<a id="pl.1.3"></a><var>1.3</var>collapse survivors; promoting community-based care for older adults through the <br/>
<a id="pl.1.4"></a><var>1.4</var>establishment of a community consortium demonstration project; establishing <br/>
<a id="pl.1.5"></a><var>1.5</var>a community consortium account in the general fund to distribute pooled <br/>
<a id="pl.1.6"></a><var>1.6</var>resources; requiring an evaluation of the demonstration project; amending 2008 <br/>
<a id="pl.1.7"></a><var>1.7</var>H. F. No. 2553, section 5, subdivision 3, if enacted;proposing coding for new <br/>
<a id="pl.1.8"></a><var>1.8</var>law in Minnesota Statutes, chapter 3.<br/>
<a id="pl.1.9"></a><var>1.9</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.10"></a><var>1.10</var>    Section 1. <b>[3.7395] PUBLIC ASSISTANCE.</b><br/>
<a id="pl.1.11"></a><var>1.11</var>    Subdivision 1. <b>Eligibility.</b> Payments made to victims under sections 3.7391 to <br/>
<a id="pl.1.12"></a><var>1.12</var>3.7394 and the catastrophe survivor compensation fund shall not be counted as income, <br/>
<a id="pl.1.13"></a><var>1.13</var>assets, or resources for purposes of eligibility for health care and maintenance programs <br/>
<a id="pl.1.14"></a><var>1.14</var>under chapters 256B, 256D, 256J, and 256L. Victims and their families who would <br/>
<a id="pl.1.15"></a><var>1.15</var>otherwise be eligible for and enrolled in health care programs with federal funding shall <br/>
<a id="pl.1.16"></a><var>1.16</var>be eligible for and enrolled in health care programs paid with state funding until and <br/>
<a id="pl.1.17"></a><var>1.17</var>unless federal approval of this exclusion is granted. The commissioner of human services <br/>
<a id="pl.1.18"></a><var>1.18</var>shall pursue the federal approval necessary to exclude these payments under federally <br/>
<a id="pl.1.19"></a><var>1.19</var>funded health care programs.<br/>
<a id="pl.1.20"></a><var>1.20</var>    Subd. 2. <b>Subrogation.</b> For the purpose of medical assistance and MinnesotaCare, <br/>
<a id="pl.1.21"></a><var>1.21</var>the Department of Human Services shall pay the federal financial participation for the <br/>
<a id="pl.1.22"></a><var>1.22</var>portion of any payment that is required to be treated as primary to Medicaid.<br/>
<a id="pl.1.23"></a><var>1.23</var><b>EFFECTIVE DATE.</b>This section is effective at the time that 2008 H.F. No. 2553, <br/>
<a id="pl.1.24"></a><var>1.24</var>if enacted, takes effect.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.2.1"></a><var>2.1</var>    Sec. 2. <b>2008 H.F. NO. 2553, SECTION 5, SUBDIVISION 3, IF ENACTED, IS </b><br/>
<a id="pl.2.2"></a><var>2.2</var><b>AMENDED TO READ:</b><br/>
<a id="pl.2.3"></a><var>2.3</var>    Subd. 3. <b>Payments from other sources.</b> Notwithstanding any statutory or common <br/>
<a id="pl.2.4"></a><var>2.4</var>law or agreement to the contrary, a person required to make payments, including future <br/>
<a id="pl.2.5"></a><var>2.5</var>payments, to a survivor may not eliminate or reduce those payments as a result of <br/>
<a id="pl.2.6"></a><var>2.6</var>compensation paid to the survivor under section 3.7393 or from the emergency relief fund <br/>
<a id="pl.2.7"></a><var>2.7</var>or as a result of the survivor's release of claims against the state, a municipality, or their <br/>
<a id="pl.2.8"></a><var>2.8</var>employees under section 3.7393 only to the extent those payments represent damages for <br/>
<a id="pl.2.9"></a><var>2.9</var>future losses for which the survivor received compensation under section 3.7393 or from <br/>
<a id="pl.2.10"></a><var>2.10</var>the emergency relief fund. The obligation of any person other than the state to make <br/>
<a id="pl.2.11"></a><var>2.11</var>payments to a survivor is primary as compared to any payment made or to be made under <br/>
<a id="pl.2.12"></a><var>2.12</var>section 3.7393 or from the emergency relief fund. The persons referenced in and covered <br/>
<a id="pl.2.13"></a><var>2.13</var>by this subdivision and subdivision 4 include, without limitation:<br/>
<a id="pl.2.14"></a><var>2.14</var>    (1) reparation obligors, as defined in section 65B.43, subdivision 9, whether they are <br/>
<a id="pl.2.15"></a><var>2.15</var>insurers or self-insurers;<br/>
<a id="pl.2.16"></a><var>2.16</var>    (2) health plan companies, as defined in section 62Q.01, subdivision 4, including the <br/>
<a id="pl.2.17"></a><var>2.17</var>Minnesota Comprehensive Health Association created under section 62E.10;<br/>
<a id="pl.2.18"></a><var>2.18</var>    (3) insurance companies, as defined in section 60A.02, subdivision 4;<br/>
<a id="pl.2.19"></a><var>2.19</var>    (4) self-insured pools of political subdivisions organized under section 471.617 or <br/>
<a id="pl.2.20"></a><var>2.20</var>471.981, including service cooperatives pools organized under section 123A.21;<br/>
<a id="pl.2.21"></a><var>2.21</var>    (5) risk retention groups, as defined in section 60E.02, subdivision 12;<br/>
<a id="pl.2.22"></a><var>2.22</var>    (6) joint self-insurance plans governed by chapter 60F;<br/>
<a id="pl.2.23"></a><var>2.23</var>    (7) workers' compensation insurers and private self-insurers, as defined in section <br/>
<a id="pl.2.24"></a><var>2.24</var>79.01;<br/>
<a id="pl.2.25"></a><var>2.25</var>    (8) the Minnesota Life and Health Insurance Guaranty Association governed by <br/>
<a id="pl.2.26"></a><var>2.26</var>chapter 61B;<br/>
<a id="pl.2.27"></a><var>2.27</var>    (9) the Minnesota Insurance Guaranty Association governed by chapter 60C;<br/>
<a id="pl.2.28"></a><var>2.28</var>    (10) the Minnesota Joint Underwriting Association governed by chapter 62I;<br/>
<a id="pl.2.29"></a><var>2.29</var>    (11) all insurers providing credit life, credit accident and health, and credit <br/>
<a id="pl.2.30"></a><var>2.30</var>involuntary unemployment insurance under chapter 62B, but also including those <br/>
<a id="pl.2.31"></a><var>2.31</var>coverages written in connection with real estate mortgage loans and those provided to <br/>
<a id="pl.2.32"></a><var>2.32</var>borrowers at no additional cost;<br/>
<a id="pl.2.33"></a><var>2.33</var>    (12) the Minnesota unemployment insurance program provided under chapter 268;<br/>
<a id="pl.2.34"></a><var>2.34</var>    (13) coverage offered by the state under medical assistance, general assistance <br/>
<a id="pl.2.35"></a><var>2.35</var>medical care, and MinnesotaCare; and<br/>
<a id="pl.3.1"></a><var>3.1</var>    (14) any other plan providing health, life, disability income, or long-term care <br/>
<a id="pl.3.2"></a><var>3.2</var>coverage.<br/>
<a id="pl.3.3"></a><var>3.3</var><b>EFFECTIVE DATE.</b>This section is effective at the time that 2008 H.F. No. 2553, <br/>
<a id="pl.3.4"></a><var>3.4</var>if enacted, takes effect.<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.3.5"></a><var>3.5</var>    Sec. 3. <b>OLDER ADULT SERVICES COMMUNITY CONSORTIUMS.</b><br/>
<a id="pl.3.6"></a><var>3.6</var>    Subdivision 1. <b>Establishment.</b> (a) The commissioner of human services, in <br/>
<a id="pl.3.7"></a><var>3.7</var>cooperation with the commissioners of health and housing finance, shall develop and <br/>
<a id="pl.3.8"></a><var>3.8</var>implement, beginning July 1, 2009, a three-year demonstration project for older adult <br/>
<a id="pl.3.9"></a><var>3.9</var>services community consortiums. An older adult services community consortium may <br/>
<a id="pl.3.10"></a><var>3.10</var>consist of health care and social service providers, county agencies, health plan companies, <br/>
<a id="pl.3.11"></a><var>3.11</var>and other community stakeholders within a demonstration site that have established a <br/>
<a id="pl.3.12"></a><var>3.12</var>process for joint decision making. Demonstration sites may include a portion of a county, <br/>
<a id="pl.3.13"></a><var>3.13</var>an entire county, or multiple counties.<br/>
<a id="pl.3.14"></a><var>3.14</var>    (b) Each community consortium seeking to participate as a demonstration site must <br/>
<a id="pl.3.15"></a><var>3.15</var>submit an application to the commissioner. The application must include:<br/>
<a id="pl.3.16"></a><var>3.16</var>    (1) a description of the entities participating in the consortium, the scope of <br/>
<a id="pl.3.17"></a><var>3.17</var>collaboration, and the process to be used for joint-decision making;<br/>
<a id="pl.3.18"></a><var>3.18</var>    (2) the methods by which the consortium plans to achieve the goals specified in <br/>
<a id="pl.3.19"></a><var>3.19</var>subdivision 2;<br/>
<a id="pl.3.20"></a><var>3.20</var>    (3) a description of the proposed demonstration site; and<br/>
<a id="pl.3.21"></a><var>3.21</var>    (4) other information the commissioner determines to be necessary to evaluate <br/>
<a id="pl.3.22"></a><var>3.22</var>proposals.<br/>
<a id="pl.3.23"></a><var>3.23</var>    (c) The commissioner of human services shall establish a process to review and <br/>
<a id="pl.3.24"></a><var>3.24</var>consider applicants.  The commissioner shall designate up to three community consortiums <br/>
<a id="pl.3.25"></a><var>3.25</var>as demonstration projects.<br/>
<a id="pl.3.26"></a><var>3.26</var>    (d) Each community consortium selected to participate shall establish a local group <br/>
<a id="pl.3.27"></a><var>3.27</var>to  assist in planning, designing, implementing, and evaluating the coordinated service <br/>
<a id="pl.3.28"></a><var>3.28</var>delivery system within the demonstration site. Planning for each consortium shall build <br/>
<a id="pl.3.29"></a><var>3.29</var>upon current planning processes developed by county gaps analyses and Elder Care <br/>
<a id="pl.3.30"></a><var>3.30</var>Development Partnerships under Minnesota Statutes, section 256B.0917.<br/>
<a id="pl.3.31"></a><var>3.31</var>    Subd. 2. <b>Goals.</b> The community consortium demonstration projects are intended to <br/>
<a id="pl.3.32"></a><var>3.32</var>accelerate the development of community based services to fill in gaps identified within <br/>
<a id="pl.3.33"></a><var>3.33</var>communities by using a pool of funds and providing flexibility in the use and distribution <br/>
<a id="pl.3.34"></a><var>3.34</var>of these funds within each demonstration site. These projects must be designed to:<br/>
<a id="pl.3.35"></a><var>3.35</var>    (1) ensure consumer access to a continuum of older adult services;<br/>
<a id="pl.4.1"></a><var>4.1</var>    (2) create an adequate supply of affordable home-based alternatives to care for <br/>
<a id="pl.4.2"></a><var>4.2</var>persons currently using nursing facilities or likely to need nursing facility services in <br/>
<a id="pl.4.3"></a><var>4.3</var>the future;<br/>
<a id="pl.4.4"></a><var>4.4</var>    (3) establish and achieve measurable performance targets for care delivered <br/>
<a id="pl.4.5"></a><var>4.5</var>throughout the continuum of care; and<br/>
<a id="pl.4.6"></a><var>4.6</var>    (4) support the management of chronic and complex conditions through greater <br/>
<a id="pl.4.7"></a><var>4.7</var>coordination of all services needed by older adults.<br/>
<a id="pl.4.8"></a><var>4.8</var>    Subd. 3. <b>Priority for other grants.</b> The commissioner of health shall give priority <br/>
<a id="pl.4.9"></a><var>4.9</var>to community consortiums selected under subdivision 1 when awarding technology-related <br/>
<a id="pl.4.10"></a><var>4.10</var>grants, if the consortiums are using technology as a part of their proposal. To the extent <br/>
<a id="pl.4.11"></a><var>4.11</var>that the commissioner of the Minnesota Housing Finance Agency funds projects to <br/>
<a id="pl.4.12"></a><var>4.12</var>create or preserve affordable housing options for older adults, the commissioner shall <br/>
<a id="pl.4.13"></a><var>4.13</var>give priority to financially feasible projects proposed or supported by community <br/>
<a id="pl.4.14"></a><var>4.14</var>consortiums selected under subdivision 1. The commissioner of transportation shall <br/>
<a id="pl.4.15"></a><var>4.15</var>give priority to community consortiums selected under subdivision 1 when distributing <br/>
<a id="pl.4.16"></a><var>4.16</var>transportation-related funds to create transportation options for older adults.<br/>
<a id="pl.4.17"></a><var>4.17</var>    Subd. 4. <b>Federal approval.</b> The commissioner of human services may request any <br/>
<a id="pl.4.18"></a><var>4.18</var>federal approvals or waivers necessary to implement the community consortiums under <br/>
<a id="pl.4.19"></a><var>4.19</var>the medical assistance program and include medical assistance funding as specified in <br/>
<a id="pl.4.20"></a><var>4.20</var>subdivision 7 in the community consortium account.<br/>
<a id="pl.4.21"></a><var>4.21</var>    Subd. 5. <b>State waivers.</b> The commissioner of health may waive applicable state <br/>
<a id="pl.4.22"></a><var>4.22</var>laws and rules on a time-limited basis if the commissioner of health determines that a <br/>
<a id="pl.4.23"></a><var>4.23</var>participating consortium requires a waiver in order to achieve demonstration project goals.<br/>
<a id="pl.4.24"></a><var>4.24</var>    Subd. 6. <b>Quality measures.</b> (a) Community consortiums participating in the <br/>
<a id="pl.4.25"></a><var>4.25</var>demonstration project shall report information to the commissioner of human services <br/>
<a id="pl.4.26"></a><var>4.26</var>necessary to evaluate the demonstration project, in the form and manner specified by <br/>
<a id="pl.4.27"></a><var>4.27</var>the commissioner. The information collected by the commissioner must include both <br/>
<a id="pl.4.28"></a><var>4.28</var>process and outcome measures, including, but not limited to, measures related to enrollee <br/>
<a id="pl.4.29"></a><var>4.29</var>satisfaction, service delivery, service coordination, service access, use of technology, <br/>
<a id="pl.4.30"></a><var>4.30</var>individual outcomes, and costs.<br/>
<a id="pl.4.31"></a><var>4.31</var>    (b) Participating consortiums shall identify state policies that limit the extent to <br/>
<a id="pl.4.32"></a><var>4.32</var>which project goals can be achieved and recommend necessary changes to the appropriate <br/>
<a id="pl.4.33"></a><var>4.33</var>state agencies.<br/>
<a id="pl.4.34"></a><var>4.34</var>    Subd. 7. <b>Community consortium financing.</b> (a) The commissioner of health shall <br/>
<a id="pl.4.35"></a><var>4.35</var>reserve ten percent of any funds appropriated for the biennium ending June 30, 2011, <br/>
<a id="pl.5.1"></a><var>5.1</var>for the nursing home moratorium exception process under Minnesota Statutes, section <br/>
<a id="pl.5.2"></a><var>5.2</var>144A.073, for distribution to qualifying projects that are part of a community consortium.<br/>
<a id="pl.5.3"></a><var>5.3</var>    (b) Notwithstanding Minnesota Statutes, section 256B.434, subdivision 4, paragraph <br/>
<a id="pl.5.4"></a><var>5.4</var>(d), the nursing facility performance incentive payments shall be reduced by ten percent <br/>
<a id="pl.5.5"></a><var>5.5</var>for the biennium ending June 30, 2011. This shall be a onetime reduction.<br/>
<a id="pl.5.6"></a><var>5.6</var>    (c) Base level funding for community service grants under Minnesota Statutes, <br/>
<a id="pl.5.7"></a><var>5.7</var>section 256B.0917, subdivision 13, and community services development grants under <br/>
<a id="pl.5.8"></a><var>5.8</var>Minnesota Statutes, section 256.9754, shall be reduced by ten percent for the biennium <br/>
<a id="pl.5.9"></a><var>5.9</var>ending June 30, 2011. These shall be onetime reductions.<br/>
<a id="pl.5.10"></a><var>5.10</var>    (d) An amount equal to the state share of the reductions in paragraphs (b) and (c) is <br/>
<a id="pl.5.11"></a><var>5.11</var>appropriated from the general fund to the commissioner of human services for distribution <br/>
<a id="pl.5.12"></a><var>5.12</var>to qualifying projects that are part of a community consortium under this section, to be <br/>
<a id="pl.5.13"></a><var>5.13</var>available until expended.<br/>
<a id="pl.5.14"></a><var>5.14</var>    Subd. 8. <b>Evaluation and report.</b> The commissioner of human services, in <br/>
<a id="pl.5.15"></a><var>5.15</var>cooperation with the commissioners of health and housing finance, shall evaluate the <br/>
<a id="pl.5.16"></a><var>5.16</var>demonstration project, and report preliminary findings and recommendations to the <br/>
<a id="pl.5.17"></a><var>5.17</var>legislature by November 15, 2011, on whether the demonstration project should be <br/>
<a id="pl.5.18"></a><var>5.18</var>continued and whether the number of demonstration project sites increased. The final <br/>
<a id="pl.5.19"></a><var>5.19</var>report of findings and recommendations shall be delivered to the legislature by January <br/>
<a id="pl.5.20"></a><var>5.20</var>15, 2013. The preliminary and final evaluation and report must include:<br/>
<a id="pl.5.21"></a><var>5.21</var>    (1) a comparison of the performance of demonstration sites relative to nonconsortium <br/>
<a id="pl.5.22"></a><var>5.22</var>communities on the quality measures specified in subdivision 5;<br/>
<a id="pl.5.23"></a><var>5.23</var>    (2) an assessment of the extent to which the demonstration project can be <br/>
<a id="pl.5.24"></a><var>5.24</var>successfully expanded to other parts of the state;<br/>
<a id="pl.5.25"></a><var>5.25</var>    (3) legislative changes necessary to improve the effectiveness of the demonstration <br/>
<a id="pl.5.26"></a><var>5.26</var>project and to expand the projects to other parts of the state; and<br/>
<a id="pl.5.27"></a><var>5.27</var>    (4) any actions taken by the commissioner of health under subdivision 5.<br/>
<a id="pl.5.28"></a><var>5.28</var>    The commissioner of human services may withhold up to $50,000 of the funding <br/>
<a id="pl.5.29"></a><var>5.29</var>provided to each participating community consortium under this section to fund the <br/>
<a id="pl.5.30"></a><var>5.30</var>evaluation and report.<br/>