>in this subdivision are in effect for calendar year 1992 and may be adjusted annually each <br/>
<a id="pl.305.17"></a><var>305.17</var>calendar year as provided in this subdivision. The permissible maximum charges shall <br/>
<a id="pl.305.18"></a><var>305.18</var>change each year by an amount that reflects the change, as compared to the previous year, <br/>
<a id="pl.305.19"></a><var>305.19</var>in the Consumer Price Index for all Urban Consumers, Minneapolis-St. Paul (CPI-U), <br/>
<a id="pl.305.20"></a><var>305.20</var>published by the Department of Labor.<br/>
<a id="pl.305.21"></a><var>305.21</var>    (d) A provider or its representative must not charge a fee to provide copies of records <br/>
<a id="pl.305.22"></a><var>305.22</var>requested by a patient or the patient's authorized representative if the request for copies <br/>
<a id="pl.305.23"></a><var>305.23</var>of records is for purposes of appealing a denial of Social Security disability income or <br/>
<a id="pl.305.24"></a><var>305.24</var>Social Security disability benefits under title II or title XVI of the Social Security Act. For <br/>
<a id="pl.305.25"></a><var>305.25</var>the purpose of further appeals, a patient may receive no more than two medical record <br/>
<a id="pl.305.26"></a><var>305.26</var>updates without charge, but only for medical record information previously not provided. <br/>
<a id="pl.305.27"></a><var>305.27</var>For purposes of this paragraph, a patient's authorized representative does not include units <br/>
<a id="pl.305.28"></a><var>305.28</var>of state government engaged in the adjudication of Social Security disability claims.<br/>
<a id="pl.305.29"></a><var>305.29</var>    Subd. 7. <b>Withholding health records from patient.</b> (a) If a provider reasonably <br/>
<a id="pl.305.30"></a><var>305.30</var>determines that the information is detrimental to the physical or mental health of the <br/>
<a id="pl.305.31"></a><var>305.31</var>patient, or is likely to cause the patient to inflict self harm, or to harm another, the provider <br/>
<a id="pl.305.32"></a><var>305.32</var>may withhold the information from the patient and may supply the information to an <br/>
<a id="pl.305.33"></a><var>305.33</var>appropriate third party or to another provider. The other provider or third party may <br/>
<a id="pl.305.34"></a><var>305.34</var>release the information to the patient.<br/>
<a id="pl.306.1"></a><var>306.1</var>    (b) A provider shall release information upon written request unless, prior to the <br/>
<a id="pl.306.2"></a><var>306.2</var>request, a provider has designated and described a specific basis for withholding the <br/>
<a id="pl.306.3"></a><var>306.3</var>information as authorized by paragraph (a).<br/>
<br/>
<a id="bill.6.16.0"></a><a id="pl.306.4"></a><var>306.4</var>    Sec. 16. <b>[144.293] RELEASE OR DISCLOSURE OF HEALTH RECORDS.</b><br/>
<a id="pl.306.5"></a><var>306.5</var>    Subdivision 1. <b>Release or disclosure of health records.</b> Health records can be <br/>
<a id="pl.306.6"></a><var>306.6</var>released or disclosed as specified in subdivisions 2 to 9 and sections 144.294 and 144.295.<br/>
<a id="pl.306.7"></a><var>306.7</var>    Subd. 2. <b>Patient consent to release of records.</b> A provider, or a person who <br/>
<a id="pl.306.8"></a><var>306.8</var>receives health records from a provider, may not release a patient's health records to a <br/>
<a id="pl.306.9"></a><var>306.9</var>person without:<br/>
<a id="pl.306.10"></a><var>306.10</var>    (1) a signed and dated consent from the patient or the patient's legally authorized <br/>
<a id="pl.306.11"></a><var>306.11</var>representative authorizing the release;<br/>
<a id="pl.306.12"></a><var>306.12</var>    (2) specific authorization in law; or<br/>
<a id="pl.306.13"></a><var>306.13</var>    (3) a representation from a provider that the provider holds a consent from the <br/>
<a id="pl.306.14"></a><var>306.14</var>patient.<br/>
<a id="pl.306.15"></a><var>306.15</var>    Subd. 3. <b>Release from one provider to another.</b> A patient's health record, <br/>
<a id="pl.306.16"></a><var>306.16</var>including, but not limited to, laboratory reports, x-rays, prescriptions, and other technical <br/>
<a id="pl.306.17"></a><var>306.17</var>information used in assessing the patient's condition, or the pertinent portion of the record <br/>
<a id="pl.306.18"></a><var>306.18</var>relating to a specific condition, or a summary of the record, shall promptly be furnished to <br/>
<a id="pl.306.19"></a><var>306.19</var>another provider upon the written request of the patient. The written request shall specify <br/>
<a id="pl.306.20"></a><var>306.20</var>the name of the provider to whom the health record is to be furnished. The provider who <br/>
<a id="pl.306.21"></a><var>306.21</var>furnishes the health record or summary may retain a copy of the materials furnished. The <br/>
<a id="pl.306.22"></a><var>306.22</var>patient shall be responsible for the reasonable costs of furnishing the information.<br/>
<a id="pl.306.23"></a><var>306.23</var>    Subd. 4. <b>Duration of consent.</b> Except as provided in this section, a consent is <br/>
<a id="pl.306.24"></a><var>306.24</var>valid for one year or for a lesser period specified in the consent or for a different period <br/>
<a id="pl.306.25"></a><var>306.25</var>provided by law.<br/>
<a id="pl.306.26"></a><var>306.26</var>    Subd. 5. <b>Exceptions to consent requirement.</b> This section does not prohibit the <br/>
<a id="pl.306.27"></a><var>306.27</var>release of health records:<br/>
<a id="pl.306.28"></a><var>306.28</var>    (1) for a medical emergency when the provider is unable to obtain the patient's <br/>
<a id="pl.306.29"></a><var>306.29</var>consent due to the patient's condition or the nature of the medical emergency;<br/>
<a id="pl.306.30"></a><var>306.30</var>    (2) to other providers within related health care entities when necessary for the <br/>
<a id="pl.306.31"></a><var>306.31</var>current treatment of the patient; or<br/>
<a id="pl.306.32"></a><var>306.32</var>    (3) to a health care facility licensed by this chapter, chapter 144A, or to the same <br/>
<a id="pl.306.33"></a><var>306.33</var>types of health care facilities licensed by this chapter and chapter 144A that are licensed <br/>
<a id="pl.306.34"></a><var>306.34</var>in another state when a patient:<br/>
<a id="pl.306.35"></a><var>306.35</var>    (i) is returning to the health care facility and unable to provide consent; or<br/>
<a id="pl.307.1"></a><var>307.1</var>    (ii) who resides in the health care facility, has services provided by an outside <br/>
<a id="pl.307.2"></a><var>307.2</var>resource under Code of Federal Regulations, title 42, section 483.75(h), and is unable <br/>
<a id="pl.307.3"></a><var>307.3</var>to provide consent.<br/>
<a id="pl.307.4"></a><var>307.4</var>    Subd. 6. <b>Consent does not expire.</b> Notwithstanding subdivision 4, if a patient <br/>
<a id="pl.307.5"></a><var>307.5</var>explicitly gives informed consent to the release of health records for the purposes and <br/>
<a id="pl.307.6"></a><var>307.6</var>restrictions in clauses (1) and (2), the consent does not expire after one year for:<br/>
<a id="pl.307.7"></a><var>307.7</var>    (1) the release of health records to a provider who is being advised or consulted with <br/>
<a id="pl.307.8"></a><var>307.8</var>in connection with the releasing provider's current treatment of the patient;<br/>
<a id="pl.307.9"></a><var>307.9</var>    (2) the release of health records to an accident and health insurer, health service plan <br/>
<a id="pl.307.10"></a><var>307.10</var>corporation, health maintenance organization, or third-party administrator for purposes of <br/>
<a id="pl.307.11"></a><var>307.11</var>payment of claims, fraud investigation, or quality of care review and studies, provided that:<br/>
<a id="pl.307.12"></a><var>307.12</var>    (i) the use or release of the records complies with sections 72A.49 to 72A.505;<br/>
<a id="pl.307.13"></a><var>307.13</var>    (ii) further use or release of the records in individually identifiable form to a person <br/>
<a id="pl.307.14"></a><var>307.14</var>other than the patient without the patient's consent is prohibited; and<br/>
<a id="pl.307.15"></a><var>307.15</var>    (iii) the recipient establishes adequate safeguards to protect the records from <br/>
<a id="pl.307.16"></a><var>307.16</var>unauthorized disclosure, including a procedure for removal or destruction of information <br/>
<a id="pl.307.17"></a><var>307.17</var>that identifies the patient.<br/>
<a id="pl.307.18"></a><var>307.18</var>    Subd. 7. <b>Exception to consent.</b> Subdivision 2 does not apply to the release of health <br/>
<a id="pl.307.19"></a><var>307.19</var>records to the commissioner of health or the Health Data Institute under chapter 62J, <br/>
<a id="pl.307.20"></a><var>307.20</var>provided that the commissioner encrypts the patient identifier upon receipt of the data.<br/>
<a id="pl.307.21"></a><var>307.21</var>    Subd. 8. <b>Record locator service.</b> (a) A provider or group purchaser may send <br/>
<a id="pl.307.22"></a><var>307.22</var>patient identifying information and information about the location of the patient's health <br/>
<a id="pl.307.23"></a><var>307.23</var>records to a record locator service without consent from the patient. Except in the case of <br/>
<a id="pl.307.24"></a><var>307.24</var>a medical emergency, a provider participating in a health information exchange using a <br/>
<a id="pl.307.25"></a><var>307.25</var>record locator service cannot access patient identifying information and information <br/>
<a id="pl.307.26"></a><var>307.26</var>about the location of the patient's health records until the patient has provided consent. <br/>
<a id="pl.307.27"></a><var>307.27</var>The Minnesota Department of Health may not access the record locator service or receive <br/>
<a id="pl.307.28"></a><var>307.28</var>data from the record locator service. Only a provider may access patient identifying <br/>
<a id="pl.307.29"></a><var>307.29</var>information in a record locator service. The consent does not expire and may be revoked <br/>
<a id="pl.307.30"></a><var>307.30</var>by the patient at any time by providing written notice of the revocation to the provider.<br/>
<a id="pl.307.31"></a><var>307.31</var>    (b) A health information exchange maintaining a record locator service or an entity <br/>
<a id="pl.307.32"></a><var>307.32</var>maintaining a record locator service for a health information exchange must maintain an <br/>
<a id="pl.307.33"></a><var>307.33</var>audit log of providers accessing information in a record locator service that minimally <br/>
<a id="pl.307.34"></a><var>307.34</var>contains information on: <br/>
<a id="pl.307.35"></a><var>307.35</var>    (1) the identity of the provider accessing the information; <br/>
<a id="pl.307.36"></a><var>307.36</var>    (2) the identity of the patient whose information was accessed by the provider; and <br/>
<a id="pl.308.1"></a><var>308.1</var>    (3) the date the information was accessed. <br/>
<a id="pl.308.2"></a><var>308.2</var>    (c) No group purchaser may in any way require a provider to participate in any <br/>
<a id="pl.308.3"></a><var>308.3</var>record locator service as a condition of payment or participation.<br/>
<a id="pl.308.4"></a><var>308.4</var>    (d) A record locator service must provide a mechanism for patients to opt out of <br/>
<a id="pl.308.5"></a><var>308.5</var>including their identifying information and information about the location of their health <br/>
<a id="pl.308.6"></a><var>308.6</var>records in a record locator service. At a minimum, any consent form that permits a <br/>
<a id="pl.308.7"></a><var>308.7</var>provider to access a record locator service must include a check-box option that allows a <br/>
<a id="pl.308.8"></a><var>308.8</var>patient to completely opt out of the record locator service which shall be clearly displayed <br/>
<a id="pl.308.9"></a><var>308.9</var>to the patient. A provider participating in a health information exchange with a record <br/>
<a id="pl.308.10"></a><var>308.10</var>locator service who receives a patient's request to completely opt out of the record locator <br/>
<a id="pl.308.11"></a><var>308.11</var>service or to not have a specific provider contact in the record locator service shall be <br/>
<a id="pl.308.12"></a><var>308.12</var>responsible for removing the patient's information from the record locator service.<br/>
<a id="pl.308.13"></a><var>308.13</var>    Subd. 9. <b>Documentation of release.</b> (a) In cases where a provider releases health <br/>
<a id="pl.308.14"></a><var>308.14</var>records without patient consent as authorized by law, the release must be documented in <br/>
<a id="pl.308.15"></a><var>308.15</var>the patient's health record. In the case of a release under section 144.294, subdivision 2, the <br/>
<a id="pl.308.16"></a><var>308.16</var>documentation must include the date and circumstances under which the release was made, <br/>
<a id="pl.308.17"></a><var>308.17</var>the person or agency to whom the release was made, and the records that were released.<br/>
<a id="pl.308.18"></a><var>308.18</var>    (b) When a health record is released using a representation from a provider that <br/>
<a id="pl.308.19"></a><var>308.19</var>holds a consent from the patient, the releasing provider shall document: <br/>
<a id="pl.308.20"></a><var>308.20</var>    (1) the provider requesting the health records; <br/>
<a id="pl.308.21"></a><var>308.21</var>    (2) the identity of the patient;<br/>
<a id="pl.308.22"></a><var>308.22</var>    (3) the health records requested; and <br/>
<a id="pl.308.23"></a><var>308.23</var>    (4) the date the health records were requested.<br/>
<br/>
<a id="bill.6.17.0"></a><a id="pl.308.24"></a><var>308.24</var>    Sec. 17. <b>[144.294] RECORDS RELATING TO MENTAL HEALTH.</b><br/>
<a id="pl.308.25"></a><var>308.25</var>    Subdivision 1. <b>Provider inquiry.</b> Upon the written request of a spouse, parent, <br/>
<a id="pl.308.26"></a><var>308.26</var>child, or sibling of a patient being evaluated for or diagnosed with mental illness, a <br/>
<a id="pl.308.27"></a><var>308.27</var>provider shall inquire of a patient whether the patient wishes to authorize a specific <br/>
<a id="pl.308.28"></a><var>308.28</var>individual to receive information regarding the patient's current and proposed course of <br/>
<a id="pl.308.29"></a><var>308.29</var>treatment. If the patient so authorizes, the provider shall communicate to the designated <br/>
<a id="pl.308.30"></a><var>308.30</var>individual the patient's current and proposed course of treatment. Section 144.293, <br/>
<a id="pl.308.31"></a><var>308.31</var>subdivisions 2 and 4, apply to consents given under this subdivision.<br/>
<a id="pl.308.32"></a><var>308.32</var>    Subd. 2. <b>Disclosure to law enforcement agency.</b> Notwithstanding section 144.293, <br/>
<a id="pl.308.33"></a><var>308.33</var>subdivisions 2 and 4, a provider must disclose health records relating to a patient's mental <br/>
<a id="pl.308.34"></a><var>308.34</var>health to a law enforcement agency if the law enforcement agency provides the name <br/>
<a id="pl.308.35"></a><var>308.35</var>of the patient and communicates that the:<br/>
<a id="pl.309.1"></a><var>309.1</var>    (1) patient is currently involved in an emergency interaction with the law <br/>
<a id="pl.309.2"></a><var>309.2</var>enforcement agency; and<br/>
<a id="pl.309.3"></a><var>309.3</var>    (2) disclosure of the records is necessary to protect the health or safety of the patient <br/>
<a id="pl.309.4"></a><var>309.4</var>or of another person. <br/>
<a id="pl.309.5"></a><var>309.5</var>    The scope of disclosure under this subdivision is limited to the minimum necessary <br/>
<a id="pl.309.6"></a><var>309.6</var>for law enforcement to respond to the emergency. A law enforcement agency that obtains <br/>
<a id="pl.309.7"></a><var>309.7</var>health records under this subdivision shall maintain a record of the requestor, the provider <br/>
<a id="pl.309.8"></a><var>309.8</var>of the information, and the patient's name. Health records obtained by a law enforcement <br/>
<a id="pl.309.9"></a><var>309.9</var>agency under this subdivision are private data on individuals as defined in section 13.02, <br/>
<a id="pl.309.10"></a><var>309.10</var>subdivision 12, and must not be used by law enforcement for any other purpose.<br/>
<a id="pl.309.11"></a><var>309.11</var>    Subd. 3. <b>Records release for family and caretaker; mental health care.</b> (a) <br/>
<a id="pl.309.12"></a><var>309.12</var>Notwithstanding section 144.293, a provider providing mental health care and treatment <br/>
<a id="pl.309.13"></a><var>309.13</var>may disclose health record information described in paragraph (b) about a patient to a <br/>
<a id="pl.309.14"></a><var>309.14</var>family member of the patient or other person who requests the information if:<br/>
<a id="pl.309.15"></a><var>309.15</var>    (1) the request for information is in writing;<br/>
<a id="pl.309.16"></a><var>309.16</var>    (2) the family member or other person lives with, provides care for, or is directly <br/>
<a id="pl.309.17"></a><var>309.17</var>involved in monitoring the treatment of the patient;<br/>
<a id="pl.309.18"></a><var>309.18</var>    (3) the involvement under clause (2) is verified by the patient's mental health care <br/>
<a id="pl.309.19"></a><var>309.19</var>provider, the patient's attending physician, or a person other than the person requesting the <br/>
<a id="pl.309.20"></a><var>309.20</var>information, and is documented in the patient's medical record;<br/>
<a id="pl.309.21"></a><var>309.21</var>    (4) before the disclosure, the patient is informed in writing of the request, the name <br/>
<a id="pl.309.22"></a><var>309.22</var>of the person requesting the information, the reason for the request, and the specific <br/>
<a id="pl.309.23"></a><var>309.23</var>information being requested;<br/>
<a id="pl.309.24"></a><var>309.24</var>    (5) the patient agrees to the disclosure, does not object to the disclosure, or is <br/>
<a id="pl.309.25"></a><var>309.25</var>unable to consent or object, and the patient's decision or inability to make a decision is <br/>
<a id="pl.309.26"></a><var>309.26</var>documented in the patient's medical record; and<br/>
<a id="pl.309.27"></a><var>309.27</var>    (6) the disclosure is necessary to assist in the provision of care or monitoring of the <br/>
<a id="pl.309.28"></a><var>309.28</var>patient's treatment. <br/>
<a id="pl.309.29"></a><var>309.29</var>    (b) The information disclosed under this paragraph is limited to diagnosis, admission <br/>
<a id="pl.309.30"></a><var>309.30</var>to or discharge from treatment, the name and dosage of the medications prescribed, side <br/>
<a id="pl.309.31"></a><var>309.31</var>effects of the medication, consequences of failure of the patient to take the prescribed <br/>
<a id="pl.309.32"></a><var>309.32</var>medication, and a summary of the discharge plan. <br/>
<a id="pl.309.33"></a><var>309.33</var>    (c) If a provider reasonably determines that providing information under this <br/>
<a id="pl.309.34"></a><var>309.34</var>subdivision would be detrimental to the physical or mental health of the patient or is <br/>
<a id="pl.309.35"></a><var>309.35</var>likely to cause the patient to inflict self harm or to harm another, the provider must not <br/>
<a id="pl.309.36"></a><var>309.36</var>disclose the information. <br/>
<a id="pl.310.1"></a><var>310.1</var>    (d) This subdivision does not apply to disclosures for a medical emergency or <br/>
<a id="pl.310.2"></a><var>310.2</var>to family members as authorized or required under subdivision 1 or section 144.293, <br/>
<a id="pl.310.3"></a><var>310.3</var>subdivision 5, clause (1).<br/>
<br/>
<a id="bill.6.18.0"></a><a id="pl.310.4"></a><var>310.4</var>    Sec. 18. <b>[144.295] DISCLOSURE OF HEALTH RECORDS FOR EXTERNAL </b><br/>
<a id="pl.310.5"></a><var>310.5</var><b>RESEARCH.</b><br/>
<a id="pl.310.6"></a><var>310.6</var>    Subdivision 1. <b>Methods of release.</b> (a) Notwithstanding section 144.293, <br/>
<a id="pl.310.7"></a><var>310.7</var>subdivisions 2 and 4, health records may be released to an external researcher solely for <br/>
<a id="pl.310.8"></a><var>310.8</var>purposes of medical or scientific research only as follows:<br/>
<a id="pl.310.9"></a><var>310.9</var>    (1) health records generated before January 1, 1997, may be released if the patient <br/>
<a id="pl.310.10"></a><var>310.10</var>has not objected or does not elect to object after that date;<br/>
<a id="pl.310.11"></a><var>310.11</var>    (2) for health records generated on or after January 1, 1997, the provider must:<br/>
<a id="pl.310.12"></a><var>310.12</var>    (i) disclose in writing to patients currently being treated by the provider that health <br/>
<a id="pl.310.13"></a><var>310.13</var>records, regardless of when generated, may be released and that the patient may object, in <br/>
<a id="pl.310.14"></a><var>310.14</var>which case the records will not be released; and<br/>
<a id="pl.310.15"></a><var>310.15</var>    (ii) use reasonable efforts to obtain the patient's written general authorization that <br/>
<a id="pl.310.16"></a><var>310.16</var>describes the release of records in item (i), which does not expire but may be revoked or <br/>
<a id="pl.310.17"></a><var>310.17</var>limited in writing at any time by the patient or the patient's authorized representative; <br/>
<a id="pl.310.18"></a><var>310.18</var>    (3) the provider must advise the patient of the rights specified in clause (4); and<br/>
<a id="pl.310.19"></a><var>310.19</var>    (4) the provider must, at the request of the patient, provide information on how the <br/>
<a id="pl.310.20"></a><var>310.20</var>patient may contact an external researcher to whom the health record was released and <br/>
<a id="pl.310.21"></a><var>310.21</var>the date it was released.<br/>
<a id="pl.310.22"></a><var>310.22</var>    (b) Authorization may be established if an authorization is mailed at least two <br/>
<a id="pl.310.23"></a><var>310.23</var>times to the patient's last known address with a postage prepaid return envelope and a <br/>
<a id="pl.310.24"></a><var>310.24</var>conspicuous notice that the patient's medical records may be released if the patient does <br/>
<a id="pl.310.25"></a><var>310.25</var>not object, and at least 60 days have expired since the second notice was sent.<br/>
<a id="pl.310.26"></a><var>310.26</var>    Subd. 2. <b>Duties of researcher.</b> In making a release for research purposes, the <br/>
<a id="pl.310.27"></a><var>310.27</var>provider shall make a reasonable effort to determine that:<br/>
<a id="pl.310.28"></a><var>310.28</var>    (1) the use or disclosure does not violate any limitations under which the record <br/>
<a id="pl.310.29"></a><var>310.29</var>was collected;<br/>
<a id="pl.310.30"></a><var>310.30</var>    (2) the use or disclosure in individually identifiable form is necessary to accomplish <br/>
<a id="pl.310.31"></a><var>310.31</var>the research or statistical purpose for which the use or disclosure is to be made;<br/>
<a id="pl.310.32"></a><var>310.32</var>    (3) the recipient has established and maintains adequate safeguards to protect the <br/>
<a id="pl.310.33"></a><var>310.33</var>records from unauthorized disclosure, including a procedure for removal or destruction of <br/>
<a id="pl.310.34"></a><var>310.34</var>information that identifies the patient; and<br/>
<a id="pl.311.1"></a><var>311.1</var>    (4) further use or release of the records in individually identifiable form to a person <br/>
<a id="pl.311.2"></a><var>311.2</var>other than the patient without the patient's consent is prohibited.<br/>
<br/>
<a id="bill.6.19.0"></a><a id="pl.311.3"></a><var>311.3</var>    Sec. 19. <b>[144.296] COPIES OF VIDEOTAPES.</b><br/>
<a id="pl.311.4"></a><var>311.4</var>    A provider may not release a copy of a videotape of a child victim or alleged victim <br/>
<a id="pl.311.5"></a><var>311.5</var>of physical or sexual abuse without a court order under section 13.03, subdivision 6, or <br/>
<a id="pl.311.6"></a><var>311.6</var>as provided in section 611A.90. This section does not limit the right of a patient to view <br/>
<a id="pl.311.7"></a><var>311.7</var>the videotape.<br/>
<br/>
<a id="bill.6.20.0"></a><a id="pl.311.8"></a><var>311.8</var>    Sec. 20. <b>[144.297] INDEPENDENT MEDICAL EXAMINATION.</b><br/>
<a id="pl.311.9"></a><var>311.9</var>    This section applies to the subject and provider of an independent medical <br/>
<a id="pl.311.10"></a><var>311.10</var>examination requested by or paid for by a third party. Notwithstanding section 144.293, a <br/>
<a id="pl.311.11"></a><var>311.11</var>provider may release health records created as part of an independent medical examination <br/>
<a id="pl.311.12"></a><var>311.12</var>to the third party who requested or paid for the examination.<br/>
<br/>
<a id="bill.6.21.0"></a><a id="pl.311.13"></a><var>311.13</var>    Sec. 21. <b>[144.298] PENALTIES.</b><br/>
<a id="pl.311.14"></a><var>311.14</var>    Subdivision 1. <b>Licensing action.</b> A violation of sections 144.291 to 144.298 may <br/>
<a id="pl.311.15"></a><var>311.15</var>be grounds for disciplinary action against a provider by the appropriate licensing board <br/>
<a id="pl.311.16"></a><var>311.16</var>or agency.<br/>
<a id="pl.311.17"></a><var>311.17</var>    Subd. 2. <b>Allocation of liability.</b> In adjudicating a dispute involving the disclosure <br/>
<a id="pl.311.18"></a><var>311.18</var>of patient health records, a court shall use the criteria in this subdivision in determining <br/>
<a id="pl.311.19"></a><var>311.19</var>how liability will be allocated.<br/>
<a id="pl.311.20"></a><var>311.20</var>    (a) When requesting health records using consent, a person warrants that the consent:<br/>
<a id="pl.311.21"></a><var>311.21</var>    (1) contains no information known to the person to be false; and<br/>
<a id="pl.311.22"></a><var>311.22</var>    (2) accurately states the patient's desire to have health records disclosed or that there <br/>
<a id="pl.311.23"></a><var>311.23</var>is specific authorization in law.<br/>
<a id="pl.311.24"></a><var>311.24</var>    (b) When requesting health records using consent or the representation authorized in <br/>
<a id="pl.311.25"></a><var>311.25</var>section 144.293, subdivision 2, a provider warrants that the request:<br/>
<a id="pl.311.26"></a><var>311.26</var>    (1) contains no information known to the provider to be false;<br/>
<a id="pl.311.27"></a><var>311.27</var>    (2) accurately states the patient's desire to have health records disclosed or that <br/>
<a id="pl.311.28"></a><var>311.28</var>there is specific authorization in law; and<br/>
<a id="pl.311.29"></a><var>311.29</var>    (3) does not exceed any limits imposed by the patient in the consent.<br/>
<a id="pl.311.30"></a><var>311.30</var>    (c) When disclosing health records, a person releasing health records warrants that <br/>
<a id="pl.311.31"></a><var>311.31</var>the person:<br/>
<a id="pl.311.32"></a><var>311.32</var>    (1) has complied with the requirements of this section regarding disclosure of <br/>
<a id="pl.311.33"></a><var>311.33</var>health records;<br/>
<a id="pl.312.1"></a><var>312.1</var>    (2) knows of no information related to the request that is false; and<br/>
<a id="pl.312.2"></a><var>312.2</var>    (3) has complied with the limits set by the patient in the consent or as described <br/>
<a id="pl.312.3"></a><var>312.3</var>in the representation of consent.<br/>
<a id="pl.312.4"></a><var>312.4</var>    (d) A court of this state presumes that:<br/>
<a id="pl.312.5"></a><var>312.5</var>    (1) a request made by a person that complies with the provisions of this section is <br/>
<a id="pl.312.6"></a><var>312.6</var>valid and represents the wishes of the patient;<br/>
<a id="pl.312.7"></a><var>312.7</var>    (2) the information listed in a consent or representation of consent is accurate;<br/>
<a id="pl.312.8"></a><var>312.8</var>    (3) the recipient of a consent or representation of consent has no knowledge or <br/>
<a id="pl.312.9"></a><var>312.9</var>notice that the person making the request breached a duty to the patient or does not <br/>
<a id="pl.312.10"></a><var>312.10</var>rightfully have a consent;<br/>
<a id="pl.312.11"></a><var>312.11</var>    (4) the signature on the consent or representation of consent is not forged;<br/>
<a id="pl.312.12"></a><var>312.12</var>    (5) the consent or representation of consent was not obtained under false pretenses; <br/>
<a id="pl.312.13"></a><var>312.13</var>and<br/>
<a id="pl.312.14"></a><var>312.14</var>    (6) the consent or representation of consent was not altered without the patient's <br/>
<a id="pl.312.15"></a><var>312.15</var>permission.<br/>
<a id="pl.312.16"></a><var>312.16</var>    (e) No person or provider may disclaim or contractually limit the application of this <br/>
<a id="pl.312.17"></a><var>312.17</var>section, or obtain indemnity for its effects, if the disclaimer, limitation, or indemnity <br/>
<a id="pl.312.18"></a><var>312.18</var>restricts liability for misrepresentation against persons reasonably relying on the consent, <br/>
<a id="pl.312.19"></a><var>312.19</var>representation of consent, or disclosure.<br/>
<a id="pl.312.20"></a><var>312.20</var>    (f) A court of this state shall give effect to liability allocations between the parties <br/>
<a id="pl.312.21"></a><var>312.21</var>provided by contract that does not allocate liability to the detriment of the patient and the <br/>
<a id="pl.312.22"></a><var>312.22</var>allocation is consistent with the requirements of sections 144.291 to 144.298.<br/>
<a id="pl.312.23"></a><var>312.23</var>    (g) A patient is eligible to receive compensatory damages plus costs and reasonable <br/>
<a id="pl.312.24"></a><var>312.24</var>attorney fees if there is a negligent or intentional violation of sections 144.293 to 144.295.<br/>
<a id="pl.312.25"></a><var>312.25</var>    Subd. 3. <b>Liability for a record locator service.</b> A patient is eligible to receive <br/>
<a id="pl.312.26"></a><var>312.26</var>compensatory damages plus costs and reasonable attorney fees if a health information <br/>
<a id="pl.312.27"></a><var>312.27</var>exchange maintaining a record locator service, or an entity maintaining a record locator <br/>
<a id="pl.312.28"></a><var>312.28</var>service for a health information exchange, negligently or intentionally violates the <br/>
<a id="pl.312.29"></a><var>312.29</var>provisions of section 144.293, subdivision 8.<br/>
<br/>
<a id="bill.6.22.0"></a><a id="pl.312.30"></a><var>312.30</var>    Sec. 22. Minnesota Statutes 2006, section 144.3345, is amended to read:<br/>
<a id="pl.312.31"></a><var>312.31</var><b>144.3345 INTERCONNECTED ELECTRONIC HEALTH RECORD </b><br/>
<a id="pl.312.32"></a><var>312.32</var><b>GRANTS.</b><br/>
<a id="pl.312.33"></a><var>312.33</var>    Subdivision 1. <b>Definitions.</b> The following definitions are used for the purposes <br/>
<a id="pl.312.34"></a><var>312.34</var>of this section.<br/>
<a id="pl.313.1"></a><var>313.1</var>    (a) "Eligible community e-health collaborative" means an existing or newly <br/>
<a id="pl.313.2"></a><var>313.2</var>established collaborative to support the adoption and use of interoperable electronic <br/>
<a id="pl.313.3"></a><var>313.3</var>health records. A collaborative must consist of at least three two or more eligible health <br/>
<a id="pl.313.4"></a><var>313.4</var>care entities in at least two of the categories listed in paragraph (b) and have a focus on <br/>
<a id="pl.313.5"></a><var>313.5</var>interconnecting the members of the collaborative for secure and interoperable exchange of <br/>
<a id="pl.313.6"></a><var>313.6</var>health care information.<br/>
<a id="pl.313.7"></a><var>313.7</var>    (b) "Eligible health care entity" means one of the following:<br/>
<a id="pl.313.8"></a><var>313.8</var>    (1) community clinics, as defined under section 
         <statute_ref>145.9268</statute_ref>; <br/>
<a id="pl.313.9"></a><var>313.9</var>    (2) hospitals eligible for rural hospital capital improvement grants, as defined <br/>
<a id="pl.313.10"></a><var>313.10</var>in section 
         <statute_ref>144.148</statute_ref>;<br/>
<a id="pl.313.11"></a><var>313.11</var>    (3) physician clinics located in a community with a population of less than 50,000 <br/>
<a id="pl.313.12"></a><var>313.12</var>according to United States Census Bureau statistics and outside the seven-county <br/>
<a id="pl.313.13"></a><var>313.13</var>metropolitan area; <br/>
<a id="pl.313.14"></a><var>313.14</var>    (4) nursing facilities licensed under sections 
         <statute_ref>144A.01</statute_ref> to 
         <statute_ref>144A.27</statute_ref>; <br/>
<a id="pl.313.15"></a><var>313.15</var>    (5) community health boards or boards of health as established under chapter 145A; <br/>
<a id="pl.313.16"></a><var>313.16</var>    (6) nonprofit entities with a purpose to provide health information exchange <br/>
<a id="pl.313.17"></a><var>313.17</var>coordination governed by a representative, multi-stakeholder board of directors; and<br/>
<a id="pl.313.18"></a><var>313.18</var>    (7) other providers of health or health care services approved by the commissioner <br/>
<a id="pl.313.19"></a><var>313.19</var>for which interoperable electronic health record capability would improve quality of <br/>
<a id="pl.313.20"></a><var>313.20</var>care, patient safety, or community health.<br/>
<a id="pl.313.21"></a><var>313.21</var>    Subd. 2. <b>Grants authorized.</b> The commissioner of health shall award grants to:<br/>
<a id="pl.313.22"></a><var>313.22</var>    (a) eligible community e-health collaborative projects to improve the implementation <br/>
<a id="pl.313.23"></a><var>313.23</var>and use of interoperable electronic health records including but not limited to the <br/>
<a id="pl.313.24"></a><var>313.24</var>following projects:<br/>
<a id="pl.313.25"></a><var>313.25</var>    (1) collaborative efforts to host and support fully functional interoperable electronic <br/>
<a id="pl.313.26"></a><var>313.26</var>health records in multiple care settings; <br/>
<a id="pl.313.27"></a><var>313.27</var>    (2) electronic medication history and electronic patient registration medical history <br/>
<a id="pl.313.28"></a><var>313.28</var>information; <br/>
<a id="pl.313.29"></a><var>313.29</var>    (3) electronic personal health records for persons with chronic diseases and for <br/>
<a id="pl.313.30"></a><var>313.30</var>prevention services; <br/>
<a id="pl.313.31"></a><var>313.31</var>    (4) rural and underserved community models for electronic prescribing; and<br/>
<a id="pl.313.32"></a><var>313.32</var>    (5) enabling modernize local public health information systems to rapidly and <br/>
<a id="pl.313.33"></a><var>313.33</var>electronically exchange information needed to participate in community e-health <br/>
<a id="pl.313.34"></a><var>313.34</var>collaboratives or for public health emergency preparedness and response.; and<br/>
<a id="pl.313.35"></a><var>313.35</var>    (6) implement regional or community-based health information exchange <br/>
<a id="pl.313.36"></a><var>313.36</var>organizations;<br/>
<a id="pl.314.1"></a><var>314.1</var>    (b) community clinics, as defined under section 145.9268, to implement and use <br/>
<a id="pl.314.2"></a><var>314.2</var>interoperable electronic health records, including but not limited to the following projects:<br/>
<a id="pl.314.3"></a><var>314.3</var>    (1) efforts to plan for and implement fully functional, standards-based interoperable <br/>
<a id="pl.314.4"></a><var>314.4</var>electronic health records; and<br/>
<a id="pl.314.5"></a><var>314.5</var>    (2) purchases and implementation of computer hardware, software, and technology <br/>
<a id="pl.314.6"></a><var>314.6</var>to fully implement interoperable electronic health records;<br/>
<a id="pl.314.7"></a><var>314.7</var>    (c) regional or community-based health information exchange organizations to <br/>
<a id="pl.314.8"></a><var>314.8</var>connect and facilitate the exchange of health information between eligible health care <br/>
<a id="pl.314.9"></a><var>314.9</var>entities, including but not limited to the development, testing, and implementation of:<br/>
<a id="pl.314.10"></a><var>314.10</var>    (1) data exchange standards, including data, vocabulary, and messaging standards, <br/>
<a id="pl.314.11"></a><var>314.11</var>for the exchange of health information, provided that such standards are consistent with <br/>
<a id="pl.314.12"></a><var>314.12</var>state and national standards;<br/>
<a id="pl.314.13"></a><var>314.13</var>    (2) security standards necessary to ensure the confidentiality and integrity of health <br/>
<a id="pl.314.14"></a><var>314.14</var>records;<br/>
<a id="pl.314.15"></a><var>314.15</var>    (3) computer interfaces and mechanisms for standardizing health information <br/>
<a id="pl.314.16"></a><var>314.16</var>exchanged between eligible health care entities;<br/>
<a id="pl.314.17"></a><var>314.17</var>    (4) a record locator service for identifying the location of patient health records; or<br/>
<a id="pl.314.18"></a><var>314.18</var>    (5) interfaces and mechanisms for implementing patient consent requirements; and<br/>
<a id="pl.314.19"></a><var>314.19</var>    (d) community health boards and boards of health as established under chapter <br/>
<a id="pl.314.20"></a><var>314.20</var>145A to modernize local public health information systems to be standards-based and <br/>
<a id="pl.314.21"></a><var>314.21</var>interoperable with other electronic health records and information systems, or for <br/>
<a id="pl.314.22"></a><var>314.22</var>enhanced public health emergency preparedness and response.<br/>
<a id="pl.314.23"></a><var>314.23</var>    Grant funds may not be used for construction of health care or other buildings or <br/>
<a id="pl.314.24"></a><var>314.24</var>facilities.<br/>
<a id="pl.314.25"></a><var>314.25</var>    Subd. 3. <b>Allocation of grants.</b> (a) To receive a grant under this section, an eligible <br/>
<a id="pl.314.26"></a><var>314.26</var>community e-health collaborative, community clinic, regional or community-based health <br/>
<a id="pl.314.27"></a><var>314.27</var>information exchange, or community health boards and boards of health must submit an <br/>
<a id="pl.314.28"></a><var>314.28</var>application to the commissioner of health by the deadline established by the commissioner. <br/>
<a id="pl.314.29"></a><var>314.29</var>A grant may be awarded upon the signing of a grant contract. In awarding grants, the <br/>
<a id="pl.314.30"></a><var>314.30</var>commissioner shall give preference to projects benefiting providers located in rural and <br/>
<a id="pl.314.31"></a><var>314.31</var>underserved areas of Minnesota which the commissioner has determined have an unmet <br/>
<a id="pl.314.32"></a><var>314.32</var>need for the development and funding of electronic health records. Applicants may apply <br/>
<a id="pl.314.33"></a><var>314.33</var>for and the commissioner may award grants for one-year, two-year, or three-year periods.<br/>
<a id="pl.314.34"></a><var>314.34</var>    (b) An application must be on a form and contain information as specified by the <br/>
<a id="pl.314.35"></a><var>314.35</var>commissioner but at a minimum must contain:<br/>
<a id="pl.314.36"></a><var>314.36</var>    (1) a description of the purpose or project for which grant funds will be used; <br/>
<a id="pl.315.1"></a><var>315.1</var>    (2) a description of the problem or problems the grant funds will be used to address, <br/>
<a id="pl.315.2"></a><var>315.2</var>including an assessment of the likelihood of the project occurring absent grant funding; <br/>
<a id="pl.315.3"></a><var>315.3</var>    (3) a description of achievable objectives, a workplan, budget, budget narrative, a <br/>
<a id="pl.315.4"></a><var>315.4</var>project communications plan, a timeline for implementation and completion of processes <br/>
<a id="pl.315.5"></a><var>315.5</var>or projects enabled by the grant, and an assessment of privacy and security issues and a <br/>
<a id="pl.315.6"></a><var>315.6</var>proposed approach to address these issues;<br/>
<a id="pl.315.7"></a><var>315.7</var>    (4) a description of the health care entities and other groups participating in the <br/>
<a id="pl.315.8"></a><var>315.8</var>project, including identification of the lead entity responsible for applying for and <br/>
<a id="pl.315.9"></a><var>315.9</var>receiving grant funds; <br/>
<a id="pl.315.10"></a><var>315.10</var>    (5) a plan for how patients and consumers will be involved in development of <br/>
<a id="pl.315.11"></a><var>315.11</var>policies and procedures related to the access to and interchange of information; <br/>
<a id="pl.315.12"></a><var>315.12</var>    (6) evidence of consensus and commitment among the health care entities and others <br/>
<a id="pl.315.13"></a><var>315.13</var>who developed the proposal and are responsible for its implementation; and<br/>
<a id="pl.315.14"></a><var>315.14</var>    (7) a plan for documenting and evaluating results of the grant. ; and<br/>
<a id="pl.315.15"></a><var>315.15</var>    (8) a plan for use of data exchange standards, including data and vocabulary.<br/>
<a id="pl.315.16"></a><var>315.16</var>    (c) The commissioner shall review each application to determine whether the <br/>
<a id="pl.315.17"></a><var>315.17</var>application is complete and whether the applicant and the project are eligible for a <br/>
<a id="pl.315.18"></a><var>315.18</var>grant. In evaluating applications, the commissioner shall take into consideration factors, <br/>
<a id="pl.315.19"></a><var>315.19</var>including but not limited to, the following:<br/>
<a id="pl.315.20"></a><var>315.20</var>    (1) the degree to which the proposal interconnects the various providers of care with <br/>
<a id="pl.315.21"></a><var>315.21</var>other health care entities in the applicant's geographic community; <br/>
<a id="pl.315.22"></a><var>315.22</var>    (2) the degree to which the project provides for the interoperability of electronic <br/>
<a id="pl.315.23"></a><var>315.23</var>health records or related health information technology between the members of the <br/>
<a id="pl.315.24"></a><var>315.24</var>collaborative, and presence and scope of a description of how the project intends to <br/>
<a id="pl.315.25"></a><var>315.25</var>interconnect with other providers not part of the project into the future;<br/>
<a id="pl.315.26"></a><var>315.26</var>    (3) the degree to which the project addresses current unmet needs pertaining <br/>
<a id="pl.315.27"></a><var>315.27</var>to interoperable electronic health records in a geographic area of Minnesota and the <br/>
<a id="pl.315.28"></a><var>315.28</var>likelihood that the needs would not be met absent grant funds; <br/>
<a id="pl.315.29"></a><var>315.29</var>    (4) the applicant's thoroughness and clarity in describing the project, how the project <br/>
<a id="pl.315.30"></a><var>315.30</var>will improve patient safety, quality of care, and consumer empowerment, and the role of <br/>
<a id="pl.315.31"></a><var>315.31</var>the various collaborative members;<br/>
<a id="pl.315.32"></a><var>315.32</var>    (5) the recommendations of the Health Information and Technology Infrastructure <br/>
<a id="pl.315.33"></a><var>315.33</var>Advisory Committee; and<br/>
<a id="pl.315.34"></a><var>315.34</var>    (6) other factors that the commissioner deems relevant.<br/>
<a id="pl.316.1"></a><var>316.1</var>    (d) Grant funds shall be awarded on a three-to-one match basis. Applicants shall <br/>
<a id="pl.316.2"></a><var>316.2</var>be required to provide $1 in the form of cash or in-kind staff or services for each $3 <br/>
<a id="pl.316.3"></a><var>316.3</var>provided under the grant program.<br/>
<a id="pl.316.4"></a><var>316.4</var>    (e) Grants shall not exceed $900,000 per grant. The commissioner has discretion <br/>
<a id="pl.316.5"></a><var>316.5</var>over the size and number of grants awarded.<br/>
<a id="pl.316.6"></a><var>316.6</var>    Subd. 4. <b>Evaluation and report.</b> The commissioner of health shall evaluate the <br/>
<a id="pl.316.7"></a><var>316.7</var>overall effectiveness of the grant program. The commissioner shall collect progress <br/>
<a id="pl.316.8"></a><var>316.8</var>and expenditure reports to evaluate the grant program from the eligible community <br/>
<a id="pl.316.9"></a><var>316.9</var>collaboratives receiving grants.<br/>
<br/>
<a id="bill.6.23.0"></a><a id="pl.316.10"></a><var>316.10</var>    Sec. 23. Minnesota Statutes 2006, section 144.565, is amended to read:<br/>
<a id="pl.316.11"></a><var>316.11</var><b>144.565 DIAGNOSTIC IMAGING FACILITIES.</b><br/>
<a id="pl.316.12"></a><var>316.12</var>    Subdivision 1. <b>Utilization and services data; economic and financial interests.</b><br/>
<a id="pl.316.13"></a><var>316.13</var>    The commissioner shall require diagnostic imaging facilities and providers of diagnostic <br/>
<a id="pl.316.14"></a><var>316.14</var>imaging services in Minnesota to annually report by March 1 each year for the preceding <br/>
<a id="pl.316.15"></a><var>316.15</var>fiscal year to the commissioner, in the form and manner specified by the commissioner:<br/>
<a id="pl.316.16"></a><var>316.16</var>    (1) utilization data for each health plan company and each public program, <br/>
<a id="pl.316.17"></a><var>316.17</var>including workers' compensation, as follows: of diagnostic imaging services as defined <br/>
<a id="pl.316.18"></a><var>316.18</var>in subdivision 4, paragraph (b);<br/>
<a id="pl.316.19"></a><var>316.19</var>    (i) the number of computerized tomography (CT) procedures performed;<br/>
<a id="pl.316.20"></a><var>316.20</var>    (ii) the number of magnetic resonance imaging (MRI) procedures performed; and<br/>
<a id="pl.316.21"></a><var>316.21</var>    (iii) the number of positron emission tomography (PET) procedures performed; and<br/>
<a id="pl.316.22"></a><var>316.22</var>    (2) the names of all physicians with any financial or economic interest and all other <br/>
<a id="pl.316.23"></a><var>316.23</var>individuals with a ten percent or greater financial or economic interest in the facility.;<br/>
<a id="pl.316.24"></a><var>316.24</var>    (3) the location where procedures were performed;<br/>
<a id="pl.316.25"></a><var>316.25</var>    (4) the number of units of each type of fixed, portable, and mobile scanner used at <br/>
<a id="pl.316.26"></a><var>316.26</var>each location;<br/>
<a id="pl.316.27"></a><var>316.27</var>    (5) the average number of hours per month each mobile scanner was operated at <br/>
<a id="pl.316.28"></a><var>316.28</var>each location;<br/>
<a id="pl.316.29"></a><var>316.29</var>    (6) the number of hours per month each scanner was leased, if applicable;<br/>
<a id="pl.316.30"></a><var>316.30</var>    (7) the total number of diagnostic imaging procedures billed for by the provider at <br/>
<a id="pl.316.31"></a><var>316.31</var>each location, by type of diagnostic imaging service as defined in subdivision 4, paragraph <br/>
<a id="pl.316.32"></a><var>316.32</var>(b); and<br/>
<a id="pl.316.33"></a><var>316.33</var>    (8) a report on major health care capital expenditures during the previous year, as <br/>
<a id="pl.316.34"></a><var>316.34</var>required by section 62J.17.<br/>
<a id="pl.317.1"></a><var>317.1</var>    Subd. 2. <b>Commissioner's right to inspect records.</b> If the report is not filed or <br/>
<a id="pl.317.2"></a><var>317.2</var>the commissioner of health has reason to believe the report is incomplete or false, the <br/>
<a id="pl.317.3"></a><var>317.3</var>commissioner shall have the right to inspect diagnostic imaging facility books, audits, <br/>
<a id="pl.317.4"></a><var>317.4</var>and records.<br/>
<a id="pl.317.5"></a><var>317.5</var>    Subd. 3. <b>Separate reports.</b> For a diagnostic imaging facility that is not attached <br/>
<a id="pl.317.6"></a><var>317.6</var>or not contiguous to a hospital or a hospital affiliate, the commissioner shall require <br/>
<a id="pl.317.7"></a><var>317.7</var>the information in subdivision 1 be reported separately for each detached diagnostic <br/>
<a id="pl.317.8"></a><var>317.8</var>imaging facility as part of the report required under section 
<statute_ref>144.702</statute_ref>. If any entity owns <br/>
<a id="pl.317.9"></a><var>317.9</var>more than one diagnostic imaging facility, that entity must report by individual facility. <br/>
<a id="pl.317.10"></a><var>317.10</var>Reports must include only services that were billed by the provider of diagnostic imaging <br/>
<a id="pl.317.11"></a><var>317.11</var>services submitting the report. If a diagnostic imaging facility leases capacity, technical <br/>
<a id="pl.317.12"></a><var>317.12</var>services, or professional services to one or more other providers of diagnostic imaging <br/>
<a id="pl.317.13"></a><var>317.13</var>services, each provider must submit a separate annual report to the commissioner for all <br/>
<a id="pl.317.14"></a><var>317.14</var>diagnostic imaging services that it provided and billed. The owner of the leased capacity <br/>
<a id="pl.317.15"></a><var>317.15</var>must provide a report listing the names and addresses of providers to whom the diagnostic <br/>
<a id="pl.317.16"></a><var>317.16</var>imaging services and equipment were leased.<br/>
<a id="pl.317.17"></a><var>317.17</var>    Subd. 4. <b>Definitions.</b> For purposes of this section, the following terms have the <br/>
<a id="pl.317.18"></a><var>317.18</var>meanings given:<br/>
<a id="pl.317.19"></a><var>317.19</var>    (a) "Diagnostic imaging facility" means a health care facility that provides is not <br/>
<a id="pl.317.20"></a><var>317.20</var>a hospital or location licensed as a hospital which offers diagnostic imaging services <br/>
<a id="pl.317.21"></a><var>317.21</var>through the use of ionizing radiation or other imaging technique including, but not limited <br/>
<a id="pl.317.22"></a><var>317.22</var>to magnetic resonance imaging (MRI) or computerized tomography (CT) scan on a <br/>
<a id="pl.317.23"></a><var>317.23</var>freestanding or mobile basis in Minnesota, regardless of whether the equipment used <br/>
<a id="pl.317.24"></a><var>317.24</var>to provide the service is owned or leased. For the purposes of this section, diagnostic <br/>
<a id="pl.317.25"></a><var>317.25</var>imaging facility includes, but is not limited to, facilities such as a physician's office, clinic, <br/>
<a id="pl.317.26"></a><var>317.26</var>mobile transport vehicle, outpatient imaging center, or surgical center.<br/>
<a id="pl.317.27"></a><var>317.27</var>    (b) "Diagnostic imaging service" means the use of ionizing radiation or other <br/>
<a id="pl.317.28"></a><var>317.28</var>imaging technique on a human patient including, but not limited to, magnetic resonance <br/>
<a id="pl.317.29"></a><var>317.29</var>imaging (MRI) or computerized tomography (CT), positron emission tomography (PET), <br/>
<a id="pl.317.30"></a><var>317.30</var>or single photon emission computerized tomography (SPECT) scans using fixed, portable, <br/>
<a id="pl.317.31"></a><var>317.31</var>or mobile equipment.<br/>
<a id="pl.317.32"></a><var>317.32</var>    (b) (c) "Financial or economic interest" means a direct or indirect:<br/>
<a id="pl.317.33"></a><var>317.33</var>    (1) equity or debt security issued by an entity, including, but not limited to, shares of <br/>
<a id="pl.317.34"></a><var>317.34</var>stock in a corporation, membership in a limited liability company, beneficial interest in <br/>
<a id="pl.317.35"></a><var>317.35</var>a trust, units or other interests in a partnership, bonds, debentures, notes or other equity <br/>
<a id="pl.317.36"></a><var>317.36</var>interests or debt instruments, or any contractual arrangements;<br/>
<a id="pl.318.1"></a><var>318.1</var>    (2) membership, proprietary interest, or co-ownership with an individual, group, or <br/>
<a id="pl.318.2"></a><var>318.2</var>organization to which patients, clients, or customers are referred to; or<br/>
<a id="pl.318.3"></a><var>318.3</var>    (3) employer-employee or independent contractor relationship, including, but not <br/>
<a id="pl.318.4"></a><var>318.4</var>limited to, those that may occur in a limited partnership, profit-sharing arrangement, or <br/>
<a id="pl.318.5"></a><var>318.5</var>other similar arrangement with any facility to which patients are referred, including any <br/>
<a id="pl.318.6"></a><var>318.6</var>compensation between a facility and a health care provider, the group practice of which <br/>
<a id="pl.318.7"></a><var>318.7</var>the provider is a member or employee or a related party with respect to any of them.<br/>
<a id="pl.318.8"></a><var>318.8</var>    (c) (d) "Freestanding Fixed equipment" means a stationary diagnostic imaging <br/>
<a id="pl.318.9"></a><var>318.9</var>facility that is not located within a: machine installed in a permanent location.<br/>
<a id="pl.318.10"></a><var>318.10</var>    (1) hospital;<br/>
<a id="pl.318.11"></a><var>318.11</var>    (2) location licensed as a hospital; or<br/>
<a id="pl.318.12"></a><var>318.12</var>    (3) physician's office or clinic where the professional practice of medicine by <br/>
<a id="pl.318.13"></a><var>318.13</var>licensed physicians is the primary purpose and not the provision of ancillary services <br/>
<a id="pl.318.14"></a><var>318.14</var>such as diagnostic imaging.<br/>
<a id="pl.318.15"></a><var>318.15</var>    (d) (e) "Mobile equipment" means a diagnostic imaging facility that is transported to <br/>
<a id="pl.318.16"></a><var>318.16</var>various sites not including movement within a hospital or a physician's office or clinic <br/>
<a id="pl.318.17"></a><var>318.17</var>machine in a self-contained transport vehicle designed to be brought to a temporary offsite <br/>
<a id="pl.318.18"></a><var>318.18</var>location to perform diagnostic imaging services.<br/>
<a id="pl.318.19"></a><var>318.19</var>    (f) "Portable equipment" means a diagnostic imaging machine designed to be <br/>
<a id="pl.318.20"></a><var>318.20</var>temporarily transported within a permanent location to perform diagnostic imaging <br/>
<a id="pl.318.21"></a><var>318.21</var>services.<br/>
<a id="pl.318.22"></a><var>318.22</var>    (g) "Provider of diagnostic imaging services" means a diagnostic imaging facility <br/>
<a id="pl.318.23"></a><var>318.23</var>or an entity that offers and bills for diagnostic imaging services at a facility owned or <br/>
<a id="pl.318.24"></a><var>318.24</var>leased by the entity.<br/>
<a id="pl.318.25"></a><var>318.25</var>    Subd. 5. <b>Reports open to public inspection.</b> All reports filed pursuant to this <br/>
<a id="pl.318.26"></a><var>318.26</var>section shall be open to public inspection.<br/>
<br/>
<a id="bill.6.24.0"></a><a id="pl.318.27"></a><var>318.27</var>    Sec. 24. <b>[144.585] METHICILLIN-RESISTANT STAPHYLOCOCCUS AUREUS </b><br/>
<a id="pl.318.28"></a><var>318.28</var><b>CONTROL PROGRAMS.</b><br/>
<a id="pl.318.29"></a><var>318.29</var>    In order to improve the prevention of hospital-associated bloodstream infections due <br/>
<a id="pl.318.30"></a><var>318.30</var>to methicillin-resistant Staphylococcus aureus ("MRSA"), every hospital shall establish <br/>
<a id="pl.318.31"></a><var>318.31</var>an MRSA control program that meets Minnesota Department of Health best practices <br/>
<a id="pl.318.32"></a><var>318.32</var>standards as published January 15, 2008, including considerations of: <br/>
<a id="pl.318.33"></a><var>318.33</var>    (1) identification of all MRSA-colonized patients in all intensive care units, and <br/>
<a id="pl.318.34"></a><var>318.34</var>other at-risk patients identified by the hospital, through active surveillance testing; <br/>
<a id="pl.319.1"></a><var>319.1</var>    (2) isolation of identified MRSA-colonized or MRSA-infected patients in an <br/>
<a id="pl.319.2"></a><var>319.2</var>appropriate manner; <br/>
<a id="pl.319.3"></a><var>319.3</var>    (3) monitoring and strict enforcement of hand hygiene requirements; and <br/>
<a id="pl.319.4"></a><var>319.4</var>    (4) maintenance of records.<br/>
<br/>
<a id="bill.6.25.0"></a><a id="pl.319.5"></a><var>319.5</var>    Sec. 25. Minnesota Statutes 2006, section 144.651, subdivision 26, is amended to read:<br/>
<a id="pl.319.6"></a><var>319.6</var>    Subd. 26. <b>Right to associate.</b> (a) Residents may meet with and receive visitors <br/>
<a id="pl.319.7"></a><var>319.7</var>and participate in activities of commercial, religious, political, as defined in section <br/>
<statute_ref><a id="pl.319.8"></a><var>319.8</var>203B.11
         </statute_ref> and community groups without interference at their discretion if the activities <br/>
<a id="pl.319.9"></a><var>319.9</var>do not infringe on the right to privacy of other residents or are not programmatically <br/>
<a id="pl.319.10"></a><var>319.10</var>contraindicated. This includes: <br/>
<a id="pl.319.11"></a><var>319.11</var>    (1) the right to join with other individuals within and outside the facility to work for <br/>
<a id="pl.319.12"></a><var>319.12</var>improvements in long-term care;<br/>
<a id="pl.319.13"></a><var>319.13</var>    (2) the right to visitation by an individual the patient has appointed as the patient's <br/>
<a id="pl.319.14"></a><var>319.14</var>health care agent under chapter 145C;<br/>
<a id="pl.319.15"></a><var>319.15</var>    (3) the right to visitation and health care decision making by an individual designated <br/>
<a id="pl.319.16"></a><var>319.16</var>by the patient under paragraph (c).<br/>
<a id="pl.319.17"></a><var>319.17</var>    (b) Upon admission to a facility where federal law prohibits unauthorized disclosure <br/>
<a id="pl.319.18"></a><var>319.18</var>of patient or resident identifying information to callers and visitors, the patient or <br/>
<a id="pl.319.19"></a><var>319.19</var>resident, or the legal guardian or conservator of the patient or resident, shall be given the <br/>
<a id="pl.319.20"></a><var>319.20</var>opportunity to authorize disclosure of the patient's or resident's presence in the facility <br/>
<a id="pl.319.21"></a><var>319.21</var>to callers and visitors who may seek to communicate with the patient or resident. To the <br/>
<a id="pl.319.22"></a><var>319.22</var>extent possible, the legal guardian or conservator of a patient or resident shall consider the <br/>
<a id="pl.319.23"></a><var>319.23</var>opinions of the patient or resident regarding the disclosure of the patient's or resident's <br/>
<a id="pl.319.24"></a><var>319.24</var>presence in the facility. <br/>
<a id="pl.319.25"></a><var>319.25</var>    (c) Upon admission to a facility, the patient or resident, or the legal guardian <br/>
<a id="pl.319.26"></a><var>319.26</var>or conservator of the patient or resident, must be given the opportunity to designate <br/>
<a id="pl.319.27"></a><var>319.27</var>a person who is not related who will have the status of the patient's next of kin with <br/>
<a id="pl.319.28"></a><var>319.28</var>respect to visitation and making a health care decision. A designation must be included <br/>
<a id="pl.319.29"></a><var>319.29</var>in the patient's health record. With respect to making a health care decision, a health <br/>
<a id="pl.319.30"></a><var>319.30</var>care directive or appointment of a health care agent under chapter 145C prevails over a <br/>
<a id="pl.319.31"></a><var>319.31</var>designation made under this paragraph. The unrelated person may also be identified as <br/>
<a id="pl.319.32"></a><var>319.32</var>such by the patient or by the patient's family.<br/>
<br/>
<a id="bill.6.26.0"></a><a id="pl.319.33"></a><var>319.33</var>    Sec. 26. <b>[145.9269] FEDERALLY QUALIFIED HEALTH CENTERS.</b><br/>
<a id="pl.320.1"></a><var>320.1</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, "federally qualified health <br/>
<a id="pl.320.2"></a><var>320.2</var>center" means an entity that is receiving a grant under United States Code, title 42, <br/>
<a id="pl.320.3"></a><var>320.3</var>section 254b, or, based on the recommendation of the Health Resources and Services <br/>
<a id="pl.320.4"></a><var>320.4</var>Administration within the Public Health Service, is determined by the secretary to meet <br/>
<a id="pl.320.5"></a><var>320.5</var>the requirements for receiving such a grant.<br/>
<a id="pl.320.6"></a><var>320.6</var>    Subd. 2. <b>Allocation of subsidies.</b> The commissioner of health shall distribute <br/>
<a id="pl.320.7"></a><var>320.7</var>subsidies to federally qualified health centers operating in Minnesota to continue, expand, <br/>
<a id="pl.320.8"></a><var>320.8</var>and improve federally qualified health center services to low-income populations. The <br/>
<a id="pl.320.9"></a><var>320.9</var>commissioner shall distribute the funds appropriated under this section to federally <br/>
<a id="pl.320.10"></a><var>320.10</var>qualified health centers operating in Minnesota as of January 1, 2007. The amount of <br/>
<a id="pl.320.11"></a><var>320.11</var>each subsidy shall be in proportion to each federally qualified health center's amount of <br/>
<a id="pl.320.12"></a><var>320.12</var>discounts granted to patients during calendar year 2006 as reported on the federal Uniform <br/>
<a id="pl.320.13"></a><var>320.13</var>Data System report in conformance with the Bureau of Primary Health Care Program <br/>
<a id="pl.320.14"></a><var>320.14</var>Expectations Policy Information Notice 98-23, except that each eligible federally qualified <br/>
<a id="pl.320.15"></a><var>320.15</var>health center shall receive at least two percent but no more than 30 percent of the total <br/>
<a id="pl.320.16"></a><var>320.16</var>amount of money available under this section.<br/>
<br/>
<a id="bill.6.27.0"></a><a id="pl.320.17"></a><var>320.17</var>    Sec. 27. Minnesota Statutes 2006, section 145C.05, is amended to read:<br/>
<a id="pl.320.18"></a><var>320.18</var><b>145C.05 SUGGESTED FORM</b><b>; PROVISIONS THAT MAY BE INCLUDED</b><b>.</b><br/>
<a id="pl.320.19"></a><var>320.19</var>    Subdivision 1. <b>Content.</b> A health care directive executed pursuant to this chapter <br/>
<a id="pl.320.20"></a><var>320.20</var>may, but need not, be in the form contained in section 
         <statute_ref>145C.16</statute_ref>. <br/>
<a id="pl.320.21"></a><var>320.21</var>    Subd. 2. <b>Provisions that may be included.</b> (a) A health care directive may include <br/>
<a id="pl.320.22"></a><var>320.22</var>provisions consistent with this chapter, including, but not limited to:<br/>
<a id="pl.320.23"></a><var>320.23</var>    (1) the designation of one or more alternate health care agents to act if the named <br/>
<a id="pl.320.24"></a><var>320.24</var>health care agent is not reasonably available to serve;<br/>
<a id="pl.320.25"></a><var>320.25</var>    (2) directions to joint health care agents regarding the process or standards by which <br/>
<a id="pl.320.26"></a><var>320.26</var>the health care agents are to reach a health care decision for the principal, and a statement <br/>
<a id="pl.320.27"></a><var>320.27</var>whether joint health care agents may act independently of one another;<br/>
<a id="pl.320.28"></a><var>320.28</var>    (3) limitations, if any, on the right of the health care agent or any alternate health <br/>
<a id="pl.320.29"></a><var>320.29</var>care agents to receive, review, obtain copies of, and consent to the disclosure of the <br/>
<a id="pl.320.30"></a><var>320.30</var>principal's medical records or to visit the principal when the principal is a patient in a <br/>
<a id="pl.320.31"></a><var>320.31</var>health care facility;<br/>
<a id="pl.320.32"></a><var>320.32</var>    (4) limitations, if any, on the nomination of the health care agent as guardian for <br/>
<a id="pl.320.33"></a><var>320.33</var>purposes of sections 
         <statute_ref>524.5-202</statute_ref>, 
         <statute_ref>524.5-211</statute_ref>, 
         <statute_ref>524.5-302</statute_ref>, and 
         <statute_ref>524.5-303</statute_ref>; <br/>
<a id="pl.321.1"></a><var>321.1</var>    (5) a document of gift for the purpose of making an anatomical gift, as set forth in <br/>
<a id="pl.321.2"></a><var>321.2</var>sections 
         <statute_ref>525.921</statute_ref> to 
         <statute_ref>525.9224</statute_ref>, or an amendment to, revocation of, or refusal to make <br/>
<a id="pl.321.3"></a><var>321.3</var>an anatomical gift; <br/>
<a id="pl.321.4"></a><var>321.4</var>    (6) a declaration regarding intrusive mental health treatment under section 
         <statute_ref>253B.03, <br/>
<a id="pl.321.5"></a><var>321.5</var>subdivision 6d
         </statute_ref>, or a statement that the health care agent is authorized to give consent for <br/>
<a id="pl.321.6"></a><var>321.6</var>the principal under section 
         <statute_ref>253B.04, subdivision 1a</statute_ref>; <br/>
<a id="pl.321.7"></a><var>321.7</var>    (7) a funeral directive as provided in section 
         <statute_ref>149A.80, subdivision 2</statute_ref>; <br/>
<a id="pl.321.8"></a><var>321.8</var>    (8) limitations, if any, to the effect of dissolution or annulment of marriage or <br/>
<a id="pl.321.9"></a><var>321.9</var>termination of domestic partnership on the appointment of a health care agent under <br/>
<a id="pl.321.10"></a><var>321.10</var>section 
         <statute_ref>145C.09, subdivision 2</statute_ref>; <br/>
<a id="pl.321.11"></a><var>321.11</var>    (9) specific reasons why a principal wants a health care provider or an employee <br/>
<a id="pl.321.12"></a><var>321.12</var>of a health care provider attending the principal to be eligible to act as the principal's <br/>
<a id="pl.321.13"></a><var>321.13</var>health care agent;<br/>
<a id="pl.321.14"></a><var>321.14</var>    (10) health care instructions by a woman of child bearing age regarding how she <br/>
<a id="pl.321.15"></a><var>321.15</var>would like her pregnancy, if any, to affect health care decisions made on her behalf; and<br/>
<a id="pl.321.16"></a><var>321.16</var>    (11) health care instructions regarding artificially administered nutrition or hydration.<br/>
<a id="pl.321.17"></a><var>321.17</var>    (b) A health care directive may include a statement of the circumstances under <br/>
<a id="pl.321.18"></a><var>321.18</var>which the directive becomes effective other than upon the judgment of the principal's <br/>
<a id="pl.321.19"></a><var>321.19</var>attending physician in the following situations:<br/>
<a id="pl.321.20"></a><var>321.20</var>    (1) a principal who in good faith generally selects and depends upon spiritual means <br/>
<a id="pl.321.21"></a><var>321.21</var>or prayer for the treatment or care of disease or remedial care and does not have an <br/>
<a id="pl.321.22"></a><var>321.22</var>attending physician, may include a statement appointing an individual who may determine <br/>
<a id="pl.321.23"></a><var>321.23</var>the principal's decision-making capacity; and<br/>
<a id="pl.321.24"></a><var>321.24</var>    (2) a principal who in good faith does not generally select a physician or a health <br/>
<a id="pl.321.25"></a><var>321.25</var>care facility for the principal's health care needs may include a statement appointing an <br/>
<a id="pl.321.26"></a><var>321.26</var>individual who may determine the principal's decision-making capacity, provided that if <br/>
<a id="pl.321.27"></a><var>321.27</var>the need to determine the principal's capacity arises when the principal is receiving care <br/>
<a id="pl.321.28"></a><var>321.28</var>under the direction of an attending physician in a health care facility, the determination <br/>
<a id="pl.321.29"></a><var>321.29</var>must be made by an attending physician after consultation with the appointed individual.<br/>
<a id="pl.321.30"></a><var>321.30</var>    If a person appointed under clause (1) or (2) is not reasonably available and the <br/>
<a id="pl.321.31"></a><var>321.31</var>principal is receiving care under the direction of an attending physician in a health care <br/>
<a id="pl.321.32"></a><var>321.32</var>facility, an attending physician shall determine the principal's decision-making capacity.<br/>
<a id="pl.321.33"></a><var>321.33</var>    (c) A health care directive may authorize a health care agent to make health care <br/>
<a id="pl.321.34"></a><var>321.34</var>decisions for a principal even though the principal retains decision-making capacity.<br/>
<br/>
<a id="bill.6.28.0"></a><a id="pl.322.1"></a><var>322.1</var>    Sec. 28. Minnesota Statutes 2006, section 145C.07, is amended by adding a <br/>
<a id="pl.322.2"></a><var>322.2</var>subdivision to read:<br/>
<a id="pl.322.3"></a><var>322.3</var>    Subd. 5. <b>Visitation.</b> A health care agent may visit the principal when the <br/>
<a id="pl.322.4"></a><var>322.4</var>principal is a patient in a health care facility regardless of whether the principal retains <br/>
<a id="pl.322.5"></a><var>322.5</var>decision-making capacity, unless:<br/>
<a id="pl.322.6"></a><var>322.6</var>    (1) the principal has otherwise specified in the health care directive;<br/>
<a id="pl.322.7"></a><var>322.7</var>    (2) a principal who retains decision-making capacity indicates otherwise; or<br/>
<a id="pl.322.8"></a><var>322.8</var>    (3) a health care provider reasonably determines that the principal must be isolated <br/>
<a id="pl.322.9"></a><var>322.9</var>from all visitors or that the presence of the health care agent would endanger the health or <br/>
<a id="pl.322.10"></a><var>322.10</var>safety of the principal, other patients, or the facility in which the care is being provided.<br/>
<br/>
<a id="bill.6.29.0"></a><a id="pl.322.11"></a><var>322.11</var>    Sec. 29. Minnesota Statutes 2006, section 157.16, subdivision 1, is amended to read:<br/>
<a id="pl.322.12"></a><var>322.12</var>    Subdivision 1. <b>License required annually.</b> A license is required annually for every <br/>
<a id="pl.322.13"></a><var>322.13</var>person, firm, or corporation engaged in the business of conducting a food and beverage <br/>
<a id="pl.322.14"></a><var>322.14</var>service establishment, hotel, motel, lodging establishment, or resort. Any person wishing <br/>
<a id="pl.322.15"></a><var>322.15</var>to operate a place of business licensed in this section shall first make application, pay the <br/>
<a id="pl.322.16"></a><var>322.16</var>required fee specified in this section, and receive approval for operation, including plan <br/>
<a id="pl.322.17"></a><var>322.17</var>review approval. Seasonal and temporary food stands and special event food stands are <br/>
<a id="pl.322.18"></a><var>322.18</var>not required to submit plans. Nonprofit organizations operating a special event food <br/>
<a id="pl.322.19"></a><var>322.19</var>stand with multiple locations at an annual one-day event shall be issued only one license. <br/>
<a id="pl.322.20"></a><var>322.20</var>Application shall be made on forms provided by the commissioner and shall require <br/>
<a id="pl.322.21"></a><var>322.21</var>the applicant to state the full name and address of the owner of the building, structure, <br/>
<a id="pl.322.22"></a><var>322.22</var>or enclosure, the lessee and manager of the food and beverage service establishment, <br/>
<a id="pl.322.23"></a><var>322.23</var>hotel, motel, lodging establishment, or resort; the name under which the business is to <br/>
<a id="pl.322.24"></a><var>322.24</var>be conducted; and any other information as may be required by the commissioner to <br/>
<a id="pl.322.25"></a><var>322.25</var>complete the application for license.<br/>
<br/>
<a id="bill.6.30.0"></a><a id="pl.322.26"></a><var>322.26</var>    Sec. 30. <b>HEALTH PROMOTION PROGRAM.</b><br/>
<a id="pl.322.27"></a><var>322.27</var>    The State Community Health Services Advisory Committee established in <br/>
<a id="pl.322.28"></a><var>322.28</var>Minnesota Statutes, section 145A.10, subdivision 10, shall develop a plan to fund and <br/>
<a id="pl.322.29"></a><var>322.29</var>implement an ongoing comprehensive health promotion program that can effect change <br/>
<a id="pl.322.30"></a><var>322.30</var>more effectively and at lower cost at a community level rather than through individual <br/>
<a id="pl.322.31"></a><var>322.31</var>counseling and change promotion. The program shall use proven public health strategies <br/>
<a id="pl.322.32"></a><var>322.32</var>to promote healthy lifestyles and behaviors in order to establish a sustainable, long-term <br/>
<a id="pl.322.33"></a><var>322.33</var>approach to reducing preventable disability, chronic health conditions, and disease. The <br/>
<a id="pl.322.34"></a><var>322.34</var>focus shall be on community based initiatives that address childhood and adult obesity, <br/>
<a id="pl.323.1"></a><var>323.1</var>tobacco and substance abuse, improved activity levels among senior citizens, and other <br/>
<a id="pl.323.2"></a><var>323.2</var>lifestyle issues that impact health and healthcare costs. Because of its population health <br/>
<a id="pl.323.3"></a><var>323.3</var>focus, funding shall be related to the size of the population to be served. The plan shall be <br/>
<a id="pl.323.4"></a><var>323.4</var>completed by September 15, 2007, and shared with the Legislative Health Care Access <br/>
<a id="pl.323.5"></a><var>323.5</var>Commission.<br/>
<br/>
<a id="bill.6.31.0"></a><a id="pl.323.6"></a><var>323.6</var>    Sec. 31. <b>INJUNCTIVE RELIEF REPORT.</b><br/>
<a id="pl.323.7"></a><var>323.7</var>    The commissioner of health shall present to the 2008 legislature, by December 15, <br/>
<a id="pl.323.8"></a><var>323.8</var>2007, recommendations to fund the cost of bringing actions for injunctive relief under <br/>
<a id="pl.323.9"></a><var>323.9</var>Minnesota Statutes, section 144G.02, subdivision 2, paragraph (b).<br/>
<br/>
<a id="bill.6.32.0"></a><a id="pl.323.10"></a><var>323.10</var>    Sec. 32. <b>DIAGNOSTIC IMAGING SERVICES ADVISORY COMMITTEE; </b><br/>
<a id="pl.323.11"></a><var>323.11</var><b>ESTABLISHMENT.</b><br/>
<a id="pl.323.12"></a><var>323.12</var>    (a) The commissioner of health shall establish a Diagnostic Imaging Services <br/>
<a id="pl.323.13"></a><var>323.13</var>Advisory Committee to perform the following duties:<br/>
<a id="pl.323.14"></a><var>323.14</var>    (1) gather and analyze data to understand the factors driving utilization of diagnostic <br/>
<a id="pl.323.15"></a><var>323.15</var>imaging services, including computed tomography (CT), magnetic resonance imaging <br/>
<a id="pl.323.16"></a><var>323.16</var>(MRI), positron emission tomography (PET), magnetic resonance angiography (MRA), <br/>
<a id="pl.323.17"></a><var>323.17</var>and nuclear cardiology, in the state relative to evidence-based guidelines; and<br/>
<a id="pl.323.18"></a><var>323.18</var>    (2) develop recommendations, based on the data collected, on how to improve <br/>
<a id="pl.323.19"></a><var>323.19</var>the delivery of evidence-based diagnostic imaging services. In developing these <br/>
<a id="pl.323.20"></a><var>323.20</var>recommendations, the advisory committee shall consider the impacts on patient care, <br/>
<a id="pl.323.21"></a><var>323.21</var>premium costs, and administrative simplicity.<br/>
<a id="pl.323.22"></a><var>323.22</var>    (b) The members of the Diagnostic Imaging Services Advisory Committee shall <br/>
<a id="pl.323.23"></a><var>323.23</var>include the commissioners of health and human services or the commissioners' designees <br/>
<a id="pl.323.24"></a><var>323.24</var>and the following:<br/>
<a id="pl.323.25"></a><var>323.25</var>    (1) three physicians representing speciality and geographic diversity, appointed by <br/>
<a id="pl.323.26"></a><var>323.26</var>the Minnesota Medical Association;<br/>
<a id="pl.323.27"></a><var>323.27</var>    (2) two hospital representatives, one from a metropolitan hospital and one from a <br/>
<a id="pl.323.28"></a><var>323.28</var>rural hospital, appointed by the Minnesota Hospital Association;<br/>
<a id="pl.323.29"></a><var>323.29</var>    (3) three health plan company representatives appointed by the Minnesota Council <br/>
<a id="pl.323.30"></a><var>323.30</var>of Health Plans;<br/>
<a id="pl.323.31"></a><var>323.31</var>    (4) two representatives appointed by the Institute for Clinical System Improvement; <br/>
<a id="pl.323.32"></a><var>323.32</var>and<br/>
<a id="pl.323.33"></a><var>323.33</var>    (5) one clinic manager appointed by the Minnesota Medical Group Management <br/>
<a id="pl.323.34"></a><var>323.34</var>Association.<br/>
<a id="pl.324.1"></a><var>324.1</var>    (c) The Diagnostic Imaging Services Advisory Committee shall convene no later <br/>
<a id="pl.324.2"></a><var>324.2</var>than September 1, 2007. The commissioner shall report back to the legislature no later <br/>
<a id="pl.324.3"></a><var>324.3</var>than January 15, 2008. The advisory committee is governed under Minnesota Statutes, <br/>
<a id="pl.324.4"></a><var>324.4</var>section 15.059, except that members shall not receive a per diem and may only be <br/>
<a id="pl.324.5"></a><var>324.5</var>reimbursed for expenses.<br/>
<a id="pl.324.6"></a><var>324.6</var>    (d) A strategy to improve the delivery of evidence-based diagnostic imaging services <br/>
<a id="pl.324.7"></a><var>324.7</var>may be developed by health plans. The commissioner of health shall report the agreement <br/>
<a id="pl.324.8"></a><var>324.8</var>to the chairs of the senate and house health care committees immediately.<br/>
<a id="pl.324.9"></a><var>324.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.6.33.0"></a><a id="pl.324.10"></a><var>324.10</var>    Sec. 33. <b>HEARING AID DISPENSER FEES.</b><br/>
<a id="pl.324.11"></a><var>324.11</var>    Fees relating to hearing aid dispensers, as provided in Minnesota Statutes, section <br/>
<a id="pl.324.12"></a><var>324.12</var>153A.17, may not be increased until after the Department of Health provides a report to <br/>
<a id="pl.324.13"></a><var>324.13</var>the legislature regarding the need and reasons for fee increases.<br/>
<br/>
<a id="bill.6.34.0"></a><a id="pl.324.14"></a><var>324.14</var>    Sec. 34. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.324.15"></a><var>324.15</var>    In Minnesota Statutes and Minnesota Rules, the revisor shall change the references <br/>
<a id="pl.324.16"></a><var>324.16</var>in column A with the references in column B.<br/>
<table width="100%">
<tr>
<td><a id="pl.324.17"></a><var>324.17</var><br/>
</td>
<td align="center" valign="bottom">Column A<br/>
</td>
<td align="center" valign="bottom">Column B<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.18"></a><var>324.18</var><br/>
</td>
<td align="left" valign="bottom">section 144.335<br/>
</td>
<td align="left" valign="bottom">sections 144.291 to 144.298<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.19"></a><var>324.19</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 1<br/>
</td>
<td align="left" valign="bottom">section 144.291, subdivision 2<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.20"></a><var>324.20</var><br/>
<a id="pl.324.21"></a><var>324.21</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 1, paragraph <br/>
(b)<br/>
</td>
<td align="left" valign="bottom">section 144.291, subdivision 2, paragraph <br/>
(h)<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.22"></a><var>324.22</var><br/>
<a id="pl.324.23"></a><var>324.23</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 2, paragraphs <br/>
(a) and (b)<br/>
</td>
<td align="left" valign="bottom">section 144.292, subdivisions 2 and 5<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.24"></a><var>324.24</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 2<br/>
</td>
<td align="left" valign="bottom">section 144.292<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.25"></a><var>324.25</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 3a<br/>
</td>
<td align="left" valign="bottom">section 144.294, subdivision 2<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.26"></a><var>324.26</var><br/>
<a id="pl.324.27"></a><var>324.27</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 3a, paragraph <br/>
(d)<br/>
</td>
<td align="left" valign="bottom">section 144.295<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.28"></a><var>324.28</var><br/>
<a id="pl.324.29"></a><var>324.29</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 3a, paragraph <br/>
(f)<br/>
</td>
<td align="left" valign="bottom">section 144.294<br/>
</td>
</tr>
<tr>
<td><a id="pl.324.30"></a><var>324.30</var><br/>
</td>
<td align="left" valign="bottom">section 144.335, subdivision 3b<br/>
</td>
<td align="left" valign="bottom">section 144.293, subdivision 7<br/>
</td>
</tr>
</table><br/>
<a id="bill.6.35.0"></a><a id="pl.324.31"></a><var>324.31</var>    Sec. 35. <b> REPEALER.</b><br/>
<a id="pl.324.32"></a><var>324.32</var>(a) Minnesota Statutes 2006, section 144.335, is repealed.<br/>
<a id="pl.324.33"></a><var>324.33</var>(b) Minnesota Statutes 2006, section 62J.17, subdivisions 1, 5a, 6a, and 8, are <br/>
<a id="pl.324.34"></a><var>324.34</var>repealed, effective the day following final enactment.<br/>
<br/>
<a id="bill.7.0.0"></a>

<a id="bill.7.1.0"></a><a id="pl.325.3"></a><var>325.3</var>    Section 1. Minnesota Statutes 2006, section 16A.10, is amended by adding a <br/>
<a id="pl.325.4"></a><var>325.4</var>subdivision to read:<br/>
<a id="pl.325.5"></a><var>325.5</var>    Subd. 2a. <b>Base budget detail.</b> Within one week of the release of the budget forecasts <br/>
<a id="pl.325.6"></a><var>325.6</var>required in section 16A.102 in November of an even-numbered year and February of an <br/>
<a id="pl.325.7"></a><var>325.7</var>odd-numbered year, the commissioner, after consulting with the commissioners of human <br/>
<a id="pl.325.8"></a><var>325.8</var>services and health, must provide to the legislature information at the program, budget <br/>
<a id="pl.325.9"></a><var>325.9</var>activity and management activity level for the base level budget of the Department of <br/>
<a id="pl.325.10"></a><var>325.10</var>Human Services and the Department of Health for the next biennium. The information <br/>
<a id="pl.325.11"></a><var>325.11</var>must be organized in a manner that explains how base level budget appropriations are <br/>
<a id="pl.325.12"></a><var>325.12</var>projected to be spent. Within one week of the release of the budget forecasts required in <br/>
<a id="pl.325.13"></a><var>325.13</var>section 16A.102 in November of an even-numbered year, the commissioner must also <br/>
<a id="pl.325.14"></a><var>325.14</var>provide the legislature with the information submitted by the commissioners of human <br/>
<a id="pl.325.15"></a><var>325.15</var>services and health under subdivision 2, clauses (3) and (4).<br/>
<br/>
<a id="bill.7.2.0"></a><a id="pl.325.16"></a><var>325.16</var>    Sec. 2. Minnesota Statutes 2006, section 43A.316, is amended to read:<br/>
<a id="pl.325.17"></a><var>325.17</var><b>43A.316 PUBLIC EMPLOYEES INSURANCE PROGRAM.</b><br/>
<a id="pl.325.18"></a><var>325.18</var>    Subdivision 1. <b>Intent.</b> The legislature finds that the creation of a statewide program <br/>
<a id="pl.325.19"></a><var>325.19</var>to provide public employees and other eligible persons with life insurance and hospital, <br/>
<a id="pl.325.20"></a><var>325.20</var>medical, and dental benefit coverage through provider organizations would result in a <br/>
<a id="pl.325.21"></a><var>325.21</var>greater utilization more efficient use of government resources and would advance the <br/>
<a id="pl.325.22"></a><var>325.22</var>health and welfare of the citizens of the state.<br/>
<a id="pl.325.23"></a><var>325.23</var>    Subd. 2. <b>Definitions.</b> For the purpose of this section, the terms defined in this <br/>
<a id="pl.325.24"></a><var>325.24</var>subdivision have the meaning given them.<br/>
<a id="pl.325.25"></a><var>325.25</var>    (a)  Commissioner. "Commissioner" means the commissioner of employee relations. <br/>
<a id="pl.325.26"></a><var>325.26</var>    (b)  Employee. "Employee" means: <br/>
<a id="pl.325.27"></a><var>325.27</var>    (1) a person who is a public employee within the definition of section 
         <statute_ref>179A.03, <br/>
<a id="pl.325.28"></a><var>325.28</var>subdivision 14
         </statute_ref>, who is insurance eligible and is employed by an eligible employer; <br/>
<a id="pl.325.29"></a><var>325.29</var>    (2) an elected public official of an eligible employer who is insurance eligible;<br/>
<a id="pl.325.30"></a><var>325.30</var>    (3) a person employed by a labor organization or employee association certified as <br/>
<a id="pl.325.31"></a><var>325.31</var>an exclusive representative of employees of an eligible employer or by another public <br/>
<a id="pl.325.32"></a><var>325.32</var>employer approved by the commissioner, so long as the plan meets the requirements of a <br/>
<a id="pl.325.33"></a><var>325.33</var>governmental plan under United States Code, title 29, section 1002(32); or<br/>
<a id="pl.325.34"></a><var>325.34</var>    (4) a person employed by a county or municipal hospital.<br/>
<a id="pl.326.1"></a><var>326.1</var>    (c)  Eligible employer. "Eligible employer" means: <br/>
<a id="pl.326.2"></a><var>326.2</var>    (1) a public employer within the definition of section 
         <statute_ref>179A.03, subdivision 15</statute_ref>, that <br/>
<a id="pl.326.3"></a><var>326.3</var>is a town, county, city, school district as defined in section 
         <statute_ref>120A.05</statute_ref>, service cooperative <br/>
<a id="pl.326.4"></a><var>326.4</var>as defined in section 
         <statute_ref>123A.21</statute_ref>, intermediate district as defined in section 
         <statute_ref>136D.01</statute_ref>, <br/>
<a id="pl.326.5"></a><var>326.5</var>Cooperative Center for Vocational Education as defined in section 
         <statute_ref>123A.22</statute_ref>, regional <br/>
<a id="pl.326.6"></a><var>326.6</var>management information center as defined in section 
         <statute_ref>123A.23</statute_ref>, or an education unit <br/>
<a id="pl.326.7"></a><var>326.7</var>organized under the joint powers action, section 
         <statute_ref>471.59</statute_ref>; or <br/>
<a id="pl.326.8"></a><var>326.8</var>    (2) an exclusive representative of employees, as defined in paragraph (b);<br/>
<a id="pl.326.9"></a><var>326.9</var>    (3) a county or municipal hospital; or<br/>
<a id="pl.326.10"></a><var>326.10</var>    (4) another public employer approved by the commissioner; or<br/>
<a id="pl.326.11"></a><var>326.11</var>    (5) a nursing home as defined in section 144A.01, subdivision 5, located in this state.<br/>
<a id="pl.326.12"></a><var>326.12</var>    (d)  Exclusive representative. "Exclusive representative" means an exclusive <br/>
<a id="pl.326.13"></a><var>326.13</var>representative as defined in section 
         <statute_ref>179A.03, subdivision 8</statute_ref>. <br/>
<a id="pl.326.14"></a><var>326.14</var>    (e)  Labor-Management Committee. "Labor-Management Committee" means the <br/>
<a id="pl.326.15"></a><var>326.15</var>committee established by subdivision 4. <br/>
<a id="pl.326.16"></a><var>326.16</var>    (f)  Program. "Program" means the statewide public employees insurance program <br/>
<a id="pl.326.17"></a><var>326.17</var>created by subdivision 3. <br/>
<a id="pl.326.18"></a><var>326.18</var>    Subd. 3. <b>Public employee insurance program.</b> The commissioner shall be the <br/>
<a id="pl.326.19"></a><var>326.19</var>administrator of the public employee insurance program and may determine its funding <br/>
<a id="pl.326.20"></a><var>326.20</var>arrangements. The commissioner may contract with a qualified entity to perform the <br/>
<a id="pl.326.21"></a><var>326.21</var>administrative functions. The commissioner shall model the program after the plan <br/>
<a id="pl.326.22"></a><var>326.22</var>established in section 
         <statute_ref>43A.18, subdivision 2</statute_ref>, but may modify adopt variations from that <br/>
<a id="pl.326.23"></a><var>326.23</var>plan, in consultation with the Labor-Management Committee. The variations may include <br/>
<a id="pl.326.24"></a><var>326.24</var>different deductibles, coinsurance, co-pays, or other enrollee cost-sharing provisions.<br/>
<a id="pl.326.25"></a><var>326.25</var>    Subd. 4. <b>Labor-Management Committee.</b> (a) The Labor-Management Committee <br/>
<a id="pl.326.26"></a><var>326.26</var>consists of ten members appointed by the commissioner. The Labor-Management <br/>
<a id="pl.326.27"></a><var>326.27</var>Committee must comprise five members who represent employees, including at least <br/>
<a id="pl.326.28"></a><var>326.28</var>one retired employee, and five members who represent eligible employers. Committee <br/>
<a id="pl.326.29"></a><var>326.29</var>members are eligible for expense reimbursement in the same manner and amount as <br/>
<a id="pl.326.30"></a><var>326.30</var>authorized by the commissioner's plan adopted under section 
         <statute_ref>43A.18, subdivision 2</statute_ref>. The <br/>
<a id="pl.326.31"></a><var>326.31</var>commissioner shall consult with the labor-management committee in major decisions <br/>
<a id="pl.326.32"></a><var>326.32</var>that affect the program. The committee shall study issues and make recommendations <br/>
<a id="pl.326.33"></a><var>326.33</var>relating to the insurance program including, but not limited to, flexible benefits, utilization <br/>
<a id="pl.326.34"></a><var>326.34</var>review, quality assessment, and cost efficiency. The committee continues to exist while <br/>
<a id="pl.326.35"></a><var>326.35</var>the program remains in operation. <br/>
<a id="pl.327.1"></a><var>327.1</var>    (b) The five members of the Labor-Management Committee who represent <br/>
<a id="pl.327.2"></a><var>327.2</var>employees must be chosen by the commissioner from among persons nominated as <br/>
<a id="pl.327.3"></a><var>327.3</var>provided in this paragraph. Exclusive representatives of employees of counties, cities, <br/>
<a id="pl.327.4"></a><var>327.4</var>school districts, and nursing homes are entitled to nominate two candidates for the <br/>
<a id="pl.327.5"></a><var>327.5</var>Labor-Management Committee from each of those four categories, and the commissioner <br/>
<a id="pl.327.6"></a><var>327.6</var>shall appoint one of those two nominees from each category. The commissioner shall <br/>
<a id="pl.327.7"></a><var>327.7</var>choose the fifth employee to represent retired employees.<br/>
<a id="pl.327.8"></a><var>327.8</var>    (c) The five members of the Labor-Management Committee who represent employers <br/>
<a id="pl.327.9"></a><var>327.9</var>must be chosen by the commissioner from among persons nominated as provided in <br/>
<a id="pl.327.10"></a><var>327.10</var>this paragraph. The Association of Minnesota Counties, Minnesota League of Cities, <br/>
<a id="pl.327.11"></a><var>327.11</var>Minnesota School Boards Association, and the Minnesota Association of Nursing Homes <br/>
<a id="pl.327.12"></a><var>327.12</var>are each entitled to nominate two candidates for the committee, and the commissioner <br/>
<a id="pl.327.13"></a><var>327.13</var>shall appoint one of those from each group. The commissioner shall select the fifth <br/>
<a id="pl.327.14"></a><var>327.14</var>employer member from an employer participating in the program and not represented <br/>
<a id="pl.327.15"></a><var>327.15</var>by the other four employer members, if any, or if that is not reasonably possible, the <br/>
<a id="pl.327.16"></a><var>327.16</var>commissioner may appoint any other person as the fifth employer representative.<br/>
<a id="pl.327.17"></a><var>327.17</var>    Subd. 5. <b>Public employee participation.</b> (a) Participation in the program is subject <br/>
<a id="pl.327.18"></a><var>327.18</var>to the conditions in this subdivision.<br/>
<a id="pl.327.19"></a><var>327.19</var>    (b) Each exclusive representative for an eligible employer determines whether the <br/>
<a id="pl.327.20"></a><var>327.20</var>employees it represents will participate in the program. The exclusive representative shall <br/>
<a id="pl.327.21"></a><var>327.21</var>give the employer notice of intent to participate at least 30 60 days before the expiration <br/>
<a id="pl.327.22"></a><var>327.22</var>date of the collective bargaining agreement preceding the collective bargaining agreement <br/>
<a id="pl.327.23"></a><var>327.23</var>that covers the date of entry into the program. Either all or none of the employees <br/>
<a id="pl.327.24"></a><var>327.24</var>represented by an exclusive representative must participate. The exclusive representative <br/>
<a id="pl.327.25"></a><var>327.25</var>and the eligible employer shall give notice to the commissioner of the determination to <br/>
<a id="pl.327.26"></a><var>327.26</var>participate in the program at least 30 60 days before entry into the program. Entry into the <br/>
<a id="pl.327.27"></a><var>327.27</var>program is governed by a schedule established by the commissioner.<br/>
<a id="pl.327.28"></a><var>327.28</var>    (c) Employees not represented by exclusive representatives may become members <br/>
<a id="pl.327.29"></a><var>327.29</var>of the program upon a determination of an eligible employer to include these employees <br/>
<a id="pl.327.30"></a><var>327.30</var>in the program. Either all or none of the employer's unrepresented employees must <br/>
<a id="pl.327.31"></a><var>327.31</var>participate. The eligible employer shall give at least 30 60 days' notice to the commissioner <br/>
<a id="pl.327.32"></a><var>327.32</var>before entering the program. Entry into the program is governed by a schedule established <br/>
<a id="pl.327.33"></a><var>327.33</var>by the commissioner.<br/>
<a id="pl.327.34"></a><var>327.34</var>    (d) Participation in the program is for a two-year three-year term. Participation is <br/>
<a id="pl.327.35"></a><var>327.35</var>automatically renewed for an additional two-year three-year term unless the exclusive <br/>
<a id="pl.327.36"></a><var>327.36</var>representative, or the employer for unrepresented employees, gives the commissioner <br/>
<a id="pl.328.1"></a><var>328.1</var>notice of withdrawal at least 30 60 days before expiration of the participation period. A <br/>
<a id="pl.328.2"></a><var>328.2</var>group that withdraws must wait two years before rejoining, except with the approval of <br/>
<a id="pl.328.3"></a><var>328.3</var>the commissioner. An exclusive representative, or employer for unrepresented employees, <br/>
<a id="pl.328.4"></a><var>328.4</var>may also withdraw if premiums increase 50 percent by more than 20 percent in excess of <br/>
<a id="pl.328.5"></a><var>328.5</var>the Consumer Price Index for all urban consumers or more from one insurance year to <br/>
<a id="pl.328.6"></a><var>328.6</var>the next.<br/>
<a id="pl.328.7"></a><var>328.7</var>    (e) The exclusive representative shall give the employer notice of intent to withdraw <br/>
<a id="pl.328.8"></a><var>328.8</var>to the commissioner at least 30 60 days before the expiration date of a collective <br/>
<a id="pl.328.9"></a><var>328.9</var>bargaining agreement that includes the date on which the term of participation expires.<br/>
<a id="pl.328.10"></a><var>328.10</var>    (f) Each participating eligible employer shall notify the commissioner of the names <br/>
<a id="pl.328.11"></a><var>328.11</var>of individuals who will be participating within two weeks of after the commissioner <br/>
<a id="pl.328.12"></a><var>328.12</var>receiving receives notice of the parties' intent to participate. The employer shall also <br/>
<a id="pl.328.13"></a><var>328.13</var>submit other information as required by the commissioner for administration of the <br/>
<a id="pl.328.14"></a><var>328.14</var>program.<br/>
<a id="pl.328.15"></a><var>328.15</var>    (g) An employer that withdraws from the program under circumstances that do not <br/>
<a id="pl.328.16"></a><var>328.16</var>permit withdrawal under this subdivision is liable to the board for premiums payable by <br/>
<a id="pl.328.17"></a><var>328.17</var>the employer until the time that the employer is eligible to withdraw, and the employer <br/>
<a id="pl.328.18"></a><var>328.18</var>shall pay those premiums voluntarily and no later than their due date. If the premiums are <br/>
<a id="pl.328.19"></a><var>328.19</var>not paid voluntarily, the board has authority to and shall collect these premiums under any <br/>
<a id="pl.328.20"></a><var>328.20</var>method permitted by law for a governmental or nongovernmental creditor of the employer.<br/>
<a id="pl.328.21"></a><var>328.21</var>    Subd. 6. <b>Coverage.</b> (a) By January 1, 1989, The commissioner shall announce the <br/>
<a id="pl.328.22"></a><var>328.22</var>benefits of the program. The program shall include employee hospital, medical, dental, <br/>
<a id="pl.328.23"></a><var>328.23</var>and life insurance for employees and hospital and medical benefits for dependents. Health <br/>
<a id="pl.328.24"></a><var>328.24</var>maintenance organization options and other delivery system options may be provided if <br/>
<a id="pl.328.25"></a><var>328.25</var>they are available, cost-effective, and capable of servicing the number of people covered <br/>
<a id="pl.328.26"></a><var>328.26</var>in the program. Participation in optional coverages may be provided by collective <br/>
<a id="pl.328.27"></a><var>328.27</var>bargaining agreements. For employees not represented by an exclusive representative, the <br/>
<a id="pl.328.28"></a><var>328.28</var>employer may offer the optional coverages to eligible employees and their dependents <br/>
<a id="pl.328.29"></a><var>328.29</var>provided in the program. Health coverage must include at least the benefits required of a <br/>
<a id="pl.328.30"></a><var>328.30</var>health plan company regulated under chapter 62A, 62C, or 62D.<br/>
<a id="pl.328.31"></a><var>328.31</var>    (b) The commissioner, with the assistance of the Labor-Management Committee, <br/>
<a id="pl.328.32"></a><var>328.32</var>shall periodically assess whether it is financially feasible for the program to offer or to <br/>
<a id="pl.328.33"></a><var>328.33</var>continue an individual retiree program that has competitive premium rates and benefits. <br/>
<a id="pl.328.34"></a><var>328.34</var>If the commissioner determines it to be feasible to offer an individual retiree program, <br/>
<a id="pl.328.35"></a><var>328.35</var>the commissioner shall announce the applicable benefits, premium rates, and terms of <br/>
<a id="pl.328.36"></a><var>328.36</var>participation. Eligibility to participate in the individual retiree program is governed by <br/>
<a id="pl.329.1"></a><var>329.1</var>subdivision 8, but applies to retirees of eligible employers that do not participate in the <br/>
<a id="pl.329.2"></a><var>329.2</var>program and to those retirees' dependents and surviving spouses.<br/>
<a id="pl.329.3"></a><var>329.3</var>    Subd. 6a. <b>Chiropractic services</b><b> Choice of type of provider</b><b>.</b> All benefits provided <br/>
<a id="pl.329.4"></a><var>329.4</var>by the program or a successor program relating to expenses incurred for medical treatment <br/>
<a id="pl.329.5"></a><var>329.5</var>or services of a physician health care provider must also include chiropractic treatment <br/>
<a id="pl.329.6"></a><var>329.6</var>and services of a chiropractor any other type of licensed, certified, or registered health care <br/>
<a id="pl.329.7"></a><var>329.7</var>provider to the extent that the chiropractic services and treatment are within the scope of <br/>
<a id="pl.329.8"></a><var>329.8</var>chiropractic licensure the provider's licensure, certification, or registration.<br/>
<a id="pl.329.9"></a><var>329.9</var>    This subdivision is intended to provide equal access to benefits for program members <br/>
<a id="pl.329.10"></a><var>329.10</var>who choose to obtain treatment for illness or injury from a doctor of chiropractic, as long <br/>
<a id="pl.329.11"></a><var>329.11</var>as the treatment falls within the chiropractor's scope of practice. This subdivision is not <br/>
<a id="pl.329.12"></a><var>329.12</var>intended to change or add to the benefits provided for in the program.<br/>
<a id="pl.329.13"></a><var>329.13</var>    Subd. 7. <b>Premiums.</b> (a) The proportion of premium paid by the employer and <br/>
<a id="pl.329.14"></a><var>329.14</var>employee is subject to collective bargaining or personnel policies. If, at the beginning of <br/>
<a id="pl.329.15"></a><var>329.15</var>the coverage period, no collective bargaining agreement has been finalized, the increased <br/>
<a id="pl.329.16"></a><var>329.16</var>dollar costs, if any, from the previous year is the sole responsibility of the individual <br/>
<a id="pl.329.17"></a><var>329.17</var>participant until a collective bargaining agreement states otherwise. Premiums, including <br/>
<a id="pl.329.18"></a><var>329.18</var>an administration fee, shall be established by the commissioner. The commissioner may <br/>
<a id="pl.329.19"></a><var>329.19</var>decide to rate specific employers separately for premium purposes, if the commissioner <br/>
<a id="pl.329.20"></a><var>329.20</var>determines that doing so is in the best interests of the program. Each employer shall pay <br/>
<a id="pl.329.21"></a><var>329.21</var>monthly the amounts due for employee benefits including the amounts under subdivision <br/>
<a id="pl.329.22"></a><var>329.22</var>8 to the commissioner no later than the dates established by the commissioner. If an <br/>
<a id="pl.329.23"></a><var>329.23</var>employer fails to make the payments as required, the commissioner may shall cancel <br/>
<a id="pl.329.24"></a><var>329.24</var>program benefits and pursue other civil remedies, as provided in subdivision 5, paragraph <br/>
<a id="pl.329.25"></a><var>329.25</var>(d).<br/>
<a id="pl.329.26"></a><var>329.26</var>    (b) The premium charged for an employer's first month in the program must be <br/>
<a id="pl.329.27"></a><var>329.27</var>three times the regular monthly premium charged to that employer, to help establish <br/>
<a id="pl.329.28"></a><var>329.28</var>and maintain the program's financial resources. The extra two months premium must <br/>
<a id="pl.329.29"></a><var>329.29</var>be refunded to the employer if the employer leaves the program, if the refund would <br/>
<a id="pl.329.30"></a><var>329.30</var>not reduce the program's reserves below the level determined to be appropriate by the <br/>
<a id="pl.329.31"></a><var>329.31</var>commissioner.<br/>
<a id="pl.329.32"></a><var>329.32</var>    Subd. 8. <b>Continuation of coverage.</b> (a) A former employee of an employer <br/>
<a id="pl.329.33"></a><var>329.33</var>participating in the program who is receiving a public pension disability benefit or an <br/>
<a id="pl.329.34"></a><var>329.34</var>annuity or has met the age and service requirements necessary to receive an annuity under <br/>
<a id="pl.329.35"></a><var>329.35</var>chapter 353, 353C, 354, 354A, 356, 422A, 423, 423A, or 424, and the former employee's <br/>
<a id="pl.329.36"></a><var>329.36</var>dependents, are eligible to participate in the program. This participation is at the person's <br/>
<a id="pl.330.1"></a><var>330.1</var>expense unless a collective bargaining agreement or personnel policy provides otherwise. <br/>
<a id="pl.330.2"></a><var>330.2</var>Premiums for these participants must be established by the commissioner.<br/>
<a id="pl.330.3"></a><var>330.3</var>    The commissioner may provide policy exclusions for preexisting conditions <br/>
<a id="pl.330.4"></a><var>330.4</var>only when there is a break in coverage between a participant's coverage under the <br/>
<a id="pl.330.5"></a><var>330.5</var>employment-based group insurance program and the participant's coverage under this <br/>
<a id="pl.330.6"></a><var>330.6</var>section. An employer shall notify an employee of the option to participate under this <br/>
<a id="pl.330.7"></a><var>330.7</var>paragraph no later than the effective date of retirement. The retired employee or the <br/>
<a id="pl.330.8"></a><var>330.8</var>employer of a participating group on behalf of a current or retired employee shall notify <br/>
<a id="pl.330.9"></a><var>330.9</var>the commissioner within 30 days of the effective date of retirement of intent to participate <br/>
<a id="pl.330.10"></a><var>330.10</var>in the program according to the rules established by the commissioner.<br/>
<a id="pl.330.11"></a><var>330.11</var>    (b) The spouse of a deceased employee or former employee may purchase the <br/>
<a id="pl.330.12"></a><var>330.12</var>benefits provided at premiums established by the commissioner if the spouse was a <br/>
<a id="pl.330.13"></a><var>330.13</var>dependent under the employee's or former employee's coverage under this section at the <br/>
<a id="pl.330.14"></a><var>330.14</var>time of the death. The spouse remains eligible to participate in the program as long as <br/>
<a id="pl.330.15"></a><var>330.15</var>the group that included the deceased employee or former employee participates in the <br/>
<a id="pl.330.16"></a><var>330.16</var>program. Coverage under this clause must be coordinated with relevant insurance benefits <br/>
<a id="pl.330.17"></a><var>330.17</var>provided through the federally sponsored Medicare program.<br/>
<a id="pl.330.18"></a><var>330.18</var>    (c) The program benefits must continue in the event of strike permitted by section <br/>
<statute_ref><a id="pl.330.19"></a><var>330.19</var>179A.18
         </statute_ref>, if the exclusive representative chooses to have coverage continue and the <br/>
<a id="pl.330.20"></a><var>330.20</var>employee pays the total monthly premiums when due. <br/>
<a id="pl.330.21"></a><var>330.21</var>    (d) A participant who discontinues coverage may not reenroll.<br/>
<a id="pl.330.22"></a><var>330.22</var>    (d) Persons participating under these paragraphs this subdivision shall make <br/>
<a id="pl.330.23"></a><var>330.23</var>appropriate premium payments in the time and manner established by the commissioner. <br/>
<a id="pl.330.24"></a><var>330.24</var>They are not subject to the payment of the extra payments required under subdivision 7, <br/>
<a id="pl.330.25"></a><var>330.25</var>paragraph (b).<br/>
<a id="pl.330.26"></a><var>330.26</var>    Subd. 9. <b>Insurance trust fund.</b> The insurance trust fund in the state treasury <br/>
<a id="pl.330.27"></a><var>330.27</var>consists of deposits of the premiums received from employers participating in the <br/>
<a id="pl.330.28"></a><var>330.28</var>program and transfers before July 1, 1994, from the excess contributions holding account <br/>
<a id="pl.330.29"></a><var>330.29</var>established by section 
         <statute_ref>353.65, subdivision 7</statute_ref>. All money in the fund is appropriated to <br/>
<a id="pl.330.30"></a><var>330.30</var>the commissioner to pay insurance premiums, approved claims, refunds, administrative <br/>
<a id="pl.330.31"></a><var>330.31</var>costs, and other related service costs. Premiums paid by employers to the fund are exempt <br/>
<a id="pl.330.32"></a><var>330.32</var>from the taxes imposed by chapter 297I. The commissioner shall reserve an amount of <br/>
<a id="pl.330.33"></a><var>330.33</var>money to cover the estimated costs of claims incurred but unpaid. The State Board of <br/>
<a id="pl.330.34"></a><var>330.34</var>Investment shall invest the money according to section 
         <statute_ref>11A.24</statute_ref>. Investment income and <br/>
<a id="pl.330.35"></a><var>330.35</var>losses attributable to the fund must be credited to the fund. <br/>
<a id="pl.331.1"></a><var>331.1</var>    Subd. 10. <b>Exemption.</b> The public employee insurance program and, where <br/>
<a id="pl.331.2"></a><var>331.2</var>applicable, the employers participating in it are exempt from chapters 60A, 62A, 62C, <br/>
<a id="pl.331.3"></a><var>331.3</var>62D, 62E, and 62H, section 
         <statute_ref>471.617, subdivisions 2 and 3</statute_ref>, and the bidding requirements <br/>
<a id="pl.331.4"></a><var>331.4</var>of section 
         <statute_ref>471.6161</statute_ref>, except as otherwise provided in subdivision 6, paragraph (a). <br/>
<a id="pl.331.5"></a><var>331.5</var>    Subd. 11. <b>Reinsurance.</b> The commissioner may, on behalf of the program, <br/>
<a id="pl.331.6"></a><var>331.6</var>participate in an insured or self-insured reinsurance pool.<br/>
<br/>
<a id="bill.7.3.0"></a><a id="pl.331.7"></a><var>331.7</var>    Sec. 3. Minnesota Statutes 2006, section 62H.02, is amended to read:<br/>
<a id="pl.331.8"></a><var>331.8</var><b>62H.02 REQUIRED PROVISIONS.</b><br/>
<a id="pl.331.9"></a><var>331.9</var>    (a) A joint self-insurance plan must include aggregate excess stop-loss coverage and <br/>
<a id="pl.331.10"></a><var>331.10</var>individual excess stop-loss coverage provided by an insurance company licensed by the <br/>
<a id="pl.331.11"></a><var>331.11</var>state of Minnesota. <br/>
<a id="pl.331.12"></a><var>331.12</var>    (b) Aggregate excess stop-loss coverage must include provisions to cover incurred, <br/>
<a id="pl.331.13"></a><var>331.13</var>unpaid claim liability in the event of plan termination. In addition,<br/>
<a id="pl.331.14"></a><var>331.14</var>    (c) The plan of self-insurance must have participating employers fund an amount at <br/>
<a id="pl.331.15"></a><var>331.15</var>least equal to the point at which the excess or stop-loss insurer has contracted to assume <br/>
<a id="pl.331.16"></a><var>331.16</var>100 percent of additional liability. <br/>
<a id="pl.331.17"></a><var>331.17</var>    (d) A joint self-insurance plan must submit its proposed excess or stop-loss insurance <br/>
<a id="pl.331.18"></a><var>331.18</var>contract to the commissioner of commerce at least 30 days prior to the proposed plan's <br/>
<a id="pl.331.19"></a><var>331.19</var>effective date and at least 30 days subsequent to any renewal date. The commissioner shall <br/>
<a id="pl.331.20"></a><var>331.20</var>review the contract to determine if they meet the standards established by sections 
         <statute_ref>62H.01</statute_ref> <br/>
<a id="pl.331.21"></a><var>331.21</var>to 
         <statute_ref>62H.08</statute_ref> and respond within a 30-day period. <br/>
<a id="pl.331.22"></a><var>331.22</var>    (e) Any excess or stop-loss insurance plan must contain a provision that the excess <br/>
<a id="pl.331.23"></a><var>331.23</var>or stop-loss insurer will give the plan and the commissioner of commerce a minimum of <br/>
<a id="pl.331.24"></a><var>331.24</var>180 days' notice of termination or nonrenewal. If the plan fails to secure replacement <br/>
<a id="pl.331.25"></a><var>331.25</var>coverage within 60 days after receipt of the notice of cancellation or nonrenewal, the <br/>
<a id="pl.331.26"></a><var>331.26</var>commissioner shall issue an order providing for the orderly termination of the plan. <br/>
<a id="pl.331.27"></a><var>331.27</var>    (f) The commissioner may waive the requirements of this section and of any rule <br/>
<a id="pl.331.28"></a><var>331.28</var>relating to the requirements of this section, if the commissioner determines that a joint <br/>
<a id="pl.331.29"></a><var>331.29</var>self-insurance plan has established alternative arrangements that fully fund the plan's <br/>
<a id="pl.331.30"></a><var>331.30</var>liability or incurred but unpaid claims. The commissioner may not waive the requirement <br/>
<a id="pl.331.31"></a><var>331.31</var>that a joint self-insurance plan have excess stop-loss coverage. <br/>
<a id="pl.331.32"></a><var>331.32</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.4.0"></a><a id="pl.331.33"></a><var>331.33</var>    Sec. 4. <b>[62Q.40] LANGUAGE INTERPRETER SERVICES.</b><br/>
<a id="pl.332.1"></a><var>332.1</var>    (a) A health plan must cover sign language interpreter services provided to deaf and <br/>
<a id="pl.332.2"></a><var>332.2</var>hard-of-hearing enrollees and language interpreter services provided to enrollees with <br/>
<a id="pl.332.3"></a><var>332.3</var>limited English proficiency in order to facilitate the provision of health care services by a <br/>
<a id="pl.332.4"></a><var>332.4</var>provider. For purposes of this section, "provider" has the meaning given in section 62J.03, <br/>
<a id="pl.332.5"></a><var>332.5</var>subdivision 8, and includes a health care provider facility; and "health plan" includes <br/>
<a id="pl.332.6"></a><var>332.6</var>coverage excluded under section 62A.011, subdivision 3, clauses (6), (7), (9), and (10). <br/>
<a id="pl.332.7"></a><var>332.7</var>Interpreter services may be provided in person, by telephone, facsimile, video or audio <br/>
<a id="pl.332.8"></a><var>332.8</var>streaming, or by video conference. In accordance with paragraphs (b) and (c), a health <br/>
<a id="pl.332.9"></a><var>332.9</var>plan company shall reimburse either the party providing interpreter services directly <br/>
<a id="pl.332.10"></a><var>332.10</var>for the costs of language interpreter services provided to the enrollee or the provider <br/>
<a id="pl.332.11"></a><var>332.11</var>arranging for the provision of interpreter services. Providers that employ or contract <br/>
<a id="pl.332.12"></a><var>332.12</var>with interpreters may bill and shall be reimbursed directly by health plan companies for <br/>
<a id="pl.332.13"></a><var>332.13</var>such services in accordance with paragraph (b). A health plan company shall provide to <br/>
<a id="pl.332.14"></a><var>332.14</var>enrollees, upon request, the policies and procedures for addressing the needs of deaf and <br/>
<a id="pl.332.15"></a><var>332.15</var>hard-of-hearing enrollees and enrollees with limited English proficiency. All parties <br/>
<a id="pl.332.16"></a><var>332.16</var>providing interpreter services must disclose their methods for ensuring competency upon <br/>
<a id="pl.332.17"></a><var>332.17</var>request of any health plan company, provider, or consumer.<br/>
<a id="pl.332.18"></a><var>332.18</var>    (b) A health plan company shall pay for interpreter services as required in paragraph <br/>
<a id="pl.332.19"></a><var>332.19</var>(a) by establishing a network of interpreter service providers and requiring use of its own <br/>
<a id="pl.332.20"></a><var>332.20</var>network of interpreter services providers. The health plan company shall consider, as part <br/>
<a id="pl.332.21"></a><var>332.21</var>of its interpreter service provider network, entering into an agreement with a provider for <br/>
<a id="pl.332.22"></a><var>332.22</var>use of an interpreter service provider employed by or under contract with the provider if:<br/>
<a id="pl.332.23"></a><var>332.23</var>    (1) the provider accepts as reimbursement for services rendered by the provider's <br/>
<a id="pl.332.24"></a><var>332.24</var>employed or contracted interpreter service provider the lesser of either the health plan <br/>
<a id="pl.332.25"></a><var>332.25</var>company's reimbursement rate for its in-network interpreter service providers or the <br/>
<a id="pl.332.26"></a><var>332.26</var>provider's fee for services rendered by the provider's interpreter service provider; and<br/>
<a id="pl.332.27"></a><var>332.27</var>    (2) the interpreter service provider meets the published quality standards of the <br/>
<a id="pl.332.28"></a><var>332.28</var>health plan company.<br/>
<a id="pl.332.29"></a><var>332.29</var>    (c) If a health plan company's or a provider's employed or contracted interpreter <br/>
<a id="pl.332.30"></a><var>332.30</var>service provider is unavailable to provide interpreter services, the health plan company <br/>
<a id="pl.332.31"></a><var>332.31</var>shall reimburse the interpreter service provider at the lesser of the health plan company's <br/>
<a id="pl.332.32"></a><var>332.32</var>median reimbursement rate for its in-network interpreter service providers or the <br/>
<a id="pl.332.33"></a><var>332.33</var>interpreter service provider's fee. An interpreter service provider not employed or under <br/>
<a id="pl.332.34"></a><var>332.34</var>contract with a health plan company or provider who fails to meet the quality standards <br/>
<a id="pl.332.35"></a><var>332.35</var>of a health plan company or as required by law, shall be ineligible for reimbursement <br/>
<a id="pl.332.36"></a><var>332.36</var>under this section.<br/>
<a id="pl.333.1"></a><var>333.1</var>    (d) If the health plan company pays the interpreter service provider directly, it has no <br/>
<a id="pl.333.2"></a><var>333.2</var>obligation to pay the provider under this section.<br/>
<a id="pl.333.3"></a><var>333.3</var>    (e) Nothing in this section requires a health plan company to establish a network <br/>
<a id="pl.333.4"></a><var>333.4</var>of interpreter service providers.<br/>
<a id="pl.333.5"></a><var>333.5</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008, and applies to plans <br/>
<a id="pl.333.6"></a><var>333.6</var>issued or renewed to provide coverage to Minnesota residents on or after that date unless <br/>
<a id="pl.333.7"></a><var>333.7</var>the legislature enacts alternative funding sources based on the recommendations of the <br/>
<a id="pl.333.8"></a><var>333.8</var>commissioner.<br/>
<br/>
<a id="bill.7.5.0"></a><a id="pl.333.9"></a><var>333.9</var>    Sec. 5. Minnesota Statutes 2006, section 144.05, is amended by adding a subdivision <br/>
<a id="pl.333.10"></a><var>333.10</var>to read:<br/>
<a id="pl.333.11"></a><var>333.11</var>    Subd. 5. <b>Base budget detail.</b> The commissioner shall provide the commissioner <br/>
<a id="pl.333.12"></a><var>333.12</var>of finance with the information necessary to provide base budget detail to the legislature <br/>
<a id="pl.333.13"></a><var>333.13</var>under section 16A.10, subdivision 2a.<br/>
<br/>
<a id="bill.7.6.0"></a><a id="pl.333.14"></a><var>333.14</var>    Sec. 6. Minnesota Statutes 2006, section 148.235, is amended by adding a subdivision <br/>
<a id="pl.333.15"></a><var>333.15</var>to read:<br/>
<a id="pl.333.16"></a><var>333.16</var>    Subd. 11. <b>Dispensing by protocol.</b> A registered nurse in a family planning agency <br/>
<a id="pl.333.17"></a><var>333.17</var>as defined in Minnesota Rules, part 9505.0280, subpart 3, may dispense oral contraceptives <br/>
<a id="pl.333.18"></a><var>333.18</var>prescribed by a licensed practitioner as defined in section 151.01, subdivision 23, pursuant <br/>
<a id="pl.333.19"></a><var>333.19</var>to a dispensing protocol established by the agency's medical director or under the direction <br/>
<a id="pl.333.20"></a><var>333.20</var>of a physician. The dispensing protocol must address the requirements of sections 151.01, <br/>
<a id="pl.333.21"></a><var>333.21</var>subdivision 30, and 151.212, subdivision 1.<br/>
<br/>
<a id="bill.7.7.0"></a><a id="pl.333.22"></a><var>333.22</var>    Sec. 7. Minnesota Statutes 2006, section 151.37, subdivision 2, is amended to read:<br/>
<a id="pl.333.23"></a><var>333.23</var>    Subd. 2. <b>Prescribing and filing.</b> (a) A licensed practitioner in the course of <br/>
<a id="pl.333.24"></a><var>333.24</var>professional practice only, may prescribe, administer, and dispense a legend drug, and may <br/>
<a id="pl.333.25"></a><var>333.25</var>cause the same to be administered by a nurse, a physician assistant, or medical student or <br/>
<a id="pl.333.26"></a><var>333.26</var>resident under the practitioner's direction and supervision, and may cause a person who <br/>
<a id="pl.333.27"></a><var>333.27</var>is an appropriately certified, registered, or licensed health care professional to prescribe, <br/>
<a id="pl.333.28"></a><var>333.28</var>dispense, and administer the same within the expressed legal scope of the person's practice <br/>
<a id="pl.333.29"></a><var>333.29</var>as defined in Minnesota Statutes. A licensed practitioner may prescribe a legend drug, <br/>
<a id="pl.333.30"></a><var>333.30</var>without reference to a specific patient, by directing a nurse, pursuant to section 
         <statute_ref>148.235, <br/>
<a id="pl.333.31"></a><var>333.31</var>subdivisions 8 and 9
         </statute_ref>, physician assistant, or medical student or resident to adhere to <br/>
<a id="pl.333.32"></a><var>333.32</var>a particular practice guideline or protocol when treating patients whose condition falls <br/>
<a id="pl.333.33"></a><var>333.33</var>within such guideline or protocol, and when such guideline or protocol specifies the <br/>
<a id="pl.334.1"></a><var>334.1</var>circumstances under which the legend drug is to be prescribed and administered. An <br/>
<a id="pl.334.2"></a><var>334.2</var>individual who verbally, electronically, or otherwise transmits a written, oral, or electronic <br/>
<a id="pl.334.3"></a><var>334.3</var>order, as an agent of a prescriber, shall not be deemed to have prescribed the legend drug. <br/>
<a id="pl.334.4"></a><var>334.4</var>This paragraph applies to a physician assistant only if the physician assistant meets the <br/>
<a id="pl.334.5"></a><var>334.5</var>requirements of section 
         <statute_ref>147A.18</statute_ref>. <br/>
<a id="pl.334.6"></a><var>334.6</var>    (b) A licensed practitioner that dispenses for profit a legend drug that is to be <br/>
<a id="pl.334.7"></a><var>334.7</var>administered orally, is ordinarily dispensed by a pharmacist, and is not a vaccine, must <br/>
<a id="pl.334.8"></a><var>334.8</var>file with the practitioner's licensing board a statement indicating that the practitioner <br/>
<a id="pl.334.9"></a><var>334.9</var>dispenses legend drugs for profit, the general circumstances under which the practitioner <br/>
<a id="pl.334.10"></a><var>334.10</var>dispenses for profit, and the types of legend drugs generally dispensed. It is unlawful to <br/>
<a id="pl.334.11"></a><var>334.11</var>dispense legend drugs for profit after July 31, 1990, unless the statement has been filed <br/>
<a id="pl.334.12"></a><var>334.12</var>with the appropriate licensing board. For purposes of this paragraph, "profit" means (1) <br/>
<a id="pl.334.13"></a><var>334.13</var>any amount received by the practitioner in excess of the acquisition cost of a legend drug <br/>
<a id="pl.334.14"></a><var>334.14</var>for legend drugs that are purchased in prepackaged form, or (2) any amount received <br/>
<a id="pl.334.15"></a><var>334.15</var>by the practitioner in excess of the acquisition cost of a legend drug plus the cost of <br/>
<a id="pl.334.16"></a><var>334.16</var>making the drug available if the legend drug requires compounding, packaging, or other <br/>
<a id="pl.334.17"></a><var>334.17</var>treatment. The statement filed under this paragraph is public data under section 
         <statute_ref>13.03</statute_ref>. <br/>
<a id="pl.334.18"></a><var>334.18</var>This paragraph does not apply to a licensed doctor of veterinary medicine or a registered <br/>
<a id="pl.334.19"></a><var>334.19</var>pharmacist. Any person other than a licensed practitioner with the authority to prescribe, <br/>
<a id="pl.334.20"></a><var>334.20</var>dispense, and administer a legend drug under paragraph (a) shall not dispense for profit. <br/>
<a id="pl.334.21"></a><var>334.21</var>To dispense for profit does not include dispensing by a community health clinic when the <br/>
<a id="pl.334.22"></a><var>334.22</var>profit from dispensing is used to meet operating expenses. <br/>
<a id="pl.334.23"></a><var>334.23</var>    (c) A prescription or drug order for a legend drug is not valid unless it is issued <br/>
<a id="pl.334.24"></a><var>334.24</var>for a legitimate medical purpose arising from a prescriber-patient relationship that <br/>
<a id="pl.334.25"></a><var>334.25</var>includes a documented patient evaluation adequate to establish diagnoses and identify <br/>
<a id="pl.334.26"></a><var>334.26</var>underlying conditions and contraindications to the treatment. Treatment, including issuing <br/>
<a id="pl.334.27"></a><var>334.27</var>a prescription or drug order, based solely on an online questionnaire does not constitute a <br/>
<a id="pl.334.28"></a><var>334.28</var>legitimate medical purpose.<br/>
<br/>
<a id="bill.7.8.0"></a><a id="pl.334.29"></a><var>334.29</var>    Sec. 8. Minnesota Statutes 2006, section 152.11, is amended by adding a subdivision to <br/>
<a id="pl.334.30"></a><var>334.30</var>read:<br/>
<a id="pl.334.31"></a><var>334.31</var>    Subd. 2d. <b>Identification requirement for schedule II or III controlled substance.</b><br/>
<a id="pl.334.32"></a><var>334.32</var>    No person may dispense a controlled substance included in schedule II or III without <br/>
<a id="pl.334.33"></a><var>334.33</var>requiring the person purchasing the controlled substance, who need not be the person for <br/>
<a id="pl.334.34"></a><var>334.34</var>whom the controlled substance prescription is written, to present valid photographic <br/>
<a id="pl.335.1"></a><var>335.1</var>identification, unless the person purchasing the controlled substance, or if applicable the <br/>
<a id="pl.335.2"></a><var>335.2</var>person for whom the controlled substance prescription is written, is known to the dispenser.<br/>
<br/>
<a id="bill.7.9.0"></a><a id="pl.335.3"></a><var>335.3</var>    Sec. 9. <b>[152.126] SCHEDULE II AND III CONTROLLED SUBSTANCES </b><br/>
<a id="pl.335.4"></a><var>335.4</var><b>PRESCRIPTION ELECTRONIC REPORTING SYSTEM.</b><br/>
<a id="pl.335.5"></a><var>335.5</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the terms defined in this <br/>
<a id="pl.335.6"></a><var>335.6</var>subdivision have the meanings given.<br/>
<a id="pl.335.7"></a><var>335.7</var>    (a) "Board" means the Minnesota State Board of Pharmacy established under <br/>
<a id="pl.335.8"></a><var>335.8</var>chapter 151.<br/>
<a id="pl.335.9"></a><var>335.9</var>    (b) "Controlled substances" means those substances listed in section 152.02, <br/>
<a id="pl.335.10"></a><var>335.10</var>subdivisions 3 and 4, and those substances defined by the board pursuant to section <br/>
<a id="pl.335.11"></a><var>335.11</var>152.02, subdivisions 8 and 12.<br/>
<a id="pl.335.12"></a><var>335.12</var>    (c) "Dispense" or "dispensing" has the meaning given in section 151.01, subdivision <br/>
<a id="pl.335.13"></a><var>335.13</var>30. Dispensing does not include the direct administering of a controlled substance to a <br/>
<a id="pl.335.14"></a><var>335.14</var>patient by a licensed health care professional.<br/>
<a id="pl.335.15"></a><var>335.15</var>    (d) "Dispenser" means a person authorized by law to dispense a controlled substance, <br/>
<a id="pl.335.16"></a><var>335.16</var>pursuant to a valid prescription. A dispenser does not include a licensed hospital pharmacy <br/>
<a id="pl.335.17"></a><var>335.17</var>that distributes controlled substances for inpatient hospital care.<br/>
<a id="pl.335.18"></a><var>335.18</var>    (e) "Prescriber" means a licensed health care professional who is authorized to <br/>
<a id="pl.335.19"></a><var>335.19</var>prescribe a controlled substance under section 152.12, subdivision 1.<br/>
<a id="pl.335.20"></a><var>335.20</var>    (f) "Prescription" has the meaning given in section 151.01, subdivision 16.<br/>
<a id="pl.335.21"></a><var>335.21</var>    Subd. 2. <b>Prescription electronic reporting system.</b> (a) By January 1, 2009, <br/>
<a id="pl.335.22"></a><var>335.22</var>or upon enactment of legislation that implements the recommendations of the Board <br/>
<a id="pl.335.23"></a><var>335.23</var>of Pharmacy under subdivision 3, paragraph (c), whichever is later, the board shall <br/>
<a id="pl.335.24"></a><var>335.24</var>establish an electronic system for reporting the information required under subdivision <br/>
<a id="pl.335.25"></a><var>335.25</var>4 for all controlled substances dispensed within the state. Data for controlled substance <br/>
<a id="pl.335.26"></a><var>335.26</var>prescriptions that are dispensed in a quantity small enough to provide treatment to a <br/>
<a id="pl.335.27"></a><var>335.27</var>patient for a period of 48 hours or less need not be reported.<br/>
<a id="pl.335.28"></a><var>335.28</var>    (b) The board may contract with a vendor for the purpose of obtaining technical <br/>
<a id="pl.335.29"></a><var>335.29</var>assistance in the design, implementation, and maintenance of the electronic reporting <br/>
<a id="pl.335.30"></a><var>335.30</var>system. The vendor's role shall be limited to providing technical support to the board <br/>
<a id="pl.335.31"></a><var>335.31</var>concerning the software, databases, and computer systems required to interface with the <br/>
<a id="pl.335.32"></a><var>335.32</var>existing systems currently used by pharmacies to dispense prescriptions and transmit <br/>
<a id="pl.335.33"></a><var>335.33</var>prescription data to other third parties.<br/>
<a id="pl.335.34"></a><var>335.34</var>    (c) The board may issue a waiver to a dispenser that is unable to submit dispensing <br/>
<a id="pl.335.35"></a><var>335.35</var>information by electronic means. The waiver may permit the dispenser to submit <br/>
<a id="pl.336.1"></a><var>336.1</var>dispensing information by paper form or other means, provided all information required <br/>
<a id="pl.336.2"></a><var>336.2</var>by subdivision 4 is submitted in this alternative format.<br/>
<a id="pl.336.3"></a><var>336.3</var>    Subd. 3. <b>Prescription Electronic Reporting Advisory Committee.</b> (a) The <br/>
<a id="pl.336.4"></a><var>336.4</var>board shall convene an advisory committee. The committee must include at least one <br/>
<a id="pl.336.5"></a><var>336.5</var>representative of:<br/>
<a id="pl.336.6"></a><var>336.6</var>    (1) the Department of Health;<br/>
<a id="pl.336.7"></a><var>336.7</var>    (2) the Department of Human Services;<br/>
<a id="pl.336.8"></a><var>336.8</var>    (3) each health-related licensing board that licenses prescribers;<br/>
<a id="pl.336.9"></a><var>336.9</var>    (4) a professional medical association, which may include an association of pain <br/>
<a id="pl.336.10"></a><var>336.10</var>management and chemical dependency specialists;<br/>
<a id="pl.336.11"></a><var>336.11</var>    (5) a professional pharmacy association; <br/>
<a id="pl.336.12"></a><var>336.12</var>    (6) a consumer privacy or security advocate; and <br/>
<a id="pl.336.13"></a><var>336.13</var>    (7) a consumer or patient rights organization.<br/>
<a id="pl.336.14"></a><var>336.14</var>    (b) The advisory committee shall advise the board on the development and operation <br/>
<a id="pl.336.15"></a><var>336.15</var>of the electronic reporting system, including, but not limited to:<br/>
<a id="pl.336.16"></a><var>336.16</var>    (1) technical standards for electronic prescription drug reporting;<br/>
<a id="pl.336.17"></a><var>336.17</var>    (2) proper analysis and interpretation of prescription monitoring data; and<br/>
<a id="pl.336.18"></a><var>336.18</var>    (3) an evaluation process for the program.<br/>
<a id="pl.336.19"></a><var>336.19</var>    (c) The Board of Pharmacy, after consultation with the advisory committee, shall <br/>
<a id="pl.336.20"></a><var>336.20</var>present recommendations and draft legislation on the issues addressed by the advisory <br/>
<a id="pl.336.21"></a><var>336.21</var>committee under paragraph (b), to the legislature by December 15, 2007.<br/>
<a id="pl.336.22"></a><var>336.22</var>    Subd. 4. <b>Reporting requirements and notice.</b> (a) Each dispenser must submit the <br/>
<a id="pl.336.23"></a><var>336.23</var>following data to the board or its designated vendor, subject to the notice required under <br/>
<a id="pl.336.24"></a><var>336.24</var>paragraph (d):<br/>
<a id="pl.336.25"></a><var>336.25</var>    (1) prescriber DEA number;<br/>
<a id="pl.336.26"></a><var>336.26</var>    (2) dispenser DEA number;<br/>
<a id="pl.336.27"></a><var>336.27</var>    (3) name of the patient for whom the prescription was written;<br/>
<a id="pl.336.28"></a><var>336.28</var>    (4) date of birth of the patient for whom the prescription was written;<br/>
<a id="pl.336.29"></a><var>336.29</var>    (5) date the prescription was written;<br/>
<a id="pl.336.30"></a><var>336.30</var>    (6) date the prescription was filled;<br/>
<a id="pl.336.31"></a><var>336.31</var>    (7) NDC code for drug dispensed; and<br/>
<a id="pl.336.32"></a><var>336.32</var>    (8) quantity of controlled substance dispensed.<br/>
<a id="pl.336.33"></a><var>336.33</var>    (b) The dispenser must submit the required information according to the format and <br/>
<a id="pl.336.34"></a><var>336.34</var>protocols specified in the "ASAP Telecommunications Format for Controlled Substances," <br/>
<a id="pl.336.35"></a><var>336.35</var>May 1995 edition, published by the American Society for Automation in Pharmacy, which <br/>
<a id="pl.336.36"></a><var>336.36</var>is hereby adopted by reference, by a procedure established by the board.<br/>
<a id="pl.337.1"></a><var>337.1</var>    (c) A dispenser is not required to submit this data for those controlled substance <br/>
<a id="pl.337.2"></a><var>337.2</var>prescriptions dispensed for:<br/>
<a id="pl.337.3"></a><var>337.3</var>    (1) individuals residing in licensed skilled nursing or intermediate care facilities;<br/>
<a id="pl.337.4"></a><var>337.4</var>    (2) individuals receiving assisted living services under chapter 144G or through a <br/>
<a id="pl.337.5"></a><var>337.5</var>medical assistance home and community-based waiver;<br/>
<a id="pl.337.6"></a><var>337.6</var>    (3) individuals receiving medication intravenously;<br/>
<a id="pl.337.7"></a><var>337.7</var>    (4) individuals receiving hospice and other palliative or end-of-life care; and<br/>
<a id="pl.337.8"></a><var>337.8</var>    (5) individuals receiving services from a home care provider regulated under chapter <br/>
<a id="pl.337.9"></a><var>337.9</var>144A.<br/>
<a id="pl.337.10"></a><var>337.10</var>    (d) A dispenser must not submit data under this subdivision unless a conspicuous <br/>
<a id="pl.337.11"></a><var>337.11</var>notice of the reporting requirements of this section is given to the patient for whom the <br/>
<a id="pl.337.12"></a><var>337.12</var>prescription was written.<br/>
<a id="pl.337.13"></a><var>337.13</var>    Subd. 5. <b>Use of data by board.</b> (a) The board shall develop and maintain a database <br/>
<a id="pl.337.14"></a><var>337.14</var>of the data reported under subdivision 4. The board shall maintain data that could identify <br/>
<a id="pl.337.15"></a><var>337.15</var>an individual prescriber or dispenser in encrypted form. The database may be used by <br/>
<a id="pl.337.16"></a><var>337.16</var>permissible users identified under subdivision 6 for the identification of:<br/>
<a id="pl.337.17"></a><var>337.17</var>    (1) individuals receiving prescriptions for controlled substances from prescribers <br/>
<a id="pl.337.18"></a><var>337.18</var>who subsequently obtain controlled substances from dispensers in quantities or with a <br/>
<a id="pl.337.19"></a><var>337.19</var>frequency inconsistent with generally recognized standards of dosage for those controlled <br/>
<a id="pl.337.20"></a><var>337.20</var>substances; and <br/>
<a id="pl.337.21"></a><var>337.21</var>    (2) individuals presenting forged or otherwise false or altered prescriptions for <br/>
<a id="pl.337.22"></a><var>337.22</var>controlled substances to dispensers. <br/>
<a id="pl.337.23"></a><var>337.23</var>    (b) No permissible user identified under subdivision 6 may access the database <br/>
<a id="pl.337.24"></a><var>337.24</var>for the sole purpose of identifying prescribers of controlled substances for unusual or <br/>
<a id="pl.337.25"></a><var>337.25</var>excessive prescribing patterns without a valid search warrant or court order.<br/>
<a id="pl.337.26"></a><var>337.26</var>    (c) No personnel of a state or federal occupational licensing board or agency may <br/>
<a id="pl.337.27"></a><var>337.27</var>access the database for the purpose of obtaining information to be used to initiate or <br/>
<a id="pl.337.28"></a><var>337.28</var>substantiate a disciplinary action against a prescriber.<br/>
<a id="pl.337.29"></a><var>337.29</var>    (d) Data reported under subdivision 4 shall be retained by the board in the database <br/>
<a id="pl.337.30"></a><var>337.30</var>for a six-month period, and shall be removed from the database six months from the <br/>
<a id="pl.337.31"></a><var>337.31</var>date the data was received.<br/>
<a id="pl.337.32"></a><var>337.32</var>    Subd. 6. <b>Access to reporting system data.</b> (a) Except as indicated in this <br/>
<a id="pl.337.33"></a><var>337.33</var>subdivision, the data submitted to the board under subdivision 4 is private data on <br/>
<a id="pl.337.34"></a><var>337.34</var>individuals as defined in section 13.02, subdivision 12, and not subject to public disclosure.<br/>
<a id="pl.337.35"></a><var>337.35</var>    (b) Except as specified in subdivision 5, the following persons shall be considered <br/>
<a id="pl.337.36"></a><var>337.36</var>permissible users and may access the data submitted under subdivision 4 in the same or <br/>
<a id="pl.338.1"></a><var>338.1</var>similar manner, and for the same or similar purposes, as those persons who are authorized <br/>
<a id="pl.338.2"></a><var>338.2</var>to access similar private data on individuals under federal and state law:<br/>
<a id="pl.338.3"></a><var>338.3</var>    (1) a prescriber, to the extent the information relates specifically to a current patient <br/>
<a id="pl.338.4"></a><var>338.4</var>of the prescriber, to whom the practitioner is prescribing or considering prescribing any <br/>
<a id="pl.338.5"></a><var>338.5</var>controlled substance;<br/>
<a id="pl.338.6"></a><var>338.6</var>    (2) a dispenser to the extent the information relates specifically to a current patient to <br/>
<a id="pl.338.7"></a><var>338.7</var>whom that dispenser is dispensing or considering dispensing any controlled substance;<br/>
<a id="pl.338.8"></a><var>338.8</var>    (3) an individual who is the recipient of a controlled substance prescription for <br/>
<a id="pl.338.9"></a><var>338.9</var>which data was submitted under subdivision 4;<br/>
<a id="pl.338.10"></a><var>338.10</var>    (4) personnel of the board specifically assigned to conduct a bona fide investigation <br/>
<a id="pl.338.11"></a><var>338.11</var>of a specific board licensee;<br/>
<a id="pl.338.12"></a><var>338.12</var>    (5) personnel of the board engaged in the collection of controlled substance <br/>
<a id="pl.338.13"></a><var>338.13</var>prescription information as part of the assigned duties and responsibilities under this <br/>
<a id="pl.338.14"></a><var>338.14</var>section;<br/>
<a id="pl.338.15"></a><var>338.15</var>    (6) authorized personnel of a vendor under contract with the board who are engaged <br/>
<a id="pl.338.16"></a><var>338.16</var>in the design, implementation, and maintenance of the electronic reporting system as part <br/>
<a id="pl.338.17"></a><var>338.17</var>of the assigned duties and responsibilities of their employment, provided that access to data <br/>
<a id="pl.338.18"></a><var>338.18</var>is limited to the minimum amount necessary to test and maintain the system databases;<br/>
<a id="pl.338.19"></a><var>338.19</var>    (7) federal, state, and local law enforcement authorities engaged in a bona fide <br/>
<a id="pl.338.20"></a><var>338.20</var>investigation of a specific person; and<br/>
<a id="pl.338.21"></a><var>338.21</var>    (8) personnel of the medical assistance program assigned to use the data collected <br/>
<a id="pl.338.22"></a><var>338.22</var>under this section to identify recipients whose usage of controlled substances may warrant <br/>
<a id="pl.338.23"></a><var>338.23</var>restriction to a single primary care physician, a single outpatient pharmacy, or a single <br/>
<a id="pl.338.24"></a><var>338.24</var>hospital.<br/>
<a id="pl.338.25"></a><var>338.25</var>    (c) Any permissible user identified in paragraph (b), who directly accesses <br/>
<a id="pl.338.26"></a><var>338.26</var>the data electronically, shall implement and maintain a comprehensive information <br/>
<a id="pl.338.27"></a><var>338.27</var>security program that contains administrative, technical, and physical safeguards that <br/>
<a id="pl.338.28"></a><var>338.28</var>are appropriate to the user's size and complexity, and the sensitivity of the personal <br/>
<a id="pl.338.29"></a><var>338.29</var>information obtained. The permissible user shall identify reasonably foreseeable internal <br/>
<a id="pl.338.30"></a><var>338.30</var>and external risks to the security, confidentiality, and integrity of personal information <br/>
<a id="pl.338.31"></a><var>338.31</var>that could result in the unauthorized disclosure, misuse, or other compromise of the <br/>
<a id="pl.338.32"></a><var>338.32</var>information and assess the sufficiency of any safeguards in place to control the risks.<br/>
<a id="pl.338.33"></a><var>338.33</var>    (d) The board shall not release data submitted under this section unless it is provided <br/>
<a id="pl.338.34"></a><var>338.34</var>with evidence, satisfactory to the board, that the person requesting the information is <br/>
<a id="pl.338.35"></a><var>338.35</var>entitled to receive the data. Access to the data by law enforcement authorities must be <br/>
<a id="pl.338.36"></a><var>338.36</var>accompanied by a valid search warrant.<br/>
<a id="pl.339.1"></a><var>339.1</var>    (e) The board shall not release the name of a prescriber without the written consent <br/>
<a id="pl.339.2"></a><var>339.2</var>of the prescriber or a valid search warrant or court order. The board shall provide a <br/>
<a id="pl.339.3"></a><var>339.3</var>mechanism for a prescriber to submit to the board a signed consent authorizing the release <br/>
<a id="pl.339.4"></a><var>339.4</var>of the prescriber's name when data containing the prescriber's name is requested.<br/>
<a id="pl.339.5"></a><var>339.5</var>    (f) The board shall maintain a log of all persons who access the data and shall ensure <br/>
<a id="pl.339.6"></a><var>339.6</var>that any permissible user complies with paragraph (c) prior to attaining direct access to <br/>
<a id="pl.339.7"></a><var>339.7</var>the data.<br/>
<a id="pl.339.8"></a><var>339.8</var>    Subd. 7. <b>Disciplinary action.</b> (a) A dispenser who knowingly fails to submit data to <br/>
<a id="pl.339.9"></a><var>339.9</var>the board as required under this section is subject to disciplinary action by the appropriate <br/>
<a id="pl.339.10"></a><var>339.10</var>health-related licensing board.<br/>
<a id="pl.339.11"></a><var>339.11</var>    (b) A prescriber or dispenser authorized to access the data who knowingly discloses <br/>
<a id="pl.339.12"></a><var>339.12</var>the data in violation of state or federal laws relating to the privacy of health care data <br/>
<a id="pl.339.13"></a><var>339.13</var>shall be subject to disciplinary action by the appropriate health-related licensing board, <br/>
<a id="pl.339.14"></a><var>339.14</var>and appropriate civil penalties.<br/>
<a id="pl.339.15"></a><var>339.15</var>    Subd. 8. <b>Evaluation and reporting.</b> (a) The board shall evaluate the prescription <br/>
<a id="pl.339.16"></a><var>339.16</var>electronic reporting system to determine if the system is cost-effective and whether it is <br/>
<a id="pl.339.17"></a><var>339.17</var>negatively impacting appropriate prescribing practices of controlled substances. The <br/>
<a id="pl.339.18"></a><var>339.18</var>board may contract with a vendor to design and conduct the evaluation.<br/>
<a id="pl.339.19"></a><var>339.19</var>    (b) The board shall submit the evaluation of the system to the legislature by January <br/>
<a id="pl.339.20"></a><var>339.20</var>15, 2010.<br/>
<a id="pl.339.21"></a><var>339.21</var>    Subd. 9. <b>Immunity from liability; no requirement to obtain information.</b> (a) A <br/>
<a id="pl.339.22"></a><var>339.22</var>pharmacist, prescriber, or other dispenser making a report to the program in good faith <br/>
<a id="pl.339.23"></a><var>339.23</var>under this section is immune from any civil, criminal, or administrative liability, which <br/>
<a id="pl.339.24"></a><var>339.24</var>might otherwise be incurred or imposed as a result of the report, or on the basis that the <br/>
<a id="pl.339.25"></a><var>339.25</var>pharmacist or prescriber did or did not seek or obtain or use information from the program.<br/>
<a id="pl.339.26"></a><var>339.26</var>    (b) Nothing in this section shall require a pharmacist, prescriber, or other dispenser <br/>
<a id="pl.339.27"></a><var>339.27</var>to obtain information about a patient from the program, and the pharmacist, prescriber, <br/>
<a id="pl.339.28"></a><var>339.28</var>or other dispenser, if acting in good faith, is immune from any civil, criminal, or <br/>
<a id="pl.339.29"></a><var>339.29</var>administrative liability that might otherwise be incurred or imposed for requesting, <br/>
<a id="pl.339.30"></a><var>339.30</var>receiving, or using information from the program.<br/>
<a id="pl.339.31"></a><var>339.31</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007, or upon receiving <br/>
<a id="pl.339.32"></a><var>339.32</var>sufficient nonstate funds to implement the prescription electronic reporting program, <br/>
<a id="pl.339.33"></a><var>339.33</var>whichever is later. In the event that nonstate funds are not secured by the Board of <br/>
<a id="pl.339.34"></a><var>339.34</var>Pharmacy to adequately fund the implementation of the prescription electronic reporting <br/>
<a id="pl.339.35"></a><var>339.35</var>program, the board is not required to implement this section without a subsequent <br/>
<a id="pl.339.36"></a><var>339.36</var>appropriation from the legislature.<br/>
<br/>
<a id="bill.7.10.0"></a><a id="pl.340.1"></a><var>340.1</var>    Sec. 10. Minnesota Statutes 2006, section 179A.03, subdivision 7, is amended to read:<br/>
<a id="pl.340.2"></a><var>340.2</var>    Subd. 7. <b>Essential employee.</b> "Essential employee" means firefighters, peace <br/>
<a id="pl.340.3"></a><var>340.3</var>officers subject to licensure under sections 
         <statute_ref>626.84</statute_ref> to 
         <statute_ref>626.863</statute_ref>, 911 system and police and <br/>
<a id="pl.340.4"></a><var>340.4</var>fire department public safety dispatchers, guards at correctional facilities, confidential <br/>
<a id="pl.340.5"></a><var>340.5</var>employees, supervisory employees, assistant county attorneys, assistant city attorneys, <br/>
<a id="pl.340.6"></a><var>340.6</var>principals, and assistant principals. However, for state employees, "essential employee" <br/>
<a id="pl.340.7"></a><var>340.7</var>means all employees, except for nonprofessional employees employed by the Department <br/>
<a id="pl.340.8"></a><var>340.8</var>of Human Services in mental health facilities for the treatment of psychopathic <br/>
<a id="pl.340.9"></a><var>340.9</var>personalities, sexual predators, and the criminally insane, in law enforcement, public <br/>
<a id="pl.340.10"></a><var>340.10</var>safety radio communications operators, health care professionals, correctional guards, <br/>
<a id="pl.340.11"></a><var>340.11</var>professional engineering, and supervisory collective bargaining units, irrespective of <br/>
<a id="pl.340.12"></a><var>340.12</var>severance, and no other employees. For University of Minnesota employees, "essential <br/>
<a id="pl.340.13"></a><var>340.13</var>employee" means all employees in law enforcement, nursing professional and supervisory <br/>
<a id="pl.340.14"></a><var>340.14</var>units, irrespective of severance, and no other employees. "Firefighters" means salaried <br/>
<a id="pl.340.15"></a><var>340.15</var>employees of a fire department whose duties include, directly or indirectly, controlling, <br/>
<a id="pl.340.16"></a><var>340.16</var>extinguishing, preventing, detecting, or investigating fires. Employees for whom the state <br/>
<a id="pl.340.17"></a><var>340.17</var>court administrator is the negotiating employer are not essential employees. For Hennepin <br/>
<a id="pl.340.18"></a><var>340.18</var>Healthcare System, Inc. employees, "essential employees" means all employees.<br/>
<a id="pl.340.19"></a><var>340.19</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.11.0"></a><a id="pl.340.20"></a><var>340.20</var>    Sec. 11. Minnesota Statutes 2006, section 245.4874, is amended to read:<br/>
<a id="pl.340.21"></a><var>340.21</var><b>245.4874 DUTIES OF COUNTY BOARD.</b><br/>
<a id="pl.340.22"></a><var>340.22</var>    (a) The county board must:<br/>
<a id="pl.340.23"></a><var>340.23</var>    (1) develop a system of affordable and locally available children's mental health <br/>
<a id="pl.340.24"></a><var>340.24</var>services according to sections 
         <statute_ref>245.487</statute_ref> to 
         <statute_ref>245.4887</statute_ref>;<br/>
<a id="pl.340.25"></a><var>340.25</var>    (2) establish a mechanism providing for interagency coordination as specified in <br/>
<a id="pl.340.26"></a><var>340.26</var>section 
         <statute_ref>245.4875, subdivision 6</statute_ref>;<br/>
<a id="pl.340.27"></a><var>340.27</var>    (3) consider the assessment of unmet needs in the county as reported by the local <br/>
<a id="pl.340.28"></a><var>340.28</var>children's mental health advisory council under section 
         <statute_ref>245.4875, subdivision 5</statute_ref>, paragraph <br/>
<a id="pl.340.29"></a><var>340.29</var>(b), clause (3). The county shall provide, upon request of the local children's mental health <br/>
<a id="pl.340.30"></a><var>340.30</var>advisory council, readily available data to assist in the determination of unmet needs;<br/>
<a id="pl.340.31"></a><var>340.31</var>    (4) assure that parents and providers in the county receive information about how to <br/>
<a id="pl.340.32"></a><var>340.32</var>gain access to services provided according to sections 
         <statute_ref>245.487</statute_ref> to 
         <statute_ref>245.4887</statute_ref>;<br/>
<a id="pl.340.33"></a><var>340.33</var>    (5) coordinate the delivery of children's mental health services with services <br/>
<a id="pl.340.34"></a><var>340.34</var>provided by social services, education, corrections, health, and vocational agencies to <br/>
<a id="pl.341.1"></a><var>341.1</var>improve the availability of mental health services to children and the cost-effectiveness of <br/>
<a id="pl.341.2"></a><var>341.2</var>their delivery;<br/>
<a id="pl.341.3"></a><var>341.3</var>    (6) assure that mental health services delivered according to sections 
         <statute_ref>245.487</statute_ref> <br/>
<a id="pl.341.4"></a><var>341.4</var>to 
         <statute_ref>245.4887</statute_ref> are delivered expeditiously and are appropriate to the child's diagnostic <br/>
<a id="pl.341.5"></a><var>341.5</var>assessment and individual treatment plan;<br/>
<a id="pl.341.6"></a><var>341.6</var>    (7) provide the community with information about predictors and symptoms of <br/>
<a id="pl.341.7"></a><var>341.7</var>emotional disturbances and how to access children's mental health services according to <br/>
<a id="pl.341.8"></a><var>341.8</var>sections 
         <statute_ref>245.4877</statute_ref> and 
         <statute_ref>245.4878</statute_ref>;<br/>
<a id="pl.341.9"></a><var>341.9</var>    (8) provide for case management services to each child with severe emotional <br/>
<a id="pl.341.10"></a><var>341.10</var>disturbance according to sections 
         <statute_ref>245.486</statute_ref>; 
         <statute_ref>245.4871, subdivisions 3 and 4</statute_ref>; and 
         <statute_ref>245.4881, <br/>
<a id="pl.341.11"></a><var>341.11</var>subdivisions 1, 3, and 5
         </statute_ref>;<br/>
<a id="pl.341.12"></a><var>341.12</var>    (9) provide for screening of each child under section 
         <statute_ref>245.4885</statute_ref> upon admission <br/>
<a id="pl.341.13"></a><var>341.13</var>to a residential treatment facility, acute care hospital inpatient treatment, or informal <br/>
<a id="pl.341.14"></a><var>341.14</var>admission to a regional treatment center;<br/>
<a id="pl.341.15"></a><var>341.15</var>    (10) prudently administer grants and purchase-of-service contracts that the county <br/>
<a id="pl.341.16"></a><var>341.16</var>board determines are necessary to fulfill its responsibilities under sections 
         <statute_ref>245.487</statute_ref> to <br/>
<statute_ref><a id="pl.341.17"></a><var>341.17</var>245.4887
         </statute_ref>;<br/>
<a id="pl.341.18"></a><var>341.18</var>    (11) assure that mental health professionals, mental health practitioners, and case <br/>
<a id="pl.341.19"></a><var>341.19</var>managers employed by or under contract to the county to provide mental health services <br/>
<a id="pl.341.20"></a><var>341.20</var>are qualified under section 
         <statute_ref>245.4871</statute_ref>;<br/>
<a id="pl.341.21"></a><var>341.21</var>    (12) assure that children's mental health services are coordinated with adult mental <br/>
<a id="pl.341.22"></a><var>341.22</var>health services specified in sections 
         <statute_ref>245.461</statute_ref> to 
         <statute_ref>245.486</statute_ref> so that a continuum of mental <br/>
<a id="pl.341.23"></a><var>341.23</var>health services is available to serve persons with mental illness, regardless of the person's <br/>
<a id="pl.341.24"></a><var>341.24</var>age;<br/>
<a id="pl.341.25"></a><var>341.25</var>    (13) assure that culturally informed mental health consultants are used as necessary <br/>
<a id="pl.341.26"></a><var>341.26</var>to assist the county board in assessing and providing appropriate treatment for children of <br/>
<a id="pl.341.27"></a><var>341.27</var>cultural or racial minority heritage; and<br/>
<a id="pl.341.28"></a><var>341.28</var>    (14) consistent with section 
         <statute_ref>245.486</statute_ref>, arrange for or provide a children's mental <br/>
<a id="pl.341.29"></a><var>341.29</var>health screening to a child receiving child protective services or a child in out-of-home <br/>
<a id="pl.341.30"></a><var>341.30</var>placement, a child for whom parental rights have been terminated, a child found to be <br/>
<a id="pl.341.31"></a><var>341.31</var>delinquent, and a child found to have committed a juvenile petty offense for the third <br/>
<a id="pl.341.32"></a><var>341.32</var>or subsequent time, unless a screening or diagnostic assessment has been performed <br/>
<a id="pl.341.33"></a><var>341.33</var>within the previous 180 days, or the child is currently under the care of a mental health <br/>
<a id="pl.341.34"></a><var>341.34</var>professional. The court or county agency must notify a parent or guardian whose <br/>
<a id="pl.341.35"></a><var>341.35</var>parental rights have not been terminated of the potential mental health screening and the <br/>
<a id="pl.341.36"></a><var>341.36</var>option to prevent the screening by notifying the court or county agency in writing. The <br/>
<a id="pl.342.1"></a><var>342.1</var>screening shall be conducted with a screening instrument approved by the commissioner <br/>
<a id="pl.342.2"></a><var>342.2</var>of human services according to criteria that are updated and issued annually to ensure <br/>
<a id="pl.342.3"></a><var>342.3</var>that approved screening instruments are valid and useful for child welfare and juvenile <br/>
<a id="pl.342.4"></a><var>342.4</var>justice populations, and shall be conducted by a mental health practitioner as defined in <br/>
<a id="pl.342.5"></a><var>342.5</var>section 
         <statute_ref>245.4871, subdivision 26</statute_ref>, or a probation officer or local social services agency <br/>
<a id="pl.342.6"></a><var>342.6</var>staff person who is trained in the use of the screening instrument. Training in the use of the <br/>
<a id="pl.342.7"></a><var>342.7</var>instrument shall include training in the administration of the instrument, the interpretation <br/>
<a id="pl.342.8"></a><var>342.8</var>of its validity given the child's current circumstances, the state and federal data practices <br/>
<a id="pl.342.9"></a><var>342.9</var>laws and confidentiality standards, the parental consent requirement, and providing respect <br/>
<a id="pl.342.10"></a><var>342.10</var>for families and cultural values. If the screen indicates a need for assessment, the child's <br/>
<a id="pl.342.11"></a><var>342.11</var>family, or if the family lacks mental health insurance, the local social services agency, <br/>
<a id="pl.342.12"></a><var>342.12</var>in consultation with the child's family, shall have conducted a diagnostic assessment, <br/>
<a id="pl.342.13"></a><var>342.13</var>including a functional assessment, as defined in section 
         <statute_ref>245.4871</statute_ref>. The administration of <br/>
<a id="pl.342.14"></a><var>342.14</var>the screening shall safeguard the privacy of children receiving the screening and their <br/>
<a id="pl.342.15"></a><var>342.15</var>families and shall comply with the Minnesota Government Data Practices Act, chapter <br/>
<a id="pl.342.16"></a><var>342.16</var>13, and the federal Health Insurance Portability and Accountability Act of 1996, Public <br/>
<a id="pl.342.17"></a><var>342.17</var>Law 104-191. Screening results shall be considered private data and the commissioner <br/>
<a id="pl.342.18"></a><var>342.18</var>shall not collect individual screening results.<br/>
<a id="pl.342.19"></a><var>342.19</var>    (b) When the county board refers clients to providers of children's therapeutic <br/>
<a id="pl.342.20"></a><var>342.20</var>services and supports under section 
         <statute_ref>256B.0943</statute_ref>, the county board must clearly identify <br/>
<a id="pl.342.21"></a><var>342.21</var>the desired services components not covered under section 
         <statute_ref>256B.0943</statute_ref> and identify the <br/>
<a id="pl.342.22"></a><var>342.22</var>reimbursement source for those requested services, the method of payment, and the <br/>
<a id="pl.342.23"></a><var>342.23</var>payment rate to the provider.<br/>
<br/>
<a id="bill.7.12.0"></a><a id="pl.342.24"></a><var>342.24</var>    Sec. 12. Minnesota Statutes 2006, section 253B.185, subdivision 2, is amended to read:<br/>
<a id="pl.342.25"></a><var>342.25</var>    Subd. 2. <b>Transfer to correctional facility.</b> (a) If a person has been committed <br/>
<a id="pl.342.26"></a><var>342.26</var>under this section and later is committed to the custody of the commissioner of corrections <br/>
<a id="pl.342.27"></a><var>342.27</var>for any reason, including but not limited to, being sentenced for a crime or revocation of <br/>
<a id="pl.342.28"></a><var>342.28</var>the person's supervised release or conditional release under section 
         <statute_ref>244.05</statute_ref>, 
<statute_ref>609.108, <br/>
<a id="pl.342.29"></a><var>342.29</var>subdivision 6
</statute_ref>, or 
         <statute_ref>609.109, subdivision 7</statute_ref>, the person shall be transferred to a facility <br/>
<a id="pl.342.30"></a><var>342.30</var>designated by the commissioner of corrections without regard to the procedures provided <br/>
<a id="pl.342.31"></a><var>342.31</var>in section 
         <statute_ref>253B.18</statute_ref>. <br/>
<a id="pl.342.32"></a><var>342.32</var>    (b) If a person is committed under this section after a commitment to the <br/>
<a id="pl.342.33"></a><var>342.33</var>commissioner of corrections, the person shall first serve the sentence in a facility <br/>
<a id="pl.342.34"></a><var>342.34</var>designated by the commissioner of corrections. After the person has served the sentence, <br/>
<a id="pl.343.1"></a><var>343.1</var>the person shall be transferred to a treatment program designated by the commissioner <br/>
<a id="pl.343.2"></a><var>343.2</var>of human services.<br/>
<br/>
<a id="bill.7.13.0"></a><a id="pl.343.3"></a><var>343.3</var>    Sec. 13. Minnesota Statutes 2006, section 254A.03, subdivision 3, is amended to read:<br/>
<a id="pl.343.4"></a><var>343.4</var>    Subd. 3. <b>Rules for chemical dependency care.</b> The commissioner of human <br/>
<a id="pl.343.5"></a><var>343.5</var>services shall establish by rule criteria to be used in determining the appropriate level <br/>
<a id="pl.343.6"></a><var>343.6</var>of chemical dependency care, whether outpatient, inpatient or short-term treatment <br/>
<a id="pl.343.7"></a><var>343.7</var>programs, for each recipient of public assistance seeking treatment for alcohol or other <br/>
<a id="pl.343.8"></a><var>343.8</var>drug dependency and abuse problems. The criteria shall address, at least, the family <br/>
<a id="pl.343.9"></a><var>343.9</var>relationship, past treatment history, medical or physical problems, arrest record, and <br/>
<a id="pl.343.10"></a><var>343.10</var>employment situation.<br/>
<br/>
<a id="bill.7.14.0"></a><a id="pl.343.11"></a><var>343.11</var>    Sec. 14. Minnesota Statutes 2006, section 254A.16, subdivision 2, is amended to read:<br/>
<a id="pl.343.12"></a><var>343.12</var>    Subd. 2. <b>Program and service guidelines.</b> (a) The commissioner shall provide <br/>
<a id="pl.343.13"></a><var>343.13</var>program and service guidelines and technical assistance to the county boards in carrying <br/>
<a id="pl.343.14"></a><var>343.14</var>out services authorized under sections section
<statute_ref>254A.08</statute_ref>, 
<statute_ref>254A.12</statute_ref>, 
<statute_ref>254A.14</statute_ref>, and their <br/>
<a id="pl.343.15"></a><var>343.15</var>responsibilities under chapter 256E. <br/>
<a id="pl.343.16"></a><var>343.16</var>    (b) The commissioner shall recommend to the governor means of improving <br/>
<a id="pl.343.17"></a><var>343.17</var>the efficiency and effectiveness of comprehensive program services in the state and <br/>
<a id="pl.343.18"></a><var>343.18</var>maximizing the use of nongovernmental funds for providing comprehensive programs.<br/>
<br/>
<a id="bill.7.15.0"></a><a id="pl.343.19"></a><var>343.19</var>    Sec. 15. <b>[254A.20] CHEMICAL USE ASSESSMENTS; FINANCIAL CONFLICT </b><br/>
<a id="pl.343.20"></a><var>343.20</var><b>OF INTEREST.</b><br/>
<a id="pl.343.21"></a><var>343.21</var>    (a) Except as provided in paragraph (b), an assessor conducting a chemical use <br/>
<a id="pl.343.22"></a><var>343.22</var>assessment under Minnesota Rules, parts 9530.6600 to 9530.6655, may not have any <br/>
<a id="pl.343.23"></a><var>343.23</var>direct or shared financial interest or referral relationship resulting in shared financial <br/>
<a id="pl.343.24"></a><var>343.24</var>interest or referral relationship resulting in shared financial gain with a treatment provider. <br/>
<a id="pl.343.25"></a><var>343.25</var>    (b) A county may contract with an assessor having a conflict described in paragraph <br/>
<a id="pl.343.26"></a><var>343.26</var>(a) if the county documents that: <br/>
<a id="pl.343.27"></a><var>343.27</var>    (1) the assessor is employed by a culturally specific service provider or a service <br/>
<a id="pl.343.28"></a><var>343.28</var>provider with a program designed to treat individuals of a specific age, sex, or sexual <br/>
<a id="pl.343.29"></a><var>343.29</var>preference; <br/>
<a id="pl.343.30"></a><var>343.30</var>    (2) the county does not employ a sufficient number of qualified assessors and the <br/>
<a id="pl.343.31"></a><var>343.31</var>only qualified assessors available in the county have a direct or shared financial interest or <br/>
<a id="pl.343.32"></a><var>343.32</var>a referral relationship resulting in shared financial gain with a treatment provider; or <br/>
<a id="pl.344.1"></a><var>344.1</var>    (3) the county social service agency has an existing relationship with an assessor <br/>
<a id="pl.344.2"></a><var>344.2</var>or service provider and elects to enter into a contract with that assessor to provide both <br/>
<a id="pl.344.3"></a><var>344.3</var>assessment and treatment under circumstances specified in the county's contract, provided <br/>
<a id="pl.344.4"></a><var>344.4</var>the county retains responsibility for making placement decisions.<br/>
<a id="pl.344.5"></a><var>344.5</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.16.0"></a><a id="pl.344.6"></a><var>344.6</var>    Sec. 16. Minnesota Statutes 2006, section 254B.02, subdivision 1, is amended to read:<br/>
<a id="pl.344.7"></a><var>344.7</var>    Subdivision 1. <b>Chemical dependency treatment allocation.</b> The chemical <br/>
<a id="pl.344.8"></a><var>344.8</var>dependency funds appropriated for allocation shall be placed in a special revenue account. <br/>
<a id="pl.344.9"></a><var>344.9</var>The commissioner shall annually transfer funds from the chemical dependency fund to pay <br/>
<a id="pl.344.10"></a><var>344.10</var>for operation of the drug and alcohol abuse normative evaluation system and to pay for all <br/>
<a id="pl.344.11"></a><var>344.11</var>costs incurred by adding two positions for licensing of chemical dependency treatment <br/>
<a id="pl.344.12"></a><var>344.12</var>and rehabilitation programs located in hospitals for which funds are not otherwise <br/>
<a id="pl.344.13"></a><var>344.13</var>appropriated. For each year of the biennium ending June 30, 1999, the commissioner shall <br/>
<a id="pl.344.14"></a><var>344.14</var>allocate funds to the American Indian chemical dependency tribal account for treatment <br/>
<a id="pl.344.15"></a><var>344.15</var>of American Indians by eligible vendors under section 
<statute_ref>254B.05</statute_ref>, equal to the amount <br/>
<a id="pl.344.16"></a><var>344.16</var>allocated in fiscal year 1997. Six percent of the remaining money must be reserved for <br/>
<a id="pl.344.17"></a><var>344.17</var>tribal allocation under section 254B.09, subdivisions 4 and 5. The commissioner shall <br/>
<a id="pl.344.18"></a><var>344.18</var>annually divide the money available in the chemical dependency fund that is not held <br/>
<a id="pl.344.19"></a><var>344.19</var>in reserve by counties from a previous allocation, or allocated to the American Indian <br/>
<a id="pl.344.20"></a><var>344.20</var>chemical dependency tribal account. Six percent of the remaining money must be <br/>
<a id="pl.344.21"></a><var>344.21</var>reserved for the nonreservation American Indian chemical dependency allocation for <br/>
<a id="pl.344.22"></a><var>344.22</var>treatment of American Indians by eligible vendors under section 
         <statute_ref>254B.05, subdivision <br/>
<a id="pl.344.23"></a><var>344.23</var>1
         </statute_ref>. The remainder of the money must be allocated among the counties according to the <br/>
<a id="pl.344.24"></a><var>344.24</var>following formula, using state demographer data and other data sources determined by <br/>
<a id="pl.344.25"></a><var>344.25</var>the commissioner: <br/>
<a id="pl.344.26"></a><var>344.26</var>    (a) For purposes of this formula, American Indians and children under age 14 are <br/>
<a id="pl.344.27"></a><var>344.27</var>subtracted from the population of each county to determine the restricted population.<br/>
<a id="pl.344.28"></a><var>344.28</var>    (b) The amount of chemical dependency fund expenditures for entitled persons for <br/>
<a id="pl.344.29"></a><var>344.29</var>services not covered by prepaid plans governed by section 
         <statute_ref>256B.69</statute_ref> in the previous year is <br/>
<a id="pl.344.30"></a><var>344.30</var>divided by the amount of chemical dependency fund expenditures for entitled persons for <br/>
<a id="pl.344.31"></a><var>344.31</var>all services to determine the proportion of exempt service expenditures for each county. <br/>
<a id="pl.344.32"></a><var>344.32</var>    (c) The prepaid plan months of eligibility is multiplied by the proportion of exempt <br/>
<a id="pl.344.33"></a><var>344.33</var>service expenditures to determine the adjusted prepaid plan months of eligibility for <br/>
<a id="pl.344.34"></a><var>344.34</var>each county.<br/>
<a id="pl.345.1"></a><var>345.1</var>    (d) The adjusted prepaid plan months of eligibility is added to the number of <br/>
<a id="pl.345.2"></a><var>345.2</var>restricted population fee for service months of eligibility for the Minnesota family <br/>
<a id="pl.345.3"></a><var>345.3</var>investment program, general assistance, and medical assistance and divided by the county <br/>
<a id="pl.345.4"></a><var>345.4</var>restricted population to determine county per capita months of covered service eligibility.<br/>
<a id="pl.345.5"></a><var>345.5</var>    (e) The number of adjusted prepaid plan months of eligibility for the state is added <br/>
<a id="pl.345.6"></a><var>345.6</var>to the number of fee for service months of eligibility for the Minnesota family investment <br/>
<a id="pl.345.7"></a><var>345.7</var>program, general assistance, and medical assistance for the state restricted population and <br/>
<a id="pl.345.8"></a><var>345.8</var>divided by the state restricted population to determine state per capita months of covered <br/>
<a id="pl.345.9"></a><var>345.9</var>service eligibility.<br/>
<a id="pl.345.10"></a><var>345.10</var>    (f) The county per capita months of covered service eligibility is divided by the <br/>
<a id="pl.345.11"></a><var>345.11</var>state per capita months of covered service eligibility to determine the county welfare <br/>
<a id="pl.345.12"></a><var>345.12</var>caseload factor.<br/>
<a id="pl.345.13"></a><var>345.13</var>    (g) The median married couple income for the most recent three-year period <br/>
<a id="pl.345.14"></a><var>345.14</var>available for the state is divided by the median married couple income for the same period <br/>
<a id="pl.345.15"></a><var>345.15</var>for each county to determine the income factor for each county.<br/>
<a id="pl.345.16"></a><var>345.16</var>    (h) The county restricted population is multiplied by the sum of the county welfare <br/>
<a id="pl.345.17"></a><var>345.17</var>caseload factor and the county income factor to determine the adjusted population.<br/>
<a id="pl.345.18"></a><var>345.18</var>    (i) $15,000 shall be allocated to each county.<br/>
<a id="pl.345.19"></a><var>345.19</var>    (j) The remaining funds shall be allocated proportional to the county adjusted <br/>
<a id="pl.345.20"></a><var>345.20</var>population.<br/>
<br/>
<a id="bill.7.17.0"></a><a id="pl.345.21"></a><var>345.21</var>    Sec. 17. Minnesota Statutes 2006, section 254B.02, subdivision 5, is amended to read:<br/>
<a id="pl.345.22"></a><var>345.22</var>    Subd. 5. <b>Administrative adjustment.</b> The commissioner may make payments to <br/>
<a id="pl.345.23"></a><var>345.23</var>local agencies from money allocated under this section to support administrative activities <br/>
<a id="pl.345.24"></a><var>345.24</var>under sections 
         <statute_ref>254B.03</statute_ref> and 
         <statute_ref>254B.04</statute_ref>. The administrative payment must not exceed <br/>
<a id="pl.345.25"></a><var>345.25</var>five percent of the first $50,000, four percent of the next $50,000, and three percent of <br/>
<a id="pl.345.26"></a><var>345.26</var>the remaining payments for services from the allocation. Twenty-five percent of the <br/>
<a id="pl.345.27"></a><var>345.27</var>administrative allowance shall be advanced at the beginning of each quarter, based on <br/>
<a id="pl.345.28"></a><var>345.28</var>the payments for services made in the most recent quarter for which data is available. <br/>
<a id="pl.345.29"></a><var>345.29</var>Adjustment of any overestimate or underestimate based on actual expenditures shall be <br/>
<a id="pl.345.30"></a><var>345.30</var>made by the state agency by adjusting the administrative allowance for any succeeding <br/>
<a id="pl.345.31"></a><var>345.31</var>quarter. <br/>
<br/>
<a id="bill.7.18.0"></a><a id="pl.345.32"></a><var>345.32</var>    Sec. 18. Minnesota Statutes 2006, section 254B.03, subdivision 1, is amended to read:<br/>
<a id="pl.345.33"></a><var>345.33</var>    Subdivision 1. <b>Local agency duties.</b> (a) Every local agency shall provide chemical <br/>
<a id="pl.345.34"></a><var>345.34</var>dependency services to persons residing within its jurisdiction who meet criteria <br/>
<a id="pl.346.1"></a><var>346.1</var>established by the commissioner for placement in a chemical dependency residential or <br/>
<a id="pl.346.2"></a><var>346.2</var>nonresidential treatment service. Chemical dependency money must be administered <br/>
<a id="pl.346.3"></a><var>346.3</var>by the local agencies according to law and rules adopted by the commissioner under <br/>
<a id="pl.346.4"></a><var>346.4</var>sections 
         <statute_ref>14.001</statute_ref> to 
         <statute_ref>14.69</statute_ref>. <br/>
<a id="pl.346.5"></a><var>346.5</var>    (b) In order to contain costs, the county board shall, with the approval of the <br/>
<a id="pl.346.6"></a><var>346.6</var>commissioner of human services, select eligible vendors of chemical dependency services <br/>
<a id="pl.346.7"></a><var>346.7</var>who can provide economical and appropriate treatment. Unless the local agency is a social <br/>
<a id="pl.346.8"></a><var>346.8</var>services department directly administered by a county or human services board, the local <br/>
<a id="pl.346.9"></a><var>346.9</var>agency shall not be an eligible vendor under section 
         <statute_ref>254B.05</statute_ref>. The commissioner may <br/>
<a id="pl.346.10"></a><var>346.10</var>approve proposals from county boards to provide services in an economical manner or to <br/>
<a id="pl.346.11"></a><var>346.11</var>control utilization, with safeguards to ensure that necessary services are provided. If a <br/>
<a id="pl.346.12"></a><var>346.12</var>county implements a demonstration or experimental medical services funding plan, the <br/>
<a id="pl.346.13"></a><var>346.13</var>commissioner shall transfer the money as appropriate. If a county selects a vendor located <br/>
<a id="pl.346.14"></a><var>346.14</var>in another state, the county shall ensure that the vendor is in compliance with the rules <br/>
<a id="pl.346.15"></a><var>346.15</var>governing licensure of programs located in the state. <br/>
<a id="pl.346.16"></a><var>346.16</var>    (c) The calendar year 2002 rate for vendors may not increase more than three <br/>
<a id="pl.346.17"></a><var>346.17</var>percent above the rate approved in effect on January 1, 2001. The calendar year 2003 <br/>
<a id="pl.346.18"></a><var>346.18</var>rate for vendors may not increase more than three percent above the rate in effect on <br/>
<a id="pl.346.19"></a><var>346.19</var>January 1, 2002. The calendar years 2004 and 2005 rates may not exceed the rate in <br/>
<a id="pl.346.20"></a><var>346.20</var>effect on January 1, 2003.<br/>
<a id="pl.346.21"></a><var>346.21</var>    (d) (c) A culturally specific vendor that provides assessments under a variance under <br/>
<a id="pl.346.22"></a><var>346.22</var>Minnesota Rules, part 9530.6610, shall be allowed to provide assessment services to <br/>
<a id="pl.346.23"></a><var>346.23</var>persons not covered by the variance.<br/>
<br/>
<a id="bill.7.19.0"></a><a id="pl.346.24"></a><var>346.24</var>    Sec. 19. Minnesota Statutes 2006, section 254B.03, subdivision 3, is amended to read:<br/>
<a id="pl.346.25"></a><var>346.25</var>    Subd. 3. <b>Local agencies to pay state for county share.</b> Local agencies shall submit <br/>
<a id="pl.346.26"></a><var>346.26</var>invoices to the state on forms supplied by the commissioner and according to procedures <br/>
<a id="pl.346.27"></a><var>346.27</var>established by the commissioner. Local agencies shall pay the state for the county share <br/>
<a id="pl.346.28"></a><var>346.28</var>of the invoiced services authorized by the local agency. Payments shall be made at the <br/>
<a id="pl.346.29"></a><var>346.29</var>beginning of each month for services provided in the previous month. The commissioner <br/>
<a id="pl.346.30"></a><var>346.30</var>shall bill the county monthly for services, based on the most recent month for which <br/>
<a id="pl.346.31"></a><var>346.31</var>expenditure information is available. Adjustment of any overestimate or underestimate <br/>
<a id="pl.346.32"></a><var>346.32</var>based on actual expenditures shall be made by the state agency by adjusting the estimate <br/>
<a id="pl.346.33"></a><var>346.33</var>for any succeeding month.<br/>
<br/>
<a id="bill.7.20.0"></a><a id="pl.346.34"></a><var>346.34</var>    Sec. 20. Minnesota Statutes 2006, section 254B.06, subdivision 3, is amended to read:<br/>
<a id="pl.347.1"></a><var>347.1</var>    Subd. 3. <b>Payment; denial.</b> The commissioner shall pay eligible vendors for <br/>
<a id="pl.347.2"></a><var>347.2</var>placements made by local agencies under section 
         <statute_ref>254B.03, subdivision 1</statute_ref>, and placements <br/>
<a id="pl.347.3"></a><var>347.3</var>by tribal designated agencies according to section 
         <statute_ref>254B.09</statute_ref>. The commissioner may <br/>
<a id="pl.347.4"></a><var>347.4</var>reduce or deny payment of the state share when services are not provided according to the <br/>
<a id="pl.347.5"></a><var>347.5</var>placement criteria established by the commissioner. The commissioner may pay for all or <br/>
<a id="pl.347.6"></a><var>347.6</var>a portion of improper county chemical dependency placements and bill the county for the <br/>
<a id="pl.347.7"></a><var>347.7</var>entire payment made when the placement did not comply with criteria established by the <br/>
<a id="pl.347.8"></a><var>347.8</var>commissioner. The commissioner may make payments to vendors and charge the county <br/>
<a id="pl.347.9"></a><var>347.9</var>100 percent of the payments if documentation of a county approved placement is received <br/>
<a id="pl.347.10"></a><var>347.10</var>more than 30 working days, exclusive of weekends and holidays, after the date services <br/>
<a id="pl.347.11"></a><var>347.11</var>began; or if the county approved invoice is received by the commissioner more than 120 <br/>
<a id="pl.347.12"></a><var>347.12</var>days after the last date of service provided. The commissioner shall not pay vendors until <br/>
<a id="pl.347.13"></a><var>347.13</var>private insurance company claims have been settled. <br/>
<br/>
<a id="bill.7.21.0"></a><a id="pl.347.14"></a><var>347.14</var>    Sec. 21. Minnesota Statutes 2006, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.347.15"></a><var>347.15</var>to read:<br/>
<a id="pl.347.16"></a><var>347.16</var>    Subd. 25. <b>Base budget detail.</b> The commissioner shall provide the commissioner <br/>
<a id="pl.347.17"></a><var>347.17</var>of finance with the information necessary to provide base budget detail to the legislature <br/>
<a id="pl.347.18"></a><var>347.18</var>under section 16A.10, subdivision 2a.<br/>
<br/>
<a id="bill.7.22.0"></a><a id="pl.347.19"></a><var>347.19</var>    Sec. 22. Minnesota Statutes 2006, section 256B.0625, subdivision 23, is amended to <br/>
<a id="pl.347.20"></a><var>347.20</var>read:<br/>
<a id="pl.347.21"></a><var>347.21</var>    Subd. 23. <b>Day treatment services.</b> Medical assistance covers day treatment <br/>
<a id="pl.347.22"></a><var>347.22</var>services as specified in sections 
         <statute_ref>245.462, subdivision 8</statute_ref>, and 
         <statute_ref>245.4871, subdivision 10</statute_ref>, that <br/>
<a id="pl.347.23"></a><var>347.23</var>are provided under contract with the county board. Notwithstanding Minnesota Rules, <br/>
<a id="pl.347.24"></a><var>347.24</var>part 9505.0323, subpart 15, the commissioner may set authorization thresholds for day <br/>
<a id="pl.347.25"></a><var>347.25</var>treatment for adults according to section 
         <statute_ref>256B.0625, subdivision 25</statute_ref>. Notwithstanding <br/>
<a id="pl.347.26"></a><var>347.26</var>Minnesota Rules, part 9505.0323, subpart 15, effective July 1, 2004, medical assistance <br/>
<a id="pl.347.27"></a><var>347.27</var>covers day treatment services for children as specified under section 
         <statute_ref>256B.0943</statute_ref>. <br/>
<br/>
<a id="bill.7.23.0"></a><a id="pl.347.28"></a><var>347.28</var>    Sec. 23. <b>[256B.0636] PRESCRIBING OF CONTROLLED SUBSTANCES; </b><br/>
<a id="pl.347.29"></a><var>347.29</var><b>ABUSE PREVENTION.</b><br/>
<a id="pl.347.30"></a><var>347.30</var>    The commissioner shall develop and implement a plan to:<br/>
<a id="pl.347.31"></a><var>347.31</var>    (1) monitor the prescribing of controlled substances listed in section 152.02, <br/>
<a id="pl.347.32"></a><var>347.32</var>subdivisions 3 and 4, and those substances defined by the Board of Pharmacy under <br/>
<a id="pl.348.1"></a><var>348.1</var>section 152.02, subdivisions 8 and 12, by enrolled providers and providers under contract <br/>
<a id="pl.348.2"></a><var>348.2</var>with participating managed care plans;<br/>
<a id="pl.348.3"></a><var>348.3</var>    (2) require enrolled providers and providers under contract with participating <br/>
<a id="pl.348.4"></a><var>348.4</var>managed care plans to report information related to potential patient abuse of the <br/>
<a id="pl.348.5"></a><var>348.5</var>controlled substances to the commissioner, and the Board of Pharmacy; and<br/>
<a id="pl.348.6"></a><var>348.6</var>    (3) provide education to Minnesota health care program enrollees on the proper use <br/>
<a id="pl.348.7"></a><var>348.7</var>of controlled substances.<br/>
<br/>
<a id="bill.7.24.0"></a><a id="pl.348.8"></a><var>348.8</var>    Sec. 24. Minnesota Statutes 2006, section 256B.0943, subdivision 6, is amended to <br/>
<a id="pl.348.9"></a><var>348.9</var>read:<br/>
<a id="pl.348.10"></a><var>348.10</var>    Subd. 6. <b>Provider entity clinical infrastructure requirements.</b> (a) To be <br/>
<a id="pl.348.11"></a><var>348.11</var>an eligible provider entity under this section, a provider entity must have a clinical <br/>
<a id="pl.348.12"></a><var>348.12</var>infrastructure that utilizes diagnostic assessment, an individualized treatment plan, <br/>
<a id="pl.348.13"></a><var>348.13</var>service delivery, and individual treatment plan review that are culturally competent, <br/>
<a id="pl.348.14"></a><var>348.14</var>child-centered, and family-driven to achieve maximum benefit for the client. The provider <br/>
<a id="pl.348.15"></a><var>348.15</var>entity must review and update the clinical policies and procedures every three years and <br/>
<a id="pl.348.16"></a><var>348.16</var>must distribute the policies and procedures to staff initially and upon each subsequent <br/>
<a id="pl.348.17"></a><var>348.17</var>update.<br/>
<a id="pl.348.18"></a><var>348.18</var>    (b) The clinical infrastructure written policies and procedures must include policies <br/>
<a id="pl.348.19"></a><var>348.19</var>and procedures for:<br/>
<a id="pl.348.20"></a><var>348.20</var>    (1) providing or obtaining a client's diagnostic assessment that identifies acute and <br/>
<a id="pl.348.21"></a><var>348.21</var>chronic clinical disorders, co-occurring medical conditions, sources of psychological and <br/>
<a id="pl.348.22"></a><var>348.22</var>environmental problems, and a functional assessment. The functional assessment must <br/>
<a id="pl.348.23"></a><var>348.23</var>clearly summarize the client's individual strengths and needs;<br/>
<a id="pl.348.24"></a><var>348.24</var>    (2) developing an individual treatment plan that is:<br/>
<a id="pl.348.25"></a><var>348.25</var>    (i) based on the information in the client's diagnostic assessment;<br/>
<a id="pl.348.26"></a><var>348.26</var>    (ii) developed no later than the end of the first psychotherapy session after the <br/>
<a id="pl.348.27"></a><var>348.27</var>completion of the client's diagnostic assessment by the mental health professional who <br/>
<a id="pl.348.28"></a><var>348.28</var>provides the client's psychotherapy;<br/>
<a id="pl.348.29"></a><var>348.29</var>    (iii) developed through a child-centered, family-driven planning process that <br/>
<a id="pl.348.30"></a><var>348.30</var>identifies service needs and individualized, planned, and culturally appropriate <br/>
<a id="pl.348.31"></a><var>348.31</var>interventions that contain specific treatment goals and objectives for the client and the <br/>
<a id="pl.348.32"></a><var>348.32</var>client's family or foster family;<br/>
<a id="pl.348.33"></a><var>348.33</var>    (iv) reviewed at least once every 90 days and revised, if necessary; and<br/>
<a id="pl.348.34"></a><var>348.34</var>    (v) signed by the client or, if appropriate, by the client's parent or other person <br/>
<a id="pl.348.35"></a><var>348.35</var>authorized by statute to consent to mental health services for the client;<br/>
<a id="pl.349.1"></a><var>349.1</var>    (3) developing an individual behavior plan that documents services to be provided <br/>
<a id="pl.349.2"></a><var>349.2</var>by the mental health behavioral aide. The individual behavior plan must include:<br/>
<a id="pl.349.3"></a><var>349.3</var>    (i) detailed instructions on the service to be provided;<br/>
<a id="pl.349.4"></a><var>349.4</var>    (ii) time allocated to each service;<br/>
<a id="pl.349.5"></a><var>349.5</var>    (iii) methods of documenting the child's behavior;<br/>
<a id="pl.349.6"></a><var>349.6</var>    (iv) methods of monitoring the child's progress in reaching objectives; and<br/>
<a id="pl.349.7"></a><var>349.7</var>    (v) goals to increase or decrease targeted behavior as identified in the individual <br/>
<a id="pl.349.8"></a><var>349.8</var>treatment plan;<br/>
<a id="pl.349.9"></a><var>349.9</var>    (4) clinical supervision of the mental health practitioner and mental health behavioral <br/>
<a id="pl.349.10"></a><var>349.10</var>aide. A mental health professional must document the clinical supervision the professional <br/>
<a id="pl.349.11"></a><var>349.11</var>provides by cosigning individual treatment plans and making entries in the client's record <br/>
<a id="pl.349.12"></a><var>349.12</var>on supervisory activities. Clinical supervision does not include the authority to make or <br/>
<a id="pl.349.13"></a><var>349.13</var>terminate court-ordered placements of the child. A clinical supervisor must be available <br/>
<a id="pl.349.14"></a><var>349.14</var>for urgent consultation as required by the individual client's needs or the situation. Clinical <br/>
<a id="pl.349.15"></a><var>349.15</var>supervision may occur individually or in a small group to discuss treatment and review <br/>
<a id="pl.349.16"></a><var>349.16</var>progress toward goals. The focus of clinical supervision must be the client's treatment <br/>
<a id="pl.349.17"></a><var>349.17</var>needs and progress and the mental health practitioner's or behavioral aide's ability to <br/>
<a id="pl.349.18"></a><var>349.18</var>provide services;<br/>
<a id="pl.349.19"></a><var>349.19</var>    (4a) CTSS certified provider entities providing day treatment programs must meet <br/>
<a id="pl.349.20"></a><var>349.20</var>the conditions in items (i) to (iii):<br/>
<a id="pl.349.21"></a><var>349.21</var>    (i) the provider supervisor must be present and available on the premises more <br/>
<a id="pl.349.22"></a><var>349.22</var>than 50 percent of the time in a five-working-day period during which the supervisee is <br/>
<a id="pl.349.23"></a><var>349.23</var>providing a mental health service;<br/>
<a id="pl.349.24"></a><var>349.24</var>    (ii) the diagnosis and the client's individual treatment plan or a change in the <br/>
<a id="pl.349.25"></a><var>349.25</var>diagnosis or individual treatment plan must be made by or reviewed, approved, and signed <br/>
<a id="pl.349.26"></a><var>349.26</var>by the provider supervisor; and<br/>
<a id="pl.349.27"></a><var>349.27</var>    (iii) every 30 days, the supervisor must review and sign the record of the client's care <br/>
<a id="pl.349.28"></a><var>349.28</var>for all activities in the preceding 30-day period;<br/>
<a id="pl.349.29"></a><var>349.29</var>    (4b) for all other services provided under CTSS, clinical supervision standards <br/>
<a id="pl.349.30"></a><var>349.30</var>provided in items (i) to (iii) must be used:<br/>
<a id="pl.349.31"></a><var>349.31</var>    (i) medical assistance shall reimburse a mental health practitioner who maintains a <br/>
<a id="pl.349.32"></a><var>349.32</var>consulting relationship with a mental health professional who accepts full professional <br/>
<a id="pl.349.33"></a><var>349.33</var>responsibility and is present on site for at least one observation during the first 12 hours <br/>
<a id="pl.349.34"></a><var>349.34</var>in which the mental health practitioner provides the individual, family, or group skills <br/>
<a id="pl.349.35"></a><var>349.35</var>training to the child or the child's family;<br/>
<a id="pl.350.1"></a><var>350.1</var>    (ii) thereafter, the mental health professional is required to be present on site for <br/>
<a id="pl.350.2"></a><var>350.2</var>observation as clinically appropriate when the mental health practitioner is providing <br/>
<a id="pl.350.3"></a><var>350.3</var>individual, family, or group skills training to the child or the child's family; and<br/>
<a id="pl.350.4"></a><var>350.4</var>    (iii) the observation must be a minimum of one clinical unit. The on-site presence of <br/>
<a id="pl.350.5"></a><var>350.5</var>the mental health professional must be documented in the child's record and signed by the <br/>
<a id="pl.350.6"></a><var>350.6</var>mental health professional who accepts full professional responsibility;<br/>
<a id="pl.350.7"></a><var>350.7</var>    (5) providing direction to a mental health behavioral aide. For entities that employ <br/>
<a id="pl.350.8"></a><var>350.8</var>mental health behavioral aides, the clinical supervisor must be employed by the provider <br/>
<a id="pl.350.9"></a><var>350.9</var>entity or other certified children's therapeutic supports and services provider entity to <br/>
<a id="pl.350.10"></a><var>350.10</var>ensure necessary and appropriate oversight for the client's treatment and continuity <br/>
<a id="pl.350.11"></a><var>350.11</var>of care. The mental health professional or mental health practitioner giving direction <br/>
<a id="pl.350.12"></a><var>350.12</var>must begin with the goals on the individualized treatment plan, and instruct the mental <br/>
<a id="pl.350.13"></a><var>350.13</var>health behavioral aide on how to construct therapeutic activities and interventions that <br/>
<a id="pl.350.14"></a><var>350.14</var>will lead to goal attainment. The professional or practitioner giving direction must also <br/>
<a id="pl.350.15"></a><var>350.15</var>instruct the mental health behavioral aide about the client's diagnosis, functional status, <br/>
<a id="pl.350.16"></a><var>350.16</var>and other characteristics that are likely to affect service delivery. Direction must also <br/>
<a id="pl.350.17"></a><var>350.17</var>include determining that the mental health behavioral aide has the skills to interact with <br/>
<a id="pl.350.18"></a><var>350.18</var>the client and the client's family in ways that convey personal and cultural respect and <br/>
<a id="pl.350.19"></a><var>350.19</var>that the aide actively solicits information relevant to treatment from the family. The aide <br/>
<a id="pl.350.20"></a><var>350.20</var>must be able to clearly explain the activities the aide is doing with the client and the <br/>
<a id="pl.350.21"></a><var>350.21</var>activities' relationship to treatment goals. Direction is more didactic than is supervision <br/>
<a id="pl.350.22"></a><var>350.22</var>and requires the professional or practitioner providing it to continuously evaluate the <br/>
<a id="pl.350.23"></a><var>350.23</var>mental health behavioral aide's ability to carry out the activities of the individualized <br/>
<a id="pl.350.24"></a><var>350.24</var>treatment plan and the individualized behavior plan. When providing direction, the <br/>
<a id="pl.350.25"></a><var>350.25</var>professional or practitioner must:<br/>
<a id="pl.350.26"></a><var>350.26</var>    (i) review progress notes prepared by the mental health behavioral aide for accuracy <br/>
<a id="pl.350.27"></a><var>350.27</var>and consistency with diagnostic assessment, treatment plan, and behavior goals and the <br/>
<a id="pl.350.28"></a><var>350.28</var>professional or practitioner must approve and sign the progress notes;<br/>
<a id="pl.350.29"></a><var>350.29</var>    (ii) identify changes in treatment strategies, revise the individual behavior plan, <br/>
<a id="pl.350.30"></a><var>350.30</var>and communicate treatment instructions and methodologies as appropriate to ensure <br/>
<a id="pl.350.31"></a><var>350.31</var>that treatment is implemented correctly;<br/>
<a id="pl.350.32"></a><var>350.32</var>    (iii) demonstrate family-friendly behaviors that support healthy collaboration among <br/>
<a id="pl.350.33"></a><var>350.33</var>the child, the child's family, and providers as treatment is planned and implemented;<br/>
<a id="pl.350.34"></a><var>350.34</var>    (iv) ensure that the mental health behavioral aide is able to effectively communicate <br/>
<a id="pl.350.35"></a><var>350.35</var>with the child, the child's family, and the provider; and<br/>
<a id="pl.351.1"></a><var>351.1</var>    (v) record the results of any evaluation and corrective actions taken to modify the <br/>
<a id="pl.351.2"></a><var>351.2</var>work of the mental health behavioral aide;<br/>
<a id="pl.351.3"></a><var>351.3</var>    (6) providing service delivery that implements the individual treatment plan and <br/>
<a id="pl.351.4"></a><var>351.4</var>meets the requirements under subdivision 9; and<br/>
<a id="pl.351.5"></a><var>351.5</var>    (7) individual treatment plan review. The review must determine the extent to which <br/>
<a id="pl.351.6"></a><var>351.6</var>the services have met the goals and objectives in the previous treatment plan. The review <br/>
<a id="pl.351.7"></a><var>351.7</var>must assess the client's progress and ensure that services and treatment goals continue to <br/>
<a id="pl.351.8"></a><var>351.8</var>be necessary and appropriate to the client and the client's family or foster family. Revision <br/>
<a id="pl.351.9"></a><var>351.9</var>of the individual treatment plan does not require a new diagnostic assessment unless the <br/>
<a id="pl.351.10"></a><var>351.10</var>client's mental health status has changed markedly. The updated treatment plan must be <br/>
<a id="pl.351.11"></a><var>351.11</var>signed by the client, if appropriate, and by the client's parent or other person authorized by <br/>
<a id="pl.351.12"></a><var>351.12</var>statute to give consent to the mental health services for the child.<br/>
<br/>
<a id="bill.7.25.0"></a><a id="pl.351.13"></a><var>351.13</var>    Sec. 25. Minnesota Statutes 2006, section 256B.0943, subdivision 9, is amended to <br/>
<a id="pl.351.14"></a><var>351.14</var>read:<br/>
<a id="pl.351.15"></a><var>351.15</var>    Subd. 9. <b>Service delivery criteria.</b> (a) In delivering services under this section, a <br/>
<a id="pl.351.16"></a><var>351.16</var>certified provider entity must ensure that:<br/>
<a id="pl.351.17"></a><var>351.17</var>    (1) each individual provider's caseload size permits the provider to deliver services <br/>
<a id="pl.351.18"></a><var>351.18</var>to both clients with severe, complex needs and clients with less intensive needs. The <br/>
<a id="pl.351.19"></a><var>351.19</var>provider's caseload size should reasonably enable the provider to play an active role in <br/>
<a id="pl.351.20"></a><var>351.20</var>service planning, monitoring, and delivering services to meet the client's and client's <br/>
<a id="pl.351.21"></a><var>351.21</var>family's needs, as specified in each client's individual treatment plan;<br/>
<a id="pl.351.22"></a><var>351.22</var>    (2) site-based programs, including day treatment and preschool programs, provide <br/>
<a id="pl.351.23"></a><var>351.23</var>staffing and facilities to ensure the client's health, safety, and protection of rights, and that <br/>
<a id="pl.351.24"></a><var>351.24</var>the programs are able to implement each client's individual treatment plan;<br/>
<a id="pl.351.25"></a><var>351.25</var>    (3) a day treatment program is provided to a group of clients by a multidisciplinary <br/>
<a id="pl.351.26"></a><var>351.26</var>team under the clinical supervision of a mental health professional. The day treatment <br/>
<a id="pl.351.27"></a><var>351.27</var>program must be provided in and by: (i) an outpatient hospital accredited by the Joint <br/>
<a id="pl.351.28"></a><var>351.28</var>Commission on Accreditation of Health Organizations and licensed under sections <br/>
<statute_ref><a id="pl.351.29"></a><var>351.29</var>144.50
         </statute_ref> to 
         <statute_ref>144.55</statute_ref>; (ii) a community mental health center under section 
         <statute_ref>245.62</statute_ref>; and (iii) <br/>
<a id="pl.351.30"></a><var>351.30</var>an entity that is under contract with the county board to operate a program that meets <br/>
<a id="pl.351.31"></a><var>351.31</var>the requirements of sections 
         <statute_ref>245.4712, subdivision 2</statute_ref>, and 
         <statute_ref>245.4884, subdivision 2</statute_ref>, <br/>
<a id="pl.351.32"></a><var>351.32</var>and Minnesota Rules, parts 9505.0170 to 9505.0475. The day treatment program must <br/>
<a id="pl.351.33"></a><var>351.33</var>stabilize the client's mental health status while developing and improving the client's <br/>
<a id="pl.351.34"></a><var>351.34</var>independent living and socialization skills. The goal of the day treatment program must be <br/>
<a id="pl.351.35"></a><var>351.35</var>to reduce or relieve the effects of mental illness and provide training to enable the client <br/>
<a id="pl.352.1"></a><var>352.1</var>to live in the community. The program must be available at least one day a week for a <br/>
<a id="pl.352.2"></a><var>352.2</var>minimum three-hour time block. The three-hour time block must include at least one <br/>
<a id="pl.352.3"></a><var>352.3</var>hour, but no more than two hours, of individual or group psychotherapy. The remainder <br/>
<a id="pl.352.4"></a><var>352.4</var>of the three-hour time block may include recreation therapy, socialization therapy, or <br/>
<a id="pl.352.5"></a><var>352.5</var>independent living skills therapy, but only if the therapies are included in the client's <br/>
<a id="pl.352.6"></a><var>352.6</var>individual treatment plan. Day treatment programs are not part of inpatient or residential <br/>
<a id="pl.352.7"></a><var>352.7</var>treatment services; and <br/>
<a id="pl.352.8"></a><var>352.8</var>    (4) a preschool program is a structured treatment program offered to a child who <br/>
<a id="pl.352.9"></a><var>352.9</var>is at least 33 months old, but who has not yet reached the first day of kindergarten, by a <br/>
<a id="pl.352.10"></a><var>352.10</var>preschool multidisciplinary team in a day program licensed under Minnesota Rules, parts <br/>
<a id="pl.352.11"></a><var>352.11</var>9503.0005 to 9503.0175. The program must be available at least one day a week for a <br/>
<a id="pl.352.12"></a><var>352.12</var>minimum two-hour time block. The structured treatment program may include individual <br/>
<a id="pl.352.13"></a><var>352.13</var>or group psychotherapy and recreation therapy, socialization therapy, or independent <br/>
<a id="pl.352.14"></a><var>352.14</var>living skills therapy, if included in the client's individual treatment plan.<br/>
<a id="pl.352.15"></a><var>352.15</var>    (b) A provider entity must deliver the service components of children's therapeutic <br/>
<a id="pl.352.16"></a><var>352.16</var>services and supports in compliance with the following requirements:<br/>
<a id="pl.352.17"></a><var>352.17</var>    (1) individual, family, and group psychotherapy must be delivered as specified in <br/>
<a id="pl.352.18"></a><var>352.18</var>Minnesota Rules, part 9505.0323;<br/>
<a id="pl.352.19"></a><var>352.19</var>    (2) individual, family, or group skills training must be provided by a mental health <br/>
<a id="pl.352.20"></a><var>352.20</var>professional or a mental health practitioner who has a consulting relationship with a <br/>
<a id="pl.352.21"></a><var>352.21</var>mental health professional who accepts full professional responsibility for the training;<br/>
<a id="pl.352.22"></a><var>352.22</var>    (3) crisis assistance must be time-limited and designed to resolve or stabilize crisis <br/>
<a id="pl.352.23"></a><var>352.23</var>through arrangements for direct intervention and support services to the child and the <br/>
<a id="pl.352.24"></a><var>352.24</var>child's family. Crisis assistance must utilize resources designed to address abrupt or <br/>
<a id="pl.352.25"></a><var>352.25</var>substantial changes in the functioning of the child or the child's family as evidenced by <br/>
<a id="pl.352.26"></a><var>352.26</var>a sudden change in behavior with negative consequences for well being, a loss of usual <br/>
<a id="pl.352.27"></a><var>352.27</var>coping mechanisms, or the presentation of danger to self or others;<br/>
<a id="pl.352.28"></a><var>352.28</var>    (4) medically necessary services that are provided by a mental health behavioral <br/>
<a id="pl.352.29"></a><var>352.29</var>aide must be designed to improve the functioning of the child and support the family in <br/>
<a id="pl.352.30"></a><var>352.30</var>activities of daily and community living. A mental health behavioral aide must document <br/>
<a id="pl.352.31"></a><var>352.31</var>the delivery of services in written progress notes. The mental health behavioral aide <br/>
<a id="pl.352.32"></a><var>352.32</var>must implement goals in the treatment plan for the child's emotional disturbance that <br/>
<a id="pl.352.33"></a><var>352.33</var>allow the child to acquire developmentally and therapeutically appropriate daily living <br/>
<a id="pl.352.34"></a><var>352.34</var>skills, social skills, and leisure and recreational skills through targeted activities. These <br/>
<a id="pl.352.35"></a><var>352.35</var>activities may include:<br/>
<a id="pl.353.1"></a><var>353.1</var>    (i) assisting a child as needed with skills development in dressing, eating, and <br/>
<a id="pl.353.2"></a><var>353.2</var>toileting;<br/>
<a id="pl.353.3"></a><var>353.3</var>    (ii) assisting, monitoring, and guiding the child to complete tasks, including <br/>
<a id="pl.353.4"></a><var>353.4</var>facilitating the child's participation in medical appointments;<br/>
<a id="pl.353.5"></a><var>353.5</var>    (iii) observing the child and intervening to redirect the child's inappropriate behavior;<br/>
<a id="pl.353.6"></a><var>353.6</var>    (iv) assisting the child in using age-appropriate self-management skills as related <br/>
<a id="pl.353.7"></a><var>353.7</var>to the child's emotional disorder or mental illness, including problem solving, decision <br/>
<a id="pl.353.8"></a><var>353.8</var>making, communication, conflict resolution, anger management, social skills, and <br/>
<a id="pl.353.9"></a><var>353.9</var>recreational skills;<br/>
<a id="pl.353.10"></a><var>353.10</var>    (v) implementing deescalation techniques as recommended by the mental health <br/>
<a id="pl.353.11"></a><var>353.11</var>professional;<br/>
<a id="pl.353.12"></a><var>353.12</var>    (vi) implementing any other mental health service that the mental health professional <br/>
<a id="pl.353.13"></a><var>353.13</var>has approved as being within the scope of the behavioral aide's duties; or<br/>
<a id="pl.353.14"></a><var>353.14</var>    (vii) assisting the parents to develop and use parenting skills that help the child <br/>
<a id="pl.353.15"></a><var>353.15</var>achieve the goals outlined in the child's individual treatment plan or individual behavioral <br/>
<a id="pl.353.16"></a><var>353.16</var>plan. Parenting skills must be directed exclusively to the child's treatment; and<br/>
<a id="pl.353.17"></a><var>353.17</var>    (5) direction of a mental health behavioral aide must include the following:<br/>
<a id="pl.353.18"></a><var>353.18</var>    (i) a total of one hour of on-site observation by a mental health professional during <br/>
<a id="pl.353.19"></a><var>353.19</var>the first 12 hours of service provided to a child;<br/>
<a id="pl.353.20"></a><var>353.20</var>    (ii) ongoing on-site observation by a mental health professional or mental health <br/>
<a id="pl.353.21"></a><var>353.21</var>practitioner for at least a total of one hour during every 40 hours of service provided <br/>
<a id="pl.353.22"></a><var>353.22</var>to a child; and<br/>
<a id="pl.353.23"></a><var>353.23</var>    (iii) immediate accessibility of the mental health professional or mental health <br/>
<a id="pl.353.24"></a><var>353.24</var>practitioner to the mental health behavioral aide during service provision.<br/>
<br/>
<a id="bill.7.26.0"></a><a id="pl.353.25"></a><var>353.25</var>    Sec. 26. Minnesota Statutes 2006, section 256B.0943, subdivision 11, is amended to <br/>
<a id="pl.353.26"></a><var>353.26</var>read:<br/>
<a id="pl.353.27"></a><var>353.27</var>    Subd. 11. <b>Documentation and billing.</b> (a) A provider entity must document the <br/>
<a id="pl.353.28"></a><var>353.28</var>services it provides under this section. The provider entity must ensure that the entity's <br/>
<a id="pl.353.29"></a><var>353.29</var>documentation standards meet the requirements of federal and state laws. Services billed <br/>
<a id="pl.353.30"></a><var>353.30</var>under this section that are not documented according to this subdivision shall be subject to <br/>
<a id="pl.353.31"></a><var>353.31</var>monetary recovery by the commissioner. The provider entity may not bill for anything <br/>
<a id="pl.353.32"></a><var>353.32</var>other than direct service time.<br/>
<a id="pl.353.33"></a><var>353.33</var>    (b) An individual mental health provider must promptly document the following <br/>
<a id="pl.353.34"></a><var>353.34</var>in a client's record after providing services to the client:<br/>
<a id="pl.354.1"></a><var>354.1</var>    (1) each occurrence of the client's mental health service, including the date, type, <br/>
<a id="pl.354.2"></a><var>354.2</var>length, and scope of the service;<br/>
<a id="pl.354.3"></a><var>354.3</var>    (2) the name of the person who gave the service;<br/>
<a id="pl.354.4"></a><var>354.4</var>    (3) contact made with other persons interested in the client, including representatives <br/>
<a id="pl.354.5"></a><var>354.5</var>of the courts, corrections systems, or schools. The provider must document the name <br/>
<a id="pl.354.6"></a><var>354.6</var>and date of each contact;<br/>
<a id="pl.354.7"></a><var>354.7</var>    (4) any contact made with the client's other mental health providers, case manager, <br/>
<a id="pl.354.8"></a><var>354.8</var>family members, primary caregiver, legal representative, or the reason the provider did <br/>
<a id="pl.354.9"></a><var>354.9</var>not contact the client's family members, primary caregiver, or legal representative, if <br/>
<a id="pl.354.10"></a><var>354.10</var>applicable; and<br/>
<a id="pl.354.11"></a><var>354.11</var>    (5) required clinical supervision, as appropriate.<br/>
<br/>
<a id="bill.7.27.0"></a><a id="pl.354.12"></a><var>354.12</var>    Sec. 27. Minnesota Statutes 2006, section 256B.0943, subdivision 12, is amended to <br/>
<a id="pl.354.13"></a><var>354.13</var>read:<br/>
<a id="pl.354.14"></a><var>354.14</var>    Subd. 12. <b>Excluded services.</b> The following services are not eligible for medical <br/>
<a id="pl.354.15"></a><var>354.15</var>assistance payment as children's therapeutic services and supports:<br/>
<a id="pl.354.16"></a><var>354.16</var>    (1) service components of children's therapeutic services and supports <br/>
<a id="pl.354.17"></a><var>354.17</var>simultaneously provided by more than one provider entity unless prior authorization is <br/>
<a id="pl.354.18"></a><var>354.18</var>obtained;<br/>
<a id="pl.354.19"></a><var>354.19</var>    (2) children's therapeutic services and supports provided in violation of medical <br/>
<a id="pl.354.20"></a><var>354.20</var>assistance policy in Minnesota Rules, part 9505.0220;<br/>
<a id="pl.354.21"></a><var>354.21</var>    (3) mental health behavioral aide services provided by a personal care assistant who <br/>
<a id="pl.354.22"></a><var>354.22</var>is not qualified as a mental health behavioral aide and employed by a certified children's <br/>
<a id="pl.354.23"></a><var>354.23</var>therapeutic services and supports provider entity;<br/>
<a id="pl.354.24"></a><var>354.24</var>    (4) service components of CTSS that are the responsibility of a residential or <br/>
<a id="pl.354.25"></a><var>354.25</var>program license holder, including foster care providers under the terms of a service <br/>
<a id="pl.354.26"></a><var>354.26</var>agreement or administrative rules governing licensure; and<br/>
<a id="pl.354.27"></a><var>354.27</var>    (5) adjunctive activities that may be offered by a provider entity but are not <br/>
<a id="pl.354.28"></a><var>354.28</var>otherwise covered by medical assistance, including:<br/>
<a id="pl.354.29"></a><var>354.29</var>    (i) a service that is primarily recreation oriented or that is provided in a setting that <br/>
<a id="pl.354.30"></a><var>354.30</var>is not medically supervised. This includes sports activities, exercise groups, activities <br/>
<a id="pl.354.31"></a><var>354.31</var>such as craft hours, leisure time, social hours, meal or snack time, trips to community <br/>
<a id="pl.354.32"></a><var>354.32</var>activities, and tours;<br/>
<a id="pl.354.33"></a><var>354.33</var>    (ii) a social or educational service that does not have or cannot reasonably be <br/>
<a id="pl.354.34"></a><var>354.34</var>expected to have a therapeutic outcome related to the client's emotional disturbance;<br/>
<a id="pl.355.1"></a><var>355.1</var>    (iii) consultation with other providers or service agency staff about the care or <br/>
<a id="pl.355.2"></a><var>355.2</var>progress of a client;<br/>
<a id="pl.355.3"></a><var>355.3</var>    (iv) prevention or education programs provided to the community; and<br/>
<a id="pl.355.4"></a><var>355.4</var>    (v) treatment for clients with primary diagnoses of alcohol or other drug abuse.; and<br/>
<a id="pl.355.5"></a><var>355.5</var>    (6) activities that are not direct service time.<br/>
<br/>
<a id="bill.7.28.0"></a><a id="pl.355.6"></a><var>355.6</var>    Sec. 28. <b>[256B.764] REIMBURSEMENT FOR FAMILY PLANNING SERVICES.</b><br/>
<a id="pl.355.7"></a><var>355.7</var>    Effective for services rendered on or after July 1, 2007, payment rates for family <br/>
<a id="pl.355.8"></a><var>355.8</var>planning services shall be increased by 25 percent over the rates in effect July 30, 2007, <br/>
<a id="pl.355.9"></a><var>355.9</var>when these services are provided by a community clinic as defined in section 145.9268, <br/>
<a id="pl.355.10"></a><var>355.10</var>subdivision 1.<br/>
<br/>
<a id="bill.7.29.0"></a><a id="pl.355.11"></a><var>355.11</var>    Sec. 29. Minnesota Statutes 2006, section 256E.35, subdivision 2, is amended to read:<br/>
<a id="pl.355.12"></a><var>355.12</var>    Subd. 2. <b>Definitions.</b> (a) The definitions in this subdivision apply to this section.<br/>
<a id="pl.355.13"></a><var>355.13</var>    (b) "Family asset account" means a savings account opened by a household <br/>
<a id="pl.355.14"></a><var>355.14</var>participating in the Minnesota family assets for independence initiative.<br/>
<a id="pl.355.15"></a><var>355.15</var>    (c) "Fiduciary organization" means:<br/>
<a id="pl.355.16"></a><var>355.16</var>    (1) a community action agency that has obtained recognition under section 
         <statute_ref>268.53 <br/>
<a id="pl.355.17"></a><var>355.17</var>256E.31
</statute_ref>;<br/>
<a id="pl.355.18"></a><var>355.18</var>    (2) a federal community development credit union serving the seven-county <br/>
<a id="pl.355.19"></a><var>355.19</var>metropolitan area; or<br/>
<a id="pl.355.20"></a><var>355.20</var>    (3) a women-oriented economic development agency serving the seven-county <br/>
<a id="pl.355.21"></a><var>355.21</var>metropolitan area.<br/>
<a id="pl.355.22"></a><var>355.22</var>    (d) "Financial institution" means a bank, bank and trust, savings bank, savings <br/>
<a id="pl.355.23"></a><var>355.23</var>association, or credit union, the deposits of which are insured by the Federal Deposit <br/>
<a id="pl.355.24"></a><var>355.24</var>Insurance Corporation or the National Credit Union Administration.<br/>
<a id="pl.355.25"></a><var>355.25</var>    (e) "Permissible use" means:<br/>
<a id="pl.355.26"></a><var>355.26</var>    (1) postsecondary educational expenses at an accredited public postsecondary <br/>
<a id="pl.355.27"></a><var>355.27</var>institution including books, supplies, and equipment required for courses of instruction;<br/>
<a id="pl.355.28"></a><var>355.28</var>    (2) acquisition costs of acquiring, constructing, or reconstructing a residence, <br/>
<a id="pl.355.29"></a><var>355.29</var>including any usual or reasonable settlement, financing, or other closing costs;<br/>
<a id="pl.355.30"></a><var>355.30</var>    (3) business capitalization expenses for expenditures on capital, plant, equipment, <br/>
<a id="pl.355.31"></a><var>355.31</var>working capital, and inventory expenses of a legitimate business pursuant to a business <br/>
<a id="pl.355.32"></a><var>355.32</var>plan approved by the fiduciary organization; and<br/>
<a id="pl.355.33"></a><var>355.33</var>    (4) acquisition costs of a principal residence within the meaning of section 1034 of <br/>
<a id="pl.355.34"></a><var>355.34</var>the Internal Revenue Code of 1986 which do not exceed 100 percent of the average area <br/>
<a id="pl.356.1"></a><var>356.1</var>purchase price applicable to the residence determined according to section 143(e)(2) and <br/>
<a id="pl.356.2"></a><var>356.2</var>(3) of the Internal Revenue Code of 1986.<br/>
<a id="pl.356.3"></a><var>356.3</var>    (f) "Household" means all individuals who share use of a dwelling unit as primary <br/>
<a id="pl.356.4"></a><var>356.4</var>quarters for living and eating separate from other individuals.<br/>
<br/>
<a id="bill.7.30.0"></a><a id="pl.356.5"></a><var>356.5</var>    Sec. 30. <b>[525A.01] SHORT TITLE.</b><br/>
<a id="pl.356.6"></a><var>356.6</var>    This chapter may be cited as the "Darlene Luther Revised Uniform Anatomical <br/>
<a id="pl.356.7"></a><var>356.7</var>Gift Act."<br/>
<br/>
<a id="bill.7.31.0"></a><a id="pl.356.8"></a><var>356.8</var>    Sec. 31. <b>[525A.02] DEFINITIONS.</b><br/>
<a id="pl.356.9"></a><var>356.9</var>    Subdivision 1. <b>Scope.</b> The definitions in this section apply to this chapter.<br/>
<a id="pl.356.10"></a><var>356.10</var>    Subd. 2. <b>Adult.</b> "Adult" means an individual who is at least 18 years of age.<br/>
<a id="pl.356.11"></a><var>356.11</var>    Subd. 3. <b>Agent.</b> "Agent" means an individual who is:<br/>
<a id="pl.356.12"></a><var>356.12</var>    (1) authorized to make health care decisions on the principal's behalf by a power of <br/>
<a id="pl.356.13"></a><var>356.13</var>attorney for health care; or<br/>
<a id="pl.356.14"></a><var>356.14</var>    (2) expressly authorized to make an anatomical gift on the principal's behalf by <br/>
<a id="pl.356.15"></a><var>356.15</var>any other record signed by the principal.<br/>
<a id="pl.356.16"></a><var>356.16</var>    Subd. 4. <b>Anatomical gift.</b> "Anatomical gift" means a donation of all or part of <br/>
<a id="pl.356.17"></a><var>356.17</var>a human body to take effect after the donor's death for the purpose of transplantation, <br/>
<a id="pl.356.18"></a><var>356.18</var>therapy, research, or education.<br/>
<a id="pl.356.19"></a><var>356.19</var>    Subd. 5. <b>Decedent.</b> "Decedent" means a deceased individual and includes a stillborn <br/>
<a id="pl.356.20"></a><var>356.20</var>infant or an embryo or fetus that has died of natural causes in utero.<br/>
<a id="pl.356.21"></a><var>356.21</var>    Subd. 6. <b>Disinterested witness.</b> "Disinterested witness" means a witness other than <br/>
<a id="pl.356.22"></a><var>356.22</var>the spouse, child, parent, sibling, grandchild, grandparent, or guardian of the individual <br/>
<a id="pl.356.23"></a><var>356.23</var>who makes, amends, revokes, or refuses to make an anatomical gift, or another adult who <br/>
<a id="pl.356.24"></a><var>356.24</var>exhibited special care and concern for the individual. The term does not include a person <br/>
<a id="pl.356.25"></a><var>356.25</var>to which an anatomical gift could pass under section 525A.11.<br/>
<a id="pl.356.26"></a><var>356.26</var>    Subd. 7. <b>Document of gift.</b> "Document of gift" means a donor card or other record <br/>
<a id="pl.356.27"></a><var>356.27</var>used to make an anatomical gift. The term includes a statement or symbol on a driver's <br/>
<a id="pl.356.28"></a><var>356.28</var>license, identification card, or donor registry.<br/>
<a id="pl.356.29"></a><var>356.29</var>    Subd. 8. <b>Donor.</b> "Donor" means an individual whose body or part is the subject of <br/>
<a id="pl.356.30"></a><var>356.30</var>an anatomical gift.<br/>
<a id="pl.356.31"></a><var>356.31</var>    Subd. 9. <b>Donor registry.</b> "Donor registry" means a database that contains records <br/>
<a id="pl.356.32"></a><var>356.32</var>of anatomical gifts and amendments to or revocations of anatomical gifts.<br/>
<a id="pl.357.1"></a><var>357.1</var>    Subd. 10. <b>Driver's license.</b> "Driver's license" means a license or permit issued <br/>
<a id="pl.357.2"></a><var>357.2</var>under chapter 171 to operate a vehicle, whether or not conditions are attached to the <br/>
<a id="pl.357.3"></a><var>357.3</var>license or permit.<br/>
<a id="pl.357.4"></a><var>357.4</var>    Subd. 11. <b>Eye bank.</b> "Eye bank" means a person that is licensed, accredited, <br/>
<a id="pl.357.5"></a><var>357.5</var>or regulated under federal or state law to engage in the recovery, screening, testing, <br/>
<a id="pl.357.6"></a><var>357.6</var>processing, storage, or distribution of human eyes or portions of human eyes.<br/>
<a id="pl.357.7"></a><var>357.7</var>    Subd. 12. <b>Guardian.</b> "Guardian" means a person appointed by a court to make <br/>
<a id="pl.357.8"></a><var>357.8</var>decisions regarding the support, care, education, health, or welfare of an individual. The <br/>
<a id="pl.357.9"></a><var>357.9</var>term does not include a guardian ad litem.<br/>
<a id="pl.357.10"></a><var>357.10</var>    Subd. 13. <b>Hospital.</b> "Hospital" means a facility licensed as a hospital under the <br/>
<a id="pl.357.11"></a><var>357.11</var>law of any state or a facility operated as a hospital by the United States, a state, or a <br/>
<a id="pl.357.12"></a><var>357.12</var>subdivision of a state.<br/>
<a id="pl.357.13"></a><var>357.13</var>    Subd. 14. <b>Identification card.</b> "Identification card" means a Minnesota <br/>
<a id="pl.357.14"></a><var>357.14</var>identification card issued under chapter 171.<br/>
<a id="pl.357.15"></a><var>357.15</var>    Subd. 15. <b>Know.</b> "Know" means to have actual knowledge.<br/>
<a id="pl.357.16"></a><var>357.16</var>    Subd. 16. <b>Medical examiner.</b> "Medical examiner" includes coroner.<br/>
<a id="pl.357.17"></a><var>357.17</var>    Subd. 17. <b>Minor.</b> "Minor" means an individual who is under 18 years of age.<br/>
<a id="pl.357.18"></a><var>357.18</var>    Subd. 18. <b>Organ procurement organization.</b> "Organ procurement organization" <br/>
<a id="pl.357.19"></a><var>357.19</var>means a person designated by the secretary of the United States Department of Health and <br/>
<a id="pl.357.20"></a><var>357.20</var>Human Services as an organ procurement organization.<br/>
<a id="pl.357.21"></a><var>357.21</var>    Subd. 19. <b>Parent.</b> "Parent" means a parent whose parental rights have not been <br/>
<a id="pl.357.22"></a><var>357.22</var>terminated.<br/>
<a id="pl.357.23"></a><var>357.23</var>    Subd. 20. <b>Part.</b> "Part" means an organ, an eye, or tissue of a human being. The term <br/>
<a id="pl.357.24"></a><var>357.24</var>does not include the whole body.<br/>
<a id="pl.357.25"></a><var>357.25</var>    Subd. 21. <b>Person.</b> "Person" means an individual, corporation, business trust, estate, <br/>
<a id="pl.357.26"></a><var>357.26</var>trust, partnership, limited liability company, association, joint venture, public corporation, <br/>
<a id="pl.357.27"></a><var>357.27</var>government or governmental subdivision, agency, or instrumentality, or any other legal or <br/>
<a id="pl.357.28"></a><var>357.28</var>commercial entity.<br/>
<a id="pl.357.29"></a><var>357.29</var>    Subd. 22. <b>Physician.</b> "Physician" means an individual authorized to practice <br/>
<a id="pl.357.30"></a><var>357.30</var>medicine or osteopathy under the law of any state.<br/>
<a id="pl.357.31"></a><var>357.31</var>    Subd. 23. <b>Procurement organization.</b> "Procurement organization" means an eye <br/>
<a id="pl.357.32"></a><var>357.32</var>bank, organ procurement organization, or tissue bank.<br/>
<a id="pl.357.33"></a><var>357.33</var>    Subd. 24. <b>Prospective donor.</b> "Prospective donor" means an individual who is dead <br/>
<a id="pl.357.34"></a><var>357.34</var>or near death and has been determined by a procurement organization to have a part that <br/>
<a id="pl.357.35"></a><var>357.35</var>could be medically suitable for transplantation, therapy, research, or education. The term <br/>
<a id="pl.357.36"></a><var>357.36</var>does not include an individual who has made a refusal.<br/>
<a id="pl.358.1"></a><var>358.1</var>    Subd. 25. <b>Reasonably available.</b> "Reasonably available" means able to be <br/>
<a id="pl.358.2"></a><var>358.2</var>contacted by a procurement organization without undue effort and willing and able to act <br/>
<a id="pl.358.3"></a><var>358.3</var>in a timely manner consistent with existing medical criteria necessary for the making of <br/>
<a id="pl.358.4"></a><var>358.4</var>an anatomical gift.<br/>
<a id="pl.358.5"></a><var>358.5</var>    Subd. 26. <b>Recipient.</b> "Recipient" means an individual into whose body a decedent's <br/>
<a id="pl.358.6"></a><var>358.6</var>part has been or is intended to be transplanted.<br/>
<a id="pl.358.7"></a><var>358.7</var>    Subd. 27. <b>Record.</b> "Record" means information that is inscribed on a tangible <br/>
<a id="pl.358.8"></a><var>358.8</var>medium or that is stored in an electronic or other medium and is retrievable in perceivable <br/>
<a id="pl.358.9"></a><var>358.9</var>form.<br/>
<a id="pl.358.10"></a><var>358.10</var>    Subd. 28. <b>Refusal.</b> "Refusal" means a record created under section 525A.07 that <br/>
<a id="pl.358.11"></a><var>358.11</var>expressly states an intent to bar other persons from making an anatomical gift of an <br/>
<a id="pl.358.12"></a><var>358.12</var>individual's body or part.<br/>
<a id="pl.358.13"></a><var>358.13</var>    Subd. 29. <b>Sign.</b> "Sign" means, with the present intent to authenticate or adopt <br/>
<a id="pl.358.14"></a><var>358.14</var>a record:<br/>
<a id="pl.358.15"></a><var>358.15</var>    (1) to execute or adopt a tangible symbol; or<br/>
<a id="pl.358.16"></a><var>358.16</var>    (2) to attach to or logically associate with the record an electronic symbol, sound, <br/>
<a id="pl.358.17"></a><var>358.17</var>or process.<br/>
<a id="pl.358.18"></a><var>358.18</var>    Subd. 30. <b>State.</b> "State" means a state of the United States, the District of Columbia, <br/>
<a id="pl.358.19"></a><var>358.19</var>Puerto Rico, the United States Virgin Islands, or any territory or insular possession subject <br/>
<a id="pl.358.20"></a><var>358.20</var>to the jurisdiction of the United States.<br/>
<a id="pl.358.21"></a><var>358.21</var>    Subd. 31. <b>Technician.</b> "Technician" means an individual determined to be qualified <br/>
<a id="pl.358.22"></a><var>358.22</var>to remove or process parts by an appropriate organization that is licensed, accredited, or <br/>
<a id="pl.358.23"></a><var>358.23</var>regulated under federal or state law. The term includes an enucleator.<br/>
<a id="pl.358.24"></a><var>358.24</var>    Subd. 32. <b>Tissue.</b> "Tissue" means a portion of the human body other than an organ <br/>
<a id="pl.358.25"></a><var>358.25</var>or an eye. The term does not include blood unless the blood is donated for the purpose <br/>
<a id="pl.358.26"></a><var>358.26</var>of research or education.<br/>
<a id="pl.358.27"></a><var>358.27</var>    Subd. 33. <b>Tissue bank.</b> "Tissue bank" means a person that is licensed, accredited, <br/>
<a id="pl.358.28"></a><var>358.28</var>or regulated under federal or state law to engage in the recovery, screening, testing, <br/>
<a id="pl.358.29"></a><var>358.29</var>processing, storage, or distribution of tissue.<br/>
<a id="pl.358.30"></a><var>358.30</var>    Subd. 34. <b>Transplant hospital.</b> "Transplant hospital" means a hospital that <br/>
<a id="pl.358.31"></a><var>358.31</var>furnishes organ transplants and other medical and surgical specialty services required <br/>
<a id="pl.358.32"></a><var>358.32</var>for the care of transplant patients.<br/>
<br/>
<a id="bill.7.32.0"></a><a id="pl.358.33"></a><var>358.33</var>    Sec. 32. <b>[525A.03] APPLICABILITY.</b><br/>
<a id="pl.358.34"></a><var>358.34</var>    This chapter applies to an anatomical gift or amendment to, revocation of, or refusal <br/>
<a id="pl.358.35"></a><var>358.35</var>to make an anatomical gift, whenever made.<br/>
<br/>
<a id="bill.7.33.0"></a><a id="pl.359.1"></a><var>359.1</var>    Sec. 33. <b>[525A.04] WHO MAY MAKE ANATOMICAL GIFT BEFORE </b><br/>
<a id="pl.359.2"></a><var>359.2</var><b>DONOR'S DEATH.</b><br/>
<a id="pl.359.3"></a><var>359.3</var>    Subject to section 525A.08, an anatomical gift of a donor's body or part may be <br/>
<a id="pl.359.4"></a><var>359.4</var>made during the life of the donor for the purpose of transplantation, therapy, research, or <br/>
<a id="pl.359.5"></a><var>359.5</var>education in the manner provided in section 525A.05 by:<br/>
<a id="pl.359.6"></a><var>359.6</var>    (1) the donor, if the donor is an adult or if the donor is a minor and is:<br/>
<a id="pl.359.7"></a><var>359.7</var>    (i) emancipated; or<br/>
<a id="pl.359.8"></a><var>359.8</var>    (ii) authorized under state law to apply for a driver's license because the donor is <br/>
<a id="pl.359.9"></a><var>359.9</var>at least 16 years of age;<br/>
<a id="pl.359.10"></a><var>359.10</var>    (2) an agent of the donor, unless the power of attorney for health care or other record <br/>
<a id="pl.359.11"></a><var>359.11</var>prohibits the agent from making an anatomical gift;<br/>
<a id="pl.359.12"></a><var>359.12</var>    (3) a parent of the donor, if the donor is an unemancipated minor; or<br/>
<a id="pl.359.13"></a><var>359.13</var>    (4) the donor's guardian.<br/>
<br/>
<a id="bill.7.34.0"></a><a id="pl.359.14"></a><var>359.14</var>    Sec. 34. <b>[525A.05] MANNER OF MAKING ANATOMICAL GIFT BEFORE </b><br/>
<a id="pl.359.15"></a><var>359.15</var><b>DONOR'S DEATH.</b><br/>
<a id="pl.359.16"></a><var>359.16</var>    (a) A donor may make an anatomical gift:<br/>
<a id="pl.359.17"></a><var>359.17</var>    (1) by authorizing a statement or symbol indicating that the donor has made an <br/>
<a id="pl.359.18"></a><var>359.18</var>anatomical gift to be imprinted on the donor's driver's license or identification card;<br/>
<a id="pl.359.19"></a><var>359.19</var>    (2) in a will;<br/>
<a id="pl.359.20"></a><var>359.20</var>    (3) during a terminal illness or injury of the donor, by any form of communication <br/>
<a id="pl.359.21"></a><var>359.21</var>addressed to at least two adults, at least one of whom is a disinterested witness; or<br/>
<a id="pl.359.22"></a><var>359.22</var>    (4) as provided in paragraph (b).<br/>
<a id="pl.359.23"></a><var>359.23</var>    (b) A donor or other person authorized to make an anatomical gift under section <br/>
<a id="pl.359.24"></a><var>359.24</var>525A.04 may make a gift by a donor card or other record signed by the donor or other <br/>
<a id="pl.359.25"></a><var>359.25</var>person making the gift or by authorizing that a statement or symbol indicating that the <br/>
<a id="pl.359.26"></a><var>359.26</var>donor has made an anatomical gift be included on a donor registry. If the donor or <br/>
<a id="pl.359.27"></a><var>359.27</var>other person is physically unable to sign a record, the record may be signed by another <br/>
<a id="pl.359.28"></a><var>359.28</var>individual at the direction of the donor or other person and must:<br/>
<a id="pl.359.29"></a><var>359.29</var>    (1) be witnessed by at least two adults, at least one of whom is a disinterested <br/>
<a id="pl.359.30"></a><var>359.30</var>witness, who have signed at the request of the donor or the other person; and<br/>
<a id="pl.359.31"></a><var>359.31</var>    (2) state that it has been signed and witnessed as provided in clause (1).<br/>
<a id="pl.359.32"></a><var>359.32</var>    (c) Revocation, suspension, expiration, or cancellation of a driver's license or <br/>
<a id="pl.359.33"></a><var>359.33</var>identification card upon which an anatomical gift is indicated does not invalidate the gift.<br/>
<a id="pl.360.1"></a><var>360.1</var>    (d) An anatomical gift made by will takes effect upon the donor's death whether or <br/>
<a id="pl.360.2"></a><var>360.2</var>not the will is probated. Invalidation of the will after the donor's death does not invalidate <br/>
<a id="pl.360.3"></a><var>360.3</var>the gift.<br/>
<a id="pl.360.4"></a><var>360.4</var>    (e) The making of an anatomical gift shall not itself authorize or direct the denial <br/>
<a id="pl.360.5"></a><var>360.5</var>of health care.<br/>
<br/>
<a id="bill.7.35.0"></a><a id="pl.360.6"></a><var>360.6</var>    Sec. 35. <b>[525A.06] AMENDING OR REVOKING ANATOMICAL GIFT </b><br/>
<a id="pl.360.7"></a><var>360.7</var><b>BEFORE DONOR'S DEATH.</b><br/>
<a id="pl.360.8"></a><var>360.8</var>    (a) Subject to section 525A.08, a donor or other person authorized to make an <br/>
<a id="pl.360.9"></a><var>360.9</var>anatomical gift under section 525A.04 may amend or revoke an anatomical gift by:<br/>
<a id="pl.360.10"></a><var>360.10</var>    (1) a record signed by:<br/>
<a id="pl.360.11"></a><var>360.11</var>    (i) the donor;<br/>
<a id="pl.360.12"></a><var>360.12</var>    (ii) the other person; or<br/>
<a id="pl.360.13"></a><var>360.13</var>    (iii) subject to paragraph (b), another individual acting at the direction of the donor <br/>
<a id="pl.360.14"></a><var>360.14</var>or the other person if the donor or other person is physically unable to sign; or<br/>
<a id="pl.360.15"></a><var>360.15</var>    (2) a later-executed document of gift that amends or revokes a previous anatomical <br/>
<a id="pl.360.16"></a><var>360.16</var>gift or portion of an anatomical gift, either expressly or by inconsistency.<br/>
<a id="pl.360.17"></a><var>360.17</var>    (b) A record signed pursuant to paragraph (a), clause (1), item (iii), must:<br/>
<a id="pl.360.18"></a><var>360.18</var>    (1) be witnessed by at least two adults, at least one of whom is a disinterested <br/>
<a id="pl.360.19"></a><var>360.19</var>witness, who have signed at the request of the donor or the other person; and<br/>
<a id="pl.360.20"></a><var>360.20</var>    (2) state that it has been signed and witnessed as provided in clause (1).<br/>
<a id="pl.360.21"></a><var>360.21</var>    (c) Subject to section 525A.08, a donor or other person authorized to make an <br/>
<a id="pl.360.22"></a><var>360.22</var>anatomical gift under section 525A.04 may revoke an anatomical gift by the destruction or <br/>
<a id="pl.360.23"></a><var>360.23</var>cancellation of the document of gift, or the portion of the document of gift used to make <br/>
<a id="pl.360.24"></a><var>360.24</var>the gift, with the intent to revoke the gift.<br/>
<a id="pl.360.25"></a><var>360.25</var>    (d) A donor may amend or revoke an anatomical gift that was not made in a will <br/>
<a id="pl.360.26"></a><var>360.26</var>by any form of communication during a terminal illness or injury addressed to at least <br/>
<a id="pl.360.27"></a><var>360.27</var>two adults, at least one of whom is a disinterested witness.<br/>
<a id="pl.360.28"></a><var>360.28</var>    (e) A donor who makes an anatomical gift in a will may amend or revoke the gift in <br/>
<a id="pl.360.29"></a><var>360.29</var>the manner provided for amendment or revocation of wills or as provided in paragraph (a).<br/>
<br/>
<a id="bill.7.36.0"></a><a id="pl.360.30"></a><var>360.30</var>    Sec. 36. <b>[525A.07] REFUSAL TO MAKE ANATOMICAL GIFT; EFFECT OF </b><br/>
<a id="pl.360.31"></a><var>360.31</var><b>REFUSAL.</b><br/>
<a id="pl.360.32"></a><var>360.32</var>    (a) An individual may refuse to make an anatomical gift of the individual's body <br/>
<a id="pl.360.33"></a><var>360.33</var>or part by:<br/>
<a id="pl.360.34"></a><var>360.34</var>    (1) a record signed by:<br/>
<a id="pl.361.1"></a><var>361.1</var>    (i) the individual; or<br/>
<a id="pl.361.2"></a><var>361.2</var>    (ii) subject to paragraph (b), another individual acting at the direction of the <br/>
<a id="pl.361.3"></a><var>361.3</var>individual if the individual is physically unable to sign;<br/>
<a id="pl.361.4"></a><var>361.4</var>    (2) the individual's will, whether or not the will is admitted to probate or invalidated <br/>
<a id="pl.361.5"></a><var>361.5</var>after the individual's death; or<br/>
<a id="pl.361.6"></a><var>361.6</var>    (3) any form of communication made by the individual during the individual's <br/>
<a id="pl.361.7"></a><var>361.7</var>terminal illness or injury addressed to at least two adults, at least one of whom is a <br/>
<a id="pl.361.8"></a><var>361.8</var>disinterested witness.<br/>
<a id="pl.361.9"></a><var>361.9</var>    (b) A record signed pursuant to paragraph (a), clause (1), item (ii), must:<br/>
<a id="pl.361.10"></a><var>361.10</var>    (1) be witnessed by at least two adults, at least one of whom is a disinterested <br/>
<a id="pl.361.11"></a><var>361.11</var>witness, who have signed at the request of the individual; and<br/>
<a id="pl.361.12"></a><var>361.12</var>    (2) state that it has been signed and witnessed as provided in clause (1).<br/>
<a id="pl.361.13"></a><var>361.13</var>    (c) An individual who has made a refusal may amend or revoke the refusal:<br/>
<a id="pl.361.14"></a><var>361.14</var>    (1) in the manner provided in paragraph (a) for making a refusal;<br/>
<a id="pl.361.15"></a><var>361.15</var>    (2) by subsequently making an anatomical gift pursuant to section 525A.05 that is <br/>
<a id="pl.361.16"></a><var>361.16</var>inconsistent with the refusal; or<br/>
<a id="pl.361.17"></a><var>361.17</var>    (3) by destroying or canceling the record evidencing the refusal, or the portion of the <br/>
<a id="pl.361.18"></a><var>361.18</var>record used to make the refusal, with the intent to revoke the refusal.<br/>
<a id="pl.361.19"></a><var>361.19</var>    (d) Except as otherwise provided in section 525A.08, paragraph (h), in the absence <br/>
<a id="pl.361.20"></a><var>361.20</var>of an express, contrary indication by the individual set forth in the refusal, an individual's <br/>
<a id="pl.361.21"></a><var>361.21</var>unrevoked refusal to make an anatomical gift of the individual's body or part bars all other <br/>
<a id="pl.361.22"></a><var>361.22</var>persons from making an anatomical gift of the individual's body or part.<br/>
<br/>
<a id="bill.7.37.0"></a><a id="pl.361.23"></a><var>361.23</var>    Sec. 37. <b>[525A.08] PRECLUSIVE EFFECT OF ANATOMICAL GIFT, </b><br/>
<a id="pl.361.24"></a><var>361.24</var><b>AMENDMENT, OR REVOCATION.</b><br/>
<a id="pl.361.25"></a><var>361.25</var>    (a) Except as otherwise provided in paragraph (g) and subject to paragraph (f), in the <br/>
<a id="pl.361.26"></a><var>361.26</var>absence of an express, contrary indication by the donor, a person other than the donor is <br/>
<a id="pl.361.27"></a><var>361.27</var>barred from making, amending, or revoking an anatomical gift of a donor's body or part if <br/>
<a id="pl.361.28"></a><var>361.28</var>the donor made an anatomical gift of the donor's body or part under section 525A.05 or an <br/>
<a id="pl.361.29"></a><var>361.29</var>amendment to an anatomical gift of the donor's body or part under section 525A.06. An <br/>
<a id="pl.361.30"></a><var>361.30</var>anatomical gift made in a will, a designation on a driver's license or identification card, or <br/>
<a id="pl.361.31"></a><var>361.31</var>a health care directive under chapter 145C, and not revoked, establishes the intent of the <br/>
<a id="pl.361.32"></a><var>361.32</var>person making the designation and may not be overridden by any other person.<br/>
<a id="pl.361.33"></a><var>361.33</var>    (b) A donor's revocation of an anatomical gift of the donor's body or part under <br/>
<a id="pl.361.34"></a><var>361.34</var>section 525A.06 is not a refusal and does not bar another person specified in section <br/>
<a id="pl.362.1"></a><var>362.1</var>525A.04 or 525A.09 from making an anatomical gift of the donor's body or part under <br/>
<a id="pl.362.2"></a><var>362.2</var>section 525A.05 or 525A.10.<br/>
<a id="pl.362.3"></a><var>362.3</var>    (c) If a person other than the donor makes an unrevoked anatomical gift of the <br/>
<a id="pl.362.4"></a><var>362.4</var>donor's body or part under section 525A.05 or an amendment to an anatomical gift of the <br/>
<a id="pl.362.5"></a><var>362.5</var>donor's body or part under section 525A.06, another person may not make, amend, or <br/>
<a id="pl.362.6"></a><var>362.6</var>revoke the gift of the donor's body or part under section 525A.10.<br/>
<a id="pl.362.7"></a><var>362.7</var>    (d) A revocation of an anatomical gift of a donor's body or part under section <br/>
<a id="pl.362.8"></a><var>362.8</var>525A.06 by a person other than the donor does not bar another person from making an <br/>
<a id="pl.362.9"></a><var>362.9</var>anatomical gift of the body or part under section 525A.05 or 525A.10.<br/>
<a id="pl.362.10"></a><var>362.10</var>    (e) In the absence of an express, contrary indication by the donor or other person <br/>
<a id="pl.362.11"></a><var>362.11</var>authorized to make an anatomical gift under section 525A.04, an anatomical gift of a part <br/>
<a id="pl.362.12"></a><var>362.12</var>is neither a refusal to give another part nor a limitation on the making of an anatomical gift <br/>
<a id="pl.362.13"></a><var>362.13</var>of another part at a later time by the donor or another person.<br/>
<a id="pl.362.14"></a><var>362.14</var>    (f) In the absence of an express, contrary indication by the donor or other person <br/>
<a id="pl.362.15"></a><var>362.15</var>authorized to make an anatomical gift under section 525A.04, an anatomical gift of a <br/>
<a id="pl.362.16"></a><var>362.16</var>part for one or  more of the purposes set forth in section 525A.04 is not a limitation on <br/>
<a id="pl.362.17"></a><var>362.17</var>the making of an anatomical gift of the part for any of the other purposes by the donor <br/>
<a id="pl.362.18"></a><var>362.18</var>or any other person under section 525A.05 or 525A.10.<br/>
<a id="pl.362.19"></a><var>362.19</var>    (g) If a donor who is an unemancipated minor dies, a parent of the donor who is <br/>
<a id="pl.362.20"></a><var>362.20</var>reasonably available may revoke or amend an anatomical gift of the donor's body or part.<br/>
<a id="pl.362.21"></a><var>362.21</var>    (h) If an unemancipated minor who signed a refusal dies, a parent of the minor who <br/>
<a id="pl.362.22"></a><var>362.22</var>is reasonably available may revoke the minor's refusal.<br/>
<br/>
<a id="bill.7.38.0"></a><a id="pl.362.23"></a><var>362.23</var>    Sec. 38. <b>[525A.09] WHO MAY MAKE ANATOMICAL GIFT OF DECEDENT'S </b><br/>
<a id="pl.362.24"></a><var>362.24</var><b>BODY OR PART.</b><br/>
<a id="pl.362.25"></a><var>362.25</var>    (a) Subject to paragraphs (b) and (c) and unless barred by section 525A.07 or <br/>
<a id="pl.362.26"></a><var>362.26</var>525A.08, an anatomical gift of a decedent's body or part for the purpose of transplantation, <br/>
<a id="pl.362.27"></a><var>362.27</var>therapy, research, or education may be made by any member of the following classes of <br/>
<a id="pl.362.28"></a><var>362.28</var>persons who is reasonably available, in the order of priority listed:<br/>
<a id="pl.362.29"></a><var>362.29</var>    (1) an agent of the decedent at the time of death who could have made an anatomical <br/>
<a id="pl.362.30"></a><var>362.30</var>gift under section 525A.04, clause (2), immediately before the decedent's death;<br/>
<a id="pl.362.31"></a><var>362.31</var>    (2) the spouse of the decedent;<br/>
<a id="pl.362.32"></a><var>362.32</var>    (3) adult children of the decedent;<br/>
<a id="pl.362.33"></a><var>362.33</var>    (4) parents of the decedent;<br/>
<a id="pl.362.34"></a><var>362.34</var>    (5) adult siblings of the decedent;<br/>
<a id="pl.362.35"></a><var>362.35</var>    (6) adult grandchildren of the decedent;<br/>
<a id="pl.363.1"></a><var>363.1</var>    (7) grandparents of the decedent;<br/>
<a id="pl.363.2"></a><var>363.2</var>    (8) an adult who exhibited special care and concern for the decedent;<br/>
<a id="pl.363.3"></a><var>363.3</var>    (9) the persons who were acting as the guardians of the person of the decedent <br/>
<a id="pl.363.4"></a><var>363.4</var>at the time of death; and <br/>
<a id="pl.363.5"></a><var>363.5</var>    (10) any other person having the authority to dispose of the decedent's body.<br/>
<a id="pl.363.6"></a><var>363.6</var>    (b) If there is more than one member of a class listed in paragraph (a), clause (1), <br/>
<a id="pl.363.7"></a><var>363.7</var>(3), (4), (5), (6), (7), or (9), entitled to make an anatomical gift, an anatomical gift may <br/>
<a id="pl.363.8"></a><var>363.8</var>be made by a member of the class unless that member or a person to which the gift may <br/>
<a id="pl.363.9"></a><var>363.9</var>pass under section 525A.11 knows of an objection by another member of the class. If <br/>
<a id="pl.363.10"></a><var>363.10</var>an objection is known, the gift may be made only by a majority of the members of the <br/>
<a id="pl.363.11"></a><var>363.11</var>class who are reasonably available.<br/>
<a id="pl.363.12"></a><var>363.12</var>    (c) A person may not make an anatomical gift if, at the time of the decedent's death, <br/>
<a id="pl.363.13"></a><var>363.13</var>a person in a prior class under paragraph (a) is reasonably available to make or to object to <br/>
<a id="pl.363.14"></a><var>363.14</var>the making of an anatomical gift.<br/>
<br/>
<a id="bill.7.39.0"></a><a id="pl.363.15"></a><var>363.15</var>    Sec. 39. <b>[525A.10] MANNER OF MAKING, AMENDING, OR REVOKING </b><br/>
<a id="pl.363.16"></a><var>363.16</var><b>ANATOMICAL GIFT OF DECEDENT'S BODY OR PART.</b><br/>
<a id="pl.363.17"></a><var>363.17</var>    (a) A person authorized to make an anatomical gift under section 525A.09 may <br/>
<a id="pl.363.18"></a><var>363.18</var>make an anatomical gift by a document of gift signed by the person making the gift or by <br/>
<a id="pl.363.19"></a><var>363.19</var>that person's oral communication that is electronically recorded or is contemporaneously <br/>
<a id="pl.363.20"></a><var>363.20</var>reduced to a record and signed by the individual receiving the oral communication.<br/>
<a id="pl.363.21"></a><var>363.21</var>    (b) Subject to paragraph (c), an anatomical gift by a person authorized under section <br/>
<a id="pl.363.22"></a><var>363.22</var>525A.09 may be amended or revoked orally or in a record by any member of a prior class <br/>
<a id="pl.363.23"></a><var>363.23</var>who is reasonably available. If more than one member of the prior class is reasonably <br/>
<a id="pl.363.24"></a><var>363.24</var>available, the gift made by a person authorized under section 525A.09 may be:<br/>
<a id="pl.363.25"></a><var>363.25</var>    (1) amended only if a majority of the reasonably available members agree to the <br/>
<a id="pl.363.26"></a><var>363.26</var>amending of the gift; or<br/>
<a id="pl.363.27"></a><var>363.27</var>    (2) revoked only if a majority of the reasonably available members agree to the <br/>
<a id="pl.363.28"></a><var>363.28</var>revoking of the gift or if they are equally divided as to whether to revoke the gift.<br/>
<a id="pl.363.29"></a><var>363.29</var>    (c) A revocation under paragraph (b) is effective only if, before an incision has been <br/>
<a id="pl.363.30"></a><var>363.30</var>made to remove a part from the donor's body or before invasive procedures have begun to <br/>
<a id="pl.363.31"></a><var>363.31</var>prepare the recipient, the procurement organization, transplant hospital, or physician or <br/>
<a id="pl.363.32"></a><var>363.32</var>technician knows of the revocation.<br/>
<br/>
<a id="bill.7.40.0"></a><a id="pl.363.33"></a><var>363.33</var>    Sec. 40. <b>[525A.11] PERSONS THAT MAY RECEIVE ANATOMICAL GIFT; </b><br/>
<a id="pl.363.34"></a><var>363.34</var><b>PURPOSE OF ANATOMICAL GIFT.</b><br/>
<a id="pl.364.1"></a><var>364.1</var>    (a) An anatomical gift may be made to the following persons named in the document <br/>
<a id="pl.364.2"></a><var>364.2</var>of gift:<br/>
<a id="pl.364.3"></a><var>364.3</var>    (1) a hospital; accredited medical school, dental school, college, or university; organ <br/>
<a id="pl.364.4"></a><var>364.4</var>procurement organization; or nonprofit organization in medical education or research, <br/>
<a id="pl.364.5"></a><var>364.5</var>for research or education;<br/>
<a id="pl.364.6"></a><var>364.6</var>    (2) subject to paragraph (b), an individual designated by the person making the <br/>
<a id="pl.364.7"></a><var>364.7</var>anatomical gift if the individual is the recipient of the part; and <br/>
<a id="pl.364.8"></a><var>364.8</var>    (3) an eye bank or tissue bank.<br/>
<a id="pl.364.9"></a><var>364.9</var>    (b) If an anatomical gift to an individual under paragraph (a), clause (2), cannot be <br/>
<a id="pl.364.10"></a><var>364.10</var>transplanted into the individual, the part passes in accordance with paragraph (g) in the <br/>
<a id="pl.364.11"></a><var>364.11</var>absence of an express, contrary indication by the person making the anatomical gift.<br/>
<a id="pl.364.12"></a><var>364.12</var>    (c) If an anatomical gift of one or more specific parts or of all parts is made in a <br/>
<a id="pl.364.13"></a><var>364.13</var>document of gift that does not name a person described in paragraph (a) but identifies the <br/>
<a id="pl.364.14"></a><var>364.14</var>purpose for which an anatomical gift may be used, the following rules apply:<br/>
<a id="pl.364.15"></a><var>364.15</var>    (1) if the part is an eye and the gift is for the purpose of transplantation or therapy, <br/>
<a id="pl.364.16"></a><var>364.16</var>the gift passes to the appropriate eye bank;<br/>
<a id="pl.364.17"></a><var>364.17</var>    (2) if the part is tissue and the gift is for the purpose of transplantation or therapy, the <br/>
<a id="pl.364.18"></a><var>364.18</var>gift passes to the appropriate tissue bank;<br/>
<a id="pl.364.19"></a><var>364.19</var>    (3) if the part is an organ and the gift is for the purpose of transplantation or therapy, <br/>
<a id="pl.364.20"></a><var>364.20</var>the gift passes to the appropriate organ procurement organization as custodian of the <br/>
<a id="pl.364.21"></a><var>364.21</var>organ; and<br/>
<a id="pl.364.22"></a><var>364.22</var>    (4) if the part is an organ, an eye, or tissue and the gift is for the purpose of research <br/>
<a id="pl.364.23"></a><var>364.23</var>or education, the gift passes to the appropriate procurement organization.<br/>
<a id="pl.364.24"></a><var>364.24</var>    (d) For the purpose of paragraph (c), if there is more than one purpose of an <br/>
<a id="pl.364.25"></a><var>364.25</var>anatomical gift set forth in the document of gift but the purposes are not set forth in any <br/>
<a id="pl.364.26"></a><var>364.26</var>priority, the gift must be used for transplantation or therapy, if suitable. If the gift cannot <br/>
<a id="pl.364.27"></a><var>364.27</var>be used for transplantation or therapy, the gift may be used for research or education. <br/>
<a id="pl.364.28"></a><var>364.28</var>    (e) If an anatomical gift of one or more specific parts is made in a document of gift <br/>
<a id="pl.364.29"></a><var>364.29</var>that does not name a person described in paragraph (a) and does not identify the purpose <br/>
<a id="pl.364.30"></a><var>364.30</var>of the gift, the gift may be used only for transplantation or therapy, and the gift passes in <br/>
<a id="pl.364.31"></a><var>364.31</var>accordance with paragraph (g).<br/>
<a id="pl.364.32"></a><var>364.32</var>    (f) If a document of gift specifies only a general intent to make an anatomical gift <br/>
<a id="pl.364.33"></a><var>364.33</var>by words such as "donor," "organ donor," or "body donor," or by a symbol or statement <br/>
<a id="pl.364.34"></a><var>364.34</var>of similar import, the gift may be used only for transplantation or therapy, and the gift <br/>
<a id="pl.364.35"></a><var>364.35</var>passes in accordance with paragraph (g).<br/>
<a id="pl.364.36"></a><var>364.36</var>    (g) For purposes of paragraphs (b), (e), and (f), the following rules apply:<br/>
<a id="pl.365.1"></a><var>365.1</var>    (1) if the part is an eye, the gift passes to the appropriate eye bank;<br/>
<a id="pl.365.2"></a><var>365.2</var>    (2) if the part is tissue, the gift passes to the appropriate tissue bank; and<br/>
<a id="pl.365.3"></a><var>365.3</var>    (3) if the part is an organ, the gift passes to the appropriate organ procurement <br/>
<a id="pl.365.4"></a><var>365.4</var>organization as custodian of the organ.<br/>
<a id="pl.365.5"></a><var>365.5</var>    (h) An anatomical gift of an organ for transplantation or therapy, other than <br/>
<a id="pl.365.6"></a><var>365.6</var>an anatomical gift under paragraph (a), clause (2), passes to the organ procurement <br/>
<a id="pl.365.7"></a><var>365.7</var>organization as custodian of the organ.<br/>
<a id="pl.365.8"></a><var>365.8</var>    (i) If an anatomical gift does not pass pursuant to paragraphs (a) to (h) or the <br/>
<a id="pl.365.9"></a><var>365.9</var>decedent's body or part is not used for transplantation, therapy, research, or education, <br/>
<a id="pl.365.10"></a><var>365.10</var>custody of the body or part passes to the person under obligation to dispose of the body or <br/>
<a id="pl.365.11"></a><var>365.11</var>part.<br/>
<a id="pl.365.12"></a><var>365.12</var>    (j) A person may not accept an anatomical gift if the person knows that the gift was <br/>
<a id="pl.365.13"></a><var>365.13</var>not effectively made under section 525A.05 or 525A.10 or if the person knows that the <br/>
<a id="pl.365.14"></a><var>365.14</var>decedent made a refusal under section 525A.07 that was not revoked. For purposes of <br/>
<a id="pl.365.15"></a><var>365.15</var>this paragraph, if a person knows that an anatomical gift was made on a document of gift, <br/>
<a id="pl.365.16"></a><var>365.16</var>the person is deemed to know of any amendment or revocation of the gift or any refusal <br/>
<a id="pl.365.17"></a><var>365.17</var>to make an anatomical gift on the same document of gift.<br/>
<a id="pl.365.18"></a><var>365.18</var>    (k) Except as otherwise provided in paragraph (a), clause (2), nothing in this chapter <br/>
<a id="pl.365.19"></a><var>365.19</var>affects the allocation of organs for transplantation or therapy.<br/>
<br/>
<a id="bill.7.41.0"></a><a id="pl.365.20"></a><var>365.20</var>    Sec. 41. <b>[525A.12] SEARCH AND NOTIFICATION.</b><br/>
<a id="pl.365.21"></a><var>365.21</var>    (a) The following persons shall make a reasonable search of an individual who <br/>
<a id="pl.365.22"></a><var>365.22</var>the person reasonably believes is dead or near death for a document of gift or other <br/>
<a id="pl.365.23"></a><var>365.23</var>information identifying the individual as a donor or as an individual who made a refusal:<br/>
<a id="pl.365.24"></a><var>365.24</var>    (1) a law enforcement officer, firefighter, paramedic, or other emergency rescuer <br/>
<a id="pl.365.25"></a><var>365.25</var>finding the individual; and<br/>
<a id="pl.365.26"></a><var>365.26</var>    (2) if no other source of the information is immediately available, a hospital, as soon <br/>
<a id="pl.365.27"></a><var>365.27</var>as practical after the individual's arrival at the hospital.<br/>
<a id="pl.365.28"></a><var>365.28</var>    (b) If a document of gift or a refusal to make an anatomical gift is located by the <br/>
<a id="pl.365.29"></a><var>365.29</var>search required by paragraph (a), clause (1), and the individual or deceased individual to <br/>
<a id="pl.365.30"></a><var>365.30</var>whom it relates is taken to a hospital, the person responsible for conducting the search <br/>
<a id="pl.365.31"></a><var>365.31</var>shall send the document of gift or refusal to the hospital. If a body is transferred to <br/>
<a id="pl.365.32"></a><var>365.32</var>the custody of the medical examiner, the person who discovered the body must notify <br/>
<a id="pl.365.33"></a><var>365.33</var>the person's dispatcher. A dispatcher notified under this section must notify the state's <br/>
<a id="pl.365.34"></a><var>365.34</var>federally designated organ procurement organization and inform the organization of the <br/>
<a id="pl.365.35"></a><var>365.35</var>deceased's name, donor status, and location.<br/>
<a id="pl.366.1"></a><var>366.1</var>    (c) A person is not subject to criminal or civil liability for failing to discharge the <br/>
<a id="pl.366.2"></a><var>366.2</var>duties imposed by this section but may be subject to administrative sanctions.<br/>
<br/>
<a id="bill.7.42.0"></a><a id="pl.366.3"></a><var>366.3</var>    Sec. 42. <b>[525A.13] DELIVERY OF DOCUMENT OF GIFT NOT REQUIRED; </b><br/>
<a id="pl.366.4"></a><var>366.4</var><b>RIGHT TO EXAMINE.</b><br/>
<a id="pl.366.5"></a><var>366.5</var>    (a) A document of gift need not be delivered during the donor's lifetime to be <br/>
<a id="pl.366.6"></a><var>366.6</var>effective.<br/>
<a id="pl.366.7"></a><var>366.7</var>    (b) Upon or after an individual's death, a person in possession of a document of <br/>
<a id="pl.366.8"></a><var>366.8</var>gift or a refusal to make an anatomical gift with respect to the individual shall allow <br/>
<a id="pl.366.9"></a><var>366.9</var>examination and copying of the document of gift or refusal by a person authorized to <br/>
<a id="pl.366.10"></a><var>366.10</var>make or object to the making of an anatomical gift with respect to the individual or by a <br/>
<a id="pl.366.11"></a><var>366.11</var>person to which the gift could pass under section 525A.11.<br/>
<br/>
<a id="bill.7.43.0"></a><a id="pl.366.12"></a><var>366.12</var>    Sec. 43. <b>[525A.14] RIGHTS AND DUTIES OF PROCUREMENT </b><br/>
<a id="pl.366.13"></a><var>366.13</var><b>ORGANIZATION AND OTHERS.</b><br/>
<a id="pl.366.14"></a><var>366.14</var>    (a) When a hospital refers an individual at or near death to a procurement <br/>
<a id="pl.366.15"></a><var>366.15</var>organization, the organization shall make a reasonable search of the records of the <br/>
<a id="pl.366.16"></a><var>366.16</var>Department of Public Safety and any donor registry that it knows exists for the <br/>
<a id="pl.366.17"></a><var>366.17</var>geographical area in which the individual resides to ascertain whether the individual has <br/>
<a id="pl.366.18"></a><var>366.18</var>made an anatomical gift.<br/>
<a id="pl.366.19"></a><var>366.19</var>    (b) A procurement organization must be allowed reasonable access to information <br/>
<a id="pl.366.20"></a><var>366.20</var>in the records of the Department of Public Safety to ascertain whether an individual at <br/>
<a id="pl.366.21"></a><var>366.21</var>or near death is a donor.<br/>
<a id="pl.366.22"></a><var>366.22</var>    (c) When a hospital refers an individual at or near death to a procurement <br/>
<a id="pl.366.23"></a><var>366.23</var>organization, the organization may conduct any reasonable examination necessary to <br/>
<a id="pl.366.24"></a><var>366.24</var>ensure the medical suitability of a part that is or could be the subject of an anatomical gift <br/>
<a id="pl.366.25"></a><var>366.25</var>for transplantation, therapy, research, or education from a donor or a prospective donor. <br/>
<a id="pl.366.26"></a><var>366.26</var>During the examination period, measures necessary to ensure the medical suitability of the <br/>
<a id="pl.366.27"></a><var>366.27</var>part may not be withdrawn unless the hospital or procurement organization knows that <br/>
<a id="pl.366.28"></a><var>366.28</var>the individual expressed a contrary intent.<br/>
<a id="pl.366.29"></a><var>366.29</var>    (d) Unless prohibited by law other than this chapter, at any time after a donor's death, <br/>
<a id="pl.366.30"></a><var>366.30</var>the person to which a part passes under section 525A.11 may conduct any reasonable <br/>
<a id="pl.366.31"></a><var>366.31</var>examination necessary to ensure the medical suitability of the body or part for its intended <br/>
<a id="pl.366.32"></a><var>366.32</var>purpose.<br/>
<a id="pl.367.1"></a><var>367.1</var>    (e) Unless prohibited by law other than this chapter, an examination under paragraph <br/>
<a id="pl.367.2"></a><var>367.2</var>(c) or (d) may include an examination of all medical and dental records of the donor or <br/>
<a id="pl.367.3"></a><var>367.3</var>prospective donor.<br/>
<a id="pl.367.4"></a><var>367.4</var>    (f) Upon the death of a minor who was a donor or had signed a refusal, unless a <br/>
<a id="pl.367.5"></a><var>367.5</var>procurement organization knows the minor is emancipated, the procurement organization <br/>
<a id="pl.367.6"></a><var>367.6</var>shall conduct a reasonable search for the parents of the minor and provide the parents with <br/>
<a id="pl.367.7"></a><var>367.7</var>an opportunity to revoke or amend the anatomical gift or revoke the refusal.<br/>
<a id="pl.367.8"></a><var>367.8</var>    (g) Upon referral by a hospital under paragraph (a), a procurement organization shall <br/>
<a id="pl.367.9"></a><var>367.9</var>make a reasonable search for any person listed in section 525A.09 having priority to make <br/>
<a id="pl.367.10"></a><var>367.10</var>an anatomical gift on behalf of a prospective donor. If a procurement organization receives <br/>
<a id="pl.367.11"></a><var>367.11</var>information that an anatomical gift to any other person was made, amended, or revoked, it <br/>
<a id="pl.367.12"></a><var>367.12</var>shall promptly advise the other person of all relevant information.<br/>
<a id="pl.367.13"></a><var>367.13</var>    (h) Subject to sections 525A.11, paragraph (i), and 525A.23, the rights of the person <br/>
<a id="pl.367.14"></a><var>367.14</var>to which a part passes under section 525A.11 are superior to the rights of all others with <br/>
<a id="pl.367.15"></a><var>367.15</var>respect to the part. The person may accept or reject an anatomical gift in whole or in part. <br/>
<a id="pl.367.16"></a><var>367.16</var>Subject to the terms of the document of gift and this chapter, a person that accepts an <br/>
<a id="pl.367.17"></a><var>367.17</var>anatomical gift of an entire body may allow embalming, burial, or cremation, and use of <br/>
<a id="pl.367.18"></a><var>367.18</var>remains in a funeral service. If the gift is of a part, the person to which the part passes <br/>
<a id="pl.367.19"></a><var>367.19</var>under section 525A.11, upon the death of the donor and before embalming, burial, or <br/>
<a id="pl.367.20"></a><var>367.20</var>cremation, shall cause the part to be removed without unnecessary mutilation.<br/>
<a id="pl.367.21"></a><var>367.21</var>    (i) Neither the physician who attends the decedent at death nor the physician who <br/>
<a id="pl.367.22"></a><var>367.22</var>determines the time of the decedent's death may participate in the procedures for removing <br/>
<a id="pl.367.23"></a><var>367.23</var>or transplanting a part from the decedent.<br/>
<a id="pl.367.24"></a><var>367.24</var>    (j) A physician or technician may remove a donated part from the body of a donor <br/>
<a id="pl.367.25"></a><var>367.25</var>that the physician or technician is qualified to remove.<br/>
<br/>
<a id="bill.7.44.0"></a><a id="pl.367.26"></a><var>367.26</var>    Sec. 44. <b>[525A.15] COORDINATION OF PROCUREMENT AND USE.</b><br/>
<a id="pl.367.27"></a><var>367.27</var>    Each hospital in this state shall enter into agreements or affiliations with procurement <br/>
<a id="pl.367.28"></a><var>367.28</var>organizations for coordination of procurement and use of anatomical gifts.<br/>
<br/>
<a id="bill.7.45.0"></a><a id="pl.367.29"></a><var>367.29</var>    Sec. 45. <b>[525A.16] SALE OR PURCHASE OF PARTS PROHIBITED; FELONY.</b><br/>
<a id="pl.367.30"></a><var>367.30</var>    (a) Except as otherwise provided in paragraph (b), a person that, for valuable <br/>
<a id="pl.367.31"></a><var>367.31</var>consideration, knowingly purchases or sells a part for transplantation or therapy if removal <br/>
<a id="pl.367.32"></a><var>367.32</var>of a part from an individual is intended to occur after the individual's death, commits a <br/>
<a id="pl.367.33"></a><var>367.33</var>felony and upon conviction is subject to a fine not exceeding $10,000 or imprisonment <br/>
<a id="pl.367.34"></a><var>367.34</var>not exceeding five years, or both.<br/>
<a id="pl.368.1"></a><var>368.1</var>    (b) A person may charge a reasonable amount for the removal, processing, <br/>
<a id="pl.368.2"></a><var>368.2</var>preservation, quality control, storage, transportation, implantation, or disposal of a part.<br/>
<br/>
<a id="bill.7.46.0"></a><a id="pl.368.3"></a><var>368.3</var>    Sec. 46. <b>[525A.17] PROHIBITED ACTS; FELONY.</b><br/>
<a id="pl.368.4"></a><var>368.4</var>    A person that, in order to obtain a financial gain, intentionally falsifies, forges, <br/>
<a id="pl.368.5"></a><var>368.5</var>conceals, defaces, or obliterates a document of gift, an amendment or revocation of a <br/>
<a id="pl.368.6"></a><var>368.6</var>document of gift, or a refusal commits a felony and upon conviction is subject to a fine not <br/>
<a id="pl.368.7"></a><var>368.7</var>exceeding $10,000 or imprisonment not exceeding five years, or both.<br/>
<br/>
<a id="bill.7.47.0"></a><a id="pl.368.8"></a><var>368.8</var>    Sec. 47. <b>[525A.18] IMMUNITY.</b><br/>
<a id="pl.368.9"></a><var>368.9</var>    (a) A person that acts in accordance with this chapter or with the applicable <br/>
<a id="pl.368.10"></a><var>368.10</var>anatomical gift law of another state, or attempts in good faith to do so, is not liable for the <br/>
<a id="pl.368.11"></a><var>368.11</var>act in a civil action, criminal prosecution, or administrative proceeding.<br/>
<a id="pl.368.12"></a><var>368.12</var>    (b) Neither the person making an anatomical gift nor the donor's estate is liable for <br/>
<a id="pl.368.13"></a><var>368.13</var>any injury or damage that results from the making or use of the gift.<br/>
<a id="pl.368.14"></a><var>368.14</var>    (c) In determining whether an anatomical gift has been made, amended, or revoked <br/>
<a id="pl.368.15"></a><var>368.15</var>under this chapter, a person may rely upon representations of an individual listed in <br/>
<a id="pl.368.16"></a><var>368.16</var>section 525A.09, paragraph (a), clause (2), (3), (4), (5), (6), (7), or (8), relating to the <br/>
<a id="pl.368.17"></a><var>368.17</var>individual's relationship to the donor or prospective donor unless the person knows that <br/>
<a id="pl.368.18"></a><var>368.18</var>the representation is untrue.<br/>
<a id="pl.368.19"></a><var>368.19</var>    (d) An anatomical gift under this chapter is not a sale of goods as that term is defined <br/>
<a id="pl.368.20"></a><var>368.20</var>in section 336.2-105, paragraph (1), or the sale of a product.<br/>
<br/>
<a id="bill.7.48.0"></a><a id="pl.368.21"></a><var>368.21</var>    Sec. 48. <b>[525A.19] LAW GOVERNING VALIDITY; CHOICE OF LAW AS TO </b><br/>
<a id="pl.368.22"></a><var>368.22</var><b>EXECUTION OF DOCUMENT OF GIFT; PRESUMPTION OF VALIDITY.</b><br/>
<a id="pl.368.23"></a><var>368.23</var>    (a) A document of gift is valid if executed in accordance with:<br/>
<a id="pl.368.24"></a><var>368.24</var>    (1) this chapter;<br/>
<a id="pl.368.25"></a><var>368.25</var>    (2) the laws of the state or country where it was executed; or<br/>
<a id="pl.368.26"></a><var>368.26</var>    (3) the laws of the state or country where the person making the anatomical gift <br/>
<a id="pl.368.27"></a><var>368.27</var>was domiciled, has a place of residence, or was a national at the time the document of <br/>
<a id="pl.368.28"></a><var>368.28</var>gift was executed.<br/>
<a id="pl.368.29"></a><var>368.29</var>    (b) If a document of gift is valid under this section, the law of this state governs <br/>
<a id="pl.368.30"></a><var>368.30</var>the interpretation of the document of gift.<br/>
<a id="pl.368.31"></a><var>368.31</var>    (c) A person may presume that a document of gift or amendment of an anatomical <br/>
<a id="pl.368.32"></a><var>368.32</var>gift is valid unless that person knows that it was not validly executed or was revoked.<br/>
<br/>
<a id="bill.7.49.0"></a><a id="pl.369.1"></a><var>369.1</var>    Sec. 49. <b>[525A.20] DONOR REGISTRY.</b><br/>
<a id="pl.369.2"></a><var>369.2</var>    (a) The Department of Health may establish or contract for the establishment of a <br/>
<a id="pl.369.3"></a><var>369.3</var>donor registry.<br/>
<a id="pl.369.4"></a><var>369.4</var>    (b) The Department of Public Safety shall cooperate with a person that administers <br/>
<a id="pl.369.5"></a><var>369.5</var>any donor registry that this state establishes, contracts for, or recognizes for the purpose <br/>
<a id="pl.369.6"></a><var>369.6</var>of transferring to the donor registry all relevant information regarding a donor's making, <br/>
<a id="pl.369.7"></a><var>369.7</var>amendment to, or revocation of an anatomical gift.<br/>
<a id="pl.369.8"></a><var>369.8</var>    (c) A donor registry must:<br/>
<a id="pl.369.9"></a><var>369.9</var>    (1) allow a donor or other person authorized under section 525A.04 to include on <br/>
<a id="pl.369.10"></a><var>369.10</var>the donor registry a statement or symbol that the donor has made, amended, or revoked <br/>
<a id="pl.369.11"></a><var>369.11</var>an anatomical gift;<br/>
<a id="pl.369.12"></a><var>369.12</var>    (2) be accessible to a procurement organization to allow it to obtain relevant <br/>
<a id="pl.369.13"></a><var>369.13</var>information on the donor registry to determine, at or near death of the donor or a <br/>
<a id="pl.369.14"></a><var>369.14</var>prospective donor, whether the donor or prospective donor has made, amended, or revoked <br/>
<a id="pl.369.15"></a><var>369.15</var>an anatomical gift; and<br/>
<a id="pl.369.16"></a><var>369.16</var>    (3) be accessible, for purposes of clauses (1) and (2), seven days a week on a <br/>
<a id="pl.369.17"></a><var>369.17</var>24-hour basis.<br/>
<a id="pl.369.18"></a><var>369.18</var>    (d) Personally identifiable information on a donor registry about a donor or <br/>
<a id="pl.369.19"></a><var>369.19</var>prospective donor may not be used or disclosed without the express consent of the donor, <br/>
<a id="pl.369.20"></a><var>369.20</var>prospective donor, or person that made the anatomical gift for any purpose other than <br/>
<a id="pl.369.21"></a><var>369.21</var>to determine, at or near death of the donor or prospective donor, whether the donor or <br/>
<a id="pl.369.22"></a><var>369.22</var>prospective donor has made, amended, or revoked an anatomical gift.<br/>
<a id="pl.369.23"></a><var>369.23</var>    (e) This section does not prohibit any person from creating or maintaining a donor <br/>
<a id="pl.369.24"></a><var>369.24</var>registry that is not established by or under contract with the state. Any such registry <br/>
<a id="pl.369.25"></a><var>369.25</var>must comply with paragraphs (c) and (d).<br/>
<br/>
<a id="bill.7.50.0"></a><a id="pl.369.26"></a><var>369.26</var>    Sec. 50. <b>[525A.21] EFFECT OF ANATOMICAL GIFT ON ADVANCE HEALTH </b><br/>
<a id="pl.369.27"></a><var>369.27</var><b>CARE DIRECTIVE.</b><br/>
<a id="pl.369.28"></a><var>369.28</var>    (a) In this section:<br/>
<a id="pl.369.29"></a><var>369.29</var>    (1) "advance health care directive" means a power of attorney for health care <br/>
<a id="pl.369.30"></a><var>369.30</var>or a record signed by a prospective donor containing the prospective donor's direction <br/>
<a id="pl.369.31"></a><var>369.31</var>concerning a health care decision for the prospective donor;<br/>
<a id="pl.369.32"></a><var>369.32</var>    (2) "declaration" means a record signed by a prospective donor specifying the <br/>
<a id="pl.369.33"></a><var>369.33</var>circumstances under which a life support system may be withheld or withdrawn from <br/>
<a id="pl.369.34"></a><var>369.34</var>the prospective donor; and<br/>
<a id="pl.370.1"></a><var>370.1</var>    (3) "health care decision" means any decision made regarding the health care of the <br/>
<a id="pl.370.2"></a><var>370.2</var>prospective donor.<br/>
<a id="pl.370.3"></a><var>370.3</var>    (b) If a prospective donor has a declaration or advance health care directive, <br/>
<a id="pl.370.4"></a><var>370.4</var>measures necessary to ensure the medical suitability of an organ for transplantation <br/>
<a id="pl.370.5"></a><var>370.5</var>or therapy may not be withheld or withdrawn from the prospective donor, unless the <br/>
<a id="pl.370.6"></a><var>370.6</var>declaration expressly provides to the contrary.<br/>
<br/>
<a id="bill.7.51.0"></a><a id="pl.370.7"></a><var>370.7</var>    Sec. 51. <b>[525A.22] COOPERATION BETWEEN MEDICAL EXAMINER AND </b><br/>
<a id="pl.370.8"></a><var>370.8</var><b>PROCUREMENT ORGANIZATION.</b><br/>
<a id="pl.370.9"></a><var>370.9</var>    (a) A medical examiner shall cooperate with procurement organizations to maximize <br/>
<a id="pl.370.10"></a><var>370.10</var>the opportunity to recover anatomical gifts for the purpose of transplantation, therapy, <br/>
<a id="pl.370.11"></a><var>370.11</var>research, or education.<br/>
<a id="pl.370.12"></a><var>370.12</var>    (b) If a medical examiner receives notice from a procurement organization that an <br/>
<a id="pl.370.13"></a><var>370.13</var>anatomical gift might be available or was made with respect to a decedent whose body is <br/>
<a id="pl.370.14"></a><var>370.14</var>under the jurisdiction of the medical examiner and a postmortem examination is going to <br/>
<a id="pl.370.15"></a><var>370.15</var>be performed, unless the medical examiner denies recovery in accordance with section <br/>
<a id="pl.370.16"></a><var>370.16</var>525A.23, the medical examiner or designee shall conduct a postmortem examination of <br/>
<a id="pl.370.17"></a><var>370.17</var>the body or the part in a manner and within a period compatible with its preservation for <br/>
<a id="pl.370.18"></a><var>370.18</var>the purposes of the gift.<br/>
<a id="pl.370.19"></a><var>370.19</var>    (c) A part may not be removed from the body of a decedent under the jurisdiction <br/>
<a id="pl.370.20"></a><var>370.20</var>of a medical examiner for transplantation, therapy, research, or education unless the part <br/>
<a id="pl.370.21"></a><var>370.21</var>is the subject of an anatomical gift. The body of a decedent under the jurisdiction of the <br/>
<a id="pl.370.22"></a><var>370.22</var>medical examiner may not be delivered to a person for research or education unless the <br/>
<a id="pl.370.23"></a><var>370.23</var>body is the subject of an anatomical gift. This paragraph does not preclude a medical <br/>
<a id="pl.370.24"></a><var>370.24</var>examiner from performing the medicolegal investigation upon the body or parts of a <br/>
<a id="pl.370.25"></a><var>370.25</var>decedent under the jurisdiction of the medical examiner.<br/>
<br/>
<a id="bill.7.52.0"></a><a id="pl.370.26"></a><var>370.26</var>    Sec. 52. <b>[525A.23] FACILITATION OF ANATOMICAL GIFT FROM </b><br/>
<a id="pl.370.27"></a><var>370.27</var><b>DECEDENT WHOSE BODY IS UNDER JURISDICTION OF MEDICAL </b><br/>
<a id="pl.370.28"></a><var>370.28</var><b>EXAMINER.</b><br/>
<a id="pl.370.29"></a><var>370.29</var>    (a) Upon request of a procurement organization, a medical examiner shall release to <br/>
<a id="pl.370.30"></a><var>370.30</var>the procurement organization the name, contact information, and available medical and <br/>
<a id="pl.370.31"></a><var>370.31</var>social history of a decedent whose body is under the jurisdiction of the medical examiner. <br/>
<a id="pl.370.32"></a><var>370.32</var>If the decedent's body or part is medically suitable for transplantation, therapy, research, <br/>
<a id="pl.370.33"></a><var>370.33</var>or education, the medical examiner shall release postmortem examination results to <br/>
<a id="pl.370.34"></a><var>370.34</var>the procurement organization. The procurement organization may make a subsequent <br/>
<a id="pl.371.1"></a><var>371.1</var>disclosure of the postmortem examination results or other information received from the <br/>
<a id="pl.371.2"></a><var>371.2</var>medical examiner only if relevant to transplantation or therapy.<br/>
<a id="pl.371.3"></a><var>371.3</var>    (b) The medical examiner may conduct a medicolegal examination by reviewing <br/>
<a id="pl.371.4"></a><var>371.4</var>all medical records, laboratory test results, x-rays, other diagnostic results, and other <br/>
<a id="pl.371.5"></a><var>371.5</var>information that any person possesses about a donor or prospective donor whose body is <br/>
<a id="pl.371.6"></a><var>371.6</var>under the jurisdiction of the medical examiner which the medical examiner determines <br/>
<a id="pl.371.7"></a><var>371.7</var>may be relevant to the investigation.<br/>
<a id="pl.371.8"></a><var>371.8</var>    (c) A person that has any information requested by a medical examiner pursuant <br/>
<a id="pl.371.9"></a><var>371.9</var>to paragraph (b) shall provide that information as expeditiously as possible to allow the <br/>
<a id="pl.371.10"></a><var>371.10</var>medical examiner to conduct the medicolegal investigation within a period compatible <br/>
<a id="pl.371.11"></a><var>371.11</var>with the preservation of parts for the purpose of transplantation, therapy, research, or <br/>
<a id="pl.371.12"></a><var>371.12</var>education.<br/>
<a id="pl.371.13"></a><var>371.13</var>    (d) If an anatomical gift has been or might be made of a part of a decedent whose <br/>
<a id="pl.371.14"></a><var>371.14</var>body is under the jurisdiction of the medical examiner and a postmortem examination <br/>
<a id="pl.371.15"></a><var>371.15</var>is not required, or the medical examiner determines that a postmortem examination is <br/>
<a id="pl.371.16"></a><var>371.16</var>required but that the recovery of the part that is the subject of an anatomical gift will <br/>
<a id="pl.371.17"></a><var>371.17</var>not interfere with the examination, the medical examiner and procurement organization <br/>
<a id="pl.371.18"></a><var>371.18</var>shall cooperate in the timely removal of the part from the decedent for the purpose of <br/>
<a id="pl.371.19"></a><var>371.19</var>transplantation, therapy, research, or education.<br/>
<a id="pl.371.20"></a><var>371.20</var>    (e) If an anatomical gift of a part from the decedent under the jurisdiction of <br/>
<a id="pl.371.21"></a><var>371.21</var>the medical examiner has been or might be made, but the medical examiner initially <br/>
<a id="pl.371.22"></a><var>371.22</var>believes that the recovery of the part could interfere with the postmortem investigation <br/>
<a id="pl.371.23"></a><var>371.23</var>into the decedent's cause or manner of death, the medical examiner shall consult with <br/>
<a id="pl.371.24"></a><var>371.24</var>the procurement organization or physician or technician designated by the procurement <br/>
<a id="pl.371.25"></a><var>371.25</var>organization about the proposed recovery. After consultation, the medical examiner may <br/>
<a id="pl.371.26"></a><var>371.26</var>allow the recovery.<br/>
<a id="pl.371.27"></a><var>371.27</var>    (f) Following the consultation under paragraph (e), in the absence of mutually <br/>
<a id="pl.371.28"></a><var>371.28</var>agreed-upon protocols to resolve conflict between the medical examiner and the <br/>
<a id="pl.371.29"></a><var>371.29</var>procurement organization, if the medical examiner intends to deny recovery of an organ <br/>
<a id="pl.371.30"></a><var>371.30</var>for transplantation, the medical examiner or designee, at the request of the procurement <br/>
<a id="pl.371.31"></a><var>371.31</var>organization, shall attend the removal procedure for the part before making a final <br/>
<a id="pl.371.32"></a><var>371.32</var>determination not to allow the procurement organization to recover the part. During <br/>
<a id="pl.371.33"></a><var>371.33</var>the removal procedure, the medical examiner or designee may allow recovery by the <br/>
<a id="pl.371.34"></a><var>371.34</var>procurement organization to proceed, or, if the medical examiner or designee reasonably <br/>
<a id="pl.371.35"></a><var>371.35</var>believes that the part may be involved in determining the decedent's cause or manner of <br/>
<a id="pl.371.36"></a><var>371.36</var>death, deny recovery by the procurement organization.<br/>
<a id="pl.372.1"></a><var>372.1</var>    (g) If the medical examiner or designee denies recovery under paragraph (f), the <br/>
<a id="pl.372.2"></a><var>372.2</var>medical examiner or designee shall:<br/>
<a id="pl.372.3"></a><var>372.3</var>    (1) explain in a record the specific reasons for not allowing recovery of the part;<br/>
<a id="pl.372.4"></a><var>372.4</var>    (2) include the specific reasons in the records of the medical examiner; and<br/>
<a id="pl.372.5"></a><var>372.5</var>    (3) provide a record with the specific reasons to the procurement organization.<br/>
<a id="pl.372.6"></a><var>372.6</var>    (h) If the medical examiner or designee allows recovery of a part under paragraph <br/>
<a id="pl.372.7"></a><var>372.7</var>(d), (e), or (f), the procurement organization, upon request, shall cause the physician <br/>
<a id="pl.372.8"></a><var>372.8</var>or technician who removes the part to provide the medical examiner with a record <br/>
<a id="pl.372.9"></a><var>372.9</var>describing the condition of the part, a biopsy, a photograph, and any other information and <br/>
<a id="pl.372.10"></a><var>372.10</var>observations that would assist in the postmortem examination.<br/>
<a id="pl.372.11"></a><var>372.11</var>    (i) If a medical examiner or designee is required to be present at a removal procedure <br/>
<a id="pl.372.12"></a><var>372.12</var>under paragraph (f), upon request the procurement organization requesting the recovery <br/>
<a id="pl.372.13"></a><var>372.13</var>of the part shall reimburse the medical examiner or designee for the additional costs <br/>
<a id="pl.372.14"></a><var>372.14</var>incurred in complying with paragraph (f).<br/>
<br/>
<a id="bill.7.53.0"></a><a id="pl.372.15"></a><var>372.15</var>    Sec. 53. <b>[525A.24] RELATION TO ELECTRONIC SIGNATURES IN GLOBAL </b><br/>
<a id="pl.372.16"></a><var>372.16</var><b>AND NATIONAL COMMERCE ACT.</b><br/>
<a id="pl.372.17"></a><var>372.17</var>    This chapter modifies, limits, and supersedes the Electronic Signatures in Global and <br/>
<a id="pl.372.18"></a><var>372.18</var>National Commerce Act, United States Code, title 15, section 7001 et seq., but does not <br/>
<a id="pl.372.19"></a><var>372.19</var>modify, limit, or supersede section 101(a) of that act, United States Code, title 15, section <br/>
<a id="pl.372.20"></a><var>372.20</var>7001, or authorize electronic delivery of any of the notices described in section 103(b) <br/>
<a id="pl.372.21"></a><var>372.21</var>of that act, United States Code, title 15, section 7003(b).<br/>
<br/>
<a id="bill.7.54.0"></a><a id="pl.372.22"></a><var>372.22</var>    Sec. 54. Laws 2005, chapter 98, article 3, section 25, is amended to read:<br/>
<a id="pl.372.23"></a><var>372.23</var>    Sec. 25. <b>REPEALER.</b><br/>
<a id="pl.372.24"></a><var>372.24</var>    Minnesota Statutes 2004, sections 
         <statute_ref>245.713</statute_ref>, subdivisions 2 and subdivision 4; <br/>
<statute_ref><a id="pl.372.25"></a><var>372.25</var>245.716
         </statute_ref>; and 
         <statute_ref>626.5551, subdivision 4</statute_ref>, are repealed.<br/>
<a id="pl.372.26"></a><var>372.26</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from August 1, 2005.<br/>
<br/>
<a id="bill.7.55.0"></a><a id="pl.372.27"></a><var>372.27</var>    Sec. 55. <b>SOBER HOUSES.</b><br/>
<a id="pl.372.28"></a><var>372.28</var>    Subdivision 1. <b>Sober house defined.</b> For purposes of this section, a "sober house" <br/>
<a id="pl.372.29"></a><var>372.29</var>means a cooperative living residence that:<br/>
<a id="pl.372.30"></a><var>372.30</var>    (1) provides temporary housing to persons with alcohol or other drug dependency <br/>
<a id="pl.372.31"></a><var>372.31</var>and abuse problems in exchange for compensation;<br/>
<a id="pl.372.32"></a><var>372.32</var>    (2) stipulates residents must abstain from using alcohol or drugs and meet other <br/>
<a id="pl.372.33"></a><var>372.33</var>requirements as a condition of living in the residence; and<br/>
<a id="pl.373.1"></a><var>373.1</var>    (3) does not provide counseling or treatment services to those residents within the <br/>
<a id="pl.373.2"></a><var>373.2</var>meaning of Minnesota Statutes, chapter 148C or 254A.<br/>
<a id="pl.373.3"></a><var>373.3</var>    Subd. 2. <b>Work group creation; membership.</b> The commissioner of human services <br/>
<a id="pl.373.4"></a><var>373.4</var>shall convene a sober house work group which is comprised of the following members:<br/>
<a id="pl.373.5"></a><var>373.5</var>    (1) sober house landlords;<br/>
<a id="pl.373.6"></a><var>373.6</var>    (2) sober house residents;<br/>
<a id="pl.373.7"></a><var>373.7</var>    (3) community members with knowledge of sober housing;<br/>
<a id="pl.373.8"></a><var>373.8</var>    (4) representatives of cities and counties;<br/>
<a id="pl.373.9"></a><var>373.9</var>    (5) a representative from the Department of Human Services, Chemical Health <br/>
<a id="pl.373.10"></a><var>373.10</var>Division;<br/>
<a id="pl.373.11"></a><var>373.11</var>    (6) a representative from the Department of Human Services, Licensing Division;<br/>
<a id="pl.373.12"></a><var>373.12</var>    (7) a representative of chemical dependency treatment providers; and<br/>
<a id="pl.373.13"></a><var>373.13</var>    (8) a representative from the Department of Health.<br/>
<a id="pl.373.14"></a><var>373.14</var>    Subd. 3. <b>Report.</b> The work group created in subdivision 2 is directed to study the <br/>
<a id="pl.373.15"></a><var>373.15</var>issue of sober houses in the state and determine whether state licensing or other regulation <br/>
<a id="pl.373.16"></a><var>373.16</var>of sober houses is appropriate. Based on findings of the work group, the commissioner of <br/>
<a id="pl.373.17"></a><var>373.17</var>human services shall submit a report of recommendations to the legislature by January <br/>
<a id="pl.373.18"></a><var>373.18</var>1, 2008.<br/>
<br/>
<a id="bill.7.56.0"></a><a id="pl.373.19"></a><var>373.19</var>    Sec. 56. <b>INTERPRETER SERVICES WORK GROUP.</b><br/>
<a id="pl.373.20"></a><var>373.20</var>    (a) The commissioner of health shall, in consultation with the commissioners of <br/>
<a id="pl.373.21"></a><var>373.21</var>commerce, human services, and employee relations, convene a work group to study the <br/>
<a id="pl.373.22"></a><var>373.22</var>provision of interpreter services to patients in medical and dental care settings. The work <br/>
<a id="pl.373.23"></a><var>373.23</var>group shall include one representative from each of the following groups:<br/>
<a id="pl.373.24"></a><var>373.24</var>    (1) consumers;<br/>
<a id="pl.373.25"></a><var>373.25</var>    (2) interpreters;<br/>
<a id="pl.373.26"></a><var>373.26</var>    (3) interpreter service providers or agencies;<br/>
<a id="pl.373.27"></a><var>373.27</var>    (4) health plan companies;<br/>
<a id="pl.373.28"></a><var>373.28</var>    (5) self-insured purchasers;<br/>
<a id="pl.373.29"></a><var>373.29</var>    (6) hospitals;<br/>
<a id="pl.373.30"></a><var>373.30</var>    (7) health care providers;<br/>
<a id="pl.373.31"></a><var>373.31</var>    (8) dental providers;<br/>
<a id="pl.373.32"></a><var>373.32</var>    (9) clinic administrators;<br/>
<a id="pl.373.33"></a><var>373.33</var>    (10) state agency staff from the Departments of Health, Human Services, and <br/>
<a id="pl.373.34"></a><var>373.34</var>Employee Relations;<br/>
<a id="pl.373.35"></a><var>373.35</var>    (11) Minnesota Registry of Interpreters for the Deaf;<br/>
<a id="pl.374.1"></a><var>374.1</var>    (12) local county social services agencies;<br/>
<a id="pl.374.2"></a><var>374.2</var>    (13) local public health agencies;<br/>
<a id="pl.374.3"></a><var>374.3</var>    (14) interpreting stakeholders group;<br/>
<a id="pl.374.4"></a><var>374.4</var>    (15) one interpreter trainer; and<br/>
<a id="pl.374.5"></a><var>374.5</var>    (16) one interpreter certification examiner.<br/>
<a id="pl.374.6"></a><var>374.6</var>    (b) The work group shall develop findings and recommendations on the following: <br/>
<a id="pl.374.7"></a><var>374.7</var>    (1) assuring access to interpreter services;<br/>
<a id="pl.374.8"></a><var>374.8</var>    (2) compliance with requirements of federal law and guidance;<br/>
<a id="pl.374.9"></a><var>374.9</var>    (3) developing a quality assurance program to ensure the quality of health care <br/>
<a id="pl.374.10"></a><var>374.10</var>interpreting services, including requirements for training and establishing a certification <br/>
<a id="pl.374.11"></a><var>374.11</var>process; and <br/>
<a id="pl.374.12"></a><var>374.12</var>    (4) identifying broad-based funding mechanisms for interpreter services.<br/>
<a id="pl.374.13"></a><var>374.13</var>    (c) Based on the discussions of the work group, the commissioner shall make <br/>
<a id="pl.374.14"></a><var>374.14</var>recommendations to the chairs of the health policy and finance committees in the house <br/>
<a id="pl.374.15"></a><var>374.15</var>and senate by January 15, 2008, on how to ensure high quality interpreter services for <br/>
<a id="pl.374.16"></a><var>374.16</var>patients in medical and dental settings, and for a broad-based funding mechanism for <br/>
<a id="pl.374.17"></a><var>374.17</var>delivering these services.<br/>
<a id="pl.374.18"></a><var>374.18</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.57.0"></a><a id="pl.374.19"></a><var>374.19</var>    Sec. 57. <b>FEDERAL GRANTS.</b><br/>
<a id="pl.374.20"></a><var>374.20</var>    The Board of Pharmacy shall apply for any applicable federal grants or other nonstate <br/>
<a id="pl.374.21"></a><var>374.21</var>funds to establish and fully implement the prescription electronic reporting system.<br/>
<a id="pl.374.22"></a><var>374.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.58.0"></a><a id="pl.374.23"></a><var>374.23</var>    Sec. 58. <b>BOARD OF PHARMACY.</b><br/>
<a id="pl.374.24"></a><var>374.24</var>    The Board of Pharmacy shall not increase the license fees of pharmacists or <br/>
<a id="pl.374.25"></a><var>374.25</var>pharmacies in order to adequately fund the prescription electronic reporting system under <br/>
<a id="pl.374.26"></a><var>374.26</var>Minnesota Statutes, section 152.126, without specific authority from the legislature.<br/>
<a id="pl.374.27"></a><var>374.27</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.59.0"></a><a id="pl.374.28"></a><var>374.28</var>    Sec. 59. <b>BOARD OF MEDICAL PRACTICE.</b><br/>
<a id="pl.374.29"></a><var>374.29</var>    The Board of Medical Practice shall convene a work group to discuss the appropriate <br/>
<a id="pl.374.30"></a><var>374.30</var>prescribing of controlled substances listed in Minnesota Statutes, section 152.02, <br/>
<a id="pl.374.31"></a><var>374.31</var>subdivisions 3 and 4, and those substances defined by the Board of Pharmacy under <br/>
<a id="pl.375.1"></a><var>375.1</var>Minnesota Statutes, section 152.02, subdivisions 7, 8, and 12, for pain management, and <br/>
<a id="pl.375.2"></a><var>375.2</var>shall report to the legislature by December 15, 2007.<br/>
<br/>
<a id="bill.7.60.0"></a><a id="pl.375.3"></a><var>375.3</var>    Sec. 60. <b>AGRICULTURAL COOPERATIVE HEALTH PLAN FOR FARMERS.</b><br/>
<a id="pl.375.4"></a><var>375.4</var>    Subdivision 1. <b>Pilot project requirements.</b> The commissioner of commerce shall <br/>
<a id="pl.375.5"></a><var>375.5</var>authorize a joint self-insurance pilot project administered by a trust sponsored by one <br/>
<a id="pl.375.6"></a><var>375.6</var>or more agricultural cooperatives organized under Minnesota Statutes, chapter 308A, <br/>
<a id="pl.375.7"></a><var>375.7</var>or under a federal charter for the purpose of offering health coverage to members of <br/>
<a id="pl.375.8"></a><var>375.8</var>the cooperatives and their families, provided the project satisfies the requirements of <br/>
<a id="pl.375.9"></a><var>375.9</var>Minnesota Statutes, chapter 62H, except as follows:<br/>
<a id="pl.375.10"></a><var>375.10</var>    (1) Minnesota Statutes, section 62H.02, paragraph (b), does not apply;<br/>
<a id="pl.375.11"></a><var>375.11</var>    (2) the notice period required under Minnesota Statutes, section 62H.02, paragraph <br/>
<a id="pl.375.12"></a><var>375.12</var>(e), is 90 days;<br/>
<a id="pl.375.13"></a><var>375.13</var>    (3) the commissioner shall grant necessary waivers and approve an alternative <br/>
<a id="pl.375.14"></a><var>375.14</var>arrangement that fully funds the plan's liability or incurred but unpaid claims under <br/>
<a id="pl.375.15"></a><var>375.15</var>Minnesota Statutes, section 62H.02, paragraph (f), unless the commissioner provides <br/>
<a id="pl.375.16"></a><var>375.16</var>evidence demonstrating that the insolvency protection proposed is substantially less than <br/>
<a id="pl.375.17"></a><var>375.17</var>that typically provided by self-insured group plans of a similar size in Minnesota;<br/>
<a id="pl.375.18"></a><var>375.18</var>    (4) notwithstanding Minnesota Statutes, section 62H.04, paragraph (a), the joint <br/>
<a id="pl.375.19"></a><var>375.19</var>self-insurance plan shall be considered a large group and not subject to the small group <br/>
<a id="pl.375.20"></a><var>375.20</var>insurance requirements in Minnesota Statutes, chapter 62L, even if some employer <br/>
<a id="pl.375.21"></a><var>375.21</var>groups enrolled in the plan would be defined as small employers, except that the joint <br/>
<a id="pl.375.22"></a><var>375.22</var>self-insurance plan may elect to treat the sale of a health plan to or for an employer that <br/>
<a id="pl.375.23"></a><var>375.23</var>has only one eligible employee who has not waived coverage as the sale of an individual <br/>
<a id="pl.375.24"></a><var>375.24</var>health plan as allowed under Minnesota Statutes, section 62L.02, subdivision 26;<br/>
<a id="pl.375.25"></a><var>375.25</var>    (5) Minnesota Statutes, section 297I.05, subdivision 12, paragraph (c), does not <br/>
<a id="pl.375.26"></a><var>375.26</var>apply; and <br/>
<a id="pl.375.27"></a><var>375.27</var>    (6) the trust must pay the assessment for the Minnesota comprehensive health <br/>
<a id="pl.375.28"></a><var>375.28</var>association as provided under Minnesota Statutes, section 62E.11.<br/>
<a id="pl.375.29"></a><var>375.29</var>    Subd. 2. <b>Evaluation and renewal.</b> The pilot project authorized under this section <br/>
<a id="pl.375.30"></a><var>375.30</var>is for a period of four years from the date of initial enrollment. The commissioner shall <br/>
<a id="pl.375.31"></a><var>375.31</var>grant an extension of four additional years if the trust provides evidence that it remains in <br/>
<a id="pl.375.32"></a><var>375.32</var>compliance with the requirements of this section and other applicable laws and rules. If the <br/>
<a id="pl.375.33"></a><var>375.33</var>commissioner determines that the operation of the trust has not improved access, expanded <br/>
<a id="pl.375.34"></a><var>375.34</var>health plan choices, or improved affordability of health coverage for farm families, or <br/>
<a id="pl.375.35"></a><var>375.35</var>that it has significantly damaged access, choice, or affordability for other consumers not <br/>
<a id="pl.376.1"></a><var>376.1</var>enrolled in the trust, the commissioner shall provide at least 180 days' advance written <br/>
<a id="pl.376.2"></a><var>376.2</var>notice to the trust and to the chairs of the senate and house finance and policy committees <br/>
<a id="pl.376.3"></a><var>376.3</var>with jurisdiction over health and insurance matters of the commissioner's intention not to <br/>
<a id="pl.376.4"></a><var>376.4</var>renew the pilot project at the expiration of a four-year period.<br/>
<a id="pl.376.5"></a><var>376.5</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.61.0"></a><a id="pl.376.6"></a><var>376.6</var>    Sec. 61. <b>HEALTH PLAN PURCHASING POOL STUDY GROUP.</b><br/>
<a id="pl.376.7"></a><var>376.7</var>    Subdivision 1. <b>Creation; membership.</b> A health care purchasing pool study group <br/>
<a id="pl.376.8"></a><var>376.8</var>is created to study and make recommendations regarding the creation of a voluntary, <br/>
<a id="pl.376.9"></a><var>376.9</var>statewide health care purchasing pool that would contract directly with providers to <br/>
<a id="pl.376.10"></a><var>376.10</var>provide affordable health coverage to eligible Minnesota residents. The study group is <br/>
<a id="pl.376.11"></a><var>376.11</var>composed of:<br/>
<a id="pl.376.12"></a><var>376.12</var>    (1) the chief house and senate authors of this act;<br/>
<a id="pl.376.13"></a><var>376.13</var>    (2) the chairs of the senate Committee on Health, Housing, and Family Security and <br/>
<a id="pl.376.14"></a><var>376.14</var>the Health and Human Services Budget Division;<br/>
<a id="pl.376.15"></a><var>376.15</var>    (3) the chairs of the house Health Care and Human Services Committee and the <br/>
<a id="pl.376.16"></a><var>376.16</var>Health Care and Human Services Division;<br/>
<a id="pl.376.17"></a><var>376.17</var>    (4) the attorney general or the attorney general's designated representative; <br/>
<a id="pl.376.18"></a><var>376.18</var>    (5) three representatives of health care providers appointed as follows:<br/>
<a id="pl.376.19"></a><var>376.19</var>    (i) one member appointed by the governor;<br/>
<a id="pl.376.20"></a><var>376.20</var>    (ii) one member appointed by the speaker of the house; and<br/>
<a id="pl.376.21"></a><var>376.21</var>    (iii) one member appointed by the Subcommittee on Committees of the senate <br/>
<a id="pl.376.22"></a><var>376.22</var>Committee on Rules and Administration; and<br/>
<a id="pl.376.23"></a><var>376.23</var>    (6) two consumers of health care appointed by the governor.<br/>
<a id="pl.376.24"></a><var>376.24</var>    All appointments to be made under this subdivision must be made within 30 days <br/>
<a id="pl.376.25"></a><var>376.25</var>of the effective date of this act.<br/>
<a id="pl.376.26"></a><var>376.26</var>    Subd. 2. <b>Study; report.</b> The study group shall study and make recommendations <br/>
<a id="pl.376.27"></a><var>376.27</var>on the following issues related to the creation, maintenance, and funding of a voluntary, <br/>
<a id="pl.376.28"></a><var>376.28</var>statewide health plan purchasing pool to provide comprehensive, cost-effective, and <br/>
<a id="pl.376.29"></a><var>376.29</var>medically appropriate health coverage to all public and private employees in Minnesota <br/>
<a id="pl.376.30"></a><var>376.30</var>and all Minnesota residents:<br/>
<a id="pl.376.31"></a><var>376.31</var>    (1) the creation of an independent public entity to administer the pool; <br/>
<a id="pl.376.32"></a><var>376.32</var>    (2) eligibility and participation requirements for existing public and private health <br/>
<a id="pl.376.33"></a><var>376.33</var>care purchasing pools, public and private employers, and residents of this state; <br/>
<a id="pl.376.34"></a><var>376.34</var>    (3) how to contract directly with providers to provide comprehensive coverage for <br/>
<a id="pl.376.35"></a><var>376.35</var>preventive, mental health, dental and other medical services, and comprehensive drug <br/>
<a id="pl.377.1"></a><var>377.1</var>benefits to enrollees and maximize the cost savings and other efficiencies that a large <br/>
<a id="pl.377.2"></a><var>377.2</var>purchasing pool would be expected to generate without the need for a public subsidy; <br/>
<a id="pl.377.3"></a><var>377.3</var>    (4) provisions that allow the pool to contract directly with health care providers <br/>
<a id="pl.377.4"></a><var>377.4</var>to provide coverage to enrollees;<br/>
<a id="pl.377.5"></a><var>377.5</var>    (5) incentives designed to attract and retain the maximum number of enrollees; <br/>
<a id="pl.377.6"></a><var>377.6</var>    (6) recommendations for the administration of the pool and the plans that will be <br/>
<a id="pl.377.7"></a><var>377.7</var>available to enrollees including, but not limited to, recommendations to keep the pool <br/>
<a id="pl.377.8"></a><var>377.8</var>solvent and profitable so that public subsidies are not necessary; and <br/>
<a id="pl.377.9"></a><var>377.9</var>    (7) other elements the study group concludes are necessary or desirable for the <br/>
<a id="pl.377.10"></a><var>377.10</var>pool to possess. <br/>
<a id="pl.377.11"></a><var>377.11</var>    The study group shall submit its report and the draft legislation necessary to <br/>
<a id="pl.377.12"></a><var>377.12</var>implement its recommendations to the chairs of the legislative committees and divisions <br/>
<a id="pl.377.13"></a><var>377.13</var>with jurisdiction over health care policy and finance, the Health Care Access Commission, <br/>
<a id="pl.377.14"></a><var>377.14</var>and the governor by February 1, 2008. <br/>
<a id="pl.377.15"></a><var>377.15</var>    Subd. 3. <b>Staffing.</b> State agencies shall assist the study group with any requests for <br/>
<a id="pl.377.16"></a><var>377.16</var>information the study group considers necessary to complete the study and report under <br/>
<a id="pl.377.17"></a><var>377.17</var>subdivision 2.<br/>
<a id="pl.377.18"></a><var>377.18</var>    Subd. 4. <b>Removal; vacancies; expenses.</b> Removal of members, vacancies, and <br/>
<a id="pl.377.19"></a><var>377.19</var>expenses for members shall be as provided in Minnesota Statutes, section 15.059.<br/>
<a id="pl.377.20"></a><var>377.20</var>    Subd. 5. <b>Expiration.</b> This section expires after the submission of the report as <br/>
<a id="pl.377.21"></a><var>377.21</var>required in subdivision 2.<br/>
<a id="pl.377.22"></a><var>377.22</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.7.62.0"></a><a id="pl.377.23"></a><var>377.23</var>    Sec. 62. <b> REPEALER.</b><br/>
<a id="pl.377.24"></a><var>377.24</var>(a) Minnesota Statutes 2006, sections 254A.02, subdivisions 7, 9, 12, 14, 15, and 16; <br/>
<a id="pl.377.25"></a><var>377.25</var>254A.085; 254A.086; 254A.12; 254A.14; 254A.15; 254A.16, subdivision 5; 254A.175; <br/>
<a id="pl.377.26"></a><var>377.26</var>254A.18; 256J.561, subdivision 1; 256J.62, subdivision 9; and 256J.65, are repealed.<br/>
<a id="pl.377.27"></a><var>377.27</var>(b) Minnesota Rules, part 9503.0035, subpart 2, is repealed.<br/>
<a id="pl.377.28"></a><var>377.28</var>(c) Minnesota Statutes 2006, sections 525.921; 525.9211; 525.9212; 525.9213; <br/>
<a id="pl.377.29"></a><var>377.29</var>525.9214; 525.9215; 525.9216; 525.9217; 525.9218; 525.9219; 525.9221; 525.9222; <br/>
<a id="pl.377.30"></a><var>377.30</var>525.9223; and 525.9224, are repealed.<br/>
<br/>
<a id="bill.8.0.0"></a>

<a id="bill.8.1.0"></a><a id="pl.377.33"></a><var>377.33</var>    Section 1. <b>[16A.726] CHILDREN'S HEALTH SECURITY ACCOUNT.</b><br/>
<a id="pl.378.1"></a><var>378.1</var>    A children's health security account is created in a special revenue fund in the <br/>
<a id="pl.378.2"></a><var>378.2</var>state treasury. The commissioner shall deposit to the credit of the account money made <br/>
<a id="pl.378.3"></a><var>378.3</var>available to the account. Notwithstanding section 11A.20, any investment income <br/>
<a id="pl.378.4"></a><var>378.4</var>attributable to the investment of the children's health security account not currently needed <br/>
<a id="pl.378.5"></a><var>378.5</var>shall be credited to the children's health security account.<br/>
<br/>
<a id="bill.8.2.0"></a><a id="pl.378.6"></a><var>378.6</var>    Sec. 2. Minnesota Statutes 2006, section 256B.057, subdivision 8, is amended to read:<br/>
<a id="pl.378.7"></a><var>378.7</var>    Subd. 8. <b>Children under age two.</b> Medical assistance may be paid for a child under <br/>
<a id="pl.378.8"></a><var>378.8</var>two years of age whose countable family income is above 275 300 percent of the federal <br/>
<a id="pl.378.9"></a><var>378.9</var>poverty guidelines for the same size family but less than or equal to 280 305 percent of the <br/>
<a id="pl.378.10"></a><var>378.10</var>federal poverty guidelines for the same size family.<br/>
<a id="pl.378.11"></a><var>378.11</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011, or upon federal <br/>
<a id="pl.378.12"></a><var>378.12</var>approval, whichever is later.<br/>
<br/>
<a id="bill.8.3.0"></a><a id="pl.378.13"></a><var>378.13</var>    Sec. 3. <b>[256N.01] CITATION.</b><br/>
<a id="pl.378.14"></a><var>378.14</var>    This chapter may be cited as the "Children's Health Security Act."<br/>
<br/>
<a id="bill.8.4.0"></a><a id="pl.378.15"></a><var>378.15</var>    Sec. 4. <b>[256N.02] DEFINITIONS.</b><br/>
<a id="pl.378.16"></a><var>378.16</var>    Subdivision 1. <b>Applicability.</b> The terms used in this chapter have the following <br/>
<a id="pl.378.17"></a><var>378.17</var>meanings unless otherwise provided for by text.<br/>
<a id="pl.378.18"></a><var>378.18</var>    Subd. 2. <b>Child.</b> "Child" means an individual under age 21.<br/>
<a id="pl.378.19"></a><var>378.19</var>    Subd. 3. <b>Commissioner.</b> "Commissioner" means the commissioner of human <br/>
<a id="pl.378.20"></a><var>378.20</var>services.<br/>
<a id="pl.378.21"></a><var>378.21</var>    Subd. 4. <b>Dependent child.</b> "Dependent child" means an unmarried child under <br/>
<a id="pl.378.22"></a><var>378.22</var>age 25 who is claimed as a dependent for federal income tax purposes by a parent, <br/>
<a id="pl.378.23"></a><var>378.23</var>grandparent, foster parent, relative caretaker, or legal guardian.<br/>
<br/>
<a id="bill.8.5.0"></a><a id="pl.378.24"></a><var>378.24</var>    Sec. 5. <b>[256N.03] ESTABLISHMENT.</b><br/>
<a id="pl.378.25"></a><var>378.25</var>    The commissioner shall establish the children's health security program. The <br/>
<a id="pl.378.26"></a><var>378.26</var>commissioner shall begin implementation of the program on October 1, 2008, or upon <br/>
<a id="pl.378.27"></a><var>378.27</var>federal approval, whichever is later. The children's health security program must comply <br/>
<a id="pl.378.28"></a><var>378.28</var>with title XIX of the federal Social Security Act, and waivers granted under title XIX.<br/>
<br/>
<a id="bill.8.6.0"></a><a id="pl.378.29"></a><var>378.29</var>    Sec. 6. <b>[256N.05] ELIGIBILITY.</b><br/>
<a id="pl.378.30"></a><var>378.30</var>    Subdivision 1. <b>General requirements.</b> Children meeting the eligibility <br/>
<a id="pl.378.31"></a><var>378.31</var>requirements of this section are eligible for the children's health security program.<br/>
<a id="pl.379.1"></a><var>379.1</var>    Subd. 2. <b>Income limit.</b> (a) Effective October 1, 2008, children in families with <br/>
<a id="pl.379.2"></a><var>379.2</var>gross household incomes equal to or less than 225 percent of the federal poverty <br/>
<a id="pl.379.3"></a><var>379.3</var>guidelines are eligible for the children's health security program. In determining gross <br/>
<a id="pl.379.4"></a><var>379.4</var>income, the commissioner shall use the income methodology applied to children under the <br/>
<a id="pl.379.5"></a><var>379.5</var>MinnesotaCare program.<br/>
<a id="pl.379.6"></a><var>379.6</var>    (b) Effective October 1, 2008, a dependent child who meets the program income <br/>
<a id="pl.379.7"></a><var>379.7</var>limits under paragraph (a) and all other program eligibility requirements is eligible for <br/>
<a id="pl.379.8"></a><var>379.8</var>state-funded benefits under this section. <br/>
<a id="pl.379.9"></a><var>379.9</var>    (c) Effective January 1, 2011, or upon federal approval, whichever is later, children <br/>
<a id="pl.379.10"></a><var>379.10</var>in families with household incomes equal to or less than 300 percent of the federal poverty <br/>
<a id="pl.379.11"></a><var>379.11</var>guidelines must be included in the children's health security program.<br/>
<a id="pl.379.12"></a><var>379.12</var>    (d) The Legislative Task Force On Children's Health Care Coverage established <br/>
<a id="pl.379.13"></a><var>379.13</var>under section 19 shall develop recommendations on options for extending health insurance <br/>
<a id="pl.379.14"></a><var>379.14</var>coverage to children in families with household incomes in excess of 300 percent of the <br/>
<a id="pl.379.15"></a><var>379.15</var>federal poverty guidelines.<br/>
<a id="pl.379.16"></a><var>379.16</var>    Subd. 3. <b>Residency.</b> Program participants must meet the residency requirements of <br/>
<a id="pl.379.17"></a><var>379.17</var>section 256B.056, subdivision 1.<br/>
<a id="pl.379.18"></a><var>379.18</var>    Subd. 4. <b>Enrollment voluntary.</b> Enrollment in the children's health security <br/>
<a id="pl.379.19"></a><var>379.19</var>program is voluntary. Parents or guardians may retain private sector or Medicare coverage <br/>
<a id="pl.379.20"></a><var>379.20</var>for a child as the sole source of coverage. Parents or guardians who have private sector or <br/>
<a id="pl.379.21"></a><var>379.21</var>Medicare coverage for children may also enroll children in the children's health security <br/>
<a id="pl.379.22"></a><var>379.22</var>program. If private sector or Medicare coverage is available, coverage under the children's <br/>
<a id="pl.379.23"></a><var>379.23</var>health security program is secondary to the private sector or Medicare coverage.<br/>
<a id="pl.379.24"></a><var>379.24</var>    Subd. 5. <b>Emergency services.</b> Payment must be made for care and services that <br/>
<a id="pl.379.25"></a><var>379.25</var>are furnished to noncitizens, regardless of immigration status, who otherwise meet the <br/>
<a id="pl.379.26"></a><var>379.26</var>eligibility requirements of this chapter, if the care and services are necessary for the <br/>
<a id="pl.379.27"></a><var>379.27</var>treatment of an emergency medical condition, except for organ transplants and related <br/>
<a id="pl.379.28"></a><var>379.28</var>care and services and routine prenatal care. For purposes of this subdivision, "emergency <br/>
<a id="pl.379.29"></a><var>379.29</var>medical condition" means a medical condition that meets the requirements of United <br/>
<a id="pl.379.30"></a><var>379.30</var>States Code, title 42, section 1396b(v).<br/>
<a id="pl.379.31"></a><var>379.31</var>    Subd. 6. <b>Medical assistance standards and procedures.</b> (a) Unless otherwise <br/>
<a id="pl.379.32"></a><var>379.32</var>specified in this chapter, the commissioner shall use medical assistance procedures and <br/>
<a id="pl.379.33"></a><var>379.33</var>methodology when determining initial eligibility and redetermining eligibility for the <br/>
<a id="pl.379.34"></a><var>379.34</var>children's health security program.<br/>
<a id="pl.380.1"></a><var>380.1</var>    (b) The procedures and income standard specified in section 256B.056, subdivisions <br/>
<a id="pl.380.2"></a><var>380.2</var>5 and 5c, paragraph (a), apply to children who would be eligible for the children's health <br/>
<a id="pl.380.3"></a><var>380.3</var>security program, except for excess income.<br/>
<a id="pl.380.4"></a><var>380.4</var>    (c) Retroactive coverage for the children's health security program must be provided <br/>
<a id="pl.380.5"></a><var>380.5</var>as specified in section 256B.056, subdivision 7.<br/>
<br/>
<a id="bill.8.7.0"></a><a id="pl.380.6"></a><var>380.6</var>    Sec. 7. <b>[256N.07] COVERED SERVICES.</b><br/>
<a id="pl.380.7"></a><var>380.7</var>    Covered services under the children's health security program must consist of all <br/>
<a id="pl.380.8"></a><var>380.8</var>covered services under chapter 256B.<br/>
<br/>
<a id="bill.8.8.0"></a><a id="pl.380.9"></a><var>380.9</var>    Sec. 8. <b>[256N.09] NO ENROLLEE PREMIUMS OR COST SHARING.</b><br/>
<a id="pl.380.10"></a><var>380.10</var>    In order to ensure broad access to coverage, the children's health security program <br/>
<a id="pl.380.11"></a><var>380.11</var>has no enrollee premium or cost-sharing requirements.<br/>
<br/>
<a id="bill.8.9.0"></a><a id="pl.380.12"></a><var>380.12</var>    Sec. 9. <b>[256N.11] APPLICATION PROCEDURES; ELIGIBILITY </b><br/>
<a id="pl.380.13"></a><var>380.13</var><b>DETERMINATION.</b><br/>
<a id="pl.380.14"></a><var>380.14</var>    Subdivision 1. <b>Application procedure.</b> The application form for the program <br/>
<a id="pl.380.15"></a><var>380.15</var>must be easily understandable and must not exceed two pages in length. Applications for <br/>
<a id="pl.380.16"></a><var>380.16</var>the program must be made available to provider offices, local human services agencies, <br/>
<a id="pl.380.17"></a><var>380.17</var>school districts, schools, community health offices, and other sites willing to cooperate in <br/>
<a id="pl.380.18"></a><var>380.18</var>program outreach. These sites may accept applications and forward applications to the <br/>
<a id="pl.380.19"></a><var>380.19</var>commissioner, and counties where applicable. Applications may also be made directly to <br/>
<a id="pl.380.20"></a><var>380.20</var>the commissioner and to counties that determine eligibility.<br/>
<a id="pl.380.21"></a><var>380.21</var>    Subd. 2. <b>Eligibility determination.</b> Counties that determine eligibility for <br/>
<a id="pl.380.22"></a><var>380.22</var>MinnesotaCare as of March 1, 2007, shall determine eligibility for the children's health <br/>
<a id="pl.380.23"></a><var>380.23</var>security program. The commissioner, and counties where applicable, shall determine an <br/>
<a id="pl.380.24"></a><var>380.24</var>applicant's eligibility for the program within 30 days of the date the application is received, <br/>
<a id="pl.380.25"></a><var>380.25</var>according to the procedures in Code of Federal Regulations, title 42, section 435.911.<br/>
<a id="pl.380.26"></a><var>380.26</var>    Subd. 3. <b>Presumptive eligibility.</b> Coverage under the program is available during a <br/>
<a id="pl.380.27"></a><var>380.27</var>presumptive eligibility period for children under age 19 whose family income does not <br/>
<a id="pl.380.28"></a><var>380.28</var>exceed the applicable income standard. The presumptive eligibility period begins on the <br/>
<a id="pl.380.29"></a><var>380.29</var>date on which a health care provider enrolled in the program, or other entity designated by <br/>
<a id="pl.380.30"></a><var>380.30</var>the commissioner, determines, based on preliminary information, that the child's family <br/>
<a id="pl.380.31"></a><var>380.31</var>income does not exceed the applicable income standard. The presumptive eligibility period <br/>
<a id="pl.380.32"></a><var>380.32</var>ends the earlier of the day on which a determination is made of eligibility under this section <br/>
<a id="pl.380.33"></a><var>380.33</var>or the last day of the month following the month presumptive eligibility was determined. <br/>
<a id="pl.381.1"></a><var>381.1</var>    Subd. 4. <b>Renewal of eligibility.</b> The commissioner shall require enrollees to renew <br/>
<a id="pl.381.2"></a><var>381.2</var>eligibility every 12 months.<br/>
<a id="pl.381.3"></a><var>381.3</var>    Subd. 5. <b>Continuous eligibility.</b> Children under the age of 19 who are eligible <br/>
<a id="pl.381.4"></a><var>381.4</var>under this section shall be continuously eligible until the earlier of the next renewal period, <br/>
<a id="pl.381.5"></a><var>381.5</var>or the time that a child exceeds age 19.<br/>
<br/>
<a id="bill.8.10.0"></a><a id="pl.381.6"></a><var>381.6</var>    Sec. 10. <b>[256N.12] COUNTY ROLE.</b><br/>
<a id="pl.381.7"></a><var>381.7</var>    Counties not required to determine eligibility under section 256N.11, subdivision <br/>
<a id="pl.381.8"></a><var>381.8</var>2, may choose to determine eligibility under that section. Counties may also choose <br/>
<a id="pl.381.9"></a><var>381.9</var>to provide assistance to applicants under section 256N.17, subdivision 1, and provide <br/>
<a id="pl.381.10"></a><var>381.10</var>ombudsperson services under section 256N.17, subdivision 2. This must not limit the <br/>
<a id="pl.381.11"></a><var>381.11</var>ability of the commissioner to establish reasonable staffing standards that relate to the <br/>
<a id="pl.381.12"></a><var>381.12</var>number of persons served, and that provide a county option to hire part-time staff or pursue <br/>
<a id="pl.381.13"></a><var>381.13</var>multicounty implementation models. If a county chooses not to deliver these services, they <br/>
<a id="pl.381.14"></a><var>381.14</var>must be delivered by the commissioner. State and federal funding to support these services <br/>
<a id="pl.381.15"></a><var>381.15</var>must be the same, whether delivered by the state or by a county or group of counties.<br/>
<br/>
<a id="bill.8.11.0"></a><a id="pl.381.16"></a><var>381.16</var>    Sec. 11. <b>[256N.13] SERVICE DELIVERY.</b><br/>
<a id="pl.381.17"></a><var>381.17</var>    Subdivision 1. <b>Contracts for service delivery.</b> The commissioner, within each <br/>
<a id="pl.381.18"></a><var>381.18</var>county, may contract with managed care organizations, including health maintenance <br/>
<a id="pl.381.19"></a><var>381.19</var>organizations licensed under chapter 62D, community integrated service networks licensed <br/>
<a id="pl.381.20"></a><var>381.20</var>under chapter 62N, accountable provider networks licensed under chapter 62T, and <br/>
<a id="pl.381.21"></a><var>381.21</var>county-based purchasing plans established under section 256B.692, to provide covered <br/>
<a id="pl.381.22"></a><var>381.22</var>health care services to program enrollees under a managed care system, and may contract <br/>
<a id="pl.381.23"></a><var>381.23</var>with health care and social service providers to provide services on a fee-for-service basis. <br/>
<a id="pl.381.24"></a><var>381.24</var>Section 256B.69, subdivision 26, applies to contracts with managed care organizations. In <br/>
<a id="pl.381.25"></a><var>381.25</var>determining the method for service delivery, the commissioner shall consider the cost and <br/>
<a id="pl.381.26"></a><var>381.26</var>quality of health care services; the breadth of services offered, including medical, dental <br/>
<a id="pl.381.27"></a><var>381.27</var>and mental health services; the breadth of choice of medical providers for enrollees; the <br/>
<a id="pl.381.28"></a><var>381.28</var>ease of access to quality medical care for enrollees; the efficiency and cost-effectiveness of <br/>
<a id="pl.381.29"></a><var>381.29</var>service delivery; and the integration of best medical practice standards into the children's <br/>
<a id="pl.381.30"></a><var>381.30</var>health security program.<br/>
<a id="pl.381.31"></a><var>381.31</var>    Subd. 2. <b>Managed care organization requirements.</b> (a) Managed care <br/>
<a id="pl.381.32"></a><var>381.32</var>organizations under contract are responsible for coordinating covered health care services <br/>
<a id="pl.381.33"></a><var>381.33</var>provided to eligible individuals. Managed care organizations under contract:<br/>
<a id="pl.382.1"></a><var>382.1</var>    (1) shall authorize and arrange for the provision of all needed covered health <br/>
<a id="pl.382.2"></a><var>382.2</var>services under chapter 256B, with the exception of services available only under a medical <br/>
<a id="pl.382.3"></a><var>382.3</var>assistance home and community-based waiver, in order to ensure appropriate health care <br/>
<a id="pl.382.4"></a><var>382.4</var>is delivered to enrollees;<br/>
<a id="pl.382.5"></a><var>382.5</var>    (2) shall comply with the requirements of section 256B.69, subdivision 26;<br/>
<a id="pl.382.6"></a><var>382.6</var>    (3) shall accept the prospective, per capita payment from the commissioner in return <br/>
<a id="pl.382.7"></a><var>382.7</var>for the provision of comprehensive and coordinated health care services for enrollees;<br/>
<a id="pl.382.8"></a><var>382.8</var>    (4) may contract with health care and social service providers to provide covered <br/>
<a id="pl.382.9"></a><var>382.9</var>services to enrollees; and<br/>
<a id="pl.382.10"></a><var>382.10</var>    (5) shall institute enrollee grievance procedures according to the method established <br/>
<a id="pl.382.11"></a><var>382.11</var>by the commissioner, utilizing applicable requirements of chapter 62D and Code of <br/>
<a id="pl.382.12"></a><var>382.12</var>Federal Regulations, title 42, section 438, subpart F. Disputes may also be appealed to <br/>
<a id="pl.382.13"></a><var>382.13</var>the commissioner using the procedures in section 256.045.<br/>
<a id="pl.382.14"></a><var>382.14</var>    (b) Upon implementation of the children's health security program, the commissioner <br/>
<a id="pl.382.15"></a><var>382.15</var>shall withhold five percent of managed care organization payments pending completion <br/>
<a id="pl.382.16"></a><var>382.16</var>of performance targets, including lead screening, well child services, immunizations, <br/>
<a id="pl.382.17"></a><var>382.17</var>vision screening, and customer service performance targets. Effective January 1, 2011, <br/>
<a id="pl.382.18"></a><var>382.18</var>the commissioner shall add treatment of asthma and screening for mental health as new <br/>
<a id="pl.382.19"></a><var>382.19</var>performance targets. Each performance target must apply uniformly to all managed care <br/>
<a id="pl.382.20"></a><var>382.20</var>organizations, and be qualitative, objective, measurable, and reasonably attainable, except <br/>
<a id="pl.382.21"></a><var>382.21</var>in the case of a performance target based on federal or state law or rule. Criteria for <br/>
<a id="pl.382.22"></a><var>382.22</var>assessment of each performance target must be outlined in writing prior to the contract <br/>
<a id="pl.382.23"></a><var>382.23</var>effective date. The withhold funds must be returned no sooner than July of the following <br/>
<a id="pl.382.24"></a><var>382.24</var>year if performance targets in the contract are achieved. The success of each managed care <br/>
<a id="pl.382.25"></a><var>382.25</var>organization in reaching performance targets must be reported to the legislature annually.<br/>
<a id="pl.382.26"></a><var>382.26</var>    Subd. 3. <b>Fee-for-service delivery.</b> Disputes related to services provided under <br/>
<a id="pl.382.27"></a><var>382.27</var>the fee-for-service system may be appealed to the commissioner using the procedures <br/>
<a id="pl.382.28"></a><var>382.28</var>in section 256.045.<br/>
<a id="pl.382.29"></a><var>382.29</var>    Subd. 4. <b>Contracts for waiver services.</b> The commissioner, when services <br/>
<a id="pl.382.30"></a><var>382.30</var>are delivered through managed care, may contract with health care and social service <br/>
<a id="pl.382.31"></a><var>382.31</var>providers on a fee-for-service basis to provide program enrollees with covered services <br/>
<a id="pl.382.32"></a><var>382.32</var>available only under a medical assistance home and community-based waiver. The <br/>
<a id="pl.382.33"></a><var>382.33</var>commissioner shall determine eligibility for home and community-based waiver services <br/>
<a id="pl.382.34"></a><var>382.34</var>using the criteria and procedures in chapter 256B. Disputes related to services provided <br/>
<a id="pl.382.35"></a><var>382.35</var>on a fee-for-service basis may be appealed to the commissioner using the procedures <br/>
<a id="pl.382.36"></a><var>382.36</var>in section 256.045.<br/>
<a id="pl.383.1"></a><var>383.1</var>    Subd. 5. <b>Service delivery for Minnesota disabilities health option recipient.</b><br/>
<a id="pl.383.2"></a><var>383.2</var>    Individuals who voluntarily enroll in the Minnesota Disability Health Option (MnDHO), <br/>
<a id="pl.383.3"></a><var>383.3</var>established under section 256B.69, subdivision 23, shall continue to receive their home <br/>
<a id="pl.383.4"></a><var>383.4</var>and community-based waiver services through MnDHO.<br/>
<a id="pl.383.5"></a><var>383.5</var>    Subd. 6. <b>Disabled or blind children.</b> Children eligible for medical assistance due <br/>
<a id="pl.383.6"></a><var>383.6</var>to blindness or disability as determined by the Social Security Administration or the state <br/>
<a id="pl.383.7"></a><var>383.7</var>medical review team are exempt from enrolling in a managed care organization and shall <br/>
<a id="pl.383.8"></a><var>383.8</var>be provided health benefits on a fee-for-service basis.<br/>
<br/>
<a id="bill.8.12.0"></a><a id="pl.383.9"></a><var>383.9</var>    Sec. 12. <b>[256N.15] PAYMENT RATES.</b><br/>
<a id="pl.383.10"></a><var>383.10</var>    Subdivision 1. <b>Establishment.</b> The commissioner, in consultation with a health <br/>
<a id="pl.383.11"></a><var>383.11</var>care actuary, shall establish the method and amount of payments for services. The <br/>
<a id="pl.383.12"></a><var>383.12</var>commissioner shall annually contract with eligible entities to provide services to program <br/>
<a id="pl.383.13"></a><var>383.13</var>enrollees. The commissioner, in consultation with the Risk Adjustment Association <br/>
<a id="pl.383.14"></a><var>383.14</var>established under section 62Q.03, subdivision 6, shall develop and implement a risk <br/>
<a id="pl.383.15"></a><var>383.15</var>adjustment system for the program.<br/>
<a id="pl.383.16"></a><var>383.16</var>    Subd. 2. <b>Provider rates.</b> In establishing the payment amount under subdivision <br/>
<a id="pl.383.17"></a><var>383.17</var>1, the commissioner shall ensure that fee-for-service payment rates for preventative <br/>
<a id="pl.383.18"></a><var>383.18</var>care services provided on or after October 1, 2008, are at least five percent above the <br/>
<a id="pl.383.19"></a><var>383.19</var>medical assistance rates for preventative services in effect on September 30, 2008, and <br/>
<a id="pl.383.20"></a><var>383.20</var>shall ensure that fee-for-service payment rates for all other services provided on or after <br/>
<a id="pl.383.21"></a><var>383.21</var>October 1, 2008, are at least three percent above the medical assistance rates for those <br/>
<a id="pl.383.22"></a><var>383.22</var>services in effect on September 30, 2008. The commissioner shall adjust managed care <br/>
<a id="pl.383.23"></a><var>383.23</var>capitation rates to reflect these increases, and shall require managed care organizations, as <br/>
<a id="pl.383.24"></a><var>383.24</var>a condition of contract, to pass these increases on to providers under contract.<br/>
<br/>
<a id="bill.8.13.0"></a><a id="pl.383.25"></a><var>383.25</var>    Sec. 13. <b>[256N.17] CONSUMER ASSISTANCE.</b><br/>
<a id="pl.383.26"></a><var>383.26</var>    Subdivision 1. <b>Assistance to applicants.</b> The commissioner shall assist applicants <br/>
<a id="pl.383.27"></a><var>383.27</var>in choosing a managed care organization or fee-for-service provider by:<br/>
<a id="pl.383.28"></a><var>383.28</var>    (1) establishing a Web site to provide information about managed care organizations <br/>
<a id="pl.383.29"></a><var>383.29</var>and fee-for-service providers and to allow online enrollment;<br/>
<a id="pl.383.30"></a><var>383.30</var>    (2) make information on managed care organizations and fee-for-service providers <br/>
<a id="pl.383.31"></a><var>383.31</var>available at the sites specified in section 256N.11, subdivision 1;<br/>
<a id="pl.383.32"></a><var>383.32</var>    (3) make applications and information on managed care organizations and <br/>
<a id="pl.383.33"></a><var>383.33</var>fee-for-service providers available to applicants and enrollees according to Title VI of the <br/>
<a id="pl.384.1"></a><var>384.1</var>Civil Rights Act and federal regulations adopted under that law or any guidance from the <br/>
<a id="pl.384.2"></a><var>384.2</var>United States Department of Health and Human Services; and<br/>
<a id="pl.384.3"></a><var>384.3</var>    (4) make benefit educators available to assist applicants in choosing a managed care <br/>
<a id="pl.384.4"></a><var>384.4</var>organization or fee-for-service provider.<br/>
<a id="pl.384.5"></a><var>384.5</var>    Subd. 2. <b>Ombudsperson.</b> The commissioner shall designate an ombudsperson <br/>
<a id="pl.384.6"></a><var>384.6</var>to advocate for children enrolled in the children's health security program. The <br/>
<a id="pl.384.7"></a><var>384.7</var>ombudsperson shall assist enrollees in understanding and making use of complaint and <br/>
<a id="pl.384.8"></a><var>384.8</var>appeal procedures and ensure that necessary medical services are provided to enrollees. At <br/>
<a id="pl.384.9"></a><var>384.9</var>the time of enrollment, the commissioner shall inform enrollees about the ombudsperson <br/>
<a id="pl.384.10"></a><var>384.10</var>program, the right to a resolution of the enrollee's complaint by the managed care <br/>
<a id="pl.384.11"></a><var>384.11</var>organization if the enrollee experiences a problem with the managed care organization <br/>
<a id="pl.384.12"></a><var>384.12</var>or its providers, and appeal rights under section 256.045.<br/>
<br/>
<a id="bill.8.14.0"></a><a id="pl.384.13"></a><var>384.13</var>    Sec. 14. <b>[256N.19] MONITORING AND EVALUATION OF QUALITY AND </b><br/>
<a id="pl.384.14"></a><var>384.14</var><b>COSTS.</b><br/>
<a id="pl.384.15"></a><var>384.15</var>    (a) The commissioner, as a condition of contract, shall require each participating <br/>
<a id="pl.384.16"></a><var>384.16</var>managed care organization and participating provider to submit, in the form and manner <br/>
<a id="pl.384.17"></a><var>384.17</var>specified by the commissioner, data required for assessing enrollee satisfaction, quality <br/>
<a id="pl.384.18"></a><var>384.18</var>of care, cost, and utilization of services. The commissioner shall evaluate this data, in <br/>
<a id="pl.384.19"></a><var>384.19</var>order to:<br/>
<a id="pl.384.20"></a><var>384.20</var>    (1) make summary information on the quality of care across managed care <br/>
<a id="pl.384.21"></a><var>384.21</var>organizations, medical clinics, and providers available to consumers;<br/>
<a id="pl.384.22"></a><var>384.22</var>    (2) require managed care organizations and providers, as a condition of contract, to <br/>
<a id="pl.384.23"></a><var>384.23</var>implement quality improvement plans; and<br/>
<a id="pl.384.24"></a><var>384.24</var>    (3) compare the cost and quality of services under the program to the cost and <br/>
<a id="pl.384.25"></a><var>384.25</var>quality of services provided to private sector enrollees.<br/>
<a id="pl.384.26"></a><var>384.26</var>    (b) The commissioner shall implement this section to the extent allowed by federal <br/>
<a id="pl.384.27"></a><var>384.27</var>and state laws on data privacy.<br/>
<br/>
<a id="bill.8.15.0"></a><a id="pl.384.28"></a><var>384.28</var>    Sec. 15. <b>[256N.21] FEDERAL APPROVAL.</b><br/>
<a id="pl.384.29"></a><var>384.29</var>    The commissioner shall seek all federal waivers and approvals necessary to <br/>
<a id="pl.384.30"></a><var>384.30</var>implement this chapter including, but not limited to, waivers and approvals necessary to:<br/>
<a id="pl.384.31"></a><var>384.31</var>    (1) coordinate medical assistance and MinnesotaCare coverage for children with the <br/>
<a id="pl.384.32"></a><var>384.32</var>children's health security program;<br/>
<a id="pl.384.33"></a><var>384.33</var>    (2) use federal medical assistance and MinnesotaCare dollars to pay for health care <br/>
<a id="pl.384.34"></a><var>384.34</var>services under the children's health security program;<br/>
<a id="pl.385.1"></a><var>385.1</var>    (3) maximize receipt of the federal medical assistance match for covered children, <br/>
<a id="pl.385.2"></a><var>385.2</var>by increasing income standards through the use of more liberal income methodologies as <br/>
<a id="pl.385.3"></a><var>385.3</var>provided under United States Code, title 42, sections 1396a and 1396u-1;<br/>
<a id="pl.385.4"></a><var>385.4</var>    (4) extend presumptive eligibility and continuous eligibility to children under age <br/>
<a id="pl.385.5"></a><var>385.5</var>21; and<br/>
<a id="pl.385.6"></a><var>385.6</var>    (5) use federal medical assistance and MinnesotaCare dollars to provide benefits to <br/>
<a id="pl.385.7"></a><var>385.7</var>dependent children.<br/>
<br/>
<a id="bill.8.16.0"></a><a id="pl.385.8"></a><var>385.8</var>    Sec. 16. <b>[256N.23] RULEMAKING.</b><br/>
<a id="pl.385.9"></a><var>385.9</var>    The commissioner shall adopt rules to implement this chapter.<br/>
<br/>
<a id="bill.8.17.0"></a><a id="pl.385.10"></a><var>385.10</var>    Sec. 17. <b>[256N.25] CHILDREN'S HEALTH SECURITY PROGRAM </b><br/>
<a id="pl.385.11"></a><var>385.11</var><b>OUTREACH.</b><br/>
<a id="pl.385.12"></a><var>385.12</var>    Subdivision 1. <b>Grant awards.</b> The commissioner shall award grants to public or <br/>
<a id="pl.385.13"></a><var>385.13</var>private organizations to:<br/>
<a id="pl.385.14"></a><var>385.14</var>    (1) provide information, in areas of the state with high uninsured populations, on the <br/>
<a id="pl.385.15"></a><var>385.15</var>importance of maintaining insurance coverage and on how to obtain coverage through <br/>
<a id="pl.385.16"></a><var>385.16</var>the children's health security program; and<br/>
<a id="pl.385.17"></a><var>385.17</var>    (2) monitor and provide ongoing support to ensure enrolled children remain covered.<br/>
<a id="pl.385.18"></a><var>385.18</var>    Subd. 2. <b>Criteria.</b> In awarding the grants, the commissioner shall consider the <br/>
<a id="pl.385.19"></a><var>385.19</var>following:<br/>
<a id="pl.385.20"></a><var>385.20</var>    (1) geographic areas and populations with high uninsured rates;<br/>
<a id="pl.385.21"></a><var>385.21</var>    (2) the ability to raise matching funds;<br/>
<a id="pl.385.22"></a><var>385.22</var>    (3) the ability to contact, effectively communicate with, or serve eligible populations; <br/>
<a id="pl.385.23"></a><var>385.23</var>and<br/>
<a id="pl.385.24"></a><var>385.24</var>    (4) the applicant's plan to monitor and provide support to ensure enrolled children <br/>
<a id="pl.385.25"></a><var>385.25</var>remain covered.<br/>
<a id="pl.385.26"></a><var>385.26</var>    Subd. 3. <b>Monitoring and termination.</b> The commissioner shall monitor the grants <br/>
<a id="pl.385.27"></a><var>385.27</var>and may terminate a grant if the outreach effort does not increase enrollment in the <br/>
<a id="pl.385.28"></a><var>385.28</var>children's health security program.<br/>
<br/>
<a id="bill.8.18.0"></a><a id="pl.385.29"></a><var>385.29</var>    Sec. 18. <b>IMPLEMENTATION PLAN.</b><br/>
<a id="pl.385.30"></a><var>385.30</var>    The commissioner of human services shall develop an implementation plan for the <br/>
<a id="pl.385.31"></a><var>385.31</var>children's health security program, which includes a health delivery plan based on the <br/>
<a id="pl.385.32"></a><var>385.32</var>criteria specified in Minnesota Statutes, section 256N.13, subdivision 1. The commissioner <br/>
<a id="pl.385.33"></a><var>385.33</var>shall present this plan, any necessary draft legislation, and a draft of proposed rules <br/>
<a id="pl.386.1"></a><var>386.1</var>to the legislature by December 15, 2007. The plan must include recommendations <br/>
<a id="pl.386.2"></a><var>386.2</var>for any additional legislative changes necessary to coordinate medical assistance and <br/>
<a id="pl.386.3"></a><var>386.3</var>MinnesotaCare coverage for children with the children's health security program. The <br/>
<a id="pl.386.4"></a><var>386.4</var>commissioner shall evaluate the provision of services under the program to children with <br/>
<a id="pl.386.5"></a><var>386.5</var>disabilities and shall present recommendations to the legislature by December 15, 2009, <br/>
<a id="pl.386.6"></a><var>386.6</var>for any program changes necessary to ensure the quality and continuity of care.<br/>
<br/>
<a id="bill.8.19.0"></a><a id="pl.386.7"></a><var>386.7</var>    Sec. 19. <b>LEGISLATIVE TASK FORCE ON CHILDREN'S HEALTH CARE </b><br/>
<a id="pl.386.8"></a><var>386.8</var><b>COVERAGE.</b><br/>
<a id="pl.386.9"></a><var>386.9</var>    Subdivision 1. <b>Establishment; membership.</b> (a) The Legislative Task Force on <br/>
<a id="pl.386.10"></a><var>386.10</var>Children's Health Care Coverage is established. The task force is made up of 12 voting <br/>
<a id="pl.386.11"></a><var>386.11</var>members and six nonvoting members.<br/>
<a id="pl.386.12"></a><var>386.12</var>    (b) The voting members are:<br/>
<a id="pl.386.13"></a><var>386.13</var>    (1) six members of the house of representatives appointed by the speaker, three from <br/>
<a id="pl.386.14"></a><var>386.14</var>the majority party and three from the minority party; and<br/>
<a id="pl.386.15"></a><var>386.15</var>    (2) six members of the senate appointed by the Subcommittee on Committees of the <br/>
<a id="pl.386.16"></a><var>386.16</var>senate Committee on Rules and Administration, three from the majority party and three <br/>
<a id="pl.386.17"></a><var>386.17</var>from the minority party.<br/>
<a id="pl.386.18"></a><var>386.18</var>    (c) The nonvoting members are one representative selected by each of the following <br/>
<a id="pl.386.19"></a><var>386.19</var>organizations:<br/>
<a id="pl.386.20"></a><var>386.20</var>    (1) the American Academy of Pediatrics, Minnesota chapter;<br/>
<a id="pl.386.21"></a><var>386.21</var>    (2) the Minnesota Nurses Association;<br/>
<a id="pl.386.22"></a><var>386.22</var>    (3) the Minnesota Council of Health Plans;<br/>
<a id="pl.386.23"></a><var>386.23</var>    (4) the Minnesota Children's Platform Coalition;<br/>
<a id="pl.386.24"></a><var>386.24</var>    (5) the Minnesota Universal Health Care Coalition; and<br/>
<a id="pl.386.25"></a><var>386.25</var>    (6) the Minnesota Business Partnership.<br/>
<a id="pl.386.26"></a><var>386.26</var>    (d) The task force members must be appointed by September 1, 2007. The majority <br/>
<a id="pl.386.27"></a><var>386.27</var>leader of the senate and the speaker of the house of representatives must each designate <br/>
<a id="pl.386.28"></a><var>386.28</var>a chair from their appointments. The chair appointed by the speaker of the house of <br/>
<a id="pl.386.29"></a><var>386.29</var>representatives shall convene and chair the first meeting of the task force. The chair <br/>
<a id="pl.386.30"></a><var>386.30</var>appointed by the majority leader of the senate shall chair the next meeting of the task <br/>
<a id="pl.386.31"></a><var>386.31</var>force. The chairs shall then alternate for the duration of the task force.<br/>
<a id="pl.386.32"></a><var>386.32</var>    Subd. 2. <b>Study; staff support.</b> (a) The task force shall study viable options to extend <br/>
<a id="pl.386.33"></a><var>386.33</var>coverage to all children as provided in Minnesota Statutes, section 256N.05, subdivision <br/>
<a id="pl.386.34"></a><var>386.34</var>2, paragraph (d), and provide recommendations to the legislature. The study must:<br/>
<a id="pl.387.1"></a><var>387.1</var>    (1) evaluate methods to achieve universal coverage for children, including, but not <br/>
<a id="pl.387.2"></a><var>387.2</var>limited to, changes to the employer-based coverage system and an expansion of eligibility <br/>
<a id="pl.387.3"></a><var>387.3</var>for the children's health security program established under Minnesota Statutes, chapter <br/>
<a id="pl.387.4"></a><var>387.4</var>256N;<br/>
<a id="pl.387.5"></a><var>387.5</var>    (2) examine health care reform and cost containment methods that will contain costs <br/>
<a id="pl.387.6"></a><var>387.6</var>and increase access and improve health outcomes;<br/>
<a id="pl.387.7"></a><var>387.7</var>    (3) examine how to increase access to preventive care and health care services; and<br/>
<a id="pl.387.8"></a><var>387.8</var>    (4) examine how to reduce health disparities among minority populations. <br/>
<a id="pl.387.9"></a><var>387.9</var>    (b) The task force, through the Legislative Coordinating Commission, may hire staff <br/>
<a id="pl.387.10"></a><var>387.10</var>or contract for staff support for the study.<br/>
<a id="pl.387.11"></a><var>387.11</var>    (c) The task force, in developing recommendations, shall hold meetings to hear <br/>
<a id="pl.387.12"></a><var>387.12</var>public testimony at locations throughout the state, including locations outside of the <br/>
<a id="pl.387.13"></a><var>387.13</var>seven-county metropolitan area.<br/>
<a id="pl.387.14"></a><var>387.14</var>    Subd. 3. <b>Recommendations.</b> The task force shall report its recommendations to <br/>
<a id="pl.387.15"></a><var>387.15</var>the legislature by December 15, 2009. Recommendations must be consistent with the <br/>
<a id="pl.387.16"></a><var>387.16</var>following criteria:<br/>
<a id="pl.387.17"></a><var>387.17</var>    (1) health care coverage must include preventive care and all other medically <br/>
<a id="pl.387.18"></a><var>387.18</var>necessary services;<br/>
<a id="pl.387.19"></a><var>387.19</var>    (2) health care coverage must be affordable for families, with the family share of <br/>
<a id="pl.387.20"></a><var>387.20</var>premium costs and cost-sharing in total not exceeding five percent of family income;<br/>
<a id="pl.387.21"></a><var>387.21</var>    (3) the system of coverage must give priority to ensuring access to and the quality <br/>
<a id="pl.387.22"></a><var>387.22</var>and continuity of care; and<br/>
<a id="pl.387.23"></a><var>387.23</var>    (4) enrollment must be simple and seamless for families.<br/>
<a id="pl.387.24"></a><var>387.24</var>    Subd. 4. <b>Expiration.</b> This section expires December 16, 2009.<br/>
<br/>
<a id="bill.9.0.0"></a>

<a id="bill.9.1.0"></a><a id="pl.387.27"></a><var>387.27</var>    Section 1. Minnesota Statutes 2006, section 62A.65, subdivision 3, is amended to read:<br/>
<a id="pl.387.28"></a><var>387.28</var>    Subd. 3. <b>Premium rate restrictions.</b> No individual health plan may be offered, <br/>
<a id="pl.387.29"></a><var>387.29</var>sold, issued, or renewed to a Minnesota resident unless the premium rate charged is <br/>
<a id="pl.387.30"></a><var>387.30</var>determined in accordance with the following requirements:<br/>
<a id="pl.387.31"></a><var>387.31</var>    (a) Premium rates must be no more than 25 percent above and no more than 25 <br/>
<a id="pl.387.32"></a><var>387.32</var>percent below the index rate charged to individuals for the same or similar coverage, <br/>
<a id="pl.387.33"></a><var>387.33</var>adjusted pro rata for rating periods of less than one year. The premium variations <br/>
<a id="pl.387.34"></a><var>387.34</var>permitted by this paragraph must be based only upon health status, claims experience, <br/>
<a id="pl.387.35"></a><var>387.35</var>and occupation. For purposes of this paragraph, health status includes refraining from <br/>
<a id="pl.388.1"></a><var>388.1</var>tobacco use or other actuarially valid lifestyle factors associated with good health, <br/>
<a id="pl.388.2"></a><var>388.2</var>provided that the lifestyle factor and its effect upon premium rates have been determined <br/>
<a id="pl.388.3"></a><var>388.3</var>by the commissioner to be actuarially valid and have been approved by the commissioner. <br/>
<a id="pl.388.4"></a><var>388.4</var>Variations permitted under this paragraph must not be based upon age or applied <br/>
<a id="pl.388.5"></a><var>388.5</var>differently at different ages. This paragraph does not prohibit use of a constant percentage <br/>
<a id="pl.388.6"></a><var>388.6</var>adjustment for factors permitted to be used under this paragraph.<br/>
<a id="pl.388.7"></a><var>388.7</var>    (b) Premium rates may vary based upon the ages of covered persons only as <br/>
<a id="pl.388.8"></a><var>388.8</var>provided in this paragraph. In addition to the variation permitted under paragraph (a), <br/>
<a id="pl.388.9"></a><var>388.9</var>each health carrier may use an additional premium variation based upon age for adults <br/>
<a id="pl.388.10"></a><var>388.10</var>aged 19 and above of up to plus or minus 50 percent of the index rate. Premium rates for <br/>
<a id="pl.388.11"></a><var>388.11</var>children under the age of 19 may not vary based on age, regardless of whether the child is <br/>
<a id="pl.388.12"></a><var>388.12</var>covered as a dependent or as a primary insured.<br/>
<a id="pl.388.13"></a><var>388.13</var>    (c) A health carrier may request approval by the commissioner to establish separate <br/>
<a id="pl.388.14"></a><var>388.14</var>geographic regions determined by the health carrier and to establish separate index rates <br/>
<a id="pl.388.15"></a><var>388.15</var>for each such region. The commissioner shall grant approval if the following conditions <br/>
<a id="pl.388.16"></a><var>388.16</var>are met: <br/>
<a id="pl.388.17"></a><var>388.17</var>    (1) the geographic regions must be applied uniformly by the health carrier;<br/>
<a id="pl.388.18"></a><var>388.18</var>    (2) each geographic region must be composed of no fewer than seven counties that <br/>
<a id="pl.388.19"></a><var>388.19</var>create a contiguous region; and<br/>
<a id="pl.388.20"></a><var>388.20</var>    (3) the health carrier provides actuarial justification acceptable to the commissioner <br/>
<a id="pl.388.21"></a><var>388.21</var>for the proposed geographic variations in index rates, establishing that the variations are <br/>
<a id="pl.388.22"></a><var>388.22</var>based upon differences in the cost to the health carrier of providing coverage.<br/>
<a id="pl.388.23"></a><var>388.23</var>    (d) Health carriers may use rate cells and must file with the commissioner the rate <br/>
<a id="pl.388.24"></a><var>388.24</var>cells they use. Rate cells must be based upon the number of adults or children covered <br/>
<a id="pl.388.25"></a><var>388.25</var>under the policy and may reflect the availability of Medicare coverage. The rates for <br/>
<a id="pl.388.26"></a><var>388.26</var>different rate cells must not in any way reflect generalized differences in expected costs <br/>
<a id="pl.388.27"></a><var>388.27</var>between principal insureds and their spouses.<br/>
<a id="pl.388.28"></a><var>388.28</var>    (e) In developing its index rates and premiums for a health plan, a health carrier shall <br/>
<a id="pl.388.29"></a><var>388.29</var>take into account only the following factors:<br/>
<a id="pl.388.30"></a><var>388.30</var>    (1) actuarially valid differences in rating factors permitted under paragraphs (a) <br/>
<a id="pl.388.31"></a><var>388.31</var>and (b); and<br/>
<a id="pl.388.32"></a><var>388.32</var>    (2) actuarially valid geographic variations if approved by the commissioner as <br/>
<a id="pl.388.33"></a><var>388.33</var>provided in paragraph (c).<br/>
<a id="pl.388.34"></a><var>388.34</var>    (f) All premium variations must be justified in initial rate filings and upon request of <br/>
<a id="pl.388.35"></a><var>388.35</var>the commissioner in rate revision filings. All rate variations are subject to approval by <br/>
<a id="pl.388.36"></a><var>388.36</var>the commissioner.<br/>
<a id="pl.389.1"></a><var>389.1</var>    (g) The loss ratio must comply with the section 
         <statute_ref>62A.021</statute_ref> requirements for individual <br/>
<a id="pl.389.2"></a><var>389.2</var>health plans. <br/>
<a id="pl.389.3"></a><var>389.3</var>    (h) The rates must not be approved, unless the commissioner has determined that the <br/>
<a id="pl.389.4"></a><var>389.4</var>rates are reasonable. In determining reasonableness, the commissioner shall consider the <br/>
<a id="pl.389.5"></a><var>389.5</var>growth rates applied under section 
         <statute_ref>62J.04, subdivision 1</statute_ref>, paragraph (b), to the calendar <br/>
<a id="pl.389.6"></a><var>389.6</var>year or years that the proposed premium rate would be in effect, actuarially valid changes <br/>
<a id="pl.389.7"></a><var>389.7</var>in risks associated with the enrollee populations, and actuarially valid changes as a result <br/>
<a id="pl.389.8"></a><var>389.8</var>of statutory changes in Laws 1992, chapter 549. <br/>
<a id="pl.389.9"></a><var>389.9</var>    (i) An insurer may, as part of a minimum lifetime loss ratio guarantee filing under <br/>
<a id="pl.389.10"></a><var>389.10</var>section 
         <statute_ref>62A.02</statute_ref>, subdivision 3a, include a rating practices guarantee as provided in this <br/>
<a id="pl.389.11"></a><var>389.11</var>paragraph. The rating practices guarantee must be in writing and must guarantee that <br/>
<a id="pl.389.12"></a><var>389.12</var>the policy form will be offered, sold, issued, and renewed only with premium rates and <br/>
<a id="pl.389.13"></a><var>389.13</var>premium rating practices that comply with subdivisions 2, 3, 4, and 5. The rating practices <br/>
<a id="pl.389.14"></a><var>389.14</var>guarantee must be accompanied by an actuarial memorandum that demonstrates that the <br/>
<a id="pl.389.15"></a><var>389.15</var>premium rates and premium rating system used in connection with the policy form will <br/>
<a id="pl.389.16"></a><var>389.16</var>satisfy the guarantee. The guarantee must guarantee refunds of any excess premiums to <br/>
<a id="pl.389.17"></a><var>389.17</var>policyholders charged premiums that exceed those permitted under subdivision 2, 3, 4, <br/>
<a id="pl.389.18"></a><var>389.18</var>or 5. An insurer that complies with this paragraph in connection with a policy form is <br/>
<a id="pl.389.19"></a><var>389.19</var>exempt from the requirement of prior approval by the commissioner under paragraphs <br/>
<a id="pl.389.20"></a><var>389.20</var>(c), (f), and (h).<br/>
<br/>
<a id="bill.9.2.0"></a><a id="pl.389.21"></a><var>389.21</var>    Sec. 2. <b>[62A.67] MINNESOTA HEALTH INSURANCE EXCHANGE.</b><br/>
<a id="pl.389.22"></a><var>389.22</var>    Subdivision 1. <b>Title; citation.</b> This section may be cited as the "Minnesota Health <br/>
<a id="pl.389.23"></a><var>389.23</var>Insurance Exchange."<br/>
<a id="pl.389.24"></a><var>389.24</var>    Subd. 2. <b>Creation; tax exemption.</b> The Minnesota Health Insurance Exchange <br/>
<a id="pl.389.25"></a><var>389.25</var>is created for the limited purpose of providing individuals with greater access, choice, <br/>
<a id="pl.389.26"></a><var>389.26</var>portability, and affordability of health insurance products. The Minnesota Health <br/>
<a id="pl.389.27"></a><var>389.27</var>Insurance Exchange is a not-for-profit corporation under chapter 317A and section 501(c) <br/>
<a id="pl.389.28"></a><var>389.28</var>of the Internal Revenue Code.<br/>
<a id="pl.389.29"></a><var>389.29</var>    Subd. 3. <b>Definitions.</b> The following terms have the meanings given them unless <br/>
<a id="pl.389.30"></a><var>389.30</var>otherwise provided in text.<br/>
<a id="pl.389.31"></a><var>389.31</var>    (a) "Board" means the board of directors of the Minnesota Health Insurance <br/>
<a id="pl.389.32"></a><var>389.32</var>Exchange under subdivision 13.<br/>
<a id="pl.389.33"></a><var>389.33</var>    (b) "Commissioner" means: <br/>
<a id="pl.389.34"></a><var>389.34</var>    (1) the commissioner of commerce for health insurers subject to the jurisdiction <br/>
<a id="pl.389.35"></a><var>389.35</var>of the Department of Commerce; <br/>
<a id="pl.390.1"></a><var>390.1</var>    (2) the commissioner of health for health insurers subject to the jurisdiction of the <br/>
<a id="pl.390.2"></a><var>390.2</var>Department of Health; or <br/>
<a id="pl.390.3"></a><var>390.3</var>    (3) either commissioner's designated representative.<br/>
<a id="pl.390.4"></a><var>390.4</var>    (c) "Exchange" means the Minnesota Health Insurance Exchange.<br/>
<a id="pl.390.5"></a><var>390.5</var>    (d) "HIPAA" means the Health Insurance Portability and Accountability Act of 1996.<br/>
<a id="pl.390.6"></a><var>390.6</var>    (e) "Individual market health plans," unless otherwise specified, means individual <br/>
<a id="pl.390.7"></a><var>390.7</var>market health plans defined in section 62A.011.<br/>
<a id="pl.390.8"></a><var>390.8</var>    (f) "Section 125 Plan" means a cafeteria or Premium Only Plan under section 125 of <br/>
<a id="pl.390.9"></a><var>390.9</var>the Internal Revenue Code that allows employees to pay for health insurance premiums <br/>
<a id="pl.390.10"></a><var>390.10</var>with pretax dollars.<br/>
<a id="pl.390.11"></a><var>390.11</var>    Subd. 4. <b>Insurer and health plan participation.</b> All health plans as defined in <br/>
<a id="pl.390.12"></a><var>390.12</var>section 62A.011, subdivision 3, issued or renewed in the individual market shall participate <br/>
<a id="pl.390.13"></a><var>390.13</var>in the exchange. No health plans in the individual market may be issued or renewed <br/>
<a id="pl.390.14"></a><var>390.14</var>outside of the exchange. Group health plans as defined in section 62A.10 shall not be <br/>
<a id="pl.390.15"></a><var>390.15</var>offered through the exchange. Health plans offered through the Minnesota Comprehensive <br/>
<a id="pl.390.16"></a><var>390.16</var>Health Association as defined in section 62E.10 are offered through the exchange to <br/>
<a id="pl.390.17"></a><var>390.17</var>eligible enrollees as determined by the Minnesota Comprehensive Health Association. <br/>
<a id="pl.390.18"></a><var>390.18</var>Health plans offered through MinnesotaCare under chapter 256L are offered through the <br/>
<a id="pl.390.19"></a><var>390.19</var>exchange to eligible enrollees as determined by the commissioner of human services.<br/>
<a id="pl.390.20"></a><var>390.20</var>    Subd. 5. <b>Approval of health plans.</b> No health plan may be offered through the <br/>
<a id="pl.390.21"></a><var>390.21</var>exchange unless the commissioner has first certified that:<br/>
<a id="pl.390.22"></a><var>390.22</var>    (1) the insurer seeking to offer the health plan is licensed to issue health insurance in <br/>
<a id="pl.390.23"></a><var>390.23</var>the state; and<br/>
<a id="pl.390.24"></a><var>390.24</var>    (2) the health plan meets the requirements of this section, and the health plan and the <br/>
<a id="pl.390.25"></a><var>390.25</var>insurer are in compliance with all other applicable health insurance laws.<br/>
<a id="pl.390.26"></a><var>390.26</var>    Subd. 6. <b>Individual market health plans.</b> Individual market health plans offered <br/>
<a id="pl.390.27"></a><var>390.27</var>through the exchange continue to be regulated by the commissioner as specified in <br/>
<a id="pl.390.28"></a><var>390.28</var>chapters 62A, 62C, 62D, 62E, 62Q, and 72A, and must include the following provisions <br/>
<a id="pl.390.29"></a><var>390.29</var>that apply to all health plans issued or renewed through the exchange:<br/>
<a id="pl.390.30"></a><var>390.30</var>    (1) premiums for children under the age of 19 shall not vary by age in the exchange; <br/>
<a id="pl.390.31"></a><var>390.31</var>and<br/>
<a id="pl.390.32"></a><var>390.32</var>    (2) premiums for children under the age of 19 must be excluded from rating factors <br/>
<a id="pl.390.33"></a><var>390.33</var>under section 62A.65, subdivision 3, paragraph (b).<br/>
<a id="pl.390.34"></a><var>390.34</var>    Subd. 7. <b>Individual participation and eligibility.</b> Individuals are eligible to <br/>
<a id="pl.390.35"></a><var>390.35</var>purchase health plans directly through the exchange or through an employer Section <br/>
<a id="pl.390.36"></a><var>390.36</var>125 Plan under section 62A.68. Nothing in this section requires guaranteed issue of <br/>
<a id="pl.391.1"></a><var>391.1</var>individual market health plans offered through the exchange. Individuals are eligible to <br/>
<a id="pl.391.2"></a><var>391.2</var>purchase individual market health plans through the exchange by meeting one or more <br/>
<a id="pl.391.3"></a><var>391.3</var>of the following qualifications:<br/>
<a id="pl.391.4"></a><var>391.4</var>    (1) the individual is a Minnesota resident, meaning the individual is physically <br/>
<a id="pl.391.5"></a><var>391.5</var>residing on a permanent basis in a place that is the person's principal residence and from <br/>
<a id="pl.391.6"></a><var>391.6</var>which the person is absent only for temporary purposes;<br/>
<a id="pl.391.7"></a><var>391.7</var>    (2) the individual is a student attending an institution outside of Minnesota and <br/>
<a id="pl.391.8"></a><var>391.8</var>maintains Minnesota residency;<br/>
<a id="pl.391.9"></a><var>391.9</var>    (3) the individual is not a Minnesota resident but is employed by an employer <br/>
<a id="pl.391.10"></a><var>391.10</var>physically located within the state and the individual's employer is required to offer a <br/>
<a id="pl.391.11"></a><var>391.11</var>Section 125 Plan under section 62A.68;<br/>
<a id="pl.391.12"></a><var>391.12</var>    (4) the individual is not a Minnesota resident but is self-employed and the <br/>
<a id="pl.391.13"></a><var>391.13</var>individual's principal place of business is in the state; or<br/>
<a id="pl.391.14"></a><var>391.14</var>    (5) the individual is a dependent as defined in section 62L.02, of another individual <br/>
<a id="pl.391.15"></a><var>391.15</var>who is eligible to participate in the exchange.<br/>
<a id="pl.391.16"></a><var>391.16</var>    Subd. 8. <b>Continuation of coverage.</b> Enrollment in a health plan may be canceled <br/>
<a id="pl.391.17"></a><var>391.17</var>for nonpayment of premiums, fraud, or changes in eligibility for MinnesotaCare under <br/>
<a id="pl.391.18"></a><var>391.18</var>chapter 256L. Enrollment in an individual market health plan may not be canceled or <br/>
<a id="pl.391.19"></a><var>391.19</var>nonrenewed because of any change in employer or employment status, marital status, <br/>
<a id="pl.391.20"></a><var>391.20</var>health status, age, residence, or any other change that does not affect eligibility as defined <br/>
<a id="pl.391.21"></a><var>391.21</var>in this section.<br/>
<a id="pl.391.22"></a><var>391.22</var>    Subd. 9. <b>Responsibilities of the exchange.</b> The exchange shall serve as the sole <br/>
<a id="pl.391.23"></a><var>391.23</var>entity for enrollment and collection and transfer of premium payments for health plans <br/>
<a id="pl.391.24"></a><var>391.24</var>sold to individuals through the exchange. The exchange shall be responsible for the <br/>
<a id="pl.391.25"></a><var>391.25</var>following functions:<br/>
<a id="pl.391.26"></a><var>391.26</var>    (1) publicize the exchange, including but not limited to its functions, eligibility <br/>
<a id="pl.391.27"></a><var>391.27</var>rules, and enrollment procedures;<br/>
<a id="pl.391.28"></a><var>391.28</var>    (2) provide assistance to employers to establish Section 125 Plans under section <br/>
<a id="pl.391.29"></a><var>391.29</var>62A.68;<br/>
<a id="pl.391.30"></a><var>391.30</var>    (3) provide education and assistance to employers to help them understand the <br/>
<a id="pl.391.31"></a><var>391.31</var>requirements of Section 125 Plans and compliance with applicable regulations;<br/>
<a id="pl.391.32"></a><var>391.32</var>    (4) create a system to allow individuals to compare and enroll in health plans offered <br/>
<a id="pl.391.33"></a><var>391.33</var>through the exchange;<br/>
<a id="pl.391.34"></a><var>391.34</var>    (5) create a system to collect and transmit to the applicable plans all premium <br/>
<a id="pl.391.35"></a><var>391.35</var>payments made by individuals, including developing mechanisms to receive and process <br/>
<a id="pl.392.1"></a><var>392.1</var>automatic payroll deductions for individuals who purchase coverage through employer <br/>
<a id="pl.392.2"></a><var>392.2</var>Section 125 Plans;<br/>
<a id="pl.392.3"></a><var>392.3</var>    (6) not accept premium payments for individual market health plans from an <br/>
<a id="pl.392.4"></a><var>392.4</var>employer Section 125 Plan if the employer offers a group health plan as defined in section <br/>
<a id="pl.392.5"></a><var>392.5</var>62A.10, or if the employer is a self-insurer as defined in section 62E.02;<br/>
<a id="pl.392.6"></a><var>392.6</var>    (7) provide jointly with health insurers a cancellation notice directly to the primary <br/>
<a id="pl.392.7"></a><var>392.7</var>insured at least ten days prior to termination of coverage for nonpayment of premium;<br/>
<a id="pl.392.8"></a><var>392.8</var>    (8) bill the employer for the premiums payable by an employee, provided that the <br/>
<a id="pl.392.9"></a><var>392.9</var>employer is not liable for payment except from payroll deductions for that purpose;<br/>
<a id="pl.392.10"></a><var>392.10</var>    (9) refer individuals interested in MinnesotaCare under chapter 256L to the <br/>
<a id="pl.392.11"></a><var>392.11</var>Department of Human Services to determine eligibility;<br/>
<a id="pl.392.12"></a><var>392.12</var>    (10) establish a mechanism with the Department of Human Services to transfer <br/>
<a id="pl.392.13"></a><var>392.13</var>premiums and subsidies for MinnesotaCare to qualify for federal matching payments;<br/>
<a id="pl.392.14"></a><var>392.14</var>    (11) upon request, issue certificates of previous coverage according to the provisions <br/>
<a id="pl.392.15"></a><var>392.15</var>of HIPAA and as referenced in section 62Q.181 to all such individuals who cease to be <br/>
<a id="pl.392.16"></a><var>392.16</var>covered by a participating health plan through the exchange;<br/>
<a id="pl.392.17"></a><var>392.17</var>    (12) establish procedures to account for all funds received and disbursed by the <br/>
<a id="pl.392.18"></a><var>392.18</var>exchange for individual participants of the exchange; <br/>
<a id="pl.392.19"></a><var>392.19</var>    (13) make available to the public, at the end of each calendar year, a report of an <br/>
<a id="pl.392.20"></a><var>392.20</var>independent audit of the exchange's accounts; and<br/>
<a id="pl.392.21"></a><var>392.21</var>    (14) provide copies of written and signed statements from employers stating that <br/>
<a id="pl.392.22"></a><var>392.22</var>the employer is not contributing to the employee's premiums for health plans purchased <br/>
<a id="pl.392.23"></a><var>392.23</var>by an employee through the exchange to all health insurers with enrolled employees of <br/>
<a id="pl.392.24"></a><var>392.24</var>the employer.<br/>
<a id="pl.392.25"></a><var>392.25</var>    Health insurers may rely on the employer's statement in clause (4) provided by the <br/>
<a id="pl.392.26"></a><var>392.26</var>Minnesota Health Insurance Exchange and are not required to guarantee-issue individual <br/>
<a id="pl.392.27"></a><var>392.27</var>health plans to the employer's employees.<br/>
<a id="pl.392.28"></a><var>392.28</var>    Subd. 10. <b>State not liable.</b> The state of Minnesota shall not be liable for the actions <br/>
<a id="pl.392.29"></a><var>392.29</var>of the Minnesota Health Insurance Exchange.<br/>
<a id="pl.392.30"></a><var>392.30</var>    Subd. 11. <b>Powers of the exchange.</b> The exchange shall have the power to:<br/>
<a id="pl.392.31"></a><var>392.31</var>    (1) contract with insurance producers licensed in accident and health insurance <br/>
<a id="pl.392.32"></a><var>392.32</var>under chapter 60K and vendors to perform one or more of the functions specified in <br/>
<a id="pl.392.33"></a><var>392.33</var>subdivision 10;<br/>
<a id="pl.392.34"></a><var>392.34</var>    (2) contract with employers to collect premiums through a Section 125 Plan for <br/>
<a id="pl.392.35"></a><var>392.35</var>eligible individuals who purchase an individual market health plan through the exchange;<br/>
<a id="pl.393.1"></a><var>393.1</var>    (3) establish and assess fees on health plan premiums of health plans purchased <br/>
<a id="pl.393.2"></a><var>393.2</var>through the exchange to fund the cost of administering the exchange;<br/>
<a id="pl.393.3"></a><var>393.3</var>    (4) seek and directly receive grant funding from government agencies or private <br/>
<a id="pl.393.4"></a><var>393.4</var>philanthropic organizations to defray the costs of operating the exchange;<br/>
<a id="pl.393.5"></a><var>393.5</var>    (5) establish and administer rules and procedures governing the operations of the <br/>
<a id="pl.393.6"></a><var>393.6</var>exchange;<br/>
<a id="pl.393.7"></a><var>393.7</var>    (6) establish one or more service centers within Minnesota;<br/>
<a id="pl.393.8"></a><var>393.8</var>    (7) sue or be sued or otherwise take any necessary or proper legal action;<br/>
<a id="pl.393.9"></a><var>393.9</var>    (8) establish bank accounts and borrow money; and<br/>
<a id="pl.393.10"></a><var>393.10</var>    (9) enter into agreements with the commissioners of commerce, health, human <br/>
<a id="pl.393.11"></a><var>393.11</var>services, revenue, employment and economic development, and other state agencies as <br/>
<a id="pl.393.12"></a><var>393.12</var>necessary for the exchange to implement the provisions of this section.<br/>
<a id="pl.393.13"></a><var>393.13</var>    Subd. 12. <b>Dispute resolution.</b> The exchange shall establish procedures for <br/>
<a id="pl.393.14"></a><var>393.14</var>resolving disputes with respect to the eligibility of an individual to participate in the <br/>
<a id="pl.393.15"></a><var>393.15</var>exchange. The exchange does not have the authority or responsibility to intervene in or <br/>
<a id="pl.393.16"></a><var>393.16</var>resolve disputes between an individual and a health plan or health insurer. The exchange <br/>
<a id="pl.393.17"></a><var>393.17</var>shall refer complaints from individuals participating in the exchange to the commissioner <br/>
<a id="pl.393.18"></a><var>393.18</var>to be resolved according to sections 62Q.68 to 62Q.73.<br/>
<a id="pl.393.19"></a><var>393.19</var>    Subd. 13. <b>Governance.</b> The exchange shall be governed by a board of directors <br/>
<a id="pl.393.20"></a><var>393.20</var>with 11 members. The board shall convene on or before July 1, 2007, after the initial board <br/>
<a id="pl.393.21"></a><var>393.21</var>members have been selected. The initial board membership consists of the following:<br/>
<a id="pl.393.22"></a><var>393.22</var>    (1) the commissioner of commerce;<br/>
<a id="pl.393.23"></a><var>393.23</var>    (2) the commissioner of human services;<br/>
<a id="pl.393.24"></a><var>393.24</var>    (3) the commissioner of health;<br/>
<a id="pl.393.25"></a><var>393.25</var>    (4) four members appointed by a joint committee of the Minnesota senate and the <br/>
<a id="pl.393.26"></a><var>393.26</var>Minnesota house of representatives to serve three-year terms; and<br/>
<a id="pl.393.27"></a><var>393.27</var>    (5) four members appointed by the governor to serve three-year terms.<br/>
<a id="pl.393.28"></a><var>393.28</var>    Subd. 14. <b>Subsequent board membership.</b> Ongoing membership of the exchange <br/>
<a id="pl.393.29"></a><var>393.29</var>consists of the following effective July 1, 2010:<br/>
<a id="pl.393.30"></a><var>393.30</var>    (1) the commissioner of commerce;<br/>
<a id="pl.393.31"></a><var>393.31</var>    (2) the commissioner of human services;<br/>
<a id="pl.393.32"></a><var>393.32</var>    (3) the commissioner of health;<br/>
<a id="pl.393.33"></a><var>393.33</var>    (4) two members appointed by the governor with the approval of a joint committee <br/>
<a id="pl.393.34"></a><var>393.34</var>of the senate and house of representatives to serve two-year terms; and<br/>
<a id="pl.394.1"></a><var>394.1</var>    (5) six members elected by the membership of the exchange of which three <br/>
<a id="pl.394.2"></a><var>394.2</var>are elected to serve a two-year term and three are elected to serve a three-year term. <br/>
<a id="pl.394.3"></a><var>394.3</var>Appointed and elected members may serve more than one term.<br/>
<a id="pl.394.4"></a><var>394.4</var>    Subd. 15. <b>Operations of the board.</b> Officers of the board of directors are elected by <br/>
<a id="pl.394.5"></a><var>394.5</var>members of the board and serve one-year terms. Six members of the board constitutes a <br/>
<a id="pl.394.6"></a><var>394.6</var>quorum, and the affirmative vote of six members of the board is necessary and sufficient <br/>
<a id="pl.394.7"></a><var>394.7</var>for any action taken by the board. Board members serve without pay, but are reimbursed <br/>
<a id="pl.394.8"></a><var>394.8</var>for actual expenses incurred in the performance of their duties.<br/>
<a id="pl.394.9"></a><var>394.9</var>    Subd. 16. <b>Operations of the exchange.</b> The board of directors shall appoint an <br/>
<a id="pl.394.10"></a><var>394.10</var>exchange director who shall:<br/>
<a id="pl.394.11"></a><var>394.11</var>    (1) be a full-time employee of the exchange;<br/>
<a id="pl.394.12"></a><var>394.12</var>    (2) administer all of the activities and contracts of the exchange; and <br/>
<a id="pl.394.13"></a><var>394.13</var>    (3) hire and supervise the staff of the exchange.<br/>
<a id="pl.394.14"></a><var>394.14</var>    Subd. 17. <b>Insurance producers.</b> An individual has the right to choose any <br/>
<a id="pl.394.15"></a><var>394.15</var>insurance producer licensed in accident and health insurance under chapter 60K to assist <br/>
<a id="pl.394.16"></a><var>394.16</var>them in purchasing an individual market health plan through the exchange. When a <br/>
<a id="pl.394.17"></a><var>394.17</var>producer licensed in accident and health insurance under chapter 60K enrolls an eligible <br/>
<a id="pl.394.18"></a><var>394.18</var>individual in the exchange, the health plan chosen by an individual may pay the producer <br/>
<a id="pl.394.19"></a><var>394.19</var>a commission.<br/>
<a id="pl.394.20"></a><var>394.20</var>    Subd. 18. <b>Implementation.</b> Health plan coverage through the exchange begins on <br/>
<a id="pl.394.21"></a><var>394.21</var>January 1, 2009. The exchange must be operational to assist employers and individuals <br/>
<a id="pl.394.22"></a><var>394.22</var>by September 1, 2008, and be prepared for enrollment by December 1, 2008. Enrollees <br/>
<a id="pl.394.23"></a><var>394.23</var>of individual market health plans, MinnesotaCare, and the Minnesota Comprehensive <br/>
<a id="pl.394.24"></a><var>394.24</var>Health Association as of December 2, 2008, are automatically enrolled in the exchange <br/>
<a id="pl.394.25"></a><var>394.25</var>on January 1, 2009, in the same health plan and at the same premium that they were <br/>
<a id="pl.394.26"></a><var>394.26</var>enrolled as of December 2, 2008, subject to the provisions of this section. As of January 1, <br/>
<a id="pl.394.27"></a><var>394.27</var>2009, all enrollees of individual market health plans, MinnesotaCare, and the Minnesota <br/>
<a id="pl.394.28"></a><var>394.28</var>Comprehensive Health Association shall make premium payments to the exchange.<br/>
<br/>
<a id="bill.9.3.0"></a><a id="pl.394.29"></a><var>394.29</var>    Sec. 3. <b>[62A.68] SECTION 125 PLANS.</b><br/>
<a id="pl.394.30"></a><var>394.30</var>    Subdivision 1. <b>Definitions.</b> The following terms have the meanings given unless <br/>
<a id="pl.394.31"></a><var>394.31</var>otherwise provided in text:<br/>
<a id="pl.394.32"></a><var>394.32</var>    (a) "Current employee" means an employee currently on an employer's payroll other <br/>
<a id="pl.394.33"></a><var>394.33</var>than a retiree or disabled former employee.<br/>
<a id="pl.395.1"></a><var>395.1</var>    (b) "Employer" means a person, firm, corporation, partnership, association, business <br/>
<a id="pl.395.2"></a><var>395.2</var>trust, or other entity employing one or more persons, including a political subdivision of <br/>
<a id="pl.395.3"></a><var>395.3</var>the state, filing payroll tax information on such employed person or persons.<br/>
<a id="pl.395.4"></a><var>395.4</var>    (c) "Section 125 Plan" means a cafeteria or Premium Only Plan under section 125 <br/>
<a id="pl.395.5"></a><var>395.5</var>of the Internal Revenue Code that allows employees to purchase health insurance with <br/>
<a id="pl.395.6"></a><var>395.6</var>pretax dollars.<br/>
<a id="pl.395.7"></a><var>395.7</var>    (d) "Exchange" means the Minnesota Health Insurance Exchange under section <br/>
<a id="pl.395.8"></a><var>395.8</var>62A.67.<br/>
<a id="pl.395.9"></a><var>395.9</var>    (e) "Exchange director" means the appointed director under section 62A.67, <br/>
<a id="pl.395.10"></a><var>395.10</var>subdivision 16.<br/>
<a id="pl.395.11"></a><var>395.11</var>    Subd. 2. <b>Section 125 Plan requirement.</b> (a) Effective January 1, 2009, all <br/>
<a id="pl.395.12"></a><var>395.12</var>employers with 11 or more current employees shall establish a Section 125 Plan to <br/>
<a id="pl.395.13"></a><var>395.13</var>allow their employees to purchase individual market health plan coverage with pretax <br/>
<a id="pl.395.14"></a><var>395.14</var>dollars. Nothing in this section requires or mandates employers to offer or purchase <br/>
<a id="pl.395.15"></a><var>395.15</var>health insurance coverage for their employees. The following employers are exempt <br/>
<a id="pl.395.16"></a><var>395.16</var>from the Section 125 Plan requirement:<br/>
<a id="pl.395.17"></a><var>395.17</var>    (1) employers that offer a group health insurance plan as defined in 62A.10;<br/>
<a id="pl.395.18"></a><var>395.18</var>    (2) employers that are self-insurers as defined in section 62E.02; and<br/>
<a id="pl.395.19"></a><var>395.19</var>    (3) employers with fewer than 11 current employees, except that employers under <br/>
<a id="pl.395.20"></a><var>395.20</var>this clause may voluntarily offer a Section 125 Plan.<br/>
<a id="pl.395.21"></a><var>395.21</var>    (b) Employers that offer a Section 125 Plan may enter into an agreement with the <br/>
<a id="pl.395.22"></a><var>395.22</var>exchange to administer the employer's Section 125 Plan.<br/>
<a id="pl.395.23"></a><var>395.23</var>    Subd. 3. <b>Tracking compliance.</b> By July 1, 2008, the exchange, in consultation with <br/>
<a id="pl.395.24"></a><var>395.24</var>the commissioners of commerce, health, employment and economic development, and <br/>
<a id="pl.395.25"></a><var>395.25</var>revenue shall establish a method for tracking employer compliance with the Section 125 <br/>
<a id="pl.395.26"></a><var>395.26</var>Plan requirement.<br/>
<a id="pl.395.27"></a><var>395.27</var>    Subd. 4. <b>Employer requirements.</b> Employers that are required to offer or choose <br/>
<a id="pl.395.28"></a><var>395.28</var>to offer a Section 125 Plan shall:<br/>
<a id="pl.395.29"></a><var>395.29</var>    (1) allow employees to purchase any individual market health plan for themselves <br/>
<a id="pl.395.30"></a><var>395.30</var>and their dependents through the exchange;<br/>
<a id="pl.395.31"></a><var>395.31</var>    (2) allow employees to choose any insurance producer licensed in accident and <br/>
<a id="pl.395.32"></a><var>395.32</var>health insurance under chapter 60K to assist them in purchasing an individual market <br/>
<a id="pl.395.33"></a><var>395.33</var>health plan through the exchange;<br/>
<a id="pl.395.34"></a><var>395.34</var>    (3) provide a written and signed statement to the exchange stating that the employer <br/>
<a id="pl.395.35"></a><var>395.35</var>is not contributing to the employee's premiums for health plans purchased by an employee <br/>
<a id="pl.395.36"></a><var>395.36</var>through the exchange;<br/>
<a id="pl.396.1"></a><var>396.1</var>    (4) upon an employee's request, deduct premium amounts on a pretax basis in an <br/>
<a id="pl.396.2"></a><var>396.2</var>amount not to exceed an employee's wages, and remit these employee payments to the <br/>
<a id="pl.396.3"></a><var>396.3</var>exchange; and<br/>
<a id="pl.396.4"></a><var>396.4</var>    (5) provide notice to employees that individual market health plans purchased <br/>
<a id="pl.396.5"></a><var>396.5</var>through the exchange are not employer-sponsored or administered. Employers shall be <br/>
<a id="pl.396.6"></a><var>396.6</var>held harmless from any and all liability claims related to the individual market health <br/>
<a id="pl.396.7"></a><var>396.7</var>plans purchased through the exchange by employees under a Section 125 Plan.<br/>
<a id="pl.396.8"></a><var>396.8</var>    Subd. 5. <b>Section 125 eligible health plans.</b> Individuals who are eligible to use <br/>
<a id="pl.396.9"></a><var>396.9</var>an employer Section 125 Plan to pay for health insurance coverage purchased through <br/>
<a id="pl.396.10"></a><var>396.10</var>the exchange may enroll in any health plan offered through the exchange for which the <br/>
<a id="pl.396.11"></a><var>396.11</var>individual is eligible including individual market health plans, MinnesotaCare, and the <br/>
<a id="pl.396.12"></a><var>396.12</var>Minnesota Comprehensive Health Association.<br/>
<br/>
<a id="bill.9.4.0"></a><a id="pl.396.13"></a><var>396.13</var>    Sec. 4. Minnesota Statutes 2006, section 62E.141, is amended to read:<br/>
<a id="pl.396.14"></a><var>396.14</var><b>62E.141 INCLUSION IN EMPLOYER-SPONSORED PLAN.</b><br/>
<a id="pl.396.15"></a><var>396.15</var>    No employee of an employer that offers a group health plan, under which the <br/>
<a id="pl.396.16"></a><var>396.16</var>employee is eligible for coverage, is eligible to enroll, or continue to be enrolled, in <br/>
<a id="pl.396.17"></a><var>396.17</var>the comprehensive health association, except for enrollment or continued enrollment <br/>
<a id="pl.396.18"></a><var>396.18</var>necessary to cover conditions that are subject to an unexpired preexisting condition <br/>
<a id="pl.396.19"></a><var>396.19</var>limitation, preexisting condition exclusion, or exclusionary rider under the employer's <br/>
<a id="pl.396.20"></a><var>396.20</var>health plan. This section does not apply to persons enrolled in the Comprehensive Health <br/>
<a id="pl.396.21"></a><var>396.21</var>Association as of June 30, 1993. With respect to persons eligible to enroll in the health <br/>
<a id="pl.396.22"></a><var>396.22</var>plan of an employer that has more than 29 current employees, as defined in section <br/>
<statute_ref><a id="pl.396.23"></a><var>396.23</var>62L.02
         </statute_ref>, this section does not apply to persons enrolled in the Comprehensive Health <br/>
<a id="pl.396.24"></a><var>396.24</var>Association as of December 31, 1994. <br/>
<br/>
<a id="bill.9.5.0"></a><a id="pl.396.25"></a><var>396.25</var>    Sec. 5. Minnesota Statutes 2006, section 62J.04, subdivision 3, is amended to read:<br/>
<a id="pl.396.26"></a><var>396.26</var>    Subd. 3. <b>Cost containment duties.</b> The commissioner shall:<br/>
<a id="pl.396.27"></a><var>396.27</var>    (1) establish statewide and regional cost containment goals for total health care <br/>
<a id="pl.396.28"></a><var>396.28</var>spending under this section and, collect data as described in sections 
         <statute_ref>62J.38</statute_ref> to 
         <statute_ref>62J.41</statute_ref> to <br/>
<a id="pl.396.29"></a><var>396.29</var>monitor statewide achievement of the cost containment goals, and annually report to the <br/>
<a id="pl.396.30"></a><var>396.30</var>legislature on whether the goals were achieved and, if not, what action should be taken to <br/>
<a id="pl.396.31"></a><var>396.31</var>ensure that goals are achieved in the future; <br/>
<a id="pl.396.32"></a><var>396.32</var>    (2) divide the state into no fewer than four regions, with one of those regions being <br/>
<a id="pl.396.33"></a><var>396.33</var>the Minneapolis/St. Paul metropolitan statistical area but excluding Chisago, Isanti, <br/>
<a id="pl.396.34"></a><var>396.34</var>Wright, and Sherburne Counties, for purposes of fostering the development of regional <br/>
<a id="pl.397.1"></a><var>397.1</var>health planning and coordination of health care delivery among regional health care <br/>
<a id="pl.397.2"></a><var>397.2</var>systems and working to achieve the cost containment goals;<br/>
<a id="pl.397.3"></a><var>397.3</var>    (3) monitor the quality of health care throughout the state and take action as <br/>
<a id="pl.397.4"></a><var>397.4</var>necessary to ensure an appropriate level of quality;<br/>
<a id="pl.397.5"></a><var>397.5</var>    (4) issue recommendations regarding uniform billing forms, uniform electronic <br/>
<a id="pl.397.6"></a><var>397.6</var>billing procedures and data interchanges, patient identification cards, and other uniform <br/>
<a id="pl.397.7"></a><var>397.7</var>claims and administrative procedures for health care providers and private and public <br/>
<a id="pl.397.8"></a><var>397.8</var>sector payers. In developing the recommendations, the commissioner shall review the <br/>
<a id="pl.397.9"></a><var>397.9</var>work of the work group on electronic data interchange (WEDI) and the American National <br/>
<a id="pl.397.10"></a><var>397.10</var>Standards Institute (ANSI) at the national level, and the work being done at the state and <br/>
<a id="pl.397.11"></a><var>397.11</var>local level. The commissioner may adopt rules requiring the use of the Uniform Bill <br/>
<a id="pl.397.12"></a><var>397.12</var>82/92 form, the National Council of Prescription Drug Providers (NCPDP) 3.2 electronic <br/>
<a id="pl.397.13"></a><var>397.13</var>version, the Centers for Medicare and Medicaid Services 1500 form, or other standardized <br/>
<a id="pl.397.14"></a><var>397.14</var>forms or procedures;<br/>
<a id="pl.397.15"></a><var>397.15</var>    (5) undertake health planning responsibilities;<br/>
<a id="pl.397.16"></a><var>397.16</var>    (6) authorize, fund, or promote research and experimentation on new technologies <br/>
<a id="pl.397.17"></a><var>397.17</var>and health care procedures;<br/>
<a id="pl.397.18"></a><var>397.18</var>    (7) within the limits of appropriations for these purposes, administer or contract for <br/>
<a id="pl.397.19"></a><var>397.19</var>statewide consumer education and wellness programs that will improve the health of <br/>
<a id="pl.397.20"></a><var>397.20</var>Minnesotans and increase individual responsibility relating to personal health and the <br/>
<a id="pl.397.21"></a><var>397.21</var>delivery of health care services, undertake prevention programs including initiatives to <br/>
<a id="pl.397.22"></a><var>397.22</var>improve birth outcomes, expand childhood immunization efforts, and provide start-up <br/>
<a id="pl.397.23"></a><var>397.23</var>grants for worksite wellness programs;<br/>
<a id="pl.397.24"></a><var>397.24</var>    (8) undertake other activities to monitor and oversee the delivery of health care <br/>
<a id="pl.397.25"></a><var>397.25</var>services in Minnesota with the goal of improving affordability, quality, and accessibility of <br/>
<a id="pl.397.26"></a><var>397.26</var>health care for all Minnesotans; and<br/>
<a id="pl.397.27"></a><var>397.27</var>    (9) make the cost containment goal data available to the public in a <br/>
<a id="pl.397.28"></a><var>397.28</var>consumer-oriented manner.<br/>
<a id="pl.397.29"></a><var>397.29</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.6.0"></a><a id="pl.397.30"></a><var>397.30</var>    Sec. 6. Minnesota Statutes 2006, section 62J.495, is amended to read:<br/>
<a id="pl.397.31"></a><var>397.31</var><b>62J.495 HEALTH INFORMATION TECHNOLOGY AND </b><br/>
<a id="pl.397.32"></a><var>397.32</var><b>INFRASTRUCTURE </b><b>ADVISORY COMMITTEE</b><b>.</b><br/>
<a id="pl.397.33"></a><var>397.33</var>    Subdivision 1. <b>Establishment; members; duties</b><b> Implementation</b><b>.</b> By January <br/>
<a id="pl.397.34"></a><var>397.34</var>1, 2012, all hospitals and health care providers must have in place an interoperable <br/>
<a id="pl.398.1"></a><var>398.1</var>electronic health records system within their hospital system or clinical practice setting. <br/>
<a id="pl.398.2"></a><var>398.2</var>The commissioner of health, in consultation with the Health Information Technology and <br/>
<a id="pl.398.3"></a><var>398.3</var>Infrastructure Advisory Committee, shall develop a statewide plan to meet this goal, <br/>
<a id="pl.398.4"></a><var>398.4</var>including the adoption of uniform standards to be used for the interoperable system for <br/>
<a id="pl.398.5"></a><var>398.5</var>sharing and synchronizing patient data across systems. The standards must be compatible <br/>
<a id="pl.398.6"></a><var>398.6</var>with federal efforts. The uniform standards must be refined and adopted for use when <br/>
<a id="pl.398.7"></a><var>398.7</var>a standard development organization accredited by the American National Standards <br/>
<a id="pl.398.8"></a><var>398.8</var>Institute completes the development of a standard for sharing and synchronizing patient <br/>
<a id="pl.398.9"></a><var>398.9</var>data across systems.<br/>
<a id="pl.398.10"></a><var>398.10</var>    Subd. 2. <b> Health Information Technology and Infrastructure Advisory </b><br/>
<a id="pl.398.11"></a><var>398.11</var><b>Committee.</b> (a) The commissioner shall establish a Health Information Technology <br/>
<a id="pl.398.12"></a><var>398.12</var>and Infrastructure Advisory Committee governed by section 
         <statute_ref>15.059</statute_ref> to advise the <br/>
<a id="pl.398.13"></a><var>398.13</var>commissioner on the following matters:<br/>
<a id="pl.398.14"></a><var>398.14</var>    (1) assessment of the use of health information technology by the state, licensed <br/>
<a id="pl.398.15"></a><var>398.15</var>health care providers and facilities, and local public health agencies;<br/>
<a id="pl.398.16"></a><var>398.16</var>    (2) recommendations for implementing a statewide interoperable health information <br/>
<a id="pl.398.17"></a><var>398.17</var>infrastructure, to include estimates of necessary resources, and for determining standards <br/>
<a id="pl.398.18"></a><var>398.18</var>for administrative data exchange, clinical support programs, patient privacy requirements, <br/>
<a id="pl.398.19"></a><var>398.19</var>and maintenance of the security and confidentiality of individual patient data; and<br/>
<a id="pl.398.20"></a><var>398.20</var>    (3) other related issues as requested by the commissioner.<br/>
<a id="pl.398.21"></a><var>398.21</var>    (b) The members of the Health Information Technology and Infrastructure Advisory <br/>
<a id="pl.398.22"></a><var>398.22</var>Committee shall include the commissioners, or commissioners' designees, of health, <br/>
<a id="pl.398.23"></a><var>398.23</var>human services, administration, and commerce and additional members to be appointed <br/>
<a id="pl.398.24"></a><var>398.24</var>by the commissioner to include persons representing Minnesota's local public health <br/>
<a id="pl.398.25"></a><var>398.25</var>agencies, licensed hospitals and other licensed facilities and providers, private purchasers, <br/>
<a id="pl.398.26"></a><var>398.26</var>the medical and nursing professions, health insurers and health plans, the state quality <br/>
<a id="pl.398.27"></a><var>398.27</var>improvement organization, academic and research institutions, consumer advisory <br/>
<a id="pl.398.28"></a><var>398.28</var>organizations with an interest and expertise in health information technology, and other <br/>
<a id="pl.398.29"></a><var>398.29</var>stakeholders as identified by the Health Information Technology and Infrastructure <br/>
<a id="pl.398.30"></a><var>398.30</var>Advisory Committee.<br/>
<a id="pl.398.31"></a><var>398.31</var>    Subd. 2. Annual report. (c) The commissioner shall prepare and issue an annual <br/>
<a id="pl.398.32"></a><var>398.32</var>report not later than January 30 of each year outlining progress to date in implementing a <br/>
<a id="pl.398.33"></a><var>398.33</var>statewide health information infrastructure and recommending future projects.<br/>
<a id="pl.398.34"></a><var>398.34</var>    Subd. 3. Expiration. (d) Notwithstanding section 
         <statute_ref>15.059</statute_ref>, this section subdivision <br/>
<a id="pl.398.35"></a><var>398.35</var>expires June 30, 2009 2012.<br/>
<br/>
<a id="bill.9.7.0"></a><a id="pl.399.1"></a><var>399.1</var>    Sec. 7. <b>[62J.496] ELECTRONIC HEALTH RECORD SYSTEM REVOLVING </b><br/>
<a id="pl.399.2"></a><var>399.2</var><b>ACCOUNT AND LOAN PROGRAM.</b><br/>
<a id="pl.399.3"></a><var>399.3</var>    Subdivision 1. <b>Account establishment.</b> The commissioner of finance shall establish <br/>
<a id="pl.399.4"></a><var>399.4</var>and implement a revolving account in the state government special revenue fund to <br/>
<a id="pl.399.5"></a><var>399.5</var>provide loans to eligible borrowers to assist in financing the installation or support of <br/>
<a id="pl.399.6"></a><var>399.6</var>an interoperable health record system. The system must provide for the interoperable <br/>
<a id="pl.399.7"></a><var>399.7</var>exchange of health care information between the applicant and, at a minimum, a hospital <br/>
<a id="pl.399.8"></a><var>399.8</var>system, pharmacy, and a health care clinic or other physician group.<br/>
<a id="pl.399.9"></a><var>399.9</var>    Subd. 2. <b>Eligibility.</b> (a) "Eligible borrower" means one of the following:<br/>
<a id="pl.399.10"></a><var>399.10</var>    (1) community clinics, as defined under section 145.9268;<br/>
<a id="pl.399.11"></a><var>399.11</var>    (2) hospitals eligible for rural hospital capital improvement grants, as defined <br/>
<a id="pl.399.12"></a><var>399.12</var>in section 144.148;<br/>
<a id="pl.399.13"></a><var>399.13</var>    (3) physician clinics located in a community with a population of less than 50,000 <br/>
<a id="pl.399.14"></a><var>399.14</var>according to United States Census Bureau statistics and outside the seven-county <br/>
<a id="pl.399.15"></a><var>399.15</var>metropolitan area;<br/>
<a id="pl.399.16"></a><var>399.16</var>    (4) nursing facilities licensed under sections 144A.01 to 144A.27; and<br/>
<a id="pl.399.17"></a><var>399.17</var>    (5) other providers of health or health care services approved by the commissioner <br/>
<a id="pl.399.18"></a><var>399.18</var>for which interoperable electronic health record capability would improve quality of <br/>
<a id="pl.399.19"></a><var>399.19</var>care, patient safety, or community health.<br/>
<a id="pl.399.20"></a><var>399.20</var>    (b) To be eligible for a loan under this section, the applicant must submit a loan <br/>
<a id="pl.399.21"></a><var>399.21</var>application to the commissioner of health on forms prescribed by the commissioner. The <br/>
<a id="pl.399.22"></a><var>399.22</var>application must include, at a minimum:<br/>
<a id="pl.399.23"></a><var>399.23</var>    (1) the amount of the loan requested and a description of the purpose or project <br/>
<a id="pl.399.24"></a><var>399.24</var>for which the loan proceeds will be used;<br/>
<a id="pl.399.25"></a><var>399.25</var>    (2) a quote from a vendor;<br/>
<a id="pl.399.26"></a><var>399.26</var>    (3) a description of the health care entities and other groups participating in the <br/>
<a id="pl.399.27"></a><var>399.27</var>project;<br/>
<a id="pl.399.28"></a><var>399.28</var>    (4) evidence of financial stability and a demonstrated ability to repay the loan; and<br/>
<a id="pl.399.29"></a><var>399.29</var>    (5) a description of how the system to be financed interconnects or plans in the <br/>
<a id="pl.399.30"></a><var>399.30</var>future to interconnect with other health care entities and provider groups located in the <br/>
<a id="pl.399.31"></a><var>399.31</var>same geographical area.<br/>
<a id="pl.399.32"></a><var>399.32</var>    Subd. 3. <b>Loans.</b> (a) The commissioner of health may make a no interest loan <br/>
<a id="pl.399.33"></a><var>399.33</var>to a provider or provider group who is eligible under subdivision 2 on a first-come, <br/>
<a id="pl.399.34"></a><var>399.34</var>first-served basis provided that the applicant is able to comply with this section. The total <br/>
<a id="pl.399.35"></a><var>399.35</var>accumulative loan principal must not exceed $1,500,000 per loan. The commissioner of <br/>
<a id="pl.399.36"></a><var>399.36</var>health has discretion over the size and number of loans made.<br/>
<a id="pl.400.1"></a><var>400.1</var>    (b) The commissioner of health may prescribe forms and establish an application <br/>
<a id="pl.400.2"></a><var>400.2</var>process and, notwithstanding section 16A.1283, may impose a reasonable nonrefundable <br/>
<a id="pl.400.3"></a><var>400.3</var>application fee to cover the cost of administering the loan program.<br/>
<a id="pl.400.4"></a><var>400.4</var>    (c) The borrower must begin repaying the principal no later than two years from the <br/>
<a id="pl.400.5"></a><var>400.5</var>date of the loan. Loans must be amortized no later than six years from the date of the loan.<br/>
<a id="pl.400.6"></a><var>400.6</var>    (d) Repayments must be credited to the account.<br/>
<a id="pl.400.7"></a><var>400.7</var>    Subd. 4. <b>Data classification.</b> Data collected by the commissioner of health on the <br/>
<a id="pl.400.8"></a><var>400.8</var>application to determine eligibility under subdivision 2 and to monitor borrowers' default <br/>
<a id="pl.400.9"></a><var>400.9</var>risk or collect payments owed under subdivision 3 are (1) private data on individuals as <br/>
<a id="pl.400.10"></a><var>400.10</var>defined in section 13.02, subdivision 12; and (2) nonpublic data as defined in section <br/>
<a id="pl.400.11"></a><var>400.11</var>13.02, subdivision 9. The names of borrowers and the amounts of the loans granted are <br/>
<a id="pl.400.12"></a><var>400.12</var>public data.<br/>
<br/>
<a id="bill.9.8.0"></a><a id="pl.400.13"></a><var>400.13</var>    Sec. 8. <b>[62J.536] UNIFORM ELECTRONIC TRANSACTIONS AND </b><br/>
<a id="pl.400.14"></a><var>400.14</var><b>IMPLEMENTATION GUIDE STANDARDS.</b><br/>
<a id="pl.400.15"></a><var>400.15</var>    Subdivision 1. <b>Electronic claims and eligibility transactions required.</b> (a) <br/>
<a id="pl.400.16"></a><var>400.16</var>Beginning January 15, 2009, all group purchasers must accept from health care providers <br/>
<a id="pl.400.17"></a><var>400.17</var>the eligibility for a health plan transaction described under Code of Federal Regulations, <br/>
<a id="pl.400.18"></a><var>400.18</var>title 45, part 162, subpart L. Beginning July 15, 2009, all group purchasers must accept <br/>
<a id="pl.400.19"></a><var>400.19</var>from health care providers the health care claims or equivalent encounter information <br/>
<a id="pl.400.20"></a><var>400.20</var>transaction described under Code of Federal Regulations, title 45, part 162, subpart K.<br/>
<a id="pl.400.21"></a><var>400.21</var>    (b) Beginning January 15, 2009, all group purchasers must transmit to providers the <br/>
<a id="pl.400.22"></a><var>400.22</var>eligibility for a health plan transaction described under Code of Federal Regulations, title <br/>
<a id="pl.400.23"></a><var>400.23</var>45, part 162, subpart L. Beginning December 1, 2009, all group purchasers must transmit <br/>
<a id="pl.400.24"></a><var>400.24</var>to providers the health care payment and remittance advice transaction described under <br/>
<a id="pl.400.25"></a><var>400.25</var>Code of Federal Regulations, title 45, part 162, subpart P.<br/>
<a id="pl.400.26"></a><var>400.26</var>    (c) Beginning January 15, 2009, all health care providers must submit to group <br/>
<a id="pl.400.27"></a><var>400.27</var>purchasers the eligibility for a health plan transaction described under Code of Federal <br/>
<a id="pl.400.28"></a><var>400.28</var>Regulations, title 45, part 162, subpart L. Beginning July 15, 2009, all health care <br/>
<a id="pl.400.29"></a><var>400.29</var>providers must submit to group purchasers the health care claims or equivalent encounter <br/>
<a id="pl.400.30"></a><var>400.30</var>information transaction described under Code of Federal Regulations, title 45, part 162, <br/>
<a id="pl.400.31"></a><var>400.31</var>subpart K.<br/>
<a id="pl.400.32"></a><var>400.32</var>    (d) Beginning January 15, 2009, all health care providers must accept from group <br/>
<a id="pl.400.33"></a><var>400.33</var>purchasers the eligibility for a health plan transaction described under Code of Federal <br/>
<a id="pl.400.34"></a><var>400.34</var>Regulations, title 45, part 162, subpart L. Beginning December 15, 2009, all health care <br/>
<a id="pl.400.35"></a><var>400.35</var>providers must accept from group purchasers the health care payment and remittance <br/>
<a id="pl.401.1"></a><var>401.1</var>advice transaction described under Code of Federal Regulations, title 45, part 162, subpart <br/>
<a id="pl.401.2"></a><var>401.2</var>P.<br/>
<a id="pl.401.3"></a><var>401.3</var>    (e) Each of the transactions described in paragraphs (a) to (d) shall require the use <br/>
<a id="pl.401.4"></a><var>401.4</var>of a single, uniform companion guide to the implementation guides described under <br/>
<a id="pl.401.5"></a><var>401.5</var>Code of Federal Regulations, title 45, part 162. The companion guides will be developed <br/>
<a id="pl.401.6"></a><var>401.6</var>pursuant to subdivision 2.<br/>
<a id="pl.401.7"></a><var>401.7</var>    (f) Notwithstanding any other provisions in sections 62J.50 to 62J.61, all group <br/>
<a id="pl.401.8"></a><var>401.8</var>purchasers and health care providers must exchange claims and eligibility information <br/>
<a id="pl.401.9"></a><var>401.9</var>electronically using the transactions, companion guides, implementation guides, and <br/>
<a id="pl.401.10"></a><var>401.10</var>timelines required under this subdivision. Group purchasers may not impose any fee on <br/>
<a id="pl.401.11"></a><var>401.11</var>providers for the use of the transactions prescribed in this subdivision.<br/>
<a id="pl.401.12"></a><var>401.12</var>    (g) Nothing in this subdivision shall prohibit group purchasers and health care <br/>
<a id="pl.401.13"></a><var>401.13</var>providers from using a direct data entry, Web-based methodology for complying with <br/>
<a id="pl.401.14"></a><var>401.14</var>the requirements of this subdivision. Any direct data entry method for conducting <br/>
<a id="pl.401.15"></a><var>401.15</var>the transactions specified in this subdivision must be consistent with the data content <br/>
<a id="pl.401.16"></a><var>401.16</var>component of the single, uniform companion guides required in paragraph (e) and the <br/>
<a id="pl.401.17"></a><var>401.17</var>implementation guides described under Code of Federal Regulations, title 45, part 162.<br/>
<a id="pl.401.18"></a><var>401.18</var>    Subd. 2. <b>Establishing uniform, standard companion guides.</b> (a) At least 12 <br/>
<a id="pl.401.19"></a><var>401.19</var>months prior to the timelines required in subdivision 1, the commissioner of health shall <br/>
<a id="pl.401.20"></a><var>401.20</var>promulgate rules pursuant to section 62J.61 establishing and requiring group purchasers <br/>
<a id="pl.401.21"></a><var>401.21</var>and health care providers to use the transactions and the uniform, standard companion <br/>
<a id="pl.401.22"></a><var>401.22</var>guides required under subdivision 1, paragraph (e).<br/>
<a id="pl.401.23"></a><var>401.23</var>    (b) The commissioner of health must consult with the Minnesota Administrative <br/>
<a id="pl.401.24"></a><var>401.24</var>Uniformity Committee on the development of the single, uniform companion guides <br/>
<a id="pl.401.25"></a><var>401.25</var>required under subdivision 1, paragraph (e), for each of the transactions in subdivision 1. <br/>
<a id="pl.401.26"></a><var>401.26</var>The single uniform companion guides required under subdivision 1, paragraph (e), must <br/>
<a id="pl.401.27"></a><var>401.27</var>specify uniform billing and coding standards. The commissioner of health shall base the <br/>
<a id="pl.401.28"></a><var>401.28</var>companion guides required under subdivision 1, paragraph (e), billing and coding rules, <br/>
<a id="pl.401.29"></a><var>401.29</var>and standards on the Medicare program, with modifications that the commissioner deems <br/>
<a id="pl.401.30"></a><var>401.30</var>appropriate after consulting the Minnesota Administrative Uniformity Committee.<br/>
<a id="pl.401.31"></a><var>401.31</var>    (c) No group purchaser or health care provider may add to or modify the single, <br/>
<a id="pl.401.32"></a><var>401.32</var>uniform companion guides defined in subdivision 1, paragraph (e), through additional <br/>
<a id="pl.401.33"></a><var>401.33</var>companion guides or other requirements.<br/>
<a id="pl.401.34"></a><var>401.34</var>    (d) In promulgating the rules in paragraph (a), the commissioner shall not require <br/>
<a id="pl.401.35"></a><var>401.35</var>data content that is not essential to accomplish the purpose of the transactions in <br/>
<a id="pl.401.36"></a><var>401.36</var>subdivision 1.<br/>
<br/>
<a id="bill.9.9.0"></a><a id="pl.402.1"></a><var>402.1</var>    Sec. 9. Minnesota Statutes 2006, section 62J.692, subdivision 1, is amended to read:<br/>
<a id="pl.402.2"></a><var>402.2</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the following definitions <br/>
<a id="pl.402.3"></a><var>402.3</var>apply:<br/>
<a id="pl.402.4"></a><var>402.4</var>    (a) "Accredited clinical training" means the clinical training provided by a <br/>
<a id="pl.402.5"></a><var>402.5</var>medical education program that is accredited through an organization recognized by the <br/>
<a id="pl.402.6"></a><var>402.6</var>Department of Education, the Centers for Medicare and Medicaid Services, or another <br/>
<a id="pl.402.7"></a><var>402.7</var>national body who reviews the accrediting organizations for multiple disciplines and <br/>
<a id="pl.402.8"></a><var>402.8</var>whose standards for recognizing accrediting organizations are reviewed and approved by <br/>
<a id="pl.402.9"></a><var>402.9</var>the commissioner of health in consultation with the Medical Education and Research <br/>
<a id="pl.402.10"></a><var>402.10</var>Advisory Committee.<br/>
<a id="pl.402.11"></a><var>402.11</var>    (b) "Commissioner" means the commissioner of health.<br/>
<a id="pl.402.12"></a><var>402.12</var>    (c) "Clinical medical education program" means the accredited clinical training of <br/>
<a id="pl.402.13"></a><var>402.13</var>physicians (medical students and residents), doctor of pharmacy practitioners, doctors <br/>
<a id="pl.402.14"></a><var>402.14</var>of chiropractic, dentists, advanced practice nurses (clinical nurse specialists, certified <br/>
<a id="pl.402.15"></a><var>402.15</var>registered nurse anesthetists, nurse practitioners, and certified nurse midwives), and <br/>
<a id="pl.402.16"></a><var>402.16</var>physician assistants.<br/>
<a id="pl.402.17"></a><var>402.17</var>    (d) "Sponsoring institution" means a hospital, school, or consortium located in <br/>
<a id="pl.402.18"></a><var>402.18</var>Minnesota that sponsors and maintains primary organizational and financial responsibility <br/>
<a id="pl.402.19"></a><var>402.19</var>for a clinical medical education program in Minnesota and which is accountable to the <br/>
<a id="pl.402.20"></a><var>402.20</var>accrediting body.<br/>
<a id="pl.402.21"></a><var>402.21</var>    (e) "Teaching institution" means a hospital, medical center, clinic, or other <br/>
<a id="pl.402.22"></a><var>402.22</var>organization that conducts a clinical medical education program in Minnesota.<br/>
<a id="pl.402.23"></a><var>402.23</var>    (f) "Trainee" means a student or resident involved in a clinical medical education <br/>
<a id="pl.402.24"></a><var>402.24</var>program.<br/>
<a id="pl.402.25"></a><var>402.25</var>    (g) "Eligible trainee FTEs" means the number of trainees, as measured by full-time <br/>
<a id="pl.402.26"></a><var>402.26</var>equivalent counts, that are at training sites located in Minnesota with a currently <br/>
<a id="pl.402.27"></a><var>402.27</var>active medical assistance provider number enrollment status and a National Provider <br/>
<a id="pl.402.28"></a><var>402.28</var>Identification (NPI) number where training occurs in either an inpatient or ambulatory <br/>
<a id="pl.402.29"></a><var>402.29</var>patient care setting and where the training is funded, in part, by patient care revenues.<br/>
<br/>
<a id="bill.9.10.0"></a><a id="pl.402.30"></a><var>402.30</var>    Sec. 10. Minnesota Statutes 2006, section 62J.692, subdivision 4, is amended to read:<br/>
<a id="pl.402.31"></a><var>402.31</var>    Subd. 4. <b>Distribution of funds.</b> (a) The commissioner shall annually distribute <br/>
<a id="pl.402.32"></a><var>402.32</var>90 percent of available medical education funds transferred according to section <br/>
<a id="pl.402.33"></a><var>402.33</var>256B.69, subdivision 5c, paragraph (a), clause (1), to all qualifying applicants based on a <br/>
<a id="pl.402.34"></a><var>402.34</var>distribution formula that reflects a summation of two factors:<br/>
<a id="pl.403.1"></a><var>403.1</var>    (1) an education factor, which is determined by the total number of eligible trainee <br/>
<a id="pl.403.2"></a><var>403.2</var>FTEs and the total statewide average costs per trainee, by type of trainee, in each clinical <br/>
<a id="pl.403.3"></a><var>403.3</var>medical education program; and<br/>
<a id="pl.403.4"></a><var>403.4</var>    (2) a public program volume factor, which is determined by the total volume of <br/>
<a id="pl.403.5"></a><var>403.5</var>public program revenue received by each training site as a percentage of all public <br/>
<a id="pl.403.6"></a><var>403.6</var>program revenue received by all training sites in the fund pool.<br/>
<a id="pl.403.7"></a><var>403.7</var>    In this formula, the education factor is weighted at 67 percent and the public program <br/>
<a id="pl.403.8"></a><var>403.8</var>volume factor is weighted at 33 percent.<br/>
<a id="pl.403.9"></a><var>403.9</var>    Public program revenue for the distribution formula includes revenue from medical <br/>
<a id="pl.403.10"></a><var>403.10</var>assistance, prepaid medical assistance, general assistance medical care, and prepaid <br/>
<a id="pl.403.11"></a><var>403.11</var>general assistance medical care. Training sites that receive no public program revenue <br/>
<a id="pl.403.12"></a><var>403.12</var>are ineligible for funds available under this paragraph. Total statewide average costs per <br/>
<a id="pl.403.13"></a><var>403.13</var>trainee for medical residents is based on audited clinical training costs per trainee in <br/>
<a id="pl.403.14"></a><var>403.14</var>primary care clinical medical education programs for medical residents. Total statewide <br/>
<a id="pl.403.15"></a><var>403.15</var>average costs per trainee for dental residents is based on audited clinical training costs <br/>
<a id="pl.403.16"></a><var>403.16</var>per trainee in clinical medical education programs for dental students. Total statewide <br/>
<a id="pl.403.17"></a><var>403.17</var>average costs per trainee for pharmacy residents is based on audited clinical training costs <br/>
<a id="pl.403.18"></a><var>403.18</var>per trainee in clinical medical education programs for pharmacy students.<br/>
<a id="pl.403.19"></a><var>403.19</var>    (b) The commissioner shall annually distribute ten percent of total available medical <br/>
<a id="pl.403.20"></a><var>403.20</var>education funds transferred according to section 256B.69, subdivision 5c, paragraph (a), <br/>
<a id="pl.403.21"></a><var>403.21</var>clause (1), to all qualifying applicants based on the percentage received by each applicant <br/>
<a id="pl.403.22"></a><var>403.22</var>under paragraph (a). These funds are to be used to offset clinical education costs at <br/>
<a id="pl.403.23"></a><var>403.23</var>eligible clinical training sites based on criteria developed by the clinical medical education <br/>
<a id="pl.403.24"></a><var>403.24</var>program. Applicants may choose to distribute funds allocated under this paragraph based <br/>
<a id="pl.403.25"></a><var>403.25</var>on the distribution formula described in paragraph (a).<br/>
<a id="pl.403.26"></a><var>403.26</var>    (c) The commissioner shall annually distribute $5,000,000 of the funds dedicated <br/>
<a id="pl.403.27"></a><var>403.27</var>to the commissioner under section 297F.10, subdivision 1, clause (2), plus any federal <br/>
<a id="pl.403.28"></a><var>403.28</var>financial participation on these funds and on funds transferred under subdivision 10, to all <br/>
<a id="pl.403.29"></a><var>403.29</var>qualifying applicants based on a distribution formula that gives 100 percent weight to a <br/>
<a id="pl.403.30"></a><var>403.30</var>public program volume factor, which is determined by the total volume of public program <br/>
<a id="pl.403.31"></a><var>403.31</var>revenue received by each training site as a percentage of all public program revenue <br/>
<a id="pl.403.32"></a><var>403.32</var>received by all training sites in the fund pool. If federal approval is not obtained for <br/>
<a id="pl.403.33"></a><var>403.33</var>federal financial participation on any portion of funds distributed under this paragraph, <br/>
<a id="pl.403.34"></a><var>403.34</var>90 percent of the unmatched funds shall be distributed by the commissioner based on <br/>
<a id="pl.403.35"></a><var>403.35</var>the formula described in paragraph (a) and ten percent of the unmatched funds shall be <br/>
<a id="pl.403.36"></a><var>403.36</var>distributed by the commissioner based on the formula described in paragraph (b).<br/>
<a id="pl.404.1"></a><var>404.1</var>    (d) The commissioner shall annually distribute $3,060,000 of funds dedicated to the <br/>
<a id="pl.404.2"></a><var>404.2</var>commissioner under section 297F.10, subdivision 1, clause (2), through a formula giving <br/>
<a id="pl.404.3"></a><var>404.3</var>100 percent weight to an education factor, which is determined by the total number of <br/>
<a id="pl.404.4"></a><var>404.4</var>eligible trainee full-time equivalents and the total statewide average costs per trainee, by <br/>
<a id="pl.404.5"></a><var>404.5</var>type of trainee, in each clinical medical education program. If no matching funds are <br/>
<a id="pl.404.6"></a><var>404.6</var>received on funds distributed under paragraph (c), funds distributed under this paragraph <br/>
<a id="pl.404.7"></a><var>404.7</var>shall be distributed by the commissioner based on the formula described in paragraph (a).<br/>
<a id="pl.404.8"></a><var>404.8</var>    (e) The commissioner shall annually distribute $340,000 of funds dedicated to the <br/>
<a id="pl.404.9"></a><var>404.9</var>commissioner under section 297F.10, subdivision 1, clause (2), to all qualifying applicants <br/>
<a id="pl.404.10"></a><var>404.10</var>based on the percentage received by each applicant under paragraph (a). These funds are <br/>
<a id="pl.404.11"></a><var>404.11</var>to be used to offset clinical education costs at eligible clinical training sites based on <br/>
<a id="pl.404.12"></a><var>404.12</var>criteria developed by the clinical medical education program. Applicants may choose to <br/>
<a id="pl.404.13"></a><var>404.13</var>distribute funds allocated under this paragraph based on the distribution formula described <br/>
<a id="pl.404.14"></a><var>404.14</var>in paragraph (a). If no matching funds are received on funds distributed under paragraph <br/>
<a id="pl.404.15"></a><var>404.15</var>(c), funds distributed under this paragraph shall be distributed by the commissioner based <br/>
<a id="pl.404.16"></a><var>404.16</var>on the formula described in paragraph (b).<br/>
<a id="pl.404.17"></a><var>404.17</var>    (c) (f) Funds distributed shall not be used to displace current funding appropriations <br/>
<a id="pl.404.18"></a><var>404.18</var>from federal or state sources.<br/>
<a id="pl.404.19"></a><var>404.19</var>    (d) (g) Funds shall be distributed to the sponsoring institutions indicating the amount <br/>
<a id="pl.404.20"></a><var>404.20</var>to be distributed to each of the sponsor's clinical medical education programs based on <br/>
<a id="pl.404.21"></a><var>404.21</var>the criteria in this subdivision and in accordance with the commissioner's approval letter. <br/>
<a id="pl.404.22"></a><var>404.22</var>Each clinical medical education program must distribute funds allocated under paragraph <br/>
<a id="pl.404.23"></a><var>404.23</var>(a) to the training sites as specified in the commissioner's approval letter. Sponsoring <br/>
<a id="pl.404.24"></a><var>404.24</var>institutions, which are accredited through an organization recognized by the Department <br/>
<a id="pl.404.25"></a><var>404.25</var>of Education or the Centers for Medicare and Medicaid Services, may contract directly <br/>
<a id="pl.404.26"></a><var>404.26</var>with training sites to provide clinical training. To ensure the quality of clinical training, <br/>
<a id="pl.404.27"></a><var>404.27</var>those accredited sponsoring institutions must:<br/>
<a id="pl.404.28"></a><var>404.28</var>    (1) develop contracts specifying the terms, expectations, and outcomes of the clinical <br/>
<a id="pl.404.29"></a><var>404.29</var>training conducted at sites; and<br/>
<a id="pl.404.30"></a><var>404.30</var>    (2) take necessary action if the contract requirements are not met. Action may <br/>
<a id="pl.404.31"></a><var>404.31</var>include the withholding of payments under this section or the removal of students from <br/>
<a id="pl.404.32"></a><var>404.32</var>the site.<br/>
<a id="pl.404.33"></a><var>404.33</var>    (e) (h) Any funds not distributed in accordance with the commissioner's approval <br/>
<a id="pl.404.34"></a><var>404.34</var>letter must be returned to the medical education and research fund within 30 days of <br/>
<a id="pl.404.35"></a><var>404.35</var>receiving notice from the commissioner. The commissioner shall distribute returned funds <br/>
<a id="pl.404.36"></a><var>404.36</var>to the appropriate training sites in accordance with the commissioner's approval letter.<br/>
<a id="pl.405.1"></a><var>405.1</var>    (f) (i) The commissioner shall distribute by June 30 of each year an amount equal to <br/>
<a id="pl.405.2"></a><var>405.2</var>the funds transferred under subdivision 10, plus five percent interest to the University of <br/>
<a id="pl.405.3"></a><var>405.3</var>Minnesota Board of Regents for the instructional costs of health professional programs <br/>
<a id="pl.405.4"></a><var>405.4</var>at the Academic Health Center and for interdisciplinary academic initiatives within the <br/>
<a id="pl.405.5"></a><var>405.5</var>Academic Health Center.<br/>
<a id="pl.405.6"></a><var>405.6</var>    (g) (j) A maximum of $150,000 of the funds dedicated to the commissioner <br/>
<a id="pl.405.7"></a><var>405.7</var>under section 
         <statute_ref>297F.10, subdivision 1</statute_ref>, paragraph (b), clause (2), may be used by the <br/>
<a id="pl.405.8"></a><var>405.8</var>commissioner for administrative expenses associated with implementing this section.<br/>
<br/>
<a id="bill.9.11.0"></a><a id="pl.405.9"></a><var>405.9</var>    Sec. 11. Minnesota Statutes 2006, section 62J.692, subdivision 7a, is amended to read:<br/>
<a id="pl.405.10"></a><var>405.10</var>    Subd. 7a. <b>Clinical medical education innovations grants.</b> (a) The commissioner <br/>
<a id="pl.405.11"></a><var>405.11</var>shall award grants to teaching institutions and clinical training sites for projects that <br/>
<a id="pl.405.12"></a><var>405.12</var>increase dental access for underserved populations and promote innovative clinical <br/>
<a id="pl.405.13"></a><var>405.13</var>training of dental professionals.<br/>
<a id="pl.405.14"></a><var>405.14</var>    (b) The commissioner shall award grants to teaching institutions and clinical training <br/>
<a id="pl.405.15"></a><var>405.15</var>sites for projects that increase mental health access for underserved populations, promote <br/>
<a id="pl.405.16"></a><var>405.16</var>innovative clinical training of mental health professionals, increase the number of mental <br/>
<a id="pl.405.17"></a><var>405.17</var>health providers in rural or underserved areas, and promote the incorporation of patient <br/>
<a id="pl.405.18"></a><var>405.18</var>safety principles into clinical medical education programs.<br/>
<a id="pl.405.19"></a><var>405.19</var>    (c) In awarding the grants, the commissioner, in consultation with the commissioner <br/>
<a id="pl.405.20"></a><var>405.20</var>of human services, shall consider the following:<br/>
<a id="pl.405.21"></a><var>405.21</var>    (1) potential to successfully increase access to an underserved population;<br/>
<a id="pl.405.22"></a><var>405.22</var>    (2) the long-term viability of the project to improve access beyond the period <br/>
<a id="pl.405.23"></a><var>405.23</var>of initial funding;<br/>
<a id="pl.405.24"></a><var>405.24</var>    (3) evidence of collaboration between the applicant and local communities;<br/>
<a id="pl.405.25"></a><var>405.25</var>    (4) the efficiency in the use of the funding; and<br/>
<a id="pl.405.26"></a><var>405.26</var>    (5) the priority level of the project in relation to state clinical education, access, <br/>
<a id="pl.405.27"></a><var>405.27</var>patient safety, and workforce goals.; and<br/>
<a id="pl.405.28"></a><var>405.28</var>    (6) the potential of the project to impact the number or distribution of the health <br/>
<a id="pl.405.29"></a><var>405.29</var>care workforce.<br/>
<a id="pl.405.30"></a><var>405.30</var>    (b) (d) The commissioner shall periodically evaluate the priorities in awarding the <br/>
<a id="pl.405.31"></a><var>405.31</var>innovations grants in order to ensure that the priorities meet the changing workforce <br/>
<a id="pl.405.32"></a><var>405.32</var>needs of the state.<br/>
<br/>
<a id="bill.9.12.0"></a><a id="pl.405.33"></a><var>405.33</var>    Sec. 12. Minnesota Statutes 2006, section 62J.692, subdivision 8, is amended to read:<br/>
<a id="pl.406.1"></a><var>406.1</var>    Subd. 8. <b>Federal financial participation.</b> (a) The commissioner of human <br/>
<a id="pl.406.2"></a><var>406.2</var>services shall seek to maximize federal financial participation in payments for medical <br/>
<a id="pl.406.3"></a><var>406.3</var>education and research costs. If the commissioner of human services determines that <br/>
<a id="pl.406.4"></a><var>406.4</var>federal financial participation is available for the medical education and research, the <br/>
<a id="pl.406.5"></a><var>406.5</var>commissioner of health shall transfer to the commissioner of human services the amount <br/>
<a id="pl.406.6"></a><var>406.6</var>of state funds necessary to maximize the federal funds available. The amount transferred <br/>
<a id="pl.406.7"></a><var>406.7</var>to the commissioner of human services, plus the amount of federal financial participation, <br/>
<a id="pl.406.8"></a><var>406.8</var>shall be distributed to medical assistance providers in accordance with the distribution <br/>
<a id="pl.406.9"></a><var>406.9</var>methodology described in subdivision 4.<br/>
<a id="pl.406.10"></a><var>406.10</var>    (b) For the purposes of paragraph (a), the commissioner shall use physician clinic <br/>
<a id="pl.406.11"></a><var>406.11</var>rates where possible to maximize federal financial participation.<br/>
<br/>
<a id="bill.9.13.0"></a><a id="pl.406.12"></a><var>406.12</var>    Sec. 13. Minnesota Statutes 2006, section 62J.692, subdivision 10, is amended to read:<br/>
<a id="pl.406.13"></a><var>406.13</var>    Subd. 10. <b>Transfers from University of Minnesota.</b> Of the funds dedicated to the <br/>
<a id="pl.406.14"></a><var>406.14</var>Academic Health Center under section 
         <statute_ref>297F.10, subdivision 1</statute_ref>, clause (1), $4,850,000 <br/>
<a id="pl.406.15"></a><var>406.15</var>shall be transferred annually to the commissioner of health no later than April 15 of each <br/>
<a id="pl.406.16"></a><var>406.16</var>year for distribution under subdivision 4, paragraph (f) (i).<br/>
<br/>
<a id="bill.9.14.0"></a><a id="pl.406.17"></a><var>406.17</var>    Sec. 14. Minnesota Statutes 2006, section 62J.81, subdivision 1, is amended to read:<br/>
<a id="pl.406.18"></a><var>406.18</var>    Subdivision 1. <b>Required disclosure of estimated payment.</b> (a) A health care <br/>
<a id="pl.406.19"></a><var>406.19</var>provider, as defined in section 
         <statute_ref>62J.03, subdivision 8</statute_ref>, or the provider's designee as agreed <br/>
<a id="pl.406.20"></a><var>406.20</var>to by that designee, shall, at the request of a consumer, provide that consumer with a good <br/>
<a id="pl.406.21"></a><var>406.21</var>faith estimate of the reimbursement allowable payment the provider expects to receive <br/>
<a id="pl.406.22"></a><var>406.22</var>from the health plan company in which the consumer is enrolled has agreed to accept from <br/>
<a id="pl.406.23"></a><var>406.23</var>the consumer's health plan company for the services specified by the consumer, specifying <br/>
<a id="pl.406.24"></a><var>406.24</var>the amount of the allowable payment due from the health plan company. Health plan <br/>
<a id="pl.406.25"></a><var>406.25</var>companies must allow contracted providers, or their designee, to release this information. <br/>
<a id="pl.406.26"></a><var>406.26</var>A good faith estimate must also be made available at the request of a consumer who <br/>
<a id="pl.406.27"></a><var>406.27</var>is not enrolled in a health plan company. If a consumer has no applicable public or <br/>
<a id="pl.406.28"></a><var>406.28</var>private coverage, the health care provider must give the consumer a good faith estimate <br/>
<a id="pl.406.29"></a><var>406.29</var>of the average allowable reimbursement the provider accepts as payment from private <br/>
<a id="pl.406.30"></a><var>406.30</var>third-party payers for the services specified by the consumer and the estimated amount <br/>
<a id="pl.406.31"></a><var>406.31</var>the noncovered consumer will be required to pay. Payment information provided by a <br/>
<a id="pl.406.32"></a><var>406.32</var>provider, or by the provider's designee as agreed to by that designee, to a patient pursuant <br/>
<a id="pl.406.33"></a><var>406.33</var>to this subdivision does not constitute a legally binding estimate of the allowable charge <br/>
<a id="pl.406.34"></a><var>406.34</var>for or cost to the consumer of services. <br/>
<a id="pl.407.1"></a><var>407.1</var>    (b) A health plan company, as defined in section 
         <statute_ref>62J.03</statute_ref>, subdivision 10, shall, at <br/>
<a id="pl.407.2"></a><var>407.2</var>the request of an enrollee or the enrollee's designee, provide that enrollee with a good <br/>
<a id="pl.407.3"></a><var>407.3</var>faith estimate of the reimbursement allowable amount the health plan company would <br/>
<a id="pl.407.4"></a><var>407.4</var>expect to pay to has contracted for with a specified provider within the network as total <br/>
<a id="pl.407.5"></a><var>407.5</var>payment for a health care service specified by the enrollee and the portion of the allowable <br/>
<a id="pl.407.6"></a><var>407.6</var>amount due from the enrollee and the enrollee's out-of-pocket costs. If requested by the <br/>
<a id="pl.407.7"></a><var>407.7</var>enrollee, the health plan company shall also provide to the enrollee a good faith estimate <br/>
<a id="pl.407.8"></a><var>407.8</var>of the enrollee's out-of-pocket cost for the health care service. An estimate provided to <br/>
<a id="pl.407.9"></a><var>407.9</var>an enrollee under this paragraph is not a legally binding estimate of the reimbursement <br/>
<a id="pl.407.10"></a><var>407.10</var>allowable amount or enrollee's out-of-pocket cost.<br/>
<a id="pl.407.11"></a><var>407.11</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2007.<br/>
<br/>
<a id="bill.9.15.0"></a><a id="pl.407.12"></a><var>407.12</var>    Sec. 15. Minnesota Statutes 2006, section 62J.82, is amended to read:<br/>
<a id="pl.407.13"></a><var>407.13</var><b>62J.82 HOSPITAL </b><b>CHARGE</b><b> </b><b>INFORMATION REPORTING </b><b>DISCLOSURE.</b><br/>
<a id="pl.407.14"></a><var>407.14</var>    Subdivision 1. <b>Required information.</b> The Minnesota Hospital Association shall <br/>
<a id="pl.407.15"></a><var>407.15</var>develop a Web-based system, available to the public free of charge, for reporting charge <br/>
<a id="pl.407.16"></a><var>407.16</var>information the following, for Minnesota residents,:<br/>
<a id="pl.407.17"></a><var>407.17</var>    (1) hospital-specific performance on the measures of care developed under section <br/>
<a id="pl.407.18"></a><var>407.18</var>256B.072 for acute myocardial infarction, heart failure, and pneumonia; <br/>
<a id="pl.407.19"></a><var>407.19</var>    (2) by January 1, 2009, hospital-specific performance on the public reporting <br/>
<a id="pl.407.20"></a><var>407.20</var>measures for hospital-acquired infections as published by the National Quality Forum <br/>
<a id="pl.407.21"></a><var>407.21</var>and collected by the Minnesota Hospital Association and Stratis Health in collaboration <br/>
<a id="pl.407.22"></a><var>407.22</var>with infection control practitioners; and <br/>
<a id="pl.407.23"></a><var>407.23</var>    (3) charge information, including, but not limited to, number of discharges, average <br/>
<a id="pl.407.24"></a><var>407.24</var>length of stay, average charge, average charge per day, and median charge, for each of the <br/>
<a id="pl.407.25"></a><var>407.25</var>50 most common inpatient diagnosis-related groups and the 25 most common outpatient <br/>
<a id="pl.407.26"></a><var>407.26</var>surgical procedures as specified by the Minnesota Hospital Association. <br/>
<a id="pl.407.27"></a><var>407.27</var>    Subd. 2. <b>Web site.</b> The Web site must provide information that compares <br/>
<a id="pl.407.28"></a><var>407.28</var>hospital-specific data to hospital statewide data. The Web site must be established by <br/>
<a id="pl.407.29"></a><var>407.29</var>October 1, 2006, and must be updated annually. The commissioner shall provide a link to <br/>
<a id="pl.407.30"></a><var>407.30</var>this reporting information on the department's Web site.<br/>
<a id="pl.407.31"></a><var>407.31</var>    Subd. 3. <b>Enforcement.</b> The commissioner shall provide a link to this information <br/>
<a id="pl.407.32"></a><var>407.32</var>on the department's Web site. If a hospital does not provide this information to the <br/>
<a id="pl.407.33"></a><var>407.33</var>Minnesota Hospital Association, the commissioner of health may require the hospital to <br/>
<a id="pl.408.1"></a><var>408.1</var>do so in accordance with section 144.55, subdivision 6. The commissioner shall provide a <br/>
<a id="pl.408.2"></a><var>408.2</var>link to this information on the department's Web site.<br/>
<br/>
<a id="bill.9.16.0"></a><a id="pl.408.3"></a><var>408.3</var>    Sec. 16. <b>[62J.84] HEALTH CARE TRANSFORMATION TASK FORCE.</b><br/>
<a id="pl.408.4"></a><var>408.4</var>    Subdivision 1. <b>Task force.</b> The governor shall convene a health care transformation <br/>
<a id="pl.408.5"></a><var>408.5</var>task force to advise and assist the governor and the Minnesota legislature. The task force <br/>
<a id="pl.408.6"></a><var>408.6</var>shall consist of:<br/>
<a id="pl.408.7"></a><var>408.7</var>    (1) four legislators from the house of representatives appointed by the speaker, two <br/>
<a id="pl.408.8"></a><var>408.8</var>from the majority party and two from the minority party, and four legislators from the <br/>
<a id="pl.408.9"></a><var>408.9</var>senate appointed by the Subcommittee on Committees of the senate Committee on Rules <br/>
<a id="pl.408.10"></a><var>408.10</var>and Administration, two from the majority party and two from the minority party;<br/>
<a id="pl.408.11"></a><var>408.11</var>    (2) four representatives of the governor and state agencies appointed by the governor;<br/>
<a id="pl.408.12"></a><var>408.12</var>    (3) at least four persons appointed by the governor who have demonstrated <br/>
<a id="pl.408.13"></a><var>408.13</var>leadership in health care organizations, health improvement initiatives, health care trade or <br/>
<a id="pl.408.14"></a><var>408.14</var>professional associations, or other collaborative health system improvement activities; and<br/>
<a id="pl.408.15"></a><var>408.15</var>    (4) at least two persons appointed by the governor who have demonstrated leadership <br/>
<a id="pl.408.16"></a><var>408.16</var>in employer and group purchaser activities related to health system improvement, at least <br/>
<a id="pl.408.17"></a><var>408.17</var>one of which must be from a labor organization.<br/>
<a id="pl.408.18"></a><var>408.18</var>    Subd. 2. <b>Public input.</b> The commissioner of health shall review available research, <br/>
<a id="pl.408.19"></a><var>408.19</var>and conduct statewide, regional, and local surveys, focus groups, and other activities as <br/>
<a id="pl.408.20"></a><var>408.20</var>needed to fill gaps in existing research, to determine Minnesotans' values, preferences, <br/>
<a id="pl.408.21"></a><var>408.21</var>opinions, and perceptions related to health care and to the issues confronting the task <br/>
<a id="pl.408.22"></a><var>408.22</var>force, and shall report the findings to the task force.<br/>
<a id="pl.408.23"></a><var>408.23</var>    Subd. 3. <b>Inventory and assessment of existing activities; action plan.</b> The task <br/>
<a id="pl.408.24"></a><var>408.24</var>force shall complete an inventory and assessment of all public and private organized <br/>
<a id="pl.408.25"></a><var>408.25</var>activities, coalitions, and collaboratives working on tasks relating to health system <br/>
<a id="pl.408.26"></a><var>408.26</var>improvement including, but not limited to, patient safety, quality measurement and <br/>
<a id="pl.408.27"></a><var>408.27</var>reporting, evidence-based practice, adoption of health information technology, disease <br/>
<a id="pl.408.28"></a><var>408.28</var>management and chronic care coordination, medical homes, access to health care, <br/>
<a id="pl.408.29"></a><var>408.29</var>cultural competence, prevention and public health, consumer incentives, price and cost <br/>
<a id="pl.408.30"></a><var>408.30</var>transparency, nonprofit organization community benefits, education, research, and health <br/>
<a id="pl.408.31"></a><var>408.31</var>care workforce.<br/>
<a id="pl.408.32"></a><var>408.32</var>    Subd. 4. <b>Action plan.</b> By December 15, 2007, the governor, with the advice <br/>
<a id="pl.408.33"></a><var>408.33</var>and assistance of the task force, shall develop and present to the legislature a statewide <br/>
<a id="pl.408.34"></a><var>408.34</var>action plan for transforming the health care system to improve affordability, quality, <br/>
<a id="pl.408.35"></a><var>408.35</var>and access. The plan shall include draft legislation needed to implement the plan. The <br/>
<a id="pl.409.1"></a><var>409.1</var>plan may consist of legislative actions, administrative actions of governmental entities, <br/>
<a id="pl.409.2"></a><var>409.2</var>collaborative actions, and actions of individuals and individual organizations. Among <br/>
<a id="pl.409.3"></a><var>409.3</var>other things, the action plan must include the following, with specific and measurable <br/>
<a id="pl.409.4"></a><var>409.4</var>goals and deadlines for each:<br/>
<a id="pl.409.5"></a><var>409.5</var>    (1) proposed actions that will slow the rate of increase in health care costs to a rate <br/>
<a id="pl.409.6"></a><var>409.6</var>that does not exceed the increase in the Consumer Price Index for urban consumers for the <br/>
<a id="pl.409.7"></a><var>409.7</var>preceding calendar year plus two percentage points, plus an additional percentage based <br/>
<a id="pl.409.8"></a><var>409.8</var>on the added costs necessary to implement legislation enacted in 2007;<br/>
<a id="pl.409.9"></a><var>409.9</var>    (2) actions that will increase the affordable health coverage options for uninsured <br/>
<a id="pl.409.10"></a><var>409.10</var>and underinsured Minnesotans and other strategies that will ensure that all Minnesotans <br/>
<a id="pl.409.11"></a><var>409.11</var>will have health coverage by January 2011;<br/>
<a id="pl.409.12"></a><var>409.12</var>    (3) actions to improve the quality and safety of health care and reduce racial and <br/>
<a id="pl.409.13"></a><var>409.13</var>ethnic disparities in access and quality;<br/>
<a id="pl.409.14"></a><var>409.14</var>    (4) actions that will reduce the rate of preventable chronic illness through prevention <br/>
<a id="pl.409.15"></a><var>409.15</var>and public health and wellness initiatives; and<br/>
<a id="pl.409.16"></a><var>409.16</var>    (5) proposed changes to state health care purchasing and payment strategies used for <br/>
<a id="pl.409.17"></a><var>409.17</var>state health care programs and state employees that will promote higher quality, lower <br/>
<a id="pl.409.18"></a><var>409.18</var>cost health care through incentives that reward prevention and early intervention, use <br/>
<a id="pl.409.19"></a><var>409.19</var>of cost-effective primary care, effective care coordination, and management of chronic <br/>
<a id="pl.409.20"></a><var>409.20</var>disease;<br/>
<a id="pl.409.21"></a><var>409.21</var>    (6) actions that will promote the appropriate and cost-effective investment in new <br/>
<a id="pl.409.22"></a><var>409.22</var>facilities, technologies, and drugs;<br/>
<a id="pl.409.23"></a><var>409.23</var>    (7) actions to reduce administrative costs; and<br/>
<a id="pl.409.24"></a><var>409.24</var>    (8) the results of the inventory completed under subdivision 3 and recommendations <br/>
<a id="pl.409.25"></a><var>409.25</var>for how these activities can be coordinated and improved.<br/>
<a id="pl.409.26"></a><var>409.26</var>    Subd. 5. <b>Options for small employers.</b> The task force shall study and report back <br/>
<a id="pl.409.27"></a><var>409.27</var>to the legislature by December 15, 2007, on options for serving small employers and their <br/>
<a id="pl.409.28"></a><var>409.28</var>employees, and self-employed individuals.<br/>
<br/>
<a id="bill.9.17.0"></a><a id="pl.409.29"></a><var>409.29</var>    Sec. 17. Minnesota Statutes 2006, section 62L.12, subdivision 2, is amended to read:<br/>
<a id="pl.409.30"></a><var>409.30</var>    Subd. 2. <b>Exceptions.</b> (a) A health carrier may sell, issue, or renew individual <br/>
<a id="pl.409.31"></a><var>409.31</var>conversion policies to eligible employees otherwise eligible for conversion coverage under <br/>
<a id="pl.409.32"></a><var>409.32</var>section 
         <statute_ref>62D.104</statute_ref> as a result of leaving a health maintenance organization's service area.<br/>
<a id="pl.409.33"></a><var>409.33</var>    (b) A health carrier may sell, issue, or renew individual conversion policies to <br/>
<a id="pl.409.34"></a><var>409.34</var>eligible employees otherwise eligible for conversion coverage as a result of the expiration <br/>
<a id="pl.410.1"></a><var>410.1</var>of any continuation of group coverage required under sections 
         <statute_ref>62A.146</statute_ref>, 
         <statute_ref>62A.17</statute_ref>, 
         <statute_ref>62A.21</statute_ref>, <br/>
<statute_ref><a id="pl.410.2"></a><var>410.2</var>62C.142
         </statute_ref>, 
         <statute_ref>62D.101</statute_ref>, and 
         <statute_ref>62D.105</statute_ref>.<br/>
<a id="pl.410.3"></a><var>410.3</var>    (c) A health carrier may sell, issue, or renew conversion policies under section <br/>
<statute_ref><a id="pl.410.4"></a><var>410.4</var>62E.16
         </statute_ref> to eligible employees.<br/>
<a id="pl.410.5"></a><var>410.5</var>    (d) A health carrier may sell, issue, or renew individual continuation policies to <br/>
<a id="pl.410.6"></a><var>410.6</var>eligible employees as required.<br/>
<a id="pl.410.7"></a><var>410.7</var>    (e) A health carrier may sell, issue, or renew individual health plans if the coverage <br/>
<a id="pl.410.8"></a><var>410.8</var>is appropriate due to an unexpired preexisting condition limitation or exclusion applicable <br/>
<a id="pl.410.9"></a><var>410.9</var>to the person under the employer's group health plan or due to the person's need for health <br/>
<a id="pl.410.10"></a><var>410.10</var>care services not covered under the employer's group health plan.<br/>
<a id="pl.410.11"></a><var>410.11</var>    (f) A health carrier may sell, issue, or renew an individual health plan, if the <br/>
<a id="pl.410.12"></a><var>410.12</var>individual has elected to buy the individual health plan not as part of a general plan to <br/>
<a id="pl.410.13"></a><var>410.13</var>substitute individual health plans for a group health plan nor as a result of any violation of <br/>
<a id="pl.410.14"></a><var>410.14</var>subdivision 3 or 4.<br/>
<a id="pl.410.15"></a><var>410.15</var>    (g) Nothing in this subdivision relieves a health carrier of any obligation to provide <br/>
<a id="pl.410.16"></a><var>410.16</var>continuation or conversion coverage otherwise required under federal or state law.<br/>
<a id="pl.410.17"></a><var>410.17</var>    (h) Nothing in this chapter restricts the offer, sale, issuance, or renewal of coverage <br/>
<a id="pl.410.18"></a><var>410.18</var>issued as a supplement to Medicare under sections 
         <statute_ref>62A.3099</statute_ref> to 
         <statute_ref>62A.44</statute_ref>, or policies or <br/>
<a id="pl.410.19"></a><var>410.19</var>contracts that supplement Medicare issued by health maintenance organizations, or those <br/>
<a id="pl.410.20"></a><var>410.20</var>contracts governed by sections 1833, 1851 to 1859, 1860D, or 1876 of the federal Social <br/>
<a id="pl.410.21"></a><var>410.21</var>Security Act, United States Code, title 42, section 1395 et seq., as amended.<br/>
<a id="pl.410.22"></a><var>410.22</var>    (i) Nothing in this chapter restricts the offer, sale, issuance, or renewal of individual <br/>
<a id="pl.410.23"></a><var>410.23</var>health plans necessary to comply with a court order.<br/>
<a id="pl.410.24"></a><var>410.24</var>    (j) A health carrier may offer, issue, sell, or renew an individual health plan to <br/>
<a id="pl.410.25"></a><var>410.25</var>persons eligible for an employer group health plan, if the individual health plan is a high <br/>
<a id="pl.410.26"></a><var>410.26</var>deductible health plan for use in connection with an existing health savings account, in <br/>
<a id="pl.410.27"></a><var>410.27</var>compliance with the Internal Revenue Code, section 223. In that situation, the same or <br/>
<a id="pl.410.28"></a><var>410.28</var>a different health carrier may offer, issue, sell, or renew a group health plan to cover <br/>
<a id="pl.410.29"></a><var>410.29</var>the other eligible employees in the group.<br/>
<a id="pl.410.30"></a><var>410.30</var>    (k) A health carrier may offer, sell, issue, or renew an individual health plan to one <br/>
<a id="pl.410.31"></a><var>410.31</var>or more employees of a small employer if the individual health plan is marketed directly <br/>
<a id="pl.410.32"></a><var>410.32</var>through the Minnesota Health Insurance Exchange under section 62A.67 or 62A.68 to <br/>
<a id="pl.410.33"></a><var>410.33</var>all employees of the small employer and the small employer does not contribute directly <br/>
<a id="pl.410.34"></a><var>410.34</var>or indirectly to the premiums or facilitate the administration of the individual health <br/>
<a id="pl.410.35"></a><var>410.35</var>plan. The requirement to market an individual health plan to all employees through the <br/>
<a id="pl.410.36"></a><var>410.36</var>Minnesota Health Insurance Exchange under section 62A.67 or 62A.68 does not require <br/>
<a id="pl.411.1"></a><var>411.1</var>the health carrier to offer or issue an individual health plan to any employee. For purposes <br/>
<a id="pl.411.2"></a><var>411.2</var>of this paragraph, an employer is not contributing to the premiums or facilitating the <br/>
<a id="pl.411.3"></a><var>411.3</var>administration of the individual health plan if the employer does not contribute to the <br/>
<a id="pl.411.4"></a><var>411.4</var>premium and merely collects the premiums from an employee's wages or salary through <br/>
<a id="pl.411.5"></a><var>411.5</var>payroll deductions and submits payment for the premiums of one or more employees in a <br/>
<a id="pl.411.6"></a><var>411.6</var>lump sum to the health carrier to the Minnesota Health Insurance Exchange under section <br/>
<a id="pl.411.7"></a><var>411.7</var>62A.67 or 62A.68. Except for coverage under section 
         <statute_ref>62A.65</statute_ref>, subdivision 5, paragraph <br/>
<a id="pl.411.8"></a><var>411.8</var>(b), or 
         <statute_ref>62E.16</statute_ref>, at the request of an employee, the health carrier Minnesota Health Insurance <br/>
<a id="pl.411.9"></a><var>411.9</var>Exchange under section 62A.67 or 62A.68 may bill the employer for the premiums <br/>
<a id="pl.411.10"></a><var>411.10</var>payable by the employee, provided that the employer is not liable for payment except <br/>
<a id="pl.411.11"></a><var>411.11</var>from payroll deductions for that purpose. If an employer is submitting payments under <br/>
<a id="pl.411.12"></a><var>411.12</var>this paragraph, the health carrier and the Minnesota Health Insurance Exchange under <br/>
<a id="pl.411.13"></a><var>411.13</var>section 62A.67 or 62A.68 shall jointly provide a cancellation notice directly to the primary <br/>
<a id="pl.411.14"></a><var>411.14</var>insured at least ten days prior to termination of coverage for nonpayment of premium. <br/>
<a id="pl.411.15"></a><var>411.15</var>Individual coverage under this paragraph may be offered only if the small employer has <br/>
<a id="pl.411.16"></a><var>411.16</var>not provided coverage under section 
<statute_ref>62L.03</statute_ref> to the employees within the past 12 months.<br/>
<a id="pl.411.17"></a><var>411.17</var>    The employer must provide a written and signed statement to the health carrier <br/>
<a id="pl.411.18"></a><var>411.18</var>Minnesota Health Insurance Exchange under section 62A.67 or 62A.68 that the employer <br/>
<a id="pl.411.19"></a><var>411.19</var>is not contributing directly or indirectly to the employee's premiums. The Minnesota <br/>
<a id="pl.411.20"></a><var>411.20</var>Health Insurance Exchange under section 62A.67 or 62A.68 shall provide all health <br/>
<a id="pl.411.21"></a><var>411.21</var>carriers with enrolled employees of the employer with a copy of the employer's statement. <br/>
<a id="pl.411.22"></a><var>411.22</var>The health carrier may rely on the employer's statement provided by the Minnesota Health <br/>
<a id="pl.411.23"></a><var>411.23</var>Insurance Exchange under section 62A.67 or 62A.68 and is not required to guarantee-issue <br/>
<a id="pl.411.24"></a><var>411.24</var>individual health plans to the employer's other current or future employees.<br/>
<br/>
<a id="bill.9.18.0"></a><a id="pl.411.25"></a><var>411.25</var>    Sec. 18. Minnesota Statutes 2006, section 62L.12, subdivision 4, is amended to read:<br/>
<a id="pl.411.26"></a><var>411.26</var>    Subd. 4. <b>Employer prohibition.</b> A small employer offering a health benefit plan <br/>
<a id="pl.411.27"></a><var>411.27</var>shall not encourage or direct an employee or applicant to:<br/>
<a id="pl.411.28"></a><var>411.28</var>    (1) refrain from filing an application for health coverage when other similarly <br/>
<a id="pl.411.29"></a><var>411.29</var>situated employees may file an application for health coverage;<br/>
<a id="pl.411.30"></a><var>411.30</var>    (2) file an application for health coverage during initial eligibility for coverage, <br/>
<a id="pl.411.31"></a><var>411.31</var>the acceptance of which is contingent on health status, when other similarly situated <br/>
<a id="pl.411.32"></a><var>411.32</var>employees may apply for health coverage, the acceptance of which is not contingent on <br/>
<a id="pl.411.33"></a><var>411.33</var>health status;<br/>
<a id="pl.411.34"></a><var>411.34</var>    (3) seek coverage from another health carrier, including, but not limited to, MCHA; <br/>
<a id="pl.411.35"></a><var>411.35</var>or<br/>
<a id="pl.412.1"></a><var>412.1</var>    (4) cause coverage to be issued on different terms because of the health status or <br/>
<a id="pl.412.2"></a><var>412.2</var>claims experience of that person or the person's dependents.<br/>
<br/>
<a id="bill.9.19.0"></a><a id="pl.412.3"></a><var>412.3</var>    Sec. 19. Minnesota Statutes 2006, section 62Q.165, subdivision 1, is amended to read:<br/>
<a id="pl.412.4"></a><var>412.4</var>    Subdivision 1. <b>Definition.</b> It is the commitment of the state to achieve universal <br/>
<a id="pl.412.5"></a><var>412.5</var>health coverage for all Minnesotans by the year 2011. Universal coverage is achieved <br/>
<a id="pl.412.6"></a><var>412.6</var>when:<br/>
<a id="pl.412.7"></a><var>412.7</var>    (1) every Minnesotan has access to a full range of quality health care services;<br/>
<a id="pl.412.8"></a><var>412.8</var>    (2) every Minnesotan is able to obtain affordable health coverage which pays for the <br/>
<a id="pl.412.9"></a><var>412.9</var>full range of services, including preventive and primary care; and<br/>
<a id="pl.412.10"></a><var>412.10</var>    (3) every Minnesotan pays into the health care system according to that person's <br/>
<a id="pl.412.11"></a><var>412.11</var>ability.<br/>
<a id="pl.412.12"></a><var>412.12</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.20.0"></a><a id="pl.412.13"></a><var>412.13</var>    Sec. 20. Minnesota Statutes 2006, section 62Q.165, subdivision 2, is amended to read:<br/>
<a id="pl.412.14"></a><var>412.14</var>    Subd. 2. <b>Goal.</b> It is the goal of the state to make continuous progress toward <br/>
<a id="pl.412.15"></a><var>412.15</var>reducing the number of Minnesotans who do not have health coverage so that by January <br/>
<a id="pl.412.16"></a><var>412.16</var>1, 2000, fewer than four percent of the state's population will be without health coverage <br/>
<a id="pl.412.17"></a><var>412.17</var>2011, all Minnesota residents have access to affordable health care. The goal will be <br/>
<a id="pl.412.18"></a><var>412.18</var>achieved by improving access to private health coverage through insurance reforms and <br/>
<a id="pl.412.19"></a><var>412.19</var>market reforms, by making health coverage more affordable for low-income Minnesotans <br/>
<a id="pl.412.20"></a><var>412.20</var>through purchasing pools and state subsidies, and by reducing the cost of health coverage <br/>
<a id="pl.412.21"></a><var>412.21</var>through cost containment programs and methods of ensuring that all Minnesotans are <br/>
<a id="pl.412.22"></a><var>412.22</var>paying into the system according to their ability.<br/>
<a id="pl.412.23"></a><var>412.23</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.21.0"></a><a id="pl.412.24"></a><var>412.24</var>    Sec. 21. Minnesota Statutes 2006, section 62Q.80, subdivision 3, is amended to read:<br/>
<a id="pl.412.25"></a><var>412.25</var>    Subd. 3. <b>Approval. </b> (a) Prior to the operation of a community-based health care <br/>
<a id="pl.412.26"></a><var>412.26</var>coverage program, a community-based health initiative shall submit to the commissioner <br/>
<a id="pl.412.27"></a><var>412.27</var>of health for approval the community-based health care coverage program developed by <br/>
<a id="pl.412.28"></a><var>412.28</var>the initiative. The commissioner shall only approve a program that has been awarded <br/>
<a id="pl.412.29"></a><var>412.29</var>a community access program grant from the United States Department of Health and <br/>
<a id="pl.412.30"></a><var>412.30</var>Human Services. The commissioner shall ensure that the program meets the federal grant <br/>
<a id="pl.412.31"></a><var>412.31</var>requirements and any requirements described in this section and is actuarially sound based <br/>
<a id="pl.412.32"></a><var>412.32</var>on a review of appropriate records and methods utilized by the community-based health <br/>
<a id="pl.413.1"></a><var>413.1</var>initiative in establishing premium rates for the community-based health care coverage <br/>
<a id="pl.413.2"></a><var>413.2</var>program. <br/>
<a id="pl.413.3"></a><var>413.3</var>    (b) Prior to approval, the commissioner shall also ensure that:<br/>
<a id="pl.413.4"></a><var>413.4</var>    (1) the benefits offered comply with subdivision 8 and that there are adequate <br/>
<a id="pl.413.5"></a><var>413.5</var>numbers of health care providers participating in the community-based health network to <br/>
<a id="pl.413.6"></a><var>413.6</var>deliver the benefits offered under the program;<br/>
<a id="pl.413.7"></a><var>413.7</var>    (2) the activities of the program are limited to activities that are exempt under this <br/>
<a id="pl.413.8"></a><var>413.8</var>section or otherwise from regulation by the commissioner of commerce;<br/>
<a id="pl.413.9"></a><var>413.9</var>    (3) the complaint resolution process meets the requirements of subdivision 10; and <br/>
<a id="pl.413.10"></a><var>413.10</var>    (4) the data privacy policies and procedures comply with state and federal law.<br/>
<br/>
<a id="bill.9.22.0"></a><a id="pl.413.11"></a><var>413.11</var>    Sec. 22. Minnesota Statutes 2006, section 62Q.80, subdivision 4, is amended to read:<br/>
<a id="pl.413.12"></a><var>413.12</var>    Subd. 4. <b>Establishment. </b> (a) The initiative shall establish and operate upon approval <br/>
<a id="pl.413.13"></a><var>413.13</var>by the commissioner of health a community-based health care coverage program. The <br/>
<a id="pl.413.14"></a><var>413.14</var>operational structure established by the initiative shall include, but is not limited to: <br/>
<a id="pl.413.15"></a><var>413.15</var>    (1) establishing a process for enrolling eligible individuals and their dependents; <br/>
<a id="pl.413.16"></a><var>413.16</var>    (2) collecting and coordinating premiums from enrollees and employers of enrollees;<br/>
<a id="pl.413.17"></a><var>413.17</var>    (3) providing payment to participating providers; <br/>
<a id="pl.413.18"></a><var>413.18</var>    (4) establishing a benefit set according to subdivision 8 and establishing premium <br/>
<a id="pl.413.19"></a><var>413.19</var>rates and cost-sharing requirements; <br/>
<a id="pl.413.20"></a><var>413.20</var>    (5) creating incentives to encourage primary care and wellness services; and <br/>
<a id="pl.413.21"></a><var>413.21</var>    (6) initiating disease management services, as appropriate. <br/>
<a id="pl.413.22"></a><var>413.22</var>    (b) The payments collected under paragraph (a), clause (2), may be used to capture <br/>
<a id="pl.413.23"></a><var>413.23</var>available federal funds.<br/>
<br/>
<a id="bill.9.23.0"></a><a id="pl.413.24"></a><var>413.24</var>    Sec. 23. Minnesota Statutes 2006, section 62Q.80, subdivision 13, is amended to read:<br/>
<a id="pl.413.25"></a><var>413.25</var>    Subd. 13. <b>Report. </b> (a) The initiative shall submit quarterly status reports to the <br/>
<a id="pl.413.26"></a><var>413.26</var>commissioner of health on January 15, April 15, July 15, and October 15 of each year, <br/>
<a id="pl.413.27"></a><var>413.27</var>with the first report due January 15, 2007 2008. The status report shall include:<br/>
<a id="pl.413.28"></a><var>413.28</var>    (1) the financial status of the program, including the premium rates, cost per member <br/>
<a id="pl.413.29"></a><var>413.29</var>per month, claims paid out, premiums received, and administrative expenses; <br/>
<a id="pl.413.30"></a><var>413.30</var>    (2) a description of the health care benefits offered and the services utilized; <br/>
<a id="pl.413.31"></a><var>413.31</var>    (3) the number of employers participating, the number of employees and dependents <br/>
<a id="pl.413.32"></a><var>413.32</var>covered under the program, and the number of health care providers participating; <br/>
<a id="pl.413.33"></a><var>413.33</var>    (4) a description of the health outcomes to be achieved by the program and a status <br/>
<a id="pl.413.34"></a><var>413.34</var>report on the performance measurements to be used and collected; and <br/>
<a id="pl.414.1"></a><var>414.1</var>    (5) any other information requested by the commissioner of health or commerce or <br/>
<a id="pl.414.2"></a><var>414.2</var>the legislature. <br/>
<a id="pl.414.3"></a><var>414.3</var>    (b) The initiative shall contract with an independent entity to conduct an evaluation <br/>
<a id="pl.414.4"></a><var>414.4</var>of the program to be submitted to the commissioners of health and commerce and the <br/>
<a id="pl.414.5"></a><var>414.5</var>legislature by January 15, 2009 2010. The evaluation shall include:<br/>
<a id="pl.414.6"></a><var>414.6</var>    (1) an analysis of the health outcomes established by the initiative and the <br/>
<a id="pl.414.7"></a><var>414.7</var>performance measurements to determine whether the outcomes are being achieved;<br/>
<a id="pl.414.8"></a><var>414.8</var>    (2) an analysis of the financial status of the program, including the claims to <br/>
<a id="pl.414.9"></a><var>414.9</var>premiums loss ratio and utilization and cost experience; <br/>
<a id="pl.414.10"></a><var>414.10</var>    (3) the demographics of the enrollees, including their age, gender, family income, <br/>
<a id="pl.414.11"></a><var>414.11</var>and the number of dependents; <br/>
<a id="pl.414.12"></a><var>414.12</var>    (4) the number of employers and employees who have been denied access to the <br/>
<a id="pl.414.13"></a><var>414.13</var>program and the basis for the denial; <br/>
<a id="pl.414.14"></a><var>414.14</var>    (5) specific analysis on enrollees who have aggregate medical claims totaling over <br/>
<a id="pl.414.15"></a><var>414.15</var>$5,000 per year, including data on the enrollee's main diagnosis and whether all the <br/>
<a id="pl.414.16"></a><var>414.16</var>medical claims were covered by the program; <br/>
<a id="pl.414.17"></a><var>414.17</var>    (6) number of enrollees referred to state public assistance programs; <br/>
<a id="pl.414.18"></a><var>414.18</var>    (7) a comparison of employer-subsidized health coverage provided in a comparable <br/>
<a id="pl.414.19"></a><var>414.19</var>geographic area to the designated community-based geographic area served by the <br/>
<a id="pl.414.20"></a><var>414.20</var>program, including, to the extent available: <br/>
<a id="pl.414.21"></a><var>414.21</var>    (i) the difference in the number of employers with 50 or fewer employees offering <br/>
<a id="pl.414.22"></a><var>414.22</var>employer-subsidized health coverage; <br/>
<a id="pl.414.23"></a><var>414.23</var>    (ii) the difference in uncompensated care being provided in each area; and<br/>
<a id="pl.414.24"></a><var>414.24</var>    (iii) a comparison of health care outcomes and measurements established by the <br/>
<a id="pl.414.25"></a><var>414.25</var>initiative; and <br/>
<a id="pl.414.26"></a><var>414.26</var>    (8) any other information requested by the commissioner of health or commerce.<br/>
<br/>
<a id="bill.9.24.0"></a><a id="pl.414.27"></a><var>414.27</var>    Sec. 24. Minnesota Statutes 2006, section 62Q.80, subdivision 14, is amended to read:<br/>
<a id="pl.414.28"></a><var>414.28</var>    Subd. 14. <b>Sunset.</b> This section expires December 31, 2011 2012.<br/>
<br/>
<a id="bill.9.25.0"></a><a id="pl.414.29"></a><var>414.29</var>    Sec. 25. Minnesota Statutes 2006, section 144.698, subdivision 1, is amended to read:<br/>
<a id="pl.414.30"></a><var>414.30</var>    Subdivision 1. <b>Yearly reports.</b> (a) Each hospital and each outpatient surgical center, <br/>
<a id="pl.414.31"></a><var>414.31</var>which has not filed the financial information required by this section with a voluntary, <br/>
<a id="pl.414.32"></a><var>414.32</var>nonprofit reporting organization pursuant to section 
         <statute_ref>144.702</statute_ref>, shall file annually with the <br/>
<a id="pl.414.33"></a><var>414.33</var>commissioner of health after the close of the fiscal year: <br/>
<a id="pl.415.1"></a><var>415.1</var>    (1) a balance sheet detailing the assets, liabilities, and net worth of the hospital or <br/>
<a id="pl.415.2"></a><var>415.2</var>outpatient surgical center;<br/>
<a id="pl.415.3"></a><var>415.3</var>    (2) a detailed statement of income and expenses;<br/>
<a id="pl.415.4"></a><var>415.4</var>    (3) a copy of its most recent cost report, if any, filed pursuant to requirements of <br/>
<a id="pl.415.5"></a><var>415.5</var>Title XVIII of the United States Social Security Act;<br/>
<a id="pl.415.6"></a><var>415.6</var>    (4) a copy of all changes to articles of incorporation or bylaws;<br/>
<a id="pl.415.7"></a><var>415.7</var>    (5) information on services provided to benefit the community, including services <br/>
<a id="pl.415.8"></a><var>415.8</var>provided at no cost or for a reduced fee to patients unable to pay, teaching and research <br/>
<a id="pl.415.9"></a><var>415.9</var>activities, or other community or charitable activities;<br/>
<a id="pl.415.10"></a><var>415.10</var>    (6) information required on the revenue and expense report form set in effect on <br/>
<a id="pl.415.11"></a><var>415.11</var>July 1, 1989, or as amended by the commissioner in rule;<br/>
<a id="pl.415.12"></a><var>415.12</var>    (7) information on changes in ownership or control; and<br/>
<a id="pl.415.13"></a><var>415.13</var>    (8) other information required by the commissioner in rule.;<br/>
<a id="pl.415.14"></a><var>415.14</var>    (9) information on the number of available hospital beds that are dedicated to certain <br/>
<a id="pl.415.15"></a><var>415.15</var>specialized services, as designated by the commissioner, and annual occupancy rates for <br/>
<a id="pl.415.16"></a><var>415.16</var>those beds, separately for adult and pediatric care;<br/>
<a id="pl.415.17"></a><var>415.17</var>    (10) from outpatient surgical centers, the total number of surgeries; and<br/>
<a id="pl.415.18"></a><var>415.18</var>    (11) a report on health care capital expenditures during the previous year, as required <br/>
<a id="pl.415.19"></a><var>415.19</var>by section 62J.17.<br/>
<a id="pl.415.20"></a><var>415.20</var>    (b) Beginning with hospital fiscal year 2009, each nonprofit hospital shall report on <br/>
<a id="pl.415.21"></a><var>415.21</var>community benefits under paragraph (a), clause (5). "Community benefit" means the costs <br/>
<a id="pl.415.22"></a><var>415.22</var>of community care, underpayment for services provided under state health care programs, <br/>
<a id="pl.415.23"></a><var>415.23</var>research costs, community health services costs, financial and in-kind contributions, costs <br/>
<a id="pl.415.24"></a><var>415.24</var>of community building activities, costs of community benefit operations, education, and <br/>
<a id="pl.415.25"></a><var>415.25</var>the cost of operating subsidized services. The cost of bad debts and underpayment for <br/>
<a id="pl.415.26"></a><var>415.26</var>Medicare services are not included in the calculation of community benefit.<br/>
<br/>
<a id="bill.9.26.0"></a><a id="pl.415.27"></a><var>415.27</var>    Sec. 26. Minnesota Statutes 2006, section 144.699, is amended by adding a subdivision <br/>
<a id="pl.415.28"></a><var>415.28</var>to read:<br/>
<a id="pl.415.29"></a><var>415.29</var>    Subd. 5. <b>Annual reports on community benefit, community care amounts, </b><br/>
<a id="pl.415.30"></a><var>415.30</var><b>and state program underfunding.</b> (a) For each hospital reporting health care cost <br/>
<a id="pl.415.31"></a><var>415.31</var>information under section 144.698 or 144.702, the commissioner shall report annually <br/>
<a id="pl.415.32"></a><var>415.32</var>on the hospital's community benefit, community care, and underpayment for state public <br/>
<a id="pl.415.33"></a><var>415.33</var>health care programs.<br/>
<a id="pl.415.34"></a><var>415.34</var>    (b) For purposes of this subdivision, "community benefits" has the definition given <br/>
<a id="pl.415.35"></a><var>415.35</var>in section 144.698, paragraph (b).<br/>
<a id="pl.416.1"></a><var>416.1</var>    (c) For purposes of this subdivision, "community care" means the costs for medical <br/>
<a id="pl.416.2"></a><var>416.2</var>care for which a hospital has determined is charity care, as defined under Minnesota Rules, <br/>
<a id="pl.416.3"></a><var>416.3</var>part 4650.0115, or for which the hospital determines after billing for the services that there <br/>
<a id="pl.416.4"></a><var>416.4</var>is a demonstrated inability to pay. Any costs forgiven under a hospital's community care <br/>
<a id="pl.416.5"></a><var>416.5</var>plan or under section 62J.83 may be counted in the hospital's calculation of community <br/>
<a id="pl.416.6"></a><var>416.6</var>care. Bad debt expenses and discounted charges available to the uninsured shall not be <br/>
<a id="pl.416.7"></a><var>416.7</var>included in the calculation of community care. The amount of community care is the value <br/>
<a id="pl.416.8"></a><var>416.8</var>of costs incurred and not the charges made for services.<br/>
<a id="pl.416.9"></a><var>416.9</var>    (d) For purposes of this subdivision, underpayment for services provided by state <br/>
<a id="pl.416.10"></a><var>416.10</var>public health care programs is the difference between hospital costs and public program <br/>
<a id="pl.416.11"></a><var>416.11</var>payments. The information shall be reported in terms of total dollars and as a percentage <br/>
<a id="pl.416.12"></a><var>416.12</var>of total operating costs for each hospital.<br/>
<br/>
<a id="bill.9.27.0"></a><a id="pl.416.13"></a><var>416.13</var>    Sec. 27. Minnesota Statutes 2006, section 256.01, subdivision 2b, is amended to read:<br/>
<a id="pl.416.14"></a><var>416.14</var>    Subd. 2b. <b>Performance payments.</b> (a) The commissioner shall develop and <br/>
<a id="pl.416.15"></a><var>416.15</var>implement a pay-for-performance system to provide performance payments to:<br/>
<a id="pl.416.16"></a><var>416.16</var>    (1) eligible medical groups and clinics that demonstrate optimum care in serving <br/>
<a id="pl.416.17"></a><var>416.17</var>individuals with chronic diseases who are enrolled in health care programs administered <br/>
<a id="pl.416.18"></a><var>416.18</var>by the commissioner under chapters 256B, 256D, and 256L.;<br/>
<a id="pl.416.19"></a><var>416.19</var>    (2) medical groups that implement effective medical home models of patient care <br/>
<a id="pl.416.20"></a><var>416.20</var>that improve quality and reduce costs through effective primary and preventive care, care <br/>
<a id="pl.416.21"></a><var>416.21</var>coordination, and management of chronic conditions; and<br/>
<a id="pl.416.22"></a><var>416.22</var>    (3) eligible medical groups and clinics that evaluate medical provider usage patterns <br/>
<a id="pl.416.23"></a><var>416.23</var>and provide feedback to individual medical providers on that provider's practice patterns <br/>
<a id="pl.416.24"></a><var>416.24</var>relative to peer medical providers.<br/>
<a id="pl.416.25"></a><var>416.25</var>    (b) The commissioner shall also develop and implement a patient incentive health <br/>
<a id="pl.416.26"></a><var>416.26</var>program to provide incentives and rewards to patients who are enrolled in health care <br/>
<a id="pl.416.27"></a><var>416.27</var>programs administered by the commissioner under chapters 256B, 256D, and 256L, and <br/>
<a id="pl.416.28"></a><var>416.28</var>who have agreed to and meet personal health goals established with their primary care <br/>
<a id="pl.416.29"></a><var>416.29</var>provider to manage a chronic disease or condition including, but not limited to, diabetes, <br/>
<a id="pl.416.30"></a><var>416.30</var>high blood pressure, and coronary artery disease.<br/>
<a id="pl.416.31"></a><var>416.31</var>    (c) The commissioner may receive any federal matching money that is made <br/>
<a id="pl.416.32"></a><var>416.32</var>available through the medical assistance program for managed care oversight contracted <br/>
<a id="pl.416.33"></a><var>416.33</var>through vendors including consumer surveys, studies, and external quality reviews as <br/>
<a id="pl.416.34"></a><var>416.34</var>required by the Federal Balanced Budget Act of 1997, Code of Federal Regulations, <br/>
<a id="pl.416.35"></a><var>416.35</var>title 42, part 438, subpart E. Any federal money received for managed care oversight is <br/>
<a id="pl.417.1"></a><var>417.1</var>appropriated to the commissioner for this purpose. The commissioner may expend the <br/>
<a id="pl.417.2"></a><var>417.2</var>federal money received in either year of the biennium.<br/>
<a id="pl.417.3"></a><var>417.3</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.28.0"></a><a id="pl.417.4"></a><var>417.4</var>    Sec. 28. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.417.5"></a><var>417.5</var>subdivision to read:<br/>
<a id="pl.417.6"></a><var>417.6</var>    Subd. 49. <b>Provider-directed care coordination services.</b> The commissioner <br/>
<a id="pl.417.7"></a><var>417.7</var>shall develop and implement a provider-directed care coordination program for medical <br/>
<a id="pl.417.8"></a><var>417.8</var>assistance recipients who are not enrolled in the prepaid medical assistance program and <br/>
<a id="pl.417.9"></a><var>417.9</var>who are receiving services on a fee-for-service basis. This program provides payment <br/>
<a id="pl.417.10"></a><var>417.10</var>to primary care clinics for care coordination for people who have complex and chronic <br/>
<a id="pl.417.11"></a><var>417.11</var>medical conditions. Clinics must meet certain criteria such as the capacity to develop care <br/>
<a id="pl.417.12"></a><var>417.12</var>plans; have a dedicated care coordinator; and have an adequate number of fee-for-service <br/>
<a id="pl.417.13"></a><var>417.13</var>clients, evaluation mechanisms, and quality improvement processes to qualify for <br/>
<a id="pl.417.14"></a><var>417.14</var>reimbursement. For purposes of this subdivision, a primary care clinic is a medical clinic <br/>
<a id="pl.417.15"></a><var>417.15</var>designated as the patient's first point of contact for medical care, available 24 hours a <br/>
<a id="pl.417.16"></a><var>417.16</var>day, seven days a week, that provides or arranges for the patient's comprehensive health <br/>
<a id="pl.417.17"></a><var>417.17</var>care needs, and provides overall integration, coordination and continuity over time and <br/>
<a id="pl.417.18"></a><var>417.18</var>referrals for specialty care.<br/>
<br/>
<a id="bill.9.29.0"></a><a id="pl.417.19"></a><var>417.19</var>    Sec. 29. Minnesota Statutes 2006, section 256L.01, subdivision 4, is amended to read:<br/>
<a id="pl.417.20"></a><var>417.20</var>    Subd. 4. <b>Gross individual or gross family income.</b> (a) "Gross individual or gross <br/>
<a id="pl.417.21"></a><var>417.21</var>family income" for nonfarm self-employed means income calculated for the six-month <br/>
<a id="pl.417.22"></a><var>417.22</var>period of eligibility using the net profit or loss reported on the applicant's federal income <br/>
<a id="pl.417.23"></a><var>417.23</var>tax form for the previous year and using the medical assistance families with children <br/>
<a id="pl.417.24"></a><var>417.24</var>methodology for determining allowable and nonallowable self-employment expenses and <br/>
<a id="pl.417.25"></a><var>417.25</var>countable income.<br/>
<a id="pl.417.26"></a><var>417.26</var>    (b) "Gross individual or gross family income" for farm self-employed means income <br/>
<a id="pl.417.27"></a><var>417.27</var>calculated for the six-month period of eligibility using as the baseline the adjusted gross <br/>
<a id="pl.417.28"></a><var>417.28</var>income reported on the applicant's federal income tax form for the previous year and <br/>
<a id="pl.417.29"></a><var>417.29</var>adding back in reported depreciation amounts that apply to the business in which the <br/>
<a id="pl.417.30"></a><var>417.30</var>family is currently engaged.<br/>
<a id="pl.417.31"></a><var>417.31</var>    (c) "Gross individual or gross family income" means the total income for all family <br/>
<a id="pl.417.32"></a><var>417.32</var>members, calculated for the six-month period of eligibility.<br/>
<a id="pl.417.33"></a><var>417.33</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.30.0"></a><a id="pl.418.1"></a><var>418.1</var>    Sec. 30. <b>HEALTH CARE PAYMENT SYSTEM REFORM.</b><br/>
<a id="pl.418.2"></a><var>418.2</var>    Subdivision 1. <b>Payment reform plan.</b> The commissioners of employee relations, <br/>
<a id="pl.418.3"></a><var>418.3</var>human services, commerce, and health shall develop a plan for promoting and facilitating <br/>
<a id="pl.418.4"></a><var>418.4</var>changes in payment rates and methods for paying for health care services, drugs, devices, <br/>
<a id="pl.418.5"></a><var>418.5</var>supplies, and equipment in order to:<br/>
<a id="pl.418.6"></a><var>418.6</var>    (1) reward the provision of cost-effective primary and preventive care;<br/>
<a id="pl.418.7"></a><var>418.7</var>    (2) reward the use of evidence-based care;<br/>
<a id="pl.418.8"></a><var>418.8</var>    (3) discourage underutilization, overuse, and misuse;<br/>
<a id="pl.418.9"></a><var>418.9</var>    (4) reward the use of the most cost-effective settings, drugs, devices, providers, <br/>
<a id="pl.418.10"></a><var>418.10</var>and treatments; and<br/>
<a id="pl.418.11"></a><var>418.11</var>    (5) encourage consumers to maintain good health and use the health care system <br/>
<a id="pl.418.12"></a><var>418.12</var>appropriately.<br/>
<a id="pl.418.13"></a><var>418.13</var>    In developing the plan, the commissioners shall analyze existing data to determine <br/>
<a id="pl.418.14"></a><var>418.14</var>specific services and health conditions for which changes in payment rates and methods <br/>
<a id="pl.418.15"></a><var>418.15</var>would lead to significant improvements in quality of care.<br/>
<a id="pl.418.16"></a><var>418.16</var>    Subd. 2. <b>Report.</b> The commissioners shall submit a report to the legislature by <br/>
<a id="pl.418.17"></a><var>418.17</var>December 15, 2007, describing the payment reform plan. The report must include <br/>
<a id="pl.418.18"></a><var>418.18</var>proposed legislation for implementing those components of the plan requiring legislative <br/>
<a id="pl.418.19"></a><var>418.19</var>action or appropriations of money.<br/>
<a id="pl.418.20"></a><var>418.20</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.31.0"></a><a id="pl.418.21"></a><var>418.21</var>    Sec. 31. <b>COMMUNITY COLLABORATIVE PILOT PROJECTS TO COVER </b><br/>
<a id="pl.418.22"></a><var>418.22</var><b>THE UNINSURED.</b><br/>
<a id="pl.418.23"></a><var>418.23</var>    Subdivision 1. <b>Community collaboratives.</b> The commissioner of human services <br/>
<a id="pl.418.24"></a><var>418.24</var>shall provide grants to and authorization for up to three community collaboratives that <br/>
<a id="pl.418.25"></a><var>418.25</var>satisfy the requirements in this section. To be eligible to receive a grant and authorization <br/>
<a id="pl.418.26"></a><var>418.26</var>under this section, a community collaborative must include:<br/>
<a id="pl.418.27"></a><var>418.27</var>    (1) one or more counties;<br/>
<a id="pl.418.28"></a><var>418.28</var>    (2) one or more local hospitals;<br/>
<a id="pl.418.29"></a><var>418.29</var>    (3) one or more local employers who collectively provide at least 300 jobs in the <br/>
<a id="pl.418.30"></a><var>418.30</var>community;<br/>
<a id="pl.418.31"></a><var>418.31</var>    (4) one or more health care clinics or physician groups; and<br/>
<a id="pl.418.32"></a><var>418.32</var>    (5) a third-party payer, which may be a county-based purchasing plan operating <br/>
<a id="pl.418.33"></a><var>418.33</var>under Minnesota Statutes, section 256B.692, a self-insured employer, or a health plan <br/>
<a id="pl.418.34"></a><var>418.34</var>company as defined in Minnesota Statutes, section 62Q.01, subdivision 4.<br/>
<a id="pl.419.1"></a><var>419.1</var>    Subd. 2. <b>Pilot project requirements.</b> (a) Community collaborative pilot projects <br/>
<a id="pl.419.2"></a><var>419.2</var>must:<br/>
<a id="pl.419.3"></a><var>419.3</var>    (1) identify and enroll persons in the community who are uninsured, and who have, <br/>
<a id="pl.419.4"></a><var>419.4</var>or are at risk of developing, one of the following chronic conditions: mental illness, <br/>
<a id="pl.419.5"></a><var>419.5</var>diabetes, asthma, hypertension, or other chronic condition designated by the project;<br/>
<a id="pl.419.6"></a><var>419.6</var>    (2) assist uninsured persons to obtain private-sector health insurance coverage if <br/>
<a id="pl.419.7"></a><var>419.7</var>possible or to enroll in any public health care programs for which they are eligible. If the <br/>
<a id="pl.419.8"></a><var>419.8</var>uninsured individual is unable to obtain health coverage, the community collaborative <br/>
<a id="pl.419.9"></a><var>419.9</var>must enroll the individual in a local health care assistance program that provides specified <br/>
<a id="pl.419.10"></a><var>419.10</var>services to prevent or effectively manage the chronic condition;<br/>
<a id="pl.419.11"></a><var>419.11</var>    (3) include components to help uninsured persons retain employment or to become <br/>
<a id="pl.419.12"></a><var>419.12</var>employable, if currently unemployed;<br/>
<a id="pl.419.13"></a><var>419.13</var>    (4) ensure that each uninsured person enrolled in the program has a medical home <br/>
<a id="pl.419.14"></a><var>419.14</var>responsible for providing, or arranging for, health care services and assisting in the <br/>
<a id="pl.419.15"></a><var>419.15</var>effective management of the chronic condition;<br/>
<a id="pl.419.16"></a><var>419.16</var>    (5) coordinate services between all providers and agencies serving an enrolled <br/>
<a id="pl.419.17"></a><var>419.17</var>individual; and<br/>
<a id="pl.419.18"></a><var>419.18</var>    (6) be coordinated with the state's Q-Care initiative and improve the use of <br/>
<a id="pl.419.19"></a><var>419.19</var>evidence-based treatments and effective disease management programs in the broader <br/>
<a id="pl.419.20"></a><var>419.20</var>community, beyond those individuals enrolled in the project.<br/>
<a id="pl.419.21"></a><var>419.21</var>    (b) Projects established under this section are not insurance and are not subject to <br/>
<a id="pl.419.22"></a><var>419.22</var>state-mandated benefit requirements or insurance regulations.<br/>
<a id="pl.419.23"></a><var>419.23</var>    Subd. 3. <b>Criteria.</b> Proposals must be evaluated by actuarial, financial, and clinical <br/>
<a id="pl.419.24"></a><var>419.24</var>experts based on the likelihood that the project would produce a positive return on <br/>
<a id="pl.419.25"></a><var>419.25</var>investment for the community. In awarding grants, the commissioner of human services <br/>
<a id="pl.419.26"></a><var>419.26</var>shall give preference to proposals that:<br/>
<a id="pl.419.27"></a><var>419.27</var>    (1) have broad community support from local businesses, provider counties, and <br/>
<a id="pl.419.28"></a><var>419.28</var>other public and private organizations;<br/>
<a id="pl.419.29"></a><var>419.29</var>    (2) would provide services to uninsured persons who have, or are at risk of <br/>
<a id="pl.419.30"></a><var>419.30</var>developing, multiple, co-occurring chronic conditions;<br/>
<a id="pl.419.31"></a><var>419.31</var>    (3) integrate or coordinate resources from multiple sources, such as employer <br/>
<a id="pl.419.32"></a><var>419.32</var>contributions, county funds, social service programs, and provider financial or in-kind <br/>
<a id="pl.419.33"></a><var>419.33</var>support;<br/>
<a id="pl.419.34"></a><var>419.34</var>    (4) provide continuity of treatment and services when uninsured individuals in <br/>
<a id="pl.419.35"></a><var>419.35</var>the program become eligible for public or private health insurance or when insured <br/>
<a id="pl.419.36"></a><var>419.36</var>individuals lose their coverage;<br/>
<a id="pl.420.1"></a><var>420.1</var>    (5) demonstrate how administrative costs for health plan companies and providers <br/>
<a id="pl.420.2"></a><var>420.2</var>can be reduced through greater simplification, coordination, consolidation, standardization, <br/>
<a id="pl.420.3"></a><var>420.3</var>reducing billing errors, or other methods; and<br/>
<a id="pl.420.4"></a><var>420.4</var>    (6) involve local contributions to the cost of the pilot projects.<br/>
<a id="pl.420.5"></a><var>420.5</var>    Subd. 4. <b>Grants.</b> The commissioner of human services shall provide <br/>
<a id="pl.420.6"></a><var>420.6</var>implementation grants of up to one-half of the community collaborative's costs for <br/>
<a id="pl.420.7"></a><var>420.7</var>planning, administration, and evaluation. The commissioner shall also provide grants to <br/>
<a id="pl.420.8"></a><var>420.8</var>community collaboratives to develop a fund to pay up to 50 percent of the cost of the <br/>
<a id="pl.420.9"></a><var>420.9</var>services provided to uninsured individuals. The remaining costs must be paid for through <br/>
<a id="pl.420.10"></a><var>420.10</var>other sources or by agreement of a health care provider to contribute the cost as charity <br/>
<a id="pl.420.11"></a><var>420.11</var>care.<br/>
<a id="pl.420.12"></a><var>420.12</var>    Subd. 5. <b>Evaluation.</b> The commissioner of human services shall evaluate the <br/>
<a id="pl.420.13"></a><var>420.13</var>effectiveness of each community collaborative project awarded a grant, by comparing <br/>
<a id="pl.420.14"></a><var>420.14</var>actual costs for serving the identified uninsured persons to the predicted costs that would <br/>
<a id="pl.420.15"></a><var>420.15</var>have been incurred in the absence of early intervention and consistent treatment to manage <br/>
<a id="pl.420.16"></a><var>420.16</var>the chronic condition, including the costs to medical assistance, MinnesotaCare, and <br/>
<a id="pl.420.17"></a><var>420.17</var>general assistance medical care. The commissioner shall require community collaborative <br/>
<a id="pl.420.18"></a><var>420.18</var>projects, as a condition of receipt of a grant award, to provide the commissioner with all <br/>
<a id="pl.420.19"></a><var>420.19</var>information necessary for this evaluation.<br/>
<a id="pl.420.20"></a><var>420.20</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2007.<br/>
<br/>
<a id="bill.9.32.0"></a><a id="pl.420.21"></a><var>420.21</var>    Sec. 32. <b>HEALTH CARE PAYMENT REFORM PILOT PROJECTS.</b><br/>
<a id="pl.420.22"></a><var>420.22</var>    Subdivision 1. <b>Pilot projects.</b> (a) The commissioners of health, human services, <br/>
<a id="pl.420.23"></a><var>420.23</var>and employee relations shall develop and administer payment reform pilot projects for <br/>
<a id="pl.420.24"></a><var>420.24</var>state employees and persons enrolled in medical assistance, MinnesotaCare, or general <br/>
<a id="pl.420.25"></a><var>420.25</var>assistance medical care, to the extent permitted by federal requirements. The purpose of <br/>
<a id="pl.420.26"></a><var>420.26</var>the projects is to promote and facilitate changes in payment rates and methods for paying <br/>
<a id="pl.420.27"></a><var>420.27</var>for health care services, drugs, devices, supplies, and equipment in order to:<br/>
<a id="pl.420.28"></a><var>420.28</var>    (1) reward the provision of cost-effective primary and preventive care;<br/>
<a id="pl.420.29"></a><var>420.29</var>    (2) reward the use of evidence-based care;<br/>
<a id="pl.420.30"></a><var>420.30</var>    (3) reward coordination of care for patients with chronic conditions;<br/>
<a id="pl.420.31"></a><var>420.31</var>    (4) discourage overuse and misuse;<br/>
<a id="pl.420.32"></a><var>420.32</var>    (5) reward the use of the most cost-effective settings, drugs, devices, providers, <br/>
<a id="pl.420.33"></a><var>420.33</var>and treatments;<br/>
<a id="pl.420.34"></a><var>420.34</var>    (6) encourage consumers to maintain good health and use the health care system <br/>
<a id="pl.420.35"></a><var>420.35</var>appropriately.<br/>
<a id="pl.421.1"></a><var>421.1</var>    (b) The pilot projects must involve the use of designated care professionals or <br/>
<a id="pl.421.2"></a><var>421.2</var>clinics to serve as a patient's medical home and be responsible for coordinating health <br/>
<a id="pl.421.3"></a><var>421.3</var>care services across the continuum of care. The pilot projects must evaluate different <br/>
<a id="pl.421.4"></a><var>421.4</var>payment reform models and must be coordinated with the Minnesota senior health options <br/>
<a id="pl.421.5"></a><var>421.5</var>program and the Minnesota disability health options program. To the extent possible, the <br/>
<a id="pl.421.6"></a><var>421.6</var>commissioners shall coordinate state purchasing activities with other public employers <br/>
<a id="pl.421.7"></a><var>421.7</var>and with private purchasers, self-insured groups, and health plan companies to promote <br/>
<a id="pl.421.8"></a><var>421.8</var>the use of pilot projects encompassing both public and private purchasers and markets.<br/>
<a id="pl.421.9"></a><var>421.9</var>    Subd. 2. <b>Payment methods and incentives.</b> The commissioners shall modify <br/>
<a id="pl.421.10"></a><var>421.10</var>existing payment methods and rates for those enrollees and health care providers <br/>
<a id="pl.421.11"></a><var>421.11</var>participating in the pilot project in order to provide incentives for care management, <br/>
<a id="pl.421.12"></a><var>421.12</var>team-based care, and practice redesign, and increase resources for primary care, chronic <br/>
<a id="pl.421.13"></a><var>421.13</var>condition care, and care provided to complex patients. The commissioners may create <br/>
<a id="pl.421.14"></a><var>421.14</var>financial incentives for patients to select a medical home under the pilot project by <br/>
<a id="pl.421.15"></a><var>421.15</var>reducing, modifying, or eliminating deductibles and co-payments for certain services, or <br/>
<a id="pl.421.16"></a><var>421.16</var>through other incentives. The commissioners may require patients to remain with their <br/>
<a id="pl.421.17"></a><var>421.17</var>designated medical home for a specified period of time. Alternative payment methods <br/>
<a id="pl.421.18"></a><var>421.18</var>may include complete or partial capitation, fee-for-service payments, or other payment <br/>
<a id="pl.421.19"></a><var>421.19</var>methodologies. The payment methods may provide for the payment of bonuses to medical <br/>
<a id="pl.421.20"></a><var>421.20</var>home providers or other providers, or to patients, for the achievement of performance <br/>
<a id="pl.421.21"></a><var>421.21</var>goals. The payment methods may include allocating a portion of the payment that <br/>
<a id="pl.421.22"></a><var>421.22</var>would otherwise be paid to health plans under state prepaid health care programs to the <br/>
<a id="pl.421.23"></a><var>421.23</var>designated medical home for specified services.<br/>
<a id="pl.421.24"></a><var>421.24</var>    Subd. 3. <b>Requirements.</b> In order to be designated a medical home under the pilot <br/>
<a id="pl.421.25"></a><var>421.25</var>project, health care professionals or clinics must demonstrate their ability to:<br/>
<a id="pl.421.26"></a><var>421.26</var>    (1) be the patient's first point of contact by telephone or other means, 24 hours a <br/>
<a id="pl.421.27"></a><var>421.27</var>day, seven days a week;<br/>
<a id="pl.421.28"></a><var>421.28</var>    (2) provide or arrange for patients' comprehensive health care needs, including the <br/>
<a id="pl.421.29"></a><var>421.29</var>ability to structure planned chronic disease visits and to manage chronic disease through <br/>
<a id="pl.421.30"></a><var>421.30</var>the use of disease registries;<br/>
<a id="pl.421.31"></a><var>421.31</var>    (3) coordinate patients' care when care must be provided outside the medical home;<br/>
<a id="pl.421.32"></a><var>421.32</var>    (4) provide longitudinal care, not just episodic care, including meeting long-term <br/>
<a id="pl.421.33"></a><var>421.33</var>and unique personal needs;<br/>
<a id="pl.421.34"></a><var>421.34</var>    (5) utilize an electronic health record and incorporate a plan to develop and make <br/>
<a id="pl.421.35"></a><var>421.35</var>available to patients that choose a medical home an electronic personal health record that <br/>
<a id="pl.422.1"></a><var>422.1</var>is prepopulated with the patient's data, consumer-directed, connected to the provider, <br/>
<a id="pl.422.2"></a><var>422.2</var>24-hour accessible, and owned and controlled by the patient;<br/>
<a id="pl.422.3"></a><var>422.3</var>    (6) systematically improve quality of care using, among other inputs, patient <br/>
<a id="pl.422.4"></a><var>422.4</var>feedback; and<br/>
<a id="pl.422.5"></a><var>422.5</var>    (7) create a provider network that provides for increased reimbursement for a <br/>
<a id="pl.422.6"></a><var>422.6</var>medical home in a cost-neutral manner.<br/>
<a id="pl.422.7"></a><var>422.7</var>    Subd. 4. <b>Evaluation.</b> Pilot projects must be evaluated based on patient satisfaction, <br/>
<a id="pl.422.8"></a><var>422.8</var>provider satisfaction, clinical process and outcome measures, program costs and savings, <br/>
<a id="pl.422.9"></a><var>422.9</var>and economic impact on health care providers. Pilot projects must be evaluated based <br/>
<a id="pl.422.10"></a><var>422.10</var>on the extent to which the medical home:<br/>
<a id="pl.422.11"></a><var>422.11</var>    (1) coordinated health care services across the continuum of care and thereby <br/>
<a id="pl.422.12"></a><var>422.12</var>reduced duplication of services and enhanced communication across providers;<br/>
<a id="pl.422.13"></a><var>422.13</var>    (2) provided safe and high-quality care by increasing utilization of effective <br/>
<a id="pl.422.14"></a><var>422.14</var>treatments, reduced use of ineffective treatments, reduced barriers to essential care and <br/>
<a id="pl.422.15"></a><var>422.15</var>services, and eliminated barriers to access;<br/>
<a id="pl.422.16"></a><var>422.16</var>    (3) reduced unnecessary hospitalizations and emergency room visits and increased <br/>
<a id="pl.422.17"></a><var>422.17</var>use of cost-effective care and settings;<br/>
<a id="pl.422.18"></a><var>422.18</var>    (4) encouraged long-term patient and provider relationships by shifting from <br/>
<a id="pl.422.19"></a><var>422.19</var>episodic care to consistent, coordinated communication and care with a specified team of <br/>
<a id="pl.422.20"></a><var>422.20</var>providers or individual providers;<br/>
<a id="pl.422.21"></a><var>422.21</var>    (5) engaged and educated consumers by encouraging shared patient and provider <br/>
<a id="pl.422.22"></a><var>422.22</var>responsibility and accountability for disease prevention, health promotion, chronic <br/>
<a id="pl.422.23"></a><var>422.23</var>disease management, acute care, and overall well-being, encouraging informed medical <br/>
<a id="pl.422.24"></a><var>422.24</var>decision-making, ensuring the availability of accurate medical information, and facilitated <br/>
<a id="pl.422.25"></a><var>422.25</var>the transfer of accurate medical information;<br/>
<a id="pl.422.26"></a><var>422.26</var>    (6) encouraged innovation in payment methodologies by using patient and provider <br/>
<a id="pl.422.27"></a><var>422.27</var>incentives to coordinate care and utilize medical home services and fostering the <br/>
<a id="pl.422.28"></a><var>422.28</var>expansion of a technology infrastructure that supports collaboration; and<br/>
<a id="pl.422.29"></a><var>422.29</var>    (7) reduced overall health care costs as compared to conventional payment methods <br/>
<a id="pl.422.30"></a><var>422.30</var>for similar patient populations.<br/>
<a id="pl.422.31"></a><var>422.31</var>    Subd. 5. <b>Rulemaking.</b> The commissioners are exempt from administrative <br/>
<a id="pl.422.32"></a><var>422.32</var>rulemaking under chapter 14 for purposes of developing, administering, contracting <br/>
<a id="pl.422.33"></a><var>422.33</var>for, and evaluating pilot projects under this section. The commissioner shall publish a <br/>
<a id="pl.422.34"></a><var>422.34</var>proposed request for proposals in the State Register and allow 30 days for comment <br/>
<a id="pl.422.35"></a><var>422.35</var>before issuing the final request for proposals.<br/>
<a id="pl.423.1"></a><var>423.1</var>    Subd. 6. <b>Regulatory and payment barriers.</b> The commissioners shall study state <br/>
<a id="pl.423.2"></a><var>423.2</var>and federal statutory and regulatory barriers to the creation of medical homes and provide <br/>
<a id="pl.423.3"></a><var>423.3</var>a report and recommendations to the legislature by December 15, 2007.<br/>
<br/>
<a id="bill.9.33.0"></a><a id="pl.423.4"></a><var>423.4</var>    Sec. 33. <b>HEALTH CARE SYSTEM CONSOLIDATION.</b><br/>
<a id="pl.423.5"></a><var>423.5</var>    (a) The commissioner of health shall study the effect of health care provider and <br/>
<a id="pl.423.6"></a><var>423.6</var>health plan company consolidation in the four metropolitan statistical areas in Minnesota <br/>
<a id="pl.423.7"></a><var>423.7</var>on: health care costs, including provider payment rates; quality of care; and access to care. <br/>
<a id="pl.423.8"></a><var>423.8</var>The commissioner shall separately consider hospitals, specialty groups, and primary care <br/>
<a id="pl.423.9"></a><var>423.9</var>groups. The commissioner shall present findings and recommendations to the legislature <br/>
<a id="pl.423.10"></a><var>423.10</var>by December 15, 2007.<br/>
<a id="pl.423.11"></a><var>423.11</var>    (b) For purposes of this study, health carriers, provider networks, and other health <br/>
<a id="pl.423.12"></a><var>423.12</var>care providers shall provide data on network participation, contracted payment rates, <br/>
<a id="pl.423.13"></a><var>423.13</var>charges, costs, payments received, patient referrals, and other information requested by <br/>
<a id="pl.423.14"></a><var>423.14</var>the commissioner, in the form and manner specified by the commissioner. Provider-level <br/>
<a id="pl.423.15"></a><var>423.15</var>information on contracted payment rates and payments from health plans provided to the <br/>
<a id="pl.423.16"></a><var>423.16</var>commissioner of health for the purposes of this study are (1) private data on individuals as <br/>
<a id="pl.423.17"></a><var>423.17</var>defined in Minnesota Statutes, section 13.02, subdivision 12, and (2) nonpublic data as <br/>
<a id="pl.423.18"></a><var>423.18</var>defined in Minnesota Statutes, section 13.02, subdivision 9. The commissioner may not <br/>
<a id="pl.423.19"></a><var>423.19</var>collect patient-identified data for purposes of this study. Data collected for purposes of <br/>
<a id="pl.423.20"></a><var>423.20</var>this study may not be used for any other purposes.<br/>
<br/>
<a id="bill.9.34.0"></a><a id="pl.423.21"></a><var>423.21</var>    Sec. 34. <b> REPEALER.</b><br/>
<a id="pl.423.22"></a><var>423.22</var>Minnesota Statutes 2006, section 62J.052, subdivision 1, is repealed effective <br/>
<a id="pl.423.23"></a><var>423.23</var>August 1, 2007.<br/>
<br/>
<a id="bill.10.0.0"></a>

<a id="bill.10.1.0"></a><a id="pl.423.26"></a><var>423.26</var>    Section 1. Minnesota Statutes 2006, section 13.3806, is amended by adding a <br/>
<a id="pl.423.27"></a><var>423.27</var>subdivision to read:<br/>
<a id="pl.423.28"></a><var>423.28</var>    Subd. 21. <b>Birth defects registry system.</b> Data on individuals collected by the <br/>
<a id="pl.423.29"></a><var>423.29</var>birth defects registry system are private data on individuals and classified pursuant to <br/>
<a id="pl.423.30"></a><var>423.30</var>section 144.2215.<br/>
<br/>
<a id="bill.10.2.0"></a><a id="pl.423.31"></a><var>423.31</var>    Sec. 2. Minnesota Statutes 2006, section 16B.61, is amended by adding a subdivision <br/>
<a id="pl.423.32"></a><var>423.32</var>to read:<br/>
<a id="pl.424.1"></a><var>424.1</var>    Subd. 3b. <b>Window fall prevention device code.</b> The commissioner of labor and <br/>
<a id="pl.424.2"></a><var>424.2</var>industry shall adopt rules for window fall prevention devices as part of the state Building <br/>
<a id="pl.424.3"></a><var>424.3</var>Code. Window fall prevention devices include, but are not limited to, safety screens, <br/>
<a id="pl.424.4"></a><var>424.4</var>hardware, guards, and other devices that comply with the standards established by the <br/>
<a id="pl.424.5"></a><var>424.5</var>commissioner of labor and industry. The rules must require compliance with standards <br/>
<a id="pl.424.6"></a><var>424.6</var>for window fall prevention devices developed by ASTM International, contained in the <br/>
<a id="pl.424.7"></a><var>424.7</var>International Building Code as the model language with amendments deemed necessary to <br/>
<a id="pl.424.8"></a><var>424.8</var>coordinate with the other adopted building codes in Minnesota. The rules must establish a <br/>
<a id="pl.424.9"></a><var>424.9</var>scope that includes the applicable building occupancies, and the types, locations, and sizes <br/>
<a id="pl.424.10"></a><var>424.10</var>of windows that will require the installation of fall devices. The rules will be effective July <br/>
<a id="pl.424.11"></a><var>424.11</var>1, 2009. The commissioner shall report to the legislature on the status of the rulemaking <br/>
<a id="pl.424.12"></a><var>424.12</var>on or before February 15, 2008.<br/>
<br/>
<a id="bill.10.3.0"></a><a id="pl.424.13"></a><var>424.13</var>    Sec. 3. Minnesota Statutes 2006, section 103I.101, subdivision 6, is amended to read:<br/>
<a id="pl.424.14"></a><var>424.14</var>    Subd. 6. <b>Fees for variances.</b> The commissioner shall charge a nonrefundable <br/>
<a id="pl.424.15"></a><var>424.15</var>application fee of $175 $215 to cover the administrative cost of processing a request for a <br/>
<a id="pl.424.16"></a><var>424.16</var>variance or modification of rules adopted by the commissioner under this chapter.<br/>
<a id="pl.424.17"></a><var>424.17</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008.<br/>
<br/>
<a id="bill.10.4.0"></a><a id="pl.424.18"></a><var>424.18</var>    Sec. 4. Minnesota Statutes 2006, section 103I.208, subdivision 1, is amended to read:<br/>
<a id="pl.424.19"></a><var>424.19</var>    Subdivision 1. <b>Well notification fee.</b> The well notification fee to be paid by a <br/>
<a id="pl.424.20"></a><var>424.20</var>property owner is:<br/>
<a id="pl.424.21"></a><var>424.21</var>    (1) for a new water supply well, $175 $215, which includes the state core function <br/>
<a id="pl.424.22"></a><var>424.22</var>fee;<br/>
<a id="pl.424.23"></a><var>424.23</var>    (2) for a well sealing, $35 $50 for each well, which includes the state core function <br/>
<a id="pl.424.24"></a><var>424.24</var>fee, except that for monitoring wells constructed on a single property, having depths <br/>
<a id="pl.424.25"></a><var>424.25</var>within a 25 foot range, and sealed within 48 hours of start of construction, a single fee of <br/>
<a id="pl.424.26"></a><var>424.26</var>$35 $50; and<br/>
<a id="pl.424.27"></a><var>424.27</var>    (3) for construction of a dewatering well, $175 $215, which includes the state core <br/>
<a id="pl.424.28"></a><var>424.28</var>function fee, for each dewatering well except a dewatering project comprising five or <br/>
<a id="pl.424.29"></a><var>424.29</var>more dewatering wells shall be assessed a single fee of $875 $1,075 for the dewatering <br/>
<a id="pl.424.30"></a><var>424.30</var>wells recorded on the notification.<br/>
<a id="pl.424.31"></a><var>424.31</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008.<br/>
<br/>
<a id="bill.10.5.0"></a><a id="pl.424.32"></a><var>424.32</var>    Sec. 5. Minnesota Statutes 2006, section 103I.208, subdivision 2, is amended to read:<br/>
<a id="pl.425.1"></a><var>425.1</var>    Subd. 2. <b>Permit fee.</b> The permit fee to be paid by a property owner is:<br/>
<a id="pl.425.2"></a><var>425.2</var>    (1) for a water supply well that is not in use under a maintenance permit, $150 $175 <br/>
<a id="pl.425.3"></a><var>425.3</var>annually;<br/>
<a id="pl.425.4"></a><var>425.4</var>    (2) for construction of a monitoring well, $175 $215, which includes the state <br/>
<a id="pl.425.5"></a><var>425.5</var>core function fee;<br/>
<a id="pl.425.6"></a><var>425.6</var>    (3) for a monitoring well that is unsealed under a maintenance permit, $150 $175 <br/>
<a id="pl.425.7"></a><var>425.7</var>annually;<br/>
<a id="pl.425.8"></a><var>425.8</var>    (4) for monitoring wells used as a leak detection device at a single motor fuel retail <br/>
<a id="pl.425.9"></a><var>425.9</var>outlet, a single petroleum bulk storage site excluding tank farms, or a single agricultural <br/>
<a id="pl.425.10"></a><var>425.10</var>chemical facility site, the construction permit fee is $175 $215, which includes the state <br/>
<a id="pl.425.11"></a><var>425.11</var>core function fee, per site regardless of the number of wells constructed on the site, and <br/>
<a id="pl.425.12"></a><var>425.12</var>the annual fee for a maintenance permit for unsealed monitoring wells is $150 $175 per <br/>
<a id="pl.425.13"></a><var>425.13</var>site regardless of the number of monitoring wells located on site;<br/>
<a id="pl.425.14"></a><var>425.14</var>    (5) for a groundwater thermal exchange device, in addition to the notification fee for <br/>
<a id="pl.425.15"></a><var>425.15</var>water supply wells, $175 $215, which includes the state core function fee;<br/>
<a id="pl.425.16"></a><var>425.16</var>    (6) for a vertical heat exchanger, $175 $215;<br/>
<a id="pl.425.17"></a><var>425.17</var>    (7) for a dewatering well that is unsealed under a maintenance permit, $150 $175 <br/>
<a id="pl.425.18"></a><var>425.18</var>annually for each dewatering well, except a dewatering project comprising more than five <br/>
<a id="pl.425.19"></a><var>425.19</var>dewatering wells shall be issued a single permit for $750 $875 annually for dewatering <br/>
<a id="pl.425.20"></a><var>425.20</var>wells recorded on the permit; and<br/>
<a id="pl.425.21"></a><var>425.21</var>    (8) for an elevator boring, $175 $215 for each boring.<br/>
<a id="pl.425.22"></a><var>425.22</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008.<br/>
<br/>
<a id="bill.10.6.0"></a><a id="pl.425.23"></a><var>425.23</var>    Sec. 6. Minnesota Statutes 2006, section 103I.235, subdivision 1, is amended to read:<br/>
<a id="pl.425.24"></a><var>425.24</var>    Subdivision 1. <b>Disclosure of wells to buyer.</b> (a) Before signing an agreement to <br/>
<a id="pl.425.25"></a><var>425.25</var>sell or transfer real property, the seller must disclose in writing to the buyer information <br/>
<a id="pl.425.26"></a><var>425.26</var>about the status and location of all known wells on the property, by delivering to the buyer <br/>
<a id="pl.425.27"></a><var>425.27</var>either a statement by the seller that the seller does not know of any wells on the property, <br/>
<a id="pl.425.28"></a><var>425.28</var>or a disclosure statement indicating the legal description and county, and a map drawn <br/>
<a id="pl.425.29"></a><var>425.29</var>from available information showing the location of each well to the extent practicable. <br/>
<a id="pl.425.30"></a><var>425.30</var>In the disclosure statement, the seller must indicate, for each well, whether the well is in <br/>
<a id="pl.425.31"></a><var>425.31</var>use, not in use, or sealed.<br/>
<a id="pl.425.32"></a><var>425.32</var>    (b) At the time of closing of the sale, the disclosure statement information, name and <br/>
<a id="pl.425.33"></a><var>425.33</var>mailing address of the buyer, and the quartile, section, township, and range in which each <br/>
<a id="pl.425.34"></a><var>425.34</var>well is located must be provided on a well disclosure certificate signed by the seller or a <br/>
<a id="pl.425.35"></a><var>425.35</var>person authorized to act on behalf of the seller.<br/>
<a id="pl.426.1"></a><var>426.1</var>    (c) A well disclosure certificate need not be provided if the seller does not know <br/>
<a id="pl.426.2"></a><var>426.2</var>of any wells on the property and the deed or other instrument of conveyance contains <br/>
<a id="pl.426.3"></a><var>426.3</var>the statement: "The Seller certifies that the Seller does not know of any wells on the <br/>
<a id="pl.426.4"></a><var>426.4</var>described real property."<br/>
<a id="pl.426.5"></a><var>426.5</var>    (d) If a deed is given pursuant to a contract for deed, the well disclosure certificate <br/>
<a id="pl.426.6"></a><var>426.6</var>required by this subdivision shall be signed by the buyer or a person authorized to act on <br/>
<a id="pl.426.7"></a><var>426.7</var>behalf of the buyer. If the buyer knows of no wells on the property, a well disclosure <br/>
<a id="pl.426.8"></a><var>426.8</var>certificate is not required if the following statement appears on the deed followed by the <br/>
<a id="pl.426.9"></a><var>426.9</var>signature of the grantee or, if there is more than one grantee, the signature of at least one <br/>
<a id="pl.426.10"></a><var>426.10</var>of the grantees: "The Grantee certifies that the Grantee does not know of any wells on the <br/>
<a id="pl.426.11"></a><var>426.11</var>described real property." The statement and signature of the grantee may be on the front <br/>
<a id="pl.426.12"></a><var>426.12</var>or back of the deed or on an attached sheet and an acknowledgment of the statement by <br/>
<a id="pl.426.13"></a><var>426.13</var>the grantee is not required for the deed to be recordable.<br/>
<a id="pl.426.14"></a><var>426.14</var>    (e) This subdivision does not apply to the sale, exchange, or transfer of real property:<br/>
<a id="pl.426.15"></a><var>426.15</var>    (1) that consists solely of a sale or transfer of severed mineral interests; or<br/>
<a id="pl.426.16"></a><var>426.16</var>    (2) that consists of an individual condominium unit as described in chapters 515 <br/>
<a id="pl.426.17"></a><var>426.17</var>and 515B.<br/>
<a id="pl.426.18"></a><var>426.18</var>    (f) For an area owned in common under chapter 515 or 515B the association or other <br/>
<a id="pl.426.19"></a><var>426.19</var>responsible person must report to the commissioner by July 1, 1992, the location and <br/>
<a id="pl.426.20"></a><var>426.20</var>status of all wells in the common area. The association or other responsible person must <br/>
<a id="pl.426.21"></a><var>426.21</var>notify the commissioner within 30 days of any change in the reported status of wells.<br/>
<a id="pl.426.22"></a><var>426.22</var>    (g) For real property sold by the state under section 
         <statute_ref>92.67</statute_ref>, the lessee at the time of <br/>
<a id="pl.426.23"></a><var>426.23</var>the sale is responsible for compliance with this subdivision.<br/>
<a id="pl.426.24"></a><var>426.24</var>    (h) If the seller fails to provide a required well disclosure certificate, the buyer, or <br/>
<a id="pl.426.25"></a><var>426.25</var>a person authorized to act on behalf of the buyer, may sign a well disclosure certificate <br/>
<a id="pl.426.26"></a><var>426.26</var>based on the information provided on the disclosure statement required by this section <br/>
<a id="pl.426.27"></a><var>426.27</var>or based on other available information.<br/>
<a id="pl.426.28"></a><var>426.28</var>    (i) A county recorder or registrar of titles may not record a deed or other instrument <br/>
<a id="pl.426.29"></a><var>426.29</var>of conveyance dated after October 31, 1990, for which a certificate of value is required <br/>
<a id="pl.426.30"></a><var>426.30</var>under section 
         <statute_ref>272.115</statute_ref>, or any deed or other instrument of conveyance dated after October <br/>
<a id="pl.426.31"></a><var>426.31</var>31, 1990, from a governmental body exempt from the payment of state deed tax, unless <br/>
<a id="pl.426.32"></a><var>426.32</var>the deed or other instrument of conveyance contains the statement made in accordance <br/>
<a id="pl.426.33"></a><var>426.33</var>with paragraph (c) or (d) or is accompanied by the well disclosure certificate containing all <br/>
<a id="pl.426.34"></a><var>426.34</var>the information required by paragraph (b) or (d). The county recorder or registrar of titles <br/>
<a id="pl.426.35"></a><var>426.35</var>must not accept a certificate unless it contains all the required information. The county <br/>
<a id="pl.426.36"></a><var>426.36</var>recorder or registrar of titles shall note on each deed or other instrument of conveyance <br/>
<a id="pl.427.1"></a><var>427.1</var>accompanied by a well disclosure certificate that the well disclosure certificate was <br/>
<a id="pl.427.2"></a><var>427.2</var>received. The notation must include the statement "No wells on property" if the disclosure <br/>
<a id="pl.427.3"></a><var>427.3</var>certificate states there are no wells on the property. The well disclosure certificate shall not <br/>
<a id="pl.427.4"></a><var>427.4</var>be filed or recorded in the records maintained by the county recorder or registrar of titles. <br/>
<a id="pl.427.5"></a><var>427.5</var>After noting "No wells on property" on the deed or other instrument of conveyance, the <br/>
<a id="pl.427.6"></a><var>427.6</var>county recorder or registrar of titles shall destroy or return to the buyer the well disclosure <br/>
<a id="pl.427.7"></a><var>427.7</var>certificate. The county recorder or registrar of titles shall collect from the buyer or the <br/>
<a id="pl.427.8"></a><var>427.8</var>person seeking to record a deed or other instrument of conveyance, a fee of $40 $45 <br/>
<a id="pl.427.9"></a><var>427.9</var>for receipt of a completed well disclosure certificate. By the tenth day of each month, <br/>
<a id="pl.427.10"></a><var>427.10</var>the county recorder or registrar of titles shall transmit the well disclosure certificates <br/>
<a id="pl.427.11"></a><var>427.11</var>to the commissioner of health. By the tenth day after the end of each calendar quarter, <br/>
<a id="pl.427.12"></a><var>427.12</var>the county recorder or registrar of titles shall transmit to the commissioner of health <br/>
<a id="pl.427.13"></a><var>427.13</var>$32.50 $37.50 of the fee for each well disclosure certificate received during the quarter. <br/>
<a id="pl.427.14"></a><var>427.14</var>The commissioner shall maintain the well disclosure certificate for at least six years. The <br/>
<a id="pl.427.15"></a><var>427.15</var>commissioner may store the certificate as an electronic image. A copy of that image <br/>
<a id="pl.427.16"></a><var>427.16</var>shall be as valid as the original.<br/>
<a id="pl.427.17"></a><var>427.17</var>    (j) No new well disclosure certificate is required under this subdivision if the buyer <br/>
<a id="pl.427.18"></a><var>427.18</var>or seller, or a person authorized to act on behalf of the buyer or seller, certifies on the deed <br/>
<a id="pl.427.19"></a><var>427.19</var>or other instrument of conveyance that the status and number of wells on the property <br/>
<a id="pl.427.20"></a><var>427.20</var>have not changed since the last previously filed well disclosure certificate. The following <br/>
<a id="pl.427.21"></a><var>427.21</var>statement, if followed by the signature of the person making the statement, is sufficient <br/>
<a id="pl.427.22"></a><var>427.22</var>to comply with the certification requirement of this paragraph: "I am familiar with the <br/>
<a id="pl.427.23"></a><var>427.23</var>property described in this instrument and I certify that the status and number of wells on <br/>
<a id="pl.427.24"></a><var>427.24</var>the described real property have not changed since the last previously filed well disclosure <br/>
<a id="pl.427.25"></a><var>427.25</var>certificate." The certification and signature may be on the front or back of the deed or on <br/>
<a id="pl.427.26"></a><var>427.26</var>an attached sheet and an acknowledgment of the statement is not required for the deed or <br/>
<a id="pl.427.27"></a><var>427.27</var>other instrument of conveyance to be recordable.<br/>
<a id="pl.427.28"></a><var>427.28</var>    (k) The commissioner in consultation with county recorders shall prescribe the form <br/>
<a id="pl.427.29"></a><var>427.29</var>for a well disclosure certificate and provide well disclosure certificate forms to county <br/>
<a id="pl.427.30"></a><var>427.30</var>recorders and registrars of titles and other interested persons.<br/>
<a id="pl.427.31"></a><var>427.31</var>    (l) Failure to comply with a requirement of this subdivision does not impair:<br/>
<a id="pl.427.32"></a><var>427.32</var>    (1) the validity of a deed or other instrument of conveyance as between the parties <br/>
<a id="pl.427.33"></a><var>427.33</var>to the deed or instrument or as to any other person who otherwise would be bound by <br/>
<a id="pl.427.34"></a><var>427.34</var>the deed or instrument; or<br/>
<a id="pl.427.35"></a><var>427.35</var>    (2) the record, as notice, of any deed or other instrument of conveyance accepted for <br/>
<a id="pl.427.36"></a><var>427.36</var>filing or recording contrary to the provisions of this subdivision.<br/>
<a id="pl.428.1"></a><var>428.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2008.<br/>
<br/>
<a id="bill.10.7.0"></a><a id="pl.428.2"></a><var>428.2</var>    Sec. 7. Minnesota Statutes 2006, section 144.123, is amended to read:<br/>
<a id="pl.428.3"></a><var>428.3</var><b>144.123 FEES FOR DIAGNOSTIC LABORATORY SERVICES; </b><br/>
<a id="pl.428.4"></a><var>428.4</var><b>EXCEPTIONS.</b><br/>
<a id="pl.428.5"></a><var>428.5</var>    Subdivision 1. <b>Who must pay.</b> Except for the limitation contained in this section, <br/>
<a id="pl.428.6"></a><var>428.6</var>the commissioner of health shall charge a handling fee for each specimen submitted to <br/>
<a id="pl.428.7"></a><var>428.7</var>the Department of Health for analysis for diagnostic purposes by any hospital, private <br/>
<a id="pl.428.8"></a><var>428.8</var>laboratory, private clinic, or physician. No fee shall be charged to any entity which <br/>
<a id="pl.428.9"></a><var>428.9</var>receives direct or indirect financial assistance from state or federal funds administered by <br/>
<a id="pl.428.10"></a><var>428.10</var>the Department of Health, including any public health department, nonprofit community <br/>
<a id="pl.428.11"></a><var>428.11</var>clinic, venereal sexually transmitted disease clinic, family planning clinic, or similar <br/>
<a id="pl.428.12"></a><var>428.12</var>entity. No fee will be charged for any biological materials submitted to the Department <br/>
<a id="pl.428.13"></a><var>428.13</var>of Health as a requirement of Minnesota Rules, part 4605.7040, or for those biological <br/>
<a id="pl.428.14"></a><var>428.14</var>materials requested by the department to gather information for disease prevention or <br/>
<a id="pl.428.15"></a><var>428.15</var>control purposes. The commissioner of health may establish by rule other exceptions to <br/>
<a id="pl.428.16"></a><var>428.16</var>the handling fee as may be necessary to gather information for epidemiologic purposes <br/>
<a id="pl.428.17"></a><var>428.17</var>protect the public's health. All fees collected pursuant to this section shall be deposited in <br/>
<a id="pl.428.18"></a><var>428.18</var>the state treasury and credited to the state government special revenue fund.<br/>
<a id="pl.428.19"></a><var>428.19</var>    Subd. 2. <b>Rules for</b><b> Fee amounts.</b> The commissioner of health shall promulgate <br/>
<a id="pl.428.20"></a><var>428.20</var>rules, in accordance with chapter 14, which shall specify the amount of the charge a <br/>
<a id="pl.428.21"></a><var>428.21</var>handling fee prescribed in subdivision 1. The fee shall approximate the costs to the <br/>
<a id="pl.428.22"></a><var>428.22</var>department of handling specimens including reporting, postage, specimen kit preparation, <br/>
<a id="pl.428.23"></a><var>428.23</var>and overhead costs. The fee prescribed in subdivision 1 shall be $15 $25 per specimen <br/>
<a id="pl.428.24"></a><var>428.24</var>until the commissioner promulgates rules pursuant to this subdivision.<br/>
<br/>
<a id="bill.10.8.0"></a><a id="pl.428.25"></a><var>428.25</var>    Sec. 8. Minnesota Statutes 2006, section 144.125, is amended to read:<br/>
<a id="pl.428.26"></a><var>428.26</var><b>144.125 TESTS OF INFANTS FOR HERITABLE AND CONGENITAL </b><br/>
<a id="pl.428.27"></a><var>428.27</var><b>DISORDERS.</b><br/>
<a id="pl.428.28"></a><var>428.28</var>    Subdivision 1. <b>Duty to perform testing.</b> It is the duty of (1) the administrative <br/>
<a id="pl.428.29"></a><var>428.29</var>officer or other person in charge of each institution caring for infants 28 days or less <br/>
<a id="pl.428.30"></a><var>428.30</var>of age, (2) the person required in pursuance of the provisions of section 
         <statute_ref>144.215</statute_ref>, to <br/>
<a id="pl.428.31"></a><var>428.31</var>register the birth of a child, or (3) the nurse midwife or midwife in attendance at the <br/>
<a id="pl.428.32"></a><var>428.32</var>birth, to arrange to have administered to every infant or child in its care tests for heritable <br/>
<a id="pl.428.33"></a><var>428.33</var>and congenital disorders according to subdivision 2 and rules prescribed by the state <br/>
<a id="pl.428.34"></a><var>428.34</var>commissioner of health. Testing and the recording and reporting of test results shall be <br/>
<a id="pl.429.1"></a><var>429.1</var>performed at the times and in the manner prescribed by the commissioner of health. The <br/>
<a id="pl.429.2"></a><var>429.2</var>commissioner shall charge laboratory service fees a fee so that the total of fees collected <br/>
<a id="pl.429.3"></a><var>429.3</var>will approximate the costs of conducting the tests and implementing and maintaining <br/>
<a id="pl.429.4"></a><var>429.4</var>a system to follow-up infants with heritable or congenital disorders. The laboratory <br/>
<a id="pl.429.5"></a><var>429.5</var>service fee is $61 $101 per specimen. Costs associated with capital expenditures and <br/>
<a id="pl.429.6"></a><var>429.6</var>the development of new procedures may be prorated over a three-year period when <br/>
<a id="pl.429.7"></a><var>429.7</var>calculating the amount of the fees. <br/>
<a id="pl.429.8"></a><var>429.8</var>    Subd. 2. <b>Determination of tests to be administered.</b> The commissioner shall <br/>
<a id="pl.429.9"></a><var>429.9</var>periodically revise the list of tests to be administered for determining the presence of a <br/>
<a id="pl.429.10"></a><var>429.10</var>heritable or congenital disorder. Revisions to the list shall reflect advances in medical <br/>
<a id="pl.429.11"></a><var>429.11</var>science, new and improved testing methods, or other factors that will improve the public <br/>
<a id="pl.429.12"></a><var>429.12</var>health. In determining whether a test must be administered, the commissioner shall take <br/>
<a id="pl.429.13"></a><var>429.13</var>into consideration the adequacy of laboratory analytical methods to detect the heritable <br/>
<a id="pl.429.14"></a><var>429.14</var>or congenital disorder, the ability to treat or prevent medical conditions caused by the <br/>
<a id="pl.429.15"></a><var>429.15</var>heritable or congenital disorder, and the severity of the medical conditions caused by the <br/>
<a id="pl.429.16"></a><var>429.16</var>heritable or congenital disorder. The list of tests to be performed may be revised if the <br/>
<a id="pl.429.17"></a><var>429.17</var>changes are recommended by the advisory committee established under section 
         <statute_ref>144.1255</statute_ref>, <br/>
<a id="pl.429.18"></a><var>429.18</var>approved by the commissioner, and published in the State Register. The revision is <br/>
<a id="pl.429.19"></a><var>429.19</var>exempt from the rulemaking requirements in chapter 14, and sections 
         <statute_ref>14.385</statute_ref> and 
         <statute_ref>14.386</statute_ref> <br/>
<a id="pl.429.20"></a><var>429.20</var>do not apply. <br/>
<a id="pl.429.21"></a><var>429.21</var>    Subd. 3. <b>Objection of parents to test.</b> Persons with a duty to perform testing under <br/>
<a id="pl.429.22"></a><var>429.22</var>subdivision 1 shall advise parents of infants (1) that the blood or tissue samples used to <br/>
<a id="pl.429.23"></a><var>429.23</var>perform testing thereunder as well as the results of such testing may be retained by the <br/>
<a id="pl.429.24"></a><var>429.24</var>Department of Health, (2) the benefit of retaining the blood or tissue sample, and (3) that <br/>
<a id="pl.429.25"></a><var>429.25</var>the following options are available to them with respect to the testing: (i) to decline to <br/>
<a id="pl.429.26"></a><var>429.26</var>have the tests, or (ii) to elect to have the tests but to require that all blood samples and <br/>
<a id="pl.429.27"></a><var>429.27</var>records of test results be destroyed within 24 months of the testing. If the parents of <br/>
<a id="pl.429.28"></a><var>429.28</var>an infant object in writing to testing for heritable and congenital disorders or elect to <br/>
<a id="pl.429.29"></a><var>429.29</var>require that blood samples and test results be destroyed, the objection or election shall <br/>
<a id="pl.429.30"></a><var>429.30</var>be recorded on a form that is signed by a parent or legal guardian and made part of the <br/>
<a id="pl.429.31"></a><var>429.31</var>infant's medical record. A written objection exempts an infant from the requirements of <br/>
<a id="pl.429.32"></a><var>429.32</var>this section and section 
         <statute_ref>144.128</statute_ref>. <br/>
<br/>
<a id="bill.10.9.0"></a><a id="pl.429.33"></a><var>429.33</var>    Sec. 9. Minnesota Statutes 2006, section 144.2215, subdivision 1, is amended to read:<br/>
<a id="pl.429.34"></a><var>429.34</var>    Subdivision 1. <b>Establishment.</b> Within the limits of available appropriations, the <br/>
<a id="pl.429.35"></a><var>429.35</var>commissioner of health shall establish and maintain an information system containing data <br/>
<a id="pl.430.1"></a><var>430.1</var>on the cause, treatment, prevention, and cure of major birth defects. The commissioner <br/>
<a id="pl.430.2"></a><var>430.2</var>shall consult with representatives and experts in epidemiology, medicine, insurance, <br/>
<a id="pl.430.3"></a><var>430.3</var>health maintenance organizations, genetics, consumers, and voluntary organizations in <br/>
<a id="pl.430.4"></a><var>430.4</var>developing the system and may phase in the implementation of the system. After the <br/>
<a id="pl.430.5"></a><var>430.5</var>parents have provided informed consent under section 144.2216, subdivision 4, the <br/>
<a id="pl.430.6"></a><var>430.6</var>commissioner shall offer the parents with their informed consent a visit by a trained health <br/>
<a id="pl.430.7"></a><var>430.7</var>care worker to interview the parents about:<br/>
<a id="pl.430.8"></a><var>430.8</var>    (1) all previous home addresses, occupations, and places of work including from <br/>
<a id="pl.430.9"></a><var>430.9</var>childhood;<br/>
<a id="pl.430.10"></a><var>430.10</var>    (2) the time and place of any military service; and<br/>
<a id="pl.430.11"></a><var>430.11</var>    (3) known occasions or sites of toxic exposures.<br/>
<br/>
<a id="bill.10.10.0"></a><a id="pl.430.12"></a><var>430.12</var>    Sec. 10. Minnesota Statutes 2006, section 144.672, subdivision 1, is amended to read:<br/>
<a id="pl.430.13"></a><var>430.13</var>    Subdivision 1. <b>Rule authority.</b> The commissioner of health shall collect cancer <br/>
<a id="pl.430.14"></a><var>430.14</var>incidence information, analyze the information, and conduct special studies designed to <br/>
<a id="pl.430.15"></a><var>430.15</var>determine the potential public health significance of an increase in cancer incidence.<br/>
<a id="pl.430.16"></a><var>430.16</var>    The commissioner shall adopt rules to administer the system, collect information, <br/>
<a id="pl.430.17"></a><var>430.17</var>and distribute data. The rules must include, but not be limited to, the following:<br/>
<a id="pl.430.18"></a><var>430.18</var>    (1) the type of data to be reported, which must include current and previous <br/>
<a id="pl.430.19"></a><var>430.19</var>occupational data;<br/>
<a id="pl.430.20"></a><var>430.20</var>    (2) standards for reporting specific types of data;<br/>
<a id="pl.430.21"></a><var>430.21</var>    (3) payments allowed to hospitals, pathologists, and registry systems to defray their <br/>
<a id="pl.430.22"></a><var>430.22</var>costs in providing information to the system;<br/>
<a id="pl.430.23"></a><var>430.23</var>    (4) criteria relating to contracts made with outside entities to conduct studies using <br/>
<a id="pl.430.24"></a><var>430.24</var>data collected by the system. The criteria may include requirements for a written protocol <br/>
<a id="pl.430.25"></a><var>430.25</var>outlining the purpose and public benefit of the study, the description, methods, and <br/>
<a id="pl.430.26"></a><var>430.26</var>projected results of the study, peer review by other scientists, the methods and facilities <br/>
<a id="pl.430.27"></a><var>430.27</var>to protect the privacy of the data, and the qualifications of the researcher proposing to <br/>
<a id="pl.430.28"></a><var>430.28</var>undertake the study; and<br/>
<a id="pl.430.29"></a><var>430.29</var>    (5) specification of fees to be charged under section 
         <statute_ref>13.03, subdivision 3</statute_ref>, for all <br/>
<a id="pl.430.30"></a><var>430.30</var>out-of-pocket expenses for data summaries or specific analyses of data requested by <br/>
<a id="pl.430.31"></a><var>430.31</var>public and private agencies, organizations, and individuals, and which are not otherwise <br/>
<a id="pl.430.32"></a><var>430.32</var>included in the commissioner's annual summary reports. Fees collected are appropriated <br/>
<a id="pl.430.33"></a><var>430.33</var>to the commissioner to offset the cost of providing the data.<br/>
<br/>
<a id="bill.10.11.0"></a><a id="pl.430.34"></a><var>430.34</var>    Sec. 11. Minnesota Statutes 2006, section 144.9502, subdivision 3, is amended to read:<br/>
<a id="pl.431.1"></a><var>431.1</var>    Subd. 3. <b>Reports of blood lead analysis required.</b> (a) Every hospital, medical <br/>
<a id="pl.431.2"></a><var>431.2</var>clinic, medical laboratory, other facility, or individual performing blood lead analysis <br/>
<a id="pl.431.3"></a><var>431.3</var>shall report the results after the analysis of each specimen analyzed, for both capillary <br/>
<a id="pl.431.4"></a><var>431.4</var>and venous specimens, and epidemiologic information required in this section to the <br/>
<a id="pl.431.5"></a><var>431.5</var>commissioner of health, within the time frames set forth in clauses (1) and (2):<br/>
<a id="pl.431.6"></a><var>431.6</var>    (1) within two working days by telephone, fax, or electronic transmission, with <br/>
<a id="pl.431.7"></a><var>431.7</var>written or electronic confirmation within one month, for a venous blood lead level equal to <br/>
<a id="pl.431.8"></a><var>431.8</var>or greater than 15 ten micrograms of lead per deciliter of whole blood; or<br/>
<a id="pl.431.9"></a><var>431.9</var>    (2) within one month in writing or by electronic transmission, for any capillary <br/>
<a id="pl.431.10"></a><var>431.10</var>result or for a venous blood lead level less than 15 ten micrograms of lead per deciliter of <br/>
<a id="pl.431.11"></a><var>431.11</var>whole blood.<br/>
<a id="pl.431.12"></a><var>431.12</var>    (b) If a blood lead analysis is performed outside of Minnesota and the facility <br/>
<a id="pl.431.13"></a><var>431.13</var>performing the analysis does not report the blood lead analysis results and epidemiological <br/>
<a id="pl.431.14"></a><var>431.14</var>information required in this section to the commissioner, the provider who collected the <br/>
<a id="pl.431.15"></a><var>431.15</var>blood specimen must satisfy the reporting requirements of this section. For purposes of <br/>
<a id="pl.431.16"></a><var>431.16</var>this section, "provider" has the meaning given in section 
         <statute_ref>62D.02, subdivision 9</statute_ref>. <br/>
<a id="pl.431.17"></a><var>431.17</var>    (c) The commissioner shall coordinate with hospitals, medical clinics, medical <br/>
<a id="pl.431.18"></a><var>431.18</var>laboratories, and other facilities performing blood lead analysis to develop a universal <br/>
<a id="pl.431.19"></a><var>431.19</var>reporting form and mechanism.<br/>
<br/>
<a id="bill.10.12.0"></a><a id="pl.431.20"></a><var>431.20</var>    Sec. 12. Minnesota Statutes 2006, section 144.9504, subdivision 2, is amended to read:<br/>
<a id="pl.431.21"></a><var>431.21</var>    Subd. 2. <b>Lead risk assessment.</b> (a) An assessing agency shall conduct a lead risk <br/>
<a id="pl.431.22"></a><var>431.22</var>assessment of a residence according to the venous blood lead level and time frame set <br/>
<a id="pl.431.23"></a><var>431.23</var>forth in clauses (1) to (4) for purposes of secondary prevention:<br/>
<a id="pl.431.24"></a><var>431.24</var>    (1) within 48 hours of a child or pregnant female in the residence being identified to <br/>
<a id="pl.431.25"></a><var>431.25</var>the agency as having a venous blood lead level equal to or greater than 60 45 micrograms <br/>
<a id="pl.431.26"></a><var>431.26</var>of lead per deciliter of whole blood;<br/>
<a id="pl.431.27"></a><var>431.27</var>    (2) within five working days of a child or pregnant female in the residence being <br/>
<a id="pl.431.28"></a><var>431.28</var>identified to the agency as having a venous blood lead level equal to or greater than 45 15 <br/>
<a id="pl.431.29"></a><var>431.29</var>micrograms of lead per deciliter of whole blood;<br/>
<a id="pl.431.30"></a><var>431.30</var>    (3) within ten working days of a child in the residence being identified to the agency <br/>
<a id="pl.431.31"></a><var>431.31</var>as having a venous blood lead level equal to or greater than 15 ten micrograms of lead <br/>
<a id="pl.431.32"></a><var>431.32</var>per deciliter of whole blood; or<br/>
<a id="pl.431.33"></a><var>431.33</var>    (4) within ten working days of a pregnant female in the residence being identified to <br/>
<a id="pl.431.34"></a><var>431.34</var>the agency as having a venous blood lead level equal to or greater than ten micrograms of <br/>
<a id="pl.431.35"></a><var>431.35</var>lead per deciliter of whole blood.<br/>
<a id="pl.432.1"></a><var>432.1</var>    (b) Within the limits of available local, state, and federal appropriations, an assessing <br/>
<a id="pl.432.2"></a><var>432.2</var>agency may also conduct a lead risk assessment for children with any elevated blood <br/>
<a id="pl.432.3"></a><var>432.3</var>lead level.<br/>
<a id="pl.432.4"></a><var>432.4</var>    (c) In a building with two or more dwelling units, an assessing agency shall assess <br/>
<a id="pl.432.5"></a><var>432.5</var>the individual unit in which the conditions of this section are met and shall inspect all <br/>
<a id="pl.432.6"></a><var>432.6</var>common areas accessible to a child. If a child visits one or more other sites such as another <br/>
<a id="pl.432.7"></a><var>432.7</var>residence, or a residential or commercial child care facility, playground, or school, the <br/>
<a id="pl.432.8"></a><var>432.8</var>assessing agency shall also inspect the other sites. The assessing agency shall have one <br/>
<a id="pl.432.9"></a><var>432.9</var>additional day added to the time frame set forth in this subdivision to complete the lead <br/>
<a id="pl.432.10"></a><var>432.10</var>risk assessment for each additional site.<br/>
<a id="pl.432.11"></a><var>432.11</var>    (d) Within the limits of appropriations, the assessing agency shall identify the <br/>
<a id="pl.432.12"></a><var>432.12</var>known addresses for the previous 12 months of the child or pregnant female with venous <br/>
<a id="pl.432.13"></a><var>432.13</var>blood lead levels of at least 15 ten micrograms per deciliter for the child or at least ten <br/>
<a id="pl.432.14"></a><var>432.14</var>micrograms per deciliter for the pregnant female; notify the property owners, landlords, <br/>
<a id="pl.432.15"></a><var>432.15</var>and tenants at those addresses that an elevated blood lead level was found in a person <br/>
<a id="pl.432.16"></a><var>432.16</var>who resided at the property; and give them primary prevention information. Within the <br/>
<a id="pl.432.17"></a><var>432.17</var>limits of appropriations, the assessing agency may perform a risk assessment and issue <br/>
<a id="pl.432.18"></a><var>432.18</var>corrective orders in the properties, if it is likely that the previous address contributed to <br/>
<a id="pl.432.19"></a><var>432.19</var>the child's or pregnant female's blood lead level. The assessing agency shall provide the <br/>
<a id="pl.432.20"></a><var>432.20</var>notice required by this subdivision without identifying the child or pregnant female with <br/>
<a id="pl.432.21"></a><var>432.21</var>the elevated blood lead level. The assessing agency is not required to obtain the consent of <br/>
<a id="pl.432.22"></a><var>432.22</var>the child's parent or guardian or the consent of the pregnant female for purposes of this <br/>
<a id="pl.432.23"></a><var>432.23</var>subdivision. This information shall be classified as private data on individuals as defined <br/>
<a id="pl.432.24"></a><var>432.24</var>under section 
         <statute_ref>13.02, subdivision 12</statute_ref>.<br/>
<a id="pl.432.25"></a><var>432.25</var>    (e) The assessing agency shall conduct the lead risk assessment according to rules <br/>
<a id="pl.432.26"></a><var>432.26</var>adopted by the commissioner under section 
         <statute_ref>144.9508</statute_ref>. An assessing agency shall have <br/>
<a id="pl.432.27"></a><var>432.27</var>lead risk assessments performed by lead risk assessors licensed by the commissioner <br/>
<a id="pl.432.28"></a><var>432.28</var>according to rules adopted under section 
         <statute_ref>144.9508</statute_ref>. If a property owner refuses to allow <br/>
<a id="pl.432.29"></a><var>432.29</var>a lead risk assessment, the assessing agency shall begin legal proceedings to gain entry <br/>
<a id="pl.432.30"></a><var>432.30</var>to the property and the time frame for conducting a lead risk assessment set forth in this <br/>
<a id="pl.432.31"></a><var>432.31</var>subdivision no longer applies. A lead risk assessor or assessing agency may observe the <br/>
<a id="pl.432.32"></a><var>432.32</var>performance of lead hazard reduction in progress and shall enforce the provisions of this <br/>
<a id="pl.432.33"></a><var>432.33</var>section under section 
         <statute_ref>144.9509</statute_ref>. Deteriorated painted surfaces, bare soil, and dust must be <br/>
<a id="pl.432.34"></a><var>432.34</var>tested with appropriate analytical equipment to determine the lead content, except that <br/>
<a id="pl.432.35"></a><var>432.35</var>deteriorated painted surfaces or bare soil need not be tested if the property owner agrees to <br/>
<a id="pl.432.36"></a><var>432.36</var>engage in lead hazard reduction on those surfaces. The lead content of drinking water <br/>
<a id="pl.433.1"></a><var>433.1</var>must be measured if another probable source of lead exposure is not identified. Within a <br/>
<a id="pl.433.2"></a><var>433.2</var>standard metropolitan statistical area, an assessing agency may order lead hazard reduction <br/>
<a id="pl.433.3"></a><var>433.3</var>of bare soil without measuring the lead content of the bare soil if the property is in a <br/>
<a id="pl.433.4"></a><var>433.4</var>census tract in which soil sampling has been performed according to rules established by <br/>
<a id="pl.433.5"></a><var>433.5</var>the commissioner and at least 25 percent of the soil samples contain lead concentrations <br/>
<a id="pl.433.6"></a><var>433.6</var>above the standard in section 
         <statute_ref>144.9508</statute_ref>.<br/>
<a id="pl.433.7"></a><var>433.7</var>    (f) Each assessing agency shall establish an administrative appeal procedure which <br/>
<a id="pl.433.8"></a><var>433.8</var>allows a property owner to contest the nature and conditions of any lead order issued by <br/>
<a id="pl.433.9"></a><var>433.9</var>the assessing agency. Assessing agencies must consider appeals that propose lower cost <br/>
<a id="pl.433.10"></a><var>433.10</var>methods that make the residence lead safe. The commissioner shall use the authority and <br/>
<a id="pl.433.11"></a><var>433.11</var>appeal procedure granted under sections 
         <statute_ref>144.989</statute_ref> to 
         <statute_ref>144.993</statute_ref>.<br/>
<a id="pl.433.12"></a><var>433.12</var>    (g) Sections 
         <statute_ref>144.9501</statute_ref> to 
         <statute_ref>144.9509</statute_ref> neither authorize nor prohibit an assessing agency <br/>
<a id="pl.433.13"></a><var>433.13</var>from charging a property owner for the cost of a lead risk assessment.<br/>
<br/>
<a id="bill.10.13.0"></a><a id="pl.433.14"></a><var>433.14</var>    Sec. 13. Minnesota Statutes 2006, section 144.9507, is amended by adding a <br/>
<a id="pl.433.15"></a><var>433.15</var>subdivision to read:<br/>
<a id="pl.433.16"></a><var>433.16</var>    Subd. 6. <b>Medical assistance.</b> Medical assistance reimbursement for lead risk <br/>
<a id="pl.433.17"></a><var>433.17</var>assessment services under section 256B.0625, subdivision 49, shall not be used to replace <br/>
<a id="pl.433.18"></a><var>433.18</var>or decrease existing state or local funding for lead services and lead-related activities.<br/>
<br/>
<a id="bill.10.14.0"></a><a id="pl.433.19"></a><var>433.19</var>    Sec. 14. Minnesota Statutes 2006, section 144.9512, is amended to read:<br/>
<a id="pl.433.20"></a><var>433.20</var><b>144.9512 LEAD ABATEMENT PROGRAM.</b><br/>
<a id="pl.433.21"></a><var>433.21</var>    Subdivision 1. <b>Definitions.</b> (a) The definitions in section 
         <statute_ref>144.9501</statute_ref> and in this <br/>
<a id="pl.433.22"></a><var>433.22</var>subdivision apply to this section.<br/>
<a id="pl.433.23"></a><var>433.23</var>    (b) "Eligible organization" means a lead contractor, city, board of health, community <br/>
<a id="pl.433.24"></a><var>433.24</var>health department, community action agency as defined in section 
<statute_ref>256E.30</statute_ref>, or community <br/>
<a id="pl.433.25"></a><var>433.25</var>development corporation.<br/>
<a id="pl.433.26"></a><var>433.26</var>    (c) "Commissioner" means the commissioner of health, or the commissioner of the <br/>
<a id="pl.433.27"></a><var>433.27</var>Minnesota Housing Finance Agency as authorized by section 
<statute_ref>462A.05, subdivision 15c</statute_ref>.<br/>
<a id="pl.433.28"></a><var>433.28</var>    Subd. 2. <b>Grants; administration.</b> Within the limits of the available appropriation, <br/>
<a id="pl.433.29"></a><var>433.29</var>the commissioner must develop a swab team services program which may shall make <br/>
<a id="pl.433.30"></a><var>433.30</var>demonstration and training grants to eligible organizations a nonprofit organization <br/>
<a id="pl.433.31"></a><var>433.31</var>currently operating the CLEARCorps lead hazard reduction project to train workers to <br/>
<a id="pl.433.32"></a><var>433.32</var>provide swab team services and swab team services for residential property. Grants may <br/>
<a id="pl.433.33"></a><var>433.33</var>be awarded to nonprofit organizations to provide technical assistance and training to <br/>
<a id="pl.433.34"></a><var>433.34</var>ensure quality and consistency within the statewide program. Grants must be awarded to <br/>
<a id="pl.434.1"></a><var>434.1</var>help ensure full-time employment to workers providing swab team services and must be <br/>
<a id="pl.434.2"></a><var>434.2</var>awarded for a two-year period.<br/>
<a id="pl.434.3"></a><var>434.3</var>    Grants awarded under this section must be made in consultation with the <br/>
<a id="pl.434.4"></a><var>434.4</var>commissioner of the Housing Finance Agency and representatives of neighborhood <br/>
<a id="pl.434.5"></a><var>434.5</var>groups from areas at high risk for toxic lead exposure, a labor organization, the lead <br/>
<a id="pl.434.6"></a><var>434.6</var>coalition, community action agencies, and the legal aid society. The consulting team must <br/>
<a id="pl.434.7"></a><var>434.7</var>review grant applications and recommend awards to eligible organizations that meet <br/>
<a id="pl.434.8"></a><var>434.8</var>requirements for receiving a grant under this section.<br/>
<a id="pl.434.9"></a><var>434.9</var>    Subd. 3. <b>Applicants.</b> (a) Interested eligible organizations may apply to the <br/>
<a id="pl.434.10"></a><var>434.10</var>commissioner for grants under this section. Two or more eligible organizations may <br/>
<a id="pl.434.11"></a><var>434.11</var>jointly apply for a grant. Priority shall be given to community action agencies in greater <br/>
<a id="pl.434.12"></a><var>434.12</var>Minnesota and to either community action agencies or neighborhood based nonprofit <br/>
<a id="pl.434.13"></a><var>434.13</var>organizations in cities of the first class. Of the total annual appropriation, 12.5 percent may <br/>
<a id="pl.434.14"></a><var>434.14</var>be used for administrative purposes. The commissioner may deviate from this percentage <br/>
<a id="pl.434.15"></a><var>434.15</var>if a grantee can justify the need for a larger administrative allowance. Of this amount, <br/>
<a id="pl.434.16"></a><var>434.16</var>up to five percent may be used by the commissioner for state administrative purposes. <br/>
<a id="pl.434.17"></a><var>434.17</var>Applications must provide information requested by the commissioner, including at least <br/>
<a id="pl.434.18"></a><var>434.18</var>the information required to assess the factors listed in paragraph (d).<br/>
<a id="pl.434.19"></a><var>434.19</var>    (b) The commissioner must consult with boards of health to provide swab team <br/>
<a id="pl.434.20"></a><var>434.20</var>services for purposes of secondary prevention. The priority for swab teams created <br/>
<a id="pl.434.21"></a><var>434.21</var>by grants to eligible organizations under this section must be work assigned by the <br/>
<a id="pl.434.22"></a><var>434.22</var>commissioner of health, or by a board of health if so designated by the commissioner of <br/>
<a id="pl.434.23"></a><var>434.23</var>health, to provide secondary prevention swab team services to fulfill the requirements <br/>
<a id="pl.434.24"></a><var>434.24</var>of section 
<statute_ref>144.9504, subdivision 6</statute_ref>, in response to a lead order. Swab teams assigned <br/>
<a id="pl.434.25"></a><var>434.25</var>work under this section by the commissioner, that are not engaged daily in fulfilling the <br/>
<a id="pl.434.26"></a><var>434.26</var>requirements of section 
<statute_ref>144.9504, subdivision 6</statute_ref>, must deliver swab team services in <br/>
<a id="pl.434.27"></a><var>434.27</var>response to elevated blood lead levels as defined in section 
<statute_ref>144.9501, subdivision 9</statute_ref>, <br/>
<a id="pl.434.28"></a><var>434.28</var>where lead orders were not issued, and for purposes of primary prevention in census <br/>
<a id="pl.434.29"></a><var>434.29</var>tracts known to be in areas at high risk for toxic lead exposure as described in section <br/>
<a id="pl.434.30"></a><var>434.30</var><statute_ref>144.9503, subdivision 2</statute_ref>.<br/>
<a id="pl.434.31"></a><var>434.31</var>    (c) Any additional money must be used for grants to establish swab teams for <br/>
<a id="pl.434.32"></a><var>434.32</var>primary prevention under section 
<statute_ref>144.9503</statute_ref>, in census tracts in areas at high risk for toxic <br/>
<a id="pl.434.33"></a><var>434.33</var>lead exposure as determined under section 
<statute_ref>144.9503, subdivision 2</statute_ref>.<br/>
<a id="pl.434.34"></a><var>434.34</var>    (d) In evaluating grant applications, the commissioner must consider the following <br/>
<a id="pl.434.35"></a><var>434.35</var>criteria:<br/>
<a id="pl.434.36"></a><var>434.36</var>    (1) the use of lead contractors and lead workers for residential swab team services;<br/>
<a id="pl.435.1"></a><var>435.1</var>    (2) the participation of neighborhood groups and individuals, as swab team workers, <br/>
<a id="pl.435.2"></a><var>435.2</var>in areas at high risk for toxic lead exposure;<br/>
<a id="pl.435.3"></a><var>435.3</var>    (3) plans for the provision of swab team services for primary and secondary <br/>
<a id="pl.435.4"></a><var>435.4</var>prevention as required under subdivision 4;<br/>
<a id="pl.435.5"></a><var>435.5</var>    (4) plans for supervision, training, career development, and postprogram placement <br/>
<a id="pl.435.6"></a><var>435.6</var>of swab team members;<br/>
<a id="pl.435.7"></a><var>435.7</var>    (5) plans for resident and property owner education on lead safety;<br/>
<a id="pl.435.8"></a><var>435.8</var>    (6) plans for distributing cleaning supplies to area residents and educating residents <br/>
<a id="pl.435.9"></a><var>435.9</var>and property owners on cleaning techniques;<br/>
<a id="pl.435.10"></a><var>435.10</var>    (7) sources of other funding and cost estimates for training, lead inspections, swab <br/>
<a id="pl.435.11"></a><var>435.11</var>team services, equipment, monitoring, testing, and administration;<br/>
<a id="pl.435.12"></a><var>435.12</var>    (8) measures of program effectiveness;<br/>
<a id="pl.435.13"></a><var>435.13</var>    (9) coordination of program activities with other federal, state, and local public <br/>
<a id="pl.435.14"></a><var>435.14</var>health, job training, apprenticeship, and housing renovation programs including programs <br/>
<a id="pl.435.15"></a><var>435.15</var>under sections 
<statute_ref>116L.86</statute_ref> to 
<statute_ref>116L.881</statute_ref>; and<br/>
<a id="pl.435.16"></a><var>435.16</var>    (10) prior experience in providing swab team services.<br/>
<a id="pl.435.17"></a><var>435.17</var>    Subd. 4. <b>Lead supervisor or certified firm</b><b> Eligible grant activities</b><b>.</b> (a) Eligible <br/>
<a id="pl.435.18"></a><var>435.18</var>organizations and lead supervisors or certified firms may participate in the swab team <br/>
<a id="pl.435.19"></a><var>435.19</var>program. An eligible organization The nonprofit receiving a grant under this section <br/>
<a id="pl.435.20"></a><var>435.20</var>must assure ensure that all participating lead supervisors or certified firms are licensed <br/>
<a id="pl.435.21"></a><var>435.21</var>and that all swab team workers are certified by the Department of Health under section <br/>
<statute_ref><a id="pl.435.22"></a><var>435.22</var>144.9505
         </statute_ref>. Eligible organizations and lead supervisors or certified firms may distinguish <br/>
<a id="pl.435.23"></a><var>435.23</var>between interior and exterior services in assigning duties and The nonprofit organization <br/>
<a id="pl.435.24"></a><var>435.24</var>may participate in the program by: <br/>
<a id="pl.435.25"></a><var>435.25</var>    (1) providing on-the-job training for swab team workers;<br/>
<a id="pl.435.26"></a><var>435.26</var>    (2) providing swab team services to meet the requirements of sections 
         <statute_ref>144.9503, <br/>
<a id="pl.435.27"></a><var>435.27</var>subdivision 4
         </statute_ref>, and 
         <statute_ref>144.9504, subdivision 6</statute_ref>; <br/>
<a id="pl.435.28"></a><var>435.28</var>    (3) providing a removal and replacement component using skilled craft workers <br/>
<a id="pl.435.29"></a><var>435.29</var>under subdivision 7 lead hazard reduction to meet the requirements of section 144.9501, <br/>
<a id="pl.435.30"></a><var>435.30</var>subdivision 17;<br/>
<a id="pl.435.31"></a><var>435.31</var>    (4) providing lead testing according to subdivision 8;<br/>
<a id="pl.435.32"></a><var>435.32</var>    (5) (4) providing lead dust cleaning supplies cleanup equipment and materials, as <br/>
<a id="pl.435.33"></a><var>435.33</var>described in section 
         <statute_ref>144.9507 144.9503, subdivision 4</statute_ref>, paragraph (c) 1, to residents; or <br/>
<a id="pl.435.34"></a><var>435.34</var>    (6) (5) having a swab team worker instruct residents and property owners on <br/>
<a id="pl.435.35"></a><var>435.35</var>appropriate lead control techniques, including the lead-safe directives developed by the <br/>
<a id="pl.435.36"></a><var>435.36</var>commissioner of health.;<br/>
<a id="pl.436.1"></a><var>436.1</var>    (6) conducting blood lead testing events including screening children and pregnant <br/>
<a id="pl.436.2"></a><var>436.2</var>women according to Department of Health screening guidelines;<br/>
<a id="pl.436.3"></a><var>436.3</var>    (7) performing case management services according to Department of Health case <br/>
<a id="pl.436.4"></a><var>436.4</var>management guidelines; or<br/>
<a id="pl.436.5"></a><var>436.5</var>    (8) conducting mandated risk assessments under Minnesota Statutes, section <br/>
<a id="pl.436.6"></a><var>436.6</var>144.9504, subdivision 2.<br/>
<a id="pl.436.7"></a><var>436.7</var>    (b) Participating lead supervisors or certified firms must:<br/>
<a id="pl.436.8"></a><var>436.8</var>    (1) demonstrate proof of workers' compensation and general liability insurance <br/>
<a id="pl.436.9"></a><var>436.9</var>coverage;<br/>
<a id="pl.436.10"></a><var>436.10</var>    (2) be knowledgeable about lead abatement requirements established by the <br/>
<a id="pl.436.11"></a><var>436.11</var>Department of Housing and Urban Development and the Occupational Safety and Health <br/>
<a id="pl.436.12"></a><var>436.12</var>Administration and lead hazard reduction requirements and lead-safe directives of the <br/>
<a id="pl.436.13"></a><var>436.13</var>commissioner of health;<br/>
<a id="pl.436.14"></a><var>436.14</var>    (3) demonstrate experience with on-the-job training programs;<br/>
<a id="pl.436.15"></a><var>436.15</var>    (4) demonstrate an ability to recruit employees from areas at high risk for toxic <br/>
<a id="pl.436.16"></a><var>436.16</var>lead exposure; and<br/>
<a id="pl.436.17"></a><var>436.17</var>    (5) demonstrate experience in working with low-income clients.<br/>
<a id="pl.436.18"></a><var>436.18</var>    Subd. 5. <b>Swab team workers.</b> Each worker engaged in swab team services <br/>
<a id="pl.436.19"></a><var>436.19</var>established under this section must have blood lead concentrations below 15 micrograms <br/>
<a id="pl.436.20"></a><var>436.20</var>of lead per deciliter of whole blood as determined by a baseline blood lead screening. <br/>
<a id="pl.436.21"></a><var>436.21</var>Any The nonprofit organization receiving a grant under this section is responsible for lead <br/>
<a id="pl.436.22"></a><var>436.22</var>screening and must assure ensure that all swab team workers meet the standards established <br/>
<a id="pl.436.23"></a><var>436.23</var>in this subdivision. Grantees The nonprofit organization must use appropriate workplace <br/>
<a id="pl.436.24"></a><var>436.24</var>procedures including following the lead-safe directives developed by the commissioner of <br/>
<a id="pl.436.25"></a><var>436.25</var>health to reduce risk of elevated blood lead levels. Grantees The nonprofit organization <br/>
<a id="pl.436.26"></a><var>436.26</var>and participating contractors must report all employee blood lead levels that exceed 15 <br/>
<a id="pl.436.27"></a><var>436.27</var>micrograms of lead per deciliter of whole blood to the commissioner of health.<br/>
<a id="pl.436.28"></a><var>436.28</var>    Subd. 6. <b>On-the-job training component.</b> (a) Programs established under this <br/>
<a id="pl.436.29"></a><var>436.29</var>section must provide on-the-job training for swab team workers.<br/>
<a id="pl.436.30"></a><var>436.30</var>    (b) Swab team workers must receive monetary compensation equal to the prevailing <br/>
<a id="pl.436.31"></a><var>436.31</var>wage as defined in section 
<statute_ref>177.42, subdivision 6</statute_ref>, for comparable jobs in the licensed <br/>
<a id="pl.436.32"></a><var>436.32</var>contractor's principal business. <br/>
<a id="pl.436.33"></a><var>436.33</var>    Subd. 7. <b>Removal and replacement component.</b> (a) Within the limits of the <br/>
<a id="pl.436.34"></a><var>436.34</var>available appropriation and if a need is identified by a lead inspector, the commissioner <br/>
<a id="pl.436.35"></a><var>436.35</var>may establish a component for removal and replacement of deteriorated paint in residential <br/>
<a id="pl.436.36"></a><var>436.36</var>properties according to the following criteria:<br/>
<a id="pl.437.1"></a><var>437.1</var>    (1) components within a residence must have both deteriorated lead-based paint and <br/>
<a id="pl.437.2"></a><var>437.2</var>substrate damage beyond repair or rotting wooden framework to be eligible for removal <br/>
<a id="pl.437.3"></a><var>437.3</var>and replacement;<br/>
<a id="pl.437.4"></a><var>437.4</var>    (2) all removal and replacement must be done using least-cost methods and <br/>
<a id="pl.437.5"></a><var>437.5</var>following lead-safe directives;<br/>
<a id="pl.437.6"></a><var>437.6</var>    (3) whenever windows and doors or other components covered with deteriorated <br/>
<a id="pl.437.7"></a><var>437.7</var>lead-based paint have sound substrate or are not rotting, those components should be <br/>
<a id="pl.437.8"></a><var>437.8</var>repaired, sent out for stripping, planed down to remove deteriorated lead-based paint, or <br/>
<a id="pl.437.9"></a><var>437.9</var>covered with protective guards instead of being replaced, provided that such an activity is <br/>
<a id="pl.437.10"></a><var>437.10</var>the least-cost method of providing the swab team service;<br/>
<a id="pl.437.11"></a><var>437.11</var>    (4) removal and replacement or repair must be done by lead contractors using skilled <br/>
<a id="pl.437.12"></a><var>437.12</var>craft workers or trained swab team members; and<br/>
<a id="pl.437.13"></a><var>437.13</var>    (5) all craft work that requires a state license must be supervised by a person with <br/>
<a id="pl.437.14"></a><var>437.14</var>a state license in the craft work being supervised. The grant recipient may contract for <br/>
<a id="pl.437.15"></a><var>437.15</var>this supervision.<br/>
<a id="pl.437.16"></a><var>437.16</var>    (b) The program design must:<br/>
<a id="pl.437.17"></a><var>437.17</var>    (1) identify the need for on-the-job training of swab team workers to be removal and <br/>
<a id="pl.437.18"></a><var>437.18</var>replacement workers; and<br/>
<a id="pl.437.19"></a><var>437.19</var>    (2) describe plans to involve appropriate groups in designing methods to meet the <br/>
<a id="pl.437.20"></a><var>437.20</var>need for training swab team workers.<br/>
<a id="pl.437.21"></a><var>437.21</var>    Subd. 8. <b>Testing and evaluation.</b> (a) Testing of the environment is not necessary <br/>
<a id="pl.437.22"></a><var>437.22</var>by swab teams whose work is assigned by the commissioner of health or a designated <br/>
<a id="pl.437.23"></a><var>437.23</var>board of health under section 
<statute_ref>144.9504</statute_ref>. The commissioner of health or designated board <br/>
<a id="pl.437.24"></a><var>437.24</var>of health must share the analytical testing data collected on each residence for purposes <br/>
<a id="pl.437.25"></a><var>437.25</var>of secondary prevention under section 
<statute_ref>144.9504</statute_ref> with the swab team workers in order to <br/>
<a id="pl.437.26"></a><var>437.26</var>provide constructive feedback on their work and to the commissioner for the purposes <br/>
<a id="pl.437.27"></a><var>437.27</var>set forth in paragraph (c).<br/>
<a id="pl.437.28"></a><var>437.28</var>    (b) For purposes of primary prevention evaluation, the following samples must be <br/>
<a id="pl.437.29"></a><var>437.29</var>collected: pretesting and posttesting of one noncarpeted floor dust lead sample and a <br/>
<a id="pl.437.30"></a><var>437.30</var>notation of the extent and location of bare soil and of deteriorated lead-based paint. The <br/>
<a id="pl.437.31"></a><var>437.31</var>analytical testing data collected on each residence for purposes of primary prevention <br/>
<a id="pl.437.32"></a><var>437.32</var>under section 
<statute_ref>144.9503</statute_ref> must be shared with the swab team workers in order to provide <br/>
<a id="pl.437.33"></a><var>437.33</var>constructive feedback on their work and to the commissioner for the purposes set forth in <br/>
<a id="pl.437.34"></a><var>437.34</var>paragraph (c).<br/>
<a id="pl.437.35"></a><var>437.35</var>    (c) The commissioner of health must establish a program to collect appropriate data <br/>
<a id="pl.437.36"></a><var>437.36</var>as required under paragraphs (a) and (b), in order to conduct an ongoing evaluation of <br/>
<a id="pl.438.1"></a><var>438.1</var>swab team services for primary and secondary prevention. Within the limits of available <br/>
<a id="pl.438.2"></a><var>438.2</var>appropriations, the commissioner of health must conduct on up to 1,000 residences which <br/>
<a id="pl.438.3"></a><var>438.3</var>have received primary or secondary prevention swab team services, a postremediation <br/>
<a id="pl.438.4"></a><var>438.4</var>evaluation, on at least a quarterly basis for a period of at least two years for each residence. <br/>
<a id="pl.438.5"></a><var>438.5</var>The evaluation must note the condition of the paint within the residence, the extent of bare <br/>
<a id="pl.438.6"></a><var>438.6</var>soil on the grounds, and collect and analyze one noncarpeted floor dust lead sample. <br/>
<a id="pl.438.7"></a><var>438.7</var>The data collected must be evaluated to determine the efficacy of providing swab team <br/>
<a id="pl.438.8"></a><var>438.8</var>services as a method of reducing lead exposure in young children. In evaluating this data, <br/>
<a id="pl.438.9"></a><var>438.9</var>the commissioner of health must consider city size, community location, historic traffic <br/>
<a id="pl.438.10"></a><var>438.10</var>flow, soil lead level of the property by area or census tract, distance to industrial point <br/>
<a id="pl.438.11"></a><var>438.11</var>sources that emit lead, season of the year, age of the housing, age and number of children <br/>
<a id="pl.438.12"></a><var>438.12</var>living at the residence, the presence of pets that move in and out of the residence, and <br/>
<a id="pl.438.13"></a><var>438.13</var>other relevant factors as the commissioner of health may determine.<br/>
<a id="pl.438.14"></a><var>438.14</var>    Subd. 9. <b>Program benefits.</b> As a condition of providing swab team services under <br/>
<a id="pl.438.15"></a><var>438.15</var>this section, an the nonprofit organization may require a property owner to not increase <br/>
<a id="pl.438.16"></a><var>438.16</var>rents on a property solely as a result of a substantial improvement made with public <br/>
<a id="pl.438.17"></a><var>438.17</var>funds under the programs in this section.<br/>
<a id="pl.438.18"></a><var>438.18</var>    Subd. 10. <b>Requirements of </b><b>organizations receiving grants</b><b> the nonprofit </b><br/>
<a id="pl.438.19"></a><var>438.19</var><b>organization</b><b>.</b> An eligible The nonprofit organization that is awarded a training and <br/>
<a id="pl.438.20"></a><var>438.20</var>demonstration grant under this section must prepare and submit a quarterly progress report <br/>
<a id="pl.438.21"></a><var>438.21</var>to the commissioner beginning three months after receipt of the grant.<br/>
<br/>
<a id="bill.10.15.0"></a><a id="pl.438.22"></a><var>438.22</var>    Sec. 15. <b>[144.966] EARLY HEARING DETECTION AND INTERVENTION </b><br/>
<a id="pl.438.23"></a><var>438.23</var><b>ACT.</b><br/>
<a id="pl.438.24"></a><var>438.24</var>    Subdivision 1. <b>Definitions.</b> (a) "Child" means a person 18 years of age or younger.<br/>
<a id="pl.438.25"></a><var>438.25</var>    (b) "False positive rate" means the proportion of infants identified as having a <br/>
<a id="pl.438.26"></a><var>438.26</var>significant hearing loss by the screening process who are ultimately found to not have a <br/>
<a id="pl.438.27"></a><var>438.27</var>significant hearing loss.<br/>
<a id="pl.438.28"></a><var>438.28</var>    (c) "False negative rate" means the proportion of infants not identified as having <br/>
<a id="pl.438.29"></a><var>438.29</var>a significant hearing loss by the screening process who are ultimately found to have a <br/>
<a id="pl.438.30"></a><var>438.30</var>significant hearing loss.<br/>
<a id="pl.438.31"></a><var>438.31</var>    (d) "Hearing screening test" means automated auditory brain stem response, <br/>
<a id="pl.438.32"></a><var>438.32</var>otoacoustic emissions, or another appropriate screening test approved by the Department <br/>
<a id="pl.438.33"></a><var>438.33</var>of Health.<br/>
<a id="pl.438.34"></a><var>438.34</var>    (e) "Hospital" means a birthing health care facility or birthing center licensed in <br/>
<a id="pl.438.35"></a><var>438.35</var>this state that provides obstetrical services.<br/>
<a id="pl.439.1"></a><var>439.1</var>    (f) "Infant" means a child who is not a newborn and has not attained the age of <br/>
<a id="pl.439.2"></a><var>439.2</var>one year.<br/>
<a id="pl.439.3"></a><var>439.3</var>    (g) "Newborn" means an infant 28 days old or younger.<br/>
<a id="pl.439.4"></a><var>439.4</var>    (h) "Parent" means a natural parent, stepparent, adoptive parent, guardian, or <br/>
<a id="pl.439.5"></a><var>439.5</var>custodian of a newborn or infant.<br/>
<a id="pl.439.6"></a><var>439.6</var>    Subd. 2. <b>Newborn Hearing Screening Advisory Committee.</b> (a) The <br/>
<a id="pl.439.7"></a><var>439.7</var>commissioner of health shall appoint a Newborn Hearing Screening Advisory Committee <br/>
<a id="pl.439.8"></a><var>439.8</var>to advise and assist the Department of Health and the Department of Education in:<br/>
<a id="pl.439.9"></a><var>439.9</var>    (1) developing protocols and timelines for screening, rescreening, and diagnostic <br/>
<a id="pl.439.10"></a><var>439.10</var>audiological assessment and early medical, audiological, and educational intervention <br/>
<a id="pl.439.11"></a><var>439.11</var>services for children who are deaf or hard-of-hearing;<br/>
<a id="pl.439.12"></a><var>439.12</var>    (2) designing protocols for tracking children from birth through age three that may <br/>
<a id="pl.439.13"></a><var>439.13</var>have passed newborn screening but are at risk for delayed or late onset of permanent <br/>
<a id="pl.439.14"></a><var>439.14</var>hearing loss;<br/>
<a id="pl.439.15"></a><var>439.15</var>    (3) designing a technical assistance program to support facilities implementing the <br/>
<a id="pl.439.16"></a><var>439.16</var>screening program and facilities conducting rescreening and diagnostic audiological <br/>
<a id="pl.439.17"></a><var>439.17</var>assessment;<br/>
<a id="pl.439.18"></a><var>439.18</var>    (4) designing implementation and evaluation of a system of follow-up and tracking; <br/>
<a id="pl.439.19"></a><var>439.19</var>and<br/>
<a id="pl.439.20"></a><var>439.20</var>    (5) evaluating program outcomes to increase effectiveness and efficiency and ensure <br/>
<a id="pl.439.21"></a><var>439.21</var>culturally appropriate services for children with a confirmed hearing loss and their families.<br/>
<a id="pl.439.22"></a><var>439.22</var>    (b) Membership of the committee shall include at least one member from each of the <br/>
<a id="pl.439.23"></a><var>439.23</var>following groups with no less than two of the members being deaf or hard-of-hearing:<br/>
<a id="pl.439.24"></a><var>439.24</var>    (1) a representative from a consumer organization representing culturally deaf <br/>
<a id="pl.439.25"></a><var>439.25</var>persons;<br/>
<a id="pl.439.26"></a><var>439.26</var>    (2) a parent with a child with hearing loss representing a parent organization;<br/>
<a id="pl.439.27"></a><var>439.27</var>    (3) a consumer from an organization representing oral communication options;<br/>
<a id="pl.439.28"></a><var>439.28</var>    (4) a consumer from an organization representing cued speech communication <br/>
<a id="pl.439.29"></a><var>439.29</var>options;<br/>
<a id="pl.439.30"></a><var>439.30</var>    (5) an audiologist who has experience in evaluation and intervention of infants <br/>
<a id="pl.439.31"></a><var>439.31</var>and young children;<br/>
<a id="pl.439.32"></a><var>439.32</var>    (6) a speech-language pathologist who has experience in evaluation and intervention <br/>
<a id="pl.439.33"></a><var>439.33</var>of infants and young children;<br/>
<a id="pl.439.34"></a><var>439.34</var>    (7) two primary care providers who have experience in the care of infants and young <br/>
<a id="pl.439.35"></a><var>439.35</var>children, one of which shall be a pediatrician;<br/>
<a id="pl.439.36"></a><var>439.36</var>    (8) a representative from the early hearing detection intervention teams;<br/>
<a id="pl.440.1"></a><var>440.1</var>    (9) a representative from the Department of Education resource center for the deaf <br/>
<a id="pl.440.2"></a><var>440.2</var>and hard-of-hearing or their designee;<br/>
<a id="pl.440.3"></a><var>440.3</var>    (10) a representative of the Minnesota Commission Serving Deaf and Hard of <br/>
<a id="pl.440.4"></a><var>440.4</var>Hearing People;<br/>
<a id="pl.440.5"></a><var>440.5</var>    (11) a representative from the Department of Human Services Deaf and Hard of <br/>
<a id="pl.440.6"></a><var>440.6</var>Hearing Services Division;<br/>
<a id="pl.440.7"></a><var>440.7</var>    (12) one or more of the Part C coordinators from the Department of Education, the <br/>
<a id="pl.440.8"></a><var>440.8</var>Department of Health, or the Department of Human Services or their designee;<br/>
<a id="pl.440.9"></a><var>440.9</var>    (13) the Department of Health early hearing detection and intervention coordinator;<br/>
<a id="pl.440.10"></a><var>440.10</var>    (14) two birth hospital representatives from one rural and one urban hospital;<br/>
<a id="pl.440.11"></a><var>440.11</var>    (15) a pediatric geneticist;<br/>
<a id="pl.440.12"></a><var>440.12</var>    (16) an otolaryngologist;<br/>
<a id="pl.440.13"></a><var>440.13</var>    (17) a representative from the Newborn Screening Advisory Committee under <br/>
<a id="pl.440.14"></a><var>440.14</var>this subdivision; and<br/>
<a id="pl.440.15"></a><var>440.15</var>    (18) a representative of the Department of Education regional low-incidence <br/>
<a id="pl.440.16"></a><var>440.16</var>facilitators.<br/>
<a id="pl.440.17"></a><var>440.17</var>    The Department of Health member shall chair the first meeting of the committee. <br/>
<a id="pl.440.18"></a><var>440.18</var>At the first meeting, the committee shall elect a chairperson from its membership. The <br/>
<a id="pl.440.19"></a><var>440.19</var>committee shall meet at the call of the chairperson, at least four times a year. The <br/>
<a id="pl.440.20"></a><var>440.20</var>committee shall adopt written bylaws to govern its activities. The Department of Health <br/>
<a id="pl.440.21"></a><var>440.21</var>shall provide technical and administrative support services as required by the committee. <br/>
<a id="pl.440.22"></a><var>440.22</var>These services shall include technical support from individuals qualified to administer <br/>
<a id="pl.440.23"></a><var>440.23</var>infant hearing screening, rescreening, and diagnostic audiological assessments.<br/>
<a id="pl.440.24"></a><var>440.24</var>    Members of the committee shall receive no compensation for their service, but <br/>
<a id="pl.440.25"></a><var>440.25</var>shall be reimbursed for expenses incurred as a result of their duties as members of the <br/>
<a id="pl.440.26"></a><var>440.26</var>committee.<br/>
<a id="pl.440.27"></a><var>440.27</var>    Subd. 3. <b>Newborn and infant hearing screening programs.</b> All hospitals shall <br/>
<a id="pl.440.28"></a><var>440.28</var>establish a Universal Newborn Hearing and Infant Screening (UNHS) program. Each <br/>
<a id="pl.440.29"></a><var>440.29</var>UNHS program shall:<br/>
<a id="pl.440.30"></a><var>440.30</var>    (1) in advance of any hearing screening testing, provide to the newborn's or infant's <br/>
<a id="pl.440.31"></a><var>440.31</var>parents information concerning the nature of the screening procedure, applicable costs of <br/>
<a id="pl.440.32"></a><var>440.32</var>the screening procedure, the potential risks and effects of hearing loss, and the benefits of <br/>
<a id="pl.440.33"></a><var>440.33</var>early detection and intervention;<br/>
<a id="pl.440.34"></a><var>440.34</var>    (2) comply with parental consent under section 144.125, subdivision 3;<br/>
<a id="pl.440.35"></a><var>440.35</var>    (3) develop policies and procedures for screening and rescreening based on <br/>
<a id="pl.440.36"></a><var>440.36</var>Department of Health recommendations;<br/>
<a id="pl.441.1"></a><var>441.1</var>    (4) provide appropriate training and monitoring of individuals responsible for <br/>
<a id="pl.441.2"></a><var>441.2</var>performing hearing screening tests as recommended by the Department of Health;<br/>
<a id="pl.441.3"></a><var>441.3</var>    (5) test the newborn's hearing prior to discharge, or, if the newborn is expected to <br/>
<a id="pl.441.4"></a><var>441.4</var>remain in the hospital for a prolonged period, testing shall be performed prior to three <br/>
<a id="pl.441.5"></a><var>441.5</var>months of age, or when medically feasible;<br/>
<a id="pl.441.6"></a><var>441.6</var>    (6) develop and implement procedures for documenting the results of all hearing <br/>
<a id="pl.441.7"></a><var>441.7</var>screening tests;<br/>
<a id="pl.441.8"></a><var>441.8</var>    (7) inform the baby's parents or parent, primary care physician, and the Department <br/>
<a id="pl.441.9"></a><var>441.9</var>of Health according to recommendations of the Department of Health of the results of the <br/>
<a id="pl.441.10"></a><var>441.10</var>hearing screening test or rescreening if conducted, or if the newborn or infant was not <br/>
<a id="pl.441.11"></a><var>441.11</var>successfully tested. The hospital that discharges the baby to home is responsible for <br/>
<a id="pl.441.12"></a><var>441.12</var>the screening; and<br/>
<a id="pl.441.13"></a><var>441.13</var>    (8) collect performance data specified by the Department of Health. <br/>
<a id="pl.441.14"></a><var>441.14</var>    Subd. 4. <b>Notification and information.</b> (a) Notification to the parents, primary <br/>
<a id="pl.441.15"></a><var>441.15</var>care provider, and Department of Health shall occur prior to discharge or no later than ten <br/>
<a id="pl.441.16"></a><var>441.16</var>days following the date of testing. Notification shall include information recommended by <br/>
<a id="pl.441.17"></a><var>441.17</var>the Department of Health.<br/>
<a id="pl.441.18"></a><var>441.18</var>    (b) A physician, nurse, midwife, or other health professional attending a birth outside <br/>
<a id="pl.441.19"></a><var>441.19</var>a hospital or institution shall provide information, orally and in writing, as established by <br/>
<a id="pl.441.20"></a><var>441.20</var>the Department of Health, to parents regarding places where the parents may have their <br/>
<a id="pl.441.21"></a><var>441.21</var>infants' hearing screened and the importance of such screening.<br/>
<a id="pl.441.22"></a><var>441.22</var>    (c) The professional conducting the diagnostic procedure to confirm the hearing loss <br/>
<a id="pl.441.23"></a><var>441.23</var>must report the results to the parents, primary care provider, and Department of Health <br/>
<a id="pl.441.24"></a><var>441.24</var>according to the Department of Health recommendations.<br/>
<a id="pl.441.25"></a><var>441.25</var>    Subd. 5. <b>Oversight responsibility.</b> The Department of Health shall exercise <br/>
<a id="pl.441.26"></a><var>441.26</var>oversight responsibility for UNHS programs, including establishing a performance data <br/>
<a id="pl.441.27"></a><var>441.27</var>set and reviewing performance data collected by each hospital.<br/>
<a id="pl.441.28"></a><var>441.28</var>    Subd. 6. <b>Civil and criminal immunity and penalties.</b> (a) No physician or hospital <br/>
<a id="pl.441.29"></a><var>441.29</var>shall be civilly or criminally liable for failure to conduct hearing screening testing.<br/>
<a id="pl.441.30"></a><var>441.30</var>    (b) No physician, midwife, nurse, other health professional, or hospital acting in <br/>
<a id="pl.441.31"></a><var>441.31</var>compliance with this section shall be civilly or criminally liable for any acts conforming <br/>
<a id="pl.441.32"></a><var>441.32</var>with this section, including furnishing information required according to this section.<br/>
<a id="pl.441.33"></a><var>441.33</var>    Subd. 7. <b>Laboratory service fees.</b> The commissioner shall charge laboratory <br/>
<a id="pl.441.34"></a><var>441.34</var>service fees according to section 16A.1285 so that the total of fees collected will <br/>
<a id="pl.441.35"></a><var>441.35</var>approximate the costs of implementing and maintaining a system to follow up infants, <br/>
<a id="pl.441.36"></a><var>441.36</var>provide technical assistance, a tracking system, data management, and evaluation.<br/>
<a id="pl.442.1"></a><var>442.1</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.10.16.0"></a><a id="pl.442.2"></a><var>442.2</var>    Sec. 16. <b>[144.967] ARSENIC HEALTH RISK STANDARD.</b><br/>
<a id="pl.442.3"></a><var>442.3</var>    Subdivision 1. <b>Arsenic health risk standard established.</b> The commissioner of <br/>
<a id="pl.442.4"></a><var>442.4</var>health in cooperation with the commissioners of agriculture and the Pollution Control <br/>
<a id="pl.442.5"></a><var>442.5</var>Agency responsible for monitoring land and water cleanup and soil contamination <br/>
<a id="pl.442.6"></a><var>442.6</var>information shall determine a health risk standard for human exposure to arsenic. The <br/>
<a id="pl.442.7"></a><var>442.7</var>commissioner of health shall ensure that the established arsenic health risk standard is <br/>
<a id="pl.442.8"></a><var>442.8</var>included in all information provided to the public.<br/>
<a id="pl.442.9"></a><var>442.9</var>    Subd. 2. <b>Information.</b> The commissioner of health, in consultation with the <br/>
<a id="pl.442.10"></a><var>442.10</var>commissioners of agriculture and the Pollution Control Agency with jurisdiction over <br/>
<a id="pl.442.11"></a><var>442.11</var>soil and water contamination, shall establish a central information source available to <br/>
<a id="pl.442.12"></a><var>442.12</var>the public to provide accurate information on arsenic soil and water contamination in <br/>
<a id="pl.442.13"></a><var>442.13</var>residential areas.<br/>
<a id="pl.442.14"></a><var>442.14</var>    Subd. 3. <b>Testing for arsenic.</b> (a) The commissioner of health shall ensure access <br/>
<a id="pl.442.15"></a><var>442.15</var>to medical testing for arsenical pesticide exposure to persons living within one mile of <br/>
<a id="pl.442.16"></a><var>442.16</var>the CMC Heartland Lite Yard Superfund site who are not covered by health insurance or <br/>
<a id="pl.442.17"></a><var>442.17</var>medical assistance.<br/>
<a id="pl.442.18"></a><var>442.18</var>    (b) Through an agreement with the United States Environmental Protection Agency, <br/>
<a id="pl.442.19"></a><var>442.19</var>the commissioner shall ensure soil testing is available to households within one mile of the <br/>
<a id="pl.442.20"></a><var>442.20</var>CMC Heartland Lite Yard Superfund site at no cost to the residents.<br/>
<a id="pl.442.21"></a><var>442.21</var>    Subd. 4. <b>Evaluation.</b> The commissioner of health shall evaluate the cumulative <br/>
<a id="pl.442.22"></a><var>442.22</var>health impact burdens of environmental toxins in the residential communities impacted by <br/>
<a id="pl.442.23"></a><var>442.23</var>arsenic-contaminated soil from the CMC Heartland Lite Yard Superfund site. The first <br/>
<a id="pl.442.24"></a><var>442.24</var>priority shall be to evaluate health burdens to those communities experiencing health <br/>
<a id="pl.442.25"></a><var>442.25</var>disparities as documented by the Minority and Multicultural Health Division of the <br/>
<a id="pl.442.26"></a><var>442.26</var>Minnesota Department of Health.<br/>
<br/>
<a id="bill.10.17.0"></a><a id="pl.442.27"></a><var>442.27</var>    Sec. 17. <b>[144.995] DEFINITIONS.</b><br/>
<a id="pl.442.28"></a><var>442.28</var>    (a) For purposes of sections 144.995 to 144.998, the terms in this section have <br/>
<a id="pl.442.29"></a><var>442.29</var>the meanings given.<br/>
<a id="pl.442.30"></a><var>442.30</var>    (b) "Advisory panel" means the Environmental Health Tracking and Biomonitoring <br/>
<a id="pl.442.31"></a><var>442.31</var>Advisory Panel established under section 144.998.<br/>
<a id="pl.442.32"></a><var>442.32</var>    (c) "Biomonitoring" means the process by which chemicals and their metabolites are <br/>
<a id="pl.442.33"></a><var>442.33</var>identified and measured within a biospecimen.<br/>
<a id="pl.443.1"></a><var>443.1</var>    (d) "Biospecimen" means a sample of human fluid, serum, or tissue that is reasonably <br/>
<a id="pl.443.2"></a><var>443.2</var>available as a medium to measure the presence and concentration of chemicals or their <br/>
<a id="pl.443.3"></a><var>443.3</var>metabolites in a human body.<br/>
<a id="pl.443.4"></a><var>443.4</var>    (e) "Commissioner" means the commissioner of the Department of Health.<br/>
<a id="pl.443.5"></a><var>443.5</var>    (f) "Community" means geographically or nongeographically-based populations <br/>
<a id="pl.443.6"></a><var>443.6</var>that may participate in the biomonitoring program. A "nongeographical community" <br/>
<a id="pl.443.7"></a><var>443.7</var>includes, but is not limited to, populations that may share a common chemical exposure <br/>
<a id="pl.443.8"></a><var>443.8</var>through similar occupations, populations experiencing a common health outcome that <br/>
<a id="pl.443.9"></a><var>443.9</var>may be linked to chemical exposures, or populations that may experience similar chemical <br/>
<a id="pl.443.10"></a><var>443.10</var>exposures because of comparable consumption, lifestyle, product use, or subpopulations <br/>
<a id="pl.443.11"></a><var>443.11</var>that share ethnicity, age, or gender.<br/>
<a id="pl.443.12"></a><var>443.12</var>    (g) "Department" means the Department of Health.<br/>
<a id="pl.443.13"></a><var>443.13</var>    (h) "Designated chemicals" means those chemicals that are known to, or strongly <br/>
<a id="pl.443.14"></a><var>443.14</var>suspected of, adversely impacting human health or development, based upon scientific, <br/>
<a id="pl.443.15"></a><var>443.15</var>peer-reviewed animal, human, or in vitro studies, and baseline human exposure data, <br/>
<a id="pl.443.16"></a><var>443.16</var>and consists of chemical families or metabolites that are included in the federal Centers <br/>
<a id="pl.443.17"></a><var>443.17</var>for Disease Control and Prevention studies that are known collectively as the National <br/>
<a id="pl.443.18"></a><var>443.18</var>Reports on Human Exposure to Environmental Chemicals program and any substances <br/>
<a id="pl.443.19"></a><var>443.19</var>specified under section 144.998, subdivision 3, clause (6).<br/>
<a id="pl.443.20"></a><var>443.20</var>    (i) "Environmental hazard" means a chemical, metal, or other substance for which <br/>
<a id="pl.443.21"></a><var>443.21</var>scientific, peer-reviewed studies of humans, animals, or cells have demonstrated that the <br/>
<a id="pl.443.22"></a><var>443.22</var>chemical is known or reasonably anticipated to adversely impact human health.<br/>
<a id="pl.443.23"></a><var>443.23</var>    (j) "Environmental health tracking" means collection, integration, analysis, and <br/>
<a id="pl.443.24"></a><var>443.24</var>dissemination of data on human exposures to  chemicals in the environment and on <br/>
<a id="pl.443.25"></a><var>443.25</var>diseases potentially caused or aggravated by those chemicals.<br/>
<br/>
<a id="bill.10.18.0"></a><a id="pl.443.26"></a><var>443.26</var>    Sec. 18. <b>[144.996] ENVIRONMENTAL HEALTH TRACKING; </b><br/>
<a id="pl.443.27"></a><var>443.27</var><b>BIOMONITORING.</b><br/>
<a id="pl.443.28"></a><var>443.28</var>    Subdivision 1. <b>Environmental health tracking.</b> In cooperation with the <br/>
<a id="pl.443.29"></a><var>443.29</var>commissioner of the Pollution Control Agency, the commissioner shall establish an <br/>
<a id="pl.443.30"></a><var>443.30</var>environmental health tracking program to:<br/>
<a id="pl.443.31"></a><var>443.31</var>    (1) coordinate data collection activities with the Pollution Control Agency, <br/>
<a id="pl.443.32"></a><var>443.32</var>Department of Agriculture, University of Minnesota, and any other relevant state agency <br/>
<a id="pl.443.33"></a><var>443.33</var>and work to promote the sharing of and access to health and environmental databases <br/>
<a id="pl.443.34"></a><var>443.34</var>in order to develop an environmental health tracking system for Minnesota, consistent <br/>
<a id="pl.443.35"></a><var>443.35</var>with applicable data practices laws;<br/>
<a id="pl.444.1"></a><var>444.1</var>    (2) facilitate the dissemination of public health tracking data to the public and <br/>
<a id="pl.444.2"></a><var>444.2</var>researchers in accessible format and provide technical assistance on interpreting the data;<br/>
<a id="pl.444.3"></a><var>444.3</var>    (3) develop written data sharing agreements with the Minnesota Pollution Control <br/>
<a id="pl.444.4"></a><var>444.4</var>Agency, Department of Agriculture, and other relevant state agencies and organizations, <br/>
<a id="pl.444.5"></a><var>444.5</var>and develop additional procedures as needed to protect individual privacy;<br/>
<a id="pl.444.6"></a><var>444.6</var>    (4) develop a strategic plan that includes a mission statement, the identification of <br/>
<a id="pl.444.7"></a><var>444.7</var>core priorities for research and epidemiologic surveillance, the identification of internal <br/>
<a id="pl.444.8"></a><var>444.8</var>and external stakeholders, and a work plan describing future program development;<br/>
<a id="pl.444.9"></a><var>444.9</var>    (5) organize, analyze, and interpret available data, in order to:<br/>
<a id="pl.444.10"></a><var>444.10</var>    (i) characterize statewide and localized trends and geographic patterns of prevalence <br/>
<a id="pl.444.11"></a><var>444.11</var>and incidence of chronic diseases, including, but not limited to, cancer, respiratory <br/>
<a id="pl.444.12"></a><var>444.12</var>diseases, reproductive problems, birth defects, neurologic diseases, and developmental <br/>
<a id="pl.444.13"></a><var>444.13</var>disorders;<br/>
<a id="pl.444.14"></a><var>444.14</var>    (ii) recommend to the commissioner methods to improve data collection on <br/>
<a id="pl.444.15"></a><var>444.15</var>statewide population rates of chronic diseases and the occurrence of environmental <br/>
<a id="pl.444.16"></a><var>444.16</var>hazards and exposures;<br/>
<a id="pl.444.17"></a><var>444.17</var>    (iii) characterize statewide and localized trends and geographic patterns in the <br/>
<a id="pl.444.18"></a><var>444.18</var>occurrence of environmental hazards and exposures;<br/>
<a id="pl.444.19"></a><var>444.19</var>    (iv) assess the level of correlation with disease rate data and indicators of exposure <br/>
<a id="pl.444.20"></a><var>444.20</var>such as biomonitoring data, and other health and environmental data;<br/>
<a id="pl.444.21"></a><var>444.21</var>    (v) incorporate newly collected and existing health tracking and biomonitoring <br/>
<a id="pl.444.22"></a><var>444.22</var>data into efforts to identify communities with elevated rates of chronic disease, higher <br/>
<a id="pl.444.23"></a><var>444.23</var>likelihood of exposure to environmental pollutants, or both;<br/>
<a id="pl.444.24"></a><var>444.24</var>    (vi) analyze occurrence of environmental hazards, exposures, and diseases with <br/>
<a id="pl.444.25"></a><var>444.25</var>relation to socioeconomic status, race, and ethnicity;<br/>
<a id="pl.444.26"></a><var>444.26</var>    (vii) develop and implement targeted plans to conduct more intensive health tracking <br/>
<a id="pl.444.27"></a><var>444.27</var>and biomonitoring among communities;<br/>
<a id="pl.444.28"></a><var>444.28</var>    (viii) work with the Pollution Control Agency, the Department of Agriculture, and <br/>
<a id="pl.444.29"></a><var>444.29</var>other relevant state agency personnel and organizations to develop, implement, and <br/>
<a id="pl.444.30"></a><var>444.30</var>evaluate preventive measures to reduce elevated rates of diseases and exposures identified <br/>
<a id="pl.444.31"></a><var>444.31</var>through activities performed under sections 144.995 to 144.998; and<br/>
<a id="pl.444.32"></a><var>444.32</var>    (ix) provide baseline data and present descriptive information relevant to policy <br/>
<a id="pl.444.33"></a><var>444.33</var>formation that are consistent with existing goals of the department; and<br/>
<a id="pl.444.34"></a><var>444.34</var>    (6) submit a biennial report to the legislature by January 15, beginning January <br/>
<a id="pl.444.35"></a><var>444.35</var>15, 2009, on the status of environmental health tracking activities and related research <br/>
<a id="pl.445.1"></a><var>445.1</var>programs, and making recommendations regarding the continuation and improvement of <br/>
<a id="pl.445.2"></a><var>445.2</var>the programs.<br/>
<a id="pl.445.3"></a><var>445.3</var>    Subd. 2. <b>Biomonitoring.</b> The commissioner shall:<br/>
<a id="pl.445.4"></a><var>445.4</var>    (1) conduct biomonitoring of communities on a voluntary  basis by collecting and <br/>
<a id="pl.445.5"></a><var>445.5</var>analyzing biospecimens, as appropriate, to assess environmental exposures to designated <br/>
<a id="pl.445.6"></a><var>445.6</var>chemicals;<br/>
<a id="pl.445.7"></a><var>445.7</var>    (2) conduct biomonitoring of pregnant women and minors on a voluntary basis, <br/>
<a id="pl.445.8"></a><var>445.8</var>when scientifically appropriate; <br/>
<a id="pl.445.9"></a><var>445.9</var>    (3) communicate findings to the public, and plan ensuing stages of biomonitoring <br/>
<a id="pl.445.10"></a><var>445.10</var>and disease tracking work to further develop and refine the integrated analysis;<br/>
<a id="pl.445.11"></a><var>445.11</var>    (4) share analytical results with the advisory panel and work with the panel <br/>
<a id="pl.445.12"></a><var>445.12</var>to interpret results, communicate findings to the public, and plan ensuing stages of <br/>
<a id="pl.445.13"></a><var>445.13</var>biomonitoring work; and<br/>
<a id="pl.445.14"></a><var>445.14</var>    (5) submit a biennial report to the legislature by January 15, beginning January <br/>
<a id="pl.445.15"></a><var>445.15</var>15, 2009, on the status of the biomonitoring program and any recommendations for <br/>
<a id="pl.445.16"></a><var>445.16</var>improvement.<br/>
<a id="pl.445.17"></a><var>445.17</var>    Subd. 3. <b>Health data.</b> Data collected under the biomonitoring program are health <br/>
<a id="pl.445.18"></a><var>445.18</var>data under section 13.3805.<br/>
<br/>
<a id="bill.10.19.0"></a><a id="pl.445.19"></a><var>445.19</var>    Sec. 19. <b>[144.997] BIOMONITORING PILOT PROGRAM.</b><br/>
<a id="pl.445.20"></a><var>445.20</var>    Subdivision 1. <b>Pilot program.</b> With advice from the advisory panel, the <br/>
<a id="pl.445.21"></a><var>445.21</var>commissioner shall develop a biomonitoring pilot program. The program shall collect <br/>
<a id="pl.445.22"></a><var>445.22</var>one biospecimen from each of the voluntary participants. The biospecimen selected must <br/>
<a id="pl.445.23"></a><var>445.23</var>be the biospecimen that most accurately represents body concentration of the chemical <br/>
<a id="pl.445.24"></a><var>445.24</var>of interest. Each biospecimen from the voluntary participants must be analyzed for one <br/>
<a id="pl.445.25"></a><var>445.25</var>type or class of related chemicals or metals, based on recommendations from the advisory <br/>
<a id="pl.445.26"></a><var>445.26</var>panel. The panel shall determine the chemical or class of chemicals that community <br/>
<a id="pl.445.27"></a><var>445.27</var>members were most likely exposed to. The program shall collect and assess biospecimens <br/>
<a id="pl.445.28"></a><var>445.28</var>in accordance with the following: <br/>
<a id="pl.445.29"></a><var>445.29</var>    (1) 30 voluntary participants from each of three communities that the advisory panel <br/>
<a id="pl.445.30"></a><var>445.30</var>identifies as likely to have been exposed to a designated chemical; <br/>
<a id="pl.445.31"></a><var>445.31</var>    (2) 100 voluntary participants from each of two communities: (i) that the advisory <br/>
<a id="pl.445.32"></a><var>445.32</var>panel identifies as likely to have been exposed to arsenic and (ii) that the advisory panel <br/>
<a id="pl.445.33"></a><var>445.33</var>identifies as likely to have been exposed to mercury; and <br/>
<a id="pl.445.34"></a><var>445.34</var>    (3) 100 voluntary participants from each of two communities that the advisory panel <br/>
<a id="pl.445.35"></a><var>445.35</var>identifies as likely to have been exposed to perfluorinated chemicals.<br/>
<a id="pl.446.1"></a><var>446.1</var>    Subd. 2. <b>Base program.</b> Following the conclusion of the pilot program and within <br/>
<a id="pl.446.2"></a><var>446.2</var>the appropriations available, the program shall:<br/>
<a id="pl.446.3"></a><var>446.3</var>    (1) collect and assess biospecimens from at least as many voluntary participants and <br/>
<a id="pl.446.4"></a><var>446.4</var>communities as identified in subdivision 1, clause (1); and<br/>
<a id="pl.446.5"></a><var>446.5</var>    (2) work with the advisory panel to assess the usefulness of continuing biomonitoring <br/>
<a id="pl.446.6"></a><var>446.6</var>among members of communities assessed during the initial phase of the program, <br/>
<a id="pl.446.7"></a><var>446.7</var>and to identify other communities and other designated chemicals to be assessed via <br/>
<a id="pl.446.8"></a><var>446.8</var>biomonitoring.<br/>
<a id="pl.446.9"></a><var>446.9</var>    Subd. 3. <b>Participation.</b> (a) Participation in the biomonitoring program by providing <br/>
<a id="pl.446.10"></a><var>446.10</var>biospecimens is voluntary and requires written, informed consent. Minors may participate <br/>
<a id="pl.446.11"></a><var>446.11</var>in the program if a written consent is signed by the minor's parent or legal guardian. <br/>
<a id="pl.446.12"></a><var>446.12</var>The written consent must include the information required to be provided under this <br/>
<a id="pl.446.13"></a><var>446.13</var>subdivision to all voluntary participants.<br/>
<a id="pl.446.14"></a><var>446.14</var>    (b) All participants shall be evaluated for the presence of the designated chemical <br/>
<a id="pl.446.15"></a><var>446.15</var>of interest as a component of the biomonitoring process. Participants shall be provided <br/>
<a id="pl.446.16"></a><var>446.16</var>with information and fact sheets about the program's activities and its findings. <br/>
<a id="pl.446.17"></a><var>446.17</var>Individual participants shall, if requested, receive their complete results. Any results <br/>
<a id="pl.446.18"></a><var>446.18</var>provided to participants shall be subject to the Department of Health Institutional <br/>
<a id="pl.446.19"></a><var>446.19</var>Review Board protocols and guidelines. When either physiological or chemical data <br/>
<a id="pl.446.20"></a><var>446.20</var>obtained from a participant indicate a significant known health risk, program staff <br/>
<a id="pl.446.21"></a><var>446.21</var>experienced in communicating biomonitoring results shall consult with the individual <br/>
<a id="pl.446.22"></a><var>446.22</var>and recommend follow-up steps, as appropriate. Program administrators shall receive <br/>
<a id="pl.446.23"></a><var>446.23</var>training in administering the program in an ethical, culturally sensitive, participatory, <br/>
<a id="pl.446.24"></a><var>446.24</var>and community-based manner.<br/>
<a id="pl.446.25"></a><var>446.25</var>    Subd. 4. <b>Program guidelines.</b> (a) The commissioner, in consultation with the <br/>
<a id="pl.446.26"></a><var>446.26</var>advisory panel, shall develop:<br/>
<a id="pl.446.27"></a><var>446.27</var>    (1) protocols or program guidelines that address the science and practice of <br/>
<a id="pl.446.28"></a><var>446.28</var>biomonitoring to be utilized and procedures for changing those protocols to incorporate <br/>
<a id="pl.446.29"></a><var>446.29</var>new and more accurate or efficient technologies as they become available. The protocols <br/>
<a id="pl.446.30"></a><var>446.30</var>shall be developed utilizing a peer-review process in a manner that is participatory and <br/>
<a id="pl.446.31"></a><var>446.31</var>community-based in design, implementation, and evaluation;<br/>
<a id="pl.446.32"></a><var>446.32</var>    (2) guidelines for ensuring the privacy of information; informed consent; follow-up <br/>
<a id="pl.446.33"></a><var>446.33</var>counseling and support; and communicating findings to participants, communities, and <br/>
<a id="pl.446.34"></a><var>446.34</var>the general public. The informed consent used for the program must meet the informed <br/>
<a id="pl.446.35"></a><var>446.35</var>consent protocols developed by the National Institutes of Health;<br/>
<a id="pl.447.1"></a><var>447.1</var>    (3) educational and outreach materials that are culturally appropriate for <br/>
<a id="pl.447.2"></a><var>447.2</var>dissemination to program participants and communities. Priority shall be given to the <br/>
<a id="pl.447.3"></a><var>447.3</var>development of materials specifically designed to ensure that parents are informed about <br/>
<a id="pl.447.4"></a><var>447.4</var>all of the benefits of breastfeeding so that the program does not result in an unjustified fear <br/>
<a id="pl.447.5"></a><var>447.5</var>of toxins in breast milk, which might inadvertently lead parents to avoid breastfeeding. <br/>
<a id="pl.447.6"></a><var>447.6</var>The materials shall communicate relevant scientific findings; data on the accumulation <br/>
<a id="pl.447.7"></a><var>447.7</var>of pollutants to community health; and the required responses by local, state, and other <br/>
<a id="pl.447.8"></a><var>447.8</var>governmental entities in regulating toxicant exposures;<br/>
<a id="pl.447.9"></a><var>447.9</var>    (4) a training program that is culturally sensitive specifically for health care <br/>
<a id="pl.447.10"></a><var>447.10</var>providers, health educators, and other program administrators; <br/>
<a id="pl.447.11"></a><var>447.11</var>    (5) a designation process for state and private laboratories that are qualified to <br/>
<a id="pl.447.12"></a><var>447.12</var>analyze biospecimens and report the findings; and <br/>
<a id="pl.447.13"></a><var>447.13</var>    (6) a method for informing affected communities and local governments representing <br/>
<a id="pl.447.14"></a><var>447.14</var>those communities concerning biomonitoring activities and for receiving comments from <br/>
<a id="pl.447.15"></a><var>447.15</var>citizens concerning those activities.<br/>
<a id="pl.447.16"></a><var>447.16</var>    (b) The commissioner may enter into contractual agreements with health clinics, <br/>
<a id="pl.447.17"></a><var>447.17</var>community-based organizations, or experts in a particular field to perform any of the <br/>
<a id="pl.447.18"></a><var>447.18</var>activities described under this section.<br/>
<br/>
<a id="bill.10.20.0"></a><a id="pl.447.19"></a><var>447.19</var>    Sec. 20. <b>[144.998] ENVIRONMENTAL HEALTH TRACKING AND </b><br/>
<a id="pl.447.20"></a><var>447.20</var><b>BIOMONITORING ADVISORY PANEL.</b><br/>
<a id="pl.447.21"></a><var>447.21</var>    Subdivision 1. <b>Creation.</b> The commissioner shall establish the Environmental <br/>
<a id="pl.447.22"></a><var>447.22</var>Health Tracking and Biomonitoring Advisory Panel. The commissioner shall appoint, <br/>
<a id="pl.447.23"></a><var>447.23</var>from the panel's membership, a chair. The panel shall meet as often as it deems necessary <br/>
<a id="pl.447.24"></a><var>447.24</var>but, at a minimum, on a quarterly basis. Members of the panel shall serve without <br/>
<a id="pl.447.25"></a><var>447.25</var>compensation but shall be reimbursed for travel and other necessary expenses incurred <br/>
<a id="pl.447.26"></a><var>447.26</var>through performance of their duties. Members appointed under this subdivision are <br/>
<a id="pl.447.27"></a><var>447.27</var>appointed for a three-year term and may be reappointed.<br/>
<a id="pl.447.28"></a><var>447.28</var>    Subd. 2. <b>Members.</b> The commissioner shall appoint eight members, none of whom <br/>
<a id="pl.447.29"></a><var>447.29</var>may be lobbyists registered under chapter 10A, who have backgrounds or training in <br/>
<a id="pl.447.30"></a><var>447.30</var>designing, implementing, and interpreting health tracking and biomonitoring studies or <br/>
<a id="pl.447.31"></a><var>447.31</var>in related fields of science, including epidemiology, biostatistics, environmental health, <br/>
<a id="pl.447.32"></a><var>447.32</var>laboratory sciences, occupational health, industrial hygiene, toxicology, and public health, <br/>
<a id="pl.447.33"></a><var>447.33</var>including:<br/>
<a id="pl.448.1"></a><var>448.1</var>    (1) two scientists who represent nongovernmental organizations with a focus on <br/>
<a id="pl.448.2"></a><var>448.2</var>environmental health, environmental justice, children's health, or on specific chronic <br/>
<a id="pl.448.3"></a><var>448.3</var>diseases; and<br/>
<a id="pl.448.4"></a><var>448.4</var>    (2) one scientist who is a representative of the University of Minnesota.<br/>
<a id="pl.448.5"></a><var>448.5</var>    In addition, the commissioner shall appoint one member representing each of the <br/>
<a id="pl.448.6"></a><var>448.6</var>following departments or divisions: the department's health promotion and chronic disease <br/>
<a id="pl.448.7"></a><var>448.7</var>division, the Pollution Control Agency, and the Department of Agriculture.<br/>
<a id="pl.448.8"></a><var>448.8</var>    Subd. 3. <b>Duties.</b> The advisory panel shall make recommendations to the <br/>
<a id="pl.448.9"></a><var>448.9</var>commissioner and the legislature on:<br/>
<a id="pl.448.10"></a><var>448.10</var>    (1) priorities for health tracking;<br/>
<a id="pl.448.11"></a><var>448.11</var>    (2) priorities for biomonitoring that are based on sound science and practice, and <br/>
<a id="pl.448.12"></a><var>448.12</var>that will advance the state of public health in Minnesota;<br/>
<a id="pl.448.13"></a><var>448.13</var>    (3) specific chronic diseases to study under the environmental health tracking system;<br/>
<a id="pl.448.14"></a><var>448.14</var>    (4) specific environmental pollutant exposures to study under the environmental <br/>
<a id="pl.448.15"></a><var>448.15</var>health tracking system, with the agreement of at least seven of the advisory panel members;<br/>
<a id="pl.448.16"></a><var>448.16</var>    (5) specific communities and geographic areas on which to focus environmental <br/>
<a id="pl.448.17"></a><var>448.17</var>health tracking and biomonitoring efforts;<br/>
<a id="pl.448.18"></a><var>448.18</var>    (6) specific chemicals and metals to study under the biomonitoring program that meet <br/>
<a id="pl.448.19"></a><var>448.19</var>the following criteria, with the agreement of at least seven of the advisory panel members:<br/>
<a id="pl.448.20"></a><var>448.20</var>    (i) the degree of potential exposure to the public or specific subgroups, including, <br/>
<a id="pl.448.21"></a><var>448.21</var>but not limited to, occupational;<br/>
<a id="pl.448.22"></a><var>448.22</var>    (ii) the likelihood of a chemical being a carcinogen or toxicant based on <br/>
<a id="pl.448.23"></a><var>448.23</var>peer-reviewed health data, the chemical structure, or the toxicology of chemically related <br/>
<a id="pl.448.24"></a><var>448.24</var>compounds;<br/>
<a id="pl.448.25"></a><var>448.25</var>    (iii) the limits of laboratory detection for the chemical, including the ability to detect <br/>
<a id="pl.448.26"></a><var>448.26</var>the chemical at low enough levels that could be expected in the general population;<br/>
<a id="pl.448.27"></a><var>448.27</var>    (iv) exposure or potential exposure to the public or specific subgroups;<br/>
<a id="pl.448.28"></a><var>448.28</var>    (v) the known or suspected health effects resulting from the same level of exposure <br/>
<a id="pl.448.29"></a><var>448.29</var>based on peer-reviewed scientific studies;<br/>
<a id="pl.448.30"></a><var>448.30</var>    (vi) the need to assess the efficacy of public health actions to reduce exposure to a <br/>
<a id="pl.448.31"></a><var>448.31</var>chemical;<br/>
<a id="pl.448.32"></a><var>448.32</var>    (vii) the availability of a biomonitoring analytical method with adequate accuracy, <br/>
<a id="pl.448.33"></a><var>448.33</var>precision, sensitivity, specificity, and speed;<br/>
<a id="pl.448.34"></a><var>448.34</var>    (viii) the availability of adequate biospecimen samples; and<br/>
<a id="pl.448.35"></a><var>448.35</var>    (ix) other criteria that the panel may agree to; and<br/>
<a id="pl.449.1"></a><var>449.1</var>    (7) other aspects of the design, implementation, and evaluation of the environmental <br/>
<a id="pl.449.2"></a><var>449.2</var>health tracking and biomonitoring system, including, but not limited to:<br/>
<a id="pl.449.3"></a><var>449.3</var>    (i) identifying possible community partners and sources of additional public or <br/>
<a id="pl.449.4"></a><var>449.4</var>private funding;<br/>
<a id="pl.449.5"></a><var>449.5</var>    (ii) developing outreach and educational methods and materials; and<br/>
<a id="pl.449.6"></a><var>449.6</var>    (iii) disseminating environmental health tracking and biomonitoring findings to <br/>
<a id="pl.449.7"></a><var>449.7</var>the public.<br/>
<a id="pl.449.8"></a><var>449.8</var>    Subd. 4. <b>Liability.</b> No member of the panel shall be held civilly or criminally liable <br/>
<a id="pl.449.9"></a><var>449.9</var>for an act or omission by that person if the act or omission was in good faith and within <br/>
<a id="pl.449.10"></a><var>449.10</var>the scope of the member's responsibilities under sections 144.995 to 144.998.<br/>
<br/>
<a id="bill.10.21.0"></a><a id="pl.449.11"></a><var>449.11</var>    Sec. 21. Minnesota Statutes 2006, section 144E.101, subdivision 6, is amended to read:<br/>
<a id="pl.449.12"></a><var>449.12</var>    Subd. 6. <b>Basic life support.</b> (a) Except as provided in paragraph (e), a basic life <br/>
<a id="pl.449.13"></a><var>449.13</var>support ambulance shall be staffed by at least two ambulance service personnel, at least <br/>
<a id="pl.449.14"></a><var>449.14</var>one of which must be an EMT, who provide a level of care so as to ensure that:<br/>
<a id="pl.449.15"></a><var>449.15</var>    (1) life-threatening situations and potentially serious injuries are recognized;<br/>
<a id="pl.449.16"></a><var>449.16</var>    (2) patients are protected from additional hazards;<br/>
<a id="pl.449.17"></a><var>449.17</var>    (3) basic treatment to reduce the seriousness of emergency situations is administered; <br/>
<a id="pl.449.18"></a><var>449.18</var>and<br/>
<a id="pl.449.19"></a><var>449.19</var>    (4) patients are transported to an appropriate medical facility for treatment.<br/>
<a id="pl.449.20"></a><var>449.20</var>    (b) A basic life support service shall provide basic airway management.<br/>
<a id="pl.449.21"></a><var>449.21</var>    (c) By January 1, 2001, a basic life support service shall provide automatic <br/>
<a id="pl.449.22"></a><var>449.22</var>defibrillation, as provided in section 
         <statute_ref>144E.103, subdivision 1</statute_ref>, paragraph (b). <br/>
<a id="pl.449.23"></a><var>449.23</var>    (d) A basic life support service licensee's medical director may authorize the <br/>
<a id="pl.449.24"></a><var>449.24</var>ambulance service personnel to carry and to use medical antishock trousers and to perform <br/>
<a id="pl.449.25"></a><var>449.25</var>intravenous infusion if the ambulance service personnel have been properly trained.<br/>
<a id="pl.449.26"></a><var>449.26</var>    (e) Upon application from an ambulance service that includes evidence <br/>
<a id="pl.449.27"></a><var>449.27</var>demonstrating hardship, the board may grant a temporary variance from the staff <br/>
<a id="pl.449.28"></a><var>449.28</var>requirements in paragraph (a) and may authorize a basic life support ambulance to be <br/>
<a id="pl.449.29"></a><var>449.29</var>staffed by one EMT and one first responder. The variance shall apply to basic life support <br/>
<a id="pl.449.30"></a><var>449.30</var>ambulances operated by the ambulance service for up to one year from the date of the <br/>
<a id="pl.449.31"></a><var>449.31</var>variance's issuance until the ambulance service renews its license. When a variance <br/>
<a id="pl.449.32"></a><var>449.32</var>expires, an ambulance service may apply for a new variance under this paragraph. For <br/>
<a id="pl.449.33"></a><var>449.33</var>purposes of this paragraph, "ambulance service" means either an ambulance service whose <br/>
<a id="pl.449.34"></a><var>449.34</var>primary service area is located outside the metropolitan counties listed in section 
         <statute_ref>473.121, <br/>
<a id="pl.450.1"></a><var>450.1</var>subdivision 4
         </statute_ref>, and outside the cities of Duluth, Mankato, Moorhead, Rochester, and St. <br/>
<a id="pl.450.2"></a><var>450.2</var>Cloud; or an ambulance service based in a community with a population of less than 1,000. <br/>
<br/>
<a id="bill.10.22.0"></a><a id="pl.450.3"></a><var>450.3</var>    Sec. 22. Minnesota Statutes 2006, section 144E.127, is amended to read:<br/>
<a id="pl.450.4"></a><var>450.4</var><b>144E.127 INTERHOSPITAL</b><b>; INTERFACILITY</b><b> TRANSFER.</b><br/>
<a id="pl.450.5"></a><var>450.5</var>    Subdivision 1. <b>Interhospital transfers.</b> When transporting a patient from one <br/>
<a id="pl.450.6"></a><var>450.6</var>licensed hospital to another, a licensee may substitute for one of the required ambulance <br/>
<a id="pl.450.7"></a><var>450.7</var>service personnel, a physician, a registered nurse, or physician's assistant who has been <br/>
<a id="pl.450.8"></a><var>450.8</var>trained to use the equipment in the ambulance and is knowledgeable of the licensee's <br/>
<a id="pl.450.9"></a><var>450.9</var>ambulance service protocols.<br/>
<a id="pl.450.10"></a><var>450.10</var>    Subd. 2. <b>Interfacility transfers.</b> In an interfacility transport, a licensee whose <br/>
<a id="pl.450.11"></a><var>450.11</var>primary service area is located outside the metropolitan counties listed in section 473.121, <br/>
<a id="pl.450.12"></a><var>450.12</var>subdivision 4, and outside the cities of Duluth, Mankato, Moorhead, Rochester, and St. <br/>
<a id="pl.450.13"></a><var>450.13</var>Cloud; or an ambulance service based in a community with a population of less than 1,000, <br/>
<a id="pl.450.14"></a><var>450.14</var>may substitute one EMT with a registered first responder if an EMT or EMT-paramedic, <br/>
<a id="pl.450.15"></a><var>450.15</var>physician, registered nurse, or physician's assistant is in the patient compartment. If using <br/>
<a id="pl.450.16"></a><var>450.16</var>a physician, registered nurse, or physician's assistant as the sole provider in the patient <br/>
<a id="pl.450.17"></a><var>450.17</var>compartment, the individual must be trained to use the equipment in the ambulance and be <br/>
<a id="pl.450.18"></a><var>450.18</var>knowledgeable of the ambulance service protocols.<br/>
<br/>
<a id="bill.10.23.0"></a><a id="pl.450.19"></a><var>450.19</var>    Sec. 23. Minnesota Statutes 2006, section 144E.35, subdivision 1, is amended to read:<br/>
<a id="pl.450.20"></a><var>450.20</var>    Subdivision 1. <b>Repayment for volunteer training.</b> Any political subdivision, or <br/>
<a id="pl.450.21"></a><var>450.21</var>nonprofit hospital or nonprofit corporation operating A licensed ambulance service shall <br/>
<a id="pl.450.22"></a><var>450.22</var>be reimbursed by the board for the necessary expense of the initial training of a volunteer <br/>
<a id="pl.450.23"></a><var>450.23</var>ambulance attendant upon successful completion by the attendant of a basic emergency <br/>
<a id="pl.450.24"></a><var>450.24</var>care course, or a continuing education course for basic emergency care, or both, which has <br/>
<a id="pl.450.25"></a><var>450.25</var>been approved by the board, pursuant to section 
         <statute_ref>144E.285</statute_ref>. Reimbursement may include <br/>
<a id="pl.450.26"></a><var>450.26</var>tuition, transportation, food, lodging, hourly payment for the time spent in the training <br/>
<a id="pl.450.27"></a><var>450.27</var>course, and other necessary expenditures, except that in no instance shall a volunteer <br/>
<a id="pl.450.28"></a><var>450.28</var>ambulance attendant be reimbursed more than $450 $600 for successful completion of a <br/>
<a id="pl.450.29"></a><var>450.29</var>basic course, and $225 $275 for successful completion of a continuing education course. <br/>
<br/>
<a id="bill.10.24.0"></a><a id="pl.450.30"></a><var>450.30</var>    Sec. 24. <b>[145.958] BISPHENOL-A IN PRODUCTS FOR CHILDREN.</b><br/>
<a id="pl.450.31"></a><var>450.31</var>    Subdivision. 1. <b>Bisphenol-A and phthalates committee.</b> The commissioner of <br/>
<a id="pl.450.32"></a><var>450.32</var>health shall create a committee under the direction of the environmental health division of <br/>
<a id="pl.450.33"></a><var>450.33</var>the Department of Health to study the scientific literature and make recommendations to <br/>
<a id="pl.451.1"></a><var>451.1</var>the legislature on the health impact of bisphenol-A and phthalates on children in products <br/>
<a id="pl.451.2"></a><var>451.2</var>intended for use by young children, including, but not limited to, toys, pacifiers, baby <br/>
<a id="pl.451.3"></a><var>451.3</var>bottles, and teethers, and report back by January 15, 2008. The committee shall also <br/>
<a id="pl.451.4"></a><var>451.4</var>identify least harmful alternatives. Of the seven committee members at least one shall be a <br/>
<a id="pl.451.5"></a><var>451.5</var>representative of the Department of Health, one shall be a representative of environmental <br/>
<a id="pl.451.6"></a><var>451.6</var>health sciences research, one shall be a representative of the Minnesota Nurses <br/>
<a id="pl.451.7"></a><var>451.7</var>Association, one shall be a representative of environmental health consumer advocates, <br/>
<a id="pl.451.8"></a><var>451.8</var>one shall be a member of a children's product manufacturer's association, and one shall be <br/>
<a id="pl.451.9"></a><var>451.9</var>a representative of the University of Minnesota, chemical plastics research department.<br/>
<a id="pl.451.10"></a><var>451.10</var>    Subd. 2. <b>Definitions.</b> For the purposes of this section, the following terms have <br/>
<a id="pl.451.11"></a><var>451.11</var>the meanings given them:<br/>
<a id="pl.451.12"></a><var>451.12</var>    (a) "Toy" means all products designed or intended by the manufacturer to be used by <br/>
<a id="pl.451.13"></a><var>451.13</var>children when they play.<br/>
<a id="pl.451.14"></a><var>451.14</var>    (b) "Child care article" means all products designed or intended by the manufacturer <br/>
<a id="pl.451.15"></a><var>451.15</var>to facilitate sleep, relaxation, or the feeding of children or to help children with sucking or <br/>
<a id="pl.451.16"></a><var>451.16</var>teething.<br/>
<br/>
<a id="bill.10.25.0"></a><a id="pl.451.17"></a><var>451.17</var>    Sec. 25. Minnesota Statutes 2006, section 145A.17, is amended to read:<br/>
<a id="pl.451.18"></a><var>451.18</var><b>145A.17 FAMILY HOME VISITING PROGRAMS.</b><br/>
<a id="pl.451.19"></a><var>451.19</var>    Subdivision 1. <b>Establishment; goals.</b> The commissioner shall establish a program <br/>
<a id="pl.451.20"></a><var>451.20</var>to fund family home visiting programs designed to foster a healthy beginning for children <br/>
<a id="pl.451.21"></a><var>451.21</var>in families at or below 200 percent of the federal poverty guidelines beginnings, improve <br/>
<a id="pl.451.22"></a><var>451.22</var>pregnancy outcomes, promote school readiness, prevent child abuse and neglect, reduce <br/>
<a id="pl.451.23"></a><var>451.23</var>juvenile delinquency, promote positive parenting and resiliency in children, and promote <br/>
<a id="pl.451.24"></a><var>451.24</var>family health and economic self-sufficiency for children and families. The commissioner <br/>
<a id="pl.451.25"></a><var>451.25</var>shall promote partnerships, collaboration, and multidisciplinary visiting done by teams of <br/>
<a id="pl.451.26"></a><var>451.26</var>professionals and paraprofessionals from the fields of public health nursing, social work, <br/>
<a id="pl.451.27"></a><var>451.27</var>and early childhood education. A program funded under this section must serve families <br/>
<a id="pl.451.28"></a><var>451.28</var>at or below 200 percent of the federal poverty guidelines, and other families determined <br/>
<a id="pl.451.29"></a><var>451.29</var>to be at risk, including but not limited to being at risk for child abuse, child neglect, or <br/>
<a id="pl.451.30"></a><var>451.30</var>juvenile delinquency. Programs must give priority for services to families considered to <br/>
<a id="pl.451.31"></a><var>451.31</var>be in need of services, including but not limited to begin prenatally whenever possible and <br/>
<a id="pl.451.32"></a><var>451.32</var>must be targeted to families with:<br/>
<a id="pl.451.33"></a><var>451.33</var>    (1) adolescent parents;<br/>
<a id="pl.451.34"></a><var>451.34</var>    (2) a history of alcohol or other drug abuse;<br/>
<a id="pl.451.35"></a><var>451.35</var>    (3) a history of child abuse, domestic abuse, or other types of violence;<br/>
<a id="pl.452.1"></a><var>452.1</var>    (4) a history of domestic abuse, rape, or other forms of victimization;<br/>
<a id="pl.452.2"></a><var>452.2</var>    (5) reduced cognitive functioning;<br/>
<a id="pl.452.3"></a><var>452.3</var>    (6) a lack of knowledge of child growth and development stages;<br/>
<a id="pl.452.4"></a><var>452.4</var>    (7) low resiliency to adversities and environmental stresses; or<br/>
<a id="pl.452.5"></a><var>452.5</var>    (8) insufficient financial resources to meet family needs;<br/>
<a id="pl.452.6"></a><var>452.6</var>    (9) a history of homelessness;<br/>
<a id="pl.452.7"></a><var>452.7</var>    (10) a risk of long-term welfare dependence or family instability due to employment <br/>
<a id="pl.452.8"></a><var>452.8</var>barriers; or<br/>
<a id="pl.452.9"></a><var>452.9</var>    (11) other risk factors as determined by the commissioner.<br/>
<a id="pl.452.10"></a><var>452.10</var>    Subd. 3. <b>Requirements for programs; process.</b> (a) Before a community health <br/>
<a id="pl.452.11"></a><var>452.11</var>board or tribal government may receive an allocation under subdivision 2, a community <br/>
<a id="pl.452.12"></a><var>452.12</var>health board or tribal government must submit a proposal to the commissioner that <br/>
<a id="pl.452.13"></a><var>452.13</var>includes identification, based on a community assessment, of the populations at or below <br/>
<a id="pl.452.14"></a><var>452.14</var>200 percent of the federal poverty guidelines that will be served and the other populations <br/>
<a id="pl.452.15"></a><var>452.15</var>that will be served. Each program that receives funds must Community health boards <br/>
<a id="pl.452.16"></a><var>452.16</var>and tribal governments that receive funding under this section must submit a plan to <br/>
<a id="pl.452.17"></a><var>452.17</var>the commissioner describing a multidisciplinary approach to targeted home visiting for <br/>
<a id="pl.452.18"></a><var>452.18</var>families. The plan must be submitted on forms provided by the commissioner. At a <br/>
<a id="pl.452.19"></a><var>452.19</var>minimum, the plan must include the following:<br/>
<a id="pl.452.20"></a><var>452.20</var>    (1) a description of outreach strategies to families prenatally or at birth;<br/>
<a id="pl.452.21"></a><var>452.21</var>    (2) provisions for the seamless delivery of health, safety, and early learning services; <br/>
<a id="pl.452.22"></a><var>452.22</var>    (3) methods to promote continuity of services when families move within the state;<br/>
<a id="pl.452.23"></a><var>452.23</var>    (4) a description of the community demographics;<br/>
<a id="pl.452.24"></a><var>452.24</var>    (5) a plan for meeting outcome measures; and<br/>
<a id="pl.452.25"></a><var>452.25</var>    (6) a proposed work plan that includes:<br/>
<a id="pl.452.26"></a><var>452.26</var>    (i) coordination to ensure nonduplication of services for children and families;<br/>
<a id="pl.452.27"></a><var>452.27</var>    (ii) a description of the strategies to ensure that children and families at greatest risk <br/>
<a id="pl.452.28"></a><var>452.28</var>receive appropriate services; and<br/>
<a id="pl.452.29"></a><var>452.29</var>    (iii) collaboration with multidisciplinary partners including public health, <br/>
<a id="pl.452.30"></a><var>452.30</var>ECFE, Head Start, community health workers, social workers, community home <br/>
<a id="pl.452.31"></a><var>452.31</var>visiting programs, school districts, and other relevant partners. Letters of intent from <br/>
<a id="pl.452.32"></a><var>452.32</var>multidisciplinary partners must be submitted with the plan.<br/>
<a id="pl.452.33"></a><var>452.33</var>    (b) Each program that receives funds must accomplish the following program <br/>
<a id="pl.452.34"></a><var>452.34</var>requirements:<br/>
<a id="pl.452.35"></a><var>452.35</var>    (1) use either a broad community-based or selective community-based strategy to <br/>
<a id="pl.452.36"></a><var>452.36</var>provide preventive and early intervention home visiting services;<br/>
<a id="pl.453.1"></a><var>453.1</var>    (2) offer a home visit by a trained home visitor. If a home visit is accepted, the first <br/>
<a id="pl.453.2"></a><var>453.2</var>home visit must occur prenatally or as soon after birth as possible and must include a <br/>
<a id="pl.453.3"></a><var>453.3</var>public health nursing assessment by a public health nurse;<br/>
<a id="pl.453.4"></a><var>453.4</var>    (3) offer, at a minimum, information on infant care, child growth and development, <br/>
<a id="pl.453.5"></a><var>453.5</var>positive parenting, preventing diseases, preventing exposure to environmental hazards, <br/>
<a id="pl.453.6"></a><var>453.6</var>and support services available in the community;<br/>
<a id="pl.453.7"></a><var>453.7</var>    (4) provide information on and referrals to health care services, if needed, including <br/>
<a id="pl.453.8"></a><var>453.8</var>information on and assistance in applying for health care coverage for which the child or <br/>
<a id="pl.453.9"></a><var>453.9</var>family may be eligible; and provide information on preventive services, developmental <br/>
<a id="pl.453.10"></a><var>453.10</var>assessments, and the availability of public assistance programs as appropriate;<br/>
<a id="pl.453.11"></a><var>453.11</var>    (5) provide youth development programs when appropriate;<br/>
<a id="pl.453.12"></a><var>453.12</var>    (6) recruit home visitors who will represent, to the extent possible, the races, <br/>
<a id="pl.453.13"></a><var>453.13</var>cultures, and languages spoken by families that may be served;<br/>
<a id="pl.453.14"></a><var>453.14</var>    (7) train and supervise home visitors in accordance with the requirements established <br/>
<a id="pl.453.15"></a><var>453.15</var>under subdivision 4;<br/>
<a id="pl.453.16"></a><var>453.16</var>    (8) maximize resources and minimize duplication by coordinating activities or <br/>
<a id="pl.453.17"></a><var>453.17</var>contracting with local social and human services organizations, education organizations, <br/>
<a id="pl.453.18"></a><var>453.18</var>and other appropriate governmental entities and community-based organizations and <br/>
<a id="pl.453.19"></a><var>453.19</var>agencies; and<br/>
<a id="pl.453.20"></a><var>453.20</var>    (9) utilize appropriate racial and ethnic approaches to providing home visiting <br/>
<a id="pl.453.21"></a><var>453.21</var>services; and<br/>
<a id="pl.453.22"></a><var>453.22</var>    (10) connect eligible families, as needed, to additional resources available in the <br/>
<a id="pl.453.23"></a><var>453.23</var>community, including, but not limited to, early care and education programs, health or <br/>
<a id="pl.453.24"></a><var>453.24</var>mental health services, family literacy programs, employment agencies, social services, <br/>
<a id="pl.453.25"></a><var>453.25</var>and child care resources and referral agencies.<br/>
<a id="pl.453.26"></a><var>453.26</var>    (c) When available, programs that receive funds under this section must offer or <br/>
<a id="pl.453.27"></a><var>453.27</var>provide the family with a referral to center-based or group meetings that meet at least <br/>
<a id="pl.453.28"></a><var>453.28</var>once per month for those families identified with additional needs. The meetings must <br/>
<a id="pl.453.29"></a><var>453.29</var>focus on further enhancing the information, activities, and skill-building addressed during <br/>
<a id="pl.453.30"></a><var>453.30</var>home visitation; offering opportunities for parents to meet with and support each other; <br/>
<a id="pl.453.31"></a><var>453.31</var>and offering infants and toddlers a safe, nurturing, and stimulating environment for <br/>
<a id="pl.453.32"></a><var>453.32</var>socialization and supervised play with qualified teachers.<br/>
<a id="pl.453.33"></a><var>453.33</var>    (b) (d) Funds available under this section shall not be used for medical services. The <br/>
<a id="pl.453.34"></a><var>453.34</var>commissioner shall establish an administrative cost limit for recipients of funds. The <br/>
<a id="pl.453.35"></a><var>453.35</var>outcome measures established under subdivision 6 must be specified to recipients of <br/>
<a id="pl.453.36"></a><var>453.36</var>funds at the time the funds are distributed.<br/>
<a id="pl.454.1"></a><var>454.1</var>    (c) (e) Data collected on individuals served by the home visiting programs must <br/>
<a id="pl.454.2"></a><var>454.2</var>remain confidential and must not be disclosed by providers of home visiting services <br/>
<a id="pl.454.3"></a><var>454.3</var>without a specific informed written consent that identifies disclosures to be made. <br/>
<a id="pl.454.4"></a><var>454.4</var>Upon request, agencies providing home visiting services must provide recipients with <br/>
<a id="pl.454.5"></a><var>454.5</var>information on disclosures, including the names of entities and individuals receiving the <br/>
<a id="pl.454.6"></a><var>454.6</var>information and the general purpose of the disclosure. Prospective and current recipients <br/>
<a id="pl.454.7"></a><var>454.7</var>of home visiting services must be told and informed in writing that written consent for <br/>
<a id="pl.454.8"></a><var>454.8</var>disclosure of data is not required for access to home visiting services.<br/>
<a id="pl.454.9"></a><var>454.9</var>    Subd. 4. <b>Training.</b> The commissioner shall establish training requirements for <br/>
<a id="pl.454.10"></a><var>454.10</var>home visitors and minimum requirements for supervision by a public health nurse. The <br/>
<a id="pl.454.11"></a><var>454.11</var>requirements for nurses must be consistent with chapter 148. The commissioner must <br/>
<a id="pl.454.12"></a><var>454.12</var>provide training for home visitors. Training must include child development, positive <br/>
<a id="pl.454.13"></a><var>454.13</var>parenting techniques, screening and referrals for child abuse and neglect, and diverse <br/>
<a id="pl.454.14"></a><var>454.14</var>cultural practices in child rearing and family systems the following:<br/>
<a id="pl.454.15"></a><var>454.15</var>    (1) effective relationships for engaging and retaining families and ensuring family <br/>
<a id="pl.454.16"></a><var>454.16</var>health, safety, and early learning;<br/>
<a id="pl.454.17"></a><var>454.17</var>    (2) effective methods of implementing parent education, conducting home visiting, <br/>
<a id="pl.454.18"></a><var>454.18</var>and promoting quality early childhood development;<br/>
<a id="pl.454.19"></a><var>454.19</var>    (3) early childhood development from birth to age five;<br/>
<a id="pl.454.20"></a><var>454.20</var>    (4) diverse cultural practices in child rearing and family systems;<br/>
<a id="pl.454.21"></a><var>454.21</var>    (5) recruiting, supervising, and retaining qualified staff;<br/>
<a id="pl.454.22"></a><var>454.22</var>    (6) increasing services for underserved populations; and <br/>
<a id="pl.454.23"></a><var>454.23</var>    (7) relevant issues related to child welfare and protective services, with information <br/>
<a id="pl.454.24"></a><var>454.24</var>provided being consistent with state child welfare agency training.<br/>
<a id="pl.454.25"></a><var>454.25</var>    Subd. 5. <b>Technical assistance.</b> The commissioner shall provide administrative <br/>
<a id="pl.454.26"></a><var>454.26</var>and technical assistance to each program, including assistance in data collection and <br/>
<a id="pl.454.27"></a><var>454.27</var>other activities related to conducting short- and long-term evaluations of the programs <br/>
<a id="pl.454.28"></a><var>454.28</var>as required under subdivision 7. The commissioner may request research and evaluation <br/>
<a id="pl.454.29"></a><var>454.29</var>support from the University of Minnesota.<br/>
<a id="pl.454.30"></a><var>454.30</var>    Subd. 6. <b>Outcome </b><b>and performance </b><b>measures.</b> The commissioner shall establish <br/>
<a id="pl.454.31"></a><var>454.31</var>outcomes measures to determine the impact of family home visiting programs funded <br/>
<a id="pl.454.32"></a><var>454.32</var>under this section on the following areas:<br/>
<a id="pl.454.33"></a><var>454.33</var>    (1) appropriate utilization of preventive health care;<br/>
<a id="pl.454.34"></a><var>454.34</var>    (2) rates of substantiated child abuse and neglect;<br/>
<a id="pl.454.35"></a><var>454.35</var>    (3) rates of unintentional child injuries;<br/>
<a id="pl.454.36"></a><var>454.36</var>    (4) rates of children who are screened and who pass early childhood screening; and<br/>
<a id="pl.455.1"></a><var>455.1</var>    (5) rates of children accessing early care and educational services;<br/>
<a id="pl.455.2"></a><var>455.2</var>    (6) program retention rates;<br/>
<a id="pl.455.3"></a><var>455.3</var>    (7) number of home visits provided compared to the number of home visits planned;<br/>
<a id="pl.455.4"></a><var>455.4</var>    (8) participant satisfaction;<br/>
<a id="pl.455.5"></a><var>455.5</var>    (9) rates of at-risk populations reached; and<br/>
<a id="pl.455.6"></a><var>455.6</var>    (10) any additional qualitative goals and quantitative measures established by the <br/>
<a id="pl.455.7"></a><var>455.7</var>commissioner.<br/>
<a id="pl.455.8"></a><var>455.8</var>    Subd. 7. <b>Evaluation.</b> Using the qualitative goals and quantitative outcome and <br/>
<a id="pl.455.9"></a><var>455.9</var>performance measures established under subdivisions 1 and 6, the commissioner shall <br/>
<a id="pl.455.10"></a><var>455.10</var>conduct ongoing evaluations of the programs funded under this section. Community <br/>
<a id="pl.455.11"></a><var>455.11</var>health boards and tribal governments shall cooperate with the commissioner in the <br/>
<a id="pl.455.12"></a><var>455.12</var>evaluations and shall provide the commissioner with the information necessary to conduct <br/>
<a id="pl.455.13"></a><var>455.13</var>the evaluations. As part of the ongoing evaluations, the commissioner shall rate the impact <br/>
<a id="pl.455.14"></a><var>455.14</var>of the programs on the outcome measures listed in subdivision 6, and shall periodically <br/>
<a id="pl.455.15"></a><var>455.15</var>determine whether home visiting programs are the best way to achieve the qualitative <br/>
<a id="pl.455.16"></a><var>455.16</var>goals established under subdivisions 1 and 6. If the commissioner determines that home <br/>
<a id="pl.455.17"></a><var>455.17</var>visiting programs are not the best way to achieve these goals, the commissioner shall <br/>
<a id="pl.455.18"></a><var>455.18</var>provide the legislature with alternative methods for achieving them.<br/>
<a id="pl.455.19"></a><var>455.19</var>    Subd. 8. <b>Report.</b> By January 15, 2002, and January 15 of each even-numbered <br/>
<a id="pl.455.20"></a><var>455.20</var>year thereafter, the commissioner shall submit a report to the legislature on the family <br/>
<a id="pl.455.21"></a><var>455.21</var>home visiting programs funded under this section and on the results of the evaluations <br/>
<a id="pl.455.22"></a><var>455.22</var>conducted under subdivision 7.<br/>
<a id="pl.455.23"></a><var>455.23</var>    Subd. 9. <b>No supplanting of existing funds.</b> Funding available under this section <br/>
<a id="pl.455.24"></a><var>455.24</var>may be used only to supplement, not to replace, nonstate funds being used for home <br/>
<a id="pl.455.25"></a><var>455.25</var>visiting services as of July 1, 2001.<br/>
<br/>
<a id="bill.10.26.0"></a><a id="pl.455.26"></a><var>455.26</var>    Sec. 26. Minnesota Statutes 2006, section 156.001, is amended by adding a subdivision <br/>
<a id="pl.455.27"></a><var>455.27</var>to read:<br/>
<a id="pl.455.28"></a><var>455.28</var>    Subd. 10a. <b>Program for the Assessment of Veterinary Education Equivalence; </b><br/>
<a id="pl.455.29"></a><var>455.29</var><b>PAVE certificate.</b> A "Program for the Assessment of Veterinary Education Equivalence" <br/>
<a id="pl.455.30"></a><var>455.30</var>or "PAVE" certificate is issued by the American Association of Veterinary State Boards, <br/>
<a id="pl.455.31"></a><var>455.31</var>indicating that the holder has demonstrated knowledge and skill equivalent to that <br/>
<a id="pl.455.32"></a><var>455.32</var>possessed by a graduate of an accredited or approved college of veterinary medicine.<br/>
<br/>
<a id="bill.10.27.0"></a><a id="pl.455.33"></a><var>455.33</var>    Sec. 27. <b>[156.015] FEES.</b><br/>
<a id="pl.456.1"></a><var>456.1</var>    Subdivision 1. <b>Verification of licensure.</b> The board may charge a fee of $25 per <br/>
<a id="pl.456.2"></a><var>456.2</var>license verification to a licensee for verification of licensure status provided to other <br/>
<a id="pl.456.3"></a><var>456.3</var>veterinary licensing boards.<br/>
<a id="pl.456.4"></a><var>456.4</var>    Subd. 2. <b>Continuing education review.</b> The board may charge a fee of $50 per <br/>
<a id="pl.456.5"></a><var>456.5</var>submission to a sponsor for review and approval of individual continuing education <br/>
<a id="pl.456.6"></a><var>456.6</var>seminars, courses, wet labs, and lectures. This fee does not apply to continuing education <br/>
<a id="pl.456.7"></a><var>456.7</var>sponsors that already meet the criteria for preapproval under Minnesota Rules, part <br/>
<a id="pl.456.8"></a><var>456.8</var>9100.1000, subpart 3, item A.<br/>
<br/>
<a id="bill.10.28.0"></a><a id="pl.456.9"></a><var>456.9</var>    Sec. 28. Minnesota Statutes 2006, section 156.02, subdivision 1, is amended to read:<br/>
<a id="pl.456.10"></a><var>456.10</var>    Subdivision 1. <b>License application.</b> Application for a license to practice veterinary <br/>
<a id="pl.456.11"></a><var>456.11</var>medicine in this state shall be made in writing to the Board of Veterinary Medicine upon a <br/>
<a id="pl.456.12"></a><var>456.12</var>form furnished by the board, accompanied by satisfactory evidence that the applicant is at <br/>
<a id="pl.456.13"></a><var>456.13</var>least 18 years of age, is of good moral character, and has one of the following:<br/>
<a id="pl.456.14"></a><var>456.14</var>    (1) a diploma conferring the degree of doctor of veterinary medicine, or an <br/>
<a id="pl.456.15"></a><var>456.15</var>equivalent degree, from an accredited or approved college of veterinary medicine;<br/>
<a id="pl.456.16"></a><var>456.16</var>    (2) an ECFVG or PAVE certificate; or<br/>
<a id="pl.456.17"></a><var>456.17</var>    (3) a certificate from the dean of an accredited or approved college of veterinary <br/>
<a id="pl.456.18"></a><var>456.18</var>medicine stating that the applicant is a student in good standing expecting to be graduated <br/>
<a id="pl.456.19"></a><var>456.19</var>at the completion of the current academic year of the college in which the applicant is <br/>
<a id="pl.456.20"></a><var>456.20</var>enrolled.<br/>
<a id="pl.456.21"></a><var>456.21</var>    The application shall contain the information and material required by subdivision <br/>
<a id="pl.456.22"></a><var>456.22</var>2 and any other information that the board may, in its sound judgment, require. The <br/>
<a id="pl.456.23"></a><var>456.23</var>application shall be filed with the board at least 60 days before the date of the examination. <br/>
<a id="pl.456.24"></a><var>456.24</var>If the board deems it advisable, it may require that such application be verified by the <br/>
<a id="pl.456.25"></a><var>456.25</var>oath of the applicant.<br/>
<br/>
<a id="bill.10.29.0"></a><a id="pl.456.26"></a><var>456.26</var>    Sec. 29. Minnesota Statutes 2006, section 156.02, subdivision 2, is amended to read:<br/>
<a id="pl.456.27"></a><var>456.27</var>    Subd. 2. <b>Required with application.</b> Every application shall contain the following <br/>
<a id="pl.456.28"></a><var>456.28</var>information and material:<br/>
<a id="pl.456.29"></a><var>456.29</var>    (1) the application fee set by the board in the form of a check or money order payable <br/>
<a id="pl.456.30"></a><var>456.30</var>to the board, which fee is not returnable in the event permission to take the examination <br/>
<a id="pl.456.31"></a><var>456.31</var>is denied for good cause;<br/>
<a id="pl.456.32"></a><var>456.32</var>    (2) a copy of a diploma from an accredited or approved college of veterinary <br/>
<a id="pl.456.33"></a><var>456.33</var>medicine or a certificate from the dean or secretary of an accredited or approved college of <br/>
<a id="pl.456.34"></a><var>456.34</var>veterinary medicine showing the time spent in the school and the date when the applicant <br/>
<a id="pl.457.1"></a><var>457.1</var>was duly and regularly graduated or will duly and regularly graduate or verification of <br/>
<a id="pl.457.2"></a><var>457.2</var>ECFVG or PAVE certification;<br/>
<a id="pl.457.3"></a><var>457.3</var>    (3) affidavits of at least two veterinarians and three adults who are not related to <br/>
<a id="pl.457.4"></a><var>457.4</var>the applicant setting forth how long a time, when, and under what circumstances they <br/>
<a id="pl.457.5"></a><var>457.5</var>have known the applicant, and any other facts as may be proper to enable the board to <br/>
<a id="pl.457.6"></a><var>457.6</var>determine the qualifications of the applicant; and<br/>
<a id="pl.457.7"></a><var>457.7</var>    (4) if the applicant has served in the armed forces, a copy of discharge papers.<br/>
<br/>
<a id="bill.10.30.0"></a><a id="pl.457.8"></a><var>457.8</var>    Sec. 30. Minnesota Statutes 2006, section 156.04, is amended to read:<br/>
<a id="pl.457.9"></a><var>457.9</var><b>156.04 BOARD TO ISSUE LICENSE.</b><br/>
<a id="pl.457.10"></a><var>457.10</var>    The Board of Veterinary Medicine shall issue to every applicant who has successfully <br/>
<a id="pl.457.11"></a><var>457.11</var>passed the required examination, who has received a diploma conferring the degree of <br/>
<a id="pl.457.12"></a><var>457.12</var>doctor of veterinary medicine or an equivalent degree from an accredited or approved <br/>
<a id="pl.457.13"></a><var>457.13</var>college of veterinary medicine or an ECFVG or PAVE certificate, and who shall have been <br/>
<a id="pl.457.14"></a><var>457.14</var>adjudged to be duly qualified to practice veterinary medicine, a license to practice.<br/>
<br/>
<a id="bill.10.31.0"></a><a id="pl.457.15"></a><var>457.15</var>    Sec. 31. Minnesota Statutes 2006, section 156.072, subdivision 2, is amended to read:<br/>
<a id="pl.457.16"></a><var>457.16</var>    Subd. 2. <b>Required with application.</b> Such doctor of veterinary medicine shall <br/>
<a id="pl.457.17"></a><var>457.17</var>accompany the application by the following:<br/>
<a id="pl.457.18"></a><var>457.18</var>    (1) a copy of a diploma from an accredited or approved college of veterinary <br/>
<a id="pl.457.19"></a><var>457.19</var>medicine or certification from the dean, registrar, or secretary of an accredited or approved <br/>
<a id="pl.457.20"></a><var>457.20</var>college of veterinary medicine attesting to the applicant's graduation from an accredited <br/>
<a id="pl.457.21"></a><var>457.21</var>or approved college of veterinary medicine, or a certificate of satisfactory completion of <br/>
<a id="pl.457.22"></a><var>457.22</var>the ECFVG or PAVE program.<br/>
<a id="pl.457.23"></a><var>457.23</var>    (2) affidavits of two licensed practicing doctors of veterinary medicine residing in <br/>
<a id="pl.457.24"></a><var>457.24</var>the United States or Canadian licensing jurisdiction in which the applicant is currently <br/>
<a id="pl.457.25"></a><var>457.25</var>practicing, attesting that they are well acquainted with the applicant, that the applicant is a <br/>
<a id="pl.457.26"></a><var>457.26</var>person of good moral character, and has been actively engaged in practicing or teaching in <br/>
<a id="pl.457.27"></a><var>457.27</var>such jurisdiction for the period above prescribed;<br/>
<a id="pl.457.28"></a><var>457.28</var>    (3) a certificate from the regulatory agency having jurisdiction over the conduct of <br/>
<a id="pl.457.29"></a><var>457.29</var>practice of veterinary medicine that such applicant is in good standing and is not the <br/>
<a id="pl.457.30"></a><var>457.30</var>subject of disciplinary action or pending disciplinary action;<br/>
<a id="pl.457.31"></a><var>457.31</var>    (4) a certificate from all other jurisdictions in which the applicant holds a currently <br/>
<a id="pl.457.32"></a><var>457.32</var>active license or held a license within the past ten years, stating that the applicant is and <br/>
<a id="pl.457.33"></a><var>457.33</var>was in good standing and has not been subject to disciplinary action;<br/>
<a id="pl.458.1"></a><var>458.1</var>    (5) in lieu of clauses (3) and (4), certification from the Veterinary Information <br/>
<a id="pl.458.2"></a><var>458.2</var>Verification Agency that the applicant's licensure is in good standing;<br/>
<a id="pl.458.3"></a><var>458.3</var>    (6) a fee as set by the board in form of check or money order payable to the board, <br/>
<a id="pl.458.4"></a><var>458.4</var>no part of which shall be refunded should the application be denied;<br/>
<a id="pl.458.5"></a><var>458.5</var>    (7) score reports on previously taken national examinations in veterinary medicine, <br/>
<a id="pl.458.6"></a><var>458.6</var>certified by the Veterinary Information Verification Agency; and<br/>
<a id="pl.458.7"></a><var>458.7</var>    (8) if requesting waiver of examination, provide evidence of meeting licensure <br/>
<a id="pl.458.8"></a><var>458.8</var>requirements in the state of the applicant's original licensure that were substantially equal <br/>
<a id="pl.458.9"></a><var>458.9</var>to the requirements for licensure in Minnesota in existence at that time.<br/>
<br/>
<a id="bill.10.32.0"></a><a id="pl.458.10"></a><var>458.10</var>    Sec. 32. Minnesota Statutes 2006, section 156.073, is amended to read:<br/>
<a id="pl.458.11"></a><var>458.11</var><b>156.073 TEMPORARY PERMIT.</b><br/>
<a id="pl.458.12"></a><var>458.12</var>    The board may issue without examination a temporary permit to practice veterinary <br/>
<a id="pl.458.13"></a><var>458.13</var>medicine in this state to a person who has submitted an application approved by the <br/>
<a id="pl.458.14"></a><var>458.14</var>board for license pending examination, and holds a doctor of veterinary medicine degree <br/>
<a id="pl.458.15"></a><var>458.15</var>or an equivalent degree from an approved or accredited college of veterinary medicine <br/>
<a id="pl.458.16"></a><var>458.16</var>or an ECFVG or PAVE certification. The temporary permit shall expire the day after <br/>
<a id="pl.458.17"></a><var>458.17</var>publication of the notice of results of the first examination given after the permit is <br/>
<a id="pl.458.18"></a><var>458.18</var>issued. No temporary permit may be issued to any applicant who has previously failed <br/>
<a id="pl.458.19"></a><var>458.19</var>the national examination and is currently not licensed in any licensing jurisdiction of the <br/>
<a id="pl.458.20"></a><var>458.20</var>United States or Canada or to any person whose license has been revoked or suspended <br/>
<a id="pl.458.21"></a><var>458.21</var>or who is currently subject to a disciplinary order in any licensing jurisdiction of the <br/>
<a id="pl.458.22"></a><var>458.22</var>United States or Canada.<br/>
<br/>
<a id="bill.10.33.0"></a><a id="pl.458.23"></a><var>458.23</var>    Sec. 33. Minnesota Statutes 2006, section 156.12, subdivision 2, is amended to read:<br/>
<a id="pl.458.24"></a><var>458.24</var>    Subd. 2. <b>Authorized activities.</b> No provision of this chapter shall be construed to <br/>
<a id="pl.458.25"></a><var>458.25</var>prohibit:<br/>
<a id="pl.458.26"></a><var>458.26</var>    (a) a person from rendering necessary gratuitous assistance in the treatment of any <br/>
<a id="pl.458.27"></a><var>458.27</var>animal when the assistance does not amount to prescribing, testing for, or diagnosing, <br/>
<a id="pl.458.28"></a><var>458.28</var>operating, or vaccinating and when the attendance of a licensed veterinarian cannot be <br/>
<a id="pl.458.29"></a><var>458.29</var>procured;<br/>
<a id="pl.458.30"></a><var>458.30</var>    (b) a person who is a regular student in an accredited or approved college of <br/>
<a id="pl.458.31"></a><var>458.31</var>veterinary medicine from performing duties or actions assigned by instructors or <br/>
<a id="pl.458.32"></a><var>458.32</var>preceptors or working under the direct supervision of a licensed veterinarian;<br/>
<a id="pl.458.33"></a><var>458.33</var>    (c) a veterinarian regularly licensed in another jurisdiction from consulting with a <br/>
<a id="pl.458.34"></a><var>458.34</var>licensed veterinarian in this state;<br/>
<a id="pl.459.1"></a><var>459.1</var>    (d) the owner of an animal and the owner's regular employee from caring for and <br/>
<a id="pl.459.2"></a><var>459.2</var>administering to the animal belonging to the owner, except where the ownership of the <br/>
<a id="pl.459.3"></a><var>459.3</var>animal was transferred for purposes of circumventing this chapter;<br/>
<a id="pl.459.4"></a><var>459.4</var>    (e) veterinarians who are in compliance with subdivision 6 and who are employed by <br/>
<a id="pl.459.5"></a><var>459.5</var>the University of Minnesota from performing their duties with the College of Veterinary <br/>
<a id="pl.459.6"></a><var>459.6</var>Medicine, College of Agriculture, Agricultural Experiment Station, Agricultural Extension <br/>
<a id="pl.459.7"></a><var>459.7</var>Service, Medical School, School of Public Health, or other unit within the university; or <br/>
<a id="pl.459.8"></a><var>459.8</var>a person from lecturing or giving instructions or demonstrations at the university or in <br/>
<a id="pl.459.9"></a><var>459.9</var>connection with a continuing education course or seminar to veterinarians or pathologists <br/>
<a id="pl.459.10"></a><var>459.10</var>at the University of Minnesota Veterinary Diagnostic Laboratory;<br/>
<a id="pl.459.11"></a><var>459.11</var>    (f) any person from selling or applying any pesticide, insecticide or herbicide;<br/>
<a id="pl.459.12"></a><var>459.12</var>    (g) any person from engaging in bona fide scientific research or investigations which <br/>
<a id="pl.459.13"></a><var>459.13</var>reasonably requires experimentation involving animals;<br/>
<a id="pl.459.14"></a><var>459.14</var>    (h) any employee of a licensed veterinarian from performing duties other than <br/>
<a id="pl.459.15"></a><var>459.15</var>diagnosis, prescription or surgical correction under the direction and supervision of the <br/>
<a id="pl.459.16"></a><var>459.16</var>veterinarian, who shall be responsible for the performance of the employee;<br/>
<a id="pl.459.17"></a><var>459.17</var>    (i) a graduate of a foreign college of veterinary medicine from working under the <br/>
<a id="pl.459.18"></a><var>459.18</var>direct personal instruction, control, or supervision of a veterinarian faculty member of <br/>
<a id="pl.459.19"></a><var>459.19</var>the College of Veterinary Medicine, University of Minnesota in order to complete the <br/>
<a id="pl.459.20"></a><var>459.20</var>requirements necessary to obtain an ECFVG or PAVE certificate.<br/>
<br/>
<a id="bill.10.34.0"></a><a id="pl.459.21"></a><var>459.21</var>    Sec. 34. Minnesota Statutes 2006, section 156.12, subdivision 4, is amended to read:<br/>
<a id="pl.459.22"></a><var>459.22</var>    Subd. 4. <b>Titles.</b> It is unlawful for a person who has not received a professional <br/>
<a id="pl.459.23"></a><var>459.23</var>degree from an accredited or approved college of veterinary medicine, or ECFVG or PAVE <br/>
<a id="pl.459.24"></a><var>459.24</var>certification, to use any of the following titles or designations: Veterinary, veterinarian, <br/>
<a id="pl.459.25"></a><var>459.25</var>animal doctor, animal surgeon, animal dentist, animal chiropractor, animal acupuncturist, <br/>
<a id="pl.459.26"></a><var>459.26</var>or any other title, designation, word, letter, abbreviation, sign, card, or device tending to <br/>
<a id="pl.459.27"></a><var>459.27</var>indicate that the person is qualified to practice veterinary medicine.<br/>
<br/>
<a id="bill.10.35.0"></a><a id="pl.459.28"></a><var>459.28</var>    Sec. 35. Minnesota Statutes 2006, section 156.12, subdivision 6, is amended to read:<br/>
<a id="pl.459.29"></a><var>459.29</var>    Subd. 6. <b>Faculty licensure.</b> (a) Veterinary Medical Center clinicians at the College <br/>
<a id="pl.459.30"></a><var>459.30</var>of Veterinary Medicine, University of Minnesota, who are engaged in the practice of <br/>
<a id="pl.459.31"></a><var>459.31</var>veterinary medicine as defined in subdivision 1 and who treat animals owned by clients of <br/>
<a id="pl.459.32"></a><var>459.32</var>the Veterinary Medical Center must possess the same license required by other veterinary <br/>
<a id="pl.459.33"></a><var>459.33</var>practitioners in the state of Minnesota except for persons covered by paragraphs (b) and (c).<br/>
<a id="pl.460.1"></a><var>460.1</var>    (b) A specialty practitioner in a hard-to-fill faculty position who has been employed <br/>
<a id="pl.460.2"></a><var>460.2</var>at the College of Veterinary Medicine, University of Minnesota, for five years or <br/>
<a id="pl.460.3"></a><var>460.3</var>more prior to 2003 or is specialty board certified by the American Veterinary Medical <br/>
<a id="pl.460.4"></a><var>460.4</var>Association or the European Board of Veterinary Specialization may be granted a specialty <br/>
<a id="pl.460.5"></a><var>460.5</var>faculty Veterinary Medical Center clinician license which will allow the licensee to <br/>
<a id="pl.460.6"></a><var>460.6</var>practice veterinary medicine in the state of Minnesota in the specialty area of the licensee's <br/>
<a id="pl.460.7"></a><var>460.7</var>training and only within the scope of employment at the Veterinary Medical Center.<br/>
<a id="pl.460.8"></a><var>460.8</var>    (c) A specialty practitioner in a hard-to-fill faculty position at the College of <br/>
<a id="pl.460.9"></a><var>460.9</var>Veterinary Medicine, University of Minnesota, who has graduated from a board-approved <br/>
<a id="pl.460.10"></a><var>460.10</var>foreign veterinary school may be granted a temporary faculty Veterinary Medical Center <br/>
<a id="pl.460.11"></a><var>460.11</var>clinician license. The temporary faculty Veterinary Medical Center clinician license <br/>
<a id="pl.460.12"></a><var>460.12</var>expires in two years and allows the licensee to practice veterinary medicine as defined <br/>
<a id="pl.460.13"></a><var>460.13</var>in subdivision 1 and treat animals owned by clients of the Veterinary Medical Center. <br/>
<a id="pl.460.14"></a><var>460.14</var>The temporary faculty Veterinary Medical Center clinician license allows the licensee to <br/>
<a id="pl.460.15"></a><var>460.15</var>practice veterinary medicine in the state of Minnesota in the specialty area of the licensee's <br/>
<a id="pl.460.16"></a><var>460.16</var>training and only within the scope of employment at the Veterinary Medical Center while <br/>
<a id="pl.460.17"></a><var>460.17</var>under the direct supervision of a veterinarian currently licensed and actively practicing <br/>
<a id="pl.460.18"></a><var>460.18</var>veterinary medicine in Minnesota, as defined in section 156.04. The direct supervising <br/>
<a id="pl.460.19"></a><var>460.19</var>veterinarian shall not have any current or past conditions, restrictions, or probationary <br/>
<a id="pl.460.20"></a><var>460.20</var>status imposed on the veterinarian's license by the board within the past five years. The <br/>
<a id="pl.460.21"></a><var>460.21</var>holder of a temporary faculty Veterinary Medical Center clinician license who is enrolled <br/>
<a id="pl.460.22"></a><var>460.22</var>in a PhD program may apply for up to two additional consecutive two-year extensions <br/>
<a id="pl.460.23"></a><var>460.23</var>of an expiring temporary faculty Veterinary Medical Center clinician license. Any other <br/>
<a id="pl.460.24"></a><var>460.24</var>holder of a temporary faculty Veterinary Medical Center clinician license may apply for <br/>
<a id="pl.460.25"></a><var>460.25</var>one two-year extension of the expiring temporary faculty Veterinary Medical Center <br/>
<a id="pl.460.26"></a><var>460.26</var>clinician license. Temporary faculty Veterinary Medical Center clinician licenses that are <br/>
<a id="pl.460.27"></a><var>460.27</var>allowed to expire may not be renewed. The board shall grant an extension to a licensee <br/>
<a id="pl.460.28"></a><var>460.28</var>who demonstrates suitable progress toward completing the requirements of their academic <br/>
<a id="pl.460.29"></a><var>460.29</var>program, specialty board certification, or full licensure in Minnesota by a graduate of a <br/>
<a id="pl.460.30"></a><var>460.30</var>foreign veterinary college.<br/>
<a id="pl.460.31"></a><var>460.31</var>    (d) Temporary and specialty faculty Veterinary Medical Center clinician licensees <br/>
<a id="pl.460.32"></a><var>460.32</var>must abide by all the laws governing the practice of veterinary medicine in the state <br/>
<a id="pl.460.33"></a><var>460.33</var>of Minnesota and are subject to the same disciplinary action as any other veterinarian <br/>
<a id="pl.460.34"></a><var>460.34</var>licensed in the state of Minnesota.<br/>
<a id="pl.461.1"></a><var>461.1</var>    (e) The fee for a license issued under this subdivision is the same as for a regular <br/>
<a id="pl.461.2"></a><var>461.2</var>license to practice veterinary medicine in Minnesota. License payment deadlines, late <br/>
<a id="pl.461.3"></a><var>461.3</var>payment fees, and other license requirements are also the same as for regular licenses.<br/>
<br/>
<a id="bill.10.36.0"></a><a id="pl.461.4"></a><var>461.4</var>    Sec. 36. Minnesota Statutes 2006, section 156.15, subdivision 2, is amended to read:<br/>
<a id="pl.461.5"></a><var>461.5</var>    Subd. 2. <b>Service.</b> Service of an order under this section is effective if the order is <br/>
<a id="pl.461.6"></a><var>461.6</var>served on the person or counsel of record personally or by certified United States mail to <br/>
<a id="pl.461.7"></a><var>461.7</var>the most recent address provided to the board for the person or counsel of record.<br/>
<br/>
<a id="bill.10.37.0"></a><a id="pl.461.8"></a><var>461.8</var>    Sec. 37. Minnesota Statutes 2006, section 156.16, subdivision 3, is amended to read:<br/>
<a id="pl.461.9"></a><var>461.9</var>    Subd. 3. <b>Dispensing.</b> "Dispensing" means distribution of veterinary prescription <br/>
<a id="pl.461.10"></a><var>461.10</var>drugs or over-the-counter drugs for extra-label use or human drugs for extra-label use by a <br/>
<a id="pl.461.11"></a><var>461.11</var>person licensed as a pharmacist by the Board of Pharmacy or a person licensed by the <br/>
<a id="pl.461.12"></a><var>461.12</var>Board of Veterinary Medicine.<br/>
<br/>
<a id="bill.10.38.0"></a><a id="pl.461.13"></a><var>461.13</var>    Sec. 38. Minnesota Statutes 2006, section 156.16, subdivision 10, is amended to read:<br/>
<a id="pl.461.14"></a><var>461.14</var>    Subd. 10. <b>Prescription.</b> "Prescription" means an order from a veterinarian to a <br/>
<a id="pl.461.15"></a><var>461.15</var>pharmacist or another veterinarian authorizing the dispensing of a veterinary prescription <br/>
<a id="pl.461.16"></a><var>461.16</var>drug drugs, human drugs for extra-label use, or over-the-counter drugs for extra-label use <br/>
<a id="pl.461.17"></a><var>461.17</var>to a client for use on or in a patient.<br/>
<br/>
<a id="bill.10.39.0"></a><a id="pl.461.18"></a><var>461.18</var>    Sec. 39. Minnesota Statutes 2006, section 156.18, subdivision 1, is amended to read:<br/>
<a id="pl.461.19"></a><var>461.19</var>    Subdivision 1. <b>Prescription.</b> (a) A person may not dispense a veterinary <br/>
<a id="pl.461.20"></a><var>461.20</var>prescription drug to a client without a prescription or other veterinary authorization. A <br/>
<a id="pl.461.21"></a><var>461.21</var>person may not make extra-label use of an animal or human drug for an animal without a <br/>
<a id="pl.461.22"></a><var>461.22</var>prescription from a veterinarian. A veterinarian or the veterinarian's authorized employee <br/>
<a id="pl.461.23"></a><var>461.23</var>may dispense a veterinary prescription drug to drugs, human drugs for extra-label use, or <br/>
<a id="pl.461.24"></a><var>461.24</var>an over-the-counter drug for extra-label use by a client or oversee the extra-label use of <br/>
<a id="pl.461.25"></a><var>461.25</var>a veterinary drug directly by a client without a separate written prescription, providing <br/>
<a id="pl.461.26"></a><var>461.26</var>there is documentation of the prescription in the medical record and there is an existing <br/>
<a id="pl.461.27"></a><var>461.27</var>veterinarian-client-patient relationship. The prescribing veterinarian must monitor the use <br/>
<a id="pl.461.28"></a><var>461.28</var>of veterinary prescription drugs, human drugs for extra-label use, or over-the-counter <br/>
<a id="pl.461.29"></a><var>461.29</var>drugs for extra-label use by a client.<br/>
<a id="pl.461.30"></a><var>461.30</var>    (b) A veterinarian may dispense prescription veterinary drugs and prescribe and <br/>
<a id="pl.461.31"></a><var>461.31</var>dispense extra-label use drugs to a client without personally examining the animal if <br/>
<a id="pl.462.1"></a><var>462.1</var>a bona fide veterinarian-client-patient relationship exists and in the judgment of the <br/>
<a id="pl.462.2"></a><var>462.2</var>veterinarian the client has sufficient knowledge to use the drugs properly.<br/>
<a id="pl.462.3"></a><var>462.3</var>    (c) A veterinarian may issue a prescription or other veterinary authorization by oral or <br/>
<a id="pl.462.4"></a><var>462.4</var>written communication to the dispenser, or by computer connection. If the communication <br/>
<a id="pl.462.5"></a><var>462.5</var>is oral, the veterinarian must enter it into the patient's record. The dispenser must record <br/>
<a id="pl.462.6"></a><var>462.6</var>the veterinarian's prescription or other veterinary authorization within 72 hours.<br/>
<a id="pl.462.7"></a><var>462.7</var>    (d) A prescription or other veterinary authorization must include:<br/>
<a id="pl.462.8"></a><var>462.8</var>    (1) the name, address, and, if written, the signature of the prescriber;<br/>
<a id="pl.462.9"></a><var>462.9</var>    (2) the name and address of the client;<br/>
<a id="pl.462.10"></a><var>462.10</var>    (3) identification of the species for which the drug is prescribed or ordered;<br/>
<a id="pl.462.11"></a><var>462.11</var>    (4) the name, strength, and quantity of the drug;<br/>
<a id="pl.462.12"></a><var>462.12</var>    (5) the date of issue;<br/>
<a id="pl.462.13"></a><var>462.13</var>    (6) directions for use; and<br/>
<a id="pl.462.14"></a><var>462.14</var>    (7) withdrawal time., if applicable; and<br/>
<a id="pl.462.15"></a><var>462.15</var>    (8) number of authorized refills.<br/>
<a id="pl.462.16"></a><var>462.16</var>    (e) A veterinarian may, in the course of professional practice and an existing <br/>
<a id="pl.462.17"></a><var>462.17</var>veterinarian-client-patient relationship, prepare medicaments that combine drugs approved <br/>
<a id="pl.462.18"></a><var>462.18</var>by the United States Food and Drug Administration and other legally obtained ingredients <br/>
<a id="pl.462.19"></a><var>462.19</var>with appropriate vehicles.<br/>
<a id="pl.462.20"></a><var>462.20</var>    (f) A veterinarian or a bona fide employee of a veterinarian may dispense veterinary <br/>
<a id="pl.462.21"></a><var>462.21</var>prescription drugs to a person on the basis of a prescription issued by a licensed <br/>
<a id="pl.462.22"></a><var>462.22</var>veterinarian. The provisions of paragraphs (c) and (d) apply.<br/>
<a id="pl.462.23"></a><var>462.23</var>    (g) This section does not limit the authority of the Minnesota Racing Commission to <br/>
<a id="pl.462.24"></a><var>462.24</var>regulate veterinarians providing services at a licensed racetrack.<br/>
<br/>
<a id="bill.10.40.0"></a><a id="pl.462.25"></a><var>462.25</var>    Sec. 40. Minnesota Statutes 2006, section 156.18, subdivision 2, is amended to read:<br/>
<a id="pl.462.26"></a><var>462.26</var>    Subd. 2. <b>Label of dispensed veterinary drugs.</b> (a) A veterinarian or the <br/>
<a id="pl.462.27"></a><var>462.27</var>veterinarian's authorized agent or employee dispensing a veterinary prescription drug <br/>
<a id="pl.462.28"></a><var>462.28</var>or prescribing the extra-label use of an over-the-counter drug, an over-the-counter drug <br/>
<a id="pl.462.29"></a><var>462.29</var>for extra-label use, or a human drug for extra-label use must provide written information <br/>
<a id="pl.462.30"></a><var>462.30</var>which includes the name and address of the veterinarian, date of filling, species of patient, <br/>
<a id="pl.462.31"></a><var>462.31</var>name or names of drug, strength of drug or drugs, directions for use, withdrawal time, <br/>
<a id="pl.462.32"></a><var>462.32</var>and cautionary statements, if any, appropriate for the drug.<br/>
<a id="pl.462.33"></a><var>462.33</var>    (b) If the veterinary drug has been prepared, mixed, formulated, or packaged by the <br/>
<a id="pl.462.34"></a><var>462.34</var>dispenser, all of the information required in paragraph (a) must be provided on a label <br/>
<a id="pl.462.35"></a><var>462.35</var>affixed to the container.<br/>
<a id="pl.463.1"></a><var>463.1</var>    (c) If the veterinary drug is in the manufacturer's original package, the information <br/>
<a id="pl.463.2"></a><var>463.2</var>required in paragraph (a) must be supplied in writing but need not be affixed to the <br/>
<a id="pl.463.3"></a><var>463.3</var>container. Information required in paragraph (a) that is provided by the manufacturer on <br/>
<a id="pl.463.4"></a><var>463.4</var>the original package does not need to be repeated in the separate written information. <br/>
<a id="pl.463.5"></a><var>463.5</var>Written information required by this paragraph may be written on the sales invoice.<br/>
<br/>
<a id="bill.10.41.0"></a><a id="pl.463.6"></a><var>463.6</var>    Sec. 41. Minnesota Statutes 2006, section 156.19, is amended to read:<br/>
<a id="pl.463.7"></a><var>463.7</var><b>156.19 EXTRA-LABEL USE.</b><br/>
<a id="pl.463.8"></a><var>463.8</var>    A person, other than a veterinarian or a person working under the control an <br/>
<a id="pl.463.9"></a><var>463.9</var>employee of a veterinarian, must not make extra-label use of a veterinary drug in or <br/>
<a id="pl.463.10"></a><var>463.10</var>on a food-producing animal, unless permitted by the prescription of a veterinarian. A <br/>
<a id="pl.463.11"></a><var>463.11</var>veterinarian may prescribe the extra-label use of a veterinary drug if:<br/>
<a id="pl.463.12"></a><var>463.12</var>    (1) the veterinarian makes a careful medical diagnosis within the context of a valid <br/>
<a id="pl.463.13"></a><var>463.13</var>veterinarian-client-patient relationship;<br/>
<a id="pl.463.14"></a><var>463.14</var>    (2) the veterinarian determines that there is no marketed drug specifically labeled to <br/>
<a id="pl.463.15"></a><var>463.15</var>treat the condition diagnosed, or that drug therapy as recommended by the labeling has, in <br/>
<a id="pl.463.16"></a><var>463.16</var>the judgment of the attending veterinarian, been found to be clinically ineffective;<br/>
<a id="pl.463.17"></a><var>463.17</var>    (3) the veterinarian recommends procedures to ensure that the identity of the treated <br/>
<a id="pl.463.18"></a><var>463.18</var>animal will be carefully maintained; and<br/>
<a id="pl.463.19"></a><var>463.19</var>    (4) the veterinarian prescribes a significantly extended time period for drug <br/>
<a id="pl.463.20"></a><var>463.20</var>withdrawal before marketing meat, milk, or eggs.; and<br/>
<a id="pl.463.21"></a><var>463.21</var>    (5) the veterinarian has met the criteria established in Code of Federal Regulations, <br/>
<a id="pl.463.22"></a><var>463.22</var>title 21, part 530, which define the extra-label use of medication in or on animals.<br/>
<br/>
<a id="bill.10.42.0"></a><a id="pl.463.23"></a><var>463.23</var>    Sec. 42. Minnesota Statutes 2006, section 198.075, is amended to read:<br/>
<a id="pl.463.24"></a><var>463.24</var><b>198.075 MINNESOTA VETERANS HOME EMPLOYEES; EXCLUDED </b><br/>
<a id="pl.463.25"></a><var>463.25</var><b>FROM COMMISSARY PRIVILEGES.</b><br/>
<a id="pl.463.26"></a><var>463.26</var>    Except as provided in this section, no commissary privileges including food, laundry <br/>
<a id="pl.463.27"></a><var>463.27</var>service, janitorial service, and household supplies shall be furnished to any employee of <br/>
<a id="pl.463.28"></a><var>463.28</var>the Minnesota veterans homes. An employee of the Minnesota veterans homes who works <br/>
<a id="pl.463.29"></a><var>463.29</var>a second shift that is consecutive with a regularly scheduled shift may be allowed one free <br/>
<a id="pl.463.30"></a><var>463.30</var>meal at the veterans home on the day of that extra shift.<br/>
<br/>
<a id="bill.10.43.0"></a><a id="pl.463.31"></a><var>463.31</var>    Sec. 43. Minnesota Statutes 2006, section 256B.0625, subdivision 14, is amended to <br/>
<a id="pl.463.32"></a><var>463.32</var>read:<br/>
<a id="pl.464.1"></a><var>464.1</var>    Subd. 14. <b>Diagnostic, screening, and preventive services.</b> (a) Medical assistance <br/>
<a id="pl.464.2"></a><var>464.2</var>covers diagnostic, screening, and preventive services.<br/>
<a id="pl.464.3"></a><var>464.3</var>    (b) "Preventive services" include services related to pregnancy, including:<br/>
<a id="pl.464.4"></a><var>464.4</var>    (1) services for those conditions which may complicate a pregnancy and which may <br/>
<a id="pl.464.5"></a><var>464.5</var>be available to a pregnant woman determined to be at risk of poor pregnancy outcome;<br/>
<a id="pl.464.6"></a><var>464.6</var>    (2) prenatal HIV risk assessment, education, counseling, and testing; and<br/>
<a id="pl.464.7"></a><var>464.7</var>    (3) alcohol abuse assessment, education, and counseling on the effects of alcohol <br/>
<a id="pl.464.8"></a><var>464.8</var>usage while pregnant. Preventive services available to a woman at risk of poor pregnancy <br/>
<a id="pl.464.9"></a><var>464.9</var>outcome may differ in an amount, duration, or scope from those available to other <br/>
<a id="pl.464.10"></a><var>464.10</var>individuals eligible for medical assistance.<br/>
<a id="pl.464.11"></a><var>464.11</var>    (c) "Screening services" include, but are not limited to, blood lead tests. Screening <br/>
<a id="pl.464.12"></a><var>464.12</var>services also include, for children with blood lead levels equal to or greater than five <br/>
<a id="pl.464.13"></a><var>464.13</var>micrograms of lead per deciliter of whole blood, environmental investigations to <br/>
<a id="pl.464.14"></a><var>464.14</var>determine the source of lead exposure. Reimbursement is limited to a health professional's <br/>
<a id="pl.464.15"></a><var>464.15</var>time and activities during an on-site investigation of a child's home or primary residence.<br/>
<br/>
<a id="bill.10.44.0"></a><a id="pl.464.16"></a><var>464.16</var>    Sec. 44. Minnesota Statutes 2006, section 256B.0625, is amended by adding a <br/>
<a id="pl.464.17"></a><var>464.17</var>subdivision to read:<br/>
<a id="pl.464.18"></a><var>464.18</var>    Subd. 49. <b>Lead risk assessments.</b> (a) Effective October 1, 2007, or six months after <br/>
<a id="pl.464.19"></a><var>464.19</var>federal approval, whichever is later, medical assistance covers lead risk assessments <br/>
<a id="pl.464.20"></a><var>464.20</var>provided by a lead risk assessor who is licensed by the commissioner of health under <br/>
<a id="pl.464.21"></a><var>464.21</var>section 144.9505 and employed by an assessing agency as defined in section 144.9501. <br/>
<a id="pl.464.22"></a><var>464.22</var>Medical assistance covers a onetime on-site investigation of a recipient's home or primary <br/>
<a id="pl.464.23"></a><var>464.23</var>residence to determine the existence of lead so long as the recipient is under the age <br/>
<a id="pl.464.24"></a><var>464.24</var>of 21 and has a venous blood lead level specified in section 144.9504, subdivision 2, <br/>
<a id="pl.464.25"></a><var>464.25</var>paragraph (a).<br/>
<a id="pl.464.26"></a><var>464.26</var>    (b) Medical assistance reimbursement covers the lead risk assessor's time to <br/>
<a id="pl.464.27"></a><var>464.27</var>complete the following activities:<br/>
<a id="pl.464.28"></a><var>464.28</var>    (1) gathering samples;<br/>
<a id="pl.464.29"></a><var>464.29</var>    (2) interviewing family members;<br/>
<a id="pl.464.30"></a><var>464.30</var>    (3) gathering data, including meter readings; and<br/>
<a id="pl.464.31"></a><var>464.31</var>    (4) providing a report with the results of the investigation and options for reducing <br/>
<a id="pl.464.32"></a><var>464.32</var>lead-based paint hazards.<br/>
<a id="pl.464.33"></a><var>464.33</var>    Medical assistance coverage of lead risk assessment does not include testing of <br/>
<a id="pl.464.34"></a><var>464.34</var>environmental substances such as water, paint, or soil or any other laboratory services. <br/>
<a id="pl.464.35"></a><var>464.35</var>Medical assistance coverage of lead risk assessments is not included in the capitated <br/>
<a id="pl.465.1"></a><var>465.1</var>services for children enrolled in health plans through the prepaid medical assistance <br/>
<a id="pl.465.2"></a><var>465.2</var>program and the MinnesotaCare program.<br/>
<a id="pl.465.3"></a><var>465.3</var>    (c) Payment for lead risk assessment must be cost-based and must meet the criteria <br/>
<a id="pl.465.4"></a><var>465.4</var>for federal financial participation under the Medicaid program. The rate must be based <br/>
<a id="pl.465.5"></a><var>465.5</var>on allowable expenditures from cost information gathered. Under section 144.9507, <br/>
<a id="pl.465.6"></a><var>465.6</var>subdivision 5, federal medical assistance funds may not replace existing funding for <br/>
<a id="pl.465.7"></a><var>465.7</var>lead-related activities. The nonfederal share of costs for services provided under this <br/>
<a id="pl.465.8"></a><var>465.8</var>subdivision must be from state or local funds and is the responsibility of the agency <br/>
<a id="pl.465.9"></a><var>465.9</var>providing the risk assessment. Eligible expenditures for the nonfederal share of costs may <br/>
<a id="pl.465.10"></a><var>465.10</var>not be made from federal funds or funds used to match other federal funds. Any federal <br/>
<a id="pl.465.11"></a><var>465.11</var>disallowances are the responsibility of the agency providing risk assessment services.<br/>
<br/>
<a id="bill.10.45.0"></a><a id="pl.465.12"></a><var>465.12</var>    Sec. 45. <b>[325E.385] PRODUCTS CONTAINING POLYBROMINATED </b><br/>
<a id="pl.465.13"></a><var>465.13</var><b>DIPHENYL ETHER.</b><br/>
<a id="pl.465.14"></a><var>465.14</var>    Subdivision 1. <b>Definitions.</b> For the purposes of sections 325E.386 to 325E.388, <br/>
<a id="pl.465.15"></a><var>465.15</var>the terms in this section have the meanings given them.<br/>
<a id="pl.465.16"></a><var>465.16</var>    Subd. 2. <b>Commercial decabromodiphenyl ether.</b> "Commercial <br/>
<a id="pl.465.17"></a><var>465.17</var>decabromodiphenyl ether" means the chemical mixture of decabromodiphenyl ether, <br/>
<a id="pl.465.18"></a><var>465.18</var>including associated polybrominated diphenyl ether impurities not intentionally added.<br/>
<a id="pl.465.19"></a><var>465.19</var>    Subd. 3. <b>Commissioner.</b> "Commissioner" means the commissioner of the Pollution <br/>
<a id="pl.465.20"></a><var>465.20</var>Control Agency.<br/>
<a id="pl.465.21"></a><var>465.21</var>    Subd. 4. <b>Manufacturer.</b> "Manufacturer" means any person, firm, association, <br/>
<a id="pl.465.22"></a><var>465.22</var>partnership, corporation, governmental entity, organization, or joint venture that produces <br/>
<a id="pl.465.23"></a><var>465.23</var>a product containing polybrominated diphenyl ethers or an importer or domestic <br/>
<a id="pl.465.24"></a><var>465.24</var>distributor of a noncomestible product containing polybrominated diphenyl ethers.<br/>
<a id="pl.465.25"></a><var>465.25</var>    Subd. 5. <b>Polybrominated diphenyl ethers or PBDE's.</b> "Polybrominated diphenyl <br/>
<a id="pl.465.26"></a><var>465.26</var>ethers" or "PBDE's" means chemical forms that consist of diphenyl ethers bound with <br/>
<a id="pl.465.27"></a><var>465.27</var>bromine atoms. Polybrominated diphenyl ethers include, but are not limited to, the <br/>
<a id="pl.465.28"></a><var>465.28</var>three primary forms of the commercial mixtures known as pentabromodiphenyl ether, <br/>
<a id="pl.465.29"></a><var>465.29</var>octabromodiphenyl ether, and decabromodiphenyl ether.<br/>
<a id="pl.465.30"></a><var>465.30</var>    Subd. 6. <b>Retailer.</b> "Retailer" means a person who offers a product for sale at retail <br/>
<a id="pl.465.31"></a><var>465.31</var>through any means, including, but not limited to, remote offerings such as sales outlets, <br/>
<a id="pl.465.32"></a><var>465.32</var>catalogs, or the Internet, but does not include a sale that is a wholesale transaction with a <br/>
<a id="pl.465.33"></a><var>465.33</var>distributor or a retailer.<br/>
<a id="pl.466.1"></a><var>466.1</var>    Subd. 7. <b>Used product.</b> "Used product" means any product that has been previously <br/>
<a id="pl.466.2"></a><var>466.2</var>owned, purchased, or sold in commerce. Used product does not include any product <br/>
<a id="pl.466.3"></a><var>466.3</var>manufactured after January 1, 2008.<br/>
<br/>
<a id="bill.10.46.0"></a><a id="pl.466.4"></a><var>466.4</var>    Sec. 46. <b>[325E.386] PRODUCTS CONTAINING CERTAIN </b><br/>
<a id="pl.466.5"></a><var>466.5</var><b>POLYBROMINATED DIPHENYL ETHERS BANNED; EXEMPTIONS.</b><br/>
<a id="pl.466.6"></a><var>466.6</var>    Subdivision 1. <b>Penta- and octabromodiphenyl ethers.</b> Except as provided in <br/>
<a id="pl.466.7"></a><var>466.7</var>subdivision 3, beginning January 1, 2008, a person may not manufacture, process, or <br/>
<a id="pl.466.8"></a><var>466.8</var>distribute in commerce a product or flame-retardant part of a product containing more <br/>
<a id="pl.466.9"></a><var>466.9</var>than one-tenth of one percent of pentabromodiphenyl ether or octabromodiphenyl ether <br/>
<a id="pl.466.10"></a><var>466.10</var>by mass.<br/>
<a id="pl.466.11"></a><var>466.11</var>    Subd. 2. <b>Exemptions.</b> The following products containing polybrominated diphenyl <br/>
<a id="pl.466.12"></a><var>466.12</var>ethers are exempt from subdivision 1:<br/>
<a id="pl.466.13"></a><var>466.13</var>    (1) the sale or distribution of any used transportation vehicle with component parts <br/>
<a id="pl.466.14"></a><var>466.14</var>containing polybrominated diphenyl ethers;<br/>
<a id="pl.466.15"></a><var>466.15</var>    (2) the sale or distribution of any used transportation vehicle parts or new <br/>
<a id="pl.466.16"></a><var>466.16</var>transportation vehicle parts manufactured before January 1, 2008, that contain <br/>
<a id="pl.466.17"></a><var>466.17</var>polybrominated diphenyl ethers;<br/>
<a id="pl.466.18"></a><var>466.18</var>    (3) the manufacture, sale, repair, distribution, maintenance, refurbishment, or <br/>
<a id="pl.466.19"></a><var>466.19</var>modification of equipment containing polybrominated diphenyl ethers and used primarily <br/>
<a id="pl.466.20"></a><var>466.20</var>for military or federally funded space program applications. This exemption does not <br/>
<a id="pl.466.21"></a><var>466.21</var>cover consumer-based goods with broad applicability;<br/>
<a id="pl.466.22"></a><var>466.22</var>    (4) the sale or distribution by a business, charity, public entity, or private party of <br/>
<a id="pl.466.23"></a><var>466.23</var>any used product containing polybrominated diphenyl ethers;<br/>
<a id="pl.466.24"></a><var>466.24</var>    (5) the manufacture, sale, or distribution of new carpet cushion made from recycled <br/>
<a id="pl.466.25"></a><var>466.25</var>foam containing more than one-tenth of one percent penta polybrominated diphenyl <br/>
<a id="pl.466.26"></a><var>466.26</var>ether; or<br/>
<a id="pl.466.27"></a><var>466.27</var>    (6) medical devices.<br/>
<a id="pl.466.28"></a><var>466.28</var>    In-state retailers in possession of products on January 1, 2008, that are banned for <br/>
<a id="pl.466.29"></a><var>466.29</var>sale under subdivision 1 may exhaust their stock through sales to the public. Nothing in <br/>
<a id="pl.466.30"></a><var>466.30</var>this section restricts the ability of a manufacturer, importer, or distributor  from transporting <br/>
<a id="pl.466.31"></a><var>466.31</var>products containing polybrominated diphenyl ethers through the state,  or storing such <br/>
<a id="pl.466.32"></a><var>466.32</var>products in the state for later distribution outside the state.<br/>
<br/>
<a id="bill.10.47.0"></a><a id="pl.466.33"></a><var>466.33</var>    Sec. 47. <b>[325E.387] REVIEW OF DECABROMODIPHENYL ETHER.</b><br/>
<a id="pl.467.1"></a><var>467.1</var>    Subdivision 1. <b>Commissioner duties.</b> The commissioner in consultation <br/>
<a id="pl.467.2"></a><var>467.2</var>with the commissioners of health and public safety shall review uses of commercial <br/>
<a id="pl.467.3"></a><var>467.3</var>decabromodiphenyl ether, availability of technically feasible and safer alternatives, fire <br/>
<a id="pl.467.4"></a><var>467.4</var>safety and any evidence regarding the potential harm to public health and the environment <br/>
<a id="pl.467.5"></a><var>467.5</var>posed by commercial decabromodiphenyl ether and the alternatives. The commissioner <br/>
<a id="pl.467.6"></a><var>467.6</var>must consult with key stakeholders. The commissioner must also review the findings from <br/>
<a id="pl.467.7"></a><var>467.7</var>similar state and federal agencies and must report their findings and recommendations to <br/>
<a id="pl.467.8"></a><var>467.8</var>the appropriate committees of the legislature no later than January 15, 2008.<br/>
<a id="pl.467.9"></a><var>467.9</var>    Subd. 2. <b>State procurement.</b> By January 1, 2008, the commissioner of <br/>
<a id="pl.467.10"></a><var>467.10</var>administration shall make available for purchase and use by all state agencies only <br/>
<a id="pl.467.11"></a><var>467.11</var>equipment, supplies, and other products that do not contain polybrominated diphenyl <br/>
<a id="pl.467.12"></a><var>467.12</var>ethers, unless exempted under section 325E.386, subdivision 2.<br/>
<br/>
<a id="bill.10.48.0"></a><a id="pl.467.13"></a><var>467.13</var>    Sec. 48. <b>[325E.388] PENALTIES.</b><br/>
<a id="pl.467.14"></a><var>467.14</var>    A manufacturer who violates sections 325E.386 to 325E.388 is subject to a <br/>
<a id="pl.467.15"></a><var>467.15</var>civil penalty not to exceed $1,000 for each violation in the case of a first offense. A <br/>
<a id="pl.467.16"></a><var>467.16</var>manufacturer is subject to a civil penalty not to exceed $5,000 for each repeat offense. <br/>
<a id="pl.467.17"></a><var>467.17</var>Penalties collected under this section must be deposited in an account in the special <br/>
<a id="pl.467.18"></a><var>467.18</var>revenue fund and are appropriated in fiscal years 2008 and 2009 to the commissioner to <br/>
<a id="pl.467.19"></a><var>467.19</var>implement and enforce this section.<br/>
<br/>
<a id="bill.10.49.0"></a><a id="pl.467.20"></a><var>467.20</var>    Sec. 49. Laws 2005, First Special Session chapter 4, article 9, section 3, subdivision 2, <br/>
<a id="pl.467.21"></a><var>467.21</var>is amended to read:<br/>
<table width="100%">
<tr>
<td><a id="pl.467.22"></a><var>467.22</var><br/>
<a id="pl.467.23"></a><var>467.23</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 2.<b>Community and Family Health </b><br/>
<b>Improvement</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.467.24"></a><var>467.24</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Summary by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.467.25"></a><var>467.25</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">40,413,000<br/>
</td>
<td align="right" valign="bottom">40,382,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.467.26"></a><var>467.26</var><br/>
<a id="pl.467.27"></a><var>467.27</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
                  		Special Revenue<br/>
</td>
<td align="right" valign="bottom">141,000<br/>
</td>
<td align="right" valign="bottom">128,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.467.28"></a><var>467.28</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">3,510,000<br/>
</td>
<td align="right" valign="bottom">3,516,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.467.29"></a><var>467.29</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">6,000,000<br/>
</td>
<td align="right" valign="bottom">6,000,000<br/>
</td>
</tr>
</table><a id="pl.467.30"></a><var>467.30</var>Family Planning Base Reduction. Base <br/>
<a id="pl.467.31"></a><var>467.31</var>level funding for the family planning <br/>
<a id="pl.467.32"></a><var>467.32</var>special projects grant program is reduced <br/>
<a id="pl.467.33"></a><var>467.33</var>by $1,877,000 each year of the biennium <br/>
<a id="pl.467.34"></a><var>467.34</var>beginning July 1, 2007, provided that <br/>
<a id="pl.467.35"></a><var>467.35</var>this reduction shall only take place <br/>
<a id="pl.468.1"></a><var>468.1</var>upon full implementation of the family <br/>
<a id="pl.468.2"></a><var>468.2</var>planning project section of the 1115 waiver. <br/>
<a id="pl.468.3"></a><var>468.3</var>Notwithstanding Minnesota Statutes, section <br/>
<a id="pl.468.4"></a><var>468.4</var><statute_ref>145.925</statute_ref>, the commissioner shall give priority <br/>
<a id="pl.468.5"></a><var>468.5</var>to community health care clinics providing <br/>
<a id="pl.468.6"></a><var>468.6</var>family planning services that either serve a <br/>
<a id="pl.468.7"></a><var>468.7</var>high number of women who do not qualify <br/>
<a id="pl.468.8"></a><var>468.8</var>for medical assistance or are unable to <br/>
<a id="pl.468.9"></a><var>468.9</var>participate in the medical assistance program <br/>
<a id="pl.468.10"></a><var>468.10</var>as a medical assistance provider when <br/>
<a id="pl.468.11"></a><var>468.11</var>allocating the remaining appropriations. <br/>
<a id="pl.468.12"></a><var>468.12</var>Notwithstanding section 15, this paragraph <br/>
<a id="pl.468.13"></a><var>468.13</var>shall not expire.<br/>
<a id="pl.468.14"></a><var>468.14</var>Shaken Baby Video. Of the state <br/>
<a id="pl.468.15"></a><var>468.15</var>government special revenue fund <br/>
<a id="pl.468.16"></a><var>468.16</var>appropriation, $13,000 in 2006 is <br/>
<a id="pl.468.17"></a><var>468.17</var>appropriated to the commissioner of health <br/>
<a id="pl.468.18"></a><var>468.18</var>to provide a video to hospitals on shaken <br/>
<a id="pl.468.19"></a><var>468.19</var>baby syndrome. The commissioner of health <br/>
<a id="pl.468.20"></a><var>468.20</var>shall assess a fee to hospitals to cover the <br/>
<a id="pl.468.21"></a><var>468.21</var>cost of the approved shaken baby video and <br/>
<a id="pl.468.22"></a><var>468.22</var>the revenue received is to be deposited in the <br/>
<a id="pl.468.23"></a><var>468.23</var>state government special revenue fund.<br/>
<br/>
<a id="bill.10.50.0"></a><a id="pl.468.24"></a><var>468.24</var>    Sec. 50. <b>FUNDING FOR ENVIRONMENTAL JUSTICE MAPPING.</b><br/>
<a id="pl.468.25"></a><var>468.25</var>    The commissioner of health, in conjunction with the commissioner of the Pollution <br/>
<a id="pl.468.26"></a><var>468.26</var>Control Agency, shall establish an environmental justice mapping program and shall <br/>
<a id="pl.468.27"></a><var>468.27</var>apply for federal funding to renew and expand the state's environmental justice mapping <br/>
<a id="pl.468.28"></a><var>468.28</var>capacity in order to promote public health tracking. The commissioner shall coordinate <br/>
<a id="pl.468.29"></a><var>468.29</var>the project with the Pollution Control Agency and the Department of Agriculture in order <br/>
<a id="pl.468.30"></a><var>468.30</var>to explore possible links between environmental health and toxic exposures and to help <br/>
<a id="pl.468.31"></a><var>468.31</var>create a system for environmental public health tracking. The commissioner shall also <br/>
<a id="pl.468.32"></a><var>468.32</var>make recommendations to the legislature for additional sources of funding within the state.<br/>
<a id="pl.468.33"></a><var>468.33</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.10.51.0"></a><a id="pl.469.1"></a><var>469.1</var>    Sec. 51. <b>LEGISLATIVE FINDINGS AND PURPOSE.</b><br/>
<a id="pl.469.2"></a><var>469.2</var>    The legislature hereby finds that hearing loss occurs in newborn infants more <br/>
<a id="pl.469.3"></a><var>469.3</var>frequently than any other health condition for which newborn infant screening is required. <br/>
<a id="pl.469.4"></a><var>469.4</var>Early detection of hearing loss in a child and early intervention and treatment has been <br/>
<a id="pl.469.5"></a><var>469.5</var>demonstrated to be highly effective in facilitating a child's healthy development in a <br/>
<a id="pl.469.6"></a><var>469.6</var>manner consistent with the child's age, language acquisition, and cognitive ability. <br/>
<a id="pl.469.7"></a><var>469.7</var>Without early hearing detection and intervention, children with hearing loss experience <br/>
<a id="pl.469.8"></a><var>469.8</var>serious delays in language acquisition and social and cognitive development. With <br/>
<a id="pl.469.9"></a><var>469.9</var>appropriate testing and identification of newborn infants, hearing loss screening will <br/>
<a id="pl.469.10"></a><var>469.10</var>facilitate early intervention and treatment and will serve the public purpose of promoting <br/>
<a id="pl.469.11"></a><var>469.11</var>the healthy development of children.<br/>
<a id="pl.469.12"></a><var>469.12</var>    For these reasons, the legislature hereby determines that it is beneficial and in the <br/>
<a id="pl.469.13"></a><var>469.13</var>best interests of the development of the children of the state of Minnesota that newborn <br/>
<a id="pl.469.14"></a><var>469.14</var>infants' hearing be screened.<br/>
<br/>
<a id="bill.10.52.0"></a><a id="pl.469.15"></a><var>469.15</var>    Sec. 52. <b>INFORMATION SHARING.</b><br/>
<a id="pl.469.16"></a><var>469.16</var>    By August 1, 2007, the commissioner of health, the Pollution Control Agency, the <br/>
<a id="pl.469.17"></a><var>469.17</var>commissioner of agriculture, and the University of Minnesota are requested to jointly <br/>
<a id="pl.469.18"></a><var>469.18</var>develop and sign a memorandum of understanding declaring their intent to share new <br/>
<a id="pl.469.19"></a><var>469.19</var>and existing environmental hazard, exposure, and health outcome data, consistent with <br/>
<a id="pl.469.20"></a><var>469.20</var>applicable data practices laws, and to cooperate and communicate effectively to ensure <br/>
<a id="pl.469.21"></a><var>469.21</var>sufficient clarity and understanding of the data between these organizations.<br/>
<br/>
<a id="bill.10.53.0"></a><a id="pl.469.22"></a><var>469.22</var>    Sec. 53. <b>COMMISSIONER OF HEALTH REPORT; ROUTINE RADIATION </b><br/>
<a id="pl.469.23"></a><var>469.23</var><b>EMISSIONS.</b><br/>
<a id="pl.469.24"></a><var>469.24</var>    The commissioner of health, within the limits of available appropriations, in <br/>
<a id="pl.469.25"></a><var>469.25</var>cooperation with the utilities that own the Monticello and Prairie Island nuclear plants, <br/>
<a id="pl.469.26"></a><var>469.26</var>shall issue a report detailing where routine radiation releases go and the health impacts of <br/>
<a id="pl.469.27"></a><var>469.27</var>the radiation emissions on affected communities. By April 1, 2008, the report must be <br/>
<a id="pl.469.28"></a><var>469.28</var>distributed to house and senate committees having jurisdiction over public health and to <br/>
<a id="pl.469.29"></a><var>469.29</var>all communities that are part of the emergency response planning.<br/>
<br/>
<a id="bill.10.54.0"></a><a id="pl.469.30"></a><var>469.30</var>    Sec. 54. <b>FRAGRANCE-FREE SCHOOLS EDUCATION PILOT PROJECT.</b><br/>
<a id="pl.469.31"></a><var>469.31</var>    Subdivision 1. <b>Purpose.</b> Recognizing that scented products may trigger asthma or <br/>
<a id="pl.469.32"></a><var>469.32</var>chemical sensitivity reactions in students and school staff, which can contribute to learning <br/>
<a id="pl.470.1"></a><var>470.1</var>and breathing problems, the commissioner of health shall develop a fragrance-free schools <br/>
<a id="pl.470.2"></a><var>470.2</var>education pilot project.<br/>
<a id="pl.470.3"></a><var>470.3</var>    Subd. 2. <b>Education.</b> The commissioner of health, in collaboration with the <br/>
<a id="pl.470.4"></a><var>470.4</var>commissioner of education and the Minneapolis Board of Education, shall establish a <br/>
<a id="pl.470.5"></a><var>470.5</var>working group composed of at least three students, two teachers, one school administrator, <br/>
<a id="pl.470.6"></a><var>470.6</var>and one member of the Minneapolis Board of Education to recommend an education <br/>
<a id="pl.470.7"></a><var>470.7</var>campaign in Minneapolis public schools to inform students and parents about the <br/>
<a id="pl.470.8"></a><var>470.8</var>potentially harmful effects of the use of fragrance products on sensitive students and <br/>
<a id="pl.470.9"></a><var>470.9</var>school personnel in Minneapolis schools. The commissioner shall report findings to the <br/>
<a id="pl.470.10"></a><var>470.10</var>legislature by February 1, 2008.<br/>
<a id="pl.470.11"></a><var>470.11</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.10.55.0"></a><a id="pl.470.12"></a><var>470.12</var>    Sec. 55. <b>LINDANE COMMITTEE.</b><br/>
<a id="pl.470.13"></a><var>470.13</var>    The commissioner of health shall create a committee of stakeholders, including <br/>
<a id="pl.470.14"></a><var>470.14</var>at least one environmental health research scientist and at least one parent consumer <br/>
<a id="pl.470.15"></a><var>470.15</var>advocate, to review the scientific literature and make recommendations to the legislature <br/>
<a id="pl.470.16"></a><var>470.16</var>on the health impact of Lindane on children and report back by January 15, 2008.<br/>
<br/>
<a id="bill.10.56.0"></a><a id="pl.470.17"></a><var>470.17</var>    Sec. 56. <b>MEDICAL ASSISTANCE COVERAGE FOR ARSENIC TESTING.</b><br/>
<a id="pl.470.18"></a><var>470.18</var>    The commissioner of human services shall ensure that testing for arsenic under <br/>
<a id="pl.470.19"></a><var>470.19</var>Minnesota Statutes, section 144.967, is covered under medical assistance.<br/>
<br/>
<a id="bill.10.57.0"></a><a id="pl.470.20"></a><var>470.20</var>    Sec. 57. <b>BLOOD LEAD TESTING STUDY.</b><br/>
<a id="pl.470.21"></a><var>470.21</var>    The commissioner of health, in consultation with the Department of Human <br/>
<a id="pl.470.22"></a><var>470.22</var>Services; cities of the first class; health care providers; and other interested parties shall <br/>
<a id="pl.470.23"></a><var>470.23</var>conduct a study to evaluate blood lead testing methods used to confirm elevated blood <br/>
<a id="pl.470.24"></a><var>470.24</var>lead status. The study shall examine and/or develop:<br/>
<a id="pl.470.25"></a><var>470.25</var>    (1) the false positive rate of capillary tests for children less than 72 months old;<br/>
<a id="pl.470.26"></a><var>470.26</var>    (2) current protocols for conducting capillary testing, including filter paper <br/>
<a id="pl.470.27"></a><var>470.27</var>methodology;<br/>
<a id="pl.470.28"></a><var>470.28</var>    (3) existing guidelines and regulations from other states and federal agencies <br/>
<a id="pl.470.29"></a><var>470.29</var>regarding lead testing;<br/>
<a id="pl.470.30"></a><var>470.30</var>    (4) recommendations regarding the use of capillary tests to initiate environmental <br/>
<a id="pl.470.31"></a><var>470.31</var>investigations and case management, including number and timing of tests and fiscal <br/>
<a id="pl.470.32"></a><var>470.32</var>implications for state and local lead programs; and<br/>
<a id="pl.471.1"></a><var>471.1</var>    (5) recommendations regarding reducing the state mandatory intervention to ten <br/>
<a id="pl.471.2"></a><var>471.2</var>micrograms of lead per deciliter of whole blood.<br/>
<a id="pl.471.3"></a><var>471.3</var>    The commissioner shall submit the results of the study and any recommendations, <br/>
<a id="pl.471.4"></a><var>471.4</var>including any necessary legislative changes, to the legislature by February 15, 2008.<br/>
<br/>
<a id="bill.10.58.0"></a><a id="pl.471.5"></a><var>471.5</var>    Sec. 58. <b>WINDOW SAFETY EDUCATION.</b><br/>
<a id="pl.471.6"></a><var>471.6</var>    The commissioner of health shall create in the department's current educational <br/>
<a id="pl.471.7"></a><var>471.7</var>safety program a component targeted at parents and caregivers of young children to <br/>
<a id="pl.471.8"></a><var>471.8</var>provide awareness of the need to take precautions to prevent children from falling <br/>
<a id="pl.471.9"></a><var>471.9</var>through open windows. The commissioner of health shall consult with representatives <br/>
<a id="pl.471.10"></a><var>471.10</var>of the residential building industry, the window products industry, the child safety <br/>
<a id="pl.471.11"></a><var>471.11</var>advocacy community, and the Department of Labor and Industry to create the window <br/>
<a id="pl.471.12"></a><var>471.12</var>safety program component. The program must include the gathering of data about <br/>
<a id="pl.471.13"></a><var>471.13</var>falls from windows that result in severe injury in order to measure the effectiveness of <br/>
<a id="pl.471.14"></a><var>471.14</var>the safety program. The commissioner of health may consult with other child safety <br/>
<a id="pl.471.15"></a><var>471.15</var>advocacy groups, experts, and interested parties in the development and implementation <br/>
<a id="pl.471.16"></a><var>471.16</var>of the window safety program. The commissioner of health shall prepare and submit <br/>
<a id="pl.471.17"></a><var>471.17</var>a final report on the window safety program to the legislature by March 1, 2011. The <br/>
<a id="pl.471.18"></a><var>471.18</var>commissioner shall prepare and submit a yearly progress report to the legislature by <br/>
<a id="pl.471.19"></a><var>471.19</var>March 1 of each year beginning in 2008 until the submission of the final report. The <br/>
<a id="pl.471.20"></a><var>471.20</var>final report must include a summary of the safety program, the impact of the program on <br/>
<a id="pl.471.21"></a><var>471.21</var>children falling from windows, and any recommendations for further study or action.<br/>
<br/>
<a id="bill.10.59.0"></a><a id="pl.471.22"></a><var>471.22</var>    Sec. 59. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.471.23"></a><var>471.23</var>    The revisor of statutes shall change the range reference "144.9501 to 144.9509" <br/>
<a id="pl.471.24"></a><var>471.24</var>to "144.9501 to 144.9512" wherever the reference appears in Minnesota Statutes and <br/>
<a id="pl.471.25"></a><var>471.25</var>Minnesota Rules.<br/>
<br/>
<a id="bill.10.60.0"></a><a id="pl.471.26"></a><var>471.26</var>    Sec. 60. <b> REPEALER.</b><br/>
<a id="pl.471.27"></a><var>471.27</var>Laws 2004, chapter 288, article 6, section 27, is repealed.<br/>
<br/>
<a id="bill.11.0.0"></a>

<a id="bill.11.1.0"></a><table width="100%">
<tr>
<td><a id="pl.471.30"></a><var>471.30</var><br/>
<a id="pl.471.31"></a><var>471.31</var><br/>
</td>
<td align="left" colspan="7" valign="bottom">Section 1. <b> SUMMARY OF APPROPRIATIONS; DEPARTMENT OF HUMAN </b><br/>
<b>SERVICES FORECAST ADJUSTMENT.</b><br/>
</td>
</tr>
</table><a id="pl.472.1"></a><var>472.1</var>    The dollar amounts shown are added to or, if shown in parentheses, are subtracted <br/>
<a id="pl.472.2"></a><var>472.2</var>from the appropriations in Laws 2006, chapter 282, from the general fund, or any other <br/>
<a id="pl.472.3"></a><var>472.3</var>fund named, to the Department of Human Services for the purposes specified in this <br/>
<a id="pl.472.4"></a><var>472.4</var>article, to be available for the fiscal year indicated for each purpose. The figure "2007" <br/>
<a id="pl.472.5"></a><var>472.5</var>used in this article means that the appropriation or appropriations listed are available <br/>
<a id="pl.472.6"></a><var>472.6</var>for the fiscal year ending June 30, 2007.<br/>
<table width="100%">
<tr>
<td><a id="pl.472.7"></a><var>472.7</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2007<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.8"></a><var>472.8</var><br/>
</td>
<td align="left" valign="bottom">General Fund<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">(25,226,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.9"></a><var>472.9</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">(53,980,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.10"></a><var>472.10</var><br/>
</td>
<td align="left" valign="bottom">TANF<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">(24,805,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.11"></a><var>472.11</var><br/>
</td>
<td align="left" valign="bottom">Total<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">(104,011,000)<br/>
</td>
</tr>
</table><br/>
<a id="bill.11.2.0"></a><table width="100%">
<tr>
<td><a id="pl.472.12"></a><var>472.12</var><br/>
<a id="pl.472.13"></a><var>472.13</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 2. <b>COMMISSIONER OF HUMAN </b><br/>
<b>SERVICES</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.14"></a><var>472.14</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">(104,011,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.15"></a><var>472.15</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.16"></a><var>472.16</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="center" valign="bottom">2007<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.17"></a><var>472.17</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom"></td>
<td align="right" valign="bottom">(25,226,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.18"></a><var>472.18</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom"></td>
<td align="right" valign="bottom">(53,980,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.19"></a><var>472.19</var><br/>
</td>
<td align="left" valign="bottom">TANF<br/>
</td>
<td align="right" valign="bottom"></td>
<td align="right" valign="bottom">(24,805,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.20"></a><var>472.20</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 2.<b>Revenue and Pass Through</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.21"></a><var>472.21</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">TANF<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(106,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.22"></a><var>472.22</var><br/>
<a id="pl.472.23"></a><var>472.23</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 3.<b>Children and Economic Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.24"></a><var>472.24</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">General<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">3,221,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.25"></a><var>472.25</var><br/>
</td>
<td align="left" valign="bottom">TANF<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(24,699,000)<br/>
</td>
</tr>
</table><a id="pl.472.26"></a><var>472.26</var>The amounts that may be spent from this <br/>
<a id="pl.472.27"></a><var>472.27</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.472.28"></a><var>472.28</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) MFIP/DWP Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.472.29"></a><var>472.29</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">13,827,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.472.30"></a><var>472.30</var><br/>
</td>
<td align="left" valign="bottom">TANF<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(24,699,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.31"></a><var>472.31</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) MFIP Child Care Assistance Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.472.32"></a><var>472.32</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(4,733,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.472.33"></a><var>472.33</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) General Assistance Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.472.34"></a><var>472.34</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,081,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.1"></a><var>473.1</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) Minnesota Supplemental Aid Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.2"></a><var>473.2</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(1,099,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.3"></a><var>473.3</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(e) Group Residential Housing Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.4"></a><var>473.4</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(5,855,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.5"></a><var>473.5</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 4.<b>Basic Health Care Grants</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.6"></a><var>473.6</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">General<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">17,592,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.473.7"></a><var>473.7</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(53,980,000)<br/>
</td>
</tr>
</table><a id="pl.473.8"></a><var>473.8</var>The amounts that may be spent from this <br/>
<a id="pl.473.9"></a><var>473.9</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.473.10"></a><var>473.10</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) MinnesotaCare Health Care Access<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(53,980,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.11"></a><var>473.11</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) MA Basic Health Care - Families and Children<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.12"></a><var>473.12</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">15,729,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.13"></a><var>473.13</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) MA Basic Health Care - Elderly and Disabled<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.14"></a><var>473.14</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(4,540,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.15"></a><var>473.15</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) General Assistance Medical Care<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.16"></a><var>473.16</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">6,403,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.17"></a><var>473.17</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 5.<b>Continuing Care Grants</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.18"></a><var>473.18</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">General<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(46,039,000)<br/>
</td>
</tr>
</table><a id="pl.473.19"></a><var>473.19</var>The amounts that may be spent from this <br/>
<a id="pl.473.20"></a><var>473.20</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.473.21"></a><var>473.21</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) MA Long-Term Care Facilities<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.22"></a><var>473.22</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(15,028,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.23"></a><var>473.23</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) MA Long-Term Care Waivers<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.24"></a><var>473.24</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(20,677,000)<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.473.25"></a><var>473.25</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) Chemical Dependency Entitlement Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
<tr>
<td><a id="pl.473.26"></a><var>473.26</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">(10,334,000)<br/>
</td>
</tr>
</table><br/>
<a id="bill.11.3.0"></a><a id="pl.473.27"></a><var>473.27</var>    Sec. 3. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.473.28"></a><var>473.28</var>    Sections 1 and 2 are effective the day following final enactment.<br/>
<br/>
<a id="bill.12.0.0"></a>

<a id="bill.12.1.0"></a><table width="100%">
<tr>
<td><a id="pl.473.31"></a><var>473.31</var><br/>
</td>
<td align="left" colspan="7" valign="bottom">Section 1. <b>SUMMARY OF APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.474.1"></a><var>474.1</var>    The amounts shown in this section summarize direct appropriations, by fund, made <br/>
<a id="pl.474.2"></a><var>474.2</var>in this article.<br/>
<table width="100%">
<tr>
<td><a id="pl.474.3"></a><var>474.3</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2009<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">Total<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.4"></a><var>474.4</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">4,559,985,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">4,920,502,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">9,480,487,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.5"></a><var>474.5</var><br/>
<a id="pl.474.6"></a><var>474.6</var><br/>
</td>
<td align="left" valign="bottom">State Government Special <br/>
Revenue<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">13,854,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">13,864,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">27,718,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.7"></a><var>474.7</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">432,115,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">536,076,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">968,191,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.8"></a><var>474.8</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">244,463,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">252,899,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">497,362,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.9"></a><var>474.9</var><br/>
</td>
<td align="left" valign="bottom">Lottery Prize Fund<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">2,184,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,787,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">3,971,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.10"></a><var>474.10</var><br/>
</td>
<td align="left" valign="bottom">Total<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">5,252,601,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">5,730,508,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">10,983,109,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.12.2.0"></a><table width="100%">
<tr>
<td><a id="pl.474.11"></a><var>474.11</var><br/>
</td>
<td align="left" colspan="7" valign="bottom">Sec. 2. <b>HEALTH AND HUMAN SERVICES APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.474.12"></a><var>474.12</var>    The sums shown in the columns marked "Appropriations" are appropriated to the <br/>
<a id="pl.474.13"></a><var>474.13</var>agencies and for the purposes specified in this article. The appropriations are from the <br/>
<a id="pl.474.14"></a><var>474.14</var>general fund, or another named fund, and are available for the fiscal years indicated <br/>
<a id="pl.474.15"></a><var>474.15</var>for each purpose. The figures "2008" and "2009" used in this article mean that the <br/>
<a id="pl.474.16"></a><var>474.16</var>appropriations listed under them are available for the fiscal year ending June 30, 2008, or <br/>
<a id="pl.474.17"></a><var>474.17</var>June 30, 2009, respectively. "The first year" is fiscal year 2008. "The second year" is fiscal <br/>
<a id="pl.474.18"></a><var>474.18</var>year 2009. "The biennium" is fiscal years 2008 and 2009. Appropriations for the fiscal <br/>
<a id="pl.474.19"></a><var>474.19</var>year ending June 30, 2007, are effective the day following final enactment.<br/>
<table width="100%">
<tr>
<td><a id="pl.474.20"></a><var>474.20</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom">APPROPRIATIONS<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.21"></a><var>474.21</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom">Available for the Year<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.22"></a><var>474.22</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom">Ending June 30<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.23"></a><var>474.23</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2009<br/>
</td>
</tr>
</table><br/>
<a id="bill.12.3.0"></a><table width="100%">
<tr>
<td><a id="pl.474.24"></a><var>474.24</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 3. <b>HUMAN SERVICES</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.474.25"></a><var>474.25</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">5,198,244,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">5,684,723,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.474.26"></a><var>474.26</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.27"></a><var>474.27</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="center" valign="bottom">2009<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.28"></a><var>474.28</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">4,341,800,000<br/>
</td>
<td align="right" valign="bottom">4,904,289,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.29"></a><var>474.29</var><br/>
<a id="pl.474.30"></a><var>474.30</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">545,000<br/>
</td>
<td align="right" valign="bottom">555,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.31"></a><var>474.31</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">409,252,000<br/>
</td>
<td align="right" valign="bottom">519,813,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.32"></a><var>474.32</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">244,463,000<br/>
</td>
<td align="right" valign="bottom">252,899,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.474.33"></a><var>474.33</var><br/>
</td>
<td align="left" valign="bottom">Lottery Prize Fund<br/>
</td>
<td align="right" valign="bottom">2,184,000<br/>
</td>
<td align="right" valign="bottom">1,787,000<br/>
</td>
</tr>
</table><a id="pl.474.34"></a><var>474.34</var>The amounts that may be spent for each <br/>
<a id="pl.474.35"></a><var>474.35</var>purpose are specified in the following <br/>
<a id="pl.474.36"></a><var>474.36</var>subdivisions.<br/>
<a id="pl.475.1"></a><var>475.1</var>Receipts for Systems Projects. <br/>
<a id="pl.475.2"></a><var>475.2</var>Appropriations and federal receipts for <br/>
<a id="pl.475.3"></a><var>475.3</var>information system projects for MAXIS, <br/>
<a id="pl.475.4"></a><var>475.4</var>PRISM, MMIS, and SSIS must be deposited <br/>
<a id="pl.475.5"></a><var>475.5</var>in the state system account authorized in <br/>
<a id="pl.475.6"></a><var>475.6</var>Minnesota Statutes, section 256.014. Money <br/>
<a id="pl.475.7"></a><var>475.7</var>appropriated for computer projects approved <br/>
<a id="pl.475.8"></a><var>475.8</var>by the Minnesota Office of Enterprise <br/>
<a id="pl.475.9"></a><var>475.9</var>Technology, funded by the legislature, and <br/>
<a id="pl.475.10"></a><var>475.10</var>approved by the commissioner of finance, <br/>
<a id="pl.475.11"></a><var>475.11</var>may be transferred from one project to <br/>
<a id="pl.475.12"></a><var>475.12</var>another and from development to operations <br/>
<a id="pl.475.13"></a><var>475.13</var>as the commissioner of human services <br/>
<a id="pl.475.14"></a><var>475.14</var>considers necessary. Any unexpended <br/>
<a id="pl.475.15"></a><var>475.15</var>balance in the appropriation for these <br/>
<a id="pl.475.16"></a><var>475.16</var>projects does not cancel but is available for <br/>
<a id="pl.475.17"></a><var>475.17</var>ongoing development and operations.<br/>
<a id="pl.475.18"></a><var>475.18</var>Systems Continuity. In the event of <br/>
<a id="pl.475.19"></a><var>475.19</var>disruption of technical systems or computer <br/>
<a id="pl.475.20"></a><var>475.20</var>operations, the commissioner may use <br/>
<a id="pl.475.21"></a><var>475.21</var>available grant appropriations to ensure <br/>
<a id="pl.475.22"></a><var>475.22</var>continuity of payments for maintaining the <br/>
<a id="pl.475.23"></a><var>475.23</var>health, safety, and well-being of clients <br/>
<a id="pl.475.24"></a><var>475.24</var>served by programs administered by the <br/>
<a id="pl.475.25"></a><var>475.25</var>Department of Human Services. Grant funds <br/>
<a id="pl.475.26"></a><var>475.26</var>must be used in a manner consistent with the <br/>
<a id="pl.475.27"></a><var>475.27</var>original intent of the appropriation.<br/>
<a id="pl.475.28"></a><var>475.28</var>Nonfederal Share Transfers. The <br/>
<a id="pl.475.29"></a><var>475.29</var>nonfederal share of activities for which <br/>
<a id="pl.475.30"></a><var>475.30</var>federal administrative reimbursement is <br/>
<a id="pl.475.31"></a><var>475.31</var>appropriated to the commissioner may be <br/>
<a id="pl.475.32"></a><var>475.32</var>transferred to the special revenue fund.<br/>
<a id="pl.475.33"></a><var>475.33</var>Gifts. Notwithstanding Minnesota <br/>
<a id="pl.475.34"></a><var>475.34</var>Statutes, sections 16A.013 to 16A.016, the <br/>
<a id="pl.475.35"></a><var>475.35</var>commissioner may accept, on behalf of the <br/>
<a id="pl.476.1"></a><var>476.1</var>state, additional funding from sources other <br/>
<a id="pl.476.2"></a><var>476.2</var>than state funds for the purpose of financing <br/>
<a id="pl.476.3"></a><var>476.3</var>the cost of assistance program grants or <br/>
<a id="pl.476.4"></a><var>476.4</var>nongrant administration. All additional <br/>
<a id="pl.476.5"></a><var>476.5</var>funding is appropriated to the commissioner <br/>
<a id="pl.476.6"></a><var>476.6</var>for use as designated by the grantor of <br/>
<a id="pl.476.7"></a><var>476.7</var>funding.<br/>
<a id="pl.476.8"></a><var>476.8</var>TANF Funds Appropriated to Other <br/>
<a id="pl.476.9"></a><var>476.9</var>Entities. Any expenditures from the TANF <br/>
<a id="pl.476.10"></a><var>476.10</var>block grant shall be expended according <br/>
<a id="pl.476.11"></a><var>476.11</var>to the requirements and limitations of part <br/>
<a id="pl.476.12"></a><var>476.12</var>A of title IV of the Social Security Act, as <br/>
<a id="pl.476.13"></a><var>476.13</var>amended, and any other applicable federal <br/>
<a id="pl.476.14"></a><var>476.14</var>requirement or limitation. Prior to any <br/>
<a id="pl.476.15"></a><var>476.15</var>expenditure of these funds, the commissioner <br/>
<a id="pl.476.16"></a><var>476.16</var>shall ensure that funds are expended in <br/>
<a id="pl.476.17"></a><var>476.17</var>compliance with the requirements and <br/>
<a id="pl.476.18"></a><var>476.18</var>limitations of federal law and that any <br/>
<a id="pl.476.19"></a><var>476.19</var>reporting requirements of federal law are <br/>
<a id="pl.476.20"></a><var>476.20</var>met. It shall be the responsibility of any entity <br/>
<a id="pl.476.21"></a><var>476.21</var>to which these funds are appropriated to <br/>
<a id="pl.476.22"></a><var>476.22</var>implement a memorandum of understanding <br/>
<a id="pl.476.23"></a><var>476.23</var>with the commissioner that provides the <br/>
<a id="pl.476.24"></a><var>476.24</var>necessary assurance of compliance prior to <br/>
<a id="pl.476.25"></a><var>476.25</var>any expenditure of funds. The commissioner <br/>
<a id="pl.476.26"></a><var>476.26</var>shall receipt TANF funds appropriated <br/>
<a id="pl.476.27"></a><var>476.27</var>to other state agencies and coordinate all <br/>
<a id="pl.476.28"></a><var>476.28</var>related interagency accounting transactions <br/>
<a id="pl.476.29"></a><var>476.29</var>necessary to implement these appropriations. <br/>
<a id="pl.476.30"></a><var>476.30</var>Unexpended TANF funds appropriated to <br/>
<a id="pl.476.31"></a><var>476.31</var>any state, local, or nonprofit entity cancel <br/>
<a id="pl.476.32"></a><var>476.32</var>at the end of the state fiscal year unless <br/>
<a id="pl.476.33"></a><var>476.33</var>appropriating or statutory language permits <br/>
<a id="pl.476.34"></a><var>476.34</var>otherwise.<br/>
<a id="pl.476.35"></a><var>476.35</var>TANF Block Grant. Of this amount, <br/>
<a id="pl.476.36"></a><var>476.36</var>$750,000 the first year and $750,000 the <br/>
<a id="pl.477.1"></a><var>477.1</var>second year are onetime appropriations <br/>
<a id="pl.477.2"></a><var>477.2</var>from the state's federal TANF block grant <br/>
<a id="pl.477.3"></a><var>477.3</var>under Title I of Public Law 104-193. If the <br/>
<a id="pl.477.4"></a><var>477.4</var>appropriation in either year is insufficient, the <br/>
<a id="pl.477.5"></a><var>477.5</var>appropriation for the other year is available.<br/>
<a id="pl.477.6"></a><var>477.6</var>TANF Maintenance of Effort. (a) In <br/>
<a id="pl.477.7"></a><var>477.7</var>order to meet the basic maintenance of <br/>
<a id="pl.477.8"></a><var>477.8</var>effort (MOE) requirements of the TANF <br/>
<a id="pl.477.9"></a><var>477.9</var>block grant specified under Code of Federal <br/>
<a id="pl.477.10"></a><var>477.10</var>Regulations, title 45, section 263.1, the <br/>
<a id="pl.477.11"></a><var>477.11</var>commissioner may only report nonfederal <br/>
<a id="pl.477.12"></a><var>477.12</var>money expended for allowable activities <br/>
<a id="pl.477.13"></a><var>477.13</var>listed in the following clauses as TANF/MOE <br/>
<a id="pl.477.14"></a><var>477.14</var>expenditures:<br/>
<a id="pl.477.15"></a><var>477.15</var>(1) MFIP cash, diversionary work program, <br/>
<a id="pl.477.16"></a><var>477.16</var>and food assistance benefits under Minnesota <br/>
<a id="pl.477.17"></a><var>477.17</var>Statutes, chapter 256J;<br/>
<a id="pl.477.18"></a><var>477.18</var>(2) the child care assistance programs <br/>
<a id="pl.477.19"></a><var>477.19</var>under Minnesota Statutes, sections 119B.03 <br/>
<a id="pl.477.20"></a><var>477.20</var>and 119B.05, and county child care <br/>
<a id="pl.477.21"></a><var>477.21</var>administrative costs under Minnesota <br/>
<a id="pl.477.22"></a><var>477.22</var>Statutes, section 119B.15;<br/>
<a id="pl.477.23"></a><var>477.23</var>(3) state and county MFIP administrative <br/>
<a id="pl.477.24"></a><var>477.24</var>costs under Minnesota Statutes, chapters <br/>
<a id="pl.477.25"></a><var>477.25</var>256J and 256K;<br/>
<a id="pl.477.26"></a><var>477.26</var>(4) state, county, and tribal MFIP <br/>
<a id="pl.477.27"></a><var>477.27</var>employment services under Minnesota <br/>
<a id="pl.477.28"></a><var>477.28</var>Statutes, chapters 256J and 256K;<br/>
<a id="pl.477.29"></a><var>477.29</var>(5) expenditures made on behalf of <br/>
<a id="pl.477.30"></a><var>477.30</var>noncitizen MFIP recipients who qualify <br/>
<a id="pl.477.31"></a><var>477.31</var>for the medical assistance without federal <br/>
<a id="pl.477.32"></a><var>477.32</var>financial participation program under <br/>
<a id="pl.477.33"></a><var>477.33</var>Minnesota Statutes, section 256B.06, <br/>
<a id="pl.477.34"></a><var>477.34</var>subdivision 4, paragraphs (d), (e), and (j); <br/>
<a id="pl.477.35"></a><var>477.35</var>and<br/>
<a id="pl.478.1"></a><var>478.1</var>(6) qualifying working family credit <br/>
<a id="pl.478.2"></a><var>478.2</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.478.3"></a><var>478.3</var>section 290.0671.<br/>
<a id="pl.478.4"></a><var>478.4</var>(b) The commissioner shall ensure that <br/>
<a id="pl.478.5"></a><var>478.5</var>sufficient qualified nonfederal expenditures <br/>
<a id="pl.478.6"></a><var>478.6</var>are made each year to meet the state's <br/>
<a id="pl.478.7"></a><var>478.7</var>TANF/MOE requirements. For the activities <br/>
<a id="pl.478.8"></a><var>478.8</var>listed in paragraph (a), clauses (2) to <br/>
<a id="pl.478.9"></a><var>478.9</var>(6), the commissioner may only report <br/>
<a id="pl.478.10"></a><var>478.10</var>expenditures that are excluded from the <br/>
<a id="pl.478.11"></a><var>478.11</var>definition of assistance under Code of <br/>
<a id="pl.478.12"></a><var>478.12</var>Federal Regulations, title 45, section 260.31.<br/>
<a id="pl.478.13"></a><var>478.13</var>(c) The commissioner shall ensure that <br/>
<a id="pl.478.14"></a><var>478.14</var>the maintenance of effort used by the <br/>
<a id="pl.478.15"></a><var>478.15</var>commissioner of finance for the February <br/>
<a id="pl.478.16"></a><var>478.16</var>and November forecasts required under <br/>
<a id="pl.478.17"></a><var>478.17</var>Minnesota Statutes, section 16A.103, <br/>
<a id="pl.478.18"></a><var>478.18</var>contains expenditures under paragraph (a), <br/>
<a id="pl.478.19"></a><var>478.19</var>clause (1), equal to at least 25 percent of <br/>
<a id="pl.478.20"></a><var>478.20</var>the total required under Code of Federal <br/>
<a id="pl.478.21"></a><var>478.21</var>Regulations, title 45, section 263.1.<br/>
<a id="pl.478.22"></a><var>478.22</var>(d) Minnesota Statutes, section 256.011, <br/>
<a id="pl.478.23"></a><var>478.23</var>subdivision 3, which requires that federal <br/>
<a id="pl.478.24"></a><var>478.24</var>grants or aids secured or obtained under that <br/>
<a id="pl.478.25"></a><var>478.25</var>subdivision be used to reduce any direct <br/>
<a id="pl.478.26"></a><var>478.26</var>appropriations provided by law, does not <br/>
<a id="pl.478.27"></a><var>478.27</var>apply if the grants or aids are federal TANF <br/>
<a id="pl.478.28"></a><var>478.28</var>funds.<br/>
<a id="pl.478.29"></a><var>478.29</var>(e) Notwithstanding section 13, this rider <br/>
<a id="pl.478.30"></a><var>478.30</var>expires June 30, 2011.<br/>
<a id="pl.478.31"></a><var>478.31</var>Working Family Credit Expenditures <br/>
<a id="pl.478.32"></a><var>478.32</var>as TANF/MOE. The commissioner may <br/>
<a id="pl.478.33"></a><var>478.33</var>claim as TANF maintenance of effort up <br/>
<a id="pl.478.34"></a><var>478.34</var>to $6,707,000 per year for fiscal year 2008 <br/>
<a id="pl.479.1"></a><var>479.1</var>through fiscal year 2011. Notwithstanding <br/>
<a id="pl.479.2"></a><var>479.2</var>section 13, this rider expires June 30, 2011.<br/>
<a id="pl.479.3"></a><var>479.3</var>Additional Working Family Credit <br/>
<a id="pl.479.4"></a><var>479.4</var>Expenditures to be Claimed for <br/>
<a id="pl.479.5"></a><var>479.5</var>TANF/MOE. In addition to the amounts <br/>
<a id="pl.479.6"></a><var>479.6</var>provided in this section, the commissioner <br/>
<a id="pl.479.7"></a><var>479.7</var>may count the following amounts of working <br/>
<a id="pl.479.8"></a><var>479.8</var>family credit expenditure as TANF/MOE:<br/>
<a id="pl.479.9"></a><var>479.9</var>(1) fiscal year 2008, $4,269,000; and<br/>
<a id="pl.479.10"></a><var>479.10</var>(2) fiscal year 2009, $4,889,000.<br/>
<a id="pl.479.11"></a><var>479.11</var>Notwithstanding section 13, this rider expires <br/>
<a id="pl.479.12"></a><var>479.12</var>June 30, 2011.<br/>
<a id="pl.479.13"></a><var>479.13</var>Capitation Rate Increase. Of the health care <br/>
<a id="pl.479.14"></a><var>479.14</var>access fund appropriations to the University <br/>
<a id="pl.479.15"></a><var>479.15</var>of Minnesota in the higher education <br/>
<a id="pl.479.16"></a><var>479.16</var>omnibus appropriation bill, $2,157,000 in <br/>
<a id="pl.479.17"></a><var>479.17</var>fiscal year 2008 and $2,157,000 in fiscal year <br/>
<a id="pl.479.18"></a><var>479.18</var>2009 are to be used to increase the capitation <br/>
<a id="pl.479.19"></a><var>479.19</var>payments under Minnesota Statutes, section <br/>
<a id="pl.479.20"></a><var>479.20</var>256B.69. <br/>
<a id="pl.479.21"></a><var>479.21</var>Health Care Access Fund Transfer. <br/>
<a id="pl.479.22"></a><var>479.22</var>Notwithstanding Minnesota Statutes, section <br/>
<a id="pl.479.23"></a><var>479.23</var>295.581, in addition to the transfers in <br/>
<a id="pl.479.24"></a><var>479.24</var>Minnesota Statutes, section 16A.724, <br/>
<a id="pl.479.25"></a><var>479.25</var>subdivision 2, the commissioner of finance <br/>
<a id="pl.479.26"></a><var>479.26</var>shall transfer up to the following amounts <br/>
<a id="pl.479.27"></a><var>479.27</var>from the health care access fund to the <br/>
<a id="pl.479.28"></a><var>479.28</var>general fund on June 30 of each fiscal year:<br/>
<a id="pl.479.29"></a><var>479.29</var>(1) fiscal year 2008, $6,416,000;<br/>
<a id="pl.479.30"></a><var>479.30</var>(2) fiscal year 2009, $5,643,000;<br/>
<a id="pl.479.31"></a><var>479.31</var>(3) fiscal year 2010, $6,677,000; and<br/>
<a id="pl.479.32"></a><var>479.32</var>(4) fiscal year 2011, $7,866,000.<br/>
<a id="pl.480.1"></a><var>480.1</var>Notwithstanding section 13, this rider expires <br/>
<a id="pl.480.2"></a><var>480.2</var>June 30, 2011.<br/>
<table width="100%">
<tr>
<td><a id="pl.480.3"></a><var>480.3</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 2.<b>Agency Management</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">57,495,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">57,696,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.480.4"></a><var>480.4</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.5"></a><var>480.5</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">48,181,000<br/>
</td>
<td align="right" valign="bottom">48,417,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.6"></a><var>480.6</var><br/>
<a id="pl.480.7"></a><var>480.7</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">424,000<br/>
</td>
<td align="right" valign="bottom">432,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.8"></a><var>480.8</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">8,018,000<br/>
</td>
<td align="right" valign="bottom">7,975,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.9"></a><var>480.9</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">222,000<br/>
</td>
<td align="right" valign="bottom">222,000<br/>
</td>
</tr>
</table><a id="pl.480.10"></a><var>480.10</var>The amounts that may be spent from the <br/>
<a id="pl.480.11"></a><var>480.11</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.480.12"></a><var>480.12</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) Financial Operations<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.480.13"></a><var>480.13</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.14"></a><var>480.14</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">7,102,000<br/>
</td>
<td align="right" valign="bottom">7,523,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.15"></a><var>480.15</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">889,000<br/>
</td>
<td align="right" valign="bottom">880,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.16"></a><var>480.16</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">122,000<br/>
</td>
<td align="right" valign="bottom">122,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.480.17"></a><var>480.17</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Legal and Regulation Operations<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.480.18"></a><var>480.18</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.19"></a><var>480.19</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">12,805,000<br/>
</td>
<td align="right" valign="bottom">12,673,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.20"></a><var>480.20</var><br/>
<a id="pl.480.21"></a><var>480.21</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">424,000<br/>
</td>
<td align="right" valign="bottom">432,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.22"></a><var>480.22</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">891,000<br/>
</td>
<td align="right" valign="bottom">908,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.480.23"></a><var>480.23</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">100,000<br/>
</td>
<td align="right" valign="bottom">100,000<br/>
</td>
</tr>
</table><a id="pl.480.24"></a><var>480.24</var>Base Adjustment. The general fund base is <br/>
<a id="pl.480.25"></a><var>480.25</var>decreased by $177,000 in fiscal year 2010 <br/>
<a id="pl.480.26"></a><var>480.26</var>and $353,000 in fiscal year 2011 for legal <br/>
<a id="pl.480.27"></a><var>480.27</var>and regulatory.<br/>
<a id="pl.480.28"></a><var>480.28</var>Child Care Licensing. $697,000 is <br/>
<a id="pl.480.29"></a><var>480.29</var>appropriated from the general fund to <br/>
<a id="pl.480.30"></a><var>480.30</var>the commissioner of human services for <br/>
<a id="pl.480.31"></a><var>480.31</var>the biennium beginning July 1, 2007, for <br/>
<a id="pl.480.32"></a><var>480.32</var>purposes of completing background studies <br/>
<a id="pl.480.33"></a><var>480.33</var>for family and group family child care <br/>
<a id="pl.480.34"></a><var>480.34</var>providers under Minnesota Statutes, chapter <br/>
<a id="pl.480.35"></a><var>480.35</var>245C. This appropriation will be $288,000 in <br/>
<a id="pl.481.1"></a><var>481.1</var>fiscal year 2010 and $112,000 in fiscal year <br/>
<a id="pl.481.2"></a><var>481.2</var>2011.<br/>
<table width="100%">
<tr>
<td><a id="pl.481.3"></a><var>481.3</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) Management Operations<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.481.4"></a><var>481.4</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.481.5"></a><var>481.5</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">4,390,000<br/>
</td>
<td align="right" valign="bottom">4,433,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.481.6"></a><var>481.6</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">234,000<br/>
</td>
<td align="right" valign="bottom">238,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.481.7"></a><var>481.7</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) Information Technology Operations<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.481.8"></a><var>481.8</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.481.9"></a><var>481.9</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">23,884,000<br/>
</td>
<td align="right" valign="bottom">23,788,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.481.10"></a><var>481.10</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">6,004,000<br/>
</td>
<td align="right" valign="bottom">5,949,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.481.11"></a><var>481.11</var><br/>
<a id="pl.481.12"></a><var>481.12</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 3.<b>Revenue and Pass-Through </b><br/>
<b>Expenditures</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">56,509,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">56,897,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.481.13"></a><var>481.13</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">56,509,000<br/>
</td>
<td align="right" valign="bottom">56,897,000<br/>
</td>
</tr>
</table><a id="pl.481.14"></a><var>481.14</var>TANF Transfer to Federal Child Care <br/>
<a id="pl.481.15"></a><var>481.15</var>and Development Fund. The following <br/>
<a id="pl.481.16"></a><var>481.16</var>TANF fund amounts are appropriated to <br/>
<a id="pl.481.17"></a><var>481.17</var>the commissioner for the purposes of MFIP <br/>
<a id="pl.481.18"></a><var>481.18</var>transition year child care under MFIP, <br/>
<a id="pl.481.19"></a><var>481.19</var>Minnesota Statutes, section 119B.05:<br/>
<a id="pl.481.20"></a><var>481.20</var>(1) fiscal year 2008, $9,478,000<br/>
<a id="pl.481.21"></a><var>481.21</var>(2) fiscal year 2009, $13,022,000<br/>
<a id="pl.481.22"></a><var>481.22</var>(3) fiscal year 2010, $3,332,000 and<br/>
<a id="pl.481.23"></a><var>481.23</var>(4) fiscal year 2011, $4,668,000.<br/>
<a id="pl.481.24"></a><var>481.24</var>The commissioner shall authorize transfer <br/>
<a id="pl.481.25"></a><var>481.25</var>of sufficient TANF funds to the federal <br/>
<a id="pl.481.26"></a><var>481.26</var>child care and development fund to meet <br/>
<a id="pl.481.27"></a><var>481.27</var>this appropriation and shall ensure that all <br/>
<a id="pl.481.28"></a><var>481.28</var>transferred funds are expended according <br/>
<a id="pl.481.29"></a><var>481.29</var>the federal child care and development fund <br/>
<a id="pl.481.30"></a><var>481.30</var>regulations.<br/>
<table width="100%">
<tr>
<td><a id="pl.481.31"></a><var>481.31</var><br/>
<a id="pl.481.32"></a><var>481.32</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 4.<b>Children and Economic Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">603,305,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">581,714,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.481.33"></a><var>481.33</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.481.34"></a><var>481.34</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">416,519,000<br/>
</td>
<td align="right" valign="bottom">387,330,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.482.1"></a><var>482.1</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">186,536,000<br/>
</td>
<td align="right" valign="bottom">194,584,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.482.2"></a><var>482.2</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">250,000<br/>
</td>
<td align="right" valign="bottom">-0-<br/>
</td>
</tr>
</table><a id="pl.482.3"></a><var>482.3</var>The amounts that may be spent from this <br/>
<a id="pl.482.4"></a><var>482.4</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.482.5"></a><var>482.5</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) MFIP/DWP Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.482.6"></a><var>482.6</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.482.7"></a><var>482.7</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">62,000,000<br/>
</td>
<td align="right" valign="bottom">61,911,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.482.8"></a><var>482.8</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">82,532,000<br/>
</td>
<td align="right" valign="bottom">90,003,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.482.9"></a><var>482.9</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Support Services Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.482.10"></a><var>482.10</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.482.11"></a><var>482.11</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">8,815,000<br/>
</td>
<td align="right" valign="bottom">9,465,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.482.12"></a><var>482.12</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">103,382,000<br/>
</td>
<td align="right" valign="bottom">103,382,000<br/>
</td>
</tr>
</table><a id="pl.482.13"></a><var>482.13</var>TANF Prior Appropriation Cancellation. <br/>
<a id="pl.482.14"></a><var>482.14</var>Notwithstanding Laws 2001, First Special <br/>
<a id="pl.482.15"></a><var>482.15</var>Session chapter 9, article 17, section <br/>
<a id="pl.482.16"></a><var>482.16</var>2, subdivision 11, paragraph (b), any <br/>
<a id="pl.482.17"></a><var>482.17</var>unexpended TANF funds appropriated to the <br/>
<a id="pl.482.18"></a><var>482.18</var>commissioner to contract with the Board of <br/>
<a id="pl.482.19"></a><var>482.19</var>Trustees of Minnesota State Colleges and <br/>
<a id="pl.482.20"></a><var>482.20</var>Universities, to provide tuition waivers to <br/>
<a id="pl.482.21"></a><var>482.21</var>employees of health care and human service <br/>
<a id="pl.482.22"></a><var>482.22</var>providers that are members of qualifying <br/>
<a id="pl.482.23"></a><var>482.23</var>consortia operating under Minnesota <br/>
<a id="pl.482.24"></a><var>482.24</var>Statutes, sections 116L.10 to 116L.15, must <br/>
<a id="pl.482.25"></a><var>482.25</var>cancel at the end of fiscal year 2007.<br/>
<a id="pl.482.26"></a><var>482.26</var>MFIP Pilot Program. Of the general fund <br/>
<a id="pl.482.27"></a><var>482.27</var>appropriation, $100,000 in fiscal year 2008 <br/>
<a id="pl.482.28"></a><var>482.28</var>and $750,000 in fiscal year 2009 are for a <br/>
<a id="pl.482.29"></a><var>482.29</var>grant to the Stearns-Benton Employment and <br/>
<a id="pl.482.30"></a><var>482.30</var>Training Council for the Workforce U pilot <br/>
<a id="pl.482.31"></a><var>482.31</var>program.<br/>
<a id="pl.482.32"></a><var>482.32</var>Work Study. $750,000 in fiscal year <br/>
<a id="pl.482.33"></a><var>482.33</var>2008 and $750,000 in fiscal year 2009 are <br/>
<a id="pl.482.34"></a><var>482.34</var>appropriated from the TANF reserve account <br/>
<a id="pl.483.1"></a><var>483.1</var>to the Minnesota Office of Higher Education <br/>
<a id="pl.483.2"></a><var>483.2</var>for work study grants under Minnesota <br/>
<a id="pl.483.3"></a><var>483.3</var>Statutes, section 136A.233, specifically <br/>
<a id="pl.483.4"></a><var>483.4</var>for low-income individuals who receive <br/>
<a id="pl.483.5"></a><var>483.5</var>assistance under Minnesota Statutes, chapter <br/>
<a id="pl.483.6"></a><var>483.6</var>256J.<br/>
<table width="100%">
<tr>
<td><a id="pl.483.7"></a><var>483.7</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) MFIP Child Care Assistance Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.483.8"></a><var>483.8</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">337,000<br/>
</td>
<td align="right" valign="bottom">553,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.483.9"></a><var>483.9</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">32,000<br/>
</td>
<td align="right" valign="bottom">609,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.483.10"></a><var>483.10</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) Child Support Enforcement Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.483.11"></a><var>483.11</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">11,705,000<br/>
</td>
<td align="right" valign="bottom">3,705,000<br/>
</td>
</tr>
</table><a id="pl.483.12"></a><var>483.12</var>Child Support Enforcement. $8,000,000 <br/>
<a id="pl.483.13"></a><var>483.13</var>for fiscal year 2008 is to make grants to <br/>
<a id="pl.483.14"></a><var>483.14</var>counties for child support enforcement <br/>
<a id="pl.483.15"></a><var>483.15</var>programs to make up for the loss under the <br/>
<a id="pl.483.16"></a><var>483.16</var>2006 federal Deficit Reduction Act of federal <br/>
<a id="pl.483.17"></a><var>483.17</var>matching funds for federal incentive funds <br/>
<a id="pl.483.18"></a><var>483.18</var>passed on to the counties by the state.<br/>
<a id="pl.483.19"></a><var>483.19</var>This appropriation is available until spent.<br/>
<table width="100%">
<tr>
<td><a id="pl.483.20"></a><var>483.20</var><br/>
<a id="pl.483.21"></a><var>483.21</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(e) Basic Sliding Fee Child Care Assistance <br/>
Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.483.22"></a><var>483.22</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">43,012,000<br/>
</td>
<td align="right" valign="bottom">45,432,000<br/>
</td>
</tr>
</table><a id="pl.483.23"></a><var>483.23</var>Base Adjustment. The general fund base is <br/>
<a id="pl.483.24"></a><var>483.24</var>increased by $3,583,000 in fiscal year 2010 <br/>
<a id="pl.483.25"></a><var>483.25</var>and $1,334,000 in fiscal year 2011 for basic <br/>
<a id="pl.483.26"></a><var>483.26</var>sliding fee child care assistance grants.<br/>
<table width="100%">
<tr>
<td><a id="pl.483.27"></a><var>483.27</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(f) Child Care Development Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.483.28"></a><var>483.28</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">5,865,000<br/>
</td>
<td align="right" valign="bottom">5,865,000<br/>
</td>
</tr>
</table><a id="pl.483.29"></a><var>483.29</var>Child Care Services Grants. $5,000,000 <br/>
<a id="pl.483.30"></a><var>483.30</var>is appropriated from the general fund to <br/>
<a id="pl.483.31"></a><var>483.31</var>the commissioner of human services for <br/>
<a id="pl.483.32"></a><var>483.32</var>the biennium beginning July 1, 2007, for <br/>
<a id="pl.483.33"></a><var>483.33</var>purposes of providing child care services <br/>
<a id="pl.484.1"></a><var>484.1</var>grants under Minnesota Statutes, section <br/>
<a id="pl.484.2"></a><var>484.2</var>119B.21, subdivision 5. This appropriation <br/>
<a id="pl.484.3"></a><var>484.3</var>is for the 2008-2009 biennium only, and does <br/>
<a id="pl.484.4"></a><var>484.4</var>not increase the base funding.<br/>
<a id="pl.484.5"></a><var>484.5</var>Early Childhood Professional <br/>
<a id="pl.484.6"></a><var>484.6</var>Development System. $2,000,000 is <br/>
<a id="pl.484.7"></a><var>484.7</var>appropriated from the general fund to <br/>
<a id="pl.484.8"></a><var>484.8</var>the commissioner of human services for <br/>
<a id="pl.484.9"></a><var>484.9</var>the biennium beginning July 1, 2007, for <br/>
<a id="pl.484.10"></a><var>484.10</var>purposes of the early childhood professional <br/>
<a id="pl.484.11"></a><var>484.11</var>development system, which increases the <br/>
<a id="pl.484.12"></a><var>484.12</var>quality and continuum of professional <br/>
<a id="pl.484.13"></a><var>484.13</var>development opportunities for child care <br/>
<a id="pl.484.14"></a><var>484.14</var>practitioners. This appropriation is for the <br/>
<a id="pl.484.15"></a><var>484.15</var>2008-2009 biennium only, and does not <br/>
<a id="pl.484.16"></a><var>484.16</var>increase the base funding.<br/>
<a id="pl.484.17"></a><var>484.17</var>Family, Friend, and Neighbor Grant <br/>
<a id="pl.484.18"></a><var>484.18</var>Program. $750,000 in fiscal year 2008 and <br/>
<a id="pl.484.19"></a><var>484.19</var>$750,000 in fiscal year 2009 are appropriated <br/>
<a id="pl.484.20"></a><var>484.20</var>from the general fund to the commissioner <br/>
<a id="pl.484.21"></a><var>484.21</var>of human services for the family, friend, <br/>
<a id="pl.484.22"></a><var>484.22</var>and neighbor grant program in section 31. <br/>
<a id="pl.484.23"></a><var>484.23</var>Any balance in the first year does not cancel <br/>
<a id="pl.484.24"></a><var>484.24</var>but is available in the second year. This <br/>
<a id="pl.484.25"></a><var>484.25</var>appropriation is for the 2008-2009 biennium <br/>
<a id="pl.484.26"></a><var>484.26</var>only, and does not increase the base funding. <br/>
<a id="pl.484.27"></a><var>484.27</var>(g) Increased Child Care Provider <br/>
<a id="pl.484.28"></a><var>484.28</var>Connections. (1) $200,000 is appropriated <br/>
<a id="pl.484.29"></a><var>484.29</var>from the general fund to the commissioner of <br/>
<a id="pl.484.30"></a><var>484.30</var>human services for the biennium beginning <br/>
<a id="pl.484.31"></a><var>484.31</var>July 1, 2007, for the following purposes: <br/>
<a id="pl.484.32"></a><var>484.32</var>$100,000 each year is for a grant to Hennepin <br/>
<a id="pl.484.33"></a><var>484.33</var>County, and  $100,000 each year is for a grant <br/>
<a id="pl.484.34"></a><var>484.34</var>to Ramsey County. The two counties shall <br/>
<a id="pl.484.35"></a><var>484.35</var>each contract with a nonprofit organization <br/>
<a id="pl.485.1"></a><var>485.1</var>to work with the contracting county <br/>
<a id="pl.485.2"></a><var>485.2</var>and county-based licensed family child <br/>
<a id="pl.485.3"></a><var>485.3</var>care providers to facilitate county-based <br/>
<a id="pl.485.4"></a><var>485.4</var>information regarding family and children's <br/>
<a id="pl.485.5"></a><var>485.5</var>resources and to make training and peer <br/>
<a id="pl.485.6"></a><var>485.6</var>support available to licensed family child <br/>
<a id="pl.485.7"></a><var>485.7</var>care providers consistent with clause (2). <br/>
<a id="pl.485.8"></a><var>485.8</var>These appropriations are available until <br/>
<a id="pl.485.9"></a><var>485.9</var>June 30, 2009, and shall not become part <br/>
<a id="pl.485.10"></a><var>485.10</var>of base-level funding for the biennium <br/>
<a id="pl.485.11"></a><var>485.11</var>beginning July 1, 2009.<br/>
<a id="pl.485.12"></a><var>485.12</var>(2) Programs to improve child care provider <br/>
<a id="pl.485.13"></a><var>485.13</var>connections to county services shall be <br/>
<a id="pl.485.14"></a><var>485.14</var>established in Hennepin and Ramsey <br/>
<a id="pl.485.15"></a><var>485.15</var>counties to:<br/>
<a id="pl.485.16"></a><var>485.16</var>(i) improve county contact activities <br/>
<a id="pl.485.17"></a><var>485.17</var>with county-licensed family child care <br/>
<a id="pl.485.18"></a><var>485.18</var>providers that facilitate utilization of county <br/>
<a id="pl.485.19"></a><var>485.19</var>educational, social service, public health, <br/>
<a id="pl.485.20"></a><var>485.20</var>and economic assistance services by eligible <br/>
<a id="pl.485.21"></a><var>485.21</var>families, parents, and children using licensed <br/>
<a id="pl.485.22"></a><var>485.22</var>family child care; and<br/>
<a id="pl.485.23"></a><var>485.23</var>(ii) support licensed family child care <br/>
<a id="pl.485.24"></a><var>485.24</var>providers to qualify as quality-rated child <br/>
<a id="pl.485.25"></a><var>485.25</var>care providers through peer support and <br/>
<a id="pl.485.26"></a><var>485.26</var>coaching networks. <br/>
<a id="pl.485.27"></a><var>485.27</var>Hennepin and Ramsey Counties shall <br/>
<a id="pl.485.28"></a><var>485.28</var>contract with a nonprofit organization under <br/>
<a id="pl.485.29"></a><var>485.29</var>clause (1) that utilizes licensed family child <br/>
<a id="pl.485.30"></a><var>485.30</var>care providers as contacts for families using <br/>
<a id="pl.485.31"></a><var>485.31</var>licensed family child care and to provide <br/>
<a id="pl.485.32"></a><var>485.32</var>peer support to licensed family child care <br/>
<a id="pl.485.33"></a><var>485.33</var>providers.<br/>
<a id="pl.485.34"></a><var>485.34</var>(3) Hennepin and Ramsey Counties must <br/>
<a id="pl.485.35"></a><var>485.35</var>report back on successful strategies for <br/>
<a id="pl.486.1"></a><var>486.1</var>increasing contact with county-based <br/>
<a id="pl.486.2"></a><var>486.2</var>licensed family child care providers and <br/>
<a id="pl.486.3"></a><var>486.3</var>report their findings to the appropriate <br/>
<a id="pl.486.4"></a><var>486.4</var>legislative committees by February 15, 2010.<br/>
<table width="100%">
<tr>
<td><a id="pl.486.5"></a><var>486.5</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(h) Children's Services Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.486.6"></a><var>486.6</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.486.7"></a><var>486.7</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">62,745,000<br/>
</td>
<td align="right" valign="bottom">73,133,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.486.8"></a><var>486.8</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">250,000<br/>
</td>
<td align="right" valign="bottom">-0-<br/>
</td>
</tr>
</table><a id="pl.486.9"></a><var>486.9</var>Base Adjustment. The general fund base <br/>
<a id="pl.486.10"></a><var>486.10</var>is decreased by $673,000 in fiscal year <br/>
<a id="pl.486.11"></a><var>486.11</var>2010 and $670,000 in fiscal year 2011 for <br/>
<a id="pl.486.12"></a><var>486.12</var>children's services grants.<br/>
<a id="pl.486.13"></a><var>486.13</var>Privatized Adoption Grants. Federal <br/>
<a id="pl.486.14"></a><var>486.14</var>reimbursement for privatized adoption grant <br/>
<a id="pl.486.15"></a><var>486.15</var>and foster care recruitment grant expenditures <br/>
<a id="pl.486.16"></a><var>486.16</var>is appropriated to the commissioner for <br/>
<a id="pl.486.17"></a><var>486.17</var>adoption grants and foster care and adoption <br/>
<a id="pl.486.18"></a><var>486.18</var>administrative purposes.<br/>
<a id="pl.486.19"></a><var>486.19</var>Adoption Assistance Incentive Grants. <br/>
<a id="pl.486.20"></a><var>486.20</var>Federal funds available during fiscal year <br/>
<a id="pl.486.21"></a><var>486.21</var>2008 and fiscal year 2009 for the adoption <br/>
<a id="pl.486.22"></a><var>486.22</var>incentive grants are appropriated to the <br/>
<a id="pl.486.23"></a><var>486.23</var>commissioner for these purposes.<br/>
<a id="pl.486.24"></a><var>486.24</var>Adoption Assistance and Relative Custody <br/>
<a id="pl.486.25"></a><var>486.25</var>Assistance. The commissioner may transfer <br/>
<a id="pl.486.26"></a><var>486.26</var>unencumbered appropriation balances for <br/>
<a id="pl.486.27"></a><var>486.27</var>adoption assistance and relative custody <br/>
<a id="pl.486.28"></a><var>486.28</var>assistance between fiscal years and between <br/>
<a id="pl.486.29"></a><var>486.29</var>programs.<br/>
<a id="pl.486.30"></a><var>486.30</var>Adoption Assistance and Relative <br/>
<a id="pl.486.31"></a><var>486.31</var>Custody Assistance Subsidy Payment <br/>
<a id="pl.486.32"></a><var>486.32</var>Increase. Notwithstanding Minnesota <br/>
<a id="pl.486.33"></a><var>486.33</var>Rules, part 9560.0083, subparts 5 and 6, the <br/>
<a id="pl.486.34"></a><var>486.34</var>commissioner shall increase the payment <br/>
<a id="pl.486.35"></a><var>486.35</var>schedules for basic and supplemental <br/>
<a id="pl.487.1"></a><var>487.1</var>maintenance needs subsidies by 3.95 percent <br/>
<a id="pl.487.2"></a><var>487.2</var>effective July 1, 2007. The commissioner <br/>
<a id="pl.487.3"></a><var>487.3</var>may make cost-neutral adjustments between <br/>
<a id="pl.487.4"></a><var>487.4</var>schedules and between brackets within <br/>
<a id="pl.487.5"></a><var>487.5</var>schedules to allow for whole-dollar bracket <br/>
<a id="pl.487.6"></a><var>487.6</var>levels and account for differential cost <br/>
<a id="pl.487.7"></a><var>487.7</var>increases in caring for children with special <br/>
<a id="pl.487.8"></a><var>487.8</var>needs. Counties have until December 31, <br/>
<a id="pl.487.9"></a><var>487.9</var>2007, to implement the relative custody <br/>
<a id="pl.487.10"></a><var>487.10</var>assistance payment increases and shall make <br/>
<a id="pl.487.11"></a><var>487.11</var>payment adjustments retroactive to July 1, <br/>
<a id="pl.487.12"></a><var>487.12</var>2007.<br/>
<a id="pl.487.13"></a><var>487.13</var>Crisis Nurseries. $1,100,000 in fiscal year <br/>
<a id="pl.487.14"></a><var>487.14</var>2008 and $1,100,000 in fiscal year 2009 are <br/>
<a id="pl.487.15"></a><var>487.15</var>appropriated from the general fund for the <br/>
<a id="pl.487.16"></a><var>487.16</var>crisis nurseries program. Of this amount, <br/>
<a id="pl.487.17"></a><var>487.17</var>$100,000 each year is to be made available <br/>
<a id="pl.487.18"></a><var>487.18</var>for capacity development and technical <br/>
<a id="pl.487.19"></a><var>487.19</var>support for crisis nurseries.<br/>
<a id="pl.487.20"></a><var>487.20</var>Respite Care. Of the general fund <br/>
<a id="pl.487.21"></a><var>487.21</var>appropriation, $1,250,000 in fiscal year <br/>
<a id="pl.487.22"></a><var>487.22</var>2008 and $2,500,000 in fiscal year 2009 are <br/>
<a id="pl.487.23"></a><var>487.23</var>to the commissioner of human services to <br/>
<a id="pl.487.24"></a><var>487.24</var>fund respite care for children who have a <br/>
<a id="pl.487.25"></a><var>487.25</var>diagnosis of emotional disturbance or severe <br/>
<a id="pl.487.26"></a><var>487.26</var>emotional disturbance.<br/>
<a id="pl.487.27"></a><var>487.27</var>Childhood Trauma; Grants. Of the general <br/>
<a id="pl.487.28"></a><var>487.28</var>fund appropriation, $125,000 in fiscal year <br/>
<a id="pl.487.29"></a><var>487.29</var>2008 and $250,000 in fiscal year 2009 are <br/>
<a id="pl.487.30"></a><var>487.30</var>to the commissioner of human services to <br/>
<a id="pl.487.31"></a><var>487.31</var>make grants for the purpose of maintaining <br/>
<a id="pl.487.32"></a><var>487.32</var>and expanding evidence-based practices that <br/>
<a id="pl.487.33"></a><var>487.33</var>support children and youth who have been <br/>
<a id="pl.487.34"></a><var>487.34</var>exposed to violence or who are refugees.<br/>
<a id="pl.488.1"></a><var>488.1</var>Collaborative Services for High-Risk <br/>
<a id="pl.488.2"></a><var>488.2</var>Children. Of the general fund appropriation, <br/>
<a id="pl.488.3"></a><var>488.3</var>$2,632,000 in fiscal year 2008 and <br/>
<a id="pl.488.4"></a><var>488.4</var>$6,150,000 in fiscal year 2009 are to the <br/>
<a id="pl.488.5"></a><var>488.5</var>commissioner of human services to fund <br/>
<a id="pl.488.6"></a><var>488.6</var>early intervention collaborative programs.<br/>
<a id="pl.488.7"></a><var>488.7</var>Evidence-Based Practice. Of the general <br/>
<a id="pl.488.8"></a><var>488.8</var>fund appropriation, $2,175,000 in fiscal year <br/>
<a id="pl.488.9"></a><var>488.9</var>2008 and $4,350,000 in fiscal year 2009 <br/>
<a id="pl.488.10"></a><var>488.10</var>are to the commissioner of human services <br/>
<a id="pl.488.11"></a><var>488.11</var>to develop and implement evidence-based <br/>
<a id="pl.488.12"></a><var>488.12</var>practice in children's mental health care and <br/>
<a id="pl.488.13"></a><var>488.13</var>treatment.<br/>
<a id="pl.488.14"></a><var>488.14</var>MFIP and Children's Mental Health Pilot <br/>
<a id="pl.488.15"></a><var>488.15</var>Project. Of the general fund appropriation, <br/>
<a id="pl.488.16"></a><var>488.16</var>$100,000 in fiscal year 2008 and $200,000 <br/>
<a id="pl.488.17"></a><var>488.17</var>in fiscal year 2009 are to the commissioner <br/>
<a id="pl.488.18"></a><var>488.18</var>of human services to fund the MFIP and <br/>
<a id="pl.488.19"></a><var>488.19</var>children's mental health pilot project.<br/>
<a id="pl.488.20"></a><var>488.20</var>Regional Children's Mental Health <br/>
<a id="pl.488.21"></a><var>488.21</var>Initiative. $700,000 in fiscal year 2008 and <br/>
<a id="pl.488.22"></a><var>488.22</var>$700,000 in fiscal year 2009 are appropriated <br/>
<a id="pl.488.23"></a><var>488.23</var>to the commissioner of human services to <br/>
<a id="pl.488.24"></a><var>488.24</var>fund the Regional Children's Mental Health <br/>
<a id="pl.488.25"></a><var>488.25</var>Initiative pilot project. This is a onetime <br/>
<a id="pl.488.26"></a><var>488.26</var>appropriation.<br/>
<a id="pl.488.27"></a><var>488.27</var>Child Safety Efforts. $1,000,000 in fiscal <br/>
<a id="pl.488.28"></a><var>488.28</var>year 2008 and $1,000,000 in fiscal year 2009 <br/>
<a id="pl.488.29"></a><var>488.29</var>are appropriated to counties based on their <br/>
<a id="pl.488.30"></a><var>488.30</var>population of residents under age 18. Funds <br/>
<a id="pl.488.31"></a><var>488.31</var>are to be used to maintain and improve child <br/>
<a id="pl.488.32"></a><var>488.32</var>safety services. By February 1, 2008, each <br/>
<a id="pl.488.33"></a><var>488.33</var>county shall submit a report regarding current <br/>
<a id="pl.488.34"></a><var>488.34</var>child safety efforts, child safety funding, and <br/>
<a id="pl.488.35"></a><var>488.35</var>unmet needs including investments needed. <br/>
<a id="pl.489.1"></a><var>489.1</var>The report shall also include methods and <br/>
<a id="pl.489.2"></a><var>489.2</var>community partners available to ensure <br/>
<a id="pl.489.3"></a><var>489.3</var>early identification of at-risk families. The <br/>
<a id="pl.489.4"></a><var>489.4</var>Association of Minnesota Counties and <br/>
<a id="pl.489.5"></a><var>489.5</var>county agencies shall develop a uniform <br/>
<a id="pl.489.6"></a><var>489.6</var>report structure so that statewide data can <br/>
<a id="pl.489.7"></a><var>489.7</var>be easily summarized. This is a onetime <br/>
<a id="pl.489.8"></a><var>489.8</var>appropriation.<br/>
<a id="pl.489.9"></a><var>489.9</var>Fetal Alcohol Syndrome. Of the general <br/>
<a id="pl.489.10"></a><var>489.10</var>fund appropriation, $75,000 in fiscal year <br/>
<a id="pl.489.11"></a><var>489.11</var>2008 and $75,000 in fiscal year 2009 are <br/>
<a id="pl.489.12"></a><var>489.12</var>for three programs that provide services <br/>
<a id="pl.489.13"></a><var>489.13</var>to reduce fetal alcohol syndrome under <br/>
<a id="pl.489.14"></a><var>489.14</var>Minnesota Statutes, section 145.9266. The <br/>
<a id="pl.489.15"></a><var>489.15</var>three program grantees are the University <br/>
<a id="pl.489.16"></a><var>489.16</var>of Minnesota, the Meeker-McLeod-Sibley <br/>
<a id="pl.489.17"></a><var>489.17</var>Community, and the American Indian Family <br/>
<a id="pl.489.18"></a><var>489.18</var>Center. This appropriation shall become part <br/>
<a id="pl.489.19"></a><var>489.19</var>of the base appropriation.<br/>
<a id="pl.489.20"></a><var>489.20</var>Base Adjustment. The general fund base is <br/>
<a id="pl.489.21"></a><var>489.21</var>increased by $366,000 in fiscal year 2010 and <br/>
<a id="pl.489.22"></a><var>489.22</var>$369,000 in fiscal year 2011 for children's <br/>
<a id="pl.489.23"></a><var>489.23</var>services grants.<br/>
<table width="100%">
<tr>
<td><a id="pl.489.24"></a><var>489.24</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(i) Children and Community Services Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.489.25"></a><var>489.25</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">110,802,000<br/>
</td>
<td align="right" valign="bottom">69,567,000<br/>
</td>
</tr>
</table><a id="pl.489.26"></a><var>489.26</var>Base Adjustment. The general fund base is <br/>
<a id="pl.489.27"></a><var>489.27</var>increased by $99,000 in each of fiscal years <br/>
<a id="pl.489.28"></a><var>489.28</var>2010 and 2011 for children and community <br/>
<a id="pl.489.29"></a><var>489.29</var>services grants.<br/>
<a id="pl.489.30"></a><var>489.30</var>Targeted Case Management Temporary <br/>
<a id="pl.489.31"></a><var>489.31</var>Funding. Of the general fund appropriation, <br/>
<a id="pl.489.32"></a><var>489.32</var>$40,000,000 in fiscal year 2008 is allocated to <br/>
<a id="pl.489.33"></a><var>489.33</var>counties and tribes affected by reductions in <br/>
<a id="pl.489.34"></a><var>489.34</var>targeted case management federal Medicaid <br/>
<a id="pl.489.35"></a><var>489.35</var>revenue as a result of the provisions in <br/>
<a id="pl.490.1"></a><var>490.1</var>the federal Deficit Reduction Act of 2005, <br/>
<a id="pl.490.2"></a><var>490.2</var>Public Law 109-171. The commissioner <br/>
<a id="pl.490.3"></a><var>490.3</var>shall distribute the funds proportionate <br/>
<a id="pl.490.4"></a><var>490.4</var>to each affected county or tribe's targeted <br/>
<a id="pl.490.5"></a><var>490.5</var>case management federal earnings for <br/>
<a id="pl.490.6"></a><var>490.6</var>calendar year 2005. Prior to distribution <br/>
<a id="pl.490.7"></a><var>490.7</var>of funds, the commissioner shall estimate <br/>
<a id="pl.490.8"></a><var>490.8</var>and certify the amount by which the federal <br/>
<a id="pl.490.9"></a><var>490.9</var>regulations will reduce case management <br/>
<a id="pl.490.10"></a><var>490.10</var>revenue over the 2008-2009 biennium. The <br/>
<a id="pl.490.11"></a><var>490.11</var>commissioner may provide grants up to the <br/>
<a id="pl.490.12"></a><var>490.12</var>amount of the estimated reduction, not to <br/>
<a id="pl.490.13"></a><var>490.13</var>exceed $40,000,000 for the biennium. The <br/>
<a id="pl.490.14"></a><var>490.14</var>commissioner may determine the timing and <br/>
<a id="pl.490.15"></a><var>490.15</var>frequency of payments to counties. These <br/>
<a id="pl.490.16"></a><var>490.16</var>funds are available in either year of the <br/>
<a id="pl.490.17"></a><var>490.17</var>biennium. Counties shall use these funds to <br/>
<a id="pl.490.18"></a><var>490.18</var>pay for social service-related costs, but the <br/>
<a id="pl.490.19"></a><var>490.19</var>funds are not subject to provisions of the <br/>
<a id="pl.490.20"></a><var>490.20</var>Children and Community Services Act grant <br/>
<a id="pl.490.21"></a><var>490.21</var>under Minnesota Statutes, chapter 256M.<br/>
<a id="pl.490.22"></a><var>490.22</var>Child Welfare Project. Of the general fund <br/>
<a id="pl.490.23"></a><var>490.23</var>appropriation, $2,000,000 for the biennium <br/>
<a id="pl.490.24"></a><var>490.24</var>beginning July 1, 2007, is for expanding <br/>
<a id="pl.490.25"></a><var>490.25</var>the American Indian chid welfare project <br/>
<a id="pl.490.26"></a><var>490.26</var>under Minnesota Statutes, section 256.01, <br/>
<a id="pl.490.27"></a><var>490.27</var>subdivision 14b, to include the Red Lake <br/>
<a id="pl.490.28"></a><var>490.28</var>Band of Chippewa Indians Tribe, provided <br/>
<a id="pl.490.29"></a><var>490.29</var>the tribe meets the criteria in Minnesota <br/>
<a id="pl.490.30"></a><var>490.30</var>Statutes, section 256.01, subdivision 14b.<br/>
<table width="100%">
<tr>
<td><a id="pl.490.31"></a><var>490.31</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(j) General Assistance Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.490.32"></a><var>490.32</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">37,876,000<br/>
</td>
<td align="right" valign="bottom">38,253,000<br/>
</td>
</tr>
</table><a id="pl.490.33"></a><var>490.33</var>General Assistance Standard. The <br/>
<a id="pl.490.34"></a><var>490.34</var>commissioner shall set the monthly standard <br/>
<a id="pl.490.35"></a><var>490.35</var>of assistance for general assistance units <br/>
<a id="pl.491.1"></a><var>491.1</var>consisting of an adult recipient who is <br/>
<a id="pl.491.2"></a><var>491.2</var>childless and unmarried or living apart <br/>
<a id="pl.491.3"></a><var>491.3</var>from parents or a legal guardian at $203. <br/>
<a id="pl.491.4"></a><var>491.4</var>The commissioner may reduce this amount <br/>
<a id="pl.491.5"></a><var>491.5</var>according to Laws 1997, chapter 85, article <br/>
<a id="pl.491.6"></a><var>491.6</var>3, section 54.<br/>
<a id="pl.491.7"></a><var>491.7</var>Emergency General Assistance. The <br/>
<a id="pl.491.8"></a><var>491.8</var>amount appropriated for emergency general <br/>
<a id="pl.491.9"></a><var>491.9</var>assistance funds is limited to no more <br/>
<a id="pl.491.10"></a><var>491.10</var>than $7,889,812 in fiscal year 2008 and <br/>
<a id="pl.491.11"></a><var>491.11</var>$7,889,812 in fiscal year 2009. Funds <br/>
<a id="pl.491.12"></a><var>491.12</var>to counties must be allocated by the <br/>
<a id="pl.491.13"></a><var>491.13</var>commissioner using the allocation method <br/>
<a id="pl.491.14"></a><var>491.14</var>specified in Minnesota Statutes, section <br/>
<a id="pl.491.15"></a><var>491.15</var>256D.06.<br/>
<table width="100%">
<tr>
<td><a id="pl.491.16"></a><var>491.16</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(k) Minnesota Supplemental Aid Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.491.17"></a><var>491.17</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">30,798,000<br/>
</td>
<td align="right" valign="bottom">31,439,000<br/>
</td>
</tr>
</table><a id="pl.491.18"></a><var>491.18</var>Emergency Minnesota Supplemental <br/>
<a id="pl.491.19"></a><var>491.19</var>Aid Funds. The amount appropriated for <br/>
<a id="pl.491.20"></a><var>491.20</var>emergency Minnesota supplemental aid <br/>
<a id="pl.491.21"></a><var>491.21</var>funds is limited to no more than $1,100,000 <br/>
<a id="pl.491.22"></a><var>491.22</var>in fiscal year 2008 and $1,100,000 in fiscal <br/>
<a id="pl.491.23"></a><var>491.23</var>year 2009. Funds to counties must be <br/>
<a id="pl.491.24"></a><var>491.24</var>allocated by the commissioner using the <br/>
<a id="pl.491.25"></a><var>491.25</var>allocation method specified in Minnesota <br/>
<a id="pl.491.26"></a><var>491.26</var>Statutes, section 256D.46.<br/>
<table width="100%">
<tr>
<td><a id="pl.491.27"></a><var>491.27</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(l) Group Residential Housing Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.491.28"></a><var>491.28</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">91,441,000<br/>
</td>
<td align="right" valign="bottom">99,304,000<br/>
</td>
</tr>
</table><a id="pl.491.29"></a><var>491.29</var>Base Adjustment. The general fund base is <br/>
<a id="pl.491.30"></a><var>491.30</var>increased by $6,665,000 in fiscal year 2010 <br/>
<a id="pl.491.31"></a><var>491.31</var>and $13,419,000 in fiscal year 2011.<br/>
<a id="pl.491.32"></a><var>491.32</var>People Incorporated. $460,000 in fiscal <br/>
<a id="pl.491.33"></a><var>491.33</var>year 2008 and $460,000 in fiscal year 2009 <br/>
<a id="pl.491.34"></a><var>491.34</var>are appropriated from the general fund to the <br/>
<a id="pl.492.1"></a><var>492.1</var>commissioner of human services to augment <br/>
<a id="pl.492.2"></a><var>492.2</var>community support and mental health <br/>
<a id="pl.492.3"></a><var>492.3</var>services provided to individuals residing in <br/>
<a id="pl.492.4"></a><var>492.4</var>facilities under Minnesota Statutes, section <br/>
<a id="pl.492.5"></a><var>492.5</var>256I.05, subdivision 1h.<br/>
<table width="100%">
<tr>
<td><a id="pl.492.6"></a><var>492.6</var><br/>
<a id="pl.492.7"></a><var>492.7</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(m) Other Children and Economic Assistance <br/>
Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.492.8"></a><var>492.8</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">590,000<br/>
</td>
<td align="right" valign="bottom">590,000<br/>
</td>
</tr>
</table><a id="pl.492.9"></a><var>492.9</var>New Chance. $140,000 in fiscal year <br/>
<a id="pl.492.10"></a><var>492.10</var>2008 and $140,000 in fiscal year 2009 are <br/>
<a id="pl.492.11"></a><var>492.11</var>appropriated from federal TANF funds to the <br/>
<a id="pl.492.12"></a><var>492.12</var>Hennepin County new chance program.<br/>
<a id="pl.492.13"></a><var>492.13</var>Mothers First. Of the TANF appropriation, <br/>
<a id="pl.492.14"></a><var>492.14</var>$450,000 in fiscal year 2008 and $450,000 <br/>
<a id="pl.492.15"></a><var>492.15</var>in fiscal year 2009 are to fund the Ramsey <br/>
<a id="pl.492.16"></a><var>492.16</var>County mothers first program. The <br/>
<a id="pl.492.17"></a><var>492.17</var>appropriations are available until spent and <br/>
<a id="pl.492.18"></a><var>492.18</var>are a onetime appropriation.<br/>
<a id="pl.492.19"></a><var>492.19</var>Homeless and Runaway Youth. $3,500,000 <br/>
<a id="pl.492.20"></a><var>492.20</var>in the first year and $3,500,000 in the second <br/>
<a id="pl.492.21"></a><var>492.21</var>year are for the Runaway and Homeless <br/>
<a id="pl.492.22"></a><var>492.22</var>Youth Act under Minnesota Statutes, section <br/>
<a id="pl.492.23"></a><var>492.23</var>256K.45. Funds shall be spent in each area <br/>
<a id="pl.492.24"></a><var>492.24</var>of the continuum of care to ensure that <br/>
<a id="pl.492.25"></a><var>492.25</var>programs are meeting the greatest need. The <br/>
<a id="pl.492.26"></a><var>492.26</var>base is decreased by $2,000,000 each year in <br/>
<a id="pl.492.27"></a><var>492.27</var>fiscal year 2010 and fiscal year 2011. <br/>
<a id="pl.492.28"></a><var>492.28</var>Transitional Housing and Emergency <br/>
<a id="pl.492.29"></a><var>492.29</var>Services.<br/>
<a id="pl.492.30"></a><var>492.30</var>(1) $750,000 each year from the federal <br/>
<a id="pl.492.31"></a><var>492.31</var>TANF fund is for transitional housing <br/>
<a id="pl.492.32"></a><var>492.32</var>programs under Minnesota Statutes, section <br/>
<a id="pl.492.33"></a><var>492.33</var>256E.33. The TANF appropriations <br/>
<a id="pl.492.34"></a><var>492.34</var>are onetime. The general fund base for <br/>
<a id="pl.492.35"></a><var>492.35</var>transitional housing is increased by $422,000 <br/>
<a id="pl.493.1"></a><var>493.1</var>each year for the fiscal 2010-2011 biennium. <br/>
<a id="pl.493.2"></a><var>493.2</var>Up to ten percent of this appropriation may <br/>
<a id="pl.493.3"></a><var>493.3</var>be used for housing and services which <br/>
<a id="pl.493.4"></a><var>493.4</var>extend beyond 24 months. $300,000 in each <br/>
<a id="pl.493.5"></a><var>493.5</var>year of this amount is for grants for safe <br/>
<a id="pl.493.6"></a><var>493.6</var>housing pilot projects for battered women <br/>
<a id="pl.493.7"></a><var>493.7</var>and families in Anoka County, Houston <br/>
<a id="pl.493.8"></a><var>493.8</var>County, and Beltrami County; and<br/>
<a id="pl.493.9"></a><var>493.9</var>(2) $527,000 each year is added to the <br/>
<a id="pl.493.10"></a><var>493.10</var>base for emergency services grants under <br/>
<a id="pl.493.11"></a><var>493.11</var>Laws 1997, chapter 162, article 3, section <br/>
<a id="pl.493.12"></a><var>493.12</var>7. The base for emergency services grants <br/>
<a id="pl.493.13"></a><var>493.13</var>is decreased each year by $300,000 in fiscal <br/>
<a id="pl.493.14"></a><var>493.14</var>year 2010 and fiscal year 2011.<br/>
<a id="pl.493.15"></a><var>493.15</var>Foodshelf Programs. $575,000 each year <br/>
<a id="pl.493.16"></a><var>493.16</var>is added to the base for foodshelf programs <br/>
<a id="pl.493.17"></a><var>493.17</var>under Minnesota Statutes, section 256E.34. <br/>
<a id="pl.493.18"></a><var>493.18</var>The base is decreased by $250,000 each year <br/>
<a id="pl.493.19"></a><var>493.19</var>in fiscal year 2010 and fiscal year 2011.<br/>
<a id="pl.493.20"></a><var>493.20</var>Long-term Homeless Services. $2,440,000 <br/>
<a id="pl.493.21"></a><var>493.21</var>each year is added to the base for the <br/>
<a id="pl.493.22"></a><var>493.22</var>long-term homeless services under <br/>
<a id="pl.493.23"></a><var>493.23</var>Minnesota Statutes, section 256K.26. The <br/>
<a id="pl.493.24"></a><var>493.24</var>base is decreased by $1,000,000 each year in <br/>
<a id="pl.493.25"></a><var>493.25</var>fiscal year 2010 and fiscal year 2011.<br/>
<a id="pl.493.26"></a><var>493.26</var>Minnesota Community Action Grants. <br/>
<a id="pl.493.27"></a><var>493.27</var>$1,500,000 each year is added to the base for <br/>
<a id="pl.493.28"></a><var>493.28</var>the purposes of Minnesota community action <br/>
<a id="pl.493.29"></a><var>493.29</var>grants under Minnesota Statutes, sections <br/>
<a id="pl.493.30"></a><var>493.30</var>256E.30 to 256E.32. The base is reduced by <br/>
<a id="pl.493.31"></a><var>493.31</var>$500,000 each year in fiscal year 2010 and <br/>
<a id="pl.493.32"></a><var>493.32</var>fiscal year 2011.<br/>
<a id="pl.493.33"></a><var>493.33</var>Tenant Hotline Services Program. $50,000 <br/>
<a id="pl.493.34"></a><var>493.34</var>each year is added to the base for a grant to <br/>
<a id="pl.494.1"></a><var>494.1</var>HOME Line for the tenant hotline services <br/>
<a id="pl.494.2"></a><var>494.2</var>program. This is a onetime appropriation.<br/>
<table width="100%">
<tr>
<td><a id="pl.494.3"></a><var>494.3</var><br/>
<a id="pl.494.4"></a><var>494.4</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 5.<b>Children and Economic Assistance </b><br/>
<b>Management</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">46,507,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">46,590,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.494.5"></a><var>494.5</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.6"></a><var>494.6</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">44,964,000<br/>
</td>
<td align="right" valign="bottom">45,040,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.7"></a><var>494.7</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">347,000<br/>
</td>
<td align="right" valign="bottom">354,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.8"></a><var>494.8</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">1,196,000<br/>
</td>
<td align="right" valign="bottom">1,196,000<br/>
</td>
</tr>
</table><a id="pl.494.9"></a><var>494.9</var>The amounts that may be spent from the <br/>
<a id="pl.494.10"></a><var>494.10</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.494.11"></a><var>494.11</var><br/>
<a id="pl.494.12"></a><var>494.12</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) Children and Economic Assistance <br/>
Administration<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.494.13"></a><var>494.13</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.14"></a><var>494.14</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">9,321,000<br/>
</td>
<td align="right" valign="bottom">9,318,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.15"></a><var>494.15</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">1,196,000<br/>
</td>
<td align="right" valign="bottom">1,196,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.494.16"></a><var>494.16</var><br/>
<a id="pl.494.17"></a><var>494.17</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Children and Economic Assistance <br/>
Operations<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.494.18"></a><var>494.18</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.19"></a><var>494.19</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">35,643,000<br/>
</td>
<td align="right" valign="bottom">35,722,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.494.20"></a><var>494.20</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">347,000<br/>
</td>
<td align="right" valign="bottom">354,000<br/>
</td>
</tr>
</table><a id="pl.494.21"></a><var>494.21</var>Spending Authority for Food Stamps <br/>
<a id="pl.494.22"></a><var>494.22</var>Bonus Awards. In the event that Minnesota <br/>
<a id="pl.494.23"></a><var>494.23</var>qualifies for the United States Department <br/>
<a id="pl.494.24"></a><var>494.24</var>of Agriculture Food and Nutrition Services <br/>
<a id="pl.494.25"></a><var>494.25</var>Food Stamp Program performance bonus <br/>
<a id="pl.494.26"></a><var>494.26</var>awards, the funding is appropriated to the <br/>
<a id="pl.494.27"></a><var>494.27</var>commissioner. The commissioner shall <br/>
<a id="pl.494.28"></a><var>494.28</var>retain 25 percent of the funding, with the <br/>
<a id="pl.494.29"></a><var>494.29</var>other 75 percent divided among the counties <br/>
<a id="pl.494.30"></a><var>494.30</var>according to a formula that takes into account <br/>
<a id="pl.494.31"></a><var>494.31</var>each county's impact on state performance in <br/>
<a id="pl.494.32"></a><var>494.32</var>the applicable bonus categories.<br/>
<a id="pl.494.33"></a><var>494.33</var>Child Support Payment Center. Payments <br/>
<a id="pl.494.34"></a><var>494.34</var>to the commissioner from other governmental <br/>
<a id="pl.494.35"></a><var>494.35</var>units, private enterprises, and individuals <br/>
<a id="pl.494.36"></a><var>494.36</var>for services performed by the child support <br/>
<a id="pl.495.1"></a><var>495.1</var>payment center must be deposited in the state <br/>
<a id="pl.495.2"></a><var>495.2</var>systems account authorized under Minnesota <br/>
<a id="pl.495.3"></a><var>495.3</var>Statutes, section 256.014. These payments <br/>
<a id="pl.495.4"></a><var>495.4</var>are appropriated to the commissioner for the <br/>
<a id="pl.495.5"></a><var>495.5</var>operation of the child support payment center <br/>
<a id="pl.495.6"></a><var>495.6</var>or system, according to Minnesota Statutes, <br/>
<a id="pl.495.7"></a><var>495.7</var>section 256.014.<br/>
<a id="pl.495.8"></a><var>495.8</var>Financial Institution Data Match and <br/>
<a id="pl.495.9"></a><var>495.9</var>Payment of Fees. The commissioner is <br/>
<a id="pl.495.10"></a><var>495.10</var>authorized to allocate up to $310,000 each <br/>
<a id="pl.495.11"></a><var>495.11</var>year in fiscal years 2008 and 2009 from the <br/>
<a id="pl.495.12"></a><var>495.12</var>PRISM special revenue account to make <br/>
<a id="pl.495.13"></a><var>495.13</var>payments to financial institutions in exchange <br/>
<a id="pl.495.14"></a><var>495.14</var>for performing data matches between account <br/>
<a id="pl.495.15"></a><var>495.15</var>information held by financial institutions <br/>
<a id="pl.495.16"></a><var>495.16</var>and the public authority's database of child <br/>
<a id="pl.495.17"></a><var>495.17</var>support obligors as authorized by Minnesota <br/>
<a id="pl.495.18"></a><var>495.18</var>Statutes, section 13B.06, subdivision 7.<br/>
<table width="100%">
<tr>
<td><a id="pl.495.19"></a><var>495.19</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 6.<b>Basic Health Care Grants</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">2,396,290,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">2,738,179,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.495.20"></a><var>495.20</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.495.21"></a><var>495.21</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">2,618,815,000<br/>
</td>
<td align="right" valign="bottom">2,250,170,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.495.22"></a><var>495.22</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">377,475,000<br/>
</td>
<td align="right" valign="bottom">487,989,000<br/>
</td>
</tr>
</table><a id="pl.495.23"></a><var>495.23</var>The amounts that may be spent from the <br/>
<a id="pl.495.24"></a><var>495.24</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.495.25"></a><var>495.25</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) MinnesotaCare Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.495.26"></a><var>495.26</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">376,588,000<br/>
</td>
<td align="right" valign="bottom">455,429,000<br/>
</td>
</tr>
</table><a id="pl.495.27"></a><var>495.27</var>MinnesotaCare Federal Receipts. Receipts <br/>
<a id="pl.495.28"></a><var>495.28</var>received as a result of federal participation <br/>
<a id="pl.495.29"></a><var>495.29</var>in administering costs of the Minnesota <br/>
<a id="pl.495.30"></a><var>495.30</var>health care reform waiver must be deposited <br/>
<a id="pl.495.31"></a><var>495.31</var>as nondedicated revenue in the health care <br/>
<a id="pl.495.32"></a><var>495.32</var>access fund. Receipts received as a result of <br/>
<a id="pl.495.33"></a><var>495.33</var>federal participation in making grants must <br/>
<a id="pl.495.34"></a><var>495.34</var>be deposited in the federal fund and must <br/>
<a id="pl.496.1"></a><var>496.1</var>offset health care access funds for payments <br/>
<a id="pl.496.2"></a><var>496.2</var>to providers.<br/>
<a id="pl.496.3"></a><var>496.3</var>MinnesotaCare Funding. The <br/>
<a id="pl.496.4"></a><var>496.4</var>commissioner may expend money <br/>
<a id="pl.496.5"></a><var>496.5</var>appropriated from the health care access fund <br/>
<a id="pl.496.6"></a><var>496.6</var>for MinnesotaCare in either fiscal year of the <br/>
<a id="pl.496.7"></a><var>496.7</var>biennium.<br/>
<a id="pl.496.8"></a><var>496.8</var>HealthMatch Delay. Of this appropriation, <br/>
<a id="pl.496.9"></a><var>496.9</var>$2,560,000 in fiscal year 2008 and <br/>
<a id="pl.496.10"></a><var>496.10</var>$25,508,000 in fiscal year 2009 are for <br/>
<a id="pl.496.11"></a><var>496.11</var>MinnesotaCare program costs related to <br/>
<a id="pl.496.12"></a><var>496.12</var>implementation of the HealthMatch program.<br/>
<table width="100%">
<tr>
<td><a id="pl.496.13"></a><var>496.13</var><br/>
<a id="pl.496.14"></a><var>496.14</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) MA Basic Health Care - Families and <br/>
Children<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.496.15"></a><var>496.15</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.496.16"></a><var>496.16</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">759,866,000<br/>
</td>
<td align="right" valign="bottom">853,680,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.496.17"></a><var>496.17</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">-0-<br/>
</td>
<td align="right" valign="bottom">31,661,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.496.18"></a><var>496.18</var><br/>
<a id="pl.496.19"></a><var>496.19</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) MA Basic Health Care - Elderly and <br/>
Disabled<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.496.20"></a><var>496.20</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">1,017,023,000<br/>
</td>
<td align="right" valign="bottom">1,142,719,000<br/>
</td>
</tr>
</table><a id="pl.496.21"></a><var>496.21</var>Provider-Directed Care Coordination. In <br/>
<a id="pl.496.22"></a><var>496.22</var>addition to medical assistance reimbursement <br/>
<a id="pl.496.23"></a><var>496.23</var>under Minnesota Statutes, sections <br/>
<a id="pl.496.24"></a><var>496.24</var>256B.0625 and 256B.76, clinics participating <br/>
<a id="pl.496.25"></a><var>496.25</var>in provider-directed care coordination under <br/>
<a id="pl.496.26"></a><var>496.26</var>Minnesota Statutes, section 256B.0625, also <br/>
<a id="pl.496.27"></a><var>496.27</var>receive a monthly payment per client when <br/>
<a id="pl.496.28"></a><var>496.28</var>the clinic serves an eligible client. The <br/>
<a id="pl.496.29"></a><var>496.29</var>payments across the program must average <br/>
<a id="pl.496.30"></a><var>496.30</var>$50 per month per client.<br/>
<a id="pl.496.31"></a><var>496.31</var>Services for Developmentally Disabled. <br/>
<a id="pl.496.32"></a><var>496.32</var>The commissioner must serve: an additional <br/>
<a id="pl.496.33"></a><var>496.33</var>200 persons in the MR/RC waiver program; <br/>
<a id="pl.496.34"></a><var>496.34</var>an additional 200 persons in the family <br/>
<a id="pl.496.35"></a><var>496.35</var>support grant program under Minnesota <br/>
<a id="pl.497.1"></a><var>497.1</var>Statutes, section 252.32; and an additional <br/>
<a id="pl.497.2"></a><var>497.2</var>200 persons in the semi-independent living <br/>
<a id="pl.497.3"></a><var>497.3</var>services program under Minnesota Statutes, <br/>
<a id="pl.497.4"></a><var>497.4</var>section 252.275.<br/>
<a id="pl.497.5"></a><var>497.5</var>Transfer of Funds. (1) The commissioner <br/>
<a id="pl.497.6"></a><var>497.6</var>of human services shall transfer to qualifying <br/>
<a id="pl.497.7"></a><var>497.7</var>counties medical assistance funds for <br/>
<a id="pl.497.8"></a><var>497.8</var>fiscal year 2007 equal to the difference <br/>
<a id="pl.497.9"></a><var>497.9</var>between the state allocation for community <br/>
<a id="pl.497.10"></a><var>497.10</var>alternatives for disabled individuals (CADI) <br/>
<a id="pl.497.11"></a><var>497.11</var>and actual county spending for persons who <br/>
<a id="pl.497.12"></a><var>497.12</var>have been receiving personal care assistant <br/>
<a id="pl.497.13"></a><var>497.13</var>services but were transferred to the CADI <br/>
<a id="pl.497.14"></a><var>497.14</var>waivered services program according to <br/>
<a id="pl.497.15"></a><var>497.15</var>Laws 2006, chapter 282, article 20, section <br/>
<a id="pl.497.16"></a><var>497.16</var>35. The medical assistance funds shall be <br/>
<a id="pl.497.17"></a><var>497.17</var>transferred from appropriations for personal <br/>
<a id="pl.497.18"></a><var>497.18</var>care assistant services that went unspent <br/>
<a id="pl.497.19"></a><var>497.19</var>as a result of the provisions of Laws 2006, <br/>
<a id="pl.497.20"></a><var>497.20</var>chapter 282, article 20, section 35.<br/>
<a id="pl.497.21"></a><var>497.21</var>(2) Counties that qualify under paragraph (a) <br/>
<a id="pl.497.22"></a><var>497.22</var>shall provide to the commissioner by June 10, <br/>
<a id="pl.497.23"></a><var>497.23</var>2007, all necessary information regarding the <br/>
<a id="pl.497.24"></a><var>497.24</var>funding amount to which they are entitled. <br/>
<a id="pl.497.25"></a><var>497.25</var>The commissioner shall transfer funds to <br/>
<a id="pl.497.26"></a><var>497.26</var>qualifying counties by June 25, 2007.<br/>
<a id="pl.497.27"></a><var>497.27</var>(3) The amounts provided to counties <br/>
<a id="pl.497.28"></a><var>497.28</var>under this section shall become part of each <br/>
<a id="pl.497.29"></a><var>497.29</var>county's base level state allocation for CADI <br/>
<a id="pl.497.30"></a><var>497.30</var>for the biennium beginning July 1, 2007.<br/>
<a id="pl.497.31"></a><var>497.31</var>(4) The provisions in paragraphs (a) to (c) <br/>
<a id="pl.497.32"></a><var>497.32</var>shall apply to persons who transferred to <br/>
<a id="pl.497.33"></a><var>497.33</var>the elderly waiver as a result of Laws 2006, <br/>
<a id="pl.497.34"></a><var>497.34</var>chapter 282, article 20, section 35.<br/>
<a id="pl.498.1"></a><var>498.1</var>(5) This rider is effective the day following <br/>
<a id="pl.498.2"></a><var>498.2</var>final enactment.<br/>
<table width="100%">
<tr>
<td><a id="pl.498.3"></a><var>498.3</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) General Assistance Medical Care Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.498.4"></a><var>498.4</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">238,887,000<br/>
</td>
<td align="right" valign="bottom">251,082,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.498.5"></a><var>498.5</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(e) Other Health Care Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.498.6"></a><var>498.6</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">3,039,000<br/>
</td>
<td align="right" valign="bottom">2,709,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.498.7"></a><var>498.7</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">887,000<br/>
</td>
<td align="right" valign="bottom">899,000<br/>
</td>
</tr>
</table><a id="pl.498.8"></a><var>498.8</var>Care Coordination. Of the general fund <br/>
<a id="pl.498.9"></a><var>498.9</var>appropriation, $500,000 in fiscal year 2008 <br/>
<a id="pl.498.10"></a><var>498.10</var>and $1,000,000 in fiscal year 2009 are for <br/>
<a id="pl.498.11"></a><var>498.11</var>the commissioner of human services for <br/>
<a id="pl.498.12"></a><var>498.12</var>contracting for care coordination with the <br/>
<a id="pl.498.13"></a><var>498.13</var>U special kids program under Minnesota <br/>
<a id="pl.498.14"></a><var>498.14</var>Statutes, section 256B.0751.<br/>
<a id="pl.498.15"></a><var>498.15</var>Community-Based Health Care. Of the <br/>
<a id="pl.498.16"></a><var>498.16</var>general fund appropriation, $1,050,000 <br/>
<a id="pl.498.17"></a><var>498.17</var>for the biennium beginning July 1, 2007, <br/>
<a id="pl.498.18"></a><var>498.18</var>is to the commissioner of human services <br/>
<a id="pl.498.19"></a><var>498.19</var>for the demonstration project grant <br/>
<a id="pl.498.20"></a><var>498.20</var>described in Minnesota Statutes, section <br/>
<a id="pl.498.21"></a><var>498.21</var>62Q.80, subdivision 1a. This is a onetime <br/>
<a id="pl.498.22"></a><var>498.22</var>appropriation and is available until June 30, <br/>
<a id="pl.498.23"></a><var>498.23</var>2012.<br/>
<a id="pl.498.24"></a><var>498.24</var>Community Collaboratives. Of the general <br/>
<a id="pl.498.25"></a><var>498.25</var>fund appropriation, $330,000 in fiscal year <br/>
<a id="pl.498.26"></a><var>498.26</var>2008 and $850,000 in fiscal year 2009 are to <br/>
<a id="pl.498.27"></a><var>498.27</var>provide grants to community collaboratives <br/>
<a id="pl.498.28"></a><var>498.28</var>to cover the uninsured. These are onetime <br/>
<a id="pl.498.29"></a><var>498.29</var>appropriations.<br/>
<a id="pl.498.30"></a><var>498.30</var>Health Care Payment Reform Pilot. Of <br/>
<a id="pl.498.31"></a><var>498.31</var>the general fund appropriation, $1,018,000 <br/>
<a id="pl.498.32"></a><var>498.32</var>in fiscal year 2008 and $1,027,000 in fiscal <br/>
<a id="pl.498.33"></a><var>498.33</var>year 2009 are for the health care payment <br/>
<a id="pl.499.1"></a><var>499.1</var>reform pilot project. These are onetime <br/>
<a id="pl.499.2"></a><var>499.2</var>appropriations.<br/>
<a id="pl.499.3"></a><var>499.3</var>Patient Incentive Programs. Of the general <br/>
<a id="pl.499.4"></a><var>499.4</var>fund appropriation, $500,000 in fiscal year <br/>
<a id="pl.499.5"></a><var>499.5</var>2008 and $500,000 in fiscal year 2009 are <br/>
<a id="pl.499.6"></a><var>499.6</var>for patient incentive programs.<br/>
<a id="pl.499.7"></a><var>499.7</var>State Health Policies Grant. Of the general <br/>
<a id="pl.499.8"></a><var>499.8</var>fund appropriation, $300,000 in fiscal year <br/>
<a id="pl.499.9"></a><var>499.9</var>2008 is to provide a grant to a research center <br/>
<a id="pl.499.10"></a><var>499.10</var>associated with a safety net hospital and <br/>
<a id="pl.499.11"></a><var>499.11</var>county-affiliated health system to develop <br/>
<a id="pl.499.12"></a><var>499.12</var>the capabilities necessary for evaluating the <br/>
<a id="pl.499.13"></a><var>499.13</var>effects of changes in state health policies <br/>
<a id="pl.499.14"></a><var>499.14</var>on low-income and uninsured individuals, <br/>
<a id="pl.499.15"></a><var>499.15</var>including the impact on state health care <br/>
<a id="pl.499.16"></a><var>499.16</var>program costs, health outcomes, cost-shifting <br/>
<a id="pl.499.17"></a><var>499.17</var>to different units and levels of government, <br/>
<a id="pl.499.18"></a><var>499.18</var>and utilization patterns including use of <br/>
<a id="pl.499.19"></a><var>499.19</var>emergency room care and hospitalization <br/>
<a id="pl.499.20"></a><var>499.20</var>rates.<br/>
<a id="pl.499.21"></a><var>499.21</var>Neighborhood Health Care Network. Of <br/>
<a id="pl.499.22"></a><var>499.22</var>the general fund appropriation, $150,000 in <br/>
<a id="pl.499.23"></a><var>499.23</var>fiscal year 2008 and $150,000 in fiscal year <br/>
<a id="pl.499.24"></a><var>499.24</var>2009 are for a grant to the Neighborhood <br/>
<a id="pl.499.25"></a><var>499.25</var>Health Care Network to maintain and staff a <br/>
<a id="pl.499.26"></a><var>499.26</var>toll-free health care access telephone number.<br/>
<table width="100%">
<tr>
<td><a id="pl.499.27"></a><var>499.27</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 7.<b>Health Care Management</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">54,536,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">58,696,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.499.28"></a><var>499.28</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.499.29"></a><var>499.29</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">32,416,000<br/>
</td>
<td align="right" valign="bottom">30,589,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.499.30"></a><var>499.30</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">22,120,000<br/>
</td>
<td align="right" valign="bottom">28,125,000<br/>
</td>
</tr>
</table><a id="pl.499.31"></a><var>499.31</var>The amounts that may be spent from the <br/>
<a id="pl.499.32"></a><var>499.32</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.499.33"></a><var>499.33</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) Health Care Policy Administration<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.500.1"></a><var>500.1</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.500.2"></a><var>500.2</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">10,236,000<br/>
</td>
<td align="right" valign="bottom">8,813,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.500.3"></a><var>500.3</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">2,323,000<br/>
</td>
<td align="right" valign="bottom">10,074,000<br/>
</td>
</tr>
</table><a id="pl.500.4"></a><var>500.4</var>Minnesota Senior Health Options <br/>
<a id="pl.500.5"></a><var>500.5</var>Reimbursement. Federal administrative <br/>
<a id="pl.500.6"></a><var>500.6</var>reimbursement resulting from the Minnesota <br/>
<a id="pl.500.7"></a><var>500.7</var>senior health options project is appropriated <br/>
<a id="pl.500.8"></a><var>500.8</var>to the commissioner for this activity.<br/>
<a id="pl.500.9"></a><var>500.9</var>Utilization Review. Federal administrative <br/>
<a id="pl.500.10"></a><var>500.10</var>reimbursement resulting from prior <br/>
<a id="pl.500.11"></a><var>500.11</var>authorization and inpatient admission <br/>
<a id="pl.500.12"></a><var>500.12</var>certification by a professional review <br/>
<a id="pl.500.13"></a><var>500.13</var>organization is dedicated to the commissioner <br/>
<a id="pl.500.14"></a><var>500.14</var>for these purposes. A portion of these funds <br/>
<a id="pl.500.15"></a><var>500.15</var>must be used for activities to decrease <br/>
<a id="pl.500.16"></a><var>500.16</var>unnecessary pharmaceutical costs in medical <br/>
<a id="pl.500.17"></a><var>500.17</var>assistance.<br/>
<a id="pl.500.18"></a><var>500.18</var>Dental Access for Persons with Disabilities. <br/>
<a id="pl.500.19"></a><var>500.19</var>Of the general fund appropriation, $82,000 <br/>
<a id="pl.500.20"></a><var>500.20</var>in fiscal year 2008 is for a study on access to <br/>
<a id="pl.500.21"></a><var>500.21</var>dental services for persons with disabilities.<br/>
<a id="pl.500.22"></a><var>500.22</var>Base Adjustment. The health care access <br/>
<a id="pl.500.23"></a><var>500.23</var>fund base is $10,716,000 in fiscal year 2010 <br/>
<a id="pl.500.24"></a><var>500.24</var>and $8,870,000 in fiscal year 2011, for health <br/>
<a id="pl.500.25"></a><var>500.25</var>care administration.<br/>
<table width="100%">
<tr>
<td><a id="pl.500.26"></a><var>500.26</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Health Care Operations<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.500.27"></a><var>500.27</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.500.28"></a><var>500.28</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">22,180,000<br/>
</td>
<td align="right" valign="bottom">21,776,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.500.29"></a><var>500.29</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">19,797,000<br/>
</td>
<td align="right" valign="bottom">18,051,000<br/>
</td>
</tr>
</table><a id="pl.500.30"></a><var>500.30</var>Base Adjustment. The general fund base is <br/>
<a id="pl.500.31"></a><var>500.31</var>decreased by $214,000 in fiscal year 2010 <br/>
<a id="pl.500.32"></a><var>500.32</var>for health care operations.<br/>
<table width="100%">
<tr>
<td><a id="pl.500.33"></a><var>500.33</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 8.<b>Continuing Care Grants</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,697,359,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,858,283,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.501.1"></a><var>501.1</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.501.2"></a><var>501.2</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">1,694,876,000<br/>
</td>
<td align="right" valign="bottom">1,855,900,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.501.3"></a><var>501.3</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">750,000<br/>
</td>
<td align="right" valign="bottom">750,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.501.4"></a><var>501.4</var><br/>
</td>
<td align="left" valign="bottom">Lottery Prize<br/>
</td>
<td align="right" valign="bottom">1,733,000<br/>
</td>
<td align="right" valign="bottom">1,633,000<br/>
</td>
</tr>
</table><a id="pl.501.5"></a><var>501.5</var>The amounts that may be spent from the <br/>
<a id="pl.501.6"></a><var>501.6</var>appropriation for each purpose are as follows: <br/>
<table width="100%">
<tr>
<td><a id="pl.501.7"></a><var>501.7</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) Aging and Adult Services Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.501.8"></a><var>501.8</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">15,986,000<br/>
</td>
<td align="right" valign="bottom">16,605,000<br/>
</td>
</tr>
</table><a id="pl.501.9"></a><var>501.9</var>Information and Assistance <br/>
<a id="pl.501.10"></a><var>501.10</var>Reimbursement. Federal administrative <br/>
<a id="pl.501.11"></a><var>501.11</var>reimbursement obtained from information <br/>
<a id="pl.501.12"></a><var>501.12</var>and assistance services provided by the <br/>
<a id="pl.501.13"></a><var>501.13</var>Senior LinkAge Line to people who are <br/>
<a id="pl.501.14"></a><var>501.14</var>identified as eligible for medical assistance <br/>
<a id="pl.501.15"></a><var>501.15</var>are appropriated to the commissioner for this <br/>
<a id="pl.501.16"></a><var>501.16</var>activity.<br/>
<a id="pl.501.17"></a><var>501.17</var>Senior Companion Program. Of the <br/>
<a id="pl.501.18"></a><var>501.18</var>general fund appropriation, $191,000 in <br/>
<a id="pl.501.19"></a><var>501.19</var>fiscal year 2008 and $191,000 in fiscal year <br/>
<a id="pl.501.20"></a><var>501.20</var>2009 are for the senior companion program <br/>
<a id="pl.501.21"></a><var>501.21</var>under Minnesota Statutes, section 256.977.<br/>
<a id="pl.501.22"></a><var>501.22</var>Volunteer Senior Citizens. Of the general <br/>
<a id="pl.501.23"></a><var>501.23</var>fund appropriation, $192,000 in fiscal year <br/>
<a id="pl.501.24"></a><var>501.24</var>2008 and $192,000 in fiscal year 2009 are <br/>
<a id="pl.501.25"></a><var>501.25</var>for the volunteer programs for retired senior <br/>
<a id="pl.501.26"></a><var>501.26</var>citizens under Minnesota Statutes, section <br/>
<a id="pl.501.27"></a><var>501.27</var>256.9753.<br/>
<a id="pl.501.28"></a><var>501.28</var>Foster Grandparent Program. Of the <br/>
<a id="pl.501.29"></a><var>501.29</var>general fund appropriation, $192,000 in <br/>
<a id="pl.501.30"></a><var>501.30</var>fiscal year 2008 and $192,000 in fiscal year <br/>
<a id="pl.501.31"></a><var>501.31</var>2009 are for the foster grandparent program <br/>
<a id="pl.501.32"></a><var>501.32</var>in Minnesota Statutes, section 256.976.<br/>
<a id="pl.501.33"></a><var>501.33</var>Senior Nutrition. Of the general fund <br/>
<a id="pl.501.34"></a><var>501.34</var>appropriation, $250,000 in fiscal year <br/>
<a id="pl.502.1"></a><var>502.1</var>2008 and $250,000 in fiscal year 2009 are <br/>
<a id="pl.502.2"></a><var>502.2</var>for the senior nutrition programs under <br/>
<a id="pl.502.3"></a><var>502.3</var>Minnesota Statutes, section 256.9752. <br/>
<a id="pl.502.4"></a><var>502.4</var>The commissioner shall give priority to <br/>
<a id="pl.502.5"></a><var>502.5</var>increase services to: (1) persons facing <br/>
<a id="pl.502.6"></a><var>502.6</var>language or cultural barriers, (2) persons with <br/>
<a id="pl.502.7"></a><var>502.7</var>special diets, (3) persons living in isolated <br/>
<a id="pl.502.8"></a><var>502.8</var>rural areas, and (4) other hard-to-serve <br/>
<a id="pl.502.9"></a><var>502.9</var>populations.<br/>
<a id="pl.502.10"></a><var>502.10</var>Living At Home/Block Nurse Program. Of <br/>
<a id="pl.502.11"></a><var>502.11</var>the general fund appropriation, $580,000 in <br/>
<a id="pl.502.12"></a><var>502.12</var>fiscal year 2008 and $655,000 in fiscal year <br/>
<a id="pl.502.13"></a><var>502.13</var>2009 are for the living at home/block nurse <br/>
<a id="pl.502.14"></a><var>502.14</var>program. The purpose of the appropriation is <br/>
<a id="pl.502.15"></a><var>502.15</var>to increase base funding levels to $25,000 <br/>
<a id="pl.502.16"></a><var>502.16</var>per program year, provide base funding for <br/>
<a id="pl.502.17"></a><var>502.17</var>nine programs currently operating without <br/>
<a id="pl.502.18"></a><var>502.18</var>base funding, provide base funding for five <br/>
<a id="pl.502.19"></a><var>502.19</var>new programs beginning July 1, 2007, and <br/>
<a id="pl.502.20"></a><var>502.20</var>provide base funding for six additional <br/>
<a id="pl.502.21"></a><var>502.21</var>programs beginning July 1, 2008.<br/>
<a id="pl.502.22"></a><var>502.22</var>$76,000 in fiscal year 2008 and $62,000 in <br/>
<a id="pl.502.23"></a><var>502.23</var>fiscal year 2009 are for increased staff for <br/>
<a id="pl.502.24"></a><var>502.24</var>the ombudsman for older Minnesotans and <br/>
<a id="pl.502.25"></a><var>502.25</var>related costs.<br/>
<a id="pl.502.26"></a><var>502.26</var>$150,000 in fiscal year 2008 and $150,000 in <br/>
<a id="pl.502.27"></a><var>502.27</var>fiscal year 2009 are to increase the base of <br/>
<a id="pl.502.28"></a><var>502.28</var>the Senior LinkAge line program.<br/>
<a id="pl.502.29"></a><var>502.29</var>Minnesota Kinship Caregivers <br/>
<a id="pl.502.30"></a><var>502.30</var>Association. (1) Of the general fund <br/>
<a id="pl.502.31"></a><var>502.31</var>appropriation, $175,000 in fiscal year <br/>
<a id="pl.502.32"></a><var>502.32</var>2008 and $175,000 in fiscal year 2009 <br/>
<a id="pl.502.33"></a><var>502.33</var>are transferred to a nonprofit organization <br/>
<a id="pl.502.34"></a><var>502.34</var>experienced in kinship caregiver programs, <br/>
<a id="pl.502.35"></a><var>502.35</var>with at least 50 percent of its board <br/>
<a id="pl.503.1"></a><var>503.1</var>composed of kinship caregivers for purposes <br/>
<a id="pl.503.2"></a><var>503.2</var>of providing support to grandparents or <br/>
<a id="pl.503.3"></a><var>503.3</var>relatives who are raising kinship children. <br/>
<a id="pl.503.4"></a><var>503.4</var>(2) The demonstration grant sites must <br/>
<a id="pl.503.5"></a><var>503.5</var>include the Minnesota Kinship Caregivers <br/>
<a id="pl.503.6"></a><var>503.6</var>Association central site in the metropolitan <br/>
<a id="pl.503.7"></a><var>503.7</var>area and another site in the Bemidji region. <br/>
<a id="pl.503.8"></a><var>503.8</var>The support must provide a one-stop services <br/>
<a id="pl.503.9"></a><var>503.9</var>program. The services that may be provided <br/>
<a id="pl.503.10"></a><var>503.10</var>include but are not limited to legal services, <br/>
<a id="pl.503.11"></a><var>503.11</var>education, information, family activities, <br/>
<a id="pl.503.12"></a><var>503.12</var>support groups, mental health access, <br/>
<a id="pl.503.13"></a><var>503.13</var>advocacy, mentors, and information related <br/>
<a id="pl.503.14"></a><var>503.14</var>to foster care licensing. The funds may also <br/>
<a id="pl.503.15"></a><var>503.15</var>be used for a media campaign to inform <br/>
<a id="pl.503.16"></a><var>503.16</var>kinship families about available information <br/>
<a id="pl.503.17"></a><var>503.17</var>and services, support sites, and other program <br/>
<a id="pl.503.18"></a><var>503.18</var>development. The general fund base for the <br/>
<a id="pl.503.19"></a><var>503.19</var>program shall be $160,000 in fiscal year <br/>
<a id="pl.503.20"></a><var>503.20</var>2010 and $160,000 in fiscal year 2011.<br/>
<a id="pl.503.21"></a><var>503.21</var>Base Adjustment. The general fund base <br/>
<a id="pl.503.22"></a><var>503.22</var>is increased by $72,000 in fiscal year 2010 <br/>
<a id="pl.503.23"></a><var>503.23</var>and $72,000 in fiscal year 2011 for aging and <br/>
<a id="pl.503.24"></a><var>503.24</var>adult services grants.<br/>
<table width="100%">
<tr>
<td><a id="pl.503.25"></a><var>503.25</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Alternative Care Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.503.26"></a><var>503.26</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">50,063,000<br/>
</td>
<td align="right" valign="bottom">52,511,000<br/>
</td>
</tr>
</table><a id="pl.503.27"></a><var>503.27</var>Alternative Care Transfer. Any money <br/>
<a id="pl.503.28"></a><var>503.28</var>allocated to the alternative care program that <br/>
<a id="pl.503.29"></a><var>503.29</var>is not spent for the purposes indicated does <br/>
<a id="pl.503.30"></a><var>503.30</var>not cancel but is transferred to the medical <br/>
<a id="pl.503.31"></a><var>503.31</var>assistance account.<br/>
<a id="pl.503.32"></a><var>503.32</var>Base Adjustment. The general fund base is <br/>
<a id="pl.503.33"></a><var>503.33</var>increased by $547,000 in fiscal year 2010 and <br/>
<a id="pl.503.34"></a><var>503.34</var>$784,000 in fiscal year 2011 for alternative <br/>
<a id="pl.503.35"></a><var>503.35</var>care grants.<br/>
<table width="100%">
<tr>
<td><a id="pl.504.1"></a><var>504.1</var><br/>
<a id="pl.504.2"></a><var>504.2</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) Medical Assistance Grants - Long-Term <br/>
Care Facilities<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.504.3"></a><var>504.3</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">499,278,000<br/>
</td>
<td align="right" valign="bottom">513,016,000<br/>
</td>
</tr>
</table><a id="pl.504.4"></a><var>504.4</var>New Nursing Facility Reimbursement <br/>
<a id="pl.504.5"></a><var>504.5</var>System Delay. Notwithstanding Minnesota <br/>
<a id="pl.504.6"></a><var>504.6</var>Statutes, section 256B.441, subdivision 1, <br/>
<a id="pl.504.7"></a><var>504.7</var>paragraph (c), the commissioner shall begin <br/>
<a id="pl.504.8"></a><var>504.8</var>to phase in the new reimbursement system <br/>
<a id="pl.504.9"></a><var>504.9</var>for nursing facilities on or after October 1, <br/>
<a id="pl.504.10"></a><var>504.10</var>2009.<br/>
<a id="pl.504.11"></a><var>504.11</var>Long-Term Care Consultation Funding <br/>
<a id="pl.504.12"></a><var>504.12</var>Increase. For the rate year beginning <br/>
<a id="pl.504.13"></a><var>504.13</var>October 1, 2008, the county long-term <br/>
<a id="pl.504.14"></a><var>504.14</var>care consultation allocations in Minnesota <br/>
<a id="pl.504.15"></a><var>504.15</var>Statutes, section 256B.0911, subdivision <br/>
<a id="pl.504.16"></a><var>504.16</var>6, must be increased based on the number <br/>
<a id="pl.504.17"></a><var>504.17</var>of transitional long-term care consultation <br/>
<a id="pl.504.18"></a><var>504.18</var>visits projected by the commissioner in <br/>
<a id="pl.504.19"></a><var>504.19</var>each county. For the rate year beginning <br/>
<a id="pl.504.20"></a><var>504.20</var>October 1, 2009, final allocations must be <br/>
<a id="pl.504.21"></a><var>504.21</var>determined based on the average between <br/>
<a id="pl.504.22"></a><var>504.22</var>the actual number of transitional long-term <br/>
<a id="pl.504.23"></a><var>504.23</var>care visits that were conducted in the prior <br/>
<a id="pl.504.24"></a><var>504.24</var>12-month period and the projected number <br/>
<a id="pl.504.25"></a><var>504.25</var>of consultations that will be provided in <br/>
<a id="pl.504.26"></a><var>504.26</var>the rate year beginning October 1, 2009. <br/>
<a id="pl.504.27"></a><var>504.27</var>Notwithstanding section 7, this rider expires <br/>
<a id="pl.504.28"></a><var>504.28</var>June 30, 2010.<br/>
<a id="pl.504.29"></a><var>504.29</var>Life Safety Code Compliance. Of the <br/>
<a id="pl.504.30"></a><var>504.30</var>general fund appropriation, $1,000,000 in <br/>
<a id="pl.504.31"></a><var>504.31</var>fiscal year 2008 is for payments to nursing <br/>
<a id="pl.504.32"></a><var>504.32</var>facilities for life safety code compliance <br/>
<a id="pl.504.33"></a><var>504.33</var>under Minnesota Statutes, section 256B.434, <br/>
<a id="pl.504.34"></a><var>504.34</var>subdivision 4, paragraph (e). This is a <br/>
<a id="pl.505.1"></a><var>505.1</var>onetime appropriation and available until <br/>
<a id="pl.505.2"></a><var>505.2</var>spent.<br/>
<table width="100%">
<tr>
<td><a id="pl.505.3"></a><var>505.3</var><br/>
<a id="pl.505.4"></a><var>505.4</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(d) Medical Assistance Grants - Long-Term <br/>
Care Waivers and Home Care Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.505.5"></a><var>505.5</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">966,623,000<br/>
</td>
<td align="right" valign="bottom">1,099,540,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.505.6"></a><var>505.6</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(e) Mental Health Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.505.7"></a><var>505.7</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.505.8"></a><var>505.8</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">57,522,000<br/>
</td>
<td align="right" valign="bottom">60,678,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.505.9"></a><var>505.9</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">750,000<br/>
</td>
<td align="right" valign="bottom">750,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.505.10"></a><var>505.10</var><br/>
</td>
<td align="left" valign="bottom">Lottery Prize<br/>
</td>
<td align="right" valign="bottom">1,733,000<br/>
</td>
<td align="right" valign="bottom">1,633,000<br/>
</td>
</tr>
</table><a id="pl.505.11"></a><var>505.11</var>Dual Diagnosis; Demonstration Project. <br/>
<a id="pl.505.12"></a><var>505.12</var>Of the general fund appropriation, $800,000 <br/>
<a id="pl.505.13"></a><var>505.13</var>in fiscal year 2008 and $1,600,000 in fiscal <br/>
<a id="pl.505.14"></a><var>505.14</var>year 2009 are to the commissioner of <br/>
<a id="pl.505.15"></a><var>505.15</var>human services to fund the dual diagnosis <br/>
<a id="pl.505.16"></a><var>505.16</var>demonstration project.<br/>
<a id="pl.505.17"></a><var>505.17</var>Mobile Mental Health Crisis Services. Of <br/>
<a id="pl.505.18"></a><var>505.18</var>the general fund appropriation, $2,500,000 <br/>
<a id="pl.505.19"></a><var>505.19</var>in fiscal year 2008 and $3,625,000 in fiscal <br/>
<a id="pl.505.20"></a><var>505.20</var>year 2009 are to the commissioner of human <br/>
<a id="pl.505.21"></a><var>505.21</var>services for statewide funding of adult mobile <br/>
<a id="pl.505.22"></a><var>505.22</var>mental health crisis services. Providers must <br/>
<a id="pl.505.23"></a><var>505.23</var>utilize all available funding streams.<br/>
<a id="pl.505.24"></a><var>505.24</var>National Council on Problem Gambling. <br/>
<a id="pl.505.25"></a><var>505.25</var>(1) $225,000 in fiscal year 2008 and $225,000 <br/>
<a id="pl.505.26"></a><var>505.26</var>in fiscal year 2009 are appropriated from <br/>
<a id="pl.505.27"></a><var>505.27</var>the lottery prize fund to the commissioner <br/>
<a id="pl.505.28"></a><var>505.28</var>of human services for a grant to the state <br/>
<a id="pl.505.29"></a><var>505.29</var>affiliate recognized by the National Council <br/>
<a id="pl.505.30"></a><var>505.30</var>on Problem Gambling. The affiliate must <br/>
<a id="pl.505.31"></a><var>505.31</var>provide services to increase public awareness <br/>
<a id="pl.505.32"></a><var>505.32</var>of problem gambling, education, and training <br/>
<a id="pl.505.33"></a><var>505.33</var>for individuals and organizations providing <br/>
<a id="pl.505.34"></a><var>505.34</var>effective treatment services to problem <br/>
<a id="pl.505.35"></a><var>505.35</var>gamblers and their families, and research <br/>
<a id="pl.506.1"></a><var>506.1</var>relating to problem gambling. These <br/>
<a id="pl.506.2"></a><var>506.2</var>services must be complementary to and not <br/>
<a id="pl.506.3"></a><var>506.3</var>duplicative of the services provided through <br/>
<a id="pl.506.4"></a><var>506.4</var>the problem gambling program administered <br/>
<a id="pl.506.5"></a><var>506.5</var>by the commissioner of human services. This <br/>
<a id="pl.506.6"></a><var>506.6</var>grant does not prevent the commissioner <br/>
<a id="pl.506.7"></a><var>506.7</var>from regular monitoring and oversight of the <br/>
<a id="pl.506.8"></a><var>506.8</var>grant or the ability to reallocate the funds to <br/>
<a id="pl.506.9"></a><var>506.9</var>other services within the problem gambling <br/>
<a id="pl.506.10"></a><var>506.10</var>program for nonperformance of duties by <br/>
<a id="pl.506.11"></a><var>506.11</var>the grantee.<br/>
<a id="pl.506.12"></a><var>506.12</var>(2) Of this appropriation, $100,000 in <br/>
<a id="pl.506.13"></a><var>506.13</var>fiscal year 2008 and $100,000 in fiscal year <br/>
<a id="pl.506.14"></a><var>506.14</var>2009 are contingent on the contribution <br/>
<a id="pl.506.15"></a><var>506.15</var>of nonstate matching funds. Matching <br/>
<a id="pl.506.16"></a><var>506.16</var>funds may be either cash or qualifying <br/>
<a id="pl.506.17"></a><var>506.17</var>in-kind contributions. The commissioner of <br/>
<a id="pl.506.18"></a><var>506.18</var>finance may disburse the state portion of the <br/>
<a id="pl.506.19"></a><var>506.19</var>matching funds in increments of $25,000 <br/>
<a id="pl.506.20"></a><var>506.20</var>upon receipt of a commitment for an equal <br/>
<a id="pl.506.21"></a><var>506.21</var>amount of matching nonstate funds. The <br/>
<a id="pl.506.22"></a><var>506.22</var>general fund base shall be $100,000 in fiscal <br/>
<a id="pl.506.23"></a><var>506.23</var>year 2010 and $100,000 in fiscal year 2011<br/>
<a id="pl.506.24"></a><var>506.24</var>(3) $100,000 in fiscal year 2008 is <br/>
<a id="pl.506.25"></a><var>506.25</var>appropriated from the lottery prize fund to <br/>
<a id="pl.506.26"></a><var>506.26</var>the commissioner of human services for a <br/>
<a id="pl.506.27"></a><var>506.27</var>grant or grants to be awarded competitively <br/>
<a id="pl.506.28"></a><var>506.28</var>to develop programs and services for <br/>
<a id="pl.506.29"></a><var>506.29</var>problem gambling treatment, prevention, <br/>
<a id="pl.506.30"></a><var>506.30</var>and education in immigrant communities. <br/>
<a id="pl.506.31"></a><var>506.31</var>This appropriation is available until June <br/>
<a id="pl.506.32"></a><var>506.32</var>30, 2009, at which time the project must <br/>
<a id="pl.506.33"></a><var>506.33</var>be completed and final products delivered, <br/>
<a id="pl.506.34"></a><var>506.34</var>unless an earlier completion date is specified <br/>
<a id="pl.506.35"></a><var>506.35</var>in the work program.<br/>
<a id="pl.507.1"></a><var>507.1</var>Compulsive Gambling. $300,000 in fiscal <br/>
<a id="pl.507.2"></a><var>507.2</var>year 2008 and $100,000 in fiscal year 2009 <br/>
<a id="pl.507.3"></a><var>507.3</var>are appropriated from the lottery prize fund <br/>
<a id="pl.507.4"></a><var>507.4</var>to the commissioner of human services for <br/>
<a id="pl.507.5"></a><var>507.5</var>purposes of compulsive gambling education, <br/>
<a id="pl.507.6"></a><var>507.6</var>assessment, and treatment under Minnesota <br/>
<a id="pl.507.7"></a><var>507.7</var>Statutes, section 245.98.<br/>
<a id="pl.507.8"></a><var>507.8</var>Compulsive Gambling Study. $100,000 <br/>
<a id="pl.507.9"></a><var>507.9</var>in fiscal year 2008 is to continue the <br/>
<a id="pl.507.10"></a><var>507.10</var>study currently being done on compulsive <br/>
<a id="pl.507.11"></a><var>507.11</var>gambling treatment effectiveness and <br/>
<a id="pl.507.12"></a><var>507.12</var>long-term effects of gambling.<br/>
<a id="pl.507.13"></a><var>507.13</var>Base Adjustment. The general fund base is <br/>
<a id="pl.507.14"></a><var>507.14</var>increased by $266,000 in fiscal year 2010.<br/>
<table width="100%">
<tr>
<td><a id="pl.507.15"></a><var>507.15</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(f) Deaf and Hard-of-Hearing Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.507.16"></a><var>507.16</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">1,932,000<br/>
</td>
<td align="right" valign="bottom">2,380,000<br/>
</td>
</tr>
</table><a id="pl.507.17"></a><var>507.17</var>Hearing Loss Mentors. Of the general fund <br/>
<a id="pl.507.18"></a><var>507.18</var>appropriation, $80,000 is to provide mentors <br/>
<a id="pl.507.19"></a><var>507.19</var>who have a hearing loss to parents of newly <br/>
<a id="pl.507.20"></a><var>507.20</var>identified infants and children with hearing <br/>
<a id="pl.507.21"></a><var>507.21</var>loss.<br/>
<a id="pl.507.22"></a><var>507.22</var>Base Adjustment. The general fund base <br/>
<a id="pl.507.23"></a><var>507.23</var>is increased by $7,000 in fiscal year 2010 <br/>
<a id="pl.507.24"></a><var>507.24</var>and $7,000 in fiscal year 2011 for deaf and <br/>
<a id="pl.507.25"></a><var>507.25</var>hard-of-hearing grants.<br/>
<table width="100%">
<tr>
<td><a id="pl.507.26"></a><var>507.26</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(g) Chemical Dependency Entitlement Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.507.27"></a><var>507.27</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">78,749,000<br/>
</td>
<td align="right" valign="bottom">89,946,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.507.28"></a><var>507.28</var><br/>
<a id="pl.507.29"></a><var>507.29</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(h) Chemical Dependency Nonentitlement <br/>
Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.507.30"></a><var>507.30</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">1,055,000<br/>
</td>
<td align="right" valign="bottom">1,055,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.507.31"></a><var>507.31</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(i) Other Continuing Care Grants<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.507.32"></a><var>507.32</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.507.33"></a><var>507.33</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">23,668,000<br/>
</td>
<td align="right" valign="bottom">20,169,000<br/>
</td>
</tr>
</table><a id="pl.508.1"></a><var>508.1</var>Native American Juvenile Treatment <br/>
<a id="pl.508.2"></a><var>508.2</var>Center. Of the general fund appropriation, <br/>
<a id="pl.508.3"></a><var>508.3</var>$50,000 is to conduct a feasibility study <br/>
<a id="pl.508.4"></a><var>508.4</var>of and to predesign a Native American <br/>
<a id="pl.508.5"></a><var>508.5</var>juvenile treatment center on or near the <br/>
<a id="pl.508.6"></a><var>508.6</var>White Earth Reservation. The facility must <br/>
<a id="pl.508.7"></a><var>508.7</var>house and treat Native American juveniles <br/>
<a id="pl.508.8"></a><var>508.8</var>and provide culturally specific programming <br/>
<a id="pl.508.9"></a><var>508.9</var>to juveniles placed in the treatment center. <br/>
<a id="pl.508.10"></a><var>508.10</var>The commissioner of human services may <br/>
<a id="pl.508.11"></a><var>508.11</var>contract with parties who have experience <br/>
<a id="pl.508.12"></a><var>508.12</var>in the design and construction of juvenile <br/>
<a id="pl.508.13"></a><var>508.13</var>treatment centers to assist in the feasibility <br/>
<a id="pl.508.14"></a><var>508.14</var>study and predesign. On or before January <br/>
<a id="pl.508.15"></a><var>508.15</var>15, 2008, the commissioner shall present <br/>
<a id="pl.508.16"></a><var>508.16</var>the results of the feasibility study and the <br/>
<a id="pl.508.17"></a><var>508.17</var>predesign of the facility to the chairs of house <br/>
<a id="pl.508.18"></a><var>508.18</var>of representatives and senate committees <br/>
<a id="pl.508.19"></a><var>508.19</var>having jurisdiction over human services <br/>
<a id="pl.508.20"></a><var>508.20</var>finance, public safety finance, and capital <br/>
<a id="pl.508.21"></a><var>508.21</var>investment.<br/>
<a id="pl.508.22"></a><var>508.22</var>Leech Lake Youth Treatment Center. Of <br/>
<a id="pl.508.23"></a><var>508.23</var>the general fund appropriation, $75,000 in <br/>
<a id="pl.508.24"></a><var>508.24</var>fiscal year 2008 and $75,000 in fiscal year <br/>
<a id="pl.508.25"></a><var>508.25</var>2009 are for a grant to the Leech Lake Youth <br/>
<a id="pl.508.26"></a><var>508.26</var>Treatment Center project partners, in order <br/>
<a id="pl.508.27"></a><var>508.27</var>to pay the salaries and other directly related <br/>
<a id="pl.508.28"></a><var>508.28</var>costs associated with the development of this <br/>
<a id="pl.508.29"></a><var>508.29</var>project.<br/>
<a id="pl.508.30"></a><var>508.30</var>Assistive Technology. Of the general fund <br/>
<a id="pl.508.31"></a><var>508.31</var>appropriation, $300,000 in fiscal year 2008 is <br/>
<a id="pl.508.32"></a><var>508.32</var>to the Minnesota State Council on Disability <br/>
<a id="pl.508.33"></a><var>508.33</var>for the purposes of providing $100,000 <br/>
<a id="pl.508.34"></a><var>508.34</var>in financial support to the Minnesota <br/>
<a id="pl.508.35"></a><var>508.35</var>Regions Assistive Technology Collaborative <br/>
<a id="pl.508.36"></a><var>508.36</var>and $200,000 in fiscal year 2008 is for <br/>
<a id="pl.509.1"></a><var>509.1</var>a local match required to access the <br/>
<a id="pl.509.2"></a><var>509.2</var>federal Technology-Related Assistance for <br/>
<a id="pl.509.3"></a><var>509.3</var>Individuals with Disabilities Act, alternate <br/>
<a id="pl.509.4"></a><var>509.4</var>finance project.<br/>
<a id="pl.509.5"></a><var>509.5</var>Repayment. For the fiscal year ending June <br/>
<a id="pl.509.6"></a><var>509.6</var>30, 2008, $5,287,000 is appropriated to the <br/>
<a id="pl.509.7"></a><var>509.7</var>commissioner of human services to repay <br/>
<a id="pl.509.8"></a><var>509.8</var>the amount of overspending in the waiver <br/>
<a id="pl.509.9"></a><var>509.9</var>program for persons with developmental <br/>
<a id="pl.509.10"></a><var>509.10</var>disabilities incurred by affected counties in <br/>
<a id="pl.509.11"></a><var>509.11</var>calendar years 2004 and 2005.<br/>
<a id="pl.509.12"></a><var>509.12</var>Base Adjustment. The general fund base <br/>
<a id="pl.509.13"></a><var>509.13</var>is $20,276,000 in fiscal year 2010 and <br/>
<a id="pl.509.14"></a><var>509.14</var>$20,332,000 in fiscal year 2011 for other <br/>
<a id="pl.509.15"></a><var>509.15</var>continuing care grants.<br/>
<table width="100%">
<tr>
<td><a id="pl.509.16"></a><var>509.16</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 9.<b>Continuing Care Management</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">20,248,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">19,400,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.509.17"></a><var>509.17</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.509.18"></a><var>509.18</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">19,384,000<br/>
</td>
<td align="right" valign="bottom">19,123,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.509.19"></a><var>509.19</var><br/>
<a id="pl.509.20"></a><var>509.20</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">121,000<br/>
</td>
<td align="right" valign="bottom">123,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.509.21"></a><var>509.21</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">292,000<br/>
</td>
<td align="right" valign="bottom">-0-<br/>
</td>
</tr>
<tr>
<td><a id="pl.509.22"></a><var>509.22</var><br/>
</td>
<td align="left" valign="bottom">Lottery Prize<br/>
</td>
<td align="right" valign="bottom">451,000<br/>
</td>
<td align="right" valign="bottom">154,000<br/>
</td>
</tr>
</table><a id="pl.509.23"></a><var>509.23</var>Community Trainee and Consultation. <br/>
<a id="pl.509.24"></a><var>509.24</var>Of the general fund appropriation, $125,000 <br/>
<a id="pl.509.25"></a><var>509.25</var>in fiscal year 2008 is to the commissioner <br/>
<a id="pl.509.26"></a><var>509.26</var>of human services to contract for training <br/>
<a id="pl.509.27"></a><var>509.27</var>and consultation for clinical supervisors and <br/>
<a id="pl.509.28"></a><var>509.28</var>staff of community mental health centers <br/>
<a id="pl.509.29"></a><var>509.29</var>who provide services to children and adults. <br/>
<a id="pl.509.30"></a><var>509.30</var>The purpose of the training and consultation <br/>
<a id="pl.509.31"></a><var>509.31</var>is to improve clinical supervision of <br/>
<a id="pl.509.32"></a><var>509.32</var>staff, strengthen compliance with federal <br/>
<a id="pl.509.33"></a><var>509.33</var>and state rules and regulations, and to <br/>
<a id="pl.509.34"></a><var>509.34</var>recommend strategies for standardization and <br/>
<a id="pl.510.1"></a><var>510.1</var>simplification of administrative functions <br/>
<a id="pl.510.2"></a><var>510.2</var>among community mental health centers.<br/>
<a id="pl.510.3"></a><var>510.3</var>Mental Health Tracking System. Of the <br/>
<a id="pl.510.4"></a><var>510.4</var>general fund appropriation, $448,000 in fiscal <br/>
<a id="pl.510.5"></a><var>510.5</var>year 2008 and $324,000 in fiscal year 2009 <br/>
<a id="pl.510.6"></a><var>510.6</var>are to the commissioner of human services <br/>
<a id="pl.510.7"></a><var>510.7</var>to fund implementation of the mental health <br/>
<a id="pl.510.8"></a><var>510.8</var>services outcomes and tracking system.<br/>
<a id="pl.510.9"></a><var>510.9</var>Quality Management; Assurance; and <br/>
<a id="pl.510.10"></a><var>510.10</var>Improvement System for Minnesotans <br/>
<a id="pl.510.11"></a><var>510.11</var>Receiving Disability Services. Of the <br/>
<a id="pl.510.12"></a><var>510.12</var>general fund appropriation, up to $300,000 <br/>
<a id="pl.510.13"></a><var>510.13</var>for the biennium beginning July 1, 2007, <br/>
<a id="pl.510.14"></a><var>510.14</var>may be used for the purposes of the quality <br/>
<a id="pl.510.15"></a><var>510.15</var>management, assurance, and improvement <br/>
<a id="pl.510.16"></a><var>510.16</var>system for Minnesotans receiving disability <br/>
<a id="pl.510.17"></a><var>510.17</var>services. Federal Medicaid matching funds <br/>
<a id="pl.510.18"></a><var>510.18</var>obtained for this purpose shall be dedicated <br/>
<a id="pl.510.19"></a><var>510.19</var>to the commissioner for this purpose.<br/>
<a id="pl.510.20"></a><var>510.20</var>Base Adjustment. The health care access <br/>
<a id="pl.510.21"></a><var>510.21</var>fund base is $0 in each of the fiscal years 2010 <br/>
<a id="pl.510.22"></a><var>510.22</var>and 2011 for continuing care management.<br/>
<a id="pl.510.23"></a><var>510.23</var>Disability Linkage Line. Of the general <br/>
<a id="pl.510.24"></a><var>510.24</var>fund appropriation, $650,000 in fiscal year <br/>
<a id="pl.510.25"></a><var>510.25</var>2008 and $626,000 in fiscal year 2009 are to <br/>
<a id="pl.510.26"></a><var>510.26</var>establish and maintain the disability linkage <br/>
<a id="pl.510.27"></a><var>510.27</var>line.<br/>
<table width="100%">
<tr>
<td><a id="pl.510.28"></a><var>510.28</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 10.<b>State-Operated Services</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">266,645,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">267,718,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.510.29"></a><var>510.29</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">266,645,000<br/>
</td>
<td align="right" valign="bottom">267,718,000<br/>
</td>
</tr>
</table><a id="pl.510.30"></a><var>510.30</var>Remembering With Dignity Project. (1) <br/>
<a id="pl.510.31"></a><var>510.31</var>$200,000 is appropriated from the general <br/>
<a id="pl.510.32"></a><var>510.32</var>fund to the commissioner of human services <br/>
<a id="pl.510.33"></a><var>510.33</var>to be available until September 30, 2008, to <br/>
<a id="pl.510.34"></a><var>510.34</var>make a grant to Advocating Change Together <br/>
<a id="pl.511.1"></a><var>511.1</var>for the purposes of the Remembering With <br/>
<a id="pl.511.2"></a><var>511.2</var>Dignity project in paragraph (2).<br/>
<a id="pl.511.3"></a><var>511.3</var>(2) As part of the Remembering With Dignity <br/>
<a id="pl.511.4"></a><var>511.4</var>project, the grant recipient shall:<br/>
<a id="pl.511.5"></a><var>511.5</var>(i) conduct necessary research on persons <br/>
<a id="pl.511.6"></a><var>511.6</var>buried in state cemeteries who were residents <br/>
<a id="pl.511.7"></a><var>511.7</var>of state hospitals or regional treatment <br/>
<a id="pl.511.8"></a><var>511.8</var>centers and buried in numbered or unmarked <br/>
<a id="pl.511.9"></a><var>511.9</var>graves;<br/>
<a id="pl.511.10"></a><var>511.10</var>(ii) purchase and install headstones that are <br/>
<a id="pl.511.11"></a><var>511.11</var>properly inscribed with their names on the <br/>
<a id="pl.511.12"></a><var>511.12</var>graves of those persons; and<br/>
<a id="pl.511.13"></a><var>511.13</var>(iii) collaborate with community groups <br/>
<a id="pl.511.14"></a><var>511.14</var>and state and local government agencies to <br/>
<a id="pl.511.15"></a><var>511.15</var>build community involvement and public <br/>
<a id="pl.511.16"></a><var>511.16</var>awareness, ensure public access to the <br/>
<a id="pl.511.17"></a><var>511.17</var>graves, and ensure appropriate perpetual <br/>
<a id="pl.511.18"></a><var>511.18</var>maintenance of state cemeteries.<br/>
<a id="pl.511.19"></a><var>511.19</var>(3) This rider is effective the day following <br/>
<a id="pl.511.20"></a><var>511.20</var>final enactment.<br/>
<a id="pl.511.21"></a><var>511.21</var>Transfer Authority Related to <br/>
<a id="pl.511.22"></a><var>511.22</var>State-Operated Services. Money <br/>
<a id="pl.511.23"></a><var>511.23</var>appropriated to finance state-operated <br/>
<a id="pl.511.24"></a><var>511.24</var>services programs and administrative <br/>
<a id="pl.511.25"></a><var>511.25</var>services may be transferred between fiscal <br/>
<a id="pl.511.26"></a><var>511.26</var>years of the biennium with the approval of <br/>
<a id="pl.511.27"></a><var>511.27</var>the commissioner of finance.<br/>
<a id="pl.511.28"></a><var>511.28</var>The amounts that may be spent from the <br/>
<a id="pl.511.29"></a><var>511.29</var>appropriation for each purpose are as follows:<br/>
<table width="100%">
<tr>
<td><a id="pl.511.30"></a><var>511.30</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(a) Mental Health Services<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.511.31"></a><var>511.31</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">116,270,000<br/>
</td>
<td align="right" valign="bottom">120,095,000<br/>
</td>
</tr>
</table><a id="pl.511.32"></a><var>511.32</var>Appropriation Limitation. No part of <br/>
<a id="pl.511.33"></a><var>511.33</var>the appropriation in this article to the <br/>
<a id="pl.511.34"></a><var>511.34</var>commissioner for mental health treatment <br/>
<a id="pl.512.1"></a><var>512.1</var>services at the regional treatment centers <br/>
<a id="pl.512.2"></a><var>512.2</var>shall be used for the Minnesota sex offender <br/>
<a id="pl.512.3"></a><var>512.3</var>program.<br/>
<table width="100%">
<tr>
<td><a id="pl.512.4"></a><var>512.4</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(b) Minnesota Sex Offender Services<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.5"></a><var>512.5</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">67,719,000<br/>
</td>
<td align="right" valign="bottom">62,787,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.6"></a><var>512.6</var><br/>
<a id="pl.512.7"></a><var>512.7</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">(c) Minnesota Security Hospital and METO <br/>
Services<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.8"></a><var>512.8</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">82,656,000<br/>
</td>
<td align="right" valign="bottom">84,836,000<br/>
</td>
</tr>
</table><a id="pl.512.9"></a><var>512.9</var>Minnesota Security Hospital. For the <br/>
<a id="pl.512.10"></a><var>512.10</var>purposes of enhancing the safety of <br/>
<a id="pl.512.11"></a><var>512.11</var>the public, improving supervision, and <br/>
<a id="pl.512.12"></a><var>512.12</var>enhancing community-based mental health <br/>
<a id="pl.512.13"></a><var>512.13</var>treatment, state-operated services may <br/>
<a id="pl.512.14"></a><var>512.14</var>establish additional community capacity <br/>
<a id="pl.512.15"></a><var>512.15</var>for providing treatment and supervision <br/>
<a id="pl.512.16"></a><var>512.16</var>of clients who have been ordered into a <br/>
<a id="pl.512.17"></a><var>512.17</var>less restrictive alternative care from the <br/>
<a id="pl.512.18"></a><var>512.18</var>state-operated services transitional services <br/>
<a id="pl.512.19"></a><var>512.19</var>program consistent with Minnesota Statutes, <br/>
<a id="pl.512.20"></a><var>512.20</var>section 246.014.<br/>
<br/>
<a id="bill.12.4.0"></a><table width="100%">
<tr>
<td><a id="pl.512.21"></a><var>512.21</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 4. <b>COMMISSIONER OF HEALTH</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.22"></a><var>512.22</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">54,357,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">45,785,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.23"></a><var>512.23</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.24"></a><var>512.24</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="center" valign="bottom">2009<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.25"></a><var>512.25</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">18,185,000<br/>
</td>
<td align="right" valign="bottom">16,213,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.26"></a><var>512.26</var><br/>
<a id="pl.512.27"></a><var>512.27</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">13,309,000<br/>
</td>
<td align="right" valign="bottom">13,309,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.28"></a><var>512.28</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">22,863,000<br/>
</td>
<td align="right" valign="bottom">16,263,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.29"></a><var>512.29</var><br/>
<a id="pl.512.30"></a><var>512.30</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 2.<b>Community and Family Health </b><br/>
<b>Promotion</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.512.31"></a><var>512.31</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.32"></a><var>512.32</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">46,707,000<br/>
</td>
<td align="right" valign="bottom">46,443,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.33"></a><var>512.33</var><br/>
<a id="pl.512.34"></a><var>512.34</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">468,000<br/>
</td>
<td align="right" valign="bottom">471,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.35"></a><var>512.35</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">3,539,000<br/>
</td>
<td align="right" valign="bottom">3,562,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.512.36"></a><var>512.36</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">8,667,000<br/>
</td>
<td align="right" valign="bottom">9,002,000<br/>
</td>
</tr>
</table><a id="pl.513.1"></a><var>513.1</var>TANF Appropriations. (a) $3,579,000 of <br/>
<a id="pl.513.2"></a><var>513.2</var>the TANF funds is appropriated in each year <br/>
<a id="pl.513.3"></a><var>513.3</var>of the biennium to the commissioner for <br/>
<a id="pl.513.4"></a><var>513.4</var>home visiting and nutritional services listed <br/>
<a id="pl.513.5"></a><var>513.5</var>under Minnesota Statutes, section 145.882, <br/>
<a id="pl.513.6"></a><var>513.6</var>subdivision 7, clauses (6) and (7). Funding <br/>
<a id="pl.513.7"></a><var>513.7</var>shall be distributed to community health <br/>
<a id="pl.513.8"></a><var>513.8</var>boards based on Minnesota Statutes, section <br/>
<a id="pl.513.9"></a><var>513.9</var>145A.131, subdivision 1.<br/>
<a id="pl.513.10"></a><var>513.10</var>(b) $5,088,000 in the first year and $5,423,000 <br/>
<a id="pl.513.11"></a><var>513.11</var>in the second year are appropriated to the <br/>
<a id="pl.513.12"></a><var>513.12</var>commissioner of health for the family home <br/>
<a id="pl.513.13"></a><var>513.13</var>visiting grant program. The commissioner <br/>
<a id="pl.513.14"></a><var>513.14</var>shall distribute funds to community health <br/>
<a id="pl.513.15"></a><var>513.15</var>boards using a formula developed in <br/>
<a id="pl.513.16"></a><var>513.16</var>conjunction with the state Community <br/>
<a id="pl.513.17"></a><var>513.17</var>Health Services Advisory Committee. The <br/>
<a id="pl.513.18"></a><var>513.18</var>commissioner may use five percent of the <br/>
<a id="pl.513.19"></a><var>513.19</var>funds appropriated in each fiscal year to <br/>
<a id="pl.513.20"></a><var>513.20</var>conduct the ongoing evaluations required <br/>
<a id="pl.513.21"></a><var>513.21</var>under Minnesota Statutes, section 145A.17, <br/>
<a id="pl.513.22"></a><var>513.22</var>subdivision 7, and may use ten percent of <br/>
<a id="pl.513.23"></a><var>513.23</var>the funds appropriated each fiscal year to <br/>
<a id="pl.513.24"></a><var>513.24</var>provide training and technical assistance as <br/>
<a id="pl.513.25"></a><var>513.25</var>required under Minnesota Statutes, section <br/>
<a id="pl.513.26"></a><var>513.26</var>145A.17, subdivisions 4 and 5.<br/>
<a id="pl.513.27"></a><var>513.27</var>TANF Carryforward. Any unexpended <br/>
<a id="pl.513.28"></a><var>513.28</var>balance of the TANF appropriation in the <br/>
<a id="pl.513.29"></a><var>513.29</var>first year of the biennium does not cancel but <br/>
<a id="pl.513.30"></a><var>513.30</var>is available for the second year.<br/>
<a id="pl.513.31"></a><var>513.31</var>Loan Forgiveness. $605,000 the first year <br/>
<a id="pl.513.32"></a><var>513.32</var>and $775,000 the second year and thereafter <br/>
<a id="pl.513.33"></a><var>513.33</var>are for the loan forgiveness program under <br/>
<a id="pl.513.34"></a><var>513.34</var>Minnesota Statutes, section 144.1501. This <br/>
<a id="pl.514.1"></a><var>514.1</var>funding is in addition to the loan forgiveness <br/>
<a id="pl.514.2"></a><var>514.2</var>program base.<br/>
<a id="pl.514.3"></a><var>514.3</var>MN ENABL. Base level funding for the MN <br/>
<a id="pl.514.4"></a><var>514.4</var>ENABL program, under Minnesota Statutes, <br/>
<a id="pl.514.5"></a><var>514.5</var>section 145.9255, is reduced by $220,000 <br/>
<a id="pl.514.6"></a><var>514.6</var>each year of the biennium beginning July 1, <br/>
<a id="pl.514.7"></a><var>514.7</var>2007.<br/>
<a id="pl.514.8"></a><var>514.8</var>Fetal Alcohol Spectrum Disorder. (a) <br/>
<a id="pl.514.9"></a><var>514.9</var>$900,000 each year is added to the base for <br/>
<a id="pl.514.10"></a><var>514.10</var>fetal alcohol spectrum disorder. On July 1 <br/>
<a id="pl.514.11"></a><var>514.11</var>each fiscal year, the portion of the general <br/>
<a id="pl.514.12"></a><var>514.12</var>fund appropriation to the commissioner of <br/>
<a id="pl.514.13"></a><var>514.13</var>health for fetal alcohol spectrum disorder <br/>
<a id="pl.514.14"></a><var>514.14</var>administration and grants shall be transferred <br/>
<a id="pl.514.15"></a><var>514.15</var>to a statewide organization that focuses <br/>
<a id="pl.514.16"></a><var>514.16</var>solely on prevention of and intervention with <br/>
<a id="pl.514.17"></a><var>514.17</var>fetal alcohol spectrum disorder as follows:<br/>
<a id="pl.514.18"></a><var>514.18</var>(1) on July 1, 2007, $2,090,000; and<br/>
<a id="pl.514.19"></a><var>514.19</var>(2) on July 2, 2008, and annually thereafter, <br/>
<a id="pl.514.20"></a><var>514.20</var>$2,090,000.<br/>
<a id="pl.514.21"></a><var>514.21</var>(b) The money shall be used for prevention <br/>
<a id="pl.514.22"></a><var>514.22</var>and intervention services and programs, <br/>
<a id="pl.514.23"></a><var>514.23</var>including, but not limited to, community <br/>
<a id="pl.514.24"></a><var>514.24</var>grants, professional education, public <br/>
<a id="pl.514.25"></a><var>514.25</var>awareness, and diagnosis. The organization <br/>
<a id="pl.514.26"></a><var>514.26</var>may retain $60,000 of the transferred money <br/>
<a id="pl.514.27"></a><var>514.27</var>for administrative costs. The organization <br/>
<a id="pl.514.28"></a><var>514.28</var>shall report to the commissioner annually <br/>
<a id="pl.514.29"></a><var>514.29</var>by January 15 on the services and programs <br/>
<a id="pl.514.30"></a><var>514.30</var>funded by the appropriation.<br/>
<a id="pl.514.31"></a><var>514.31</var>Deaf or Hearing Loss Support. $100,000 <br/>
<a id="pl.514.32"></a><var>514.32</var>for the first year and $100,000 for the second <br/>
<a id="pl.514.33"></a><var>514.33</var>year is for the purpose of providing family <br/>
<a id="pl.514.34"></a><var>514.34</var>support and assistance to families with <br/>
<a id="pl.514.35"></a><var>514.35</var>children who are deaf or have a hearing <br/>
<a id="pl.515.1"></a><var>515.1</var>loss. The family support provided must <br/>
<a id="pl.515.2"></a><var>515.2</var>include direct parent-to-parent assistance and <br/>
<a id="pl.515.3"></a><var>515.3</var>information on communication, educational, <br/>
<a id="pl.515.4"></a><var>515.4</var>and medical options. The commissioner <br/>
<a id="pl.515.5"></a><var>515.5</var>may contract with a nonprofit organization <br/>
<a id="pl.515.6"></a><var>515.6</var>that has the ability to provide these services <br/>
<a id="pl.515.7"></a><var>515.7</var>throughout the state.<br/>
<a id="pl.515.8"></a><var>515.8</var>Heart Disease and Stroke Prevention. <br/>
<a id="pl.515.9"></a><var>515.9</var>$200,000 is appropriated in the first year for <br/>
<a id="pl.515.10"></a><var>515.10</var>the heart disease and stroke prevention unit <br/>
<a id="pl.515.11"></a><var>515.11</var>of the Department of Health to fund data <br/>
<a id="pl.515.12"></a><var>515.12</var>collection and other activities to improve <br/>
<a id="pl.515.13"></a><var>515.13</var>cardiovascular health and reduce the burden <br/>
<a id="pl.515.14"></a><var>515.14</var>of heart disease and stroke in Minnesota. <br/>
<a id="pl.515.15"></a><var>515.15</var>This is a onetime appropriation.<br/>
<a id="pl.515.16"></a><var>515.16</var>Family Planning Grants. $1,000,000 each <br/>
<a id="pl.515.17"></a><var>515.17</var>year is for family planning grants under <br/>
<a id="pl.515.18"></a><var>515.18</var>Minnesota Statutes, section 145.925.<br/>
<a id="pl.515.19"></a><var>515.19</var>Bright Smiles Pilot Project. (a) $384,000 <br/>
<a id="pl.515.20"></a><var>515.20</var>in the first year and $50,000 in the second <br/>
<a id="pl.515.21"></a><var>515.21</var>year is to fund a grant for the Bright Smiles <br/>
<a id="pl.515.22"></a><var>515.22</var>pilot project.<br/>
<a id="pl.515.23"></a><var>515.23</var>(b) Of these amounts, $50,000 each year is to <br/>
<a id="pl.515.24"></a><var>515.24</var>fund a dental health coordinator position.<br/>
<a id="pl.515.25"></a><var>515.25</var>(c) The commissioner of health shall <br/>
<a id="pl.515.26"></a><var>515.26</var>establish a pilot project to fund a Bright <br/>
<a id="pl.515.27"></a><var>515.27</var>Smiles program designed to increase access <br/>
<a id="pl.515.28"></a><var>515.28</var>to oral health care for low-income and <br/>
<a id="pl.515.29"></a><var>515.29</var>immigrant children, ages birth to five <br/>
<a id="pl.515.30"></a><var>515.30</var>years, and their families and to build the <br/>
<a id="pl.515.31"></a><var>515.31</var>knowledge and ability of parents to care <br/>
<a id="pl.515.32"></a><var>515.32</var>for the oral health of their children. Under <br/>
<a id="pl.515.33"></a><var>515.33</var>this pilot project, a Bright Smiles program <br/>
<a id="pl.515.34"></a><var>515.34</var>shall serve the medically underserved areas <br/>
<a id="pl.516.1"></a><var>516.1</var>in Minneapolis and the Bemidji area, as <br/>
<a id="pl.516.2"></a><var>516.2</var>determined by the commissioner of health.<br/>
<a id="pl.516.3"></a><var>516.3</var>(d) A grant shall be used to fund costs related <br/>
<a id="pl.516.4"></a><var>516.4</var>to improving oral health outreach, education, <br/>
<a id="pl.516.5"></a><var>516.5</var>screening, and access to care for families <br/>
<a id="pl.516.6"></a><var>516.6</var>with children, ages birth to five years.<br/>
<a id="pl.516.7"></a><var>516.7</var>(e) Grant applicants shall submit to <br/>
<a id="pl.516.8"></a><var>516.8</var>the commissioner a written plan that <br/>
<a id="pl.516.9"></a><var>516.9</var>demonstrates the ability to provide the <br/>
<a id="pl.516.10"></a><var>516.10</var>following:<br/>
<a id="pl.516.11"></a><var>516.11</var>(1) new programs or continued expansion <br/>
<a id="pl.516.12"></a><var>516.12</var>of current access programs that have <br/>
<a id="pl.516.13"></a><var>516.13</var>demonstrated success in providing dental <br/>
<a id="pl.516.14"></a><var>516.14</var>services in underserved areas of Minneapolis <br/>
<a id="pl.516.15"></a><var>516.15</var>and the Bemidji area;<br/>
<a id="pl.516.16"></a><var>516.16</var>(2) programs for screening children entering <br/>
<a id="pl.516.17"></a><var>516.17</var>the Minneapolis and the Bemidji area public <br/>
<a id="pl.516.18"></a><var>516.18</var>school systems and facilitating access to care <br/>
<a id="pl.516.19"></a><var>516.19</var>for their families;<br/>
<a id="pl.516.20"></a><var>516.20</var>(3) programs testing new models of care <br/>
<a id="pl.516.21"></a><var>516.21</var>that are sensitive to cultural needs of the <br/>
<a id="pl.516.22"></a><var>516.22</var>recipients;<br/>
<a id="pl.516.23"></a><var>516.23</var>(4) programs creating new educational <br/>
<a id="pl.516.24"></a><var>516.24</var>campaigns that inform individuals of the <br/>
<a id="pl.516.25"></a><var>516.25</var>importance of good oral health and the <br/>
<a id="pl.516.26"></a><var>516.26</var>link between dental diseases, overall health <br/>
<a id="pl.516.27"></a><var>516.27</var>status, and success in school; and<br/>
<a id="pl.516.28"></a><var>516.28</var>(5) programs testing new delivery models <br/>
<a id="pl.516.29"></a><var>516.29</var>by creating partnerships between local early <br/>
<a id="pl.516.30"></a><var>516.30</var>childhood and school-age education and <br/>
<a id="pl.516.31"></a><var>516.31</var>community clinic dental providers.<br/>
<a id="pl.516.32"></a><var>516.32</var>(f) Qualified applicants are partnerships <br/>
<a id="pl.516.33"></a><var>516.33</var>among early childhood experts, Minneapolis <br/>
<a id="pl.516.34"></a><var>516.34</var>or Bemidji area public schools, and nonprofit <br/>
<a id="pl.517.1"></a><var>517.1</var>clinics that are established to provide health <br/>
<a id="pl.517.2"></a><var>517.2</var>services to low-income patients, provide <br/>
<a id="pl.517.3"></a><var>517.3</var>preventive and dental care services, and <br/>
<a id="pl.517.4"></a><var>517.4</var>utilize a sliding-scale fee or other method of <br/>
<a id="pl.517.5"></a><var>517.5</var>providing charity care that ensures that no <br/>
<a id="pl.517.6"></a><var>517.6</var>person is denied services because of inability <br/>
<a id="pl.517.7"></a><var>517.7</var>to pay.<br/>
<a id="pl.517.8"></a><var>517.8</var>(g) Applicants shall submit to the <br/>
<a id="pl.517.9"></a><var>517.9</var>commissioner an application and supporting <br/>
<a id="pl.517.10"></a><var>517.10</var>documentation, in the form and manner <br/>
<a id="pl.517.11"></a><var>517.11</var>specified by the commissioner. Applicants <br/>
<a id="pl.517.12"></a><var>517.12</var>must be able to provide culturally appropriate <br/>
<a id="pl.517.13"></a><var>517.13</var>outreach, screenings, and access to dental <br/>
<a id="pl.517.14"></a><var>517.14</var>care for children, ages birth to five years, <br/>
<a id="pl.517.15"></a><var>517.15</var>their parents, and pregnant women most at <br/>
<a id="pl.517.16"></a><var>517.16</var>risk of poor oral health due to lack of access <br/>
<a id="pl.517.17"></a><var>517.17</var>to dental care. Applicants must also meet the <br/>
<a id="pl.517.18"></a><var>517.18</var>following criteria:<br/>
<a id="pl.517.19"></a><var>517.19</var>(1) have the potential to successfully increase <br/>
<a id="pl.517.20"></a><var>517.20</var>access to families with children, ages birth <br/>
<a id="pl.517.21"></a><var>517.21</var>to five years;<br/>
<a id="pl.517.22"></a><var>517.22</var>(2) incorporate quality program evaluation;<br/>
<a id="pl.517.23"></a><var>517.23</var>(3) maximize use of grant funds; and<br/>
<a id="pl.517.24"></a><var>517.24</var>(4) have experience in providing services to <br/>
<a id="pl.517.25"></a><var>517.25</var>the target populations of this program.<br/>
<a id="pl.517.26"></a><var>517.26</var>(h) The commissioner shall evaluate the <br/>
<a id="pl.517.27"></a><var>517.27</var>effectiveness of this pilot program on the <br/>
<a id="pl.517.28"></a><var>517.28</var>oral health of children and their families and <br/>
<a id="pl.517.29"></a><var>517.29</var>report to the house of representatives and <br/>
<a id="pl.517.30"></a><var>517.30</var>senate committees with jurisdiction over <br/>
<a id="pl.517.31"></a><var>517.31</var>public health policy and finance by January <br/>
<a id="pl.517.32"></a><var>517.32</var>1, 2009, with recommendations as to how to <br/>
<a id="pl.517.33"></a><var>517.33</var>develop programs throughout Minnesota that <br/>
<a id="pl.517.34"></a><var>517.34</var>provide education and access to oral health <br/>
<a id="pl.517.35"></a><var>517.35</var>care for low-income and immigrant children.<br/>
<a id="pl.518.1"></a><var>518.1</var>Suicide prevention programs. $600,000 <br/>
<a id="pl.518.2"></a><var>518.2</var>each year is to fund the suicide prevention <br/>
<a id="pl.518.3"></a><var>518.3</var>program. The base for fiscal years 2010 and <br/>
<a id="pl.518.4"></a><var>518.4</var>2011 is reduced by $300,000.<br/>
<table width="100%">
<tr>
<td><a id="pl.518.5"></a><var>518.5</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 3.<b>Policy, Quality, and Compliance</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">51,557,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">45,785,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.518.6"></a><var>518.6</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.518.7"></a><var>518.7</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">18,185,000<br/>
</td>
<td align="right" valign="bottom">16,213,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.518.8"></a><var>518.8</var><br/>
<a id="pl.518.9"></a><var>518.9</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">13,309,000<br/>
</td>
<td align="right" valign="bottom">13,309,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.518.10"></a><var>518.10</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="right" valign="bottom">22,863,000<br/>
</td>
<td align="right" valign="bottom">16,263,000<br/>
</td>
</tr>
</table><a id="pl.518.11"></a><var>518.11</var>Health Care Access Survey. Of the <br/>
<a id="pl.518.12"></a><var>518.12</var>health care access fund appropriation, <br/>
<a id="pl.518.13"></a><var>518.13</var>$600,000 in fiscal year 2008 is appropriated <br/>
<a id="pl.518.14"></a><var>518.14</var>to the commissioner to conduct a health <br/>
<a id="pl.518.15"></a><var>518.15</var>insurance survey of Minnesota households, <br/>
<a id="pl.518.16"></a><var>518.16</var>in partnership with the State Health Access <br/>
<a id="pl.518.17"></a><var>518.17</var>Data Assistance Center at the University <br/>
<a id="pl.518.18"></a><var>518.18</var>of Minnesota. The commissioner shall <br/>
<a id="pl.518.19"></a><var>518.19</var>contract with the State Health Access Data <br/>
<a id="pl.518.20"></a><var>518.20</var>Assistance Center to conduct a survey that <br/>
<a id="pl.518.21"></a><var>518.21</var>provides information on the characteristics <br/>
<a id="pl.518.22"></a><var>518.22</var>of the uninsured in Minnesota and the <br/>
<a id="pl.518.23"></a><var>518.23</var>reasons for changing patterns of insurance <br/>
<a id="pl.518.24"></a><var>518.24</var>coverage and access to health care services. <br/>
<a id="pl.518.25"></a><var>518.25</var>This appropriation shall become part of the <br/>
<a id="pl.518.26"></a><var>518.26</var>agency's base budget for even-numbered <br/>
<a id="pl.518.27"></a><var>518.27</var>fiscal years.<br/>
<a id="pl.518.28"></a><var>518.28</var>MERC. Of the general fund appropriation, <br/>
<a id="pl.518.29"></a><var>518.29</var>$8,000,000 each fiscal year is for distribution <br/>
<a id="pl.518.30"></a><var>518.30</var>of MERC grants as follows:<br/>
<a id="pl.518.31"></a><var>518.31</var>(1) $5,000,000 according to Minnesota <br/>
<a id="pl.518.32"></a><var>518.32</var>Statutes, section 62J.692, subdivision 4, <br/>
<a id="pl.518.33"></a><var>518.33</var>paragraph (c);<br/>
<a id="pl.519.1"></a><var>519.1</var>(2) $900,000 according to Minnesota <br/>
<a id="pl.519.2"></a><var>519.2</var>Statutes, section 62J.692, subdivision 4, <br/>
<a id="pl.519.3"></a><var>519.3</var>paragraph (d);<br/>
<a id="pl.519.4"></a><var>519.4</var>(3) $100,000 according to Minnesota <br/>
<a id="pl.519.5"></a><var>519.5</var>Statutes, section 62J.692, subdivision 4, <br/>
<a id="pl.519.6"></a><var>519.6</var>paragraph (e); and<br/>
<a id="pl.519.7"></a><var>519.7</var>(4) $2,000,000 according to Minnesota <br/>
<a id="pl.519.8"></a><var>519.8</var>Statutes, section 62J.692, subdivision 7a, <br/>
<a id="pl.519.9"></a><var>519.9</var>paragraph (b).<br/>
<a id="pl.519.10"></a><var>519.10</var>Health Information Technology. Of <br/>
<a id="pl.519.11"></a><var>519.11</var>the health care access fund appropriation, <br/>
<a id="pl.519.12"></a><var>519.12</var>$6,750,000 each fiscal year is to implement <br/>
<a id="pl.519.13"></a><var>519.13</var>Minnesota Statutes, section 144.3345. Up <br/>
<a id="pl.519.14"></a><var>519.14</var>to $350,000 each fiscal year is available for <br/>
<a id="pl.519.15"></a><var>519.15</var>grant administration and health information <br/>
<a id="pl.519.16"></a><var>519.16</var>technology technical assistance and <br/>
<a id="pl.519.17"></a><var>519.17</var>$6,400,000 each year is to be transferred <br/>
<a id="pl.519.18"></a><var>519.18</var>to the commissioner of finance to establish <br/>
<a id="pl.519.19"></a><var>519.19</var>and implement a revolving account under <br/>
<a id="pl.519.20"></a><var>519.20</var>Minnesota Statutes, section 62J.496. This <br/>
<a id="pl.519.21"></a><var>519.21</var>appropriation shall not be included in the <br/>
<a id="pl.519.22"></a><var>519.22</var>agency's base budget for the fiscal year <br/>
<a id="pl.519.23"></a><var>519.23</var>beginning July 1, 2009.<br/>
<a id="pl.519.24"></a><var>519.24</var>Health Insurance Exchange. Of the health <br/>
<a id="pl.519.25"></a><var>519.25</var>care access fund appropriation, $6,000,000 <br/>
<a id="pl.519.26"></a><var>519.26</var>in fiscal year 2008 is appropriated to <br/>
<a id="pl.519.27"></a><var>519.27</var>the commissioner to establish the health <br/>
<a id="pl.519.28"></a><var>519.28</var>insurance exchange in Minnesota Statutes, <br/>
<a id="pl.519.29"></a><var>519.29</var>section 62A.76. Up to $50,000 in fiscal year <br/>
<a id="pl.519.30"></a><var>519.30</var>2008 is available for administrative costs <br/>
<a id="pl.519.31"></a><var>519.31</var>incurred by the Department of Health in <br/>
<a id="pl.519.32"></a><var>519.32</var>establishing and providing grant funding to <br/>
<a id="pl.519.33"></a><var>519.33</var>the legal entity responsible for implementing <br/>
<a id="pl.519.34"></a><var>519.34</var>the health insurance exchange. This is a <br/>
<a id="pl.519.35"></a><var>519.35</var>onetime appropriation.<br/>
<a id="pl.520.1"></a><var>520.1</var>Hearing Aid Loan Bank. Of the general <br/>
<a id="pl.520.2"></a><var>520.2</var>fund appropriation, $70,000 in fiscal year <br/>
<a id="pl.520.3"></a><var>520.3</var>2008 and $70,000 in fiscal year 2009 are <br/>
<a id="pl.520.4"></a><var>520.4</var>for the purpose of providing a statewide <br/>
<a id="pl.520.5"></a><var>520.5</var>hearing aid and instrument loan bank to <br/>
<a id="pl.520.6"></a><var>520.6</var>families with children newly diagnosed with <br/>
<a id="pl.520.7"></a><var>520.7</var>hearing loss from birth to the age of ten. This <br/>
<a id="pl.520.8"></a><var>520.8</var>appropriation shall cover the administrative <br/>
<a id="pl.520.9"></a><var>520.9</var>costs of the program.<br/>
<a id="pl.520.10"></a><var>520.10</var>Uncompensated Care Fund. Of the general <br/>
<a id="pl.520.11"></a><var>520.11</var>fund appropriation, $65,000 in fiscal year <br/>
<a id="pl.520.12"></a><var>520.12</var>2008 is for the commissioner of health to <br/>
<a id="pl.520.13"></a><var>520.13</var>study and present recommendations to the <br/>
<a id="pl.520.14"></a><var>520.14</var>governor and the legislature by January <br/>
<a id="pl.520.15"></a><var>520.15</var>15, 2008, on the design, operation, and <br/>
<a id="pl.520.16"></a><var>520.16</var>funding of an uncompensated care fund to <br/>
<a id="pl.520.17"></a><var>520.17</var>be used to provide subsidies to hospitals, <br/>
<a id="pl.520.18"></a><var>520.18</var>community clinics, federally qualified health <br/>
<a id="pl.520.19"></a><var>520.19</var>centers, community mental health centers, <br/>
<a id="pl.520.20"></a><var>520.20</var>and other health care providers that serve <br/>
<a id="pl.520.21"></a><var>520.21</var>a disproportionately large percentage of <br/>
<a id="pl.520.22"></a><var>520.22</var>uninsured patients. An organization must not <br/>
<a id="pl.520.23"></a><var>520.23</var>provide or perform abortion services under <br/>
<a id="pl.520.24"></a><var>520.24</var>this program.<br/>
<a id="pl.520.25"></a><var>520.25</var>Community Collaboratives. Of the <br/>
<a id="pl.520.26"></a><var>520.26</var>general fund appropriation, $300,000 for the <br/>
<a id="pl.520.27"></a><var>520.27</var>biennium beginning July 1, 2007, is to the <br/>
<a id="pl.520.28"></a><var>520.28</var>commissioner of health to provide grants <br/>
<a id="pl.520.29"></a><var>520.29</var>to community collaboratives to cover the <br/>
<a id="pl.520.30"></a><var>520.30</var>uninsured. This is a onetime appropriation.<br/>
<a id="pl.520.31"></a><var>520.31</var>Uniform Electronic Transactions. Of the <br/>
<a id="pl.520.32"></a><var>520.32</var>general fund appropriation, $146,000 in fiscal <br/>
<a id="pl.520.33"></a><var>520.33</var>year 2008 is for development of uniform <br/>
<a id="pl.520.34"></a><var>520.34</var>electronic transactions and implementation <br/>
<a id="pl.521.1"></a><var>521.1</var>guide standards under Minnesota Statutes, <br/>
<a id="pl.521.2"></a><var>521.2</var>section 62J.536.<br/>
<a id="pl.521.3"></a><var>521.3</var>Medical Home Learning Collaborative. <br/>
<a id="pl.521.4"></a><var>521.4</var>Of the general fund appropriation, $500,000 <br/>
<a id="pl.521.5"></a><var>521.5</var>in fiscal year 2008 and $500,000 in fiscal <br/>
<a id="pl.521.6"></a><var>521.6</var>year 2009 are to expand the medical <br/>
<a id="pl.521.7"></a><var>521.7</var>home learning collaborative initiative in <br/>
<a id="pl.521.8"></a><var>521.8</var>collaboration with the commissioner of <br/>
<a id="pl.521.9"></a><var>521.9</var>human services. Services provided under <br/>
<a id="pl.521.10"></a><var>521.10</var>this funding must support a medical home <br/>
<a id="pl.521.11"></a><var>521.11</var>model for children with special health care <br/>
<a id="pl.521.12"></a><var>521.12</var>needs. The collaborative shall report back to <br/>
<a id="pl.521.13"></a><var>521.13</var>the legislature on use of the funds by January <br/>
<a id="pl.521.14"></a><var>521.14</var>15, 2010.<br/>
<a id="pl.521.15"></a><var>521.15</var>Federally Qualified Health Centers. Of the <br/>
<a id="pl.521.16"></a><var>521.16</var>general fund appropriation, $3,000,000 in <br/>
<a id="pl.521.17"></a><var>521.17</var>fiscal year 2008 and $3,900,000 in fiscal year <br/>
<a id="pl.521.18"></a><var>521.18</var>2009 are for subsidies to federally qualified <br/>
<a id="pl.521.19"></a><var>521.19</var>health centers under Minnesota Statutes, <br/>
<a id="pl.521.20"></a><var>521.20</var>section 145.9269.<br/>
<a id="pl.521.21"></a><var>521.21</var>Pandemic Influenza Preparedness. Of <br/>
<a id="pl.521.22"></a><var>521.22</var>the general fund appropriation to the <br/>
<a id="pl.521.23"></a><var>521.23</var>commissioner, $2,800,000 in fiscal year 2008 <br/>
<a id="pl.521.24"></a><var>521.24</var>is for preparation, planning, and response <br/>
<a id="pl.521.25"></a><var>521.25</var>to a pandemic influenza outbreak. This <br/>
<a id="pl.521.26"></a><var>521.26</var>appropriation is available until June 30, 2009. <br/>
<a id="pl.521.27"></a><var>521.27</var>Base funding for the 2010-2011 biennium is <br/>
<a id="pl.521.28"></a><var>521.28</var>$0 each fiscal year.<br/>
<table width="100%">
<tr>
<td><a id="pl.521.29"></a><var>521.29</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 4.<b>Health Protection</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.521.30"></a><var>521.30</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.521.31"></a><var>521.31</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">17,744,000<br/>
</td>
<td align="right" valign="bottom">13,900,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.521.32"></a><var>521.32</var><br/>
<a id="pl.521.33"></a><var>521.33</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">25,980,000<br/>
</td>
<td align="right" valign="bottom">26,674,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.521.34"></a><var>521.34</var><br/>
</td>
<td align="left" valign="bottom">Environmental<br/>
</td>
<td align="right" valign="bottom">300,000<br/>
</td>
<td align="right" valign="bottom">300,000<br/>
</td>
</tr>
</table><a id="pl.522.1"></a><var>522.1</var>Pandemic Influenza Preparedness. Of <br/>
<a id="pl.522.2"></a><var>522.2</var>the general fund appropriation to the <br/>
<a id="pl.522.3"></a><var>522.3</var>commissioner, $3,235,000 in fiscal year 2008 <br/>
<a id="pl.522.4"></a><var>522.4</var>is for preparation, planning, and response <br/>
<a id="pl.522.5"></a><var>522.5</var>to a pandemic influenza outbreak. This <br/>
<a id="pl.522.6"></a><var>522.6</var>appropriation is available until June 30, 2009.<br/>
<a id="pl.522.7"></a><var>522.7</var>Base funding for the 2010-2011 biennium is <br/>
<a id="pl.522.8"></a><var>522.8</var>$0 each fiscal year.<br/>
<a id="pl.522.9"></a><var>522.9</var>Environmental Health Tracking and <br/>
<a id="pl.522.10"></a><var>522.10</var>Biomonitoring. (a) $500,000 in the first <br/>
<a id="pl.522.11"></a><var>522.11</var>year and $900,000 in the second year are <br/>
<a id="pl.522.12"></a><var>522.12</var>for the environmental health tracking and <br/>
<a id="pl.522.13"></a><var>522.13</var>biomonitoring program. The base for fiscal <br/>
<a id="pl.522.14"></a><var>522.14</var>year 2010 and fiscal year 2011 is increased <br/>
<a id="pl.522.15"></a><var>522.15</var>by $300,000 each year.<br/>
<a id="pl.522.16"></a><var>522.16</var>(b) $300,000 each year is from the <br/>
<a id="pl.522.17"></a><var>522.17</var>environmental fund to the Pollution Control <br/>
<a id="pl.522.18"></a><var>522.18</var>Agency for transfer to the Department <br/>
<a id="pl.522.19"></a><var>522.19</var>of Health for the health tracking and <br/>
<a id="pl.522.20"></a><var>522.20</var>biomonitoring program. The base for the <br/>
<a id="pl.522.21"></a><var>522.21</var>environmental fund is $0 in fiscal year 2010 <br/>
<a id="pl.522.22"></a><var>522.22</var>and after.<br/>
<a id="pl.522.23"></a><var>522.23</var>AIDS Prevention Initiative Focusing <br/>
<a id="pl.522.24"></a><var>522.24</var>on African-born Residents. $300,000 in <br/>
<a id="pl.522.25"></a><var>522.25</var>2008 is for an AIDS prevention initiative <br/>
<a id="pl.522.26"></a><var>522.26</var>focusing on African-born residents. This <br/>
<a id="pl.522.27"></a><var>522.27</var>appropriation is a onetime appropriation <br/>
<a id="pl.522.28"></a><var>522.28</var>and shall not become part of the base-level <br/>
<a id="pl.522.29"></a><var>522.29</var>funding for the 2010-2011 biennium.<br/>
<a id="pl.522.30"></a><var>522.30</var>The commissioner of health shall award <br/>
<a id="pl.522.31"></a><var>522.31</var>grants in accordance with Minnesota Statutes, <br/>
<a id="pl.522.32"></a><var>522.32</var>section 
<statute_ref>145.924</statute_ref>, paragraph (b), for a public <br/>
<a id="pl.522.33"></a><var>522.33</var>education and awareness campaign targeting <br/>
<a id="pl.522.34"></a><var>522.34</var>communities of African-born Minnesota <br/>
<a id="pl.522.35"></a><var>522.35</var>residents. The grants shall be designed to <br/>
<a id="pl.523.1"></a><var>523.1</var>promote knowledge and understanding about <br/>
<a id="pl.523.2"></a><var>523.2</var>HIV and to increase knowledge in order <br/>
<a id="pl.523.3"></a><var>523.3</var>to eliminate and reduce the risk for HIV <br/>
<a id="pl.523.4"></a><var>523.4</var>infection; to encourage screening and testing <br/>
<a id="pl.523.5"></a><var>523.5</var>for HIV; and to link individuals to public <br/>
<a id="pl.523.6"></a><var>523.6</var>health and health care resources. The grants <br/>
<a id="pl.523.7"></a><var>523.7</var>must be awarded to collaborative efforts that <br/>
<a id="pl.523.8"></a><var>523.8</var>bring together nonprofit community-based <br/>
<a id="pl.523.9"></a><var>523.9</var>groups with demonstrated experience in <br/>
<a id="pl.523.10"></a><var>523.10</var>addressing the public health, health care, <br/>
<a id="pl.523.11"></a><var>523.11</var>and social service needs of African-born <br/>
<a id="pl.523.12"></a><var>523.12</var>communities.<br/>
<a id="pl.523.13"></a><var>523.13</var>Arsenic Health Risk Standard. $920,000 in <br/>
<a id="pl.523.14"></a><var>523.14</var>the first year and $461,000 in the second year <br/>
<a id="pl.523.15"></a><var>523.15</var>is to fund the study relating to arsenic health <br/>
<a id="pl.523.16"></a><var>523.16</var>risk standards, under Minnesota Statutes, <br/>
<a id="pl.523.17"></a><var>523.17</var>section 144.967.<br/>
<a id="pl.523.18"></a><var>523.18</var>Lindane and Bisphenol-A Studies. <br/>
<a id="pl.523.19"></a><var>523.19</var>$114,000 in the first year is for the Lindane <br/>
<a id="pl.523.20"></a><var>523.20</var>committee and the study of bisphenol-A, <br/>
<a id="pl.523.21"></a><var>523.21</var>under Minnesota Statutes, section 145.958. <br/>
<a id="pl.523.22"></a><var>523.22</var>This is a onetime appropriation.<br/>
<a id="pl.523.23"></a><var>523.23</var>Decabromodiphenyl Ether Study. <br/>
<a id="pl.523.24"></a><var>523.24</var>$118,000 in the first year is for transfer to the <br/>
<a id="pl.523.25"></a><var>523.25</var>commissioner of the pollution control agency <br/>
<a id="pl.523.26"></a><var>523.26</var>for the study of decabromodiphenyl ether <br/>
<a id="pl.523.27"></a><var>523.27</var>under Minnesota Statutes, section 325E.387. <br/>
<a id="pl.523.28"></a><var>523.28</var>This is a onetime appropriation.<br/>
<a id="pl.523.29"></a><var>523.29</var>Radiation Study. $45,000 in the first year <br/>
<a id="pl.523.30"></a><var>523.30</var>from the general fund and $15,000 in the <br/>
<a id="pl.523.31"></a><var>523.31</var>first year from the state government special <br/>
<a id="pl.523.32"></a><var>523.32</var>revenue fund are for the radiation study in <br/>
<a id="pl.523.33"></a><var>523.33</var>section 62. This is a onetime appropriation.<br/>
<a id="pl.523.34"></a><var>523.34</var>Lead Abatement. $925,000 in the first <br/>
<a id="pl.523.35"></a><var>523.35</var>year and $950,000 in the second year are <br/>
<a id="pl.524.1"></a><var>524.1</var>for changes in lead abatement requirements. <br/>
<a id="pl.524.2"></a><var>524.2</var>Of this amount, $6,000 in the first year and <br/>
<a id="pl.524.3"></a><var>524.3</var>$11,000 in the second year are for transfer <br/>
<a id="pl.524.4"></a><var>524.4</var>to the commissioner of human services for <br/>
<a id="pl.524.5"></a><var>524.5</var>increased medical assistance costs. A portion <br/>
<a id="pl.524.6"></a><var>524.6</var>of this amount may be used to reimburse <br/>
<a id="pl.524.7"></a><var>524.7</var>local governments for costs of implementing <br/>
<a id="pl.524.8"></a><var>524.8</var>the new requirements.<br/>
<a id="pl.524.9"></a><var>524.9</var>Water Treatment. $40,000 in fiscal year <br/>
<a id="pl.524.10"></a><var>524.10</var>2008 is to augment any appropriation from the <br/>
<a id="pl.524.11"></a><var>524.11</var>remediation fund to conduct an evaluation of <br/>
<a id="pl.524.12"></a><var>524.12</var>point of use water treatment units at removing <br/>
<a id="pl.524.13"></a><var>524.13</var>perfluorooctanoic acid, perfluorooctane <br/>
<a id="pl.524.14"></a><var>524.14</var>sulfonate, and perfluorobutanoic acid from <br/>
<a id="pl.524.15"></a><var>524.15</var>known concentrations of these compounds <br/>
<a id="pl.524.16"></a><var>524.16</var>in drinking water. The evaluation shall be <br/>
<a id="pl.524.17"></a><var>524.17</var>completed by December 31, 2007, and the <br/>
<a id="pl.524.18"></a><var>524.18</var>commissioner may contract for services to <br/>
<a id="pl.524.19"></a><var>524.19</var>complete the evaluation. This is a onetime <br/>
<a id="pl.524.20"></a><var>524.20</var>appropriation.<br/>
<a id="pl.524.21"></a><var>524.21</var>Environmental Justice Mapping. $137,000 <br/>
<a id="pl.524.22"></a><var>524.22</var>in the first year and $53,000 in the second <br/>
<a id="pl.524.23"></a><var>524.23</var>year is for environmental justice mapping.<br/>
<a id="pl.524.24"></a><var>524.24</var>HIV Information. $80,000 each year <br/>
<a id="pl.524.25"></a><var>524.25</var>is to fund a community-based nonprofit <br/>
<a id="pl.524.26"></a><var>524.26</var>organization with demonstrated capacity to <br/>
<a id="pl.524.27"></a><var>524.27</var>operate a statewide HIV information and <br/>
<a id="pl.524.28"></a><var>524.28</var>referral service using telephone, Internet, and <br/>
<a id="pl.524.29"></a><var>524.29</var>other appropriate technologies.<br/>
<a id="pl.524.30"></a><var>524.30</var>Lead Hazard Reduction. $250,000 is <br/>
<a id="pl.524.31"></a><var>524.31</var>appropriated each year of the biennium for a <br/>
<a id="pl.524.32"></a><var>524.32</var>grant to a nonprofit organization operating <br/>
<a id="pl.524.33"></a><var>524.33</var>the CLEARCorps to conduct a pilot project <br/>
<a id="pl.524.34"></a><var>524.34</var>to determine the incidence of lead hazards in <br/>
<a id="pl.524.35"></a><var>524.35</var>pre-1978 rental property. Any balance in the <br/>
<a id="pl.525.1"></a><var>525.1</var>first year does not cancel but is available in <br/>
<a id="pl.525.2"></a><var>525.2</var>the second year.<br/>
<a id="pl.525.3"></a><var>525.3</var>Minnesota Birth Defects Information <br/>
<a id="pl.525.4"></a><var>525.4</var>System. $750,000 each year is to maintain <br/>
<a id="pl.525.5"></a><var>525.5</var>the birth defects information system that was <br/>
<a id="pl.525.6"></a><var>525.6</var>established by Minnesota Statutes, section <br/>
<a id="pl.525.7"></a><var>525.7</var>144.2215.<br/>
<table width="100%">
<tr>
<td><a id="pl.525.8"></a><var>525.8</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 5.<b>Minority and Multicultural Health</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.525.9"></a><var>525.9</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.525.10"></a><var>525.10</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">5,042,000<br/>
</td>
<td align="right" valign="bottom">5,052,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.525.11"></a><var>525.11</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="right" valign="bottom">2,683,000<br/>
</td>
<td align="right" valign="bottom">2,998,000<br/>
</td>
</tr>
</table><a id="pl.525.12"></a><var>525.12</var>TANF Appropriations. (a) $2,421,000 of <br/>
<a id="pl.525.13"></a><var>525.13</var>the TANF funds is appropriated in each year <br/>
<a id="pl.525.14"></a><var>525.14</var>of the biennium to the commissioner for <br/>
<a id="pl.525.15"></a><var>525.15</var>home visiting and nutritional services listed <br/>
<a id="pl.525.16"></a><var>525.16</var>under Minnesota Statutes, section 145.882, <br/>
<a id="pl.525.17"></a><var>525.17</var>subdivision 7, clauses (6) and (7). Funding <br/>
<a id="pl.525.18"></a><var>525.18</var>shall be distributed to tribal governments <br/>
<a id="pl.525.19"></a><var>525.19</var>based on Minnesota Statutes, section <br/>
<a id="pl.525.20"></a><var>525.20</var>145A.14, subdivision 2a, paragraph (b).<br/>
<a id="pl.525.21"></a><var>525.21</var>(b) $262,000 in the first year and $577,000 <br/>
<a id="pl.525.22"></a><var>525.22</var>in the second year are appropriated <br/>
<a id="pl.525.23"></a><var>525.23</var>to the commissioner of health for the <br/>
<a id="pl.525.24"></a><var>525.24</var>family home visiting grant program. The <br/>
<a id="pl.525.25"></a><var>525.25</var>commissioner shall distribute funds to tribal <br/>
<a id="pl.525.26"></a><var>525.26</var>governments using a formula developed in <br/>
<a id="pl.525.27"></a><var>525.27</var>conjunction with tribal governments. The <br/>
<a id="pl.525.28"></a><var>525.28</var>commissioner may use five percent of the <br/>
<a id="pl.525.29"></a><var>525.29</var>funds appropriated in each fiscal year to <br/>
<a id="pl.525.30"></a><var>525.30</var>conduct the ongoing evaluations required <br/>
<a id="pl.525.31"></a><var>525.31</var>under Minnesota Statutes, section 145A.17, <br/>
<a id="pl.525.32"></a><var>525.32</var>subdivision 7, and may use ten percent of <br/>
<a id="pl.525.33"></a><var>525.33</var>the funds appropriated each fiscal year to <br/>
<a id="pl.525.34"></a><var>525.34</var>provide training and technical assistance as <br/>
<a id="pl.526.1"></a><var>526.1</var>required under Minnesota Statutes, section <br/>
<a id="pl.526.2"></a><var>526.2</var>145A.17, subdivisions 4 and 5.<br/>
<a id="pl.526.3"></a><var>526.3</var>TANF Carryforward. Any unexpended <br/>
<a id="pl.526.4"></a><var>526.4</var>balance of the TANF appropriation in the <br/>
<a id="pl.526.5"></a><var>526.5</var>first year of the biennium does not cancel but <br/>
<a id="pl.526.6"></a><var>526.6</var>is available for the second year.<br/>
<table width="100%">
<tr>
<td><a id="pl.526.7"></a><var>526.7</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 6.<b>Administrative Support Services</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.526.8"></a><var>526.8</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.526.9"></a><var>526.9</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom"> 11,047,000<br/>
</td>
<td align="right" valign="bottom"> 11,197,000<br/>
</td>
</tr>
</table><a id="pl.526.10"></a><var>526.10</var>Disease Surveillance. $2,000,000 each fiscal <br/>
<a id="pl.526.11"></a><var>526.11</var>year is for redesigning and implementing <br/>
<a id="pl.526.12"></a><var>526.12</var>coordinated and modern disease surveillance <br/>
<a id="pl.526.13"></a><var>526.13</var>systems for the department, ensuring that <br/>
<a id="pl.526.14"></a><var>526.14</var>occupational and residential histories are <br/>
<a id="pl.526.15"></a><var>526.15</var>included in the database. Base level funding <br/>
<a id="pl.526.16"></a><var>526.16</var>for the 2012-2013 biennium will be $600,000 <br/>
<a id="pl.526.17"></a><var>526.17</var>each fiscal year for maintaining and operating <br/>
<a id="pl.526.18"></a><var>526.18</var>the systems.<br/>
<br/>
<a id="bill.12.5.0"></a><table width="100%">
<tr>
<td><a id="pl.526.19"></a><var>526.19</var><br/>
<a id="pl.526.20"></a><var>526.20</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 5. <b>VETERANS NURSING HOMES </b><br/>
<b>BOARD</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">44,124,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">46,244,000<br/>
</td>
</tr>
</table><a id="pl.526.21"></a><var>526.21</var>Veterans Homes Special Revenue Account. <br/>
<a id="pl.526.22"></a><var>526.22</var>The general fund  appropriations made to <br/>
<a id="pl.526.23"></a><var>526.23</var>the board may be transferred to a veterans <br/>
<a id="pl.526.24"></a><var>526.24</var>homes special revenue account in the <br/>
<a id="pl.526.25"></a><var>526.25</var>special revenue fund in the same manner <br/>
<a id="pl.526.26"></a><var>526.26</var>as other receipts are deposited according to <br/>
<a id="pl.526.27"></a><var>526.27</var>Minnesota Statutes, section 198.34, and are <br/>
<a id="pl.526.28"></a><var>526.28</var>appropriated to the board for the operation of <br/>
<a id="pl.526.29"></a><var>526.29</var>board facilities and programs.<br/>
<a id="pl.526.30"></a><var>526.30</var>Repair and Betterment. Of this <br/>
<a id="pl.526.31"></a><var>526.31</var>appropriation, $4,000,000 in fiscal year <br/>
<a id="pl.526.32"></a><var>526.32</var>2008 and $4,000,000 in fiscal year 2009 <br/>
<a id="pl.526.33"></a><var>526.33</var>are to be used for repair, maintenance, <br/>
<a id="pl.527.1"></a><var>527.1</var>rehabilitation, and betterment activities at <br/>
<a id="pl.527.2"></a><var>527.2</var>facilities statewide.<br/>
<a id="pl.527.3"></a><var>527.3</var>Base Adjustment. The general fund base is <br/>
<a id="pl.527.4"></a><var>527.4</var>decreased by $2,000,000 in fiscal year 2010 <br/>
<a id="pl.527.5"></a><var>527.5</var>and $2,000,000 in fiscal year 2011.<br/>
<br/>
<a id="bill.12.6.0"></a><table width="100%">
<tr>
<td><a id="pl.527.6"></a><var>527.6</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 6. <b>HEALTH-RELATED BOARDS</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom"></td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.527.7"></a><var>527.7</var><br/>
<a id="pl.527.8"></a><var>527.8</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subdivision 1.<b>Total Appropriation; State </b><br/>
<b>Government Special Revenue Fund</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">14,654,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">14,527,000<br/>
</td>
</tr>
</table><a id="pl.527.9"></a><var>527.9</var>The commissioner of finance shall not permit <br/>
<a id="pl.527.10"></a><var>527.10</var>the allotment, encumbrance, or expenditure <br/>
<a id="pl.527.11"></a><var>527.11</var>of money appropriated in this section in <br/>
<a id="pl.527.12"></a><var>527.12</var>excess of the anticipated biennial revenues <br/>
<a id="pl.527.13"></a><var>527.13</var>or accumulated surplus revenues from fees <br/>
<a id="pl.527.14"></a><var>527.14</var>collected by the boards.<br/>
<table width="100%">
<tr>
<td><a id="pl.527.15"></a><var>527.15</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 2.<b>Board of Chiropractic Examiners</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">450,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">447,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.527.16"></a><var>527.16</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 3.<b>Board of Dentistry</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">987,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,009,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.527.17"></a><var>527.17</var><br/>
<a id="pl.527.18"></a><var>527.18</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 4.<b>Board of Dietetic and Nutrition </b><br/>
<b>Practice</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">103,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">119,000<br/>
</td>
</tr>
</table><a id="pl.527.19"></a><var>527.19</var>Base Adjustment. Of this appropriation in <br/>
<a id="pl.527.20"></a><var>527.20</var>fiscal year 2009, $14,000 is onetime.<br/>
<table width="100%">
<tr>
<td><a id="pl.527.21"></a><var>527.21</var><br/>
<a id="pl.527.22"></a><var>527.22</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 5.<b>Board of Marriage and Family </b><br/>
<b>Therapy</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">134,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">154,000<br/>
</td>
</tr>
</table><a id="pl.527.23"></a><var>527.23</var>Base Adjustment. Of this appropriation in <br/>
<a id="pl.527.24"></a><var>527.24</var>fiscal year 2009, $17,000 is onetime.<br/>
<table width="100%">
<tr>
<td><a id="pl.527.25"></a><var>527.25</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 6.<b>Board of Medical Practice</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">4,120,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">3,674,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.527.26"></a><var>527.26</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 7.<b>Board of Nursing</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">3,985,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">4,146,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.527.27"></a><var>527.27</var><br/>
<a id="pl.527.28"></a><var>527.28</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 8.<b>Board of Nursing Home </b><br/>
<b>Administrators</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">633,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">647,000<br/>
</td>
</tr>
</table><a id="pl.527.29"></a><var>527.29</var>Administrative Services Unit. Of this <br/>
<a id="pl.527.30"></a><var>527.30</var>appropriation, $430,000 in fiscal year <br/>
<a id="pl.527.31"></a><var>527.31</var>2008 and $439,000 in fiscal year 2009 are <br/>
<a id="pl.527.32"></a><var>527.32</var>for the administrative services unit. The <br/>
<a id="pl.527.33"></a><var>527.33</var>administrative services unit may receive <br/>
<a id="pl.528.1"></a><var>528.1</var>and expend reimbursements for services <br/>
<a id="pl.528.2"></a><var>528.2</var>performed by other agencies.<br/>
<table width="100%">
<tr>
<td><a id="pl.528.3"></a><var>528.3</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 9.<b>Board of Optometry</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">98,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">114,000<br/>
</td>
</tr>
</table><a id="pl.528.4"></a><var>528.4</var>Base Adjustment. Of this appropriation in <br/>
<a id="pl.528.5"></a><var>528.5</var>fiscal year 2009, $13,000 is onetime.<br/>
<table width="100%">
<tr>
<td><a id="pl.528.6"></a><var>528.6</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 10.<b>Board of Pharmacy</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,375,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,442,000<br/>
</td>
</tr>
</table><a id="pl.528.7"></a><var>528.7</var>Base Adjustment. Of this appropriation in <br/>
<a id="pl.528.8"></a><var>528.8</var>fiscal year 2009, $29,000 is onetime.<br/>
<table width="100%">
<tr>
<td><a id="pl.528.9"></a><var>528.9</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 11.<b>Board of Physical Therapy</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">306,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">295,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.528.10"></a><var>528.10</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 12.<b>Board of Podiatry</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">54,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">63,000<br/>
</td>
</tr>
</table><a id="pl.528.11"></a><var>528.11</var>Base Adjustment. Of this appropriation in <br/>
<a id="pl.528.12"></a><var>528.12</var>fiscal year 2009, $7,000 is onetime.<br/>
<table width="100%">
<tr>
<td><a id="pl.528.13"></a><var>528.13</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 13.<b>Board of Psychology</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">788,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">806,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.528.14"></a><var>528.14</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 14.<b>Board of Social Work</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">997,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,022,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.528.15"></a><var>528.15</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 15.<b>Board of Veterinary Medicine</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">230,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">195,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.528.16"></a><var>528.16</var><br/>
<a id="pl.528.17"></a><var>528.17</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 16.<b>Board of Behavioral Health and </b><br/>
<b>Therapy</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">394,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">394,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.12.7.0"></a><table width="100%">
<tr>
<td><a id="pl.528.18"></a><var>528.18</var><br/>
<a id="pl.528.19"></a><var>528.19</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 7. <b>EMERGENCY MEDICAL SERVICES </b><br/>
<b>BOARD</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">3,710,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">3,745,000<br/>
</td>
</tr>
</table>
<table width="100%">
<tr>
<td><a id="pl.528.20"></a><var>528.20</var><br/>
</td>
<td align="center" colspan="3" valign="bottom">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.528.21"></a><var>528.21</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom">2008<br/>
</td>
<td align="center" valign="bottom">2009<br/>
</td>
</tr>
<tr>
<td><a id="pl.528.22"></a><var>528.22</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="right" valign="bottom">3,023,000<br/>
</td>
<td align="right" valign="bottom">3,041,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.528.23"></a><var>528.23</var><br/>
<a id="pl.528.24"></a><var>528.24</var><br/>
</td>
<td align="left" valign="bottom">State Government <br/>
Special Revenue<br/>
</td>
<td align="right" valign="bottom">687,000<br/>
</td>
<td align="right" valign="bottom">704,000<br/>
</td>
</tr>
</table><a id="pl.528.25"></a><var>528.25</var>Regional Emergency Medical Services <br/>
<a id="pl.528.26"></a><var>528.26</var>Programs. $400,000 each year is for <br/>
<a id="pl.528.27"></a><var>528.27</var>regional emergency medical services <br/>
<a id="pl.528.28"></a><var>528.28</var>programs, to be distributed equally to the <br/>
<a id="pl.528.29"></a><var>528.29</var>eight emergency medical service regions. <br/>
<a id="pl.528.30"></a><var>528.30</var>This amount shall be added to the base <br/>
<a id="pl.528.31"></a><var>528.31</var>funding. Notwithstanding Minnesota <br/>
<a id="pl.528.32"></a><var>528.32</var>Statutes, section 144E.50, 100 percent of <br/>
<a id="pl.529.1"></a><var>529.1</var>the appropriation shall be passed on to the <br/>
<a id="pl.529.2"></a><var>529.2</var>emergency medical service regions.<br/>
<a id="pl.529.3"></a><var>529.3</var>Health Professional Services Program. <br/>
<a id="pl.529.4"></a><var>529.4</var>$687,000 in fiscal year 2008 and $704,000 in <br/>
<a id="pl.529.5"></a><var>529.5</var>fiscal year 2009 from the state government <br/>
<a id="pl.529.6"></a><var>529.6</var>special revenue fund are for the health <br/>
<a id="pl.529.7"></a><var>529.7</var>professional services program.<br/>
<br/>
<a id="bill.12.8.0"></a><table width="100%">
<tr>
<td><a id="pl.529.8"></a><var>529.8</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 8. <b>COUNCIL ON DISABILITY</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">582,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">590,000<br/>
</td>
</tr>
</table><a id="pl.529.9"></a><var>529.9</var>Options Too. (a) $75,000 for the first <br/>
<a id="pl.529.10"></a><var>529.10</var>year and $75,000 for the second year are <br/>
<a id="pl.529.11"></a><var>529.11</var>to continue the work of the Options Too <br/>
<a id="pl.529.12"></a><var>529.12</var>disability services interagency work group <br/>
<a id="pl.529.13"></a><var>529.13</var>established under Laws 2005, First Special <br/>
<a id="pl.529.14"></a><var>529.14</var>Session chapter 4, article 7, section 57. <br/>
<a id="pl.529.15"></a><var>529.15</var>Funds shall be used to monitor and assist the <br/>
<a id="pl.529.16"></a><var>529.16</var>work group and the Options Too Steering <br/>
<a id="pl.529.17"></a><var>529.17</var>Committee in the implementation of the <br/>
<a id="pl.529.18"></a><var>529.18</var>recommendations in the Options Too report <br/>
<a id="pl.529.19"></a><var>529.19</var>dated February 15, 2007.<br/>
<a id="pl.529.20"></a><var>529.20</var>(b) For purposes of this section, the Options <br/>
<a id="pl.529.21"></a><var>529.21</var>Too Steering Committee shall consist of the <br/>
<a id="pl.529.22"></a><var>529.22</var>following members:<br/>
<a id="pl.529.23"></a><var>529.23</var>(1) a representative from the Minnesota <br/>
<a id="pl.529.24"></a><var>529.24</var>Housing Finance Agency;<br/>
<a id="pl.529.25"></a><var>529.25</var>(2) a representative from the Minnesota State <br/>
<a id="pl.529.26"></a><var>529.26</var>Council on Disability; <br/>
<a id="pl.529.27"></a><var>529.27</var>(3) a representative from the Department of <br/>
<a id="pl.529.28"></a><var>529.28</var>Veterans Affairs;<br/>
<a id="pl.529.29"></a><var>529.29</var>(4) a representative from the Department of <br/>
<a id="pl.529.30"></a><var>529.30</var>Transportation;<br/>
<a id="pl.529.31"></a><var>529.31</var>(5) a representative from the Department of <br/>
<a id="pl.529.32"></a><var>529.32</var>Human Services; and<br/>
<a id="pl.530.1"></a><var>530.1</var>(6) representatives from interested <br/>
<a id="pl.530.2"></a><var>530.2</var>stakeholders including counties, local <br/>
<a id="pl.530.3"></a><var>530.3</var>public housing authorities, the Metropolitan <br/>
<a id="pl.530.4"></a><var>530.4</var>Council, disability service providers, and <br/>
<a id="pl.530.5"></a><var>530.5</var>disability advocacy organizations who are <br/>
<a id="pl.530.6"></a><var>530.6</var>appointed by the Minnesota State Council on <br/>
<a id="pl.530.7"></a><var>530.7</var>Disability for two-year terms.<br/>
<a id="pl.530.8"></a><var>530.8</var>(c) Notwithstanding Laws 2005, First Special <br/>
<a id="pl.530.9"></a><var>530.9</var>Session chapter 4, article 7, section 57, the <br/>
<a id="pl.530.10"></a><var>530.10</var>interagency work group shall be administered <br/>
<a id="pl.530.11"></a><var>530.11</var>by the Minnesota Housing Finance Agency, <br/>
<a id="pl.530.12"></a><var>530.12</var>the Minnesota State Council on Disability, <br/>
<a id="pl.530.13"></a><var>530.13</var>Department of Human Services, and the <br/>
<a id="pl.530.14"></a><var>530.14</var>Department of Transportation.<br/>
<a id="pl.530.15"></a><var>530.15</var>(d) The Options Too Steering Committee <br/>
<a id="pl.530.16"></a><var>530.16</var>shall report to the chairs of the health <br/>
<a id="pl.530.17"></a><var>530.17</var>and human services policy and finance <br/>
<a id="pl.530.18"></a><var>530.18</var>committees of the senate and house of <br/>
<a id="pl.530.19"></a><var>530.19</var>representatives by October 15, 2007, and <br/>
<a id="pl.530.20"></a><var>530.20</var>October 15, 2008, on the continued progress <br/>
<a id="pl.530.21"></a><var>530.21</var>of the work group towards implementing the <br/>
<a id="pl.530.22"></a><var>530.22</var>recommendations in the Options Too report <br/>
<a id="pl.530.23"></a><var>530.23</var>dated February 15, 2007.<br/>
<br/>
<a id="bill.12.9.0"></a><table width="100%">
<tr>
<td><a id="pl.530.24"></a><var>530.24</var><br/>
<a id="pl.530.25"></a><var>530.25</var><br/>
<a id="pl.530.26"></a><var>530.26</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 9. <b>OMBUDSMAN FOR MENTAL </b><br/>
<b>HEALTH AND DEVELOPMENTAL </b><br/>
<b>DISABILITIES</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">1,567,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">1,621,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.12.10.0"></a><table width="100%">
<tr>
<td><a id="pl.530.27"></a><var>530.27</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Sec. 10. <b>OMBUDSMAN FOR FAMILIES</b><br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">251,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">257,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.12.11.0"></a><a id="pl.530.28"></a><var>530.28</var>    Sec. 11. <b>TRANSFERS.</b><br/>
<a id="pl.530.29"></a><var>530.29</var>    Subdivision 1. <b>Grants.</b> The commissioner of human services, with the approval <br/>
<a id="pl.530.30"></a><var>530.30</var>of the commissioner of finance and after notifying the chairs of the senate and house <br/>
<a id="pl.530.31"></a><var>530.31</var>committees with jurisdiction, may transfer unencumbered appropriation balances for the <br/>
<a id="pl.530.32"></a><var>530.32</var>biennium ending June 30, 2009, within fiscal years among the MFIP; general assistance; <br/>
<a id="pl.530.33"></a><var>530.33</var>general assistance medical care; medical assistance; MFIP child care assistance under <br/>
<a id="pl.530.34"></a><var>530.34</var>Minnesota Statutes, section 119B.05; Minnesota supplemental aid and group residential <br/>
<a id="pl.531.1"></a><var>531.1</var>housing programs; and the entitlement portion of the chemical dependency consolidated <br/>
<a id="pl.531.2"></a><var>531.2</var>treatment fund and between fiscal years of the biennium.<br/>
<a id="pl.531.3"></a><var>531.3</var>    Subd. 2. <b>Administration.</b> Positions, salary money, and nonsalary administrative <br/>
<a id="pl.531.4"></a><var>531.4</var>money may be transferred within the Departments of Human Services and Health and <br/>
<a id="pl.531.5"></a><var>531.5</var>within the programs operated by the Veterans Nursing Homes Board as the commissioners <br/>
<a id="pl.531.6"></a><var>531.6</var>and the board consider necessary, with the advance approval of the commissioner of <br/>
<a id="pl.531.7"></a><var>531.7</var>finance. The commissioner or the board shall inform the chairs of the house and senate <br/>
<a id="pl.531.8"></a><var>531.8</var>committees with jurisdiction quarterly about transfers made under this provision.<br/>
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<a id="bill.12.12.0"></a><a id="pl.531.9"></a><var>531.9</var>    Sec. 12. <b>INDIRECT COSTS NOT TO FUND PROGRAMS.</b><br/>
<a id="pl.531.10"></a><var>531.10</var>    The commissioners of health and of human services shall not use indirect cost <br/>
<a id="pl.531.11"></a><var>531.11</var>allocations to pay for the operational costs of any program for which they are responsible.<br/>
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<a id="bill.12.13.0"></a><a id="pl.531.12"></a><var>531.12</var>    Sec. 13. <b>SUNSET OF UNCODIFIED LANGUAGE.</b><br/>
<a id="pl.531.13"></a><var>531.13</var>    All uncodified language contained in this article expires on June 30, 2009, unless a <br/>
<a id="pl.531.14"></a><var>531.14</var>different expiration date is explicit.<br/>
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<a id="bill.12.14.0"></a><a id="pl.531.15"></a><var>531.15</var>    Sec. 14. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.531.16"></a><var>531.16</var>    The provisions in this article are effective July 1, 2007, unless a different effective <br/>
<a id="pl.531.17"></a><var>531.17</var>date is specified.<br/>