1.1 	A bill for an act
1.2 	relating to human services; modifying the personal care assistance program;
1.3 	amending Minnesota Statutes 2009 Supplement, section 256B.0659, subdivisions 
1.4 	13, 21, 27.
1.5 	BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

1.6 	Section 1. Minnesota Statutes 2009 Supplement, section 256B.0659, subdivision 13, 
1.7 	is amended to read:
1.8 		Subd. 13.Qualified professional; qualifications. (a) The qualified professional 
1.9 	must be employed by a personal care assistance provider agency and meet the definition 
1.10 	under section 256B.0625, subdivision 19c. Before a qualified professional provides 
1.11 	services, the personal care assistance provider agency must initiate a background study on 
1.12 	the qualified professional under chapter 245C, and the personal care assistance provider 
1.13 	agency must have received a notice from the commissioner that the qualified professional:
1.14 	(1) is not disqualified under section 245C.14; or
1.15 	(2) is disqualified, but the qualified professional has received a set aside of the 
1.16 	disqualification under section 245C.22.
1.17 	(b) The qualified professional shall perform the duties of training, supervision, and 
1.18 	evaluation of the personal care assistance staff and evaluation of the effectiveness of 
1.19 	personal care assistance services. The qualified professional shall:
1.20 	(1) develop and monitor with the recipient a personal care assistance care plan based 
1.21 	on the service plan and individualized needs of the recipient;
1.22 	(2) develop and monitor with the recipient a monthly plan for the use of personal 
1.23 	care assistance services;
1.24 	(3) review documentation of personal care assistance services provided;
2.1 	(4) provide training and ensure competency for the personal care assistant in the 
2.2 	individual needs of the recipient; and
2.3 	(5) document all training, communication, evaluations, and needed actions to 
2.4 	improve performance of the personal care assistants.
2.5 	(c) Effective January 1, 2010, the qualified professional shall complete the provider 
2.6 	training with basic information about the personal care assistance program approved 
2.7 	by the commissioner within six months of the date hired by a personal care assistance 
2.8 	provider agency. Qualified professionals who have completed the required trainings as 
2.9 	an employee with a personal care assistance provider agency do not need to repeat the 
2.10 	required trainings if they are hired by another agency, if they have completed the training 
2.11 	within the last three years. A qualified professional employed by a personal care assistance 
2.12 	provider agency currently certified for participation in Medicare as a home health agency 
2.13 	is exempt from the training requirements in this paragraph.

2.14 	Sec. 2. Minnesota Statutes 2009 Supplement, section 256B.0659, subdivision 21, 
2.15 	is amended to read:
2.16 		Subd. 21.Requirements for initial enrollment of personal care assistance 
2.17 	provider agencies. (a) All personal care assistance provider agencies must provide, at the 
2.18 	time of enrollment as a personal care assistance provider agency in a format determined 
2.19 	by the commissioner, information and documentation that includes, but is not limited to, 
2.20 	the following:
2.21 	(1) the personal care assistance provider agency's current contact information 
2.22 	including address, telephone number, and e-mail address;
2.23 	(2) proof of surety bond coverage in the amount of $50,000 or ten percent of the 
2.24 	provider's payments from Medicaid in the previous year, whichever is less;
2.25 	(3) proof of fidelity bond coverage in the amount of $20,000;
2.26 	(4) proof of workers' compensation insurance coverage;
2.27 	(5) a description of the personal care assistance provider agency's organization 
2.28 	identifying the names of all owners, managing employees, staff, board of directors, and 
2.29 	the affiliations of the directors, owners, or staff to other service providers;
2.30 	(6) a copy of the personal care assistance provider agency's written policies and 
2.31 	procedures including: hiring of employees; training requirements; service delivery; 
2.32 	and employee and consumer safety including process for notification and resolution 
2.33 	of consumer grievances, identification and prevention of communicable diseases, and 
2.34 	employee misconduct;
3.1 	(7) copies of all other forms the personal care assistance provider agency uses in 
3.2 	the course of daily business including, but not limited to:
3.3 	(i) a copy of the personal care assistance provider agency's time sheet if the time 
3.4 	sheet varies from the standard time sheet for personal care assistance services approved 
3.5 	by the commissioner, and a letter requesting approval of the personal care assistance 
3.6 	provider agency's nonstandard time sheet;
3.7 	(ii) the personal care assistance provider agency's template for the personal care 
3.8 	assistance care plan; and
3.9 	(iii) the personal care assistance provider agency's template for the written 
3.10 	agreement in subdivision 20 for recipients using the personal care assistance choice 
3.11 	option, if applicable;
3.12 	(8) a list of all trainings and classes that the personal care assistance provider agency 
3.13 	requires of its staff providing personal care assistance services;
3.14 	(9) documentation that the personal care assistance provider agency and staff have 
3.15 	successfully completed all the training required by this section;
3.16 	(10) documentation of the agency's marketing practices;
3.17 	(11) disclosure of ownership, leasing, or management of all residential properties 
3.18 	that is used or could be used for providing home care services; and
3.19 	(12) documentation that the agency will use the following percentages of revenue 
3.20 	generated from the medical assistance rate paid for personal care assistance services 
3.21 	for employee personal care assistant wages and benefits: 72.5 percent of revenue in the 
3.22 	personal care assistance choice option and 72.5 percent of revenue from other personal 
3.23 	care assistance providers.
3.24 	(b) Personal care assistance provider agencies shall provide the information specified 
3.25 	in paragraph (a) to the commissioner at the time the personal care assistance provider 
3.26 	agency enrolls as a vendor or upon request from the commissioner. The commissioner 
3.27 	shall collect the information specified in paragraph (a) from all personal care assistance 
3.28 	providers beginning July 1, 2009.
3.29 	(c) All personal care assistance provider agencies shall complete mandatory training 
3.30 	as determined by the commissioner before enrollment as a provider. Personal care 
3.31 	assistance provider agencies are required to send all owners, qualified professionals 
3.32 	employed by the agency, and all other managing employees to the initial and subsequent 
3.33 	trainings. Personal care assistance provider agency billing staff shall complete training 
3.34 	about personal care assistance program financial management. This training is effective 
3.35 	July 1, 2009. Any personal care assistance provider agency enrolled before that date shall, 
3.36 	if it has not already, complete the provider training within 18 months of July 1, 2009. Any 
4.1 	new owners, new qualified professionals, and new managing employees are required to 
4.2 	complete mandatory training as a requisite of hiring. Personal care assistance provider 
4.3 	agencies currently certified for participation in Medicare as home health agencies are 
4.4 	exempt from the training requirements in this paragraph.

4.5 	Sec. 3. Minnesota Statutes 2009 Supplement, section 256B.0659, subdivision 27, 
4.6 	is amended to read:
4.7 		Subd. 27.Personal care assistance provider agency; ventilator training. The 
4.8 	personal care assistance provider agency is required to provide training for the personal 
4.9 	care assistant responsible for working with a recipient who is ventilator dependent. All 
4.10 	training must be administered by a respiratory therapist, nurse, or physician. Qualified 
4.11 	professional supervision by a nurse must be completed and documented on file in the 
4.12 	personal care assistant's employment record and the recipient's health record. If offering 
4.13 	personal care services to a ventilator-dependent recipient, the personal care assistance 
4.14 	provider agency shall demonstrate the ability to:
4.15 	(1) train the personal care assistant;
4.16 	(2) supervise the personal care assistant in ventilator operation and maintenance; and
4.17 	(3) supervise the recipient and responsible party in ventilator operation and 
4.18 	maintenance.
4.19 	Personal care assistance provider agencies currently certified for participation in 
4.20 	Medicare as home health agencies are exempt from providing the training required 
4.21 	in this subdivision.