<a id="pl.1.4"></a><var>1.4</var>making changes to residential treatment facilities; county payment of <br/>
<a id="pl.1.5"></a><var>1.5</var>cremation, burial, and funeral expenses; child welfare provisions; health plan <br/>
<a id="pl.1.6"></a><var>1.6</var>audits; nursing facilities; home health aides; inspections of day training and <br/>
<a id="pl.1.7"></a><var>1.7</var>habilitation facilities; changing certain health care provisions relating to school <br/>
<a id="pl.1.8"></a><var>1.8</var>districts, charter schools, and local governments;amending Minnesota Statutes <br/>
<a id="pl.1.9"></a><var>1.9</var>2008, sections 62Q.37, subdivision 3; 144A.04, subdivision 11, by adding a <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivision; 144A.43, by adding a subdivision; 144A.45, subdivision 1, by <br/>
<a id="pl.1.11"></a><var>1.11</var>adding a subdivision; 245.4882, subdivision 1; 245.4885, subdivisions 1, 1a; <br/>
<a id="pl.1.12"></a><var>1.12</var>256.935, subdivision 1; 256.962, subdivisions 6, 7; 256B.0945, subdivisions <br/>
<a id="pl.1.13"></a><var>1.13</var>1, 4; 256F.13, subdivision 1; 260C.212, subdivisions 4a, 11; 261.035; 471.61, <br/>
<a id="pl.1.14"></a><var>1.14</var>subdivision 1; proposing coding for new law in Minnesota Statutes, chapter <br/>
<a id="pl.1.15"></a><var>1.15</var>245B; repealing Minnesota Rules, part 4668.0110, subpart 5.<br/>
<a id="pl.1.16"></a><var>1.16</var>May 18, 2009<br/>
<a id="pl.1.17"></a><var>1.17</var>The Honorable Margaret Anderson Kelliher<br/>
<a id="pl.1.18"></a><var>1.18</var>Speaker of the House of Representatives<br/>
<a id="pl.1.19"></a><var>1.19</var>The Honorable James P. Metzen<br/>
<a id="pl.1.20"></a><var>1.20</var>President of the Senate<br/>
<a id="pl.1.21"></a><var>1.21</var>We, the undersigned conferees for H. F. No. 1276 report that we have agreed upon <br/>
<a id="pl.1.22"></a><var>1.22</var>the items in dispute and recommend as follows:<br/>
<a id="pl.1.23"></a><var>1.23</var>That the Senate recede from its amendment and that H. F. No. 1276 be further <br/>
<a id="pl.1.24"></a><var>1.24</var>amended as follows:<br/>
<a id="pl.1.25"></a><var>1.25</var>Delete everything after the enacting clause and insert:<br/>
<br/>
<a id="bill.1.0.0"></a>

<a id="bill.1.1.0"></a><a id="pl.1.28"></a><var>1.28</var>    Section 1. Minnesota Statutes 2008, section 245.4882, subdivision 1, is amended to <br/>
<a id="pl.1.29"></a><var>1.29</var>read:<br/>
<a id="pl.1.30"></a><var>1.30</var>    Subdivision 1. <b>Availability of residential treatment services.</b> County boards <br/>
<a id="pl.1.31"></a><var>1.31</var>must provide or contract for enough residential treatment services to meet the needs of <br/>
<a id="pl.1.32"></a><var>1.32</var>each child with severe emotional disturbance residing in the county and needing this <br/>
<a id="pl.2.1"></a><var>2.1</var>level of care. Length of stay is based on the child's residential treatment need and shall <br/>
<a id="pl.2.2"></a><var>2.2</var>be subject to the six-month review process established in section 
         <statute_ref>260C.212, subdivisions <br/>
<a id="pl.2.3"></a><var>2.3</var>7 and 9
</statute_ref> subdivision 7, and for children in voluntary placement for treatment, the court <br/>
<a id="pl.2.4"></a><var>2.4</var>review process in section 260D.06. Services must be appropriate to the child's age and <br/>
<a id="pl.2.5"></a><var>2.5</var>treatment needs and must be made available as close to the county as possible. Residential <br/>
<a id="pl.2.6"></a><var>2.6</var>treatment must be designed to:  <br/>
<a id="pl.2.7"></a><var>2.7</var>(1) prevent placement in settings that are more intensive, costly, or restrictive than <br/>
<a id="pl.2.8"></a><var>2.8</var>necessary and appropriate to meet the child's needs;<br/>
<a id="pl.2.9"></a><var>2.9</var>(2) help the child improve family living and social interaction skills;<br/>
<a id="pl.2.10"></a><var>2.10</var>(3) help the child gain the necessary skills to return to the community;<br/>
<a id="pl.2.11"></a><var>2.11</var>(4) stabilize crisis admissions; and<br/>
<a id="pl.2.12"></a><var>2.12</var>(5) work with families throughout the placement to improve the ability of the <br/>
<a id="pl.2.13"></a><var>2.13</var>families to care for children with severe emotional disturbance in the home.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.2.14"></a><var>2.14</var>    Sec. 2. Minnesota Statutes 2008, section 245.4885, subdivision 1, is amended to read:<br/>
<a id="pl.2.15"></a><var>2.15</var>    Subdivision 1. <b>Admission criteria.</b> The county board shall, (a) Prior to admission, <br/>
<a id="pl.2.16"></a><var>2.16</var>except in the case of emergency admission, determine the needed level of care for all <br/>
<a id="pl.2.17"></a><var>2.17</var>children referred for treatment of severe emotional disturbance in a treatment foster care <br/>
<a id="pl.2.18"></a><var>2.18</var>setting, residential treatment facility, or informally admitted to a regional treatment center <br/>
<a id="pl.2.19"></a><var>2.19</var>shall undergo an assessment to determine the appropriate level of care if public funds are <br/>
<a id="pl.2.20"></a><var>2.20</var>used to pay for the services. The county board shall also determine the needed level of <br/>
<a id="pl.2.21"></a><var>2.21</var>care for all children admitted to an acute care hospital for treatment of severe emotional <br/>
<a id="pl.2.22"></a><var>2.22</var>disturbance if public funds other than reimbursement under chapters 256B and 256D <br/>
<a id="pl.2.23"></a><var>2.23</var>are used to pay for the services.<br/>
<a id="pl.2.24"></a><var>2.24</var>(b) The county board shall determine the appropriate level of care when <br/>
<a id="pl.2.25"></a><var>2.25</var>county-controlled funds are used to pay for the services. When the child is enrolled in <br/>
<a id="pl.2.26"></a><var>2.26</var>a prepaid health program under section 256B.69, the enrolled child's contracted health <br/>
<a id="pl.2.27"></a><var>2.27</var>plan must determine the appropriate level of care. When more than one entity bears <br/>
<a id="pl.2.28"></a><var>2.28</var>responsibility for coverage, the entities shall coordinate level of care determination <br/>
<a id="pl.2.29"></a><var>2.29</var>activities to the extent possible. <br/>
<a id="pl.2.30"></a><var>2.30</var>(c) The level of care determination shall determine whether the proposed treatment:<br/>
<a id="pl.2.31"></a><var>2.31</var>(1) is necessary;<br/>
<a id="pl.2.32"></a><var>2.32</var>(2) is appropriate to the child's individual treatment needs;<br/>
<a id="pl.2.33"></a><var>2.33</var>(3) cannot be effectively provided in the child's home; and<br/>
<a id="pl.2.34"></a><var>2.34</var>(4) provides a length of stay as short as possible consistent with the individual <br/>
<a id="pl.2.35"></a><var>2.35</var>child's need.<br/>
<a id="pl.3.1"></a><var>3.1</var>(d) When a level of care determination is conducted, the county board responsible <br/>
<a id="pl.3.2"></a><var>3.2</var>entity may not determine that referral or admission to a treatment foster care setting, <br/>
<a id="pl.3.3"></a><var>3.3</var>or residential treatment facility, or acute care hospital is not appropriate solely because <br/>
<a id="pl.3.4"></a><var>3.4</var>services were not first provided to the child in a less restrictive setting and the child failed <br/>
<a id="pl.3.5"></a><var>3.5</var>to make progress toward or meet treatment goals in the less restrictive setting. The level <br/>
<a id="pl.3.6"></a><var>3.6</var>of care determination must be based on a diagnostic assessment that includes a functional <br/>
<a id="pl.3.7"></a><var>3.7</var>assessment which evaluates family, school, and community living situations; and an <br/>
<a id="pl.3.8"></a><var>3.8</var>assessment of the child's need for care out of the home using a validated tool which <br/>
<a id="pl.3.9"></a><var>3.9</var>assesses a child's functional status and assigns an appropriate level of care. The validated <br/>
<a id="pl.3.10"></a><var>3.10</var>tool must be approved by the commissioner of human services. If a diagnostic assessment <br/>
<a id="pl.3.11"></a><var>3.11</var>including a functional assessment has been completed by a mental health professional <br/>
<a id="pl.3.12"></a><var>3.12</var>within the past 180 days, a new diagnostic assessment need not be completed unless in the <br/>
<a id="pl.3.13"></a><var>3.13</var>opinion of the current treating mental health professional the child's mental health status <br/>
<a id="pl.3.14"></a><var>3.14</var>has changed markedly since the assessment was completed. The child's parent shall be <br/>
<a id="pl.3.15"></a><var>3.15</var>notified if an assessment will not be completed and of the reasons. A copy of the notice <br/>
<a id="pl.3.16"></a><var>3.16</var>shall be placed in the child's file. Recommendations developed as part of the level of care <br/>
<a id="pl.3.17"></a><var>3.17</var>determination process shall include specific community services needed by the child and, <br/>
<a id="pl.3.18"></a><var>3.18</var>if appropriate, the child's family, and shall indicate whether or not these services are <br/>
<a id="pl.3.19"></a><var>3.19</var>available and accessible to the child and family.<br/>
<a id="pl.3.20"></a><var>3.20</var>(e) During the level of care determination process, the child, child's family, or child's <br/>
<a id="pl.3.21"></a><var>3.21</var>legal representative, as appropriate, must be informed of the child's eligibility for case <br/>
<a id="pl.3.22"></a><var>3.22</var>management services and family community support services and that an individual <br/>
<a id="pl.3.23"></a><var>3.23</var>family community support plan is being developed by the case manager, if assigned.<br/>
<a id="pl.3.24"></a><var>3.24</var>(f) The level of care determination shall comply with section 
         <statute_ref>260C.212</statute_ref>. Wherever <br/>
<a id="pl.3.25"></a><var>3.25</var>possible, The parent shall be consulted in the process, unless clinically inappropriate <br/>
<a id="pl.3.26"></a><var>3.26</var>detrimental to the child.<br/>
<a id="pl.3.27"></a><var>3.27</var>(g) The level of care determination, and placement decision, and recommendations <br/>
<a id="pl.3.28"></a><var>3.28</var>for mental health services must be documented in the child's record.<br/>
<a id="pl.3.29"></a><var>3.29</var>An alternate review process may be approved by the commissioner if the county <br/>
<a id="pl.3.30"></a><var>3.30</var>board demonstrates that an alternate review process has been established by the county <br/>
<a id="pl.3.31"></a><var>3.31</var>board and the times of review, persons responsible for the review, and review criteria are <br/>
<a id="pl.3.32"></a><var>3.32</var>comparable to the standards in clauses (1) to (4).<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.3.33"></a><var>3.33</var>    Sec. 3. Minnesota Statutes 2008, section 245.4885, subdivision 1a, is amended to read:<br/>
<a id="pl.3.34"></a><var>3.34</var>    Subd. 1a. <b>Emergency admission.</b> Effective July 1, 2006, if a child is admitted to <br/>
<a id="pl.3.35"></a><var>3.35</var>a treatment foster care setting, residential treatment facility, or acute care hospital for <br/>
<a id="pl.4.1"></a><var>4.1</var>emergency treatment or held for emergency care by a regional treatment center under <br/>
<a id="pl.4.2"></a><var>4.2</var>section 
         <statute_ref>253B.05, subdivision 1</statute_ref>, the level of care determination must occur within three <br/>
<a id="pl.4.3"></a><var>4.3</var>five  working days of admission.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.4.4"></a><var>4.4</var>    Sec. 4. Minnesota Statutes 2008, section 256.935, subdivision 1, is amended to read:<br/>
<a id="pl.4.5"></a><var>4.5</var>    Subdivision 1. <b>Cremation, burial, and </b><b>funeral expenses.</b> On the death of any <br/>
<a id="pl.4.6"></a><var>4.6</var>person receiving public assistance through MFIP, the county agency shall pay attempt to <br/>
<a id="pl.4.7"></a><var>4.7</var>contact the decedent's spouse or next of kin. If the agency is not able to contact a spouse or <br/>
<a id="pl.4.8"></a><var>4.8</var>next of kin and the personal preferences of the decedent or the practices of the decedent's <br/>
<a id="pl.4.9"></a><var>4.9</var>faith tradition are not known, the agency shall pay for cremation of the person's remains <br/>
<a id="pl.4.10"></a><var>4.10</var>and their burial or interment if the spouse or next of kin does not want to take possession <br/>
<a id="pl.4.11"></a><var>4.11</var>of the ashes. If the county agency contacts the decedent's spouse or next of kin and it is <br/>
<a id="pl.4.12"></a><var>4.12</var>determined that cremation is not in accordance with the decedent's personal preferences or <br/>
<a id="pl.4.13"></a><var>4.13</var>the practices of the decedent's faith tradition or the personal preferences of the decedent's <br/>
<a id="pl.4.14"></a><var>4.14</var>spouse or the decedent's next of kin, the county agency shall pay an amount for funeral <br/>
<a id="pl.4.15"></a><var>4.15</var>expenses including the transportation of the body into or out of the community in which <br/>
<a id="pl.4.16"></a><var>4.16</var>the deceased resided not exceeding the amount paid for comparable services under section <br/>
<statute_ref><a id="pl.4.17"></a><var>4.17</var>261.035
         </statute_ref> plus actual cemetery charges. No cremation, burial, or funeral expenses shall <br/>
<a id="pl.4.18"></a><var>4.18</var>be paid if the estate of the deceased is sufficient to pay such expenses or if the spouse, <br/>
<a id="pl.4.19"></a><var>4.19</var>who was legally responsible for the support of the deceased while living, is able to pay <br/>
<a id="pl.4.20"></a><var>4.20</var>such expenses; provided, that the additional payment or donation of the cost of cemetery <br/>
<a id="pl.4.21"></a><var>4.21</var>lot, interment, religious service, or for the transportation of the body into or out of the <br/>
<a id="pl.4.22"></a><var>4.22</var>community in which the deceased resided, shall not limit payment by the county agency <br/>
<a id="pl.4.23"></a><var>4.23</var>as herein authorized. Freedom of choice in the selection of a funeral director shall be <br/>
<a id="pl.4.24"></a><var>4.24</var>granted to persons lawfully authorized to make arrangements for the cremation or burial <br/>
<a id="pl.4.25"></a><var>4.25</var>of any such deceased recipient. In determining the sufficiency of such estate, due regard <br/>
<a id="pl.4.26"></a><var>4.26</var>shall be had for the nature and marketability of the assets of the estate. The county agency <br/>
<a id="pl.4.27"></a><var>4.27</var>may grant cremation, burial, or funeral expenses where the sale would cause undue loss to <br/>
<a id="pl.4.28"></a><var>4.28</var>the estate. Any amount paid for cremation, burial, or funeral expenses shall be a prior <br/>
<a id="pl.4.29"></a><var>4.29</var>claim against the estate, as provided in section 
         <statute_ref>524.3-805</statute_ref>, and any amount recovered <br/>
<a id="pl.4.30"></a><var>4.30</var>shall be reimbursed to the agency which paid the expenses. The commissioner shall <br/>
<a id="pl.4.31"></a><var>4.31</var>specify requirements for reports, including fiscal reports, according to section 
         <statute_ref>256.01, <br/>
<a id="pl.4.32"></a><var>4.32</var>subdivision 2
         </statute_ref>, paragraph (17) (q). The state share shall pay the entire amount of county <br/>
<a id="pl.4.33"></a><var>4.33</var>agency expenditures. Benefits shall be issued to recipients by the state or county subject <br/>
<a id="pl.4.34"></a><var>4.34</var>to provisions of section 
         <statute_ref>256.017</statute_ref>.  <br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.5.1"></a><var>5.1</var>    Sec. 5. Minnesota Statutes 2008, section 256B.0945, subdivision 1, is amended to read:<br/>
<a id="pl.5.2"></a><var>5.2</var>    Subdivision 1. <b>Residential services; provider qualifications.</b> Counties must <br/>
<a id="pl.5.3"></a><var>5.3</var>arrange to provide residential services for children with severe emotional disturbance <br/>
<a id="pl.5.4"></a><var>5.4</var>according to sections 
         <statute_ref>245.4882</statute_ref>, 
         <statute_ref>245.4885</statute_ref>, and this section. Services must be provided <br/>
<a id="pl.5.5"></a><var>5.5</var>by a facility that is licensed according to section 
         <statute_ref>245.4882</statute_ref> and administrative rules <br/>
<a id="pl.5.6"></a><var>5.6</var>promulgated thereunder, and under contract with the county. Eligible service costs may be <br/>
<a id="pl.5.7"></a><var>5.7</var>claimed for a facility that is located in a state that borders Minnesota if:<br/>
<a id="pl.5.8"></a><var>5.8</var>(1) the facility is the closest facility to the child's home, providing the appropriate <br/>
<a id="pl.5.9"></a><var>5.9</var>level of care; and<br/>
<a id="pl.5.10"></a><var>5.10</var>(2) the commissioner of human services has completed an inspection of the <br/>
<a id="pl.5.11"></a><var>5.11</var>out-of-state program according to the interagency agreement with the commissioner of <br/>
<a id="pl.5.12"></a><var>5.12</var>corrections under section 260B.198, subdivision 11, paragraph (b), and the program has <br/>
<a id="pl.5.13"></a><var>5.13</var>been certified by the commissioner of corrections under section 260B.198, subdivision <br/>
<a id="pl.5.14"></a><var>5.14</var>11, paragraph (a), to substantially meet the standards applicable to children's residential <br/>
<a id="pl.5.15"></a><var>5.15</var>mental health treatment programs under Minnesota Rules, chapter 2960. Nothing in <br/>
<a id="pl.5.16"></a><var>5.16</var>this section requires the commissioner of human services to enforce the background <br/>
<a id="pl.5.17"></a><var>5.17</var>study requirements under chapter 245C or the requirements related to prevention and <br/>
<a id="pl.5.18"></a><var>5.18</var>investigation of alleged maltreatment under section 626.556 or 626.557.  Complaints <br/>
<a id="pl.5.19"></a><var>5.19</var>received by the commissioner of human services must be referred to the out-of-state <br/>
<a id="pl.5.20"></a><var>5.20</var>licensing authority for possible follow-up.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.5.21"></a><var>5.21</var>    Sec. 6. Minnesota Statutes 2008, section 256B.0945, subdivision 4, is amended to read:<br/>
<a id="pl.5.22"></a><var>5.22</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.5.23"></a><var>5.23</var>payments to counties for residential services provided by a residential facility shall only <br/>
<a id="pl.5.24"></a><var>5.24</var>be made of federal earnings for services provided under this section, and the nonfederal <br/>
<a id="pl.5.25"></a><var>5.25</var>share of costs for services provided under this section shall be paid by the county from <br/>
<a id="pl.5.26"></a><var>5.26</var>sources other than federal funds or funds used to match other federal funds. Payment to <br/>
<a id="pl.5.27"></a><var>5.27</var>counties for services provided according to this section shall be a proportion of the per <br/>
<a id="pl.5.28"></a><var>5.28</var>day contract rate that relates to rehabilitative mental health services and shall not include <br/>
<a id="pl.5.29"></a><var>5.29</var>payment for costs or services that are billed to the IV-E program as room and board. <br/>
<a id="pl.5.30"></a><var>5.30</var>    (b) Per diem rates paid to providers under this section by prepaid plans shall be <br/>
<a id="pl.5.31"></a><var>5.31</var>the proportion of the per-day contract rate that relates to rehabilitative mental health <br/>
<a id="pl.5.32"></a><var>5.32</var>services and shall not include payment for group foster care costs or services that are <br/>
<a id="pl.5.33"></a><var>5.33</var>billed to the county of financial responsibility. Services provided in facilities located in <br/>
<a id="pl.5.34"></a><var>5.34</var>bordering states are eligible for reimbursement on a fee-for-service basis only as described <br/>
<a id="pl.5.35"></a><var>5.35</var>in paragraph (a) and are not covered under prepaid health plans.<br/>
<a id="pl.6.1"></a><var>6.1</var>    (c) The commissioner shall set aside a portion not to exceed five percent of the <br/>
<a id="pl.6.2"></a><var>6.2</var>federal funds earned for county expenditures under this section to cover the state costs of <br/>
<a id="pl.6.3"></a><var>6.3</var>administering this section. Any unexpended funds from the set-aside shall be distributed <br/>
<a id="pl.6.4"></a><var>6.4</var>to the counties in proportion to their earnings under this section.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.6.5"></a><var>6.5</var>    Sec. 7. Minnesota Statutes 2008, section 256F.13, subdivision 1, is amended to read:<br/>
<a id="pl.6.6"></a><var>6.6</var>    Subdivision 1. <b>Federal revenue enhancement.</b> (a) The commissioner of human <br/>
<a id="pl.6.7"></a><var>6.7</var>services may enter into an agreement with one or more family services collaboratives <br/>
<a id="pl.6.8"></a><var>6.8</var>to enhance federal reimbursement under title IV-E of the Social Security Act and <br/>
<a id="pl.6.9"></a><var>6.9</var>federal administrative reimbursement under title XIX of the Social Security Act. The <br/>
<a id="pl.6.10"></a><var>6.10</var>commissioner may contract with the Department of Education for purposes of transferring <br/>
<a id="pl.6.11"></a><var>6.11</var>the federal reimbursement to the commissioner of education to be distributed to the <br/>
<a id="pl.6.12"></a><var>6.12</var>collaboratives according to clause (2). The commissioner shall have the following <br/>
<a id="pl.6.13"></a><var>6.13</var>authority and responsibilities regarding family services collaboratives:<br/>
<a id="pl.6.14"></a><var>6.14</var>(1) the commissioner shall submit amendments to state plans and seek waivers as <br/>
<a id="pl.6.15"></a><var>6.15</var>necessary to implement the provisions of this section;<br/>
<a id="pl.6.16"></a><var>6.16</var>(2) the commissioner shall pay the federal reimbursement earned under this <br/>
<a id="pl.6.17"></a><var>6.17</var>subdivision to each collaborative based on their earnings. Payments to collaboratives for <br/>
<a id="pl.6.18"></a><var>6.18</var>expenditures under this subdivision will only be made of federal earnings from services <br/>
<a id="pl.6.19"></a><var>6.19</var>provided by the collaborative;<br/>
<a id="pl.6.20"></a><var>6.20</var>(3) the commissioner shall review expenditures of family services collaboratives <br/>
<a id="pl.6.21"></a><var>6.21</var>using reports specified in the agreement with the collaborative to ensure that the base level <br/>
<a id="pl.6.22"></a><var>6.22</var>of expenditures is continued and new federal reimbursement is used to expand education, <br/>
<a id="pl.6.23"></a><var>6.23</var>social, health, or health-related services to young children and their families;<br/>
<a id="pl.6.24"></a><var>6.24</var>(4) the commissioner may reduce, suspend, or eliminate a family services <br/>
<a id="pl.6.25"></a><var>6.25</var>collaborative's obligations to continue the base level of expenditures or expansion of <br/>
<a id="pl.6.26"></a><var>6.26</var>services if the commissioner determines that one or more of the following conditions <br/>
<a id="pl.6.27"></a><var>6.27</var>apply:<br/>
<a id="pl.6.28"></a><var>6.28</var>(i) imposition of levy limits that significantly reduce available funds for social, <br/>
<a id="pl.6.29"></a><var>6.29</var>health, or health-related services to families and children;<br/>
<a id="pl.6.30"></a><var>6.30</var>(ii) reduction in the net tax capacity of the taxable property eligible to be taxed by <br/>
<a id="pl.6.31"></a><var>6.31</var>the lead county or subcontractor that significantly reduces available funds for education, <br/>
<a id="pl.6.32"></a><var>6.32</var>social, health, or health-related services to families and children;<br/>
<a id="pl.6.33"></a><var>6.33</var>(iii) reduction in the number of children under age 19 in the county, collaborative <br/>
<a id="pl.6.34"></a><var>6.34</var>service delivery area, subcontractor's district, or catchment area when compared to the <br/>
<a id="pl.7.1"></a><var>7.1</var>number in the base year using the most recent data provided by the State Demographer's <br/>
<a id="pl.7.2"></a><var>7.2</var>Office; or<br/>
<a id="pl.7.3"></a><var>7.3</var>(iv) termination of the federal revenue earned under the family services collaborative <br/>
<a id="pl.7.4"></a><var>7.4</var>agreement;<br/>
<a id="pl.7.5"></a><var>7.5</var>(5) the commissioner shall not use the federal reimbursement earned under this <br/>
<a id="pl.7.6"></a><var>7.6</var>subdivision in determining the allocation or distribution of other funds to counties or <br/>
<a id="pl.7.7"></a><var>7.7</var>collaboratives;<br/>
<a id="pl.7.8"></a><var>7.8</var>(6) the commissioner may suspend, reduce, or terminate the federal reimbursement <br/>
<a id="pl.7.9"></a><var>7.9</var>to a provider that does not meet the reporting or other requirements of this subdivision;<br/>
<a id="pl.7.10"></a><var>7.10</var>(7) the commissioner shall recover from the family services collaborative any federal <br/>
<a id="pl.7.11"></a><var>7.11</var>fiscal disallowances or sanctions for audit exceptions directly attributable to the family <br/>
<a id="pl.7.12"></a><var>7.12</var>services collaborative's actions in the integrated fund, or the proportional share if federal <br/>
<a id="pl.7.13"></a><var>7.13</var>fiscal disallowances or sanctions are based on a statewide random sample; and<br/>
<a id="pl.7.14"></a><var>7.14</var>(8) the commissioner shall establish criteria for the family services collaborative <br/>
<a id="pl.7.15"></a><var>7.15</var>for the accounting and financial management system that will support claims for federal <br/>
<a id="pl.7.16"></a><var>7.16</var>reimbursement.<br/>
<a id="pl.7.17"></a><var>7.17</var>(b) The family services collaborative shall have the following authority and <br/>
<a id="pl.7.18"></a><var>7.18</var>responsibilities regarding federal revenue enhancement:<br/>
<a id="pl.7.19"></a><var>7.19</var>(1) the family services collaborative shall be the party with which the commissioner <br/>
<a id="pl.7.20"></a><var>7.20</var>contracts. A lead county shall be designated as the fiscal agency for reporting, claiming, <br/>
<a id="pl.7.21"></a><var>7.21</var>and receiving payments;<br/>
<a id="pl.7.22"></a><var>7.22</var>(2) the family services collaboratives may enter into subcontracts with other <br/>
<a id="pl.7.23"></a><var>7.23</var>counties, school districts, special education cooperatives, municipalities, and other public <br/>
<a id="pl.7.24"></a><var>7.24</var>and nonprofit entities for purposes of identifying and claiming eligible expenditures to <br/>
<a id="pl.7.25"></a><var>7.25</var>enhance federal reimbursement, or to expand education, social, health, or health-related <br/>
<a id="pl.7.26"></a><var>7.26</var>services to families and children;<br/>
<a id="pl.7.27"></a><var>7.27</var>(3) the family services collaborative must continue the base level of expenditures for <br/>
<a id="pl.7.28"></a><var>7.28</var>education, social, health, or health-related services to families and children from any state, <br/>
<a id="pl.7.29"></a><var>7.29</var>county, federal, or other public or private funding source which, in the absence of the new <br/>
<a id="pl.7.30"></a><var>7.30</var>federal reimbursement earned under this subdivision, would have been available for those <br/>
<a id="pl.7.31"></a><var>7.31</var>services, except as provided in paragraph (a), clause (4). The base year for purposes of this <br/>
<a id="pl.7.32"></a><var>7.32</var>subdivision shall be the four-quarter calendar year ending at least two calendar quarters <br/>
<a id="pl.7.33"></a><var>7.33</var>before the first calendar quarter in which the new federal reimbursement is earned;<br/>
<a id="pl.7.34"></a><var>7.34</var>(4) the family services collaborative must use all new federal reimbursement <br/>
<a id="pl.7.35"></a><var>7.35</var>resulting from federal revenue enhancement to expand expenditures for education, social, <br/>
<a id="pl.8.1"></a><var>8.1</var>health, or health-related services to families and children beyond the base level, except <br/>
<a id="pl.8.2"></a><var>8.2</var>as provided in paragraph (a), clause (4);<br/>
<a id="pl.8.3"></a><var>8.3</var>(5) (4) the family services collaborative must ensure that expenditures submitted <br/>
<a id="pl.8.4"></a><var>8.4</var>for federal reimbursement are not made from federal funds or funds used to match other <br/>
<a id="pl.8.5"></a><var>8.5</var>federal funds. Notwithstanding section 
         <statute_ref>256B.19, subdivision 1</statute_ref>, for the purposes of family <br/>
<a id="pl.8.6"></a><var>8.6</var>services collaborative expenditures under agreement with the department, the nonfederal <br/>
<a id="pl.8.7"></a><var>8.7</var>share of costs shall be provided by the family services collaborative from sources other <br/>
<a id="pl.8.8"></a><var>8.8</var>than federal funds or funds used to match other federal funds;<br/>
<a id="pl.8.9"></a><var>8.9</var>(6) (5) the family services collaborative must develop and maintain an accounting <br/>
<a id="pl.8.10"></a><var>8.10</var>and financial management system adequate to support all claims for federal reimbursement, <br/>
<a id="pl.8.11"></a><var>8.11</var>including a clear audit trail and any provisions specified in the agreement; and<br/>
<a id="pl.8.12"></a><var>8.12</var>(7) (6) the family services collaborative shall submit an annual report to the <br/>
<a id="pl.8.13"></a><var>8.13</var>commissioner as specified in the agreement.<br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.8.14"></a><var>8.14</var>    Sec. 8. Minnesota Statutes 2008, section 260C.212, subdivision 4a, is amended to read:<br/>
<a id="pl.8.15"></a><var>8.15</var>    Subd. 4a. <b>Monthly caseworker visits.</b> (a) Every child in foster care or on a <br/>
<a id="pl.8.16"></a><var>8.16</var>trial home visit shall be visited by the child's caseworker  or another person who has <br/>
<a id="pl.8.17"></a><var>8.17</var>responsibility for visitation of the child on a monthly basis, with the majority of visits <br/>
<a id="pl.8.18"></a><var>8.18</var>occurring in the child's residence. For the purposes of this section, the following <br/>
<a id="pl.8.19"></a><var>8.19</var>definitions apply:<br/>
<a id="pl.8.20"></a><var>8.20</var>    (1) "visit" is defined as a face-to-face contact between a child and the child's <br/>
<a id="pl.8.21"></a><var>8.21</var>caseworker;<br/>
<a id="pl.8.22"></a><var>8.22</var>    (2) "visited on a monthly basis" is defined as at least one visit per calendar month;<br/>
<a id="pl.8.23"></a><var>8.23</var>    (3) "the child's caseworker" is defined as the person who has responsibility for <br/>
<a id="pl.8.24"></a><var>8.24</var>managing the child's foster care placement case as assigned by the responsible social <br/>
<a id="pl.8.25"></a><var>8.25</var>service agency; and<br/>
<a id="pl.8.26"></a><var>8.26</var>    (4) "the child's residence" is defined as the home where the child is residing, and <br/>
<a id="pl.8.27"></a><var>8.27</var>can include the foster home, child care institution, or the home from which the child was <br/>
<a id="pl.8.28"></a><var>8.28</var>removed if the child is on a trial home visit.<br/>
<a id="pl.8.29"></a><var>8.29</var>    (b) Caseworker visits shall be of sufficient substance and duration to address issues <br/>
<a id="pl.8.30"></a><var>8.30</var>pertinent to case planning and service delivery to ensure the safety, permanency, and <br/>
<a id="pl.8.31"></a><var>8.31</var>well-being of the child.<br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.8.32"></a><var>8.32</var>    Sec. 9. Minnesota Statutes 2008, section 260C.212, subdivision 11, is amended to read:<br/>
<a id="pl.9.1"></a><var>9.1</var>    Subd. 11. <b>Rules; family and group foster care.</b> The commissioner shall revise <br/>
<a id="pl.9.2"></a><var>9.2</var>Minnesota Rules, parts 9545.0010 to 9545.0260, the rules setting standards for family and <br/>
<a id="pl.9.3"></a><var>9.3</var>group family foster care. The commissioner shall:<br/>
<a id="pl.9.4"></a><var>9.4</var>(1) require that, as a condition of licensure, foster care providers attend training on <br/>
<a id="pl.9.5"></a><var>9.5</var>understanding and validating the cultural heritage of all children in their care, and on the <br/>
<a id="pl.9.6"></a><var>9.6</var>importance of the Indian Child Welfare Act, United States Code, title 25, sections 1901 to <br/>
<a id="pl.9.7"></a><var>9.7</var>1923, and the Minnesota Indian Family Preservation Act, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref>; and<br/>
<a id="pl.9.8"></a><var>9.8</var>(2) review and, where necessary, revise foster care rules to reflect sensitivity to <br/>
<a id="pl.9.9"></a><var>9.9</var>cultural diversity and differing lifestyles. Specifically, the commissioner shall examine <br/>
<a id="pl.9.10"></a><var>9.10</var>whether space and other requirements discriminate against single-parent, minority, or <br/>
<a id="pl.9.11"></a><var>9.11</var>low-income families who may be able to provide quality foster care reflecting the values <br/>
<a id="pl.9.12"></a><var>9.12</var>of their own respective cultures; and<br/>
<a id="pl.9.13"></a><var>9.13</var>(3) relieve relative foster care providers of the requirements promulgated as a result <br/>
<a id="pl.9.14"></a><var>9.14</var>of clauses (1) and (2) when the safety of the child is not jeopardized and as allowed <br/>
<a id="pl.9.15"></a><var>9.15</var>under federal law.<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.9.16"></a><var>9.16</var>    Sec. 10. Minnesota Statutes 2008, section 261.035, is amended to read:<br/>
<a id="pl.9.17"></a><var>9.17</var><b>261.035 </b><b>CREMATION, BURIAL, AND </b><b>FUNERALS AT EXPENSE OF </b><br/>
<a id="pl.9.18"></a><var>9.18</var><b>COUNTY.</b><br/>
<a id="pl.9.19"></a><var>9.19</var>When a person dies in any county without apparent means to provide for that person's <br/>
<a id="pl.9.20"></a><var>9.20</var>funeral or final disposition, the county board shall first investigate to determine whether <br/>
<a id="pl.9.21"></a><var>9.21</var>that person had contracted for any prepaid funeral arrangements. If prepaid arrangements <br/>
<a id="pl.9.22"></a><var>9.22</var>have been made, the county shall authorize arrangements to be implemented in accord <br/>
<a id="pl.9.23"></a><var>9.23</var>with the instructions of the deceased. If it is determined that the person did not leave <br/>
<a id="pl.9.24"></a><var>9.24</var>sufficient means to defray the necessary expenses of a funeral and final disposition, nor <br/>
<a id="pl.9.25"></a><var>9.25</var>any spouse of sufficient ability to procure the burial, the county board shall provide pay for <br/>
<a id="pl.9.26"></a><var>9.26</var>a funeral and final disposition cremation of the person's remains to be made at the expense <br/>
<a id="pl.9.27"></a><var>9.27</var>of the county.  and the person's burial or interment if the spouse or next of kin does not <br/>
<a id="pl.9.28"></a><var>9.28</var>want to take possession of the ashes. If it is determined that cremation is not in accordance <br/>
<a id="pl.9.29"></a><var>9.29</var>with the decedent's personal preferences or the known practices of the decedent's faith <br/>
<a id="pl.9.30"></a><var>9.30</var>tradition or the personal preferences of the decedent's spouse or the decedent's next of <br/>
<a id="pl.9.31"></a><var>9.31</var>kin, the county board shall provide for a burial and funeral. Any burial, funeral, and final <br/>
<a id="pl.9.32"></a><var>9.32</var>disposition provided at the expense of the county shall be in accordance with religious and <br/>
<a id="pl.9.33"></a><var>9.33</var>moral beliefs of the decedent or personal preferences or known practices of the decedent's <br/>
<a id="pl.9.34"></a><var>9.34</var>faith tradition or the personal preferences of  the decedent's spouse or the decedent's next of <br/>
<a id="pl.9.35"></a><var>9.35</var>kin. If neither the wishes of the decedent are not known, nor the practices of the decedent's <br/>
<a id="pl.10.1"></a><var>10.1</var>faith tradition are known, and the county has no information about the existence of or <br/>
<a id="pl.10.2"></a><var>10.2</var>location of any next of kin, the county may determine the method of final disposition may <br/>
<a id="pl.10.3"></a><var>10.3</var>provide for cremation of the person's remains and burial or interment.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.10.6"></a><var>10.6</var>    Section 1. Minnesota Statutes 2008, section 62Q.37, subdivision 3, is amended to read:<br/>
<a id="pl.10.7"></a><var>10.7</var>    Subd. 3. <b>Audits.</b> (a) The commissioner may conduct routine audits and <br/>
<a id="pl.10.8"></a><var>10.8</var>investigations as prescribed under the commissioner's respective state authorizing statutes. <br/>
<a id="pl.10.9"></a><var>10.9</var>If a nationally recognized independent organization has conducted an audit of the health <br/>
<a id="pl.10.10"></a><var>10.10</var>plan company using audit procedures that are comparable to or more stringent than the <br/>
<a id="pl.10.11"></a><var>10.11</var>commissioner's audit procedures:<br/>
<a id="pl.10.12"></a><var>10.12</var>(1) the commissioner may shall accept the independent audit, including standards <br/>
<a id="pl.10.13"></a><var>10.13</var>and audit practices, and require no further audit if the results of the independent audit <br/>
<a id="pl.10.14"></a><var>10.14</var>show that the performance standard being audited meets or exceeds state standards;<br/>
<a id="pl.10.15"></a><var>10.15</var>(2) the commissioner may accept the independent audit and limit further auditing <br/>
<a id="pl.10.16"></a><var>10.16</var>if the results of the independent audit show that the performance standard being audited <br/>
<a id="pl.10.17"></a><var>10.17</var>partially meets state standards;<br/>
<a id="pl.10.18"></a><var>10.18</var>(3) the health plan company must demonstrate to the commissioner that the <br/>
<a id="pl.10.19"></a><var>10.19</var>nationally recognized independent organization that conducted the audit is qualified and <br/>
<a id="pl.10.20"></a><var>10.20</var>that the results of the audit demonstrate that the particular performance standard partially <br/>
<a id="pl.10.21"></a><var>10.21</var>or fully meets state standards; and<br/>
<a id="pl.10.22"></a><var>10.22</var>(4) if the commissioner has partially or fully accepted an independent audit of the <br/>
<a id="pl.10.23"></a><var>10.23</var>performance standard, the commissioner may use the finding of a deficiency with regard <br/>
<a id="pl.10.24"></a><var>10.24</var>to statutes or rules by an independent audit as the basis for a targeted audit or enforcement <br/>
<a id="pl.10.25"></a><var>10.25</var>action.<br/>
<a id="pl.10.26"></a><var>10.26</var>(b) If a health plan company has formally delegated activities that are required <br/>
<a id="pl.10.27"></a><var>10.27</var>under either state law or contract to another organization that has undergone an audit by <br/>
<a id="pl.10.28"></a><var>10.28</var>a nationally recognized independent organization, that health plan company may use <br/>
<a id="pl.10.29"></a><var>10.29</var>the nationally recognized accrediting body's determination on its own behalf under this <br/>
<a id="pl.10.30"></a><var>10.30</var>section.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.10.31"></a><var>10.31</var>    Sec. 2. Minnesota Statutes 2008, section 144A.04, subdivision 11, is amended to read:<br/>
<a id="pl.10.32"></a><var>10.32</var>    Subd. 11. <b>Incontinent residents.</b> Notwithstanding Minnesota Rules, part <br/>
<a id="pl.10.33"></a><var>10.33</var>4658.0520, an incontinent resident must be checked according to a specific time interval <br/>
<a id="pl.10.34"></a><var>10.34</var>written in the resident's treated according to the comprehensive assessment and care plan. <br/>
<a id="pl.11.1"></a><var>11.1</var>The resident's attending physician must authorize in writing any interval longer than <br/>
<a id="pl.11.2"></a><var>11.2</var>two hours unless the resident, if competent, or a family member or legally appointed <br/>
<a id="pl.11.3"></a><var>11.3</var>conservator, guardian, or health care agent of a resident who is not competent, agrees in <br/>
<a id="pl.11.4"></a><var>11.4</var>writing to waive physician involvement in determining this interval, and this waiver <br/>
<a id="pl.11.5"></a><var>11.5</var>is documented in the resident's care plan.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.11.6"></a><var>11.6</var>    Sec. 3. Minnesota Statutes 2008, section 144A.04, is amended by adding a subdivision <br/>
<a id="pl.11.7"></a><var>11.7</var>to read:<br/>
<a id="pl.11.8"></a><var>11.8</var>    Subd. 12. <b>Resident positioning.</b> Notwithstanding Minnesota Rules, part 4658.0525, <br/>
<a id="pl.11.9"></a><var>11.9</var>subpart 4, the position of residents unable to change their own position must be changed <br/>
<a id="pl.11.10"></a><var>11.10</var>based on the comprehensive assessment and care plan.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.11.11"></a><var>11.11</var>    Sec. 4. Minnesota Statutes 2008, section 144A.43, is amended by adding a subdivision <br/>
<a id="pl.11.12"></a><var>11.12</var>to read:<br/>
<a id="pl.11.13"></a><var>11.13</var>    Subd. 5. <b>Medication reminder.</b> "Medication reminder" means providing a verbal <br/>
<a id="pl.11.14"></a><var>11.14</var>or visual reminder to a client to take medication. This includes bringing the medication <br/>
<a id="pl.11.15"></a><var>11.15</var>to the client and providing liquids or nutrition to accompany medication that a client is <br/>
<a id="pl.11.16"></a><var>11.16</var>self-administering.<br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.11.17"></a><var>11.17</var>    Sec. 5. Minnesota Statutes 2008, section 144A.45, subdivision 1, is amended to read:<br/>
<a id="pl.11.18"></a><var>11.18</var>    Subdivision 1.  <b>Rules.</b> The commissioner shall adopt rules for the regulation of <br/>
<a id="pl.11.19"></a><var>11.19</var>home care providers pursuant to sections 
         <statute_ref>144A.43</statute_ref> to 
         <statute_ref>144A.47</statute_ref>. The rules shall include <br/>
<a id="pl.11.20"></a><var>11.20</var>the following:<br/>
<a id="pl.11.21"></a><var>11.21</var>    (1) provisions to assure, to the extent possible, the health, safety and well-being, and <br/>
<a id="pl.11.22"></a><var>11.22</var>appropriate treatment of persons who receive home care services;<br/>
<a id="pl.11.23"></a><var>11.23</var>    (2) requirements that home care providers furnish the commissioner with specified <br/>
<a id="pl.11.24"></a><var>11.24</var>information necessary to implement sections 
         <statute_ref>144A.43</statute_ref> to 
         <statute_ref>144A.47</statute_ref>;<br/>
<a id="pl.11.25"></a><var>11.25</var>    (3) standards of training of home care provider personnel, which may vary according <br/>
<a id="pl.11.26"></a><var>11.26</var>to the nature of the services provided or the health status of the consumer;<br/>
<a id="pl.11.27"></a><var>11.27</var>    (4) standards for medication management which may vary according to the nature of <br/>
<a id="pl.11.28"></a><var>11.28</var>the services provided, the setting in which the services are provided, or the status of the <br/>
<a id="pl.11.29"></a><var>11.29</var>consumer. Medication management includes the central storage, handling, distribution, <br/>
<a id="pl.11.30"></a><var>11.30</var>and administration of medications;<br/>
<a id="pl.11.31"></a><var>11.31</var>    (5) standards for supervision of home care services requiring supervision by a <br/>
<a id="pl.11.32"></a><var>11.32</var>registered nurse or other appropriate health care professional which must occur on site <br/>
<a id="pl.11.33"></a><var>11.33</var>at least every 62 days, or more frequently if indicated by a clinical assessment, and in <br/>
<a id="pl.12.1"></a><var>12.1</var>accordance with sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref> and rules adopted thereunder, except that, <br/>
<a id="pl.12.2"></a><var>12.2</var>notwithstanding the provisions of Minnesota Rules, part 4668.0110, subpart 5, item B, <br/>
<a id="pl.12.3"></a><var>12.3</var>supervision of a person performing home care aide tasks for a class B licensee providing <br/>
<a id="pl.12.4"></a><var>12.4</var>paraprofessional services must occur only every 180 days, or more frequently if indicated <br/>
<a id="pl.12.5"></a><var>12.5</var>by a clinical assessment does not require nursing supervision;<br/>
<a id="pl.12.6"></a><var>12.6</var>    (6) standards for client evaluation or assessment which may vary according to the <br/>
<a id="pl.12.7"></a><var>12.7</var>nature of the services provided or the status of the consumer;<br/>
<a id="pl.12.8"></a><var>12.8</var>    (7) requirements for the involvement of a consumer's physician, the documentation <br/>
<a id="pl.12.9"></a><var>12.9</var>of physicians' orders, if required, and the consumer's treatment plan, and the maintenance <br/>
<a id="pl.12.10"></a><var>12.10</var>of accurate, current clinical records;<br/>
<a id="pl.12.11"></a><var>12.11</var>    (8) the establishment of different classes of licenses for different types of providers <br/>
<a id="pl.12.12"></a><var>12.12</var>and different standards and requirements for different kinds of home care services; and<br/>
<a id="pl.12.13"></a><var>12.13</var>    (9) operating procedures required to implement the home care bill of rights.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.12.14"></a><var>12.14</var>    Sec. 6. Minnesota Statutes 2008, section 144A.45, is amended by adding a subdivision <br/>
<a id="pl.12.15"></a><var>12.15</var>to read:<br/>
<a id="pl.12.16"></a><var>12.16</var>    Subd. 1b. <b>Home health aide qualifications.</b> Notwithstanding the provisions of <br/>
<a id="pl.12.17"></a><var>12.17</var>Minnesota Rules, part 4668.0100, subpart 5, a person may perform home health aide tasks <br/>
<a id="pl.12.18"></a><var>12.18</var>if the person maintains current registration as a nursing assistant on the Minnesota nursing <br/>
<a id="pl.12.19"></a><var>12.19</var>assistant registry. Maintaining current registration on the Minnesota nursing assistant <br/>
<a id="pl.12.20"></a><var>12.20</var>registry satisfies the documentation requirements of Minnesota Rules, part 4668.0110, <br/>
<a id="pl.12.21"></a><var>12.21</var>subpart 3.<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.12.22"></a><var>12.22</var>    Sec. 7. Minnesota Statutes 2008, section 147C.10, subdivision 2, as amended by Laws <br/>
<a id="pl.12.23"></a><var>12.23</var>2009, chapter 142, article 2, section 3, is amended to read:<br/>
<a id="pl.12.24"></a><var>12.24</var>    Subd. 2. <b>Other health care practitioners.</b> (a) Nothing in this chapter shall prohibit <br/>
<a id="pl.12.25"></a><var>12.25</var>the practice of any profession or occupation licensed or registered by the state by any <br/>
<a id="pl.12.26"></a><var>12.26</var>person duly licensed or registered to practice the profession or occupation or to perform <br/>
<a id="pl.12.27"></a><var>12.27</var>any act that falls within the scope of practice of the profession or occupation.<br/>
<a id="pl.12.28"></a><var>12.28</var>(b) Nothing in this chapter shall be construed to require a respiratory care license for:<br/>
<a id="pl.12.29"></a><var>12.29</var>(1) a student enrolled in a respiratory therapy or polysomnography technology <br/>
<a id="pl.12.30"></a><var>12.30</var>education program accredited by the Commission on Accreditation of Allied Health <br/>
<a id="pl.12.31"></a><var>12.31</var>Education Programs, its successor organization, or another nationally recognized <br/>
<a id="pl.12.32"></a><var>12.32</var>accrediting organization;<br/>
<a id="pl.12.33"></a><var>12.33</var>(2) a respiratory therapist as a member of the United States armed forces while <br/>
<a id="pl.12.34"></a><var>12.34</var>performing duties incident to that duty;<br/>
<a id="pl.13.1"></a><var>13.1</var>(3) an individual employed by a durable medical equipment provider or a home <br/>
<a id="pl.13.2"></a><var>13.2</var>medical equipment provider who delivers, sets up, instructs the patient on the use of, or <br/>
<a id="pl.13.3"></a><var>13.3</var>maintains respiratory care equipment, but does not perform assessment, education, or <br/>
<a id="pl.13.4"></a><var>13.4</var>evaluation of the patient;<br/>
<a id="pl.13.5"></a><var>13.5</var>(4) self-care by a patient or gratuitous care by a friend or relative who does not <br/>
<a id="pl.13.6"></a><var>13.6</var>purport to be a licensed respiratory therapist; or<br/>
<a id="pl.13.7"></a><var>13.7</var>(5) an individual employed in a sleep lab or center as a polysomnographic <br/>
<a id="pl.13.8"></a><var>13.8</var>technologist under the supervision of a licensed physician.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.13.9"></a><var>13.9</var>    Sec. 8. <b>[245B.031] ACCREDITATION, ALTERNATIVE INSPECTION, AND </b><br/>
<a id="pl.13.10"></a><var>13.10</var><b>DEEMED COMPLIANCE.</b><br/>
<a id="pl.13.11"></a><var>13.11</var>    Subdivision 1. <b>Day training and habilitation or supported employment services </b><br/>
<a id="pl.13.12"></a><var>13.12</var><b>programs; alternative inspection status.</b> (a) A license holder providing day training and <br/>
<a id="pl.13.13"></a><var>13.13</var>habilitation services or supported employment services according to this chapter, with a <br/>
<a id="pl.13.14"></a><var>13.14</var>three-year accreditation from the Commission on Rehabilitation Facilities, that has had at <br/>
<a id="pl.13.15"></a><var>13.15</var>least one on-site inspection by the commissioner following issuance of the initial license, <br/>
<a id="pl.13.16"></a><var>13.16</var>may request alternative inspection status under this section.<br/>
<a id="pl.13.17"></a><var>13.17</var>    (b) The request for alternative inspection status must be made in the manner <br/>
<a id="pl.13.18"></a><var>13.18</var>prescribed by the commissioner, and must include:<br/>
<a id="pl.13.19"></a><var>13.19</var>    (1) a copy of the license holder's application to the Commission on Rehabilitation <br/>
<a id="pl.13.20"></a><var>13.20</var>Facilities for accreditation;<br/>
<a id="pl.13.21"></a><var>13.21</var>    (2) the most recent Commission on Rehabilitation Facilities accreditation survey <br/>
<a id="pl.13.22"></a><var>13.22</var>report; and<br/>
<a id="pl.13.23"></a><var>13.23</var>    (3) the most recent letter confirming the three-year accreditation and approval of the <br/>
<a id="pl.13.24"></a><var>13.24</var>license holder's quality improvement plan.<br/>
<a id="pl.13.25"></a><var>13.25</var>    Based on the request and the accompanying materials, the commissioner may <br/>
<a id="pl.13.26"></a><var>13.26</var>approve alternative inspection status.<br/>
<a id="pl.13.27"></a><var>13.27</var>    (c) Following approval of alternative inspection status, the commissioner may <br/>
<a id="pl.13.28"></a><var>13.28</var>terminate the alternative inspection status or deny a subsequent alternative inspection <br/>
<a id="pl.13.29"></a><var>13.29</var>status if the commissioner determines that any of the following conditions have occurred <br/>
<a id="pl.13.30"></a><var>13.30</var>after approval of the alternative inspection process:<br/>
<a id="pl.13.31"></a><var>13.31</var>    (1) the license holder has not maintained full three-year accreditation;<br/>
<a id="pl.13.32"></a><var>13.32</var>    (2) the commissioner has substantiated maltreatment for which the license holder or <br/>
<a id="pl.13.33"></a><var>13.33</var>facility is determined to be responsible during the three-year accreditation period; and<br/>
<a id="pl.14.1"></a><var>14.1</var>    (3) during the three-year accreditation period, the license holder has been issued <br/>
<a id="pl.14.2"></a><var>14.2</var>an order for conditional license, a fine, suspension, or license revocation that has not <br/>
<a id="pl.14.3"></a><var>14.3</var>been reversed upon appeal.<br/>
<a id="pl.14.4"></a><var>14.4</var>    (d) The commissioner's decision that the conditions for approval for the alternative <br/>
<a id="pl.14.5"></a><var>14.5</var>licensing inspection status have not been met is final and not subject to appeal under the <br/>
<a id="pl.14.6"></a><var>14.6</var>provisions of chapter 14.<br/>
<a id="pl.14.7"></a><var>14.7</var>    Subd. 2. <b>Programs exempt from certain statutes.</b> (a) A license holder approved <br/>
<a id="pl.14.8"></a><var>14.8</var>for alternative inspection status under this section is exempt from the requirements under:<br/>
<a id="pl.14.9"></a><var>14.9</var>    (1) section 245B.04;<br/>
<a id="pl.14.10"></a><var>14.10</var>    (2) section 245B.05, subdivisions 5 and 6;<br/>
<a id="pl.14.11"></a><var>14.11</var>    (3) section 245B.06, subdivisions 1, 3, 4, 5, and 6; and<br/>
<a id="pl.14.12"></a><var>14.12</var>    (4) section 245B.07, subdivisions 1, 4, and 6.<br/>
<a id="pl.14.13"></a><var>14.13</var>    (b) Upon receipt of a complaint regarding a requirement under paragraph (a), the <br/>
<a id="pl.14.14"></a><var>14.14</var>commissioner shall refer the complaint to the Commission on Rehabilitation Facilities for <br/>
<a id="pl.14.15"></a><var>14.15</var>possible follow-up.<br/>
<a id="pl.14.16"></a><var>14.16</var>    Subd. 3. <b>Programs deemed to be in compliance with nonexempt licensing </b><br/>
<a id="pl.14.17"></a><var>14.17</var><b>requirements.</b> (a) License holders approved for alternative inspection status under this <br/>
<a id="pl.14.18"></a><var>14.18</var>section are required to maintain compliance with all licensing standards from which they <br/>
<a id="pl.14.19"></a><var>14.19</var>are not exempt under subdivision 2, paragraph (a).<br/>
<a id="pl.14.20"></a><var>14.20</var>    (b) License holders approved for alternative inspection status under this section shall <br/>
<a id="pl.14.21"></a><var>14.21</var>be deemed to be in compliance with all nonexempt statutes, and the commissioner shall <br/>
<a id="pl.14.22"></a><var>14.22</var>not perform routine licensing inspections.<br/>
<a id="pl.14.23"></a><var>14.23</var>    (c) Upon receipt of a complaint regarding the services of a license holder approved <br/>
<a id="pl.14.24"></a><var>14.24</var>for alternative inspection under this section that is not related to a licensing requirement <br/>
<a id="pl.14.25"></a><var>14.25</var>from which the license holder is exempt under subdivision 2, the commissioner shall <br/>
<a id="pl.14.26"></a><var>14.26</var>investigate the complaint and may take any action as provided under section 245A.06 or <br/>
<a id="pl.14.27"></a><var>14.27</var>245A.07.<br/>
<a id="pl.14.28"></a><var>14.28</var>    Subd. 4. <b>Investigations of alleged maltreatment of minors or vulnerable adults.</b><br/>
<a id="pl.14.29"></a><var>14.29</var>    Nothing in this section changes the commissioner's responsibilities to investigate alleged <br/>
<a id="pl.14.30"></a><var>14.30</var>or suspected maltreatment of a minor under section 626.556 or vulnerable adult under <br/>
<a id="pl.14.31"></a><var>14.31</var>section 626.557.<br/>
<a id="pl.14.32"></a><var>14.32</var>    Subd. 5. <b>Request to Commission on Rehabilitation Facilities to expand </b><br/>
<a id="pl.14.33"></a><var>14.33</var><b>accreditation survey.</b> The commissioner shall submit a request to the Commission on <br/>
<a id="pl.14.34"></a><var>14.34</var>Rehabilitation Facilities to routinely inspect for compliance with standards that are similar <br/>
<a id="pl.14.35"></a><var>14.35</var>to the following nonexempt licensing requirements:<br/>
<a id="pl.15.1"></a><var>15.1</var>    (1) section 245A.54;<br/>
<a id="pl.15.2"></a><var>15.2</var>    (2) section 245A.66;<br/>
<a id="pl.15.3"></a><var>15.3</var>    (3) section 245B.05, subdivisions 1, 2, and 7;<br/>
<a id="pl.15.4"></a><var>15.4</var>    (4) section 245B.055;<br/>
<a id="pl.15.5"></a><var>15.5</var>    (5) section 245B.06, subdivisions 2, 7, 9, and 10;<br/>
<a id="pl.15.6"></a><var>15.6</var>    (6) section 245B.07, subdivisions 2, 5, and 8, paragraph (a), clause (7);<br/>
<a id="pl.15.7"></a><var>15.7</var>    (7) section 245C.04, subdivision 1, paragraph (f);<br/>
<a id="pl.15.8"></a><var>15.8</var>    (8) section 245C.07;<br/>
<a id="pl.15.9"></a><var>15.9</var>    (9) section 245C.13, subdivision 2;<br/>
<a id="pl.15.10"></a><var>15.10</var>    (10) section 245C.20; and<br/>
<a id="pl.15.11"></a><var>15.11</var>    (11) Minnesota Rules, parts 9525.2700 to 9525.2810.<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.15.12"></a><var>15.12</var>    Sec. 9. Minnesota Statutes 2008, section 256.962, subdivision 6, is amended to read:<br/>
<a id="pl.15.13"></a><var>15.13</var>    Subd. 6. <b>School districts</b><b> and charter schools</b><b>.</b> (a) At the beginning of each school <br/>
<a id="pl.15.14"></a><var>15.14</var>year, a school district  or charter school shall provide information to each student on the <br/>
<a id="pl.15.15"></a><var>15.15</var>availability of health care coverage through the Minnesota health care programs.<br/>
<a id="pl.15.16"></a><var>15.16</var>    (b) For each child who is determined to be eligible for the free and reduced-price <br/>
<a id="pl.15.17"></a><var>15.17</var>school lunch program, the district shall provide the child's family with information on how <br/>
<a id="pl.15.18"></a><var>15.18</var>to obtain an application for the Minnesota health care programs and application assistance.<br/>
<a id="pl.15.19"></a><var>15.19</var>    (c) A school district or charter school shall also ensure that applications and <br/>
<a id="pl.15.20"></a><var>15.20</var>information on application assistance are available at early childhood education sites and <br/>
<a id="pl.15.21"></a><var>15.21</var>public schools located within the district's jurisdiction.<br/>
<a id="pl.15.22"></a><var>15.22</var>    (d) Each district shall designate an enrollment specialist to provide application <br/>
<a id="pl.15.23"></a><var>15.23</var>assistance and follow-up services with families who have indicated an interest in receiving <br/>
<a id="pl.15.24"></a><var>15.24</var>information or an application for the Minnesota health care program. A district is eligible <br/>
<a id="pl.15.25"></a><var>15.25</var>for the application assistance bonus described in subdivision 5.<br/>
<a id="pl.15.26"></a><var>15.26</var>    (e) Each (c) If a school district or charter school maintains a district Web site, the <br/>
<a id="pl.15.27"></a><var>15.27</var>school district or charter school shall provide on their its Web site a link to information on <br/>
<a id="pl.15.28"></a><var>15.28</var>how to obtain an application and application assistance.<br/>
<br/>
<a id="bill.2.10.0"></a><a id="pl.15.29"></a><var>15.29</var>    Sec. 10. Minnesota Statutes 2008, section 260B.171, subdivision 3, is amended to read:<br/>
<a id="pl.15.30"></a><var>15.30</var>    Subd. 3. <b>Disposition order; copy to school.</b> (a) If a juvenile is enrolled in school, <br/>
<a id="pl.15.31"></a><var>15.31</var>the juvenile's probation officer shall transmit a ensure that either a mailed notice or an <br/>
<a id="pl.15.32"></a><var>15.32</var>electronic copy of the court's disposition order be transmitted to the superintendent of the <br/>
<a id="pl.15.33"></a><var>15.33</var>juvenile's school district or the chief administrative officer of the juvenile's school if the <br/>
<a id="pl.16.1"></a><var>16.1</var>juvenile has been adjudicated delinquent for committing an act on the school's property <br/>
<a id="pl.16.2"></a><var>16.2</var>or an act:<br/>
<a id="pl.16.3"></a><var>16.3</var>(1) that would be a violation of section 
         <statute_ref>609.185</statute_ref> (first-degree murder); 
         <statute_ref>609.19</statute_ref> <br/>
<a id="pl.16.4"></a><var>16.4</var>(second-degree murder); 
         <statute_ref>609.195</statute_ref> (third-degree murder); 
         <statute_ref>609.20</statute_ref> (first-degree <br/>
<a id="pl.16.5"></a><var>16.5</var>manslaughter); 
         <statute_ref>609.205</statute_ref> (second-degree manslaughter); 
         <statute_ref>609.21</statute_ref> (criminal vehicular <br/>
<a id="pl.16.6"></a><var>16.6</var>homicide and injury); 
         <statute_ref>609.221</statute_ref> (first-degree assault); 
         <statute_ref>609.222</statute_ref> (second-degree assault); <br/>
<statute_ref><a id="pl.16.7"></a><var>16.7</var>609.223
         </statute_ref> (third-degree assault); 
         <statute_ref>609.2231</statute_ref> (fourth-degree assault); 
         <statute_ref>609.224</statute_ref> (fifth-degree <br/>
<a id="pl.16.8"></a><var>16.8</var>assault); 
         <statute_ref>609.2242</statute_ref> (domestic assault); 
         <statute_ref>609.24</statute_ref> (simple robbery); 
         <statute_ref>609.245</statute_ref> (aggravated <br/>
<a id="pl.16.9"></a><var>16.9</var>robbery); 
         <statute_ref>609.25</statute_ref> (kidnapping); 
         <statute_ref>609.255</statute_ref> (false imprisonment); 
         <statute_ref>609.342</statute_ref> (first-degree <br/>
<a id="pl.16.10"></a><var>16.10</var>criminal sexual conduct); 
         <statute_ref>609.343</statute_ref> (second-degree criminal sexual conduct); 
         <statute_ref>609.344</statute_ref> <br/>
<a id="pl.16.11"></a><var>16.11</var>(third-degree criminal sexual conduct); 
         <statute_ref>609.345</statute_ref> (fourth-degree criminal sexual conduct); <br/>
<statute_ref><a id="pl.16.12"></a><var>16.12</var>609.3451
         </statute_ref> (fifth-degree criminal sexual conduct); 
         <statute_ref>609.498</statute_ref> (tampering with a witness); <br/>
<statute_ref><a id="pl.16.13"></a><var>16.13</var>609.561
         </statute_ref> (first-degree arson); 
         <statute_ref>609.582, subdivision 1</statute_ref> or 2 (burglary); 
         <statute_ref>609.713</statute_ref> (terroristic <br/>
<a id="pl.16.14"></a><var>16.14</var>threats); or 
         <statute_ref>609.749</statute_ref> (harassment and stalking), if committed by an adult;<br/>
<a id="pl.16.15"></a><var>16.15</var>(2) that would be a violation of section 
         <statute_ref>152.021</statute_ref> (first-degree controlled substance <br/>
<a id="pl.16.16"></a><var>16.16</var>crime); 
         <statute_ref>152.022</statute_ref> (second-degree controlled substance crime); 
         <statute_ref>152.023</statute_ref> (third-degree <br/>
<a id="pl.16.17"></a><var>16.17</var>controlled substance crime); 
         <statute_ref>152.024</statute_ref> (fourth-degree controlled substance crime); 
         <statute_ref>152.025</statute_ref> <br/>
<a id="pl.16.18"></a><var>16.18</var>(fifth-degree controlled substance crime); 
         <statute_ref>152.0261</statute_ref> (importing a controlled substance); <br/>
<statute_ref><a id="pl.16.19"></a><var>16.19</var>152.0262
         </statute_ref> (possession of substances with intent to manufacture methamphetamine); or <br/>
<statute_ref><a id="pl.16.20"></a><var>16.20</var>152.027
         </statute_ref> (other controlled substance offenses), if committed by an adult; or<br/>
<a id="pl.16.21"></a><var>16.21</var>(3) that involved the possession or use of a dangerous weapon as defined in section <br/>
<statute_ref><a id="pl.16.22"></a><var>16.22</var>609.02, subdivision 6
         </statute_ref>.<br/>
<a id="pl.16.23"></a><var>16.23</var>When a disposition order is transmitted under this subdivision, the probation officer <br/>
<a id="pl.16.24"></a><var>16.24</var>shall notify the juvenile's parent or legal guardian that the disposition order has been <br/>
<a id="pl.16.25"></a><var>16.25</var>shared with the juvenile's school.<br/>
<a id="pl.16.26"></a><var>16.26</var>(b) In addition, the juvenile's probation officer may transmit a copy of the court's <br/>
<a id="pl.16.27"></a><var>16.27</var>disposition order to the superintendent of the juvenile's school district or the chief <br/>
<a id="pl.16.28"></a><var>16.28</var>administrative officer of the juvenile's school if the juvenile has been adjudicated <br/>
<a id="pl.16.29"></a><var>16.29</var>delinquent for offenses not listed in paragraph (a) and placed on probation. The probation <br/>
<a id="pl.16.30"></a><var>16.30</var>officer shall notify the superintendent or chief administrative officer when the juvenile is <br/>
<a id="pl.16.31"></a><var>16.31</var>discharged from probation.<br/>
<a id="pl.16.32"></a><var>16.32</var>(c) The disposition order must be accompanied by a notice to the school that the <br/>
<a id="pl.16.33"></a><var>16.33</var>school may obtain additional information from the juvenile's probation officer with the <br/>
<a id="pl.16.34"></a><var>16.34</var>consent of the juvenile or the juvenile's parents, as applicable. The disposition order must <br/>
<a id="pl.16.35"></a><var>16.35</var>be maintained, shared, or released only as provided in section 
         <statute_ref>121A.75</statute_ref>.<br/>
<a id="pl.17.1"></a><var>17.1</var>(d) The juvenile's probation officer shall maintain a record of disposition orders <br/>
<a id="pl.17.2"></a><var>17.2</var>released under this subdivision and the basis for the release.<br/>
<a id="pl.17.3"></a><var>17.3</var>(e) No later than September 1, 2002, the criminal and juvenile justice information <br/>
<a id="pl.17.4"></a><var>17.4</var>policy group, in consultation with representatives of probation officers and educators, shall <br/>
<a id="pl.17.5"></a><var>17.5</var>prepare standard forms for use by juvenile probation officers in forwarding information <br/>
<a id="pl.17.6"></a><var>17.6</var>to schools under this subdivision and in maintaining a record of the information that is <br/>
<a id="pl.17.7"></a><var>17.7</var>released. The group shall provide a copy of any forms or procedures developed under this <br/>
<a id="pl.17.8"></a><var>17.8</var>paragraph to the legislature by January 15, 2003.<br/>
<a id="pl.17.9"></a><var>17.9</var>(f) As used in this subdivision, "school" means a charter school or a school as <br/>
<a id="pl.17.10"></a><var>17.10</var>defined in section 
         <statute_ref>120A.22, subdivision 4</statute_ref>, except a home school.<br/>
<br/>
<a id="bill.2.11.0"></a><a id="pl.17.11"></a><var>17.11</var>    Sec. 11. Minnesota Statutes 2008, section 471.61, subdivision 1, is amended to read:<br/>
<a id="pl.17.12"></a><var>17.12</var>    Subdivision 1. <b>Officers, employees.</b> A county, municipal corporation, town, school <br/>
<a id="pl.17.13"></a><var>17.13</var>district, county extension committee, other political subdivision or other body corporate <br/>
<a id="pl.17.14"></a><var>17.14</var>and politic of this state, other than the state or any department of the state, through its <br/>
<a id="pl.17.15"></a><var>17.15</var>governing body, and any two or more subdivisions acting jointly through their governing <br/>
<a id="pl.17.16"></a><var>17.16</var>bodies, may insure or protect its or their officers and employees, and their dependents, or <br/>
<a id="pl.17.17"></a><var>17.17</var>any class or classes of officers, employees, or dependents, under a policy or policies or <br/>
<a id="pl.17.18"></a><var>17.18</var>contract or contracts of group insurance or benefits covering life, health, and accident, in <br/>
<a id="pl.17.19"></a><var>17.19</var>the case of employees, and medical and surgical benefits and hospitalization insurance <br/>
<a id="pl.17.20"></a><var>17.20</var>or benefits for both employees and dependents or dependents of an employee whose <br/>
<a id="pl.17.21"></a><var>17.21</var>death was due to causes arising out of and in the course of employment, or any one or <br/>
<a id="pl.17.22"></a><var>17.22</var>more of those forms of insurance or protection. A governmental unit, including county <br/>
<a id="pl.17.23"></a><var>17.23</var>extension committees and those paying their employees, may pay all or any part of <br/>
<a id="pl.17.24"></a><var>17.24</var>the premiums or charges on the insurance or protection. A payment is deemed to be <br/>
<a id="pl.17.25"></a><var>17.25</var>additional compensation paid to the officers or employees, but for purposes of determining <br/>
<a id="pl.17.26"></a><var>17.26</var>contributions or benefits under a public pension or retirement system it is not deemed <br/>
<a id="pl.17.27"></a><var>17.27</var>to be additional compensation. One or more governmental units may determine that <br/>
<a id="pl.17.28"></a><var>17.28</var>a person is an officer or employee if the person receives income from the governmental <br/>
<a id="pl.17.29"></a><var>17.29</var>subdivisions without regard to the manner of election or appointment, including but not <br/>
<a id="pl.17.30"></a><var>17.30</var>limited to employees of county historical societies that receive funding from the county <br/>
<a id="pl.17.31"></a><var>17.31</var>and employees of the Minnesota Inter-county Association. The appropriate officer of <br/>
<a id="pl.17.32"></a><var>17.32</var>the governmental unit, or those disbursing county extension funds, shall deduct from <br/>
<a id="pl.17.33"></a><var>17.33</var>the salary or wages of each officer and employee who elects to become insured or so <br/>
<a id="pl.17.34"></a><var>17.34</var>protected, on the officer's or employee's written order, all or part of the officer's or <br/>
<a id="pl.18.1"></a><var>18.1</var>employee's share of premiums or charges and remit the share or portion to the insurer or <br/>
<a id="pl.18.2"></a><var>18.2</var>company issuing the policy or contract.<br/>
<a id="pl.18.3"></a><var>18.3</var>A governmental unit, other than a school district, that pays all or part of the premiums <br/>
<a id="pl.18.4"></a><var>18.4</var>or charges is authorized to levy and collect a tax, if necessary, in the next annual tax levy <br/>
<a id="pl.18.5"></a><var>18.5</var>for the purpose of providing the necessary money for the payment of the premiums or <br/>
<a id="pl.18.6"></a><var>18.6</var>charges, and the sums levied and appropriated are not, in the event the sum exceeds the <br/>
<a id="pl.18.7"></a><var>18.7</var>maximum sum allowed by the charter of a municipal corporation, considered part of <br/>
<a id="pl.18.8"></a><var>18.8</var>the cost of government of the governmental unit as defined in any levy or expenditure <br/>
<a id="pl.18.9"></a><var>18.9</var>limitation; provided at least 50 percent of the cost of benefits on dependents must be <br/>
<a id="pl.18.10"></a><var>18.10</var>contributed by the employee or be paid by levies within existing charter tax limitations.<br/>
<a id="pl.18.11"></a><var>18.11</var>The word "dependents" as used in this subdivision means spouse and minor <br/>
<a id="pl.18.12"></a><var>18.12</var>unmarried children under the age of 18 years actually dependent upon the employee.<br/>
<a id="pl.18.13"></a><var>18.13</var>Notwithstanding any law to the contrary, a political subdivision described in this <br/>
<a id="pl.18.14"></a><var>18.14</var>subdivision may provide health benefits to its employees, dependents, and any class <br/>
<a id="pl.18.15"></a><var>18.15</var>or classes of officers, employers, or dependents through negotiated contributions to <br/>
<a id="pl.18.16"></a><var>18.16</var>self-funded multiemployer health and welfare funds.<br/>
<a id="pl.18.17"></a><var>18.17</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment; <br/>
<a id="pl.18.18"></a><var>18.18</var>applies to contributions made before, on, or after that date; and is intended as a clarification <br/>
<a id="pl.18.19"></a><var>18.19</var>of existing law.<br/>
<br/>
<a id="bill.2.12.0"></a><a id="pl.18.20"></a><var>18.20</var>    Sec. 12. <b> REPEALER.</b><br/>
<a id="pl.18.21"></a><var>18.21</var>Minnesota Rules, part 4668.0110, subpart 5, is repealed."<br/>
<a id="pl.18.22"></a><var>18.22</var>Delete the title and insert:<br/>

<a id="pl.18.25"></a><var>18.25</var>services mandates; making changes to residential treatment facilities; county <br/>
<a id="pl.18.26"></a><var>18.26</var>payment of cremation, burial, and funeral expenses; child welfare provisions; <br/>
<a id="pl.18.27"></a><var>18.27</var>health plan audits; nursing facilities; home health aides; inspections of day <br/>
<a id="pl.18.28"></a><var>18.28</var>training and habilitation facilities; changing certain health care provisions <br/>
<a id="pl.18.29"></a><var>18.29</var>relating to school districts, charter schools, and local governments;amending <br/>
<a id="pl.18.30"></a><var>18.30</var>Minnesota Statutes 2008, sections 62Q.37, subdivision 3; 144A.04, subdivision <br/>
<a id="pl.18.31"></a><var>18.31</var>11, by adding a subdivision; 144A.43, by adding a subdivision; 144A.45, <br/>
<a id="pl.18.32"></a><var>18.32</var>subdivision 1, by adding a subdivision; 147C.10, subdivision 2, as amended; <br/>
<a id="pl.18.33"></a><var>18.33</var>245.4882, subdivision 1; 245.4885, subdivisions 1, 1a; 256.935, subdivision 1; <br/>
<a id="pl.18.34"></a><var>18.34</var>256.962, subdivision 6; 256B.0945, subdivisions 1, 4; 256F.13, subdivision <br/>
<a id="pl.18.35"></a><var>18.35</var>1; 260B.171, subdivision 3; 260C.212, subdivisions 4a, 11; 261.035; 471.61, <br/>
<a id="pl.18.36"></a><var>18.36</var>subdivision 1; proposing coding for new law in Minnesota Statutes, chapter <br/>
<a id="pl.18.37"></a><var>18.37</var>245B; repealing Minnesota Rules, part 4668.0110, subpart 5."<br/>
         		We request the adoption of this report and repassage of the bill.House Conferees: (Signed) Kim Norton, Patti Fritz, Matt DeanSenate Conferees: (Signed) Ann Lynch, Ann H. Rest, David Hann
         <table>
<col width="50px"/>
<col width="252px"/>
<col width="42px"/>
<col width="252px"/>
<tr>
<td><a id="pl.19.1"></a><var>19.1</var><br/>
</td>
<td colspan="3">We request the adoption of this report and repassage of the bill.<br/>
</td>
</tr>
<tr>
<td><a id="pl.19.2"></a><var>19.2</var><br/>
</td>
<td>House Conferees:<span width="2em"></span>(Signed)<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.19.3"></a><var>19.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.19.4"></a><var>19.4</var><br/>
</td>
<td>Kim Norton<br/>
</td>
<td></td>
<td>Patti Fritz<br/>
</td>
</tr>
<tr>
<td><a id="pl.19.5"></a><var>19.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.19.6"></a><var>19.6</var><br/>
</td>
<td>Matt Dean<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.19.7"></a><var>19.7</var><br/>
</td>
<td>Senate Conferees:<span width="2em"></span>(Signed)<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.19.8"></a><var>19.8</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.19.9"></a><var>19.9</var><br/>
</td>
<td>Ann Lynch<br/>
</td>
<td></td>
<td>Ann H. Rest<br/>
</td>
</tr>
<tr>
<td><a id="pl.19.10"></a><var>19.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.19.11"></a><var>19.11</var><br/>
</td>
<td>David Hann<br/>
</td>
<td></td>
<td></td>
</tr>
</table>