<a id="pl.1.3"></a><var>1.3</var>license disqualifications and background study requirements; making other <br/>
<a id="pl.1.4"></a><var>1.4</var>changes to programs and services licensed by the Department of Human Services;<br/>
<a id="pl.1.5"></a><var>1.5</var>amending Minnesota Statutes 2008, sections 157.16, by adding a subdivision; <br/>
<a id="pl.1.6"></a><var>1.6</var>245.4871, subdivision 10; 245A.03, subdivision 2, by adding a subdivision; <br/>
<a id="pl.1.7"></a><var>1.7</var>245A.04, subdivisions 5, 7; 245A.05; 245A.07, subdivisions 1, 3; 245A.10, <br/>
<a id="pl.1.8"></a><var>1.8</var>subdivisions 2, 3; 245A.11, by adding subdivisions; 245A.1435; 245A.144; <br/>
<a id="pl.1.9"></a><var>1.9</var>245A.1444; 245A.16, subdivisions 1, 3; 245A.40, subdivision 5; 245A.50, <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivision 5; 245C.03, subdivision 1; 245C.04, subdivision 1; 245C.05, <br/>
<a id="pl.1.11"></a><var>1.11</var>subdivision 4, by adding a subdivision; 245C.07; 245C.08, subdivision 2; <br/>
<a id="pl.1.12"></a><var>1.12</var>245C.10, by adding a subdivision; 245C.13, subdivision 2; 245C.15, subdivisions <br/>
<a id="pl.1.13"></a><var>1.13</var>1, 2, 3, 4; 245C.17, by adding a subdivision; 245C.20; 245C.21, subdivision <br/>
<a id="pl.1.14"></a><var>1.14</var>1a; 245C.23, subdivision 2; 245C.24, subdivisions 2, 3; 245C.25; 245C.27, <br/>
<a id="pl.1.15"></a><var>1.15</var>subdivision 1; 256.045, subdivisions 3, 3b; 256B.0943, subdivisions 4, 6, 9; <br/>
<a id="pl.1.16"></a><var>1.16</var>256D.44, subdivision 5; 626.556, subdivisions 2, 10e, 10f; 626.557, subdivision <br/>
<a id="pl.1.17"></a><var>1.17</var>9c; 626.5572, subdivision 13; proposing coding for new law in Minnesota <br/>
<a id="pl.1.18"></a><var>1.18</var>Statutes, chapters 245B; 256; repealing Minnesota Statutes 2008, section <br/>
<a id="pl.1.19"></a><var>1.19</var>245C.10, subdivision 1; Minnesota Rules, part 9555.6125, subpart 4, item B.<br/>
<a id="pl.1.20"></a><var>1.20</var>BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:<br/>
<br/>
<a id="bill.0.1.0"></a><a id="pl.1.21"></a><var>1.21</var>    Section 1. Minnesota Statutes 2008, section 157.16, is amended by adding a <br/>
<a id="pl.1.22"></a><var>1.22</var>subdivision to read:<br/>
<a id="pl.1.23"></a><var>1.23</var>    Subd. 5. <b>Exemption for certain establishments.</b> This section does not apply to <br/>
<a id="pl.1.24"></a><var>1.24</var>group residential facilities of ten or fewer beds licensed by the commissioner of human <br/>
<a id="pl.1.25"></a><var>1.25</var>services under Minnesota Rules, chapter 2960, provided the facility employs or contracts <br/>
<a id="pl.1.26"></a><var>1.26</var>with a certified food manager under Minnesota Rules, part 4626.2015.<br/>
<br/>
<a id="bill.0.2.0"></a><a id="pl.1.27"></a><var>1.27</var>    Sec. 2. Minnesota Statutes 2008, section 245.4871, subdivision 10, is amended to read:<br/>
<a id="pl.2.1"></a><var>2.1</var>    Subd. 10. <b>Day treatment services.</b> "Day treatment," "day treatment services," or <br/>
<a id="pl.2.2"></a><var>2.2</var>"day treatment program" means a structured program of treatment and care provided to a <br/>
<a id="pl.2.3"></a><var>2.3</var>child in:<br/>
<a id="pl.2.4"></a><var>2.4</var>    (1) an outpatient hospital accredited by the Joint Commission on Accreditation of <br/>
<a id="pl.2.5"></a><var>2.5</var>Health Organizations and licensed under sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.55</statute_ref>;  <br/>
<a id="pl.2.6"></a><var>2.6</var>    (2) a community mental health center under section 
         <statute_ref>245.62</statute_ref>;  <br/>
<a id="pl.2.7"></a><var>2.7</var>    (3) an entity that is under contract with the county board to operate a program that <br/>
<a id="pl.2.8"></a><var>2.8</var>meets the requirements of section 
         <statute_ref>245.4884, subdivision 2</statute_ref>, and Minnesota Rules, parts <br/>
<a id="pl.2.9"></a><var>2.9</var>9505.0170 to 9505.0475; or  <br/>
<a id="pl.2.10"></a><var>2.10</var>    (4) an entity that operates a program that meets the requirements of section <br/>
<statute_ref><a id="pl.2.11"></a><var>2.11</var>245.4884, subdivision 2
         </statute_ref>, and Minnesota Rules, parts 9505.0170 to 9505.0475, that is <br/>
<a id="pl.2.12"></a><var>2.12</var>under contract with an entity that is under contract with a county board.  <br/>
<a id="pl.2.13"></a><var>2.13</var>    Day treatment consists of group psychotherapy and other intensive therapeutic <br/>
<a id="pl.2.14"></a><var>2.14</var>services that are provided for a minimum three-hour two-hour  time block by a <br/>
<a id="pl.2.15"></a><var>2.15</var>multidisciplinary staff under the clinical supervision of a mental health professional. <br/>
<a id="pl.2.16"></a><var>2.16</var>Day treatment may include education and consultation provided to families and <br/>
<a id="pl.2.17"></a><var>2.17</var>other individuals as an extension of the treatment process. The services are aimed at <br/>
<a id="pl.2.18"></a><var>2.18</var>stabilizing the child's mental health status, and developing and improving the child's daily <br/>
<a id="pl.2.19"></a><var>2.19</var>independent living and socialization skills. Day treatment services are distinguished from <br/>
<a id="pl.2.20"></a><var>2.20</var>day care by their structured therapeutic program of psychotherapy services. Day treatment <br/>
<a id="pl.2.21"></a><var>2.21</var>services are not a part of inpatient hospital or residential treatment services. Day treatment <br/>
<a id="pl.2.22"></a><var>2.22</var>services for a child are an integrated set of education, therapy, and family interventions.<br/>
<a id="pl.2.23"></a><var>2.23</var>    A day treatment service must be available to a child at least five days up to 15 hours <br/>
<a id="pl.2.24"></a><var>2.24</var> a week throughout the year and must be coordinated with, integrated with, or part of an <br/>
<a id="pl.2.25"></a><var>2.25</var>education program offered by the child's school.<br/>
<br/>
<a id="bill.0.3.0"></a><a id="pl.2.26"></a><var>2.26</var>    Sec. 3. Minnesota Statutes 2008, section 245A.03, subdivision 2, is amended to read:<br/>
<a id="pl.2.27"></a><var>2.27</var>    Subd. 2. <b>Exclusion from licensure.</b> (a) This chapter does not apply to:<br/>
<a id="pl.2.28"></a><var>2.28</var>    (1) residential or nonresidential programs that are provided to a person by an <br/>
<a id="pl.2.29"></a><var>2.29</var>individual who is related unless the residential program is a child foster care placement <br/>
<a id="pl.2.30"></a><var>2.30</var>made by a local social services agency or a licensed child-placing agency, except as <br/>
<a id="pl.2.31"></a><var>2.31</var>provided in subdivision 2a;<br/>
<a id="pl.2.32"></a><var>2.32</var>    (2) nonresidential programs that are provided by an unrelated individual to persons <br/>
<a id="pl.2.33"></a><var>2.33</var>from a single related family;<br/>
<a id="pl.3.1"></a><var>3.1</var>    (3) residential or nonresidential programs that are provided to adults who do <br/>
<a id="pl.3.2"></a><var>3.2</var>not abuse chemicals or who do not have a chemical dependency, a mental illness, a <br/>
<a id="pl.3.3"></a><var>3.3</var>developmental disability, a functional impairment, or a physical disability;<br/>
<a id="pl.3.4"></a><var>3.4</var>    (4) sheltered workshops or work activity programs that are certified by the <br/>
<a id="pl.3.5"></a><var>3.5</var>commissioner of economic security;<br/>
<a id="pl.3.6"></a><var>3.6</var>    (5) programs operated by a public school for children 33 months or older;<br/>
<a id="pl.3.7"></a><var>3.7</var>    (6) nonresidential programs primarily for children that provide care or supervision <br/>
<a id="pl.3.8"></a><var>3.8</var>for periods of less than three hours a day while the child's parent or legal guardian is in <br/>
<a id="pl.3.9"></a><var>3.9</var>the same building as the nonresidential program or present within another building that is <br/>
<a id="pl.3.10"></a><var>3.10</var>directly contiguous to the building in which the nonresidential program is located;<br/>
<a id="pl.3.11"></a><var>3.11</var>    (7) nursing homes or hospitals licensed by the commissioner of health except as <br/>
<a id="pl.3.12"></a><var>3.12</var>specified under section 
         <statute_ref>245A.02</statute_ref>;<br/>
<a id="pl.3.13"></a><var>3.13</var>    (8) board and lodge facilities licensed by the commissioner of health that provide <br/>
<a id="pl.3.14"></a><var>3.14</var>services for five or more persons whose primary diagnosis is mental illness that do not <br/>
<a id="pl.3.15"></a><var>3.15</var>provide intensive residential treatment;<br/>
<a id="pl.3.16"></a><var>3.16</var>    (9) homes providing programs for persons placed by a county or a licensed agency <br/>
<a id="pl.3.17"></a><var>3.17</var>for legal adoption, unless the adoption is not completed within two years;<br/>
<a id="pl.3.18"></a><var>3.18</var>    (10) programs licensed by the commissioner of corrections;<br/>
<a id="pl.3.19"></a><var>3.19</var>    (11) recreation programs for children or adults that are operated or approved by a <br/>
<a id="pl.3.20"></a><var>3.20</var>park and recreation board whose primary purpose is to provide social and recreational <br/>
<a id="pl.3.21"></a><var>3.21</var>activities;<br/>
<a id="pl.3.22"></a><var>3.22</var>    (12) programs operated by a school as defined in section 
         <statute_ref>120A.22, subdivision <br/>
<a id="pl.3.23"></a><var>3.23</var>4
         </statute_ref>,; YMCA as defined in section 315.44; YWCA as defined in section 315.44; or JCC as <br/>
<a id="pl.3.24"></a><var>3.24</var>defined in section 315.51, whose primary purpose is to provide child care to school-age <br/>
<a id="pl.3.25"></a><var>3.25</var>children;<br/>
<a id="pl.3.26"></a><var>3.26</var>    (13) Head Start nonresidential programs which operate for less than 45 days in <br/>
<a id="pl.3.27"></a><var>3.27</var>each calendar year;<br/>
<a id="pl.3.28"></a><var>3.28</var>    (14) noncertified boarding care homes unless they provide services for five or more <br/>
<a id="pl.3.29"></a><var>3.29</var>persons whose primary diagnosis is mental illness or a developmental disability;<br/>
<a id="pl.3.30"></a><var>3.30</var>    (15) programs for children such as scouting, boys clubs, girls clubs, and sports and <br/>
<a id="pl.3.31"></a><var>3.31</var>art programs, and nonresidential programs for children provided for a cumulative total of <br/>
<a id="pl.3.32"></a><var>3.32</var>less than 30 days in any 12-month period;<br/>
<a id="pl.3.33"></a><var>3.33</var>    (16) residential programs for persons with mental illness, that are located in hospitals;<br/>
<a id="pl.3.34"></a><var>3.34</var>    (17) the religious instruction of school-age children; Sabbath or Sunday schools; or <br/>
<a id="pl.3.35"></a><var>3.35</var>the congregate care of children by a church, congregation, or religious society during the <br/>
<a id="pl.3.36"></a><var>3.36</var>period used by the church, congregation, or religious society for its regular worship;<br/>
<a id="pl.4.1"></a><var>4.1</var>    (18) camps licensed by the commissioner of health under Minnesota Rules, chapter <br/>
<a id="pl.4.2"></a><var>4.2</var>4630;<br/>
<a id="pl.4.3"></a><var>4.3</var>    (19) mental health outpatient services for adults with mental illness or children <br/>
<a id="pl.4.4"></a><var>4.4</var>with emotional disturbance;<br/>
<a id="pl.4.5"></a><var>4.5</var>    (20) residential programs serving school-age children whose sole purpose is cultural <br/>
<a id="pl.4.6"></a><var>4.6</var>or educational exchange, until the commissioner adopts appropriate rules;<br/>
<a id="pl.4.7"></a><var>4.7</var>    (21) unrelated individuals who provide out-of-home respite care services to persons <br/>
<a id="pl.4.8"></a><var>4.8</var>with developmental disabilities from a single related family for no more than 90 days in a <br/>
<a id="pl.4.9"></a><var>4.9</var>12-month period and the respite care services are for the temporary relief of the person's <br/>
<a id="pl.4.10"></a><var>4.10</var>family or legal representative;<br/>
<a id="pl.4.11"></a><var>4.11</var>    (22) respite care services provided as a home and community-based service to a <br/>
<a id="pl.4.12"></a><var>4.12</var>person with a developmental disability, in the person's primary residence;<br/>
<a id="pl.4.13"></a><var>4.13</var>    (23) community support services programs as defined in section 
         <statute_ref>245.462, subdivision <br/>
<a id="pl.4.14"></a><var>4.14</var>6
         </statute_ref>, and family community support services as defined in section 
         <statute_ref>245.4871, subdivision 17</statute_ref>;<br/>
<a id="pl.4.15"></a><var>4.15</var>    (24) the placement of a child by a birth parent or legal guardian in a preadoptive <br/>
<a id="pl.4.16"></a><var>4.16</var>home for purposes of adoption as authorized by section 
         <statute_ref>259.47</statute_ref>;<br/>
<a id="pl.4.17"></a><var>4.17</var>    (25) settings registered under chapter 144D which provide home care services <br/>
<a id="pl.4.18"></a><var>4.18</var>licensed by the commissioner of health to fewer than seven adults; or<br/>
<a id="pl.4.19"></a><var>4.19</var>    (26) chemical dependency or substance abuse treatment activities of licensed <br/>
<a id="pl.4.20"></a><var>4.20</var>professionals in private practice as defined in Minnesota Rules, part 9530.6405, subpart <br/>
<a id="pl.4.21"></a><var>4.21</var>15, when the treatment activities are not paid for by the consolidated chemical dependency <br/>
<a id="pl.4.22"></a><var>4.22</var>treatment fund; <br/>
<a id="pl.4.23"></a><var>4.23</var>(27) consumer-directed community support service funded under the Medicaid <br/>
<a id="pl.4.24"></a><var>4.24</var>waiver for persons with developmental disabilities when the individual who provided <br/>
<a id="pl.4.25"></a><var>4.25</var>the service is:<br/>
<a id="pl.4.26"></a><var>4.26</var>    (i) the same individual who is the direct payee of these specific waiver funds or paid <br/>
<a id="pl.4.27"></a><var>4.27</var>by a fiscal agent, fiscal intermediary, or employer of record; and<br/>
<a id="pl.4.28"></a><var>4.28</var>    (ii) not otherwise under the control of a residential or nonresidential program that is <br/>
<a id="pl.4.29"></a><var>4.29</var>required to be licensed under this chapter when providing the service.; or<br/>
<a id="pl.4.30"></a><var>4.30</var>    (28) a program serving only children who are age 33 months or older, that is <br/>
<a id="pl.4.31"></a><var>4.31</var>operated by a nonpublic school, for no more than four hours per day per child, with no <br/>
<a id="pl.4.32"></a><var>4.32</var>more than 20 children at any one time, and that is accredited by:<br/>
<a id="pl.4.33"></a><var>4.33</var>    (i) an accrediting agency that is formally recognized by the commissioner of <br/>
<a id="pl.4.34"></a><var>4.34</var>education as a nonpublic school accrediting organization; or<br/>
<a id="pl.4.35"></a><var>4.35</var>    (ii) an accrediting agency that requires background studies and that receives and <br/>
<a id="pl.4.36"></a><var>4.36</var>investigates complaints about the services provided.<br/>
<a id="pl.5.1"></a><var>5.1</var>    A program that asserts its exemption from licensure under item (ii) shall, upon <br/>
<a id="pl.5.2"></a><var>5.2</var>request from the commissioner, provide the commissioner with documentation from the <br/>
<a id="pl.5.3"></a><var>5.3</var>accrediting agency that verifies: that the accreditation is current; that the accrediting <br/>
<a id="pl.5.4"></a><var>5.4</var>agency investigates complaints about services; and that the accrediting agency's standards <br/>
<a id="pl.5.5"></a><var>5.5</var>require background studies on all people providing direct contact services.<br/>
<a id="pl.5.6"></a><var>5.6</var>    (b) For purposes of paragraph (a), clause (6), a building is directly contiguous to a <br/>
<a id="pl.5.7"></a><var>5.7</var>building in which a nonresidential program is located if it shares a common wall with the <br/>
<a id="pl.5.8"></a><var>5.8</var>building in which the nonresidential program is located or is attached to that building by <br/>
<a id="pl.5.9"></a><var>5.9</var>skyway, tunnel, atrium, or common roof.<br/>
<a id="pl.5.10"></a><var>5.10</var>    (c) Nothing in this chapter shall be construed to require licensure for any services <br/>
<a id="pl.5.11"></a><var>5.11</var>provided and funded according to an approved federal waiver plan where licensure is <br/>
<a id="pl.5.12"></a><var>5.12</var>specifically identified as not being a condition for the services and funding.<br/>
<br/>
<a id="bill.0.4.0"></a><a id="pl.5.13"></a><var>5.13</var>    Sec. 4. Minnesota Statutes 2008, section 245A.03, is amended by adding a subdivision <br/>
<a id="pl.5.14"></a><var>5.14</var>to read:<br/>
<a id="pl.5.15"></a><var>5.15</var>    Subd. 7. <b>Excluded providers seeking licensure.</b> Nothing in this section shall <br/>
<a id="pl.5.16"></a><var>5.16</var>prohibit a program that is excluded from licensure under subdivision 2, paragraph (a), <br/>
<a id="pl.5.17"></a><var>5.17</var>clause (28), from seeking licensure. The commissioner shall ensure that any application <br/>
<a id="pl.5.18"></a><var>5.18</var>received from such an excluded provider is processed in the same manner as all other <br/>
<a id="pl.5.19"></a><var>5.19</var>applications for child care center licensure.<br/>
<br/>
<a id="bill.0.5.0"></a><a id="pl.5.20"></a><var>5.20</var>    Sec. 5. Minnesota Statutes 2008, section 245A.04, subdivision 5, is amended to read:<br/>
<a id="pl.5.21"></a><var>5.21</var>    Subd. 5. <b>Commissioner's right of access.</b> When the commissioner is exercising the <br/>
<a id="pl.5.22"></a><var>5.22</var>powers conferred by this chapter and section sections
<statute_ref>245.69</statute_ref>, 626.556, and 626.557, the <br/>
<a id="pl.5.23"></a><var>5.23</var>commissioner must be given access to the physical plant and grounds where the program <br/>
<a id="pl.5.24"></a><var>5.24</var>is provided, documents and records, including records maintained in electronic format, <br/>
<a id="pl.5.25"></a><var>5.25</var>persons served by the program, and staff whenever the program is in operation and the <br/>
<a id="pl.5.26"></a><var>5.26</var>information is relevant to inspections or investigations conducted by the commissioner. <br/>
<a id="pl.5.27"></a><var>5.27</var>The commissioner must be given access without prior notice and as often as the <br/>
<a id="pl.5.28"></a><var>5.28</var>commissioner considers necessary if the commissioner is conducting an investigation of <br/>
<a id="pl.5.29"></a><var>5.29</var>allegations of maltreatment or other violation of applicable laws or rules. In conducting <br/>
<a id="pl.5.30"></a><var>5.30</var>inspections, the commissioner may request and shall receive assistance from other state, <br/>
<a id="pl.5.31"></a><var>5.31</var>county, and municipal governmental agencies and departments. The applicant or license <br/>
<a id="pl.5.32"></a><var>5.32</var>holder shall allow the commissioner to photocopy, photograph, and make audio and video <br/>
<a id="pl.5.33"></a><var>5.33</var>tape recordings during the inspection of the program at the commissioner's expense. The <br/>
<a id="pl.6.1"></a><var>6.1</var>commissioner shall obtain a court order or the consent of the subject of the records or the <br/>
<a id="pl.6.2"></a><var>6.2</var>parents or legal guardian of the subject before photocopying hospital medical records. <br/>
<a id="pl.6.3"></a><var>6.3</var>Persons served by the program have the right to refuse to consent to be interviewed, <br/>
<a id="pl.6.4"></a><var>6.4</var>photographed, or audio or videotaped. Failure or refusal of an applicant or license holder <br/>
<a id="pl.6.5"></a><var>6.5</var>to fully comply with this subdivision is reasonable cause for the commissioner to deny the <br/>
<a id="pl.6.6"></a><var>6.6</var>application or immediately suspend or revoke the license.<br/>
<br/>
<a id="bill.0.6.0"></a><a id="pl.6.7"></a><var>6.7</var>    Sec. 6. Minnesota Statutes 2008, section 245A.04, subdivision 7, is amended to read:<br/>
<a id="pl.6.8"></a><var>6.8</var>    Subd. 7. <b>Grant of license; license extension.</b> (a) If the commissioner determines <br/>
<a id="pl.6.9"></a><var>6.9</var>that the program complies with all applicable rules and laws, the commissioner shall issue <br/>
<a id="pl.6.10"></a><var>6.10</var>a license. At minimum, the license shall state:<br/>
<a id="pl.6.11"></a><var>6.11</var>(1) the name of the license holder;<br/>
<a id="pl.6.12"></a><var>6.12</var>(2) the address of the program;<br/>
<a id="pl.6.13"></a><var>6.13</var>(3) the effective date and expiration date of the license;<br/>
<a id="pl.6.14"></a><var>6.14</var>(4) the type of license;<br/>
<a id="pl.6.15"></a><var>6.15</var>(5) the maximum number and ages of persons that may receive services from the <br/>
<a id="pl.6.16"></a><var>6.16</var>program; and<br/>
<a id="pl.6.17"></a><var>6.17</var>(6) any special conditions of licensure.<br/>
<a id="pl.6.18"></a><var>6.18</var>(b) The commissioner may issue an initial license for a period not to exceed two <br/>
<a id="pl.6.19"></a><var>6.19</var>years if:<br/>
<a id="pl.6.20"></a><var>6.20</var>(1) the commissioner is unable to conduct the evaluation or observation required <br/>
<a id="pl.6.21"></a><var>6.21</var>by subdivision 4, paragraph (a), clauses (3) and (4), because the program is not yet <br/>
<a id="pl.6.22"></a><var>6.22</var>operational;<br/>
<a id="pl.6.23"></a><var>6.23</var>(2) certain records and documents are not available because persons are not yet <br/>
<a id="pl.6.24"></a><var>6.24</var>receiving services from the program; and<br/>
<a id="pl.6.25"></a><var>6.25</var>(3) the applicant complies with applicable laws and rules in all other respects.<br/>
<a id="pl.6.26"></a><var>6.26</var>(c) A decision by the commissioner to issue a license does not guarantee that any <br/>
<a id="pl.6.27"></a><var>6.27</var>person or persons will be placed or cared for in the licensed program. A license shall not <br/>
<a id="pl.6.28"></a><var>6.28</var>be transferable to another individual, corporation, partnership, voluntary association, other <br/>
<a id="pl.6.29"></a><var>6.29</var>organization, or controlling individual or to another location.<br/>
<a id="pl.6.30"></a><var>6.30</var>(d) A license holder must notify the commissioner and obtain the commissioner's <br/>
<a id="pl.6.31"></a><var>6.31</var>approval before making any changes that would alter the license information listed under <br/>
<a id="pl.6.32"></a><var>6.32</var>paragraph (a).<br/>
<a id="pl.6.33"></a><var>6.33</var>(e) The commissioner shall not issue or reissue a license if the applicant, license <br/>
<a id="pl.6.34"></a><var>6.34</var>holder, or controlling individual has:<br/>
<a id="pl.7.1"></a><var>7.1</var>(1) been disqualified and the disqualification was not set aside and no variance has <br/>
<a id="pl.7.2"></a><var>7.2</var>been granted;<br/>
<a id="pl.7.3"></a><var>7.3</var>(2) has been denied a license within the past two years; or<br/>
<a id="pl.7.4"></a><var>7.4</var>(3) had a license revoked within the past five years; or<br/>
<a id="pl.7.5"></a><var>7.5</var>(4) has an outstanding debt related to a license fee, licensing fine, or settlement <br/>
<a id="pl.7.6"></a><var>7.6</var>agreement for which payment is delinquent.<br/>
<a id="pl.7.7"></a><var>7.7</var>When a license is revoked under clause (1) or (3), the license holder and controlling <br/>
<a id="pl.7.8"></a><var>7.8</var>individual may not hold any license under chapter 245A or 245B for five years following <br/>
<a id="pl.7.9"></a><var>7.9</var>the revocation, and other licenses held by the applicant, license holder, or controlling <br/>
<a id="pl.7.10"></a><var>7.10</var>individual shall also be revoked.<br/>
<a id="pl.7.11"></a><var>7.11</var>(f) The commissioner shall not issue a license if an individual living in the household <br/>
<a id="pl.7.12"></a><var>7.12</var>where the licensed services will be provided as specified under section 
         <statute_ref>245C.03, <br/>
<a id="pl.7.13"></a><var>7.13</var>subdivision 1
         </statute_ref>, has been disqualified and the disqualification has not been set aside and no <br/>
<a id="pl.7.14"></a><var>7.14</var>variance has been granted.<br/>
<a id="pl.7.15"></a><var>7.15</var>(g) For purposes of reimbursement for meals only, under the Child and Adult Care <br/>
<a id="pl.7.16"></a><var>7.16</var>Food Program, Code of Federal Regulations, title 7, subtitle B, chapter II, subchapter A, <br/>
<a id="pl.7.17"></a><var>7.17</var>part 226, relocation within the same county by a licensed family day care provider, shall <br/>
<a id="pl.7.18"></a><var>7.18</var>be considered an extension of the license for a period of no more than 30 calendar days or <br/>
<a id="pl.7.19"></a><var>7.19</var>until the new license is issued, whichever occurs first, provided the county agency has <br/>
<a id="pl.7.20"></a><var>7.20</var>determined the family day care provider meets licensure requirements at the new location.<br/>
<a id="pl.7.21"></a><var>7.21</var>(h) Unless otherwise specified by statute, all licenses expire at 12:01 a.m. on the <br/>
<a id="pl.7.22"></a><var>7.22</var>day after the expiration date stated on the license. A license holder must apply for and <br/>
<a id="pl.7.23"></a><var>7.23</var>be granted a new license to operate the program or the program must not be operated <br/>
<a id="pl.7.24"></a><var>7.24</var>after the expiration date.<br/>
<br/>
<a id="bill.0.7.0"></a><a id="pl.7.25"></a><var>7.25</var>    Sec. 7. Minnesota Statutes 2008, section 245A.05, is amended to read:<br/>
<a id="pl.7.26"></a><var>7.26</var><b>245A.05 DENIAL OF APPLICATION.</b><br/>
<a id="pl.7.27"></a><var>7.27</var>(a) The commissioner may deny a license if an applicant or controlling individual: <br/>
<a id="pl.7.28"></a><var>7.28</var>(1) fails to comply with applicable laws or rules, or; (2) knowingly withholds relevant <br/>
<a id="pl.7.29"></a><var>7.29</var>information from or gives false or misleading information to the commissioner in <br/>
<a id="pl.7.30"></a><var>7.30</var>connection with an application for a license or during an investigation; (3) has a <br/>
<a id="pl.7.31"></a><var>7.31</var>disqualification which has not been set aside under section 245C.22 and no variance has <br/>
<a id="pl.7.32"></a><var>7.32</var>been granted; or (4) has an individual required to have a background study under section <br/>
<a id="pl.7.33"></a><var>7.33</var>245C.03, subdivision 1, paragraph (a), clause (2) or (6), that has a disqualification which <br/>
<a id="pl.7.34"></a><var>7.34</var>has not been set aside under section 245C.22 and no variance has been granted. <br/>
<a id="pl.8.1"></a><var>8.1</var>(b) An applicant whose application has been denied by the commissioner must <br/>
<a id="pl.8.2"></a><var>8.2</var>be given notice of the denial. Notice must be given by certified mail or personal <br/>
<a id="pl.8.3"></a><var>8.3</var>service. The notice must state the reasons the application was denied and must inform <br/>
<a id="pl.8.4"></a><var>8.4</var>the applicant of the right to a contested case hearing under chapter 14 and Minnesota <br/>
<a id="pl.8.5"></a><var>8.5</var>Rules, parts 1400.8505 to 1400.8612. The applicant may appeal the denial by notifying <br/>
<a id="pl.8.6"></a><var>8.6</var>the commissioner in writing by certified mail or personal service within 20 calendar <br/>
<a id="pl.8.7"></a><var>8.7</var>days after receiving notice that the application was denied. If mailed, the appeal must be <br/>
<a id="pl.8.8"></a><var>8.8</var>postmarked and sent to the commissioner within 20 calendar days after the applicant <br/>
<a id="pl.8.9"></a><var>8.9</var>received the notice of denial. If an appeal request is made by personal service, it must <br/>
<a id="pl.8.10"></a><var>8.10</var>be received by the commissioner within 20 calendar days after the applicant received the <br/>
<a id="pl.8.11"></a><var>8.11</var>notice of denial. Section 
         <statute_ref>245A.08</statute_ref> applies to hearings held to appeal the commissioner's <br/>
<a id="pl.8.12"></a><var>8.12</var>denial of an application.  <br/>
<br/>
<a id="bill.0.8.0"></a><a id="pl.8.13"></a><var>8.13</var>    Sec. 8. Minnesota Statutes 2008, section 245A.07, subdivision 1, is amended to read:<br/>
<a id="pl.8.14"></a><var>8.14</var>    Subdivision 1. <b>Sanctions; appeals; license.</b> (a) In addition to making a license <br/>
<a id="pl.8.15"></a><var>8.15</var>conditional under section 
         <statute_ref>245A.06</statute_ref>, the commissioner may propose to suspend or revoke <br/>
<a id="pl.8.16"></a><var>8.16</var>the license, impose a fine, or secure an injunction against the continuing operation of the <br/>
<a id="pl.8.17"></a><var>8.17</var>program of a license holder who does not comply with applicable law or rule. When <br/>
<a id="pl.8.18"></a><var>8.18</var>applying sanctions authorized under this section, the commissioner shall consider the <br/>
<a id="pl.8.19"></a><var>8.19</var>nature, chronicity, or severity of the violation of law or rule and the effect of the violation <br/>
<a id="pl.8.20"></a><var>8.20</var>on the health, safety, or rights of persons served by the program.<br/>
<a id="pl.8.21"></a><var>8.21</var>(b) If a license holder appeals the suspension or revocation of a license and the <br/>
<a id="pl.8.22"></a><var>8.22</var>license holder continues to operate the program pending a final order on the appeal, and <br/>
<a id="pl.8.23"></a><var>8.23</var>the license expires during this time period, the commissioner shall issue the license holder <br/>
<a id="pl.8.24"></a><var>8.24</var>a temporary provisional license. The temporary provisional license is effective on the date <br/>
<a id="pl.8.25"></a><var>8.25</var>issued and expires on the date that a final order is issued. Unless otherwise specified by <br/>
<a id="pl.8.26"></a><var>8.26</var>the commissioner, variances in effect on the date of the license sanction under appeal <br/>
<a id="pl.8.27"></a><var>8.27</var>continue under the temporary provisional license. If a license holder fails to comply <br/>
<a id="pl.8.28"></a><var>8.28</var>with applicable law or rule while operating under a temporary provisional license, the <br/>
<a id="pl.8.29"></a><var>8.29</var>commissioner may impose sanctions under this section and section 
         <statute_ref>245A.06</statute_ref>, and may <br/>
<a id="pl.8.30"></a><var>8.30</var>terminate any prior variance. If the license holder prevails on the appeal and the effective <br/>
<a id="pl.8.31"></a><var>8.31</var>period of the previous license has expired, a new license shall be issued to the license <br/>
<a id="pl.8.32"></a><var>8.32</var>holder upon payment of any fee required under section 
         <statute_ref>245A.10</statute_ref>. The effective date of the <br/>
<a id="pl.8.33"></a><var>8.33</var>new license shall be retroactive to the date the license would have shown had no sanction <br/>
<a id="pl.8.34"></a><var>8.34</var>been initiated. The expiration date shall be the expiration date of that license had no <br/>
<a id="pl.8.35"></a><var>8.35</var>license sanction been initiated.<br/>
<a id="pl.9.1"></a><var>9.1</var>(c) If a license holder is under investigation and the license is due to expire <br/>
<a id="pl.9.2"></a><var>9.2</var>before completion of the investigation, the program shall be issued a new license upon <br/>
<a id="pl.9.3"></a><var>9.3</var>completion of the reapplication requirements. Upon completion of the investigation, a <br/>
<a id="pl.9.4"></a><var>9.4</var>licensing sanction may be imposed against the new license under this section, section <br/>
<statute_ref><a id="pl.9.5"></a><var>9.5</var>245A.06
         </statute_ref>, or 
         <statute_ref>245A.08</statute_ref>.<br/>
<a id="pl.9.6"></a><var>9.6</var>(d) Failure to reapply or closure of a license by the license holder prior to the <br/>
<a id="pl.9.7"></a><var>9.7</var>completion of any investigation shall not preclude the commissioner from issuing a <br/>
<a id="pl.9.8"></a><var>9.8</var>licensing sanction under this section, section 
         <statute_ref>245A.06</statute_ref>, or 
         <statute_ref>245A.08</statute_ref> at the conclusion <br/>
<a id="pl.9.9"></a><var>9.9</var>of the investigation.<br/>
<br/>
<a id="bill.0.9.0"></a><a id="pl.9.10"></a><var>9.10</var>    Sec. 9. Minnesota Statutes 2008, section 245A.07, subdivision 3, is amended to read:<br/>
<a id="pl.9.11"></a><var>9.11</var>    Subd. 3. <b>License suspension, revocation, or fine.</b> (a) The commissioner may <br/>
<a id="pl.9.12"></a><var>9.12</var>suspend or revoke a license, or impose a fine if a license holder fails to comply fully with <br/>
<a id="pl.9.13"></a><var>9.13</var>applicable laws or rules, if a license holder, a controlling individual, or an individual <br/>
<a id="pl.9.14"></a><var>9.14</var>living in the household where the licensed services are provided or is otherwise subject <br/>
<a id="pl.9.15"></a><var>9.15</var>to a background study has a disqualification which has not been set aside under section <br/>
<statute_ref><a id="pl.9.16"></a><var>9.16</var>245C.22
         </statute_ref>, or if a license holder knowingly withholds relevant information from or gives <br/>
<a id="pl.9.17"></a><var>9.17</var>false or misleading information to the commissioner in connection with an application <br/>
<a id="pl.9.18"></a><var>9.18</var>for a license, in connection with the background study status of an individual, during an <br/>
<a id="pl.9.19"></a><var>9.19</var>investigation, or regarding compliance with applicable laws or rules. A license holder <br/>
<a id="pl.9.20"></a><var>9.20</var>who has had a license suspended, revoked, or has been ordered to pay a fine must be <br/>
<a id="pl.9.21"></a><var>9.21</var>given notice of the action by certified mail or personal service. If mailed, the notice <br/>
<a id="pl.9.22"></a><var>9.22</var>must be mailed to the address shown on the application or the last known address of the <br/>
<a id="pl.9.23"></a><var>9.23</var>license holder. The notice must state the reasons the license was suspended, revoked, or <br/>
<a id="pl.9.24"></a><var>9.24</var>a fine was ordered.<br/>
<a id="pl.9.25"></a><var>9.25</var>    (b) If the license was suspended or revoked, the notice must inform the license <br/>
<a id="pl.9.26"></a><var>9.26</var>holder of the right to a contested case hearing under chapter 14 and Minnesota Rules, parts <br/>
<a id="pl.9.27"></a><var>9.27</var>1400.8505 to 1400.8612. The license holder may appeal an order suspending or revoking <br/>
<a id="pl.9.28"></a><var>9.28</var>a license. The appeal of an order suspending or revoking a license must be made in writing <br/>
<a id="pl.9.29"></a><var>9.29</var>by certified mail or personal service. If mailed, the appeal must be postmarked and sent to <br/>
<a id="pl.9.30"></a><var>9.30</var>the commissioner within ten calendar days after the license holder receives notice that the <br/>
<a id="pl.9.31"></a><var>9.31</var>license has been suspended or revoked. If a request is made by personal service, it must be <br/>
<a id="pl.9.32"></a><var>9.32</var>received by the commissioner within ten calendar days after the license holder received <br/>
<a id="pl.9.33"></a><var>9.33</var>the order. Except as provided in subdivision 2a, paragraph (c), if a license holder submits <br/>
<a id="pl.9.34"></a><var>9.34</var>a timely appeal of an order suspending or revoking a license shall stay the suspension or <br/>
<a id="pl.10.1"></a><var>10.1</var>revocation, the license holder may continue to operate until the commissioner issues a <br/>
<a id="pl.10.2"></a><var>10.2</var>final order on the suspension or revocation.<br/>
<a id="pl.10.3"></a><var>10.3</var>    (c)(1) If the license holder was ordered to pay a fine, the notice must inform the <br/>
<a id="pl.10.4"></a><var>10.4</var>license holder of the responsibility for payment of fines and the right to a contested case <br/>
<a id="pl.10.5"></a><var>10.5</var>hearing under chapter 14 and Minnesota Rules, parts 1400.8505 to 1400.8612. The appeal <br/>
<a id="pl.10.6"></a><var>10.6</var>of an order to pay a fine must be made in writing by certified mail or personal service. If <br/>
<a id="pl.10.7"></a><var>10.7</var>mailed, the appeal must be postmarked and sent to the commissioner within ten calendar <br/>
<a id="pl.10.8"></a><var>10.8</var>days after the license holder receives notice that the fine has been ordered. If a request is <br/>
<a id="pl.10.9"></a><var>10.9</var>made by personal service, it must be received by the commissioner within ten calendar <br/>
<a id="pl.10.10"></a><var>10.10</var>days after the license holder received the order.<br/>
<a id="pl.10.11"></a><var>10.11</var>    (2) The license holder shall pay the fines assessed on or before the payment date <br/>
<a id="pl.10.12"></a><var>10.12</var>specified. If the license holder fails to fully comply with the order, the commissioner <br/>
<a id="pl.10.13"></a><var>10.13</var>may issue a second fine or suspend the license until the license holder complies. If the <br/>
<a id="pl.10.14"></a><var>10.14</var>license holder receives state funds, the state, county, or municipal agencies or departments <br/>
<a id="pl.10.15"></a><var>10.15</var>responsible for administering the funds shall withhold payments and recover any payments <br/>
<a id="pl.10.16"></a><var>10.16</var>made while the license is suspended for failure to pay a fine. A timely appeal shall stay <br/>
<a id="pl.10.17"></a><var>10.17</var>payment of the fine until the commissioner issues a final order.<br/>
<a id="pl.10.18"></a><var>10.18</var>    (3) A license holder shall promptly notify the commissioner of human services, <br/>
<a id="pl.10.19"></a><var>10.19</var>in writing, when a violation specified in the order to forfeit a fine is corrected. If upon <br/>
<a id="pl.10.20"></a><var>10.20</var>reinspection the commissioner determines that a violation has not been corrected as <br/>
<a id="pl.10.21"></a><var>10.21</var>indicated by the order to forfeit a fine, the commissioner may issue a second fine. The <br/>
<a id="pl.10.22"></a><var>10.22</var>commissioner shall notify the license holder by certified mail or personal service that a <br/>
<a id="pl.10.23"></a><var>10.23</var>second fine has been assessed. The license holder may appeal the second fine as provided <br/>
<a id="pl.10.24"></a><var>10.24</var>under this subdivision.<br/>
<a id="pl.10.25"></a><var>10.25</var>    (4) Fines shall be assessed as follows: the license holder shall forfeit $1,000 for <br/>
<a id="pl.10.26"></a><var>10.26</var>each determination of maltreatment of a child under section 
         <statute_ref>626.556</statute_ref> or the maltreatment <br/>
<a id="pl.10.27"></a><var>10.27</var>of a vulnerable adult under section 
         <statute_ref>626.557</statute_ref> for which the license holder is determined <br/>
<a id="pl.10.28"></a><var>10.28</var>responsible for the maltreatment under section 
         <statute_ref>626.556, subdivision 10e</statute_ref>, paragraph (i), <br/>
<a id="pl.10.29"></a><var>10.29</var>or 
         <statute_ref>626.557, subdivision 9c</statute_ref>, paragraph (c); the license holder shall forfeit $200 for each <br/>
<a id="pl.10.30"></a><var>10.30</var>occurrence of a violation of law or rule governing matters of health, safety, or supervision, <br/>
<a id="pl.10.31"></a><var>10.31</var>including but not limited to the provision of adequate staff-to-child or adult ratios, and <br/>
<a id="pl.10.32"></a><var>10.32</var>failure to submit a comply with background study requirements under chapter 245C; and <br/>
<a id="pl.10.33"></a><var>10.33</var>the license holder shall forfeit $100 for each occurrence of a violation of law or rule <br/>
<a id="pl.10.34"></a><var>10.34</var>other than those subject to a $1,000 or $200 fine above. For purposes of this section, <br/>
<a id="pl.10.35"></a><var>10.35</var>"occurrence" means each violation identified in the commissioner's fine order. Fines <br/>
<a id="pl.10.36"></a><var>10.36</var>assessed against a license holder that holds a license to provide the residential-based <br/>
<a id="pl.11.1"></a><var>11.1</var>habilitation services, as defined under section 
         <statute_ref>245B.02, subdivision 20</statute_ref>, and a license to <br/>
<a id="pl.11.2"></a><var>11.2</var>provide foster care, may be assessed against both licenses for the same occurrence, but <br/>
<a id="pl.11.3"></a><var>11.3</var>the combined amount of the fines shall not exceed the amount specified in this clause <br/>
<a id="pl.11.4"></a><var>11.4</var>for that occurrence.<br/>
<a id="pl.11.5"></a><var>11.5</var>    (5) When a fine has been assessed, the license holder may not avoid payment by <br/>
<a id="pl.11.6"></a><var>11.6</var>closing, selling, or otherwise transferring the licensed program to a third party. In such an <br/>
<a id="pl.11.7"></a><var>11.7</var>event, the license holder will be personally liable for payment. In the case of a corporation, <br/>
<a id="pl.11.8"></a><var>11.8</var>each controlling individual is personally and jointly liable for payment.<br/>
<br/>
<a id="bill.0.10.0"></a><a id="pl.11.9"></a><var>11.9</var>    Sec. 10. Minnesota Statutes 2008, section 245A.10, subdivision 2, is amended to read:<br/>
<a id="pl.11.10"></a><var>11.10</var>    Subd. 2. <b>County fees for background studies and licensing inspections.</b> (a) For <br/>
<a id="pl.11.11"></a><var>11.11</var>purposes of family and group family child care licensing under this chapter, a county <br/>
<a id="pl.11.12"></a><var>11.12</var>agency may charge a fee to an applicant or license holder to recover the actual cost of <br/>
<a id="pl.11.13"></a><var>11.13</var>background studies, but in any case not to exceed $100 annually. A county agency may <br/>
<a id="pl.11.14"></a><var>11.14</var>also charge a license fee to an applicant or license holder not to exceed $50 for a one-year <br/>
<a id="pl.11.15"></a><var>11.15</var>license or $100 for a two-year license.<br/>
<a id="pl.11.16"></a><var>11.16</var>    (b) A county agency may charge a fee to a legal nonlicensed child care provider or <br/>
<a id="pl.11.17"></a><var>11.17</var>applicant for authorization to recover the actual cost of background studies completed <br/>
<a id="pl.11.18"></a><var>11.18</var>under section 
         <statute_ref>119B.125</statute_ref>, but in any case not to exceed $100 annually. <br/>
<a id="pl.11.19"></a><var>11.19</var>    (c) Counties may elect to reduce or waive the fees in paragraph (a) or (b):<br/>
<a id="pl.11.20"></a><var>11.20</var>    (1) in cases of financial hardship;<br/>
<a id="pl.11.21"></a><var>11.21</var>    (2)  if the county has a shortage of providers in the county's area;<br/>
<a id="pl.11.22"></a><var>11.22</var>    (3) for new providers; or<br/>
<a id="pl.11.23"></a><var>11.23</var>    (4) for providers who have attained at least 16 hours of training before seeking <br/>
<a id="pl.11.24"></a><var>11.24</var>initial licensure.<br/>
<a id="pl.11.25"></a><var>11.25</var>    (d) Counties may allow providers to pay the applicant fees in paragraph (a) or (b) on <br/>
<a id="pl.11.26"></a><var>11.26</var>an installment basis for up to one year. If the provider is receiving child care assistance <br/>
<a id="pl.11.27"></a><var>11.27</var>payments from the state, the provider may have the fees under paragraph (a) or (b) <br/>
<a id="pl.11.28"></a><var>11.28</var>deducted from the child care assistance payments for up to one year and the state shall <br/>
<a id="pl.11.29"></a><var>11.29</var>reimburse the county for the county fees collected in this manner.<br/>
<a id="pl.11.30"></a><var>11.30</var>    (e) For purposes of adult foster care and child foster care licensing under this <br/>
<a id="pl.11.31"></a><var>11.31</var>chapter, a county agency may charge a fee to a corporate applicant or corporate license <br/>
<a id="pl.11.32"></a><var>11.32</var>holder to recover the actual cost of background studies. A county agency may also charge <br/>
<a id="pl.11.33"></a><var>11.33</var>a fee to a corporate applicant or corporate license holder to recover the actual cost of <br/>
<a id="pl.11.34"></a><var>11.34</var>licensing inspections, not to exceed $500 annually.<br/>
<a id="pl.12.1"></a><var>12.1</var>    (f) Counties may elect to reduce or waive the fees in paragraph (e) under the <br/>
<a id="pl.12.2"></a><var>12.2</var>following circumstances: <br/>
<a id="pl.12.3"></a><var>12.3</var>(1) in cases of financial hardship; <br/>
<a id="pl.12.4"></a><var>12.4</var>(2) if the county has a shortage of providers in the county's area; or<br/>
<a id="pl.12.5"></a><var>12.5</var>(3) for new providers.<br/>
<br/>
<a id="bill.0.11.0"></a><a id="pl.12.6"></a><var>12.6</var>    Sec. 11. Minnesota Statutes 2008, section 245A.10, subdivision 3, is amended to read:<br/>
<a id="pl.12.7"></a><var>12.7</var>    Subd. 3. <b>Application fee for initial license or certification.</b> (a) For fees required <br/>
<a id="pl.12.8"></a><var>12.8</var>under subdivision 1, an applicant for an initial license or certification issued by the <br/>
<a id="pl.12.9"></a><var>12.9</var>commissioner shall submit a $500 application fee with each new application required <br/>
<a id="pl.12.10"></a><var>12.10</var>under this subdivision. The application fee shall not be prorated, is nonrefundable, and <br/>
<a id="pl.12.11"></a><var>12.11</var>is in lieu of the annual license or certification fee that expires on December 31. The <br/>
<a id="pl.12.12"></a><var>12.12</var>commissioner shall not process an application until the application fee is paid.<br/>
<a id="pl.12.13"></a><var>12.13</var>(b) Except as provided in clauses (1) to (3), an applicant shall apply for a license <br/>
<a id="pl.12.14"></a><var>12.14</var>to provide services at a specific location.<br/>
<a id="pl.12.15"></a><var>12.15</var>(1) For a license to provide waivered residential-based habilitation services to <br/>
<a id="pl.12.16"></a><var>12.16</var>persons with developmental disabilities or related conditions under chapter 245B, an <br/>
<a id="pl.12.17"></a><var>12.17</var>applicant shall submit an application for each county in which the waivered services will <br/>
<a id="pl.12.18"></a><var>12.18</var>be provided. Upon licensure, the license holder may provide services to persons in that <br/>
<a id="pl.12.19"></a><var>12.19</var>county plus no more than three persons at any one time in each of up to ten additional <br/>
<a id="pl.12.20"></a><var>12.20</var>counties. A license holder in one county may not provide services under the home and <br/>
<a id="pl.12.21"></a><var>12.21</var>community-based waiver for persons with developmental disabilities to more than three <br/>
<a id="pl.12.22"></a><var>12.22</var>people in a second county without holding a separate license for that second county. <br/>
<a id="pl.12.23"></a><var>12.23</var>Applicants or licensees providing services under this clause to not more than three persons <br/>
<a id="pl.12.24"></a><var>12.24</var>remain subject to the inspection fees established in section 245A.10, subdivision 2, for <br/>
<a id="pl.12.25"></a><var>12.25</var>each location. The license issued by the commissioner must state the name of each <br/>
<a id="pl.12.26"></a><var>12.26</var>additional county where services are being provided to persons with developmental <br/>
<a id="pl.12.27"></a><var>12.27</var>disabilities. A license holder must notify the commissioner before making any changes <br/>
<a id="pl.12.28"></a><var>12.28</var>that would alter the license information listed under section 245A.04, subdivision 7, <br/>
<a id="pl.12.29"></a><var>12.29</var>paragraph (a), including any additional counties where persons with developmental <br/>
<a id="pl.12.30"></a><var>12.30</var>disabilities are being served.<br/>
<a id="pl.12.31"></a><var>12.31</var>(2) For a license to provide supported employment, crisis respite, or <br/>
<a id="pl.12.32"></a><var>12.32</var>semi-independent living services to persons with developmental disabilities or related <br/>
<a id="pl.12.33"></a><var>12.33</var>conditions under chapter 245B, an applicant shall submit a single application to provide <br/>
<a id="pl.12.34"></a><var>12.34</var>services statewide.<br/>
<a id="pl.13.1"></a><var>13.1</var>(3) For a license to provide independent living assistance for youth under section <br/>
<statute_ref><a id="pl.13.2"></a><var>13.2</var>245A.22
         </statute_ref>, an applicant shall submit a single application to provide services statewide. <br/>
<br/>
<a id="bill.0.12.0"></a><a id="pl.13.3"></a><var>13.3</var>    Sec. 12. Minnesota Statutes 2008, section 245A.11, is amended by adding a <br/>
<a id="pl.13.4"></a><var>13.4</var>subdivision to read:<br/>
<a id="pl.13.5"></a><var>13.5</var>    Subd. 7a. <b>Alternate overnight supervision technology; adult foster care license.</b><br/>
<a id="pl.13.6"></a><var>13.6</var>    (a) The commissioner may grant an applicant or license holder an adult foster care license <br/>
<a id="pl.13.7"></a><var>13.7</var>for a residence that does not have a caregiver in the residence during normal sleeping <br/>
<a id="pl.13.8"></a><var>13.8</var>hours as required under Minnesota Rules, part 9555.5105, subpart 37, item B, but uses <br/>
<a id="pl.13.9"></a><var>13.9</var>monitoring technology to alert the license holder when an incident occurs that may <br/>
<a id="pl.13.10"></a><var>13.10</var>jeopardize the health, safety, or rights of a foster care recipient. The applicant or license <br/>
<a id="pl.13.11"></a><var>13.11</var>holder must comply with all other requirements under Minnesota Rules, parts 9555.5105 <br/>
<a id="pl.13.12"></a><var>13.12</var>to 9555.6265, and the requirements under this subdivision and subdivision 7b. The license <br/>
<a id="pl.13.13"></a><var>13.13</var>printed by the commissioner must state in bold and large font:<br/>
<a id="pl.13.14"></a><var>13.14</var>    (1) that the facility is under electronic monitoring; and<br/>
<a id="pl.13.15"></a><var>13.15</var>    (2) the telephone number of the county's common entry point for making reports of <br/>
<a id="pl.13.16"></a><var>13.16</var>suspected maltreatment of vulnerable adults under section 626.557, subdivision 9.<br/>
<a id="pl.13.17"></a><var>13.17</var>(b) Applications for a license under this section must be submitted directly to <br/>
<a id="pl.13.18"></a><var>13.18</var>the Department of Human Services licensing division. The licensing division must <br/>
<a id="pl.13.19"></a><var>13.19</var>immediately notify the host county and lead county contract agency and the host county <br/>
<a id="pl.13.20"></a><var>13.20</var>licensing agency. The licensing division must collaborate with the county licensing <br/>
<a id="pl.13.21"></a><var>13.21</var>agency in the review of the application and the licensing of the program.<br/>
<a id="pl.13.22"></a><var>13.22</var>    (c) Before a license is issued by the commissioner, and for the duration of the <br/>
<a id="pl.13.23"></a><var>13.23</var>license, the applicant or license holder must establish, maintain, and document the <br/>
<a id="pl.13.24"></a><var>13.24</var>implementation of written policies and procedures addressing the requirements in <br/>
<a id="pl.13.25"></a><var>13.25</var>paragraphs (d) through (f).<br/>
<a id="pl.13.26"></a><var>13.26</var>    (d) The applicant or license holder must have policies and procedures that:<br/>
<a id="pl.13.27"></a><var>13.27</var>    (1) establish characteristics of target populations that will be admitted into the home, <br/>
<a id="pl.13.28"></a><var>13.28</var>and characteristics of populations that will not be accepted into the home;<br/>
<a id="pl.13.29"></a><var>13.29</var>    (2) explain the discharge process when a foster care recipient requires overnight <br/>
<a id="pl.13.30"></a><var>13.30</var>supervision or other services that cannot be provided by the license holder due to the <br/>
<a id="pl.13.31"></a><var>13.31</var>limited hours that the license holder is on-site;<br/>
<a id="pl.13.32"></a><var>13.32</var>    (3) describe the types of events to which the program will respond with a physical <br/>
<a id="pl.13.33"></a><var>13.33</var>presence when those events occur in the home during time when staff are not on-site, and <br/>
<a id="pl.13.34"></a><var>13.34</var>how the license holder's response plan meets the requirements in paragraph (e), clause <br/>
<a id="pl.13.35"></a><var>13.35</var>(1) or (2);<br/>
<a id="pl.14.1"></a><var>14.1</var>    (4) establish a process for documenting a review of the implementation and <br/>
<a id="pl.14.2"></a><var>14.2</var>effectiveness of the response protocol for the response required under paragraph (e), <br/>
<a id="pl.14.3"></a><var>14.3</var>clause (1) or (2). The documentation must include:<br/>
<a id="pl.14.4"></a><var>14.4</var>    (i) a description of the triggering incident;<br/>
<a id="pl.14.5"></a><var>14.5</var>    (ii) the date and time of the triggering incident;<br/>
<a id="pl.14.6"></a><var>14.6</var>    (iii) the time of the response or responses under paragraph (e), clause (1) or (2);<br/>
<a id="pl.14.7"></a><var>14.7</var>    (iv) whether the response met the resident's needs;<br/>
<a id="pl.14.8"></a><var>14.8</var>    (v) whether the existing policies and response protocols were followed; and<br/>
<a id="pl.14.9"></a><var>14.9</var>    (vi) whether the existing policies and protocols are adequate or need modification.<br/>
<a id="pl.14.10"></a><var>14.10</var>    When no physical presence response is completed for a three-month period, the <br/>
<a id="pl.14.11"></a><var>14.11</var>license holder's written policies and procedures must require a physical presence response <br/>
<a id="pl.14.12"></a><var>14.12</var>drill be to conducted for which the effectiveness of the response protocol under paragraph <br/>
<a id="pl.14.13"></a><var>14.13</var>(e), clause (1) or (2), will be reviewed and documented as required under this clause; and<br/>
<a id="pl.14.14"></a><var>14.14</var>    (5) establish that emergency and nonemergency phone numbers are posted in a <br/>
<a id="pl.14.15"></a><var>14.15</var>prominent location in a common area of the home where they can be easily observed by a <br/>
<a id="pl.14.16"></a><var>14.16</var>person responding to an incident who is not otherwise affiliated with the home.<br/>
<a id="pl.14.17"></a><var>14.17</var>    (e) The license holder must document and include in the license application which <br/>
<a id="pl.14.18"></a><var>14.18</var>response alternative under clause (1) or (2) is in place for responding to situations that <br/>
<a id="pl.14.19"></a><var>14.19</var>present a serious risk to the health, safety, or rights of people receiving foster care services <br/>
<a id="pl.14.20"></a><var>14.20</var>in the home:<br/>
<a id="pl.14.21"></a><var>14.21</var>    (1) response alternative (1) requires only the technology to provide an electronic <br/>
<a id="pl.14.22"></a><var>14.22</var>notification or alert to the license holder that an event is underway that requires a response. <br/>
<a id="pl.14.23"></a><var>14.23</var>Under this alternative, no more than ten minutes will pass before the license holder will be <br/>
<a id="pl.14.24"></a><var>14.24</var>physically present on-site to respond to the situation; or<br/>
<a id="pl.14.25"></a><var>14.25</var>    (2) response alternative (2) requires the electronic notification and alert system <br/>
<a id="pl.14.26"></a><var>14.26</var>under alternative (1), but more than ten minutes may pass before the license holder is <br/>
<a id="pl.14.27"></a><var>14.27</var>present on-site to respond to the situation. Under alternative (2), all of the following <br/>
<a id="pl.14.28"></a><var>14.28</var>conditions are met:<br/>
<a id="pl.14.29"></a><var>14.29</var>    (i) the license holder has a written description of the interactive technological <br/>
<a id="pl.14.30"></a><var>14.30</var>applications that will assist the licenser holder in communicating with and assessing the <br/>
<a id="pl.14.31"></a><var>14.31</var>needs related to care, health, and safety of the foster care recipients. This interactive <br/>
<a id="pl.14.32"></a><var>14.32</var>technology must permit the license holder to remotely assess the well being of the foster <br/>
<a id="pl.14.33"></a><var>14.33</var>care recipient without requiring the initiation of the foster care recipient. Requiring the <br/>
<a id="pl.14.34"></a><var>14.34</var>foster care recipient to initiate a telephone call does not meet this requirement;<br/>
<a id="pl.15.1"></a><var>15.1</var>(ii) the license holder documents how the remote license holder is qualified and <br/>
<a id="pl.15.2"></a><var>15.2</var>capable of meeting the needs of the foster care recipients and assessing foster care <br/>
<a id="pl.15.3"></a><var>15.3</var>recipients' needs under item (i) during the absence of the license holder on-site;<br/>
<a id="pl.15.4"></a><var>15.4</var>(iii) the license holder maintains written procedures to dispatch emergency response <br/>
<a id="pl.15.5"></a><var>15.5</var>personnel to the site in the event of an identified emergency; and<br/>
<a id="pl.15.6"></a><var>15.6</var>    (iv) each foster care recipient's individualized plan of care, individual service plan <br/>
<a id="pl.15.7"></a><var>15.7</var>under section 256B.092, subdivision 1b, if required, or individual resident placement <br/>
<a id="pl.15.8"></a><var>15.8</var>agreement under Minnesota Rules, part 9555.5105, subpart 19, if required, identifies the <br/>
<a id="pl.15.9"></a><var>15.9</var>maximum response time, which may be greater than ten minutes, for the license holder <br/>
<a id="pl.15.10"></a><var>15.10</var>to be on-site for that foster care recipient.<br/>
<a id="pl.15.11"></a><var>15.11</var>    (f) All placement agreements, individual service agreements, and plans applicable <br/>
<a id="pl.15.12"></a><var>15.12</var>to the foster care recipient must clearly state that the adult foster care license category is <br/>
<a id="pl.15.13"></a><var>15.13</var>a program without the presence of a caregiver in the residence during normal sleeping <br/>
<a id="pl.15.14"></a><var>15.14</var>hours; the protocols in place for responding to situations that present a serious risk to <br/>
<a id="pl.15.15"></a><var>15.15</var>health, safety, or rights of foster care recipients under paragraph (e), clause (1) or (2); and a <br/>
<a id="pl.15.16"></a><var>15.16</var>signed informed consent from each foster care recipient or the person's legal representative <br/>
<a id="pl.15.17"></a><var>15.17</var>documenting the person's or legal representative's agreement with placement in the <br/>
<a id="pl.15.18"></a><var>15.18</var>program. If electronic monitoring technology is used in the home, the informed consent <br/>
<a id="pl.15.19"></a><var>15.19</var>form must also explain the following:<br/>
<a id="pl.15.20"></a><var>15.20</var>    (1) how any electronic monitoring is incorporated into the alternative supervision <br/>
<a id="pl.15.21"></a><var>15.21</var>system;<br/>
<a id="pl.15.22"></a><var>15.22</var>    (2) the backup system for any electronic monitoring in times of electrical outages or <br/>
<a id="pl.15.23"></a><var>15.23</var>other equipment malfunctions;<br/>
<a id="pl.15.24"></a><var>15.24</var>    (3) how the license holder is trained on the use of the technology;<br/>
<a id="pl.15.25"></a><var>15.25</var>    (4) the event types and license holder response times established under paragraph (e);<br/>
<a id="pl.15.26"></a><var>15.26</var>    (5) how the license holder protects the foster care recipient's privacy related to <br/>
<a id="pl.15.27"></a><var>15.27</var>electronic monitoring and related to any electronically recorded data generated by the <br/>
<a id="pl.15.28"></a><var>15.28</var>monitoring system. A foster care recipient may not be removed from a program under <br/>
<a id="pl.15.29"></a><var>15.29</var>this subdivision for failure to consent to electronic monitoring. The consent form must <br/>
<a id="pl.15.30"></a><var>15.30</var>explain where and how the electronically recorded data is stored, with whom it will be <br/>
<a id="pl.15.31"></a><var>15.31</var>shared, and how long it is retained; and<br/>
<a id="pl.15.32"></a><var>15.32</var>    (6) the risks and benefits of the alternative overnight supervision system. <br/>
<a id="pl.15.33"></a><var>15.33</var>    The written explanations under clauses (1) to (6) may be accomplished through <br/>
<a id="pl.15.34"></a><var>15.34</var>cross-references to other policies and procedures as long as they are explained to the <br/>
<a id="pl.15.35"></a><var>15.35</var>person giving consent, and the person giving consent is offered a copy.<br/>
<a id="pl.16.1"></a><var>16.1</var>(g) Nothing in this section requires the applicant or license holder to develop or <br/>
<a id="pl.16.2"></a><var>16.2</var>maintain separate or duplicative polices, procedures, documentation, consent forms, or <br/>
<a id="pl.16.3"></a><var>16.3</var>individual plans that may be required for other licensing standards, if the requirements of <br/>
<a id="pl.16.4"></a><var>16.4</var>this section are incorporated into those documents.<br/>
<a id="pl.16.5"></a><var>16.5</var>(h) The commissioner may grant variances to the requirements of this section <br/>
<a id="pl.16.6"></a><var>16.6</var>according to section 245A.04, subdivision 9.<br/>
<a id="pl.16.7"></a><var>16.7</var>(i) For the purposes of paragraphs (d) through (h), license holder has the meaning <br/>
<a id="pl.16.8"></a><var>16.8</var>under section 245A.2, subdivision 9, and additionally includes all staff, volunteers, and <br/>
<a id="pl.16.9"></a><var>16.9</var>contractors affiliated with the license holder.<br/>
<a id="pl.16.10"></a><var>16.10</var>(j) For the purposes of paragraph (e), the terms "assess" and "assessing" mean to <br/>
<a id="pl.16.11"></a><var>16.11</var>remotely determine what action the license holder needs to take to protect the well-being <br/>
<a id="pl.16.12"></a><var>16.12</var>of the foster care recipient.<br/>
<br/>
<a id="bill.0.13.0"></a><a id="pl.16.13"></a><var>16.13</var>    Sec. 13. Minnesota Statutes 2008, section 245A.11, is amended by adding a <br/>
<a id="pl.16.14"></a><var>16.14</var>subdivision to read:<br/>
<a id="pl.16.15"></a><var>16.15</var>    Subd. 7b. <b>Adult foster care data privacy and security.</b> (a) An adult foster <br/>
<a id="pl.16.16"></a><var>16.16</var>care license holder who creates, collects, records, maintains, stores, or discloses any <br/>
<a id="pl.16.17"></a><var>16.17</var>individually identifiable recipient data, whether in an electronic or any other format, <br/>
<a id="pl.16.18"></a><var>16.18</var>must comply with the privacy and security provisions of applicable privacy laws and <br/>
<a id="pl.16.19"></a><var>16.19</var>regulations, including:<br/>
<a id="pl.16.20"></a><var>16.20</var>(1) the federal Health Insurance Portability and Accountability Act of 1996 <br/>
<a id="pl.16.21"></a><var>16.21</var>(HIPAA), Public Law 104-1; and the HIPAA Privacy Rule, Code of Federal Regulations, <br/>
<a id="pl.16.22"></a><var>16.22</var>title 45, part 160 and subparts A and E of part 164; and<br/>
<a id="pl.16.23"></a><var>16.23</var>(2) the Minnesota Government Data Practices Act as codified in chapter 13.<br/>
<a id="pl.16.24"></a><var>16.24</var>(b) For purposes of licensure, the license holder shall be monitored for compliance <br/>
<a id="pl.16.25"></a><var>16.25</var>with the following data privacy and security provisions:<br/>
<a id="pl.16.26"></a><var>16.26</var>(1) the license holder must control access to data on foster care recipients according <br/>
<a id="pl.16.27"></a><var>16.27</var>to the definitions of public and private data on individuals under section 13.02; <br/>
<a id="pl.16.28"></a><var>16.28</var>classification of the data on individuals as private under section 13.46, subdivision 2; <br/>
<a id="pl.16.29"></a><var>16.29</var>and control over the collection, storage, use, access, protection, and contracting related <br/>
<a id="pl.16.30"></a><var>16.30</var>to data according to section 13.05, in which the license holder is assigned the duties <br/>
<a id="pl.16.31"></a><var>16.31</var>of a government entity;<br/>
<a id="pl.16.32"></a><var>16.32</var>(2) the license holder must provide each foster care recipient with a notice that <br/>
<a id="pl.16.33"></a><var>16.33</var>meets the requirements under section 13.04, in which the license holder is assigned the <br/>
<a id="pl.16.34"></a><var>16.34</var>duties of the government entity, and that meets the requirements of Code of Federal <br/>
<a id="pl.16.35"></a><var>16.35</var>Regulations, title 45, part 164.52. The notice shall describe the purpose for collection of <br/>
<a id="pl.17.1"></a><var>17.1</var>the data, and to whom and why it may be disclosed pursuant to law. The notice must <br/>
<a id="pl.17.2"></a><var>17.2</var>inform the recipient that the license holder uses electronic monitoring and, if applicable, <br/>
<a id="pl.17.3"></a><var>17.3</var>that recording technology is used;<br/>
<a id="pl.17.4"></a><var>17.4</var>(3) the license holder must not install monitoring cameras in bathrooms;<br/>
<a id="pl.17.5"></a><var>17.5</var>(4) electronic monitoring cameras must not be concealed from the foster care <br/>
<a id="pl.17.6"></a><var>17.6</var>recipients; and<br/>
<a id="pl.17.7"></a><var>17.7</var>(5) electronic video and audio recordings of foster care recipients shall not be stored <br/>
<a id="pl.17.8"></a><var>17.8</var>by the license holder for more than five days.<br/>
<a id="pl.17.9"></a><var>17.9</var>(c) The commissioner shall develop, and make available to license holders and <br/>
<a id="pl.17.10"></a><var>17.10</var>county licensing workers, a checklist of the data privacy provisions to be monitored <br/>
<a id="pl.17.11"></a><var>17.11</var>for purposes of licensure.<br/>
<br/>
<a id="bill.0.14.0"></a><a id="pl.17.12"></a><var>17.12</var>    Sec. 14. Minnesota Statutes 2008, section 245A.1435, is amended to read:<br/>
<a id="pl.17.13"></a><var>17.13</var><b>245A.1435 REDUCTION OF RISK OF SUDDEN INFANT DEATH </b><br/>
<a id="pl.17.14"></a><var>17.14</var><b>SYNDROME IN LICENSED PROGRAMS.</b><br/>
<a id="pl.17.15"></a><var>17.15</var>    (a) When a license holder is placing an infant to sleep, the license holder must place <br/>
<a id="pl.17.16"></a><var>17.16</var>the infant on the infant's back, unless the license holder has documentation from the <br/>
<a id="pl.17.17"></a><var>17.17</var>infant's parent directing an alternative sleeping position for the infant, and. The parent <br/>
<a id="pl.17.18"></a><var>17.18</var>directive must be on a form approved by the commissioner and must include a statement <br/>
<a id="pl.17.19"></a><var>17.19</var>that the parent or legal guardian has read the information provided by the Minnesota <br/>
<a id="pl.17.20"></a><var>17.20</var>Sudden Infant Death Center, related to the risk of SIDS and the importance of placing an <br/>
<a id="pl.17.21"></a><var>17.21</var>infant or child on the back to sleep to reduce the risk of SIDS. <br/>
<a id="pl.17.22"></a><var>17.22</var>(b) The license holder must place the infant in a crib with directly on  a firm mattress <br/>
<a id="pl.17.23"></a><var>17.23</var>with a fitted crib sheet that fits tightly on the mattress and overlaps the mattress so it cannot <br/>
<a id="pl.17.24"></a><var>17.24</var>be dislodged by pulling on the corner of the sheet. The license holder must not place <br/>
<a id="pl.17.25"></a><var>17.25</var>pillows, quilts, comforters, sheepskin, pillow-like stuffed toys, or other soft products in <br/>
<a id="pl.17.26"></a><var>17.26</var>the crib with the infant. The requirements of this section apply to license holders serving <br/>
<a id="pl.17.27"></a><var>17.27</var>infants up to and including 12 months of age. Licensed child care providers must meet the <br/>
<a id="pl.17.28"></a><var>17.28</var>crib requirements under section 
         <statute_ref>245A.146</statute_ref>.<br/>
<br/>
<a id="bill.0.15.0"></a><a id="pl.17.29"></a><var>17.29</var>    Sec. 15. Minnesota Statutes 2008, section 245A.144, is amended to read:<br/>
<a id="pl.17.30"></a><var>17.30</var><b>245A.144 SUDDEN INFANT DEATH AND SHAKEN BABY SYNDROME </b><br/>
<a id="pl.17.31"></a><var>17.31</var><b>FOR CHILD FOSTER CARE PROVIDERS.</b><br/>
<a id="pl.17.32"></a><var>17.32</var>    (a) Licensed child foster care providers that care for infants or children through five <br/>
<a id="pl.17.33"></a><var>17.33</var>years of age must document that before staff persons and caregivers assist in the care of <br/>
<a id="pl.17.34"></a><var>17.34</var>infants or children through five years of age, they are instructed on the standards in section <br/>
<statute_ref><a id="pl.18.1"></a><var>18.1</var>245A.1435
         </statute_ref> and receive training on reducing the risk of sudden infant death syndrome and <br/>
<a id="pl.18.2"></a><var>18.2</var>shaken baby syndrome for infants and young children. This section does not apply to <br/>
<a id="pl.18.3"></a><var>18.3</var>emergency relative foster care under section 
         <statute_ref>245A.035</statute_ref>. The training on reducing the risk <br/>
<a id="pl.18.4"></a><var>18.4</var>of sudden infant death syndrome and shaken baby syndrome may be provided as:<br/>
<a id="pl.18.5"></a><var>18.5</var>    (1) orientation training to child foster care providers, who care for infants or children <br/>
<a id="pl.18.6"></a><var>18.6</var>through five years of age, under Minnesota Rules, part 2960.3070, subpart 1; or<br/>
<a id="pl.18.7"></a><var>18.7</var>    (2) in-service training to child foster care providers, who care for infants or children <br/>
<a id="pl.18.8"></a><var>18.8</var>through five years of age, under Minnesota Rules, part 2960.3070, subpart 2.<br/>
<a id="pl.18.9"></a><var>18.9</var>    (b) Training required under this section must be at least one hour in length and must <br/>
<a id="pl.18.10"></a><var>18.10</var>be completed at least once every five years. At a minimum, the training must address the <br/>
<a id="pl.18.11"></a><var>18.11</var>risk factors related to sudden infant death syndrome and shaken baby syndrome, means <br/>
<a id="pl.18.12"></a><var>18.12</var>of reducing the risk of sudden infant death syndrome and shaken baby syndrome, and <br/>
<a id="pl.18.13"></a><var>18.13</var>license holder communication with parents regarding reducing the risk of sudden infant <br/>
<a id="pl.18.14"></a><var>18.14</var>death syndrome and shaken baby syndrome.<br/>
<a id="pl.18.15"></a><var>18.15</var>    (c) Training for child foster care providers must be approved by the county licensing <br/>
<a id="pl.18.16"></a><var>18.16</var>agency and fulfills, in part, training required under Minnesota Rules, part 2960.3070.<br/>
<br/>
<a id="bill.0.16.0"></a><a id="pl.18.17"></a><var>18.17</var>    Sec. 16. Minnesota Statutes 2008, section 245A.1444, is amended to read:<br/>
<a id="pl.18.18"></a><var>18.18</var><b>245A.1444 TRAINING ON RISK OF SUDDEN INFANT DEATH SYNDROME </b><br/>
<a id="pl.18.19"></a><var>18.19</var><b>AND SHAKEN BABY SYNDROME BY OTHER PROGRAMS.</b><br/>
<a id="pl.18.20"></a><var>18.20</var>    A licensed chemical dependency treatment program that serves clients with infants <br/>
<a id="pl.18.21"></a><var>18.21</var>or children through five years of age who sleep at the program and a licensed children's <br/>
<a id="pl.18.22"></a><var>18.22</var>residential facility that serves infants or children through five years of age must document <br/>
<a id="pl.18.23"></a><var>18.23</var>that before program staff persons or volunteers assist in the care of infants or children <br/>
<a id="pl.18.24"></a><var>18.24</var>through five years of age, they are instructed on the standards in section 
         <statute_ref>245A.1435</statute_ref> and <br/>
<a id="pl.18.25"></a><var>18.25</var>receive training on reducing the risk of sudden infant death syndrome and shaken baby <br/>
<a id="pl.18.26"></a><var>18.26</var>syndrome. The training conducted under this section may be used to fulfill training <br/>
<a id="pl.18.27"></a><var>18.27</var>requirements under Minnesota Rules, parts 2960.0100, subpart 3; and 9530.6490, subpart <br/>
<a id="pl.18.28"></a><var>18.28</var>4, item B.<br/>
<a id="pl.18.29"></a><var>18.29</var>    This section does not apply to child care centers or family child care programs <br/>
<a id="pl.18.30"></a><var>18.30</var>governed by sections 
         <statute_ref>245A.40</statute_ref> and 
         <statute_ref>245A.50</statute_ref>.<br/>
<br/>
<a id="bill.0.17.0"></a><a id="pl.18.31"></a><var>18.31</var>    Sec. 17. Minnesota Statutes 2008, section 245A.16, subdivision 1, is amended to read:<br/>
<a id="pl.18.32"></a><var>18.32</var>    Subdivision 1. <b>Delegation of authority to agencies.</b> (a) County agencies and <br/>
<a id="pl.18.33"></a><var>18.33</var>private agencies that have been designated or licensed by the commissioner to perform <br/>
<a id="pl.18.34"></a><var>18.34</var>licensing functions and activities under section 
         <statute_ref>245A.04 and</statute_ref> background studies for <br/>
<a id="pl.19.1"></a><var>19.1</var>adult foster care, family adult day services, and family child care, under chapter 245C; to <br/>
<a id="pl.19.2"></a><var>19.2</var>recommend denial of applicants under section 
         <statute_ref>245A.05</statute_ref>; to issue correction orders, to issue <br/>
<a id="pl.19.3"></a><var>19.3</var>variances, and recommend a conditional license under section 
         <statute_ref>245A.06</statute_ref>, or to recommend <br/>
<a id="pl.19.4"></a><var>19.4</var>suspending or revoking a license or issuing a fine under section 
         <statute_ref>245A.07</statute_ref>, shall comply <br/>
<a id="pl.19.5"></a><var>19.5</var>with rules and directives of the commissioner governing those functions and with this <br/>
<a id="pl.19.6"></a><var>19.6</var>section. The following variances are excluded from the delegation of variance authority <br/>
<a id="pl.19.7"></a><var>19.7</var>and may be issued only by the commissioner:<br/>
<a id="pl.19.8"></a><var>19.8</var>    (1) dual licensure of family child care and child foster care, dual licensure of child <br/>
<a id="pl.19.9"></a><var>19.9</var>and adult foster care, and adult foster care and family child care;<br/>
<a id="pl.19.10"></a><var>19.10</var>    (2) adult foster care maximum capacity;<br/>
<a id="pl.19.11"></a><var>19.11</var>    (3) adult foster care minimum age requirement;<br/>
<a id="pl.19.12"></a><var>19.12</var>    (4) child foster care maximum age requirement;<br/>
<a id="pl.19.13"></a><var>19.13</var>    (5) variances regarding disqualified individuals except that county agencies may <br/>
<a id="pl.19.14"></a><var>19.14</var>issue variances under section 
         <statute_ref>245C.30</statute_ref> regarding disqualified individuals when the county <br/>
<a id="pl.19.15"></a><var>19.15</var>is responsible for conducting a consolidated reconsideration according to sections 
         <statute_ref>245C.25</statute_ref> <br/>
<a id="pl.19.16"></a><var>19.16</var>and 
         <statute_ref>245C.27, subdivision 2</statute_ref>, clauses (a) and (b), of a county maltreatment determination <br/>
<a id="pl.19.17"></a><var>19.17</var>and a disqualification based on serious or recurring maltreatment; and<br/>
<a id="pl.19.18"></a><var>19.18</var>    (6) the required presence of a caregiver in the adult foster care residence during <br/>
<a id="pl.19.19"></a><var>19.19</var>normal sleeping hours.<br/>
<a id="pl.19.20"></a><var>19.20</var>Except as provided in section 245A.14, subdivision 4, paragraph (e), a county agency <br/>
<a id="pl.19.21"></a><var>19.21</var>must not grant a license holder a variance to exceed the maximum allowable family child <br/>
<a id="pl.19.22"></a><var>19.22</var>care license capacity of 14 children.<br/>
<a id="pl.19.23"></a><var>19.23</var>    (b) County agencies must report information about disqualification reconsiderations <br/>
<a id="pl.19.24"></a><var>19.24</var>under sections 
         <statute_ref>245C.25</statute_ref> and 
         <statute_ref>245C.27, subdivision 2</statute_ref>, paragraphs (a) and (b), and variances <br/>
<a id="pl.19.25"></a><var>19.25</var>granted under paragraph (a), clause (5), to the commissioner at least monthly in a format <br/>
<a id="pl.19.26"></a><var>19.26</var>prescribed by the commissioner.<br/>
<a id="pl.19.27"></a><var>19.27</var>    (c) For family day care programs, the commissioner may authorize licensing reviews <br/>
<a id="pl.19.28"></a><var>19.28</var>every two years after a licensee has had at least one annual review.<br/>
<a id="pl.19.29"></a><var>19.29</var>    (d) For family adult day services programs, the commissioner may authorize <br/>
<a id="pl.19.30"></a><var>19.30</var>licensing reviews every two years after a licensee has had at least one annual review.<br/>
<a id="pl.19.31"></a><var>19.31</var>    (e) A license issued under this section may be issued for up to two years.<br/>
<br/>
<a id="bill.0.18.0"></a><a id="pl.19.32"></a><var>19.32</var>    Sec. 18. Minnesota Statutes 2008, section 245A.16, subdivision 3, is amended to read:<br/>
<a id="pl.19.33"></a><var>19.33</var>    Subd. 3. <b>Recommendations to commissioner.</b> The county or private agency <br/>
<a id="pl.19.34"></a><var>19.34</var>shall not make recommendations to the commissioner regarding licensure without first <br/>
<a id="pl.19.35"></a><var>19.35</var>conducting an inspection, and for adult foster care, family adult day services, and family <br/>
<a id="pl.20.1"></a><var>20.1</var>child care, a background study of the applicant under chapter 245C. The county or private <br/>
<a id="pl.20.2"></a><var>20.2</var>agency must forward its recommendation to the commissioner regarding the appropriate <br/>
<a id="pl.20.3"></a><var>20.3</var>licensing action within 20 working days of receipt of a completed application.<br/>
<br/>
<a id="bill.0.19.0"></a><a id="pl.20.4"></a><var>20.4</var>    Sec. 19. Minnesota Statutes 2008, section 245A.40, subdivision 5, is amended to read:<br/>
<a id="pl.20.5"></a><var>20.5</var>    Subd. 5. <b>Sudden infant death syndrome and shaken baby syndrome training.</b><br/>
<a id="pl.20.6"></a><var>20.6</var>    (a) License holders must document that before staff persons care for infants, they are <br/>
<a id="pl.20.7"></a><var>20.7</var>instructed on the standards in section 
         <statute_ref>245A.1435</statute_ref> and receive training on reducing the risk <br/>
<a id="pl.20.8"></a><var>20.8</var>of sudden infant death syndrome and. In addition, license holders must document that <br/>
<a id="pl.20.9"></a><var>20.9</var>before staff persons care for infants or children under school age, they receive training on <br/>
<a id="pl.20.10"></a><var>20.10</var>the risk of shaken baby syndrome. The training in this subdivision may be provided as <br/>
<a id="pl.20.11"></a><var>20.11</var>orientation training under subdivision 1 and in-service training under subdivision 7.<br/>
<a id="pl.20.12"></a><var>20.12</var>    (b) Sudden infant death syndrome reduction training required under this subdivision <br/>
<a id="pl.20.13"></a><var>20.13</var>must be at least one one-half hour in length and must be completed at least once every <br/>
<a id="pl.20.14"></a><var>20.14</var>five years. At a minimum, the training must address the risk factors related to sudden <br/>
<a id="pl.20.15"></a><var>20.15</var>infant death syndrome and shaken baby syndrome, means of reducing the risk of sudden <br/>
<a id="pl.20.16"></a><var>20.16</var>infant death syndrome and shaken baby syndrome in child care, and license holder <br/>
<a id="pl.20.17"></a><var>20.17</var>communication with parents regarding reducing the risk of sudden infant death syndrome <br/>
<a id="pl.20.18"></a><var>20.18</var>and shaken baby syndrome.<br/>
<a id="pl.20.19"></a><var>20.19</var>    (c) Shaken baby syndrome training under this subdivision must be at least one-half <br/>
<a id="pl.20.20"></a><var>20.20</var>hour in length, and must be completed at least once every five years. At a minimum, the <br/>
<a id="pl.20.21"></a><var>20.21</var>training must address the risk factors related to shaken baby syndrome for infants and <br/>
<a id="pl.20.22"></a><var>20.22</var>young children, means to reduce the risk of shaken baby syndrome in child care, and <br/>
<a id="pl.20.23"></a><var>20.23</var>license holder communication with parents regarding reducing the risk of shaken baby <br/>
<a id="pl.20.24"></a><var>20.24</var>syndrome.<br/>
<a id="pl.20.25"></a><var>20.25</var>    (c) (d) The commissioner shall make available for viewing a video presentation on <br/>
<a id="pl.20.26"></a><var>20.26</var>the dangers associated with shaking infants and young children. The video presentation <br/>
<a id="pl.20.27"></a><var>20.27</var>must be part of the orientation and annual in-service training of licensed child care centers <br/>
<a id="pl.20.28"></a><var>20.28</var>center staff persons caring for children under school age. The commissioner shall provide <br/>
<a id="pl.20.29"></a><var>20.29</var>to child care providers and interested individuals, at cost, copies of a video approved by <br/>
<a id="pl.20.30"></a><var>20.30</var>the commissioner of health under section 
         <statute_ref>144.574</statute_ref> on the dangers associated with shaking <br/>
<a id="pl.20.31"></a><var>20.31</var>infants and young children.<br/>
<br/>
<a id="bill.0.20.0"></a><a id="pl.20.32"></a><var>20.32</var>    Sec. 20. Minnesota Statutes 2008, section 245A.50, subdivision 5, is amended to read:<br/>
<a id="pl.20.33"></a><var>20.33</var>    Subd. 5. <b>Sudden infant death syndrome and shaken baby syndrome training.</b><br/>
<a id="pl.20.34"></a><var>20.34</var>    (a) License holders must document that before staff persons, caregivers, and helpers <br/>
<a id="pl.21.1"></a><var>21.1</var>assist in the care of infants, they are instructed on the standards in section 
         <statute_ref>245A.1435</statute_ref> and <br/>
<a id="pl.21.2"></a><var>21.2</var>receive training on reducing the risk of sudden infant death syndrome and. In addition, <br/>
<a id="pl.21.3"></a><var>21.3</var>license holders must document that before staff persons, caregivers, and helpers assist in <br/>
<a id="pl.21.4"></a><var>21.4</var>the care of infants and children under school age, they receive training on reducing the <br/>
<a id="pl.21.5"></a><var>21.5</var>risk of  shaken baby syndrome. The training in this subdivision may be provided as initial <br/>
<a id="pl.21.6"></a><var>21.6</var>training under subdivision 1 or ongoing training under subdivision 7.<br/>
<a id="pl.21.7"></a><var>21.7</var>    (b) Sudden infant death syndrome reduction training required under this subdivision <br/>
<a id="pl.21.8"></a><var>21.8</var>must be at least one one-half  hour in length and must be completed at least once every <br/>
<a id="pl.21.9"></a><var>21.9</var>five years. At a minimum, the training must address the risk factors related to sudden <br/>
<a id="pl.21.10"></a><var>21.10</var>infant death syndrome and shaken baby syndrome, means of reducing the risk of sudden <br/>
<a id="pl.21.11"></a><var>21.11</var>infant death syndrome and shaken baby syndrome in child care, and license holder <br/>
<a id="pl.21.12"></a><var>21.12</var>communication with parents regarding reducing the risk of sudden infant death syndrome <br/>
<a id="pl.21.13"></a><var>21.13</var>and shaken baby syndrome.<br/>
<a id="pl.21.14"></a><var>21.14</var>    (c) Shaken baby syndrome training required under this subdivision must be at <br/>
<a id="pl.21.15"></a><var>21.15</var>least one-half hour in length and must be completed at least once every five years. At a <br/>
<a id="pl.21.16"></a><var>21.16</var>minimum, the training must address the risk factors related to shaken baby syndrome, <br/>
<a id="pl.21.17"></a><var>21.17</var>means of reducing the risk of shaken baby syndrome in child care, and license holder <br/>
<a id="pl.21.18"></a><var>21.18</var>communication with parents regarding reducing the risk of shaken baby syndrome. <br/>
<a id="pl.21.19"></a><var>21.19</var>(d) Training for family and group family child care providers must be approved <br/>
<a id="pl.21.20"></a><var>21.20</var>by the county licensing agency.<br/>
<a id="pl.21.21"></a><var>21.21</var>    (d) (e)  The commissioner shall make available for viewing by all licensed child care <br/>
<a id="pl.21.22"></a><var>21.22</var>providers a video presentation on the dangers associated with shaking infants and young <br/>
<a id="pl.21.23"></a><var>21.23</var>children. The video presentation shall be part of the initial and ongoing annual training <br/>
<a id="pl.21.24"></a><var>21.24</var>of licensed child care providers caring for children under school age. The commissioner <br/>
<a id="pl.21.25"></a><var>21.25</var>shall provide to child care providers and interested individuals, at cost, copies of a video <br/>
<a id="pl.21.26"></a><var>21.26</var>approved by the commissioner of health under section 
         <statute_ref>144.574</statute_ref> on the dangers associated <br/>
<a id="pl.21.27"></a><var>21.27</var>with shaking infants and young children.<br/>
<br/>
<a id="bill.0.21.0"></a><a id="pl.21.28"></a><var>21.28</var>    Sec. 21. <b>[245B.031] ACCREDITATION, ALTERNATIVE INSPECTION, AND </b><br/>
<a id="pl.21.29"></a><var>21.29</var><b>DEEMED COMPLIANCE.</b><br/>
<a id="pl.21.30"></a><var>21.30</var>    Subdivision 1. <b>Day training and habilitation or supported employment services </b><br/>
<a id="pl.21.31"></a><var>21.31</var><b>programs; alternative inspection status.</b> (a) A license holder providing day training and <br/>
<a id="pl.21.32"></a><var>21.32</var>habilitation services or supported employment services according to this chapter, with a <br/>
<a id="pl.21.33"></a><var>21.33</var>three-year accreditation from the Commission on Rehabilitation Facilities, that has had at <br/>
<a id="pl.21.34"></a><var>21.34</var>least one on-site inspection by the commissioner following issuance of the initial license <br/>
<a id="pl.21.35"></a><var>21.35</var>may request alternative inspection status under this section.<br/>
<a id="pl.22.1"></a><var>22.1</var>(b) The request for alternative inspection status must be made in the manner <br/>
<a id="pl.22.2"></a><var>22.2</var>prescribed by the commissioner, and must include:<br/>
<a id="pl.22.3"></a><var>22.3</var>(1) a copy of the license holder's application to the Commission on Rehabilitation <br/>
<a id="pl.22.4"></a><var>22.4</var>Facilities for accreditation;<br/>
<a id="pl.22.5"></a><var>22.5</var>(2) the most recent Commission on Rehabilitation Facilities accreditation survey <br/>
<a id="pl.22.6"></a><var>22.6</var>report; and<br/>
<a id="pl.22.7"></a><var>22.7</var>(3) the most recent letter confirming the three-year accreditation and approval of the <br/>
<a id="pl.22.8"></a><var>22.8</var>license holder's quality improvement plan.<br/>
<a id="pl.22.9"></a><var>22.9</var>Based on the request and the accompanying materials, the commissioner may <br/>
<a id="pl.22.10"></a><var>22.10</var>approve alternative inspection status.<br/>
<a id="pl.22.11"></a><var>22.11</var>(c) Following approval of alternative inspection status, the commissioner may <br/>
<a id="pl.22.12"></a><var>22.12</var>terminate the alternative inspection status or deny a subsequent alternative inspection <br/>
<a id="pl.22.13"></a><var>22.13</var>status if the commissioner determines that any of the following conditions have occurred <br/>
<a id="pl.22.14"></a><var>22.14</var>after approval of the alternative inspection process:<br/>
<a id="pl.22.15"></a><var>22.15</var>(1) the license holder has not maintained full three-year accreditation;<br/>
<a id="pl.22.16"></a><var>22.16</var>(2) the commissioner has substantiated maltreatment for which the license holder or <br/>
<a id="pl.22.17"></a><var>22.17</var>facility is determined to be responsible during the three-year accreditation period; and<br/>
<a id="pl.22.18"></a><var>22.18</var>(3) during the three-year accreditation period, the license holder has been issued <br/>
<a id="pl.22.19"></a><var>22.19</var>an order for conditional license, a fine, suspension, or license revocation that has not <br/>
<a id="pl.22.20"></a><var>22.20</var>been reversed upon appeal.<br/>
<a id="pl.22.21"></a><var>22.21</var>(d) The commissioner's decision that the conditions for approval for the alternative <br/>
<a id="pl.22.22"></a><var>22.22</var>licensing inspection status have not been met is final and not subject to appeal under the <br/>
<a id="pl.22.23"></a><var>22.23</var>provisions of chapter 14.<br/>
<a id="pl.22.24"></a><var>22.24</var>    Subd. 2. <b>Programs with three-year accreditation, exempt from certain statutes.</b><br/>
<a id="pl.22.25"></a><var>22.25</var>(a) A license holder approved for alternative inspection status under this section is exempt <br/>
<a id="pl.22.26"></a><var>22.26</var>from the requirements under:<br/>
<a id="pl.22.27"></a><var>22.27</var>(1) section 245B.04;<br/>
<a id="pl.22.28"></a><var>22.28</var>(2) section 245B.05, subdivisions 5 and 6;<br/>
<a id="pl.22.29"></a><var>22.29</var>(3) section 245B.06, subdivisions 1, 3, 4, 5, and 6; and<br/>
<a id="pl.22.30"></a><var>22.30</var>(4) section 245B.07, subdivisions 1, 4, and 6.<br/>
<a id="pl.22.31"></a><var>22.31</var>(b) Upon receipt of a complaint regarding a requirement under paragraph (a), the <br/>
<a id="pl.22.32"></a><var>22.32</var>commissioner shall refer the complaint to the Commission on Rehabilitation Facilities for <br/>
<a id="pl.22.33"></a><var>22.33</var>possible follow-up.<br/>
<a id="pl.22.34"></a><var>22.34</var>    Subd. 3. <b>Programs with three-year accreditation, deemed to be in compliance </b><br/>
<a id="pl.22.35"></a><var>22.35</var><b>with nonexempt licensing requirements.</b> (a) License holders approved for alternative <br/>
<a id="pl.23.1"></a><var>23.1</var>inspection status under this section are required to maintain compliance with all licensing <br/>
<a id="pl.23.2"></a><var>23.2</var>standards from which they are not exempt under subdivision 2, paragraph (a).<br/>
<a id="pl.23.3"></a><var>23.3</var>(b) License holders approved for alternative inspection status under this section shall <br/>
<a id="pl.23.4"></a><var>23.4</var>be deemed to be in compliance with all nonexempt statutes, and the commissioner shall <br/>
<a id="pl.23.5"></a><var>23.5</var>not perform routine licensing inspections.<br/>
<a id="pl.23.6"></a><var>23.6</var>(c) Upon receipt of a complaint regarding the services of a license holder approved <br/>
<a id="pl.23.7"></a><var>23.7</var>for alternative inspection under this section that is not related to a licensing requirement <br/>
<a id="pl.23.8"></a><var>23.8</var>from which the license holder is exempt under subdivision 2, the commissioner shall <br/>
<a id="pl.23.9"></a><var>23.9</var>investigate the complaint and may take any action as provided under section 245A.06 or <br/>
<a id="pl.23.10"></a><var>23.10</var>245A.07.<br/>
<a id="pl.23.11"></a><var>23.11</var>    Subd. 4. <b>Investigations of alleged maltreatment of minors or vulnerable adults.</b><br/>
<a id="pl.23.12"></a><var>23.12</var>Nothing in this section changes the commissioner's responsibilities to investigate alleged <br/>
<a id="pl.23.13"></a><var>23.13</var>or suspected maltreatment of a minor under section 626.556 or vulnerable adult under <br/>
<a id="pl.23.14"></a><var>23.14</var>section 626.557.<br/>
<a id="pl.23.15"></a><var>23.15</var>    Subd. 5. <b>Commissioner request to the Commission on Rehabilitation Facilities </b><br/>
<a id="pl.23.16"></a><var>23.16</var><b>to expand accreditation survey.</b> The commissioner shall submit a request to the <br/>
<a id="pl.23.17"></a><var>23.17</var>Commission on Rehabilitation Facilities to routinely inspect for compliance with standards <br/>
<a id="pl.23.18"></a><var>23.18</var>that are similar to the following nonexempt licensing requirements:<br/>
<a id="pl.23.19"></a><var>23.19</var>(1) section 245A.54;<br/>
<a id="pl.23.20"></a><var>23.20</var>(2) section 245A.66;<br/>
<a id="pl.23.21"></a><var>23.21</var>(3) section 245B.05, subdivisions 1, 2, and 7;<br/>
<a id="pl.23.22"></a><var>23.22</var>(4) section 245B.055;<br/>
<a id="pl.23.23"></a><var>23.23</var>(5) section 245B.06, subdivisions 2, 7, 9, and 10;<br/>
<a id="pl.23.24"></a><var>23.24</var>(6) section 245B.07, subdivisions 2, 5, and 8, paragraph (a), clause (7);<br/>
<a id="pl.23.25"></a><var>23.25</var>(7) section 245C.04, subdivision 19.1 1, paragraph (f);<br/>
<a id="pl.23.26"></a><var>23.26</var>(8) section 245C.07;<br/>
<a id="pl.23.27"></a><var>23.27</var>(9) section 245C.13, subdivision 2;<br/>
<a id="pl.23.28"></a><var>23.28</var>(10) section 245C.20; and<br/>
<a id="pl.23.29"></a><var>23.29</var>(11) Minnesota Rules, parts 9525.2700 to 9525.2810.<br/>
<br/>
<a id="bill.0.22.0"></a><a id="pl.23.30"></a><var>23.30</var>    Sec. 22. Minnesota Statutes 2008, section 245C.03, subdivision 1, is amended to read:<br/>
<a id="pl.23.31"></a><var>23.31</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.23.32"></a><var>23.32</var>background study on:<br/>
<a id="pl.23.33"></a><var>23.33</var>(1) the person or persons applying for a license;<br/>
<a id="pl.23.34"></a><var>23.34</var>(2) an individual age 13 and over living in the household where the licensed <br/>
<a id="pl.23.35"></a><var>23.35</var>program will be provided;<br/>
<a id="pl.24.1"></a><var>24.1</var>(3) current or prospective employees or contractors of the applicant who will have <br/>
<a id="pl.24.2"></a><var>24.2</var>direct contact with persons served by the facility, agency, or program;<br/>
<a id="pl.24.3"></a><var>24.3</var>(4) volunteers or student volunteers who will have direct contact with persons served <br/>
<a id="pl.24.4"></a><var>24.4</var>by the program to provide program services if the contact is not under the continuous, <br/>
<a id="pl.24.5"></a><var>24.5</var>direct supervision by an individual listed in clause (1) or (3);<br/>
<a id="pl.24.6"></a><var>24.6</var>(5) an individual age ten to 12 living in the household where the licensed services <br/>
<a id="pl.24.7"></a><var>24.7</var>will be provided when the commissioner has reasonable cause;<br/>
<a id="pl.24.8"></a><var>24.8</var>(6) an individual who, without providing direct contact services at a licensed <br/>
<a id="pl.24.9"></a><var>24.9</var>program, may have unsupervised access to children or vulnerable adults receiving services <br/>
<a id="pl.24.10"></a><var>24.10</var>from a program, when the commissioner has reasonable cause; and<br/>
<a id="pl.24.11"></a><var>24.11</var>(7) all managerial officials as defined under section 
         <statute_ref>245A.02, subdivision 5a</statute_ref>.<br/>
<a id="pl.24.12"></a><var>24.12</var>(b) For family child foster care settings, a short-term substitute caregiver providing <br/>
<a id="pl.24.13"></a><var>24.13</var>direct contact services for a child for less than 72 hours of continuous care is not required <br/>
<a id="pl.24.14"></a><var>24.14</var>to receive a background study under this chapter.<br/>
<br/>
<a id="bill.0.23.0"></a><a id="pl.24.15"></a><var>24.15</var>    Sec. 23. Minnesota Statutes 2008, section 245C.04, subdivision 1, is amended to read:<br/>
<a id="pl.24.16"></a><var>24.16</var>    Subdivision 1. <b>Licensed programs.</b> (a) The commissioner shall conduct a <br/>
<a id="pl.24.17"></a><var>24.17</var>background study of an individual required to be studied under section 
         <statute_ref>245C.03, <br/>
<a id="pl.24.18"></a><var>24.18</var>subdivision 1
         </statute_ref>, at least upon application for initial license for all license types. <br/>
<a id="pl.24.19"></a><var>24.19</var>    (b) The commissioner shall conduct a background study of an individual required to <br/>
<a id="pl.24.20"></a><var>24.20</var>be studied under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, at reapplication for a license for adult <br/>
<a id="pl.24.21"></a><var>24.21</var>foster care, family adult day services, and family child care. <br/>
<a id="pl.24.22"></a><var>24.22</var>    (c) The commissioner is not required to conduct a study of an individual at the time <br/>
<a id="pl.24.23"></a><var>24.23</var>of reapplication for a license if the individual's background study was completed by the <br/>
<a id="pl.24.24"></a><var>24.24</var>commissioner of human services for an adult foster care license holder that is also:<br/>
<a id="pl.24.25"></a><var>24.25</var>    (1) registered under chapter 144D; or<br/>
<a id="pl.24.26"></a><var>24.26</var>    (2) licensed to provide home and community-based services to people with <br/>
<a id="pl.24.27"></a><var>24.27</var>disabilities at the foster care location and the license holder does not reside in the foster <br/>
<a id="pl.24.28"></a><var>24.28</var>care residence; and<br/>
<a id="pl.24.29"></a><var>24.29</var>    (3) the following conditions are met:<br/>
<a id="pl.24.30"></a><var>24.30</var>    (i) a study of the individual was conducted either at the time of initial licensure or <br/>
<a id="pl.24.31"></a><var>24.31</var>when the individual became affiliated with the license holder;<br/>
<a id="pl.24.32"></a><var>24.32</var>    (ii) the individual has been continuously affiliated with the license holder since <br/>
<a id="pl.24.33"></a><var>24.33</var>the last study was conducted; and<br/>
<a id="pl.24.34"></a><var>24.34</var>    (iii) the last study of the individual was conducted on or after October 1, 1995.<br/>
<a id="pl.25.1"></a><var>25.1</var>    (d) From July 1, 2007, to June 30, 2009, the commissioner of human services shall <br/>
<a id="pl.25.2"></a><var>25.2</var>conduct a study of an individual required to be studied under section 
         <statute_ref>245C.03</statute_ref>, at the <br/>
<a id="pl.25.3"></a><var>25.3</var>time of reapplication for a child foster care license. The county or private agency shall <br/>
<a id="pl.25.4"></a><var>25.4</var>collect and forward to the commissioner the information required under section 
         <statute_ref>245C.05</statute_ref>, <br/>
<a id="pl.25.5"></a><var>25.5</var>subdivisions 1, paragraphs (a) and (b), and 5, paragraphs (a) and (b). The background <br/>
<a id="pl.25.6"></a><var>25.6</var>study conducted by the commissioner of human services under this paragraph must <br/>
<a id="pl.25.7"></a><var>25.7</var>include a review of the information required under section 
         <statute_ref>245C.08, subdivisions 1</statute_ref>, <br/>
<a id="pl.25.8"></a><var>25.8</var>paragraph (a), clauses (1) to (5), 3, and 4.<br/>
<a id="pl.25.9"></a><var>25.9</var>    (e) The commissioner of human services shall conduct a background study of an <br/>
<a id="pl.25.10"></a><var>25.10</var>individual specified under section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), clauses (2) <br/>
<a id="pl.25.11"></a><var>25.11</var>to (6), who is newly affiliated with a child foster care license holder. The county or <br/>
<a id="pl.25.12"></a><var>25.12</var>private agency shall collect and forward to the commissioner the information required <br/>
<a id="pl.25.13"></a><var>25.13</var>under section 
         <statute_ref>245C.05, subdivisions 1</statute_ref> and 5. The background study conducted by the <br/>
<a id="pl.25.14"></a><var>25.14</var>commissioner of human services under this paragraph must include a review of the <br/>
<a id="pl.25.15"></a><var>25.15</var>information required under section 
         <statute_ref>245C.08, subdivisions 1</statute_ref>, 3, and 4.<br/>
<a id="pl.25.16"></a><var>25.16</var>    (f) Applicants for licensure, license holders, and other entities as provided in this <br/>
<a id="pl.25.17"></a><var>25.17</var>chapter must submit completed background study forms to the commissioner before <br/>
<a id="pl.25.18"></a><var>25.18</var>individuals specified in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, begin positions allowing direct <br/>
<a id="pl.25.19"></a><var>25.19</var>contact in any licensed program. <br/>
<a id="pl.25.20"></a><var>25.20</var>    (g) For purposes of this section, a physician licensed under chapter 147 is considered <br/>
<a id="pl.25.21"></a><var>25.21</var>to be continuously affiliated upon the license holder's receipt from the commissioner of <br/>
<a id="pl.25.22"></a><var>25.22</var>health or human services of the physician's background study results.<br/>
<a id="pl.25.23"></a><var>25.23</var>    (h) A license holder must provide the commissioner notice through the <br/>
<a id="pl.25.24"></a><var>25.24</var>commissioner's online background study system or through a letter mailed to the <br/>
<a id="pl.25.25"></a><var>25.25</var>commissioner when:<br/>
<a id="pl.25.26"></a><var>25.26</var>    (1) an individual returns to a position requiring a background study following an <br/>
<a id="pl.25.27"></a><var>25.27</var>absence of 45 or more consecutive days; or<br/>
<a id="pl.25.28"></a><var>25.28</var>    (2) a program, which discontinued providing licensed direct contact services for 45 <br/>
<a id="pl.25.29"></a><var>25.29</var>or more consecutive days, again begins to provide direct contact licensed services. <br/>
<a id="pl.25.30"></a><var>25.30</var>    The license holder shall maintain a copy of the notification provided to the <br/>
<a id="pl.25.31"></a><var>25.31</var>commissioner under this paragraph in the program's files.<br/>
<a id="pl.25.32"></a><var>25.32</var>(i) From January 1, 2010, to December 31, 2012, unless otherwise specified in <br/>
<a id="pl.25.33"></a><var>25.33</var>paragraph (c), the commissioner shall conduct a study of an individual required to be <br/>
<a id="pl.25.34"></a><var>25.34</var>studied under section 245C.03 at the time of reapplication for an adult foster care or <br/>
<a id="pl.25.35"></a><var>25.35</var>family adult day services license:<br/>
<a id="pl.26.1"></a><var>26.1</var>(1) the county shall collect and forward to the commissioner the information <br/>
<a id="pl.26.2"></a><var>26.2</var>required under section 245C.05, subdivision 1, paragraphs (a) and (b), and subdivision 5, <br/>
<a id="pl.26.3"></a><var>26.3</var>paragraphs (a) and (b), for background studies conducted by the commissioner for adult <br/>
<a id="pl.26.4"></a><var>26.4</var>foster care and family adult day services when the license holder resides in the adult foster <br/>
<a id="pl.26.5"></a><var>26.5</var>care or family adult day services residence;<br/>
<a id="pl.26.6"></a><var>26.6</var>(2) the license holder shall collect and forward to the commissioner the information <br/>
<a id="pl.26.7"></a><var>26.7</var>required under section 245C.05, subdivisions 1, paragraphs (a) and (b); and 5, paragraphs <br/>
<a id="pl.26.8"></a><var>26.8</var>(a) and (b), for background studies conducted by the commissioner for adult foster care <br/>
<a id="pl.26.9"></a><var>26.9</var>when the license holder does not reside in the adult foster care residence; and<br/>
<a id="pl.26.10"></a><var>26.10</var>(3) the background study conducted by the commissioner under this paragraph <br/>
<a id="pl.26.11"></a><var>26.11</var>must include a review of the information required under section 245C.08, subdivision 1, <br/>
<a id="pl.26.12"></a><var>26.12</var>paragraph (a), clauses (1) to (5), and subdivisions 3 and 4.<br/>
<a id="pl.26.13"></a><var>26.13</var>(j) The commissioner shall conduct a background study of an individual specified <br/>
<a id="pl.26.14"></a><var>26.14</var>under section 245C.03, subdivision 1, paragraph (a), clauses (2) to (6), who is newly <br/>
<a id="pl.26.15"></a><var>26.15</var>affiliated with an adult foster care or family adult day services license holder:<br/>
<a id="pl.26.16"></a><var>26.16</var>(1) the county shall collect and forward to the commissioner the information <br/>
<a id="pl.26.17"></a><var>26.17</var>required under section 245C.05, subdivision 1, paragraphs (a) and (b), and subdivision 5, <br/>
<a id="pl.26.18"></a><var>26.18</var>paragraphs (a) and (b), for background studies conducted by the commissioner for adult <br/>
<a id="pl.26.19"></a><var>26.19</var>foster care and family adult day services when the license holder resides in the adult foster <br/>
<a id="pl.26.20"></a><var>26.20</var>care or family adult day services residence;<br/>
<a id="pl.26.21"></a><var>26.21</var>(2) the license holder shall collect and forward to the commissioner the information <br/>
<a id="pl.26.22"></a><var>26.22</var>required under section 245C.05, subdivisions 1, paragraphs (a) and (b); and 5, paragraphs <br/>
<a id="pl.26.23"></a><var>26.23</var>(a) and (b), for background studies conducted by the commissioner for adult foster care <br/>
<a id="pl.26.24"></a><var>26.24</var>when the license holder does not reside in the adult foster care residence; and<br/>
<a id="pl.26.25"></a><var>26.25</var>(3) the background study conducted by the commissioner under this paragraph <br/>
<a id="pl.26.26"></a><var>26.26</var>must include a review of the information required under section 245C.08, subdivision 1, <br/>
<a id="pl.26.27"></a><var>26.27</var>paragraph (a), and subdivisions 3 and 4.<br/>
<br/>
<a id="bill.0.24.0"></a><a id="pl.26.28"></a><var>26.28</var>    Sec. 24. Minnesota Statutes 2008, section 245C.05, is amended by adding a <br/>
<a id="pl.26.29"></a><var>26.29</var>subdivision to read:<br/>
<a id="pl.26.30"></a><var>26.30</var>    Subd. 2b. <b>County agency to collect and forward information to the </b><br/>
<a id="pl.26.31"></a><var>26.31</var><b>commissioner.</b> For background studies related to adult foster care and family adult <br/>
<a id="pl.26.32"></a><var>26.32</var>day services when the license holder resides in the adult foster care or family adult <br/>
<a id="pl.26.33"></a><var>26.33</var>day services residence, the county agency must collect the information required under <br/>
<a id="pl.26.34"></a><var>26.34</var>subdivision 1 and forward it to the commissioner.<br/>
<br/>
<a id="bill.0.25.0"></a><a id="pl.27.1"></a><var>27.1</var>    Sec. 25. Minnesota Statutes 2008, section 245C.05, subdivision 4, is amended to read:<br/>
<a id="pl.27.2"></a><var>27.2</var>    Subd. 4. <b>Electronic transmission.</b> For background studies conducted by the <br/>
<a id="pl.27.3"></a><var>27.3</var>Department of Human Services, the commissioner shall implement a system for the <br/>
<a id="pl.27.4"></a><var>27.4</var>electronic transmission of:<br/>
<a id="pl.27.5"></a><var>27.5</var>    (1) background study information to the commissioner; <br/>
<a id="pl.27.6"></a><var>27.6</var>    (2) background study results to the license holder; and<br/>
<a id="pl.27.7"></a><var>27.7</var>    (3) background study results to county and private agencies for background studies <br/>
<a id="pl.27.8"></a><var>27.8</var>conducted by the commissioner for child foster care; and<br/>
<a id="pl.27.9"></a><var>27.9</var>(4) background study results to county agencies for background studies conducted <br/>
<a id="pl.27.10"></a><var>27.10</var>by the commissioner for adult foster care and family adult day services.<br/>
<br/>
<a id="bill.0.26.0"></a><a id="pl.27.11"></a><var>27.11</var>    Sec. 26. Minnesota Statutes 2008, section 245C.07, is amended to read:<br/>
<a id="pl.27.12"></a><var>27.12</var><b>245C.07 STUDY SUBJECT AFFILIATED WITH MULTIPLE FACILITIES.</b><br/>
<a id="pl.27.13"></a><var>27.13</var>    (a) When a license holder, applicant, or other entity owns multiple programs or <br/>
<a id="pl.27.14"></a><var>27.14</var>services that are licensed by the Department of Human Services, Department of Health, or <br/>
<a id="pl.27.15"></a><var>27.15</var>Department of Corrections, only one background study is required for an individual who <br/>
<a id="pl.27.16"></a><var>27.16</var>provides direct contact services in one or more of the licensed programs or services if:<br/>
<a id="pl.27.17"></a><var>27.17</var>    (1) the license holder designates one individual with one address and telephone <br/>
<a id="pl.27.18"></a><var>27.18</var>number as the person to receive sensitive background study information for the multiple <br/>
<a id="pl.27.19"></a><var>27.19</var>licensed programs or services that depend on the same background study; and<br/>
<a id="pl.27.20"></a><var>27.20</var>    (2) the individual designated to receive the sensitive background study information <br/>
<a id="pl.27.21"></a><var>27.21</var>is capable of determining, upon request of the department, whether a background study <br/>
<a id="pl.27.22"></a><var>27.22</var>subject is providing direct contact services in one or more of the license holder's programs <br/>
<a id="pl.27.23"></a><var>27.23</var>or services and, if so, at which location or locations.<br/>
<a id="pl.27.24"></a><var>27.24</var>    (b) When a license holder maintains background study compliance for multiple <br/>
<a id="pl.27.25"></a><var>27.25</var>licensed programs according to paragraph (a), and one or more of the licensed programs <br/>
<a id="pl.27.26"></a><var>27.26</var>closes, the license holder shall immediately notify the commissioner which staff must be <br/>
<a id="pl.27.27"></a><var>27.27</var>transferred to an active license so that the background studies can be electronically paired <br/>
<a id="pl.27.28"></a><var>27.28</var>with the license holder's active program.<br/>
<a id="pl.27.29"></a><var>27.29</var>    (b) (c) When a background study is being initiated by a licensed program or service <br/>
<a id="pl.27.30"></a><var>27.30</var>or a foster care provider that is also registered under chapter 144D, a study subject <br/>
<a id="pl.27.31"></a><var>27.31</var>affiliated with multiple licensed programs or services may attach to the background study <br/>
<a id="pl.27.32"></a><var>27.32</var>form a cover letter indicating the additional names of the programs or services, addresses, <br/>
<a id="pl.27.33"></a><var>27.33</var>and background study identification numbers.<br/>
<a id="pl.27.34"></a><var>27.34</var>    When the commissioner receives a notice, the commissioner shall notify each <br/>
<a id="pl.27.35"></a><var>27.35</var>program or service identified by the background study subject of the study results.<br/>
<a id="pl.28.1"></a><var>28.1</var>    The background study notice the commissioner sends to the subsequent agencies <br/>
<a id="pl.28.2"></a><var>28.2</var>shall satisfy those programs' or services' responsibilities for initiating a background study <br/>
<a id="pl.28.3"></a><var>28.3</var>on that individual.<br/>
<br/>
<a id="bill.0.27.0"></a><a id="pl.28.4"></a><var>28.4</var>    Sec. 27. Minnesota Statutes 2008, section 245C.08, subdivision 2, is amended to read:<br/>
<a id="pl.28.5"></a><var>28.5</var>    Subd. 2. <b>Background studies conducted by a county agency.</b> (a) For a background <br/>
<a id="pl.28.6"></a><var>28.6</var>study conducted by a county agency for adult foster care, family adult day services, and <br/>
<a id="pl.28.7"></a><var>28.7</var>family child care services, the commissioner shall review:<br/>
<a id="pl.28.8"></a><var>28.8</var>    (1) information from the county agency's record of substantiated maltreatment <br/>
<a id="pl.28.9"></a><var>28.9</var>of adults and the maltreatment of minors;<br/>
<a id="pl.28.10"></a><var>28.10</var>    (2) information from juvenile courts as required in subdivision 4 for individuals <br/>
<a id="pl.28.11"></a><var>28.11</var>listed in section 
         <statute_ref>245C.03, subdivision 1</statute_ref>, clauses (2), (5), and (6); and<br/>
<a id="pl.28.12"></a><var>28.12</var>    (3) information from the Bureau of Criminal Apprehension.<br/>
<a id="pl.28.13"></a><var>28.13</var>    (b) If the individual has resided in the county for less than five years, the study shall <br/>
<a id="pl.28.14"></a><var>28.14</var>include the records specified under paragraph (a) for the previous county or counties of <br/>
<a id="pl.28.15"></a><var>28.15</var>residence for the past five years.<br/>
<a id="pl.28.16"></a><var>28.16</var>    (c) Notwithstanding expungement by a court, the county agency may consider <br/>
<a id="pl.28.17"></a><var>28.17</var>information obtained under paragraph (a), clause (3), unless the commissioner received <br/>
<a id="pl.28.18"></a><var>28.18</var>notice of the petition for expungement and the court order for expungement is directed <br/>
<a id="pl.28.19"></a><var>28.19</var>specifically to the commissioner.<br/>
<br/>
<a id="bill.0.28.0"></a><a id="pl.28.20"></a><var>28.20</var>    Sec. 28. Minnesota Statutes 2008, section 245C.10, is amended by adding a <br/>
<a id="pl.28.21"></a><var>28.21</var>subdivision to read:<br/>
<a id="pl.28.22"></a><var>28.22</var>    Subd. 5. <b>Adult foster care services.</b> The commissioner shall recover the cost of <br/>
<a id="pl.28.23"></a><var>28.23</var>background studies required under section 245C.03, subdivision 1, for the purposes of <br/>
<a id="pl.28.24"></a><var>28.24</var>adult foster care and family adult day services licensing, through a fee of no more than <br/>
<a id="pl.28.25"></a><var>28.25</var>$20 per study charged to the license holder. The fees collected under this subdivision are <br/>
<a id="pl.28.26"></a><var>28.26</var>appropriated to the commissioner for the purpose of conducting background studies.<br/>
<br/>
<a id="bill.0.29.0"></a><a id="pl.28.27"></a><var>28.27</var>    Sec. 29. Minnesota Statutes 2008, section 245C.13, subdivision 2, is amended to read:<br/>
<a id="pl.28.28"></a><var>28.28</var>    Subd. 2. <b>Direct contact pending completion of background study.</b> The subject <br/>
<a id="pl.28.29"></a><var>28.29</var>of a background study may not perform any activity requiring a background study under <br/>
<a id="pl.28.30"></a><var>28.30</var>paragraph (b) until the commissioner has issued one of the notices under paragraph (a).<br/>
<a id="pl.28.31"></a><var>28.31</var>    (a) Notices from the commissioner required prior to activity under paragraph (b) <br/>
<a id="pl.28.32"></a><var>28.32</var>include:<br/>
<a id="pl.28.33"></a><var>28.33</var>    (1) a notice of the study results under section 
         <statute_ref>245C.17</statute_ref> stating that:<br/>
<a id="pl.29.1"></a><var>29.1</var>    (i) the individual is not disqualified; or<br/>
<a id="pl.29.2"></a><var>29.2</var>    (ii) more time is needed to complete the study but the individual is not required to be <br/>
<a id="pl.29.3"></a><var>29.3</var>removed from direct contact or access to people receiving services prior to completion <br/>
<a id="pl.29.4"></a><var>29.4</var>of the study as provided under section 
         <statute_ref>245C.17, subdivision 1</statute_ref>, paragraph (b) or (c). The <br/>
<a id="pl.29.5"></a><var>29.5</var>notice that more time is needed to complete the study must also indicate whether the <br/>
<a id="pl.29.6"></a><var>29.6</var>individual is required to be under continuous direct supervision prior to completion of the <br/>
<a id="pl.29.7"></a><var>29.7</var>background study;<br/>
<a id="pl.29.8"></a><var>29.8</var>    (2) a notice that a disqualification has been set aside under section 
         <statute_ref>245C.23</statute_ref>; or<br/>
<a id="pl.29.9"></a><var>29.9</var>    (3) a notice that a variance has been granted related to the individual under section <br/>
<statute_ref><a id="pl.29.10"></a><var>29.10</var>245C.30
         </statute_ref>.<br/>
<a id="pl.29.11"></a><var>29.11</var>    (b) Activities prohibited prior to receipt of notice under paragraph (a) include:<br/>
<a id="pl.29.12"></a><var>29.12</var>    (1) being issued a license;<br/>
<a id="pl.29.13"></a><var>29.13</var>    (2) living in the household where the licensed program will be provided;<br/>
<a id="pl.29.14"></a><var>29.14</var>    (3) providing direct contact services to persons served by a program unless the <br/>
<a id="pl.29.15"></a><var>29.15</var>subject is under continuous direct supervision; or<br/>
<a id="pl.29.16"></a><var>29.16</var>    (4) having access to persons receiving services if the background study was <br/>
<a id="pl.29.17"></a><var>29.17</var>completed under section 
         <statute_ref>144.057, subdivision 1</statute_ref>, or 
         <statute_ref>245C.03, subdivision 1</statute_ref>, paragraph (a), <br/>
<a id="pl.29.18"></a><var>29.18</var>clause (2), (5), or (6), unless the subject is under continuous direct supervision.<br/>
<br/>
<a id="bill.0.30.0"></a><a id="pl.29.19"></a><var>29.19</var>    Sec. 30. Minnesota Statutes 2008, section 245C.15, subdivision 1, is amended to read:<br/>
<a id="pl.29.20"></a><var>29.20</var>    Subdivision 1. <b>Permanent disqualification.</b> (a) An individual is disqualified under <br/>
<a id="pl.29.21"></a><var>29.21</var>section 
         <statute_ref>245C.14</statute_ref> if: (1) regardless of how much time has passed since the discharge of the <br/>
<a id="pl.29.22"></a><var>29.22</var>sentence imposed, if any, for the offense; and (2) unless otherwise specified, regardless <br/>
<a id="pl.29.23"></a><var>29.23</var>of the level of the offense, the individual has committed any of the following offenses: <br/>
<a id="pl.29.24"></a><var>29.24</var>sections 
         <statute_ref>243.166</statute_ref> (violation of predatory offender registration law); 
         <statute_ref>609.185</statute_ref> (murder in the <br/>
<a id="pl.29.25"></a><var>29.25</var>first degree); 
         <statute_ref>609.19</statute_ref> (murder in the second degree); 
         <statute_ref>609.195</statute_ref> (murder in the third degree); <br/>
<statute_ref><a id="pl.29.26"></a><var>29.26</var>609.20
         </statute_ref> (manslaughter in the first degree); 
         <statute_ref>609.205</statute_ref> (manslaughter in the second degree); a <br/>
<a id="pl.29.27"></a><var>29.27</var>felony offense under 
         <statute_ref>609.221</statute_ref> or 
         <statute_ref>609.222</statute_ref> (assault in the first or second degree); a felony <br/>
<a id="pl.29.28"></a><var>29.28</var>offense under sections 
         <statute_ref>609.2242</statute_ref> and 
         <statute_ref>609.2243</statute_ref> (domestic assault), spousal abuse, child <br/>
<a id="pl.29.29"></a><var>29.29</var>abuse or neglect, or a crime against children; 
         <statute_ref>609.2247</statute_ref> (domestic assault by strangulation); <br/>
<statute_ref><a id="pl.29.30"></a><var>29.30</var>609.228
         </statute_ref> (great bodily harm caused by distribution of drugs); 
         <statute_ref>609.245</statute_ref> (aggravated <br/>
<a id="pl.29.31"></a><var>29.31</var>robbery); 
         <statute_ref>609.25</statute_ref> (kidnapping); 
         <statute_ref>609.2661</statute_ref> (murder of an unborn child in the first degree); <br/>
<statute_ref><a id="pl.29.32"></a><var>29.32</var>609.2662
         </statute_ref> (murder of an unborn child in the second degree); 
         <statute_ref>609.2663</statute_ref> (murder of an <br/>
<a id="pl.29.33"></a><var>29.33</var>unborn child in the third degree); 
         <statute_ref>609.322</statute_ref> (solicitation, inducement, and promotion of <br/>
<a id="pl.29.34"></a><var>29.34</var>prostitution); 
         <statute_ref>609.324, subdivision 1</statute_ref> (other prohibited acts); 
         <statute_ref>609.342</statute_ref> (criminal sexual <br/>
<a id="pl.29.35"></a><var>29.35</var>conduct in the first degree); 
         <statute_ref>609.343</statute_ref> (criminal sexual conduct in the second degree); <br/>
<statute_ref><a id="pl.30.1"></a><var>30.1</var>609.344
         </statute_ref> (criminal sexual conduct in the third degree); 
         <statute_ref>609.345</statute_ref> (criminal sexual conduct <br/>
<a id="pl.30.2"></a><var>30.2</var>in the fourth degree); 
         <statute_ref>609.3451</statute_ref> (criminal sexual conduct in the fifth degree); 
         <statute_ref>609.3453</statute_ref> <br/>
<a id="pl.30.3"></a><var>30.3</var>(criminal sexual predatory conduct); 
         <statute_ref>609.352</statute_ref> (solicitation of children to engage in sexual <br/>
<a id="pl.30.4"></a><var>30.4</var>conduct); 
         <statute_ref>609.365</statute_ref> (incest); a felony offense under 
         <statute_ref>609.377</statute_ref> (malicious punishment of a <br/>
<a id="pl.30.5"></a><var>30.5</var>child); a felony offense under 
         <statute_ref>609.378</statute_ref> (neglect or endangerment of a child); 
         <statute_ref>609.561</statute_ref> <br/>
<a id="pl.30.6"></a><var>30.6</var>(arson in the first degree); 
         <statute_ref>609.66, subdivision 1e</statute_ref> (drive-by shooting); 
         <statute_ref>609.749, subdivision <br/>
<a id="pl.30.7"></a><var>30.7</var>3
         </statute_ref>, 4, or 5 (felony-level harassment; stalking); 
         <statute_ref>609.855, subdivision 5</statute_ref> (shooting at or in a <br/>
<a id="pl.30.8"></a><var>30.8</var>public transit vehicle or facility); 
         <statute_ref>617.23</statute_ref>, subdivision 2, clause (1), or subdivision 3, clause <br/>
<a id="pl.30.9"></a><var>30.9</var>(1) (indecent exposure involving a minor); 
         <statute_ref>617.246</statute_ref> (use of minors in sexual performance <br/>
<a id="pl.30.10"></a><var>30.10</var>prohibited); or 
         <statute_ref>617.247</statute_ref> (possession of pictorial representations of minors). An individual <br/>
<a id="pl.30.11"></a><var>30.11</var>also is disqualified under section 
         <statute_ref>245C.14</statute_ref> regardless of how much time has passed since <br/>
<a id="pl.30.12"></a><var>30.12</var>the involuntary termination of the individual's parental rights under section 
         <statute_ref>260C.301</statute_ref>.<br/>
<a id="pl.30.13"></a><var>30.13</var>    (b) An individual's aiding and abetting, attempt, or conspiracy to commit any of the <br/>
<a id="pl.30.14"></a><var>30.14</var>offenses listed in paragraph (a), as each of these offenses is defined in Minnesota Statutes, <br/>
<a id="pl.30.15"></a><var>30.15</var>permanently disqualifies the individual under section 
         <statute_ref>245C.14</statute_ref>.<br/>
<a id="pl.30.16"></a><var>30.16</var>    (c) An individual's offense in any other state or country, where the elements of the <br/>
<a id="pl.30.17"></a><var>30.17</var>offense are substantially similar to any of the offenses listed in paragraph (a), permanently <br/>
<a id="pl.30.18"></a><var>30.18</var>disqualifies the individual under section 
         <statute_ref>245C.14</statute_ref>.<br/>
<a id="pl.30.19"></a><var>30.19</var>    (d) When a disqualification is based on a judicial determination other than a <br/>
<a id="pl.30.20"></a><var>30.20</var>conviction, the disqualification period begins from the date of the court order. When a <br/>
<a id="pl.30.21"></a><var>30.21</var>disqualification is based on an admission, the disqualification period begins from the <br/>
<a id="pl.30.22"></a><var>30.22</var>date of an admission in court. When a disqualification is based on an Alford Plea, the <br/>
<a id="pl.30.23"></a><var>30.23</var>disqualification period begins from the date the Alford Plea is entered in court. When <br/>
<a id="pl.30.24"></a><var>30.24</var>a disqualification is based on a preponderance of evidence of a disqualifying act, the <br/>
<a id="pl.30.25"></a><var>30.25</var>disqualification date begins from the date of the dismissal, the date of discharge of the <br/>
<a id="pl.30.26"></a><var>30.26</var>sentence imposed for a conviction for a disqualifying crime of similar elements, or the <br/>
<a id="pl.30.27"></a><var>30.27</var>date of the incident, whichever occurs last.<br/>
<a id="pl.30.28"></a><var>30.28</var>    (e) If the individual studied commits one of the offenses listed in paragraph (a) that <br/>
<a id="pl.30.29"></a><var>30.29</var>is specified as a felony-level only offense, but the sentence or level of offense is a gross <br/>
<a id="pl.30.30"></a><var>30.30</var>misdemeanor or misdemeanor, the individual is disqualified, but the disqualification <br/>
<a id="pl.30.31"></a><var>30.31</var>look-back period for the offense is the period applicable to gross misdemeanor or <br/>
<a id="pl.30.32"></a><var>30.32</var>misdemeanor offenses.<br/>
<br/>
<a id="bill.0.31.0"></a><a id="pl.30.33"></a><var>30.33</var>    Sec. 31. Minnesota Statutes 2008, section 245C.15, subdivision 2, is amended to read:<br/>
<a id="pl.30.34"></a><var>30.34</var>    Subd. 2. <b>15-year disqualification.</b> (a) An individual is disqualified under section <br/>
<statute_ref><a id="pl.30.35"></a><var>30.35</var>245C.14
         </statute_ref> if: (1) less than 15 years have passed since the discharge of the sentence imposed, <br/>
<a id="pl.31.1"></a><var>31.1</var>if any, for the offense; and (2) the individual has committed a felony-level violation <br/>
<a id="pl.31.2"></a><var>31.2</var>of any of the following offenses: sections 
         <statute_ref>256.98</statute_ref> (wrongfully obtaining assistance); <br/>
<statute_ref><a id="pl.31.3"></a><var>31.3</var>268.182
         </statute_ref> (false representation; concealment of facts); 
         <statute_ref>393.07, subdivision 10</statute_ref>, paragraph <br/>
<a id="pl.31.4"></a><var>31.4</var>(c) (federal Food Stamp Program fraud); 
         <statute_ref>609.165</statute_ref> (felon ineligible to possess firearm); <br/>
<statute_ref><a id="pl.31.5"></a><var>31.5</var>609.21
         </statute_ref> (criminal vehicular homicide and injury); 
         <statute_ref>609.215</statute_ref> (suicide); 
         <statute_ref>609.223</statute_ref> or 
         <statute_ref>609.2231</statute_ref> <br/>
<a id="pl.31.6"></a><var>31.6</var>(assault in the third or fourth degree); repeat offenses under 
         <statute_ref>609.224</statute_ref> (assault in the fifth <br/>
<a id="pl.31.7"></a><var>31.7</var>degree); 
         <statute_ref>609.229</statute_ref> (crimes committed for benefit of a gang); 
         <statute_ref>609.2325</statute_ref> (criminal abuse of a <br/>
<a id="pl.31.8"></a><var>31.8</var>vulnerable adult); 
         <statute_ref>609.2335</statute_ref> (financial exploitation of a vulnerable adult); 
         <statute_ref>609.235</statute_ref> (use of <br/>
<a id="pl.31.9"></a><var>31.9</var>drugs to injure or facilitate crime); 
         <statute_ref>609.24</statute_ref> (simple robbery); 
         <statute_ref>609.255</statute_ref> (false imprisonment); <br/>
<statute_ref><a id="pl.31.10"></a><var>31.10</var>609.2664
         </statute_ref> (manslaughter of an unborn child in the first degree); 
         <statute_ref>609.2665</statute_ref> (manslaughter <br/>
<a id="pl.31.11"></a><var>31.11</var>of an unborn child in the second degree); 
         <statute_ref>609.267</statute_ref> (assault of an unborn child in the first <br/>
<a id="pl.31.12"></a><var>31.12</var>degree); 
         <statute_ref>609.2671</statute_ref> (assault of an unborn child in the second degree); 
         <statute_ref>609.268</statute_ref> (injury <br/>
<a id="pl.31.13"></a><var>31.13</var>or death of an unborn child in the commission of a crime); 
         <statute_ref>609.27</statute_ref> (coercion); 
         <statute_ref>609.275</statute_ref> <br/>
<a id="pl.31.14"></a><var>31.14</var>(attempt to coerce); 
         <statute_ref>609.466</statute_ref> (medical assistance fraud); 609.495 (aiding an offender); <br/>
<a id="pl.31.15"></a><var>31.15</var><statute_ref>609.498, subdivision 1</statute_ref> or 1b (aggravated first-degree or first-degree tampering with a <br/>
<a id="pl.31.16"></a><var>31.16</var>witness); 
         <statute_ref>609.52</statute_ref> (theft); 
         <statute_ref>609.521</statute_ref> (possession of shoplifting gear); 
         <statute_ref>609.525</statute_ref> (bringing <br/>
<a id="pl.31.17"></a><var>31.17</var>stolen goods into Minnesota); 
         <statute_ref>609.527</statute_ref> (identity theft); 
         <statute_ref>609.53</statute_ref> (receiving stolen property); <br/>
<statute_ref><a id="pl.31.18"></a><var>31.18</var>609.535
         </statute_ref> (issuance of dishonored checks); 
         <statute_ref>609.562</statute_ref> (arson in the second degree); <br/>
<statute_ref><a id="pl.31.19"></a><var>31.19</var>609.563
         </statute_ref> (arson in the third degree); 
         <statute_ref>609.582</statute_ref> (burglary); 
         <statute_ref>609.59</statute_ref> (possession of burglary <br/>
<a id="pl.31.20"></a><var>31.20</var>tools); 
         <statute_ref>609.611</statute_ref> (insurance fraud); 
         <statute_ref>609.625</statute_ref> (aggravated forgery); 
         <statute_ref>609.63</statute_ref> (forgery); <br/>
<statute_ref><a id="pl.31.21"></a><var>31.21</var>609.631
         </statute_ref> (check forgery; offering a forged check); 
         <statute_ref>609.635</statute_ref> (obtaining signature by <br/>
<a id="pl.31.22"></a><var>31.22</var>false pretense); 
         <statute_ref>609.66</statute_ref> (dangerous weapons); 
         <statute_ref>609.67</statute_ref> (machine guns and short-barreled <br/>
<a id="pl.31.23"></a><var>31.23</var>shotguns); 
         <statute_ref>609.687</statute_ref> (adulteration); 
         <statute_ref>609.71</statute_ref> (riot); 
         <statute_ref>609.713</statute_ref> (terroristic threats); 
         <statute_ref>609.82</statute_ref> <br/>
<a id="pl.31.24"></a><var>31.24</var>(fraud in obtaining credit); 
         <statute_ref>609.821</statute_ref> (financial transaction card fraud); 
         <statute_ref>617.23</statute_ref> (indecent <br/>
<a id="pl.31.25"></a><var>31.25</var>exposure), not involving a minor; repeat offenses under 
         <statute_ref>617.241</statute_ref> (obscene materials and <br/>
<a id="pl.31.26"></a><var>31.26</var>performances; distribution and exhibition prohibited; penalty); 
         <statute_ref>624.713</statute_ref> (certain persons <br/>
<a id="pl.31.27"></a><var>31.27</var>not to possess firearms); chapter 152 (drugs; controlled substance); or a felony-level <br/>
<a id="pl.31.28"></a><var>31.28</var>conviction involving alcohol or drug use.<br/>
<a id="pl.31.29"></a><var>31.29</var>    (b) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than 15 years has <br/>
<a id="pl.31.30"></a><var>31.30</var>passed since the individual's aiding and abetting, attempt, or conspiracy to commit any <br/>
<a id="pl.31.31"></a><var>31.31</var>of the offenses listed in paragraph (a), as each of these offenses is defined in Minnesota <br/>
<a id="pl.31.32"></a><var>31.32</var>Statutes.<br/>
<a id="pl.31.33"></a><var>31.33</var>    (c) For foster care and family child care an individual is disqualified under section <br/>
<statute_ref><a id="pl.31.34"></a><var>31.34</var>245C.14
         </statute_ref> if less than 15 years has passed since the individual's voluntary termination of <br/>
<a id="pl.31.35"></a><var>31.35</var>the individual's parental rights under section 
         <statute_ref>260C.301, subdivision 1</statute_ref>, paragraph (b), or <br/>
<statute_ref><a id="pl.31.36"></a><var>31.36</var>260C.301, subdivision 3
         </statute_ref>.<br/>
<a id="pl.32.1"></a><var>32.1</var>    (d) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than 15 years has <br/>
<a id="pl.32.2"></a><var>32.2</var>passed since the discharge of the sentence imposed for an offense in any other state or <br/>
<a id="pl.32.3"></a><var>32.3</var>country, the elements of which are substantially similar to the elements of the offenses <br/>
<a id="pl.32.4"></a><var>32.4</var>listed in paragraph (a).<br/>
<a id="pl.32.5"></a><var>32.5</var>    (e) If the individual studied commits one of the offenses listed in paragraph (a), but <br/>
<a id="pl.32.6"></a><var>32.6</var>the sentence or level of offense is a gross misdemeanor or misdemeanor, the individual <br/>
<a id="pl.32.7"></a><var>32.7</var>is disqualified but the disqualification look-back period for the offense is the period <br/>
<a id="pl.32.8"></a><var>32.8</var>applicable to the gross misdemeanor or misdemeanor disposition.<br/>
<a id="pl.32.9"></a><var>32.9</var>    (f) When a disqualification is based on a judicial determination other than a <br/>
<a id="pl.32.10"></a><var>32.10</var>conviction, the disqualification period begins from the date of the court order. When a <br/>
<a id="pl.32.11"></a><var>32.11</var>disqualification is based on an admission, the disqualification period begins from the <br/>
<a id="pl.32.12"></a><var>32.12</var>date of an admission in court. When a disqualification is based on an Alford Plea, the <br/>
<a id="pl.32.13"></a><var>32.13</var>disqualification period begins from the date the Alford Plea is entered in court. When <br/>
<a id="pl.32.14"></a><var>32.14</var>a disqualification is based on a preponderance of evidence of a disqualifying act, the <br/>
<a id="pl.32.15"></a><var>32.15</var>disqualification date begins from the date of the dismissal, the date of discharge of the <br/>
<a id="pl.32.16"></a><var>32.16</var>sentence imposed for a conviction for a disqualifying crime of similar elements, or the <br/>
<a id="pl.32.17"></a><var>32.17</var>date of the incident, whichever occurs last.<br/>
<br/>
<a id="bill.0.32.0"></a><a id="pl.32.18"></a><var>32.18</var>    Sec. 32. Minnesota Statutes 2008, section 245C.15, subdivision 3, is amended to read:<br/>
<a id="pl.32.19"></a><var>32.19</var>    Subd. 3. <b>Ten-year disqualification.</b> (a) An individual is disqualified under section <br/>
<statute_ref><a id="pl.32.20"></a><var>32.20</var>245C.14
         </statute_ref> if: (1) less than ten years have passed since the discharge of the sentence imposed, <br/>
<a id="pl.32.21"></a><var>32.21</var>if any, for the offense; and (2) the individual has committed a gross misdemeanor-level <br/>
<a id="pl.32.22"></a><var>32.22</var>violation of any of the following offenses: sections 
         <statute_ref>256.98</statute_ref> (wrongfully obtaining <br/>
<a id="pl.32.23"></a><var>32.23</var>assistance); 
         <statute_ref>268.182</statute_ref> (false representation; concealment of facts); 
         <statute_ref>393.07, subdivision 10</statute_ref>, <br/>
<a id="pl.32.24"></a><var>32.24</var>paragraph (c) (federal Food Stamp Program fraud); 
         <statute_ref>609.21</statute_ref> (criminal vehicular homicide <br/>
<a id="pl.32.25"></a><var>32.25</var>and injury); 
         <statute_ref>609.221</statute_ref> or 
         <statute_ref>609.222</statute_ref> (assault in the first or second degree); 
         <statute_ref>609.223</statute_ref> or <br/>
<statute_ref><a id="pl.32.26"></a><var>32.26</var>609.2231
         </statute_ref> (assault in the third or fourth degree); 
         <statute_ref>609.224</statute_ref> (assault in the fifth degree); <br/>
<statute_ref><a id="pl.32.27"></a><var>32.27</var>609.224, subdivision 2
         </statute_ref>, paragraph (c) (assault in the fifth degree by a caregiver against a <br/>
<a id="pl.32.28"></a><var>32.28</var>vulnerable adult); 
         <statute_ref>609.2242</statute_ref> and 
         <statute_ref>609.2243</statute_ref> (domestic assault); 
         <statute_ref>609.23</statute_ref> (mistreatment of <br/>
<a id="pl.32.29"></a><var>32.29</var>persons confined); 
         <statute_ref>609.231</statute_ref> (mistreatment of residents or patients); 
         <statute_ref>609.2325</statute_ref> (criminal <br/>
<a id="pl.32.30"></a><var>32.30</var>abuse of a vulnerable adult); 
         <statute_ref>609.233</statute_ref> (criminal neglect of a vulnerable adult); 
         <statute_ref>609.2335</statute_ref> <br/>
<a id="pl.32.31"></a><var>32.31</var>(financial exploitation of a vulnerable adult); 
         <statute_ref>609.234</statute_ref> (failure to report maltreatment of a <br/>
<a id="pl.32.32"></a><var>32.32</var>vulnerable adult); 
         <statute_ref>609.265</statute_ref> (abduction); 
         <statute_ref>609.275</statute_ref> (attempt to coerce); 
         <statute_ref>609.324, subdivision <br/>
<a id="pl.32.33"></a><var>32.33</var>1a
         </statute_ref> (other prohibited acts; minor engaged in prostitution); 
         <statute_ref>609.33</statute_ref> (disorderly house); <br/>
<statute_ref><a id="pl.32.34"></a><var>32.34</var>609.377
         </statute_ref> (malicious punishment of a child); 
         <statute_ref>609.378</statute_ref> (neglect or endangerment of a child); <br/>
<statute_ref><a id="pl.32.35"></a><var>32.35</var>609.466
         </statute_ref> (medical assistance fraud); 
         <statute_ref>609.52</statute_ref> (theft); 
         <statute_ref>609.525</statute_ref> (bringing stolen goods into <br/>
<a id="pl.33.1"></a><var>33.1</var>Minnesota); 
         <statute_ref>609.527</statute_ref> (identity theft); 
         <statute_ref>609.53</statute_ref> (receiving stolen property); 
         <statute_ref>609.535</statute_ref> (issuance <br/>
<a id="pl.33.2"></a><var>33.2</var>of dishonored checks); 
         <statute_ref>609.582</statute_ref> (burglary); 
         <statute_ref>609.59</statute_ref> (possession of burglary tools); 
         <statute_ref>609.611</statute_ref> <br/>
<a id="pl.33.3"></a><var>33.3</var>(insurance fraud); 
         <statute_ref>609.631</statute_ref> (check forgery; offering a forged check); 
         <statute_ref>609.66</statute_ref> (dangerous <br/>
<a id="pl.33.4"></a><var>33.4</var>weapons); 
         <statute_ref>609.71</statute_ref> (riot); 
         <statute_ref>609.72, subdivision 3</statute_ref> (disorderly conduct against a vulnerable <br/>
<a id="pl.33.5"></a><var>33.5</var>adult); repeat offenses under 
         <statute_ref>609.746</statute_ref> (interference with privacy); 
         <statute_ref>609.749, subdivision 2</statute_ref> <br/>
<a id="pl.33.6"></a><var>33.6</var>(harassment; stalking); 
         <statute_ref>609.82</statute_ref> (fraud in obtaining credit); 
         <statute_ref>609.821</statute_ref> (financial transaction <br/>
<a id="pl.33.7"></a><var>33.7</var>card fraud); 
         <statute_ref>617.23</statute_ref> (indecent exposure), not involving a minor; 
         <statute_ref>617.241</statute_ref> (obscene <br/>
<a id="pl.33.8"></a><var>33.8</var>materials and performances); 
         <statute_ref>617.243</statute_ref> (indecent literature, distribution); 
         <statute_ref>617.293</statute_ref> (harmful <br/>
<a id="pl.33.9"></a><var>33.9</var>materials; dissemination and display to minors prohibited); or violation of an order for <br/>
<a id="pl.33.10"></a><var>33.10</var>protection under section 
         <statute_ref>518B.01, subdivision 14</statute_ref>.<br/>
<a id="pl.33.11"></a><var>33.11</var>    (b) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than ten years has <br/>
<a id="pl.33.12"></a><var>33.12</var>passed since the individual's aiding and abetting, attempt, or conspiracy to commit any <br/>
<a id="pl.33.13"></a><var>33.13</var>of the offenses listed in paragraph (a), as each of these offenses is defined in Minnesota <br/>
<a id="pl.33.14"></a><var>33.14</var>Statutes.<br/>
<a id="pl.33.15"></a><var>33.15</var>    (c) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than ten years has <br/>
<a id="pl.33.16"></a><var>33.16</var>passed since the discharge of the sentence imposed for an offense in any other state or <br/>
<a id="pl.33.17"></a><var>33.17</var>country, the elements of which are substantially similar to the elements of any of the <br/>
<a id="pl.33.18"></a><var>33.18</var>offenses listed in paragraph (a).<br/>
<a id="pl.33.19"></a><var>33.19</var>    (d) If the individual studied commits one of the offenses listed in paragraph (a), but <br/>
<a id="pl.33.20"></a><var>33.20</var>the sentence or level of offense is a misdemeanor disposition, the individual is disqualified <br/>
<a id="pl.33.21"></a><var>33.21</var>but the disqualification lookback period for the offense is the period applicable to <br/>
<a id="pl.33.22"></a><var>33.22</var>misdemeanors.<br/>
<a id="pl.33.23"></a><var>33.23</var>    (e) When a disqualification is based on a judicial determination other than a <br/>
<a id="pl.33.24"></a><var>33.24</var>conviction, the disqualification period begins from the date of the court order. When a <br/>
<a id="pl.33.25"></a><var>33.25</var>disqualification is based on an admission, the disqualification period begins from the <br/>
<a id="pl.33.26"></a><var>33.26</var>date of an admission in court. When a disqualification is based on an Alford Plea, the <br/>
<a id="pl.33.27"></a><var>33.27</var>disqualification period begins from the date the Alford Plea is entered in court. When <br/>
<a id="pl.33.28"></a><var>33.28</var>a disqualification is based on a preponderance of evidence of a disqualifying act, the <br/>
<a id="pl.33.29"></a><var>33.29</var>disqualification date begins from the date of the dismissal, the date of discharge of the <br/>
<a id="pl.33.30"></a><var>33.30</var>sentence imposed for a conviction for a disqualifying crime of similar elements, or the <br/>
<a id="pl.33.31"></a><var>33.31</var>date of the incident, whichever occurs last.<br/>
<br/>
<a id="bill.0.33.0"></a><a id="pl.33.32"></a><var>33.32</var>    Sec. 33. Minnesota Statutes 2008, section 245C.15, subdivision 4, is amended to read:<br/>
<a id="pl.33.33"></a><var>33.33</var>    Subd. 4. <b>Seven-year disqualification.</b> (a) An individual is disqualified under <br/>
<a id="pl.33.34"></a><var>33.34</var>section 
         <statute_ref>245C.14</statute_ref> if: (1) less than seven years has passed since the discharge of the sentence <br/>
<a id="pl.33.35"></a><var>33.35</var>imposed, if any, for the offense; and (2) the individual has committed a misdemeanor-level <br/>
<a id="pl.34.1"></a><var>34.1</var>violation of any of the following offenses: sections 
         <statute_ref>256.98</statute_ref> (wrongfully obtaining <br/>
<a id="pl.34.2"></a><var>34.2</var>assistance); 
         <statute_ref>268.182</statute_ref> (false representation; concealment of facts); 
         <statute_ref>393.07, subdivision 10</statute_ref>, <br/>
<a id="pl.34.3"></a><var>34.3</var>paragraph (c) (federal Food Stamp Program fraud); 
         <statute_ref>609.21</statute_ref> (criminal vehicular homicide <br/>
<a id="pl.34.4"></a><var>34.4</var>and injury); 
         <statute_ref>609.221</statute_ref> (assault in the first degree); 
         <statute_ref>609.222</statute_ref> (assault in the second degree); <br/>
<statute_ref><a id="pl.34.5"></a><var>34.5</var>609.223
         </statute_ref> (assault in the third degree); 
         <statute_ref>609.2231</statute_ref> (assault in the fourth degree); 
         <statute_ref>609.224</statute_ref> <br/>
<a id="pl.34.6"></a><var>34.6</var>(assault in the fifth degree); 
         <statute_ref>609.2242</statute_ref> (domestic assault); 
         <statute_ref>609.2335</statute_ref> (financial exploitation <br/>
<a id="pl.34.7"></a><var>34.7</var>of a vulnerable adult); 
         <statute_ref>609.234</statute_ref> (failure to report maltreatment of a vulnerable adult); <br/>
<statute_ref><a id="pl.34.8"></a><var>34.8</var>609.2672
         </statute_ref> (assault of an unborn child in the third degree); 
         <statute_ref>609.27</statute_ref> (coercion); violation <br/>
<a id="pl.34.9"></a><var>34.9</var>of an order for protection under 
         <statute_ref>609.3232</statute_ref> (protective order authorized; procedures; <br/>
<a id="pl.34.10"></a><var>34.10</var>penalties); 
         <statute_ref>609.466</statute_ref> (medical assistance fraud); 
         <statute_ref>609.52</statute_ref> (theft); 
         <statute_ref>609.525</statute_ref> (bringing stolen <br/>
<a id="pl.34.11"></a><var>34.11</var>goods into Minnesota); 
         <statute_ref>609.527</statute_ref> (identity theft); 
         <statute_ref>609.53</statute_ref> (receiving stolen property); <br/>
<statute_ref><a id="pl.34.12"></a><var>34.12</var>609.535
         </statute_ref> (issuance of dishonored checks); 
         <statute_ref>609.611</statute_ref> (insurance fraud); 
         <statute_ref>609.66</statute_ref> (dangerous <br/>
<a id="pl.34.13"></a><var>34.13</var>weapons); 
         <statute_ref>609.665</statute_ref> (spring guns); 
         <statute_ref>609.746</statute_ref> (interference with privacy); 
         <statute_ref>609.79</statute_ref> (obscene or <br/>
<a id="pl.34.14"></a><var>34.14</var>harassing telephone calls); 
         <statute_ref>609.795</statute_ref> (letter, telegram, or package; opening; harassment); <br/>
<statute_ref><a id="pl.34.15"></a><var>34.15</var>609.82
         </statute_ref> (fraud in obtaining credit); 
         <statute_ref>609.821</statute_ref> (financial transaction card fraud); 
         <statute_ref>617.23</statute_ref> <br/>
<a id="pl.34.16"></a><var>34.16</var>(indecent exposure), not involving a minor; 
         <statute_ref>617.293</statute_ref> (harmful materials; dissemination <br/>
<a id="pl.34.17"></a><var>34.17</var>and display to minors prohibited); or violation of an order for protection under section <br/>
<statute_ref><a id="pl.34.18"></a><var>34.18</var>518B.01
         </statute_ref> (Domestic Abuse Act).<br/>
<a id="pl.34.19"></a><var>34.19</var>    (b) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than seven years has <br/>
<a id="pl.34.20"></a><var>34.20</var>passed since a determination or disposition of the individual's:<br/>
<a id="pl.34.21"></a><var>34.21</var>    (1) failure to make required reports under section 
         <statute_ref>626.556, subdivision 3</statute_ref>, or <br/>
<statute_ref><a id="pl.34.22"></a><var>34.22</var>626.557, subdivision 3
         </statute_ref>, for incidents in which: (i) the final disposition under section <br/>
<statute_ref><a id="pl.34.23"></a><var>34.23</var>626.556
         </statute_ref> or 
         <statute_ref>626.557</statute_ref> was substantiated maltreatment, and (ii) the maltreatment was <br/>
<a id="pl.34.24"></a><var>34.24</var>recurring or serious; or<br/>
<a id="pl.34.25"></a><var>34.25</var>    (2) substantiated serious or recurring maltreatment of a minor under section 
         <statute_ref>626.556</statute_ref>, <br/>
<a id="pl.34.26"></a><var>34.26</var>a vulnerable adult under section 
         <statute_ref>626.557</statute_ref>, or serious or recurring maltreatment in any other <br/>
<a id="pl.34.27"></a><var>34.27</var>state, the elements of which are substantially similar to the elements of maltreatment under <br/>
<a id="pl.34.28"></a><var>34.28</var>section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref> for which: (i) there is a preponderance of evidence that the <br/>
<a id="pl.34.29"></a><var>34.29</var>maltreatment occurred, and (ii) the subject was responsible for the maltreatment.<br/>
<a id="pl.34.30"></a><var>34.30</var>    (c) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than seven years has <br/>
<a id="pl.34.31"></a><var>34.31</var>passed since the individual's aiding and abetting, attempt, or conspiracy to commit any <br/>
<a id="pl.34.32"></a><var>34.32</var>of the offenses listed in paragraphs (a) and (b), as each of these offenses is defined in <br/>
<a id="pl.34.33"></a><var>34.33</var>Minnesota Statutes.<br/>
<a id="pl.34.34"></a><var>34.34</var>    (d) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than seven years has <br/>
<a id="pl.34.35"></a><var>34.35</var>passed since the discharge of the sentence imposed for an offense in any other state or <br/>
<a id="pl.35.1"></a><var>35.1</var>country, the elements of which are substantially similar to the elements of any of the <br/>
<a id="pl.35.2"></a><var>35.2</var>offenses listed in paragraphs (a) and (b).<br/>
<a id="pl.35.3"></a><var>35.3</var>    (e) When a disqualification is based on a judicial determination other than a <br/>
<a id="pl.35.4"></a><var>35.4</var>conviction, the disqualification period begins from the date of the court order. When a <br/>
<a id="pl.35.5"></a><var>35.5</var>disqualification is based on an admission, the disqualification period begins from the <br/>
<a id="pl.35.6"></a><var>35.6</var>date of an admission in court. When a disqualification is based on an Alford Plea, the <br/>
<a id="pl.35.7"></a><var>35.7</var>disqualification period begins from the date the Alford Plea is entered in court. When <br/>
<a id="pl.35.8"></a><var>35.8</var>a disqualification is based on a preponderance of evidence of a disqualifying act, the <br/>
<a id="pl.35.9"></a><var>35.9</var>disqualification date begins from the date of the dismissal, the date of discharge of the <br/>
<a id="pl.35.10"></a><var>35.10</var>sentence imposed for a conviction for a disqualifying crime of similar elements, or the <br/>
<a id="pl.35.11"></a><var>35.11</var>date of the incident, whichever occurs last.<br/>
<a id="pl.35.12"></a><var>35.12</var>    (f) An individual is disqualified under section 
         <statute_ref>245C.14</statute_ref> if less than seven years has <br/>
<a id="pl.35.13"></a><var>35.13</var>passed since the individual was disqualified under section 
         <statute_ref>256.98, subdivision 8</statute_ref>.<br/>
<br/>
<a id="bill.0.34.0"></a><a id="pl.35.14"></a><var>35.14</var>    Sec. 34. Minnesota Statutes 2008, section 245C.17, is amended by adding a <br/>
<a id="pl.35.15"></a><var>35.15</var>subdivision to read:<br/>
<a id="pl.35.16"></a><var>35.16</var>    Subd. 6. <b>Notice to county agency.</b> For studies on individuals related to a license <br/>
<a id="pl.35.17"></a><var>35.17</var>to provide adult foster care and family adult day services, the commissioner shall also <br/>
<a id="pl.35.18"></a><var>35.18</var>provide a notice of the background study results to the county agency that initiated the <br/>
<a id="pl.35.19"></a><var>35.19</var>background study.<br/>
<br/>
<a id="bill.0.35.0"></a><a id="pl.35.20"></a><var>35.20</var>    Sec. 35. Minnesota Statutes 2008, section 245C.20, is amended to read:<br/>
<a id="pl.35.21"></a><var>35.21</var><b>245C.20 LICENSE HOLDER RECORD KEEPING.</b><br/>
<a id="pl.35.22"></a><var>35.22</var>A licensed program shall document the date the program initiates a background <br/>
<a id="pl.35.23"></a><var>35.23</var>study under this chapter in the program's personnel files. When a background study is <br/>
<a id="pl.35.24"></a><var>35.24</var>completed under this chapter, a licensed program shall maintain a notice that the study <br/>
<a id="pl.35.25"></a><var>35.25</var>was undertaken and completed in the program's personnel files. Except when background <br/>
<a id="pl.35.26"></a><var>35.26</var>studies are initiated through the commissioner's online system, if a licensed program <br/>
<a id="pl.35.27"></a><var>35.27</var>has not received a response from the commissioner under section 
         <statute_ref>245C.17</statute_ref> within 45 <br/>
<a id="pl.35.28"></a><var>35.28</var>days of initiation of the background study request, the licensed program must contact the <br/>
<a id="pl.35.29"></a><var>35.29</var>commissioner human services licensing division to inquire about the status of the study.   If <br/>
<a id="pl.35.30"></a><var>35.30</var>a license holder initiates a background study under the commissioner's online system, but <br/>
<a id="pl.35.31"></a><var>35.31</var>the background study subject's name does not appear in the list of active or recent studies <br/>
<a id="pl.35.32"></a><var>35.32</var>initiated by that license holder, the license holder must either contact the human services <br/>
<a id="pl.35.33"></a><var>35.33</var>licensing division or resubmit the background study information online for that individual.<br/>
<br/>
<a id="bill.0.36.0"></a><a id="pl.36.1"></a><var>36.1</var>    Sec. 36. Minnesota Statutes 2008, section 245C.21, subdivision 1a, is amended to read:<br/>
<a id="pl.36.2"></a><var>36.2</var>    Subd. 1a. <b>Submission of reconsideration request </b><b>to county or private agency</b><b>.</b> (a) <br/>
<a id="pl.36.3"></a><var>36.3</var>For disqualifications related to studies conducted by county agencies for family child care, <br/>
<a id="pl.36.4"></a><var>36.4</var>and for disqualifications related to studies conducted by the commissioner for child foster <br/>
<a id="pl.36.5"></a><var>36.5</var>care, adult foster care, and family adult day services, the individual shall submit the request <br/>
<a id="pl.36.6"></a><var>36.6</var>for reconsideration to the county or private agency that initiated the background study.<br/>
<a id="pl.36.7"></a><var>36.7</var>    (b) For disqualifications related to studies conducted by the commissioner for child <br/>
<a id="pl.36.8"></a><var>36.8</var>foster care, the individual shall submit the request for reconsideration to the private agency <br/>
<a id="pl.36.9"></a><var>36.9</var>that initiated the background study.<br/>
<a id="pl.36.10"></a><var>36.10</var>(c) A reconsideration request shall be submitted within 30 days of the individual's <br/>
<a id="pl.36.11"></a><var>36.11</var>receipt of the disqualification notice or the time frames specified in subdivision 2, <br/>
<a id="pl.36.12"></a><var>36.12</var>whichever time frame is shorter.<br/>
<a id="pl.36.13"></a><var>36.13</var>    (c) (d)  The county or private agency shall forward the individual's request for <br/>
<a id="pl.36.14"></a><var>36.14</var>reconsideration and provide the commissioner with a recommendation whether to set aside <br/>
<a id="pl.36.15"></a><var>36.15</var>the individual's disqualification.<br/>
<br/>
<a id="bill.0.37.0"></a><a id="pl.36.16"></a><var>36.16</var>    Sec. 37. Minnesota Statutes 2008, section 245C.23, subdivision 2, is amended to read:<br/>
<a id="pl.36.17"></a><var>36.17</var>    Subd. 2. <b>Commissioner's notice of disqualification that is not set aside.</b> (a) The <br/>
<a id="pl.36.18"></a><var>36.18</var>commissioner shall notify the license holder of the disqualification and order the license <br/>
<a id="pl.36.19"></a><var>36.19</var>holder to immediately remove the individual from any position allowing direct contact <br/>
<a id="pl.36.20"></a><var>36.20</var>with persons receiving services from the license holder if:<br/>
<a id="pl.36.21"></a><var>36.21</var>    (1) the individual studied does not submit a timely request for reconsideration <br/>
<a id="pl.36.22"></a><var>36.22</var>under section 
         <statute_ref>245C.21</statute_ref>;<br/>
<a id="pl.36.23"></a><var>36.23</var>    (2) the individual submits a timely request for reconsideration, but the commissioner <br/>
<a id="pl.36.24"></a><var>36.24</var>does not set aside the disqualification for that license holder under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.36.25"></a><var>36.25</var>    (3) an individual who has a right to request a hearing under sections 
         <statute_ref>245C.27</statute_ref> and <br/>
<statute_ref><a id="pl.36.26"></a><var>36.26</var>256.045
         </statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14 for a disqualification that has not been set aside, does <br/>
<a id="pl.36.27"></a><var>36.27</var>not request a hearing within the specified time; or<br/>
<a id="pl.36.28"></a><var>36.28</var>    (4) an individual submitted a timely request for a hearing under sections 
         <statute_ref>245C.27</statute_ref> <br/>
<a id="pl.36.29"></a><var>36.29</var>and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14, but the commissioner does not set aside the <br/>
<a id="pl.36.30"></a><var>36.30</var>disqualification under section 
         <statute_ref>245A.08, subdivision 5</statute_ref>, or 
         <statute_ref>256.045</statute_ref>.<br/>
<a id="pl.36.31"></a><var>36.31</var>    (b) If the commissioner does not set aside the disqualification under section 
         <statute_ref>245C.22</statute_ref>, <br/>
<a id="pl.36.32"></a><var>36.32</var>and the license holder was previously ordered under section 
         <statute_ref>245C.17</statute_ref> to immediately <br/>
<a id="pl.36.33"></a><var>36.33</var>remove the disqualified individual from direct contact with persons receiving services or <br/>
<a id="pl.36.34"></a><var>36.34</var>to ensure that the individual is under continuous, direct supervision when providing direct <br/>
<a id="pl.37.1"></a><var>37.1</var>contact services, the order remains in effect pending the outcome of a hearing under <br/>
<a id="pl.37.2"></a><var>37.2</var>sections 
         <statute_ref>245C.27</statute_ref> and 
         <statute_ref>256.045</statute_ref>, or 
         <statute_ref>245C.28</statute_ref> and chapter 14.<br/>
<a id="pl.37.3"></a><var>37.3</var>    (c) For background studies related to child foster care, the commissioner shall <br/>
<a id="pl.37.4"></a><var>37.4</var>also notify the county or private agency that initiated the study of the results of the <br/>
<a id="pl.37.5"></a><var>37.5</var>reconsideration.<br/>
<a id="pl.37.6"></a><var>37.6</var>(d) For background studies related to adult foster care and family adult day services, <br/>
<a id="pl.37.7"></a><var>37.7</var>the commissioner shall also notify the county that initiated the study of the results of <br/>
<a id="pl.37.8"></a><var>37.8</var>the reconsideration.<br/>
<br/>
<a id="bill.0.38.0"></a><a id="pl.37.9"></a><var>37.9</var>    Sec. 38. Minnesota Statutes 2008, section 245C.24, subdivision 2, is amended to read:<br/>
<a id="pl.37.10"></a><var>37.10</var>    Subd. 2. <b>Permanent bar to set aside a disqualification.</b> (a) Except as provided in <br/>
<a id="pl.37.11"></a><var>37.11</var>paragraph (b), the commissioner may not set aside the disqualification of any individual <br/>
<a id="pl.37.12"></a><var>37.12</var>disqualified pursuant to this chapter, regardless of how much time has passed, if the <br/>
<a id="pl.37.13"></a><var>37.13</var>individual was disqualified for a crime or conduct listed in section 
         <statute_ref>245C.15, subdivision 1</statute_ref>.<br/>
<a id="pl.37.14"></a><var>37.14</var>    (b) For an individual in the chemical dependency or corrections field who was <br/>
<a id="pl.37.15"></a><var>37.15</var>disqualified for a crime or conduct listed under section 
         <statute_ref>245C.15</statute_ref>, subdivision 1, and whose <br/>
<a id="pl.37.16"></a><var>37.16</var>disqualification was set aside prior to July 1, 2005, the commissioner must consider <br/>
<a id="pl.37.17"></a><var>37.17</var>granting a variance pursuant to section 
         <statute_ref>245C.30</statute_ref> for the license holder for a program <br/>
<a id="pl.37.18"></a><var>37.18</var>dealing primarily with adults. A request for reconsideration evaluated under this paragraph <br/>
<a id="pl.37.19"></a><var>37.19</var>must include a letter of recommendation from the license holder that was subject to the <br/>
<a id="pl.37.20"></a><var>37.20</var>prior set-aside decision addressing the individual's quality of care to children or vulnerable <br/>
<a id="pl.37.21"></a><var>37.21</var>adults and the circumstances of the individual's departure from that service.<br/>
<a id="pl.37.22"></a><var>37.22</var>(c) When a licensed foster care provider adopts an individual who had received <br/>
<a id="pl.37.23"></a><var>37.23</var>foster care services from the provider for over six months, and the adopted individual is <br/>
<a id="pl.37.24"></a><var>37.24</var>required to receive a background study under section 245C.03, subdivision 1, paragraph <br/>
<a id="pl.37.25"></a><var>37.25</var>(a), clause (2) or (6), the commissioner may grant a variance to the license holder under <br/>
<a id="pl.37.26"></a><var>37.26</var>section 245C.30 to permit the adopted individual with a permanent disqualification <br/>
<a id="pl.37.27"></a><var>37.27</var>to remain affiliated with the license holder under the conditions of the variance when <br/>
<a id="pl.37.28"></a><var>37.28</var>the variance is recommended by the county of responsibility for each of the remaining <br/>
<a id="pl.37.29"></a><var>37.29</var>individuals in placement in the home and the licensing agency for the home.<br/>
<br/>
<a id="bill.0.39.0"></a><a id="pl.37.30"></a><var>37.30</var>    Sec. 39. Minnesota Statutes 2008, section 245C.24, subdivision 3, is amended to read:<br/>
<a id="pl.37.31"></a><var>37.31</var>    Subd. 3. <b>Ten-year bar to set aside disqualification.</b> (a) The commissioner may <br/>
<a id="pl.37.32"></a><var>37.32</var>not set aside the disqualification of an individual in connection with a license to provide <br/>
<a id="pl.37.33"></a><var>37.33</var>family child care for children, foster care for children in the provider's home, or foster <br/>
<a id="pl.37.34"></a><var>37.34</var>care or day care services for adults in the provider's home if: (1) less than ten years <br/>
<a id="pl.38.1"></a><var>38.1</var>has passed since the discharge of the sentence imposed, if any, for the offense; or (2) <br/>
<a id="pl.38.2"></a><var>38.2</var>when disqualified based on a preponderance of evidence determination under section <br/>
<statute_ref><a id="pl.38.3"></a><var>38.3</var>245C.14, subdivision 1
         </statute_ref>, paragraph (a), clause (2), or an admission under section 
         <statute_ref>245C.14, <br/>
<a id="pl.38.4"></a><var>38.4</var>subdivision 1
         </statute_ref>, paragraph (a), clause (1), and less than ten years has passed since the <br/>
<a id="pl.38.5"></a><var>38.5</var>individual committed the act or admitted to committing the act, whichever is later; and <br/>
<a id="pl.38.6"></a><var>38.6</var>(3) the individual has committed a violation of any of the following offenses: sections <br/>
<statute_ref><a id="pl.38.7"></a><var>38.7</var>609.165
         </statute_ref> (felon ineligible to possess firearm); criminal vehicular homicide or criminal <br/>
<a id="pl.38.8"></a><var>38.8</var>vehicular operation causing death under 
         <statute_ref>609.21</statute_ref> (criminal vehicular homicide and injury); <br/>
<statute_ref><a id="pl.38.9"></a><var>38.9</var>609.215
         </statute_ref> (aiding suicide or aiding attempted suicide); felony violations under 
         <statute_ref>609.223</statute_ref> or <br/>
<statute_ref><a id="pl.38.10"></a><var>38.10</var>609.2231
         </statute_ref> (assault in the third or fourth degree); 
         <statute_ref>609.229</statute_ref> (crimes committed for benefit <br/>
<a id="pl.38.11"></a><var>38.11</var>of a gang); 
         <statute_ref>609.713</statute_ref> (terroristic threats); 
         <statute_ref>609.235</statute_ref> (use of drugs to injure or to facilitate <br/>
<a id="pl.38.12"></a><var>38.12</var>crime); 
         <statute_ref>609.24</statute_ref> (simple robbery); 
         <statute_ref>609.255</statute_ref> (false imprisonment); 
         <statute_ref>609.562</statute_ref> (arson in the <br/>
<a id="pl.38.13"></a><var>38.13</var>second degree); 
         <statute_ref>609.71</statute_ref> (riot); 
         <statute_ref>609.498, subdivision 1</statute_ref> or 1b (aggravated first-degree or <br/>
<a id="pl.38.14"></a><var>38.14</var>first-degree tampering with a witness); burglary in the first or second degree under 
         <statute_ref>609.582</statute_ref> <br/>
<a id="pl.38.15"></a><var>38.15</var>(burglary); 
         <statute_ref>609.66</statute_ref> (dangerous weapon); 
         <statute_ref>609.665</statute_ref> (spring guns); 
         <statute_ref>609.67</statute_ref> (machine guns <br/>
<a id="pl.38.16"></a><var>38.16</var>and short-barreled shotguns); 
         <statute_ref>609.749, subdivision 2</statute_ref> (gross misdemeanor harassment; <br/>
<a id="pl.38.17"></a><var>38.17</var>stalking); 
         <statute_ref>152.021</statute_ref> or 
         <statute_ref>152.022</statute_ref> (controlled substance crime in the first or second degree); <br/>
<statute_ref><a id="pl.38.18"></a><var>38.18</var>152.023, subdivision 1
         </statute_ref>, clause (3) or (4) or subdivision 2, clause (4) (controlled substance <br/>
<a id="pl.38.19"></a><var>38.19</var>crime in the third degree); 
         <statute_ref>152.024</statute_ref>, subdivision 1, clause (2), (3), or (4) (controlled <br/>
<a id="pl.38.20"></a><var>38.20</var>substance crime in the fourth degree); 
         <statute_ref>609.224, subdivision 2</statute_ref>, paragraph (c) (fifth-degree <br/>
<a id="pl.38.21"></a><var>38.21</var>assault by a caregiver against a vulnerable adult); 
         <statute_ref>609.23</statute_ref> (mistreatment of persons <br/>
<a id="pl.38.22"></a><var>38.22</var>confined); 
         <statute_ref>609.231</statute_ref> (mistreatment of residents or patients); 
         <statute_ref>609.2325</statute_ref> (criminal abuse of a <br/>
<a id="pl.38.23"></a><var>38.23</var>vulnerable adult); 
         <statute_ref>609.233</statute_ref> (criminal neglect of a vulnerable adult); 
         <statute_ref>609.2335</statute_ref> (financial <br/>
<a id="pl.38.24"></a><var>38.24</var>exploitation of a vulnerable adult); 
         <statute_ref>609.234</statute_ref> (failure to report); 
         <statute_ref>609.265</statute_ref> (abduction); <br/>
<statute_ref><a id="pl.38.25"></a><var>38.25</var>609.2664
         </statute_ref> to 
         <statute_ref>609.2665</statute_ref> (manslaughter of an unborn child in the first or second degree); <br/>
<statute_ref><a id="pl.38.26"></a><var>38.26</var>609.267
         </statute_ref> to 
         <statute_ref>609.2672</statute_ref> (assault of an unborn child in the first, second, or third degree); <br/>
<statute_ref><a id="pl.38.27"></a><var>38.27</var>609.268
         </statute_ref> (injury or death of an unborn child in the commission of a crime); repeat offenses <br/>
<a id="pl.38.28"></a><var>38.28</var>under 
         <statute_ref>617.23</statute_ref> (indecent exposure); 
         <statute_ref>617.293</statute_ref> (disseminating or displaying harmful material <br/>
<a id="pl.38.29"></a><var>38.29</var>to minors); a felony-level conviction involving alcohol or drug use, a gross misdemeanor <br/>
<a id="pl.38.30"></a><var>38.30</var>offense under 
         <statute_ref>609.324, subdivision 1</statute_ref> (other prohibited acts); a gross misdemeanor offense <br/>
<a id="pl.38.31"></a><var>38.31</var>under 
         <statute_ref>609.378</statute_ref> (neglect or endangerment of a child); a gross misdemeanor offense under <br/>
<statute_ref><a id="pl.38.32"></a><var>38.32</var>609.377
         </statute_ref> (malicious punishment of a child); 
         <statute_ref>609.72, subdivision 3</statute_ref> (disorderly conduct <br/>
<a id="pl.38.33"></a><var>38.33</var>against a vulnerable adult); or 
         <statute_ref>624.713</statute_ref> (certain persons not to possess firearms).<br/>
<a id="pl.38.34"></a><var>38.34</var>    (b) The commissioner may not set aside the disqualification of an individual if <br/>
<a id="pl.38.35"></a><var>38.35</var>less than ten years have passed since the individual's aiding and abetting, attempt, or <br/>
<a id="pl.39.1"></a><var>39.1</var>conspiracy to commit any of the offenses listed in paragraph (a) as each of these offenses <br/>
<a id="pl.39.2"></a><var>39.2</var>is defined in Minnesota Statutes.<br/>
<a id="pl.39.3"></a><var>39.3</var>    (c) The commissioner may not set aside the disqualification of an individual if less <br/>
<a id="pl.39.4"></a><var>39.4</var>than ten years have passed since the discharge of the sentence imposed for an offense in <br/>
<a id="pl.39.5"></a><var>39.5</var>any other state or country, the elements of which are substantially similar to the elements <br/>
<a id="pl.39.6"></a><var>39.6</var>of any of the offenses listed in paragraph (a).<br/>
<br/>
<a id="bill.0.40.0"></a><a id="pl.39.7"></a><var>39.7</var>    Sec. 40. Minnesota Statutes 2008, section 245C.25, is amended to read:<br/>
<a id="pl.39.8"></a><var>39.8</var><b>245C.25 CONSOLIDATED RECONSIDERATION OF MALTREATMENT </b><br/>
<a id="pl.39.9"></a><var>39.9</var><b>DETERMINATION AND DISQUALIFICATION.</b><br/>
<a id="pl.39.10"></a><var>39.10</var>(a) If an individual is disqualified on the basis of a determination of maltreatment <br/>
<a id="pl.39.11"></a><var>39.11</var>under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>, which was serious or recurring, and the individual <br/>
<a id="pl.39.12"></a><var>39.12</var>requests reconsideration of the maltreatment determination under section 
         <statute_ref>626.556, <br/>
<a id="pl.39.13"></a><var>39.13</var>subdivision 10i
         </statute_ref>, or 
         <statute_ref>626.557, subdivision 9d</statute_ref>, and also requests reconsideration of <br/>
<a id="pl.39.14"></a><var>39.14</var>the disqualification under section 
         <statute_ref>245C.21</statute_ref>, the commissioner shall consolidate the <br/>
<a id="pl.39.15"></a><var>39.15</var>reconsideration of the maltreatment determination and the disqualification into a single <br/>
<a id="pl.39.16"></a><var>39.16</var>reconsideration.  <br/>
<a id="pl.39.17"></a><var>39.17</var>(b) For maltreatment and disqualification determinations made by county agencies, <br/>
<a id="pl.39.18"></a><var>39.18</var>the county agency shall conduct the consolidated reconsideration. If the county agency <br/>
<a id="pl.39.19"></a><var>39.19</var>has disqualified an individual on multiple bases, one of which is a county maltreatment <br/>
<a id="pl.39.20"></a><var>39.20</var>determination for which the individual has a right to request reconsideration, the county <br/>
<a id="pl.39.21"></a><var>39.21</var>shall conduct the reconsideration of all disqualifications.<br/>
<a id="pl.39.22"></a><var>39.22</var>(c) If the county has previously conducted a consolidated reconsideration under <br/>
<a id="pl.39.23"></a><var>39.23</var>paragraph (b) of a maltreatment determination and a disqualification based on serious or <br/>
<a id="pl.39.24"></a><var>39.24</var>recurring maltreatment, and the county subsequently disqualifies the individual based <br/>
<a id="pl.39.25"></a><var>39.25</var>on that determination, the county shall conduct the reconsideration of the subsequent <br/>
<a id="pl.39.26"></a><var>39.26</var>disqualification. The scope of the subsequent disqualification shall be limited to whether <br/>
<a id="pl.39.27"></a><var>39.27</var>the individual poses a risk of harm in accordance with section 
         <statute_ref>245C.22, subdivision 4</statute_ref>. If <br/>
<a id="pl.39.28"></a><var>39.28</var>the commissioner subsequently disqualifies the individual in connection with a child foster <br/>
<a id="pl.39.29"></a><var>39.29</var>care license based on the county's previous maltreatment determination, the commissioner <br/>
<a id="pl.39.30"></a><var>39.30</var>shall conduct the reconsideration of the subsequent disqualification. <br/>
<br/>
<a id="bill.0.41.0"></a><a id="pl.39.31"></a><var>39.31</var>    Sec. 41. Minnesota Statutes 2008, section 245C.27, subdivision 1, is amended to read:<br/>
<a id="pl.39.32"></a><var>39.32</var>    Subdivision 1. <b>Fair hearing when disqualification is not set aside.</b> (a) If the <br/>
<a id="pl.39.33"></a><var>39.33</var>commissioner does not set aside a disqualification of an individual under section <br/>
<statute_ref><a id="pl.39.34"></a><var>39.34</var>245C.22
         </statute_ref> who is disqualified on the basis of a preponderance of evidence that the <br/>
<a id="pl.40.1"></a><var>40.1</var>individual committed an act or acts that meet the definition of any of the crimes listed in <br/>
<a id="pl.40.2"></a><var>40.2</var>section 
         <statute_ref>245C.15</statute_ref>; for a determination under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref> of substantiated <br/>
<a id="pl.40.3"></a><var>40.3</var>maltreatment that was serious or recurring under section 
         <statute_ref>245C.15</statute_ref>; or for failure to make <br/>
<a id="pl.40.4"></a><var>40.4</var>required reports under section 
         <statute_ref>626.556, subdivision 3</statute_ref>; or 
         <statute_ref>626.557, subdivision 3</statute_ref>, pursuant <br/>
<a id="pl.40.5"></a><var>40.5</var>to section 
         <statute_ref>245C.15, subdivision 4</statute_ref>, paragraph (b), clause (1), the individual may request <br/>
<a id="pl.40.6"></a><var>40.6</var>a fair hearing under section 
         <statute_ref>256.045</statute_ref>, unless the disqualification is deemed conclusive <br/>
<a id="pl.40.7"></a><var>40.7</var>under section 
         <statute_ref>245C.29</statute_ref>.<br/>
<a id="pl.40.8"></a><var>40.8</var>    (b) The fair hearing is the only administrative appeal of the final agency <br/>
<a id="pl.40.9"></a><var>40.9</var>determination for purposes of appeal by the disqualified individual. The disqualified <br/>
<a id="pl.40.10"></a><var>40.10</var>individual does not have the right to challenge the accuracy and completeness of data <br/>
<a id="pl.40.11"></a><var>40.11</var>under section 
         <statute_ref>13.04</statute_ref>.<br/>
<a id="pl.40.12"></a><var>40.12</var>    (c) Except as provided under paragraph (e), if the individual was disqualified <br/>
<a id="pl.40.13"></a><var>40.13</var>based on a conviction or of, admission to, or Alford Plea to any crimes listed in section <br/>
<statute_ref><a id="pl.40.14"></a><var>40.14</var>245C.15, subdivisions 1 to 4
         </statute_ref>, or for a disqualification under section 
         <statute_ref>256.98, subdivision <br/>
<a id="pl.40.15"></a><var>40.15</var>8
         </statute_ref>, the reconsideration decision under section 
         <statute_ref>245C.22</statute_ref> is the final agency determination <br/>
<a id="pl.40.16"></a><var>40.16</var>for purposes of appeal by the disqualified individual and is not subject to a hearing under <br/>
<a id="pl.40.17"></a><var>40.17</var>section 
         <statute_ref>256.045</statute_ref>. If the individual was disqualified based on a judicial determination, that <br/>
<a id="pl.40.18"></a><var>40.18</var>determination is treated the same as a conviction for purposes of appeal.<br/>
<a id="pl.40.19"></a><var>40.19</var>    (d) This subdivision does not apply to a public employee's appeal of a disqualification <br/>
<a id="pl.40.20"></a><var>40.20</var>under section 
         <statute_ref>245C.28, subdivision 3</statute_ref>.<br/>
<a id="pl.40.21"></a><var>40.21</var>    (e) Notwithstanding paragraph (c), if the commissioner does not set aside a <br/>
<a id="pl.40.22"></a><var>40.22</var>disqualification of an individual who was disqualified based on both a preponderance <br/>
<a id="pl.40.23"></a><var>40.23</var>of evidence and a conviction or admission, the individual may request a fair hearing <br/>
<a id="pl.40.24"></a><var>40.24</var>under section 
         <statute_ref>256.045</statute_ref>, unless the disqualifications are deemed conclusive under section <br/>
<statute_ref><a id="pl.40.25"></a><var>40.25</var>245C.29
         </statute_ref>. The scope of the hearing conducted under section 
         <statute_ref>256.045</statute_ref> with regard to the <br/>
<a id="pl.40.26"></a><var>40.26</var>disqualification based on a conviction or admission shall be limited solely to whether the <br/>
<a id="pl.40.27"></a><var>40.27</var>individual poses a risk of harm, according to section 
         <statute_ref>256.045, subdivision 3b</statute_ref>. In this case, <br/>
<a id="pl.40.28"></a><var>40.28</var>the reconsideration decision under section 
         <statute_ref>245C.22</statute_ref> is not the final agency decision for <br/>
<a id="pl.40.29"></a><var>40.29</var>purposes of appeal by the disqualified individual.<br/>
<br/>
<a id="bill.0.42.0"></a><a id="pl.40.30"></a><var>40.30</var>    Sec. 42. Minnesota Statutes 2008, section 256.045, subdivision 3, is amended to read:<br/>
<a id="pl.40.31"></a><var>40.31</var>    Subd. 3. <b>State agency hearings.</b> (a) State agency hearings are available for the <br/>
<a id="pl.40.32"></a><var>40.32</var>following: <br/>
<a id="pl.40.33"></a><var>40.33</var>(1) any person applying for, receiving or having received public assistance, medical <br/>
<a id="pl.40.34"></a><var>40.34</var>care, or a program of social services granted by the state agency or a county agency or <br/>
<a id="pl.40.35"></a><var>40.35</var>the federal Food Stamp Act whose application for assistance is denied, not acted upon <br/>
<a id="pl.41.1"></a><var>41.1</var>with reasonable promptness, or whose assistance is suspended, reduced, terminated, or <br/>
<a id="pl.41.2"></a><var>41.2</var>claimed to have been incorrectly paid;<br/>
<a id="pl.41.3"></a><var>41.3</var>(2) any patient or relative aggrieved by an order of the commissioner under section <br/>
<statute_ref><a id="pl.41.4"></a><var>41.4</var>252.27
         </statute_ref>; <br/>
<a id="pl.41.5"></a><var>41.5</var>(3) a party aggrieved by a ruling of a prepaid health plan;<br/>
<a id="pl.41.6"></a><var>41.6</var>(4) except as provided under chapter 245C, any individual or facility determined by <br/>
<a id="pl.41.7"></a><var>41.7</var>a lead agency to have maltreated a vulnerable adult under section 
         <statute_ref>626.557</statute_ref> after they have <br/>
<a id="pl.41.8"></a><var>41.8</var>exercised their right to administrative reconsideration under section 
         <statute_ref>626.557</statute_ref>;<br/>
<a id="pl.41.9"></a><var>41.9</var>(5) any person whose claim for foster care payment according to a placement of the <br/>
<a id="pl.41.10"></a><var>41.10</var>child resulting from a child protection assessment under section 
         <statute_ref>626.556</statute_ref> is denied or not <br/>
<a id="pl.41.11"></a><var>41.11</var>acted upon with reasonable promptness, regardless of funding source;<br/>
<a id="pl.41.12"></a><var>41.12</var>(6) any person to whom a right of appeal according to this section is given by other <br/>
<a id="pl.41.13"></a><var>41.13</var>provision of law;<br/>
<a id="pl.41.14"></a><var>41.14</var>(7) an applicant aggrieved by an adverse decision to an application for a hardship <br/>
<a id="pl.41.15"></a><var>41.15</var>waiver under section 
         <statute_ref>256B.15</statute_ref>;<br/>
<a id="pl.41.16"></a><var>41.16</var>(8) an applicant aggrieved by an adverse decision to an application or redetermination <br/>
<a id="pl.41.17"></a><var>41.17</var>for a Medicare Part D prescription drug subsidy under section 
         <statute_ref>256B.04, subdivision 4a</statute_ref>; <br/>
<a id="pl.41.18"></a><var>41.18</var>(9) except as provided under chapter 245A, an individual or facility determined <br/>
<a id="pl.41.19"></a><var>41.19</var>to have maltreated a minor under section 
         <statute_ref>626.556</statute_ref>, after the individual or facility has <br/>
<a id="pl.41.20"></a><var>41.20</var>exercised the right to administrative reconsideration under section 
         <statute_ref>626.556</statute_ref>; or <br/>
<a id="pl.41.21"></a><var>41.21</var>(10) except as provided under chapter 245C, an individual disqualified under <br/>
<a id="pl.41.22"></a><var>41.22</var>sections 
         <statute_ref>245C.14</statute_ref> and 
         <statute_ref>245C.15</statute_ref>, which has not been set aside under sections 245C.22 <br/>
<a id="pl.41.23"></a><var>41.23</var>and 245C.23, on the basis of serious or recurring maltreatment; a preponderance of the <br/>
<a id="pl.41.24"></a><var>41.24</var>evidence that the individual has committed an act or acts that meet the definition of any of <br/>
<a id="pl.41.25"></a><var>41.25</var>the crimes listed in section 
         <statute_ref>245C.15, subdivisions 1 to 4</statute_ref>; or for failing to make reports <br/>
<a id="pl.41.26"></a><var>41.26</var>required under section 
         <statute_ref>626.556, subdivision 3</statute_ref>, or 
         <statute_ref>626.557, subdivision 3</statute_ref>. Hearings <br/>
<a id="pl.41.27"></a><var>41.27</var>regarding a maltreatment determination under clause (4) or (9) and a disqualification under <br/>
<a id="pl.41.28"></a><var>41.28</var>this clause in which the basis for a disqualification is serious or recurring maltreatment, <br/>
<a id="pl.41.29"></a><var>41.29</var>which has not been set aside under sections 
         <statute_ref>245C.22</statute_ref> and 
         <statute_ref>245C.23</statute_ref>, shall be consolidated <br/>
<a id="pl.41.30"></a><var>41.30</var>into a single fair hearing. In such cases, the scope of review by the human services referee <br/>
<a id="pl.41.31"></a><var>41.31</var>shall include both the maltreatment determination and the disqualification. The failure to <br/>
<a id="pl.41.32"></a><var>41.32</var>exercise the right to an administrative reconsideration shall not be a bar to a hearing under <br/>
<a id="pl.41.33"></a><var>41.33</var>this section if federal law provides an individual the right to a hearing to dispute a finding <br/>
<a id="pl.41.34"></a><var>41.34</var>of maltreatment. Individuals and organizations specified in this section may contest the <br/>
<a id="pl.41.35"></a><var>41.35</var>specified action, decision, or final disposition before the state agency by submitting a <br/>
<a id="pl.41.36"></a><var>41.36</var>written request for a hearing to the state agency within 30 days after receiving written <br/>
<a id="pl.42.1"></a><var>42.1</var>notice of the action, decision, or final disposition, or within 90 days of such written notice <br/>
<a id="pl.42.2"></a><var>42.2</var>if the applicant, recipient, patient, or relative shows good cause why the request was <br/>
<a id="pl.42.3"></a><var>42.3</var>not submitted within the 30-day time limit.<br/>
<a id="pl.42.4"></a><var>42.4</var>(b) The hearing for an individual or facility under paragraph (a), clause (4), (9), or <br/>
<a id="pl.42.5"></a><var>42.5</var>(10), is the only administrative appeal to the final agency determination specifically, <br/>
<a id="pl.42.6"></a><var>42.6</var>including a challenge to the accuracy and completeness of data under section 
         <statute_ref>13.04</statute_ref>. <br/>
<a id="pl.42.7"></a><var>42.7</var>Hearings requested under paragraph (a), clause (4), apply only to incidents of maltreatment <br/>
<a id="pl.42.8"></a><var>42.8</var>that occur on or after October 1, 1995. Hearings requested by nursing assistants in nursing <br/>
<a id="pl.42.9"></a><var>42.9</var>homes alleged to have maltreated a resident prior to October 1, 1995, shall be held as a <br/>
<a id="pl.42.10"></a><var>42.10</var>contested case proceeding under the provisions of chapter 14. Hearings requested under <br/>
<a id="pl.42.11"></a><var>42.11</var>paragraph (a), clause (9), apply only to incidents of maltreatment that occur on or after <br/>
<a id="pl.42.12"></a><var>42.12</var>July 1, 1997. A hearing for an individual or facility under paragraph (a), clause (9), is <br/>
<a id="pl.42.13"></a><var>42.13</var>only available when there is no juvenile court or adult criminal action pending. If such <br/>
<a id="pl.42.14"></a><var>42.14</var>action is filed in either court while an administrative review is pending, the administrative <br/>
<a id="pl.42.15"></a><var>42.15</var>review must be suspended until the judicial actions are completed. If the juvenile court <br/>
<a id="pl.42.16"></a><var>42.16</var>action or criminal charge is dismissed or the criminal action overturned, the matter may be <br/>
<a id="pl.42.17"></a><var>42.17</var>considered in an administrative hearing.<br/>
<a id="pl.42.18"></a><var>42.18</var>(c) For purposes of this section, bargaining unit grievance procedures are not an <br/>
<a id="pl.42.19"></a><var>42.19</var>administrative appeal.<br/>
<a id="pl.42.20"></a><var>42.20</var>(d) The scope of hearings involving claims to foster care payments under paragraph <br/>
<a id="pl.42.21"></a><var>42.21</var>(a), clause (5), shall be limited to the issue of whether the county is legally responsible <br/>
<a id="pl.42.22"></a><var>42.22</var>for a child's placement under court order or voluntary placement agreement and, if so, <br/>
<a id="pl.42.23"></a><var>42.23</var>the correct amount of foster care payment to be made on the child's behalf and shall not <br/>
<a id="pl.42.24"></a><var>42.24</var>include review of the propriety of the county's child protection determination or child <br/>
<a id="pl.42.25"></a><var>42.25</var>placement decision.<br/>
<a id="pl.42.26"></a><var>42.26</var>(e) A vendor of medical care as defined in section 
         <statute_ref>256B.02, subdivision 7</statute_ref>, or a <br/>
<a id="pl.42.27"></a><var>42.27</var>vendor under contract with a county agency to provide social services is not a party and <br/>
<a id="pl.42.28"></a><var>42.28</var>may not request a hearing under this section, except if assisting a recipient as provided in <br/>
<a id="pl.42.29"></a><var>42.29</var>subdivision 4.<br/>
<a id="pl.42.30"></a><var>42.30</var>(f) An applicant or recipient is not entitled to receive social services beyond the <br/>
<a id="pl.42.31"></a><var>42.31</var>services prescribed under chapter 256M or other social services the person is eligible <br/>
<a id="pl.42.32"></a><var>42.32</var>for under state law.<br/>
<a id="pl.42.33"></a><var>42.33</var>(g) The commissioner may summarily affirm the county or state agency's proposed <br/>
<a id="pl.42.34"></a><var>42.34</var>action without a hearing when the sole issue is an automatic change due to a change in <br/>
<a id="pl.42.35"></a><var>42.35</var>state or federal law.<br/>
<br/>
<a id="bill.0.43.0"></a><a id="pl.43.1"></a><var>43.1</var>    Sec. 43. Minnesota Statutes 2008, section 256.045, subdivision 3b, is amended to read:<br/>
<a id="pl.43.2"></a><var>43.2</var>    Subd. 3b. <b>Standard of evidence for maltreatment and disqualification hearings.</b><br/>
<a id="pl.43.3"></a><var>43.3</var>(a) The state human services referee shall determine that maltreatment has occurred if a <br/>
<a id="pl.43.4"></a><var>43.4</var>preponderance of evidence exists to support the final disposition under sections 
         <statute_ref>626.556</statute_ref> <br/>
<a id="pl.43.5"></a><var>43.5</var>and 
         <statute_ref>626.557</statute_ref>. For purposes of hearings regarding disqualification, the state human services <br/>
<a id="pl.43.6"></a><var>43.6</var>referee shall affirm the proposed disqualification in an appeal under subdivision 3, <br/>
<a id="pl.43.7"></a><var>43.7</var>paragraph (a), clause (9), if a preponderance of the evidence shows the individual has: <br/>
<a id="pl.43.8"></a><var>43.8</var>(1) committed maltreatment under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>, which is serious or <br/>
<a id="pl.43.9"></a><var>43.9</var>recurring; <br/>
<a id="pl.43.10"></a><var>43.10</var>(2) committed an act or acts meeting the definition of any of the crimes listed in <br/>
<a id="pl.43.11"></a><var>43.11</var>section 
         <statute_ref>245C.15, subdivisions 1 to 4</statute_ref>; or <br/>
<a id="pl.43.12"></a><var>43.12</var>(3) failed to make required reports under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref>, for incidents <br/>
<a id="pl.43.13"></a><var>43.13</var>in which the final disposition under section 
         <statute_ref>626.556</statute_ref> or 
         <statute_ref>626.557</statute_ref> was substantiated <br/>
<a id="pl.43.14"></a><var>43.14</var>maltreatment that was serious or recurring. <br/>
<a id="pl.43.15"></a><var>43.15</var>(b) If the disqualification is affirmed, the state human services referee shall <br/>
<a id="pl.43.16"></a><var>43.16</var>determine whether the individual poses a risk of harm in accordance with the requirements <br/>
<a id="pl.43.17"></a><var>43.17</var>of section 
         <statute_ref>245C.16</statute_ref> 245C.22, and whether the disqualification should be set aside or not set <br/>
<a id="pl.43.18"></a><var>43.18</var>aside. In determining whether the disqualification should be set aside, the human services <br/>
<a id="pl.43.19"></a><var>43.19</var>referee shall consider all of the characteristics that cause the individual to be disqualified, <br/>
<a id="pl.43.20"></a><var>43.20</var>including those characteristics that were not subject to review under paragraph (a), in <br/>
<a id="pl.43.21"></a><var>43.21</var>order to determine whether the individual poses a risk of harm. A decision to set aside <br/>
<a id="pl.43.22"></a><var>43.22</var>a disqualification that is the subject of the hearing constitutes a determination that the <br/>
<a id="pl.43.23"></a><var>43.23</var>individual does not pose a risk of harm and that the individual may provide direct contact <br/>
<a id="pl.43.24"></a><var>43.24</var>services in the individual program specified in the set aside. If a determination that the <br/>
<a id="pl.43.25"></a><var>43.25</var>information relied upon to disqualify an individual was correct and is conclusive under <br/>
<a id="pl.43.26"></a><var>43.26</var>section 
         <statute_ref>245C.29</statute_ref>, and the individual is subsequently disqualified under section 
         <statute_ref>245C.14</statute_ref>, <br/>
<a id="pl.43.27"></a><var>43.27</var>the individual has a right to again request reconsideration on the risk of harm under section <br/>
<statute_ref><a id="pl.43.28"></a><var>43.28</var>245C.21
         </statute_ref>. Subsequent determinations regarding risk of harm are not subject to another <br/>
<a id="pl.43.29"></a><var>43.29</var>hearing under this section. <br/>
<a id="pl.43.30"></a><var>43.30</var>(c) The state human services referee shall recommend an order to the commissioner <br/>
<a id="pl.43.31"></a><var>43.31</var>of health, education, or human services, as applicable, who shall issue a final order. The <br/>
<a id="pl.43.32"></a><var>43.32</var>commissioner shall affirm, reverse, or modify the final disposition. Any order of the <br/>
<a id="pl.43.33"></a><var>43.33</var>commissioner issued in accordance with this subdivision is conclusive upon the parties <br/>
<a id="pl.43.34"></a><var>43.34</var>unless appeal is taken in the manner provided in subdivision 7. In any licensing appeal <br/>
<a id="pl.43.35"></a><var>43.35</var>under chapters 245A and 245C and sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref> and 
         <statute_ref>144A.02</statute_ref> to 
         <statute_ref>144A.46</statute_ref>, <br/>
<a id="pl.44.1"></a><var>44.1</var>the commissioner's determination as to maltreatment is conclusive, as provided under <br/>
<a id="pl.44.2"></a><var>44.2</var>section 
         <statute_ref>245C.29</statute_ref>. <br/>
<br/>
<a id="bill.0.44.0"></a><a id="pl.44.3"></a><var>44.3</var>    Sec. 44. <b>[256.364] LICENSE; PERMIT.</b><br/>
<a id="pl.44.4"></a><var>44.4</var>    Notwithstanding any law to the contrary, a municipality shall not require a massage <br/>
<a id="pl.44.5"></a><var>44.5</var>therapist to obtain a license or permit when the therapist is working for or an employee of <br/>
<a id="pl.44.6"></a><var>44.6</var>a medical professional licensed under chapter 147 or 148.<br/>
<br/>
<a id="bill.0.45.0"></a><a id="pl.44.7"></a><var>44.7</var>    Sec. 45. Minnesota Statutes 2008, section 256B.0943, subdivision 4, is amended to <br/>
<a id="pl.44.8"></a><var>44.8</var>read:<br/>
<a id="pl.44.9"></a><var>44.9</var>    Subd. 4. <b>Provider entity certification.</b> (a) Effective July 1, 2003, the commissioner <br/>
<a id="pl.44.10"></a><var>44.10</var>shall establish an initial provider entity application and certification process and <br/>
<a id="pl.44.11"></a><var>44.11</var>recertification process to determine whether a provider entity has an administrative <br/>
<a id="pl.44.12"></a><var>44.12</var>and clinical infrastructure that meets the requirements in subdivisions 5 and 6. The <br/>
<a id="pl.44.13"></a><var>44.13</var>commissioner shall recertify a provider entity at least every three years. The commissioner <br/>
<a id="pl.44.14"></a><var>44.14</var>shall establish a process for decertification of a provider entity that no longer meets the <br/>
<a id="pl.44.15"></a><var>44.15</var>requirements in this section. The county, tribe, and the commissioner shall be mutually <br/>
<a id="pl.44.16"></a><var>44.16</var>responsible and accountable for the county's, tribe's, and state's part of the certification, <br/>
<a id="pl.44.17"></a><var>44.17</var>recertification, and decertification processes.<br/>
<a id="pl.44.18"></a><var>44.18</var>    (b) For purposes of this section, a provider entity must be:<br/>
<a id="pl.44.19"></a><var>44.19</var>    (1) an Indian health services facility or a facility owned and operated by a tribe or <br/>
<a id="pl.44.20"></a><var>44.20</var>tribal organization operating as a 638 facility under Public Law 93-638 certified by the <br/>
<a id="pl.44.21"></a><var>44.21</var>state;<br/>
<a id="pl.44.22"></a><var>44.22</var>    (2) a county-operated entity certified by the state; or<br/>
<a id="pl.44.23"></a><var>44.23</var>    (3) a noncounty entity recommended for certification by the provider's host county <br/>
<a id="pl.44.24"></a><var>44.24</var>and certified by the state.<br/>
<br/>
<a id="bill.0.46.0"></a><a id="pl.44.25"></a><var>44.25</var>    Sec. 46. Minnesota Statutes 2008, section 256B.0943, subdivision 6, is amended to <br/>
<a id="pl.44.26"></a><var>44.26</var>read:<br/>
<a id="pl.44.27"></a><var>44.27</var>    Subd. 6. <b>Provider entity clinical infrastructure requirements.</b> (a) To be <br/>
<a id="pl.44.28"></a><var>44.28</var>an eligible provider entity under this section, a provider entity must have a clinical <br/>
<a id="pl.44.29"></a><var>44.29</var>infrastructure that utilizes diagnostic assessment, an individualized treatment plan, <br/>
<a id="pl.44.30"></a><var>44.30</var>service delivery, and individual treatment plan review that are culturally competent, <br/>
<a id="pl.44.31"></a><var>44.31</var>child-centered, and family-driven to achieve maximum benefit for the client. The provider <br/>
<a id="pl.44.32"></a><var>44.32</var>entity must review,  and update as necessary, the clinical policies and procedures every <br/>
<a id="pl.45.1"></a><var>45.1</var>three years and must distribute the policies and procedures to staff initially and upon <br/>
<a id="pl.45.2"></a><var>45.2</var>each subsequent update.<br/>
<a id="pl.45.3"></a><var>45.3</var>    (b) The clinical infrastructure written policies and procedures must include policies <br/>
<a id="pl.45.4"></a><var>45.4</var>and procedures for:<br/>
<a id="pl.45.5"></a><var>45.5</var>    (1) providing or obtaining a client's diagnostic assessment that identifies acute and <br/>
<a id="pl.45.6"></a><var>45.6</var>chronic clinical disorders, co-occurring medical conditions, sources of psychological <br/>
<a id="pl.45.7"></a><var>45.7</var>and environmental problems, and including a functional assessment. The functional <br/>
<a id="pl.45.8"></a><var>45.8</var>assessment component must clearly summarize the client's individual strengths and needs;<br/>
<a id="pl.45.9"></a><var>45.9</var>    (2) developing an individual treatment plan that is:<br/>
<a id="pl.45.10"></a><var>45.10</var>    (i) based on the information in the client's diagnostic assessment;<br/>
<a id="pl.45.11"></a><var>45.11</var>    (ii) developed no later than the end of the first psychotherapy session after the <br/>
<a id="pl.45.12"></a><var>45.12</var>completion of the client's diagnostic assessment by the mental health professional who <br/>
<a id="pl.45.13"></a><var>45.13</var>provides the client's psychotherapy;<br/>
<a id="pl.45.14"></a><var>45.14</var>    (iii) developed through a child-centered, family-driven planning process that <br/>
<a id="pl.45.15"></a><var>45.15</var>identifies service needs and individualized, planned, and culturally appropriate <br/>
<a id="pl.45.16"></a><var>45.16</var>interventions that contain specific treatment goals and objectives for the client and the <br/>
<a id="pl.45.17"></a><var>45.17</var>client's family or foster family;<br/>
<a id="pl.45.18"></a><var>45.18</var>    (iv) reviewed at least once every 90 days and revised, if necessary; and<br/>
<a id="pl.45.19"></a><var>45.19</var>    (v) signed by the client or, if appropriate, by the client's parent or other person <br/>
<a id="pl.45.20"></a><var>45.20</var>authorized by statute to consent to mental health services for the client;<br/>
<a id="pl.45.21"></a><var>45.21</var>    (3) developing an individual behavior plan that documents services to be provided <br/>
<a id="pl.45.22"></a><var>45.22</var>by the mental health behavioral aide. The individual behavior plan must include:<br/>
<a id="pl.45.23"></a><var>45.23</var>    (i) detailed instructions on the service to be provided;<br/>
<a id="pl.45.24"></a><var>45.24</var>    (ii) time allocated to each service;<br/>
<a id="pl.45.25"></a><var>45.25</var>    (iii) methods of documenting the child's behavior;<br/>
<a id="pl.45.26"></a><var>45.26</var>    (iv) methods of monitoring the child's progress in reaching objectives; and<br/>
<a id="pl.45.27"></a><var>45.27</var>    (v) goals to increase or decrease targeted behavior as identified in the individual <br/>
<a id="pl.45.28"></a><var>45.28</var>treatment plan;<br/>
<a id="pl.45.29"></a><var>45.29</var>    (4) clinical supervision of the mental health practitioner and mental health behavioral <br/>
<a id="pl.45.30"></a><var>45.30</var>aide. A mental health professional must document the clinical supervision the professional <br/>
<a id="pl.45.31"></a><var>45.31</var>provides by cosigning individual treatment plans and making entries in the client's record <br/>
<a id="pl.45.32"></a><var>45.32</var>on supervisory activities. Clinical supervision does not include the authority to make or <br/>
<a id="pl.45.33"></a><var>45.33</var>terminate court-ordered placements of the child. A clinical supervisor must be available <br/>
<a id="pl.45.34"></a><var>45.34</var>for urgent consultation as required by the individual client's needs or the situation. Clinical <br/>
<a id="pl.45.35"></a><var>45.35</var>supervision may occur individually or in a small group to discuss treatment and review <br/>
<a id="pl.45.36"></a><var>45.36</var>progress toward goals. The focus of clinical supervision must be the client's treatment <br/>
<a id="pl.46.1"></a><var>46.1</var>needs and progress and the mental health practitioner's or behavioral aide's ability to <br/>
<a id="pl.46.2"></a><var>46.2</var>provide services;<br/>
<a id="pl.46.3"></a><var>46.3</var>    (4a) CTSS certified provider entities providing day treatment programs must meet <br/>
<a id="pl.46.4"></a><var>46.4</var>the conditions in items (i) to (iii):<br/>
<a id="pl.46.5"></a><var>46.5</var>    (i) the supervisor must be present and available on the premises more than 50 <br/>
<a id="pl.46.6"></a><var>46.6</var>percent of the time in a five-working-day period during which the supervisee is providing <br/>
<a id="pl.46.7"></a><var>46.7</var>a mental health service;<br/>
<a id="pl.46.8"></a><var>46.8</var>    (ii) the diagnosis and the client's individual treatment plan or a change in the <br/>
<a id="pl.46.9"></a><var>46.9</var>diagnosis or individual treatment plan must be made by or reviewed, approved, and signed <br/>
<a id="pl.46.10"></a><var>46.10</var>by the supervisor; and<br/>
<a id="pl.46.11"></a><var>46.11</var>    (iii) every 30 days, the supervisor must review and sign the record of indicating the <br/>
<a id="pl.46.12"></a><var>46.12</var>supervisor has reviewed the client's care for all activities in the preceding 30-day period;<br/>
<a id="pl.46.13"></a><var>46.13</var>    (4b) for all other services provided under CTSS, clinical supervision standards <br/>
<a id="pl.46.14"></a><var>46.14</var>provided in items (i) to (iii) must be used:<br/>
<a id="pl.46.15"></a><var>46.15</var>    (i) medical assistance shall reimburse a mental health practitioner who maintains a <br/>
<a id="pl.46.16"></a><var>46.16</var>consulting relationship with a mental health professional who accepts full professional <br/>
<a id="pl.46.17"></a><var>46.17</var>responsibility and is present on site for at least one observation during the first 12 hours <br/>
<a id="pl.46.18"></a><var>46.18</var>in which the mental health practitioner provides the individual, family, or group skills <br/>
<a id="pl.46.19"></a><var>46.19</var>training to the child or the child's family;<br/>
<a id="pl.46.20"></a><var>46.20</var>    (ii) thereafter, the mental health professional is required to be present on site for <br/>
<a id="pl.46.21"></a><var>46.21</var>observation as clinically appropriate when the mental health practitioner is providing <br/>
<a id="pl.46.22"></a><var>46.22</var>individual, family, or group skills training to the child or the child's family; and<br/>
<a id="pl.46.23"></a><var>46.23</var>    (iii) when conducted, the observation must be a minimum of one clinical unit. The <br/>
<a id="pl.46.24"></a><var>46.24</var>on-site presence of the mental health professional must be documented in the child's record <br/>
<a id="pl.46.25"></a><var>46.25</var>and signed by the mental health professional who accepts full professional responsibility;<br/>
<a id="pl.46.26"></a><var>46.26</var>    (5) providing direction to a mental health behavioral aide. For entities that employ <br/>
<a id="pl.46.27"></a><var>46.27</var>mental health behavioral aides, the clinical supervisor must be employed by the provider <br/>
<a id="pl.46.28"></a><var>46.28</var>entity or other certified children's therapeutic supports and services provider entity to <br/>
<a id="pl.46.29"></a><var>46.29</var>ensure necessary and appropriate oversight for the client's treatment and continuity <br/>
<a id="pl.46.30"></a><var>46.30</var>of care. The mental health professional or mental health practitioner giving direction <br/>
<a id="pl.46.31"></a><var>46.31</var>must begin with the goals on the individualized treatment plan, and instruct the mental <br/>
<a id="pl.46.32"></a><var>46.32</var>health behavioral aide on how to construct therapeutic activities and interventions that <br/>
<a id="pl.46.33"></a><var>46.33</var>will lead to goal attainment. The professional or practitioner giving direction must also <br/>
<a id="pl.46.34"></a><var>46.34</var>instruct the mental health behavioral aide about the client's diagnosis, functional status, <br/>
<a id="pl.46.35"></a><var>46.35</var>and other characteristics that are likely to affect service delivery. Direction must also <br/>
<a id="pl.46.36"></a><var>46.36</var>include determining that the mental health behavioral aide has the skills to interact with <br/>
<a id="pl.47.1"></a><var>47.1</var>the client and the client's family in ways that convey personal and cultural respect and <br/>
<a id="pl.47.2"></a><var>47.2</var>that the aide actively solicits information relevant to treatment from the family. The aide <br/>
<a id="pl.47.3"></a><var>47.3</var>must be able to clearly explain the activities the aide is doing with the client and the <br/>
<a id="pl.47.4"></a><var>47.4</var>activities' relationship to treatment goals. Direction is more didactic than is supervision <br/>
<a id="pl.47.5"></a><var>47.5</var>and requires the professional or practitioner providing it to continuously evaluate the <br/>
<a id="pl.47.6"></a><var>47.6</var>mental health behavioral aide's ability to carry out the activities of the individualized <br/>
<a id="pl.47.7"></a><var>47.7</var>treatment plan and the individualized behavior plan. When providing direction, the <br/>
<a id="pl.47.8"></a><var>47.8</var>professional or practitioner must:<br/>
<a id="pl.47.9"></a><var>47.9</var>    (i) review progress notes prepared by the mental health behavioral aide for accuracy <br/>
<a id="pl.47.10"></a><var>47.10</var>and consistency with diagnostic assessment, treatment plan, and behavior goals and the <br/>
<a id="pl.47.11"></a><var>47.11</var>professional or practitioner must approve and sign the progress notes;<br/>
<a id="pl.47.12"></a><var>47.12</var>    (ii) identify changes in treatment strategies, revise the individual behavior plan, <br/>
<a id="pl.47.13"></a><var>47.13</var>and communicate treatment instructions and methodologies as appropriate to ensure <br/>
<a id="pl.47.14"></a><var>47.14</var>that treatment is implemented correctly;<br/>
<a id="pl.47.15"></a><var>47.15</var>    (iii) demonstrate family-friendly behaviors that support healthy collaboration among <br/>
<a id="pl.47.16"></a><var>47.16</var>the child, the child's family, and providers as treatment is planned and implemented;<br/>
<a id="pl.47.17"></a><var>47.17</var>    (iv) ensure that the mental health behavioral aide is able to effectively communicate <br/>
<a id="pl.47.18"></a><var>47.18</var>with the child, the child's family, and the provider; and<br/>
<a id="pl.47.19"></a><var>47.19</var>    (v) record the results of any evaluation and corrective actions taken to modify the <br/>
<a id="pl.47.20"></a><var>47.20</var>work of the mental health behavioral aide;<br/>
<a id="pl.47.21"></a><var>47.21</var>    (6) providing service delivery that implements the individual treatment plan and <br/>
<a id="pl.47.22"></a><var>47.22</var>meets the requirements under subdivision 9; and<br/>
<a id="pl.47.23"></a><var>47.23</var>    (7) individual treatment plan review. The review must determine the extent to which <br/>
<a id="pl.47.24"></a><var>47.24</var>the services have met the goals and objectives in the previous treatment plan. The review <br/>
<a id="pl.47.25"></a><var>47.25</var>must assess the client's progress and ensure that services and treatment goals continue to <br/>
<a id="pl.47.26"></a><var>47.26</var>be necessary and appropriate to the client and the client's family or foster family. Revision <br/>
<a id="pl.47.27"></a><var>47.27</var>of the individual treatment plan does not require a new diagnostic assessment unless the <br/>
<a id="pl.47.28"></a><var>47.28</var>client's mental health status has changed markedly. The updated treatment plan must be <br/>
<a id="pl.47.29"></a><var>47.29</var>signed by the client, if appropriate, and by the client's parent or other person authorized by <br/>
<a id="pl.47.30"></a><var>47.30</var>statute to give consent to the mental health services for the child.<br/>
<br/>
<a id="bill.0.47.0"></a><a id="pl.47.31"></a><var>47.31</var>    Sec. 47. Minnesota Statutes 2008, section 256B.0943, subdivision 9, is amended to <br/>
<a id="pl.47.32"></a><var>47.32</var>read:<br/>
<a id="pl.47.33"></a><var>47.33</var>    Subd. 9. <b>Service delivery criteria.</b> (a) In delivering services under this section, a <br/>
<a id="pl.47.34"></a><var>47.34</var>certified provider entity must ensure that:<br/>
<a id="pl.48.1"></a><var>48.1</var>    (1) each individual provider's caseload size permits the provider to deliver services <br/>
<a id="pl.48.2"></a><var>48.2</var>to both clients with severe, complex needs and clients with less intensive needs. The <br/>
<a id="pl.48.3"></a><var>48.3</var>provider's caseload size should reasonably enable the provider to play an active role in <br/>
<a id="pl.48.4"></a><var>48.4</var>service planning, monitoring, and delivering services to meet the client's and client's <br/>
<a id="pl.48.5"></a><var>48.5</var>family's needs, as specified in each client's individual treatment plan;<br/>
<a id="pl.48.6"></a><var>48.6</var>    (2) site-based programs, including day treatment and preschool programs, provide <br/>
<a id="pl.48.7"></a><var>48.7</var>staffing and facilities to ensure the client's health, safety, and protection of rights, and that <br/>
<a id="pl.48.8"></a><var>48.8</var>the programs are able to implement each client's individual treatment plan;<br/>
<a id="pl.48.9"></a><var>48.9</var>    (3) a day treatment program is provided to a group of clients by a multidisciplinary <br/>
<a id="pl.48.10"></a><var>48.10</var>team under the clinical supervision of a mental health professional. The day treatment <br/>
<a id="pl.48.11"></a><var>48.11</var>program must be provided in and by: (i) an outpatient hospital accredited by the Joint <br/>
<a id="pl.48.12"></a><var>48.12</var>Commission on Accreditation of Health Organizations and licensed under sections <br/>
<statute_ref><a id="pl.48.13"></a><var>48.13</var>144.50
         </statute_ref> to 
         <statute_ref>144.55</statute_ref>; (ii) a community mental health center under section 
         <statute_ref>245.62</statute_ref>; and (iii) <br/>
<a id="pl.48.14"></a><var>48.14</var>an entity that is under contract with the county board to operate a program that meets <br/>
<a id="pl.48.15"></a><var>48.15</var>the requirements of sections 
         <statute_ref>245.4712, subdivision 2</statute_ref>, and 
         <statute_ref>245.4884, subdivision 2</statute_ref>, <br/>
<a id="pl.48.16"></a><var>48.16</var>and Minnesota Rules, parts 9505.0170 to 9505.0475. The day treatment program must <br/>
<a id="pl.48.17"></a><var>48.17</var>stabilize the client's mental health status while developing and improving the client's <br/>
<a id="pl.48.18"></a><var>48.18</var>independent living and socialization skills. The goal of the day treatment program must <br/>
<a id="pl.48.19"></a><var>48.19</var>be to reduce or relieve the effects of mental illness and provide training to enable the <br/>
<a id="pl.48.20"></a><var>48.20</var>client to live in the community. The program must be available at least one day a week <br/>
<a id="pl.48.21"></a><var>48.21</var>for a three-hour two-hour time block. The three-hour two-hour time block must include <br/>
<a id="pl.48.22"></a><var>48.22</var>at least one hour, but no more than two hours, of individual or group psychotherapy. <br/>
<a id="pl.48.23"></a><var>48.23</var>The remainder of the three-hour time block may include recreation therapy, socialization <br/>
<a id="pl.48.24"></a><var>48.24</var>therapy, or independent living skills therapy, but only if the therapies are included in the <br/>
<a id="pl.48.25"></a><var>48.25</var>client's individual treatment plan The structured treatment program may include individual <br/>
<a id="pl.48.26"></a><var>48.26</var>or group psychotherapy and recreation therapy, socialization therapy, or independent <br/>
<a id="pl.48.27"></a><var>48.27</var>living skills therapy, if included in the client's individual treatment plan. Day treatment <br/>
<a id="pl.48.28"></a><var>48.28</var>programs are not part of inpatient or residential treatment services; and <br/>
<a id="pl.48.29"></a><var>48.29</var>    (4) a preschool program is a structured treatment program offered to a child who <br/>
<a id="pl.48.30"></a><var>48.30</var>is at least 33 months old, but who has not yet reached the first day of kindergarten, by a <br/>
<a id="pl.48.31"></a><var>48.31</var>preschool multidisciplinary team in a day program licensed under Minnesota Rules, parts <br/>
<a id="pl.48.32"></a><var>48.32</var>9503.0005 to 9503.0175. The program must be available at least one day a week for a <br/>
<a id="pl.48.33"></a><var>48.33</var>minimum two-hour time block. The structured treatment program may include individual <br/>
<a id="pl.48.34"></a><var>48.34</var>or group psychotherapy and recreation therapy, socialization therapy, or independent <br/>
<a id="pl.48.35"></a><var>48.35</var>living skills therapy, if included in the client's individual treatment plan.<br/>
<a id="pl.49.1"></a><var>49.1</var>    (b) A provider entity must deliver the service components of children's therapeutic <br/>
<a id="pl.49.2"></a><var>49.2</var>services and supports in compliance with the following requirements:<br/>
<a id="pl.49.3"></a><var>49.3</var>    (1) individual, family, and group psychotherapy must be delivered as specified in <br/>
<a id="pl.49.4"></a><var>49.4</var>Minnesota Rules, part 9505.0323;<br/>
<a id="pl.49.5"></a><var>49.5</var>    (2) individual, family, or group skills training must be provided by a mental health <br/>
<a id="pl.49.6"></a><var>49.6</var>professional or a mental health practitioner who has a consulting relationship with a <br/>
<a id="pl.49.7"></a><var>49.7</var>mental health professional who accepts full professional responsibility for the training;<br/>
<a id="pl.49.8"></a><var>49.8</var>    (3) crisis assistance must be time-limited and designed to resolve or stabilize crisis <br/>
<a id="pl.49.9"></a><var>49.9</var>through arrangements for direct intervention and support services to the child and the <br/>
<a id="pl.49.10"></a><var>49.10</var>child's family. Crisis assistance must utilize resources designed to address abrupt or <br/>
<a id="pl.49.11"></a><var>49.11</var>substantial changes in the functioning of the child or the child's family as evidenced by <br/>
<a id="pl.49.12"></a><var>49.12</var>a sudden change in behavior with negative consequences for well being, a loss of usual <br/>
<a id="pl.49.13"></a><var>49.13</var>coping mechanisms, or the presentation of danger to self or others;<br/>
<a id="pl.49.14"></a><var>49.14</var>    (4) medically necessary services that are provided by a mental health behavioral <br/>
<a id="pl.49.15"></a><var>49.15</var>aide must be designed to improve the functioning of the child and support the family in <br/>
<a id="pl.49.16"></a><var>49.16</var>activities of daily and community living. A mental health behavioral aide must document <br/>
<a id="pl.49.17"></a><var>49.17</var>the delivery of services in written progress notes. The mental health behavioral aide <br/>
<a id="pl.49.18"></a><var>49.18</var>must implement goals in the treatment plan for the child's emotional disturbance that <br/>
<a id="pl.49.19"></a><var>49.19</var>allow the child to acquire developmentally and therapeutically appropriate daily living <br/>
<a id="pl.49.20"></a><var>49.20</var>skills, social skills, and leisure and recreational skills through targeted activities. These <br/>
<a id="pl.49.21"></a><var>49.21</var>activities may include:<br/>
<a id="pl.49.22"></a><var>49.22</var>    (i) assisting a child as needed with skills development in dressing, eating, and <br/>
<a id="pl.49.23"></a><var>49.23</var>toileting;<br/>
<a id="pl.49.24"></a><var>49.24</var>    (ii) assisting, monitoring, and guiding the child to complete tasks, including <br/>
<a id="pl.49.25"></a><var>49.25</var>facilitating the child's participation in medical appointments;<br/>
<a id="pl.49.26"></a><var>49.26</var>    (iii) observing the child and intervening to redirect the child's inappropriate behavior;<br/>
<a id="pl.49.27"></a><var>49.27</var>    (iv) assisting the child in using age-appropriate self-management skills as related <br/>
<a id="pl.49.28"></a><var>49.28</var>to the child's emotional disorder or mental illness, including problem solving, decision <br/>
<a id="pl.49.29"></a><var>49.29</var>making, communication, conflict resolution, anger management, social skills, and <br/>
<a id="pl.49.30"></a><var>49.30</var>recreational skills;<br/>
<a id="pl.49.31"></a><var>49.31</var>    (v) implementing deescalation techniques as recommended by the mental health <br/>
<a id="pl.49.32"></a><var>49.32</var>professional;<br/>
<a id="pl.49.33"></a><var>49.33</var>    (vi) implementing any other mental health service that the mental health professional <br/>
<a id="pl.49.34"></a><var>49.34</var>has approved as being within the scope of the behavioral aide's duties; or<br/>
<a id="pl.50.1"></a><var>50.1</var>    (vii) assisting the parents to develop and use parenting skills that help the child <br/>
<a id="pl.50.2"></a><var>50.2</var>achieve the goals outlined in the child's individual treatment plan or individual behavioral <br/>
<a id="pl.50.3"></a><var>50.3</var>plan. Parenting skills must be directed exclusively to the child's treatment; and<br/>
<a id="pl.50.4"></a><var>50.4</var>    (5) direction of a mental health behavioral aide must include the following:<br/>
<a id="pl.50.5"></a><var>50.5</var>    (i) a total of one hour of on-site observation by a mental health professional during <br/>
<a id="pl.50.6"></a><var>50.6</var>the first 12 hours of service provided to a child;<br/>
<a id="pl.50.7"></a><var>50.7</var>    (ii) ongoing on-site observation by a mental health professional or mental health <br/>
<a id="pl.50.8"></a><var>50.8</var>practitioner for at least a total of one hour during every 40 hours of service provided <br/>
<a id="pl.50.9"></a><var>50.9</var>to a child; and<br/>
<a id="pl.50.10"></a><var>50.10</var>    (iii) immediate accessibility of the mental health professional or mental health <br/>
<a id="pl.50.11"></a><var>50.11</var>practitioner to the mental health behavioral aide during service provision.<br/>
<br/>
<a id="bill.0.48.0"></a><a id="pl.50.12"></a><var>50.12</var>    Sec. 48. Minnesota Statutes 2008, section 256D.44, subdivision 5, is amended to read:<br/>
<a id="pl.50.13"></a><var>50.13</var>    Subd. 5. <b>Special needs.</b> In addition to the state standards of assistance established in <br/>
<a id="pl.50.14"></a><var>50.14</var>subdivisions 1 to 4, payments are allowed for the following special needs of recipients of <br/>
<a id="pl.50.15"></a><var>50.15</var>Minnesota supplemental aid who are not residents of a nursing home, a regional treatment <br/>
<a id="pl.50.16"></a><var>50.16</var>center, or a group residential housing facility.<br/>
<a id="pl.50.17"></a><var>50.17</var>    (a) The county agency shall pay a monthly allowance for medically prescribed <br/>
<a id="pl.50.18"></a><var>50.18</var>diets if the cost of those additional dietary needs cannot be met through some other <br/>
<a id="pl.50.19"></a><var>50.19</var>maintenance benefit. The need for special diets or dietary items must be prescribed by <br/>
<a id="pl.50.20"></a><var>50.20</var>a licensed physician. Costs for special diets shall be determined as percentages of the <br/>
<a id="pl.50.21"></a><var>50.21</var>allotment for a one-person household under the thrifty food plan as defined by the United <br/>
<a id="pl.50.22"></a><var>50.22</var>States Department of Agriculture. The types of diets and the percentages of the thrifty <br/>
<a id="pl.50.23"></a><var>50.23</var>food plan that are covered are as follows:<br/>
<a id="pl.50.24"></a><var>50.24</var>    (1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;<br/>
<a id="pl.50.25"></a><var>50.25</var>    (2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent <br/>
<a id="pl.50.26"></a><var>50.26</var>of thrifty food plan;<br/>
<a id="pl.50.27"></a><var>50.27</var>    (3) controlled protein diet, less than 40 grams and requires special products, 125 <br/>
<a id="pl.50.28"></a><var>50.28</var>percent of thrifty food plan;<br/>
<a id="pl.50.29"></a><var>50.29</var>    (4) low cholesterol diet, 25 percent of thrifty food plan;<br/>
<a id="pl.50.30"></a><var>50.30</var>    (5) high residue diet, 20 percent of thrifty food plan;<br/>
<a id="pl.50.31"></a><var>50.31</var>    (6) pregnancy and lactation diet, 35 percent of thrifty food plan;<br/>
<a id="pl.50.32"></a><var>50.32</var>    (7) gluten-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.50.33"></a><var>50.33</var>    (8) lactose-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.50.34"></a><var>50.34</var>    (9) antidumping diet, 15 percent of thrifty food plan;<br/>
<a id="pl.50.35"></a><var>50.35</var>    (10) hypoglycemic diet, 15 percent of thrifty food plan; or<br/>
<a id="pl.51.1"></a><var>51.1</var>    (11) ketogenic diet, 25 percent of thrifty food plan.<br/>
<a id="pl.51.2"></a><var>51.2</var>    (b) Payment for nonrecurring special needs must be allowed for necessary home <br/>
<a id="pl.51.3"></a><var>51.3</var>repairs or necessary repairs or replacement of household furniture and appliances using <br/>
<a id="pl.51.4"></a><var>51.4</var>the payment standard of the AFDC program in effect on July 16, 1996, for these expenses, <br/>
<a id="pl.51.5"></a><var>51.5</var>as long as other funding sources are not available.<br/>
<a id="pl.51.6"></a><var>51.6</var>    (c) A fee for guardian or conservator service is allowed at a reasonable rate <br/>
<a id="pl.51.7"></a><var>51.7</var>negotiated by the county or approved by the court. This rate shall not exceed five percent <br/>
<a id="pl.51.8"></a><var>51.8</var>of the assistance unit's gross monthly income up to a maximum of $100 per month. If the <br/>
<a id="pl.51.9"></a><var>51.9</var>guardian or conservator is a member of the county agency staff, no fee is allowed.<br/>
<a id="pl.51.10"></a><var>51.10</var>    (d) The county agency shall continue to pay a monthly allowance of $68 for <br/>
<a id="pl.51.11"></a><var>51.11</var>restaurant meals for a person who was receiving a restaurant meal allowance on June 1, <br/>
<a id="pl.51.12"></a><var>51.12</var>1990, and who eats two or more meals in a restaurant daily. The allowance must continue <br/>
<a id="pl.51.13"></a><var>51.13</var>until the person has not received Minnesota supplemental aid for one full calendar month <br/>
<a id="pl.51.14"></a><var>51.14</var>or until the person's living arrangement changes and the person no longer meets the criteria <br/>
<a id="pl.51.15"></a><var>51.15</var>for the restaurant meal allowance, whichever occurs first.<br/>
<a id="pl.51.16"></a><var>51.16</var>    (e) A fee of ten percent of the recipient's gross income or $25, whichever is less, <br/>
<a id="pl.51.17"></a><var>51.17</var>is allowed for representative payee services provided by an agency that meets the <br/>
<a id="pl.51.18"></a><var>51.18</var>requirements under SSI regulations to charge a fee for representative payee services. This <br/>
<a id="pl.51.19"></a><var>51.19</var>special need is available to all recipients of Minnesota supplemental aid regardless of <br/>
<a id="pl.51.20"></a><var>51.20</var>their living arrangement.<br/>
<a id="pl.51.21"></a><var>51.21</var>    (f)(1) Notwithstanding the language in this subdivision, an amount equal to the <br/>
<a id="pl.51.22"></a><var>51.22</var>maximum allotment authorized by the federal Food Stamp Program for a single individual <br/>
<a id="pl.51.23"></a><var>51.23</var>which is in effect on the first day of July of each year will be added to the standards of <br/>
<a id="pl.51.24"></a><var>51.24</var>assistance established in subdivisions 1 to 4 for adults under the age of 65 who qualify <br/>
<a id="pl.51.25"></a><var>51.25</var>as shelter needy and are: (i) relocating from an institution, or an adult mental health <br/>
<a id="pl.51.26"></a><var>51.26</var>residential treatment program under section 
         <statute_ref>256B.0622</statute_ref>; (ii) eligible for the self-directed <br/>
<a id="pl.51.27"></a><var>51.27</var>supports option as defined under section 
         <statute_ref>256B.0657, subdivision 2</statute_ref>; or (iii) home and <br/>
<a id="pl.51.28"></a><var>51.28</var>community-based waiver recipients living in their own home or rented or leased apartment <br/>
<a id="pl.51.29"></a><var>51.29</var>which is not owned, operated, or controlled by a provider of service not related by blood <br/>
<a id="pl.51.30"></a><var>51.30</var>or marriage.<br/>
<a id="pl.51.31"></a><var>51.31</var>    (2) Notwithstanding subdivision 3, paragraph (c), an individual eligible for the <br/>
<a id="pl.51.32"></a><var>51.32</var>shelter needy benefit under this paragraph is considered a household of one. An eligible <br/>
<a id="pl.51.33"></a><var>51.33</var>individual who receives this benefit prior to age 65 may continue to receive the benefit <br/>
<a id="pl.51.34"></a><var>51.34</var>after the age of 65.<br/>
<a id="pl.51.35"></a><var>51.35</var>    (3) "Shelter needy" means that the assistance unit incurs monthly shelter costs that <br/>
<a id="pl.51.36"></a><var>51.36</var>exceed 40 percent of the assistance unit's gross income before the application of this <br/>
<a id="pl.52.1"></a><var>52.1</var>special needs standard. "Gross income" for the purposes of this section is the applicant's or <br/>
<a id="pl.52.2"></a><var>52.2</var>recipient's income as defined in section 
         <statute_ref>256D.35, subdivision 10</statute_ref>, or the standard specified <br/>
<a id="pl.52.3"></a><var>52.3</var>in subdivision 3, paragraph (a) or (b), whichever is greater. A recipient of a federal or <br/>
<a id="pl.52.4"></a><var>52.4</var>state housing subsidy, that limits shelter costs to a percentage of gross income, shall not be <br/>
<a id="pl.52.5"></a><var>52.5</var>considered shelter needy for purposes of this paragraph.<br/>
<a id="pl.52.6"></a><var>52.6</var>(g) Notwithstanding this subdivision, to access housing and services as provided in <br/>
<a id="pl.52.7"></a><var>52.7</var>paragraph (f), the recipient may choose housing that may or may not be owned, operated, <br/>
<a id="pl.52.8"></a><var>52.8</var>or controlled by the recipient's service provider if the housing is located in a multifamily <br/>
<a id="pl.52.9"></a><var>52.9</var>building of six or more units. The maximum number of units that may be used by <br/>
<a id="pl.52.10"></a><var>52.10</var>recipients of this program shall be 50 percent of the units in a building. The department <br/>
<a id="pl.52.11"></a><var>52.11</var>shall develop an exception process to the 50 percent maximum. This paragraph expires <br/>
<a id="pl.52.12"></a><var>52.12</var>on June 30, 2011.<br/>
<br/>
<a id="bill.0.49.0"></a><a id="pl.52.13"></a><var>52.13</var>    Sec. 49. Minnesota Statutes 2008, section 626.556, subdivision 2, is amended to read:<br/>
<a id="pl.52.14"></a><var>52.14</var>    Subd. 2. <b>Definitions.</b> As used in this section, the following terms have the meanings <br/>
<a id="pl.52.15"></a><var>52.15</var>given them unless the specific content indicates otherwise:<br/>
<a id="pl.52.16"></a><var>52.16</var>    (a) "Family assessment" means a comprehensive assessment of child safety, risk <br/>
<a id="pl.52.17"></a><var>52.17</var>of subsequent child maltreatment, and family strengths and needs that is applied to a <br/>
<a id="pl.52.18"></a><var>52.18</var>child maltreatment report that does not allege substantial child endangerment. Family <br/>
<a id="pl.52.19"></a><var>52.19</var>assessment does not include a determination as to whether child maltreatment occurred <br/>
<a id="pl.52.20"></a><var>52.20</var>but does determine the need for services to address the safety of family members and the <br/>
<a id="pl.52.21"></a><var>52.21</var>risk of subsequent maltreatment.<br/>
<a id="pl.52.22"></a><var>52.22</var>    (b) "Investigation" means fact gathering related to the current safety of a child <br/>
<a id="pl.52.23"></a><var>52.23</var>and the risk of subsequent maltreatment that determines whether child maltreatment <br/>
<a id="pl.52.24"></a><var>52.24</var>occurred and whether child protective services are needed. An investigation must be used <br/>
<a id="pl.52.25"></a><var>52.25</var>when reports involve substantial child endangerment, and for reports of maltreatment in <br/>
<a id="pl.52.26"></a><var>52.26</var>facilities required to be licensed under chapter 245A or 245B; under sections 
         <statute_ref>144.50</statute_ref> to <br/>
<statute_ref><a id="pl.52.27"></a><var>52.27</var>144.58
         </statute_ref> and 
         <statute_ref>241.021</statute_ref>; in a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and <br/>
<a id="pl.52.28"></a><var>52.28</var>13, and 
         <statute_ref>124D.10</statute_ref>; or in a nonlicensed personal care provider association as defined in <br/>
<a id="pl.52.29"></a><var>52.29</var>sections 
         <statute_ref>256B.04, subdivision 16</statute_ref>, and 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br/>
<a id="pl.52.30"></a><var>52.30</var>    (c) "Substantial child endangerment" means a person responsible for a child's care, <br/>
<a id="pl.52.31"></a><var>52.31</var>and in the case of sexual abuse includes a person who has a significant relationship to the <br/>
<a id="pl.52.32"></a><var>52.32</var>child as defined in section 
         <statute_ref>609.341</statute_ref>, or a person in a position of authority as defined in <br/>
<a id="pl.52.33"></a><var>52.33</var>section 
         <statute_ref>609.341</statute_ref>, who by act or omission commits or attempts to commit an act against a <br/>
<a id="pl.52.34"></a><var>52.34</var>child under their care that constitutes any of the following:<br/>
<a id="pl.52.35"></a><var>52.35</var>    (1) egregious harm as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>;<br/>
<a id="pl.53.1"></a><var>53.1</var>    (2) sexual abuse as defined in paragraph (d);<br/>
<a id="pl.53.2"></a><var>53.2</var>    (3) abandonment under section 
         <statute_ref>260C.301, subdivision 2</statute_ref>;<br/>
<a id="pl.53.3"></a><var>53.3</var>    (4) neglect as defined in paragraph (f), clause (2), that substantially endangers the <br/>
<a id="pl.53.4"></a><var>53.4</var>child's physical or mental health, including a growth delay, which may be referred to as <br/>
<a id="pl.53.5"></a><var>53.5</var>failure to thrive, that has been diagnosed by a physician and is due to parental neglect;<br/>
<a id="pl.53.6"></a><var>53.6</var>    (5) murder in the first, second, or third degree under section 
         <statute_ref>609.185</statute_ref>, 
         <statute_ref>609.19</statute_ref>, or <br/>
<statute_ref><a id="pl.53.7"></a><var>53.7</var>609.195
         </statute_ref>;<br/>
<a id="pl.53.8"></a><var>53.8</var>    (6) manslaughter in the first or second degree under section 
         <statute_ref>609.20</statute_ref> or 
         <statute_ref>609.205</statute_ref>;<br/>
<a id="pl.53.9"></a><var>53.9</var>    (7) assault in the first, second, or third degree under section 
         <statute_ref>609.221</statute_ref>, 
         <statute_ref>609.222</statute_ref>, or <br/>
<statute_ref><a id="pl.53.10"></a><var>53.10</var>609.223
         </statute_ref>;<br/>
<a id="pl.53.11"></a><var>53.11</var>    (8) solicitation, inducement, and promotion of prostitution under section 
         <statute_ref>609.322</statute_ref>;<br/>
<a id="pl.53.12"></a><var>53.12</var>    (9) criminal sexual conduct under sections 
         <statute_ref>609.342</statute_ref> to 
         <statute_ref>609.3451</statute_ref>;<br/>
<a id="pl.53.13"></a><var>53.13</var>    (10) solicitation of children to engage in sexual conduct under section 
         <statute_ref>609.352</statute_ref>;<br/>
<a id="pl.53.14"></a><var>53.14</var>    (11) malicious punishment or neglect or endangerment of a child under section <br/>
<statute_ref><a id="pl.53.15"></a><var>53.15</var>609.377
         </statute_ref> or 
         <statute_ref>609.378</statute_ref>;<br/>
<a id="pl.53.16"></a><var>53.16</var>    (12) use of a minor in sexual performance under section 
         <statute_ref>617.246</statute_ref>; or<br/>
<a id="pl.53.17"></a><var>53.17</var>    (13) parental behavior, status, or condition which mandates that the county attorney <br/>
<a id="pl.53.18"></a><var>53.18</var>file a termination of parental rights petition under section 
         <statute_ref>260C.301, subdivision 3</statute_ref>, <br/>
<a id="pl.53.19"></a><var>53.19</var>paragraph (a).<br/>
<a id="pl.53.20"></a><var>53.20</var>    (d) "Sexual abuse" means the subjection of a child by a person responsible for the <br/>
<a id="pl.53.21"></a><var>53.21</var>child's care, by a person who has a significant relationship to the child, as defined in <br/>
<a id="pl.53.22"></a><var>53.22</var>section 
         <statute_ref>609.341</statute_ref>, or by a person in a position of authority, as defined in section 
         <statute_ref>609.341</statute_ref>, <br/>
<a id="pl.53.23"></a><var>53.23</var>subdivision 10, to any act which constitutes a violation of section 
         <statute_ref>609.342</statute_ref> (criminal sexual <br/>
<a id="pl.53.24"></a><var>53.24</var>conduct in the first degree), 
         <statute_ref>609.343</statute_ref> (criminal sexual conduct in the second degree), <br/>
<statute_ref><a id="pl.53.25"></a><var>53.25</var>609.344
         </statute_ref> (criminal sexual conduct in the third degree), 
         <statute_ref>609.345</statute_ref> (criminal sexual conduct <br/>
<a id="pl.53.26"></a><var>53.26</var>in the fourth degree), or 
         <statute_ref>609.3451</statute_ref> (criminal sexual conduct in the fifth degree). Sexual <br/>
<a id="pl.53.27"></a><var>53.27</var>abuse also includes any act which involves a minor which constitutes a violation of <br/>
<a id="pl.53.28"></a><var>53.28</var>prostitution offenses under sections 
         <statute_ref>609.321</statute_ref> to 
         <statute_ref>609.324</statute_ref> or 
         <statute_ref>617.246</statute_ref>. Sexual abuse includes <br/>
<a id="pl.53.29"></a><var>53.29</var>threatened sexual abuse.<br/>
<a id="pl.53.30"></a><var>53.30</var>    (e) "Person responsible for the child's care" means (1) an individual functioning <br/>
<a id="pl.53.31"></a><var>53.31</var>within the family unit and having responsibilities for the care of the child such as a <br/>
<a id="pl.53.32"></a><var>53.32</var>parent, guardian, or other person having similar care responsibilities, or (2) an individual <br/>
<a id="pl.53.33"></a><var>53.33</var>functioning outside the family unit and having responsibilities for the care of the child <br/>
<a id="pl.53.34"></a><var>53.34</var>such as a teacher, school administrator, other school employees or agents, or other lawful <br/>
<a id="pl.53.35"></a><var>53.35</var>custodian of a child having either full-time or short-term care responsibilities including, <br/>
<a id="pl.54.1"></a><var>54.1</var>but not limited to, day care, babysitting whether paid or unpaid, counseling, teaching, <br/>
<a id="pl.54.2"></a><var>54.2</var>and coaching.<br/>
<a id="pl.54.3"></a><var>54.3</var>    (f) "Neglect" means the commission or omission of any of the acts specified under <br/>
<a id="pl.54.4"></a><var>54.4</var>clauses (1) to (9), other than by accidental means:<br/>
<a id="pl.54.5"></a><var>54.5</var>    (1) failure by a person responsible for a child's care to supply a child with necessary <br/>
<a id="pl.54.6"></a><var>54.6</var>food, clothing, shelter, health, medical, or other care required for the child's physical or <br/>
<a id="pl.54.7"></a><var>54.7</var>mental health when reasonably able to do so;<br/>
<a id="pl.54.8"></a><var>54.8</var>    (2) failure to protect a child from conditions or actions that seriously endanger the <br/>
<a id="pl.54.9"></a><var>54.9</var>child's physical or mental health when reasonably able to do so, including a growth delay, <br/>
<a id="pl.54.10"></a><var>54.10</var>which may be referred to as a failure to thrive, that has been diagnosed by a physician and <br/>
<a id="pl.54.11"></a><var>54.11</var>is due to parental neglect;<br/>
<a id="pl.54.12"></a><var>54.12</var>    (3) failure to provide for necessary supervision or child care arrangements <br/>
<a id="pl.54.13"></a><var>54.13</var>appropriate for a child after considering factors as the child's age, mental ability, physical <br/>
<a id="pl.54.14"></a><var>54.14</var>condition, length of absence, or environment, when the child is unable to care for the <br/>
<a id="pl.54.15"></a><var>54.15</var>child's own basic needs or safety, or the basic needs or safety of another child in their care;<br/>
<a id="pl.54.16"></a><var>54.16</var>    (4) failure to ensure that the child is educated as defined in sections 
         <statute_ref>120A.22</statute_ref> and <br/>
<statute_ref><a id="pl.54.17"></a><var>54.17</var>260C.163, subdivision 11
         </statute_ref>, which does not include a parent's refusal to provide the parent's <br/>
<a id="pl.54.18"></a><var>54.18</var>child with sympathomimetic medications, consistent with section 
         <statute_ref>125A.091, subdivision 5</statute_ref>;<br/>
<a id="pl.54.19"></a><var>54.19</var>    (5) nothing in this section shall be construed to mean that a child is neglected solely <br/>
<a id="pl.54.20"></a><var>54.20</var>because the child's parent, guardian, or other person responsible for the child's care in <br/>
<a id="pl.54.21"></a><var>54.21</var>good faith selects and depends upon spiritual means or prayer for treatment or care of <br/>
<a id="pl.54.22"></a><var>54.22</var>disease or remedial care of the child in lieu of medical care; except that a parent, guardian, <br/>
<a id="pl.54.23"></a><var>54.23</var>or caretaker, or a person mandated to report pursuant to subdivision 3, has a duty to report <br/>
<a id="pl.54.24"></a><var>54.24</var>if a lack of medical care may cause serious danger to the child's health. This section does <br/>
<a id="pl.54.25"></a><var>54.25</var>not impose upon persons, not otherwise legally responsible for providing a child with <br/>
<a id="pl.54.26"></a><var>54.26</var>necessary food, clothing, shelter, education, or medical care, a duty to provide that care;<br/>
<a id="pl.54.27"></a><var>54.27</var>    (6) prenatal exposure to a controlled substance, as defined in section 
         <statute_ref>253B.02</statute_ref>, <br/>
<a id="pl.54.28"></a><var>54.28</var>subdivision 2, used by the mother for a nonmedical purpose, as evidenced by withdrawal <br/>
<a id="pl.54.29"></a><var>54.29</var>symptoms in the child at birth, results of a toxicology test performed on the mother at <br/>
<a id="pl.54.30"></a><var>54.30</var>delivery or the child at birth, or medical effects or developmental delays during the child's <br/>
<a id="pl.54.31"></a><var>54.31</var>first year of life that medically indicate prenatal exposure to a controlled substance;<br/>
<a id="pl.54.32"></a><var>54.32</var>    (7) "medical neglect" as defined in section 
         <statute_ref>260C.007, subdivision 6</statute_ref>, clause (5);<br/>
<a id="pl.54.33"></a><var>54.33</var>    (8) chronic and severe use of alcohol or a controlled substance by a parent or <br/>
<a id="pl.54.34"></a><var>54.34</var>person responsible for the care of the child that adversely affects the child's basic needs <br/>
<a id="pl.54.35"></a><var>54.35</var>and safety; or<br/>
<a id="pl.55.1"></a><var>55.1</var>    (9) emotional harm from a pattern of behavior which contributes to impaired <br/>
<a id="pl.55.2"></a><var>55.2</var>emotional functioning of the child which may be demonstrated by a substantial and <br/>
<a id="pl.55.3"></a><var>55.3</var>observable effect in the child's behavior, emotional response, or cognition that is not <br/>
<a id="pl.55.4"></a><var>55.4</var>within the normal range for the child's age and stage of development, with due regard to <br/>
<a id="pl.55.5"></a><var>55.5</var>the child's culture.<br/>
<a id="pl.55.6"></a><var>55.6</var>    (g) "Physical abuse" means any physical injury, mental injury, or threatened injury, <br/>
<a id="pl.55.7"></a><var>55.7</var>inflicted by a person responsible for the child's care on a child other than by accidental <br/>
<a id="pl.55.8"></a><var>55.8</var>means, or any physical or mental injury that cannot reasonably be explained by the child's <br/>
<a id="pl.55.9"></a><var>55.9</var>history of injuries, or any aversive or deprivation procedures, or regulated interventions, <br/>
<a id="pl.55.10"></a><var>55.10</var>that have not been authorized under section 
         <statute_ref>121A.67</statute_ref> or 
         <statute_ref>245.825</statute_ref>.<br/>
<a id="pl.55.11"></a><var>55.11</var>    Abuse does not include reasonable and moderate physical discipline of a child <br/>
<a id="pl.55.12"></a><var>55.12</var>administered by a parent or legal guardian which does not result in an injury. Abuse does <br/>
<a id="pl.55.13"></a><var>55.13</var>not include the use of reasonable force by a teacher, principal, or school employee as <br/>
<a id="pl.55.14"></a><var>55.14</var>allowed by section 
         <statute_ref>121A.582</statute_ref>. Actions which are not reasonable and moderate include, <br/>
<a id="pl.55.15"></a><var>55.15</var>but are not limited to, any of the following that are done in anger or without regard to the <br/>
<a id="pl.55.16"></a><var>55.16</var>safety of the child:<br/>
<a id="pl.55.17"></a><var>55.17</var>    (1) throwing, kicking, burning, biting, or cutting a child;<br/>
<a id="pl.55.18"></a><var>55.18</var>    (2) striking a child with a closed fist;<br/>
<a id="pl.55.19"></a><var>55.19</var>    (3) shaking a child under age three;<br/>
<a id="pl.55.20"></a><var>55.20</var>    (4) striking or other actions which result in any nonaccidental injury to a child <br/>
<a id="pl.55.21"></a><var>55.21</var>under 18 months of age;<br/>
<a id="pl.55.22"></a><var>55.22</var>    (5) unreasonable interference with a child's breathing;<br/>
<a id="pl.55.23"></a><var>55.23</var>    (6) threatening a child with a weapon, as defined in section 
         <statute_ref>609.02, subdivision 6</statute_ref>;<br/>
<a id="pl.55.24"></a><var>55.24</var>    (7) striking a child under age one on the face or head;<br/>
<a id="pl.55.25"></a><var>55.25</var>    (8) purposely giving a child poison, alcohol, or dangerous, harmful, or controlled <br/>
<a id="pl.55.26"></a><var>55.26</var>substances which were not prescribed for the child by a practitioner, in order to control or <br/>
<a id="pl.55.27"></a><var>55.27</var>punish the child; or other substances that substantially affect the child's behavior, motor <br/>
<a id="pl.55.28"></a><var>55.28</var>coordination, or judgment or that results in sickness or internal injury, or subjects the <br/>
<a id="pl.55.29"></a><var>55.29</var>child to medical procedures that would be unnecessary if the child were not exposed <br/>
<a id="pl.55.30"></a><var>55.30</var>to the substances;<br/>
<a id="pl.55.31"></a><var>55.31</var>    (9) unreasonable physical confinement or restraint not permitted under section <br/>
<statute_ref><a id="pl.55.32"></a><var>55.32</var>609.379
         </statute_ref>, including but not limited to tying, caging, or chaining; or<br/>
<a id="pl.55.33"></a><var>55.33</var>    (10) in a school facility or school zone, an act by a person responsible for the child's <br/>
<a id="pl.55.34"></a><var>55.34</var>care that is a violation under section 
         <statute_ref>121A.58</statute_ref>.<br/>
<a id="pl.56.1"></a><var>56.1</var>    (h) "Report" means any report received by the local welfare agency, police <br/>
<a id="pl.56.2"></a><var>56.2</var>department, county sheriff, or agency responsible for assessing or investigating <br/>
<a id="pl.56.3"></a><var>56.3</var>maltreatment pursuant to this section.<br/>
<a id="pl.56.4"></a><var>56.4</var>    (i) "Facility" means:<br/>
<a id="pl.56.5"></a><var>56.5</var>    (1) a licensed or unlicensed day care facility, residential facility, agency, hospital, <br/>
<a id="pl.56.6"></a><var>56.6</var>sanitarium, or other facility or institution required to be licensed under sections 
         <statute_ref>144.50</statute_ref> to <br/>
<statute_ref><a id="pl.56.7"></a><var>56.7</var>144.58
         </statute_ref>, 
         <statute_ref>241.021</statute_ref>, or 
         <statute_ref>245A.01</statute_ref> to 
         <statute_ref>245A.16</statute_ref>, or chapter 245B;<br/>
<a id="pl.56.8"></a><var>56.8</var>    (2) a school as defined in sections 
         <statute_ref>120A.05, subdivisions 9</statute_ref>, 11, and 13; and <br/>
<statute_ref><a id="pl.56.9"></a><var>56.9</var>124D.10
         </statute_ref>; or<br/>
<a id="pl.56.10"></a><var>56.10</var>    (3) a nonlicensed personal care provider organization as defined in sections 
         <statute_ref>256B.04</statute_ref>, <br/>
<a id="pl.56.11"></a><var>56.11</var>subdivision 16, and 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>.<br/>
<a id="pl.56.12"></a><var>56.12</var>    (j) "Operator" means an operator or agency as defined in section 
         <statute_ref>245A.02</statute_ref>.<br/>
<a id="pl.56.13"></a><var>56.13</var>    (k) "Commissioner" means the commissioner of human services.<br/>
<a id="pl.56.14"></a><var>56.14</var>    (l) "Practice of social services," for the purposes of subdivision 3, includes but is <br/>
<a id="pl.56.15"></a><var>56.15</var>not limited to employee assistance counseling and the provision of guardian ad litem and <br/>
<a id="pl.56.16"></a><var>56.16</var>parenting time expeditor services.<br/>
<a id="pl.56.17"></a><var>56.17</var>    (m) "Mental injury" means an injury to the psychological capacity or emotional <br/>
<a id="pl.56.18"></a><var>56.18</var>stability of a child as evidenced by an observable or substantial impairment in the child's <br/>
<a id="pl.56.19"></a><var>56.19</var>ability to function within a normal range of performance and behavior with due regard to <br/>
<a id="pl.56.20"></a><var>56.20</var>the child's culture.<br/>
<a id="pl.56.21"></a><var>56.21</var>    (n) "Threatened injury" means a statement, overt act, condition, or status that <br/>
<a id="pl.56.22"></a><var>56.22</var>represents a substantial risk of physical or sexual abuse or mental injury. Threatened <br/>
<a id="pl.56.23"></a><var>56.23</var>injury includes, but is not limited to, exposing a child to a person responsible for the <br/>
<a id="pl.56.24"></a><var>56.24</var>child's care, as defined in paragraph (e), clause (1), who has:<br/>
<a id="pl.56.25"></a><var>56.25</var>    (1) subjected a child to, or failed to protect a child from, an overt act or condition <br/>
<a id="pl.56.26"></a><var>56.26</var>that constitutes egregious harm, as defined in section 
         <statute_ref>260C.007, subdivision 14</statute_ref>, or a <br/>
<a id="pl.56.27"></a><var>56.27</var>similar law of another jurisdiction;<br/>
<a id="pl.56.28"></a><var>56.28</var>    (2) been found to be palpably unfit under section 
         <statute_ref>260C.301</statute_ref>, paragraph (b), clause <br/>
<a id="pl.56.29"></a><var>56.29</var>(4), or a similar law of another jurisdiction;<br/>
<a id="pl.56.30"></a><var>56.30</var>    (3) committed an act that has resulted in an involuntary termination of parental rights <br/>
<a id="pl.56.31"></a><var>56.31</var>under section 
         <statute_ref>260C.301</statute_ref>, or a similar law of another jurisdiction; or<br/>
<a id="pl.56.32"></a><var>56.32</var>    (4) committed an act that has resulted in the involuntary transfer of permanent legal <br/>
<a id="pl.56.33"></a><var>56.33</var>and physical custody of a child to a relative under section 
         <statute_ref>260C.201, subdivision 11</statute_ref>, <br/>
<a id="pl.56.34"></a><var>56.34</var>paragraph (d), clause (1), or a similar law of another jurisdiction.<br/>
<a id="pl.56.35"></a><var>56.35</var>    (o) Persons who conduct assessments or investigations under this section shall take <br/>
<a id="pl.56.36"></a><var>56.36</var>into account accepted child-rearing practices of the culture in which a child participates <br/>
<a id="pl.57.1"></a><var>57.1</var>and accepted teacher discipline practices, which are not injurious to the child's health, <br/>
<a id="pl.57.2"></a><var>57.2</var>welfare, and safety.<br/>
<a id="pl.57.3"></a><var>57.3</var>    (p) "Accidental" means a sudden, not reasonably foreseeable, and unexpected <br/>
<a id="pl.57.4"></a><var>57.4</var>occurrence or event which:<br/>
<a id="pl.57.5"></a><var>57.5</var>    (1) is not likely to occur and could not have been prevented by exercise of due <br/>
<a id="pl.57.6"></a><var>57.6</var>care; and<br/>
<a id="pl.57.7"></a><var>57.7</var>    (2) if occurring while a child is receiving services from a facility, happens when the <br/>
<a id="pl.57.8"></a><var>57.8</var>facility and the employee or person providing services in the facility are in compliance <br/>
<a id="pl.57.9"></a><var>57.9</var>with the laws and rules relevant to the occurrence of event.<br/>
<br/>
<a id="bill.0.50.0"></a><a id="pl.57.10"></a><var>57.10</var>    Sec. 50. Minnesota Statutes 2008, section 626.556, subdivision 10e, is amended to <br/>
<a id="pl.57.11"></a><var>57.11</var>read:<br/>
<a id="pl.57.12"></a><var>57.12</var>    Subd. 10e. <b>Determinations.</b> (a) The local welfare agency shall conclude the family <br/>
<a id="pl.57.13"></a><var>57.13</var>assessment or the investigation within 45 days of the receipt of a report. The conclusion of <br/>
<a id="pl.57.14"></a><var>57.14</var>the assessment or investigation may be extended to permit the completion of a criminal <br/>
<a id="pl.57.15"></a><var>57.15</var>investigation or the receipt of expert information requested within 45 days of the receipt <br/>
<a id="pl.57.16"></a><var>57.16</var>of the report.<br/>
<a id="pl.57.17"></a><var>57.17</var>    (b) After conducting a family assessment, the local welfare agency shall determine <br/>
<a id="pl.57.18"></a><var>57.18</var>whether services are needed to address the safety of the child and other family members <br/>
<a id="pl.57.19"></a><var>57.19</var>and the risk of subsequent maltreatment.<br/>
<a id="pl.57.20"></a><var>57.20</var>    (c) After conducting an investigation, the local welfare agency shall make two <br/>
<a id="pl.57.21"></a><var>57.21</var>determinations: first, whether maltreatment has occurred; and second, whether child <br/>
<a id="pl.57.22"></a><var>57.22</var>protective services are needed.<br/>
<a id="pl.57.23"></a><var>57.23</var>    (d) If the commissioner of education conducts an assessment or investigation, <br/>
<a id="pl.57.24"></a><var>57.24</var>the commissioner shall determine whether maltreatment occurred and what corrective <br/>
<a id="pl.57.25"></a><var>57.25</var>or protective action was taken by the school facility. If a determination is made that <br/>
<a id="pl.57.26"></a><var>57.26</var>maltreatment has occurred, the commissioner shall report to the employer, the school <br/>
<a id="pl.57.27"></a><var>57.27</var>board, and any appropriate licensing entity the determination that maltreatment occurred <br/>
<a id="pl.57.28"></a><var>57.28</var>and what corrective or protective action was taken by the school facility. In all other cases, <br/>
<a id="pl.57.29"></a><var>57.29</var>the commissioner shall inform the school board or employer that a report was received, <br/>
<a id="pl.57.30"></a><var>57.30</var>the subject of the report, the date of the initial report, the category of maltreatment alleged <br/>
<a id="pl.57.31"></a><var>57.31</var>as defined in paragraph (f), the fact that maltreatment was not determined, and a summary <br/>
<a id="pl.57.32"></a><var>57.32</var>of the specific reasons for the determination.<br/>
<a id="pl.57.33"></a><var>57.33</var>    (e) When maltreatment is determined in an investigation involving a facility, <br/>
<a id="pl.57.34"></a><var>57.34</var>the investigating agency shall also determine whether the facility or individual was <br/>
<a id="pl.57.35"></a><var>57.35</var>responsible, or whether both the facility and the individual were responsible for the <br/>
<a id="pl.58.1"></a><var>58.1</var>maltreatment using the mitigating factors in paragraph (i). Determinations under this <br/>
<a id="pl.58.2"></a><var>58.2</var>subdivision must be made based on a preponderance of the evidence and are private data <br/>
<a id="pl.58.3"></a><var>58.3</var>on individuals or nonpublic data as maintained by the commissioner of education.<br/>
<a id="pl.58.4"></a><var>58.4</var>    (f) For the purposes of this subdivision, "maltreatment" means any of the following <br/>
<a id="pl.58.5"></a><var>58.5</var>acts or omissions:<br/>
<a id="pl.58.6"></a><var>58.6</var>    (1) physical abuse as defined in subdivision 2, paragraph (g);<br/>
<a id="pl.58.7"></a><var>58.7</var>    (2) neglect as defined in subdivision 2, paragraph (f);<br/>
<a id="pl.58.8"></a><var>58.8</var>    (3) sexual abuse as defined in subdivision 2, paragraph (d);<br/>
<a id="pl.58.9"></a><var>58.9</var>    (4) mental injury as defined in subdivision 2, paragraph (m); or<br/>
<a id="pl.58.10"></a><var>58.10</var>    (5) maltreatment of a child in a facility as defined in subdivision 2, paragraph (i).<br/>
<a id="pl.58.11"></a><var>58.11</var>    (g) For the purposes of this subdivision, a determination that child protective <br/>
<a id="pl.58.12"></a><var>58.12</var>services are needed means that the local welfare agency has documented conditions <br/>
<a id="pl.58.13"></a><var>58.13</var>during the assessment or investigation sufficient to cause a child protection worker, as <br/>
<a id="pl.58.14"></a><var>58.14</var>defined in section 
         <statute_ref>626.559, subdivision 1</statute_ref>, to conclude that a child is at significant risk of <br/>
<a id="pl.58.15"></a><var>58.15</var>maltreatment if protective intervention is not provided and that the individuals responsible <br/>
<a id="pl.58.16"></a><var>58.16</var>for the child's care have not taken or are not likely to take actions to protect the child <br/>
<a id="pl.58.17"></a><var>58.17</var>from maltreatment or risk of maltreatment.<br/>
<a id="pl.58.18"></a><var>58.18</var>    (h) This subdivision does not mean that maltreatment has occurred solely because <br/>
<a id="pl.58.19"></a><var>58.19</var>the child's parent, guardian, or other person responsible for the child's care in good faith <br/>
<a id="pl.58.20"></a><var>58.20</var>selects and depends upon spiritual means or prayer for treatment or care of disease <br/>
<a id="pl.58.21"></a><var>58.21</var>or remedial care of the child, in lieu of medical care. However, if lack of medical care <br/>
<a id="pl.58.22"></a><var>58.22</var>may result in serious danger to the child's health, the local welfare agency may ensure <br/>
<a id="pl.58.23"></a><var>58.23</var>that necessary medical services are provided to the child.<br/>
<a id="pl.58.24"></a><var>58.24</var>    (i) When determining whether the facility or individual is the responsible party, or <br/>
<a id="pl.58.25"></a><var>58.25</var>whether both the facility and the individual are responsible for determined maltreatment in <br/>
<a id="pl.58.26"></a><var>58.26</var>a facility, the investigating agency shall consider at least the following mitigating factors:<br/>
<a id="pl.58.27"></a><var>58.27</var>    (1) whether the actions of the facility or the individual caregivers were according to, <br/>
<a id="pl.58.28"></a><var>58.28</var>and followed the terms of, an erroneous physician order, prescription, individual care plan, <br/>
<a id="pl.58.29"></a><var>58.29</var>or directive; however, this is not a mitigating factor when the facility or caregiver was <br/>
<a id="pl.58.30"></a><var>58.30</var>responsible for the issuance of the erroneous order, prescription, individual care plan, or <br/>
<a id="pl.58.31"></a><var>58.31</var>directive or knew or should have known of the errors and took no reasonable measures to <br/>
<a id="pl.58.32"></a><var>58.32</var>correct the defect before administering care;<br/>
<a id="pl.58.33"></a><var>58.33</var>    (2) comparative responsibility between the facility, other caregivers, and <br/>
<a id="pl.58.34"></a><var>58.34</var>requirements placed upon an employee, including the facility's compliance with related <br/>
<a id="pl.58.35"></a><var>58.35</var>regulatory standards and the adequacy of facility policies and procedures, facility training, <br/>
<a id="pl.59.1"></a><var>59.1</var>an individual's participation in the training, the caregiver's supervision, and facility staffing <br/>
<a id="pl.59.2"></a><var>59.2</var>levels and the scope of the individual employee's authority and discretion; and<br/>
<a id="pl.59.3"></a><var>59.3</var>    (3) whether the facility or individual followed professional standards in exercising <br/>
<a id="pl.59.4"></a><var>59.4</var>professional judgment.<br/>
<a id="pl.59.5"></a><var>59.5</var>    (j) Notwithstanding paragraph (i), when maltreatment is determined to have been <br/>
<a id="pl.59.6"></a><var>59.6</var>committed by an individual who is also the facility license holder, both the individual and <br/>
<a id="pl.59.7"></a><var>59.7</var>the facility must be determined responsible for the maltreatment, and both the background <br/>
<a id="pl.59.8"></a><var>59.8</var>study disqualification standards under section 245C.15, subdivision 4, and the licensing <br/>
<a id="pl.59.9"></a><var>59.9</var>actions under sections 245A.06 or 245A.07 apply.<br/>
<a id="pl.59.10"></a><var>59.10</var>(k) Individual counties may implement more detailed definitions or criteria that <br/>
<a id="pl.59.11"></a><var>59.11</var>indicate which allegations to investigate, as long as a county's policies are consistent <br/>
<a id="pl.59.12"></a><var>59.12</var>with the definitions in the statutes and rules and are approved by the county board. Each <br/>
<a id="pl.59.13"></a><var>59.13</var>local welfare agency shall periodically inform mandated reporters under subdivision 3 <br/>
<a id="pl.59.14"></a><var>59.14</var>who work in the county of the definitions of maltreatment in the statutes and rules and any <br/>
<a id="pl.59.15"></a><var>59.15</var>additional definitions or criteria that have been approved by the county board.<br/>
<br/>
<a id="bill.0.51.0"></a><a id="pl.59.16"></a><var>59.16</var>    Sec. 51. Minnesota Statutes 2008, section 626.556, subdivision 10f, is amended to read:<br/>
<a id="pl.59.17"></a><var>59.17</var>    Subd. 10f. <b>Notice of determinations.</b> Within ten working days of the conclusion <br/>
<a id="pl.59.18"></a><var>59.18</var>of a family assessment, the local welfare agency shall notify the parent or guardian <br/>
<a id="pl.59.19"></a><var>59.19</var>of the child of the need for services to address child safety concerns or significant risk <br/>
<a id="pl.59.20"></a><var>59.20</var>of subsequent child maltreatment. The local welfare agency and the family may also <br/>
<a id="pl.59.21"></a><var>59.21</var>jointly agree that family support and family preservation services are needed. Within ten <br/>
<a id="pl.59.22"></a><var>59.22</var>working days of the conclusion of an investigation, the local welfare agency or agency <br/>
<a id="pl.59.23"></a><var>59.23</var>responsible for assessing or investigating the report shall notify the parent or guardian <br/>
<a id="pl.59.24"></a><var>59.24</var>of the child, the person determined to be maltreating the child, and if applicable, the <br/>
<a id="pl.59.25"></a><var>59.25</var>director of the facility, of the determination and a summary of the specific reasons for <br/>
<a id="pl.59.26"></a><var>59.26</var>the determination. When the investigation involves a child foster care setting that is <br/>
<a id="pl.59.27"></a><var>59.27</var>monitored by a private licensing agency under section 245A.16, the local welfare agency <br/>
<a id="pl.59.28"></a><var>59.28</var>responsible for assessing or investigating the report shall notify the private licensing <br/>
<a id="pl.59.29"></a><var>59.29</var>agency of the determination and shall provide a summary of the specific reasons for <br/>
<a id="pl.59.30"></a><var>59.30</var>the determination. The notice to the private licensing agency must include identifying <br/>
<a id="pl.59.31"></a><var>59.31</var>private data, but not the identity of the reporter of maltreatment. The notice must also <br/>
<a id="pl.59.32"></a><var>59.32</var>include a certification that the information collection procedures under subdivision 10, <br/>
<a id="pl.59.33"></a><var>59.33</var>paragraphs (h), (i), and (j), were followed and a notice of the right of a data subject to <br/>
<a id="pl.59.34"></a><var>59.34</var>obtain access to other private data on the subject collected, created, or maintained under <br/>
<a id="pl.59.35"></a><var>59.35</var>this section. In addition, the notice shall include the length of time that the records will be <br/>
<a id="pl.60.1"></a><var>60.1</var>kept under subdivision 11c. The investigating agency shall notify the parent or guardian <br/>
<a id="pl.60.2"></a><var>60.2</var>of the child who is the subject of the report, and any person or facility determined to <br/>
<a id="pl.60.3"></a><var>60.3</var>have maltreated a child, of their appeal or review rights under this section or section <br/>
<statute_ref><a id="pl.60.4"></a><var>60.4</var>256.022
         </statute_ref>. The notice must also state that a finding of maltreatment may result in denial of a <br/>
<a id="pl.60.5"></a><var>60.5</var>license application or background study disqualification under chapter 245C related to <br/>
<a id="pl.60.6"></a><var>60.6</var>employment or services that are licensed by the Department of Human Services under <br/>
<a id="pl.60.7"></a><var>60.7</var>chapter 245A, the Department of Health under chapter 144 or 144A, the Department of <br/>
<a id="pl.60.8"></a><var>60.8</var>Corrections under section 
         <statute_ref>241.021</statute_ref>, and from providing services related to an unlicensed <br/>
<a id="pl.60.9"></a><var>60.9</var>personal care provider organization under chapter 256B.<br/>
<br/>
<a id="bill.0.52.0"></a><a id="pl.60.10"></a><var>60.10</var>    Sec. 52. Minnesota Statutes 2008, section 626.557, subdivision 9c, is amended to read:<br/>
<a id="pl.60.11"></a><var>60.11</var>    Subd. 9c. <b>Lead agency; notifications, dispositions, determinations.</b> (a) Upon <br/>
<a id="pl.60.12"></a><var>60.12</var>request of the reporter, the lead agency shall notify the reporter that it has received the <br/>
<a id="pl.60.13"></a><var>60.13</var>report, and provide information on the initial disposition of the report within five business <br/>
<a id="pl.60.14"></a><var>60.14</var>days of receipt of the report, provided that the notification will not endanger the vulnerable <br/>
<a id="pl.60.15"></a><var>60.15</var>adult or hamper the investigation.<br/>
<a id="pl.60.16"></a><var>60.16</var>    (b) Upon conclusion of every investigation it conducts, the lead agency shall make a <br/>
<a id="pl.60.17"></a><var>60.17</var>final disposition as defined in section 
         <statute_ref>626.5572, subdivision 8</statute_ref>.<br/>
<a id="pl.60.18"></a><var>60.18</var>    (c) When determining whether the facility or individual is the responsible party for <br/>
<a id="pl.60.19"></a><var>60.19</var>substantiated maltreatment or whether both the facility and the individual are responsible <br/>
<a id="pl.60.20"></a><var>60.20</var>for substantiated maltreatment, the lead agency shall consider at least the following <br/>
<a id="pl.60.21"></a><var>60.21</var>mitigating factors:<br/>
<a id="pl.60.22"></a><var>60.22</var>    (1) whether the actions of the facility or the individual caregivers were in accordance <br/>
<a id="pl.60.23"></a><var>60.23</var>with, and followed the terms of, an erroneous physician order, prescription, resident <br/>
<a id="pl.60.24"></a><var>60.24</var>care plan, or directive. This is not a mitigating factor when the facility or caregiver is <br/>
<a id="pl.60.25"></a><var>60.25</var>responsible for the issuance of the erroneous order, prescription, plan, or directive or <br/>
<a id="pl.60.26"></a><var>60.26</var>knows or should have known of the errors and took no reasonable measures to correct the <br/>
<a id="pl.60.27"></a><var>60.27</var>defect before administering care;<br/>
<a id="pl.60.28"></a><var>60.28</var>    (2) the comparative responsibility between the facility, other caregivers, and <br/>
<a id="pl.60.29"></a><var>60.29</var>requirements placed upon the employee, including but not limited to, the facility's <br/>
<a id="pl.60.30"></a><var>60.30</var>compliance with related regulatory standards and factors such as the adequacy of facility <br/>
<a id="pl.60.31"></a><var>60.31</var>policies and procedures, the adequacy of facility training, the adequacy of an individual's <br/>
<a id="pl.60.32"></a><var>60.32</var>participation in the training, the adequacy of caregiver supervision, the adequacy of facility <br/>
<a id="pl.60.33"></a><var>60.33</var>staffing levels, and a consideration of the scope of the individual employee's authority; and<br/>
<a id="pl.60.34"></a><var>60.34</var>    (3) whether the facility or individual followed professional standards in exercising <br/>
<a id="pl.60.35"></a><var>60.35</var>professional judgment.<br/>
<a id="pl.61.1"></a><var>61.1</var>    (d) When substantiated maltreatment is determined to have been committed by <br/>
<a id="pl.61.2"></a><var>61.2</var>an individual who is also the facility license holder, both the individual and the facility <br/>
<a id="pl.61.3"></a><var>61.3</var>must be determined responsible for the maltreatment, and both the background study <br/>
<a id="pl.61.4"></a><var>61.4</var>disqualification standards under section 245C.15, subdivision 4, and the licensing actions <br/>
<a id="pl.61.5"></a><var>61.5</var>under section 245A.06 or 245A.06 apply.<br/>
<a id="pl.61.6"></a><var>61.6</var>(e) The lead agency shall complete its final disposition within 60 calendar days. If <br/>
<a id="pl.61.7"></a><var>61.7</var>the lead agency is unable to complete its final disposition within 60 calendar days, the lead <br/>
<a id="pl.61.8"></a><var>61.8</var>agency shall notify the following persons provided that the notification will not endanger <br/>
<a id="pl.61.9"></a><var>61.9</var>the vulnerable adult or hamper the investigation: (1) the vulnerable adult or the vulnerable <br/>
<a id="pl.61.10"></a><var>61.10</var>adult's legal guardian, when known, if the lead agency knows them to be aware of the <br/>
<a id="pl.61.11"></a><var>61.11</var>investigation; and (2) the facility, where applicable. The notice shall contain the reason for <br/>
<a id="pl.61.12"></a><var>61.12</var>the delay and the projected completion date. If the lead agency is unable to complete its <br/>
<a id="pl.61.13"></a><var>61.13</var>final disposition by a subsequent projected completion date, the lead agency shall again <br/>
<a id="pl.61.14"></a><var>61.14</var>notify the vulnerable adult or the vulnerable adult's legal guardian, when known if the lead <br/>
<a id="pl.61.15"></a><var>61.15</var>agency knows them to be aware of the investigation, and the facility, where applicable, <br/>
<a id="pl.61.16"></a><var>61.16</var>of the reason for the delay and the revised projected completion date provided that the <br/>
<a id="pl.61.17"></a><var>61.17</var>notification will not endanger the vulnerable adult or hamper the investigation. A lead <br/>
<a id="pl.61.18"></a><var>61.18</var>agency's inability to complete the final disposition within 60 calendar days or by any <br/>
<a id="pl.61.19"></a><var>61.19</var>projected completion date does not invalidate the final disposition.<br/>
<a id="pl.61.20"></a><var>61.20</var>    (e) (f) Within ten calendar days of completing the final disposition, the lead agency <br/>
<a id="pl.61.21"></a><var>61.21</var>shall provide a copy of the public investigation memorandum under subdivision 12b, <br/>
<a id="pl.61.22"></a><var>61.22</var>paragraph (b), clause (1), when required to be completed under this section, to the <br/>
<a id="pl.61.23"></a><var>61.23</var>following persons: (1) the vulnerable adult, or the vulnerable adult's legal guardian, if <br/>
<a id="pl.61.24"></a><var>61.24</var>known unless the lead agency knows that the notification would endanger the well-being <br/>
<a id="pl.61.25"></a><var>61.25</var>of the vulnerable adult; (2) the reporter, if the reporter requested notification when making <br/>
<a id="pl.61.26"></a><var>61.26</var>the report, provided this notification would not endanger the well-being of the vulnerable <br/>
<a id="pl.61.27"></a><var>61.27</var>adult; (3) the alleged perpetrator, if known; (4) the facility; and (5) the ombudsman for <br/>
<a id="pl.61.28"></a><var>61.28</var>long-term care, or the ombudsman for mental health and developmental disabilities, as <br/>
<a id="pl.61.29"></a><var>61.29</var>appropriate.<br/>
<a id="pl.61.30"></a><var>61.30</var>    (f) (g) The lead agency shall notify the vulnerable adult who is the subject of <br/>
<a id="pl.61.31"></a><var>61.31</var>the report or the vulnerable adult's legal guardian, if known, and any person or facility <br/>
<a id="pl.61.32"></a><var>61.32</var>determined to have maltreated a vulnerable adult, of their appeal or review rights under <br/>
<a id="pl.61.33"></a><var>61.33</var>this section or section 
         <statute_ref>256.021</statute_ref>.<br/>
<a id="pl.61.34"></a><var>61.34</var>    (g) (h) The lead agency shall routinely provide investigation memoranda for <br/>
<a id="pl.61.35"></a><var>61.35</var>substantiated reports to the appropriate licensing boards. These reports must include <br/>
<a id="pl.61.36"></a><var>61.36</var>the names of substantiated perpetrators. The lead agency may not provide investigative <br/>
<a id="pl.62.1"></a><var>62.1</var>memoranda for inconclusive or false reports to the appropriate licensing boards unless the <br/>
<a id="pl.62.2"></a><var>62.2</var>lead agency's investigation gives reason to believe that there may have been a violation of <br/>
<a id="pl.62.3"></a><var>62.3</var>the applicable professional practice laws. If the investigation memorandum is provided <br/>
<a id="pl.62.4"></a><var>62.4</var>to a licensing board, the subject of the investigation memorandum shall be notified and <br/>
<a id="pl.62.5"></a><var>62.5</var>receive a summary of the investigative findings.<br/>
<a id="pl.62.6"></a><var>62.6</var>    (h) (i) In order to avoid duplication, licensing boards shall consider the findings of <br/>
<a id="pl.62.7"></a><var>62.7</var>the lead agency in their investigations if they choose to investigate. This does not preclude <br/>
<a id="pl.62.8"></a><var>62.8</var>licensing boards from considering other information.<br/>
<a id="pl.62.9"></a><var>62.9</var>    (i) (j) The lead agency must provide to the commissioner of human services its final <br/>
<a id="pl.62.10"></a><var>62.10</var>dispositions, including the names of all substantiated perpetrators. The commissioner of <br/>
<a id="pl.62.11"></a><var>62.11</var>human services shall establish records to retain the names of substantiated perpetrators.<br/>
<br/>
<a id="bill.0.53.0"></a><a id="pl.62.12"></a><var>62.12</var>    Sec. 53. Minnesota Statutes 2008, section 626.5572, subdivision 13, is amended to <br/>
<a id="pl.62.13"></a><var>62.13</var>read:<br/>
<a id="pl.62.14"></a><var>62.14</var>    Subd. 13. <b>Lead agency.</b> "Lead agency" is the primary administrative agency <br/>
<a id="pl.62.15"></a><var>62.15</var>responsible for investigating reports made under section 
         <statute_ref>626.557</statute_ref>.  <br/>
<a id="pl.62.16"></a><var>62.16</var>(a) The Department of Health is the lead agency for the facilities which are licensed <br/>
<a id="pl.62.17"></a><var>62.17</var>or are required to be licensed as hospitals, home care providers, nursing homes, residential <br/>
<a id="pl.62.18"></a><var>62.18</var>care homes, or boarding care homes, or residential facilities that are also federally certified <br/>
<a id="pl.62.19"></a><var>62.19</var>as intermediate care facilities that serve people with developmental disabilities.<br/>
<a id="pl.62.20"></a><var>62.20</var>(b) The Department of Human Services is the lead agency for the programs licensed <br/>
<a id="pl.62.21"></a><var>62.21</var>or required to be licensed as adult day care, adult foster care, programs for people with <br/>
<a id="pl.62.22"></a><var>62.22</var>developmental disabilities, mental health programs, or chemical health programs, or <br/>
<a id="pl.62.23"></a><var>62.23</var>personal care provider organizations.<br/>
<a id="pl.62.24"></a><var>62.24</var>(c) The county social service agency or its designee is the lead agency for all <br/>
<a id="pl.62.25"></a><var>62.25</var>other reports.<br/>
<br/>
<a id="bill.0.54.0"></a><a id="pl.62.26"></a><var>62.26</var>    Sec. 54. <b>COMMON SERVICE MENU FOR HOME AND COMMUNITY-BASED </b><br/>
<a id="pl.62.27"></a><var>62.27</var><b>WAIVER PROGRAMS.</b><br/>
<a id="pl.62.28"></a><var>62.28</var>The commissioner of human services shall confer with representatives of recipients, <br/>
<a id="pl.62.29"></a><var>62.29</var>advocacy groups, counties, providers, and health plans to develop and update a common <br/>
<a id="pl.62.30"></a><var>62.30</var>service menu for home and community-based waiver programs. The commissioner may <br/>
<a id="pl.62.31"></a><var>62.31</var>consult with existing stakeholder groups convened under the commissioner's authority to <br/>
<a id="pl.62.32"></a><var>62.32</var>meet all or some of the requirements of this section.<br/>
<br/>
<a id="bill.0.55.0"></a><a id="pl.63.1"></a><var>63.1</var>    Sec. 55. <b>INTERMEDIATE CARE FACILITIES FOR PERSONS WITH </b><br/>
<a id="pl.63.2"></a><var>63.2</var><b>DEVELOPMENTAL DISABILITIES REPORT.</b><br/>
<a id="pl.63.3"></a><var>63.3</var>The commissioner of human services shall consult with providers and advocates of <br/>
<a id="pl.63.4"></a><var>63.4</var>intermediate care facilities for persons with developmental disabilities to monitor progress <br/>
<a id="pl.63.5"></a><var>63.5</var>made in response to the commissioner's December 15, 2008, report to the legislature <br/>
<a id="pl.63.6"></a><var>63.6</var>regarding intermediate care facilities for persons with developmental disabilities.<br/>
<br/>
<a id="bill.0.56.0"></a><a id="pl.63.7"></a><var>63.7</var>    Sec. 56. <b>HOUSING OPTIONS.</b><br/>
<a id="pl.63.8"></a><var>63.8</var>The commissioner of human services, in consultation with the commissioner of <br/>
<a id="pl.63.9"></a><var>63.9</var>administration and the Minnesota Housing Finance Agency, and representatives of <br/>
<a id="pl.63.10"></a><var>63.10</var>counties, residents' advocacy groups, consumers of housing services, and provider <br/>
<a id="pl.63.11"></a><var>63.11</var>agencies shall explore ways to maximize the availability and affordability of housing <br/>
<a id="pl.63.12"></a><var>63.12</var>choices available to persons with disabilities or who need care assistance due to other <br/>
<a id="pl.63.13"></a><var>63.13</var>health challenges. A goal shall also be to minimize state physical plant costs in order to <br/>
<a id="pl.63.14"></a><var>63.14</var>serve more persons with appropriate program and care support. Consideration shall be <br/>
<a id="pl.63.15"></a><var>63.15</var>given to:<br/>
<a id="pl.63.16"></a><var>63.16</var>(1) improved access to rent subsidies;<br/>
<a id="pl.63.17"></a><var>63.17</var>(2) use of cooperatives, land trusts, and other limited equity ownership models;<br/>
<a id="pl.63.18"></a><var>63.18</var>(3) whether a public equity housing fund should be established that would maintain <br/>
<a id="pl.63.19"></a><var>63.19</var>the state's interest, to the extent paid from state funds, including group residential housing <br/>
<a id="pl.63.20"></a><var>63.20</var>and Minnesota supplemental aid shelter-needy funds in provider-owned housing, so that <br/>
<a id="pl.63.21"></a><var>63.21</var>when sold, the state would recover its share for a public equity fund to be used for future <br/>
<a id="pl.63.22"></a><var>63.22</var>public needs under this chapter;<br/>
<a id="pl.63.23"></a><var>63.23</var>(4) the desirability of the state acquiring an ownership interest or promoting the <br/>
<a id="pl.63.24"></a><var>63.24</var>use of publicly owned housing;<br/>
<a id="pl.63.25"></a><var>63.25</var>(5) promoting more choices in the market for accessible housing that meets the <br/>
<a id="pl.63.26"></a><var>63.26</var>needs of persons with physical challenges; and<br/>
<a id="pl.63.27"></a><var>63.27</var>(6) what consumer ownership models, if any, are appropriate.<br/>
<a id="pl.63.28"></a><var>63.28</var>The commissioner shall provide a written report on the findings of the evaluation of <br/>
<a id="pl.63.29"></a><var>63.29</var>housing options to the chairs and ranking minority members of the house of representatives <br/>
<a id="pl.63.30"></a><var>63.30</var>and senate standing committees with jurisdiction over health and human services policy <br/>
<a id="pl.63.31"></a><var>63.31</var>and funding by December 15, 2010. This report shall replace the November 1, 2010, <br/>
<a id="pl.63.32"></a><var>63.32</var>annual report by the commissioner required in Minnesota Statutes, sections 256B.0916, <br/>
<a id="pl.63.33"></a><var>63.33</var>subdivision 7, and 256B.49, subdivision 21.<br/>
<br/>
<a id="bill.0.57.0"></a><a id="pl.63.34"></a><var>63.34</var>    Sec. 57. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.64.1"></a><var>64.1</var>    In Minnesota Statutes, the revisor of statutes shall correct the internal cross-reference <br/>
<a id="pl.64.2"></a><var>64.2</var>to "section 245C.03, subdivision 1, clauses (3) and (4)" in section 245C.03, subdivision 4, <br/>
<a id="pl.64.3"></a><var>64.3</var>by inserting "paragraph (a)," after "subdivision 1,". The revisor of statutes shall correct <br/>
<a id="pl.64.4"></a><var>64.4</var>the internal cross-reference to "section 245C.03, subdivision 1, clauses (2), (5), and (6)" in <br/>
<a id="pl.64.5"></a><var>64.5</var>section 245C.14, subdivision 2, by inserting "paragraph (a)," after "subdivision 1,".<br/>
<br/>
<a id="bill.0.58.0"></a><a id="pl.64.6"></a><var>64.6</var>    Sec. 58. <b> REPEALER.</b><br/>
<a id="pl.64.7"></a><var>64.7</var>(a) Minnesota Statutes 2008, section 245C.10, subdivision 1, is repealed.<br/>
<a id="pl.64.8"></a><var>64.8</var>(b) Minnesota Rules, part 9555.6125, subpart 4, item B, is repealed.<br/>