1.1 	A bill for an act
1.2 	relating to health; changing the fee for testing heritable and congenital disorders; 
1.3 	requiring support services to families with children who are deaf or have hearing 
1.4 	loss; adjusting payment rates for hearing detection and intervention; appropriating 
1.5 	money;amending Minnesota Statutes 2008, sections 144.125, subdivision 1; 
1.6 	144.966, by adding a subdivision; 256.969, by adding a subdivision.
1.7 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.8 	Section 1. Minnesota Statutes 2008, section 144.125, subdivision 1, is amended to read:
1.9 		Subdivision 1.Duty to perform testing. It is the duty of (1) the administrative 
1.10 	officer or other person in charge of each institution caring for infants 28 days or less 
1.11 	of age, (2) the person required in pursuance of the provisions of section 144.215, to 
1.12 	register the birth of a child, or (3) the nurse midwife or midwife in attendance at the 
1.13 	birth, to arrange to have administered to every infant or child in its care tests for heritable 
1.14 	and congenital disorders according to subdivision 2 and rules prescribed by the state 
1.15 	commissioner of health. Testing and the recording and reporting of test results shall be 
1.16 	performed at the times and in the manner prescribed by the commissioner of health. The 
1.17 	commissioner shall charge a fee so that the total of fees collected will approximate the 
1.18 	costs of conducting the tests and implementing and maintaining a system to follow-up 
1.19 	infants with heritable or congenital disorders, including hearing loss detected through the 
1.20 	early hearing detection and intervention program under section 144.966. The fee is $101 
1.21 	per specimen. Effective July 1, 2010, the fee shall be increased to $106 per specimen. The 
1.22 	increased fee amount shall be deposited in the general fund. Costs associated with capital 
1.23 	expenditures and the development of new procedures may be prorated over a three-year 
1.24 	period when calculating the amount of the fees. 

2.1 	Sec. 2. Minnesota Statutes 2008, section 144.966, is amended by adding a subdivision 
2.2 	to read:
2.3 		Subd. 3a.Support services to families. The commissioner shall contract with 
2.4 	a nonprofit organization to provide support and assistance to families with children 
2.5 	who are deaf or have a hearing loss. The family support provided must include direct 
2.6 	parent-to-parent assistance and information on communication, educational, and medical 
2.7 	options. The commissioner shall give preference to a nonprofit organization that has the 
2.8 	ability to provide these services throughout the state.

2.9 	Sec. 3. Minnesota Statutes 2008, section 256.969, is amended by adding a subdivision 
2.10 	to read:
2.11 		Subd. 28.Payment for early hearing detection and intervention program. For 
2.12 	admissions occurring on or after July 1, 2010, payment rates shall be adjusted to include 
2.13 	the increase to the fee that is effective on July 1, 2010, for the early hearing detection and 
2.14 	intervention program recipients under section 144.125, subdivision 1, that is paid by the 
2.15 	hospital for public program recipients. This payment increase shall be limited under 
2.16 	subdivision 3a and shall be in effect until the increase is fully recognized in the base year 
2.17 	cost under subdivision 2b. This payment shall be included in payments to contracted 
2.18 	managed care organizations.

2.19 	Sec. 4. APPROPRIATIONS.
 2.20 	(a) $16,000 is appropriated in fiscal year 2010 to the commissioner of health for 
2.21 	the purposes of implementing the fee increase in Minnesota Statutes, section 144.125, 
2.22 	subdivision 1. $260,000 is appropriated in fiscal year 2011 from the general fund to the 
2.23 	commissioner of health for the purposes of providing support services to families as 
2.24 	required under Minnesota Statutes, section 144.966, subdivision 3a. Of the fiscal year 
2.25 	2011 appropriation, $37,000 may be used by the commissioner for administrative costs 
2.26 	associated with contract administration and program oversight. Beginning in fiscal year 
2.27 	2012, the general fund base shall be $276,000, of which the commissioner may allocate 
2.28 	$35,000 for administrative purposes of the grant.
2.29 	(b) $34,000 is appropriated in fiscal year 2011 from the general fund to the 
2.30 	commissioner of human services for the hospital reimbursement increase described under 
2.31 	Minnesota Statutes, section 256.969, subdivision 28.