<a id="pl.1.4"></a><var>1.4</var>care; children and family services; health reform; Department of Health; <br/>
<a id="pl.1.5"></a><var>1.5</var>public health; health plans; assessing administrative penalties; modifying <br/>
<a id="pl.1.6"></a><var>1.6</var>foreign operating corporation taxes; requiring reports; making supplemental <br/>
<a id="pl.1.7"></a><var>1.7</var>and contingent appropriations and reductions for the Departments of Health <br/>
<a id="pl.1.8"></a><var>1.8</var>and Human Services and other health-related boards and councils;amending <br/>
<a id="pl.1.9"></a><var>1.9</var>Minnesota Statutes 2008, sections 62D.08, by adding a subdivision; 62J.07, <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivision 2, by adding a subdivision; 62J.38; 62J.692, subdivision 4; 62Q.19, <br/>
<a id="pl.1.11"></a><var>1.11</var>subdivision 1; 62Q.76, subdivision 1; 62U.05; 119B.025, subdivision 1; 119B.09, <br/>
<a id="pl.1.12"></a><var>1.12</var>subdivision 4; 119B.11, subdivision 1; 144.05, by adding a subdivision; 144.226, <br/>
<a id="pl.1.13"></a><var>1.13</var>subdivision 3; 144.291, subdivision 2; 144.293, subdivision 4, by adding a <br/>
<a id="pl.1.14"></a><var>1.14</var>subdivision; 144.651, subdivision 2; 144.9504, by adding a subdivision; 144A.51, <br/>
<a id="pl.1.15"></a><var>1.15</var>subdivision 5; 144E.37; 214.40, subdivision 7; 245C.27, subdivision 2; 245C.28, <br/>
<a id="pl.1.16"></a><var>1.16</var>subdivision 3; 246B.04, subdivision 2; 254B.01, subdivision 2; 254B.02, <br/>
<a id="pl.1.17"></a><var>1.17</var>subdivisions 1, 5; 254B.03, subdivision 4, by adding a subdivision; 254B.05, <br/>
<a id="pl.1.18"></a><var>1.18</var>subdivision 4; 254B.06, subdivision 2; 254B.09, subdivision 8; 256.01, by adding <br/>
<a id="pl.1.19"></a><var>1.19</var>a subdivision; 256.9657, subdivision 3; 256B.04, subdivision 14; 256B.055, <br/>
<a id="pl.1.20"></a><var>1.20</var>by adding a subdivision; 256B.056, subdivisions 3, 4; 256B.057, subdivision <br/>
<a id="pl.1.21"></a><var>1.21</var>9; 256B.0625, subdivisions 8, 8a, 8b, 18a, 22, 31, by adding subdivisions; <br/>
<a id="pl.1.22"></a><var>1.22</var>256B.0631, subdivisions 1, 3; 256B.0644, as amended; 256B.0754, by adding a <br/>
<a id="pl.1.23"></a><var>1.23</var>subdivision; 256B.0915, subdivision 3b; 256B.19, subdivision 1c; 256B.441, by <br/>
<a id="pl.1.24"></a><var>1.24</var>adding a subdivision; 256B.5012, by adding a subdivision; 256B.69, subdivisions <br/>
<a id="pl.1.25"></a><var>1.25</var>20, as amended, 27, by adding subdivisions; 256B.692, subdivision 1; 256B.75; <br/>
<a id="pl.1.26"></a><var>1.26</var>256B.76, subdivisions 2, 4, by adding a subdivision; 256D.03, subdivision 3b; <br/>
<a id="pl.1.27"></a><var>1.27</var>256D.0515; 256D.425, subdivision 2; 256I.05, by adding a subdivision; 256J.20, <br/>
<a id="pl.1.28"></a><var>1.28</var>subdivision 3; 256J.24, subdivision 10; 256J.37, subdivision 3a; 256J.39, by <br/>
<a id="pl.1.29"></a><var>1.29</var>adding subdivisions; 256L.02, subdivision 3; 256L.03, subdivision 3, by adding <br/>
<a id="pl.1.30"></a><var>1.30</var>a subdivision; 256L.04, subdivision 7; 256L.05, by adding a subdivision; <br/>
<a id="pl.1.31"></a><var>1.31</var>256L.07, subdivision 1, by adding a subdivision; 256L.12, subdivisions 5, 6, <br/>
<a id="pl.1.32"></a><var>1.32</var>9; 256L.15, subdivision 1; 290.01, subdivision 5, by adding a subdivision; <br/>
<a id="pl.1.33"></a><var>1.33</var>290.17, subdivision 4; 326B.43, subdivision 2; 626.556, subdivision 10i; <br/>
<a id="pl.1.34"></a><var>1.34</var>626.557, subdivision 9d; Minnesota Statutes 2009 Supplement, sections <br/>
<a id="pl.1.35"></a><var>1.35</var>62J.495, subdivisions 1a, 3, by adding a subdivision; 157.16, subdivision 3; <br/>
<a id="pl.1.36"></a><var>1.36</var>245A.11, subdivision 7b; 245C.27, subdivision 1; 246B.06, subdivision 6; <br/>
<a id="pl.1.37"></a><var>1.37</var>252.025, subdivision 7; 252.27, subdivision 2a; 256.045, subdivision 3; 256.969, <br/>
<a id="pl.1.38"></a><var>1.38</var>subdivision 3a; 256B.056, subdivision 3c; 256B.0625, subdivisions 9, 13e; <br/>
<a id="pl.1.39"></a><var>1.39</var>256B.0653, subdivision 5; 256B.0911, subdivision 1a; 256B.0915, subdivision <br/>
<a id="pl.1.40"></a><var>1.40</var>3a; 256B.69, subdivisions 5a, 23; 256B.76, subdivision 1; 256B.766; 256D.03, <br/>
<a id="pl.1.41"></a><var>1.41</var>subdivision 3, as amended; 256D.44, subdivision 5; 256J.425, subdivision 3; <br/>
<a id="pl.1.42"></a><var>1.42</var>256L.03, subdivision 5; 256L.11, subdivision 1; 289A.08, subdivision 3; 290.01, <br/>
<a id="pl.1.43"></a><var>1.43</var>subdivisions 19c, 19d; 327.15, subdivision 3; Laws 2005, First Special Session <br/>
<a id="pl.2.1"></a><var>2.1</var>chapter 4, article 8, section 66, as amended; Laws 2009, chapter 79, article 3, <br/>
<a id="pl.2.2"></a><var>2.2</var>section 18; article 5, sections 17; 18; 22; 75, subdivision 1; 78, subdivision 5; <br/>
<a id="pl.2.3"></a><var>2.3</var>article 8, sections 2; 51; 81; article 13, sections 3, subdivisions 1, as amended, <br/>
<a id="pl.2.4"></a><var>2.4</var>3, as amended, 4, as amended, 8, as amended; 5, subdivision 8, as amended; <br/>
<a id="pl.2.5"></a><var>2.5</var>Laws 2009, chapter 173, article 1, section 17; Laws 2010, chapter 200, article 1, <br/>
<a id="pl.2.6"></a><var>2.6</var>sections 12, subdivisions 5, 6, 7, 8; 13, subdivision 1b; 16; 21; article 2, section 2, <br/>
<a id="pl.2.7"></a><var>2.7</var>subdivisions 1, 8; proposing coding for new law in Minnesota Statutes, chapters <br/>
<a id="pl.2.8"></a><var>2.8</var>62A; 62D; 62E; 62J; 62Q; 144; 245; 254B; 256; 256B; proposing coding for new <br/>
<a id="pl.2.9"></a><var>2.9</var>law as Minnesota Statutes, chapter 62V; repealing Minnesota Statutes 2008, <br/>
<a id="pl.2.10"></a><var>2.10</var>sections 254B.02, subdivisions 2, 3, 4; 254B.09, subdivisions 4, 5, 7; 256D.03, <br/>
<a id="pl.2.11"></a><var>2.11</var>subdivisions 3a, 3b, 5, 6, 7, 8; 290.01, subdivision 6b; 290.0921, subdivision 7; <br/>
<a id="pl.2.12"></a><var>2.12</var>Minnesota Statutes 2009 Supplement, section 256D.03, subdivision 3; Laws <br/>
<a id="pl.2.13"></a><var>2.13</var>2009, chapter 79, article 7, section 26, subdivision 3; Laws 2010, chapter 200, <br/>
<a id="pl.2.14"></a><var>2.14</var>article 1, sections 12, subdivisions 1, 2, 3, 4, 5, 6, 7, 8, 9, 10; 18; 19.<br/>
<a id="pl.2.15"></a><var>2.15</var>May 12, 2010<br/>
<a id="pl.2.16"></a><var>2.16</var>The Honorable Margaret Anderson Kelliher<br/>
<a id="pl.2.17"></a><var>2.17</var>Speaker of the House of Representatives<br/>
<a id="pl.2.18"></a><var>2.18</var>The Honorable James P. Metzen<br/>
<a id="pl.2.19"></a><var>2.19</var>President of the Senate<br/>
<a id="pl.2.20"></a><var>2.20</var>We, the undersigned conferees for H. F. No. 2614 report that we have agreed upon <br/>
<a id="pl.2.21"></a><var>2.21</var>the items in dispute and recommend as follows:<br/>
<a id="pl.2.22"></a><var>2.22</var>That the House recede from its amendment and that H. F. No. 2614 be further <br/>
<a id="pl.2.23"></a><var>2.23</var>amended as follows:<br/>
<a id="pl.2.24"></a><var>2.24</var>Delete everything after the enacting clause and insert:<br/>
<br/>
<a id="bill.1.0.0"></a>

<a id="bill.1.1.0"></a><a id="pl.2.27"></a><var>2.27</var>    Section 1. Minnesota Statutes 2008, section 256.9657, subdivision 2, is amended to <br/>
<a id="pl.2.28"></a><var>2.28</var>read:<br/>
<a id="pl.2.29"></a><var>2.29</var>    Subd. 2. <b>Hospital surcharge.</b> (a) Effective October 1, 1992, each Minnesota <br/>
<a id="pl.2.30"></a><var>2.30</var>hospital except facilities of the federal Indian Health Service and regional treatment <br/>
<a id="pl.2.31"></a><var>2.31</var>centers shall pay to the medical assistance account a surcharge equal to 1.4 percent of net <br/>
<a id="pl.2.32"></a><var>2.32</var>patient revenues excluding net Medicare revenues reported by that provider to the health <br/>
<a id="pl.2.33"></a><var>2.33</var>care cost information system according to the schedule in subdivision 4.<br/>
<a id="pl.2.34"></a><var>2.34</var>(b) Effective July 1, 1994, the surcharge under paragraph (a) is increased to 
         <statute_ref>1.56</statute_ref> <br/>
<a id="pl.2.35"></a><var>2.35</var>percent. <br/>
<a id="pl.2.36"></a><var>2.36</var>(c) Effective July 1, 2010, the surcharge under paragraph (b) is increased to 2.63 <br/>
<a id="pl.2.37"></a><var>2.37</var>percent. <br/>
<a id="pl.2.38"></a><var>2.38</var>(d) Effective October 1, 2011, the surcharge under paragraph (c) is reduced to <br/>
<a id="pl.2.39"></a><var>2.39</var>2.30 percent.<br/>
<a id="pl.3.1"></a><var>3.1</var>(e) Notwithstanding the Medicare cost finding and allowable cost principles, the <br/>
<a id="pl.3.2"></a><var>3.2</var>hospital surcharge is not an allowable cost for purposes of rate setting under sections <br/>
<statute_ref><a id="pl.3.3"></a><var>3.3</var>256.9685
         </statute_ref> to 
         <statute_ref>256.9695</statute_ref>. <br/>
<a id="pl.3.4"></a><var>3.4</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.3.5"></a><var>3.5</var>    Sec. 2. Minnesota Statutes 2008, section 256.9657, subdivision 3, is amended to read:<br/>
<a id="pl.3.6"></a><var>3.6</var>    Subd. 3. <b>Surcharge on HMOs and community integrated service networks.</b> (a) <br/>
<a id="pl.3.7"></a><var>3.7</var>Effective October 1, 1992, each health maintenance organization with a certificate of <br/>
<a id="pl.3.8"></a><var>3.8</var>authority issued by the commissioner of health under chapter 62D and each community <br/>
<a id="pl.3.9"></a><var>3.9</var>integrated service network licensed by the commissioner under chapter 62N shall pay to <br/>
<a id="pl.3.10"></a><var>3.10</var>the commissioner of human services a surcharge equal to six-tenths of one percent of the <br/>
<a id="pl.3.11"></a><var>3.11</var>total premium revenues of the health maintenance organization or community integrated <br/>
<a id="pl.3.12"></a><var>3.12</var>service network as reported to the commissioner of health according to the schedule in <br/>
<a id="pl.3.13"></a><var>3.13</var>subdivision 4.<br/>
<a id="pl.3.14"></a><var>3.14</var>(b) Effective October 1, 2010, in addition to the surcharge under paragraph (a), each <br/>
<a id="pl.3.15"></a><var>3.15</var>health maintenance organization shall pay to the commissioner a surcharge equal to 0.85 <br/>
<a id="pl.3.16"></a><var>3.16</var>percent of total premium revenues and each county-based purchasing plan authorized <br/>
<a id="pl.3.17"></a><var>3.17</var>under section 256B.692 shall pay to the commissioner a surcharge equal to 1.45 percent <br/>
<a id="pl.3.18"></a><var>3.18</var>of the total premium revenues of the plan, as reported to the commissioner of health, <br/>
<a id="pl.3.19"></a><var>3.19</var>according to the payment schedule in subdivision 4. Notwithstanding section 256.9656, <br/>
<a id="pl.3.20"></a><var>3.20</var>money collected under this paragraph shall be deposited in the health care access fund <br/>
<a id="pl.3.21"></a><var>3.21</var>established in section 16A.724.<br/>
<a id="pl.3.22"></a><var>3.22</var>(c) For purposes of this subdivision, total premium revenue means:<br/>
<a id="pl.3.23"></a><var>3.23</var>(1) premium revenue recognized on a prepaid basis from individuals and groups <br/>
<a id="pl.3.24"></a><var>3.24</var>for provision of a specified range of health services over a defined period of time which <br/>
<a id="pl.3.25"></a><var>3.25</var>is normally one month, excluding premiums paid to a health maintenance organization <br/>
<a id="pl.3.26"></a><var>3.26</var>or community integrated service network from the Federal Employees Health Benefit <br/>
<a id="pl.3.27"></a><var>3.27</var>Program;<br/>
<a id="pl.3.28"></a><var>3.28</var>(2) premiums from Medicare wrap-around subscribers for health benefits which <br/>
<a id="pl.3.29"></a><var>3.29</var>supplement Medicare coverage;<br/>
<a id="pl.3.30"></a><var>3.30</var>(3) Medicare revenue, as a result of an arrangement between a health maintenance <br/>
<a id="pl.3.31"></a><var>3.31</var>organization or a community integrated service network and the Centers for Medicare <br/>
<a id="pl.3.32"></a><var>3.32</var>and Medicaid Services of the federal Department of Health and Human Services, for <br/>
<a id="pl.3.33"></a><var>3.33</var>services to a Medicare beneficiary, excluding Medicare revenue that states are prohibited <br/>
<a id="pl.3.34"></a><var>3.34</var>from taxing under sections 1854, 1860D-12, and 1876 of title XVIII of the federal Social <br/>
<a id="pl.4.1"></a><var>4.1</var>Security Act, codified as United States Code, title 42, sections 1395mm, 1395w-112, and <br/>
<a id="pl.4.2"></a><var>4.2</var>1395w-24, respectively, as they may be amended from time to time; and<br/>
<a id="pl.4.3"></a><var>4.3</var>(4) medical assistance revenue, as a result of an arrangement between a health <br/>
<a id="pl.4.4"></a><var>4.4</var>maintenance organization or community integrated service network and a Medicaid state <br/>
<a id="pl.4.5"></a><var>4.5</var>agency, for services to a medical assistance beneficiary.<br/>
<a id="pl.4.6"></a><var>4.6</var>If advance payments are made under clause (1) or (2) to the health maintenance <br/>
<a id="pl.4.7"></a><var>4.7</var>organization or community integrated service network for more than one reporting period, <br/>
<a id="pl.4.8"></a><var>4.8</var>the portion of the payment that has not yet been earned must be treated as a liability.<br/>
<a id="pl.4.9"></a><var>4.9</var>(c) (d) When a health maintenance organization or community integrated service <br/>
<a id="pl.4.10"></a><var>4.10</var>network merges or consolidates with or is acquired by another health maintenance <br/>
<a id="pl.4.11"></a><var>4.11</var>organization or community integrated service network, the surviving corporation or the <br/>
<a id="pl.4.12"></a><var>4.12</var>new corporation shall be responsible for the annual surcharge originally imposed on <br/>
<a id="pl.4.13"></a><var>4.13</var>each of the entities or corporations subject to the merger, consolidation, or acquisition, <br/>
<a id="pl.4.14"></a><var>4.14</var>regardless of whether one of the entities or corporations does not retain a certificate of <br/>
<a id="pl.4.15"></a><var>4.15</var>authority under chapter 62D or a license under chapter 62N.<br/>
<a id="pl.4.16"></a><var>4.16</var>(d) (e) Effective July 1 of each year, the surviving corporation's or the new <br/>
<a id="pl.4.17"></a><var>4.17</var>corporation's surcharge shall be based on the revenues earned in the second previous <br/>
<a id="pl.4.18"></a><var>4.18</var>calendar year by all of the entities or corporations subject to the merger, consolidation, <br/>
<a id="pl.4.19"></a><var>4.19</var>or acquisition regardless of whether one of the entities or corporations does not retain a <br/>
<a id="pl.4.20"></a><var>4.20</var>certificate of authority under chapter 62D or a license under chapter 62N until the total <br/>
<a id="pl.4.21"></a><var>4.21</var>premium revenues of the surviving corporation include the total premium revenues of all <br/>
<a id="pl.4.22"></a><var>4.22</var>the merged entities as reported to the commissioner of health.<br/>
<a id="pl.4.23"></a><var>4.23</var>(e) (f) When a health maintenance organization or community integrated service <br/>
<a id="pl.4.24"></a><var>4.24</var>network, which is subject to liability for the surcharge under this chapter, transfers, <br/>
<a id="pl.4.25"></a><var>4.25</var>assigns, sells, leases, or disposes of all or substantially all of its property or assets, liability <br/>
<a id="pl.4.26"></a><var>4.26</var>for the surcharge imposed by this chapter is imposed on the transferee, assignee, or buyer <br/>
<a id="pl.4.27"></a><var>4.27</var>of the health maintenance organization or community integrated service network.<br/>
<a id="pl.4.28"></a><var>4.28</var>(f) (g) In the event a health maintenance organization or community integrated <br/>
<a id="pl.4.29"></a><var>4.29</var>service network converts its licensure to a different type of entity subject to liability <br/>
<a id="pl.4.30"></a><var>4.30</var>for the surcharge under this chapter, but survives in the same or substantially similar <br/>
<a id="pl.4.31"></a><var>4.31</var>form, the surviving entity remains liable for the surcharge regardless of whether one of <br/>
<a id="pl.4.32"></a><var>4.32</var>the entities or corporations does not retain a certificate of authority under chapter 62D <br/>
<a id="pl.4.33"></a><var>4.33</var>or a license under chapter 62N.<br/>
<a id="pl.4.34"></a><var>4.34</var>(g) (h) The surcharge assessed to a health maintenance organization or community <br/>
<a id="pl.4.35"></a><var>4.35</var>integrated service network ends when the entity ceases providing services for premiums <br/>
<a id="pl.4.36"></a><var>4.36</var>and the cessation is not connected with a merger, consolidation, acquisition, or conversion.<br/>
<a id="pl.5.1"></a><var>5.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.5.2"></a><var>5.2</var>    Sec. 3. Minnesota Statutes 2009 Supplement, section 256.969, subdivision 2b, is <br/>
<a id="pl.5.3"></a><var>5.3</var>amended to read:<br/>
<a id="pl.5.4"></a><var>5.4</var>    Subd. 2b. <b>Operating payment rates.</b> In determining operating payment rates for <br/>
<a id="pl.5.5"></a><var>5.5</var>admissions occurring on or after the rate year beginning January 1, 1991, and every two <br/>
<a id="pl.5.6"></a><var>5.6</var>years after, or more frequently as determined by the commissioner, the commissioner shall <br/>
<a id="pl.5.7"></a><var>5.7</var>obtain operating data from an updated base year and establish operating payment rates <br/>
<a id="pl.5.8"></a><var>5.8</var>per admission for each hospital based on the cost-finding methods and allowable costs of <br/>
<a id="pl.5.9"></a><var>5.9</var>the Medicare program in effect during the base year. Rates under the general assistance <br/>
<a id="pl.5.10"></a><var>5.10</var>medical care, medical assistance, and MinnesotaCare programs shall not be rebased to <br/>
<a id="pl.5.11"></a><var>5.11</var>more current data on January 1, 1997, January 1, 2005, for the first 24 months of the <br/>
<a id="pl.5.12"></a><var>5.12</var>rebased period beginning January 1, 2009. For the first three 24  months of the rebased <br/>
<a id="pl.5.13"></a><var>5.13</var>period beginning January 1, 2011, rates shall  not be rebased at 74.25 percent of the full <br/>
<a id="pl.5.14"></a><var>5.14</var>value of the rebasing percentage change. From April 1, 2011, to March 31, 2012, rates <br/>
<a id="pl.5.15"></a><var>5.15</var>shall be rebased at 39.2 percent of the full value of the rebasing percentage change, except <br/>
<a id="pl.5.16"></a><var>5.16</var>that a Minnesota long-term hospital shall be rebased effective January 1, 2011, based on <br/>
<a id="pl.5.17"></a><var>5.17</var>its most recent Medicare cost report ending on or before September 1, 2008, with the <br/>
<a id="pl.5.18"></a><var>5.18</var>provisions under subdivisions 9 and 23, based on the rates in effect on December 31, 2010. <br/>
<a id="pl.5.19"></a><var>5.19</var>For subsequent rate setting periods in which the base years are updated, a Minnesota <br/>
<a id="pl.5.20"></a><var>5.20</var>long-term hospital's base year shall remain within the same period as other hospitals. <br/>
<a id="pl.5.21"></a><var>5.21</var>Effective April 1, 2012 January 1, 2013, rates shall be rebased at full value. The base year <br/>
<a id="pl.5.22"></a><var>5.22</var>operating payment rate per admission is standardized by the case mix index and adjusted <br/>
<a id="pl.5.23"></a><var>5.23</var>by the hospital cost index, relative values, and disproportionate population adjustment. <br/>
<a id="pl.5.24"></a><var>5.24</var>The cost and charge data used to establish operating rates shall only reflect inpatient <br/>
<a id="pl.5.25"></a><var>5.25</var>services covered by medical assistance and shall not include property cost information <br/>
<a id="pl.5.26"></a><var>5.26</var>and costs recognized in outlier payments.<br/>
<a id="pl.5.27"></a><var>5.27</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.5.28"></a><var>5.28</var>    Sec. 4. Minnesota Statutes 2009 Supplement, section 256.969, subdivision 3a, is <br/>
<a id="pl.5.29"></a><var>5.29</var>amended to read:<br/>
<a id="pl.5.30"></a><var>5.30</var>    Subd. 3a. <b>Payments.</b> (a) Acute care hospital billings under the medical <br/>
<a id="pl.5.31"></a><var>5.31</var>assistance program must not be submitted until the recipient is discharged. However, <br/>
<a id="pl.5.32"></a><var>5.32</var>the commissioner shall establish monthly interim payments for inpatient hospitals that <br/>
<a id="pl.5.33"></a><var>5.33</var>have individual patient lengths of stay over 30 days regardless of diagnostic category. <br/>
<a id="pl.5.34"></a><var>5.34</var>Except as provided in section 
         <statute_ref>256.9693</statute_ref>, medical assistance reimbursement for treatment <br/>
<a id="pl.6.1"></a><var>6.1</var>of mental illness shall be reimbursed based on diagnostic classifications. Individual <br/>
<a id="pl.6.2"></a><var>6.2</var>hospital payments established under this section and sections 
         <statute_ref>256.9685</statute_ref>, 
         <statute_ref>256.9686</statute_ref>, and <br/>
<statute_ref><a id="pl.6.3"></a><var>6.3</var>256.9695
         </statute_ref>, in addition to third party and recipient liability, for discharges occurring during <br/>
<a id="pl.6.4"></a><var>6.4</var>the rate year shall not exceed, in aggregate, the charges for the medical assistance covered <br/>
<a id="pl.6.5"></a><var>6.5</var>inpatient services paid for the same period of time to the hospital. This payment limitation <br/>
<a id="pl.6.6"></a><var>6.6</var>shall be calculated separately for medical assistance and general assistance medical <br/>
<a id="pl.6.7"></a><var>6.7</var>care services. The limitation on general assistance medical care shall be effective for <br/>
<a id="pl.6.8"></a><var>6.8</var>admissions occurring on or after July 1, 1991. Services that have rates established under <br/>
<a id="pl.6.9"></a><var>6.9</var>subdivision 11 or 12, must be limited separately from other services. After consulting with <br/>
<a id="pl.6.10"></a><var>6.10</var>the affected hospitals, the commissioner may consider related hospitals one entity and <br/>
<a id="pl.6.11"></a><var>6.11</var>may merge the payment rates while maintaining separate provider numbers. The operating <br/>
<a id="pl.6.12"></a><var>6.12</var>and property base rates per admission or per day shall be derived from the best Medicare <br/>
<a id="pl.6.13"></a><var>6.13</var>and claims data available when rates are established. The commissioner shall determine <br/>
<a id="pl.6.14"></a><var>6.14</var>the best Medicare and claims data, taking into consideration variables of recency of the <br/>
<a id="pl.6.15"></a><var>6.15</var>data, audit disposition, settlement status, and the ability to set rates in a timely manner. <br/>
<a id="pl.6.16"></a><var>6.16</var>The commissioner shall notify hospitals of payment rates by December 1 of the year <br/>
<a id="pl.6.17"></a><var>6.17</var>preceding the rate year. The rate setting data must reflect the admissions data used to <br/>
<a id="pl.6.18"></a><var>6.18</var>establish relative values. Base year changes from 1981 to the base year established for the <br/>
<a id="pl.6.19"></a><var>6.19</var>rate year beginning January 1, 1991, and for subsequent rate years, shall not be limited <br/>
<a id="pl.6.20"></a><var>6.20</var>to the limits ending June 30, 1987, on the maximum rate of increase under subdivision <br/>
<a id="pl.6.21"></a><var>6.21</var>1. The commissioner may adjust base year cost, relative value, and case mix index data <br/>
<a id="pl.6.22"></a><var>6.22</var>to exclude the costs of services that have been discontinued by the October 1 of the year <br/>
<a id="pl.6.23"></a><var>6.23</var>preceding the rate year or that are paid separately from inpatient services. Inpatient stays <br/>
<a id="pl.6.24"></a><var>6.24</var>that encompass portions of two or more rate years shall have payments established based <br/>
<a id="pl.6.25"></a><var>6.25</var>on payment rates in effect at the time of admission unless the date of admission preceded <br/>
<a id="pl.6.26"></a><var>6.26</var>the rate year in effect by six months or more. In this case, operating payment rates for <br/>
<a id="pl.6.27"></a><var>6.27</var>services rendered during the rate year in effect and established based on the date of <br/>
<a id="pl.6.28"></a><var>6.28</var>admission shall be adjusted to the rate year in effect by the hospital cost index.<br/>
<a id="pl.6.29"></a><var>6.29</var>    (b) For fee-for-service admissions occurring on or after July 1, 2002, the total <br/>
<a id="pl.6.30"></a><var>6.30</var>payment, before third-party liability and spenddown, made to hospitals for inpatient <br/>
<a id="pl.6.31"></a><var>6.31</var>services is reduced by .5 percent from the current statutory rates.<br/>
<a id="pl.6.32"></a><var>6.32</var>    (c) In addition to the reduction in paragraph (b), the total payment for fee-for-service <br/>
<a id="pl.6.33"></a><var>6.33</var>admissions occurring on or after July 1, 2003, made to hospitals for inpatient services <br/>
<a id="pl.6.34"></a><var>6.34</var>before third-party liability and spenddown, is reduced five percent from the current <br/>
<a id="pl.6.35"></a><var>6.35</var>statutory rates. Mental health services within diagnosis related groups 424 to 432, and <br/>
<a id="pl.6.36"></a><var>6.36</var>facilities defined under subdivision 16 are excluded from this paragraph.<br/>
<a id="pl.7.1"></a><var>7.1</var>    (d) In addition to the reduction in paragraphs (b) and (c), the total payment for <br/>
<a id="pl.7.2"></a><var>7.2</var>fee-for-service admissions occurring on or after August 1, 2005, made to hospitals for <br/>
<a id="pl.7.3"></a><var>7.3</var>inpatient services before third-party liability and spenddown, is reduced 6.0 percent <br/>
<a id="pl.7.4"></a><var>7.4</var>from the current statutory rates. Mental health services within diagnosis related groups <br/>
<a id="pl.7.5"></a><var>7.5</var>424 to 432 and facilities defined under subdivision 16 are excluded from this paragraph. <br/>
<a id="pl.7.6"></a><var>7.6</var>Notwithstanding section 
         <statute_ref>256.9686, subdivision 7</statute_ref>, for purposes of this paragraph, medical <br/>
<a id="pl.7.7"></a><var>7.7</var>assistance does not include general assistance medical care. Payments made to managed <br/>
<a id="pl.7.8"></a><var>7.8</var>care plans shall be reduced for services provided on or after January 1, 2006, to reflect <br/>
<a id="pl.7.9"></a><var>7.9</var>this reduction.<br/>
<a id="pl.7.10"></a><var>7.10</var>    (e) In addition to the reductions in paragraphs (b), (c), and (d), the total payment for <br/>
<a id="pl.7.11"></a><var>7.11</var>fee-for-service admissions occurring on or after July 1, 2008, through June 30, 2009, made <br/>
<a id="pl.7.12"></a><var>7.12</var>to hospitals for inpatient services before third-party liability and spenddown, is reduced <br/>
<a id="pl.7.13"></a><var>7.13</var>3.46 percent from the current statutory rates. Mental health services with diagnosis related <br/>
<a id="pl.7.14"></a><var>7.14</var>groups 424 to 432 and facilities defined under subdivision 16 are excluded from this <br/>
<a id="pl.7.15"></a><var>7.15</var>paragraph. Payments made to managed care plans shall be reduced for services provided <br/>
<a id="pl.7.16"></a><var>7.16</var>on or after January 1, 2009, through June 30, 2009, to reflect this reduction.<br/>
<a id="pl.7.17"></a><var>7.17</var>    (f) In addition to the reductions in paragraphs (b), (c), and (d), the total payment for <br/>
<a id="pl.7.18"></a><var>7.18</var>fee-for-service admissions occurring on or after July 1, 2009, through June 30, 2010, made <br/>
<a id="pl.7.19"></a><var>7.19</var>to hospitals for inpatient services before third-party liability and spenddown, is reduced <br/>
<a id="pl.7.20"></a><var>7.20</var>1.9 percent from the current statutory rates. Mental health services with diagnosis related <br/>
<a id="pl.7.21"></a><var>7.21</var>groups 424 to 432 and facilities defined under subdivision 16 are excluded from this <br/>
<a id="pl.7.22"></a><var>7.22</var>paragraph. Payments made to managed care plans shall be reduced for services provided <br/>
<a id="pl.7.23"></a><var>7.23</var>on or after July 1, 2009, through June 30, 2010, to reflect this reduction.<br/>
<a id="pl.7.24"></a><var>7.24</var>    (g) In addition to the reductions in paragraphs (b), (c), and (d), the total payment <br/>
<a id="pl.7.25"></a><var>7.25</var>for fee-for-service admissions occurring on or after July 1, 2010, made to hospitals for <br/>
<a id="pl.7.26"></a><var>7.26</var>inpatient services before third-party liability and spenddown, is reduced 1.79 percent <br/>
<a id="pl.7.27"></a><var>7.27</var>from the current statutory rates. Mental health services with diagnosis related groups <br/>
<a id="pl.7.28"></a><var>7.28</var>424 to 432 and facilities defined under subdivision 16 are excluded from this paragraph. <br/>
<a id="pl.7.29"></a><var>7.29</var>Payments made to managed care plans shall be reduced for services provided on or after <br/>
<a id="pl.7.30"></a><var>7.30</var>July 1, 2010, to reflect this reduction.<br/>
<a id="pl.7.31"></a><var>7.31</var>(h) In addition to the reductions in paragraphs (b), (c), (d), (f), and (g), the total <br/>
<a id="pl.7.32"></a><var>7.32</var>payment for fee-for-service admissions occurring on or after July 1, 2009, made to <br/>
<a id="pl.7.33"></a><var>7.33</var>hospitals for inpatient services before third-party liability and spenddown, is reduced <br/>
<a id="pl.7.34"></a><var>7.34</var>one percent from the current statutory rates. Facilities defined under subdivision 16 are <br/>
<a id="pl.7.35"></a><var>7.35</var>excluded from this paragraph. Payments made to managed care plans shall be reduced for <br/>
<a id="pl.7.36"></a><var>7.36</var>services provided on or after October 1, 2009, to reflect this reduction.<br/>
<a id="pl.8.1"></a><var>8.1</var>(i) In order to offset the ratable reductions provided for in this subdivision, the total <br/>
<a id="pl.8.2"></a><var>8.2</var>payment rate for medical assistance fee-for-service admissions occurring on or after July <br/>
<a id="pl.8.3"></a><var>8.3</var>1, 2010, to June 30, 2011, made to Minnesota hospitals for inpatient services before <br/>
<a id="pl.8.4"></a><var>8.4</var>third-party liability and spenddown, shall be increased by five percent from the current <br/>
<a id="pl.8.5"></a><var>8.5</var>statutory rates. Effective July 1, 2011, the rate increase under this paragraph shall be <br/>
<a id="pl.8.6"></a><var>8.6</var>reduced to 1.96 percent. For purposes of this paragraph, medical assistance does not <br/>
<a id="pl.8.7"></a><var>8.7</var>include general assistance medical care. The commissioner shall not adjust rates paid to a <br/>
<a id="pl.8.8"></a><var>8.8</var>prepaid health plan under contract with the commissioner to reflect payments provided <br/>
<a id="pl.8.9"></a><var>8.9</var>in this paragraph. The commissioner may utilize a settlement process to adjust rates in <br/>
<a id="pl.8.10"></a><var>8.10</var>excess of the Medicare upper limits on payments.<br/>
<a id="pl.8.11"></a><var>8.11</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.8.12"></a><var>8.12</var>    Sec. 5. Minnesota Statutes 2008, section 256.969, subdivision 21, is amended to read:<br/>
<a id="pl.8.13"></a><var>8.13</var>    Subd. 21. <b>Mental health or chemical dependency admissions; rates.</b> (a) <br/>
<a id="pl.8.14"></a><var>8.14</var>Admissions under the general assistance medical care program occurring on or after <br/>
<a id="pl.8.15"></a><var>8.15</var>July 1, 1990, and admissions under medical assistance, excluding general assistance <br/>
<a id="pl.8.16"></a><var>8.16</var>medical care, occurring on or after July 1, 1990, and on or before September 30, 1992, <br/>
<a id="pl.8.17"></a><var>8.17</var>that are classified to a diagnostic category of mental health or chemical dependency <br/>
<a id="pl.8.18"></a><var>8.18</var>shall have rates established according to the methods of subdivision 14, except the per <br/>
<a id="pl.8.19"></a><var>8.19</var>day rate shall be multiplied by a factor of 2, provided that the total of the per day rates <br/>
<a id="pl.8.20"></a><var>8.20</var>shall not exceed the per admission rate. This methodology shall also apply when a hold <br/>
<a id="pl.8.21"></a><var>8.21</var>or commitment is ordered by the court for the days that inpatient hospital services are <br/>
<a id="pl.8.22"></a><var>8.22</var>medically necessary. Stays which are medically necessary for inpatient hospital services <br/>
<a id="pl.8.23"></a><var>8.23</var>and covered by medical assistance shall not be billable to any other governmental entity. <br/>
<a id="pl.8.24"></a><var>8.24</var>Medical necessity shall be determined under criteria established to meet the requirements <br/>
<a id="pl.8.25"></a><var>8.25</var>of section 
         <statute_ref>256B.04, subdivision 15</statute_ref>, or 
         <statute_ref>256D.03, subdivision 7</statute_ref>, paragraph (b). <br/>
<a id="pl.8.26"></a><var>8.26</var>(b) In order to ensure adequate access for the provision of mental health services <br/>
<a id="pl.8.27"></a><var>8.27</var>and to encourage broader delivery of these services outside the nonstate governmental <br/>
<a id="pl.8.28"></a><var>8.28</var>hospital setting, payment rates for medical assistance admissions occurring on or after <br/>
<a id="pl.8.29"></a><var>8.29</var>July 1, 2010, at a Minnesota private, not-for-profit hospital above the 75th percentile of all <br/>
<a id="pl.8.30"></a><var>8.30</var>Minnesota private, nonprofit hospitals for diagnosis-related groups 424 to 432 and 521 <br/>
<a id="pl.8.31"></a><var>8.31</var>to 523 admissions paid by medical assistance for admissions occurring in calendar year <br/>
<a id="pl.8.32"></a><var>8.32</var>2007, shall be increased for these diagnosis-related groups at a percentage calculated to <br/>
<a id="pl.8.33"></a><var>8.33</var>cost not more than $10,000,000 each fiscal year, including state and federal shares. For <br/>
<a id="pl.8.34"></a><var>8.34</var>purposes of this paragraph, medical assistance does not include general assistance medical <br/>
<a id="pl.8.35"></a><var>8.35</var>care. The commissioner shall not adjust rates paid to a prepaid health plan under contract <br/>
<a id="pl.9.1"></a><var>9.1</var>with the commissioner to reflect payments provided in this paragraph. The commissioner <br/>
<a id="pl.9.2"></a><var>9.2</var>may utilize a settlement process to adjust rates in excess of the Medicare upper limits <br/>
<a id="pl.9.3"></a><var>9.3</var>on payments. <br/>
<a id="pl.9.4"></a><var>9.4</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.9.5"></a><var>9.5</var>    Sec. 6. Minnesota Statutes 2008, section 256.969, subdivision 26, is amended to read:<br/>
<a id="pl.9.6"></a><var>9.6</var>    Subd. 26. <b>Greater Minnesota payment adjustment after June 30, 2001.</b> (a) For <br/>
<a id="pl.9.7"></a><var>9.7</var>admissions occurring after June 30, 2001, the commissioner shall pay fee-for-service <br/>
<a id="pl.9.8"></a><var>9.8</var>inpatient admissions for the diagnosis-related groups specified in paragraph (b) at hospitals <br/>
<a id="pl.9.9"></a><var>9.9</var>located outside of the seven-county metropolitan area at the higher of:<br/>
<a id="pl.9.10"></a><var>9.10</var>(1) the hospital's current payment rate for the diagnostic category to which the <br/>
<a id="pl.9.11"></a><var>9.11</var>diagnosis-related group belongs, exclusive of disproportionate population adjustments <br/>
<a id="pl.9.12"></a><var>9.12</var>received under subdivision 9 and hospital payment adjustments received under subdivision <br/>
<a id="pl.9.13"></a><var>9.13</var>23; or<br/>
<a id="pl.9.14"></a><var>9.14</var>(2) 90 percent of the average payment rate for that diagnostic category for hospitals <br/>
<a id="pl.9.15"></a><var>9.15</var>located within the seven-county metropolitan area, exclusive of disproportionate <br/>
<a id="pl.9.16"></a><var>9.16</var>population adjustments received under subdivision 9 and hospital payment adjustments <br/>
<a id="pl.9.17"></a><var>9.17</var>received under subdivisions 20 and 23.<br/>
<a id="pl.9.18"></a><var>9.18</var>(b) The payment increases provided in paragraph (a) apply to the following <br/>
<a id="pl.9.19"></a><var>9.19</var>diagnosis-related groups, as they fall within the diagnostic categories:<br/>
<a id="pl.9.20"></a><var>9.20</var>(1) 370 cesarean section with complicating diagnosis;<br/>
<a id="pl.9.21"></a><var>9.21</var>(2) 371 cesarean section without complicating diagnosis;<br/>
<a id="pl.9.22"></a><var>9.22</var>(3) 372 vaginal delivery with complicating diagnosis;<br/>
<a id="pl.9.23"></a><var>9.23</var>(4) 373 vaginal delivery without complicating diagnosis;<br/>
<a id="pl.9.24"></a><var>9.24</var>(5) 386 extreme immaturity and respiratory distress syndrome, neonate;<br/>
<a id="pl.9.25"></a><var>9.25</var>(6) 388 full-term neonates with other problems;<br/>
<a id="pl.9.26"></a><var>9.26</var>(7) 390 prematurity without major problems;<br/>
<a id="pl.9.27"></a><var>9.27</var>(8) 391 normal newborn;<br/>
<a id="pl.9.28"></a><var>9.28</var>(9) 385 neonate, died or transferred to another acute care facility;<br/>
<a id="pl.9.29"></a><var>9.29</var>(10) 425 acute adjustment reaction and psychosocial dysfunction;<br/>
<a id="pl.9.30"></a><var>9.30</var>(11) 430 psychoses;<br/>
<a id="pl.9.31"></a><var>9.31</var>(12) 431 childhood mental disorders; and<br/>
<a id="pl.9.32"></a><var>9.32</var>(13) 164-167 appendectomy.<br/>
<a id="pl.9.33"></a><var>9.33</var>(c) For medical assistance admissions occurring on or after July 1, 2010, the <br/>
<a id="pl.9.34"></a><var>9.34</var>payment rate under paragraph (a), clause (2), shall be increased to 100 percent from 90 <br/>
<a id="pl.9.35"></a><var>9.35</var>percent. For purposes of this paragraph, medical assistance does not include general <br/>
<a id="pl.10.1"></a><var>10.1</var>assistance medical care. The commissioner shall not adjust rates paid to a prepaid <br/>
<a id="pl.10.2"></a><var>10.2</var>health plan under contract with the commissioner to reflect payments provided in this <br/>
<a id="pl.10.3"></a><var>10.3</var>paragraph. The commissioner may utilize a settlement process to adjust rates in excess of <br/>
<a id="pl.10.4"></a><var>10.4</var>the Medicare upper limits on payments. <br/>
<a id="pl.10.5"></a><var>10.5</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.10.6"></a><var>10.6</var>    Sec. 7. Minnesota Statutes 2008, section 256.969, is amended by adding a subdivision <br/>
<a id="pl.10.7"></a><var>10.7</var>to read:<br/>
<a id="pl.10.8"></a><var>10.8</var>    Subd. 31. <b>Hospital payment adjustment after June 30, 2010.</b> (a) For medical <br/>
<a id="pl.10.9"></a><var>10.9</var>assistance admissions occurring on or after July 1, 2010, to March 31, 2011, the <br/>
<a id="pl.10.10"></a><var>10.10</var>commissioner shall increase rates at Minnesota private, not-for-profit hospitals as follows:<br/>
<a id="pl.10.11"></a><var>10.11</var>(1) for a hospital with total admissions reimbursed by government payers equal to or <br/>
<a id="pl.10.12"></a><var>10.12</var>greater than 50 percent, payment rates for inpatient hospital services shall be increased for <br/>
<a id="pl.10.13"></a><var>10.13</var>each admission by $250 multiplied by 437 percent;<br/>
<a id="pl.10.14"></a><var>10.14</var>(2) for a hospital with total admissions reimbursed by government payers equal to <br/>
<a id="pl.10.15"></a><var>10.15</var>or greater than 40 percent but less than 50 percent, payment rates for inpatient hospital <br/>
<a id="pl.10.16"></a><var>10.16</var>services shall be increased for each admission by $250 multiplied by 349.6 percent; and<br/>
<a id="pl.10.17"></a><var>10.17</var>(3) for a hospital with total admissions reimbursed by government payers of less <br/>
<a id="pl.10.18"></a><var>10.18</var>than 40 percent, payment rates for inpatient hospital services shall be increased for each <br/>
<a id="pl.10.19"></a><var>10.19</var>admission by $250 multiplied by 262.2 percent.<br/>
<a id="pl.10.20"></a><var>10.20</var>(b) For medical assistance admissions occurring on or after April 1, 2011, the <br/>
<a id="pl.10.21"></a><var>10.21</var>commissioner shall increase rates at Minnesota private, not-for-profit hospitals as follows:<br/>
<a id="pl.10.22"></a><var>10.22</var>(1) for a hospital with total admissions reimbursed by government payers equal to or <br/>
<a id="pl.10.23"></a><var>10.23</var>greater than 50 percent, payment rates for inpatient hospital services shall be increased for <br/>
<a id="pl.10.24"></a><var>10.24</var>each admission by $250 multiplied by 145 percent;<br/>
<a id="pl.10.25"></a><var>10.25</var>(2) for a hospital with total admissions reimbursed by government payers equal to <br/>
<a id="pl.10.26"></a><var>10.26</var>or greater than 40 percent but less than 50 percent, payment rates for inpatient hospital <br/>
<a id="pl.10.27"></a><var>10.27</var>services shall be increased for each admission by $250 multiplied by 116 percent; and<br/>
<a id="pl.10.28"></a><var>10.28</var>(3) for a hospital with total admissions reimbursed by government payers of less <br/>
<a id="pl.10.29"></a><var>10.29</var>than 40 percent, payment rates for inpatient hospital services shall be increased for each <br/>
<a id="pl.10.30"></a><var>10.30</var>admission by $250 multiplied by 87 percent.<br/>
<a id="pl.10.31"></a><var>10.31</var>(c) For purposes of paragraphs (a) and (b), "government payers" means Medicare, <br/>
<a id="pl.10.32"></a><var>10.32</var>medical assistance, MinnesotaCare, and general assistance medical care.<br/>
<a id="pl.10.33"></a><var>10.33</var>(d) For medical assistance admissions occurring on or after July 1, 2010, to March <br/>
<a id="pl.10.34"></a><var>10.34</var>31, 2011, the commissioner shall increase rates for inpatient hospital services at Minnesota <br/>
<a id="pl.10.35"></a><var>10.35</var>hospitals by $850 for each admission. For medical assistance admissions occurring on <br/>
<a id="pl.11.1"></a><var>11.1</var>or after April 1, 2011, the payment under this paragraph shall be reduced to $320 per <br/>
<a id="pl.11.2"></a><var>11.2</var>admission.<br/>
<a id="pl.11.3"></a><var>11.3</var>(e) For purposes of this subdivision, medical assistance does not include general <br/>
<a id="pl.11.4"></a><var>11.4</var>assistance medical care. The commissioner shall not adjust rates paid to a prepaid <br/>
<a id="pl.11.5"></a><var>11.5</var>health plan under contract with the commissioner to reflect payments provided in this <br/>
<a id="pl.11.6"></a><var>11.6</var>subdivision. The commissioner may utilize a settlement process to adjust rates in excess <br/>
<a id="pl.11.7"></a><var>11.7</var>of the Medicare upper limits on payments.<br/>
<a id="pl.11.8"></a><var>11.8</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.11.9"></a><var>11.9</var>    Sec. 8. Minnesota Statutes 2008, section 256B.055, is amended by adding a <br/>
<a id="pl.11.10"></a><var>11.10</var>subdivision to read:<br/>
<a id="pl.11.11"></a><var>11.11</var>    Subd. 15. <b>Adults without children.</b> Medical assistance may be paid for a person <br/>
<a id="pl.11.12"></a><var>11.12</var>who is:<br/>
<a id="pl.11.13"></a><var>11.13</var>(1) at least age 21 and under age 65;<br/>
<a id="pl.11.14"></a><var>11.14</var>(2) not pregnant;<br/>
<a id="pl.11.15"></a><var>11.15</var>(3) not entitled to Medicare Part A or enrolled in Medicare Part B under Title XVIII <br/>
<a id="pl.11.16"></a><var>11.16</var>of the Social Security Act;<br/>
<a id="pl.11.17"></a><var>11.17</var>(4) not an adult in a family with children as defined in section 256L.01, subdivision <br/>
<a id="pl.11.18"></a><var>11.18</var>3a; and<br/>
<a id="pl.11.19"></a><var>11.19</var>(5) not described in another subdivision of this section.<br/>
<a id="pl.11.20"></a><var>11.20</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.11.21"></a><var>11.21</var>    Sec. 9. Minnesota Statutes 2008, section 256B.056, subdivision 3, is amended to read:<br/>
<a id="pl.11.22"></a><var>11.22</var>    Subd. 3. <b>Asset limitations for individuals and families.</b> (a) To be eligible for <br/>
<a id="pl.11.23"></a><var>11.23</var>medical assistance, a person must not individually own more than $3,000 in assets, or if a <br/>
<a id="pl.11.24"></a><var>11.24</var>member of a household with two family members, husband and wife, or parent and child, <br/>
<a id="pl.11.25"></a><var>11.25</var>the household must not own more than $6,000 in assets, plus $200 for each additional <br/>
<a id="pl.11.26"></a><var>11.26</var>legal dependent. In addition to these maximum amounts, an eligible individual or family <br/>
<a id="pl.11.27"></a><var>11.27</var>may accrue interest on these amounts, but they must be reduced to the maximum at the <br/>
<a id="pl.11.28"></a><var>11.28</var>time of an eligibility redetermination. The accumulation of the clothing and personal <br/>
<a id="pl.11.29"></a><var>11.29</var>needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be reduced to the maximum at <br/>
<a id="pl.11.30"></a><var>11.30</var>the time of the eligibility redetermination. The value of assets that are not considered in <br/>
<a id="pl.11.31"></a><var>11.31</var>determining eligibility for medical assistance is the value of those assets excluded under <br/>
<a id="pl.11.32"></a><var>11.32</var>the supplemental security income program for aged, blind, and disabled persons, with <br/>
<a id="pl.11.33"></a><var>11.33</var>the following exceptions: <br/>
<a id="pl.12.1"></a><var>12.1</var>(1) household goods and personal effects are not considered;<br/>
<a id="pl.12.2"></a><var>12.2</var>(2) capital and operating assets of a trade or business that the local agency determines <br/>
<a id="pl.12.3"></a><var>12.3</var>are necessary to the person's ability to earn an income are not considered;<br/>
<a id="pl.12.4"></a><var>12.4</var>(3) motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.12.5"></a><var>12.5</var>security income program;<br/>
<a id="pl.12.6"></a><var>12.6</var>(4) assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.12.7"></a><var>12.7</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.12.8"></a><var>12.8</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.12.9"></a><var>12.9</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses; and<br/>
<a id="pl.12.10"></a><var>12.10</var>(5) effective upon federal approval, for a person who no longer qualifies as an <br/>
<a id="pl.12.11"></a><var>12.11</var>employed person with a disability due to loss of earnings, assets allowed while eligible <br/>
<a id="pl.12.12"></a><var>12.12</var>for medical assistance under section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, are not considered for 12 <br/>
<a id="pl.12.13"></a><var>12.13</var>months, beginning with the first month of ineligibility as an employed person with a <br/>
<a id="pl.12.14"></a><var>12.14</var>disability, to the extent that the person's total assets remain within the allowed limits of <br/>
<a id="pl.12.15"></a><var>12.15</var>section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph (c).<br/>
<a id="pl.12.16"></a><var>12.16</var>(b) No asset limit shall apply to persons eligible under section 256B.055, subdivision <br/>
<a id="pl.12.17"></a><var>12.17</var>15.<br/>
<a id="pl.12.18"></a><var>12.18</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.12.19"></a><var>12.19</var>    Sec. 10. Minnesota Statutes 2008, section 256B.056, subdivision 4, is amended to read:<br/>
<a id="pl.12.20"></a><var>12.20</var>    Subd. 4. <b>Income.</b> (a) To be eligible for medical assistance, a person eligible under <br/>
<a id="pl.12.21"></a><var>12.21</var>section 
         <statute_ref>256B.055, subdivisions 7, 7a, and 12</statute_ref>, may have income up to 100 percent of <br/>
<a id="pl.12.22"></a><var>12.22</var>the federal poverty guidelines. Effective January 1, 2000, and each successive January, <br/>
<a id="pl.12.23"></a><var>12.23</var>recipients of supplemental security income may have an income up to the supplemental <br/>
<a id="pl.12.24"></a><var>12.24</var>security income standard in effect on that date. <br/>
<a id="pl.12.25"></a><var>12.25</var>(b) To be eligible for medical assistance, families and children may have an income <br/>
<a id="pl.12.26"></a><var>12.26</var>up to 133-1/3 percent of the AFDC income standard in effect under the July 16, 1996, <br/>
<a id="pl.12.27"></a><var>12.27</var>AFDC state plan. Effective July 1, 2000, the base AFDC standard in effect on July 16, <br/>
<a id="pl.12.28"></a><var>12.28</var>1996, shall be increased by three percent.<br/>
<a id="pl.12.29"></a><var>12.29</var>(c) Effective July 1, 2002, to be eligible for medical assistance, families and children <br/>
<a id="pl.12.30"></a><var>12.30</var>may have an income up to 100 percent of the federal poverty guidelines for the family size.<br/>
<a id="pl.12.31"></a><var>12.31</var>(d) Effective June 1, 2010, to be eligible for medical assistance under section <br/>
<a id="pl.12.32"></a><var>12.32</var>256B.055, subdivision 15, a person may have an income up to 75 percent of federal <br/>
<a id="pl.12.33"></a><var>12.33</var>poverty guidelines for the family size.<br/>
<a id="pl.12.34"></a><var>12.34</var>(e) In computing income to determine eligibility of persons under paragraphs (a) to <br/>
<a id="pl.12.35"></a><var>12.35</var>(c) (d) who are not residents of long-term care facilities, the commissioner shall disregard <br/>
<a id="pl.13.1"></a><var>13.1</var>increases in income as required by Public Law Numbers 94-566, section 503; 99-272; <br/>
<a id="pl.13.2"></a><var>13.2</var>and 99-509. Veterans aid and attendance benefits and Veterans Administration unusual <br/>
<a id="pl.13.3"></a><var>13.3</var>medical expense payments are considered income to the recipient.<br/>
<a id="pl.13.4"></a><var>13.4</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.11.0"></a><a id="pl.13.5"></a><var>13.5</var>    Sec. 11. Minnesota Statutes 2008, section 256B.0625, subdivision 8, is amended to <br/>
<a id="pl.13.6"></a><var>13.6</var>read:<br/>
<a id="pl.13.7"></a><var>13.7</var>    Subd. 8. <b>Physical therapy.</b> Medical assistance covers physical therapy and related <br/>
<a id="pl.13.8"></a><var>13.8</var>services, including specialized maintenance therapy. Authorization by the commissioner <br/>
<a id="pl.13.9"></a><var>13.9</var>is required to provide medically necessary services to a recipient beyond any of the <br/>
<a id="pl.13.10"></a><var>13.10</var>following onetime service thresholds, or a lower threshold where one has been established <br/>
<a id="pl.13.11"></a><var>13.11</var>by the commissioner for a specified service: (1) 80 units of any approved CPT code other <br/>
<a id="pl.13.12"></a><var>13.12</var>than modalities; (2) 20 modality sessions; and (3) three evaluations or reevaluations. <br/>
<a id="pl.13.13"></a><var>13.13</var>Services provided by a physical therapy assistant shall be reimbursed at the same rate as <br/>
<a id="pl.13.14"></a><var>13.14</var>services performed by a physical therapist when the services of the physical therapy <br/>
<a id="pl.13.15"></a><var>13.15</var>assistant are provided under the direction of a physical therapist who is on the premises. <br/>
<a id="pl.13.16"></a><var>13.16</var>Services provided by a physical therapy assistant that are provided under the direction <br/>
<a id="pl.13.17"></a><var>13.17</var>of a physical therapist who is not on the premises shall be reimbursed at 65 percent of <br/>
<a id="pl.13.18"></a><var>13.18</var>the physical therapist rate.<br/>
<a id="pl.13.19"></a><var>13.19</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010, for services provided <br/>
<a id="pl.13.20"></a><var>13.20</var>through fee-for-service, and January 1, 2011, for services provided through managed care.<br/>
<br/>
<a id="bill.1.12.0"></a><a id="pl.13.21"></a><var>13.21</var>    Sec. 12. Minnesota Statutes 2008, section 256B.0625, subdivision 8a, is amended to <br/>
<a id="pl.13.22"></a><var>13.22</var>read:<br/>
<a id="pl.13.23"></a><var>13.23</var>    Subd. 8a. <b>Occupational therapy.</b> Medical assistance covers occupational therapy <br/>
<a id="pl.13.24"></a><var>13.24</var>and related services, including specialized maintenance therapy. Authorization by the <br/>
<a id="pl.13.25"></a><var>13.25</var>commissioner is required to provide medically necessary services to a recipient beyond <br/>
<a id="pl.13.26"></a><var>13.26</var>any of the following onetime service thresholds, or a lower threshold where one has been <br/>
<a id="pl.13.27"></a><var>13.27</var>established by the commissioner for a specified service: (1) 120 units of any combination <br/>
<a id="pl.13.28"></a><var>13.28</var>of approved CPT codes; and (2) two evaluations or reevaluations. Services provided by an <br/>
<a id="pl.13.29"></a><var>13.29</var>occupational therapy assistant shall be reimbursed at the same rate as services performed <br/>
<a id="pl.13.30"></a><var>13.30</var>by an occupational therapist when the services of the occupational therapy assistant are <br/>
<a id="pl.13.31"></a><var>13.31</var>provided under the direction of the occupational therapist who is on the premises. Services <br/>
<a id="pl.13.32"></a><var>13.32</var>provided by an occupational therapy assistant that are provided under the direction of an <br/>
<a id="pl.14.1"></a><var>14.1</var>occupational therapist who is not on the premises shall be reimbursed at 65 percent of <br/>
<a id="pl.14.2"></a><var>14.2</var>the occupational therapist rate.<br/>
<a id="pl.14.3"></a><var>14.3</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010, for services provided <br/>
<a id="pl.14.4"></a><var>14.4</var>through fee-for-service, and January 1, 2011, for services provided through managed care.<br/>
<br/>
<a id="bill.1.13.0"></a><a id="pl.14.5"></a><var>14.5</var>    Sec. 13. Minnesota Statutes 2008, section 256B.0625, subdivision 8b, is amended to <br/>
<a id="pl.14.6"></a><var>14.6</var>read:<br/>
<a id="pl.14.7"></a><var>14.7</var>    Subd. 8b. <b>Speech language pathology and audiology services.</b> Medical assistance <br/>
<a id="pl.14.8"></a><var>14.8</var>covers speech language pathology and related services, including specialized maintenance <br/>
<a id="pl.14.9"></a><var>14.9</var>therapy. Authorization by the commissioner is required to provide medically necessary <br/>
<a id="pl.14.10"></a><var>14.10</var>services to a recipient beyond any of the following onetime service thresholds, or a <br/>
<a id="pl.14.11"></a><var>14.11</var>lower threshold where one has been established by the commissioner for a specified <br/>
<a id="pl.14.12"></a><var>14.12</var>service: (1) 50 treatment sessions with any combination of approved CPT codes; and <br/>
<a id="pl.14.13"></a><var>14.13</var>(2) one evaluation. Medical assistance covers audiology services and related services. <br/>
<a id="pl.14.14"></a><var>14.14</var>Services provided by a person who has been issued a temporary registration under section <br/>
<statute_ref><a id="pl.14.15"></a><var>14.15</var>148.5161
         </statute_ref> shall be reimbursed at the same rate as services performed by a speech language <br/>
<a id="pl.14.16"></a><var>14.16</var>pathologist or audiologist as long as the requirements of section 
         <statute_ref>148.5161, subdivision <br/>
<a id="pl.14.17"></a><var>14.17</var>3
         </statute_ref>, are met. <br/>
<a id="pl.14.18"></a><var>14.18</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010, for services provided <br/>
<a id="pl.14.19"></a><var>14.19</var>through fee-for-service, and January 1, 2011, for services provided through managed care.<br/>
<br/>
<a id="bill.1.14.0"></a><a id="pl.14.20"></a><var>14.20</var>    Sec. 14. Minnesota Statutes 2008, section 256B.0625, is amended by adding a <br/>
<a id="pl.14.21"></a><var>14.21</var>subdivision to read:<br/>
<a id="pl.14.22"></a><var>14.22</var>    Subd. 8d. <b>Chiropractic services.</b> Payment for chiropractic services is limited to <br/>
<a id="pl.14.23"></a><var>14.23</var>one annual evaluation and 12 visits per year unless prior authorization of a greater number <br/>
<a id="pl.14.24"></a><var>14.24</var>of visits is obtained.<br/>
<br/>
<a id="bill.1.15.0"></a><a id="pl.14.25"></a><var>14.25</var>    Sec. 15. Minnesota Statutes 2009 Supplement, section 256B.0625, subdivision 13h, <br/>
<a id="pl.14.26"></a><var>14.26</var>is amended to read:<br/>
<a id="pl.14.27"></a><var>14.27</var>    Subd. 13h. <b>Medication therapy management services.</b> (a) Medical assistance <br/>
<a id="pl.14.28"></a><var>14.28</var>and general assistance medical care cover medication therapy management services for <br/>
<a id="pl.14.29"></a><var>14.29</var>a recipient taking four or more prescriptions to treat or prevent two or more chronic <br/>
<a id="pl.14.30"></a><var>14.30</var>medical conditions, or a recipient with a drug therapy problem that is identified or prior <br/>
<a id="pl.14.31"></a><var>14.31</var>authorized by the commissioner that has resulted or is likely to result in significant <br/>
<a id="pl.14.32"></a><var>14.32</var>nondrug program costs. The commissioner may cover medical therapy management <br/>
<a id="pl.15.1"></a><var>15.1</var>services under MinnesotaCare if the commissioner determines this is cost-effective. For <br/>
<a id="pl.15.2"></a><var>15.2</var>purposes of this subdivision, "medication therapy management" means the provision <br/>
<a id="pl.15.3"></a><var>15.3</var>of the following pharmaceutical care services by a licensed pharmacist to optimize the <br/>
<a id="pl.15.4"></a><var>15.4</var>therapeutic outcomes of the patient's medications:<br/>
<a id="pl.15.5"></a><var>15.5</var>    (1) performing or obtaining necessary assessments of the patient's health status;<br/>
<a id="pl.15.6"></a><var>15.6</var>    (2) formulating a medication treatment plan;<br/>
<a id="pl.15.7"></a><var>15.7</var>    (3) monitoring and evaluating the patient's response to therapy, including safety <br/>
<a id="pl.15.8"></a><var>15.8</var>and effectiveness;<br/>
<a id="pl.15.9"></a><var>15.9</var>    (4) performing a comprehensive medication review to identify, resolve, and prevent <br/>
<a id="pl.15.10"></a><var>15.10</var>medication-related problems, including adverse drug events;<br/>
<a id="pl.15.11"></a><var>15.11</var>    (5) documenting the care delivered and communicating essential information to <br/>
<a id="pl.15.12"></a><var>15.12</var>the patient's other primary care providers;<br/>
<a id="pl.15.13"></a><var>15.13</var>    (6) providing verbal education and training designed to enhance patient <br/>
<a id="pl.15.14"></a><var>15.14</var>understanding and appropriate use of the patient's medications;<br/>
<a id="pl.15.15"></a><var>15.15</var>    (7) providing information, support services, and resources designed to enhance <br/>
<a id="pl.15.16"></a><var>15.16</var>patient adherence with the patient's therapeutic regimens; and<br/>
<a id="pl.15.17"></a><var>15.17</var>    (8) coordinating and integrating medication therapy management services within the <br/>
<a id="pl.15.18"></a><var>15.18</var>broader health care management services being provided to the patient.<br/>
<a id="pl.15.19"></a><var>15.19</var>Nothing in this subdivision shall be construed to expand or modify the scope of practice of <br/>
<a id="pl.15.20"></a><var>15.20</var>the pharmacist as defined in section 
         <statute_ref>151.01, subdivision 27</statute_ref>.<br/>
<a id="pl.15.21"></a><var>15.21</var>    (b) To be eligible for reimbursement for services under this subdivision, a pharmacist <br/>
<a id="pl.15.22"></a><var>15.22</var>must meet the following requirements:<br/>
<a id="pl.15.23"></a><var>15.23</var>    (1) have a valid license issued under chapter 151;<br/>
<a id="pl.15.24"></a><var>15.24</var>    (2) have graduated from an accredited college of pharmacy on or after May 1996, or <br/>
<a id="pl.15.25"></a><var>15.25</var>completed a structured and comprehensive education program approved by the Board of <br/>
<a id="pl.15.26"></a><var>15.26</var>Pharmacy and the American Council of Pharmaceutical Education for the provision and <br/>
<a id="pl.15.27"></a><var>15.27</var>documentation of pharmaceutical care management services that has both clinical and <br/>
<a id="pl.15.28"></a><var>15.28</var>didactic elements;<br/>
<a id="pl.15.29"></a><var>15.29</var>    (3) be practicing in an ambulatory care setting as part of a multidisciplinary team or <br/>
<a id="pl.15.30"></a><var>15.30</var>have developed a structured patient care process that is offered in a private or semiprivate <br/>
<a id="pl.15.31"></a><var>15.31</var>patient care area that is separate from the commercial business that also occurs in the <br/>
<a id="pl.15.32"></a><var>15.32</var>setting, or in home settings, excluding long-term care and group homes, if the service is <br/>
<a id="pl.15.33"></a><var>15.33</var>ordered by the provider-directed care coordination team; and<br/>
<a id="pl.15.34"></a><var>15.34</var>    (4) make use of an electronic patient record system that meets state standards.<br/>
<a id="pl.15.35"></a><var>15.35</var>    (c) For purposes of reimbursement for medication therapy management services, <br/>
<a id="pl.15.36"></a><var>15.36</var>the commissioner may enroll individual pharmacists as medical assistance and general <br/>
<a id="pl.16.1"></a><var>16.1</var>assistance medical care providers. The commissioner may also establish contact <br/>
<a id="pl.16.2"></a><var>16.2</var>requirements between the pharmacist and recipient, including limiting the number of <br/>
<a id="pl.16.3"></a><var>16.3</var>reimbursable consultations per recipient.<br/>
<a id="pl.16.4"></a><var>16.4</var>(d) If there are no pharmacists who meet the requirements of paragraph (b) practicing <br/>
<a id="pl.16.5"></a><var>16.5</var>within a reasonable geographic distance of the patient, a pharmacist who meets the <br/>
<a id="pl.16.6"></a><var>16.6</var>requirements may provide the services via two-way interactive video. Reimbursement <br/>
<a id="pl.16.7"></a><var>16.7</var>shall be at the same rates and under the same conditions that would otherwise apply to <br/>
<a id="pl.16.8"></a><var>16.8</var>the services provided. To qualify for reimbursement under this paragraph, the pharmacist <br/>
<a id="pl.16.9"></a><var>16.9</var>providing the services must meet the requirements of paragraph (b), and must be located <br/>
<a id="pl.16.10"></a><var>16.10</var>within an ambulatory care setting approved by the commissioner. The patient must also <br/>
<a id="pl.16.11"></a><var>16.11</var>be located within an ambulatory care setting approved by the commissioner. Services <br/>
<a id="pl.16.12"></a><var>16.12</var>provided under this paragraph may not be transmitted into the patient's residence.<br/>
<a id="pl.16.13"></a><var>16.13</var>(e) The commissioner shall establish a pilot project for an intensive medication <br/>
<a id="pl.16.14"></a><var>16.14</var>therapy management program for patients identified by the commissioner with multiple <br/>
<a id="pl.16.15"></a><var>16.15</var>chronic conditions and a high number of medications who are at high risk of preventable <br/>
<a id="pl.16.16"></a><var>16.16</var>hospitalizations, emergency room use, medication complications, and suboptimal <br/>
<a id="pl.16.17"></a><var>16.17</var>treatment outcomes due to medication-related problems. For purposes of the pilot <br/>
<a id="pl.16.18"></a><var>16.18</var>project, medication therapy management services may be provided in a patient's home <br/>
<a id="pl.16.19"></a><var>16.19</var>or community setting, in addition to other authorized settings. The commissioner may <br/>
<a id="pl.16.20"></a><var>16.20</var>waive existing payment policies and establish special payment rates for the pilot project. <br/>
<a id="pl.16.21"></a><var>16.21</var>The pilot project must be designed to produce a net savings to the state compared to the <br/>
<a id="pl.16.22"></a><var>16.22</var>estimated costs that would otherwise be incurred for similar patients without the program. <br/>
<a id="pl.16.23"></a><var>16.23</var>The pilot project must begin by January 1, 2010, and end June 30, 2012.<br/>
<a id="pl.16.24"></a><var>16.24</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.16.0"></a><a id="pl.16.25"></a><var>16.25</var>    Sec. 16. Minnesota Statutes 2008, section 256B.0625, subdivision 18a, is amended to <br/>
<a id="pl.16.26"></a><var>16.26</var>read:<br/>
<a id="pl.16.27"></a><var>16.27</var>    Subd. 18a. <b>Access to medical services.</b> (a) Medical assistance reimbursement for <br/>
<a id="pl.16.28"></a><var>16.28</var>meals for persons traveling to receive medical care may not exceed $5.50 for breakfast, <br/>
<a id="pl.16.29"></a><var>16.29</var>$6.50 for lunch, or $8 for dinner.<br/>
<a id="pl.16.30"></a><var>16.30</var>    (b) Medical assistance reimbursement for lodging for persons traveling to receive <br/>
<a id="pl.16.31"></a><var>16.31</var>medical care may not exceed $50 per day unless prior authorized by the local agency.<br/>
<a id="pl.16.32"></a><var>16.32</var>    (c) Medical assistance direct mileage reimbursement to the eligible person or the <br/>
<a id="pl.16.33"></a><var>16.33</var>eligible person's driver may not exceed 20 cents per mile.<br/>
<a id="pl.16.34"></a><var>16.34</var>    (d) Regardless of the number of employees that an enrolled health care provider <br/>
<a id="pl.16.35"></a><var>16.35</var>may have, medical assistance covers sign and oral language interpreter services when <br/>
<a id="pl.17.1"></a><var>17.1</var>provided by an enrolled health care provider during the course of providing a direct, <br/>
<a id="pl.17.2"></a><var>17.2</var>person-to-person covered health care service to an enrolled recipient with limited English <br/>
<a id="pl.17.3"></a><var>17.3</var>proficiency or who has a hearing loss and uses interpreting services. Coverage for <br/>
<a id="pl.17.4"></a><var>17.4</var>face-to-face oral language interpreter services shall be provided only if the oral language <br/>
<a id="pl.17.5"></a><var>17.5</var>interpreter used by the enrolled health care provider is listed in the registry or roster <br/>
<a id="pl.17.6"></a><var>17.6</var>established under section 144.058.<br/>
<a id="pl.17.7"></a><var>17.7</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011.<br/>
<br/>
<a id="bill.1.17.0"></a><a id="pl.17.8"></a><var>17.8</var>    Sec. 17. Minnesota Statutes 2008, section 256B.0625, subdivision 31, is amended to <br/>
<a id="pl.17.9"></a><var>17.9</var>read:<br/>
<a id="pl.17.10"></a><var>17.10</var>    Subd. 31. <b>Medical supplies and equipment.</b> Medical assistance covers medical <br/>
<a id="pl.17.11"></a><var>17.11</var>supplies and equipment. Separate payment outside of the facility's payment rate shall <br/>
<a id="pl.17.12"></a><var>17.12</var>be made for wheelchairs and wheelchair accessories for recipients who are residents <br/>
<a id="pl.17.13"></a><var>17.13</var>of intermediate care facilities for the developmentally disabled. Reimbursement for <br/>
<a id="pl.17.14"></a><var>17.14</var>wheelchairs and wheelchair accessories for ICF/MR recipients shall be subject to the same <br/>
<a id="pl.17.15"></a><var>17.15</var>conditions and limitations as coverage for recipients who do not reside in institutions. A <br/>
<a id="pl.17.16"></a><var>17.16</var>wheelchair purchased outside of the facility's payment rate is the property of the recipient. <br/>
<a id="pl.17.17"></a><var>17.17</var>The commissioner may set reimbursement rates for specified categories of medical <br/>
<a id="pl.17.18"></a><var>17.18</var>supplies at levels below the Medicare payment rate.<br/>
<br/>
<a id="bill.1.18.0"></a><a id="pl.17.19"></a><var>17.19</var>    Sec. 18. Minnesota Statutes 2008, section 256B.0625, is amended by adding a <br/>
<a id="pl.17.20"></a><var>17.20</var>subdivision to read:<br/>
<a id="pl.17.21"></a><var>17.21</var>    Subd. 54. <b>Services provided in birth centers.</b> (a) Medical assistance covers <br/>
<a id="pl.17.22"></a><var>17.22</var>services provided in a licensed birth center by a licensed health professional if the service <br/>
<a id="pl.17.23"></a><var>17.23</var>would otherwise be covered if provided in a hospital.<br/>
<a id="pl.17.24"></a><var>17.24</var>(b) Facility services provided by a birth center shall be paid at the lower of billed <br/>
<a id="pl.17.25"></a><var>17.25</var>charges or 70 percent of the statewide average for a facility payment rate made to a <br/>
<a id="pl.17.26"></a><var>17.26</var>hospital for an uncomplicated vaginal birth as determined using the most recent calendar <br/>
<a id="pl.17.27"></a><var>17.27</var>year for which complete claims data is available. If a recipient is transported from a birth <br/>
<a id="pl.17.28"></a><var>17.28</var>center to a hospital prior to the delivery, the payment for facility services to the birth center <br/>
<a id="pl.17.29"></a><var>17.29</var>shall be the lower of billed charges or 15 percent of the average facility payment made to a <br/>
<a id="pl.17.30"></a><var>17.30</var>hospital for the services provided for an uncomplicated vaginal delivery as determined <br/>
<a id="pl.17.31"></a><var>17.31</var>using the most recent calendar year for which complete claims data is available.<br/>
<a id="pl.17.32"></a><var>17.32</var>(c) Nursery care services provided by a birth center shall be paid the lower of billed <br/>
<a id="pl.17.33"></a><var>17.33</var>charges or 70 percent of the statewide average for a payment rate paid to a hospital for <br/>
<a id="pl.18.1"></a><var>18.1</var>nursery care as determined by using the most recent calendar year for which complete <br/>
<a id="pl.18.2"></a><var>18.2</var>claims data is available.<br/>
<a id="pl.18.3"></a><var>18.3</var>(d) Professional services provided by traditional midwives licensed under chapter <br/>
<a id="pl.18.4"></a><var>18.4</var>147D shall be paid at the lower of billed charges or 100 percent of the rate paid to a <br/>
<a id="pl.18.5"></a><var>18.5</var>physician performing the same services. If a recipient is transported from a birth center to <br/>
<a id="pl.18.6"></a><var>18.6</var>a hospital prior to the delivery, a licensed traditional midwife who does not perform the <br/>
<a id="pl.18.7"></a><var>18.7</var>delivery may not bill for any delivery services. Services are not covered if provided by an <br/>
<a id="pl.18.8"></a><var>18.8</var>unlicensed traditional midwife.<br/>
<a id="pl.18.9"></a><var>18.9</var>(e) The commissioner shall apply for any necessary waivers from the Centers for <br/>
<a id="pl.18.10"></a><var>18.10</var>Medicare and Medicaid Services to allow birth centers and birth center providers to be <br/>
<a id="pl.18.11"></a><var>18.11</var>reimbursed.<br/>
<a id="pl.18.12"></a><var>18.12</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.19.0"></a><a id="pl.18.13"></a><var>18.13</var>    Sec. 19. Minnesota Statutes 2008, section 256B.0631, subdivision 1, is amended to <br/>
<a id="pl.18.14"></a><var>18.14</var>read:<br/>
<a id="pl.18.15"></a><var>18.15</var>    Subdivision 1. <b>Co-payments.</b> (a) Except as provided in subdivision 2, the medical <br/>
<a id="pl.18.16"></a><var>18.16</var>assistance benefit plan shall include the following co-payments for all recipients, effective <br/>
<a id="pl.18.17"></a><var>18.17</var>for services provided on or after October 1, 2003, and before January 1, 2009:<br/>
<a id="pl.18.18"></a><var>18.18</var>    (1) $3 per nonpreventive visit. For purposes of this subdivision, a visit means an <br/>
<a id="pl.18.19"></a><var>18.19</var>episode of service which is required because of a recipient's symptoms, diagnosis, or <br/>
<a id="pl.18.20"></a><var>18.20</var>established illness, and which is delivered in an ambulatory setting by a physician or <br/>
<a id="pl.18.21"></a><var>18.21</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse, <br/>
<a id="pl.18.22"></a><var>18.22</var>audiologist, optician, or optometrist;<br/>
<a id="pl.18.23"></a><var>18.23</var>    (2) $3 for eyeglasses;<br/>
<a id="pl.18.24"></a><var>18.24</var>    (3) $6 for nonemergency visits to a hospital-based emergency room; and<br/>
<a id="pl.18.25"></a><var>18.25</var>    (4) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.18.26"></a><var>18.26</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.18.27"></a><var>18.27</var>shall apply to antipsychotic drugs when used for the treatment of mental illness.<br/>
<a id="pl.18.28"></a><var>18.28</var>    (b) Except as provided in subdivision 2, the medical assistance benefit plan shall <br/>
<a id="pl.18.29"></a><var>18.29</var>include the following co-payments for all recipients, effective for services provided on <br/>
<a id="pl.18.30"></a><var>18.30</var>or after January 1, 2009:<br/>
<a id="pl.18.31"></a><var>18.31</var>    (1) $6 $3.50 for nonemergency visits to a hospital-based emergency room; <br/>
<a id="pl.18.32"></a><var>18.32</var>    (2) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.18.33"></a><var>18.33</var>subject to a $7 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.18.34"></a><var>18.34</var>shall apply to antipsychotic drugs when used for the treatment of mental illness; and<br/>
<a id="pl.19.1"></a><var>19.1</var>    (3) for individuals identified by the commissioner with income at or below 100 <br/>
<a id="pl.19.2"></a><var>19.2</var>percent of the federal poverty guidelines, total monthly co-payments must not exceed five <br/>
<a id="pl.19.3"></a><var>19.3</var>percent of family income. For purposes of this paragraph, family income is the total <br/>
<a id="pl.19.4"></a><var>19.4</var>earned and unearned income of the individual and the individual's spouse, if the spouse is <br/>
<a id="pl.19.5"></a><var>19.5</var>enrolled in medical assistance and also subject to the five percent limit on co-payments.<br/>
<a id="pl.19.6"></a><var>19.6</var>    (c) Recipients of medical assistance are responsible for all co-payments in this <br/>
<a id="pl.19.7"></a><var>19.7</var>subdivision.<br/>
<a id="pl.19.8"></a><var>19.8</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.20.0"></a><a id="pl.19.9"></a><var>19.9</var>    Sec. 20. Minnesota Statutes 2008, section 256B.0631, subdivision 3, is amended to <br/>
<a id="pl.19.10"></a><var>19.10</var>read:<br/>
<a id="pl.19.11"></a><var>19.11</var>    Subd. 3. <b>Collection.</b> (a) The medical assistance reimbursement to the provider <br/>
<a id="pl.19.12"></a><var>19.12</var>shall be reduced by the amount of the co-payment, except that reimbursements shall <br/>
<a id="pl.19.13"></a><var>19.13</var>not be reduced:<br/>
<a id="pl.19.14"></a><var>19.14</var>    (1) once a recipient has reached the $12 per month maximum or the $7 per month <br/>
<a id="pl.19.15"></a><var>19.15</var>maximum effective January 1, 2009, for prescription drug co-payments; or<br/>
<a id="pl.19.16"></a><var>19.16</var>    (2) for a recipient identified by the commissioner under 100 percent of the federal <br/>
<a id="pl.19.17"></a><var>19.17</var>poverty guidelines who has met their monthly five percent co-payment limit.<br/>
<a id="pl.19.18"></a><var>19.18</var>    (b) The provider collects the co-payment from the recipient. Providers may not deny <br/>
<a id="pl.19.19"></a><var>19.19</var>services to recipients who are unable to pay the co-payment.<br/>
<a id="pl.19.20"></a><var>19.20</var>    (c) Medical assistance reimbursement to fee-for-service providers and payments to <br/>
<a id="pl.19.21"></a><var>19.21</var>managed care plans shall not be increased as a result of the removal of the co-payments <br/>
<a id="pl.19.22"></a><var>19.22</var>effective on or after January 1, 2009.<br/>
<br/>
<a id="bill.1.21.0"></a><a id="pl.19.23"></a><var>19.23</var>    Sec. 21. Minnesota Statutes 2008, section 256B.0644, as amended by Laws 2010, <br/>
<a id="pl.19.24"></a><var>19.24</var>chapter 200, article 1, section 6, is amended to read:<br/>
<a id="pl.19.25"></a><var>19.25</var><b>256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE </b><br/>
<a id="pl.19.26"></a><var>19.26</var><b>PROGRAMS.</b><br/>
<a id="pl.19.27"></a><var>19.27</var>    (a) A vendor of medical care, as defined in section 
         <statute_ref>256B.02, subdivision 7</statute_ref>, and a <br/>
<a id="pl.19.28"></a><var>19.28</var>health maintenance organization, as defined in chapter 62D, must participate as a provider <br/>
<a id="pl.19.29"></a><var>19.29</var>or contractor in the medical assistance program, general assistance medical care program, <br/>
<a id="pl.19.30"></a><var>19.30</var>and MinnesotaCare as a condition of participating as a provider in health insurance plans <br/>
<a id="pl.19.31"></a><var>19.31</var>and programs or contractor for state employees established under section 
         <statute_ref>43A.18</statute_ref>, the <br/>
<a id="pl.19.32"></a><var>19.32</var>public employees insurance program under section 
         <statute_ref>43A.316</statute_ref>, for health insurance plans <br/>
<a id="pl.19.33"></a><var>19.33</var>offered to local statutory or home rule charter city, county, and school district employees, <br/>
<a id="pl.20.1"></a><var>20.1</var>the workers' compensation system under section 
         <statute_ref>176.135</statute_ref>, and insurance plans provided <br/>
<a id="pl.20.2"></a><var>20.2</var>through the Minnesota Comprehensive Health Association under sections 
         <statute_ref>62E.01</statute_ref> to <br/>
<statute_ref><a id="pl.20.3"></a><var>20.3</var>62E.19
         </statute_ref>. The limitations on insurance plans offered to local government employees shall <br/>
<a id="pl.20.4"></a><var>20.4</var>not be applicable in geographic areas where provider participation is limited by managed <br/>
<a id="pl.20.5"></a><var>20.5</var>care contracts with the Department of Human Services.<br/>
<a id="pl.20.6"></a><var>20.6</var>    (b) For providers other than health maintenance organizations, participation in the <br/>
<a id="pl.20.7"></a><var>20.7</var>medical assistance program means that:<br/>
<a id="pl.20.8"></a><var>20.8</var>     (1) the provider accepts new medical assistance, general assistance medical care, <br/>
<a id="pl.20.9"></a><var>20.9</var>and MinnesotaCare patients;<br/>
<a id="pl.20.10"></a><var>20.10</var>    (2) for providers other than dental service providers, at least 20 percent of the <br/>
<a id="pl.20.11"></a><var>20.11</var>provider's patients are covered by medical assistance, general assistance medical care, <br/>
<a id="pl.20.12"></a><var>20.12</var>and MinnesotaCare as their primary source of coverage; or<br/>
<a id="pl.20.13"></a><var>20.13</var>    (3) for dental service providers, at least ten percent of the provider's patients are <br/>
<a id="pl.20.14"></a><var>20.14</var>covered by medical assistance, general assistance medical care, and MinnesotaCare as <br/>
<a id="pl.20.15"></a><var>20.15</var>their primary source of coverage, or the provider accepts new medical assistance and <br/>
<a id="pl.20.16"></a><var>20.16</var>MinnesotaCare patients who are children with special health care needs. For purposes <br/>
<a id="pl.20.17"></a><var>20.17</var>of this section, "children with special health care needs" means children up to age 18 <br/>
<a id="pl.20.18"></a><var>20.18</var>who: (i) require health and related services beyond that required by children generally; <br/>
<a id="pl.20.19"></a><var>20.19</var>and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional <br/>
<a id="pl.20.20"></a><var>20.20</var>condition, including: bleeding and coagulation disorders; immunodeficiency disorders; <br/>
<a id="pl.20.21"></a><var>20.21</var>cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other <br/>
<a id="pl.20.22"></a><var>20.22</var>neurological diseases; visual impairment or deafness; Down syndrome and other genetic <br/>
<a id="pl.20.23"></a><var>20.23</var>disorders; autism; fetal alcohol syndrome; and other conditions designated by the <br/>
<a id="pl.20.24"></a><var>20.24</var>commissioner after consultation with representatives of pediatric dental providers and <br/>
<a id="pl.20.25"></a><var>20.25</var>consumers.<br/>
<a id="pl.20.26"></a><var>20.26</var>    (c) Patients seen on a volunteer basis by the provider at a location other than <br/>
<a id="pl.20.27"></a><var>20.27</var>the provider's usual place of practice may be considered in meeting the participation <br/>
<a id="pl.20.28"></a><var>20.28</var>requirement in this section. The commissioner shall establish participation requirements <br/>
<a id="pl.20.29"></a><var>20.29</var>for health maintenance organizations. The commissioner shall provide lists of participating <br/>
<a id="pl.20.30"></a><var>20.30</var>medical assistance providers on a quarterly basis to the commissioner of management and <br/>
<a id="pl.20.31"></a><var>20.31</var>budget, the commissioner of labor and industry, and the commissioner of commerce. Each <br/>
<a id="pl.20.32"></a><var>20.32</var>of the commissioners shall develop and implement procedures to exclude as participating <br/>
<a id="pl.20.33"></a><var>20.33</var>providers in the program or programs under their jurisdiction those providers who do <br/>
<a id="pl.20.34"></a><var>20.34</var>not participate in the medical assistance program. The commissioner of management <br/>
<a id="pl.20.35"></a><var>20.35</var>and budget shall implement this section through contracts with participating health and <br/>
<a id="pl.20.36"></a><var>20.36</var>dental carriers.<br/>
<a id="pl.21.1"></a><var>21.1</var>(d) Any hospital or other provider that is participating in a coordinated care <br/>
<a id="pl.21.2"></a><var>21.2</var>delivery system under section 
<statute_ref>256D.031, subdivision 6</statute_ref>, or receives payments from the <br/>
<a id="pl.21.3"></a><var>21.3</var>uncompensated care pool under section 
<statute_ref>256D.031, subdivision 8</statute_ref>, shall not refuse to <br/>
<a id="pl.21.4"></a><var>21.4</var>provide services to any patient enrolled in general assistance medical care regardless of <br/>
<a id="pl.21.5"></a><var>21.5</var>the availability or the amount of payment.<br/>
<a id="pl.21.6"></a><var>21.6</var>    (e) For purposes of paragraphs (a) and (b), participation in the general assistance <br/>
<a id="pl.21.7"></a><var>21.7</var>medical care program applies only to pharmacy providers.<br/>
<a id="pl.21.8"></a><var>21.8</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.22.0"></a><a id="pl.21.9"></a><var>21.9</var>    Sec. 22. Minnesota Statutes 2009 Supplement, section 256B.0653, subdivision 5, <br/>
<a id="pl.21.10"></a><var>21.10</var>is amended to read:<br/>
<a id="pl.21.11"></a><var>21.11</var>    Subd. 5. <b>Home care therapies.</b> (a) Home care therapies include the following: <br/>
<a id="pl.21.12"></a><var>21.12</var>physical therapy, occupational therapy, respiratory therapy, and speech and language <br/>
<a id="pl.21.13"></a><var>21.13</var>pathology therapy services.<br/>
<a id="pl.21.14"></a><var>21.14</var>(b) Home care therapies must be:<br/>
<a id="pl.21.15"></a><var>21.15</var>(1) provided in the recipient's residence after it has been determined the recipient is <br/>
<a id="pl.21.16"></a><var>21.16</var>unable to access outpatient therapy;<br/>
<a id="pl.21.17"></a><var>21.17</var>(2) prescribed, ordered, or referred by a physician and documented in a plan of care <br/>
<a id="pl.21.18"></a><var>21.18</var>and reviewed, according to Minnesota Rules, part 9505.0390;<br/>
<a id="pl.21.19"></a><var>21.19</var>(3) assessed by an appropriate therapist; and<br/>
<a id="pl.21.20"></a><var>21.20</var>(4) provided by a Medicare-certified home health agency enrolled as a Medicaid <br/>
<a id="pl.21.21"></a><var>21.21</var>provider agency.<br/>
<a id="pl.21.22"></a><var>21.22</var>(c) Restorative and specialized maintenance therapies must be provided according to <br/>
<a id="pl.21.23"></a><var>21.23</var>Minnesota Rules, part 9505.0390. Physical and occupational therapy assistants may be <br/>
<a id="pl.21.24"></a><var>21.24</var>used as allowed under Minnesota Rules, part 9505.0390, subpart 1, item B.<br/>
<a id="pl.21.25"></a><var>21.25</var>(d) For both physical and occupational therapies, the therapist and the therapist's <br/>
<a id="pl.21.26"></a><var>21.26</var>assistant may not both bill for services provided to a recipient on the same day.<br/>
<br/>
<a id="bill.1.23.0"></a><a id="pl.21.27"></a><var>21.27</var>    Sec. 23. <b>[256B.0755] HEALTH CARE DELIVERY SYSTEMS </b><br/>
<a id="pl.21.28"></a><var>21.28</var><b>DEMONSTRATION PROJECT.</b><br/>
<a id="pl.21.29"></a><var>21.29</var>    Subdivision 1. <b>Implementation.</b> (a) The commissioner shall develop and <br/>
<a id="pl.21.30"></a><var>21.30</var>authorize a demonstration project to test alternative and innovative health care delivery <br/>
<a id="pl.21.31"></a><var>21.31</var>systems, including accountable care organizations that provide services to a specified <br/>
<a id="pl.21.32"></a><var>21.32</var>patient population for an agreed upon total cost of care or risk-gain sharing payment <br/>
<a id="pl.21.33"></a><var>21.33</var>arrangement. The commissioner shall develop a request for proposals for participation in <br/>
<a id="pl.22.1"></a><var>22.1</var>the demonstration project in consultation with hospitals, primary care providers, health <br/>
<a id="pl.22.2"></a><var>22.2</var>plans, and other key stakeholders.<br/>
<a id="pl.22.3"></a><var>22.3</var>(b) In developing the request for proposals, the commissioner shall:<br/>
<a id="pl.22.4"></a><var>22.4</var>(1) establish uniform statewide methods of forecasting utilization and cost of care <br/>
<a id="pl.22.5"></a><var>22.5</var>for the appropriate Minnesota public program populations, to be used by the commissioner <br/>
<a id="pl.22.6"></a><var>22.6</var>for the health care delivery system projects;<br/>
<a id="pl.22.7"></a><var>22.7</var>(2) identify key indicators of quality, access, patient satisfaction, and other <br/>
<a id="pl.22.8"></a><var>22.8</var>performance indicators that will be measured, in addition to indicators for measuring <br/>
<a id="pl.22.9"></a><var>22.9</var>cost savings;<br/>
<a id="pl.22.10"></a><var>22.10</var>(3) allow maximum flexibility to encourage innovation and variation so that a variety <br/>
<a id="pl.22.11"></a><var>22.11</var>of provider collaborations are able to become health care delivery systems;<br/>
<a id="pl.22.12"></a><var>22.12</var>(4) encourage and authorize different levels and types of financial risk;<br/>
<a id="pl.22.13"></a><var>22.13</var>(5) encourage and authorize projects representing a wide variety of geographic <br/>
<a id="pl.22.14"></a><var>22.14</var>locations, patient populations, provider relationships, and care coordination models;<br/>
<a id="pl.22.15"></a><var>22.15</var>(6) encourage projects that involve close partnerships between the health care <br/>
<a id="pl.22.16"></a><var>22.16</var>delivery system and counties and nonprofit agencies that provide services to patients <br/>
<a id="pl.22.17"></a><var>22.17</var>enrolled with the health care delivery system, including social services, public health, <br/>
<a id="pl.22.18"></a><var>22.18</var>mental health, community-based services, and continuing care;<br/>
<a id="pl.22.19"></a><var>22.19</var>(7) encourage projects established by community hospitals, clinics, and other <br/>
<a id="pl.22.20"></a><var>22.20</var>providers in rural communities;<br/>
<a id="pl.22.21"></a><var>22.21</var>(8) identify required covered services for a total cost of care model or services <br/>
<a id="pl.22.22"></a><var>22.22</var>considered in whole or partially in an analysis of utilization for a risk/gain sharing model;<br/>
<a id="pl.22.23"></a><var>22.23</var>(9) establish a mechanism to monitor enrollment;<br/>
<a id="pl.22.24"></a><var>22.24</var>(10) establish quality standards for the delivery system demonstrations; and<br/>
<a id="pl.22.25"></a><var>22.25</var>(11) encourage participation of privately insured population so as to create sufficient <br/>
<a id="pl.22.26"></a><var>22.26</var>alignment in demonstration systems.<br/>
<a id="pl.22.27"></a><var>22.27</var>(c) To be eligible to participate in the demonstration project, a health care delivery <br/>
<a id="pl.22.28"></a><var>22.28</var>system must:<br/>
<a id="pl.22.29"></a><var>22.29</var>(1) provide required covered services and care coordination to recipients enrolled in <br/>
<a id="pl.22.30"></a><var>22.30</var>the health care delivery system;<br/>
<a id="pl.22.31"></a><var>22.31</var>(2) establish a process to monitor enrollment and ensure the quality of care provided;<br/>
<a id="pl.22.32"></a><var>22.32</var>(3) in cooperation with counties and community social service agencies, coordinate <br/>
<a id="pl.22.33"></a><var>22.33</var>the delivery of health care services with existing social services programs;<br/>
<a id="pl.22.34"></a><var>22.34</var>(4) provide a system for advocacy and consumer protection; and<br/>
<a id="pl.23.1"></a><var>23.1</var>(5) adopt innovative and cost-effective methods of care delivery and coordination, <br/>
<a id="pl.23.2"></a><var>23.2</var>which may include the use of allied health professionals, telemedicine, patient educators, <br/>
<a id="pl.23.3"></a><var>23.3</var>care coordinators, and community health workers.<br/>
<a id="pl.23.4"></a><var>23.4</var>(d) A health care delivery system demonstration may be formed by the following <br/>
<a id="pl.23.5"></a><var>23.5</var>groups of providers of services and suppliers if they have established a mechanism for <br/>
<a id="pl.23.6"></a><var>23.6</var>shared governance:<br/>
<a id="pl.23.7"></a><var>23.7</var>(1) professionals in group practice arrangements;<br/>
<a id="pl.23.8"></a><var>23.8</var>(2) networks of individual practices of professionals;<br/>
<a id="pl.23.9"></a><var>23.9</var>(3) partnerships or joint venture arrangements between hospitals and ACO <br/>
<a id="pl.23.10"></a><var>23.10</var>professionals;<br/>
<a id="pl.23.11"></a><var>23.11</var>(4) hospitals employing professionals; and<br/>
<a id="pl.23.12"></a><var>23.12</var>(5) other groups of providers of services and suppliers as the commissioner <br/>
<a id="pl.23.13"></a><var>23.13</var>determines appropriate.<br/>
<a id="pl.23.14"></a><var>23.14</var>A managed care plan or county-based purchasing plan may participate in this <br/>
<a id="pl.23.15"></a><var>23.15</var>demonstration in collaboration with one or more of the entities listed in clauses (1) to (5).<br/>
<a id="pl.23.16"></a><var>23.16</var>A health care delivery system may contract with a managed care plan or a <br/>
<a id="pl.23.17"></a><var>23.17</var>county-based purchasing plan to provide administrative services, including the <br/>
<a id="pl.23.18"></a><var>23.18</var>administration of a payment system using the payment methods established by the <br/>
<a id="pl.23.19"></a><var>23.19</var>commissioner for health care delivery systems.<br/>
<a id="pl.23.20"></a><var>23.20</var>(e) The commissioner may require a health care delivery system to enter into <br/>
<a id="pl.23.21"></a><var>23.21</var>additional third-party contractual relationships for the assessment of risk and purchase of <br/>
<a id="pl.23.22"></a><var>23.22</var>stop loss insurance or another form of insurance risk management related to the delivery <br/>
<a id="pl.23.23"></a><var>23.23</var>of care described in paragraph (c).<br/>
<a id="pl.23.24"></a><var>23.24</var>    Subd. 2. <b>Enrollment.</b> (a) Individuals eligible for medical assistance or <br/>
<a id="pl.23.25"></a><var>23.25</var>MinnesotaCare shall be eligible for enrollment in a health care delivery system.<br/>
<a id="pl.23.26"></a><var>23.26</var>(b) Eligible applicants and recipients may enroll in a health care delivery system if <br/>
<a id="pl.23.27"></a><var>23.27</var>a system serves the county in which the applicant or recipient resides. If more than one <br/>
<a id="pl.23.28"></a><var>23.28</var>health care delivery system serves a county, the applicant or recipient shall be allowed <br/>
<a id="pl.23.29"></a><var>23.29</var>to choose among the delivery systems. The commissioner may assign an applicant or <br/>
<a id="pl.23.30"></a><var>23.30</var>recipient to a health care delivery system if a health care delivery system is available and <br/>
<a id="pl.23.31"></a><var>23.31</var>no choice has been made by the applicant or recipient.<br/>
<a id="pl.23.32"></a><var>23.32</var>    Subd. 3. <b>Accountability.</b> (a) Health care delivery systems must accept responsibility <br/>
<a id="pl.23.33"></a><var>23.33</var>for the quality of care based on standards established under subdivision 1, paragraph (b), <br/>
<a id="pl.23.34"></a><var>23.34</var>clause (10), and the cost of care or utilization of services provided to its enrollees under <br/>
<a id="pl.23.35"></a><var>23.35</var>subdivision 1, paragraph (b), clause (1).<br/>
<a id="pl.24.1"></a><var>24.1</var>(b) A health care delivery system may contract and coordinate with providers and <br/>
<a id="pl.24.2"></a><var>24.2</var>clinics for the delivery of services and shall contract with community health clinics, <br/>
<a id="pl.24.3"></a><var>24.3</var>federally qualified health centers, and rural clinics to the extent practicable.<br/>
<a id="pl.24.4"></a><var>24.4</var>    Subd. 4. <b>Payment system.</b> (a) In developing a payment system for health care <br/>
<a id="pl.24.5"></a><var>24.5</var>delivery systems, the commissioner shall establish a total cost of care benchmark or a <br/>
<a id="pl.24.6"></a><var>24.6</var>risk/gain sharing payment model to be paid for services provided to the recipients enrolled <br/>
<a id="pl.24.7"></a><var>24.7</var>in a health care delivery system.<br/>
<a id="pl.24.8"></a><var>24.8</var>(b) The payment system may include incentive payments to health care delivery <br/>
<a id="pl.24.9"></a><var>24.9</var>systems that meet or exceed annual quality and performance targets realized through <br/>
<a id="pl.24.10"></a><var>24.10</var>the coordination of care.<br/>
<a id="pl.24.11"></a><var>24.11</var>(c) An amount equal to the savings realized to the general fund as a result of the <br/>
<a id="pl.24.12"></a><var>24.12</var>demonstration project shall be transferred each fiscal year to the health care access fund.<br/>
<a id="pl.24.13"></a><var>24.13</var>    Subd. 5. <b>Outpatient prescription drug coverage.</b> Outpatient prescription drug <br/>
<a id="pl.24.14"></a><var>24.14</var>coverage may be provided through accountable care organizations only if the delivery <br/>
<a id="pl.24.15"></a><var>24.15</var>method qualifies for federal prescription drug rebates.<br/>
<a id="pl.24.16"></a><var>24.16</var>    Subd. 6. <b>Federal approval.</b> The commissioner shall apply for any federal waivers <br/>
<a id="pl.24.17"></a><var>24.17</var>or other federal approval required to implement this section. The commissioner shall <br/>
<a id="pl.24.18"></a><var>24.18</var>also apply for any applicable grant or demonstration under the Patient Protection and <br/>
<a id="pl.24.19"></a><var>24.19</var>Affordable Health Care Act, Public Law 111-148, or the Health Care and Education <br/>
<a id="pl.24.20"></a><var>24.20</var>Reconciliation Act of 2010, Public Law 111-152, that would further the purposes of or <br/>
<a id="pl.24.21"></a><var>24.21</var>assist in the establishment of accountable care organizations.<br/>
<a id="pl.24.22"></a><var>24.22</var>    Subd. 7. <b>Expansion.</b> The commissioner shall explore the expansion of the <br/>
<a id="pl.24.23"></a><var>24.23</var>demonstration project to include additional medical assistance and MinnesotaCare <br/>
<a id="pl.24.24"></a><var>24.24</var>enrollees, and shall seek participation of Medicare in demonstration projects. The <br/>
<a id="pl.24.25"></a><var>24.25</var>commissioner shall seek to include participation of privately insured persons and Medicare <br/>
<a id="pl.24.26"></a><var>24.26</var>recipients in the health care delivery demonstration.<br/>
<a id="pl.24.27"></a><var>24.27</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.1.24.0"></a><a id="pl.24.28"></a><var>24.28</var>    Sec. 24. <b>[256B.0756] HENNEPIN AND RAMSEY COUNTIES PILOT </b><br/>
<a id="pl.24.29"></a><var>24.29</var><b>PROGRAM.</b><br/>
<a id="pl.24.30"></a><var>24.30</var>(a) The commissioner, upon federal approval of a new waiver request or amendment <br/>
<a id="pl.24.31"></a><var>24.31</var>of an existing demonstration, may establish a pilot program in Hennepin County or <br/>
<a id="pl.24.32"></a><var>24.32</var>Ramsey County, or both, to test alternative and innovative integrated health care delivery <br/>
<a id="pl.24.33"></a><var>24.33</var>networks.<br/>
<a id="pl.25.1"></a><var>25.1</var>(b) Individuals eligible for the pilot program shall be individuals who are eligible for <br/>
<a id="pl.25.2"></a><var>25.2</var>medical assistance under Minnesota Statutes, section 256B.055, subdivision 15, and who <br/>
<a id="pl.25.3"></a><var>25.3</var>reside in Hennepin County or Ramsey County.<br/>
<a id="pl.25.4"></a><var>25.4</var>(c) Individuals enrolled in the pilot shall be enrolled in an integrated health care <br/>
<a id="pl.25.5"></a><var>25.5</var>delivery network in their county of residence. The integrated health care delivery network <br/>
<a id="pl.25.6"></a><var>25.6</var>in Hennepin County shall be a network, such as an accountable care organization or a <br/>
<a id="pl.25.7"></a><var>25.7</var>community-based collaborative care network, created by or including Hennepin County <br/>
<a id="pl.25.8"></a><var>25.8</var>Medical Center. The integrated health care delivery network in Ramsey County shall be <br/>
<a id="pl.25.9"></a><var>25.9</var>a network, such as an accountable care organization or community-based collaborative <br/>
<a id="pl.25.10"></a><var>25.10</var>care network, created by or including Regions Hospital.<br/>
<a id="pl.25.11"></a><var>25.11</var>(d) The commissioner shall cap pilot program enrollment at 7,000 enrollees for <br/>
<a id="pl.25.12"></a><var>25.12</var>Hennepin County and 3,500 enrollees for Ramsey County.<br/>
<a id="pl.25.13"></a><var>25.13</var>(e) In developing a payment system for the pilot programs, the commissioner shall <br/>
<a id="pl.25.14"></a><var>25.14</var>establish a total cost of care for the recipients enrolled in the pilot programs that equals <br/>
<a id="pl.25.15"></a><var>25.15</var>the cost of care that would otherwise be spent for these enrollees in the prepaid medical <br/>
<a id="pl.25.16"></a><var>25.16</var>assistance program.<br/>
<a id="pl.25.17"></a><var>25.17</var>(f) Counties may transfer funds necessary to support the nonfederal share of <br/>
<a id="pl.25.18"></a><var>25.18</var>payments for integrated health care delivery networks in their county. Such transfers per <br/>
<a id="pl.25.19"></a><var>25.19</var>county shall not exceed 15 percent of the expected expenses for county enrollees.<br/>
<a id="pl.25.20"></a><var>25.20</var>(g) The commissioner shall apply to the federal government for, or as appropriate, <br/>
<a id="pl.25.21"></a><var>25.21</var>cooperate with counties, providers, or other entities that are applying for any applicable <br/>
<a id="pl.25.22"></a><var>25.22</var>grant or demonstration under the Patient Protection and Affordable Health Care Act, Public <br/>
<a id="pl.25.23"></a><var>25.23</var>Law 111-148, or the Health Care and Education Reconciliation Act of 2010, Public Law <br/>
<a id="pl.25.24"></a><var>25.24</var>111-152, that would further the purposes of or assist in the creation of an integrated health <br/>
<a id="pl.25.25"></a><var>25.25</var>care delivery network for the purposes of this subdivision, including, but not limited to, a <br/>
<a id="pl.25.26"></a><var>25.26</var>global payment demonstration or the community-based collaborative care network grants.<br/>
<br/>
<a id="bill.1.25.0"></a><a id="pl.25.27"></a><var>25.27</var>    Sec. 25. Minnesota Statutes 2009 Supplement, section 256B.69, subdivision 5a, <br/>
<a id="pl.25.28"></a><var>25.28</var>is amended to read:<br/>
<a id="pl.25.29"></a><var>25.29</var>    Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section <br/>
<a id="pl.25.30"></a><var>25.30</var>and sections 
         <statute_ref>256L.12</statute_ref> and 
         <statute_ref>256D.03</statute_ref>, shall be entered into or renewed on a calendar year <br/>
<a id="pl.25.31"></a><var>25.31</var>basis beginning January 1, 1996. Managed care contracts which were in effect on June <br/>
<a id="pl.25.32"></a><var>25.32</var>30, 1995, and set to renew on July 1, 1995, shall be renewed for the period July 1, 1995 <br/>
<a id="pl.25.33"></a><var>25.33</var>through December 31, 1995 at the same terms that were in effect on June 30, 1995. The <br/>
<a id="pl.25.34"></a><var>25.34</var>commissioner may issue separate contracts with requirements specific to services to <br/>
<a id="pl.25.35"></a><var>25.35</var>medical assistance recipients age 65 and older.<br/>
<a id="pl.26.1"></a><var>26.1</var>    (b) A prepaid health plan providing covered health services for eligible persons <br/>
<a id="pl.26.2"></a><var>26.2</var>pursuant to chapters 256B, 256D, and 256L, is responsible for complying with the terms <br/>
<a id="pl.26.3"></a><var>26.3</var>of its contract with the commissioner. Requirements applicable to managed care programs <br/>
<a id="pl.26.4"></a><var>26.4</var>under chapters 256B, 256D, and 256L, established after the effective date of a contract <br/>
<a id="pl.26.5"></a><var>26.5</var>with the commissioner take effect when the contract is next issued or renewed.<br/>
<a id="pl.26.6"></a><var>26.6</var>    (c) Effective for services rendered on or after January 1, 2003, the commissioner <br/>
<a id="pl.26.7"></a><var>26.7</var>shall withhold five percent of managed care plan payments under this section and <br/>
<a id="pl.26.8"></a><var>26.8</var>county-based purchasing plan's payment rate plan payments under section 
         <statute_ref>256B.692 </statute_ref>for <br/>
<a id="pl.26.9"></a><var>26.9</var>the prepaid medical assistance and general assistance medical care programs pending <br/>
<a id="pl.26.10"></a><var>26.10</var>completion of performance targets. Each performance target must be quantifiable, <br/>
<a id="pl.26.11"></a><var>26.11</var>objective, measurable, and reasonably attainable, except in the case of a performance target <br/>
<a id="pl.26.12"></a><var>26.12</var>based on a federal or state law or rule. Criteria for assessment of each performance target <br/>
<a id="pl.26.13"></a><var>26.13</var>must be outlined in writing prior to the contract effective date. The managed care plan <br/>
<a id="pl.26.14"></a><var>26.14</var>must demonstrate, to the commissioner's satisfaction, that the data submitted regarding <br/>
<a id="pl.26.15"></a><var>26.15</var>attainment of the performance target is accurate. The commissioner shall periodically <br/>
<a id="pl.26.16"></a><var>26.16</var>change the administrative measures used as performance targets in order to improve plan <br/>
<a id="pl.26.17"></a><var>26.17</var>performance across a broader range of administrative services. The performance targets <br/>
<a id="pl.26.18"></a><var>26.18</var>must include measurement of plan efforts to contain spending on health care services and <br/>
<a id="pl.26.19"></a><var>26.19</var>administrative activities. The commissioner may adopt plan-specific performance targets <br/>
<a id="pl.26.20"></a><var>26.20</var>that take into account factors affecting only one plan, including characteristics of the <br/>
<a id="pl.26.21"></a><var>26.21</var>plan's enrollee population. The withheld funds must be returned no sooner than July of the <br/>
<a id="pl.26.22"></a><var>26.22</var>following year if performance targets in the contract are achieved. The commissioner may <br/>
<a id="pl.26.23"></a><var>26.23</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.26.24"></a><var>26.24</var>    (d) Effective for services rendered on or after January 1, 2009, through December 31, <br/>
<a id="pl.26.25"></a><var>26.25</var>2009, the commissioner shall withhold three percent of managed care plan payments under <br/>
<a id="pl.26.26"></a><var>26.26</var>this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the <br/>
<a id="pl.26.27"></a><var>26.27</var>prepaid medical assistance and general assistance medical care programs. The withheld <br/>
<a id="pl.26.28"></a><var>26.28</var>funds must be returned no sooner than July 1 and no later than July 31 of the following <br/>
<a id="pl.26.29"></a><var>26.29</var>year. The commissioner may exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.26.30"></a><var>26.30</var>    The return of the withhold under this paragraph is not subject to the requirements of <br/>
<a id="pl.26.31"></a><var>26.31</var>paragraph (c).<br/>
<a id="pl.26.32"></a><var>26.32</var>(e) Effective for services provided on or after January 1, 2010, the commissioner <br/>
<a id="pl.26.33"></a><var>26.33</var>shall require that managed care plans use the assessment and authorization processes, <br/>
<a id="pl.26.34"></a><var>26.34</var>forms, timelines, standards, documentation, and data reporting requirements, protocols, <br/>
<a id="pl.26.35"></a><var>26.35</var>billing processes, and policies consistent with medical assistance fee-for-service or the <br/>
<a id="pl.26.36"></a><var>26.36</var>Department of Human Services contract requirements consistent with medical assistance <br/>
<a id="pl.27.1"></a><var>27.1</var>fee-for-service or the Department of Human Services contract requirements for all <br/>
<a id="pl.27.2"></a><var>27.2</var>personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br/>
<a id="pl.27.3"></a><var>27.3</var>(f) Effective for services rendered on or after January 1, 2010, through December <br/>
<a id="pl.27.4"></a><var>27.4</var>31, 2010, the commissioner shall withhold 3.5 percent of managed care plan payments <br/>
<a id="pl.27.5"></a><var>27.5</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.27.6"></a><var>27.6</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.27.7"></a><var>27.7</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.27.8"></a><var>27.8</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.27.9"></a><var>27.9</var>(g) Effective for services rendered on or after January 1, 2011, the commissioner <br/>
<a id="pl.27.10"></a><var>27.10</var>shall include as part of the performance targets described in paragraph (c) a reduction in <br/>
<a id="pl.27.11"></a><var>27.11</var>the health plan's emergency room utilization rate for state health care program enrollees <br/>
<a id="pl.27.12"></a><var>27.12</var>by a measurable rate of five percent from the plan's utilization rate for state health care <br/>
<a id="pl.27.13"></a><var>27.13</var>program enrollees for the previous calendar year.<br/>
<a id="pl.27.14"></a><var>27.14</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.27.15"></a><var>27.15</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.27.16"></a><var>27.16</var>plan demonstrates to the satisfaction of the commissioner that a reduction in the utilization <br/>
<a id="pl.27.17"></a><var>27.17</var>rate was achieved.<br/>
<a id="pl.27.18"></a><var>27.18</var>The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.27.19"></a><var>27.19</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.27.20"></a><var>27.20</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization <br/>
<a id="pl.27.21"></a><var>27.21</var>rate for state health care program enrollees for calendar year 2009. Hospitals shall <br/>
<a id="pl.27.22"></a><var>27.22</var>cooperate with the health plans in meeting this performance target and shall accept <br/>
<a id="pl.27.23"></a><var>27.23</var>payment withholds that may be returned to the hospitals if the performance target is <br/>
<a id="pl.27.24"></a><var>27.24</var>achieved. The commissioner shall structure the withhold so that the commissioner returns <br/>
<a id="pl.27.25"></a><var>27.25</var>a portion of the withheld funds in amounts commensurate with achieved reductions in <br/>
<a id="pl.27.26"></a><var>27.26</var>utilization less than the targeted amount. The withhold in this paragraph does not apply to <br/>
<a id="pl.27.27"></a><var>27.27</var>county-based purchasing plans.<br/>
<a id="pl.27.28"></a><var>27.28</var>(g) (h) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.27.29"></a><var>27.29</var>31, 2011, the commissioner shall withhold four percent of managed care plan payments <br/>
<a id="pl.27.30"></a><var>27.30</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> <br/>
<a id="pl.27.31"></a><var>27.31</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.27.32"></a><var>27.32</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.27.33"></a><var>27.33</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.27.34"></a><var>27.34</var>(h) (i) Effective for services rendered on or after January 1, 2012, through December <br/>
<a id="pl.27.35"></a><var>27.35</var>31, 2012, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.27.36"></a><var>27.36</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.28.1"></a><var>28.1</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.28.2"></a><var>28.2</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.28.3"></a><var>28.3</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.28.4"></a><var>28.4</var>(i) (j) Effective for services rendered on or after January 1, 2013, through December <br/>
<a id="pl.28.5"></a><var>28.5</var>31, 2013, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.28.6"></a><var>28.6</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.28.7"></a><var>28.7</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.28.8"></a><var>28.8</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.28.9"></a><var>28.9</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.28.10"></a><var>28.10</var>(j) (k) Effective for services rendered on or after January 1, 2014, the commissioner <br/>
<a id="pl.28.11"></a><var>28.11</var>shall withhold three percent of managed care plan payments under this section and <br/>
<a id="pl.28.12"></a><var>28.12</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical <br/>
<a id="pl.28.13"></a><var>28.13</var>assistance and prepaid general assistance medical care programs. The withheld funds must <br/>
<a id="pl.28.14"></a><var>28.14</var>be returned no sooner than July 1 and no later than July 31 of the following year. The <br/>
<a id="pl.28.15"></a><var>28.15</var>commissioner may exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.28.16"></a><var>28.16</var>(k) (l) A managed care plan or a county-based purchasing plan under section <br/>
<statute_ref><a id="pl.28.17"></a><var>28.17</var>256B.692 
         </statute_ref>may include as admitted assets under section 
         <statute_ref>62D.044</statute_ref> any amount withheld <br/>
<a id="pl.28.18"></a><var>28.18</var>under this section that is reasonably expected to be returned.<br/>
<a id="pl.28.19"></a><var>28.19</var>(l) (m) Contracts between the commissioner and a prepaid health plan are exempt <br/>
<a id="pl.28.20"></a><var>28.20</var>from the set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph <br/>
<a id="pl.28.21"></a><var>28.21</var>(a), and 7.<br/>
<a id="pl.28.22"></a><var>28.22</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.26.0"></a><a id="pl.28.23"></a><var>28.23</var>    Sec. 26. Minnesota Statutes 2008, section 256B.69, is amended by adding a <br/>
<a id="pl.28.24"></a><var>28.24</var>subdivision to read:<br/>
<a id="pl.28.25"></a><var>28.25</var>    Subd. 5k. <b>Rate modifications.</b> For services rendered on or after October 1, 2010, <br/>
<a id="pl.28.26"></a><var>28.26</var>the total payment made to managed care plans and county-based purchasing plans under <br/>
<a id="pl.28.27"></a><var>28.27</var>the medical assistance program shall be increased by 1.28 percent.<br/>
<a id="pl.28.28"></a><var>28.28</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2010.<br/>
<br/>
<a id="bill.1.27.0"></a><a id="pl.28.29"></a><var>28.29</var>    Sec. 27. Minnesota Statutes 2008, section 256B.69, subdivision 20, as amended by <br/>
<a id="pl.28.30"></a><var>28.30</var>Laws 2010, chapter 200, article 1, section 10, is amended to read:<br/>
<a id="pl.28.31"></a><var>28.31</var>    Subd. 20. <b>Ombudsperson.</b> (a) The commissioner shall designate an ombudsperson <br/>
<a id="pl.28.32"></a><var>28.32</var>to advocate for persons required to enroll in prepaid health plans under this section. The <br/>
<a id="pl.28.33"></a><var>28.33</var>ombudsperson shall advocate for recipients enrolled in prepaid health plans through <br/>
<a id="pl.29.1"></a><var>29.1</var>complaint and appeal procedures and ensure that necessary medical services are provided <br/>
<a id="pl.29.2"></a><var>29.2</var>either by the prepaid health plan directly or by referral to appropriate social services. At <br/>
<a id="pl.29.3"></a><var>29.3</var>the time of enrollment in a prepaid health plan, the local agency shall inform recipients <br/>
<a id="pl.29.4"></a><var>29.4</var>about the ombudsperson program and their right to a resolution of a complaint by the <br/>
<a id="pl.29.5"></a><var>29.5</var>prepaid health plan if they experience a problem with the plan or its providers.<br/>
<a id="pl.29.6"></a><var>29.6</var>    (b) The commissioner shall designate an ombudsperson to advocate for persons <br/>
<a id="pl.29.7"></a><var>29.7</var>enrolled in a care coordination delivery system under section 
<statute_ref>256D.031</statute_ref>. The <br/>
<a id="pl.29.8"></a><var>29.8</var>ombudsperson shall advocate for recipients enrolled in a care coordination delivery <br/>
<a id="pl.29.9"></a><var>29.9</var>system through the state appeal process and assist enrollees in accessing necessary <br/>
<a id="pl.29.10"></a><var>29.10</var>medical services through the care coordination delivery systems directly or by referral to <br/>
<a id="pl.29.11"></a><var>29.11</var>appropriate services. At the time of enrollment in a care coordination delivery system, the <br/>
<a id="pl.29.12"></a><var>29.12</var>local agency shall inform recipients about the ombudsperson program.<br/>
<br/>
<a id="bill.1.28.0"></a><a id="pl.29.13"></a><var>29.13</var>    Sec. 28. Minnesota Statutes 2008, section 256B.69, subdivision 27, is amended to read:<br/>
<a id="pl.29.14"></a><var>29.14</var>    Subd. 27.  <b>Information for persons with limited English-language proficiency.</b><br/>
<a id="pl.29.15"></a><var>29.15</var>    Managed care contracts entered into under this section and sections 
<statute_ref>256D.03, subdivision <br/>
<a id="pl.29.16"></a><var>29.16</var>4
</statute_ref>, paragraph (c), and section 
<statute_ref>256L.12</statute_ref> must require demonstration providers to provide <br/>
<a id="pl.29.17"></a><var>29.17</var>language assistance to enrollees that ensures meaningful access to its programs and <br/>
<a id="pl.29.18"></a><var>29.18</var>services according to Title VI of the Civil Rights Act and federal regulations adopted <br/>
<a id="pl.29.19"></a><var>29.19</var>under that law or any guidance from the United States Department of Health and Human <br/>
<a id="pl.29.20"></a><var>29.20</var>Services. <br/>
<a id="pl.29.21"></a><var>29.21</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from April 1, 2010.<br/>
<br/>
<a id="bill.1.29.0"></a><a id="pl.29.22"></a><var>29.22</var>    Sec. 29. Minnesota Statutes 2008, section 256B.692, subdivision 1, is amended to read:<br/>
<a id="pl.29.23"></a><var>29.23</var>    Subdivision 1. <b>In general.</b> County boards or groups of county boards may elect <br/>
<a id="pl.29.24"></a><var>29.24</var>to purchase or provide health care services on behalf of persons eligible for medical <br/>
<a id="pl.29.25"></a><var>29.25</var>assistance and general assistance medical care who would otherwise be required to or may <br/>
<a id="pl.29.26"></a><var>29.26</var>elect to participate in the prepaid medical assistance or prepaid general assistance medical <br/>
<a id="pl.29.27"></a><var>29.27</var>care programs according to sections section 
<statute_ref>256B.69</statute_ref> and 
<statute_ref>256D.03</statute_ref>. Counties that elect to <br/>
<a id="pl.29.28"></a><var>29.28</var>purchase or provide health care under this section must provide all services included in <br/>
<a id="pl.29.29"></a><var>29.29</var>prepaid managed care programs according to sections section 
<statute_ref>256B.69, subdivisions 1 <br/>
<a id="pl.29.30"></a><var>29.30</var>to 22
         </statute_ref>, and 
<statute_ref>256D.03</statute_ref>. County-based purchasing under this section is governed by section <br/>
<statute_ref><a id="pl.29.31"></a><var>29.31</var>256B.69
         </statute_ref>, unless otherwise provided for under this section.  <br/>
<a id="pl.29.32"></a><var>29.32</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from April 1, 2010.<br/>
<br/>
<a id="bill.1.30.0"></a><a id="pl.30.1"></a><var>30.1</var>    Sec. 30. Minnesota Statutes 2009 Supplement, section 256B.76, subdivision 1, is <br/>
<a id="pl.30.2"></a><var>30.2</var>amended to read:<br/>
<a id="pl.30.3"></a><var>30.3</var>    Subdivision 1. <b>Physician reimbursement. </b> (a) Effective for services rendered on <br/>
<a id="pl.30.4"></a><var>30.4</var>or after October 1, 1992, the commissioner shall make payments for physician services <br/>
<a id="pl.30.5"></a><var>30.5</var>as follows:<br/>
<a id="pl.30.6"></a><var>30.6</var>    (1) payment for level one Centers for Medicare and Medicaid Services' common <br/>
<a id="pl.30.7"></a><var>30.7</var>procedural coding system codes titled "office and other outpatient services," "preventive <br/>
<a id="pl.30.8"></a><var>30.8</var>medicine new and established patient," "delivery, antepartum, and postpartum care," <br/>
<a id="pl.30.9"></a><var>30.9</var>"critical care," cesarean delivery and pharmacologic management provided to psychiatric <br/>
<a id="pl.30.10"></a><var>30.10</var>patients, and level three codes for enhanced services for prenatal high risk, shall be paid <br/>
<a id="pl.30.11"></a><var>30.11</var>at the lower of (i) submitted charges, or (ii) 25 percent above the rate in effect on June <br/>
<a id="pl.30.12"></a><var>30.12</var>30, 1992. If the rate on any procedure code within these categories is different than the <br/>
<a id="pl.30.13"></a><var>30.13</var>rate that would have been paid under the methodology in section 
         <statute_ref>256B.74, subdivision 2</statute_ref>, <br/>
<a id="pl.30.14"></a><var>30.14</var>then the larger rate shall be paid;<br/>
<a id="pl.30.15"></a><var>30.15</var>    (2) payments for all other services shall be paid at the lower of (i) submitted charges, <br/>
<a id="pl.30.16"></a><var>30.16</var>or (ii) 15.4 percent above the rate in effect on June 30, 1992; and<br/>
<a id="pl.30.17"></a><var>30.17</var>    (3) all physician rates shall be converted from the 50th percentile of 1982 to the 50th <br/>
<a id="pl.30.18"></a><var>30.18</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases <br/>
<a id="pl.30.19"></a><var>30.19</var>except that payment rates for home health agency services shall be the rates in effect <br/>
<a id="pl.30.20"></a><var>30.20</var>on September 30, 1992.<br/>
<a id="pl.30.21"></a><var>30.21</var>    (b) Effective for services rendered on or after January 1, 2000, payment rates for <br/>
<a id="pl.30.22"></a><var>30.22</var>physician and professional services shall be increased by three percent over the rates <br/>
<a id="pl.30.23"></a><var>30.23</var>in effect on December 31, 1999, except for home health agency and family planning <br/>
<a id="pl.30.24"></a><var>30.24</var>agency services. The increases in this paragraph shall be implemented January 1, 2000, <br/>
<a id="pl.30.25"></a><var>30.25</var>for managed care.<br/>
<a id="pl.30.26"></a><var>30.26</var>(c) Effective for services rendered on or after July 1, 2009, payment rates for <br/>
<a id="pl.30.27"></a><var>30.27</var>physician and professional services shall be reduced by five percent over the rates in effect <br/>
<a id="pl.30.28"></a><var>30.28</var>on June 30, 2009. This reduction does and the reductions in paragraph (d) do not apply <br/>
<a id="pl.30.29"></a><var>30.29</var>to office or other outpatient visits, preventive medicine visits and family planning visits <br/>
<a id="pl.30.30"></a><var>30.30</var>billed by physicians, advanced practice nurses, or physician assistants in a family planning <br/>
<a id="pl.30.31"></a><var>30.31</var>agency or in one of the following primary care practices: general practice, general internal <br/>
<a id="pl.30.32"></a><var>30.32</var>medicine, general pediatrics, general geriatrics, and family medicine. This reduction does <br/>
<a id="pl.30.33"></a><var>30.33</var>and the reductions in paragraph (d) do not apply to federally qualified health centers, <br/>
<a id="pl.30.34"></a><var>30.34</var>rural health centers, and Indian health services. Effective October 1, 2009, payments <br/>
<a id="pl.30.35"></a><var>30.35</var>made to managed care plans and county-based purchasing plans under sections 
         <statute_ref>256B.69</statute_ref>, <br/>
<statute_ref><a id="pl.30.36"></a><var>30.36</var>256B.692
         </statute_ref>, and 
         <statute_ref>256L.12</statute_ref> shall reflect the payment reduction described in this paragraph.<br/>
<a id="pl.31.1"></a><var>31.1</var>(d) Effective for services rendered on or after July 1, 2010, payment rates for <br/>
<a id="pl.31.2"></a><var>31.2</var>physician and professional services shall be reduced an additional seven percent over the <br/>
<a id="pl.31.3"></a><var>31.3</var>rates described in paragraph (c). This additional reduction does not apply to physical <br/>
<a id="pl.31.4"></a><var>31.4</var>therapy services, occupational therapy services, and speech pathology and related <br/>
<a id="pl.31.5"></a><var>31.5</var>services provided on or after July 1, 2010. This additional reduction does not apply to <br/>
<a id="pl.31.6"></a><var>31.6</var>physician services billed by a psychiatrist or advanced practice nurse with a specialty in <br/>
<a id="pl.31.7"></a><var>31.7</var>mental health. Effective October 1, 2010, payments made to managed care plans and <br/>
<a id="pl.31.8"></a><var>31.8</var>county-based purchasing plans under sections 256B.69, 256B.692, and 256L.12 shall <br/>
<a id="pl.31.9"></a><var>31.9</var>reflect the payment reduction described in this paragraph.<br/>
<a id="pl.31.10"></a><var>31.10</var>(e) Effective for services rendered on or after October 1, 2010, payment rates for <br/>
<a id="pl.31.11"></a><var>31.11</var>physician and professional services billed by physicians employed by and clinics owned <br/>
<a id="pl.31.12"></a><var>31.12</var>by a nonprofit health maintenance organization shall be increased by 25 percent. Effective <br/>
<a id="pl.31.13"></a><var>31.13</var>October 1, 2010, payments made to managed care plans and county-based purchasing <br/>
<a id="pl.31.14"></a><var>31.14</var>plans under sections 256B.69, 256B.692, and 256L.12, shall reflect the payment increase <br/>
<a id="pl.31.15"></a><var>31.15</var>described in this paragraph.<br/>
<a id="pl.31.16"></a><var>31.16</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.31.0"></a><a id="pl.31.17"></a><var>31.17</var>    Sec. 31. Minnesota Statutes 2008, section 256B.76, subdivision 2, is amended to read:<br/>
<a id="pl.31.18"></a><var>31.18</var>    Subd. 2. <b>Dental reimbursement. </b> (a) Effective for services rendered on or after <br/>
<a id="pl.31.19"></a><var>31.19</var>October 1, 1992, the commissioner shall make payments for dental services as follows:<br/>
<a id="pl.31.20"></a><var>31.20</var>    (1) dental services shall be paid at the lower of (i) submitted charges, or (ii) 25 <br/>
<a id="pl.31.21"></a><var>31.21</var>percent above the rate in effect on June 30, 1992; and<br/>
<a id="pl.31.22"></a><var>31.22</var>    (2) dental rates shall be converted from the 50th percentile of 1982 to the 50th <br/>
<a id="pl.31.23"></a><var>31.23</var>percentile of 1989, less the percent in aggregate necessary to equal the above increases.<br/>
<a id="pl.31.24"></a><var>31.24</var>    (b) Beginning October 1, 1999, the payment for tooth sealants and fluoride treatments <br/>
<a id="pl.31.25"></a><var>31.25</var>shall be the lower of (1) submitted charge, or (2) 80 percent of median 1997 charges.<br/>
<a id="pl.31.26"></a><var>31.26</var>    (c) Effective for services rendered on or after January 1, 2000, payment rates for <br/>
<a id="pl.31.27"></a><var>31.27</var>dental services shall be increased by three percent over the rates in effect on December <br/>
<a id="pl.31.28"></a><var>31.28</var>31, 1999.<br/>
<a id="pl.31.29"></a><var>31.29</var>    (d) Effective for services provided on or after January 1, 2002, payment for <br/>
<a id="pl.31.30"></a><var>31.30</var>diagnostic examinations and dental x-rays provided to children under age 21 shall be the <br/>
<a id="pl.31.31"></a><var>31.31</var>lower of (1) the submitted charge, or (2) 85 percent of median 1999 charges.<br/>
<a id="pl.31.32"></a><var>31.32</var>    (e) The increases listed in paragraphs (b) and (c) shall be implemented January 1, <br/>
<a id="pl.31.33"></a><var>31.33</var>2000, for managed care.<br/>
<a id="pl.31.34"></a><var>31.34</var>(f) Effective for dental services rendered on or after October 1, 2010, by a <br/>
<a id="pl.31.35"></a><var>31.35</var>state-operated dental clinic, payment shall be paid on a reasonable cost basis that is based <br/>
<a id="pl.32.1"></a><var>32.1</var>on the Medicare principles of reimbursement. This payment shall be effective for services <br/>
<a id="pl.32.2"></a><var>32.2</var>rendered on or after January 1, 2011, to recipients enrolled in managed care plans or <br/>
<a id="pl.32.3"></a><var>32.3</var>county-based purchasing plans.<br/>
<a id="pl.32.4"></a><var>32.4</var>(g) Beginning in fiscal year 2011, if the payments to state-operated dental clinics <br/>
<a id="pl.32.5"></a><var>32.5</var>in paragraph (f), including state and federal shares, are less than $1,850,000 per fiscal <br/>
<a id="pl.32.6"></a><var>32.6</var>year, a supplemental state payment equal to the difference between the total payments <br/>
<a id="pl.32.7"></a><var>32.7</var>in paragraph (f) and $1,850,000 shall be paid from the general fund to state-operated <br/>
<a id="pl.32.8"></a><var>32.8</var>services for the operation of the dental clinics.<br/>
<a id="pl.32.9"></a><var>32.9</var>(h) If the cost-based payment system for state-operated dental clinics described in <br/>
<a id="pl.32.10"></a><var>32.10</var>paragraph (f) does not receive federal approval, then state-operated dental clinics shall be <br/>
<a id="pl.32.11"></a><var>32.11</var>designated as critical access dental providers under subdivision 4, paragraph (b), and shall <br/>
<a id="pl.32.12"></a><var>32.12</var>receive the critical access dental reimbursement rate as described under subdivision 4, <br/>
<a id="pl.32.13"></a><var>32.13</var>paragraph (a).<br/>
<a id="pl.32.14"></a><var>32.14</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.32.0"></a><a id="pl.32.15"></a><var>32.15</var>    Sec. 32. Minnesota Statutes 2008, section 256B.76, subdivision 4, is amended to read:<br/>
<a id="pl.32.16"></a><var>32.16</var>    Subd. 4. <b>Critical access dental providers. </b> (a) Effective for dental services <br/>
<a id="pl.32.17"></a><var>32.17</var>rendered on or after January 1, 2002, the commissioner shall increase reimbursements <br/>
<a id="pl.32.18"></a><var>32.18</var>to dentists and dental clinics deemed by the commissioner to be critical access dental <br/>
<a id="pl.32.19"></a><var>32.19</var>providers. For dental services rendered on or after July 1, 2007, the commissioner shall <br/>
<a id="pl.32.20"></a><var>32.20</var>increase reimbursement by 30 percent above the reimbursement rate that would otherwise <br/>
<a id="pl.32.21"></a><var>32.21</var>be paid to the critical access dental provider. The commissioner shall pay the health plan <br/>
<a id="pl.32.22"></a><var>32.22</var>companies managed care plans and county-based purchasing plans  in amounts sufficient <br/>
<a id="pl.32.23"></a><var>32.23</var>to reflect increased reimbursements to critical access dental providers as approved by the <br/>
<a id="pl.32.24"></a><var>32.24</var>commissioner. In determining which dentists and dental clinics shall be deemed critical <br/>
<a id="pl.32.25"></a><var>32.25</var>access dental providers, the commissioner shall review:<br/>
<a id="pl.32.26"></a><var>32.26</var>(b) The commissioner shall designate the following dentists and dental clinics as <br/>
<a id="pl.32.27"></a><var>32.27</var>critical access dental providers:<br/>
<a id="pl.32.28"></a><var>32.28</var>    (1) the utilization rate in the service area in which the dentist or dental clinic operates <br/>
<a id="pl.32.29"></a><var>32.29</var>for dental services to patients covered by medical assistance, general assistance medical <br/>
<a id="pl.32.30"></a><var>32.30</var>care, or MinnesotaCare as their primary source of coverage nonprofit community clinics <br/>
<a id="pl.32.31"></a><var>32.31</var>that:<br/>
<a id="pl.32.32"></a><var>32.32</var>(i) have nonprofit status in accordance with chapter 317A;<br/>
<a id="pl.32.33"></a><var>32.33</var>(ii) have tax exempt status in accordance with the Internal Revenue Code, section <br/>
<a id="pl.32.34"></a><var>32.34</var>501(c)(3);<br/>
<a id="pl.33.1"></a><var>33.1</var>(iii) are established to provide oral health services to patients who are low income, <br/>
<a id="pl.33.2"></a><var>33.2</var>uninsured, have special needs, and are underserved;<br/>
<a id="pl.33.3"></a><var>33.3</var>(iv) have professional staff familiar with the cultural background of the clinic's <br/>
<a id="pl.33.4"></a><var>33.4</var>patients;<br/>
<a id="pl.33.5"></a><var>33.5</var>(v) charge for services on a sliding fee scale designed to provide assistance to <br/>
<a id="pl.33.6"></a><var>33.6</var>low-income patients based on current poverty income guidelines and family size;<br/>
<a id="pl.33.7"></a><var>33.7</var>(vi) do not restrict access or services because of a patient's financial limitations <br/>
<a id="pl.33.8"></a><var>33.8</var>or public assistance status; and<br/>
<a id="pl.33.9"></a><var>33.9</var>(vii) have free care available as needed;<br/>
<a id="pl.33.10"></a><var>33.10</var>    (2) the level of services provided by the dentist or dental clinic to patients covered <br/>
<a id="pl.33.11"></a><var>33.11</var>by medical assistance, general assistance medical care, or MinnesotaCare as their primary <br/>
<a id="pl.33.12"></a><var>33.12</var>source of coverage federally qualified health centers, rural health clinics, and public <br/>
<a id="pl.33.13"></a><var>33.13</var>health clinics; and<br/>
<a id="pl.33.14"></a><var>33.14</var>    (3) whether the level of services provided by the dentist or dental clinic is critical <br/>
<a id="pl.33.15"></a><var>33.15</var>to maintaining adequate levels of patient access within the service area county owned <br/>
<a id="pl.33.16"></a><var>33.16</var>and operated hospital-based dental clinics;<br/>
<a id="pl.33.17"></a><var>33.17</var>(4) a dental clinic or dental group owned and operated by a nonprofit corporation in <br/>
<a id="pl.33.18"></a><var>33.18</var>accordance with chapter 317A with more than 10,000 patient encounters per year with <br/>
<a id="pl.33.19"></a><var>33.19</var>patients who are uninsured or covered by medical assistance, general assistance medical <br/>
<a id="pl.33.20"></a><var>33.20</var>care, or MinnesotaCare; and<br/>
<a id="pl.33.21"></a><var>33.21</var>(5) a dental clinic associated with an oral health or dental education program <br/>
<a id="pl.33.22"></a><var>33.22</var>operated by the University of Minnesota or an institution within the Minnesota State <br/>
<a id="pl.33.23"></a><var>33.23</var>Colleges and Universities system.<br/>
<a id="pl.33.24"></a><var>33.24</var>    In the absence of a critical access dental provider in a service area,  (c) The <br/>
<a id="pl.33.25"></a><var>33.25</var>commissioner may designate a dentist or dental clinic as a critical access dental provider <br/>
<a id="pl.33.26"></a><var>33.26</var>if the dentist or dental clinic is willing to provide care to patients covered by medical <br/>
<a id="pl.33.27"></a><var>33.27</var>assistance, general assistance medical care, or MinnesotaCare at a level which significantly <br/>
<a id="pl.33.28"></a><var>33.28</var>increases access to dental care in the service area.<br/>
<a id="pl.33.29"></a><var>33.29</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.33.0"></a><a id="pl.33.30"></a><var>33.30</var>    Sec. 33. Minnesota Statutes 2009 Supplement, section 256B.766, is amended to read: <br/>
<a id="pl.33.31"></a><var>33.31</var><b>256B.766 REIMBURSEMENT FOR BASIC CARE SERVICES.</b><br/>
<a id="pl.33.32"></a><var>33.32</var>(a) Effective for services provided on or after July 1, 2009, total payments for <br/>
<a id="pl.33.33"></a><var>33.33</var>basic care services, shall be reduced by three percent, prior to third-party liability and <br/>
<a id="pl.33.34"></a><var>33.34</var>spenddown calculation. This reduction applies to physical therapy services, occupational <br/>
<a id="pl.34.1"></a><var>34.1</var>therapy services, and speech language pathology and related services provided on or after <br/>
<a id="pl.34.2"></a><var>34.2</var>July 1, 2010. Effective July 1, 2010, the commissioner shall classify physical therapy <br/>
<a id="pl.34.3"></a><var>34.3</var>services, occupational therapy services, and speech language pathology and related <br/>
<a id="pl.34.4"></a><var>34.4</var>services as basic care services. Effective October 1, 2010, payments made to managed care <br/>
<a id="pl.34.5"></a><var>34.5</var>and county-based purchasing plans shall reflect the July 1, 2010, payment adjustments in <br/>
<a id="pl.34.6"></a><var>34.6</var>this paragraph. Payments made to managed care plans and county-based purchasing plans <br/>
<a id="pl.34.7"></a><var>34.7</var>shall be reduced for services provided on or after October 1, 2009, to reflect this reduction.<br/>
<a id="pl.34.8"></a><var>34.8</var>(b) This section does not apply to physician and professional services, inpatient <br/>
<a id="pl.34.9"></a><var>34.9</var>hospital services, family planning services, mental health services, dental services, <br/>
<a id="pl.34.10"></a><var>34.10</var>prescription drugs, medical transportation, federally qualified health centers, rural health <br/>
<a id="pl.34.11"></a><var>34.11</var>centers, Indian health services, and Medicare cost-sharing.<br/>
<br/>
<a id="bill.1.34.0"></a><a id="pl.34.12"></a><var>34.12</var>    Sec. 34. <b>[256B.767] MEDICARE PAYMENT LIMIT.</b><br/>
<a id="pl.34.13"></a><var>34.13</var>Effective for services rendered on or after July 1, 2010, fee-for-service payment rates <br/>
<a id="pl.34.14"></a><var>34.14</var>for physician and professional services under section 256B.76, subdivision 1, and basic <br/>
<a id="pl.34.15"></a><var>34.15</var>care services subject to the rate reduction specified in section 256B.766, shall not exceed <br/>
<a id="pl.34.16"></a><var>34.16</var>the Medicare payment rate for the applicable service. The commissioner shall implement <br/>
<a id="pl.34.17"></a><var>34.17</var>this section after any other rate adjustment that is effective July 1, 2010, and shall reduce <br/>
<a id="pl.34.18"></a><var>34.18</var>rates under this section by first reducing or eliminating provider rate add-ons.<br/>
<br/>
<a id="bill.1.35.0"></a><a id="pl.34.19"></a><var>34.19</var>    Sec. 35. Minnesota Statutes 2009 Supplement, section 256D.03, subdivision 3, as <br/>
<a id="pl.34.20"></a><var>34.20</var>amended by Laws 2010, chapter 200, article 1, section 11, is amended to read:<br/>
<a id="pl.34.21"></a><var>34.21</var>    Subd. 3. <b>General assistance medical care; eligibility.</b> (a) Beginning April 1, 2010, <br/>
<a id="pl.34.22"></a><var>34.22</var>the general assistance medical care program shall be administered according to section <br/>
<statute_ref><a id="pl.34.23"></a><var>34.23</var>256D.031
         </statute_ref>, unless otherwise stated, except for outpatient prescription drug coverage, <br/>
<a id="pl.34.24"></a><var>34.24</var>which shall continue to be administered under this section and funded under section <br/>
<statute_ref><a id="pl.34.25"></a><var>34.25</var>256D.031, subdivision 9
         </statute_ref>, beginning June 1, 2010.<br/>
<a id="pl.34.26"></a><var>34.26</var>(b) Outpatient prescription drug coverage under general assistance medical care is <br/>
<a id="pl.34.27"></a><var>34.27</var>limited to prescription drugs that:<br/>
<a id="pl.34.28"></a><var>34.28</var>(1) are covered under the medical assistance program as described in section <br/>
<statute_ref><a id="pl.34.29"></a><var>34.29</var>256B.0625, subdivisions 13
         </statute_ref> and 13d; and<br/>
<a id="pl.34.30"></a><var>34.30</var>(2) are provided by manufacturers that have fully executed general assistance <br/>
<a id="pl.34.31"></a><var>34.31</var>medical care rebate agreements with the commissioner and comply with the agreements. <br/>
<a id="pl.34.32"></a><var>34.32</var>Outpatient prescription drug coverage under general assistance medical care must conform <br/>
<a id="pl.34.33"></a><var>34.33</var>to coverage under the medical assistance program according to section 
         <statute_ref>256B.0625, <br/>
<a id="pl.34.34"></a><var>34.34</var>subdivisions 13
         </statute_ref> to 13g 13h.<br/>
<a id="pl.35.1"></a><var>35.1</var>    (c) Outpatient prescription drug coverage does not include drugs administered in a <br/>
<a id="pl.35.2"></a><var>35.2</var>clinic or other outpatient setting.<br/>
<a id="pl.35.3"></a><var>35.3</var>(d) For the period beginning April 1, 2010, to May 31, 2010, general assistance <br/>
<a id="pl.35.4"></a><var>35.4</var>medical care covers the services listed in subdivision 4.<br/>
<a id="pl.35.5"></a><var>35.5</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from April 1, 2010.<br/>
<br/>
<a id="bill.1.36.0"></a><a id="pl.35.6"></a><var>35.6</var>    Sec. 36. Minnesota Statutes 2008, section 256D.03, subdivision 3b, is amended to read:<br/>
<a id="pl.35.7"></a><var>35.7</var>    Subd. 3b. <b>Cooperation.</b> (a) General assistance or general assistance medical care <br/>
<a id="pl.35.8"></a><var>35.8</var>applicants and recipients must cooperate with the state and local agency to identify <br/>
<a id="pl.35.9"></a><var>35.9</var>potentially liable third-party payors and assist the state in obtaining third-party payments. <br/>
<a id="pl.35.10"></a><var>35.10</var>Cooperation includes identifying any third party who may be liable for care and services <br/>
<a id="pl.35.11"></a><var>35.11</var>provided under this chapter to the applicant, recipient, or any other family member for <br/>
<a id="pl.35.12"></a><var>35.12</var>whom application is made and providing relevant information to assist the state in pursuing <br/>
<a id="pl.35.13"></a><var>35.13</var>a potentially liable third party. General assistance medical care applicants and recipients <br/>
<a id="pl.35.14"></a><var>35.14</var>must cooperate by providing information about any group health plan in which they may <br/>
<a id="pl.35.15"></a><var>35.15</var>be eligible to enroll. They must cooperate with the state and local agency in determining <br/>
<a id="pl.35.16"></a><var>35.16</var>if the plan is cost-effective. For purposes of this subdivision, coverage provided by the <br/>
<a id="pl.35.17"></a><var>35.17</var>Minnesota Comprehensive Health Association under chapter 62E shall not be considered <br/>
<a id="pl.35.18"></a><var>35.18</var>group health plan coverage or cost-effective by the state and local agency. If the plan is <br/>
<a id="pl.35.19"></a><var>35.19</var>determined cost-effective and the premium will be paid by the state or local agency or is <br/>
<a id="pl.35.20"></a><var>35.20</var>available at no cost to the person, they must enroll or remain enrolled in the group health <br/>
<a id="pl.35.21"></a><var>35.21</var>plan. Cost-effective insurance premiums approved for payment by the state agency and <br/>
<a id="pl.35.22"></a><var>35.22</var>paid by the local agency are eligible for reimbursement according to subdivision 6.<br/>
<a id="pl.35.23"></a><var>35.23</var>    (b) Effective for all premiums due on or after June 30, 1997, general assistance <br/>
<a id="pl.35.24"></a><var>35.24</var>medical care does not cover premiums that a recipient is required to pay under a qualified <br/>
<a id="pl.35.25"></a><var>35.25</var>or Medicare supplement plan issued by the Minnesota Comprehensive Health Association. <br/>
<a id="pl.35.26"></a><var>35.26</var>General assistance medical care shall continue to cover premiums for recipients who are <br/>
<a id="pl.35.27"></a><var>35.27</var>covered under a plan issued by the Minnesota Comprehensive Health Association on June <br/>
<a id="pl.35.28"></a><var>35.28</var>30, 1997, for a period of six months following receipt of the notice of termination or <br/>
<a id="pl.35.29"></a><var>35.29</var>until December 31, 1997, whichever is later.<br/>
<a id="pl.35.30"></a><var>35.30</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.37.0"></a><a id="pl.35.31"></a><var>35.31</var>    Sec. 37. Minnesota Statutes 2008, section 256D.031, subdivision 5, as added by Laws <br/>
<a id="pl.35.32"></a><var>35.32</var>2010, chapter 200, article 1, section 12, subdivision 5, is amended to read:<br/>
<a id="pl.36.1"></a><var>36.1</var>    Subd. 5. <b>Payment rates and contract modification; April 1, 2010, to </b><b>May 31</b><b> </b><br/>
<a id="pl.36.2"></a><var>36.2</var><b>June 30</b><b>, 2010.</b> (a) For the period April 1, 2010, to May 31 June 30, 2010, general <br/>
<a id="pl.36.3"></a><var>36.3</var>assistance medical care shall be paid on a fee-for-service basis. Fee-for-service payment <br/>
<a id="pl.36.4"></a><var>36.4</var>rates for services other than outpatient prescription drugs shall be set at 37 percent of the <br/>
<a id="pl.36.5"></a><var>36.5</var>payment rate in effect on March 31, 2010, except that for the period June 1, 2010, to June <br/>
<a id="pl.36.6"></a><var>36.6</var>30, 2010, fee-for-service payment rates for services other than prescription drugs shall be <br/>
<a id="pl.36.7"></a><var>36.7</var>set at 27 percent of the payment rate in effect on March 31, 2010.<br/>
<a id="pl.36.8"></a><var>36.8</var>(b) Outpatient prescription drugs covered under section 
         <statute_ref>256D.03, subdivision <br/>
<a id="pl.36.9"></a><var>36.9</var>3
         </statute_ref>, provided on or after April 1, 2010, to May 31 June 30, 2010, shall be paid on a <br/>
<a id="pl.36.10"></a><var>36.10</var>fee-for-service basis according to section 
         <statute_ref>256B.0625, subdivisions 13</statute_ref> to 13g.<br/>
<a id="pl.36.11"></a><var>36.11</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.38.0"></a><a id="pl.36.12"></a><var>36.12</var>    Sec. 38. Minnesota Statutes 2009 Supplement, section 256L.03, subdivision 5, is <br/>
<a id="pl.36.13"></a><var>36.13</var>amended to read:<br/>
<a id="pl.36.14"></a><var>36.14</var>    Subd. 5. <b>Co-payments and coinsurance.</b> (a) Except as provided in paragraphs (b) <br/>
<a id="pl.36.15"></a><var>36.15</var>and (c), the MinnesotaCare benefit plan shall include the following co-payments and <br/>
<a id="pl.36.16"></a><var>36.16</var>coinsurance requirements for all enrollees:<br/>
<a id="pl.36.17"></a><var>36.17</var>    (1) ten percent of the paid charges for inpatient hospital services for adult enrollees, <br/>
<a id="pl.36.18"></a><var>36.18</var>subject to an annual inpatient out-of-pocket maximum of $1,000 per individual;<br/>
<a id="pl.36.19"></a><var>36.19</var>    (2) $3 per prescription for adult enrollees;<br/>
<a id="pl.36.20"></a><var>36.20</var>    (3) $25 for eyeglasses for adult enrollees;<br/>
<a id="pl.36.21"></a><var>36.21</var>    (4) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means an <br/>
<a id="pl.36.22"></a><var>36.22</var>episode of service which is required because of a recipient's symptoms, diagnosis, or <br/>
<a id="pl.36.23"></a><var>36.23</var>established illness, and which is delivered in an ambulatory setting by a physician or <br/>
<a id="pl.36.24"></a><var>36.24</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse, <br/>
<a id="pl.36.25"></a><var>36.25</var>audiologist, optician, or optometrist; and<br/>
<a id="pl.36.26"></a><var>36.26</var>    (5) $6 for nonemergency visits to a hospital-based emergency room for services <br/>
<a id="pl.36.27"></a><var>36.27</var>provided through December 31, 2010, and $3.50 effective January 1, 2011.<br/>
<a id="pl.36.28"></a><var>36.28</var>    (b) Paragraph (a), clause (1), does not apply to parents and relative caretakers of <br/>
<a id="pl.36.29"></a><var>36.29</var>children under the age of 21.<br/>
<a id="pl.36.30"></a><var>36.30</var>    (c) Paragraph (a) does not apply to pregnant women and children under the age of 21.<br/>
<a id="pl.36.31"></a><var>36.31</var>    (d) Paragraph (a), clause (4), does not apply to mental health services.<br/>
<a id="pl.36.32"></a><var>36.32</var>    (e) Adult enrollees with family gross income that exceeds 200 percent of the federal <br/>
<a id="pl.36.33"></a><var>36.33</var>poverty guidelines or 215 percent of the federal poverty guidelines on or after July 1, 2009, <br/>
<a id="pl.36.34"></a><var>36.34</var>and who are not pregnant shall be financially responsible for the coinsurance amount, if <br/>
<a id="pl.36.35"></a><var>36.35</var>applicable, and amounts which exceed the $10,000 inpatient hospital benefit limit.<br/>
<a id="pl.37.1"></a><var>37.1</var>    (f) When a MinnesotaCare enrollee becomes a member of a prepaid health plan, <br/>
<a id="pl.37.2"></a><var>37.2</var>or changes from one prepaid health plan to another during a calendar year, any charges <br/>
<a id="pl.37.3"></a><var>37.3</var>submitted towards the $10,000 annual inpatient benefit limit, and any out-of-pocket <br/>
<a id="pl.37.4"></a><var>37.4</var>expenses incurred by the enrollee for inpatient services, that were submitted or incurred <br/>
<a id="pl.37.5"></a><var>37.5</var>prior to enrollment, or prior to the change in health plans, shall be disregarded.<br/>
<a id="pl.37.6"></a><var>37.6</var>(g) MinnesotaCare reimbursements to fee-for-service providers and payments to <br/>
<a id="pl.37.7"></a><var>37.7</var>managed care plans or county-based purchasing plans shall not be increased as a result of <br/>
<a id="pl.37.8"></a><var>37.8</var>the reduction of the co-payments in paragraph (a), clause (5), effective January 1, 2011.<br/>
<a id="pl.37.9"></a><var>37.9</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.39.0"></a><a id="pl.37.10"></a><var>37.10</var>    Sec. 39. Minnesota Statutes 2008, section 256L.11, subdivision 6, is amended to read:<br/>
<a id="pl.37.11"></a><var>37.11</var>    Subd. 6. <b>Enrollees 18 or older.</b> Payment by the MinnesotaCare program for <br/>
<a id="pl.37.12"></a><var>37.12</var>inpatient hospital services provided to MinnesotaCare enrollees eligible under section <br/>
<statute_ref><a id="pl.37.13"></a><var>37.13</var>256L.04, subdivision 7
         </statute_ref>, or who qualify under section 
         <statute_ref>256L.04, subdivisions 1 and 2</statute_ref>, <br/>
<a id="pl.37.14"></a><var>37.14</var>with family gross income that exceeds 175 percent of the federal poverty guidelines <br/>
<a id="pl.37.15"></a><var>37.15</var>and who are not pregnant, who are 18 years old or older on the date of admission to the <br/>
<a id="pl.37.16"></a><var>37.16</var>inpatient hospital must be in accordance with paragraphs (a) and (b). Payment for adults <br/>
<a id="pl.37.17"></a><var>37.17</var>who are not pregnant and are eligible under section 
         <statute_ref>256L.04, subdivisions 1 and 2</statute_ref>, and <br/>
<a id="pl.37.18"></a><var>37.18</var>whose incomes are equal to or less than 175 percent of the federal poverty guidelines, <br/>
<a id="pl.37.19"></a><var>37.19</var>shall be as provided for under paragraph (c). <br/>
<a id="pl.37.20"></a><var>37.20</var>(a) If the medical assistance rate minus any co-payment required under section <br/>
<statute_ref><a id="pl.37.21"></a><var>37.21</var>256L.03, subdivision 4
         </statute_ref>, is less than or equal to the amount remaining in the enrollee's <br/>
<a id="pl.37.22"></a><var>37.22</var>benefit limit under section 
         <statute_ref>256L.03, subdivision 3</statute_ref>, payment must be the medical <br/>
<a id="pl.37.23"></a><var>37.23</var>assistance rate minus any co-payment required under section 
         <statute_ref>256L.03, subdivision 4</statute_ref>. The <br/>
<a id="pl.37.24"></a><var>37.24</var>hospital must not seek payment from the enrollee in addition to the co-payment. The <br/>
<a id="pl.37.25"></a><var>37.25</var>MinnesotaCare payment plus the co-payment must be treated as payment in full. <br/>
<a id="pl.37.26"></a><var>37.26</var>(b) If the medical assistance rate minus any co-payment required under section <br/>
<statute_ref><a id="pl.37.27"></a><var>37.27</var>256L.03, subdivision 4
         </statute_ref>, is greater than the amount remaining in the enrollee's benefit limit <br/>
<a id="pl.37.28"></a><var>37.28</var>under section 
         <statute_ref>256L.03, subdivision 3</statute_ref>, payment must be the lesser of: <br/>
<a id="pl.37.29"></a><var>37.29</var>(1) the amount remaining in the enrollee's benefit limit; or<br/>
<a id="pl.37.30"></a><var>37.30</var>(2) charges submitted for the inpatient hospital services less any co-payment <br/>
<a id="pl.37.31"></a><var>37.31</var>established under section 
         <statute_ref>256L.03, subdivision 4</statute_ref>. <br/>
<a id="pl.37.32"></a><var>37.32</var>The hospital may seek payment from the enrollee for the amount by which usual and <br/>
<a id="pl.37.33"></a><var>37.33</var>customary charges exceed the payment under this paragraph. If payment is reduced under <br/>
<a id="pl.37.34"></a><var>37.34</var>section 
         <statute_ref>256L.03, subdivision 3</statute_ref>, paragraph (b), the hospital may not seek payment from the <br/>
<a id="pl.37.35"></a><var>37.35</var>enrollee for the amount of the reduction. <br/>
<a id="pl.38.1"></a><var>38.1</var>(c) For admissions occurring during the period of July 1, 1997, through June 30, <br/>
<a id="pl.38.2"></a><var>38.2</var>1998, for adults who are not pregnant and are eligible under section 
<statute_ref>256L.04, subdivisions <br/>
<a id="pl.38.3"></a><var>38.3</var>1 and 2
</statute_ref>, and whose incomes are equal to or less than 175 percent of the federal poverty <br/>
<a id="pl.38.4"></a><var>38.4</var>guidelines, the commissioner shall pay hospitals directly, up to the medical assistance <br/>
<a id="pl.38.5"></a><var>38.5</var>payment rate, for inpatient hospital benefits in excess of the $10,000 annual inpatient <br/>
<a id="pl.38.6"></a><var>38.6</var>benefit limit.  For admissions occurring on or after July 1, 2011, for single adults and <br/>
<a id="pl.38.7"></a><var>38.7</var>households without children who are eligible under section 256L.04, subdivision 7, the <br/>
<a id="pl.38.8"></a><var>38.8</var>commissioner shall pay hospitals directly, up to the medical assistance payment rate, for <br/>
<a id="pl.38.9"></a><var>38.9</var>inpatient hospital benefits up to the $10,000 annual inpatient benefit limit, minus any <br/>
<a id="pl.38.10"></a><var>38.10</var>co-payment required under section 256L.03, subdivision 5.<br/>
<br/>
<a id="bill.1.40.0"></a><a id="pl.38.11"></a><var>38.11</var>    Sec. 40. Minnesota Statutes 2008, section 256L.07, is amended by adding a subdivision <br/>
<a id="pl.38.12"></a><var>38.12</var>to read:<br/>
<a id="pl.38.13"></a><var>38.13</var>    Subd. 9. <b>Firefighters; volunteer ambulance attendants.</b> (a) For purposes of this <br/>
<a id="pl.38.14"></a><var>38.14</var>subdivision, "qualified individual" means:<br/>
<a id="pl.38.15"></a><var>38.15</var>(1) a volunteer firefighter with a department as defined in section 299N.01, <br/>
<a id="pl.38.16"></a><var>38.16</var>subdivision 2, who has passed the probationary period; and<br/>
<a id="pl.38.17"></a><var>38.17</var>(2) a volunteer ambulance attendant as defined in section 144E.001, subdivision 15.<br/>
<a id="pl.38.18"></a><var>38.18</var>(b) A qualified individual who documents to the satisfaction of the commissioner <br/>
<a id="pl.38.19"></a><var>38.19</var>status as a qualified individual by completing and submitting a one-page form developed <br/>
<a id="pl.38.20"></a><var>38.20</var>by the commissioner is eligible for MinnesotaCare without meeting other eligibility <br/>
<a id="pl.38.21"></a><var>38.21</var>requirements of this chapter, but must pay premiums equal to the average expected <br/>
<a id="pl.38.22"></a><var>38.22</var>capitation rate for adults with no children paid under section 256L.12. Individuals eligible <br/>
<a id="pl.38.23"></a><var>38.23</var>under this subdivision shall receive coverage for the benefit set provided to adults with no <br/>
<a id="pl.38.24"></a><var>38.24</var>children.<br/>
<a id="pl.38.25"></a><var>38.25</var><b>EFFECTIVE DATE.</b>This section is effective April 1, 2011.<br/>
<br/>
<a id="bill.1.41.0"></a><a id="pl.38.26"></a><var>38.26</var>    Sec. 41. Minnesota Statutes 2008, section 256L.12, subdivision 5, is amended to read:<br/>
<a id="pl.38.27"></a><var>38.27</var>    Subd. 5. <b>Eligibility for other state programs.</b> MinnesotaCare enrollees who <br/>
<a id="pl.38.28"></a><var>38.28</var>become eligible for medical assistance or general assistance medical care will remain in <br/>
<a id="pl.38.29"></a><var>38.29</var>the same managed care plan if the managed care plan has a contract for that population. <br/>
<a id="pl.38.30"></a><var>38.30</var>Effective January 1, 1998, MinnesotaCare enrollees who were formerly eligible for <br/>
<a id="pl.38.31"></a><var>38.31</var>general assistance medical care pursuant to section 
         <statute_ref>256D.03, subdivision 3</statute_ref>, within six <br/>
<a id="pl.38.32"></a><var>38.32</var>months of MinnesotaCare enrollment and were enrolled in a prepaid health plan pursuant <br/>
<a id="pl.38.33"></a><var>38.33</var>to section 
         <statute_ref>256D.03, subdivision 4</statute_ref>, paragraph (c), must remain in the same managed care <br/>
<a id="pl.38.34"></a><var>38.34</var>plan if the managed care plan has a contract for that population. Managed care plans must <br/>
<a id="pl.39.1"></a><var>39.1</var>participate in the MinnesotaCare and general assistance medical care programs program <br/>
<a id="pl.39.2"></a><var>39.2</var>under a contract with the Department of Human Services in service areas where they <br/>
<a id="pl.39.3"></a><var>39.3</var>participate in the medical assistance program.  <br/>
<a id="pl.39.4"></a><var>39.4</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from April 1, 2010.<br/>
<br/>
<a id="bill.1.42.0"></a><a id="pl.39.5"></a><var>39.5</var>    Sec. 42. Minnesota Statutes 2008, section 256L.12, subdivision 9, is amended to read:<br/>
<a id="pl.39.6"></a><var>39.6</var>    Subd. 9. <b>Rate setting; performance withholds.</b> (a) Rates will be prospective, <br/>
<a id="pl.39.7"></a><var>39.7</var>per capita, where possible. The commissioner may allow health plans to arrange for <br/>
<a id="pl.39.8"></a><var>39.8</var>inpatient hospital services on a risk or nonrisk basis. The commissioner shall consult with <br/>
<a id="pl.39.9"></a><var>39.9</var>an independent actuary to determine appropriate rates.<br/>
<a id="pl.39.10"></a><var>39.10</var>    (b) For services rendered on or after January 1, 2003, to December 31, 2003, the <br/>
<a id="pl.39.11"></a><var>39.11</var>commissioner shall withhold .5 percent of managed care plan payments under this section <br/>
<a id="pl.39.12"></a><var>39.12</var>pending completion of performance targets. The withheld funds must be returned no <br/>
<a id="pl.39.13"></a><var>39.13</var>sooner than July 1 and no later than July 31 of the following year if performance targets <br/>
<a id="pl.39.14"></a><var>39.14</var>in the contract are achieved. A managed care plan may include as admitted assets under <br/>
<a id="pl.39.15"></a><var>39.15</var>section 
<statute_ref>62D.044</statute_ref> any amount withheld under this paragraph that is reasonably expected <br/>
<a id="pl.39.16"></a><var>39.16</var>to be returned. <br/>
<a id="pl.39.17"></a><var>39.17</var>    (c) For services rendered on or after January 1, 2004, the commissioner shall <br/>
<a id="pl.39.18"></a><var>39.18</var>withhold five percent of managed care plan payments and county-based purchasing <br/>
<a id="pl.39.19"></a><var>39.19</var>plan payments under this section pending completion of performance targets. Each <br/>
<a id="pl.39.20"></a><var>39.20</var>performance target must be quantifiable, objective, measurable, and reasonably attainable, <br/>
<a id="pl.39.21"></a><var>39.21</var>except in the case of a performance target based on a federal or state law or rule. Criteria <br/>
<a id="pl.39.22"></a><var>39.22</var>for assessment of each performance target must be outlined in writing prior to the <br/>
<a id="pl.39.23"></a><var>39.23</var>contract effective date. The managed care plan must demonstrate, to the commissioner's <br/>
<a id="pl.39.24"></a><var>39.24</var>satisfaction, that the data submitted regarding attainment of the performance target is <br/>
<a id="pl.39.25"></a><var>39.25</var>accurate. The commissioner shall periodically change the administrative measures used <br/>
<a id="pl.39.26"></a><var>39.26</var>as performance targets in order to improve plan performance across a broader range of <br/>
<a id="pl.39.27"></a><var>39.27</var>administrative services. The performance targets must include measurement of plan <br/>
<a id="pl.39.28"></a><var>39.28</var>efforts to contain spending on health care services and administrative activities. The <br/>
<a id="pl.39.29"></a><var>39.29</var>commissioner may adopt plan-specific performance targets that take into account factors <br/>
<a id="pl.39.30"></a><var>39.30</var>affecting only one plan, such as characteristics of the plan's enrollee population. The <br/>
<a id="pl.39.31"></a><var>39.31</var>withheld funds must be returned no sooner than July 1 and no later than July 31 of the <br/>
<a id="pl.39.32"></a><var>39.32</var>following calendar year if performance targets in the contract are achieved. A managed <br/>
<a id="pl.39.33"></a><var>39.33</var>care plan or a county-based purchasing plan under section 
<statute_ref>256B.692 </statute_ref>may include as <br/>
<a id="pl.39.34"></a><var>39.34</var>admitted assets under section 
<statute_ref>62D.044</statute_ref> any amount withheld under this paragraph that is <br/>
<a id="pl.39.35"></a><var>39.35</var>reasonably expected to be returned. <br/>
<a id="pl.40.1"></a><var>40.1</var>(c) For services rendered on or after January 1, 2011, the commissioner shall <br/>
<a id="pl.40.2"></a><var>40.2</var>withhold an additional three percent of managed care plan or county-based purchasing <br/>
<a id="pl.40.3"></a><var>40.3</var>plan payments under this section. The withheld funds must be returned no sooner than <br/>
<a id="pl.40.4"></a><var>40.4</var>July 1 and no later than July 31 of the following calendar year. The return of the withhold <br/>
<a id="pl.40.5"></a><var>40.5</var>under this paragraph is not subject to the requirements of paragraph (b).<br/>
<a id="pl.40.6"></a><var>40.6</var>(d) Effective for services rendered on or after January 1, 2011, the commissioner <br/>
<a id="pl.40.7"></a><var>40.7</var>shall include as part of the performance targets described in paragraph (b) a reduction in <br/>
<a id="pl.40.8"></a><var>40.8</var>the plan's emergency room utilization rate for state health care program enrollees by a <br/>
<a id="pl.40.9"></a><var>40.9</var>measurable rate of five percent from the plan's utilization rate for the previous calendar <br/>
<a id="pl.40.10"></a><var>40.10</var>year.<br/>
<a id="pl.40.11"></a><var>40.11</var>The withheld funds must be returned no sooner than July 1 and no later than July <br/>
<a id="pl.40.12"></a><var>40.12</var>31 of the following calendar year if the managed care plan or county-based purchasing <br/>
<a id="pl.40.13"></a><var>40.13</var>plan demonstrates to the satisfaction of the commissioner that a reduction in the utilization <br/>
<a id="pl.40.14"></a><var>40.14</var>rate was achieved.<br/>
<a id="pl.40.15"></a><var>40.15</var>The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.40.16"></a><var>40.16</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.40.17"></a><var>40.17</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization rate <br/>
<a id="pl.40.18"></a><var>40.18</var>for state health care program enrollees for calendar year 2009. Hospitals shall cooperate <br/>
<a id="pl.40.19"></a><var>40.19</var>with the health plans in meeting this performance target and shall accept payment <br/>
<a id="pl.40.20"></a><var>40.20</var>withholds that may be returned to the hospitals if the performance target is achieved. The <br/>
<a id="pl.40.21"></a><var>40.21</var>commissioner shall structure the withhold so that the commissioner returns a portion of <br/>
<a id="pl.40.22"></a><var>40.22</var>the withheld funds in amounts commensurate with achieved reductions in utilization less <br/>
<a id="pl.40.23"></a><var>40.23</var>than the targeted amount. The withhold described in this paragraph does not apply to <br/>
<a id="pl.40.24"></a><var>40.24</var>county-based purchasing plans.<br/>
<a id="pl.40.25"></a><var>40.25</var>(e) A managed care plan or a county-based purchasing plan under section 256B.692 <br/>
<a id="pl.40.26"></a><var>40.26</var>may include as admitted assets under section 62D.044 any amount withheld under this <br/>
<a id="pl.40.27"></a><var>40.27</var>section that is reasonably expected to be returned.<br/>
<a id="pl.40.28"></a><var>40.28</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.43.0"></a><a id="pl.40.29"></a><var>40.29</var>    Sec. 43. Minnesota Statutes 2008, section 256L.12, is amended by adding a subdivision <br/>
<a id="pl.40.30"></a><var>40.30</var>to read:<br/>
<a id="pl.40.31"></a><var>40.31</var>    Subd. 9c. <b>Rate setting; increase effective October 1, 2010.</b> For services <br/>
<a id="pl.40.32"></a><var>40.32</var>rendered on or after October 1, 2010, the total payment made to managed care plans and <br/>
<a id="pl.40.33"></a><var>40.33</var>county-based purchasing plans under MinnesotaCare for families with children shall be <br/>
<a id="pl.40.34"></a><var>40.34</var>increased by 1.28 percent.<br/>
<a id="pl.41.1"></a><var>41.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.44.0"></a><a id="pl.41.2"></a><var>41.2</var>    Sec. 44. Laws 2009, chapter 79, article 5, section 75, subdivision 1, is amended to read:<br/>
<a id="pl.41.3"></a><var>41.3</var>    Subdivision 1. <b>Medical assistance coverage.</b> The commissioner of human services <br/>
<a id="pl.41.4"></a><var>41.4</var>shall establish a demonstration project to provide additional medical assistance coverage <br/>
<a id="pl.41.5"></a><var>41.5</var>for a maximum of 200 American Indian children in Minneapolis, St. Paul, and Duluth <br/>
<a id="pl.41.6"></a><var>41.6</var>who are burdened by health disparities associated with the cumulative health impact <br/>
<a id="pl.41.7"></a><var>41.7</var>of toxic environmental exposures. Under this demonstration project, the additional <br/>
<a id="pl.41.8"></a><var>41.8</var>medical assistance coverage for this population must include, but is not limited to, home <br/>
<a id="pl.41.9"></a><var>41.9</var>environmental assessments for triggers of asthma, and in-home asthma education on the <br/>
<a id="pl.41.10"></a><var>41.10</var>proper medical management of asthma by a certified asthma educator or public health <br/>
<a id="pl.41.11"></a><var>41.11</var>nurse with asthma management training, and must be limited to two visits per child. The <br/>
<a id="pl.41.12"></a><var>41.12</var>home visit payment rates must be based on a rate commensurate with a first-time visit rate <br/>
<a id="pl.41.13"></a><var>41.13</var>and follow-up visit rate. Coverage also includes the following durable medical equipment: <br/>
<a id="pl.41.14"></a><var>41.14</var>high efficiency particulate air (HEPA) cleaners, HEPA vacuum cleaners, allergy bed and <br/>
<a id="pl.41.15"></a><var>41.15</var>pillow encasements, high filtration filters for forced air gas furnaces, and dehumidifiers <br/>
<a id="pl.41.16"></a><var>41.16</var>with medical tubing to connect the appliance to a floor drain, if the listed item is medically <br/>
<a id="pl.41.17"></a><var>41.17</var>necessary useful to reduce asthma symptoms. Provision of these items of durable medical <br/>
<a id="pl.41.18"></a><var>41.18</var>equipment must be preceded by a home environmental assessment for triggers of asthma <br/>
<a id="pl.41.19"></a><var>41.19</var>and in-home asthma education on the proper medical management of asthma by a Certified <br/>
<a id="pl.41.20"></a><var>41.20</var>Asthma Educator or public health nurse with asthma management training.<br/>
<br/>
<a id="bill.1.45.0"></a><a id="pl.41.21"></a><var>41.21</var>    Sec. 45. Laws 2009, chapter 79, article 5, section 78, subdivision 5, is amended to read:<br/>
<a id="pl.41.22"></a><var>41.22</var>    Subd. 5. <b>Expiration.</b> This section, with the exception of subdivision 4, expires <br/>
<a id="pl.41.23"></a><var>41.23</var>December 31, 2010 August 31, 2011. Subdivision 4 expires February 28, 2012.<br/>
<br/>
<a id="bill.1.46.0"></a><a id="pl.41.24"></a><var>41.24</var>    Sec. 46. Laws 2010, chapter 200, article 1, section 12, the effective date, is amended to <br/>
<a id="pl.41.25"></a><var>41.25</var>read:<br/>
<a id="pl.41.26"></a><var>41.26</var><b>EFFECTIVE DATE.</b>This section, except for subdivision 4,  is effective for services <br/>
<a id="pl.41.27"></a><var>41.27</var>rendered on or after April 1, 2010. Subdivision 4 of this section is effective June 1, 2010.<br/>
<a id="pl.41.28"></a><var>41.28</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.47.0"></a><a id="pl.41.29"></a><var>41.29</var>    Sec. 47. Laws 2010, chapter 200, article 1, section 16, is amended by adding an <br/>
<a id="pl.41.30"></a><var>41.30</var>effective date to read:<br/>
<a id="pl.41.31"></a><var>41.31</var><b>EFFECTIVE DATE.</b>This section is effective June 1, 2010.<br/>
<br/>
<a id="bill.1.48.0"></a><a id="pl.42.1"></a><var>42.1</var>    Sec. 48. Laws 2010, chapter 200, article 1, section 21, is amended to read:<br/>
<a id="pl.42.2"></a><var>42.2</var>    Sec. 21. <b>REPEALER.</b><br/>
<a id="pl.42.3"></a><var>42.3</var>(a) Minnesota Statutes 2008, sections 256.742; 256.979, subdivision 8; and 256D.03, <br/>
<a id="pl.42.4"></a><var>42.4</var>subdivision 9, are repealed effective April 1, 2010.<br/>
<a id="pl.42.5"></a><var>42.5</var>(b) Minnesota Statutes 2009 Supplement, section 256D.03, subdivision 4, is repealed <br/>
<a id="pl.42.6"></a><var>42.6</var>effective April June 1, 2010.<br/>
<a id="pl.42.7"></a><var>42.7</var>(c) Minnesota Statutes 2008, section 256B.195, subdivisions 4 and 5, are repealed <br/>
<a id="pl.42.8"></a><var>42.8</var>effective for federal fiscal year 2010.<br/>
<a id="pl.42.9"></a><var>42.9</var>(d) Minnesota Statutes 2009 Supplement, section 256B.195, subdivisions 1, 2, and <br/>
<a id="pl.42.10"></a><var>42.10</var>3, are repealed effective for federal fiscal year 2010.<br/>
<a id="pl.42.11"></a><var>42.11</var>(e) Minnesota Statutes 2008, sections 256L.07, subdivision 6; 256L.15, subdivision <br/>
<a id="pl.42.12"></a><var>42.12</var>4; and 256L.17, subdivision 7, are repealed January 1, 2011 July 1, 2010.<br/>
<a id="pl.42.13"></a><var>42.13</var><b>EFFECTIVE DATE.</b>This section is effective retroactively from April 1, 2010.<br/>
<br/>
<a id="bill.1.49.0"></a><a id="pl.42.14"></a><var>42.14</var>    Sec. 49. Laws 2010, chapter 200, article 2, section 2, subdivision 1, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.42.15"></a><var>42.15</var><br/>
</td>
<td align="left" colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(7,985,000)</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(93,128,000)</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.42.16"></a><var>42.16</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.42.17"></a><var>42.17</var><br/>
</td>
<td align="left"></td>
<td align="center">2010<br/>
</td>
<td align="center">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.42.18"></a><var>42.18</var><br/>
</td>
<td align="left">General<br/>
</td>
<td align="right">34,807,000<br/>
</td>
<td align="right">118,493,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.42.19"></a><var>42.19</var><br/>
</td>
<td align="left">Health Care Access<br/>
</td>
<td align="right">(42,792,000)<br/>
</td>
<td align="right">(211,621,000)<br/>
</td>
</tr>
</table><a id="pl.42.20"></a><var>42.20</var>The amounts that may be spent for each <br/>
<a id="pl.42.21"></a><var>42.21</var>purpose are specified in the following <br/>
<a id="pl.42.22"></a><var>42.22</var>subdivisions.<br/>
<a id="pl.42.23"></a><var>42.23</var><b>Special Revenue Fund Transfers.</b><br/>
<a id="pl.42.24"></a><var>42.24</var>(a) The commissioner shall transfer the <br/>
<a id="pl.42.25"></a><var>42.25</var>following amounts from special revenue <br/>
<a id="pl.42.26"></a><var>42.26</var>fund balances to the general fund by June <br/>
<a id="pl.42.27"></a><var>42.27</var>30 of each respective fiscal year: $410,000 <br/>
<a id="pl.42.28"></a><var>42.28</var>for fiscal year 2010, and $412,000 for fiscal <br/>
<a id="pl.42.29"></a><var>42.29</var>year 2011.<br/>
<a id="pl.42.30"></a><var>42.30</var>(b) Actual transfers made under paragraph <br/>
<a id="pl.42.31"></a><var>42.31</var>(a) must be separately identified and reported <br/>
<a id="pl.42.32"></a><var>42.32</var>as part of the quarterly reporting of transfers <br/>
<a id="pl.42.33"></a><var>42.33</var>to the chairs of the relevant senate budget <br/>
<a id="pl.43.1"></a><var>43.1</var>division and house of representatives finance <br/>
<a id="pl.43.2"></a><var>43.2</var>division.<br/>
<a id="pl.43.3"></a><var>43.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.50.0"></a><a id="pl.43.4"></a><var>43.4</var>    Sec. 50. Laws 2010, chapter 200, article 2, section 2, subdivision 5, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.43.5"></a><var>43.5</var><br/>
</td>
<td align="left" colspan="3">Subd. 5.<b>Health Care Management</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.43.6"></a><var>43.6</var>The amounts that may be spent from the <br/>
<a id="pl.43.7"></a><var>43.7</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.43.8"></a><var>43.8</var><br/>
</td>
<td align="left" colspan="3"><b>Health Care Administration.</b><br/>
</td>
<td align="center"></td>
<td align="right">(2,998,000)<br/>
</td>
<td align="center"></td>
<td align="right">(5,270,000)<br/>
</td>
</tr>
</table><a id="pl.43.9"></a><var>43.9</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.43.10"></a><var>43.10</var>for health care administration is reduced by <br/>
<a id="pl.43.11"></a><var>43.11</var>$182,000 $36,000  in fiscal year 2012 and <br/>
<a id="pl.43.12"></a><var>43.12</var>$182,000 $36,000  in fiscal year 2013.<br/>
<br/>
<a id="bill.1.51.0"></a><a id="pl.43.13"></a><var>43.13</var>    Sec. 51. Laws 2010, chapter 200, article 2, section 2, subdivision 8, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.43.14"></a><var>43.14</var><br/>
</td>
<td align="left" colspan="3">Subd. 8.<b>Transfers</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.43.15"></a><var>43.15</var>The commissioner must transfer $29,538,000 <br/>
<a id="pl.43.16"></a><var>43.16</var>in fiscal year 2010 and $18,462,000 in fiscal <br/>
<a id="pl.43.17"></a><var>43.17</var>year 2011 from the health care access fund to <br/>
<a id="pl.43.18"></a><var>43.18</var>the general fund. This is a onetime transfer.<br/>
<a id="pl.43.19"></a><var>43.19</var>The commissioner must transfer $4,800,000 <br/>
<a id="pl.43.20"></a><var>43.20</var>from the consolidated chemical dependency <br/>
<a id="pl.43.21"></a><var>43.21</var>treatment fund to the general fund by June <br/>
<a id="pl.43.22"></a><var>43.22</var>30, 2010.<br/>
<a id="pl.43.23"></a><var>43.23</var><b>Compulsive Gambling </b><b>Special Revenue</b><b> </b><br/>
<a id="pl.43.24"></a><var>43.24</var><b>Administration.</b> The lottery prize fund <br/>
<a id="pl.43.25"></a><var>43.25</var>appropriation for compulsive gambling <br/>
<a id="pl.43.26"></a><var>43.26</var>administration is reduced by $6,000 for fiscal <br/>
<a id="pl.43.27"></a><var>43.27</var>year 2010 and $4,000 for fiscal year 2011 <br/>
<a id="pl.43.28"></a><var>43.28</var>must be transferred from the lottery prize <br/>
<a id="pl.43.29"></a><var>43.29</var>fund appropriation for compulsive gambling <br/>
<a id="pl.43.30"></a><var>43.30</var>administration to the general fund by June <br/>
<a id="pl.44.1"></a><var>44.1</var>30 of each respective fiscal year. These are <br/>
<a id="pl.44.2"></a><var>44.2</var>onetime reductions.<br/>
<a id="pl.44.3"></a><var>44.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.52.0"></a><a id="pl.44.4"></a><var>44.4</var>    Sec. 52. <b>PREPAID HEALTH PLAN RATES.</b><br/>
<a id="pl.44.5"></a><var>44.5</var>In negotiating the prepaid health plan contract rates for services rendered on or <br/>
<a id="pl.44.6"></a><var>44.6</var>after January 1, 2011, the commissioner of human services shall take into consideration <br/>
<a id="pl.44.7"></a><var>44.7</var>and the rates shall reflect the anticipated savings in the medical assistance program due <br/>
<a id="pl.44.8"></a><var>44.8</var>to extending medical assistance coverage to services provided in licensed birth centers, <br/>
<a id="pl.44.9"></a><var>44.9</var>the anticipated use of these services within the medical assistance population, and the <br/>
<a id="pl.44.10"></a><var>44.10</var>reduced medical assistance costs associated with the use of birth centers for normal, <br/>
<a id="pl.44.11"></a><var>44.11</var>low-risk deliveries.<br/>
<a id="pl.44.12"></a><var>44.12</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.53.0"></a><a id="pl.44.13"></a><var>44.13</var>    Sec. 53. <b>STATE PLAN AMENDMENT; FEDERAL APPROVAL.</b><br/>
<a id="pl.44.14"></a><var>44.14</var>The commissioner of human services shall submit a Medicaid state plan amendment <br/>
<a id="pl.44.15"></a><var>44.15</var>to receive federal fund participation for adults without children whose income is equal <br/>
<a id="pl.44.16"></a><var>44.16</var>to or less than 75 percent of federal poverty guidelines in accordance with the Patient <br/>
<a id="pl.44.17"></a><var>44.17</var>Protection and Affordable Care Act, Public Law 111-148, or the Health Care and <br/>
<a id="pl.44.18"></a><var>44.18</var>Education Reconciliation Act of 2010, Public Law 111-152. The effective date of the <br/>
<a id="pl.44.19"></a><var>44.19</var>state plan amendment shall be June 1, 2010.<br/>
<a id="pl.44.20"></a><var>44.20</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.1.54.0"></a><a id="pl.44.21"></a><var>44.21</var>    Sec. 54. <b>UPPER PAYMENT LIMIT REPORT.</b><br/>
<a id="pl.44.22"></a><var>44.22</var>Each January 15, beginning in 2011, the commissioner of human services shall <br/>
<a id="pl.44.23"></a><var>44.23</var>report the following information to the chairs of the house of representatives and senate <br/>
<a id="pl.44.24"></a><var>44.24</var>finance committees and divisions with responsibility for human services appropriations:<br/>
<a id="pl.44.25"></a><var>44.25</var>(1) the estimated room within the Medicare hospital upper payment limit for the <br/>
<a id="pl.44.26"></a><var>44.26</var>federal year beginning on October 1 of the year the report is made;<br/>
<a id="pl.44.27"></a><var>44.27</var>(2) the amount of a rate increase under Minnesota Statutes, section 256.969, <br/>
<a id="pl.44.28"></a><var>44.28</var>subdivision 3a, paragraph (i), that would increase medical assistance hospital spending <br/>
<a id="pl.44.29"></a><var>44.29</var>to the upper payment limit; and<br/>
<a id="pl.44.30"></a><var>44.30</var>(3) the amount of a surcharge increase under Minnesota Statutes, section 256.9657, <br/>
<a id="pl.44.31"></a><var>44.31</var>subdivision 2, needed to generate the state share of the potential rate increase under <br/>
<a id="pl.44.32"></a><var>44.32</var>clause (2).<br/>
<a id="pl.45.1"></a><var>45.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.1.55.0"></a><a id="pl.45.2"></a><var>45.2</var>    Sec. 55. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.45.3"></a><var>45.3</var>The revisor of statutes shall edit Minnesota Statutes and Minnesota Rules to remove <br/>
<a id="pl.45.4"></a><var>45.4</var>references to the general assistance medical care program and references to Minnesota <br/>
<a id="pl.45.5"></a><var>45.5</var>Statutes, section 256D.03, subdivision 3, or Minnesota Statutes, chapter 256D, as it <br/>
<a id="pl.45.6"></a><var>45.6</var>pertains to general assistance medical care and make other changes as may be necessary <br/>
<a id="pl.45.7"></a><var>45.7</var>to remove references to the general assistance medical care program. The revisor may <br/>
<a id="pl.45.8"></a><var>45.8</var>consult with the Department of Human Services when making editing decisions on the <br/>
<a id="pl.45.9"></a><var>45.9</var>removal of these references.<br/>
<br/>
<a id="bill.1.56.0"></a><a id="pl.45.10"></a><var>45.10</var>    Sec. 56. <b> REPEALER.</b><br/>
<a id="pl.45.11"></a><var>45.11</var>(a) Minnesota Statutes 2008, section 256D.03, subdivisions 3, 3a, 5, 6, 7, and 8, <br/>
<a id="pl.45.12"></a><var>45.12</var>are repealed July 1, 2010.<br/>
<a id="pl.45.13"></a><var>45.13</var>(b) Laws 2010, chapter 200, article 1, sections 12; 18; and 19, are repealed July <br/>
<a id="pl.45.14"></a><var>45.14</var>1, 2010.<br/>
<a id="pl.45.15"></a><var>45.15</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.2.0.0"></a>

<a id="bill.2.1.0"></a><a id="pl.45.18"></a><var>45.18</var>    Section 1. Minnesota Statutes 2008, section 144D.03, subdivision 2, is amended to <br/>
<a id="pl.45.19"></a><var>45.19</var>read:<br/>
<a id="pl.45.20"></a><var>45.20</var>    Subd. 2. <b>Registration information.</b> The establishment shall provide the following <br/>
<a id="pl.45.21"></a><var>45.21</var>information to the commissioner in order to be registered:<br/>
<a id="pl.45.22"></a><var>45.22</var>(1) the business name, street address, and mailing address of the establishment;<br/>
<a id="pl.45.23"></a><var>45.23</var>(2) the name and mailing address of the owner or owners of the establishment and, if <br/>
<a id="pl.45.24"></a><var>45.24</var>the owner or owners are not natural persons, identification of the type of business entity <br/>
<a id="pl.45.25"></a><var>45.25</var>of the owner or owners, and the names and addresses of the officers and members of the <br/>
<a id="pl.45.26"></a><var>45.26</var>governing body, or comparable persons for partnerships, limited liability corporations, or <br/>
<a id="pl.45.27"></a><var>45.27</var>other types of business organizations of the owner or owners;<br/>
<a id="pl.45.28"></a><var>45.28</var>(3) the name and mailing address of the managing agent, whether through <br/>
<a id="pl.45.29"></a><var>45.29</var>management agreement or lease agreement, of the establishment, if different from the <br/>
<a id="pl.45.30"></a><var>45.30</var>owner or owners, and the name of the on-site manager, if any;<br/>
<a id="pl.45.31"></a><var>45.31</var>(4) verification that the establishment has entered into  a housing with services <br/>
<a id="pl.45.32"></a><var>45.32</var>contract, as required in section  144D.04, with each resident or resident's representative; <br/>
<a id="pl.46.1"></a><var>46.1</var>(5) verification that the establishment is complying with the requirements of section <br/>
<statute_ref><a id="pl.46.2"></a><var>46.2</var>325F.72
         </statute_ref>, if applicable; <br/>
<a id="pl.46.3"></a><var>46.3</var>(6) the name and address of at least one natural person who shall be responsible <br/>
<a id="pl.46.4"></a><var>46.4</var>for dealing with the commissioner on all matters provided for in sections  144D.01 to  <br/>
<a id="pl.46.5"></a><var>46.5</var>144D.06, and on whom personal service of all notices and orders shall be made, and who <br/>
<a id="pl.46.6"></a><var>46.6</var>shall be authorized to accept service on behalf of the owner or owners and the managing <br/>
<a id="pl.46.7"></a><var>46.7</var>agent, if any; and <br/>
<a id="pl.46.8"></a><var>46.8</var>(7) the signature of the authorized representative of the owner or owners or, if <br/>
<a id="pl.46.9"></a><var>46.9</var>the owner or owners are not natural persons, signatures of at least two authorized <br/>
<a id="pl.46.10"></a><var>46.10</var>representatives of each owner, one of which shall be an officer of the owner; and<br/>
<a id="pl.46.11"></a><var>46.11</var>(8) whether services are included in the base rate to be paid by the resident.<br/>
<a id="pl.46.12"></a><var>46.12</var>Personal service on the person identified under clause (6) by the owner or owners in <br/>
<a id="pl.46.13"></a><var>46.13</var>the registration shall be considered service on the owner or owners, and it shall not be a <br/>
<a id="pl.46.14"></a><var>46.14</var>defense to any action that personal service was not made on each individual or entity. The <br/>
<a id="pl.46.15"></a><var>46.15</var>designation of one or more individuals under this subdivision shall not affect the legal <br/>
<a id="pl.46.16"></a><var>46.16</var>responsibility of the owner or owners under sections  144D.01 to  144D.06. <br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.46.17"></a><var>46.17</var>    Sec. 2. Minnesota Statutes 2008, section 144D.03, is amended by adding a subdivision <br/>
<a id="pl.46.18"></a><var>46.18</var>to read:<br/>
<a id="pl.46.19"></a><var>46.19</var>    Subd. 3. <b>Certificate of transitional consultation.</b> (a) A housing with services <br/>
<a id="pl.46.20"></a><var>46.20</var>establishment shall not execute a contract or allow a prospective resident to move in until <br/>
<a id="pl.46.21"></a><var>46.21</var>the establishment has received certification from the Senior LinkAge Line that transition <br/>
<a id="pl.46.22"></a><var>46.22</var>to housing with services consultation under section 256B.0911, subdivision 3c, has been <br/>
<a id="pl.46.23"></a><var>46.23</var>completed. Prospective residents may be allowed to move in on an emergency basis prior <br/>
<a id="pl.46.24"></a><var>46.24</var>to receiving a certificate, however, the certification must occur within 30 calendar days of <br/>
<a id="pl.46.25"></a><var>46.25</var>admission. The housing with services establishment shall maintain copies of contracts and <br/>
<a id="pl.46.26"></a><var>46.26</var>certificates for audit for a period of three years. The Senior LinkAge Line shall issue a <br/>
<a id="pl.46.27"></a><var>46.27</var>certification within 24 hours of a contact by a prospective resident.<br/>
<a id="pl.46.28"></a><var>46.28</var>(b) This subdivision applies to housing with services establishments that are required <br/>
<a id="pl.46.29"></a><var>46.29</var>to register under section 144D.02 and:<br/>
<a id="pl.46.30"></a><var>46.30</var>(1) include any service in the base rate as described in the contract established <br/>
<a id="pl.46.31"></a><var>46.31</var>under section 144D.04; or<br/>
<a id="pl.46.32"></a><var>46.32</var>(2) require residents to purchase services as a condition of tenancy.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.46.33"></a><var>46.33</var>    Sec. 3. Minnesota Statutes 2008, section 144D.04, subdivision 2, is amended to read:<br/>
<a id="pl.47.1"></a><var>47.1</var>    Subd. 2. <b>Contents of contract.</b>  A housing with services contract, which need not be <br/>
<a id="pl.47.2"></a><var>47.2</var>entitled as such to comply with this section, shall include at least the following elements <br/>
<a id="pl.47.3"></a><var>47.3</var>in itself or through supporting documents or attachments:<br/>
<a id="pl.47.4"></a><var>47.4</var>(1) the name, street address, and mailing address of the establishment;<br/>
<a id="pl.47.5"></a><var>47.5</var>(2) the name and mailing address of the owner or owners of the establishment and, if <br/>
<a id="pl.47.6"></a><var>47.6</var>the owner or owners is not a natural person, identification of the type of business entity <br/>
<a id="pl.47.7"></a><var>47.7</var>of the owner or owners;<br/>
<a id="pl.47.8"></a><var>47.8</var>(3) the name and mailing address of the managing agent, through management <br/>
<a id="pl.47.9"></a><var>47.9</var>agreement or lease agreement, of the establishment, if different from the owner or owners;<br/>
<a id="pl.47.10"></a><var>47.10</var>(4) the name and address of at least one natural person who is authorized to accept <br/>
<a id="pl.47.11"></a><var>47.11</var>service of process on behalf of the owner or owners and managing agent;<br/>
<a id="pl.47.12"></a><var>47.12</var>(5) a statement describing the registration and licensure status of the establishment <br/>
<a id="pl.47.13"></a><var>47.13</var>and any provider providing health-related or supportive services under an arrangement <br/>
<a id="pl.47.14"></a><var>47.14</var>with the establishment;<br/>
<a id="pl.47.15"></a><var>47.15</var>(6) the term of the contract;<br/>
<a id="pl.47.16"></a><var>47.16</var>(7) a description of the services to be provided to the resident in the base rate to be <br/>
<a id="pl.47.17"></a><var>47.17</var>paid by resident, including a delineation of the portion of the base rate that constitutes rent <br/>
<a id="pl.47.18"></a><var>47.18</var>and a delineation of charges for each service included in the base rate;<br/>
<a id="pl.47.19"></a><var>47.19</var>(8) a description of any additional services, including home care services, available <br/>
<a id="pl.47.20"></a><var>47.20</var>for an additional fee from the establishment directly or through arrangements with the <br/>
<a id="pl.47.21"></a><var>47.21</var>establishment, and a schedule of fees charged for these services;<br/>
<a id="pl.47.22"></a><var>47.22</var>(9) a description of the process through which the contract may be modified, <br/>
<a id="pl.47.23"></a><var>47.23</var>amended, or terminated;<br/>
<a id="pl.47.24"></a><var>47.24</var>(10) a description of the establishment's complaint resolution process available <br/>
<a id="pl.47.25"></a><var>47.25</var>to residents including the toll-free complaint line for the Office of Ombudsman for <br/>
<a id="pl.47.26"></a><var>47.26</var>Long-Term Care;<br/>
<a id="pl.47.27"></a><var>47.27</var>(11) the resident's designated representative, if any;<br/>
<a id="pl.47.28"></a><var>47.28</var>(12) the establishment's referral procedures if the contract is terminated;<br/>
<a id="pl.47.29"></a><var>47.29</var>(13) requirements of residency used by the establishment to determine who may <br/>
<a id="pl.47.30"></a><var>47.30</var>reside or continue to reside in the  housing with services establishment;<br/>
<a id="pl.47.31"></a><var>47.31</var>(14) billing and payment procedures and requirements;<br/>
<a id="pl.47.32"></a><var>47.32</var>(15) a statement regarding the ability of residents to receive services from service <br/>
<a id="pl.47.33"></a><var>47.33</var>providers with whom the establishment does not have an arrangement; <br/>
<a id="pl.47.34"></a><var>47.34</var>(16) a statement regarding the availability of public funds for payment for residence <br/>
<a id="pl.47.35"></a><var>47.35</var>or services in the establishment; and<br/>
<a id="pl.48.1"></a><var>48.1</var>(17) a statement regarding the availability of and contact information for <br/>
<a id="pl.48.2"></a><var>48.2</var>long-term care consultation services under section 
         <statute_ref>256B.0911</statute_ref> in the county in which the <br/>
<a id="pl.48.3"></a><var>48.3</var>establishment is located.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.48.4"></a><var>48.4</var>    Sec. 4. <b>[144D.08] UNIFORM CONSUMER INFORMATION GUIDE.</b><br/>
<a id="pl.48.5"></a><var>48.5</var>All housing with services establishments shall make available to all prospective <br/>
<a id="pl.48.6"></a><var>48.6</var>and current residents information consistent with the uniform format and the required <br/>
<a id="pl.48.7"></a><var>48.7</var>components adopted by the commissioner under section 144G.06.<br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.48.8"></a><var>48.8</var>    Sec. 5. <b>[144D.09] TERMINATION OF LEASE.</b><br/>
<a id="pl.48.9"></a><var>48.9</var>The housing with services establishment shall include with notice of termination <br/>
<a id="pl.48.10"></a><var>48.10</var>of lease information about how to contact the ombudsman for long-term care, including <br/>
<a id="pl.48.11"></a><var>48.11</var>the address and phone number along with a statement of how to request problem-solving <br/>
<a id="pl.48.12"></a><var>48.12</var>assistance.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.48.13"></a><var>48.13</var>    Sec. 6. Minnesota Statutes 2008, section 144G.06, is amended to read:<br/>
<a id="pl.48.14"></a><var>48.14</var><b>144G.06 UNIFORM CONSUMER INFORMATION GUIDE.</b><br/>
<a id="pl.48.15"></a><var>48.15</var>(a) The commissioner of health shall establish an advisory committee consisting <br/>
<a id="pl.48.16"></a><var>48.16</var>of representatives of consumers, providers, county and state officials, and other <br/>
<a id="pl.48.17"></a><var>48.17</var>groups the commissioner considers appropriate. The advisory committee shall present <br/>
<a id="pl.48.18"></a><var>48.18</var>recommendations to the commissioner on:<br/>
<a id="pl.48.19"></a><var>48.19</var>(1) a format for a guide to be used by individual providers of assisted living, as <br/>
<a id="pl.48.20"></a><var>48.20</var>defined in section 
         <statute_ref>144G.01</statute_ref>, that includes information about services offered by that <br/>
<a id="pl.48.21"></a><var>48.21</var>provider, which services may be covered by Medicare, service costs, and other relevant <br/>
<a id="pl.48.22"></a><var>48.22</var>provider-specific information, as well as a statement of philosophy and values associated <br/>
<a id="pl.48.23"></a><var>48.23</var>with assisted living, presented in uniform categories that facilitate comparison with guides <br/>
<a id="pl.48.24"></a><var>48.24</var>issued by other providers; and<br/>
<a id="pl.48.25"></a><var>48.25</var>(2) requirements for informing assisted living clients, as defined in section 
         <statute_ref>144G.01</statute_ref>, <br/>
<a id="pl.48.26"></a><var>48.26</var>of their applicable legal rights.<br/>
<a id="pl.48.27"></a><var>48.27</var>(b) The commissioner, after reviewing the recommendations of the advisory <br/>
<a id="pl.48.28"></a><var>48.28</var>committee, shall adopt a uniform format for the guide to be used by individual providers, <br/>
<a id="pl.48.29"></a><var>48.29</var>and the required components of materials to be used by providers to inform assisted <br/>
<a id="pl.48.30"></a><var>48.30</var>living clients of their legal rights, and shall make the uniform format and the required <br/>
<a id="pl.48.31"></a><var>48.31</var>components available to assisted living providers.<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.49.1"></a><var>49.1</var>    Sec. 7. Minnesota Statutes 2009 Supplement, section 252.27, subdivision 2a, is <br/>
<a id="pl.49.2"></a><var>49.2</var>amended to read:<br/>
<a id="pl.49.3"></a><var>49.3</var>    Subd. 2a. <b>Contribution amount.</b> (a) The natural or adoptive parents of a minor <br/>
<a id="pl.49.4"></a><var>49.4</var>child, including a child determined eligible for medical assistance without consideration of <br/>
<a id="pl.49.5"></a><var>49.5</var>parental income, must contribute to the cost of services used by making monthly payments <br/>
<a id="pl.49.6"></a><var>49.6</var>on a sliding scale based on income, unless the child is married or has been married, <br/>
<a id="pl.49.7"></a><var>49.7</var>parental rights have been terminated, or the child's adoption is subsidized according to <br/>
<a id="pl.49.8"></a><var>49.8</var>section 
         <statute_ref>259.67</statute_ref> or through title IV-E of the Social Security Act. The parental contribution <br/>
<a id="pl.49.9"></a><var>49.9</var>is a partial or full payment for medical services provided for diagnostic, therapeutic, <br/>
<a id="pl.49.10"></a><var>49.10</var>curing, treating, mitigating, rehabilitation, maintenance, and personal care services as <br/>
<a id="pl.49.11"></a><var>49.11</var>defined in United States Code, title 26, section 213, needed by the child with a chronic <br/>
<a id="pl.49.12"></a><var>49.12</var>illness or disability.<br/>
<a id="pl.49.13"></a><var>49.13</var>    (b) For households with adjusted gross income equal to or greater than 100 percent <br/>
<a id="pl.49.14"></a><var>49.14</var>of federal poverty guidelines, the parental contribution shall be computed by applying the <br/>
<a id="pl.49.15"></a><var>49.15</var>following schedule of rates to the adjusted gross income of the natural or adoptive parents:<br/>
<a id="pl.49.16"></a><var>49.16</var>    (1) if the adjusted gross income is equal to or greater than 100 percent of federal <br/>
<a id="pl.49.17"></a><var>49.17</var>poverty guidelines and less than 175 percent of federal poverty guidelines, the parental <br/>
<a id="pl.49.18"></a><var>49.18</var>contribution is $4 per month;<br/>
<a id="pl.49.19"></a><var>49.19</var>    (2) if the adjusted gross income is equal to or greater than 175 percent of federal <br/>
<a id="pl.49.20"></a><var>49.20</var>poverty guidelines and less than or equal to 545 percent of federal poverty guidelines, <br/>
<a id="pl.49.21"></a><var>49.21</var>the parental contribution shall be determined using a sliding fee scale established by the <br/>
<a id="pl.49.22"></a><var>49.22</var>commissioner of human services which begins at one percent of adjusted gross income <br/>
<a id="pl.49.23"></a><var>49.23</var>at 175 percent of federal poverty guidelines and increases to 7.5 percent of adjusted <br/>
<a id="pl.49.24"></a><var>49.24</var>gross income for those with adjusted gross income up to 545 percent of federal poverty <br/>
<a id="pl.49.25"></a><var>49.25</var>guidelines;<br/>
<a id="pl.49.26"></a><var>49.26</var>    (3) if the adjusted gross income is greater than 545 percent of federal poverty <br/>
<a id="pl.49.27"></a><var>49.27</var>guidelines and less than 675 percent of federal poverty guidelines, the parental <br/>
<a id="pl.49.28"></a><var>49.28</var>contribution shall be 7.5 percent of adjusted gross income;<br/>
<a id="pl.49.29"></a><var>49.29</var>    (4) if the adjusted gross income is equal to or greater than 675 percent of federal <br/>
<a id="pl.49.30"></a><var>49.30</var>poverty guidelines and less than 975 percent of federal poverty guidelines, the parental <br/>
<a id="pl.49.31"></a><var>49.31</var>contribution shall be determined using a sliding fee scale established by the commissioner <br/>
<a id="pl.49.32"></a><var>49.32</var>of human services which begins at 7.5 percent of adjusted gross income at 675 percent of <br/>
<a id="pl.49.33"></a><var>49.33</var>federal poverty guidelines and increases to ten percent of adjusted gross income for those <br/>
<a id="pl.49.34"></a><var>49.34</var>with adjusted gross income up to 975 percent of federal poverty guidelines; and<br/>
<a id="pl.50.1"></a><var>50.1</var>    (5) if the adjusted gross income is equal to or greater than 975 percent of federal <br/>
<a id="pl.50.2"></a><var>50.2</var>poverty guidelines, the parental contribution shall be 12.5 percent of adjusted gross <br/>
<a id="pl.50.3"></a><var>50.3</var>income.<br/>
<a id="pl.50.4"></a><var>50.4</var>    If the child lives with the parent, the annual adjusted gross income is reduced by <br/>
<a id="pl.50.5"></a><var>50.5</var>$2,400 prior to calculating the parental contribution. If the child resides in an institution <br/>
<a id="pl.50.6"></a><var>50.6</var>specified in section 
         <statute_ref>256B.35</statute_ref>, the parent is responsible for the personal needs allowance <br/>
<a id="pl.50.7"></a><var>50.7</var>specified under that section in addition to the parental contribution determined under this <br/>
<a id="pl.50.8"></a><var>50.8</var>section. The parental contribution is reduced by any amount required to be paid directly to <br/>
<a id="pl.50.9"></a><var>50.9</var>the child pursuant to a court order, but only if actually paid.<br/>
<a id="pl.50.10"></a><var>50.10</var>    (c) The household size to be used in determining the amount of contribution under <br/>
<a id="pl.50.11"></a><var>50.11</var>paragraph (b) includes natural and adoptive parents and their dependents, including the <br/>
<a id="pl.50.12"></a><var>50.12</var>child receiving services. Adjustments in the contribution amount due to annual changes <br/>
<a id="pl.50.13"></a><var>50.13</var>in the federal poverty guidelines shall be implemented on the first day of July following <br/>
<a id="pl.50.14"></a><var>50.14</var>publication of the changes.<br/>
<a id="pl.50.15"></a><var>50.15</var>    (d) For purposes of paragraph (b), "income" means the adjusted gross income of the <br/>
<a id="pl.50.16"></a><var>50.16</var>natural or adoptive parents determined according to the previous year's federal tax form, <br/>
<a id="pl.50.17"></a><var>50.17</var>except, effective retroactive to July 1, 2003, taxable capital gains to the extent the funds <br/>
<a id="pl.50.18"></a><var>50.18</var>have been used to purchase a home shall not be counted as income.<br/>
<a id="pl.50.19"></a><var>50.19</var>    (e) The contribution shall be explained in writing to the parents at the time eligibility <br/>
<a id="pl.50.20"></a><var>50.20</var>for services is being determined. The contribution shall be made on a monthly basis <br/>
<a id="pl.50.21"></a><var>50.21</var>effective with the first month in which the child receives services. Annually upon <br/>
<a id="pl.50.22"></a><var>50.22</var>redetermination or at termination of eligibility, if the contribution exceeded the cost of <br/>
<a id="pl.50.23"></a><var>50.23</var>services provided, the local agency or the state shall reimburse that excess amount to <br/>
<a id="pl.50.24"></a><var>50.24</var>the parents, either by direct reimbursement if the parent is no longer required to pay a <br/>
<a id="pl.50.25"></a><var>50.25</var>contribution, or by a reduction in or waiver of parental fees until the excess amount is <br/>
<a id="pl.50.26"></a><var>50.26</var>exhausted. All reimbursements must include a notice that the amount reimbursed may be <br/>
<a id="pl.50.27"></a><var>50.27</var>taxable income if the parent paid for the parent's fees through an employer's health care <br/>
<a id="pl.50.28"></a><var>50.28</var>flexible spending account under the Internal Revenue Code, section 125, and that the <br/>
<a id="pl.50.29"></a><var>50.29</var>parent is responsible for paying the taxes owed on the amount reimbursed.<br/>
<a id="pl.50.30"></a><var>50.30</var>    (f) The monthly contribution amount must be reviewed at least every 12 months; <br/>
<a id="pl.50.31"></a><var>50.31</var>when there is a change in household size; and when there is a loss of or gain in income <br/>
<a id="pl.50.32"></a><var>50.32</var>from one month to another in excess of ten percent. The local agency shall mail a written <br/>
<a id="pl.50.33"></a><var>50.33</var>notice 30 days in advance of the effective date of a change in the contribution amount. <br/>
<a id="pl.50.34"></a><var>50.34</var>A decrease in the contribution amount is effective in the month that the parent verifies a <br/>
<a id="pl.50.35"></a><var>50.35</var>reduction in income or change in household size.<br/>
<a id="pl.51.1"></a><var>51.1</var>    (g) Parents of a minor child who do not live with each other shall each pay the <br/>
<a id="pl.51.2"></a><var>51.2</var>contribution required under paragraph (a). An amount equal to the annual court-ordered <br/>
<a id="pl.51.3"></a><var>51.3</var>child support payment actually paid on behalf of the child receiving services shall be <br/>
<a id="pl.51.4"></a><var>51.4</var>deducted from the adjusted gross income of the parent making the payment prior to <br/>
<a id="pl.51.5"></a><var>51.5</var>calculating the parental contribution under paragraph (b).<br/>
<a id="pl.51.6"></a><var>51.6</var>    (h) The contribution under paragraph (b) shall be increased by an additional five <br/>
<a id="pl.51.7"></a><var>51.7</var>percent if the local agency determines that insurance coverage is available but not <br/>
<a id="pl.51.8"></a><var>51.8</var>obtained for the child. For purposes of this section, "available" means the insurance is a <br/>
<a id="pl.51.9"></a><var>51.9</var>benefit of employment for a family member at an annual cost of no more than five percent <br/>
<a id="pl.51.10"></a><var>51.10</var>of the family's annual income. For purposes of this section, "insurance" means health <br/>
<a id="pl.51.11"></a><var>51.11</var>and accident insurance coverage, enrollment in a nonprofit health service plan, health <br/>
<a id="pl.51.12"></a><var>51.12</var>maintenance organization, self-insured plan, or preferred provider organization.<br/>
<a id="pl.51.13"></a><var>51.13</var>    Parents who have more than one child receiving services shall not be required <br/>
<a id="pl.51.14"></a><var>51.14</var>to pay more than the amount for the child with the highest expenditures. There shall <br/>
<a id="pl.51.15"></a><var>51.15</var>be no resource contribution from the parents. The parent shall not be required to pay <br/>
<a id="pl.51.16"></a><var>51.16</var>a contribution in excess of the cost of the services provided to the child, not counting <br/>
<a id="pl.51.17"></a><var>51.17</var>payments made to school districts for education-related services. Notice of an increase in <br/>
<a id="pl.51.18"></a><var>51.18</var>fee payment must be given at least 30 days before the increased fee is due.<br/>
<a id="pl.51.19"></a><var>51.19</var>    (i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year if, <br/>
<a id="pl.51.20"></a><var>51.20</var>in the 12 months prior to July 1:<br/>
<a id="pl.51.21"></a><var>51.21</var>    (1) the parent applied for insurance for the child;<br/>
<a id="pl.51.22"></a><var>51.22</var>    (2) the insurer denied insurance;<br/>
<a id="pl.51.23"></a><var>51.23</var>    (3) the parents submitted a complaint or appeal, in writing to the insurer, submitted <br/>
<a id="pl.51.24"></a><var>51.24</var>a complaint or appeal, in writing, to the commissioner of health or the commissioner of <br/>
<a id="pl.51.25"></a><var>51.25</var>commerce, or litigated the complaint or appeal; and<br/>
<a id="pl.51.26"></a><var>51.26</var>    (4) as a result of the dispute, the insurer reversed its decision and granted insurance.<br/>
<a id="pl.51.27"></a><var>51.27</var>    For purposes of this section, "insurance" has the meaning given in paragraph (h).<br/>
<a id="pl.51.28"></a><var>51.28</var>    A parent who has requested a reduction in the contribution amount under this <br/>
<a id="pl.51.29"></a><var>51.29</var>paragraph shall submit proof in the form and manner prescribed by the commissioner or <br/>
<a id="pl.51.30"></a><var>51.30</var>county agency, including, but not limited to, the insurer's denial of insurance, the written <br/>
<a id="pl.51.31"></a><var>51.31</var>letter or complaint of the parents, court documents, and the written response of the insurer <br/>
<a id="pl.51.32"></a><var>51.32</var>approving insurance. The determinations of the commissioner or county agency under this <br/>
<a id="pl.51.33"></a><var>51.33</var>paragraph are not rules subject to chapter 14.<br/>
<a id="pl.51.34"></a><var>51.34</var>(j) Notwithstanding paragraph (b), for the period from July 1, 2010, to June 30, <br/>
<a id="pl.51.35"></a><var>51.35</var>2013, the parental contribution shall be computed by applying the following contribution <br/>
<a id="pl.51.36"></a><var>51.36</var>schedule to the adjusted gross income of the natural or adoptive parents:<br/>
<a id="pl.52.1"></a><var>52.1</var>(1) if the adjusted gross income is equal to or greater than 100 percent of federal <br/>
<a id="pl.52.2"></a><var>52.2</var>poverty guidelines and less than 175 percent of federal poverty guidelines, the parental <br/>
<a id="pl.52.3"></a><var>52.3</var>contribution is $4 per month;<br/>
<a id="pl.52.4"></a><var>52.4</var>(2) if the adjusted gross income is equal to or greater than 175 percent of federal <br/>
<a id="pl.52.5"></a><var>52.5</var>poverty guidelines and less than or equal to 525 percent of federal poverty guidelines, <br/>
<a id="pl.52.6"></a><var>52.6</var>the parental contribution shall be determined using a sliding fee scale established by the <br/>
<a id="pl.52.7"></a><var>52.7</var>commissioner of human services which begins at one percent of adjusted gross income <br/>
<a id="pl.52.8"></a><var>52.8</var>at 175 percent of federal poverty guidelines and increases to eight percent of adjusted <br/>
<a id="pl.52.9"></a><var>52.9</var>gross income for those with adjusted gross income up to 525 percent of federal poverty <br/>
<a id="pl.52.10"></a><var>52.10</var>guidelines;<br/>
<a id="pl.52.11"></a><var>52.11</var>(3) if the adjusted gross income is greater than 525 percent of federal poverty <br/>
<a id="pl.52.12"></a><var>52.12</var>guidelines and less than 675 percent of federal poverty guidelines, the parental contribution <br/>
<a id="pl.52.13"></a><var>52.13</var>shall be 9.5 percent of adjusted gross income;<br/>
<a id="pl.52.14"></a><var>52.14</var>(4) if the adjusted gross income is equal to or greater than 675 percent of federal <br/>
<a id="pl.52.15"></a><var>52.15</var>poverty guidelines and less than 900 percent of federal poverty guidelines, the parental <br/>
<a id="pl.52.16"></a><var>52.16</var>contribution shall be determined using a sliding fee scale established by the commissioner <br/>
<a id="pl.52.17"></a><var>52.17</var>of human services which begins at 9.5 percent of adjusted gross income at 675 percent of <br/>
<a id="pl.52.18"></a><var>52.18</var>federal poverty guidelines and increases to 12 percent of adjusted gross income for those <br/>
<a id="pl.52.19"></a><var>52.19</var>with adjusted gross income up to 900 percent of federal poverty guidelines; and<br/>
<a id="pl.52.20"></a><var>52.20</var>(5) if the adjusted gross income is equal to or greater than 900 percent of federal <br/>
<a id="pl.52.21"></a><var>52.21</var>poverty guidelines, the parental contribution shall be 13.5 percent of adjusted gross <br/>
<a id="pl.52.22"></a><var>52.22</var>income. If the child lives with the parent, the annual adjusted gross income is reduced by <br/>
<a id="pl.52.23"></a><var>52.23</var>$2,400 prior to calculating the parental contribution. If the child resides in an institution <br/>
<a id="pl.52.24"></a><var>52.24</var>specified in section 256B.35, the parent is responsible for the personal needs allowance <br/>
<a id="pl.52.25"></a><var>52.25</var>specified under that section in addition to the parental contribution determined under this <br/>
<a id="pl.52.26"></a><var>52.26</var>section. The parental contribution is reduced by any amount required to be paid directly to <br/>
<a id="pl.52.27"></a><var>52.27</var>the child pursuant to a court order, but only if actually paid.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.52.28"></a><var>52.28</var>    Sec. 8. <b>[256.4825] REPORT REGARDING PROGRAMS AND SERVICES FOR </b><br/>
<a id="pl.52.29"></a><var>52.29</var><b>PEOPLE WITH DISABILITIES.</b><br/>
<a id="pl.52.30"></a><var>52.30</var>The Minnesota State Council on Disability, the Minnesota Consortium for Citizens <br/>
<a id="pl.52.31"></a><var>52.31</var>with Disabilities, and the Arc of Minnesota may submit an annual report by January 15 of <br/>
<a id="pl.52.32"></a><var>52.32</var>each year, beginning in 2012, to the chairs and ranking minority members of the legislative <br/>
<a id="pl.52.33"></a><var>52.33</var>committees with jurisdiction over programs serving people with disabilities as provided in <br/>
<a id="pl.52.34"></a><var>52.34</var>this section. The report must describe the existing state policies and goals for programs <br/>
<a id="pl.52.35"></a><var>52.35</var>serving people with disabilities including, but not limited to, programs for employment, <br/>
<a id="pl.53.1"></a><var>53.1</var>transportation, housing, education, quality assurance, consumer direction, physical and <br/>
<a id="pl.53.2"></a><var>53.2</var>programmatic access, and health. The report must provide data and measurements to <br/>
<a id="pl.53.3"></a><var>53.3</var>assess the extent to which the policies and goals are being met. The commissioner of <br/>
<a id="pl.53.4"></a><var>53.4</var>human services and the commissioners of other state agencies administering programs for <br/>
<a id="pl.53.5"></a><var>53.5</var>people with disabilities shall cooperate with the Minnesota State Council on Disability, <br/>
<a id="pl.53.6"></a><var>53.6</var>the Minnesota Consortium for Citizens with Disabilities, and the Arc of Minnesota and <br/>
<a id="pl.53.7"></a><var>53.7</var>provide those organizations with existing published information and reports that will assist <br/>
<a id="pl.53.8"></a><var>53.8</var>in the preparation of the report.<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.53.9"></a><var>53.9</var>    Sec. 9. Minnesota Statutes 2008, section 256.9657, subdivision 3a, is amended to read:<br/>
<a id="pl.53.10"></a><var>53.10</var>    Subd. 3a. <b>ICF/MR license surcharge.</b> (a) Effective July 1, 2003, each <br/>
<a id="pl.53.11"></a><var>53.11</var>non-state-operated facility as defined under section 
         <statute_ref>256B.501, subdivision 1</statute_ref>, shall pay <br/>
<a id="pl.53.12"></a><var>53.12</var>to the commissioner an annual surcharge according to the schedule in subdivision 4, <br/>
<a id="pl.53.13"></a><var>53.13</var>paragraph (d). The annual surcharge shall be $1,040 per licensed bed. If the number of <br/>
<a id="pl.53.14"></a><var>53.14</var>licensed beds is reduced, the surcharge shall be based on the number of remaining licensed <br/>
<a id="pl.53.15"></a><var>53.15</var>beds the second month following the receipt of timely notice by the commissioner of <br/>
<a id="pl.53.16"></a><var>53.16</var>human services that beds have been delicensed. The facility must notify the commissioner <br/>
<a id="pl.53.17"></a><var>53.17</var>of health in writing when beds are delicensed. The commissioner of health must notify <br/>
<a id="pl.53.18"></a><var>53.18</var>the commissioner of human services within ten working days after receiving written <br/>
<a id="pl.53.19"></a><var>53.19</var>notification. If the notification is received by the commissioner of human services by <br/>
<a id="pl.53.20"></a><var>53.20</var>the 15th of the month, the invoice for the second following month must be reduced to <br/>
<a id="pl.53.21"></a><var>53.21</var>recognize the delicensing of beds. The commissioner may reduce, and may subsequently <br/>
<a id="pl.53.22"></a><var>53.22</var>restore, the surcharge under this subdivision based on the commissioner's determination of <br/>
<a id="pl.53.23"></a><var>53.23</var>a permissible surcharge. <br/>
<a id="pl.53.24"></a><var>53.24</var>(b) Effective July 1, 2010, the surcharge under paragraph (a) is increased to $4,037 <br/>
<a id="pl.53.25"></a><var>53.25</var>per licensed bed.<br/>
<br/>
<a id="bill.2.10.0"></a><a id="pl.53.26"></a><var>53.26</var>    Sec. 10. Minnesota Statutes 2009 Supplement, section 256.975, subdivision 7, is <br/>
<a id="pl.53.27"></a><var>53.27</var>amended to read:<br/>
<a id="pl.53.28"></a><var>53.28</var>    Subd. 7. <b>Consumer information and assistance and long-term care options </b><br/>
<a id="pl.53.29"></a><var>53.29</var><b>counseling; Senior LinkAge Line.</b> (a) The Minnesota Board on Aging shall operate a <br/>
<a id="pl.53.30"></a><var>53.30</var>statewide service to aid older Minnesotans and their families in making informed choices <br/>
<a id="pl.53.31"></a><var>53.31</var>about long-term care options and health care benefits. Language services to persons with <br/>
<a id="pl.53.32"></a><var>53.32</var>limited English language skills may be made available. The service, known as Senior <br/>
<a id="pl.53.33"></a><var>53.33</var>LinkAge Line, must be available during business hours through a statewide toll-free <br/>
<a id="pl.53.34"></a><var>53.34</var>number and must also be available through the Internet.<br/>
<a id="pl.54.1"></a><var>54.1</var>    (b) The service must provide long-term care options counseling by assisting older <br/>
<a id="pl.54.2"></a><var>54.2</var>adults, caregivers, and providers in accessing information and options counseling about <br/>
<a id="pl.54.3"></a><var>54.3</var>choices in long-term care services that are purchased through private providers or available <br/>
<a id="pl.54.4"></a><var>54.4</var>through public options. The service must:<br/>
<a id="pl.54.5"></a><var>54.5</var>    (1) develop a comprehensive database that includes detailed listings in both <br/>
<a id="pl.54.6"></a><var>54.6</var>consumer- and provider-oriented formats;<br/>
<a id="pl.54.7"></a><var>54.7</var>    (2) make the database accessible on the Internet and through other telecommunication <br/>
<a id="pl.54.8"></a><var>54.8</var>and media-related tools;<br/>
<a id="pl.54.9"></a><var>54.9</var>    (3) link callers to interactive long-term care screening tools and make these tools <br/>
<a id="pl.54.10"></a><var>54.10</var>available through the Internet by integrating the tools with the database;<br/>
<a id="pl.54.11"></a><var>54.11</var>    (4) develop community education materials with a focus on planning for long-term <br/>
<a id="pl.54.12"></a><var>54.12</var>care and evaluating independent living, housing, and service options;<br/>
<a id="pl.54.13"></a><var>54.13</var>    (5) conduct an outreach campaign to assist older adults and their caregivers in <br/>
<a id="pl.54.14"></a><var>54.14</var>finding information on the Internet and through other means of communication;<br/>
<a id="pl.54.15"></a><var>54.15</var>    (6) implement a messaging system for overflow callers and respond to these callers <br/>
<a id="pl.54.16"></a><var>54.16</var>by the next business day;<br/>
<a id="pl.54.17"></a><var>54.17</var>    (7) link callers with county human services and other providers to receive more <br/>
<a id="pl.54.18"></a><var>54.18</var>in-depth assistance and consultation related to long-term care options;<br/>
<a id="pl.54.19"></a><var>54.19</var>    (8) link callers with quality profiles for nursing facilities and other providers <br/>
<a id="pl.54.20"></a><var>54.20</var>developed by the commissioner of health;<br/>
<a id="pl.54.21"></a><var>54.21</var>    (9) incorporate information about the availability of housing options, as well as <br/>
<a id="pl.54.22"></a><var>54.22</var>registered housing with services and consumer rights within the MinnesotaHelp.info <br/>
<a id="pl.54.23"></a><var>54.23</var>network long-term care database to facilitate consumer comparison of services and costs <br/>
<a id="pl.54.24"></a><var>54.24</var>among housing with services establishments and with other in-home services and to <br/>
<a id="pl.54.25"></a><var>54.25</var>support financial self-sufficiency as long as possible. Housing with services establishments <br/>
<a id="pl.54.26"></a><var>54.26</var>and their arranged home care providers shall provide information to the commissioner of <br/>
<a id="pl.54.27"></a><var>54.27</var>human services that is consistent with information required by the commissioner of health <br/>
<a id="pl.54.28"></a><var>54.28</var>under section 
<statute_ref>144G.06</statute_ref>, the Uniform Consumer Information Guide that will facilitate price <br/>
<a id="pl.54.29"></a><var>54.29</var>comparisons, including delineation of charges for rent and for services available. The <br/>
<a id="pl.54.30"></a><var>54.30</var>commissioners of health and human services shall align the data elements required by <br/>
<a id="pl.54.31"></a><var>54.31</var>section 144G.06, the Uniform Consumer Information Guide, and this section to provide <br/>
<a id="pl.54.32"></a><var>54.32</var>consumers standardized information and ease of comparison of long-term care options. <br/>
<a id="pl.54.33"></a><var>54.33</var>The commissioner of human services shall provide the data to the Minnesota Board on <br/>
<a id="pl.54.34"></a><var>54.34</var>Aging for inclusion in the MinnesotaHelp.info network long-term care database;<br/>
<a id="pl.54.35"></a><var>54.35</var>(10) provide long-term care options counseling. Long-term care options counselors <br/>
<a id="pl.54.36"></a><var>54.36</var>shall:<br/>
<a id="pl.55.1"></a><var>55.1</var>(i) for individuals not eligible for case management under a public program or public <br/>
<a id="pl.55.2"></a><var>55.2</var>funding source, provide interactive decision support under which consumers, family <br/>
<a id="pl.55.3"></a><var>55.3</var>members, or other helpers are supported in their deliberations to determine appropriate <br/>
<a id="pl.55.4"></a><var>55.4</var>long-term care choices in the context of the consumer's needs, preferences, values, and <br/>
<a id="pl.55.5"></a><var>55.5</var>individual circumstances, including implementing a community support plan;<br/>
<a id="pl.55.6"></a><var>55.6</var>(ii) provide Web-based educational information and collateral written materials to <br/>
<a id="pl.55.7"></a><var>55.7</var>familiarize consumers, family members, or other helpers with the long-term care basics, <br/>
<a id="pl.55.8"></a><var>55.8</var>issues to be considered, and the range of options available in the community;<br/>
<a id="pl.55.9"></a><var>55.9</var>(iii) provide long-term care futures planning, which means providing assistance to <br/>
<a id="pl.55.10"></a><var>55.10</var>individuals who anticipate having long-term care needs to develop a plan for the more <br/>
<a id="pl.55.11"></a><var>55.11</var>distant future; and<br/>
<a id="pl.55.12"></a><var>55.12</var>(iv) provide expertise in benefits and financing options for long-term care, including <br/>
<a id="pl.55.13"></a><var>55.13</var>Medicare, long-term care insurance, tax or employer-based incentives, reverse mortgages, <br/>
<a id="pl.55.14"></a><var>55.14</var>private pay options, and ways to access low or no-cost services or benefits through <br/>
<a id="pl.55.15"></a><var>55.15</var>volunteer-based or charitable programs; and<br/>
<a id="pl.55.16"></a><var>55.16</var>(11) using risk management and support planning protocols, provide long-term care <br/>
<a id="pl.55.17"></a><var>55.17</var>options counseling to current residents of nursing homes deemed appropriate for discharge <br/>
<a id="pl.55.18"></a><var>55.18</var>by the commissioner. In order to meet this requirement, the commissioner shall provide <br/>
<a id="pl.55.19"></a><var>55.19</var>designated Senior LinkAge Line contact centers with a list of nursing home residents <br/>
<a id="pl.55.20"></a><var>55.20</var>appropriate for discharge planning via a secure Web portal. Senior LinkAge Line shall <br/>
<a id="pl.55.21"></a><var>55.21</var>provide these residents, if they indicate a preference to receive long-term care options <br/>
<a id="pl.55.22"></a><var>55.22</var>counseling, with initial assessment, review of risk factors, independent living support <br/>
<a id="pl.55.23"></a><var>55.23</var>consultation, or referral to:<br/>
<a id="pl.55.24"></a><var>55.24</var>(i) long-term care consultation services under section 
         <statute_ref>256B.0911</statute_ref>;<br/>
<a id="pl.55.25"></a><var>55.25</var>(ii) designated care coordinators of contracted entities under section 
         <statute_ref>256B.035</statute_ref> for <br/>
<a id="pl.55.26"></a><var>55.26</var>persons who are enrolled in a managed care plan; or<br/>
<a id="pl.55.27"></a><var>55.27</var>(iii) the long-term care consultation team for those who are appropriate for relocation <br/>
<a id="pl.55.28"></a><var>55.28</var>service coordination due to high-risk factors or psychological or physical disability.<br/>
<br/>
<a id="bill.2.11.0"></a><a id="pl.55.29"></a><var>55.29</var>    Sec. 11. Minnesota Statutes 2008, section 256B.057, subdivision 9, is amended to read:<br/>
<a id="pl.55.30"></a><var>55.30</var>    Subd. 9. <b>Employed persons with disabilities.</b> (a) Medical assistance may be paid <br/>
<a id="pl.55.31"></a><var>55.31</var>for a person who is employed and who:<br/>
<a id="pl.55.32"></a><var>55.32</var>(1) but for excess earnings or assets, meets the definition of disabled under the <br/>
<a id="pl.55.33"></a><var>55.33</var>supplemental security income program;<br/>
<a id="pl.55.34"></a><var>55.34</var>(2) is at least 16 but less than 65 years of age;<br/>
<a id="pl.55.35"></a><var>55.35</var>(3) meets the asset limits in paragraph (c); and<br/>
<a id="pl.56.1"></a><var>56.1</var>(4) effective November 1, 2003, pays a premium and other obligations under <br/>
<a id="pl.56.2"></a><var>56.2</var>paragraph (e).<br/>
<a id="pl.56.3"></a><var>56.3</var>Any spousal income or assets shall be disregarded for purposes of eligibility and premium <br/>
<a id="pl.56.4"></a><var>56.4</var>determinations.<br/>
<a id="pl.56.5"></a><var>56.5</var>(b) After the month of enrollment, a person enrolled in medical assistance under <br/>
<a id="pl.56.6"></a><var>56.6</var>this subdivision who:<br/>
<a id="pl.56.7"></a><var>56.7</var>(1) is temporarily unable to work and without receipt of earned income due to a <br/>
<a id="pl.56.8"></a><var>56.8</var>medical condition, as verified by a physician, may retain eligibility for up to four calendar <br/>
<a id="pl.56.9"></a><var>56.9</var>months; or<br/>
<a id="pl.56.10"></a><var>56.10</var>(2) effective January 1, 2004, loses employment for reasons not attributable to the <br/>
<a id="pl.56.11"></a><var>56.11</var>enrollee, may retain eligibility for up to four consecutive months after the month of job <br/>
<a id="pl.56.12"></a><var>56.12</var>loss. To receive a four-month extension, enrollees must verify the medical condition or <br/>
<a id="pl.56.13"></a><var>56.13</var>provide notification of job loss. All other eligibility requirements must be met and the <br/>
<a id="pl.56.14"></a><var>56.14</var>enrollee must pay all calculated premium costs for continued eligibility.<br/>
<a id="pl.56.15"></a><var>56.15</var>(c) For purposes of determining eligibility under this subdivision, a person's assets <br/>
<a id="pl.56.16"></a><var>56.16</var>must not exceed $20,000, excluding:<br/>
<a id="pl.56.17"></a><var>56.17</var>(1) all assets excluded under section 
         <statute_ref>256B.056</statute_ref>;<br/>
<a id="pl.56.18"></a><var>56.18</var>(2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans, <br/>
<a id="pl.56.19"></a><var>56.19</var>Keogh plans, and pension plans; and<br/>
<a id="pl.56.20"></a><var>56.20</var>(3) medical expense accounts set up through the person's employer.<br/>
<a id="pl.56.21"></a><var>56.21</var>(d)(1) Effective January 1, 2004, for purposes of eligibility, there will be a $65 <br/>
<a id="pl.56.22"></a><var>56.22</var>earned income disregard. To be eligible, a person applying for medical assistance under <br/>
<a id="pl.56.23"></a><var>56.23</var>this subdivision must have earned income above the disregard level.<br/>
<a id="pl.56.24"></a><var>56.24</var>(2) Effective January 1, 2004, to be considered earned income, Medicare, Social <br/>
<a id="pl.56.25"></a><var>56.25</var>Security, and applicable state and federal income taxes must be withheld. To be eligible, <br/>
<a id="pl.56.26"></a><var>56.26</var>a person must document earned income tax withholding.<br/>
<a id="pl.56.27"></a><var>56.27</var>(e)(1) A person whose earned and unearned income is equal to or greater than 100 <br/>
<a id="pl.56.28"></a><var>56.28</var>percent of federal poverty guidelines for the applicable family size must pay a premium <br/>
<a id="pl.56.29"></a><var>56.29</var>to be eligible for medical assistance under this subdivision. The premium shall be based <br/>
<a id="pl.56.30"></a><var>56.30</var>on the person's gross earned and unearned income and the applicable family size using a <br/>
<a id="pl.56.31"></a><var>56.31</var>sliding fee scale established by the commissioner, which begins at one percent of income <br/>
<a id="pl.56.32"></a><var>56.32</var>at 100 percent of the federal poverty guidelines and increases to 7.5 percent of income <br/>
<a id="pl.56.33"></a><var>56.33</var>for those with incomes at or above 300 percent of the federal poverty guidelines. Annual <br/>
<a id="pl.56.34"></a><var>56.34</var>adjustments in the premium schedule based upon changes in the federal poverty guidelines <br/>
<a id="pl.56.35"></a><var>56.35</var>shall be effective for premiums due in July of each year.<br/>
<a id="pl.57.1"></a><var>57.1</var>(2) Effective January 1, 2004, all enrollees must pay a premium to be eligible for <br/>
<a id="pl.57.2"></a><var>57.2</var>medical assistance under this subdivision. An enrollee shall pay the greater of a $35 <br/>
<a id="pl.57.3"></a><var>57.3</var>premium or the premium calculated in clause (1).<br/>
<a id="pl.57.4"></a><var>57.4</var>(3) Effective November 1, 2003, all enrollees who receive unearned income must <br/>
<a id="pl.57.5"></a><var>57.5</var>pay one-half of one percent of unearned income in addition to the premium amount.<br/>
<a id="pl.57.6"></a><var>57.6</var>(4) Effective November 1, 2003, for enrollees whose income does not exceed 200 <br/>
<a id="pl.57.7"></a><var>57.7</var>percent of the federal poverty guidelines and who are also enrolled in Medicare, the <br/>
<a id="pl.57.8"></a><var>57.8</var>commissioner must reimburse the enrollee for Medicare Part B premiums under section <br/>
<statute_ref><a id="pl.57.9"></a><var>57.9</var>256B.0625, subdivision 15
         </statute_ref>, paragraph (a).<br/>
<a id="pl.57.10"></a><var>57.10</var>(5) Increases in benefits under title II of the Social Security Act shall not be counted <br/>
<a id="pl.57.11"></a><var>57.11</var>as income for purposes of this subdivision until July 1 of each year.<br/>
<a id="pl.57.12"></a><var>57.12</var>(f) A person's eligibility and premium shall be determined by the local county <br/>
<a id="pl.57.13"></a><var>57.13</var>agency. Premiums must be paid to the commissioner. All premiums are dedicated to <br/>
<a id="pl.57.14"></a><var>57.14</var>the commissioner.<br/>
<a id="pl.57.15"></a><var>57.15</var>(g) Any required premium shall be determined at application and redetermined at <br/>
<a id="pl.57.16"></a><var>57.16</var>the enrollee's six-month income review or when a change in income or household size is <br/>
<a id="pl.57.17"></a><var>57.17</var>reported. Enrollees must report any change in income or household size within ten days <br/>
<a id="pl.57.18"></a><var>57.18</var>of when the change occurs. A decreased premium resulting from a reported change in <br/>
<a id="pl.57.19"></a><var>57.19</var>income or household size shall be effective the first day of the next available billing month <br/>
<a id="pl.57.20"></a><var>57.20</var>after the change is reported. Except for changes occurring from annual cost-of-living <br/>
<a id="pl.57.21"></a><var>57.21</var>increases, a change resulting in an increased premium shall not affect the premium amount <br/>
<a id="pl.57.22"></a><var>57.22</var>until the next six-month review.<br/>
<a id="pl.57.23"></a><var>57.23</var>(h) Premium payment is due upon notification from the commissioner of the <br/>
<a id="pl.57.24"></a><var>57.24</var>premium amount required. Premiums may be paid in installments at the discretion of <br/>
<a id="pl.57.25"></a><var>57.25</var>the commissioner.<br/>
<a id="pl.57.26"></a><var>57.26</var>(i) Nonpayment of the premium shall result in denial or termination of medical <br/>
<a id="pl.57.27"></a><var>57.27</var>assistance unless the person demonstrates good cause for nonpayment. Good cause exists <br/>
<a id="pl.57.28"></a><var>57.28</var>if the requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items B to <br/>
<a id="pl.57.29"></a><var>57.29</var>D, are met. Except when an installment agreement is accepted by the commissioner, <br/>
<a id="pl.57.30"></a><var>57.30</var>all persons disenrolled for nonpayment of a premium must pay any past due premiums <br/>
<a id="pl.57.31"></a><var>57.31</var>as well as current premiums due prior to being reenrolled. Nonpayment shall include <br/>
<a id="pl.57.32"></a><var>57.32</var>payment with a returned, refused, or dishonored instrument. The commissioner may <br/>
<a id="pl.57.33"></a><var>57.33</var>require a guaranteed form of payment as the only means to replace a returned, refused, <br/>
<a id="pl.57.34"></a><var>57.34</var>or dishonored instrument.<br/>
<a id="pl.57.35"></a><var>57.35</var>(j) The commissioner shall notify enrollees annually beginning at least 24 months <br/>
<a id="pl.57.36"></a><var>57.36</var>before the person's 65th birthday of the medical assistance eligibility rules affecting <br/>
<a id="pl.58.1"></a><var>58.1</var>income, assets, and treatment of a spouse's income and assets that will be applied upon <br/>
<a id="pl.58.2"></a><var>58.2</var>reaching age 65.<br/>
<a id="pl.58.3"></a><var>58.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011.<br/>
<br/>
<a id="bill.2.12.0"></a><a id="pl.58.4"></a><var>58.4</var>    Sec. 12. Minnesota Statutes 2009 Supplement, section 256B.0659, subdivision 11, <br/>
<a id="pl.58.5"></a><var>58.5</var>is amended to read:<br/>
<a id="pl.58.6"></a><var>58.6</var>    Subd. 11. <b>Personal care assistant; requirements.</b> (a) A personal care assistant <br/>
<a id="pl.58.7"></a><var>58.7</var>must meet the following requirements:<br/>
<a id="pl.58.8"></a><var>58.8</var>(1) be at least 18 years of age with the exception of persons who are 16 or 17 years <br/>
<a id="pl.58.9"></a><var>58.9</var>of age with these additional requirements:<br/>
<a id="pl.58.10"></a><var>58.10</var>(i) supervision by a qualified professional every 60 days; and<br/>
<a id="pl.58.11"></a><var>58.11</var>(ii) employment by only one personal care assistance provider agency responsible <br/>
<a id="pl.58.12"></a><var>58.12</var>for compliance with current labor laws;<br/>
<a id="pl.58.13"></a><var>58.13</var>(2) be employed by a personal care assistance provider agency;<br/>
<a id="pl.58.14"></a><var>58.14</var>(3) enroll with the department as a personal care assistant after clearing a background <br/>
<a id="pl.58.15"></a><var>58.15</var>study. Before a personal care assistant provides services, the personal care assistance <br/>
<a id="pl.58.16"></a><var>58.16</var>provider agency must initiate a background study on the personal care assistant under <br/>
<a id="pl.58.17"></a><var>58.17</var>chapter 245C, and the personal care assistance provider agency must have received a <br/>
<a id="pl.58.18"></a><var>58.18</var>notice from the commissioner that the personal care assistant is:<br/>
<a id="pl.58.19"></a><var>58.19</var>(i) not disqualified under section 
         <statute_ref>245C.14</statute_ref>; or<br/>
<a id="pl.58.20"></a><var>58.20</var>(ii) is disqualified, but the personal care assistant has received a set aside of the <br/>
<a id="pl.58.21"></a><var>58.21</var>disqualification under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.58.22"></a><var>58.22</var>(4) be able to effectively communicate with the recipient and personal care <br/>
<a id="pl.58.23"></a><var>58.23</var>assistance provider agency;<br/>
<a id="pl.58.24"></a><var>58.24</var>(5) be able to provide covered personal care assistance services according to the <br/>
<a id="pl.58.25"></a><var>58.25</var>recipient's personal care assistance care plan, respond appropriately to recipient needs, <br/>
<a id="pl.58.26"></a><var>58.26</var>and report changes in the recipient's condition to the supervising qualified professional <br/>
<a id="pl.58.27"></a><var>58.27</var>or physician;<br/>
<a id="pl.58.28"></a><var>58.28</var>(6) not be a consumer of personal care assistance services;<br/>
<a id="pl.58.29"></a><var>58.29</var>(7) maintain daily written records including, but not limited to, time sheets under <br/>
<a id="pl.58.30"></a><var>58.30</var>subdivision 12;<br/>
<a id="pl.58.31"></a><var>58.31</var>(8) effective January 1, 2010, complete standardized training as determined by the <br/>
<a id="pl.58.32"></a><var>58.32</var>commissioner before completing enrollment. Personal care assistant training must include <br/>
<a id="pl.58.33"></a><var>58.33</var>successful completion of the following training components: basic first aid, vulnerable <br/>
<a id="pl.58.34"></a><var>58.34</var>adult, child maltreatment, OSHA universal precautions, basic roles and responsibilities of <br/>
<a id="pl.58.35"></a><var>58.35</var>personal care assistants including information about assistance with lifting and transfers <br/>
<a id="pl.59.1"></a><var>59.1</var>for recipients, emergency preparedness, orientation to positive behavioral practices, fraud <br/>
<a id="pl.59.2"></a><var>59.2</var>issues, and completion of time sheets. Upon completion of the training components, <br/>
<a id="pl.59.3"></a><var>59.3</var>the personal care assistant must demonstrate the competency to provide assistance to <br/>
<a id="pl.59.4"></a><var>59.4</var>recipients;<br/>
<a id="pl.59.5"></a><var>59.5</var>(9) complete training and orientation on the needs of the recipient within the first <br/>
<a id="pl.59.6"></a><var>59.6</var>seven days after the services begin; and<br/>
<a id="pl.59.7"></a><var>59.7</var>(10) be limited to providing and being paid for up to 310 275  hours per month of <br/>
<a id="pl.59.8"></a><var>59.8</var>personal care assistance services regardless of the number of recipients being served or the <br/>
<a id="pl.59.9"></a><var>59.9</var>number of personal care assistance provider agencies enrolled with.<br/>
<a id="pl.59.10"></a><var>59.10</var>(b) A legal guardian may be a personal care assistant if the guardian is not being paid <br/>
<a id="pl.59.11"></a><var>59.11</var>for the guardian services and meets the criteria for personal care assistants in paragraph (a).<br/>
<a id="pl.59.12"></a><var>59.12</var>(c) Effective January 1, 2010, persons who do not qualify as a personal care assistant <br/>
<a id="pl.59.13"></a><var>59.13</var>include parents and stepparents of minors, spouses, paid legal guardians, family foster <br/>
<a id="pl.59.14"></a><var>59.14</var>care providers, except as otherwise allowed in section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>, or <br/>
<a id="pl.59.15"></a><var>59.15</var>staff of a residential setting.<br/>
<a id="pl.59.16"></a><var>59.16</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.2.13.0"></a><a id="pl.59.17"></a><var>59.17</var>    Sec. 13. Minnesota Statutes 2009 Supplement, section 256B.0911, subdivision 3c, <br/>
<a id="pl.59.18"></a><var>59.18</var>is amended to read:<br/>
<a id="pl.59.19"></a><var>59.19</var>    Subd. 3c. <b>Transition to housing with services.</b> (a) Housing with services <br/>
<a id="pl.59.20"></a><var>59.20</var>establishments offering or providing assisted living under chapter 144G shall inform <br/>
<a id="pl.59.21"></a><var>59.21</var>all prospective residents of the availability of and contact information for transitional <br/>
<a id="pl.59.22"></a><var>59.22</var>consultation services under this subdivision prior to executing a lease or contract with <br/>
<a id="pl.59.23"></a><var>59.23</var>the prospective resident requirement to contact the Senior LinkAge Line for long-term <br/>
<a id="pl.59.24"></a><var>59.24</var>care options counseling and transitional consultation. The Senior LinkAge Line shall <br/>
<a id="pl.59.25"></a><var>59.25</var>provide a certificate to the prospective resident and also send a copy of the certificate to <br/>
<a id="pl.59.26"></a><var>59.26</var>the housing with services establishment that the prospective resident chooses, verifying <br/>
<a id="pl.59.27"></a><var>59.27</var>that consultation has been provided to the prospective resident or the prospective <br/>
<a id="pl.59.28"></a><var>59.28</var>resident's legal representative. The housing with services establishment shall not execute a <br/>
<a id="pl.59.29"></a><var>59.29</var>contract or allow a prospective resident to move in until the establishment has received <br/>
<a id="pl.59.30"></a><var>59.30</var>certification from the Senior LinkAge Line. Prospective residents refusing to contact the <br/>
<a id="pl.59.31"></a><var>59.31</var>Senior LinkAge Line are required to sign a waiver form supplied by the provider. The <br/>
<a id="pl.59.32"></a><var>59.32</var>housing with services establishment shall maintain copies of contracts, waiver forms, and <br/>
<a id="pl.59.33"></a><var>59.33</var>certificates for audit for a period of three years. The purpose of transitional long-term care <br/>
<a id="pl.59.34"></a><var>59.34</var>consultation is to support persons with current or anticipated long-term care needs in <br/>
<a id="pl.59.35"></a><var>59.35</var>making informed choices among options that include the most cost-effective and least <br/>
<a id="pl.60.1"></a><var>60.1</var>restrictive settings, and to delay spenddown to eligibility for publicly funded programs by <br/>
<a id="pl.60.2"></a><var>60.2</var>connecting people to alternative services in their homes before transition to housing with <br/>
<a id="pl.60.3"></a><var>60.3</var>services. Regardless of the consultation, prospective residents maintain the right to choose <br/>
<a id="pl.60.4"></a><var>60.4</var>housing with services or assisted living if that option is their preference.<br/>
<a id="pl.60.5"></a><var>60.5</var>    (b) Transitional consultation services are provided as determined by the <br/>
<a id="pl.60.6"></a><var>60.6</var>commissioner of human services in partnership with county long-term care consultation <br/>
<a id="pl.60.7"></a><var>60.7</var>units, and the Area Agencies on Aging under section 144D.03, subdivision 3, and <br/>
<a id="pl.60.8"></a><var>60.8</var>are a combination of telephone-based and in-person assistance provided under models <br/>
<a id="pl.60.9"></a><var>60.9</var>developed by the commissioner. The consultation shall be performed in a manner that <br/>
<a id="pl.60.10"></a><var>60.10</var>provides objective and complete information. Transitional consultation must be provided <br/>
<a id="pl.60.11"></a><var>60.11</var>within five working days of the request of the prospective resident as follows:<br/>
<a id="pl.60.12"></a><var>60.12</var>    (1) the consultation must be provided by a qualified professional as determined by <br/>
<a id="pl.60.13"></a><var>60.13</var>the commissioner;<br/>
<a id="pl.60.14"></a><var>60.14</var>    (2) the consultation must include a review of the prospective resident's reasons for <br/>
<a id="pl.60.15"></a><var>60.15</var>considering assisted living, the prospective resident's personal goals, a discussion of the <br/>
<a id="pl.60.16"></a><var>60.16</var>prospective resident's immediate and projected long-term care needs, and alternative <br/>
<a id="pl.60.17"></a><var>60.17</var>community services or assisted living settings that may meet the prospective resident's <br/>
<a id="pl.60.18"></a><var>60.18</var>needs; and<br/>
<a id="pl.60.19"></a><var>60.19</var>    (3) the prospective resident shall be informed of the availability of long-term care <br/>
<a id="pl.60.20"></a><var>60.20</var>consultation services described in subdivision 3a that are available at no charge to the <br/>
<a id="pl.60.21"></a><var>60.21</var>prospective resident to assist the prospective resident in assessment and planning to meet <br/>
<a id="pl.60.22"></a><var>60.22</var>the prospective resident's long-term care needs. The Senior LinkAge Line and long-term <br/>
<a id="pl.60.23"></a><var>60.23</var>care consultation team shall give the highest priority to referrals who are at highest risk of <br/>
<a id="pl.60.24"></a><var>60.24</var>nursing facility placement or as needed for determining eligibility.;<br/>
<a id="pl.60.25"></a><var>60.25</var>(4) a prospective resident does not include a person moving from the community, <br/>
<a id="pl.60.26"></a><var>60.26</var>a hospital, or an institutional setting to housing with services during nonworking hours <br/>
<a id="pl.60.27"></a><var>60.27</var>when:<br/>
<a id="pl.60.28"></a><var>60.28</var>(i) the move is based on a recent precipitating event that precludes the person from <br/>
<a id="pl.60.29"></a><var>60.29</var>living safely in the community or institution, such as sustaining injury, unanticipated <br/>
<a id="pl.60.30"></a><var>60.30</var>discharge from hospital or nursing facility, inability of caregivers to provide needed care, <br/>
<a id="pl.60.31"></a><var>60.31</var>lack of access to needed care or services, or declining health status; and<br/>
<a id="pl.60.32"></a><var>60.32</var>(ii) the Senior LinkAge Line is contacted within ten working days following the <br/>
<a id="pl.60.33"></a><var>60.33</var>move to the registered housing with services, or as soon as is reasonable considering <br/>
<a id="pl.60.34"></a><var>60.34</var>the prospective resident's condition; and<br/>
<a id="pl.60.35"></a><var>60.35</var>(5) the Senior LinkAge Line may provide the long-term care options counseling and <br/>
<a id="pl.60.36"></a><var>60.36</var>transitional consultation service.<br/>
<br/>
<a id="bill.2.14.0"></a><a id="pl.61.1"></a><var>61.1</var>    Sec. 14. Minnesota Statutes 2008, section 256B.0915, is amended by adding a <br/>
<a id="pl.61.2"></a><var>61.2</var>subdivision to read:<br/>
<a id="pl.61.3"></a><var>61.3</var>    Subd. 3i. <b>Rate reduction for customized living and 24-hour customized living </b><br/>
<a id="pl.61.4"></a><var>61.4</var><b>services.</b> (a) Effective July 1, 2010, the commissioner shall reduce service component <br/>
<a id="pl.61.5"></a><var>61.5</var>rates and service rate limits for customized living services and 24-hour customized living <br/>
<a id="pl.61.6"></a><var>61.6</var>services, from the rates in effect on June 30, 2010, by five percent.<br/>
<a id="pl.61.7"></a><var>61.7</var>(b) To implement the rate reductions in this subdivision, capitation rates paid by the <br/>
<a id="pl.61.8"></a><var>61.8</var>commissioner to managed care organizations under section 256B.69 shall reflect a ten <br/>
<a id="pl.61.9"></a><var>61.9</var>percent reduction for the specified services for the period January 1, 2011, to June 30, <br/>
<a id="pl.61.10"></a><var>61.10</var>2011, and a five percent reduction for those services on and after July 1, 2011.<br/>
<br/>
<a id="bill.2.15.0"></a><a id="pl.61.11"></a><var>61.11</var>    Sec. 15. Minnesota Statutes 2009 Supplement, section 256B.441, subdivision 55, <br/>
<a id="pl.61.12"></a><var>61.12</var>is amended to read:<br/>
<a id="pl.61.13"></a><var>61.13</var>    Subd. 55. <b>Phase-in of rebased operating payment rates.</b>  (a) For the rate years <br/>
<a id="pl.61.14"></a><var>61.14</var>beginning October 1, 2008, to October 1, 2015, the operating payment rate calculated <br/>
<a id="pl.61.15"></a><var>61.15</var>under this section shall be phased in by blending the operating rate with the operating <br/>
<a id="pl.61.16"></a><var>61.16</var>payment rate determined under section 
         <statute_ref>256B.434</statute_ref>. For purposes of this subdivision, the <br/>
<a id="pl.61.17"></a><var>61.17</var>rate to be used that is determined under section 
         <statute_ref>256B.434</statute_ref> shall not include the portion of <br/>
<a id="pl.61.18"></a><var>61.18</var>the operating payment rate related to performance-based incentive payments under section <br/>
<statute_ref><a id="pl.61.19"></a><var>61.19</var>256B.434, subdivision 4
         </statute_ref>, paragraph (d). For the rate year beginning October 1, 2008, the <br/>
<a id="pl.61.20"></a><var>61.20</var>operating payment rate for each facility shall be 13 percent of the operating payment rate <br/>
<a id="pl.61.21"></a><var>61.21</var>from this section, and 87 percent of the operating payment rate from section 
         <statute_ref>256B.434</statute_ref>. <br/>
<a id="pl.61.22"></a><var>61.22</var>For the rate year beginning October 1, 2009, the operating payment rate for each facility <br/>
<a id="pl.61.23"></a><var>61.23</var>shall be 14 percent of the operating payment rate from this section, and 86 percent of <br/>
<a id="pl.61.24"></a><var>61.24</var>the operating payment rate from section 
<statute_ref>256B.434</statute_ref>. For rate years beginning October 1, <br/>
<a id="pl.61.25"></a><var>61.25</var>2010; October 1, 2011; and October 1, 2012, For the rate period from October 1, 2009, to <br/>
<a id="pl.61.26"></a><var>61.26</var>September 30, 2013,  no rate adjustments shall be implemented under this section, but shall <br/>
<a id="pl.61.27"></a><var>61.27</var>be determined under section 
         <statute_ref>256B.434</statute_ref>. For the rate year beginning October 1, 2013, the <br/>
<a id="pl.61.28"></a><var>61.28</var>operating payment rate for each facility shall be 65 percent of the operating payment rate <br/>
<a id="pl.61.29"></a><var>61.29</var>from this section, and 35 percent of the operating payment rate from section 
         <statute_ref>256B.434</statute_ref>. <br/>
<a id="pl.61.30"></a><var>61.30</var>For the rate year beginning October 1, 2014, the operating payment rate for each facility <br/>
<a id="pl.61.31"></a><var>61.31</var>shall be 82 percent of the operating payment rate from this section, and 18 percent of the <br/>
<a id="pl.61.32"></a><var>61.32</var>operating payment rate from section 
         <statute_ref>256B.434</statute_ref>. For the rate year beginning October 1, <br/>
<a id="pl.61.33"></a><var>61.33</var>2015, the operating payment rate for each facility shall be the operating payment rate <br/>
<a id="pl.61.34"></a><var>61.34</var>determined under this section. The blending of operating payment rates under this section <br/>
<a id="pl.61.35"></a><var>61.35</var>shall be performed separately for each RUG's class.<br/>
<a id="pl.62.1"></a><var>62.1</var>    (b) For the rate year beginning October 1, 2008, the commissioner shall apply limits <br/>
<a id="pl.62.2"></a><var>62.2</var>to the operating payment rate increases under paragraph (a) by creating a minimum <br/>
<a id="pl.62.3"></a><var>62.3</var>percentage increase and a maximum percentage increase.<br/>
<a id="pl.62.4"></a><var>62.4</var>    (1) Each nursing facility that receives a blended October 1, 2008, operating payment <br/>
<a id="pl.62.5"></a><var>62.5</var>rate increase under paragraph (a) of less than one percent, when compared to its operating <br/>
<a id="pl.62.6"></a><var>62.6</var>payment rate on September 30, 2008, computed using rates with RUG's weight of 
         <statute_ref>1.00</statute_ref>, <br/>
<a id="pl.62.7"></a><var>62.7</var>shall receive a rate adjustment of one percent.<br/>
<a id="pl.62.8"></a><var>62.8</var>    (2) The commissioner shall determine a maximum percentage increase that will <br/>
<a id="pl.62.9"></a><var>62.9</var>result in savings equal to the cost of allowing the minimum increase in clause (1). Nursing <br/>
<a id="pl.62.10"></a><var>62.10</var>facilities with a blended October 1, 2008, operating payment rate increase under paragraph <br/>
<a id="pl.62.11"></a><var>62.11</var>(a) greater than the maximum percentage increase determined by the commissioner, when <br/>
<a id="pl.62.12"></a><var>62.12</var>compared to its operating payment rate on September 30, 2008, computed using rates with <br/>
<a id="pl.62.13"></a><var>62.13</var>a RUG's weight of 
         <statute_ref>1.00</statute_ref>, shall receive the maximum percentage increase.<br/>
<a id="pl.62.14"></a><var>62.14</var>    (3) Nursing facilities with a blended October 1, 2008, operating payment rate <br/>
<a id="pl.62.15"></a><var>62.15</var>increase under paragraph (a) greater than one percent and less than the maximum <br/>
<a id="pl.62.16"></a><var>62.16</var>percentage increase determined by the commissioner, when compared to its operating <br/>
<a id="pl.62.17"></a><var>62.17</var>payment rate on September 30, 2008, computed using rates with a RUG's weight of 
         <statute_ref>1.00</statute_ref>, <br/>
<a id="pl.62.18"></a><var>62.18</var>shall receive the blended October 1, 2008, operating payment rate increase determined <br/>
<a id="pl.62.19"></a><var>62.19</var>under paragraph (a).<br/>
<a id="pl.62.20"></a><var>62.20</var>    (4) The October 1, 2009, through October 1, 2015, operating payment rate for <br/>
<a id="pl.62.21"></a><var>62.21</var>facilities receiving the maximum percentage increase determined in clause (2) shall be <br/>
<a id="pl.62.22"></a><var>62.22</var>the amount determined under paragraph (a) less the difference between the amount <br/>
<a id="pl.62.23"></a><var>62.23</var>determined under paragraph (a) for October 1, 2008, and the amount allowed under clause <br/>
<a id="pl.62.24"></a><var>62.24</var>(2). This rate restriction does not apply to rate increases provided in any other section.<br/>
<a id="pl.62.25"></a><var>62.25</var>    (c) A portion of the funds received under this subdivision that are in excess of <br/>
<a id="pl.62.26"></a><var>62.26</var>operating payment rates that a facility would have received under section 
         <statute_ref>256B.434</statute_ref>, as <br/>
<a id="pl.62.27"></a><var>62.27</var>determined in accordance with clauses (1) to (3), shall be subject to the requirements in <br/>
<a id="pl.62.28"></a><var>62.28</var>section 
         <statute_ref>256B.434, subdivision 19</statute_ref>, paragraphs (b) to (h).<br/>
<a id="pl.62.29"></a><var>62.29</var>    (1) Determine the amount of additional funding available to a facility, which shall be <br/>
<a id="pl.62.30"></a><var>62.30</var>equal to total medical assistance resident days from the most recent reporting year times <br/>
<a id="pl.62.31"></a><var>62.31</var>the difference between the blended rate determined in paragraph (a) for the rate year being <br/>
<a id="pl.62.32"></a><var>62.32</var>computed and the blended rate for the prior year.<br/>
<a id="pl.62.33"></a><var>62.33</var>    (2) Determine the portion of all operating costs, for the most recent reporting year, <br/>
<a id="pl.62.34"></a><var>62.34</var>that are compensation related. If this value exceeds 75 percent, use 75 percent.<br/>
<a id="pl.62.35"></a><var>62.35</var>    (3) Subtract the amount determined in clause (2) from 75 percent.<br/>
<a id="pl.63.1"></a><var>63.1</var>    (4) The portion of the fund received under this subdivision that shall be subject to <br/>
<a id="pl.63.2"></a><var>63.2</var>the requirements in section 
         <statute_ref>256B.434, subdivision 19</statute_ref>, paragraphs (b) to (h), shall equal <br/>
<a id="pl.63.3"></a><var>63.3</var>the amount determined in clause (1) times the amount determined in clause (3).<br/>
<a id="pl.63.4"></a><var>63.4</var><b>EFFECTIVE DATE.</b>This section is effective retroactive to October 1, 2009.<br/>
<br/>
<a id="bill.2.16.0"></a><a id="pl.63.5"></a><var>63.5</var>    Sec. 16. Minnesota Statutes 2008, section 256B.5012, is amended by adding a <br/>
<a id="pl.63.6"></a><var>63.6</var>subdivision to read:<br/>
<a id="pl.63.7"></a><var>63.7</var>    Subd. 9. <b>Rate increase effective June 1, 2010.</b> For rate periods beginning on or <br/>
<a id="pl.63.8"></a><var>63.8</var>after June 1, 2010, the commissioner shall increase the total operating payment rate for <br/>
<a id="pl.63.9"></a><var>63.9</var>each facility reimbursed under this section by $8.74 per day. The increase shall not be <br/>
<a id="pl.63.10"></a><var>63.10</var>subject to any annual percentage increase.<br/>
<a id="pl.63.11"></a><var>63.11</var><b>EFFECTIVE DATE.</b>This section is effective June 1, 2010.<br/>
<br/>
<a id="bill.2.17.0"></a><a id="pl.63.12"></a><var>63.12</var>    Sec. 17. Minnesota Statutes 2009 Supplement, section 256B.69, subdivision 23, <br/>
<a id="pl.63.13"></a><var>63.13</var>is amended to read:<br/>
<a id="pl.63.14"></a><var>63.14</var>    Subd. 23. <b>Alternative services; elderly and disabled persons.</b> (a) The <br/>
<a id="pl.63.15"></a><var>63.15</var>commissioner may implement demonstration projects to create alternative integrated <br/>
<a id="pl.63.16"></a><var>63.16</var>delivery systems for acute and long-term care services to elderly persons and persons <br/>
<a id="pl.63.17"></a><var>63.17</var>with disabilities as defined in section 
         <statute_ref>256B.77, subdivision 7a</statute_ref>, that provide increased <br/>
<a id="pl.63.18"></a><var>63.18</var>coordination, improve access to quality services, and mitigate future cost increases. <br/>
<a id="pl.63.19"></a><var>63.19</var>The commissioner may seek federal authority to combine Medicare and Medicaid <br/>
<a id="pl.63.20"></a><var>63.20</var>capitation payments for the purpose of such demonstrations and may contract with <br/>
<a id="pl.63.21"></a><var>63.21</var>Medicare-approved special needs plans to provide Medicaid services. Medicare funds and <br/>
<a id="pl.63.22"></a><var>63.22</var>services shall be administered according to the terms and conditions of the federal contract <br/>
<a id="pl.63.23"></a><var>63.23</var>and demonstration provisions. For the purpose of administering medical assistance funds, <br/>
<a id="pl.63.24"></a><var>63.24</var>demonstrations under this subdivision are subject to subdivisions 1 to 22. The provisions <br/>
<a id="pl.63.25"></a><var>63.25</var>of Minnesota Rules, parts 
         <statute_ref>9500.1450</statute_ref> to 
         <statute_ref>9500.1464</statute_ref>, apply to these demonstrations, <br/>
<a id="pl.63.26"></a><var>63.26</var>with the exceptions of parts 
         <statute_ref>9500.1452</statute_ref>, subpart 2, item B; and 
         <statute_ref>9500.1457</statute_ref>, subpart 1, <br/>
<a id="pl.63.27"></a><var>63.27</var>items B and C, which do not apply to persons enrolling in demonstrations under this <br/>
<a id="pl.63.28"></a><var>63.28</var>section. An initial open enrollment period may be provided. Persons who disenroll from <br/>
<a id="pl.63.29"></a><var>63.29</var>demonstrations under this subdivision remain subject to Minnesota Rules, parts 9500.1450 <br/>
<a id="pl.63.30"></a><var>63.30</var>to 9500.1464. When a person is enrolled in a health plan under these demonstrations and <br/>
<a id="pl.63.31"></a><var>63.31</var>the health plan's participation is subsequently terminated for any reason, the person shall <br/>
<a id="pl.63.32"></a><var>63.32</var>be provided an opportunity to select a new health plan and shall have the right to change <br/>
<a id="pl.63.33"></a><var>63.33</var>health plans within the first 60 days of enrollment in the second health plan. Persons <br/>
<a id="pl.64.1"></a><var>64.1</var>required to participate in health plans under this section who fail to make a choice of <br/>
<a id="pl.64.2"></a><var>64.2</var>health plan shall not be randomly assigned to health plans under these demonstrations. <br/>
<a id="pl.64.3"></a><var>64.3</var>Notwithstanding section 
         <statute_ref>256L.12, subdivision 5</statute_ref>, and Minnesota Rules, part 
         <statute_ref>9505.5220</statute_ref>, <br/>
<a id="pl.64.4"></a><var>64.4</var>subpart 1, item A, if adopted, for the purpose of demonstrations under this subdivision, <br/>
<a id="pl.64.5"></a><var>64.5</var>the commissioner may contract with managed care organizations, including counties, to <br/>
<a id="pl.64.6"></a><var>64.6</var>serve only elderly persons eligible for medical assistance, elderly and disabled persons, or <br/>
<a id="pl.64.7"></a><var>64.7</var>disabled persons only. For persons with a primary diagnosis of developmental disability, <br/>
<a id="pl.64.8"></a><var>64.8</var>serious and persistent mental illness, or serious emotional disturbance, the commissioner <br/>
<a id="pl.64.9"></a><var>64.9</var>must ensure that the county authority has approved the demonstration and contracting <br/>
<a id="pl.64.10"></a><var>64.10</var>design. Enrollment in these projects for persons with disabilities shall be voluntary. The <br/>
<a id="pl.64.11"></a><var>64.11</var>commissioner shall not implement any demonstration project under this subdivision for <br/>
<a id="pl.64.12"></a><var>64.12</var>persons with a primary diagnosis of developmental disabilities, serious and persistent <br/>
<a id="pl.64.13"></a><var>64.13</var>mental illness, or serious emotional disturbance, without approval of the county board of <br/>
<a id="pl.64.14"></a><var>64.14</var>the county in which the demonstration is being implemented.<br/>
<a id="pl.64.15"></a><var>64.15</var>    (b) Notwithstanding chapter 245B, sections 
         <statute_ref>252.40</statute_ref> to 
         <statute_ref>252.46</statute_ref>, 
         <statute_ref>256B.092</statute_ref>, 
         <statute_ref>256B.501 <br/>
</statute_ref><a id="pl.64.16"></a><var>64.16</var>to 
         <statute_ref>256B.5015</statute_ref>, and Minnesota Rules, parts 9525.0004 to 9525.0036, 9525.1200 to <br/>
<a id="pl.64.17"></a><var>64.17</var>9525.1330, 9525.1580, and 9525.1800 to 9525.1930, the commissioner may implement <br/>
<a id="pl.64.18"></a><var>64.18</var>under this section projects for persons with developmental disabilities. The commissioner <br/>
<a id="pl.64.19"></a><var>64.19</var>may capitate payments for ICF/MR services, waivered services for developmental <br/>
<a id="pl.64.20"></a><var>64.20</var>disabilities, including case management services, day training and habilitation and <br/>
<a id="pl.64.21"></a><var>64.21</var>alternative active treatment services, and other services as approved by the state and by the <br/>
<a id="pl.64.22"></a><var>64.22</var>federal government. Case management and active treatment must be individualized and <br/>
<a id="pl.64.23"></a><var>64.23</var>developed in accordance with a person-centered plan. Costs under these projects may not <br/>
<a id="pl.64.24"></a><var>64.24</var>exceed costs that would have been incurred under fee-for-service. Beginning July 1, 2003, <br/>
<a id="pl.64.25"></a><var>64.25</var>and until four years after the pilot project implementation date, subcontractor participation <br/>
<a id="pl.64.26"></a><var>64.26</var>in the long-term care developmental disability pilot is limited to a nonprofit long-term <br/>
<a id="pl.64.27"></a><var>64.27</var>care system providing ICF/MR services, home and community-based waiver services, <br/>
<a id="pl.64.28"></a><var>64.28</var>and in-home services to no more than 120 consumers with developmental disabilities in <br/>
<a id="pl.64.29"></a><var>64.29</var>Carver, Hennepin, and Scott Counties. The commissioner shall report to the legislature <br/>
<a id="pl.64.30"></a><var>64.30</var>prior to expansion of the developmental disability pilot project. This paragraph expires <br/>
<a id="pl.64.31"></a><var>64.31</var>four years after the implementation date of the pilot project.<br/>
<a id="pl.64.32"></a><var>64.32</var>    (c) Before implementation of a demonstration project for disabled persons, the <br/>
<a id="pl.64.33"></a><var>64.33</var>commissioner must provide information to appropriate committees of the house of <br/>
<a id="pl.64.34"></a><var>64.34</var>representatives and senate and must involve representatives of affected disability groups <br/>
<a id="pl.64.35"></a><var>64.35</var>in the design of the demonstration projects.<br/>
<a id="pl.65.1"></a><var>65.1</var>    (d) A nursing facility reimbursed under the alternative reimbursement methodology <br/>
<a id="pl.65.2"></a><var>65.2</var>in section 
         <statute_ref>256B.434</statute_ref> may, in collaboration with a hospital, clinic, or other health care entity <br/>
<a id="pl.65.3"></a><var>65.3</var>provide services under paragraph (a). The commissioner shall amend the state plan and <br/>
<a id="pl.65.4"></a><var>65.4</var>seek any federal waivers necessary to implement this paragraph.<br/>
<a id="pl.65.5"></a><var>65.5</var>    (e) The commissioner, in consultation with the commissioners of commerce and <br/>
<a id="pl.65.6"></a><var>65.6</var>health, may approve and implement programs for all-inclusive care for the elderly (PACE) <br/>
<a id="pl.65.7"></a><var>65.7</var>according to federal laws and regulations governing that program and state laws or rules <br/>
<a id="pl.65.8"></a><var>65.8</var>applicable to participating providers. The process for approval of these programs shall <br/>
<a id="pl.65.9"></a><var>65.9</var>begin only after the commissioner receives grant money in an amount sufficient to cover <br/>
<a id="pl.65.10"></a><var>65.10</var>the state share of the administrative and actuarial costs to implement the programs during <br/>
<a id="pl.65.11"></a><var>65.11</var>state fiscal years 2006 and 2007. Grant amounts for this purpose shall be deposited in an <br/>
<a id="pl.65.12"></a><var>65.12</var>account in the special revenue fund and are appropriated to the commissioner to be used <br/>
<a id="pl.65.13"></a><var>65.13</var>solely for the purpose of PACE administrative and actuarial costs. A PACE provider is <br/>
<a id="pl.65.14"></a><var>65.14</var>not required to be licensed or certified as a health plan company as defined in section <br/>
<statute_ref><a id="pl.65.15"></a><var>65.15</var>62Q.01, subdivision 4
         </statute_ref>. Persons age 55 and older who have been screened by the county <br/>
<a id="pl.65.16"></a><var>65.16</var>and found to be eligible for services under the elderly waiver or community alternatives <br/>
<a id="pl.65.17"></a><var>65.17</var>for disabled individuals or who are already eligible for Medicaid but meet level of <br/>
<a id="pl.65.18"></a><var>65.18</var>care criteria for receipt of waiver services may choose to enroll in the PACE program. <br/>
<a id="pl.65.19"></a><var>65.19</var>Medicare and Medicaid services will be provided according to this subdivision and <br/>
<a id="pl.65.20"></a><var>65.20</var>federal Medicare and Medicaid requirements governing PACE providers and programs. <br/>
<a id="pl.65.21"></a><var>65.21</var>PACE enrollees will receive Medicaid home and community-based services through the <br/>
<a id="pl.65.22"></a><var>65.22</var>PACE provider as an alternative to services for which they would otherwise be eligible <br/>
<a id="pl.65.23"></a><var>65.23</var>through home and community-based waiver programs and Medicaid State Plan Services. <br/>
<a id="pl.65.24"></a><var>65.24</var>The commissioner shall establish Medicaid rates for PACE providers that do not exceed <br/>
<a id="pl.65.25"></a><var>65.25</var>costs that would have been incurred under fee-for-service or other relevant managed care <br/>
<a id="pl.65.26"></a><var>65.26</var>programs operated by the state.<br/>
<a id="pl.65.27"></a><var>65.27</var>    (f) The commissioner shall seek federal approval to expand the Minnesota disability <br/>
<a id="pl.65.28"></a><var>65.28</var>health options (MnDHO) program established under this subdivision in stages, first to <br/>
<a id="pl.65.29"></a><var>65.29</var>regional population centers outside the seven-county metro area and then to all areas of <br/>
<a id="pl.65.30"></a><var>65.30</var>the state. Until July 1, 2009, expansion for MnDHO projects that include home and <br/>
<a id="pl.65.31"></a><var>65.31</var>community-based services is limited to the two projects and service areas in effect on <br/>
<a id="pl.65.32"></a><var>65.32</var>March 1, 2006. Enrollment in integrated MnDHO programs that include home and <br/>
<a id="pl.65.33"></a><var>65.33</var>community-based services shall remain voluntary. Costs for home and community-based <br/>
<a id="pl.65.34"></a><var>65.34</var>services included under MnDHO must not exceed costs that would have been incurred <br/>
<a id="pl.65.35"></a><var>65.35</var>under the fee-for-service program. Notwithstanding whether expansion occurs under <br/>
<a id="pl.65.36"></a><var>65.36</var>this paragraph, in determining MnDHO payment rates and risk adjustment methods for <br/>
<a id="pl.66.1"></a><var>66.1</var>contract years starting in 2012, the commissioner must consider the methods used to <br/>
<a id="pl.66.2"></a><var>66.2</var>determine county allocations for home and community-based program participants. If <br/>
<a id="pl.66.3"></a><var>66.3</var>necessary to reduce MnDHO rates to comply with the provision regarding MnDHO costs <br/>
<a id="pl.66.4"></a><var>66.4</var>for home and community-based services, the commissioner shall achieve the reduction <br/>
<a id="pl.66.5"></a><var>66.5</var>by maintaining the base rate for contract years  year 2010 and 2011 for services provided <br/>
<a id="pl.66.6"></a><var>66.6</var>under the community alternatives for disabled individuals waiver at the same level as for <br/>
<a id="pl.66.7"></a><var>66.7</var>contract year 2009. The commissioner may apply other reductions to MnDHO rates to <br/>
<a id="pl.66.8"></a><var>66.8</var>implement decreases in provider payment rates required by state law. Effective December <br/>
<a id="pl.66.9"></a><var>66.9</var>31, 2010, enrollment and operation of the MnDHO program in effect during 2010 shall <br/>
<a id="pl.66.10"></a><var>66.10</var>cease. The commissioner may reopen the program provided all applicable conditions of <br/>
<a id="pl.66.11"></a><var>66.11</var>this section are met. In developing program specifications for expansion of integrated <br/>
<a id="pl.66.12"></a><var>66.12</var>programs, the commissioner shall involve and consult the state-level stakeholder group <br/>
<a id="pl.66.13"></a><var>66.13</var>established in subdivision 28, paragraph (d), including consultation on whether and how <br/>
<a id="pl.66.14"></a><var>66.14</var>to include home and community-based waiver programs. Plans for further expansion of to <br/>
<a id="pl.66.15"></a><var>66.15</var>reopen MnDHO projects shall be presented to the chairs of the house of representatives <br/>
<a id="pl.66.16"></a><var>66.16</var>and senate committees with jurisdiction over health and human services policy and finance <br/>
<a id="pl.66.17"></a><var>66.17</var>by February 1, 2007 prior to implementation.<br/>
<a id="pl.66.18"></a><var>66.18</var>    (g) Notwithstanding section 
         <statute_ref>256B.0261</statute_ref>, health plans providing services under this <br/>
<a id="pl.66.19"></a><var>66.19</var>section are responsible for home care targeted case management and relocation targeted <br/>
<a id="pl.66.20"></a><var>66.20</var>case management. Services must be provided according to the terms of the waivers and <br/>
<a id="pl.66.21"></a><var>66.21</var>contracts approved by the federal government.<br/>
<br/>
<a id="bill.2.18.0"></a><a id="pl.66.22"></a><var>66.22</var>    Sec. 18. Laws 2009, chapter 79, article 8, section 51, the effective date, is amended to <br/>
<a id="pl.66.23"></a><var>66.23</var>read:<br/>
<a id="pl.66.24"></a><var>66.24</var><b>EFFECTIVE DATE.</b>This section is effective January July 1, 2011.<br/>
<br/>
<a id="bill.2.19.0"></a><a id="pl.66.25"></a><var>66.25</var>    Sec. 19. Laws 2009, chapter 79, article 8, section 84, is amended to read:<br/>
<a id="pl.66.26"></a><var>66.26</var>    Sec. 84. <b>HOUSING OPTIONS.</b><br/>
<a id="pl.66.27"></a><var>66.27</var>The commissioner of human services, in consultation with the commissioner of <br/>
<a id="pl.66.28"></a><var>66.28</var>administration and the Minnesota Housing Finance Agency, and representatives of <br/>
<a id="pl.66.29"></a><var>66.29</var>counties, residents' advocacy groups, consumers of housing services, and provider <br/>
<a id="pl.66.30"></a><var>66.30</var>agencies shall explore ways to maximize the availability and affordability of housing <br/>
<a id="pl.66.31"></a><var>66.31</var>choices available to persons with disabilities or who need care assistance due to other <br/>
<a id="pl.66.32"></a><var>66.32</var>health challenges. A goal shall also be to minimize state physical plant costs in order to <br/>
<a id="pl.66.33"></a><var>66.33</var>serve more persons with appropriate program and care support. Consideration shall be <br/>
<a id="pl.66.34"></a><var>66.34</var>given to:<br/>
<a id="pl.67.1"></a><var>67.1</var>(1) improved access to rent subsidies;<br/>
<a id="pl.67.2"></a><var>67.2</var>(2) use of cooperatives, land trusts, and other limited equity ownership models;<br/>
<a id="pl.67.3"></a><var>67.3</var>(3) whether a public equity housing fund should be established that would maintain <br/>
<a id="pl.67.4"></a><var>67.4</var>the state's interest, to the extent paid from state funds, including group residential housing <br/>
<a id="pl.67.5"></a><var>67.5</var>and Minnesota supplemental aid shelter-needy funds in provider-owned housing, so that <br/>
<a id="pl.67.6"></a><var>67.6</var>when sold, the state would recover its share for a public equity fund to be used for future <br/>
<a id="pl.67.7"></a><var>67.7</var>public needs under this chapter;<br/>
<a id="pl.67.8"></a><var>67.8</var>(4) the desirability of the state acquiring an ownership interest or promoting the <br/>
<a id="pl.67.9"></a><var>67.9</var>use of publicly owned housing;<br/>
<a id="pl.67.10"></a><var>67.10</var>(5) promoting more choices in the market for accessible housing that meets the <br/>
<a id="pl.67.11"></a><var>67.11</var>needs of persons with physical challenges; and<br/>
<a id="pl.67.12"></a><var>67.12</var>(6) what consumer ownership models, if any, are appropriate; and<br/>
<a id="pl.67.13"></a><var>67.13</var>(7) a review of the definition of home and community services and appropriate <br/>
<a id="pl.67.14"></a><var>67.14</var>settings where these services may be provided, including the number of people who <br/>
<a id="pl.67.15"></a><var>67.15</var>may reside under one roof, through the home and community-based waivers for seniors <br/>
<a id="pl.67.16"></a><var>67.16</var>and individuals with disabilities.<br/>
<a id="pl.67.17"></a><var>67.17</var>The commissioner shall provide a written report on the findings of the evaluation of <br/>
<a id="pl.67.18"></a><var>67.18</var>housing options to the chairs and ranking minority members of the house of representatives <br/>
<a id="pl.67.19"></a><var>67.19</var>and senate standing committees with jurisdiction over health and human services policy <br/>
<a id="pl.67.20"></a><var>67.20</var>and funding by December 15, 2010. This report shall replace the November 1, 2010, <br/>
<a id="pl.67.21"></a><var>67.21</var>annual report by the commissioner required in Minnesota Statutes, sections 
         <statute_ref>256B.0916, <br/>
<a id="pl.67.22"></a><var>67.22</var>subdivision 7
         </statute_ref>, and 
         <statute_ref>256B.49, subdivision 21</statute_ref>.<br/>
<br/>
<a id="bill.2.20.0"></a><a id="pl.67.23"></a><var>67.23</var>    Sec. 20. <b>CASE MANAGEMENT REFORM.</b><br/>
<a id="pl.67.24"></a><var>67.24</var>(a) By February 1, 2011, the commissioner of human services shall provide specific <br/>
<a id="pl.67.25"></a><var>67.25</var>recommendations and language for proposed legislation to:<br/>
<a id="pl.67.26"></a><var>67.26</var>(1) define the administrative and the service functions of case management for <br/>
<a id="pl.67.27"></a><var>67.27</var>persons with disabilities and make changes to improve the funding for administrative <br/>
<a id="pl.67.28"></a><var>67.28</var>functions;<br/>
<a id="pl.67.29"></a><var>67.29</var>(2) standardize and simplify processes, standards, and timelines for case <br/>
<a id="pl.67.30"></a><var>67.30</var>management within the Department of Human Services, Disability Services Division, <br/>
<a id="pl.67.31"></a><var>67.31</var>including eligibility determinations, resource allocation, management of dollars, provision <br/>
<a id="pl.67.32"></a><var>67.32</var>for assignment of one case manager at a time per person, waiting lists, quality assurance, <br/>
<a id="pl.67.33"></a><var>67.33</var>host county concurrence requirements, county of financial responsibility provisions, and <br/>
<a id="pl.67.34"></a><var>67.34</var>waiver compliance; and<br/>
<a id="pl.68.1"></a><var>68.1</var>(3) increase opportunities for consumer choice of case management functions <br/>
<a id="pl.68.2"></a><var>68.2</var>involving service coordination.<br/>
<a id="pl.68.3"></a><var>68.3</var>(b) In developing these recommendations, the commissioner shall consider the <br/>
<a id="pl.68.4"></a><var>68.4</var>recommendations of the 2007 Redesigning Case Management Services for Persons <br/>
<a id="pl.68.5"></a><var>68.5</var>with Disabilities report and consult with existing stakeholder groups, which include <br/>
<a id="pl.68.6"></a><var>68.6</var>representatives of counties, disability and senior advocacy groups, service providers, and <br/>
<a id="pl.68.7"></a><var>68.7</var>representatives of agencies which provide contracted case management.<br/>
<a id="pl.68.8"></a><var>68.8</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.2.21.0"></a><a id="pl.68.9"></a><var>68.9</var>    Sec. 21. <b>COMMISSIONER TO SEEK FEDERAL MATCH.</b><br/>
<a id="pl.68.10"></a><var>68.10</var>(a) The commissioner of human services shall seek federal financial participation <br/>
<a id="pl.68.11"></a><var>68.11</var>for eligible activity related to fiscal years 2010 and 2011 grants to Advocating Change <br/>
<a id="pl.68.12"></a><var>68.12</var>Together to establish a statewide self-advocacy network for persons with developmental <br/>
<a id="pl.68.13"></a><var>68.13</var>disabilities and for eligible activities under any future grants to the organization.<br/>
<a id="pl.68.14"></a><var>68.14</var>(b) The commissioner shall report to the chairs and ranking minority members of <br/>
<a id="pl.68.15"></a><var>68.15</var>the senate Health and Human Services Budget Division and the house of representatives <br/>
<a id="pl.68.16"></a><var>68.16</var>Health Care and Human Services Finance Division by December 15, 2010, with the <br/>
<a id="pl.68.17"></a><var>68.17</var>results of the application for federal matching funds.<br/>
<br/>
<a id="bill.2.22.0"></a><a id="pl.68.18"></a><var>68.18</var>    Sec. 22. <b>ICF/MR RATE INCREASE.</b><br/>
<a id="pl.68.19"></a><var>68.19</var>    The daily rate at an intermediate care facility for the developmentally disabled <br/>
<a id="pl.68.20"></a><var>68.20</var>located in Clearwater County and classified as a Class A facility with 15 beds shall be <br/>
<a id="pl.68.21"></a><var>68.21</var>increased from $112.73 to $138.23 for the rate period July 1, 2010, to June 30, 2011.<br/>
<br/>
<a id="bill.3.0.0"></a>

<a id="bill.3.1.0"></a><a id="pl.68.24"></a><var>68.24</var>    Section 1. Minnesota Statutes 2008, section 256D.0515, is amended to read:<br/>
<a id="pl.68.25"></a><var>68.25</var><b>256D.0515 ASSET LIMITATIONS FOR FOOD STAMP HOUSEHOLDS.</b><br/>
<a id="pl.68.26"></a><var>68.26</var>All food stamp households must be determined eligible for the benefit discussed <br/>
<a id="pl.68.27"></a><var>68.27</var>under section 
         <statute_ref>256.029</statute_ref>. Food stamp households must demonstrate that:<br/>
<a id="pl.68.28"></a><var>68.28</var>(1) their gross income meets the federal Food Stamp requirements under United <br/>
<a id="pl.68.29"></a><var>68.29</var>States Code, title 7, section 2014(c); and <br/>
<a id="pl.68.30"></a><var>68.30</var>(2) they have financial resources, excluding vehicles, of less than $7,000 is equal to <br/>
<a id="pl.68.31"></a><var>68.31</var>or less than 165 percent of the federal poverty guidelines for the same family size.<br/>
<a id="pl.68.32"></a><var>68.32</var><b>EFFECTIVE DATE.</b>This section is effective November 1, 2010.<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.69.1"></a><var>69.1</var>    Sec. 2. Minnesota Statutes 2008, section 256I.05, is amended by adding a subdivision <br/>
<a id="pl.69.2"></a><var>69.2</var>to read:<br/>
<a id="pl.69.3"></a><var>69.3</var>    Subd. 1n. <b>Supplemental rate; Mahnomen County.</b> Notwithstanding the <br/>
<a id="pl.69.4"></a><var>69.4</var>provisions of this section, for the rate period July 1, 2010, to June 30, 2011, a county <br/>
<a id="pl.69.5"></a><var>69.5</var>agency shall negotiate a supplemental service rate in addition to the rate specified in <br/>
<a id="pl.69.6"></a><var>69.6</var>subdivision 1, not to exceed $753 per month or the existing rate, including any legislative <br/>
<a id="pl.69.7"></a><var>69.7</var>authorized inflationary adjustments, for a group residential provider located in Mahnomen <br/>
<a id="pl.69.8"></a><var>69.8</var>County that operates a 28-bed facility providing 24-hour care to individuals who are <br/>
<a id="pl.69.9"></a><var>69.9</var>homeless, disabled, chemically dependent, mentally ill, or chronically homeless.<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.69.10"></a><var>69.10</var>    Sec. 3. Minnesota Statutes 2008, section 256J.24, subdivision 6, is amended to read:<br/>
<a id="pl.69.11"></a><var>69.11</var>    Subd. 6. <b>Family cap.</b> (a) MFIP assistance units shall not receive an increase in the <br/>
<a id="pl.69.12"></a><var>69.12</var>cash portion of the transitional standard as a result of the birth of a child, unless one of <br/>
<a id="pl.69.13"></a><var>69.13</var>the conditions under paragraph (b) is met. The child shall be considered a member of the <br/>
<a id="pl.69.14"></a><var>69.14</var>assistance unit according to subdivisions 1 to 3, but shall be excluded in determining <br/>
<a id="pl.69.15"></a><var>69.15</var>family size for purposes of determining the amount of the cash portion of the transitional <br/>
<a id="pl.69.16"></a><var>69.16</var>standard under subdivision 5. The child shall be included in determining family size for <br/>
<a id="pl.69.17"></a><var>69.17</var>purposes of determining the food portion of the transitional standard. The transitional <br/>
<a id="pl.69.18"></a><var>69.18</var>standard under this subdivision shall be the total of the cash and food portions as specified <br/>
<a id="pl.69.19"></a><var>69.19</var>in this paragraph. The family wage level under this subdivision shall be based on the <br/>
<a id="pl.69.20"></a><var>69.20</var>family size used to determine the food portion of the transitional standard.<br/>
<a id="pl.69.21"></a><var>69.21</var>(b) A child shall be included in determining family size for purposes of determining <br/>
<a id="pl.69.22"></a><var>69.22</var>the amount of the cash portion of the MFIP transitional standard when at least one of <br/>
<a id="pl.69.23"></a><var>69.23</var>the following conditions is met:<br/>
<a id="pl.69.24"></a><var>69.24</var>(1) for families receiving MFIP assistance on July 1, 2003, the child is born to the <br/>
<a id="pl.69.25"></a><var>69.25</var>adult parent before May 1, 2004;<br/>
<a id="pl.69.26"></a><var>69.26</var>(2) for families who apply for the diversionary work program under section 
         <statute_ref>256J.95</statute_ref> <br/>
<a id="pl.69.27"></a><var>69.27</var>or MFIP assistance on or after July 1, 2003, the child is born to the adult parent within <br/>
<a id="pl.69.28"></a><var>69.28</var>ten months of the date the family is eligible for assistance; <br/>
<a id="pl.69.29"></a><var>69.29</var>(3) the child was conceived as a result of a sexual assault or incest, provided that the <br/>
<a id="pl.69.30"></a><var>69.30</var>incident has been reported to a law enforcement agency;<br/>
<a id="pl.69.31"></a><var>69.31</var>(4) the child's mother is a minor caregiver as defined in section 
         <statute_ref>256J.08, subdivision <br/>
<a id="pl.69.32"></a><var>69.32</var>59
         </statute_ref>, and the child, or multiple children, are the mother's first birth; or <br/>
<a id="pl.69.33"></a><var>69.33</var>(5) the child is the mother's first child subsequent to a pregnancy that did not result <br/>
<a id="pl.69.34"></a><var>69.34</var>in a live birth; or<br/>
<a id="pl.70.1"></a><var>70.1</var>(6) any child previously excluded in determining family size under paragraph <br/>
<a id="pl.70.2"></a><var>70.2</var>(a) shall be included if the adult parent or parents have not received benefits from the <br/>
<a id="pl.70.3"></a><var>70.3</var>diversionary work program under section 
         <statute_ref>256J.95</statute_ref> or MFIP assistance in the previous ten <br/>
<a id="pl.70.4"></a><var>70.4</var>months. An adult parent or parents who reapply and have received benefits from the <br/>
<a id="pl.70.5"></a><var>70.5</var>diversionary work program or MFIP assistance in the past ten months shall be under the <br/>
<a id="pl.70.6"></a><var>70.6</var>ten-month grace period of their previous application under clause (2).<br/>
<a id="pl.70.7"></a><var>70.7</var>(c) Income and resources of a child excluded under this subdivision, except child <br/>
<a id="pl.70.8"></a><var>70.8</var>support received or distributed on behalf of this child, must be considered using the same <br/>
<a id="pl.70.9"></a><var>70.9</var>policies as for other children when determining the grant amount of the assistance unit.<br/>
<a id="pl.70.10"></a><var>70.10</var>(d) The caregiver must assign support and cooperate with the child support <br/>
<a id="pl.70.11"></a><var>70.11</var>enforcement agency to establish paternity and collect child support on behalf of the <br/>
<a id="pl.70.12"></a><var>70.12</var>excluded child. Failure to cooperate results in the sanction specified in section 
         <statute_ref>256J.46, <br/>
<a id="pl.70.13"></a><var>70.13</var>subdivisions 2 and 2a
         </statute_ref>. Current support paid on behalf of the excluded child shall be <br/>
<a id="pl.70.14"></a><var>70.14</var>distributed according to section 
         <statute_ref>256.741, subdivision 15</statute_ref>. <br/>
<a id="pl.70.15"></a><var>70.15</var>(e) County agencies must inform applicants of the provisions under this subdivision <br/>
<a id="pl.70.16"></a><var>70.16</var>at the time of each application and at recertification.<br/>
<a id="pl.70.17"></a><var>70.17</var>(f) Children excluded under this provision shall be deemed MFIP recipients for <br/>
<a id="pl.70.18"></a><var>70.18</var>purposes of child care under chapter 119B.<br/>
<a id="pl.70.19"></a><var>70.19</var><b>EFFECTIVE DATE.</b>This section is effective September 1, 2010.<br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.70.20"></a><var>70.20</var>    Sec. 4. Minnesota Statutes 2009 Supplement, section 256J.425, subdivision 3, is <br/>
<a id="pl.70.21"></a><var>70.21</var>amended to read:<br/>
<a id="pl.70.22"></a><var>70.22</var>    Subd. 3. <b>Hard-to-employ participants.</b> (a) An assistance unit subject to the time <br/>
<a id="pl.70.23"></a><var>70.23</var>limit in section 
         <statute_ref>256J.42, subdivision 1</statute_ref>, is eligible to receive months of assistance under <br/>
<a id="pl.70.24"></a><var>70.24</var>a hardship extension if the participant who reached the time limit belongs to any of the <br/>
<a id="pl.70.25"></a><var>70.25</var>following groups: <br/>
<a id="pl.70.26"></a><var>70.26</var>    (1) a person who is diagnosed by a licensed physician, psychological practitioner, or <br/>
<a id="pl.70.27"></a><var>70.27</var>other qualified professional, as developmentally disabled or mentally ill, and the condition <br/>
<a id="pl.70.28"></a><var>70.28</var>severely limits the person's ability to obtain or maintain suitable employment;<br/>
<a id="pl.70.29"></a><var>70.29</var>    (2) a person who:<br/>
<a id="pl.70.30"></a><var>70.30</var>    (i) has been assessed by a vocational specialist or the county agency to be <br/>
<a id="pl.70.31"></a><var>70.31</var>unemployable for purposes of this subdivision; or<br/>
<a id="pl.70.32"></a><var>70.32</var>    (ii) has an IQ below 80 who has been assessed by a vocational specialist or a county <br/>
<a id="pl.70.33"></a><var>70.33</var>agency to be employable, but the condition severely limits the person's ability to obtain or <br/>
<a id="pl.70.34"></a><var>70.34</var>maintain suitable employment. The determination of IQ level must be made by a qualified <br/>
<a id="pl.70.35"></a><var>70.35</var>professional. In the case of a non-English-speaking person: (A) the determination must <br/>
<a id="pl.71.1"></a><var>71.1</var>be made by a qualified professional with experience conducting culturally appropriate <br/>
<a id="pl.71.2"></a><var>71.2</var>assessments, whenever possible; (B) the county may accept reports that identify an <br/>
<a id="pl.71.3"></a><var>71.3</var>IQ range as opposed to a specific score; (C) these reports must include a statement of <br/>
<a id="pl.71.4"></a><var>71.4</var>confidence in the results;<br/>
<a id="pl.71.5"></a><var>71.5</var>    (3) a person who is determined by a qualified professional to be learning disabled, <br/>
<a id="pl.71.6"></a><var>71.6</var>and the condition severely limits the person's ability to obtain or maintain suitable <br/>
<a id="pl.71.7"></a><var>71.7</var>employment. For purposes of the initial approval of a learning disability extension, the <br/>
<a id="pl.71.8"></a><var>71.8</var>determination must have been made or confirmed within the previous 12 months. In the <br/>
<a id="pl.71.9"></a><var>71.9</var>case of a non-English-speaking person: (i) the determination must be made by a qualified <br/>
<a id="pl.71.10"></a><var>71.10</var>professional with experience conducting culturally appropriate assessments, whenever <br/>
<a id="pl.71.11"></a><var>71.11</var>possible; and (ii) these reports must include a statement of confidence in the results. If a <br/>
<a id="pl.71.12"></a><var>71.12</var>rehabilitation plan for a participant extended as learning disabled is developed or approved <br/>
<a id="pl.71.13"></a><var>71.13</var>by the county agency, the plan must be incorporated into the employment plan. However, <br/>
<a id="pl.71.14"></a><var>71.14</var>a rehabilitation plan does not replace the requirement to develop and comply with an <br/>
<a id="pl.71.15"></a><var>71.15</var>employment plan under section 
         <statute_ref>256J.521</statute_ref>; or <br/>
<a id="pl.71.16"></a><var>71.16</var>    (4) a person who has been granted a family violence waiver, and who is complying <br/>
<a id="pl.71.17"></a><var>71.17</var>with an employment plan under section 
         <statute_ref>256J.521, subdivision 3</statute_ref>. <br/>
<a id="pl.71.18"></a><var>71.18</var>    (b) For purposes of this section chapter, "severely limits the person's ability to obtain <br/>
<a id="pl.71.19"></a><var>71.19</var>or maintain suitable employment" means: <br/>
<a id="pl.71.20"></a><var>71.20</var>    (1) that a qualified professional has determined that the person's condition prevents <br/>
<a id="pl.71.21"></a><var>71.21</var>the person from working 20 or more hours per week; or <br/>
<a id="pl.71.22"></a><var>71.22</var>    (2) for a person who meets the requirements of paragraph (a), clause (2), item (ii), or <br/>
<a id="pl.71.23"></a><var>71.23</var>clause (3), a qualified professional has determined the person's condition:<br/>
<a id="pl.71.24"></a><var>71.24</var>    (i) significantly restricts the range of employment that the person is able to perform; <br/>
<a id="pl.71.25"></a><var>71.25</var>or <br/>
<a id="pl.71.26"></a><var>71.26</var>    (ii) significantly interferes with the person's ability to obtain or maintain suitable <br/>
<a id="pl.71.27"></a><var>71.27</var>employment for 20 or more hours per week.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.71.28"></a><var>71.28</var>    Sec. 5. <b> REPEALER.</b><br/>
<a id="pl.71.29"></a><var>71.29</var>Minnesota Statutes 2009 Supplement, section 256J.621, is repealed.<br/>
<a id="pl.71.30"></a><var>71.30</var><b>EFFECTIVE DATE.</b>This section is effective December 1, 2010.<br/>
<br/>
<a id="bill.4.0.0"></a>

<a id="bill.4.1.0"></a><a id="pl.71.33"></a><var>71.33</var>    Section 1. <b>[62Q.545] COVERAGE OF PRIVATE DUTY NURSING SERVICES.</b><br/>
<a id="pl.72.1"></a><var>72.1</var>(a) Private duty nursing services, as provided under section 256B.0625, subdivision <br/>
<a id="pl.72.2"></a><var>72.2</var>7, with the exception of section 256B.0654, subdivision 4, shall be covered under a health <br/>
<a id="pl.72.3"></a><var>72.3</var>plan for persons who are concurrently covered by both the health plan  and enrolled in <br/>
<a id="pl.72.4"></a><var>72.4</var>medical assistance under chapter 256B.<br/>
<a id="pl.72.5"></a><var>72.5</var>(b) For purposes of this section, a period of private duty nursing services may <br/>
<a id="pl.72.6"></a><var>72.6</var>be subject to the co-payment, coinsurance, deductible, or other enrollee cost-sharing <br/>
<a id="pl.72.7"></a><var>72.7</var>requirements that apply under the health plan. Cost-sharing requirements for private <br/>
<a id="pl.72.8"></a><var>72.8</var>duty nursing services must not place a greater financial burden on the insured or enrollee <br/>
<a id="pl.72.9"></a><var>72.9</var>than those requirements applied by the health plan to other similar services or benefits. <br/>
<a id="pl.72.10"></a><var>72.10</var>Nothing in this section is intended to prevent a health plan company from requiring <br/>
<a id="pl.72.11"></a><var>72.11</var>prior authorization by the health plan company for such services as required by section <br/>
<a id="pl.72.12"></a><var>72.12</var>256B.0625, subdivision 7, or use of contracted providers under the applicable provisions <br/>
<a id="pl.72.13"></a><var>72.13</var>of the health plan.<br/>
<a id="pl.72.14"></a><var>72.14</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010, and applies to health <br/>
<a id="pl.72.15"></a><var>72.15</var>plans offered, sold, issued, or renewed on or after that date.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.72.16"></a><var>72.16</var>    Sec. 2. <b>[137.32] MINNESOTA COUPLES ON THE BRINK PROJECT.</b><br/>
<a id="pl.72.17"></a><var>72.17</var>    Subdivision 1. <b>Establishment.</b> Within the limits of available appropriations, the <br/>
<a id="pl.72.18"></a><var>72.18</var>Board of Regents of the University of Minnesota is requested to develop and implement <br/>
<a id="pl.72.19"></a><var>72.19</var>a Minnesota couples on the brink project, as provided for in this section. The regents <br/>
<a id="pl.72.20"></a><var>72.20</var>may administer the project with federal grants, state appropriations, and in-kind services <br/>
<a id="pl.72.21"></a><var>72.21</var>received for this purpose.<br/>
<a id="pl.72.22"></a><var>72.22</var>    Subd. 2. <b>Purpose.</b> The purpose of the project is to develop, evaluate, and <br/>
<a id="pl.72.23"></a><var>72.23</var>disseminate best practices for promoting successful reconciliation between married <br/>
<a id="pl.72.24"></a><var>72.24</var>persons who are considering or have commenced a marriage dissolution proceeding and <br/>
<a id="pl.72.25"></a><var>72.25</var>who choose to pursue reconciliation.<br/>
<a id="pl.72.26"></a><var>72.26</var>    Subd. 3. <b>Implementation.</b> The regents shall:<br/>
<a id="pl.72.27"></a><var>72.27</var>(1) enter into contracts or manage a grant process for implementation of the project; <br/>
<a id="pl.72.28"></a><var>72.28</var>and<br/>
<a id="pl.72.29"></a><var>72.29</var>(2) develop and implement an evaluation component for the project.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.72.30"></a><var>72.30</var>    Sec. 3. Minnesota Statutes 2008, section 152.126, as amended by Laws 2009, chapter <br/>
<a id="pl.72.31"></a><var>72.31</var>79, article 11, sections 9, 10, and 11, is amended to read:<br/>
<a id="pl.72.32"></a><var>72.32</var><b>152.126 </b><b>SCHEDULE II AND III</b><b> CONTROLLED SUBSTANCES </b><br/>
<a id="pl.72.33"></a><var>72.33</var><b>PRESCRIPTION ELECTRONIC REPORTING SYSTEM.</b><br/>
<a id="pl.73.1"></a><var>73.1</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the terms defined in this <br/>
<a id="pl.73.2"></a><var>73.2</var>subdivision have the meanings given.<br/>
<a id="pl.73.3"></a><var>73.3</var>    (a) "Board" means the Minnesota State Board of Pharmacy established under <br/>
<a id="pl.73.4"></a><var>73.4</var>chapter 151.<br/>
<a id="pl.73.5"></a><var>73.5</var>    (b) "Controlled substances" means those substances listed in section 
         <statute_ref>152.02</statute_ref>, <br/>
<a id="pl.73.6"></a><var>73.6</var>subdivisions 3 to 5, and those substances defined by the board pursuant to section 
         <statute_ref>152.02, <br/>
<a id="pl.73.7"></a><var>73.7</var>subdivisions 7
         </statute_ref>, 8, and 12.<br/>
<a id="pl.73.8"></a><var>73.8</var>    (c) "Dispense" or "dispensing" has the meaning given in section 
         <statute_ref>151.01, subdivision <br/>
</statute_ref><a id="pl.73.9"></a><var>73.9</var>30. Dispensing does not include the direct administering of a controlled substance to a <br/>
<a id="pl.73.10"></a><var>73.10</var>patient by a licensed health care professional.<br/>
<a id="pl.73.11"></a><var>73.11</var>    (d) "Dispenser" means a person authorized by law to dispense a controlled substance, <br/>
<a id="pl.73.12"></a><var>73.12</var>pursuant to a valid prescription. For the purposes of this section, a dispenser does not <br/>
<a id="pl.73.13"></a><var>73.13</var>include a licensed hospital pharmacy that distributes controlled substances for inpatient <br/>
<a id="pl.73.14"></a><var>73.14</var>hospital care or a veterinarian who is dispensing prescriptions under section 
         <statute_ref>156.18</statute_ref>.<br/>
<a id="pl.73.15"></a><var>73.15</var>    (e) "Prescriber" means a licensed health care professional who is authorized to <br/>
<a id="pl.73.16"></a><var>73.16</var>prescribe a controlled substance under section 
         <statute_ref>152.12, subdivision 1</statute_ref>.<br/>
<a id="pl.73.17"></a><var>73.17</var>    (f) "Prescription" has the meaning given in section 
         <statute_ref>151.01, subdivision 16</statute_ref>.<br/>
<a id="pl.73.18"></a><var>73.18</var>    Subd. 1a. <b>Treatment of intractable pain.</b> This section is not intended to limit or <br/>
<a id="pl.73.19"></a><var>73.19</var>interfere with the legitimate prescribing of controlled substances for pain. No prescriber <br/>
<a id="pl.73.20"></a><var>73.20</var>shall be subject to disciplinary action by a health-related licensing board for prescribing a <br/>
<a id="pl.73.21"></a><var>73.21</var>controlled substance according to the provisions of section 
         <statute_ref>152.125</statute_ref>.<br/>
<a id="pl.73.22"></a><var>73.22</var>    Subd. 2. <b>Prescription electronic reporting system.</b> (a) The board shall establish <br/>
<a id="pl.73.23"></a><var>73.23</var>by January 1, 2010, an electronic system for reporting the information required under <br/>
<a id="pl.73.24"></a><var>73.24</var>subdivision 4 for all controlled substances dispensed within the state. <br/>
<a id="pl.73.25"></a><var>73.25</var>    (b) The board may contract with a vendor for the purpose of obtaining technical <br/>
<a id="pl.73.26"></a><var>73.26</var>assistance in the design, implementation, operation, and maintenance of the electronic <br/>
<a id="pl.73.27"></a><var>73.27</var>reporting system. <br/>
<a id="pl.73.28"></a><var>73.28</var>    Subd. 3. <b>Prescription Electronic Reporting Advisory Committee.</b> (a) The <br/>
<a id="pl.73.29"></a><var>73.29</var>board shall convene an advisory committee. The committee must include at least one <br/>
<a id="pl.73.30"></a><var>73.30</var>representative of:<br/>
<a id="pl.73.31"></a><var>73.31</var>    (1) the Department of Health;<br/>
<a id="pl.73.32"></a><var>73.32</var>    (2) the Department of Human Services;<br/>
<a id="pl.73.33"></a><var>73.33</var>    (3) each health-related licensing board that licenses prescribers;<br/>
<a id="pl.73.34"></a><var>73.34</var>    (4) a professional medical association, which may include an association of pain <br/>
<a id="pl.73.35"></a><var>73.35</var>management and chemical dependency specialists;<br/>
<a id="pl.73.36"></a><var>73.36</var>    (5) a professional pharmacy association;<br/>
<a id="pl.74.1"></a><var>74.1</var>    (6) a professional nursing association;<br/>
<a id="pl.74.2"></a><var>74.2</var>    (7) a professional dental association;<br/>
<a id="pl.74.3"></a><var>74.3</var>    (8) a consumer privacy or security advocate; and<br/>
<a id="pl.74.4"></a><var>74.4</var>    (9) a consumer or patient rights organization.<br/>
<a id="pl.74.5"></a><var>74.5</var>    (b) The advisory committee shall advise the board on the development and operation <br/>
<a id="pl.74.6"></a><var>74.6</var>of the electronic reporting system, including, but not limited to:<br/>
<a id="pl.74.7"></a><var>74.7</var>    (1) technical standards for electronic prescription drug reporting;<br/>
<a id="pl.74.8"></a><var>74.8</var>    (2) proper analysis and interpretation of prescription monitoring data; and<br/>
<a id="pl.74.9"></a><var>74.9</var>    (3) an evaluation process for the program.<br/>
<a id="pl.74.10"></a><var>74.10</var>    (c) The Board of Pharmacy, after consultation with the advisory committee, shall <br/>
<a id="pl.74.11"></a><var>74.11</var>present recommendations and draft legislation on the issues addressed by the advisory <br/>
<a id="pl.74.12"></a><var>74.12</var>committee under paragraph (b), to the legislature by December 15, 2007.<br/>
<a id="pl.74.13"></a><var>74.13</var>    Subd. 4. <b>Reporting requirements; notice.</b> (a) Each dispenser must submit the <br/>
<a id="pl.74.14"></a><var>74.14</var>following data to the board or its designated vendor, subject to the notice required under <br/>
<a id="pl.74.15"></a><var>74.15</var>paragraph (d):<br/>
<a id="pl.74.16"></a><var>74.16</var>    (1) name of the prescriber;<br/>
<a id="pl.74.17"></a><var>74.17</var>    (2) national provider identifier of the prescriber;<br/>
<a id="pl.74.18"></a><var>74.18</var>    (3) name of the dispenser;<br/>
<a id="pl.74.19"></a><var>74.19</var>    (4) national provider identifier of the dispenser;<br/>
<a id="pl.74.20"></a><var>74.20</var>    (5) prescription number;<br/>
<a id="pl.74.21"></a><var>74.21</var>    (6) name of the patient for whom the prescription was written;<br/>
<a id="pl.74.22"></a><var>74.22</var>    (7) address of the patient for whom the prescription was written;<br/>
<a id="pl.74.23"></a><var>74.23</var>    (8) date of birth of the patient for whom the prescription was written;<br/>
<a id="pl.74.24"></a><var>74.24</var>    (9) date the prescription was written;<br/>
<a id="pl.74.25"></a><var>74.25</var>    (10) date the prescription was filled;<br/>
<a id="pl.74.26"></a><var>74.26</var>    (11) name and strength of the controlled substance;<br/>
<a id="pl.74.27"></a><var>74.27</var>    (12) quantity of controlled substance prescribed;<br/>
<a id="pl.74.28"></a><var>74.28</var>    (13) quantity of controlled substance dispensed; and<br/>
<a id="pl.74.29"></a><var>74.29</var>    (14) number of days supply.<br/>
<a id="pl.74.30"></a><var>74.30</var>    (b) The dispenser must submit the required information by a procedure and in a <br/>
<a id="pl.74.31"></a><var>74.31</var>format established by the board. The board may allow dispensers to omit data listed in this <br/>
<a id="pl.74.32"></a><var>74.32</var>subdivision or may require the submission of data not listed in this subdivision provided <br/>
<a id="pl.74.33"></a><var>74.33</var>the omission or submission is necessary for the purpose of complying with the electronic <br/>
<a id="pl.74.34"></a><var>74.34</var>reporting or data transmission standards of the American Society for Automation in <br/>
<a id="pl.74.35"></a><var>74.35</var>Pharmacy, the National Council on Prescription Drug Programs, or other relevant national <br/>
<a id="pl.74.36"></a><var>74.36</var>standard-setting body.<br/>
<a id="pl.75.1"></a><var>75.1</var>    (c) A dispenser is not required to submit this data for those controlled substance <br/>
<a id="pl.75.2"></a><var>75.2</var>prescriptions dispensed for:<br/>
<a id="pl.75.3"></a><var>75.3</var>    (1) individuals residing in licensed skilled nursing or intermediate care facilities;<br/>
<a id="pl.75.4"></a><var>75.4</var>    (2) individuals receiving assisted living services under chapter 144G or through a <br/>
<a id="pl.75.5"></a><var>75.5</var>medical assistance home and community-based waiver;<br/>
<a id="pl.75.6"></a><var>75.6</var>    (3) individuals receiving medication intravenously;<br/>
<a id="pl.75.7"></a><var>75.7</var>    (4) individuals receiving hospice and other palliative or end-of-life care; and<br/>
<a id="pl.75.8"></a><var>75.8</var>    (5) individuals receiving services from a home care provider regulated under chapter <br/>
<a id="pl.75.9"></a><var>75.9</var>144A.<br/>
<a id="pl.75.10"></a><var>75.10</var>    (d) A dispenser must not submit data under this subdivision unless a conspicuous <br/>
<a id="pl.75.11"></a><var>75.11</var>notice of the reporting requirements of this section is given to the patient for whom the <br/>
<a id="pl.75.12"></a><var>75.12</var>prescription was written.<br/>
<a id="pl.75.13"></a><var>75.13</var>    Subd. 5. <b>Use of data by board.</b> (a) The board shall develop and maintain a database <br/>
<a id="pl.75.14"></a><var>75.14</var>of the data reported under subdivision 4. The board shall maintain data that could identify <br/>
<a id="pl.75.15"></a><var>75.15</var>an individual prescriber or dispenser in encrypted form. The database may be used by <br/>
<a id="pl.75.16"></a><var>75.16</var>permissible users identified under subdivision 6 for the identification of:<br/>
<a id="pl.75.17"></a><var>75.17</var>    (1) individuals receiving prescriptions for controlled substances from prescribers <br/>
<a id="pl.75.18"></a><var>75.18</var>who subsequently obtain controlled substances from dispensers in quantities or with a <br/>
<a id="pl.75.19"></a><var>75.19</var>frequency inconsistent with generally recognized standards of use for those controlled <br/>
<a id="pl.75.20"></a><var>75.20</var>substances, including standards accepted by national and international pain management <br/>
<a id="pl.75.21"></a><var>75.21</var>associations; and<br/>
<a id="pl.75.22"></a><var>75.22</var>    (2) individuals presenting forged or otherwise false or altered prescriptions for <br/>
<a id="pl.75.23"></a><var>75.23</var>controlled substances to dispensers.<br/>
<a id="pl.75.24"></a><var>75.24</var>    (b) No permissible user identified under subdivision 6 may access the database <br/>
<a id="pl.75.25"></a><var>75.25</var>for the sole purpose of identifying prescribers of controlled substances for unusual or <br/>
<a id="pl.75.26"></a><var>75.26</var>excessive prescribing patterns without a valid search warrant or court order.<br/>
<a id="pl.75.27"></a><var>75.27</var>    (c) No personnel of a state or federal occupational licensing board or agency may <br/>
<a id="pl.75.28"></a><var>75.28</var>access the database for the purpose of obtaining information to be used to initiate or <br/>
<a id="pl.75.29"></a><var>75.29</var>substantiate a disciplinary action against a prescriber.<br/>
<a id="pl.75.30"></a><var>75.30</var>    (d) Data reported under subdivision 4 shall be retained by the board in the database <br/>
<a id="pl.75.31"></a><var>75.31</var>for a 12-month period, and shall be removed from the database no later than 12 months <br/>
<a id="pl.75.32"></a><var>75.32</var>from the date the last day of the month during which the data was received.<br/>
<a id="pl.75.33"></a><var>75.33</var>    Subd. 6. <b>Access to reporting system data.</b> (a) Except as indicated in this <br/>
<a id="pl.75.34"></a><var>75.34</var>subdivision, the data submitted to the board under subdivision 4 is private data on <br/>
<a id="pl.75.35"></a><var>75.35</var>individuals as defined in section 
         <statute_ref>13.02, subdivision 12</statute_ref>, and not subject to public disclosure.<br/>
<a id="pl.76.1"></a><var>76.1</var>    (b) Except as specified in subdivision 5, the following persons shall be considered <br/>
<a id="pl.76.2"></a><var>76.2</var>permissible users and may access the data submitted under subdivision 4 in the same or <br/>
<a id="pl.76.3"></a><var>76.3</var>similar manner, and for the same or similar purposes, as those persons who are authorized <br/>
<a id="pl.76.4"></a><var>76.4</var>to access similar private data on individuals under federal and state law:<br/>
<a id="pl.76.5"></a><var>76.5</var>    (1) a prescriber or an agent or employee of the prescriber to whom the prescriber has <br/>
<a id="pl.76.6"></a><var>76.6</var>delegated the task of accessing the data, to the extent the information relates specifically to <br/>
<a id="pl.76.7"></a><var>76.7</var>a current patient, to whom the prescriber is prescribing or considering prescribing any <br/>
<a id="pl.76.8"></a><var>76.8</var>controlled substance and with the provision that the prescriber remains responsible for the <br/>
<a id="pl.76.9"></a><var>76.9</var>use or misuse of data accessed by a delegated agent or employee;<br/>
<a id="pl.76.10"></a><var>76.10</var>    (2) a dispenser or an agent or employee of the dispenser to whom the dispenser has <br/>
<a id="pl.76.11"></a><var>76.11</var>delegated the task of accessing the data, to the extent the information relates specifically <br/>
<a id="pl.76.12"></a><var>76.12</var>to a current patient to whom that dispenser is dispensing or considering dispensing any <br/>
<a id="pl.76.13"></a><var>76.13</var>controlled substance and with the provision that the dispenser remains responsible for the <br/>
<a id="pl.76.14"></a><var>76.14</var>use or misuse of data accessed by a delegated agent or employee;<br/>
<a id="pl.76.15"></a><var>76.15</var>    (3) an individual who is the recipient of a controlled substance prescription for <br/>
<a id="pl.76.16"></a><var>76.16</var>which data was submitted under subdivision 4, or a guardian of the individual, parent or <br/>
<a id="pl.76.17"></a><var>76.17</var>guardian of a minor, or health care agent of the individual acting under a health care <br/>
<a id="pl.76.18"></a><var>76.18</var>directive under chapter 145C;<br/>
<a id="pl.76.19"></a><var>76.19</var>    (4) personnel of the board specifically assigned to conduct a bona fide investigation <br/>
<a id="pl.76.20"></a><var>76.20</var>of a specific licensee;<br/>
<a id="pl.76.21"></a><var>76.21</var>    (5) personnel of the board engaged in the collection of controlled substance <br/>
<a id="pl.76.22"></a><var>76.22</var>prescription information as part of the assigned duties and responsibilities under this <br/>
<a id="pl.76.23"></a><var>76.23</var>section;<br/>
<a id="pl.76.24"></a><var>76.24</var>    (6) authorized personnel of a vendor under contract with the board who are engaged <br/>
<a id="pl.76.25"></a><var>76.25</var>in the design, implementation, operation, and maintenance of the electronic reporting <br/>
<a id="pl.76.26"></a><var>76.26</var>system as part of the assigned duties and responsibilities of their employment, provided <br/>
<a id="pl.76.27"></a><var>76.27</var>that access to data is limited to the minimum amount necessary to carry out such duties <br/>
<a id="pl.76.28"></a><var>76.28</var>and responsibilities;<br/>
<a id="pl.76.29"></a><var>76.29</var>    (7) federal, state, and local law enforcement authorities acting pursuant to a valid <br/>
<a id="pl.76.30"></a><var>76.30</var>search warrant; and<br/>
<a id="pl.76.31"></a><var>76.31</var>    (8) personnel of the medical assistance program assigned to use the data collected <br/>
<a id="pl.76.32"></a><var>76.32</var>under this section to identify recipients whose usage of controlled substances may warrant <br/>
<a id="pl.76.33"></a><var>76.33</var>restriction to a single primary care physician, a single outpatient pharmacy, or a single <br/>
<a id="pl.76.34"></a><var>76.34</var>hospital.<br/>
<a id="pl.76.35"></a><var>76.35</var>    For purposes of clause (3), access by an individual includes persons in the definition <br/>
<a id="pl.76.36"></a><var>76.36</var>of an individual under section 
         <statute_ref>13.02</statute_ref>.<br/>
<a id="pl.77.1"></a><var>77.1</var>    (c) Any permissible user identified in paragraph (b), who directly accesses <br/>
<a id="pl.77.2"></a><var>77.2</var>the data electronically, shall implement and maintain a comprehensive information <br/>
<a id="pl.77.3"></a><var>77.3</var>security program that contains administrative, technical, and physical safeguards that <br/>
<a id="pl.77.4"></a><var>77.4</var>are appropriate to the user's size and complexity, and the sensitivity of the personal <br/>
<a id="pl.77.5"></a><var>77.5</var>information obtained. The permissible user shall identify reasonably foreseeable internal <br/>
<a id="pl.77.6"></a><var>77.6</var>and external risks to the security, confidentiality, and integrity of personal information <br/>
<a id="pl.77.7"></a><var>77.7</var>that could result in the unauthorized disclosure, misuse, or other compromise of the <br/>
<a id="pl.77.8"></a><var>77.8</var>information and assess the sufficiency of any safeguards in place to control the risks.<br/>
<a id="pl.77.9"></a><var>77.9</var>    (d) The board shall not release data submitted under this section unless it is provided <br/>
<a id="pl.77.10"></a><var>77.10</var>with evidence, satisfactory to the board, that the person requesting the information is <br/>
<a id="pl.77.11"></a><var>77.11</var>entitled to receive the data.<br/>
<a id="pl.77.12"></a><var>77.12</var>    (e) The board shall not release the name of a prescriber without the written consent <br/>
<a id="pl.77.13"></a><var>77.13</var>of the prescriber or a valid search warrant or court order. The board shall provide a <br/>
<a id="pl.77.14"></a><var>77.14</var>mechanism for a prescriber to submit to the board a signed consent authorizing the release <br/>
<a id="pl.77.15"></a><var>77.15</var>of the prescriber's name when data containing the prescriber's name is requested.<br/>
<a id="pl.77.16"></a><var>77.16</var>    (f) The board shall maintain a log of all persons who access the data and shall ensure <br/>
<a id="pl.77.17"></a><var>77.17</var>that any permissible user complies with paragraph (c) prior to attaining direct access to <br/>
<a id="pl.77.18"></a><var>77.18</var>the data.<br/>
<a id="pl.77.19"></a><var>77.19</var>(g) Section 
         <statute_ref>13.05, subdivision 6</statute_ref>, shall apply to any contract the board enters into <br/>
<a id="pl.77.20"></a><var>77.20</var>pursuant to subdivision 2. A vendor shall not use data collected under this section for <br/>
<a id="pl.77.21"></a><var>77.21</var>any purpose not specified in this section.<br/>
<a id="pl.77.22"></a><var>77.22</var>    Subd. 7. <b>Disciplinary action.</b> (a) A dispenser who knowingly fails to submit data to <br/>
<a id="pl.77.23"></a><var>77.23</var>the board as required under this section is subject to disciplinary action by the appropriate <br/>
<a id="pl.77.24"></a><var>77.24</var>health-related licensing board.<br/>
<a id="pl.77.25"></a><var>77.25</var>    (b) A prescriber or dispenser authorized to access the data who knowingly discloses <br/>
<a id="pl.77.26"></a><var>77.26</var>the data in violation of state or federal laws relating to the privacy of health care data <br/>
<a id="pl.77.27"></a><var>77.27</var>shall be subject to disciplinary action by the appropriate health-related licensing board, <br/>
<a id="pl.77.28"></a><var>77.28</var>and appropriate civil penalties.<br/>
<a id="pl.77.29"></a><var>77.29</var>    Subd. 8. <b>Evaluation and reporting.</b> (a) The board shall evaluate the prescription <br/>
<a id="pl.77.30"></a><var>77.30</var>electronic reporting system to determine if the system is negatively impacting appropriate <br/>
<a id="pl.77.31"></a><var>77.31</var>prescribing practices of controlled substances. The board may contract with a vendor to <br/>
<a id="pl.77.32"></a><var>77.32</var>design and conduct the evaluation.<br/>
<a id="pl.77.33"></a><var>77.33</var>    (b) The board shall submit the evaluation of the system to the legislature by January <br/>
<a id="pl.77.34"></a><var>77.34</var>July 15, 2011.<br/>
<a id="pl.77.35"></a><var>77.35</var>    Subd. 9. <b>Immunity from liability; no requirement to obtain information.</b> (a) A <br/>
<a id="pl.77.36"></a><var>77.36</var>pharmacist, prescriber, or other dispenser making a report to the program in good faith <br/>
<a id="pl.78.1"></a><var>78.1</var>under this section is immune from any civil, criminal, or administrative liability, which <br/>
<a id="pl.78.2"></a><var>78.2</var>might otherwise be incurred or imposed as a result of the report, or on the basis that the <br/>
<a id="pl.78.3"></a><var>78.3</var>pharmacist or prescriber did or did not seek or obtain or use information from the program.<br/>
<a id="pl.78.4"></a><var>78.4</var>    (b) Nothing in this section shall require a pharmacist, prescriber, or other dispenser <br/>
<a id="pl.78.5"></a><var>78.5</var>to obtain information about a patient from the program, and the pharmacist, prescriber, <br/>
<a id="pl.78.6"></a><var>78.6</var>or other dispenser, if acting in good faith, is immune from any civil, criminal, or <br/>
<a id="pl.78.7"></a><var>78.7</var>administrative liability that might otherwise be incurred or imposed for requesting, <br/>
<a id="pl.78.8"></a><var>78.8</var>receiving, or using information from the program.<br/>
<a id="pl.78.9"></a><var>78.9</var>    Subd. 10. <b>Funding.</b> (a) The board may seek grants and private funds from nonprofit <br/>
<a id="pl.78.10"></a><var>78.10</var>charitable foundations, the federal government, and other sources to fund the enhancement <br/>
<a id="pl.78.11"></a><var>78.11</var>and ongoing operations of the prescription electronic reporting system established under <br/>
<a id="pl.78.12"></a><var>78.12</var>this section. Any funds received shall be appropriated to the board for this purpose. The <br/>
<a id="pl.78.13"></a><var>78.13</var>board may not expend funds to enhance the program in a way that conflicts with this <br/>
<a id="pl.78.14"></a><var>78.14</var>section without seeking approval from the legislature.<br/>
<a id="pl.78.15"></a><var>78.15</var>(b) The administrative services unit for the health-related licensing boards shall <br/>
<a id="pl.78.16"></a><var>78.16</var>apportion between the Board of Medical Practice, the Board of Nursing, the Board of <br/>
<a id="pl.78.17"></a><var>78.17</var>Dentistry, the Board of Podiatric Medicine, the Board of Optometry, and the Board <br/>
<a id="pl.78.18"></a><var>78.18</var>of Pharmacy an amount to be paid through fees by each respective board. The amount <br/>
<a id="pl.78.19"></a><var>78.19</var>apportioned to each board shall equal each board's share of the annual appropriation to <br/>
<a id="pl.78.20"></a><var>78.20</var>the Board of Pharmacy from the state government special revenue fund for operating the <br/>
<a id="pl.78.21"></a><var>78.21</var>prescription electronic reporting system under this section. Each board's apportioned <br/>
<a id="pl.78.22"></a><var>78.22</var>share shall be based on the number of prescribers or dispensers that each board identified <br/>
<a id="pl.78.23"></a><var>78.23</var>in this paragraph licenses as a percentage of the total number of prescribers and dispensers <br/>
<a id="pl.78.24"></a><var>78.24</var>licensed collectively by these boards. Each respective board may adjust the fees that the <br/>
<a id="pl.78.25"></a><var>78.25</var>boards are required to collect to compensate for the amount apportioned to each board by <br/>
<a id="pl.78.26"></a><var>78.26</var>the administrative services unit.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.78.27"></a><var>78.27</var>    Sec. 4. <b>[246.125] CHEMICAL AND MENTAL HEALTH SERVICES </b><br/>
<a id="pl.78.28"></a><var>78.28</var><b>TRANSFORMATION ADVISORY TASK FORCE.</b><br/>
<a id="pl.78.29"></a><var>78.29</var>    Subdivision 1. <b>Establishment.</b> The Chemical and Mental Health Services <br/>
<a id="pl.78.30"></a><var>78.30</var>Transformation Advisory Task Force is established to make recommendations to the <br/>
<a id="pl.78.31"></a><var>78.31</var>commissioner of human services and the legislature on the continuum of services needed <br/>
<a id="pl.78.32"></a><var>78.32</var>to provide individuals with complex conditions including mental illness, chemical <br/>
<a id="pl.78.33"></a><var>78.33</var>dependency, traumatic brain injury, and developmental disabilities access to quality care <br/>
<a id="pl.78.34"></a><var>78.34</var>and the appropriate level of care across the state to promote wellness, reduce cost, and <br/>
<a id="pl.78.35"></a><var>78.35</var>improve efficiency.<br/>
<a id="pl.79.1"></a><var>79.1</var>    Subd. 2. <b>Duties.</b> The Chemical and Mental Health Services Transformation <br/>
<a id="pl.79.2"></a><var>79.2</var>Advisory Task Force shall make recommendations to the commissioner and the legislature <br/>
<a id="pl.79.3"></a><var>79.3</var>no later than December 15, 2010, on the following:<br/>
<a id="pl.79.4"></a><var>79.4</var>(1) transformation needed to improve service delivery and provide a continuum of <br/>
<a id="pl.79.5"></a><var>79.5</var>care, such as transition of current facilities, closure of current facilities, or the development <br/>
<a id="pl.79.6"></a><var>79.6</var>of new models of care, including the redesign of the Anoka-Metro Regional Treatment <br/>
<a id="pl.79.7"></a><var>79.7</var>Center;<br/>
<a id="pl.79.8"></a><var>79.8</var>(2) gaps and barriers to accessing quality care, system inefficiencies, and cost <br/>
<a id="pl.79.9"></a><var>79.9</var>pressures;<br/>
<a id="pl.79.10"></a><var>79.10</var>(3) services that are best provided by the state and those that are best provided <br/>
<a id="pl.79.11"></a><var>79.11</var>in the community;<br/>
<a id="pl.79.12"></a><var>79.12</var>(4) an implementation plan to achieve integrated service delivery across the public, <br/>
<a id="pl.79.13"></a><var>79.13</var>private, and nonprofit sectors;<br/>
<a id="pl.79.14"></a><var>79.14</var>(5) an implementation plan to ensure that individuals with complex chemical and <br/>
<a id="pl.79.15"></a><var>79.15</var>mental health needs receive the appropriate level of care to achieve recovery and wellness; <br/>
<a id="pl.79.16"></a><var>79.16</var>and<br/>
<a id="pl.79.17"></a><var>79.17</var>(6) financing mechanisms that include all possible revenue sources to maximize <br/>
<a id="pl.79.18"></a><var>79.18</var>federal funding and promote cost efficiencies and sustainability.<br/>
<a id="pl.79.19"></a><var>79.19</var>    Subd. 3. <b>Membership.</b> The advisory task force shall be composed of the following, <br/>
<a id="pl.79.20"></a><var>79.20</var>who will serve at the pleasure of their appointing authority:<br/>
<a id="pl.79.21"></a><var>79.21</var>(1) the commissioner of human services or the commissioner's designee, and two <br/>
<a id="pl.79.22"></a><var>79.22</var>additional representatives from the department;<br/>
<a id="pl.79.23"></a><var>79.23</var>(2) two legislators appointed by the speaker of the house, one from the minority <br/>
<a id="pl.79.24"></a><var>79.24</var>and one from the majority;<br/>
<a id="pl.79.25"></a><var>79.25</var>(3) two legislators appointed by the senate rules committee, one from the minority <br/>
<a id="pl.79.26"></a><var>79.26</var>and one from the majority;<br/>
<a id="pl.79.27"></a><var>79.27</var>(4) one representative appointed by AFSCME Council 5;<br/>
<a id="pl.79.28"></a><var>79.28</var>(5) one representative appointed by the ombudsman for mental health and <br/>
<a id="pl.79.29"></a><var>79.29</var>developmental disabilities;<br/>
<a id="pl.79.30"></a><var>79.30</var>(6) one representative appointed by the Minnesota Association of Professional <br/>
<a id="pl.79.31"></a><var>79.31</var>Employees;<br/>
<a id="pl.79.32"></a><var>79.32</var>(7) one representative appointed by the Minnesota Hospital Association;<br/>
<a id="pl.79.33"></a><var>79.33</var>(8) one representative appointed by the Minnesota Nurses Association;<br/>
<a id="pl.79.34"></a><var>79.34</var>(9) one representative appointed by NAMI-MN;<br/>
<a id="pl.79.35"></a><var>79.35</var>(10) one representative appointed by the Mental Health Association of Minnesota;<br/>
<a id="pl.80.1"></a><var>80.1</var>(11) one representative appointed by the Minnesota Association Of Community <br/>
<a id="pl.80.2"></a><var>80.2</var>Mental Health Programs;<br/>
<a id="pl.80.3"></a><var>80.3</var>(12) one representative appointed by the Minnesota Dental Association;<br/>
<a id="pl.80.4"></a><var>80.4</var>(13) three clients or client family members representing different populations <br/>
<a id="pl.80.5"></a><var>80.5</var>receiving services from state-operated services, who are appointed by the commissioner;<br/>
<a id="pl.80.6"></a><var>80.6</var>(14) one representative appointed by the chair of the state-operated services <br/>
<a id="pl.80.7"></a><var>80.7</var>governing board;<br/>
<a id="pl.80.8"></a><var>80.8</var>(15) one representative appointed by the Minnesota Disability Law Center;<br/>
<a id="pl.80.9"></a><var>80.9</var>(16) one representative appointed by the Consumer Survivor Network;<br/>
<a id="pl.80.10"></a><var>80.10</var>(17) one representative appointed by the Association of Residential Resources <br/>
<a id="pl.80.11"></a><var>80.11</var>in Minnesota;<br/>
<a id="pl.80.12"></a><var>80.12</var>(18) one representative appointed by the Minnesota Council of Child Caring <br/>
<a id="pl.80.13"></a><var>80.13</var>Agencies;<br/>
<a id="pl.80.14"></a><var>80.14</var>(19) one representative appointed by the Association of Minnesota Counties; and<br/>
<a id="pl.80.15"></a><var>80.15</var>(20) one representative appointed by the Minnesota Pharmacists Association.<br/>
<a id="pl.80.16"></a><var>80.16</var>The commissioner may appoint additional members to reflect stakeholders who <br/>
<a id="pl.80.17"></a><var>80.17</var>are not represented above.<br/>
<a id="pl.80.18"></a><var>80.18</var>    Subd. 4. <b>Administration.</b> The commissioner shall convene the first meeting of the <br/>
<a id="pl.80.19"></a><var>80.19</var>advisory task force and shall provide administrative support and staff.<br/>
<a id="pl.80.20"></a><var>80.20</var>    Subd. 5. <b>Recommendations.</b> The advisory task force must report its <br/>
<a id="pl.80.21"></a><var>80.21</var>recommendations to the commissioner and to the legislature no later than December <br/>
<a id="pl.80.22"></a><var>80.22</var>15, 2010.<br/>
<a id="pl.80.23"></a><var>80.23</var>    Subd. 6. <b>Member requirement.</b> The commissioner shall provide per diem and <br/>
<a id="pl.80.24"></a><var>80.24</var>travel expenses pursuant to section 256.01, subdivision 6, for task force members who <br/>
<a id="pl.80.25"></a><var>80.25</var>are consumers or family members and whose participation on the task force is not as a <br/>
<a id="pl.80.26"></a><var>80.26</var>paid representative of any agency, organization, or association. Notwithstanding section <br/>
<a id="pl.80.27"></a><var>80.27</var>15.059, other task members are not eligible for per diem or travel reimbursement.<br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.80.28"></a><var>80.28</var>    Sec. 5. <b>[246.128] NOTIFICATION TO LEGISLATURE REQUIRED.</b><br/>
<a id="pl.80.29"></a><var>80.29</var>The commissioner shall notify the chairs and ranking minority members of <br/>
<a id="pl.80.30"></a><var>80.30</var>the relevant legislative committees regarding the redesign, closure, or relocation of <br/>
<a id="pl.80.31"></a><var>80.31</var>state-operated services programs. The notification must include the advice of the Chemical <br/>
<a id="pl.80.32"></a><var>80.32</var>and Mental Health Services Transformation Advisory Task Force under section 246.125.<br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.80.33"></a><var>80.33</var>    Sec. 6. <b>[246.129] LEGISLATIVE APPROVAL REQUIRED.</b><br/>
<a id="pl.81.1"></a><var>81.1</var>If the closure of a state-operated facility is proposed, and the department and <br/>
<a id="pl.81.2"></a><var>81.2</var>respective bargaining units fail to arrive at a mutually agreed upon solution to transfer <br/>
<a id="pl.81.3"></a><var>81.3</var>affected state employees to other state jobs, the closure of the facility requires legislative <br/>
<a id="pl.81.4"></a><var>81.4</var>approval. This does not apply to state-operated enterprise services.<br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.81.5"></a><var>81.5</var>    Sec. 7. Minnesota Statutes 2008, section 246.18, is amended by adding a subdivision <br/>
<a id="pl.81.6"></a><var>81.6</var>to read:<br/>
<a id="pl.81.7"></a><var>81.7</var>    Subd. 8. <b>State-operated services account.</b> The state-operated services account is <br/>
<a id="pl.81.8"></a><var>81.8</var>established in the special revenue fund. Revenue generated by new state-operated services <br/>
<a id="pl.81.9"></a><var>81.9</var>listed under this section established after July 1, 2010, that are not enterprise activities must <br/>
<a id="pl.81.10"></a><var>81.10</var>be deposited into the state-operated services account, unless otherwise specified in law:<br/>
<a id="pl.81.11"></a><var>81.11</var>(1) intensive residential treatment services;<br/>
<a id="pl.81.12"></a><var>81.12</var>(2) foster care services; and<br/>
<a id="pl.81.13"></a><var>81.13</var>(3) psychiatric extensive recovery treatment services.<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.81.14"></a><var>81.14</var>    Sec. 8. Minnesota Statutes 2008, section 254B.01, subdivision 2, is amended to read:<br/>
<a id="pl.81.15"></a><var>81.15</var>    Subd. 2. <b>American Indian.</b> For purposes of services provided under section <br/>
<statute_ref><a id="pl.81.16"></a><var>81.16</var>254B.09, subdivision 7 8
</statute_ref>, "American Indian" means a person who is a member of an <br/>
<a id="pl.81.17"></a><var>81.17</var>Indian tribe, and the commissioner shall use the definitions of "Indian" and "Indian tribe" <br/>
<a id="pl.81.18"></a><var>81.18</var>and "Indian organization" provided in Public Law 93-638. For purposes of services <br/>
<a id="pl.81.19"></a><var>81.19</var>provided under section 
         <statute_ref>254B.09, subdivision 4 6</statute_ref>, "American Indian" means a resident of <br/>
<a id="pl.81.20"></a><var>81.20</var>federally recognized tribal lands who is recognized as an Indian person by the federally <br/>
<a id="pl.81.21"></a><var>81.21</var>recognized tribal governing body.  <br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.81.22"></a><var>81.22</var>    Sec. 9. Minnesota Statutes 2008, section 254B.02, subdivision 1, is amended to read:<br/>
<a id="pl.81.23"></a><var>81.23</var>    Subdivision 1. <b>Chemical dependency treatment allocation.</b> The chemical <br/>
<a id="pl.81.24"></a><var>81.24</var>dependency funds appropriated for allocation treatment appropriation  shall be placed in <br/>
<a id="pl.81.25"></a><var>81.25</var>a special revenue account. The commissioner shall annually transfer funds from the <br/>
<a id="pl.81.26"></a><var>81.26</var>chemical dependency fund to pay for operation of the drug and alcohol abuse normative <br/>
<a id="pl.81.27"></a><var>81.27</var>evaluation system and to pay for all costs incurred by adding two positions for licensing <br/>
<a id="pl.81.28"></a><var>81.28</var>of chemical dependency treatment and rehabilitation programs located in hospitals for <br/>
<a id="pl.81.29"></a><var>81.29</var>which funds are not otherwise appropriated. Six percent of the remaining money must <br/>
<a id="pl.81.30"></a><var>81.30</var>be reserved for tribal allocation under section 
<statute_ref>254B.09, subdivisions 4</statute_ref> and 5. The <br/>
<a id="pl.81.31"></a><var>81.31</var>commissioner shall annually divide the money available in the chemical dependency <br/>
<a id="pl.81.32"></a><var>81.32</var>fund that is not held in reserve by counties from a previous allocation, or allocated to the <br/>
<a id="pl.81.33"></a><var>81.33</var>American Indian chemical dependency tribal account. Six percent of the remaining money <br/>
<a id="pl.82.1"></a><var>82.1</var>must be reserved for the nonreservation American Indian chemical dependency allocation <br/>
<a id="pl.82.2"></a><var>82.2</var>for treatment of American Indians by eligible vendors under section 
<statute_ref>254B.05, subdivision <br/>
<a id="pl.82.3"></a><var>82.3</var>1
</statute_ref>. The remainder of the money must be allocated among the counties according to the <br/>
<a id="pl.82.4"></a><var>82.4</var>following formula, using state demographer data and other data sources determined by <br/>
<a id="pl.82.5"></a><var>82.5</var>the commissioner: <br/>
<a id="pl.82.6"></a><var>82.6</var>    (a) For purposes of this formula, American Indians and children under age 14 are <br/>
<a id="pl.82.7"></a><var>82.7</var>subtracted from the population of each county to determine the restricted population.<br/>
<a id="pl.82.8"></a><var>82.8</var>    (b) The amount of chemical dependency fund expenditures for entitled persons for <br/>
<a id="pl.82.9"></a><var>82.9</var>services not covered by prepaid plans governed by section 
<statute_ref>256B.69</statute_ref> in the previous year is <br/>
<a id="pl.82.10"></a><var>82.10</var>divided by the amount of chemical dependency fund expenditures for entitled persons for <br/>
<a id="pl.82.11"></a><var>82.11</var>all services to determine the proportion of exempt service expenditures for each county. <br/>
<a id="pl.82.12"></a><var>82.12</var>    (c) The prepaid plan months of eligibility is multiplied by the proportion of exempt <br/>
<a id="pl.82.13"></a><var>82.13</var>service expenditures to determine the adjusted prepaid plan months of eligibility for <br/>
<a id="pl.82.14"></a><var>82.14</var>each county.<br/>
<a id="pl.82.15"></a><var>82.15</var>    (d) The adjusted prepaid plan months of eligibility is added to the number of <br/>
<a id="pl.82.16"></a><var>82.16</var>restricted population fee for service months of eligibility for the Minnesota family <br/>
<a id="pl.82.17"></a><var>82.17</var>investment program, general assistance, and medical assistance and divided by the county <br/>
<a id="pl.82.18"></a><var>82.18</var>restricted population to determine county per capita months of covered service eligibility.<br/>
<a id="pl.82.19"></a><var>82.19</var>    (e) The number of adjusted prepaid plan months of eligibility for the state is added <br/>
<a id="pl.82.20"></a><var>82.20</var>to the number of fee for service months of eligibility for the Minnesota family investment <br/>
<a id="pl.82.21"></a><var>82.21</var>program, general assistance, and medical assistance for the state restricted population and <br/>
<a id="pl.82.22"></a><var>82.22</var>divided by the state restricted population to determine state per capita months of covered <br/>
<a id="pl.82.23"></a><var>82.23</var>service eligibility.<br/>
<a id="pl.82.24"></a><var>82.24</var>    (f) The county per capita months of covered service eligibility is divided by the <br/>
<a id="pl.82.25"></a><var>82.25</var>state per capita months of covered service eligibility to determine the county welfare <br/>
<a id="pl.82.26"></a><var>82.26</var>caseload factor.<br/>
<a id="pl.82.27"></a><var>82.27</var>    (g) The median married couple income for the most recent three-year period <br/>
<a id="pl.82.28"></a><var>82.28</var>available for the state is divided by the median married couple income for the same period <br/>
<a id="pl.82.29"></a><var>82.29</var>for each county to determine the income factor for each county.<br/>
<a id="pl.82.30"></a><var>82.30</var>    (h) The county restricted population is multiplied by the sum of the county welfare <br/>
<a id="pl.82.31"></a><var>82.31</var>caseload factor and the county income factor to determine the adjusted population.<br/>
<a id="pl.82.32"></a><var>82.32</var>    (i) $15,000 shall be allocated to each county.<br/>
<a id="pl.82.33"></a><var>82.33</var>    (j) The remaining funds shall be allocated proportional to the county adjusted <br/>
<a id="pl.82.34"></a><var>82.34</var>population  in the special revenue account must be used according to the requirements <br/>
<a id="pl.82.35"></a><var>82.35</var>in this chapter.<br/>
<br/>
<a id="bill.4.10.0"></a><a id="pl.83.1"></a><var>83.1</var>    Sec. 10. Minnesota Statutes 2008, section 254B.02, subdivision 5, is amended to read:<br/>
<a id="pl.83.2"></a><var>83.2</var>    Subd. 5. <b>Administrative adjustment.</b> The commissioner may make payments to <br/>
<a id="pl.83.3"></a><var>83.3</var>local agencies from money allocated under this section to support administrative activities <br/>
<a id="pl.83.4"></a><var>83.4</var>under sections 
         <statute_ref>254B.03</statute_ref> and 
         <statute_ref>254B.04</statute_ref>. The administrative payment must not exceed <br/>
<a id="pl.83.5"></a><var>83.5</var>the lesser of: (1) five percent of the first $50,000, four percent of the next $50,000, and <br/>
<a id="pl.83.6"></a><var>83.6</var>three percent of the remaining payments for services from the allocation special revenue <br/>
<a id="pl.83.7"></a><var>83.7</var>account according to subdivision 1; or (2) the local agency administrative payment for <br/>
<a id="pl.83.8"></a><var>83.8</var>the fiscal year ending June 30, 2009, adjusted in proportion to the statewide change in <br/>
<a id="pl.83.9"></a><var>83.9</var>the appropriation for this chapter. <br/>
<br/>
<a id="bill.4.11.0"></a><a id="pl.83.10"></a><var>83.10</var>    Sec. 11. Minnesota Statutes 2008, section 254B.03, subdivision 4, is amended to read:<br/>
<a id="pl.83.11"></a><var>83.11</var>    Subd. 4. <b>Division of costs.</b> Except for services provided by a county under <br/>
<a id="pl.83.12"></a><var>83.12</var>section 
         <statute_ref>254B.09, subdivision 1</statute_ref>, or services provided under section 
         <statute_ref>256B.69</statute_ref> or 
         <statute_ref>256D.03, <br/>
<a id="pl.83.13"></a><var>83.13</var>subdivision 4
         </statute_ref>, paragraph (b), the county shall, out of local money, pay the state for <br/>
<a id="pl.83.14"></a><var>83.14</var>15 16.14 percent of the cost of chemical dependency services, including those services <br/>
<a id="pl.83.15"></a><var>83.15</var>provided to persons eligible for medical assistance under chapter 256B and general <br/>
<a id="pl.83.16"></a><var>83.16</var>assistance medical care under chapter 256D. Counties may use the indigent hospitalization <br/>
<a id="pl.83.17"></a><var>83.17</var>levy for treatment and hospital payments made under this section. Fifteen 16.14 percent <br/>
<a id="pl.83.18"></a><var>83.18</var>of any state collections from private or third-party pay, less 15 percent of for the cost <br/>
<a id="pl.83.19"></a><var>83.19</var>of payment and collections, must be distributed to the county that paid for a portion of <br/>
<a id="pl.83.20"></a><var>83.20</var>the treatment under this section. If all funds allocated according to section 
<statute_ref>254B.02</statute_ref> are <br/>
<a id="pl.83.21"></a><var>83.21</var>exhausted by a county and the county has met or exceeded the base level of expenditures <br/>
<a id="pl.83.22"></a><var>83.22</var>under section 
<statute_ref>254B.02, subdivision 3</statute_ref>, the county shall pay the state for 15 percent of the <br/>
<a id="pl.83.23"></a><var>83.23</var>costs paid by the state under this section. The commissioner may refuse to pay state funds <br/>
<a id="pl.83.24"></a><var>83.24</var>for services to persons not eligible under section 
<statute_ref>254B.04, subdivision 1</statute_ref>, if the county <br/>
<a id="pl.83.25"></a><var>83.25</var>financially responsible for the persons has exhausted its allocation.  <br/>
<br/>
<a id="bill.4.12.0"></a><a id="pl.83.26"></a><var>83.26</var>    Sec. 12. Minnesota Statutes 2008, section 254B.05, subdivision 4, is amended to read:<br/>
<a id="pl.83.27"></a><var>83.27</var>    Subd. 4. <b>Regional treatment centers.</b> Regional treatment center chemical <br/>
<a id="pl.83.28"></a><var>83.28</var>dependency treatment units are eligible vendors. The commissioner may expand the <br/>
<a id="pl.83.29"></a><var>83.29</var>capacity of chemical dependency treatment units beyond the capacity funded by direct <br/>
<a id="pl.83.30"></a><var>83.30</var>legislative appropriation to serve individuals who are referred for treatment by counties <br/>
<a id="pl.83.31"></a><var>83.31</var>and whose treatment will be paid for with a county's allocation under section 
<statute_ref>254B.02</statute_ref> by <br/>
<a id="pl.83.32"></a><var>83.32</var>funding under this chapter or other funding sources. Notwithstanding the provisions of <br/>
<a id="pl.83.33"></a><var>83.33</var>sections 
         <statute_ref>254B.03</statute_ref> to 
         <statute_ref>254B.041</statute_ref>, payment for any person committed at county request to <br/>
<a id="pl.83.34"></a><var>83.34</var>a regional treatment center under chapter 253B for chemical dependency treatment and <br/>
<a id="pl.84.1"></a><var>84.1</var>determined to be ineligible under the chemical dependency consolidated treatment fund, <br/>
<a id="pl.84.2"></a><var>84.2</var>shall become the responsibility of the county.  <br/>
<br/>
<a id="bill.4.13.0"></a><a id="pl.84.3"></a><var>84.3</var>    Sec. 13. Minnesota Statutes 2008, section 254B.06, subdivision 2, is amended to read:<br/>
<a id="pl.84.4"></a><var>84.4</var>    Subd. 2. <b>Allocation of collections.</b> The commissioner shall allocate all federal <br/>
<a id="pl.84.5"></a><var>84.5</var>financial participation collections to the reserve fund under section 
<statute_ref>254B.02, subdivision 3</statute_ref> <br/>
<a id="pl.84.6"></a><var>84.6</var>a special revenue account. The commissioner shall retain 85 allocate 83.86 percent of <br/>
<a id="pl.84.7"></a><var>84.7</var>patient payments and third-party payments to the special revenue account and allocate <br/>
<a id="pl.84.8"></a><var>84.8</var>the collections to the treatment allocation for the county that is financially responsible <br/>
<a id="pl.84.9"></a><var>84.9</var>for the person. Fifteen 16.14 percent of patient and third-party payments must be paid <br/>
<a id="pl.84.10"></a><var>84.10</var>to the county financially responsible for the patient. Collections for patient payment and <br/>
<a id="pl.84.11"></a><var>84.11</var>third-party payment for services provided under section 
<statute_ref>254B.09</statute_ref> shall be allocated to the <br/>
<a id="pl.84.12"></a><var>84.12</var>allocation of the tribal unit which placed the person. Collections of federal financial <br/>
<a id="pl.84.13"></a><var>84.13</var>participation for services provided under section 
<statute_ref>254B.09</statute_ref> shall be allocated to the tribal <br/>
<a id="pl.84.14"></a><var>84.14</var>reserve account under section 
<statute_ref>254B.09, subdivision 5</statute_ref>. <br/>
<br/>
<a id="bill.4.14.0"></a><a id="pl.84.15"></a><var>84.15</var>    Sec. 14. Minnesota Statutes 2008, section 254B.09, subdivision 8, is amended to read:<br/>
<a id="pl.84.16"></a><var>84.16</var>    Subd. 8. <b>Payments to improve services to American Indians.</b> The commissioner <br/>
<a id="pl.84.17"></a><var>84.17</var>may set rates for chemical dependency services to American Indians according to the <br/>
<a id="pl.84.18"></a><var>84.18</var>American Indian Health Improvement Act, Public Law 94-437, for eligible vendors. <br/>
<a id="pl.84.19"></a><var>84.19</var>These rates shall supersede rates set in county purchase of service agreements when <br/>
<a id="pl.84.20"></a><var>84.20</var>payments are made on behalf of clients eligible according to Public Law 94-437.<br/>
<br/>
<a id="bill.4.15.0"></a><a id="pl.84.21"></a><var>84.21</var>    Sec. 15. <b>[254B.13] PILOT PROJECTS; CHEMICAL HEALTH CARE.</b><br/>
<a id="pl.84.22"></a><var>84.22</var>    Subdivision 1. <b>Authorization for pilot projects.</b> The commissioner may approve <br/>
<a id="pl.84.23"></a><var>84.23</var>and implement pilot projects developed under the planning process required under Laws <br/>
<a id="pl.84.24"></a><var>84.24</var>2009, chapter 79, article 7, section 26, to provide alternatives to and enhance coordination <br/>
<a id="pl.84.25"></a><var>84.25</var>of the delivery of chemical health services required under section 254B.03.<br/>
<a id="pl.84.26"></a><var>84.26</var>    Subd. 2. <b>Program design and implementation.</b> (a) The commissioner and counties <br/>
<a id="pl.84.27"></a><var>84.27</var>participating in the pilot projects shall continue to work in partnership to refine and <br/>
<a id="pl.84.28"></a><var>84.28</var>implement the pilot projects initiated under Laws 2009, chapter 79, article 7, section 26.<br/>
<a id="pl.84.29"></a><var>84.29</var>(b) The commissioner and counties participating in the pilot projects shall <br/>
<a id="pl.84.30"></a><var>84.30</var>complete the planning phase by June 30, 2010, and, if approved by the commissioner for <br/>
<a id="pl.84.31"></a><var>84.31</var>implementation, enter into agreements governing the operation of the pilot projects with <br/>
<a id="pl.84.32"></a><var>84.32</var>implementation scheduled no earlier than July 1, 2010.<br/>
<a id="pl.85.1"></a><var>85.1</var>    Subd. 3. <b>Program evaluation.</b>  The commissioner shall evaluate pilot projects under <br/>
<a id="pl.85.2"></a><var>85.2</var>this section and report the results of the evaluation to the chairs and ranking minority <br/>
<a id="pl.85.3"></a><var>85.3</var>members of the legislative committees with jurisdiction over chemical health issues by <br/>
<a id="pl.85.4"></a><var>85.4</var>January 15, 2013. Evaluation of the pilot projects must be based on outcome evaluation <br/>
<a id="pl.85.5"></a><var>85.5</var>criteria negotiated with the pilot projects prior to implementation.<br/>
<a id="pl.85.6"></a><var>85.6</var>    Subd. 4. <b>Notice of project discontinuation.</b> Each county's participation in the <br/>
<a id="pl.85.7"></a><var>85.7</var>pilot project may be discontinued for any reason by the county or the commissioner of <br/>
<a id="pl.85.8"></a><var>85.8</var>human services after 30 days' written notice to the other party. Any unspent funds held <br/>
<a id="pl.85.9"></a><var>85.9</var>for the exiting county's pro rata share in the special revenue fund under the authority in <br/>
<a id="pl.85.10"></a><var>85.10</var>subdivision 5, paragraph (d), shall be transferred to the consolidated chemical dependency <br/>
<a id="pl.85.11"></a><var>85.11</var>treatment fund following discontinuation of the pilot project.<br/>
<a id="pl.85.12"></a><var>85.12</var>    Subd. 5. <b>Duties of commissioner.</b> (a) Notwithstanding any other provisions in <br/>
<a id="pl.85.13"></a><var>85.13</var>this chapter, the commissioner may authorize pilot projects to use chemical dependency <br/>
<a id="pl.85.14"></a><var>85.14</var>treatment funds to pay for nontreatment pilot services:<br/>
<a id="pl.85.15"></a><var>85.15</var>(1) in addition to those authorized under section 254B.03, subdivision 2, paragraph <br/>
<a id="pl.85.16"></a><var>85.16</var>(a); and<br/>
<a id="pl.85.17"></a><var>85.17</var>(2) by vendors in addition to those authorized under section 254B.05 when not <br/>
<a id="pl.85.18"></a><var>85.18</var>providing chemical dependency treatment services.<br/>
<a id="pl.85.19"></a><var>85.19</var>(b) For purposes of this section, "nontreatment pilot services" include navigator <br/>
<a id="pl.85.20"></a><var>85.20</var>services, peer support, family engagement and support, housing support, rent subsidies, <br/>
<a id="pl.85.21"></a><var>85.21</var>supported employment, and independent living skills.<br/>
<a id="pl.85.22"></a><var>85.22</var>(c) State expenditures for chemical dependency services and nontreatment pilot <br/>
<a id="pl.85.23"></a><var>85.23</var>services provided by or through the pilot projects must not be greater than the chemical <br/>
<a id="pl.85.24"></a><var>85.24</var>dependency treatment fund expected share of forecasted expenditures in the absence of <br/>
<a id="pl.85.25"></a><var>85.25</var>the pilot projects. The commissioner may restructure the schedule of payments between <br/>
<a id="pl.85.26"></a><var>85.26</var>the state and participating counties under the local agency share and division of cost <br/>
<a id="pl.85.27"></a><var>85.27</var>provisions under section 254B.03, subdivisions 3 and 4, as necessary to facilitate the <br/>
<a id="pl.85.28"></a><var>85.28</var>operation of the pilot projects.<br/>
<a id="pl.85.29"></a><var>85.29</var>(d) To the extent that state fiscal year expenditures within a pilot project are less <br/>
<a id="pl.85.30"></a><var>85.30</var>than the expected share of forecasted expenditures in the absence of the pilot projects, <br/>
<a id="pl.85.31"></a><var>85.31</var>the commissioner shall deposit the unexpended funds in a separate account within the <br/>
<a id="pl.85.32"></a><var>85.32</var>consolidated chemical dependency treatment fund, and make these funds available for <br/>
<a id="pl.85.33"></a><var>85.33</var>expenditure by the pilot projects the following year. To the extent that treatment and <br/>
<a id="pl.85.34"></a><var>85.34</var>nontreatment pilot services expenditures within the pilot project exceed the amount <br/>
<a id="pl.85.35"></a><var>85.35</var>expected in the absence of the pilot projects, the pilot project county or counties are <br/>
<a id="pl.86.1"></a><var>86.1</var>responsible for the portion of nontreatment pilot services expenditures in excess of the <br/>
<a id="pl.86.2"></a><var>86.2</var>otherwise expected share of forecasted expenditures.<br/>
<a id="pl.86.3"></a><var>86.3</var>(e) The commissioner may waive administrative rule requirements that are <br/>
<a id="pl.86.4"></a><var>86.4</var>incompatible with the implementation of the pilot project, except that any chemical <br/>
<a id="pl.86.5"></a><var>86.5</var>dependency treatment funded under this section must continue to be provided by a <br/>
<a id="pl.86.6"></a><var>86.6</var>licensed treatment provider.<br/>
<a id="pl.86.7"></a><var>86.7</var>(f) The commissioner shall not approve or enter into any agreement related to pilot <br/>
<a id="pl.86.8"></a><var>86.8</var>projects authorized under this section that puts current or future federal funding at risk.<br/>
<a id="pl.86.9"></a><var>86.9</var>    Subd. 6. <b>Duties of county board.</b> The county board, or other county entity that is <br/>
<a id="pl.86.10"></a><var>86.10</var>approved to administer a pilot project, shall:<br/>
<a id="pl.86.11"></a><var>86.11</var>(1) administer the pilot project in a manner consistent with the objectives described <br/>
<a id="pl.86.12"></a><var>86.12</var>in subdivision 2 and the planning process in subdivision 5;<br/>
<a id="pl.86.13"></a><var>86.13</var>(2) ensure that no one is denied chemical dependency treatment services for which <br/>
<a id="pl.86.14"></a><var>86.14</var>they would otherwise be eligible under section 254A.03, subdivision 3; and<br/>
<a id="pl.86.15"></a><var>86.15</var>(3) provide the commissioner with timely and pertinent information as negotiated <br/>
<a id="pl.86.16"></a><var>86.16</var>in agreements governing operation of the pilot projects.<br/>
<br/>
<a id="bill.4.16.0"></a><a id="pl.86.17"></a><var>86.17</var>    Sec. 16. Minnesota Statutes 2009 Supplement, section 517.08, subdivision 1b, is <br/>
<a id="pl.86.18"></a><var>86.18</var>amended to read:<br/>
<a id="pl.86.19"></a><var>86.19</var>    Subd. 1b. <b>Term of license; fee; premarital education.</b> (a) The local registrar <br/>
<a id="pl.86.20"></a><var>86.20</var>shall examine upon oath the parties applying for a license relative to the legality of the <br/>
<a id="pl.86.21"></a><var>86.21</var>contemplated marriage. If one party is unable to appear in person, the party appearing <br/>
<a id="pl.86.22"></a><var>86.22</var>may complete the absent applicant's information. The local registrar shall provide a copy <br/>
<a id="pl.86.23"></a><var>86.23</var>of the marriage application to the party who is unable to appear, who must verify the <br/>
<a id="pl.86.24"></a><var>86.24</var>accuracy of the party's information in a notarized statement. The marriage license must <br/>
<a id="pl.86.25"></a><var>86.25</var>not be released until the verification statement has been received by the local registrar. If <br/>
<a id="pl.86.26"></a><var>86.26</var>at the expiration of a five-day period, on being satisfied that there is no legal impediment <br/>
<a id="pl.86.27"></a><var>86.27</var>to it, including the restriction contained in section 
         <statute_ref>259.13</statute_ref>, the local registrar shall issue <br/>
<a id="pl.86.28"></a><var>86.28</var>the license, containing the full names of the parties before and after marriage, and county <br/>
<a id="pl.86.29"></a><var>86.29</var>and state of residence, with the county seal attached, and make a record of the date of <br/>
<a id="pl.86.30"></a><var>86.30</var>issuance. The license shall be valid for a period of six months. Except as provided in <br/>
<a id="pl.86.31"></a><var>86.31</var>paragraph (c), the local registrar shall collect from the applicant a fee of $110 $115 for <br/>
<a id="pl.86.32"></a><var>86.32</var>administering the oath, issuing, recording, and filing all papers required, and preparing <br/>
<a id="pl.86.33"></a><var>86.33</var>and transmitting to the state registrar of vital statistics the reports of marriage required <br/>
<a id="pl.86.34"></a><var>86.34</var>by this section. If the license should not be used within the period of six months due to <br/>
<a id="pl.86.35"></a><var>86.35</var>illness or other extenuating circumstances, it may be surrendered to the local registrar for <br/>
<a id="pl.87.1"></a><var>87.1</var>cancellation, and in that case a new license shall issue upon request of the parties of the <br/>
<a id="pl.87.2"></a><var>87.2</var>original license without fee. A local registrar who knowingly issues or signs a marriage <br/>
<a id="pl.87.3"></a><var>87.3</var>license in any manner other than as provided in this section shall pay to the parties <br/>
<a id="pl.87.4"></a><var>87.4</var>aggrieved an amount not to exceed $1,000.<br/>
<a id="pl.87.5"></a><var>87.5</var>(b) In case of emergency or extraordinary circumstances, a judge of the district court <br/>
<a id="pl.87.6"></a><var>87.6</var>of the county in which the application is made may authorize the license to be issued at <br/>
<a id="pl.87.7"></a><var>87.7</var>any time before expiration of the five-day period required under paragraph (a). A waiver <br/>
<a id="pl.87.8"></a><var>87.8</var>of the five-day waiting period must be in the following form:<br/>
<a id="pl.87.9"></a><var>87.9</var>STATE OF MINNESOTA, COUNTY OF .................... (insert county name)<br/>
<a id="pl.87.10"></a><var>87.10</var>APPLICATION FOR WAIVER OF MARRIAGE LICENSE WAITING PERIOD:<br/>
<a id="pl.87.11"></a><var>87.11</var>................................................................................. (legal names of the applicants)<br/>
<a id="pl.87.12"></a><var>87.12</var>Represent and state as follows:<br/>
<a id="pl.87.13"></a><var>87.13</var>That on ......................... (date of application) the applicants applied to the local <br/>
<a id="pl.87.14"></a><var>87.14</var>registrar of the above-named county for a license to marry.<br/>
<a id="pl.87.15"></a><var>87.15</var>That it is necessary that the license be issued before the expiration of five days <br/>
<a id="pl.87.16"></a><var>87.16</var>from the date of the application by reason of the following: (insert reason for requesting <br/>
<a id="pl.87.17"></a><var>87.17</var>waiver of waiting period)<br/>
<a id="pl.87.18"></a><var>87.18</var>.............................................................................................................<br/>
<a id="pl.87.19"></a><var>87.19</var>.............................................................................................................<br/>
<a id="pl.87.20"></a><var>87.20</var>.............................................................................................................<br/>
<a id="pl.87.21"></a><var>87.21</var>WHEREAS, the applicants request that the judge waive the required five-day <br/>
<a id="pl.87.22"></a><var>87.22</var>waiting period and the local registrar be authorized and directed to issue the marriage <br/>
<a id="pl.87.23"></a><var>87.23</var>license immediately.<br/>
<a id="pl.87.24"></a><var>87.24</var>Date: .............................<br/>
<a id="pl.87.25"></a><var>87.25</var>.......................................................................................<br/>
<a id="pl.87.26"></a><var>87.26</var>.......................................................................................<br/>
<a id="pl.87.27"></a><var>87.27</var>(Signatures of applicants)<br/>
<a id="pl.87.28"></a><var>87.28</var>Acknowledged before me on this ....... day of .................... .<br/>
<a id="pl.87.29"></a><var>87.29</var>..........................................<br/>
<a id="pl.87.30"></a><var>87.30</var>NOTARY PUBLIC<br/>
<a id="pl.87.31"></a><var>87.31</var>COURT ORDER AND AUTHORIZATION:<br/>
<a id="pl.87.32"></a><var>87.32</var>STATE OF MINNESOTA, COUNTY OF .................... (insert county name)<br/>
<a id="pl.87.33"></a><var>87.33</var>After reviewing the above application, I am satisfied that an emergency or <br/>
<a id="pl.87.34"></a><var>87.34</var>extraordinary circumstance exists that justifies the issuance of the marriage license before <br/>
<a id="pl.87.35"></a><var>87.35</var>the expiration of five days from the date of the application. IT IS HEREBY ORDERED <br/>
<a id="pl.87.36"></a><var>87.36</var>that the local registrar is authorized and directed to issue the license forthwith.<br/>
<a id="pl.88.1"></a><var>88.1</var>.....................................................<br/>
<a id="pl.88.2"></a><var>88.2</var>................................ (judge of district court)<br/>
<a id="pl.88.3"></a><var>88.3</var>................................ (date).<br/>
<a id="pl.88.4"></a><var>88.4</var>(c) The marriage license fee for parties who have completed at least 12 hours of <br/>
<a id="pl.88.5"></a><var>88.5</var>premarital education is $40. In order to qualify for the reduced license fee, the parties <br/>
<a id="pl.88.6"></a><var>88.6</var>must submit at the time of applying for the marriage license a signed, dated, and notarized <br/>
<a id="pl.88.7"></a><var>88.7</var>statement from the person who provided the premarital education on their letterhead <br/>
<a id="pl.88.8"></a><var>88.8</var>confirming that it was received. The premarital education must be provided by a licensed <br/>
<a id="pl.88.9"></a><var>88.9</var>or ordained minister or the minister's designee, a person authorized to solemnize marriages <br/>
<a id="pl.88.10"></a><var>88.10</var>under section 
         <statute_ref>517.18</statute_ref>, or a person authorized to practice marriage and family therapy under <br/>
<a id="pl.88.11"></a><var>88.11</var>section 
         <statute_ref>148B.33</statute_ref>. The education must include the use of a premarital inventory and the <br/>
<a id="pl.88.12"></a><var>88.12</var>teaching of communication and conflict management skills.<br/>
<a id="pl.88.13"></a><var>88.13</var>    (d) The statement from the person who provided the premarital education under <br/>
<a id="pl.88.14"></a><var>88.14</var>paragraph (b) must be in the following form:<br/>
<a id="pl.88.15"></a><var>88.15</var>    "I, .......................... (name of educator), confirm that .......................... (names of <br/>
<a id="pl.88.16"></a><var>88.16</var>both parties) received at least 12 hours of premarital education that included the use of a <br/>
<a id="pl.88.17"></a><var>88.17</var>premarital inventory and the teaching of communication and conflict management skills. <br/>
<a id="pl.88.18"></a><var>88.18</var>I am a licensed or ordained minister, a person authorized to solemnize marriages under <br/>
<a id="pl.88.19"></a><var>88.19</var>Minnesota Statutes, section 
         <statute_ref>517.18</statute_ref>, or a person licensed to practice marriage and family <br/>
<a id="pl.88.20"></a><var>88.20</var>therapy under Minnesota Statutes, section 
         <statute_ref>148B.33</statute_ref>."<br/>
<a id="pl.88.21"></a><var>88.21</var>    The names of the parties in the educator's statement must be identical to the legal <br/>
<a id="pl.88.22"></a><var>88.22</var>names of the parties as they appear in the marriage license application. Notwithstanding <br/>
<a id="pl.88.23"></a><var>88.23</var>section 
         <statute_ref>138.17</statute_ref>, the educator's statement must be retained for seven years, after which <br/>
<a id="pl.88.24"></a><var>88.24</var>time it may be destroyed.<br/>
<a id="pl.88.25"></a><var>88.25</var>    (e) If section 
         <statute_ref>259.13</statute_ref> applies to the request for a marriage license, the local registrar <br/>
<a id="pl.88.26"></a><var>88.26</var>shall grant the marriage license without the requested name change. Alternatively, the local <br/>
<a id="pl.88.27"></a><var>88.27</var>registrar may delay the granting of the marriage license until the party with the conviction:<br/>
<a id="pl.88.28"></a><var>88.28</var>    (1) certifies under oath that 30 days have passed since service of the notice for a <br/>
<a id="pl.88.29"></a><var>88.29</var>name change upon the prosecuting authority and, if applicable, the attorney general and no <br/>
<a id="pl.88.30"></a><var>88.30</var>objection has been filed under section 
         <statute_ref>259.13</statute_ref>; or<br/>
<a id="pl.88.31"></a><var>88.31</var>    (2) provides a certified copy of the court order granting it. The parties seeking the <br/>
<a id="pl.88.32"></a><var>88.32</var>marriage license shall have the right to choose to have the license granted without the <br/>
<a id="pl.88.33"></a><var>88.33</var>name change or to delay its granting pending further action on the name change request.<br/>
<br/>
<a id="bill.4.17.0"></a><a id="pl.88.34"></a><var>88.34</var>    Sec. 17. Minnesota Statutes 2008, section 517.08, subdivision 1c, as amended by Laws <br/>
<a id="pl.88.35"></a><var>88.35</var>2010, chapter 200, article 1, section 17, is amended to read:<br/>
<a id="pl.89.1"></a><var>89.1</var>    Subd. 1c. <b>Disposition of license fee.</b> (a) Of the marriage license fee collected <br/>
<a id="pl.89.2"></a><var>89.2</var>pursuant to subdivision 1b, paragraph (a), $25 must be retained by the county. The <br/>
<a id="pl.89.3"></a><var>89.3</var>local registrar must pay $85 $90 to the commissioner of management and budget to be <br/>
<a id="pl.89.4"></a><var>89.4</var>deposited as follows:<br/>
<a id="pl.89.5"></a><var>89.5</var>    (1) $55 in the general fund;<br/>
<a id="pl.89.6"></a><var>89.6</var>    (2) $3 in the state government special revenue fund to be appropriated to the <br/>
<a id="pl.89.7"></a><var>89.7</var>commissioner of public safety for parenting time centers under section 
         <statute_ref>119A.37</statute_ref>;<br/>
<a id="pl.89.8"></a><var>89.8</var>    (3) $2 in the special revenue fund to be appropriated to the commissioner of health <br/>
<a id="pl.89.9"></a><var>89.9</var>for developing and implementing the MN ENABL program under section 
         <statute_ref>145.9255</statute_ref>; and<br/>
<a id="pl.89.10"></a><var>89.10</var>    (4) $25 in the special revenue fund is appropriated to the commissioner of <br/>
<a id="pl.89.11"></a><var>89.11</var>employment and economic development for the displaced homemaker program under <br/>
<a id="pl.89.12"></a><var>89.12</var>section 
         <statute_ref>116L.96</statute_ref>; and<br/>
<a id="pl.89.13"></a><var>89.13</var>    (5) $5 in the special revenue fund, which is appropriated to the Board of Regents <br/>
<a id="pl.89.14"></a><var>89.14</var>of the University of Minnesota for the Minnesota couples on the brink project under <br/>
<a id="pl.89.15"></a><var>89.15</var>section 137.32.<br/>
<a id="pl.89.16"></a><var>89.16</var>    (b) Of the $40 fee under subdivision 1b, paragraph (b), $25 must be retained by the <br/>
<a id="pl.89.17"></a><var>89.17</var>county. The local registrar must pay $15 to the commissioner of management and budget <br/>
<a id="pl.89.18"></a><var>89.18</var>to be deposited as follows:<br/>
<a id="pl.89.19"></a><var>89.19</var>    (1) $5 as provided in paragraph (a), clauses (2) and (3); and<br/>
<a id="pl.89.20"></a><var>89.20</var>    (2) $10 in the special revenue fund is appropriated to the commissioner of <br/>
<a id="pl.89.21"></a><var>89.21</var>employment and economic development for the displaced homemaker program under <br/>
<a id="pl.89.22"></a><var>89.22</var>section 
         <statute_ref>116L.96</statute_ref>.<br/>
<br/>
<a id="bill.4.18.0"></a><a id="pl.89.23"></a><var>89.23</var>    Sec. 18. Laws 2009, chapter 79, article 3, section 18, is amended to read:<br/>
<a id="pl.89.24"></a><var>89.24</var>    Sec. 18. <b>REQUIRING THE DEVELOPMENT OF COMMUNITY-BASED </b><br/>
<a id="pl.89.25"></a><var>89.25</var><b>MENTAL HEALTH SERVICES FOR PATIENTS COMMITTED TO THE </b><br/>
<a id="pl.89.26"></a><var>89.26</var><b>ANOKA-METRO REGIONAL TREATMENT CENTER.</b><br/>
<a id="pl.89.27"></a><var>89.27</var>In consultation with community partners, the commissioner of human services <br/>
<a id="pl.89.28"></a><var>89.28</var>The Chemical and Mental Health Services Transformation Advisory Task Force shall <br/>
<a id="pl.89.29"></a><var>89.29</var>develop recommend an array of community-based services in the metro area to transform <br/>
<a id="pl.89.30"></a><var>89.30</var>the current services now provided to patients at the Anoka-Metro Regional Treatment <br/>
<a id="pl.89.31"></a><var>89.31</var>Center. The community-based services may be provided in facilities with 16 or fewer <br/>
<a id="pl.89.32"></a><var>89.32</var>beds, and must provide the appropriate level of care for the patients being admitted to <br/>
<a id="pl.89.33"></a><var>89.33</var>the facilities established in partnership with private and public hospital organizations, <br/>
<a id="pl.89.34"></a><var>89.34</var>community mental health centers and other mental health community services providers, <br/>
<a id="pl.89.35"></a><var>89.35</var>and community partnerships, and must be staffed by state employees. The planning <br/>
<a id="pl.90.1"></a><var>90.1</var>for this transition must be completed by October 1, 2009 2010, with an initial a  report <br/>
<a id="pl.90.2"></a><var>90.2</var>detailing the transition plan, services that will be provided, including incorporating peer <br/>
<a id="pl.90.3"></a><var>90.3</var>specialists where appropriate, the location of the services, and the number of patients <br/>
<a id="pl.90.4"></a><var>90.4</var>that will be served, to the committee chairs of health and human services by November <br/>
<a id="pl.90.5"></a><var>90.5</var>30, 2009, and a semiannual report on progress until the transition is completed. The <br/>
<a id="pl.90.6"></a><var>90.6</var>commissioner of human services shall solicit interest from stakeholders and potential <br/>
<a id="pl.90.7"></a><var>90.7</var>community partners 2010. The individuals working in employed by the community-based <br/>
<a id="pl.90.8"></a><var>90.8</var>services facilities under this section are state employees supervised by the commissioner <br/>
<a id="pl.90.9"></a><var>90.9</var>of human services. No layoffs shall occur as a result of restructuring under this section. <br/>
<a id="pl.90.10"></a><var>90.10</var>Savings generated as a result of transitioning patients from the Anoka-Metro Regional <br/>
<a id="pl.90.11"></a><var>90.11</var>Treatment Center to community-based services may be used to fund supportive housing <br/>
<a id="pl.90.12"></a><var>90.12</var>staffed by state employees.<br/>
<br/>
<a id="bill.4.19.0"></a><a id="pl.90.13"></a><var>90.13</var>    Sec. 19. <b>REPORT ON HUMAN SERVICES FISCAL NOTES.</b><br/>
<a id="pl.90.14"></a><var>90.14</var>The commissioner of management and budget shall issue a report to the legislature <br/>
<a id="pl.90.15"></a><var>90.15</var>no later than November 15, 2010, making recommendations for improving the preparation <br/>
<a id="pl.90.16"></a><var>90.16</var>and delivery of fiscal notes under Minnesota Statutes, section 3.98, relating to human <br/>
<a id="pl.90.17"></a><var>90.17</var>services. The report shall consider: (1) the establishment of an independent fiscal <br/>
<a id="pl.90.18"></a><var>90.18</var>note office in the human services department and (2) transferring the responsibility for <br/>
<a id="pl.90.19"></a><var>90.19</var>preparing human services fiscal notes to the legislature. The report must include detailed <br/>
<a id="pl.90.20"></a><var>90.20</var>information regarding the financial costs, staff resources, training, access to information, <br/>
<a id="pl.90.21"></a><var>90.21</var>and data protection issues relative to the preparation of human services fiscal notes. The <br/>
<a id="pl.90.22"></a><var>90.22</var>report shall describe methods and procedures used by other states to insure independence <br/>
<a id="pl.90.23"></a><var>90.23</var>and accuracy of fiscal estimates on legislative proposals for changes in human services.<br/>
<br/>
<a id="bill.4.20.0"></a><a id="pl.90.24"></a><var>90.24</var>    Sec. 20. <b>PRESCRIPTION DRUG WASTE REDUCTION.</b><br/>
<a id="pl.90.25"></a><var>90.25</var>The Minnesota Board of Pharmacy, in cooperation with the commissioners of <br/>
<a id="pl.90.26"></a><var>90.26</var>human services, pollution control, health, veterans affairs, and corrections, shall study <br/>
<a id="pl.90.27"></a><var>90.27</var>prescription drug waste reduction techniques and technologies applicable to long-term <br/>
<a id="pl.90.28"></a><var>90.28</var>care facilities, veterans nursing homes, and correctional facilities. In conducting the <br/>
<a id="pl.90.29"></a><var>90.29</var>study, the commissioners shall consult with the Minnesota Pharmacists Association, the <br/>
<a id="pl.90.30"></a><var>90.30</var>University of Minnesota College of Pharmacy, University of Minnesota's Minnesota <br/>
<a id="pl.90.31"></a><var>90.31</var>Technical Assistance Project, consumers, long-term care providers, and other interested <br/>
<a id="pl.90.32"></a><var>90.32</var>parties. The board shall evaluate the extent to which new prescription drug waste reduction <br/>
<a id="pl.90.33"></a><var>90.33</var>techniques and technologies can reduce the amount of prescription drugs that enter the <br/>
<a id="pl.90.34"></a><var>90.34</var>waste stream and reduce state prescription drug costs. The techniques and technologies <br/>
<a id="pl.91.1"></a><var>91.1</var>studied must include, but are not limited to, daily, weekly, and automated dose dispensing. <br/>
<a id="pl.91.2"></a><var>91.2</var>The study must provide an estimate of the cost of adopting these and other techniques <br/>
<a id="pl.91.3"></a><var>91.3</var>and technologies, and an estimate of waste reduction and state prescription drug savings <br/>
<a id="pl.91.4"></a><var>91.4</var>that would result from adoption. The study must also evaluate methods of encouraging <br/>
<a id="pl.91.5"></a><var>91.5</var>the adoption of effective drug waste reduction techniques and technologies. The board <br/>
<a id="pl.91.6"></a><var>91.6</var>shall present recommendations on the adoption of new prescription drug waste reduction <br/>
<a id="pl.91.7"></a><var>91.7</var>techniques and technologies to the legislature by December 15, 2011.<br/>
<br/>
<a id="bill.4.21.0"></a><a id="pl.91.8"></a><var>91.8</var>    Sec. 21. <b>VETERINARY PRACTICE AND CONTROLLED SUBSTANCE </b><br/>
<a id="pl.91.9"></a><var>91.9</var><b>ABUSE STUDY.</b><br/>
<a id="pl.91.10"></a><var>91.10</var>The Board of Pharmacy, in consultation with the Prescription Electronic Reporting <br/>
<a id="pl.91.11"></a><var>91.11</var>Advisory Committee and the Board of Veterinary Medical Practice, shall study the issue <br/>
<a id="pl.91.12"></a><var>91.12</var>of the diversion of controlled substances from veterinary practice and report to the chairs <br/>
<a id="pl.91.13"></a><var>91.13</var>and ranking minority members of the senate health and human services policy and finance <br/>
<a id="pl.91.14"></a><var>91.14</var>division and the house of representatives health care and human services policy and <br/>
<a id="pl.91.15"></a><var>91.15</var>finance division by December 15, 2011, on recommendations to include veterinarians in <br/>
<a id="pl.91.16"></a><var>91.16</var>the prescription electronic reporting system in Minnesota Statutes, section 152.126.<br/>
<br/>
<a id="bill.4.22.0"></a><a id="pl.91.17"></a><var>91.17</var>    Sec. 22. <b> REPEALER.</b><br/>
<a id="pl.91.18"></a><var>91.18</var>Minnesota Statutes 2008, sections 254B.02, subdivisions 2, 3, and 4; and 254B.09, <br/>
<a id="pl.91.19"></a><var>91.19</var>subdivisions 4, 5, and 7, are repealed.<br/>
<br/>
<a id="bill.4.23.0"></a><a id="pl.91.20"></a><var>91.20</var>    Sec. 23. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.91.21"></a><var>91.21</var>Sections 8 to 14 and 22 are effective for claims paid on or after July 1, 2010.<br/>
<br/>
<a id="bill.5.0.0"></a>

<a id="bill.5.1.0"></a><a id="pl.91.24"></a><var>91.24</var>    Section 1. Minnesota Statutes 2008, section 62D.08, is amended by adding a <br/>
<a id="pl.91.25"></a><var>91.25</var>subdivision to read:<br/>
<a id="pl.91.26"></a><var>91.26</var>    Subd. 7. <b>Consistent administrative expenses and investment income reporting.</b><br/>
<a id="pl.91.27"></a><var>91.27</var>(a) Every health maintenance organization must directly allocate administrative expenses <br/>
<a id="pl.91.28"></a><var>91.28</var>to specific lines of business or products when such information is available. Remaining <br/>
<a id="pl.91.29"></a><var>91.29</var>expenses that cannot be directly allocated must be allocated based on other methods, as <br/>
<a id="pl.91.30"></a><var>91.30</var>recommended by the Advisory Group on Administrative Expenses. Health maintenance <br/>
<a id="pl.91.31"></a><var>91.31</var>organizations must submit this information, including administrative expenses for dental <br/>
<a id="pl.91.32"></a><var>91.32</var>services, using the reporting template provided by the commissioner of health.<br/>
<a id="pl.92.1"></a><var>92.1</var>(b) Every health maintenance organization must allocate investment income based <br/>
<a id="pl.92.2"></a><var>92.2</var>on cumulative net income over time by business line or product and must submit this <br/>
<a id="pl.92.3"></a><var>92.3</var>information, including investment income for dental services, using the reporting template <br/>
<a id="pl.92.4"></a><var>92.4</var>provided by the commissioner of health.<br/>
<a id="pl.92.5"></a><var>92.5</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.5.2.0"></a><a id="pl.92.6"></a><var>92.6</var>    Sec. 2. <b>[62D.31] ADVISORY GROUP ON ADMINISTRATIVE EXPENSES.</b><br/>
<a id="pl.92.7"></a><var>92.7</var>    Subdivision 1. <b>Establishment.</b> The Advisory Group on Administrative Expenses <br/>
<a id="pl.92.8"></a><var>92.8</var>is established to make recommendations on the development of consistent guidelines <br/>
<a id="pl.92.9"></a><var>92.9</var>and reporting requirements, including development of a reporting template, for health <br/>
<a id="pl.92.10"></a><var>92.10</var>maintenance organizations and county-based purchasing plans that participate in publicly <br/>
<a id="pl.92.11"></a><var>92.11</var>funded programs. <br/>
<a id="pl.92.12"></a><var>92.12</var>    Subd. 2. <b>Membership.</b> The membership of the advisory group shall be comprised <br/>
<a id="pl.92.13"></a><var>92.13</var>of the following, who serve at the pleasure of their appointing authority:<br/>
<a id="pl.92.14"></a><var>92.14</var>(1) the commissioner of health or the commissioner's designee;<br/>
<a id="pl.92.15"></a><var>92.15</var>(2) the commissioner of human services or the commissioner's designee;<br/>
<a id="pl.92.16"></a><var>92.16</var>(3) the commissioner of commerce or the commissioner's designee; and<br/>
<a id="pl.92.17"></a><var>92.17</var>(4) representatives of health maintenance organizations and county-based purchasers <br/>
<a id="pl.92.18"></a><var>92.18</var>appointed by the commissioner of health.<br/>
<a id="pl.92.19"></a><var>92.19</var>    Subd. 3. <b>Administration.</b> The commissioner of health shall convene the first <br/>
<a id="pl.92.20"></a><var>92.20</var>meeting of the advisory group by December 1, 2010, and shall provide administrative <br/>
<a id="pl.92.21"></a><var>92.21</var>support and staff. The commissioner of health may contract with a consultant to provide <br/>
<a id="pl.92.22"></a><var>92.22</var>professional assistance and expertise to the advisory group.<br/>
<a id="pl.92.23"></a><var>92.23</var>    Subd. 4. <b>Recommendations.</b> The Advisory Group on Administrative Expenses <br/>
<a id="pl.92.24"></a><var>92.24</var>must report its recommendations, including any proposed legislation necessary to <br/>
<a id="pl.92.25"></a><var>92.25</var>implement the recommendations, to the commissioner of health and to the chairs and <br/>
<a id="pl.92.26"></a><var>92.26</var>ranking minority members of the legislative committees and divisions with jurisdiction <br/>
<a id="pl.92.27"></a><var>92.27</var>over health policy and finance by February 15, 2012.<br/>
<a id="pl.92.28"></a><var>92.28</var>    Subd. 5. <b>Expiration.</b> This section expires after submission of the report required <br/>
<a id="pl.92.29"></a><var>92.29</var>under subdivision 4 or June 30, 2012, whichever is sooner.<br/>
<br/>
<a id="bill.5.3.0"></a><a id="pl.92.30"></a><var>92.30</var>    Sec. 3. Minnesota Statutes 2008, section 62Q.19, subdivision 1, is amended to read:<br/>
<a id="pl.92.31"></a><var>92.31</var>    Subdivision 1. <b>Designation.</b> (a) The commissioner shall designate essential <br/>
<a id="pl.92.32"></a><var>92.32</var>community providers. The criteria for essential community provider designation shall be <br/>
<a id="pl.92.33"></a><var>92.33</var>the following:<br/>
<a id="pl.93.1"></a><var>93.1</var>(1) a demonstrated ability to integrate applicable supportive and stabilizing services <br/>
<a id="pl.93.2"></a><var>93.2</var>with medical care for uninsured persons and high-risk and special needs populations, <br/>
<a id="pl.93.3"></a><var>93.3</var>underserved, and other special needs populations; and<br/>
<a id="pl.93.4"></a><var>93.4</var>(2) a commitment to serve low-income and underserved populations by meeting the <br/>
<a id="pl.93.5"></a><var>93.5</var>following requirements:<br/>
<a id="pl.93.6"></a><var>93.6</var>(i) has nonprofit status in accordance with chapter 317A;<br/>
<a id="pl.93.7"></a><var>93.7</var>(ii) has tax exempt status in accordance with the Internal Revenue Service Code, <br/>
<a id="pl.93.8"></a><var>93.8</var>section 501(c)(3);<br/>
<a id="pl.93.9"></a><var>93.9</var>(iii) charges for services on a sliding fee schedule based on current poverty income <br/>
<a id="pl.93.10"></a><var>93.10</var>guidelines; and<br/>
<a id="pl.93.11"></a><var>93.11</var>(iv) does not restrict access or services because of a client's financial limitation;<br/>
<a id="pl.93.12"></a><var>93.12</var>(3) status as a local government unit as defined in section 
         <statute_ref>62D.02, subdivision 11</statute_ref>, a <br/>
<a id="pl.93.13"></a><var>93.13</var>hospital district created or reorganized under sections 
         <statute_ref>447.31</statute_ref> to 
         <statute_ref>447.37</statute_ref>, an Indian tribal <br/>
<a id="pl.93.14"></a><var>93.14</var>government, an Indian health service unit, or a community health board as defined in <br/>
<a id="pl.93.15"></a><var>93.15</var>chapter 145A;  <br/>
<a id="pl.93.16"></a><var>93.16</var>(4) a former state hospital that specializes in the treatment of cerebral palsy, spina <br/>
<a id="pl.93.17"></a><var>93.17</var>bifida, epilepsy, closed head injuries, specialized orthopedic problems, and other disabling <br/>
<a id="pl.93.18"></a><var>93.18</var>conditions; or<br/>
<a id="pl.93.19"></a><var>93.19</var>(5) a sole community hospital. For these rural hospitals, the essential community <br/>
<a id="pl.93.20"></a><var>93.20</var>provider designation applies to all health services provided, including both inpatient and <br/>
<a id="pl.93.21"></a><var>93.21</var>outpatient services. For purposes of this section, "sole community hospital" means a <br/>
<a id="pl.93.22"></a><var>93.22</var>rural hospital that:<br/>
<a id="pl.93.23"></a><var>93.23</var>(i) is eligible to be classified as a sole community hospital according to Code <br/>
<a id="pl.93.24"></a><var>93.24</var>of Federal Regulations, title 42, section 
         <statute_ref>412.92</statute_ref>, or is located in a community with a <br/>
<a id="pl.93.25"></a><var>93.25</var>population of less than 5,000 and located more than 25 miles from a like hospital currently <br/>
<a id="pl.93.26"></a><var>93.26</var>providing acute short-term services;  <br/>
<a id="pl.93.27"></a><var>93.27</var>(ii) has experienced net operating income losses in two of the previous three <br/>
<a id="pl.93.28"></a><var>93.28</var>most recent consecutive hospital fiscal years for which audited financial information is <br/>
<a id="pl.93.29"></a><var>93.29</var>available; and<br/>
<a id="pl.93.30"></a><var>93.30</var>(iii) consists of 40 or fewer licensed beds; or<br/>
<a id="pl.93.31"></a><var>93.31</var>(6) a birth center licensed under section 144.615.<br/>
<a id="pl.93.32"></a><var>93.32</var>(b) Prior to designation, the commissioner shall publish the names of all applicants <br/>
<a id="pl.93.33"></a><var>93.33</var>in the State Register. The public shall have 30 days from the date of publication to submit <br/>
<a id="pl.93.34"></a><var>93.34</var>written comments to the commissioner on the application. No designation shall be made <br/>
<a id="pl.93.35"></a><var>93.35</var>by the commissioner until the 30-day period has expired.<br/>
<a id="pl.94.1"></a><var>94.1</var>(c) The commissioner may designate an eligible provider as an essential community <br/>
<a id="pl.94.2"></a><var>94.2</var>provider for all the services offered by that provider or for specific services designated by <br/>
<a id="pl.94.3"></a><var>94.3</var>the commissioner.<br/>
<a id="pl.94.4"></a><var>94.4</var>(d) For the purpose of this subdivision, supportive and stabilizing services include at <br/>
<a id="pl.94.5"></a><var>94.5</var>a minimum, transportation, child care, cultural, and linguistic services where appropriate.<br/>
<br/>
<a id="bill.5.4.0"></a><a id="pl.94.6"></a><var>94.6</var>    Sec. 4. Minnesota Statutes 2008, section 144.05, is amended by adding a subdivision <br/>
<a id="pl.94.7"></a><var>94.7</var>to read:<br/>
<a id="pl.94.8"></a><var>94.8</var>    Subd. 5. <b>Firearms data.</b> Notwithstanding any law to the contrary, the commissioner <br/>
<a id="pl.94.9"></a><var>94.9</var>of health is prohibited from collecting data on individuals regarding lawful firearm <br/>
<a id="pl.94.10"></a><var>94.10</var>ownership in the state or data related to an individual's right to carry a weapon under <br/>
<a id="pl.94.11"></a><var>94.11</var>section 624.714.<br/>
<br/>
<a id="bill.5.5.0"></a><a id="pl.94.12"></a><var>94.12</var>    Sec. 5. Minnesota Statutes 2008, section 144.226, subdivision 3, is amended to read:<br/>
<a id="pl.94.13"></a><var>94.13</var>    Subd. 3. <b>Birth record surcharge.</b> (a) In addition to any fee prescribed under <br/>
<a id="pl.94.14"></a><var>94.14</var>subdivision 1, there shall be a nonrefundable surcharge of $3 for each certified birth or <br/>
<a id="pl.94.15"></a><var>94.15</var>stillbirth record and for a certification that the vital record cannot be found. The local or <br/>
<a id="pl.94.16"></a><var>94.16</var>state registrar shall forward this amount to the commissioner of management and budget <br/>
<a id="pl.94.17"></a><var>94.17</var>for deposit into the account for the children's trust fund for the prevention of child abuse <br/>
<a id="pl.94.18"></a><var>94.18</var>established under section 
         <statute_ref>256E.22</statute_ref>. This surcharge shall not be charged under those <br/>
<a id="pl.94.19"></a><var>94.19</var>circumstances in which no fee for a certified birth or stillbirth record is permitted under <br/>
<a id="pl.94.20"></a><var>94.20</var>subdivision 1, paragraph (a). Upon certification by the commissioner of management and <br/>
<a id="pl.94.21"></a><var>94.21</var>budget that the assets in that fund exceed $20,000,000, this surcharge shall be discontinued.<br/>
<a id="pl.94.22"></a><var>94.22</var>(b) In addition to any fee prescribed under subdivision 1, there shall be a <br/>
<a id="pl.94.23"></a><var>94.23</var>nonrefundable surcharge of $10 for each certified birth record. The local or state registrar <br/>
<a id="pl.94.24"></a><var>94.24</var>shall forward this amount to the commissioner of management and budget for deposit in <br/>
<a id="pl.94.25"></a><var>94.25</var>the general fund. This surcharge shall not be charged under those circumstances in which <br/>
<a id="pl.94.26"></a><var>94.26</var>no fee for a certified birth record is permitted under subdivision 1, paragraph (a).<br/>
<a id="pl.94.27"></a><var>94.27</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.5.6.0"></a><a id="pl.94.28"></a><var>94.28</var>    Sec. 6. Minnesota Statutes 2008, section 144.293, subdivision 4, is amended to read:<br/>
<a id="pl.94.29"></a><var>94.29</var>    Subd. 4. <b>Duration of consent.</b> Except as provided in this section, a consent is <br/>
<a id="pl.94.30"></a><var>94.30</var>valid for one year or for a lesser period specified in the consent or for a different period <br/>
<a id="pl.94.31"></a><var>94.31</var>provided by law.<br/>
<br/>
<a id="bill.5.7.0"></a><a id="pl.94.32"></a><var>94.32</var>    Sec. 7. <b>[144.615] BIRTH CENTERS.</b><br/>
<a id="pl.95.1"></a><var>95.1</var>    Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following definitions <br/>
<a id="pl.95.2"></a><var>95.2</var>have the meanings given them.<br/>
<a id="pl.95.3"></a><var>95.3</var>(b) "Birth center" means a facility licensed for the primary purpose of performing <br/>
<a id="pl.95.4"></a><var>95.4</var>low-risk deliveries that is not a hospital or licensed as part of a hospital and where births are <br/>
<a id="pl.95.5"></a><var>95.5</var>planned to occur away from the mother's usual residence following a low-risk pregnancy.<br/>
<a id="pl.95.6"></a><var>95.6</var>(c) "CABC" means the Commission for the Accreditation of Birth Centers.<br/>
<a id="pl.95.7"></a><var>95.7</var>(d) "Low-risk pregnancy" means a normal, uncomplicated prenatal course as <br/>
<a id="pl.95.8"></a><var>95.8</var>determined by documentation of adequate prenatal care and the anticipation of a normal <br/>
<a id="pl.95.9"></a><var>95.9</var>uncomplicated labor and birth, as defined by reasonable and generally accepted criteria <br/>
<a id="pl.95.10"></a><var>95.10</var>adopted by professional groups for maternal, fetal, and neonatal health care.<br/>
<a id="pl.95.11"></a><var>95.11</var>    Subd. 2. <b>License required.</b> (a) Beginning January 1, 2011, no birth center shall be <br/>
<a id="pl.95.12"></a><var>95.12</var>established, operated, or maintained in the state without first obtaining a license from the <br/>
<a id="pl.95.13"></a><var>95.13</var>commissioner of health according to this section.<br/>
<a id="pl.95.14"></a><var>95.14</var>(b) A license issued under this section is not transferable or assignable and is subject <br/>
<a id="pl.95.15"></a><var>95.15</var>to suspension or revocation at any time for failure to comply with this section.<br/>
<a id="pl.95.16"></a><var>95.16</var>(c) A birth center licensed under this section shall not assert, represent, offer, <br/>
<a id="pl.95.17"></a><var>95.17</var>provide, or imply that the center is or may render care or services other than the services it <br/>
<a id="pl.95.18"></a><var>95.18</var>is permitted to render within the scope of the license or the accreditation issued.<br/>
<a id="pl.95.19"></a><var>95.19</var>(d) The license must be conspicuously posted in an area where patients are admitted.<br/>
<a id="pl.95.20"></a><var>95.20</var>    Subd. 3. <b>Temporary license.</b> For new birth centers planning to begin operations <br/>
<a id="pl.95.21"></a><var>95.21</var>after January 1, 2011, the commissioner may issue a temporary license to the birth center <br/>
<a id="pl.95.22"></a><var>95.22</var>that is valid for a period of six months from the date of issuance. The birth center must <br/>
<a id="pl.95.23"></a><var>95.23</var>submit to the commissioner an application and applicable fee for licensure as required <br/>
<a id="pl.95.24"></a><var>95.24</var>under subdivision 4. The application must include the information required in subdivision <br/>
<a id="pl.95.25"></a><var>95.25</var>4, clauses (1) to (3) and (5) to (7), and documentation that the birth center has submitted <br/>
<a id="pl.95.26"></a><var>95.26</var>an application for accreditation to the CABC. Upon receipt of accreditation from the <br/>
<a id="pl.95.27"></a><var>95.27</var>CABC, the birth center must submit to the commissioner the information required in <br/>
<a id="pl.95.28"></a><var>95.28</var>subdivision 4, clause (4), and the applicable fee under subdivision 8. The commissioner <br/>
<a id="pl.95.29"></a><var>95.29</var>shall issue a new license.<br/>
<a id="pl.95.30"></a><var>95.30</var>    Subd. 4. <b>Application.</b> An application for a license to operate a birth center and the <br/>
<a id="pl.95.31"></a><var>95.31</var>applicable fee under subdivision 8 must be submitted to the commissioner on a form <br/>
<a id="pl.95.32"></a><var>95.32</var>provided by the commissioner and must contain:<br/>
<a id="pl.95.33"></a><var>95.33</var>(1) the name of the applicant;<br/>
<a id="pl.95.34"></a><var>95.34</var>(2) the site location of the birth center;<br/>
<a id="pl.95.35"></a><var>95.35</var>(3) the name of the person in charge of the center;<br/>
<a id="pl.96.1"></a><var>96.1</var>(4) documentation that the accreditation described under subdivision 6 has been <br/>
<a id="pl.96.2"></a><var>96.2</var>issued, including the effective date and the expiration date of the accreditation, and the <br/>
<a id="pl.96.3"></a><var>96.3</var>date of the last site visit by the CABC;<br/>
<a id="pl.96.4"></a><var>96.4</var>(5) the number of patients the birth center is capable of serving at a given time;<br/>
<a id="pl.96.5"></a><var>96.5</var>(6) the names and license numbers, if applicable, of the health care professionals <br/>
<a id="pl.96.6"></a><var>96.6</var>on staff at the birth center; and<br/>
<a id="pl.96.7"></a><var>96.7</var>(7) any other information the commissioner deems necessary.<br/>
<a id="pl.96.8"></a><var>96.8</var>    Subd. 5. <b>Suspension, revocation, and refusal to renew.</b> The commissioner may <br/>
<a id="pl.96.9"></a><var>96.9</var>refuse to grant or renew, or may suspend or revoke, a license on any of the grounds <br/>
<a id="pl.96.10"></a><var>96.10</var>described under section 144.55, subdivision 6, paragraph (a), clause (2), (3), or (4), or <br/>
<a id="pl.96.11"></a><var>96.11</var>upon the loss of accreditation by the CABC. The applicant or licensee is entitled to notice <br/>
<a id="pl.96.12"></a><var>96.12</var>and a hearing as described under section 144.55, subdivision 7, and a new license may be <br/>
<a id="pl.96.13"></a><var>96.13</var>issued after proper inspection of the birth center has been conducted.<br/>
<a id="pl.96.14"></a><var>96.14</var>    Subd. 6. <b>Standards for licensure.</b> (a) To be eligible for licensure under this <br/>
<a id="pl.96.15"></a><var>96.15</var>section, a birth center must be accredited by the CABC or must obtain accreditation <br/>
<a id="pl.96.16"></a><var>96.16</var>within six months of the date of the application for licensure. If the birth center loses its <br/>
<a id="pl.96.17"></a><var>96.17</var>accreditation, the birth center must immediately notify the commissioner.<br/>
<a id="pl.96.18"></a><var>96.18</var>(b) The center must have procedures in place specifying criteria by which risk status <br/>
<a id="pl.96.19"></a><var>96.19</var>will be established and applied to each woman at admission and during labor.<br/>
<a id="pl.96.20"></a><var>96.20</var>(c) Upon request, the birth center shall provide the commissioner of health with any <br/>
<a id="pl.96.21"></a><var>96.21</var>material submitted by the birth center to the CABC as part of the accreditation process, <br/>
<a id="pl.96.22"></a><var>96.22</var>including the accreditation application, the self-evaluation report, the accreditation <br/>
<a id="pl.96.23"></a><var>96.23</var>decision letter from the CABC, and any reports from the CABC following a site visit.<br/>
<a id="pl.96.24"></a><var>96.24</var>    Subd. 7. <b>Limitations of services.</b> (a) The following limitations apply to the services <br/>
<a id="pl.96.25"></a><var>96.25</var>performed at a birth center:<br/>
<a id="pl.96.26"></a><var>96.26</var>(1) surgical procedures must be limited to those normally accomplished during an <br/>
<a id="pl.96.27"></a><var>96.27</var>uncomplicated birth, including episiotomy and repair;<br/>
<a id="pl.96.28"></a><var>96.28</var>(2) no abortions may be administered; and<br/>
<a id="pl.96.29"></a><var>96.29</var>(3) no general or regional anesthesia may be administered.<br/>
<a id="pl.96.30"></a><var>96.30</var>(b) Notwithstanding paragraph (a), local anesthesia may be administered at a birth <br/>
<a id="pl.96.31"></a><var>96.31</var>center if the administration of the anesthetic is performed within the scope of practice of a <br/>
<a id="pl.96.32"></a><var>96.32</var>health care professional.<br/>
<a id="pl.96.33"></a><var>96.33</var>    Subd. 8. <b>Fees.</b> (a) The biennial license fee for a birth center is $365.<br/>
<a id="pl.96.34"></a><var>96.34</var>(b) The temporary license fee is $365.<br/>
<a id="pl.96.35"></a><var>96.35</var>(c) Fees shall be collected and deposited according to section 144.122.<br/>
<a id="pl.97.1"></a><var>97.1</var>    Subd. 9. <b>Renewal.</b> (a) Except as provided in paragraph (b), a license issued under <br/>
<a id="pl.97.2"></a><var>97.2</var>this section expires two years from the date of issue.<br/>
<a id="pl.97.3"></a><var>97.3</var>(b) A temporary license issued under subdivision 3 expires six months from the date <br/>
<a id="pl.97.4"></a><var>97.4</var>of issue, and may be renewed for one additional six-month period.<br/>
<a id="pl.97.5"></a><var>97.5</var>(c) An application for renewal shall be submitted at least 60 days prior to expiration <br/>
<a id="pl.97.6"></a><var>97.6</var>of the license on forms prescribed by the commissioner of health.<br/>
<a id="pl.97.7"></a><var>97.7</var>    Subd. 10. <b>Records.</b> All health records maintained on each client by a birth center <br/>
<a id="pl.97.8"></a><var>97.8</var>are subject to sections 144.292 to 144.298.<br/>
<a id="pl.97.9"></a><var>97.9</var>    Subd. 11. <b>Report.</b> (a) The commissioner of health, in consultation with the <br/>
<a id="pl.97.10"></a><var>97.10</var>commissioner of human services and representatives of the licensed birth centers, <br/>
<a id="pl.97.11"></a><var>97.11</var>the American College of Obstetricians and Gynecologists, the American Academy <br/>
<a id="pl.97.12"></a><var>97.12</var>of Pediatrics, the Minnesota Hospital Association, and the Minnesota Ambulance <br/>
<a id="pl.97.13"></a><var>97.13</var>Association, shall evaluate the quality of care and outcomes for services provided in <br/>
<a id="pl.97.14"></a><var>97.14</var>licensed birth centers, including, but not limited to, the utilization of services provided at a <br/>
<a id="pl.97.15"></a><var>97.15</var>birth center, the outcomes of care provided to both mothers and newborns, and the numbers <br/>
<a id="pl.97.16"></a><var>97.16</var>of transfers to other health care facilities that are required and the reasons for the transfers. <br/>
<a id="pl.97.17"></a><var>97.17</var>The commissioner shall work with the birth centers to establish a process to gather and <br/>
<a id="pl.97.18"></a><var>97.18</var>analyze the data within protocols that protect the confidentiality of patient identification.<br/>
<a id="pl.97.19"></a><var>97.19</var>(b) The commissioner of health shall report the findings of the evaluation to the <br/>
<a id="pl.97.20"></a><var>97.20</var>legislature by January 15, 2014.<br/>
<br/>
<a id="bill.5.8.0"></a><a id="pl.97.21"></a><var>97.21</var>    Sec. 8. Minnesota Statutes 2008, section 144.651, subdivision 2, is amended to read:<br/>
<a id="pl.97.22"></a><var>97.22</var>    Subd. 2. <b>Definitions.</b> For the purposes of this section, "patient" means a person <br/>
<a id="pl.97.23"></a><var>97.23</var>who is admitted to an acute care inpatient facility for a continuous period longer than <br/>
<a id="pl.97.24"></a><var>97.24</var>24 hours, for the purpose of diagnosis or treatment bearing on the physical or mental <br/>
<a id="pl.97.25"></a><var>97.25</var>health of that person. For purposes of subdivisions 4 to 9, 12, 13, 15, 16, and 18 to 20, <br/>
<a id="pl.97.26"></a><var>97.26</var>"patient" also means a person who receives health care services at an outpatient surgical <br/>
<a id="pl.97.27"></a><var>97.27</var>center or at a birth center licensed under section 144.615. "Patient" also means a minor <br/>
<a id="pl.97.28"></a><var>97.28</var>who is admitted to a residential program as defined in section 
         <statute_ref>253C.01</statute_ref>. For purposes of <br/>
<a id="pl.97.29"></a><var>97.29</var>subdivisions 1, 3 to 16, 18, 20 and 30, "patient" also means any person who is receiving <br/>
<a id="pl.97.30"></a><var>97.30</var>mental health treatment on an outpatient basis or in a community support program or other <br/>
<a id="pl.97.31"></a><var>97.31</var>community-based program. "Resident" means a person who is admitted to a nonacute care <br/>
<a id="pl.97.32"></a><var>97.32</var>facility including extended care facilities, nursing homes, and boarding care homes for <br/>
<a id="pl.97.33"></a><var>97.33</var>care required because of prolonged mental or physical illness or disability, recovery from <br/>
<a id="pl.97.34"></a><var>97.34</var>injury or disease, or advancing age. For purposes of all subdivisions except subdivisions <br/>
<a id="pl.97.35"></a><var>97.35</var>28 and 29, "resident" also means a person who is admitted to a facility licensed as a board <br/>
<a id="pl.98.1"></a><var>98.1</var>and lodging facility under Minnesota Rules, parts 4625.0100 to 4625.2355, or a supervised <br/>
<a id="pl.98.2"></a><var>98.2</var>living facility under Minnesota Rules, parts 4665.0100 to 4665.9900, and which operates <br/>
<a id="pl.98.3"></a><var>98.3</var>a rehabilitation program licensed under Minnesota Rules, parts 9530.4100 to 9530.4450. <br/>
<br/>
<a id="bill.5.9.0"></a><a id="pl.98.4"></a><var>98.4</var>    Sec. 9. Minnesota Statutes 2008, section 144.9504, is amended by adding a subdivision <br/>
<a id="pl.98.5"></a><var>98.5</var>to read:<br/>
<a id="pl.98.6"></a><var>98.6</var>    Subd. 12. <b>Blood lead level guidelines.</b> (a) By January 1, 2011, the commissioner <br/>
<a id="pl.98.7"></a><var>98.7</var>must revise clinical and case management guidelines to include recommendations <br/>
<a id="pl.98.8"></a><var>98.8</var>for protective health actions and follow-up services when a child's blood lead level <br/>
<a id="pl.98.9"></a><var>98.9</var>exceeds five micrograms of lead per deciliter of blood. The revised guidelines must be <br/>
<a id="pl.98.10"></a><var>98.10</var>implemented to the extent possible using available resources.<br/>
<a id="pl.98.11"></a><var>98.11</var>(b) In revising the clinical and case management guidelines for blood lead levels <br/>
<a id="pl.98.12"></a><var>98.12</var>greater than five micrograms of lead per deciliter of blood under this subdivision, <br/>
<a id="pl.98.13"></a><var>98.13</var>the commissioner of health must consult with a statewide organization representing <br/>
<a id="pl.98.14"></a><var>98.14</var>physicians, the public health department of Minneapolis and other public health <br/>
<a id="pl.98.15"></a><var>98.15</var>departments, one representative of the residential construction industry, and a nonprofit <br/>
<a id="pl.98.16"></a><var>98.16</var>organization with expertise in lead abatement.<br/>
<br/>
<a id="bill.5.10.0"></a><a id="pl.98.17"></a><var>98.17</var>    Sec. 10. Minnesota Statutes 2008, section 144A.51, subdivision 5, is amended to read:<br/>
<a id="pl.98.18"></a><var>98.18</var>    Subd. 5. <b>Health facility.</b> "Health facility" means a facility or that part of a facility <br/>
<a id="pl.98.19"></a><var>98.19</var>which is required to be licensed pursuant to sections 
         <statute_ref>144.50</statute_ref> to 
         <statute_ref>144.58</statute_ref>, 144.615, and a <br/>
<a id="pl.98.20"></a><var>98.20</var>facility or that part of a facility which is required to be licensed under any law of this state <br/>
<a id="pl.98.21"></a><var>98.21</var>which provides for the licensure of nursing homes. <br/>
<br/>
<a id="bill.5.11.0"></a><a id="pl.98.22"></a><var>98.22</var>    Sec. 11. Minnesota Statutes 2008, section 144E.37, is amended to read:<br/>
<a id="pl.98.23"></a><var>98.23</var><b>144E.37 COMPREHENSIVE ADVANCED LIFE SUPPORT.</b><br/>
<a id="pl.98.24"></a><var>98.24</var>The board commissioner of health shall establish a comprehensive advanced <br/>
<a id="pl.98.25"></a><var>98.25</var>life-support educational program to train rural medical personnel, including physicians, <br/>
<a id="pl.98.26"></a><var>98.26</var>physician assistants, nurses, and allied health care providers, in a team approach to <br/>
<a id="pl.98.27"></a><var>98.27</var>anticipate, recognize, and treat life-threatening emergencies before serious injury or <br/>
<a id="pl.98.28"></a><var>98.28</var>cardiac arrest occurs.<br/>
<a id="pl.98.29"></a><var>98.29</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.5.12.0"></a><a id="pl.98.30"></a><var>98.30</var>    Sec. 12. <b>HEALTH PLAN AND COUNTY ADMINISTRATIVE COST </b><br/>
<a id="pl.98.31"></a><var>98.31</var><b>REDUCTION; REPORTING REQUIREMENTS.</b><br/>
<a id="pl.99.1"></a><var>99.1</var>(a) Minnesota health plans and county-based purchasing plans may complete an <br/>
<a id="pl.99.2"></a><var>99.2</var>inventory of existing data collection and reporting requirements for health plans and <br/>
<a id="pl.99.3"></a><var>99.3</var>county-based purchasing plans and submit to the commissioners of health and human <br/>
<a id="pl.99.4"></a><var>99.4</var>services a list of data, documentation, and reports that:<br/>
<a id="pl.99.5"></a><var>99.5</var>(1) are collected from the same health plan or county-based purchasing plan more <br/>
<a id="pl.99.6"></a><var>99.6</var>than once;<br/>
<a id="pl.99.7"></a><var>99.7</var>(2) are collected directly from the health plan or county-based purchasing plan but <br/>
<a id="pl.99.8"></a><var>99.8</var>are available to the state agencies from other sources;<br/>
<a id="pl.99.9"></a><var>99.9</var>(3) are not currently being used by state agencies; or<br/>
<a id="pl.99.10"></a><var>99.10</var>(4) collect similar information more than once in different formats, at different <br/>
<a id="pl.99.11"></a><var>99.11</var>times, or by more than one state agency.<br/>
<a id="pl.99.12"></a><var>99.12</var>(b) The report to the commissioners may also identify the percentage of health <br/>
<a id="pl.99.13"></a><var>99.13</var>plan and county-based purchasing plan administrative time and expense attributed to <br/>
<a id="pl.99.14"></a><var>99.14</var>fulfilling reporting requirements and include recommendations regarding ways to reduce <br/>
<a id="pl.99.15"></a><var>99.15</var>duplicative reporting requirements.<br/>
<a id="pl.99.16"></a><var>99.16</var>(c) Upon receipt, the commissioners shall submit the inventory and recommendations <br/>
<a id="pl.99.17"></a><var>99.17</var>to the chairs of the appropriate legislative committees, along with their comments <br/>
<a id="pl.99.18"></a><var>99.18</var>and recommendations as to whether any action should be taken by the legislature to <br/>
<a id="pl.99.19"></a><var>99.19</var>establish a consolidated and streamlined reporting system under which data, reports, and <br/>
<a id="pl.99.20"></a><var>99.20</var>documentation are collected only once and only when needed for the state agencies to <br/>
<a id="pl.99.21"></a><var>99.21</var>fulfill their duties under law and applicable regulations.<br/>
<br/>
<a id="bill.5.13.0"></a><a id="pl.99.22"></a><var>99.22</var>    Sec. 13. <b>VENDOR ACCREDITATION SIMPLIFICATION.</b><br/>
<a id="pl.99.23"></a><var>99.23</var>The Minnesota Hospital Association must coordinate with the Minnesota <br/>
<a id="pl.99.24"></a><var>99.24</var>Credentialing Collaborative to make recommendations by January 1, 2012, on the <br/>
<a id="pl.99.25"></a><var>99.25</var>development of standard accreditation methods for vendor services provided within <br/>
<a id="pl.99.26"></a><var>99.26</var>hospitals and clinics. The recommendations must be consistent with requirements of <br/>
<a id="pl.99.27"></a><var>99.27</var>hospital credentialing organizations and applicable federal requirements.<br/>
<br/>
<a id="bill.5.14.0"></a><a id="pl.99.28"></a><var>99.28</var>    Sec. 14. <b>APPLICATION PROCESS FOR HEALTH INFORMATION </b><br/>
<a id="pl.99.29"></a><var>99.29</var><b>EXCHANGE.</b><br/>
<a id="pl.99.30"></a><var>99.30</var>To the extent that the commissioner of health applies for additional federal funding <br/>
<a id="pl.99.31"></a><var>99.31</var>to support the commissioner's responsibilities of developing and maintaining state level <br/>
<a id="pl.99.32"></a><var>99.32</var>health information exchange under section 3013 of the HITECH Act, the commissioner of <br/>
<a id="pl.99.33"></a><var>99.33</var>health shall ensure that applications are made through an open process that provides health <br/>
<a id="pl.99.34"></a><var>99.34</var>information exchange service providers equal opportunity to receive funding.<br/>
<br/>
<a id="bill.5.15.0"></a><a id="pl.100.1"></a><var>100.1</var>    Sec. 15. <b>TRANSFER.</b><br/>
<a id="pl.100.2"></a><var>100.2</var>The powers and duties of the Emergency Medical Services Regulatory Board with <br/>
<a id="pl.100.3"></a><var>100.3</var>respect to the comprehensive advanced life-support educational program under Minnesota <br/>
<a id="pl.100.4"></a><var>100.4</var>Statutes, section 144E.37, are transferred to the commissioner of health under Minnesota <br/>
<a id="pl.100.5"></a><var>100.5</var>Statutes, section 15.039.<br/>
<a id="pl.100.6"></a><var>100.6</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.5.16.0"></a><a id="pl.100.7"></a><var>100.7</var>    Sec. 16. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.100.8"></a><var>100.8</var>The revisor of statutes shall renumber Minnesota Statutes, section 144E.37, as <br/>
<a id="pl.100.9"></a><var>100.9</var>Minnesota Statutes, section 144.6062, and make all necessary changes in statutory <br/>
<a id="pl.100.10"></a><var>100.10</var>cross-references in Minnesota Statutes and Minnesota Rules.<br/>
<a id="pl.100.11"></a><var>100.11</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2010.<br/>
<br/>
<a id="bill.6.0.0"></a>

<a id="bill.6.1.0"></a><a id="pl.100.14"></a><var>100.14</var>    Section 1. Minnesota Statutes 2008, section 62J.692, subdivision 4, is amended to read:<br/>
<a id="pl.100.15"></a><var>100.15</var>    Subd. 4. <b>Distribution of funds.</b> (a) Following the distribution described under <br/>
<a id="pl.100.16"></a><var>100.16</var>paragraph (b), the commissioner shall annually distribute the available medical education <br/>
<a id="pl.100.17"></a><var>100.17</var>funds to all qualifying applicants based on a distribution formula that reflects a summation <br/>
<a id="pl.100.18"></a><var>100.18</var>of two factors:<br/>
<a id="pl.100.19"></a><var>100.19</var>    (1) a public program volume factor, which is determined by the total volume of <br/>
<a id="pl.100.20"></a><var>100.20</var>public program revenue received by each training site as a percentage of all public <br/>
<a id="pl.100.21"></a><var>100.21</var>program revenue received by all training sites in the fund pool; and<br/>
<a id="pl.100.22"></a><var>100.22</var>    (2) a supplemental public program volume factor, which is determined by providing <br/>
<a id="pl.100.23"></a><var>100.23</var>a supplemental payment of 20 percent of each training site's grant to training sites whose <br/>
<a id="pl.100.24"></a><var>100.24</var>public program revenue accounted for at least 0.98 percent of the total public program <br/>
<a id="pl.100.25"></a><var>100.25</var>revenue received by all eligible training sites. Grants to training sites whose public <br/>
<a id="pl.100.26"></a><var>100.26</var>program revenue accounted for less than 0.98 percent of the total public program revenue <br/>
<a id="pl.100.27"></a><var>100.27</var>received by all eligible training sites shall be reduced by an amount equal to the total <br/>
<a id="pl.100.28"></a><var>100.28</var>value of the supplemental payment.<br/>
<a id="pl.100.29"></a><var>100.29</var>    Public program revenue for the distribution formula includes revenue from medical <br/>
<a id="pl.100.30"></a><var>100.30</var>assistance, prepaid medical assistance, general assistance medical care, and prepaid <br/>
<a id="pl.100.31"></a><var>100.31</var>general assistance medical care. Training sites that receive no public program revenue <br/>
<a id="pl.100.32"></a><var>100.32</var>are ineligible for funds available under this subdivision. For purposes of determining <br/>
<a id="pl.100.33"></a><var>100.33</var>training-site level grants to be distributed under paragraph (a), total statewide average <br/>
<a id="pl.101.1"></a><var>101.1</var>costs per trainee for medical residents is based on audited clinical training costs per trainee <br/>
<a id="pl.101.2"></a><var>101.2</var>in primary care clinical medical education programs for medical residents. Total statewide <br/>
<a id="pl.101.3"></a><var>101.3</var>average costs per trainee for dental residents is based on audited clinical training costs <br/>
<a id="pl.101.4"></a><var>101.4</var>per trainee in clinical medical education programs for dental students. Total statewide <br/>
<a id="pl.101.5"></a><var>101.5</var>average costs per trainee for pharmacy residents is based on audited clinical training costs <br/>
<a id="pl.101.6"></a><var>101.6</var>per trainee in clinical medical education programs for pharmacy students.<br/>
<a id="pl.101.7"></a><var>101.7</var>    (b) $5,350,000 of the available medical education funds shall be distributed as <br/>
<a id="pl.101.8"></a><var>101.8</var>follows:<br/>
<a id="pl.101.9"></a><var>101.9</var>    (1) $1,475,000 to the University of Minnesota Medical Center-Fairview;<br/>
<a id="pl.101.10"></a><var>101.10</var>    (2) $2,075,000 to the University of Minnesota School of Dentistry; and<br/>
<a id="pl.101.11"></a><var>101.11</var>    (3) $1,800,000 to the Academic Health Center. $150,000 of the funds distributed to <br/>
<a id="pl.101.12"></a><var>101.12</var>the Academic Health Center under this paragraph shall be used for a program to assist <br/>
<a id="pl.101.13"></a><var>101.13</var>internationally trained physicians who are legal residents and who commit to serving <br/>
<a id="pl.101.14"></a><var>101.14</var>underserved Minnesota communities in a health professional shortage area to successfully <br/>
<a id="pl.101.15"></a><var>101.15</var>compete for family medicine residency programs at the University of Minnesota.<br/>
<a id="pl.101.16"></a><var>101.16</var>    (c) Funds distributed shall not be used to displace current funding appropriations <br/>
<a id="pl.101.17"></a><var>101.17</var>from federal or state sources.<br/>
<a id="pl.101.18"></a><var>101.18</var>    (d) Funds shall be distributed to the sponsoring institutions indicating the amount <br/>
<a id="pl.101.19"></a><var>101.19</var>to be distributed to each of the sponsor's clinical medical education programs based on <br/>
<a id="pl.101.20"></a><var>101.20</var>the criteria in this subdivision and in accordance with the commissioner's approval letter. <br/>
<a id="pl.101.21"></a><var>101.21</var>Each clinical medical education program must distribute funds allocated under paragraph <br/>
<a id="pl.101.22"></a><var>101.22</var>(a) to the training sites as specified in the commissioner's approval letter. Sponsoring <br/>
<a id="pl.101.23"></a><var>101.23</var>institutions, which are accredited through an organization recognized by the Department <br/>
<a id="pl.101.24"></a><var>101.24</var>of Education or the Centers for Medicare and Medicaid Services, may contract directly <br/>
<a id="pl.101.25"></a><var>101.25</var>with training sites to provide clinical training. To ensure the quality of clinical training, <br/>
<a id="pl.101.26"></a><var>101.26</var>those accredited sponsoring institutions must:<br/>
<a id="pl.101.27"></a><var>101.27</var>    (1) develop contracts specifying the terms, expectations, and outcomes of the clinical <br/>
<a id="pl.101.28"></a><var>101.28</var>training conducted at sites; and<br/>
<a id="pl.101.29"></a><var>101.29</var>    (2) take necessary action if the contract requirements are not met. Action may <br/>
<a id="pl.101.30"></a><var>101.30</var>include the withholding of payments under this section or the removal of students from <br/>
<a id="pl.101.31"></a><var>101.31</var>the site.<br/>
<a id="pl.101.32"></a><var>101.32</var>    (e) Any funds not distributed in accordance with the commissioner's approval letter <br/>
<a id="pl.101.33"></a><var>101.33</var>must be returned to the medical education and research fund within 30 days of receiving <br/>
<a id="pl.101.34"></a><var>101.34</var>notice from the commissioner. The commissioner shall distribute returned funds to the <br/>
<a id="pl.101.35"></a><var>101.35</var>appropriate training sites in accordance with the commissioner's approval letter.<br/>
<a id="pl.102.1"></a><var>102.1</var>    (f) A maximum of $150,000 of the funds dedicated to the commissioner under <br/>
<a id="pl.102.2"></a><var>102.2</var>section 
         <statute_ref>297F.10, subdivision 1</statute_ref>, clause (2), may be used by the commissioner for <br/>
<a id="pl.102.3"></a><var>102.3</var>administrative expenses associated with implementing this section.<br/>
<br/>
<a id="bill.6.2.0"></a><a id="pl.102.4"></a><var>102.4</var>    Sec. 2. Minnesota Statutes 2009 Supplement, section 157.16, subdivision 3, is <br/>
<a id="pl.102.5"></a><var>102.5</var>amended to read:<br/>
<a id="pl.102.6"></a><var>102.6</var>    Subd. 3.  <b>Establishment fees; definitions.</b> (a) The following fees are required <br/>
<a id="pl.102.7"></a><var>102.7</var>for food and beverage service establishments, youth camps, hotels, motels, lodging <br/>
<a id="pl.102.8"></a><var>102.8</var>establishments, public pools, and resorts licensed under this chapter. Food and beverage <br/>
<a id="pl.102.9"></a><var>102.9</var>service establishments must pay the highest applicable fee under paragraph (d), clause <br/>
<a id="pl.102.10"></a><var>102.10</var>(1), (2), (3), or (4), and establishments serving alcohol must pay the highest applicable <br/>
<a id="pl.102.11"></a><var>102.11</var>fee under paragraph (d), clause (6) or (7). The license fee for new operators previously <br/>
<a id="pl.102.12"></a><var>102.12</var>licensed under this chapter for the same calendar year is one-half of the appropriate annual <br/>
<a id="pl.102.13"></a><var>102.13</var>license fee, plus any penalty that may be required. The license fee for operators opening <br/>
<a id="pl.102.14"></a><var>102.14</var>on or after October 1 is one-half of the appropriate annual license fee, plus any penalty <br/>
<a id="pl.102.15"></a><var>102.15</var>that may be required. <br/>
<a id="pl.102.16"></a><var>102.16</var>    (b) All food and beverage service establishments, except special event food stands, <br/>
<a id="pl.102.17"></a><var>102.17</var>and all hotels, motels, lodging establishments, public pools, and resorts shall pay an <br/>
<a id="pl.102.18"></a><var>102.18</var>annual base fee of $150. <br/>
<a id="pl.102.19"></a><var>102.19</var>    (c) A special event food stand shall pay a flat fee of $50 annually. "Special event <br/>
<a id="pl.102.20"></a><var>102.20</var>food stand" means a fee category where food is prepared or served in conjunction with <br/>
<a id="pl.102.21"></a><var>102.21</var>celebrations, county fairs, or special events from a special event food stand as defined <br/>
<a id="pl.102.22"></a><var>102.22</var>in section 
         <statute_ref>157.15</statute_ref>. <br/>
<a id="pl.102.23"></a><var>102.23</var>    (d) In addition to the base fee in paragraph (b), each food and beverage service <br/>
<a id="pl.102.24"></a><var>102.24</var>establishment, other than a special event food stand, and each hotel, motel, lodging <br/>
<a id="pl.102.25"></a><var>102.25</var>establishment, public pool, and resort shall pay an additional annual fee for each fee <br/>
<a id="pl.102.26"></a><var>102.26</var>category, additional food service, or required additional inspection specified in this <br/>
<a id="pl.102.27"></a><var>102.27</var>paragraph: <br/>
<a id="pl.102.28"></a><var>102.28</var>    (1) Limited food menu selection, $60. "Limited food menu selection" means a fee <br/>
<a id="pl.102.29"></a><var>102.29</var>category that provides one or more of the following: <br/>
<a id="pl.102.30"></a><var>102.30</var>    (i) prepackaged food that receives heat treatment and is served in the package; <br/>
<a id="pl.102.31"></a><var>102.31</var>    (ii) frozen pizza that is heated and served; <br/>
<a id="pl.102.32"></a><var>102.32</var>    (iii) a continental breakfast such as rolls, coffee, juice, milk, and cold cereal; <br/>
<a id="pl.102.33"></a><var>102.33</var>    (iv) soft drinks, coffee, or nonalcoholic beverages; or <br/>
<a id="pl.102.34"></a><var>102.34</var>    (v) cleaning for eating, drinking, or cooking utensils, when the only food served <br/>
<a id="pl.102.35"></a><var>102.35</var>is prepared off site. <br/>
<a id="pl.103.1"></a><var>103.1</var>    (2) Small establishment, including boarding establishments, $120. "Small <br/>
<a id="pl.103.2"></a><var>103.2</var>establishment" means a fee category that has no salad bar and meets one or more of <br/>
<a id="pl.103.3"></a><var>103.3</var>the following: <br/>
<a id="pl.103.4"></a><var>103.4</var>    (i) possesses food service equipment that consists of no more than a deep fat fryer, a <br/>
<a id="pl.103.5"></a><var>103.5</var>grill, two hot holding containers, and one or more microwave ovens; <br/>
<a id="pl.103.6"></a><var>103.6</var>    (ii) serves dipped ice cream or soft serve frozen desserts; <br/>
<a id="pl.103.7"></a><var>103.7</var>    (iii) serves breakfast in an owner-occupied bed and breakfast establishment; <br/>
<a id="pl.103.8"></a><var>103.8</var>    (iv) is a boarding establishment; or <br/>
<a id="pl.103.9"></a><var>103.9</var>    (v) meets the equipment criteria in clause (3), item (i) or (ii), and has a maximum <br/>
<a id="pl.103.10"></a><var>103.10</var>patron seating capacity of not more than 50. <br/>
<a id="pl.103.11"></a><var>103.11</var>    (3) Medium establishment, $310. "Medium establishment" means a fee category <br/>
<a id="pl.103.12"></a><var>103.12</var>that meets one or more of the following: <br/>
<a id="pl.103.13"></a><var>103.13</var>    (i) possesses food service equipment that includes a range, oven, steam table, salad <br/>
<a id="pl.103.14"></a><var>103.14</var>bar, or salad preparation area; <br/>
<a id="pl.103.15"></a><var>103.15</var>    (ii) possesses food service equipment that includes more than one deep fat fryer, <br/>
<a id="pl.103.16"></a><var>103.16</var>one grill, or two hot holding containers; or <br/>
<a id="pl.103.17"></a><var>103.17</var>    (iii) is an establishment where food is prepared at one location and served at one or <br/>
<a id="pl.103.18"></a><var>103.18</var>more separate locations. <br/>
<a id="pl.103.19"></a><var>103.19</var>    Establishments meeting criteria in clause (2), item (v), are not included in this fee <br/>
<a id="pl.103.20"></a><var>103.20</var>category. <br/>
<a id="pl.103.21"></a><var>103.21</var>    (4) Large establishment, $540. "Large establishment" means either: <br/>
<a id="pl.103.22"></a><var>103.22</var>    (i) a fee category that (A) meets the criteria in clause (3), items (i) or (ii), for a <br/>
<a id="pl.103.23"></a><var>103.23</var>medium establishment, (B) seats more than 175 people, and (C) offers the full menu <br/>
<a id="pl.103.24"></a><var>103.24</var>selection an average of five or more days a week during the weeks of operation; or <br/>
<a id="pl.103.25"></a><var>103.25</var>    (ii) a fee category that (A) meets the criteria in clause (3), item (iii), for a medium <br/>
<a id="pl.103.26"></a><var>103.26</var>establishment, and (B) prepares and serves 500 or more meals per day. <br/>
<a id="pl.103.27"></a><var>103.27</var>    (5) Other food and beverage service, including food carts, mobile food units, <br/>
<a id="pl.103.28"></a><var>103.28</var>seasonal temporary food stands, and seasonal permanent food stands, $60. <br/>
<a id="pl.103.29"></a><var>103.29</var>    (6) Beer or wine table service, $60. "Beer or wine table service" means a fee <br/>
<a id="pl.103.30"></a><var>103.30</var>category where the only alcoholic beverage service is beer or wine, served to customers <br/>
<a id="pl.103.31"></a><var>103.31</var>seated at tables. <br/>
<a id="pl.103.32"></a><var>103.32</var>    (7) Alcoholic beverage service, other than beer or wine table service, $165. <br/>
<a id="pl.103.33"></a><var>103.33</var>    "Alcohol beverage service, other than beer or wine table service" means a fee <br/>
<a id="pl.103.34"></a><var>103.34</var>category where alcoholic mixed drinks are served or where beer or wine are served from <br/>
<a id="pl.103.35"></a><var>103.35</var>a bar. <br/>
<a id="pl.104.1"></a><var>104.1</var>    (8) Lodging per sleeping accommodation unit, $10, including hotels, motels, <br/>
<a id="pl.104.2"></a><var>104.2</var>lodging establishments, and resorts, up to a maximum of $1,000. "Lodging per sleeping <br/>
<a id="pl.104.3"></a><var>104.3</var>accommodation unit" means a fee category including the number of guest rooms, cottages, <br/>
<a id="pl.104.4"></a><var>104.4</var>or other rental units of a hotel, motel, lodging establishment, or resort; or the number of <br/>
<a id="pl.104.5"></a><var>104.5</var>beds in a dormitory. <br/>
<a id="pl.104.6"></a><var>104.6</var>    (9) First public pool, $325; each additional public pool, $175. "Public pool" means a <br/>
<a id="pl.104.7"></a><var>104.7</var>fee category that has the meaning given in section 
         <statute_ref>144.1222, subdivision 4</statute_ref>. <br/>
<a id="pl.104.8"></a><var>104.8</var>    (10) First spa, $175; each additional spa, $100. "Spa pool" means a fee category that <br/>
<a id="pl.104.9"></a><var>104.9</var>has the meaning given in Minnesota Rules, part 4717.0250, subpart 9. <br/>
<a id="pl.104.10"></a><var>104.10</var>    (11) Private sewer or water, $60. "Individual private water" means a fee category <br/>
<a id="pl.104.11"></a><var>104.11</var>with a water supply other than a community public water supply as defined in Minnesota <br/>
<a id="pl.104.12"></a><var>104.12</var>Rules, chapter 4720. "Individual private sewer" means a fee category with an individual <br/>
<a id="pl.104.13"></a><var>104.13</var>sewage treatment system which uses subsurface treatment and disposal. <br/>
<a id="pl.104.14"></a><var>104.14</var>    (12) Additional food service, $150. "Additional food service" means a location at <br/>
<a id="pl.104.15"></a><var>104.15</var>a food service establishment, other than the primary food preparation and service area, <br/>
<a id="pl.104.16"></a><var>104.16</var>used to prepare or serve food to the public. <br/>
<a id="pl.104.17"></a><var>104.17</var>    (13) Additional inspection fee, $360. "Additional inspection fee" means a fee to <br/>
<a id="pl.104.18"></a><var>104.18</var>conduct the second inspection each year for elementary and secondary education facility <br/>
<a id="pl.104.19"></a><var>104.19</var>school lunch programs when required by the Richard B. Russell National School Lunch <br/>
<a id="pl.104.20"></a><var>104.20</var>Act. <br/>
<a id="pl.104.21"></a><var>104.21</var>    (e) A fee for review of construction plans must accompany the initial license <br/>
<a id="pl.104.22"></a><var>104.22</var>application for restaurants, hotels, motels, lodging establishments, resorts, seasonal food <br/>
<a id="pl.104.23"></a><var>104.23</var>stands, and mobile food units. The fee for this construction plan review is as follows:<br/>
<table>
<col width="50px"/>
<col width="15.5"/>
<col width="30"/>
<col width="5.5"/>
<tr>
<td><a id="pl.104.24"></a><var>104.24</var><br/>
</td>
<td align="left"><b>Service Area</b><br/>
</td>
<td align="left"><b>Type</b><br/>
</td>
<td align="right"><b>Fee</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.104.25"></a><var>104.25</var><br/>
</td>
<td>Food<br/>
</td>
<td>limited food menu<br/>
</td>
<td align="right">$275<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.26"></a><var>104.26</var><br/>
</td>
<td></td>
<td>small establishment<br/>
</td>
<td align="right">$400<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.27"></a><var>104.27</var><br/>
</td>
<td></td>
<td>medium establishment<br/>
</td>
<td align="right">$450<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.28"></a><var>104.28</var><br/>
</td>
<td></td>
<td>large food establishment<br/>
</td>
<td align="right">$500<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.29"></a><var>104.29</var><br/>
</td>
<td></td>
<td>additional food service<br/>
</td>
<td align="right">$150<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.30"></a><var>104.30</var><br/>
</td>
<td>Transient food service<br/>
</td>
<td>food cart<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.31"></a><var>104.31</var><br/>
</td>
<td></td>
<td>seasonal permanent food stand<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.32"></a><var>104.32</var><br/>
</td>
<td></td>
<td>seasonal temporary food stand<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.33"></a><var>104.33</var><br/>
</td>
<td></td>
<td>mobile food unit<br/>
</td>
<td align="right">$350<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.34"></a><var>104.34</var><br/>
</td>
<td>Alcohol<br/>
</td>
<td>beer or wine table service<br/>
</td>
<td align="right">$150<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.35"></a><var>104.35</var><br/>
</td>
<td></td>
<td>alcohol service from bar<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.36"></a><var>104.36</var><br/>
</td>
<td>Lodging<br/>
</td>
<td>less than 25 rooms<br/>
</td>
<td align="right">$375<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.37"></a><var>104.37</var><br/>
</td>
<td></td>
<td>25 to less than 100 rooms<br/>
</td>
<td align="right">$400<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.38"></a><var>104.38</var><br/>
</td>
<td></td>
<td>100 rooms or more<br/>
</td>
<td align="right">$500<br/>
</td>
</tr>
<tr>
<td><a id="pl.104.39"></a><var>104.39</var><br/>
</td>
<td></td>
<td>less than five cabins<br/>
</td>
<td align="right">$350<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.1"></a><var>105.1</var><br/>
</td>
<td></td>
<td>five to less than ten cabins<br/>
</td>
<td align="right">$400<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.2"></a><var>105.2</var><br/>
</td>
<td></td>
<td>ten cabins or more<br/>
</td>
<td align="right">$450<br/>
</td>
</tr>
</table><a id="pl.105.3"></a><var>105.3</var>    (f) When existing food and beverage service establishments, hotels, motels, lodging <br/>
<a id="pl.105.4"></a><var>105.4</var>establishments, resorts, seasonal food stands, and mobile food units are extensively <br/>
<a id="pl.105.5"></a><var>105.5</var>remodeled, a fee must be submitted with the remodeling plans. The fee for this <br/>
<a id="pl.105.6"></a><var>105.6</var>construction plan review is as follows:<br/>
<table>
<col width="50px"/>
<col width="15.5"/>
<col width="30"/>
<col width="5.5"/>
<tr>
<td><a id="pl.105.7"></a><var>105.7</var><br/>
</td>
<td align="left"><b>Service Area</b><br/>
</td>
<td align="left"><b>Type</b><br/>
</td>
<td align="right"><b>Fee</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.105.8"></a><var>105.8</var><br/>
</td>
<td>Food<br/>
</td>
<td>limited food menu<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.9"></a><var>105.9</var><br/>
</td>
<td></td>
<td>small establishment<br/>
</td>
<td align="right">$300<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.10"></a><var>105.10</var><br/>
</td>
<td></td>
<td>medium establishment<br/>
</td>
<td align="right">$350<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.11"></a><var>105.11</var><br/>
</td>
<td></td>
<td>large food establishment<br/>
</td>
<td align="right">$400<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.12"></a><var>105.12</var><br/>
</td>
<td></td>
<td>additional food service<br/>
</td>
<td align="right">$150<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.13"></a><var>105.13</var><br/>
</td>
<td>Transient food service<br/>
</td>
<td>food cart<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.14"></a><var>105.14</var><br/>
</td>
<td></td>
<td>seasonal permanent food stand<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.15"></a><var>105.15</var><br/>
</td>
<td></td>
<td>seasonal temporary food stand<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.16"></a><var>105.16</var><br/>
</td>
<td></td>
<td>mobile food unit<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.17"></a><var>105.17</var><br/>
</td>
<td>Alcohol<br/>
</td>
<td>beer or wine table service<br/>
</td>
<td align="right">$150<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.18"></a><var>105.18</var><br/>
</td>
<td></td>
<td>alcohol service from bar<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.19"></a><var>105.19</var><br/>
</td>
<td>Lodging<br/>
</td>
<td>less than 25 rooms<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.20"></a><var>105.20</var><br/>
</td>
<td></td>
<td>25 to less than 100 rooms<br/>
</td>
<td align="right">$300<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.21"></a><var>105.21</var><br/>
</td>
<td></td>
<td>100 rooms or more<br/>
</td>
<td align="right">$450<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.22"></a><var>105.22</var><br/>
</td>
<td></td>
<td>less than five cabins<br/>
</td>
<td align="right">$250<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.23"></a><var>105.23</var><br/>
</td>
<td></td>
<td>five to less than ten cabins<br/>
</td>
<td align="right">$350<br/>
</td>
</tr>
<tr>
<td><a id="pl.105.24"></a><var>105.24</var><br/>
</td>
<td></td>
<td>ten cabins or more<br/>
</td>
<td align="right">$400<br/>
</td>
</tr>
</table><a id="pl.105.25"></a><var>105.25</var>    (g) Special event food stands are not required to submit construction or remodeling <br/>
<a id="pl.105.26"></a><var>105.26</var>plans for review. <br/>
<a id="pl.105.27"></a><var>105.27</var>(h) Youth camps shall pay an annual single fee for food and lodging as follows:<br/>
<a id="pl.105.28"></a><var>105.28</var>(1) camps with up to 99 campers, $325;<br/>
<a id="pl.105.29"></a><var>105.29</var>(2) camps with 100 to 199 campers, $550; and<br/>
<a id="pl.105.30"></a><var>105.30</var>(3) camps with 200 or more campers, $750.<br/>
<a id="pl.105.31"></a><var>105.31</var>(i) A youth camp which pays fees under paragraph (d) is not required to pay fees <br/>
<a id="pl.105.32"></a><var>105.32</var>under paragraph (h).<br/>
<br/>
<a id="bill.6.3.0"></a><a id="pl.105.33"></a><var>105.33</var>    Sec. 3. Minnesota Statutes 2009 Supplement, section 327.15, subdivision 3, is <br/>
<a id="pl.105.34"></a><var>105.34</var>amended to read:<br/>
<a id="pl.105.35"></a><var>105.35</var>    Subd. 3. <b>Fees, manufactured home parks and recreational camping areas.</b> (a) <br/>
<a id="pl.105.36"></a><var>105.36</var>The following fees are required for manufactured home parks and recreational camping <br/>
<a id="pl.105.37"></a><var>105.37</var>areas licensed under this chapter. Recreational camping areas and manufactured home <br/>
<a id="pl.105.38"></a><var>105.38</var>parks shall pay the highest applicable base fee under paragraph (c) (b). The license fee <br/>
<a id="pl.106.1"></a><var>106.1</var>for new operators of a manufactured home park or recreational camping area previously <br/>
<a id="pl.106.2"></a><var>106.2</var>licensed under this chapter for the same calendar year is one-half of the appropriate annual <br/>
<a id="pl.106.3"></a><var>106.3</var>license fee, plus any penalty that may be required. The license fee for operators opening <br/>
<a id="pl.106.4"></a><var>106.4</var>on or after October 1 is one-half of the appropriate annual license fee, plus any penalty <br/>
<a id="pl.106.5"></a><var>106.5</var>that may be required.<br/>
<a id="pl.106.6"></a><var>106.6</var>(b) All manufactured home parks and recreational camping areas shall pay the <br/>
<a id="pl.106.7"></a><var>106.7</var>following annual base fee:<br/>
<a id="pl.106.8"></a><var>106.8</var>(1) a manufactured home park, $150; and<br/>
<a id="pl.106.9"></a><var>106.9</var>(2) a recreational camping area with:<br/>
<a id="pl.106.10"></a><var>106.10</var>(i) 24 or less sites, $50;<br/>
<a id="pl.106.11"></a><var>106.11</var>(ii) 25 to 99 sites, $212; and<br/>
<a id="pl.106.12"></a><var>106.12</var>(iii) 100 or more sites, $300.<br/>
<a id="pl.106.13"></a><var>106.13</var>In addition to the base fee, manufactured home parks and recreational camping areas shall <br/>
<a id="pl.106.14"></a><var>106.14</var>pay $4 for each licensed site. This paragraph does not apply to special event recreational <br/>
<a id="pl.106.15"></a><var>106.15</var>camping areas or to. Operators of a manufactured home park or a recreational camping <br/>
<a id="pl.106.16"></a><var>106.16</var>area also licensed under section 
         <statute_ref>157.16</statute_ref> for the same location shall pay only one base fee, <br/>
<a id="pl.106.17"></a><var>106.17</var>whichever is the highest of the base fees found in this section or section 157.16.<br/>
<a id="pl.106.18"></a><var>106.18</var>(c) In addition to the fee in paragraph (b), each manufactured home park or <br/>
<a id="pl.106.19"></a><var>106.19</var>recreational camping area shall pay an additional annual fee for each fee category <br/>
<a id="pl.106.20"></a><var>106.20</var>specified in this paragraph:<br/>
<a id="pl.106.21"></a><var>106.21</var>(1) Manufactured home parks and recreational camping areas with public swimming <br/>
<a id="pl.106.22"></a><var>106.22</var>pools and spas shall pay the appropriate fees specified in section 
         <statute_ref>157.16</statute_ref>.<br/>
<a id="pl.106.23"></a><var>106.23</var>(2) Individual private sewer or water, $60. "Individual private water" means a fee <br/>
<a id="pl.106.24"></a><var>106.24</var>category with a water supply other than a community public water supply as defined in <br/>
<a id="pl.106.25"></a><var>106.25</var>Minnesota Rules, chapter 4720. "Individual private sewer" means a fee category with a <br/>
<a id="pl.106.26"></a><var>106.26</var>subsurface sewage treatment system which uses subsurface treatment and disposal.<br/>
<a id="pl.106.27"></a><var>106.27</var>(d) The following fees must accompany a plan review application for initial <br/>
<a id="pl.106.28"></a><var>106.28</var>construction of a manufactured home park or recreational camping area:<br/>
<a id="pl.106.29"></a><var>106.29</var>(1) for initial construction of less than 25 sites, $375;<br/>
<a id="pl.106.30"></a><var>106.30</var>(2) for initial construction of 25 to 99 sites, $400; and<br/>
<a id="pl.106.31"></a><var>106.31</var>(3) for initial construction of 100 or more sites, $500.<br/>
<a id="pl.106.32"></a><var>106.32</var>(e) The following fees must accompany a plan review application when an existing <br/>
<a id="pl.106.33"></a><var>106.33</var>manufactured home park or recreational camping area is expanded:<br/>
<a id="pl.106.34"></a><var>106.34</var>(1) for expansion of less than 25 sites, $250;<br/>
<a id="pl.106.35"></a><var>106.35</var>(2) for expansion of 25 to 99 sites, $300; and<br/>
<a id="pl.106.36"></a><var>106.36</var>(3) for expansion of 100 or more sites, $450.<br/>
<br/>
<a id="bill.6.4.0"></a><a id="pl.107.1"></a><var>107.1</var>    Sec. 4. <b>FOOD SUPPORT FOR CHILDREN WITH SEVERE ALLERGIES.</b><br/>
<a id="pl.107.2"></a><var>107.2</var>The commissioner of human services must seek a federal waiver from the federal <br/>
<a id="pl.107.3"></a><var>107.3</var>Department of Agriculture, Food and Nutrition Service, for the supplemental nutrition <br/>
<a id="pl.107.4"></a><var>107.4</var>assistance program, to increase the income eligibility requirements to 375 percent of the <br/>
<a id="pl.107.5"></a><var>107.5</var>federal poverty guidelines, in order to cover nutritional food products required to treat <br/>
<a id="pl.107.6"></a><var>107.6</var>or manage severe food allergies, including allergies to wheat and gluten, for infants and <br/>
<a id="pl.107.7"></a><var>107.7</var>children who have been diagnosed with life-threatening severe food allergies.<br/>
<br/>
<a id="bill.7.0.0"></a>

<a id="bill.7.1.0"></a><a id="pl.107.10"></a><var>107.10</var>    Section 1. <b>[62E.20] RELATIONSHIP TO TEMPORARY FEDERAL HIGH-RISK </b><br/>
<a id="pl.107.11"></a><var>107.11</var><b>POOL.</b><br/>
<a id="pl.107.12"></a><var>107.12</var>    Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the terms defined in <br/>
<a id="pl.107.13"></a><var>107.13</var>this subdivision have the meanings given.<br/>
<a id="pl.107.14"></a><var>107.14</var>(b) "Association" means the Minnesota Comprehensive Health Association.<br/>
<a id="pl.107.15"></a><var>107.15</var>(c) "Federal law" means Title I, subtitle B, section 1101, of the federal Patient <br/>
<a id="pl.107.16"></a><var>107.16</var>Protection and Affordable Care Act, Public Law 111-148, including any federal <br/>
<a id="pl.107.17"></a><var>107.17</var>regulations adopted under it.<br/>
<a id="pl.107.18"></a><var>107.18</var>(d) "Federal qualified high-risk pool" means an arrangement established by the <br/>
<a id="pl.107.19"></a><var>107.19</var>federal secretary of health and human services that meets the requirements of the federal <br/>
<a id="pl.107.20"></a><var>107.20</var>law.<br/>
<a id="pl.107.21"></a><var>107.21</var>    Subd. 2. <b>Timing of this section.</b> This section applies beginning the date the <br/>
<a id="pl.107.22"></a><var>107.22</var>temporary federal qualified high-risk health pool created under the federal law begins <br/>
<a id="pl.107.23"></a><var>107.23</var>to provide coverage in this state.<br/>
<a id="pl.107.24"></a><var>107.24</var>    Subd. 3. <b>Maintenance of effort.</b> The assessments made by the comprehensive <br/>
<a id="pl.107.25"></a><var>107.25</var>health association on its member insurers must comply with the maintenance of effort <br/>
<a id="pl.107.26"></a><var>107.26</var>requirement contained in paragraph (b), clause (3), of the federal law, to the extent that the <br/>
<a id="pl.107.27"></a><var>107.27</var>requirement applies to assessments made by the association.<br/>
<a id="pl.107.28"></a><var>107.28</var>    Subd. 4. <b>Coordination with state health care programs.</b> The commissioner <br/>
<a id="pl.107.29"></a><var>107.29</var>of commerce and the Minnesota Comprehensive Health Association shall ensure that <br/>
<a id="pl.107.30"></a><var>107.30</var>applicants for coverage through the federal qualified high-risk pool, or through the <br/>
<a id="pl.107.31"></a><var>107.31</var>Minnesota Comprehensive Health Association, are referred to the medical assistance or <br/>
<a id="pl.107.32"></a><var>107.32</var>MinnesotaCare programs if they are determined to be potentially eligible for coverage <br/>
<a id="pl.107.33"></a><var>107.33</var>through those programs. The commissioner of human services shall ensure that applicants <br/>
<a id="pl.107.34"></a><var>107.34</var>for coverage under medical assistance or MinnesotaCare who are determined not to be <br/>
<a id="pl.108.1"></a><var>108.1</var>eligible for those programs are provided information about coverage through the federal <br/>
<a id="pl.108.2"></a><var>108.2</var>qualified high-risk pool and the Minnesota Comprehensive Health Association.<br/>
<a id="pl.108.3"></a><var>108.3</var>    Subd. 5. <b>Federal funding.</b> Minnesota shall coordinate its efforts with the United <br/>
<a id="pl.108.4"></a><var>108.4</var>States Department of Health and Human Services (HHS) to obtain the federal funds to <br/>
<a id="pl.108.5"></a><var>108.5</var>implement in Minnesota the federal qualified high-risk pool.<br/>
<br/>
<a id="bill.7.2.0"></a><a id="pl.108.6"></a><var>108.6</var>    Sec. 2. <b>[256B.0756] COORDINATED CARE THROUGH A HEALTH HOME.</b><br/>
<a id="pl.108.7"></a><var>108.7</var>    Subdivision 1. <b>Provision of coverage.</b> (a) The commissioner shall provide <br/>
<a id="pl.108.8"></a><var>108.8</var>medical assistance coverage of health home services for eligible individuals with chronic <br/>
<a id="pl.108.9"></a><var>108.9</var>conditions who select a designated provider, a team of health care professionals, or a <br/>
<a id="pl.108.10"></a><var>108.10</var>health team as the individual's health home.<br/>
<a id="pl.108.11"></a><var>108.11</var>(b) The commissioner shall implement this section in compliance with the <br/>
<a id="pl.108.12"></a><var>108.12</var>requirements of the state option to provide health homes for enrollees with chronic <br/>
<a id="pl.108.13"></a><var>108.13</var>conditions, as provided under the Patient Protection and Affordable Care Act, Public <br/>
<a id="pl.108.14"></a><var>108.14</var>Law 111-148, sections 2703 and 3502. Terms used in this section have the meaning <br/>
<a id="pl.108.15"></a><var>108.15</var>provided in that act.<br/>
<a id="pl.108.16"></a><var>108.16</var>    Subd. 2. <b>Eligible individual.</b> An individual is eligible for health home services <br/>
<a id="pl.108.17"></a><var>108.17</var>under this section if the individual is eligible for medical assistance under this chapter <br/>
<a id="pl.108.18"></a><var>108.18</var>and has at least:<br/>
<a id="pl.108.19"></a><var>108.19</var>(1) two chronic conditions;<br/>
<a id="pl.108.20"></a><var>108.20</var>(2) one chronic condition and is at risk of having a second chronic condition; or<br/>
<a id="pl.108.21"></a><var>108.21</var>(3) one serious and persistent mental health condition.<br/>
<a id="pl.108.22"></a><var>108.22</var>    Subd. 3. <b>Health home services.</b> (a) Health home services means comprehensive and <br/>
<a id="pl.108.23"></a><var>108.23</var>timely high-quality services that are provided by a health home. These services include:<br/>
<a id="pl.108.24"></a><var>108.24</var>(1) comprehensive care management;<br/>
<a id="pl.108.25"></a><var>108.25</var>(2) care coordination and health promotion;<br/>
<a id="pl.108.26"></a><var>108.26</var>(3) comprehensive transitional care, including appropriate follow-up, from inpatient <br/>
<a id="pl.108.27"></a><var>108.27</var>to other settings;<br/>
<a id="pl.108.28"></a><var>108.28</var>(4) patient and family support, including authorized representatives;<br/>
<a id="pl.108.29"></a><var>108.29</var>(5) referral to community and social support services, if relevant; and<br/>
<a id="pl.108.30"></a><var>108.30</var>(6) use of health information technology to link services, as feasible and appropriate.<br/>
<a id="pl.108.31"></a><var>108.31</var>(b) The commissioner shall maximize the number and type of services <br/>
<a id="pl.108.32"></a><var>108.32</var>included in this subdivision to the extent permissible under federal law, including <br/>
<a id="pl.108.33"></a><var>108.33</var>physician, outpatient, mental health treatment, and rehabilitation services necessary for <br/>
<a id="pl.108.34"></a><var>108.34</var>comprehensive transitional care following hospitalization.<br/>
<a id="pl.109.1"></a><var>109.1</var>    Subd. 4. <b>Health teams.</b> The commissioner shall establish health teams to support <br/>
<a id="pl.109.2"></a><var>109.2</var>the patient-centered health home and provide the services described in subdivision 3 to <br/>
<a id="pl.109.3"></a><var>109.3</var>individuals eligible under subdivision 2. The commissioner shall apply for grants or <br/>
<a id="pl.109.4"></a><var>109.4</var>contracts as provided under section 3502 of the Patient Protection and Affordable Care <br/>
<a id="pl.109.5"></a><var>109.5</var>Act to establish health teams and provide capitated payments to primary care providers. <br/>
<a id="pl.109.6"></a><var>109.6</var>For purposes of this section, "health teams" means community-based, interdisciplinary, <br/>
<a id="pl.109.7"></a><var>109.7</var>inter-professional teams of health care providers that support primary care practices. <br/>
<a id="pl.109.8"></a><var>109.8</var>These providers may include medical specialists, nurses, advanced practice registered <br/>
<a id="pl.109.9"></a><var>109.9</var>nurses, pharmacists, nutritionists, social workers, behavioral and mental health providers, <br/>
<a id="pl.109.10"></a><var>109.10</var>doctors of chiropractic, licensed complementary and alternative medicine practitioners, <br/>
<a id="pl.109.11"></a><var>109.11</var>and physician assistants.<br/>
<a id="pl.109.12"></a><var>109.12</var>    Subd. 5. <b>Payments.</b> The commissioner shall make payments to each health home <br/>
<a id="pl.109.13"></a><var>109.13</var>and each health team for the provision of health home services to each eligible individual <br/>
<a id="pl.109.14"></a><var>109.14</var>with chronic conditions that selects the health home as a provider.<br/>
<a id="pl.109.15"></a><var>109.15</var>    Subd. 6. <b>Coordination.</b> The commissioner, to the extent feasible, shall ensure that <br/>
<a id="pl.109.16"></a><var>109.16</var>the requirements and payment methods for health homes and health teams developed <br/>
<a id="pl.109.17"></a><var>109.17</var>under this section are consistent with the requirements and payment methods for health <br/>
<a id="pl.109.18"></a><var>109.18</var>care homes established under sections 256B.0751 and 256B.0753. The commissioner may <br/>
<a id="pl.109.19"></a><var>109.19</var>modify requirements and payment methods under sections 256B.0751 and 256B.0753 in <br/>
<a id="pl.109.20"></a><var>109.20</var>order to be consistent with federal health home requirements and payment methods.<br/>
<a id="pl.109.21"></a><var>109.21</var>    Subd. 7. <b>State plan amendment.</b> The commissioner shall submit a state plan <br/>
<a id="pl.109.22"></a><var>109.22</var>amendment to implement this section to the federal Centers for Medicare and Medicaid <br/>
<a id="pl.109.23"></a><var>109.23</var>Services by January 1, 2011.<br/>
<a id="pl.109.24"></a><var>109.24</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011, or upon federal <br/>
<a id="pl.109.25"></a><var>109.25</var>approval, whichever is later.<br/>
<br/>
<a id="bill.7.3.0"></a><a id="pl.109.26"></a><var>109.26</var>    Sec. 3. <b>FEDERAL HEALTH CARE REFORM DEMONSTRATION PROJECTS </b><br/>
<a id="pl.109.27"></a><var>109.27</var><b>AND GRANTS.</b><br/>
<a id="pl.109.28"></a><var>109.28</var>(a) The commissioner of human services shall seek to participate in the following <br/>
<a id="pl.109.29"></a><var>109.29</var>demonstration projects, or apply for the following grants, as described in the federal <br/>
<a id="pl.109.30"></a><var>109.30</var>Patient Protection and Affordable Care Act, Public Law 111-148:<br/>
<a id="pl.109.31"></a><var>109.31</var>(1) the demonstration project to evaluate integrated care around a hospitalization, <br/>
<a id="pl.109.32"></a><var>109.32</var>Public Law 111-148, section 2704;<br/>
<a id="pl.109.33"></a><var>109.33</var>(2) the Medicaid global payment system demonstration project, Public Law 111-148, <br/>
<a id="pl.109.34"></a><var>109.34</var>section 2705, including a demonstration project for the specific population of childless <br/>
<a id="pl.110.1"></a><var>110.1</var>adults under 75 percent of federal poverty guidelines that were to be served by the general <br/>
<a id="pl.110.2"></a><var>110.2</var>assistance medical care program;<br/>
<a id="pl.110.3"></a><var>110.3</var>(3) the pediatric accountable care organization demonstration project, Public Law <br/>
<a id="pl.110.4"></a><var>110.4</var>111-148, section 2706;<br/>
<a id="pl.110.5"></a><var>110.5</var>(4) the Medicaid emergency psychiatric demonstration project, Public Law 111-148, <br/>
<a id="pl.110.6"></a><var>110.6</var>section 2707; and<br/>
<a id="pl.110.7"></a><var>110.7</var>(5) grants to provide incentives for prevention of chronic diseases in Medicaid, <br/>
<a id="pl.110.8"></a><var>110.8</var>Public Law 111-148, section 4108.<br/>
<a id="pl.110.9"></a><var>110.9</var>(b) The commissioner of human services shall report to the chairs and ranking <br/>
<a id="pl.110.10"></a><var>110.10</var>minority members of the house of representatives and senate committees or divisions with <br/>
<a id="pl.110.11"></a><var>110.11</var>jurisdiction over health care policy and finance on the status of the demonstration project <br/>
<a id="pl.110.12"></a><var>110.12</var>and grant applications. If the state is accepted as a demonstration project participant, or is <br/>
<a id="pl.110.13"></a><var>110.13</var>awarded a grant, the commissioner shall notify the chairs and ranking minority members <br/>
<a id="pl.110.14"></a><var>110.14</var>of those committees or divisions of any legislative changes necessary to implement the <br/>
<a id="pl.110.15"></a><var>110.15</var>demonstration projects or grants.<br/>
<a id="pl.110.16"></a><var>110.16</var>(c) The commissioner of health shall apply for federal grants available under the <br/>
<a id="pl.110.17"></a><var>110.17</var>federal Patient Protection and Affordable Care Act, Public Law 111-148, for purposes <br/>
<a id="pl.110.18"></a><var>110.18</var>of funding wellness and prevention, and health improvement programs. To the extent <br/>
<a id="pl.110.19"></a><var>110.19</var>possible under federal law, the commissioner of health must utilize the state health <br/>
<a id="pl.110.20"></a><var>110.20</var>improvement program, established under Minnesota Statutes, section 145.986, to <br/>
<a id="pl.110.21"></a><var>110.21</var>implement grant programs related to wellness and prevention, and health improvement, <br/>
<a id="pl.110.22"></a><var>110.22</var>for which the state receives funding under the federal Patient Protection and Affordable <br/>
<a id="pl.110.23"></a><var>110.23</var>Care Act, Public Law 111-148.<br/>
<br/>
<a id="bill.7.4.0"></a><a id="pl.110.24"></a><var>110.24</var>    Sec. 4. <b>HEALTH CARE REFORM TASK FORCE.</b><br/>
<a id="pl.110.25"></a><var>110.25</var>    Subdivision 1. <b>Task force.</b> (a) The governor shall convene a Health Care <br/>
<a id="pl.110.26"></a><var>110.26</var>Reform Task Force to advise and assist the governor and the legislature regarding state <br/>
<a id="pl.110.27"></a><var>110.27</var>implementation of federal health care reform legislation. For purposes of this section, <br/>
<a id="pl.110.28"></a><var>110.28</var>"federal health care reform legislation" means the Patient Protection and Affordable Care <br/>
<a id="pl.110.29"></a><var>110.29</var>Act, Public Law 111-148, and the health care reform provisions in the Health Care and <br/>
<a id="pl.110.30"></a><var>110.30</var>Education Reconciliation Act of 2010, Public Law 111-152. The task force shall consist of:<br/>
<a id="pl.110.31"></a><var>110.31</var>(1) two legislators from the house of representatives appointed by the speaker and <br/>
<a id="pl.110.32"></a><var>110.32</var>two legislators from the senate appointed by the Subcommittee on Committees of the <br/>
<a id="pl.110.33"></a><var>110.33</var>Committee on Rules and Administration;<br/>
<a id="pl.110.34"></a><var>110.34</var>    (2) two representatives appointed by the governor to represent the governor and <br/>
<a id="pl.110.35"></a><var>110.35</var>state agencies;<br/>
<a id="pl.111.1"></a><var>111.1</var>    (3) three persons appointed by the governor who have demonstrated leadership in <br/>
<a id="pl.111.2"></a><var>111.2</var>health care organizations, health plan companies, or health care trade or professional <br/>
<a id="pl.111.3"></a><var>111.3</var>associations;<br/>
<a id="pl.111.4"></a><var>111.4</var>    (4) three persons appointed by the governor who have demonstrated leadership in <br/>
<a id="pl.111.5"></a><var>111.5</var>employer and group purchaser activities related to health system improvement of whom <br/>
<a id="pl.111.6"></a><var>111.6</var>two must be from a labor organization and one from the business community; and<br/>
<a id="pl.111.7"></a><var>111.7</var>    (5) five persons appointed by the governor who have demonstrated expertise in the <br/>
<a id="pl.111.8"></a><var>111.8</var>areas of health care financing, access, and quality.<br/>
<a id="pl.111.9"></a><var>111.9</var>    The governor is exempt from the requirements of the open appointments process <br/>
<a id="pl.111.10"></a><var>111.10</var>for purposes of appointing task force members. Members shall be appointed for one-year <br/>
<a id="pl.111.11"></a><var>111.11</var>terms and may be reappointed.<br/>
<a id="pl.111.12"></a><var>111.12</var>    (b) The Department of Health, Department of Human Services, and Department of <br/>
<a id="pl.111.13"></a><var>111.13</var>Commerce shall provide staff support to the task force. The task force may accept outside <br/>
<a id="pl.111.14"></a><var>111.14</var>resources to help support its efforts.<br/>
<a id="pl.111.15"></a><var>111.15</var>    (c) Task force members must be appointed by July 1, 2010.  The task force must hold <br/>
<a id="pl.111.16"></a><var>111.16</var>its first meeting by July 15, 2010.<br/>
<a id="pl.111.17"></a><var>111.17</var>    Subd. 2. <b>Duties.</b> (a) By December 15, 2010, the task force shall develop and <br/>
<a id="pl.111.18"></a><var>111.18</var>present to the legislature and the governor a preliminary report and recommendations on <br/>
<a id="pl.111.19"></a><var>111.19</var>state implementation of federal health care reform legislation. The report must include <br/>
<a id="pl.111.20"></a><var>111.20</var>recommendations for state law and program changes necessary to comply with the federal <br/>
<a id="pl.111.21"></a><var>111.21</var>health care reform legislation, and also recommendations for implementing provisions of <br/>
<a id="pl.111.22"></a><var>111.22</var>the federal legislation that are optional for states. In developing recommendations, the task <br/>
<a id="pl.111.23"></a><var>111.23</var>force shall consider the extent to which an approach maximizes federal funding to the state.<br/>
<a id="pl.111.24"></a><var>111.24</var>(b) The task force, in consultation with the governor and the legislature, shall also <br/>
<a id="pl.111.25"></a><var>111.25</var>establish timelines and criteria for future reports on state implementation of the federal <br/>
<a id="pl.111.26"></a><var>111.26</var>health care reform legislation.<br/>
<br/>
<a id="bill.7.5.0"></a><a id="pl.111.27"></a><var>111.27</var>    Sec. 5. <b>AMERICAN HEALTH BENEFIT EXCHANGE; PLANNING </b><br/>
<a id="pl.111.28"></a><var>111.28</var><b>PROVISIONS.</b><br/>
<a id="pl.111.29"></a><var>111.29</var>    Subdivision 1. <b>Federal planning grants.</b> The commissioners of commerce, health, <br/>
<a id="pl.111.30"></a><var>111.30</var>and human services shall jointly or separately apply to the federal secretary of health and <br/>
<a id="pl.111.31"></a><var>111.31</var>human services for one or more planning grants, including renewal grants, authorized <br/>
<a id="pl.111.32"></a><var>111.32</var>under section 1311 of the Patient Protection and Affordable Care Act, Public Law <br/>
<a id="pl.111.33"></a><var>111.33</var>111-148, including any future amendments of that provision, relating to state creation <br/>
<a id="pl.111.34"></a><var>111.34</var>of American Health Benefit Exchanges.<br/>
<a id="pl.112.1"></a><var>112.1</var>    Subd. 2. <b>Consideration of early creation and operation of exchange.</b> (a) The <br/>
<a id="pl.112.2"></a><var>112.2</var>commissioners referenced in subdivision 1 shall analyze the advantages and disadvantages <br/>
<a id="pl.112.3"></a><var>112.3</var>to the state of planning to have a state health insurance exchange, similar to an American <br/>
<a id="pl.112.4"></a><var>112.4</var>Health Benefit Exchange referenced in subdivision 1, begin prior to the federal deadline <br/>
<a id="pl.112.5"></a><var>112.5</var>of January 1, 2014.<br/>
<a id="pl.112.6"></a><var>112.6</var>(b) The commissioners shall provide a written report to the legislature on the results <br/>
<a id="pl.112.7"></a><var>112.7</var>of the analysis required under paragraph (a) no later than December 15, 2010. The written <br/>
<a id="pl.112.8"></a><var>112.8</var>report must comply with Minnesota Statutes, sections 3.195 and 3.197.<br/>
<br/>
<a id="bill.8.0.0"></a>

<a id="bill.8.1.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.112.11"></a><var>112.11</var><br/>
</td>
<td colspan="7">Section 1. <b> SUMMARY OF APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.112.12"></a><var>112.12</var>The amounts shown in this section summarize direct appropriations, by fund, made <br/>
<a id="pl.112.13"></a><var>112.13</var>in this article.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.6"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.112.14"></a><var>112.14</var><br/>
</td>
<td></td>
<td></td>
<td align="center"><b>2010</b><br/>
</td>
<td></td>
<td align="center"><b>2011</b><br/>
</td>
<td></td>
<td align="center"><b>Total</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.112.15"></a><var>112.15</var><br/>
</td>
<td>General<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">(109,876,000)<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">(28,344,000)<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">(138,220,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.112.16"></a><var>112.16</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">99,654,000<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">276,500,000<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">376,154,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.112.17"></a><var>112.17</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">(9,830,000)<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">15,133,000<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">5,303,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.112.18"></a><var>112.18</var><br/>
</td>
<td><b>Total</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(20,052,000)</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>263,289,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>243,237,000</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.8.2.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.112.19"></a><var>112.19</var><br/>
</td>
<td colspan="7">Sec. 2. <b>DEPARTMENT OF HUMAN SERVICES APPROPRIATION.</b><b> </b><br/>
</td>
</tr>
</table><a id="pl.112.20"></a><var>112.20</var>    The sums shown in the columns marked "Appropriations" are added to or, if shown <br/>
<a id="pl.112.21"></a><var>112.21</var>in parentheses, subtracted from the appropriations in Laws 2009, chapter 79, article 13, <br/>
<a id="pl.112.22"></a><var>112.22</var>as amended by Laws 2009, chapter 173, article 2, to the agencies and for the purposes <br/>
<a id="pl.112.23"></a><var>112.23</var>specified in this article. The appropriations are from the general fund, or another named <br/>
<a id="pl.112.24"></a><var>112.24</var>fund, and are available for the fiscal years indicated for each purpose. The figures "2010" <br/>
<a id="pl.112.25"></a><var>112.25</var>and "2011" used in this article mean that the addition to or subtraction from appropriations <br/>
<a id="pl.112.26"></a><var>112.26</var>listed under them is available for the fiscal year ending June 30, 2010, or June 30, 2011, <br/>
<a id="pl.112.27"></a><var>112.27</var>respectively. "The first year" is fiscal year 2010. "The second year" is fiscal year 2011. <br/>
<a id="pl.112.28"></a><var>112.28</var>"The biennium" is fiscal years 2010 and 2011. Supplemental appropriations and reductions <br/>
<a id="pl.112.29"></a><var>112.29</var>for the fiscal year ending June 30, 2010, are effective the day following final enactment <br/>
<a id="pl.112.30"></a><var>112.30</var>unless a different effective date is explicit.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.112.31"></a><var>112.31</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>APPROPRIATIONS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.112.32"></a><var>112.32</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>Available for the Year</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.112.33"></a><var>112.33</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>Ending June 30</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.112.34"></a><var>112.34</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="center"><b>2010</b><br/>
</td>
<td></td>
<td align="center"><b>2011</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.8.3.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.1"></a><var>113.1</var><br/>
<a id="pl.113.2"></a><var>113.2</var><br/>
</td>
<td colspan="3">Sec. 3. <b>DEPARTMENT OF HUMAN </b><br/>
<b>SERVICES</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.3"></a><var>113.3</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(20,052,000)</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>263,289,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.113.4"></a><var>113.4</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.5"></a><var>113.5</var><br/>
</td>
<td></td>
<td align="center">2010<br/>
</td>
<td align="center">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.6"></a><var>113.6</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">(109,876,000)<br/>
</td>
<td align="right">(28,344,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.7"></a><var>113.7</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">99,654,000<br/>
</td>
<td align="right">276,500,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.8"></a><var>113.8</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">(9,830,000)<br/>
</td>
<td align="right">15,133,000<br/>
</td>
</tr>
</table><a id="pl.113.9"></a><var>113.9</var>The amounts that may be spent for each <br/>
<a id="pl.113.10"></a><var>113.10</var>purpose are specified in the following <br/>
<a id="pl.113.11"></a><var>113.11</var>subdivisions.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.12"></a><var>113.12</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Revenue and Pass-through</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.113.13"></a><var>113.13</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.14"></a><var>113.14</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">390,000<br/>
</td>
<td align="right">(251,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.15"></a><var>113.15</var><br/>
<a id="pl.113.16"></a><var>113.16</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Children and Economic Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.113.17"></a><var>113.17</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.18"></a><var>113.18</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">4,489,000<br/>
</td>
<td align="right">(4,140,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.19"></a><var>113.19</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">(10,220,000)<br/>
</td>
<td align="right">15,384,000<br/>
</td>
</tr>
</table><a id="pl.113.20"></a><var>113.20</var>The amounts that may be spent from this <br/>
<a id="pl.113.21"></a><var>113.21</var>appropriation are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.22"></a><var>113.22</var><br/>
</td>
<td colspan="3">(a) <b>MFIP Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.113.23"></a><var>113.23</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">7,916,000<br/>
</td>
<td align="right">(14,481,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.24"></a><var>113.24</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">(10,220,000)<br/>
</td>
<td align="right">15,384,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.25"></a><var>113.25</var><br/>
</td>
<td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(7,832,000)<br/>
</td>
<td align="center"></td>
<td align="right">2,579,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.26"></a><var>113.26</var><br/>
</td>
<td colspan="3">(c)<b> General Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">875,000<br/>
</td>
<td align="center"></td>
<td align="right">1,339,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.27"></a><var>113.27</var><br/>
</td>
<td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">2,454,000<br/>
</td>
<td align="center"></td>
<td align="right">3,843,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.28"></a><var>113.28</var><br/>
</td>
<td colspan="3">(e) <b>Group Residential Housing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">1,076,000<br/>
</td>
<td align="center"></td>
<td align="right">2,580,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.113.29"></a><var>113.29</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Basic Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.113.30"></a><var>113.30</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.31"></a><var>113.31</var><br/>
</td>
<td>General <br/>
</td>
<td align="right">(62,770,000)<br/>
</td>
<td align="right">29,192,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.113.32"></a><var>113.32</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">99,654,000<br/>
</td>
<td align="right">276,500,000<br/>
</td>
</tr>
</table><a id="pl.114.1"></a><var>114.1</var>The amounts that may be spent from the <br/>
<a id="pl.114.2"></a><var>114.2</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.3"></a><var>114.3</var><br/>
</td>
<td colspan="3">(a) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.114.4"></a><var>114.4</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">99,654,000<br/>
</td>
<td align="right">276,500,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.5"></a><var>114.5</var><br/>
<a id="pl.114.6"></a><var>114.6</var><br/>
</td>
<td colspan="3">(b) <b>Medical Assistance Basic Health Care - </b><br/>
<b>Families and Children</b><br/>
</td>
<td align="center"></td>
<td align="right">1,165,000<br/>
</td>
<td align="center"></td>
<td align="right">24,146,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.7"></a><var>114.7</var><br/>
<a id="pl.114.8"></a><var>114.8</var><br/>
</td>
<td colspan="3">(c) <b>Medical Assistance Basic Health Care - </b><br/>
<b>Elderly and Disabled</b><br/>
</td>
<td align="center"></td>
<td align="right">(63,935,000)<br/>
</td>
<td align="center"></td>
<td align="right">5,046,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<col width="2.6"/>
<col width="12"/>
<tr>
<td><a id="pl.114.9"></a><var>114.9</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(51,595,000)<br/>
</td>
<td align="center"></td>
<td align="right">(53,396,000)<br/>
</td>
</tr>
</table><a id="pl.114.10"></a><var>114.10</var>The amounts that may be spent from the <br/>
<a id="pl.114.11"></a><var>114.11</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.12"></a><var>114.12</var><br/>
<a id="pl.114.13"></a><var>114.13</var><br/>
</td>
<td colspan="3">(a) <b>Medical Assistance Long-Term Care </b><br/>
<b>Facilities</b><br/>
</td>
<td align="center"></td>
<td align="right">(3,774,000)<br/>
</td>
<td align="center"></td>
<td align="right">(8,275,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.14"></a><var>114.14</var><br/>
<a id="pl.114.15"></a><var>114.15</var><br/>
</td>
<td colspan="3">(b) <b>Medical Assistance Long-Term Care </b><br/>
<b>Waivers</b><br/>
</td>
<td align="center"></td>
<td align="right">(27,710,000)<br/>
</td>
<td align="center"></td>
<td align="right">(22,452,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.16"></a><var>114.16</var><br/>
</td>
<td colspan="3">(c) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(20,111,000)<br/>
</td>
<td align="center"></td>
<td align="right">(22,669,000)<br/>
</td>
</tr>
</table><br/>
<a id="bill.8.4.0"></a><a id="pl.114.17"></a><var>114.17</var>    Sec. 4. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.114.18"></a><var>114.18</var>This article is effective the day following final enactment.<br/>
<br/>
<a id="bill.9.0.0"></a>

<a id="bill.9.1.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.21"></a><var>114.21</var><br/>
</td>
<td colspan="7">Section 1. <b> SUMMARY OF HUMAN SERVICES APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.114.22"></a><var>114.22</var>The amounts shown in this section summarize direct appropriations, by fund, made <br/>
<a id="pl.114.23"></a><var>114.23</var>in this bill.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.24"></a><var>114.24</var><br/>
</td>
<td></td>
<td></td>
<td align="center"><b>2010</b><br/>
</td>
<td></td>
<td align="center"><b>2011</b><br/>
</td>
<td></td>
<td align="center"><b>Total</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.114.25"></a><var>114.25</var><br/>
</td>
<td>General<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">13,383,000<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">13,383,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.114.26"></a><var>114.26</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">686,000<br/>
</td>
<td align="center"></td>
<td align="right">686,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.114.27"></a><var>114.27</var><br/>
</td>
<td><b>Total</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>14,069,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>14,069,000</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.9.2.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.114.28"></a><var>114.28</var><br/>
</td>
<td colspan="7">Sec. 2. <b>HEALTH AND HUMAN SERVICES CONTINGENT APPROPRIATIONS.</b><b> </b><br/>
</td>
</tr>
</table><a id="pl.114.29"></a><var>114.29</var>(a) The sums shown in the columns marked "Appropriations" are added to the <br/>
<a id="pl.114.30"></a><var>114.30</var>appropriations in Laws 2009, chapter 79, article 13, as amended by Laws 2009, chapter <br/>
<a id="pl.114.31"></a><var>114.31</var>173, article 2, to the agency and for the purposes specified in this bill. The appropriations <br/>
<a id="pl.114.32"></a><var>114.32</var>are from the general fund, or another named fund, and are available for the fiscal years <br/>
<a id="pl.115.1"></a><var>115.1</var>indicated for each purpose. The figures "2010" and "2011" used in this bill mean that the <br/>
<a id="pl.115.2"></a><var>115.2</var>addition to or subtraction from the appropriation listed under them is available for the <br/>
<a id="pl.115.3"></a><var>115.3</var>fiscal year ending June 30, 2010, or June 30, 2011, respectively.<br/>
<a id="pl.115.4"></a><var>115.4</var>(b) Upon enactment of the extension of the enhanced federal medical assistance <br/>
<a id="pl.115.5"></a><var>115.5</var>percentage (FMAP) under Public Law 111-5 to June 30, 2011, that is contained in the <br/>
<a id="pl.115.6"></a><var>115.6</var>president's budget for federal fiscal year 2011 or contained in House Resolution 2847, <br/>
<a id="pl.115.7"></a><var>115.7</var>the federal "Jobs for Main Street Act, 2010," or contained in House Resolution 4213, <br/>
<a id="pl.115.8"></a><var>115.8</var>"American Workers, State, and Business Relief Act of 2010," or subsequent federal <br/>
<a id="pl.115.9"></a><var>115.9</var>legislation, the appropriations identified in section 3 shall be made for fiscal year 2011.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.10"></a><var>115.10</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>APPROPRIATIONS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.115.11"></a><var>115.11</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>Available for the Year</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.115.12"></a><var>115.12</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td align="center" colspan="4"><b>Ending June 30</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.115.13"></a><var>115.13</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="center"><b>2010</b><br/>
</td>
<td></td>
<td align="center"><b>2011</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.9.3.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.14"></a><var>115.14</var><br/>
<a id="pl.115.15"></a><var>115.15</var><br/>
</td>
<td colspan="3">Sec. 3. <b>COMMISSIONER OF HUMAN </b><br/>
<b>SERVICES</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.16"></a><var>115.16</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>14,069,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.115.17"></a><var>115.17</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.115.18"></a><var>115.18</var><br/>
</td>
<td></td>
<td align="center">2010<br/>
</td>
<td align="center">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.115.19"></a><var>115.19</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">13,383,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.115.20"></a><var>115.20</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">686,000<br/>
</td>
</tr>
</table><a id="pl.115.21"></a><var>115.21</var>The appropriations for each purpose are <br/>
<a id="pl.115.22"></a><var>115.22</var>shown in the following subdivisions.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.23"></a><var>115.23</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Basic Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.24"></a><var>115.24</var><br/>
</td>
<td colspan="3">(a) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">686,000<br/>
</td>
</tr>
</table><a id="pl.115.25"></a><var>115.25</var>This appropriation is from the health care <br/>
<a id="pl.115.26"></a><var>115.26</var>access fund.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.27"></a><var>115.27</var><br/>
<a id="pl.115.28"></a><var>115.28</var><br/>
</td>
<td colspan="3">(b) <b>Medical Assistance Basic Health Care </b><br/>
<b>Grants - Families and Children</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">6,297,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.29"></a><var>115.29</var><br/>
<a id="pl.115.30"></a><var>115.30</var><br/>
</td>
<td colspan="3">(c) <b>Medical Assistance Basic Health Care </b><br/>
<b>Grants - Elderly and Disabled</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">3,697,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.31"></a><var>115.31</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.32"></a><var>115.32</var><br/>
<a id="pl.115.33"></a><var>115.33</var><br/>
</td>
<td colspan="3">(a) <b>Medical Assistance - Long-Term Care </b><br/>
<b>Facilities Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">2,486,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.115.34"></a><var>115.34</var><br/>
<a id="pl.115.35"></a><var>115.35</var><br/>
</td>
<td colspan="3">(b) <b>Medical Assistance Grants - Long-Term </b><br/>
<b>Care Waivers and Home Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">547,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.116.1"></a><var>116.1</var><br/>
</td>
<td colspan="3">(c) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">356,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.9.4.0"></a><a id="pl.116.2"></a><var>116.2</var>    Sec. 4. Minnesota Statutes 2008, section 256B.0625, subdivision 22, is amended to <br/>
<a id="pl.116.3"></a><var>116.3</var>read:<br/>
<a id="pl.116.4"></a><var>116.4</var>    Subd. 22. <b>Hospice care.</b> Medical assistance covers hospice care services under <br/>
<a id="pl.116.5"></a><var>116.5</var>Public Law 99-272, section 9505, to the extent authorized by rule, except that a recipient <br/>
<a id="pl.116.6"></a><var>116.6</var>age 21 or under who elects to receive hospice services does not waive coverage for <br/>
<a id="pl.116.7"></a><var>116.7</var>services that are related to the treatment of the condition for which a diagnosis of terminal <br/>
<a id="pl.116.8"></a><var>116.8</var>illness has been made.<br/>
<a id="pl.116.9"></a><var>116.9</var><b>EFFECTIVE DATE.</b>This section is effective retroactive from March 23, 2010.<br/>
<br/>
<a id="bill.9.5.0"></a><a id="pl.116.10"></a><var>116.10</var>    Sec. 5. Minnesota Statutes 2009 Supplement, section 256B.0911, subdivision 1a, <br/>
<a id="pl.116.11"></a><var>116.11</var>is amended to read:<br/>
<a id="pl.116.12"></a><var>116.12</var>    Subd. 1a. <b>Definitions.</b> For purposes of this section, the following definitions apply:<br/>
<a id="pl.116.13"></a><var>116.13</var>(a) "Long-term care consultation services" means:<br/>
<a id="pl.116.14"></a><var>116.14</var>(1) assistance in identifying services needed to maintain an individual in the most <br/>
<a id="pl.116.15"></a><var>116.15</var>inclusive environment;<br/>
<a id="pl.116.16"></a><var>116.16</var>(2) providing recommendations on cost-effective community services that are <br/>
<a id="pl.116.17"></a><var>116.17</var>available to the individual;<br/>
<a id="pl.116.18"></a><var>116.18</var>(3) development of an individual's person-centered community support plan;<br/>
<a id="pl.116.19"></a><var>116.19</var>(4) providing information regarding eligibility for Minnesota health care programs;<br/>
<a id="pl.116.20"></a><var>116.20</var>(5) face-to-face long-term care consultation assessments, which may be completed <br/>
<a id="pl.116.21"></a><var>116.21</var>in a hospital, nursing facility, intermediate care facility for persons with developmental <br/>
<a id="pl.116.22"></a><var>116.22</var>disabilities (ICF/DDs), regional treatment centers, or the person's current or planned <br/>
<a id="pl.116.23"></a><var>116.23</var>residence;<br/>
<a id="pl.116.24"></a><var>116.24</var>(6) federally mandated screening to determine the need for a institutional level of <br/>
<a id="pl.116.25"></a><var>116.25</var>care under section 
         <statute_ref>256B.0911, subdivision 4</statute_ref>, paragraph (a) subdivision 4a;<br/>
<a id="pl.116.26"></a><var>116.26</var>(7) determination of home and community-based waiver service eligibility including <br/>
<a id="pl.116.27"></a><var>116.27</var>level of care determination for individuals who need an institutional level of care as <br/>
<a id="pl.116.28"></a><var>116.28</var>defined under section 
         <statute_ref>144.0724, subdivision 11</statute_ref>, or 
         <statute_ref>256B.092</statute_ref>, service eligibility including <br/>
<a id="pl.116.29"></a><var>116.29</var>state plan home care services identified in section 
         <statute_ref>256B.0625, subdivisions 6</statute_ref>, 7, and <br/>
<a id="pl.116.30"></a><var>116.30</var>19, paragraphs (a) and (c), based on assessment and support plan development with <br/>
<a id="pl.116.31"></a><var>116.31</var>appropriate referrals;<br/>
<a id="pl.116.32"></a><var>116.32</var>(8) providing recommendations for nursing facility placement when there are no <br/>
<a id="pl.116.33"></a><var>116.33</var>cost-effective community services available; and<br/>
<a id="pl.117.1"></a><var>117.1</var>(9) assistance to transition people back to community settings after facility <br/>
<a id="pl.117.2"></a><var>117.2</var>admission.<br/>
<a id="pl.117.3"></a><var>117.3</var>(b) "Long-term care options counseling" means the services provided by the linkage <br/>
<a id="pl.117.4"></a><var>117.4</var>lines as mandated by sections 
         <statute_ref>256.01</statute_ref> and 
         <statute_ref>256.975, subdivision 7</statute_ref>, and also includes <br/>
<a id="pl.117.5"></a><var>117.5</var>telephone assistance and follow up once a long-term care consultation assessment has <br/>
<a id="pl.117.6"></a><var>117.6</var>been completed.<br/>
<a id="pl.117.7"></a><var>117.7</var>(c) "Minnesota health care programs" means the medical assistance program under <br/>
<a id="pl.117.8"></a><var>117.8</var>chapter 256B and the alternative care program under section 
         <statute_ref>256B.0913</statute_ref>.<br/>
<a id="pl.117.9"></a><var>117.9</var>(d) "Lead agencies" means counties or a collaboration of counties, tribes, and health <br/>
<a id="pl.117.10"></a><var>117.10</var>plans administering long-term care consultation assessment and support planning services.<br/>
<br/>
<a id="bill.9.6.0"></a><a id="pl.117.11"></a><var>117.11</var>    Sec. 6. Minnesota Statutes 2008, section 256B.19, subdivision 1c, is amended to read:<br/>
<a id="pl.117.12"></a><var>117.12</var>    Subd. 1c. <b>Additional portion of nonfederal share.</b> (a) Hennepin County shall <br/>
<a id="pl.117.13"></a><var>117.13</var>be responsible for a monthly transfer payment of $1,500,000, due before noon on the <br/>
<a id="pl.117.14"></a><var>117.14</var>15th of each month and the University of Minnesota shall be responsible for a monthly <br/>
<a id="pl.117.15"></a><var>117.15</var>transfer payment of $500,000 due before noon on the 15th of each month, beginning July <br/>
<a id="pl.117.16"></a><var>117.16</var>15, 1995. These sums shall be part of the designated governmental unit's portion of the <br/>
<a id="pl.117.17"></a><var>117.17</var>nonfederal share of medical assistance costs.<br/>
<a id="pl.117.18"></a><var>117.18</var>(b) Beginning July 1, 2001, Hennepin County's payment under paragraph (a) shall <br/>
<a id="pl.117.19"></a><var>117.19</var>be $2,066,000 each month.<br/>
<a id="pl.117.20"></a><var>117.20</var>(c) Beginning July 1, 2001, the commissioner shall increase annual capitation <br/>
<a id="pl.117.21"></a><var>117.21</var>payments to the metropolitan health plan under section 
         <statute_ref>256B.69</statute_ref> for the prepaid medical <br/>
<a id="pl.117.22"></a><var>117.22</var>assistance program by approximately $3,400,000, plus any available federal matching <br/>
<a id="pl.117.23"></a><var>117.23</var>funds, $6,800,000 to recognize higher than average medical education costs.<br/>
<a id="pl.117.24"></a><var>117.24</var>(d) Effective August 1, 2005, Hennepin County's payment under paragraphs (a) <br/>
<a id="pl.117.25"></a><var>117.25</var>and (b) shall be reduced to $566,000, and the University of Minnesota's payment under <br/>
<a id="pl.117.26"></a><var>117.26</var>paragraph (a) shall be reduced to zero. Effective October 1, 2008, to December 31, 2010, <br/>
<a id="pl.117.27"></a><var>117.27</var>Hennepin County's payment under paragraphs (a) and (b) shall be $434,688. Effective <br/>
<a id="pl.117.28"></a><var>117.28</var>January 1, 2011, Hennepin County's payment under paragraphs (a) and (b) shall be <br/>
<a id="pl.117.29"></a><var>117.29</var>$566,000.<br/>
<a id="pl.117.30"></a><var>117.30</var>(e) Notwithstanding paragraph (d), upon federal enactment of an extension to June <br/>
<a id="pl.117.31"></a><var>117.31</var>30, 2011, of the enhanced federal medical assistance percentage (FMAP) originally <br/>
<a id="pl.117.32"></a><var>117.32</var>provided under Public Law 111-5, for the six-month period from January 1, 2011, to June <br/>
<a id="pl.117.33"></a><var>117.33</var>30, 2011, Hennepin County's payment under paragraphs (a) and (b) shall be $434,688.<br/>
<br/>
<a id="bill.9.7.0"></a><a id="pl.117.34"></a><var>117.34</var>    Sec. 7. Minnesota Statutes 2008, section 256L.15, subdivision 1, is amended to read:<br/>
<a id="pl.118.1"></a><var>118.1</var>    Subdivision 1. <b>Premium determination.</b> (a) Families with children and individuals <br/>
<a id="pl.118.2"></a><var>118.2</var>shall pay a premium determined according to subdivision 2.<br/>
<a id="pl.118.3"></a><var>118.3</var>    (b) Pregnant women and children under age two are exempt from the provisions <br/>
<a id="pl.118.4"></a><var>118.4</var>of section 
         <statute_ref>256L.06, subdivision 3</statute_ref>, paragraph (b), clause (3), requiring disenrollment <br/>
<a id="pl.118.5"></a><var>118.5</var>for failure to pay premiums. For pregnant women, this exemption continues until the <br/>
<a id="pl.118.6"></a><var>118.6</var>first day of the month following the 60th day postpartum. Women who remain enrolled <br/>
<a id="pl.118.7"></a><var>118.7</var>during pregnancy or the postpartum period, despite nonpayment of premiums, shall be <br/>
<a id="pl.118.8"></a><var>118.8</var>disenrolled on the first of the month following the 60th day postpartum for the penalty <br/>
<a id="pl.118.9"></a><var>118.9</var>period that otherwise applies under section 
         <statute_ref>256L.06</statute_ref>, unless they begin paying premiums. <br/>
<a id="pl.118.10"></a><var>118.10</var>    (c) Members of the military and their families who meet the eligibility criteria <br/>
<a id="pl.118.11"></a><var>118.11</var>for MinnesotaCare upon eligibility approval made within 24 months following the end <br/>
<a id="pl.118.12"></a><var>118.12</var>of the member's tour of active duty shall have their premiums paid by the commissioner. <br/>
<a id="pl.118.13"></a><var>118.13</var>The effective date of coverage for an individual or family who meets the criteria of this <br/>
<a id="pl.118.14"></a><var>118.14</var>paragraph shall be the first day of the month following the month in which eligibility is <br/>
<a id="pl.118.15"></a><var>118.15</var>approved. This exemption applies for 12 months. This paragraph expires June 30, 2010. <br/>
<a id="pl.118.16"></a><var>118.16</var>If the expiration of this provision is in violation of section 5001 of Public Law 111-5, this <br/>
<a id="pl.118.17"></a><var>118.17</var>provision will expire on the date when it is no longer subject to section 5001 of Public Law <br/>
<a id="pl.118.18"></a><var>118.18</var>111-5. The commissioner of human services shall notify the revisor of statutes of that date.<br/>
<br/>
<a id="bill.9.8.0"></a><a id="pl.118.19"></a><var>118.19</var>    Sec. 8. Laws 2005, First Special Session chapter 4, article 8, section 66, as amended by <br/>
<a id="pl.118.20"></a><var>118.20</var>Laws 2009, chapter 173, article 3, section 24, the effective date, is amended to read:<br/>
<a id="pl.118.21"></a><var>118.21</var><b>EFFECTIVE DATE.</b>Paragraph (a) is effective August 1, 2009, and upon federal <br/>
<a id="pl.118.22"></a><var>118.22</var>approval and on the date when it is no longer subject to the maintenance of effort <br/>
<a id="pl.118.23"></a><var>118.23</var>requirements of section 5001 of Public Law 111-5. The commissioner of human services <br/>
<a id="pl.118.24"></a><var>118.24</var>shall notify the revisor of statutes of that date. Paragraph (e) is effective September 1, <br/>
<a id="pl.118.25"></a><var>118.25</var>2006.<br/>
<br/>
<a id="bill.9.9.0"></a><a id="pl.118.26"></a><var>118.26</var>    Sec. 9. Laws 2009, chapter 79, article 5, section 17, the effective date, is amended to <br/>
<a id="pl.118.27"></a><var>118.27</var>read:<br/>
<a id="pl.118.28"></a><var>118.28</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011, or upon federal <br/>
<a id="pl.118.29"></a><var>118.29</var>approval, whichever is later and on the date when it is no longer subject to the maintenance <br/>
<a id="pl.118.30"></a><var>118.30</var>of effort requirements of section 5001 of Public Law 111-5. The commissioner of human <br/>
<a id="pl.118.31"></a><var>118.31</var>services shall notify the revisor of statutes of that date.<br/>
<br/>
<a id="bill.9.10.0"></a><a id="pl.119.1"></a><var>119.1</var>    Sec. 10. Laws 2009, chapter 79, article 5, section 18, the effective date, is amended to <br/>
<a id="pl.119.2"></a><var>119.2</var>read:<br/>
<a id="pl.119.3"></a><var>119.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2011 upon federal <br/>
<a id="pl.119.4"></a><var>119.4</var>approval and on the date when it is no longer subject to the maintenance of effort <br/>
<a id="pl.119.5"></a><var>119.5</var>requirements of section 5001 of Public Law 111-5. The commissioner of human services <br/>
<a id="pl.119.6"></a><var>119.6</var>shall notify the revisor of statutes when federal approval is obtained.<br/>
<br/>
<a id="bill.9.11.0"></a><a id="pl.119.7"></a><var>119.7</var>    Sec. 11. Laws 2009, chapter 79, article 5, section 22, the effective date, is amended to <br/>
<a id="pl.119.8"></a><var>119.8</var>read:<br/>
<a id="pl.119.9"></a><var>119.9</var><b>EFFECTIVE DATE.</b>This section is effective for periods of ineligibility established <br/>
<a id="pl.119.10"></a><var>119.10</var>on or after January 1, 2011, unless it is in violation of section 5001 of Public Law 111-5. <br/>
<a id="pl.119.11"></a><var>119.11</var>If it is in violation of that section, then it shall be effective on the date when it is no longer <br/>
<a id="pl.119.12"></a><var>119.12</var>subject to maintenance of effort requirements of section 5001 of Public Law 111-5. The <br/>
<a id="pl.119.13"></a><var>119.13</var>commissioner of human services shall notify the revisor of statutes of that date.<br/>
<br/>
<a id="bill.9.12.0"></a><a id="pl.119.14"></a><var>119.14</var>    Sec. 12. Laws 2009, chapter 79, article 8, section 4, the effective date, is amended to <br/>
<a id="pl.119.15"></a><var>119.15</var>read:<br/>
<a id="pl.119.16"></a><var>119.16</var><b>EFFECTIVE DATE.</b>The section is effective January July 1, 2011.<br/>
<br/>
<a id="bill.9.13.0"></a><a id="pl.119.17"></a><var>119.17</var>    Sec. 13. Laws 2009, chapter 173, article 1, section 17, the effective date, is amended to <br/>
<a id="pl.119.18"></a><var>119.18</var>read:<br/>
<a id="pl.119.19"></a><var>119.19</var><b>EFFECTIVE DATE.</b>This section is effective for pooled trust accounts established <br/>
<a id="pl.119.20"></a><var>119.20</var>on or after January 1, 2011, unless it is in violation of section 5001 of Public Law 111-5. <br/>
<a id="pl.119.21"></a><var>119.21</var>If it is in violation of that section, then it shall be effective on the date when it is no longer <br/>
<a id="pl.119.22"></a><var>119.22</var>subject to maintenance of effort requirements of section 5001 of Public Law 111-5. The <br/>
<a id="pl.119.23"></a><var>119.23</var>commissioner of human services shall notify the revisor of statutes of that date.<br/>
<br/>
<a id="bill.10.0.0"></a>

<a id="bill.10.1.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.119.26"></a><var>119.26</var><br/>
</td>
<td align="left" colspan="7" valign="bottom">Section 1. <b>SUMMARY OF APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.119.27"></a><var>119.27</var>    The amounts shown in this section summarize direct appropriations by fund made <br/>
<a id="pl.119.28"></a><var>119.28</var>in this article.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.119.29"></a><var>119.29</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"><b>2010</b><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"><b>2011</b><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"><b>Total</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.119.30"></a><var>119.30</var><br/>
</td>
<td align="left" valign="bottom">General<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">(6,784,000)<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">215,726,000<br/>
</td>
<td align="center" valign="bottom">$<br/>
</td>
<td align="right" valign="bottom">208,942,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.1"></a><var>120.1</var><br/>
<a id="pl.120.2"></a><var>120.2</var><br/>
</td>
<td align="left" valign="bottom">State Government Special <br/>
Revenue<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">113,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">624,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">737,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.3"></a><var>120.3</var><br/>
</td>
<td align="left" valign="bottom">Health Care Access<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">998,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">11,579,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">12,577,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.4"></a><var>120.4</var><br/>
</td>
<td align="left" valign="bottom">Federal TANF<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">8,000,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">20,000,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">28,000,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.5"></a><var>120.5</var><br/>
</td>
<td>Special Revenue<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">93,000<br/>
</td>
<td align="center"></td>
<td align="right">93,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.6"></a><var>120.6</var><br/>
</td>
<td align="left" valign="bottom"><b>Total</b><br/>
</td>
<td align="center" valign="bottom"><b>$</b><br/>
</td>
<td align="right" valign="bottom"><b>2,327,000</b><br/>
</td>
<td align="center" valign="bottom"><b>$</b><br/>
</td>
<td align="right" valign="bottom"><b>248,021,000</b><br/>
</td>
<td align="center" valign="bottom"><b>$</b><br/>
</td>
<td align="right" valign="bottom"><b>250,348,000</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.10.2.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.120.7"></a><var>120.7</var><br/>
</td>
<td align="left" colspan="7" valign="bottom">Sec. 2. <b>HEALTH AND HUMAN SERVICES APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.120.8"></a><var>120.8</var>    The sums shown in the columns marked "Appropriations" are added to or, if shown <br/>
<a id="pl.120.9"></a><var>120.9</var>in parentheses, subtracted from the appropriations in Laws 2009, chapter 79, article 13, <br/>
<a id="pl.120.10"></a><var>120.10</var>as amended by Laws 2009, chapter 173, article 2, to the agencies and for the purposes <br/>
<a id="pl.120.11"></a><var>120.11</var>specified in this article. The appropriations are from the general fund, or another named <br/>
<a id="pl.120.12"></a><var>120.12</var>fund, and are available for the fiscal years indicated for each purpose. The figures "2010" <br/>
<a id="pl.120.13"></a><var>120.13</var>and "2011" used in this article mean that the addition to or subtraction from appropriations <br/>
<a id="pl.120.14"></a><var>120.14</var>listed under them is available for the fiscal year ending June 30, 2010, or June 30, 2011, <br/>
<a id="pl.120.15"></a><var>120.15</var>respectively. "The first year" is fiscal year 2010. "The second year" is fiscal year 2011. <br/>
<a id="pl.120.16"></a><var>120.16</var>"The biennium" is fiscal years 2010 and 2011. Supplemental appropriations and reductions <br/>
<a id="pl.120.17"></a><var>120.17</var>for the fiscal year ending June 30, 2010, are effective the day following final enactment <br/>
<a id="pl.120.18"></a><var>120.18</var>unless a different effective date is explicit.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.120.19"></a><var>120.19</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom"><b>APPROPRIATIONS</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.120.20"></a><var>120.20</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom"><b>Available for the Year</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.120.21"></a><var>120.21</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" colspan="4" valign="bottom"><b>Ending June 30</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.120.22"></a><var>120.22</var><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"><b>2010</b><br/>
</td>
<td align="left" valign="bottom"></td>
<td align="center" valign="bottom"><b>2011</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.10.3.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.120.23"></a><var>120.23</var><br/>
<a id="pl.120.24"></a><var>120.24</var><br/>
</td>
<td colspan="3">Sec. 3. <b>COMMISSIONER OF HUMAN </b><br/>
<b>SERVICES</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.120.25"></a><var>120.25</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>4,409,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>246,347,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="94px"/>
<tr>
<td><a id="pl.120.26"></a><var>120.26</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.27"></a><var>120.27</var><br/>
</td>
<td></td>
<td align="right">2010<br/>
</td>
<td align="right">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.28"></a><var>120.28</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">(4,589,000)<br/>
</td>
<td align="right">215,006,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.29"></a><var>120.29</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">998,000<br/>
</td>
<td align="right">11,342,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.120.30"></a><var>120.30</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">8,000,000<br/>
</td>
<td align="right">20,000,000<br/>
</td>
</tr>
</table><a id="pl.120.31"></a><var>120.31</var>The appropriation modifications for <br/>
<a id="pl.120.32"></a><var>120.32</var>each purpose are shown in the following <br/>
<a id="pl.120.33"></a><var>120.33</var>subdivisions.<br/>
<a id="pl.120.34"></a><var>120.34</var><b>TANF Financing and Maintenance of </b><br/>
<a id="pl.120.35"></a><var>120.35</var><b>Effort.</b> The commissioner, with the approval <br/>
<a id="pl.120.36"></a><var>120.36</var>of the commissioner of management and <br/>
<a id="pl.121.1"></a><var>121.1</var>budget, and after notification of the chairs <br/>
<a id="pl.121.2"></a><var>121.2</var>of the relevant senate budget division and <br/>
<a id="pl.121.3"></a><var>121.3</var>house of representatives finance division, <br/>
<a id="pl.121.4"></a><var>121.4</var>may adjust the amount of TANF transfers <br/>
<a id="pl.121.5"></a><var>121.5</var>between the MFIP transition year child care <br/>
<a id="pl.121.6"></a><var>121.6</var>assistance program and MFIP grant programs <br/>
<a id="pl.121.7"></a><var>121.7</var>within the fiscal year and within the current <br/>
<a id="pl.121.8"></a><var>121.8</var>biennium and the biennium ending June 30, <br/>
<a id="pl.121.9"></a><var>121.9</var>2013, to ensure that state and federal match <br/>
<a id="pl.121.10"></a><var>121.10</var>and maintenance of effort requirements are <br/>
<a id="pl.121.11"></a><var>121.11</var>met. These transfers and amounts shall be <br/>
<a id="pl.121.12"></a><var>121.12</var>reported to the chairs of the senate and house <br/>
<a id="pl.121.13"></a><var>121.13</var>of representatives Finance Committees, the <br/>
<a id="pl.121.14"></a><var>121.14</var>senate Health and Human Services Budget <br/>
<a id="pl.121.15"></a><var>121.15</var>Division, and the house of representatives <br/>
<a id="pl.121.16"></a><var>121.16</var>Health Care and Human Services Finance <br/>
<a id="pl.121.17"></a><var>121.17</var>Division and Early Childhood Finance and <br/>
<a id="pl.121.18"></a><var>121.18</var>Policy Division by December 1 of each <br/>
<a id="pl.121.19"></a><var>121.19</var>fiscal year. Notwithstanding any contrary <br/>
<a id="pl.121.20"></a><var>121.20</var>provision in this article, this paragraph <br/>
<a id="pl.121.21"></a><var>121.21</var>expires June 30, 2013.<br/>
<a id="pl.121.22"></a><var>121.22</var><b>SNAP Enhanced Administrative Funding.</b> <br/>
<a id="pl.121.23"></a><var>121.23</var>The funds available for administration <br/>
<a id="pl.121.24"></a><var>121.24</var>of the Supplemental Nutrition Assistance <br/>
<a id="pl.121.25"></a><var>121.25</var>Program under the Department of Defense <br/>
<a id="pl.121.26"></a><var>121.26</var>Appropriations Act of 2010, Public <br/>
<a id="pl.121.27"></a><var>121.27</var>Law 111-118, are appropriated to the <br/>
<a id="pl.121.28"></a><var>121.28</var>commissioner to pay the actual costs <br/>
<a id="pl.121.29"></a><var>121.29</var>of providing for increased eligibility <br/>
<a id="pl.121.30"></a><var>121.30</var>determinations, caseload-related costs, <br/>
<a id="pl.121.31"></a><var>121.31</var>timely application processing, and quality <br/>
<a id="pl.121.32"></a><var>121.32</var>control. Of these funds, 20 percent shall <br/>
<a id="pl.121.33"></a><var>121.33</var>be allocated to the commissioner and 80 <br/>
<a id="pl.121.34"></a><var>121.34</var>percent shall be allocated to counties. <br/>
<a id="pl.121.35"></a><var>121.35</var>The commissioner shall allocate the <br/>
<a id="pl.121.36"></a><var>121.36</var>county portion based on recent caseload. <br/>
<a id="pl.122.1"></a><var>122.1</var>Reimbursement shall be based on actual <br/>
<a id="pl.122.2"></a><var>122.2</var>costs reported by counties through existing <br/>
<a id="pl.122.3"></a><var>122.3</var>processes. Tribal reimbursement must be <br/>
<a id="pl.122.4"></a><var>122.4</var>made from the state portion, based on a <br/>
<a id="pl.122.5"></a><var>122.5</var>caseload factor equivalent to that of a county.<br/>
<a id="pl.122.6"></a><var>122.6</var><b>TANF Summer Food Programs - </b><br/>
<a id="pl.122.7"></a><var>122.7</var><b>TANF Emergency Fund Non-Recurrent </b><br/>
<a id="pl.122.8"></a><var>122.8</var><b>Short-Term Benefits.</b> In addition to the <br/>
<a id="pl.122.9"></a><var>122.9</var>TANF emergency fund (TEF) non-recurrent <br/>
<a id="pl.122.10"></a><var>122.10</var>short-term benefits provided in this <br/>
<a id="pl.122.11"></a><var>122.11</var>subdivision, the commissioner may <br/>
<a id="pl.122.12"></a><var>122.12</var>supplement funds available under Minnesota <br/>
<a id="pl.122.13"></a><var>122.13</var>Statutes, section 256E.34 to provide for <br/>
<a id="pl.122.14"></a><var>122.14</var>summer food programs to the extent such <br/>
<a id="pl.122.15"></a><var>122.15</var>funds are available and eligible to leverage <br/>
<a id="pl.122.16"></a><var>122.16</var>TANF emergency funds non-recurrent <br/>
<a id="pl.122.17"></a><var>122.17</var>benefits. The commissioner may contract <br/>
<a id="pl.122.18"></a><var>122.18</var>directly with providers or third-party funders <br/>
<a id="pl.122.19"></a><var>122.19</var>to maximize these TANF emergency fund <br/>
<a id="pl.122.20"></a><var>122.20</var>grants. Up to $800,000 of TEF non-recurrent <br/>
<a id="pl.122.21"></a><var>122.21</var>short-term benefit earnings may be used in <br/>
<a id="pl.122.22"></a><var>122.22</var>this program. This paragraph is effective the <br/>
<a id="pl.122.23"></a><var>122.23</var>day following final enactment.<br/>
<a id="pl.122.24"></a><var>122.24</var><b>TANF Transfer to Federal Child </b><br/>
<a id="pl.122.25"></a><var>122.25</var><b>Care and Development Fund.</b> Of the <br/>
<a id="pl.122.26"></a><var>122.26</var>TANF appropriation in fiscal year 2011, <br/>
<a id="pl.122.27"></a><var>122.27</var>$12,500,000 is to the commissioner for <br/>
<a id="pl.122.28"></a><var>122.28</var>the purposes of MFIP and transition year <br/>
<a id="pl.122.29"></a><var>122.29</var>child care under Minnesota Statutes, section <br/>
<a id="pl.122.30"></a><var>122.30</var>119B.05. The commissioner shall authorize <br/>
<a id="pl.122.31"></a><var>122.31</var>the transfer of sufficient TANF funds to the <br/>
<a id="pl.122.32"></a><var>122.32</var>federal child care and development fund to <br/>
<a id="pl.122.33"></a><var>122.33</var>meet this appropriation and shall ensure that <br/>
<a id="pl.122.34"></a><var>122.34</var>all transferred funds are expended according <br/>
<a id="pl.122.35"></a><var>122.35</var>to federal child care and development fund <br/>
<a id="pl.122.36"></a><var>122.36</var>regulations.<br/>
<a id="pl.123.1"></a><var>123.1</var><b>Special Revenue Fund Transfers.</b> (a) The <br/>
<a id="pl.123.2"></a><var>123.2</var>commissioner shall transfer the following <br/>
<a id="pl.123.3"></a><var>123.3</var>amounts from special revenue fund balances <br/>
<a id="pl.123.4"></a><var>123.4</var>to the general fund by June 30 of each <br/>
<a id="pl.123.5"></a><var>123.5</var>respective fiscal year: $613,000 in fiscal year <br/>
<a id="pl.123.6"></a><var>123.6</var>2010, and $493,000 in fiscal year 2011. This <br/>
<a id="pl.123.7"></a><var>123.7</var>provision is effective the day following final <br/>
<a id="pl.123.8"></a><var>123.8</var>enactment.<br/>
<a id="pl.123.9"></a><var>123.9</var>(b) The actual transfers made under <br/>
<a id="pl.123.10"></a><var>123.10</var>paragraph (a) must be separately identified <br/>
<a id="pl.123.11"></a><var>123.11</var>and reported as part of the quarterly reporting <br/>
<a id="pl.123.12"></a><var>123.12</var>of transfers to the chairs of the relevant senate <br/>
<a id="pl.123.13"></a><var>123.13</var>budget division and house of representatives <br/>
<a id="pl.123.14"></a><var>123.14</var>finance division.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.6"/>
<col width="12"/>
<tr>
<td><a id="pl.123.15"></a><var>123.15</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Agency Management </b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.123.16"></a><var>123.16</var><br/>
</td>
<td colspan="3">(a) <b> Financial Operations</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">103,000<br/>
</td>
</tr>
</table><a id="pl.123.17"></a><var>123.17</var><b>Base Adjustment. </b> The general fund base is <br/>
<a id="pl.123.18"></a><var>123.18</var>decreased by $3,292,000 in fiscal year 2012 <br/>
<a id="pl.123.19"></a><var>123.19</var>and $3,292,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.123.20"></a><var>123.20</var><br/>
</td>
<td colspan="3">(b) <b> Legal and Regulatory Operations</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">114,000<br/>
</td>
</tr>
</table><a id="pl.123.21"></a><var>123.21</var><b>Base Adjustment. </b> The general fund base is <br/>
<a id="pl.123.22"></a><var>123.22</var>decreased by $18,000 in fiscal year 2012 and <br/>
<a id="pl.123.23"></a><var>123.23</var>$18,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.123.24"></a><var>123.24</var><br/>
</td>
<td colspan="3">(c)<b> Management Operations</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(114,000)<br/>
</td>
</tr>
</table><a id="pl.123.25"></a><var>123.25</var><b>Base Adjustment. </b> The general fund base is <br/>
<a id="pl.123.26"></a><var>123.26</var>increased by $18,000 in fiscal year 2012 and <br/>
<a id="pl.123.27"></a><var>123.27</var>$18,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.123.28"></a><var>123.28</var><br/>
<a id="pl.123.29"></a><var>123.29</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Revenue and Pass-Through Revenue </b><br/>
<b>Expenditures</b><br/>
</td>
<td align="center"></td>
<td align="right">8,000,000<br/>
</td>
<td align="center"></td>
<td align="right">20,000,000<br/>
</td>
</tr>
</table><a id="pl.123.30"></a><var>123.30</var>These appropriations are from the federal <br/>
<a id="pl.123.31"></a><var>123.31</var>TANF fund.<br/>
<a id="pl.123.32"></a><var>123.32</var><b>TANF Funding for the Working Family </b><br/>
<a id="pl.123.33"></a><var>123.33</var><b>Tax Credit.</b> In addition to the amounts <br/>
<a id="pl.124.1"></a><var>124.1</var>specified in Minnesota Statutes, section <br/>
<a id="pl.124.2"></a><var>124.2</var>290.0671, subdivision 6, $15,500,000 <br/>
<a id="pl.124.3"></a><var>124.3</var>of TANF funds in fiscal year 2010 are <br/>
<a id="pl.124.4"></a><var>124.4</var>appropriated to the commissioner to <br/>
<a id="pl.124.5"></a><var>124.5</var>reimburse the general fund for the cost of <br/>
<a id="pl.124.6"></a><var>124.6</var>the working family tax credit for eligible <br/>
<a id="pl.124.7"></a><var>124.7</var>families. With respect to the amounts <br/>
<a id="pl.124.8"></a><var>124.8</var>appropriated for fiscal year 2010, the <br/>
<a id="pl.124.9"></a><var>124.9</var>commissioner shall reimburse the general <br/>
<a id="pl.124.10"></a><var>124.10</var>fund by June 30, 2010. This paragraph is <br/>
<a id="pl.124.11"></a><var>124.11</var>effective the day following final enactment.<br/>
<a id="pl.124.12"></a><var>124.12</var><b>Child Care Development Fund </b><br/>
<a id="pl.124.13"></a><var>124.13</var><b>Unexpended Balance.</b> In addition to <br/>
<a id="pl.124.14"></a><var>124.14</var>the amount provided in this section, the <br/>
<a id="pl.124.15"></a><var>124.15</var>commissioner shall carry over and expend <br/>
<a id="pl.124.16"></a><var>124.16</var>in fiscal year 2011 $7,500,000 of the TANF <br/>
<a id="pl.124.17"></a><var>124.17</var>funds transferred in fiscal year 2010 that <br/>
<a id="pl.124.18"></a><var>124.18</var>reflect the child care and development fund <br/>
<a id="pl.124.19"></a><var>124.19</var>unexpended balance for the basic sliding <br/>
<a id="pl.124.20"></a><var>124.20</var>fee child care assistance program under <br/>
<a id="pl.124.21"></a><var>124.21</var>Minnesota Statutes, section 119B.03. The <br/>
<a id="pl.124.22"></a><var>124.22</var>commissioner shall ensure that all funds are <br/>
<a id="pl.124.23"></a><var>124.23</var>expended according to the federal child care <br/>
<a id="pl.124.24"></a><var>124.24</var>and development fund regulations relating to <br/>
<a id="pl.124.25"></a><var>124.25</var>the TANF transfers.<br/>
<a id="pl.124.26"></a><var>124.26</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.124.27"></a><var>124.27</var>increased by $7,500,000 in fiscal year 2012 <br/>
<a id="pl.124.28"></a><var>124.28</var>and $7,500,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.124.29"></a><var>124.29</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Economic Support Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.124.30"></a><var>124.30</var><br/>
</td>
<td colspan="3">(a) <b>Support Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
</tr>
</table><a id="pl.124.31"></a><var>124.31</var><b>Base Adjustment. </b>The federal TANF fund <br/>
<a id="pl.124.32"></a><var>124.32</var>base is decreased by $5,004,000 in fiscal year <br/>
<a id="pl.124.33"></a><var>124.33</var>2012 and $5,004,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.124.34"></a><var>124.34</var><br/>
</td>
<td colspan="3">(b) <b>MFIP/DWP Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(1,520,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<col width="2.6"/>
<col width="12"/>
<tr>
<td><a id="pl.125.1"></a><var>125.1</var><br/>
<a id="pl.125.2"></a><var>125.2</var><br/>
</td>
<td colspan="3">(c) <b>Basic Sliding Fee Child Care Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(7,500,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<col width="2.6"/>
<col width="12"/>
<tr>
<td><a id="pl.125.3"></a><var>125.3</var><br/>
</td>
<td colspan="3">(d) <b>Children's Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(900,000)<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
</tr>
</table><a id="pl.125.4"></a><var>125.4</var><b>Adoption Assistance. </b>Of the appropriation <br/>
<a id="pl.125.5"></a><var>125.5</var>reduction in fiscal year 2010, $900,000 is <br/>
<a id="pl.125.6"></a><var>125.6</var>from the adoption assistance program. This <br/>
<a id="pl.125.7"></a><var>125.7</var>reduction is onetime.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.125.8"></a><var>125.8</var><br/>
</td>
<td colspan="3">(e) <b>Child and Community Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(16,750,000)<br/>
</td>
</tr>
</table><a id="pl.125.9"></a><var>125.9</var><b>Base adjustment. </b>The general fund is <br/>
<a id="pl.125.10"></a><var>125.10</var>increased by $13,509,000 in fiscal year 2012 <br/>
<a id="pl.125.11"></a><var>125.11</var>and $13,509,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.125.12"></a><var>125.12</var><br/>
</td>
<td colspan="3">(f) <b>Group Residential Housing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">84,000<br/>
</td>
</tr>
</table><a id="pl.125.13"></a><var>125.13</var><b>Reduction of Supplemental Service Rate.</b> <br/>
<a id="pl.125.14"></a><var>125.14</var>Effective July 1, 2011, to June 30, 2013, <br/>
<a id="pl.125.15"></a><var>125.15</var>the commissioner shall decrease the group <br/>
<a id="pl.125.16"></a><var>125.16</var>residential housing supplementary service <br/>
<a id="pl.125.17"></a><var>125.17</var>rate under Minnesota Statutes, section <br/>
<a id="pl.125.18"></a><var>125.18</var>256I.05, subdivision 1a, by five percent <br/>
<a id="pl.125.19"></a><var>125.19</var>for services rendered on or after that date, <br/>
<a id="pl.125.20"></a><var>125.20</var>except that reimbursement rates for a group <br/>
<a id="pl.125.21"></a><var>125.21</var>residential housing facility reimbursed as a <br/>
<a id="pl.125.22"></a><var>125.22</var>nursing facility shall not be reduced. The <br/>
<a id="pl.125.23"></a><var>125.23</var>reduction in this paragraph is in addition to <br/>
<a id="pl.125.24"></a><var>125.24</var>the reduction under Laws 2009, chapter 79, <br/>
<a id="pl.125.25"></a><var>125.25</var>article 8, section 79, paragraph (b), clause <br/>
<a id="pl.125.26"></a><var>125.26</var>(11).<br/>
<a id="pl.125.27"></a><var>125.27</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.125.28"></a><var>125.28</var>decreased by $784,000 in fiscal year 2012 <br/>
<a id="pl.125.29"></a><var>125.29</var>and $784,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.125.30"></a><var>125.30</var><br/>
</td>
<td colspan="3">(g) <b>Children's Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(200,000)<br/>
</td>
<td align="center"></td>
<td align="right">(200,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.125.31"></a><var>125.31</var><br/>
<a id="pl.125.32"></a><var>125.32</var><br/>
</td>
<td colspan="3">(h) <b>Other Children's and Economic Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">400,000<br/>
</td>
<td align="center"></td>
<td align="right">213,000<br/>
</td>
</tr>
</table><a id="pl.126.1"></a><var>126.1</var><b>Minnesota Food Assistance Program. </b> Of <br/>
<a id="pl.126.2"></a><var>126.2</var>the 2011 appropriation, $150,000 is for the <br/>
<a id="pl.126.3"></a><var>126.3</var>Minnesota Food Assistance Program. This <br/>
<a id="pl.126.4"></a><var>126.4</var>appropriation is onetime.<br/>
<a id="pl.126.5"></a><var>126.5</var>Of this appropriation, $400,000 in fiscal <br/>
<a id="pl.126.6"></a><var>126.6</var>year 2010 and $63,000 in fiscal year 2011 <br/>
<a id="pl.126.7"></a><var>126.7</var>is for food shelf programs under Minnesota <br/>
<a id="pl.126.8"></a><var>126.8</var>Statutes, section 256E.34. This appropriation <br/>
<a id="pl.126.9"></a><var>126.9</var>is available until spent.<br/>
<a id="pl.126.10"></a><var>126.10</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.126.11"></a><var>126.11</var>decreased by $20,000 in fiscal year 2012 and <br/>
<a id="pl.126.12"></a><var>126.12</var>decreased by $510,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.126.13"></a><var>126.13</var><br/>
<a id="pl.126.14"></a><var>126.14</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Children and Economic Assistance </b><br/>
<b>Management</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.126.15"></a><var>126.15</var><br/>
<a id="pl.126.16"></a><var>126.16</var><br/>
</td>
<td colspan="3">(a) <b>Children and Economic Assistance </b><br/>
<b>Administration</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
</tr>
</table><a id="pl.126.17"></a><var>126.17</var><b>Base Adjustment.</b> The federal TANF fund <br/>
<a id="pl.126.18"></a><var>126.18</var>base is decreased by $700,000 in fiscal year <br/>
<a id="pl.126.19"></a><var>126.19</var>2012 and $700,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.126.20"></a><var>126.20</var><br/>
<a id="pl.126.21"></a><var>126.21</var><br/>
</td>
<td colspan="3">(b) <b>Children and Economic Assistance </b><br/>
<b>Operations</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">195,000<br/>
</td>
</tr>
</table><a id="pl.126.22"></a><var>126.22</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.126.23"></a><var>126.23</var>decreased by $12,000 in fiscal year 2012 and <br/>
<a id="pl.126.24"></a><var>126.24</var>$12,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.126.25"></a><var>126.25</var><br/>
</td>
<td colspan="3">Subd. 6.<b>Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.126.26"></a><var>126.26</var><br/>
</td>
<td colspan="3">(a) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">998,000<br/>
</td>
<td align="center"></td>
<td align="right">18,124,000<br/>
</td>
</tr>
</table><a id="pl.126.27"></a><var>126.27</var>This appropriation is from the health care <br/>
<a id="pl.126.28"></a><var>126.28</var>access fund.<br/>
<a id="pl.126.29"></a><var>126.29</var><b>Health Care Access Fund Transfer to </b><br/>
<a id="pl.126.30"></a><var>126.30</var><b>General Fund.</b> The commissioner of <br/>
<a id="pl.126.31"></a><var>126.31</var>management and budget shall transfer <br/>
<a id="pl.126.32"></a><var>126.32</var>$998,000 in fiscal year 2010 and <br/>
<a id="pl.126.33"></a><var>126.33</var>$199,337,000 in fiscal year 2011 from the <br/>
<a id="pl.126.34"></a><var>126.34</var>health care access fund to the general fund. <br/>
<a id="pl.127.1"></a><var>127.1</var>This paragraph is effective the day following <br/>
<a id="pl.127.2"></a><var>127.2</var>final enactment.<br/>
<a id="pl.127.3"></a><var>127.3</var>The amount of this transfer is $178,682,000 <br/>
<a id="pl.127.4"></a><var>127.4</var>in fiscal year 2012 and $297,135,000 in fiscal <br/>
<a id="pl.127.5"></a><var>127.5</var>year 2013.<br/>
<a id="pl.127.6"></a><var>127.6</var><b>MinnesotaCare Ratable Reduction.</b> <br/>
<a id="pl.127.7"></a><var>127.7</var>Effective for services rendered on or <br/>
<a id="pl.127.8"></a><var>127.8</var>after July 1, 2010, to December 31, 2013, <br/>
<a id="pl.127.9"></a><var>127.9</var>MinnesotaCare payments to managed care <br/>
<a id="pl.127.10"></a><var>127.10</var>plans under Minnesota Statutes, section <br/>
<a id="pl.127.11"></a><var>127.11</var>256L.12, for single adults and households <br/>
<a id="pl.127.12"></a><var>127.12</var>without children whose income is greater <br/>
<a id="pl.127.13"></a><var>127.13</var>than 75 percent of federal poverty guidelines <br/>
<a id="pl.127.14"></a><var>127.14</var>shall be reduced by ten percent. Effective <br/>
<a id="pl.127.15"></a><var>127.15</var>for services provided from July 1, 2010, to <br/>
<a id="pl.127.16"></a><var>127.16</var>June 30, 2011, this reduction shall apply to <br/>
<a id="pl.127.17"></a><var>127.17</var>all services. Effective for services provided <br/>
<a id="pl.127.18"></a><var>127.18</var>from July 1, 2011, to December 31, 2013, this <br/>
<a id="pl.127.19"></a><var>127.19</var>reduction shall apply to all services except <br/>
<a id="pl.127.20"></a><var>127.20</var>inpatient hospital services. Notwithstanding <br/>
<a id="pl.127.21"></a><var>127.21</var>any contrary provision of this article, this <br/>
<a id="pl.127.22"></a><var>127.22</var>paragraph shall expire on December 31, <br/>
<a id="pl.127.23"></a><var>127.23</var>2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.127.24"></a><var>127.24</var><br/>
<a id="pl.127.25"></a><var>127.25</var><br/>
</td>
<td colspan="3">(b) <b>Medical Assistance Basic Health Care </b><br/>
<b>Grants - Families and Children</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">318,106,000<br/>
</td>
</tr>
</table><a id="pl.127.26"></a><var>127.26</var><b>Critical Access Dental.</b> Of the general <br/>
<a id="pl.127.27"></a><var>127.27</var>fund appropriation, $731,000 in fiscal year <br/>
<a id="pl.127.28"></a><var>127.28</var>2011 is to the commissioner for critical <br/>
<a id="pl.127.29"></a><var>127.29</var>access dental provider reimbursement <br/>
<a id="pl.127.30"></a><var>127.30</var>payments under Minnesota Statutes, section <br/>
<a id="pl.127.31"></a><var>127.31</var>256B.76 subdivision 4. This is a onetime <br/>
<a id="pl.127.32"></a><var>127.32</var>appropriation.<br/>
<a id="pl.127.33"></a><var>127.33</var><b>Nonadministrative Rate Reduction.</b> For <br/>
<a id="pl.127.34"></a><var>127.34</var>services rendered on or after July 1, 2010, <br/>
<a id="pl.127.35"></a><var>127.35</var>to December 31, 2013, the commissioner <br/>
<a id="pl.128.1"></a><var>128.1</var>shall reduce contract rates paid to managed <br/>
<a id="pl.128.2"></a><var>128.2</var>care plans under Minnesota Statutes, <br/>
<a id="pl.128.3"></a><var>128.3</var>sections 256B.69 and 256L.12, and to <br/>
<a id="pl.128.4"></a><var>128.4</var>county-based purchasing plans under <br/>
<a id="pl.128.5"></a><var>128.5</var>Minnesota Statutes, section 256B.692, by <br/>
<a id="pl.128.6"></a><var>128.6</var>three percent of the contract rate attributable <br/>
<a id="pl.128.7"></a><var>128.7</var>to nonadministrative services in effect on <br/>
<a id="pl.128.8"></a><var>128.8</var>June 30, 2010. Notwithstanding any contrary <br/>
<a id="pl.128.9"></a><var>128.9</var>provision in this article, this rider expires on <br/>
<a id="pl.128.10"></a><var>128.10</var>December 31, 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.128.11"></a><var>128.11</var><br/>
<a id="pl.128.12"></a><var>128.12</var><br/>
</td>
<td colspan="3">(c) <b>Medical Assistance Basic Health Care </b><br/>
<b>Grants - Elderly and Disabled</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(3,659,000)<br/>
</td>
</tr>
</table><a id="pl.128.13"></a><var>128.13</var><b>MnDHO Transition.</b> Of the general fund <br/>
<a id="pl.128.14"></a><var>128.14</var>appropriation for fiscal year 2011, $250,000 <br/>
<a id="pl.128.15"></a><var>128.15</var>is to the commissioner to be made available <br/>
<a id="pl.128.16"></a><var>128.16</var>to county agencies to assist in the transition <br/>
<a id="pl.128.17"></a><var>128.17</var>of the approximately 1,290 current MnDHO <br/>
<a id="pl.128.18"></a><var>128.18</var>members to the fee-for-service Medicaid <br/>
<a id="pl.128.19"></a><var>128.19</var>program or another managed care option by <br/>
<a id="pl.128.20"></a><var>128.20</var>January 1, 2011.<br/>
<a id="pl.128.21"></a><var>128.21</var>County agencies shall work with the <br/>
<a id="pl.128.22"></a><var>128.22</var>commissioner, health plans, and MnDHO <br/>
<a id="pl.128.23"></a><var>128.23</var>members and their legal representatives to <br/>
<a id="pl.128.24"></a><var>128.24</var>develop and implement transition plans that <br/>
<a id="pl.128.25"></a><var>128.25</var>include:<br/>
<a id="pl.128.26"></a><var>128.26</var>(1) identification of service needs of MnDHO <br/>
<a id="pl.128.27"></a><var>128.27</var>members based on the current assessment or <br/>
<a id="pl.128.28"></a><var>128.28</var>through the completion of a new assessment;<br/>
<a id="pl.128.29"></a><var>128.29</var>(2) identification of services currently <br/>
<a id="pl.128.30"></a><var>128.30</var>provided to MnDHO members and which <br/>
<a id="pl.128.31"></a><var>128.31</var>of those services will continue to be <br/>
<a id="pl.128.32"></a><var>128.32</var>reimbursable through fee-for-service <br/>
<a id="pl.128.33"></a><var>128.33</var>or another managed care option under <br/>
<a id="pl.128.34"></a><var>128.34</var>the Medicaid state plan or a home and <br/>
<a id="pl.128.35"></a><var>128.35</var>community-based waiver program;<br/>
<a id="pl.129.1"></a><var>129.1</var>(3) identification of service providers who do <br/>
<a id="pl.129.2"></a><var>129.2</var>not have a contract with the county or who <br/>
<a id="pl.129.3"></a><var>129.3</var>are currently reimbursed at a different rate <br/>
<a id="pl.129.4"></a><var>129.4</var>than the county contracted rate; and<br/>
<a id="pl.129.5"></a><var>129.5</var>(4) development of an individual service <br/>
<a id="pl.129.6"></a><var>129.6</var>plan that is within allowable waiver funding <br/>
<a id="pl.129.7"></a><var>129.7</var>limits.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.8"></a><var>129.8</var><br/>
</td>
<td colspan="3">(d) <b>General Assistance Medical Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(75,389,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.9"></a><var>129.9</var><br/>
</td>
<td colspan="3">(e) <b> Other Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">700,000,000<br/>
</td>
</tr>
</table><a id="pl.129.10"></a><var>129.10</var><b>Cobra Carryforward.</b> Unexpended funds <br/>
<a id="pl.129.11"></a><var>129.11</var>appropriated in fiscal year 2010 for COBRA <br/>
<a id="pl.129.12"></a><var>129.12</var>grants under Laws 2009, chapter 79, article <br/>
<a id="pl.129.13"></a><var>129.13</var>5, section 78, do not cancel and are available <br/>
<a id="pl.129.14"></a><var>129.14</var>to the commissioner for fiscal year 2011 <br/>
<a id="pl.129.15"></a><var>129.15</var>COBRA grant expenditures. Up to $111,000 <br/>
<a id="pl.129.16"></a><var>129.16</var>of the fiscal year 2011 appropriation for <br/>
<a id="pl.129.17"></a><var>129.17</var>COBRA grants provided in Laws 2009, <br/>
<a id="pl.129.18"></a><var>129.18</var>chapter 79, article 13, section 3, subdivision <br/>
<a id="pl.129.19"></a><var>129.19</var>6, may be used by the commissioner for costs <br/>
<a id="pl.129.20"></a><var>129.20</var>related to administration of the COBRA <br/>
<a id="pl.129.21"></a><var>129.21</var>grants.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.22"></a><var>129.22</var><br/>
</td>
<td colspan="3">Subd. 7.<b>Health Care Management</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.129.23"></a><var>129.23</var><br/>
</td>
<td colspan="3">(a) <b>Health Care Administration</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">442,000<br/>
</td>
</tr>
</table><a id="pl.129.24"></a><var>129.24</var><b>Fiscal Note Report. </b>Of this appropriation, <br/>
<a id="pl.129.25"></a><var>129.25</var>$50,000 in fiscal year 2011 is for a transfer to <br/>
<a id="pl.129.26"></a><var>129.26</var>the commissioner of Minnesota Management <br/>
<a id="pl.129.27"></a><var>129.27</var>and Budget for the completion of the human <br/>
<a id="pl.129.28"></a><var>129.28</var>services fiscal note report in article 5.<br/>
<a id="pl.129.29"></a><var>129.29</var><b>PACE Implementation Funding.</b> For fiscal <br/>
<a id="pl.129.30"></a><var>129.30</var>year 2011, $145,000 is appropriated from <br/>
<a id="pl.129.31"></a><var>129.31</var>the general fund to the commissioner of <br/>
<a id="pl.129.32"></a><var>129.32</var>human services to complete the actuarial and <br/>
<a id="pl.129.33"></a><var>129.33</var>administrative work necessary to begin the <br/>
<a id="pl.129.34"></a><var>129.34</var>operation of PACE under Minnesota Statutes, <br/>
<a id="pl.130.1"></a><var>130.1</var>section 256B.69, subdivision 23, paragraph <br/>
<a id="pl.130.2"></a><var>130.2</var>(e). Base level funding for this activity shall <br/>
<a id="pl.130.3"></a><var>130.3</var>be $130,000 in fiscal year 2012 and $0 in <br/>
<a id="pl.130.4"></a><var>130.4</var>fiscal year 2013.<br/>
<a id="pl.130.5"></a><var>130.5</var><b>Minnesota Senior Health Options </b><br/>
<a id="pl.130.6"></a><var>130.6</var><b>Reimbursement.</b> Effective July 1, 2011, <br/>
<a id="pl.130.7"></a><var>130.7</var>federal administrative reimbursement <br/>
<a id="pl.130.8"></a><var>130.8</var>resulting from the Minnesota senior <br/>
<a id="pl.130.9"></a><var>130.9</var>health options project is appropriated <br/>
<a id="pl.130.10"></a><var>130.10</var>to the commissioner for this activity. <br/>
<a id="pl.130.11"></a><var>130.11</var>Notwithstanding any contrary provision, this <br/>
<a id="pl.130.12"></a><var>130.12</var>provision expires June 30, 2013.<br/>
<a id="pl.130.13"></a><var>130.13</var><b>Utilization Review.</b> Effective July 1, <br/>
<a id="pl.130.14"></a><var>130.14</var>2011, federal administrative reimbursement <br/>
<a id="pl.130.15"></a><var>130.15</var>resulting from prior authorization and <br/>
<a id="pl.130.16"></a><var>130.16</var>inpatient admission certification by a <br/>
<a id="pl.130.17"></a><var>130.17</var>professional review organization shall be <br/>
<a id="pl.130.18"></a><var>130.18</var>dedicated to, and is appropriated to, the <br/>
<a id="pl.130.19"></a><var>130.19</var>commissioner for these activities. A portion <br/>
<a id="pl.130.20"></a><var>130.20</var>of these funds must be used for activities <br/>
<a id="pl.130.21"></a><var>130.21</var>to decrease unnecessary pharmaceutical <br/>
<a id="pl.130.22"></a><var>130.22</var>costs in medical assistance. Notwithstanding <br/>
<a id="pl.130.23"></a><var>130.23</var>any contrary provision of this article, this <br/>
<a id="pl.130.24"></a><var>130.24</var>paragraph expires June 30, 2013.<br/>
<a id="pl.130.25"></a><var>130.25</var><b>Certified Public Expenditures.</b> (1) The <br/>
<a id="pl.130.26"></a><var>130.26</var>entities named in Minnesota Statutes, section <br/>
<a id="pl.130.27"></a><var>130.27</var>256B.199, paragraph (b), clause (1), shall <br/>
<a id="pl.130.28"></a><var>130.28</var>comply with the requirements of that statute <br/>
<a id="pl.130.29"></a><var>130.29</var>by promptly reporting on a quarterly basis <br/>
<a id="pl.130.30"></a><var>130.30</var>certified public expenditures that may qualify <br/>
<a id="pl.130.31"></a><var>130.31</var>for federal matching funds. Reporting under <br/>
<a id="pl.130.32"></a><var>130.32</var>this paragraph shall be voluntary from July 1, <br/>
<a id="pl.130.33"></a><var>130.33</var>2010, to December 31, 2010. Upon federal <br/>
<a id="pl.130.34"></a><var>130.34</var>enactment of an extension to June 30, 2011, <br/>
<a id="pl.130.35"></a><var>130.35</var>of the enhanced federal medical assistance <br/>
<a id="pl.131.1"></a><var>131.1</var>percentage (FMAP) originally provided <br/>
<a id="pl.131.2"></a><var>131.2</var>under Public Law 111-5, reporting under <br/>
<a id="pl.131.3"></a><var>131.3</var>this paragraph shall also be voluntary from <br/>
<a id="pl.131.4"></a><var>131.4</var>January 1, 2011, to June 30, 2011.<br/>
<a id="pl.131.5"></a><var>131.5</var>(2) To the extent that certified public <br/>
<a id="pl.131.6"></a><var>131.6</var>expenditures reported in compliance <br/>
<a id="pl.131.7"></a><var>131.7</var>with paragraph (1) earn federal matching <br/>
<a id="pl.131.8"></a><var>131.8</var>payments that exceed $8,079,000 in fiscal <br/>
<a id="pl.131.9"></a><var>131.9</var>year 2012 and $18,316,000 in fiscal year <br/>
<a id="pl.131.10"></a><var>131.10</var>2013, the excess amount shall be deposited <br/>
<a id="pl.131.11"></a><var>131.11</var>in the health care access fund. For each fiscal <br/>
<a id="pl.131.12"></a><var>131.12</var>year after fiscal year 2013, the commissioner <br/>
<a id="pl.131.13"></a><var>131.13</var>shall forecast in November the amount <br/>
<a id="pl.131.14"></a><var>131.14</var>of federal payments anticipated to match <br/>
<a id="pl.131.15"></a><var>131.15</var>certified public expenditures reported in <br/>
<a id="pl.131.16"></a><var>131.16</var>compliance with paragraph (a). Any federal <br/>
<a id="pl.131.17"></a><var>131.17</var>match earned in a fiscal year in excess of <br/>
<a id="pl.131.18"></a><var>131.18</var>the amount forecasted in November shall be <br/>
<a id="pl.131.19"></a><var>131.19</var>deposited to the health care access fund.<br/>
<a id="pl.131.20"></a><var>131.20</var>(3) Notwithstanding any contrary provision <br/>
<a id="pl.131.21"></a><var>131.21</var>of this article, this rider shall not expire.<br/>
<a id="pl.131.22"></a><var>131.22</var><b>Poverty Guidelines.</b> Notwithstanding <br/>
<a id="pl.131.23"></a><var>131.23</var>Minnesota Statutes, sections 256B.56, <br/>
<a id="pl.131.24"></a><var>131.24</var>subdivision 1c; 256D.03, subdivision 3; <br/>
<a id="pl.131.25"></a><var>131.25</var>or 256L.04, subdivision 7b, the poverty <br/>
<a id="pl.131.26"></a><var>131.26</var>guidelines for medical assistance, general <br/>
<a id="pl.131.27"></a><var>131.27</var>assistance medical care, and MinnesotaCare <br/>
<a id="pl.131.28"></a><var>131.28</var>from July 1, 2010, through June 30, 2011, <br/>
<a id="pl.131.29"></a><var>131.29</var>shall not be lower than the poverty guidelines <br/>
<a id="pl.131.30"></a><var>131.30</var>issued by the Secretary of Health and Human <br/>
<a id="pl.131.31"></a><var>131.31</var>Services on January 23, 2009. This section <br/>
<a id="pl.131.32"></a><var>131.32</var>shall have no effect on the revision of poverty <br/>
<a id="pl.131.33"></a><var>131.33</var>guidelines for the Minnesota health care <br/>
<a id="pl.131.34"></a><var>131.34</var>programs that would be in effect starting on <br/>
<a id="pl.132.1"></a><var>132.1</var>July 1, 2011. This paragraph is effective the <br/>
<a id="pl.132.2"></a><var>132.2</var>day following final enactment.<br/>
<a id="pl.132.3"></a><var>132.3</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.132.4"></a><var>132.4</var>decreased by $227,000 in fiscal year 2012 <br/>
<a id="pl.132.5"></a><var>132.5</var>and $357,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.132.6"></a><var>132.6</var><br/>
</td>
<td colspan="3">(b) <b>Health Care Operations</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.132.7"></a><var>132.7</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.132.8"></a><var>132.8</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">186,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.132.9"></a><var>132.9</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">218,000<br/>
</td>
</tr>
</table><a id="pl.132.10"></a><var>132.10</var>The general fund appropriation is a onetime <br/>
<a id="pl.132.11"></a><var>132.11</var>appropriation in fiscal year 2011.<br/>
<a id="pl.132.12"></a><var>132.12</var><b>Base Adjustment.</b> The health care access <br/>
<a id="pl.132.13"></a><var>132.13</var>fund base for health care operations is <br/>
<a id="pl.132.14"></a><var>132.14</var>decreased by $812,000 in fiscal year 2012 <br/>
<a id="pl.132.15"></a><var>132.15</var>and $944,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.132.16"></a><var>132.16</var><br/>
</td>
<td colspan="3">Subd. 8.<b>Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.132.17"></a><var>132.17</var><br/>
</td>
<td colspan="3">(a) <b>Aging and Adult Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(1,091,000)<br/>
</td>
</tr>
</table><a id="pl.132.18"></a><var>132.18</var><b>Base Adjustment.</b> The general fund base for <br/>
<a id="pl.132.19"></a><var>132.19</var>aging and adult services grants is increased <br/>
<a id="pl.132.20"></a><var>132.20</var>by $1,139,000 in fiscal year 2012 and <br/>
<a id="pl.132.21"></a><var>132.21</var>$1,280,000 in fiscal year 2013.<br/>
<a id="pl.132.22"></a><var>132.22</var><b>Community Service Development </b><br/>
<a id="pl.132.23"></a><var>132.23</var><b>Reduction.</b> The appropriation in Laws <br/>
<a id="pl.132.24"></a><var>132.24</var>2009, chapter 79, article 13, section 3, <br/>
<a id="pl.132.25"></a><var>132.25</var>subdivision 8, paragraph (a), for community <br/>
<a id="pl.132.26"></a><var>132.26</var>service development grants, as amended by <br/>
<a id="pl.132.27"></a><var>132.27</var>Laws 2009, chapter 173, article 2, section <br/>
<a id="pl.132.28"></a><var>132.28</var>1, subdivision 8, paragraph (a), is reduced <br/>
<a id="pl.132.29"></a><var>132.29</var>by $154,000 in fiscal year 2011. The <br/>
<a id="pl.132.30"></a><var>132.30</var>appropriation base is reduced by $139,000 <br/>
<a id="pl.132.31"></a><var>132.31</var>for fiscal year 2012 and $0 for fiscal year <br/>
<a id="pl.132.32"></a><var>132.32</var>2013. Notwithstanding any law or rule to <br/>
<a id="pl.132.33"></a><var>132.33</var>the contrary, this provision expires June 30, <br/>
<a id="pl.132.34"></a><var>132.34</var>2012.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.133.1"></a><var>133.1</var><br/>
<a id="pl.133.2"></a><var>133.2</var><br/>
</td>
<td colspan="3">(b) <b>Medical Assistance Long-Term Care </b><br/>
<b>Facilities Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">4,143,000<br/>
</td>
</tr>
</table><a id="pl.133.3"></a><var>133.3</var><b>ICF/MR Occupancy Rate Adjustment </b><br/>
<a id="pl.133.4"></a><var>133.4</var><b>Suspension. </b>Effective for fiscal years 2012 <br/>
<a id="pl.133.5"></a><var>133.5</var>and 2013, approval of new applications for <br/>
<a id="pl.133.6"></a><var>133.6</var>occupancy rate adjustments for unoccupied <br/>
<a id="pl.133.7"></a><var>133.7</var>short-term beds under Minnesota Statutes, <br/>
<a id="pl.133.8"></a><var>133.8</var>section 256B.5013, subdivision 7, is <br/>
<a id="pl.133.9"></a><var>133.9</var>suspended.<br/>
<a id="pl.133.10"></a><var>133.10</var><b>Kandiyohi County; ICF/MR Payment </b><br/>
<a id="pl.133.11"></a><var>133.11</var><b>Rate.</b> $36,000 is appropriated from the <br/>
<a id="pl.133.12"></a><var>133.12</var>general fund in fiscal year 2011 and $4,000 <br/>
<a id="pl.133.13"></a><var>133.13</var>in fiscal year 2012 to increase payment rates <br/>
<a id="pl.133.14"></a><var>133.14</var>for an ICF/MR licensed for six beds and <br/>
<a id="pl.133.15"></a><var>133.15</var>located in Kandiyohi County to serve persons <br/>
<a id="pl.133.16"></a><var>133.16</var>with high behavioral needs. The payment <br/>
<a id="pl.133.17"></a><var>133.17</var>rate increase shall be effective for services <br/>
<a id="pl.133.18"></a><var>133.18</var>provided from July 1, 2010, through June 30, <br/>
<a id="pl.133.19"></a><var>133.19</var>2011. These appropriations are onetime.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.133.20"></a><var>133.20</var><br/>
<a id="pl.133.21"></a><var>133.21</var><br/>
</td>
<td colspan="3">(c) <b>Medical Assistance Long-Term Care </b><br/>
<b>Waivers and Home Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(4,631,000)<br/>
</td>
</tr>
</table><a id="pl.133.22"></a><var>133.22</var><b>Manage Growth in Traumatic Brain </b><br/>
<a id="pl.133.23"></a><var>133.23</var><b>Injury and Community Alternatives for </b><br/>
<a id="pl.133.24"></a><var>133.24</var><b>Disabled Individuals Waivers.</b> During <br/>
<a id="pl.133.25"></a><var>133.25</var>the fiscal year beginning July 1, 2010, the <br/>
<a id="pl.133.26"></a><var>133.26</var>commissioner shall allocate money for home <br/>
<a id="pl.133.27"></a><var>133.27</var>and community-based waiver programs <br/>
<a id="pl.133.28"></a><var>133.28</var>under Minnesota Statutes, section 256B.49, <br/>
<a id="pl.133.29"></a><var>133.29</var>to ensure a reduction in state spending that is <br/>
<a id="pl.133.30"></a><var>133.30</var>equivalent to limiting the caseload growth <br/>
<a id="pl.133.31"></a><var>133.31</var>of the traumatic brain injury waiver to six <br/>
<a id="pl.133.32"></a><var>133.32</var>allocations per month and the community <br/>
<a id="pl.133.33"></a><var>133.33</var>alternatives for disabled individuals waiver <br/>
<a id="pl.133.34"></a><var>133.34</var>to 60 allocations per month. The limits do not <br/>
<a id="pl.133.35"></a><var>133.35</var>apply: (1) when there is an approved plan for <br/>
<a id="pl.134.1"></a><var>134.1</var>nursing facility bed closures for individuals <br/>
<a id="pl.134.2"></a><var>134.2</var>under age 65 who require relocation due to <br/>
<a id="pl.134.3"></a><var>134.3</var>the bed closure; (2) to fiscal year 2009 waiver <br/>
<a id="pl.134.4"></a><var>134.4</var>allocations delayed due to unallotment; or (3) <br/>
<a id="pl.134.5"></a><var>134.5</var>to transfers authorized by the commissioner <br/>
<a id="pl.134.6"></a><var>134.6</var>from the personal care assistance program <br/>
<a id="pl.134.7"></a><var>134.7</var>of individuals having a home care rating of <br/>
<a id="pl.134.8"></a><var>134.8</var>CS, MT, or HL. Priorities for the allocation <br/>
<a id="pl.134.9"></a><var>134.9</var>of funds must be for individuals anticipated <br/>
<a id="pl.134.10"></a><var>134.10</var>to be discharged from institutional settings or <br/>
<a id="pl.134.11"></a><var>134.11</var>who are at imminent risk of a placement in <br/>
<a id="pl.134.12"></a><var>134.12</var>an institutional setting.<br/>
<a id="pl.134.13"></a><var>134.13</var><b>Manage Growth in the Developmental </b><br/>
<a id="pl.134.14"></a><var>134.14</var><b>Disability (DD) Waiver.</b> The commissioner <br/>
<a id="pl.134.15"></a><var>134.15</var>shall manage the growth in the developmental <br/>
<a id="pl.134.16"></a><var>134.16</var>disability waiver by limiting the allocations <br/>
<a id="pl.134.17"></a><var>134.17</var>included in the November 2010 forecast to <br/>
<a id="pl.134.18"></a><var>134.18</var>six additional diversion allocations each <br/>
<a id="pl.134.19"></a><var>134.19</var>month for the calendar year that begins on <br/>
<a id="pl.134.20"></a><var>134.20</var>January 1, 2011. Additional allocations must <br/>
<a id="pl.134.21"></a><var>134.21</var>be made available for transfers authorized <br/>
<a id="pl.134.22"></a><var>134.22</var>by the commissioner from the personal care <br/>
<a id="pl.134.23"></a><var>134.23</var>assistance program of individuals having a <br/>
<a id="pl.134.24"></a><var>134.24</var>home care rating of CS, MT, or HL. This <br/>
<a id="pl.134.25"></a><var>134.25</var>provision is effective through December 31, <br/>
<a id="pl.134.26"></a><var>134.26</var>2011.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.134.27"></a><var>134.27</var><br/>
</td>
<td colspan="3">(d) <b>Adult Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(3,500,000)<br/>
</td>
<td align="center"></td>
<td align="right">(300,000)<br/>
</td>
</tr>
</table><a id="pl.134.28"></a><var>134.28</var><b>Compulsive Gambling Special Revenue </b><br/>
<a id="pl.134.29"></a><var>134.29</var><b>Account.</b> $149,000 for fiscal year 2010 <br/>
<a id="pl.134.30"></a><var>134.30</var>and $27,000 for fiscal year 2011 from <br/>
<a id="pl.134.31"></a><var>134.31</var>the compulsive gambling special revenue <br/>
<a id="pl.134.32"></a><var>134.32</var>account established under Minnesota <br/>
<a id="pl.134.33"></a><var>134.33</var>Statutes, section 245.982, shall be transferred <br/>
<a id="pl.134.34"></a><var>134.34</var>and deposited into the general fund by <br/>
<a id="pl.134.35"></a><var>134.35</var>June 30 of each respective fiscal year. This <br/>
<a id="pl.135.1"></a><var>135.1</var>paragraph is effective the day following final <br/>
<a id="pl.135.2"></a><var>135.2</var>enactment.<br/>
<a id="pl.135.3"></a><var>135.3</var><b>Compulsive Gambling Lottery Prize </b><br/>
<a id="pl.135.4"></a><var>135.4</var><b>Fund.</b> The lottery prize fund appropriation <br/>
<a id="pl.135.5"></a><var>135.5</var>for compulsive gambling is reduced by <br/>
<a id="pl.135.6"></a><var>135.6</var>$80,000 in fiscal year 2010 and $79,000 in <br/>
<a id="pl.135.7"></a><var>135.7</var>fiscal year 2011. This is a onetime reduction.<br/>
<a id="pl.135.8"></a><var>135.8</var><b>Culturally Specific Treatment. </b>The <br/>
<a id="pl.135.9"></a><var>135.9</var>appropriation for culturally specific treatment <br/>
<a id="pl.135.10"></a><var>135.10</var>is reduced by $300,000 in fiscal year 2011. <br/>
<a id="pl.135.11"></a><var>135.11</var>This is a onetime reduction.<br/>
<a id="pl.135.12"></a><var>135.12</var>(1) Of the fiscal year 2010 general fund <br/>
<a id="pl.135.13"></a><var>135.13</var>appropriation for grants to counties for <br/>
<a id="pl.135.14"></a><var>135.14</var>housing with support services for adults <br/>
<a id="pl.135.15"></a><var>135.15</var>with serious and persistent mental illness, <br/>
<a id="pl.135.16"></a><var>135.16</var>$3,300,000 is canceled and returned to the <br/>
<a id="pl.135.17"></a><var>135.17</var>general fund.<br/>
<a id="pl.135.18"></a><var>135.18</var>(2) Of the fiscal year 2010 general <br/>
<a id="pl.135.19"></a><var>135.19</var>fund appropriation for additional crisis <br/>
<a id="pl.135.20"></a><var>135.20</var>intervention team training for law <br/>
<a id="pl.135.21"></a><var>135.21</var>enforcement, $200,000 is canceled and <br/>
<a id="pl.135.22"></a><var>135.22</var>returned to the general fund.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.135.23"></a><var>135.23</var><br/>
</td>
<td colspan="3">(e) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(2,433,000)<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.135.24"></a><var>135.24</var><br/>
<a id="pl.135.25"></a><var>135.25</var><br/>
</td>
<td colspan="3">(f) <b>Chemical Dependency Nonentitlement </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(389,000)<br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
</tr>
</table><a id="pl.135.26"></a><var>135.26</var><b>Base adjustment. </b>The general fund base is <br/>
<a id="pl.135.27"></a><var>135.27</var>reduced by $393,000 in fiscal year 2012 and <br/>
<a id="pl.135.28"></a><var>135.28</var>fiscal year 2013.<br/>
<a id="pl.135.29"></a><var>135.29</var><b>Chemical Health.</b> Of the fiscal year 2010 <br/>
<a id="pl.135.30"></a><var>135.30</var>general fund appropriation to Mother's First <br/>
<a id="pl.135.31"></a><var>135.31</var>and the Native American Program, $389,000 <br/>
<a id="pl.135.32"></a><var>135.32</var>is canceled and returned to the general fund.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.135.33"></a><var>135.33</var><br/>
</td>
<td colspan="3">(g) <b>Other Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">350,000<br/>
</td>
</tr>
</table><a id="pl.136.1"></a><var>136.1</var> This is a onetime appropriation in fiscal year <br/>
<a id="pl.136.2"></a><var>136.2</var>2011.<br/>
<a id="pl.136.3"></a><var>136.3</var><b>Region 10 Quality Assurance Commission.</b> <br/>
<a id="pl.136.4"></a><var>136.4</var>$100,000 is appropriated from the general <br/>
<a id="pl.136.5"></a><var>136.5</var>fund in fiscal year 2011 to the commissioner <br/>
<a id="pl.136.6"></a><var>136.6</var>of human services for the purposes <br/>
<a id="pl.136.7"></a><var>136.7</var>of the Region 10 Quality Assurance <br/>
<a id="pl.136.8"></a><var>136.8</var>Commission under Minnesota Statutes, <br/>
<a id="pl.136.9"></a><var>136.9</var>section 256B.0951. This appropriation is <br/>
<a id="pl.136.10"></a><var>136.10</var>onetime.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.136.11"></a><var>136.11</var><br/>
</td>
<td colspan="3">Subd. 9.<b>Continuing Care Management</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">414,000<br/>
</td>
</tr>
</table><a id="pl.136.12"></a><var>136.12</var><b>PACE Implementation Funding.</b> For fiscal <br/>
<a id="pl.136.13"></a><var>136.13</var>year 2011, $111,000 is appropriated from <br/>
<a id="pl.136.14"></a><var>136.14</var>the general fund to the commissioner of <br/>
<a id="pl.136.15"></a><var>136.15</var>human services to complete the actuarial <br/>
<a id="pl.136.16"></a><var>136.16</var>and administrative work necessary to begin <br/>
<a id="pl.136.17"></a><var>136.17</var>the operation of PACE under Minnesota <br/>
<a id="pl.136.18"></a><var>136.18</var>Statutes, section 256B.69, subdivision 23, <br/>
<a id="pl.136.19"></a><var>136.19</var>paragraph (e). Base level funding for this <br/>
<a id="pl.136.20"></a><var>136.20</var>activity shall be $101,000 in fiscal year 2012 <br/>
<a id="pl.136.21"></a><var>136.21</var>and $0 in fiscal year 2013. For fiscal year <br/>
<a id="pl.136.22"></a><var>136.22</var>2013 and beyond, the commissioner must <br/>
<a id="pl.136.23"></a><var>136.23</var>work with stakeholders to develop financing <br/>
<a id="pl.136.24"></a><var>136.24</var>mechanisms to complete the actuarial <br/>
<a id="pl.136.25"></a><var>136.25</var>and administrative costs of PACE. The <br/>
<a id="pl.136.26"></a><var>136.26</var>commissioner shall inform the chairs and <br/>
<a id="pl.136.27"></a><var>136.27</var>ranking minority members of the legislative <br/>
<a id="pl.136.28"></a><var>136.28</var>committee with jurisdiction over health care <br/>
<a id="pl.136.29"></a><var>136.29</var>funding by January 15, 2011, on progress to <br/>
<a id="pl.136.30"></a><var>136.30</var>develop financing mechanisms.<br/>
<a id="pl.136.31"></a><var>136.31</var><b>Base Adjustment.</b> The general fund base for <br/>
<a id="pl.136.32"></a><var>136.32</var>continuing care management is increased by <br/>
<a id="pl.136.33"></a><var>136.33</var>$97,000 in fiscal year 2012 and decreased by <br/>
<a id="pl.136.34"></a><var>136.34</var>$12,000 in fiscal year 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.136.35"></a><var>136.35</var><br/>
</td>
<td colspan="3">Subd. 10.<b>State-Operated Services</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.137.1"></a><var>137.1</var><b>Obsolete Laundry Depreciation Account.</b> <br/>
<a id="pl.137.2"></a><var>137.2</var>$669,000, or the balance, whichever is <br/>
<a id="pl.137.3"></a><var>137.3</var>greater, must be transferred from the <br/>
<a id="pl.137.4"></a><var>137.4</var>state-operated services laundry depreciation <br/>
<a id="pl.137.5"></a><var>137.5</var>account in the special revenue fund and <br/>
<a id="pl.137.6"></a><var>137.6</var>deposited into the general fund by June 30, <br/>
<a id="pl.137.7"></a><var>137.7</var>2010. This paragraph is effective the day <br/>
<a id="pl.137.8"></a><var>137.8</var>following final enactment.<br/>
<a id="pl.137.9"></a><var>137.9</var><b>Operating Budget Reductions.</b> No <br/>
<a id="pl.137.10"></a><var>137.10</var>operating budget reductions enacted in Laws <br/>
<a id="pl.137.11"></a><var>137.11</var>2010, chapter 200, or in this act shall be <br/>
<a id="pl.137.12"></a><var>137.12</var>allocated to state-operated services.<br/>
<a id="pl.137.13"></a><var>137.13</var><b>Prohibition on Transferring Funds.</b> The <br/>
<a id="pl.137.14"></a><var>137.14</var>commissioner shall not transfer mental <br/>
<a id="pl.137.15"></a><var>137.15</var>health grants to state-operated services <br/>
<a id="pl.137.16"></a><var>137.16</var>without specific legislative approval. <br/>
<a id="pl.137.17"></a><var>137.17</var>Notwithstanding any contrary provision in <br/>
<a id="pl.137.18"></a><var>137.18</var>this article, this paragraph shall not expire.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.137.19"></a><var>137.19</var><br/>
</td>
<td colspan="3">(a) <b>Adult Mental Health Services</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">6,888,000<br/>
</td>
</tr>
</table><a id="pl.137.20"></a><var>137.20</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.137.21"></a><var>137.21</var>decreased by $12,286,000 in fiscal year 2012 <br/>
<a id="pl.137.22"></a><var>137.22</var>and $12,394,000 in fiscal year 2013.<br/>
<a id="pl.137.23"></a><var>137.23</var><b>Appropriation Requirements. </b> (a) <br/>
<a id="pl.137.24"></a><var>137.24</var>The general fund appropriation to the <br/>
<a id="pl.137.25"></a><var>137.25</var>commissioner includes funding for the <br/>
<a id="pl.137.26"></a><var>137.26</var>following:<br/>
<a id="pl.137.27"></a><var>137.27</var>(1) to a community collaborative to begin <br/>
<a id="pl.137.28"></a><var>137.28</var>providing crisis center services in the <br/>
<a id="pl.137.29"></a><var>137.29</var>Mankato area that are comparable to <br/>
<a id="pl.137.30"></a><var>137.30</var>the crisis services provided prior to the <br/>
<a id="pl.137.31"></a><var>137.31</var>closure of the Mankato Crisis Center. The <br/>
<a id="pl.137.32"></a><var>137.32</var>commissioner shall recruit former employees <br/>
<a id="pl.137.33"></a><var>137.33</var>of the Mankato Crisis Center who were <br/>
<a id="pl.137.34"></a><var>137.34</var>recently laid off to staff the new crisis <br/>
<a id="pl.138.1"></a><var>138.1</var>services. The commissioner shall obtain <br/>
<a id="pl.138.2"></a><var>138.2</var>legislative approval prior to discontinuing <br/>
<a id="pl.138.3"></a><var>138.3</var>this funding;<br/>
<a id="pl.138.4"></a><var>138.4</var>(2) to maintain the building in Eveleth <br/>
<a id="pl.138.5"></a><var>138.5</var>that currently houses community transition <br/>
<a id="pl.138.6"></a><var>138.6</var>services and to establish a psychiatric <br/>
<a id="pl.138.7"></a><var>138.7</var>intensive therapeutic foster home as an <br/>
<a id="pl.138.8"></a><var>138.8</var>enterprise activity. The commissioner shall <br/>
<a id="pl.138.9"></a><var>138.9</var>request a waiver amendment to allow CADI <br/>
<a id="pl.138.10"></a><var>138.10</var>funding for psychiatric intensive therapeutic <br/>
<a id="pl.138.11"></a><var>138.11</var>foster care services provided in the same <br/>
<a id="pl.138.12"></a><var>138.12</var>location and building as the community <br/>
<a id="pl.138.13"></a><var>138.13</var>transition services. If the federal government <br/>
<a id="pl.138.14"></a><var>138.14</var>does not approve the waiver amendment, the <br/>
<a id="pl.138.15"></a><var>138.15</var>commissioner shall continue to pay the lease <br/>
<a id="pl.138.16"></a><var>138.16</var>for the building out of the state-operated <br/>
<a id="pl.138.17"></a><var>138.17</var>services budget until the commissioner of <br/>
<a id="pl.138.18"></a><var>138.18</var>administration subleases the space or until <br/>
<a id="pl.138.19"></a><var>138.19</var>the lease expires, and shall establish the <br/>
<a id="pl.138.20"></a><var>138.20</var>psychiatric intensive therapeutic foster home <br/>
<a id="pl.138.21"></a><var>138.21</var>at a different site. The commissioner shall <br/>
<a id="pl.138.22"></a><var>138.22</var>make diligent efforts to sublease the space;<br/>
<a id="pl.138.23"></a><var>138.23</var>(3) to convert the community behavioral <br/>
<a id="pl.138.24"></a><var>138.24</var>health hospitals in Wadena and Willmar to <br/>
<a id="pl.138.25"></a><var>138.25</var>facilities that provide more suitable services <br/>
<a id="pl.138.26"></a><var>138.26</var>based on the needs of the community, <br/>
<a id="pl.138.27"></a><var>138.27</var>which may include, but are not limited to, <br/>
<a id="pl.138.28"></a><var>138.28</var>psychiatric extensive recovery treatment <br/>
<a id="pl.138.29"></a><var>138.29</var>services. The commissioner may also <br/>
<a id="pl.138.30"></a><var>138.30</var>establish other community-based services in <br/>
<a id="pl.138.31"></a><var>138.31</var>the Willmar and Wadena areas that deliver <br/>
<a id="pl.138.32"></a><var>138.32</var>the appropriate level of care in response to <br/>
<a id="pl.138.33"></a><var>138.33</var>the express needs of the communities. The <br/>
<a id="pl.138.34"></a><var>138.34</var>services established under this provision <br/>
<a id="pl.138.35"></a><var>138.35</var>must be staffed by state employees.<br/>
<a id="pl.139.1"></a><var>139.1</var>(4) to continue the operation of the dental <br/>
<a id="pl.139.2"></a><var>139.2</var>clinics in Brainerd, Cambridge, Faribault, <br/>
<a id="pl.139.3"></a><var>139.3</var>Fergus Falls, and Willmar at the same level of <br/>
<a id="pl.139.4"></a><var>139.4</var>care and staffing that was in effect on March <br/>
<a id="pl.139.5"></a><var>139.5</var>1, 2010. The commissioner shall not proceed <br/>
<a id="pl.139.6"></a><var>139.6</var>with the planned closure of the dental <br/>
<a id="pl.139.7"></a><var>139.7</var>clinics, and shall not discontinue services or <br/>
<a id="pl.139.8"></a><var>139.8</var>downsize any of the state-operated dental <br/>
<a id="pl.139.9"></a><var>139.9</var>clinics without specific legislative approval. <br/>
<a id="pl.139.10"></a><var>139.10</var>The commissioner shall continue to bill <br/>
<a id="pl.139.11"></a><var>139.11</var>for services provided to obtain medical <br/>
<a id="pl.139.12"></a><var>139.12</var>assistance critical access dental payments <br/>
<a id="pl.139.13"></a><var>139.13</var>and cost-based payment rates as provided <br/>
<a id="pl.139.14"></a><var>139.14</var>in Minnesota Statutes, section 256B.76, <br/>
<a id="pl.139.15"></a><var>139.15</var>subdivision 2, and shall bill for services <br/>
<a id="pl.139.16"></a><var>139.16</var>provided three months retroactively from <br/>
<a id="pl.139.17"></a><var>139.17</var>the date of this act. This appropriation is <br/>
<a id="pl.139.18"></a><var>139.18</var>onetime;<br/>
<a id="pl.139.19"></a><var>139.19</var>(5) to convert the Minnesota <br/>
<a id="pl.139.20"></a><var>139.20</var>Neurorehabilitation Hospital in Brainerd <br/>
<a id="pl.139.21"></a><var>139.21</var>to a neurocognitive psychiatric extensive <br/>
<a id="pl.139.22"></a><var>139.22</var>recovery treatment service; and<br/>
<a id="pl.139.23"></a><var>139.23</var>(6) to convert the Minnesota extended <br/>
<a id="pl.139.24"></a><var>139.24</var>treatment options (METO) program to <br/>
<a id="pl.139.25"></a><var>139.25</var>the following community-based services <br/>
<a id="pl.139.26"></a><var>139.26</var>provided by state employees: (i) psychiatric <br/>
<a id="pl.139.27"></a><var>139.27</var>extensive recovery treatment services; <br/>
<a id="pl.139.28"></a><var>139.28</var>(ii) intensive transitional foster homes <br/>
<a id="pl.139.29"></a><var>139.29</var>as enterprise activities; and (iii) other <br/>
<a id="pl.139.30"></a><var>139.30</var>community-based support services. The <br/>
<a id="pl.139.31"></a><var>139.31</var>provisions under Minnesota Statutes, section <br/>
<a id="pl.139.32"></a><var>139.32</var>252.025, subdivision 7, are applicable to <br/>
<a id="pl.139.33"></a><var>139.33</var>the METO services established under this <br/>
<a id="pl.139.34"></a><var>139.34</var>clause. Notwithstanding Minnesota Statutes, <br/>
<a id="pl.139.35"></a><var>139.35</var>section 246.18, subdivision 8, any revenue <br/>
<a id="pl.139.36"></a><var>139.36</var>lost to the general fund by the conversion <br/>
<a id="pl.140.1"></a><var>140.1</var>of METO to new services must be replaced <br/>
<a id="pl.140.2"></a><var>140.2</var>by revenue from the new services to offset <br/>
<a id="pl.140.3"></a><var>140.3</var>the lost revenue to the general fund until <br/>
<a id="pl.140.4"></a><var>140.4</var>June 30, 2013. Any revenue generated in <br/>
<a id="pl.140.5"></a><var>140.5</var>excess of this amount shall be deposited into <br/>
<a id="pl.140.6"></a><var>140.6</var>the special revenue fund under Minnesota <br/>
<a id="pl.140.7"></a><var>140.7</var>Statutes, section 246.18, subdivision 8.<br/>
<a id="pl.140.8"></a><var>140.8</var>(b) The commissioner shall not move beds <br/>
<a id="pl.140.9"></a><var>140.9</var>from the Anoka-Metro Regional Treatment <br/>
<a id="pl.140.10"></a><var>140.10</var>Center to the psychiatric nursing facility <br/>
<a id="pl.140.11"></a><var>140.11</var>at St. Peter without specific legislative <br/>
<a id="pl.140.12"></a><var>140.12</var>approval.<br/>
<a id="pl.140.13"></a><var>140.13</var>(c) The commissioner shall implement <br/>
<a id="pl.140.14"></a><var>140.14</var>changes, including the following, to save a <br/>
<a id="pl.140.15"></a><var>140.15</var>minimum of $6,006,000 beginning in fiscal <br/>
<a id="pl.140.16"></a><var>140.16</var>year 2011, and report to the legislature the <br/>
<a id="pl.140.17"></a><var>140.17</var>specific initiatives implemented and the <br/>
<a id="pl.140.18"></a><var>140.18</var>savings allocated to each one, including:<br/>
<a id="pl.140.19"></a><var>140.19</var>(1) maximizing budget savings through <br/>
<a id="pl.140.20"></a><var>140.20</var>strategic employee staffing; and<br/>
<a id="pl.140.21"></a><var>140.21</var>(2) identifying and implementing cost <br/>
<a id="pl.140.22"></a><var>140.22</var>reductions in cooperation with state-operated <br/>
<a id="pl.140.23"></a><var>140.23</var>services employees.<br/>
<a id="pl.140.24"></a><var>140.24</var>Base level funding is reduced by $6,006,000 <br/>
<a id="pl.140.25"></a><var>140.25</var>effective fiscal year 2011.<br/>
<a id="pl.140.26"></a><var>140.26</var>(d) The commissioner shall seek certification <br/>
<a id="pl.140.27"></a><var>140.27</var>or approval from the federal government for <br/>
<a id="pl.140.28"></a><var>140.28</var>the new services under paragraph (a) that are <br/>
<a id="pl.140.29"></a><var>140.29</var>eligible for federal financial participation <br/>
<a id="pl.140.30"></a><var>140.30</var>and deposit the revenue associated with <br/>
<a id="pl.140.31"></a><var>140.31</var>these new services in the account established <br/>
<a id="pl.140.32"></a><var>140.32</var>under Minnesota Statutes, section 246.18, <br/>
<a id="pl.140.33"></a><var>140.33</var>subdivision 8, unless otherwise specified.<br/>
<a id="pl.141.1"></a><var>141.1</var>(e) Notwithstanding any contrary provision <br/>
<a id="pl.141.2"></a><var>141.2</var>in this article, this rider shall not expire.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.141.3"></a><var>141.3</var><br/>
</td>
<td colspan="3">(b) <b>Minnesota Sex Offender Services</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(145,000)<br/>
</td>
</tr>
</table><a id="pl.141.4"></a><var>141.4</var><b>Sex Offender Services.</b> Base level funding <br/>
<a id="pl.141.5"></a><var>141.5</var>for Minnesota sex offender services is <br/>
<a id="pl.141.6"></a><var>141.6</var>reduced by $418,000 in fiscal year 2012 and <br/>
<a id="pl.141.7"></a><var>141.7</var>$419,000 in fiscal year 2013 for the 50-bed <br/>
<a id="pl.141.8"></a><var>141.8</var>sex offender treatment program within the <br/>
<a id="pl.141.9"></a><var>141.9</var>Moose Lake correctional facility in which <br/>
<a id="pl.141.10"></a><var>141.10</var>Department of Human Services staff from <br/>
<a id="pl.141.11"></a><var>141.11</var>Minnesota sex offender services provide <br/>
<a id="pl.141.12"></a><var>141.12</var>clinical treatment to incarcerated offenders. <br/>
<a id="pl.141.13"></a><var>141.13</var>This reduction shall become part of the base <br/>
<a id="pl.141.14"></a><var>141.14</var>for the Department of Human Services.<br/>
<a id="pl.141.15"></a><var>141.15</var><b>Interagency Agreements.</b> The <br/>
<a id="pl.141.16"></a><var>141.16</var>commissioner of human services may <br/>
<a id="pl.141.17"></a><var>141.17</var>enter into interagency agreements with the <br/>
<a id="pl.141.18"></a><var>141.18</var>commissioner of corrections to continue sex <br/>
<a id="pl.141.19"></a><var>141.19</var>offender treatment and chemical dependency <br/>
<a id="pl.141.20"></a><var>141.20</var>treatment on a cost-sharing basis, in which <br/>
<a id="pl.141.21"></a><var>141.21</var>each department pays 50 percent of the costs <br/>
<a id="pl.141.22"></a><var>141.22</var>of these services.<br/>
<br/>
<a id="bill.10.4.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.141.23"></a><var>141.23</var><br/>
</td>
<td colspan="3">Sec. 4. <b>COMMISSIONER OF HEALTH</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.141.24"></a><var>141.24</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(2,392,000)</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(1,310,000)</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.141.25"></a><var>141.25</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.141.26"></a><var>141.26</var><br/>
</td>
<td></td>
<td align="center">2010<br/>
</td>
<td align="center">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.141.27"></a><var>141.27</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">(2,392,000)<br/>
</td>
<td align="right">(1,064,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.141.28"></a><var>141.28</var><br/>
<a id="pl.141.29"></a><var>141.29</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">9,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.141.30"></a><var>141.30</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">237,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.141.31"></a><var>141.31</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Community and Family Health</b><br/>
</td>
<td align="center"></td>
<td align="right">(221,000)<br/>
</td>
<td align="center"></td>
<td align="right">(47,000)<br/>
</td>
</tr>
</table><a id="pl.141.32"></a><var>141.32</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.141.33"></a><var>141.33</var>base is decreased by $388,000 in fiscal years <br/>
<a id="pl.141.34"></a><var>141.34</var>2012 and 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.142.1"></a><var>142.1</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Policy, Quality, and Compliance</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.142.2"></a><var>142.2</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.142.3"></a><var>142.3</var><br/>
</td>
<td></td>
<td align="right">2010<br/>
</td>
<td align="right">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.142.4"></a><var>142.4</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">(1,797,000)<br/>
</td>
<td align="right">497,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.142.5"></a><var>142.5</var><br/>
<a id="pl.142.6"></a><var>142.6</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">9,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.142.7"></a><var>142.7</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">-0-<br/>
</td>
<td align="right">237,000<br/>
</td>
</tr>
</table><a id="pl.142.8"></a><var>142.8</var><b>Health Care Reform.</b> Funds appropriated <br/>
<a id="pl.142.9"></a><var>142.9</var>in Laws 2008, chapter 358, article 5, section <br/>
<a id="pl.142.10"></a><var>142.10</var>4, subdivision 3, for health reform activities <br/>
<a id="pl.142.11"></a><var>142.11</var>to implement Laws 2008, chapter 358, <br/>
<a id="pl.142.12"></a><var>142.12</var>article 4, are available until expended. <br/>
<a id="pl.142.13"></a><var>142.13</var>Notwithstanding any contrary provision in <br/>
<a id="pl.142.14"></a><var>142.14</var>this article, this provision shall not expire.<br/>
<a id="pl.142.15"></a><var>142.15</var><b>Health Care Reform Task Force.</b> $198,000 <br/>
<a id="pl.142.16"></a><var>142.16</var>from the general fund is for expenses related <br/>
<a id="pl.142.17"></a><var>142.17</var>to the Health Care Reform Task Force <br/>
<a id="pl.142.18"></a><var>142.18</var>established under article 7.<br/>
<a id="pl.142.19"></a><var>142.19</var><b>Rural Hospital Capital Improvement </b><br/>
<a id="pl.142.20"></a><var>142.20</var><b>Grants.</b> Of the general fund reductions in <br/>
<a id="pl.142.21"></a><var>142.21</var>fiscal year 2010, $1,755,000 is for the rural <br/>
<a id="pl.142.22"></a><var>142.22</var>hospital capital improvement grant program.<br/>
<a id="pl.142.23"></a><var>142.23</var><b>Section 125 Plans.</b> The remaining balance <br/>
<a id="pl.142.24"></a><var>142.24</var>from the Laws 2008, chapter 358, article 5, <br/>
<a id="pl.142.25"></a><var>142.25</var>section 4, subdivision 3, appropriation for <br/>
<a id="pl.142.26"></a><var>142.26</var>Section 125 Plan Employer Incentives is <br/>
<a id="pl.142.27"></a><var>142.27</var>canceled.<br/>
<a id="pl.142.28"></a><var>142.28</var><b>Birth Centers.</b> Of the appropriation in fiscal <br/>
<a id="pl.142.29"></a><var>142.29</var>year 2011 from the state government special <br/>
<a id="pl.142.30"></a><var>142.30</var>revenue fund, $9,000 is to the commissioner <br/>
<a id="pl.142.31"></a><var>142.31</var>to license birth centers. Base level funding <br/>
<a id="pl.142.32"></a><var>142.32</var>for this activity shall be $7,000 in fiscal year <br/>
<a id="pl.142.33"></a><var>142.33</var>2012 and $7,000 in fiscal year 2013.<br/>
<a id="pl.142.34"></a><var>142.34</var><b>Comprehensive Advanced Life Support </b><br/>
<a id="pl.142.35"></a><var>142.35</var><b>Program.</b> Of the general fund appropriation, <br/>
<a id="pl.143.1"></a><var>143.1</var>$377,000 in fiscal year 2011 is to the <br/>
<a id="pl.143.2"></a><var>143.2</var>commissioner for the comprehensive <br/>
<a id="pl.143.3"></a><var>143.3</var>advanced life support educational program. <br/>
<a id="pl.143.4"></a><var>143.4</var>For fiscal year 2012, base level funding for <br/>
<a id="pl.143.5"></a><var>143.5</var>this program shall be $377,000.<br/>
<a id="pl.143.6"></a><var>143.6</var><b>Advisory Group on Administrative </b><br/>
<a id="pl.143.7"></a><var>143.7</var><b>Expenses.</b> Of the health care access fund <br/>
<a id="pl.143.8"></a><var>143.8</var>appropriation for fiscal year 2011, $39,000 is <br/>
<a id="pl.143.9"></a><var>143.9</var>to the commissioner for the advisory group <br/>
<a id="pl.143.10"></a><var>143.10</var>established under Minnesota Statutes, section <br/>
<a id="pl.143.11"></a><var>143.11</var>62D.31. This is a onetime appropriation.<br/>
<a id="pl.143.12"></a><var>143.12</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.143.13"></a><var>143.13</var>base is decreased by $253,000 in fiscal year <br/>
<a id="pl.143.14"></a><var>143.14</var>2012 and $253,000 in fiscal year 2013. The <br/>
<a id="pl.143.15"></a><var>143.15</var>state government special revenue fund base <br/>
<a id="pl.143.16"></a><var>143.16</var>is decreased by $2,000 in fiscal year 2012 <br/>
<a id="pl.143.17"></a><var>143.17</var>and $2,000 in fiscal year 2013.<br/>
<a id="pl.143.18"></a><var>143.18</var><b>Office of Unlicensed Health Care Practice.</b> <br/>
<a id="pl.143.19"></a><var>143.19</var>Of the general fund appropriation, $74,000 <br/>
<a id="pl.143.20"></a><var>143.20</var>in fiscal year 2011 is for the Office of <br/>
<a id="pl.143.21"></a><var>143.21</var>Unlicensed Complementary and Alternative <br/>
<a id="pl.143.22"></a><var>143.22</var>Health Care Practice. This is a onetime <br/>
<a id="pl.143.23"></a><var>143.23</var>appropriation.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.143.24"></a><var>143.24</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Health Protection</b><br/>
</td>
<td align="center"></td>
<td align="right">(374,000)<br/>
</td>
<td align="center"></td>
<td align="right">714,000<br/>
</td>
</tr>
</table><a id="pl.143.25"></a><var>143.25</var><b>Lead Base Grant Program.</b> Of the general <br/>
<a id="pl.143.26"></a><var>143.26</var>fund reduction, $25,000 in fiscal year 2010 <br/>
<a id="pl.143.27"></a><var>143.27</var>and fiscal year 2011 is for the elimination <br/>
<a id="pl.143.28"></a><var>143.28</var>of state funding for the temporary lead-safe <br/>
<a id="pl.143.29"></a><var>143.29</var>housing base grant program.<br/>
<a id="pl.143.30"></a><var>143.30</var><b>Birth Defects Information System.</b> Of the <br/>
<a id="pl.143.31"></a><var>143.31</var>general fund appropriation for fiscal year <br/>
<a id="pl.143.32"></a><var>143.32</var>2011, $919,000 is for the Minnesota Birth <br/>
<a id="pl.143.33"></a><var>143.33</var>Defects Information System established <br/>
<a id="pl.143.34"></a><var>143.34</var>under Minnesota Statutes, section 144.2215.<br/>
<a id="pl.144.1"></a><var>144.1</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.144.2"></a><var>144.2</var>is increased by $440,000 in fiscal year 2012 <br/>
<a id="pl.144.3"></a><var>144.3</var>and $984,000 in fiscal year 2013. <br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.144.4"></a><var>144.4</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Administrative Support Services</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(100,000)<br/>
</td>
</tr>
</table><a id="pl.144.5"></a><var>144.5</var>The general fund base is decreased by <br/>
<a id="pl.144.6"></a><var>144.6</var>$22,000 in fiscal year 2012 and $22,000 in <br/>
<a id="pl.144.7"></a><var>144.7</var>fiscal year 2013.<br/>
<br/>
<a id="bill.10.5.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.144.8"></a><var>144.8</var><br/>
<a id="pl.144.9"></a><var>144.9</var><br/>
</td>
<td colspan="3">Sec. 5. <b>DEPARTMENT OF VETERANS </b><br/>
<b>AFFAIRS</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(50,000)</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
</tr>
</table><a id="pl.144.10"></a><var>144.10</var><b>Cancellation of Prior Appropriation.</b> <br/>
<a id="pl.144.11"></a><var>144.11</var>By June 30, 2010, the commissioner of <br/>
<a id="pl.144.12"></a><var>144.12</var>management and budget shall cancel the <br/>
<a id="pl.144.13"></a><var>144.13</var>$50,000 appropriation for fiscal year 2008 to <br/>
<a id="pl.144.14"></a><var>144.14</var>the board in Laws 2007, chapter 147, article <br/>
<a id="pl.144.15"></a><var>144.15</var>19, section 5, in the paragraph titled "Pay for <br/>
<a id="pl.144.16"></a><var>144.16</var>Performance."<br/>
<br/>
<a id="bill.10.6.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.144.17"></a><var>144.17</var><br/>
</td>
<td colspan="3">Sec. 6. <b>HEALTH-RELATED BOARDS</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.144.18"></a><var>144.18</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>113,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>615,000</b><br/>
</td>
</tr>
</table><a id="pl.144.19"></a><var>144.19</var>The appropriations in this section are from <br/>
<a id="pl.144.20"></a><var>144.20</var>the state government special revenue fund.<br/>
<a id="pl.144.21"></a><var>144.21</var>In fiscal year 2010, $591,000 shall be <br/>
<a id="pl.144.22"></a><var>144.22</var>transferred from the state government special <br/>
<a id="pl.144.23"></a><var>144.23</var>revenue fund to the general fund. In fiscal <br/>
<a id="pl.144.24"></a><var>144.24</var>year 2011, $3,052,000 shall be transferred <br/>
<a id="pl.144.25"></a><var>144.25</var>from the state government special revenue <br/>
<a id="pl.144.26"></a><var>144.26</var>fund to the general fund. These transfers <br/>
<a id="pl.144.27"></a><var>144.27</var>are in addition to those made in Laws 2009, <br/>
<a id="pl.144.28"></a><var>144.28</var>chapter 79, article 13, section 5, as amended <br/>
<a id="pl.144.29"></a><var>144.29</var>by Laws 2009, chapter 173, article 2, section <br/>
<a id="pl.144.30"></a><var>144.30</var>3.<br/>
<a id="pl.144.31"></a><var>144.31</var>The transfers in this section are onetime in <br/>
<a id="pl.144.32"></a><var>144.32</var>the fiscal year 2010-2011 biennium.<br/>
<a id="pl.145.1"></a><var>145.1</var>The appropriations for each purpose are <br/>
<a id="pl.145.2"></a><var>145.2</var>shown in the following subdivisions.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.145.3"></a><var>145.3</var><br/>
<a id="pl.145.4"></a><var>145.4</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Board of Marriage and Family </b><br/>
<b>Therapy</b><br/>
</td>
<td align="center"></td>
<td align="right">47,000<br/>
</td>
<td align="center"></td>
<td align="right">22,000<br/>
</td>
</tr>
</table><a id="pl.145.5"></a><var>145.5</var><b>Operating Costs and Rulemaking.</b> Of <br/>
<a id="pl.145.6"></a><var>145.6</var>this appropriation, $22,000 in fiscal year <br/>
<a id="pl.145.7"></a><var>145.7</var>2010 and $22,000 in fiscal year 2011 are <br/>
<a id="pl.145.8"></a><var>145.8</var>for operating costs. This is an ongoing <br/>
<a id="pl.145.9"></a><var>145.9</var>appropriation. Of this appropriation, $25,000 <br/>
<a id="pl.145.10"></a><var>145.10</var>in fiscal year 2010 is for rulemaking. This is <br/>
<a id="pl.145.11"></a><var>145.11</var>a onetime appropriation.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.145.12"></a><var>145.12</var><br/>
<a id="pl.145.13"></a><var>145.13</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Board of Nursing Home </b><br/>
<b>Administrators</b><br/>
</td>
<td align="center"></td>
<td align="right">51,000<br/>
</td>
<td align="center"></td>
<td align="right">61,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.145.14"></a><var>145.14</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Board of Pharmacy</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">517,000<br/>
</td>
</tr>
</table><a id="pl.145.15"></a><var>145.15</var><b>Prescription Electronic Reporting.</b> Of <br/>
<a id="pl.145.16"></a><var>145.16</var>the state government special revenue fund <br/>
<a id="pl.145.17"></a><var>145.17</var>appropriation, $517,000 in fiscal year 2011 <br/>
<a id="pl.145.18"></a><var>145.18</var>is to the board to operate the prescription <br/>
<a id="pl.145.19"></a><var>145.19</var>electronic reporting system in Minnesota <br/>
<a id="pl.145.20"></a><var>145.20</var>Statutes, section 152.126. Base level funding <br/>
<a id="pl.145.21"></a><var>145.21</var>for this activity in fiscal year 2012 shall be <br/>
<a id="pl.145.22"></a><var>145.22</var>$356,000.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.145.23"></a><var>145.23</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Board of Podiatry</b><br/>
</td>
<td align="center"></td>
<td align="right">15,000<br/>
</td>
<td align="center"></td>
<td align="right">15,000<br/>
</td>
</tr>
</table><a id="pl.145.24"></a><var>145.24</var><b>Purpose.</b> This appropriation is to pay health <br/>
<a id="pl.145.25"></a><var>145.25</var>insurance coverage costs and to cover the <br/>
<a id="pl.145.26"></a><var>145.26</var>cost of expert witnesses in disciplinary cases.<br/>
<br/>
<a id="bill.10.7.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.6"/>
<col width="12"/>
<tr>
<td><a id="pl.145.27"></a><var>145.27</var><br/>
<a id="pl.145.28"></a><var>145.28</var><br/>
</td>
<td colspan="3">Sec. 7. <b>EMERGENCY MEDICAL SERVICES </b><br/>
<b>BOARD</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>247,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(382,000)</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.10.8.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.6"/>
<col width="12"/>
<tr>
<td><a id="pl.145.29"></a><var>145.29</var><br/>
</td>
<td colspan="3">Sec. 8. <b>UNIVERSITY OF MINNESOTA</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>93,000</b><br/>
</td>
</tr>
</table><a id="pl.145.30"></a><var>145.30</var>This appropriation is from the special <br/>
<a id="pl.145.31"></a><var>145.31</var>revenue fund for the couples on the brink <br/>
<a id="pl.145.32"></a><var>145.32</var>program.<br/>
<br/>
<a id="bill.10.9.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.146.1"></a><var>146.1</var><br/>
</td>
<td colspan="3">Sec. 9. <b>DEPARTMENT OF CORRECTIONS</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
</tr>
</table><a id="pl.146.2"></a><var>146.2</var><b>Sex Offender Services.</b> From the general <br/>
<a id="pl.146.3"></a><var>146.3</var>fund appropriations to the commissioner of <br/>
<a id="pl.146.4"></a><var>146.4</var>corrections, the commissioner shall transfer <br/>
<a id="pl.146.5"></a><var>146.5</var>$418,000 in fiscal year 2012 and $419,000 <br/>
<a id="pl.146.6"></a><var>146.6</var>in fiscal year 2013 to the commissioner of <br/>
<a id="pl.146.7"></a><var>146.7</var>human services to provide clinical treatment <br/>
<a id="pl.146.8"></a><var>146.8</var>to incarcerated offenders. This transfer shall <br/>
<a id="pl.146.9"></a><var>146.9</var>become part of the base for the Department <br/>
<a id="pl.146.10"></a><var>146.10</var>of Corrections.<br/>
<br/>
<a id="bill.10.10.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.146.11"></a><var>146.11</var><br/>
</td>
<td colspan="3">Sec. 10. <b>DEPARTMENT OF COMMERCE</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>-0-</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>38,000</b><br/>
</td>
</tr>
</table><a id="pl.146.12"></a><var>146.12</var><b>Health Plan Filings.</b> Of this appropriation:<br/>
<a id="pl.146.13"></a><var>146.13</var>(1) $19,000 is for the review and approval <br/>
<a id="pl.146.14"></a><var>146.14</var>of new health plan filings due to Minnesota <br/>
<a id="pl.146.15"></a><var>146.15</var>Statutes, section 62Q.545. This is a onetime <br/>
<a id="pl.146.16"></a><var>146.16</var>appropriation in fiscal year 2011; and<br/>
<a id="pl.146.17"></a><var>146.17</var>(2) $19,000 is for regulation of Minnesota <br/>
<a id="pl.146.18"></a><var>146.18</var>Statutes, section 62A.3075.<br/>
<br/>
<a id="bill.10.11.0"></a><a id="pl.146.19"></a><var>146.19</var>    Sec. 11. Minnesota Statutes 2008, section 214.40, subdivision 7, is amended to read:<br/>
<a id="pl.146.20"></a><var>146.20</var>    Subd. 7. <b>Medical professional liability insurance.</b> (a) Within the limit of funds <br/>
<a id="pl.146.21"></a><var>146.21</var>appropriated for this program, the administrative services unit must purchase medical <br/>
<a id="pl.146.22"></a><var>146.22</var>professional liability insurance, if available, for a health care provider who is registered in <br/>
<a id="pl.146.23"></a><var>146.23</var>accordance with subdivision 4 and who is not otherwise covered by a medical professional <br/>
<a id="pl.146.24"></a><var>146.24</var>liability insurance policy or self-insured plan either personally or through another facility <br/>
<a id="pl.146.25"></a><var>146.25</var>or employer. The administrative services unit is authorized to prorate payments or <br/>
<a id="pl.146.26"></a><var>146.26</var>otherwise limit the number of participants in the program if the costs of the insurance for <br/>
<a id="pl.146.27"></a><var>146.27</var>eligible providers exceed the funds appropriated for the program.<br/>
<a id="pl.146.28"></a><var>146.28</var>(b) Coverage purchased under this subdivision must be limited to the provision of <br/>
<a id="pl.146.29"></a><var>146.29</var>health care services performed by the provider for which the provider does not receive <br/>
<a id="pl.146.30"></a><var>146.30</var>direct monetary compensation.<br/>
<a id="pl.146.31"></a><var>146.31</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.10.12.0"></a><a id="pl.147.1"></a><var>147.1</var>    Sec. 12. Laws 2009, chapter 79, article 13, section 3, subdivision 1, as amended by <br/>
<a id="pl.147.2"></a><var>147.2</var>Laws 2009, chapter 173, article 2, section 1, subdivision 1, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.147.3"></a><var>147.3</var><br/>
</td>
<td align="left" colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>5,225,451,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>6,002,864,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.147.4"></a><var>147.4</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.5"></a><var>147.5</var><br/>
</td>
<td align="left"></td>
<td align="center">2010<br/>
</td>
<td align="center">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.6"></a><var>147.6</var><br/>
</td>
<td align="left">General<br/>
</td>
<td align="right">4,375,689,000<br/>
</td>
<td align="right">5,209,765,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.7"></a><var>147.7</var><br/>
<a id="pl.147.8"></a><var>147.8</var><br/>
</td>
<td align="left">State Government <br/>
                  		Special Revenue<br/>
</td>
<td align="right">565,000<br/>
</td>
<td align="right">565,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.9"></a><var>147.9</var><br/>
</td>
<td align="left">Health Care Access<br/>
</td>
<td align="right">450,662,000<br/>
</td>
<td align="right">527,411,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.10"></a><var>147.10</var><br/>
</td>
<td align="left">Federal TANF<br/>
</td>
<td align="right">286,770,000<br/>
</td>
<td align="right">263,458,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.11"></a><var>147.11</var><br/>
</td>
<td align="left">Lottery Prize<br/>
</td>
<td align="right">1,665,000<br/>
</td>
<td align="right">1,665,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.147.12"></a><var>147.12</var><br/>
</td>
<td align="left">Federal Fund<br/>
</td>
<td align="right">110,000,000<br/>
</td>
<td align="right">0<br/>
</td>
</tr>
</table><a id="pl.147.13"></a><var>147.13</var><b>Receipts for Systems Projects.</b> <br/>
<a id="pl.147.14"></a><var>147.14</var>Appropriations and federal receipts for <br/>
<a id="pl.147.15"></a><var>147.15</var>information systems projects for MAXIS, <br/>
<a id="pl.147.16"></a><var>147.16</var>PRISM, MMIS, and SSIS must be deposited <br/>
<a id="pl.147.17"></a><var>147.17</var>in the state system account authorized in <br/>
<a id="pl.147.18"></a><var>147.18</var>Minnesota Statutes, section 
         <statute_ref>256.014</statute_ref>. Money <br/>
<a id="pl.147.19"></a><var>147.19</var>appropriated for computer projects approved <br/>
<a id="pl.147.20"></a><var>147.20</var>by the Minnesota Office of Enterprise <br/>
<a id="pl.147.21"></a><var>147.21</var>Technology, funded by the legislature, and <br/>
<a id="pl.147.22"></a><var>147.22</var>approved by the commissioner of finance, <br/>
<a id="pl.147.23"></a><var>147.23</var>may be transferred from one project to <br/>
<a id="pl.147.24"></a><var>147.24</var>another and from development to operations <br/>
<a id="pl.147.25"></a><var>147.25</var>as the commissioner of human services <br/>
<a id="pl.147.26"></a><var>147.26</var>considers necessary, except that any transfers <br/>
<a id="pl.147.27"></a><var>147.27</var>to one project that exceed $1,000,000 or <br/>
<a id="pl.147.28"></a><var>147.28</var>multiple transfers to one project that exceed <br/>
<a id="pl.147.29"></a><var>147.29</var>$1,000,000 in total require the express <br/>
<a id="pl.147.30"></a><var>147.30</var>approval of the legislature. The preceding <br/>
<a id="pl.147.31"></a><var>147.31</var>requirement for legislative approval does not <br/>
<a id="pl.147.32"></a><var>147.32</var>apply to transfers made to establish a project's <br/>
<a id="pl.147.33"></a><var>147.33</var>initial operating budget each year; instead, <br/>
<a id="pl.147.34"></a><var>147.34</var>the requirements of section 11, subdivision <br/>
<a id="pl.147.35"></a><var>147.35</var>2, of this article apply to those transfers. Any <br/>
<a id="pl.147.36"></a><var>147.36</var>unexpended balance in the appropriation <br/>
<a id="pl.147.37"></a><var>147.37</var>for these projects does not cancel but is <br/>
<a id="pl.148.1"></a><var>148.1</var>available for ongoing development and <br/>
<a id="pl.148.2"></a><var>148.2</var>operations. Any computer project with a <br/>
<a id="pl.148.3"></a><var>148.3</var>total cost exceeding $1,000,000, including, <br/>
<a id="pl.148.4"></a><var>148.4</var>but not limited to, a replacement for the <br/>
<a id="pl.148.5"></a><var>148.5</var>proposed HealthMatch system, shall not be <br/>
<a id="pl.148.6"></a><var>148.6</var>commenced without the express approval of <br/>
<a id="pl.148.7"></a><var>148.7</var>the legislature.<br/>
<a id="pl.148.8"></a><var>148.8</var><b>HealthMatch Systems Project.</b> In fiscal <br/>
<a id="pl.148.9"></a><var>148.9</var>year 2010, $3,054,000 shall be transferred <br/>
<a id="pl.148.10"></a><var>148.10</var>from the HealthMatch account in the state <br/>
<a id="pl.148.11"></a><var>148.11</var>systems account in the special revenue fund <br/>
<a id="pl.148.12"></a><var>148.12</var>to the general fund.<br/>
<a id="pl.148.13"></a><var>148.13</var><b>Nonfederal Share Transfers.</b> The <br/>
<a id="pl.148.14"></a><var>148.14</var>nonfederal share of activities for which <br/>
<a id="pl.148.15"></a><var>148.15</var>federal administrative reimbursement is <br/>
<a id="pl.148.16"></a><var>148.16</var>appropriated to the commissioner may be <br/>
<a id="pl.148.17"></a><var>148.17</var>transferred to the special revenue fund.<br/>
<a id="pl.148.18"></a><var>148.18</var><b>TANF Maintenance of Effort.</b><br/>
<a id="pl.148.19"></a><var>148.19</var>(a) In order to meet the basic maintenance <br/>
<a id="pl.148.20"></a><var>148.20</var>of effort (MOE) requirements of the TANF <br/>
<a id="pl.148.21"></a><var>148.21</var>block grant specified under Code of Federal <br/>
<a id="pl.148.22"></a><var>148.22</var>Regulations, title 45, section 263.1, the <br/>
<a id="pl.148.23"></a><var>148.23</var>commissioner may only report nonfederal <br/>
<a id="pl.148.24"></a><var>148.24</var>money expended for allowable activities <br/>
<a id="pl.148.25"></a><var>148.25</var>listed in the following clauses as TANF/MOE <br/>
<a id="pl.148.26"></a><var>148.26</var>expenditures:<br/>
<a id="pl.148.27"></a><var>148.27</var>(1) MFIP cash, diversionary work program, <br/>
<a id="pl.148.28"></a><var>148.28</var>and food assistance benefits under Minnesota <br/>
<a id="pl.148.29"></a><var>148.29</var>Statutes, chapter 256J;<br/>
<a id="pl.148.30"></a><var>148.30</var>(2) the child care assistance programs <br/>
<a id="pl.148.31"></a><var>148.31</var>under Minnesota Statutes, sections 
         <statute_ref>119B.03</statute_ref> <br/>
<a id="pl.148.32"></a><var>148.32</var>and 
         <statute_ref>119B.05</statute_ref>, and county child care <br/>
<a id="pl.148.33"></a><var>148.33</var>administrative costs under Minnesota <br/>
<a id="pl.148.34"></a><var>148.34</var>Statutes, section 
         <statute_ref>119B.15</statute_ref>;<br/>
<a id="pl.149.1"></a><var>149.1</var>(3) state and county MFIP administrative <br/>
<a id="pl.149.2"></a><var>149.2</var>costs under Minnesota Statutes, chapters <br/>
<a id="pl.149.3"></a><var>149.3</var>256J and 256K;<br/>
<a id="pl.149.4"></a><var>149.4</var>(4) state, county, and tribal MFIP <br/>
<a id="pl.149.5"></a><var>149.5</var>employment services under Minnesota <br/>
<a id="pl.149.6"></a><var>149.6</var>Statutes, chapters 256J and 256K;<br/>
<a id="pl.149.7"></a><var>149.7</var>(5) expenditures made on behalf of <br/>
<a id="pl.149.8"></a><var>149.8</var>noncitizen MFIP recipients who qualify <br/>
<a id="pl.149.9"></a><var>149.9</var>for the medical assistance without federal <br/>
<a id="pl.149.10"></a><var>149.10</var>financial participation program under <br/>
<a id="pl.149.11"></a><var>149.11</var>Minnesota Statutes, section 
         <statute_ref>256B.06, <br/>
<a id="pl.149.12"></a><var>149.12</var>subdivision 4
         </statute_ref>, paragraphs (d), (e), and (j); <br/>
<a id="pl.149.13"></a><var>149.13</var>and<br/>
<a id="pl.149.14"></a><var>149.14</var>(6) qualifying working family credit <br/>
<a id="pl.149.15"></a><var>149.15</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.149.16"></a><var>149.16</var>section 
         <statute_ref>290.0671</statute_ref>.; and<br/>
<a id="pl.149.17"></a><var>149.17</var>(7) qualifying Minnesota education credit <br/>
<a id="pl.149.18"></a><var>149.18</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.149.19"></a><var>149.19</var>section 290.0674.<br/>
<a id="pl.149.20"></a><var>149.20</var>(b) The commissioner shall ensure that <br/>
<a id="pl.149.21"></a><var>149.21</var>sufficient qualified nonfederal expenditures <br/>
<a id="pl.149.22"></a><var>149.22</var>are made each year to meet the state's <br/>
<a id="pl.149.23"></a><var>149.23</var>TANF/MOE requirements. For the activities <br/>
<a id="pl.149.24"></a><var>149.24</var>listed in paragraph (a), clauses (2) to <br/>
<a id="pl.149.25"></a><var>149.25</var>(6), the commissioner may only report <br/>
<a id="pl.149.26"></a><var>149.26</var>expenditures that are excluded from the <br/>
<a id="pl.149.27"></a><var>149.27</var>definition of assistance under Code of <br/>
<a id="pl.149.28"></a><var>149.28</var>Federal Regulations, title 45, section 
         <statute_ref>260.31</statute_ref>.<br/>
<a id="pl.149.29"></a><var>149.29</var>(c) For fiscal years beginning with state <br/>
<a id="pl.149.30"></a><var>149.30</var>fiscal year 2003, the commissioner shall <br/>
<a id="pl.149.31"></a><var>149.31</var>ensure that the maintenance of effort used <br/>
<a id="pl.149.32"></a><var>149.32</var>by the commissioner of finance for the <br/>
<a id="pl.149.33"></a><var>149.33</var>February and November forecasts required <br/>
<a id="pl.149.34"></a><var>149.34</var>under Minnesota Statutes, section 
         <statute_ref>16A.103</statute_ref>, <br/>
<a id="pl.150.1"></a><var>150.1</var>contains expenditures under paragraph (a), <br/>
<a id="pl.150.2"></a><var>150.2</var>clause (1), equal to at least 16 percent of <br/>
<a id="pl.150.3"></a><var>150.3</var>the total required under Code of Federal <br/>
<a id="pl.150.4"></a><var>150.4</var>Regulations, title 45, section 263.1.<br/>
<a id="pl.150.5"></a><var>150.5</var>(d) For the federal fiscal years beginning on <br/>
<a id="pl.150.6"></a><var>150.6</var>or after October 1, 2007, the commissioner <br/>
<a id="pl.150.7"></a><var>150.7</var>may not claim an amount of TANF/MOE in <br/>
<a id="pl.150.8"></a><var>150.8</var>excess of the 75 percent standard in Code <br/>
<a id="pl.150.9"></a><var>150.9</var>of Federal Regulations, title 45, section <br/>
<a id="pl.150.10"></a><var>150.10</var>263.1(a)(2), except:<br/>
<a id="pl.150.11"></a><var>150.11</var>(1) to the extent necessary to meet the 80 <br/>
<a id="pl.150.12"></a><var>150.12</var>percent standard under Code of Federal <br/>
<a id="pl.150.13"></a><var>150.13</var>Regulations, title 45, section 263.1(a)(1), <br/>
<a id="pl.150.14"></a><var>150.14</var>if it is determined by the commissioner <br/>
<a id="pl.150.15"></a><var>150.15</var>that the state will not meet the TANF work <br/>
<a id="pl.150.16"></a><var>150.16</var>participation target rate for the current year;<br/>
<a id="pl.150.17"></a><var>150.17</var>(2) to provide any additional amounts <br/>
<a id="pl.150.18"></a><var>150.18</var>under Code of Federal Regulations, title 45, <br/>
<a id="pl.150.19"></a><var>150.19</var>section 264.5, that relate to replacement of <br/>
<a id="pl.150.20"></a><var>150.20</var>TANF funds due to the operation of TANF <br/>
<a id="pl.150.21"></a><var>150.21</var>penalties; and<br/>
<a id="pl.150.22"></a><var>150.22</var>(3) to provide any additional amounts that <br/>
<a id="pl.150.23"></a><var>150.23</var>may contribute to avoiding or reducing <br/>
<a id="pl.150.24"></a><var>150.24</var>TANF work participation penalties through <br/>
<a id="pl.150.25"></a><var>150.25</var>the operation of the excess MOE provisions <br/>
<a id="pl.150.26"></a><var>150.26</var>of Code of Federal Regulations, title 45, <br/>
<a id="pl.150.27"></a><var>150.27</var>section 
         <statute_ref>261.43 </statute_ref>(a)(2).<br/>
<a id="pl.150.28"></a><var>150.28</var>For the purposes of clauses (1) to (3), <br/>
<a id="pl.150.29"></a><var>150.29</var>the commissioner may supplement the <br/>
<a id="pl.150.30"></a><var>150.30</var>MOE claim with working family credit <br/>
<a id="pl.150.31"></a><var>150.31</var>expenditures to the extent such expenditures <br/>
<a id="pl.150.32"></a><var>150.32</var>or other qualified expenditures are otherwise <br/>
<a id="pl.150.33"></a><var>150.33</var>available after considering the expenditures <br/>
<a id="pl.150.34"></a><var>150.34</var>allowed in this section.<br/>
<a id="pl.151.1"></a><var>151.1</var>(e) Minnesota Statutes, section 
         <statute_ref>256.011, <br/>
<a id="pl.151.2"></a><var>151.2</var>subdivision 3
         </statute_ref>, which requires that federal <br/>
<a id="pl.151.3"></a><var>151.3</var>grants or aids secured or obtained under that <br/>
<a id="pl.151.4"></a><var>151.4</var>subdivision be used to reduce any direct <br/>
<a id="pl.151.5"></a><var>151.5</var>appropriations provided by law, do not apply <br/>
<a id="pl.151.6"></a><var>151.6</var>if the grants or aids are federal TANF funds.<br/>
<a id="pl.151.7"></a><var>151.7</var>(f) Notwithstanding any contrary provision <br/>
<a id="pl.151.8"></a><var>151.8</var>in this article, this provision expires June 30, <br/>
<a id="pl.151.9"></a><var>151.9</var>2013.<br/>
<a id="pl.151.10"></a><var>151.10</var><b>Working Family Credit Expenditures as </b><br/>
<a id="pl.151.11"></a><var>151.11</var><b>TANF/MOE.</b> The commissioner may claim <br/>
<a id="pl.151.12"></a><var>151.12</var>as TANF/MOE up to $6,707,000 per year of <br/>
<a id="pl.151.13"></a><var>151.13</var>working family credit expenditures for fiscal <br/>
<a id="pl.151.14"></a><var>151.14</var>year 2010 through fiscal year 2011.<br/>
<a id="pl.151.15"></a><var>151.15</var><b>Working Family Credit Expenditures </b><br/>
<a id="pl.151.16"></a><var>151.16</var><b>to be Claimed for TANF/MOE.</b> The <br/>
<a id="pl.151.17"></a><var>151.17</var>commissioner may count the following <br/>
<a id="pl.151.18"></a><var>151.18</var>amounts of working family credit expenditure <br/>
<a id="pl.151.19"></a><var>151.19</var>as TANF/MOE:<br/>
<a id="pl.151.20"></a><var>151.20</var>(1) fiscal year 2010, $50,973,000 <br/>
<a id="pl.151.21"></a><var>151.21</var>$50,897,000;<br/>
<a id="pl.151.22"></a><var>151.22</var>(2) fiscal year 2011, $53,793,000 <br/>
<a id="pl.151.23"></a><var>151.23</var>$54,243,000;<br/>
<a id="pl.151.24"></a><var>151.24</var>(3) fiscal year 2012, $23,516,000 <br/>
<a id="pl.151.25"></a><var>151.25</var>$23,345,000; and<br/>
<a id="pl.151.26"></a><var>151.26</var>(4) fiscal year 2013, $16,808,000 <br/>
<a id="pl.151.27"></a><var>151.27</var>$16,585,000.<br/>
<a id="pl.151.28"></a><var>151.28</var>Notwithstanding any contrary provision in <br/>
<a id="pl.151.29"></a><var>151.29</var>this article, this rider expires June 30, 2013.<br/>
<a id="pl.151.30"></a><var>151.30</var><b>Food Stamps Employment and Training.</b> <br/>
<a id="pl.151.31"></a><var>151.31</var>(a) The commissioner shall apply for and <br/>
<a id="pl.151.32"></a><var>151.32</var>claim the maximum allowable federal <br/>
<a id="pl.151.33"></a><var>151.33</var>matching funds under United States Code, <br/>
<a id="pl.152.1"></a><var>152.1</var>title 7, section 2025, paragraph (h), for <br/>
<a id="pl.152.2"></a><var>152.2</var>state expenditures made on behalf of family <br/>
<a id="pl.152.3"></a><var>152.3</var>stabilization services participants voluntarily <br/>
<a id="pl.152.4"></a><var>152.4</var>engaged in food stamp employment and <br/>
<a id="pl.152.5"></a><var>152.5</var>training activities, where appropriate.<br/>
<a id="pl.152.6"></a><var>152.6</var>(b) Notwithstanding Minnesota Statutes, <br/>
<a id="pl.152.7"></a><var>152.7</var>sections 
         <statute_ref>256D.051, subdivisions 1a</statute_ref>, 6b, <br/>
<a id="pl.152.8"></a><var>152.8</var>and 6c, and 
         <statute_ref>256J.626</statute_ref>, federal food stamps <br/>
<a id="pl.152.9"></a><var>152.9</var>employment and training funds received <br/>
<a id="pl.152.10"></a><var>152.10</var>as reimbursement of MFIP consolidated <br/>
<a id="pl.152.11"></a><var>152.11</var>fund grant expenditures for diversionary <br/>
<a id="pl.152.12"></a><var>152.12</var>work program participants and child <br/>
<a id="pl.152.13"></a><var>152.13</var>care assistance program expenditures for <br/>
<a id="pl.152.14"></a><var>152.14</var>two-parent families must be deposited in the <br/>
<a id="pl.152.15"></a><var>152.15</var>general fund. The amount of funds must be <br/>
<a id="pl.152.16"></a><var>152.16</var>limited to $3,350,000 in fiscal year 2010 <br/>
<a id="pl.152.17"></a><var>152.17</var>and $4,440,000 in fiscal years 2011 through <br/>
<a id="pl.152.18"></a><var>152.18</var>2013, contingent on approval by the federal <br/>
<a id="pl.152.19"></a><var>152.19</var>Food and Nutrition Service. <br/>
<a id="pl.152.20"></a><var>152.20</var>(c) Consistent with the receipt of these federal <br/>
<a id="pl.152.21"></a><var>152.21</var>funds, the commissioner may adjust the <br/>
<a id="pl.152.22"></a><var>152.22</var>level of working family credit expenditures <br/>
<a id="pl.152.23"></a><var>152.23</var>claimed as TANF maintenance of effort. <br/>
<a id="pl.152.24"></a><var>152.24</var>Notwithstanding any contrary provision in <br/>
<a id="pl.152.25"></a><var>152.25</var>this article, this rider expires June 30, 2013.<br/>
<a id="pl.152.26"></a><var>152.26</var><b>ARRA Food Support Administration.</b> <br/>
<a id="pl.152.27"></a><var>152.27</var>The funds available for food support <br/>
<a id="pl.152.28"></a><var>152.28</var>administration under the American Recovery <br/>
<a id="pl.152.29"></a><var>152.29</var>and Reinvestment Act (ARRA) of 2009 <br/>
<a id="pl.152.30"></a><var>152.30</var>are appropriated to the commissioner <br/>
<a id="pl.152.31"></a><var>152.31</var>to pay actual costs of implementing the <br/>
<a id="pl.152.32"></a><var>152.32</var>food support benefit increases, increased <br/>
<a id="pl.152.33"></a><var>152.33</var>eligibility determinations, and outreach. Of <br/>
<a id="pl.152.34"></a><var>152.34</var>these funds, 20 percent shall be allocated <br/>
<a id="pl.152.35"></a><var>152.35</var>to the commissioner and 80 percent shall <br/>
<a id="pl.153.1"></a><var>153.1</var>be allocated to counties. The commissioner <br/>
<a id="pl.153.2"></a><var>153.2</var>shall allocate the county portion based on <br/>
<a id="pl.153.3"></a><var>153.3</var>caseload. Reimbursement shall be based on <br/>
<a id="pl.153.4"></a><var>153.4</var>actual costs reported by counties through <br/>
<a id="pl.153.5"></a><var>153.5</var>existing processes. Tribal reimbursement <br/>
<a id="pl.153.6"></a><var>153.6</var>must be made from the state portion based <br/>
<a id="pl.153.7"></a><var>153.7</var>on a caseload factor equivalent to that of a <br/>
<a id="pl.153.8"></a><var>153.8</var>county.<br/>
<a id="pl.153.9"></a><var>153.9</var><b>ARRA Food Support Benefit Increases.</b> <br/>
<a id="pl.153.10"></a><var>153.10</var>The funds provided for food support benefit <br/>
<a id="pl.153.11"></a><var>153.11</var>increases under the Supplemental Nutrition <br/>
<a id="pl.153.12"></a><var>153.12</var>Assistance Program provisions of the <br/>
<a id="pl.153.13"></a><var>153.13</var>American Recovery and Reinvestment Act <br/>
<a id="pl.153.14"></a><var>153.14</var>(ARRA) of 2009 must be used for benefit <br/>
<a id="pl.153.15"></a><var>153.15</var>increases beginning July 1, 2009.<br/>
<a id="pl.153.16"></a><var>153.16</var><b>Emergency Fund for the TANF Program.</b> <br/>
<a id="pl.153.17"></a><var>153.17</var>TANF Emergency Contingency funds <br/>
<a id="pl.153.18"></a><var>153.18</var>available under the American Recovery <br/>
<a id="pl.153.19"></a><var>153.19</var>and Reinvestment Act of 2009 (Public Law <br/>
<a id="pl.153.20"></a><var>153.20</var>111-5) are appropriated to the commissioner. <br/>
<a id="pl.153.21"></a><var>153.21</var>The commissioner must request TANF <br/>
<a id="pl.153.22"></a><var>153.22</var>Emergency Contingency funds from the <br/>
<a id="pl.153.23"></a><var>153.23</var>Secretary of the Department of Health <br/>
<a id="pl.153.24"></a><var>153.24</var>and Human Services to the extent the <br/>
<a id="pl.153.25"></a><var>153.25</var>commissioner meets or expects to meet the <br/>
<a id="pl.153.26"></a><var>153.26</var>requirements of section 403(c) of the Social <br/>
<a id="pl.153.27"></a><var>153.27</var>Security Act. The commissioner must seek <br/>
<a id="pl.153.28"></a><var>153.28</var>to maximize such grants. The funds received <br/>
<a id="pl.153.29"></a><var>153.29</var>must be used as appropriated. Each county <br/>
<a id="pl.153.30"></a><var>153.30</var>must maintain the county's current level of <br/>
<a id="pl.153.31"></a><var>153.31</var>emergency assistance funding under the <br/>
<a id="pl.153.32"></a><var>153.32</var>MFIP consolidated fund and use the funds <br/>
<a id="pl.153.33"></a><var>153.33</var>under this paragraph to supplement existing <br/>
<a id="pl.153.34"></a><var>153.34</var>emergency assistance funding levels.<br/>
<br/>
<a id="bill.10.13.0"></a><a id="pl.154.1"></a><var>154.1</var>    Sec. 13. Laws 2009, chapter 79, article 13, section 3, subdivision 3, as amended by <br/>
<a id="pl.154.2"></a><var>154.2</var>Laws 2009, chapter 173, article 2, section 1, subdivision 3, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.154.3"></a><var>154.3</var><br/>
<a id="pl.154.4"></a><var>154.4</var><br/>
</td>
<td align="left" colspan="3">Subd. 3.<b>Revenue and Pass-Through Revenue </b><br/>
<b>Expenditures</b><br/>
</td>
<td align="center"></td>
<td align="right">68,337,000<br/>
</td>
<td align="center"></td>
<td align="right">70,505,000<br/>
</td>
</tr>
</table><a id="pl.154.5"></a><var>154.5</var>This appropriation is from the federal TANF <br/>
<a id="pl.154.6"></a><var>154.6</var>fund.<br/>
<a id="pl.154.7"></a><var>154.7</var><b>TANF Transfer to Federal Child Care </b><br/>
<a id="pl.154.8"></a><var>154.8</var><b>and Development Fund.</b> The following <br/>
<a id="pl.154.9"></a><var>154.9</var>TANF fund amounts are appropriated to the <br/>
<a id="pl.154.10"></a><var>154.10</var>commissioner for the purposes of MFIP and <br/>
<a id="pl.154.11"></a><var>154.11</var>transition year child care under Minnesota <br/>
<a id="pl.154.12"></a><var>154.12</var>Statutes, section 
         <statute_ref>119B.05</statute_ref>: <br/>
<a id="pl.154.13"></a><var>154.13</var>(1) fiscal year 2010, $6,531,000 $862,000;<br/>
<a id="pl.154.14"></a><var>154.14</var>(2) fiscal year 2011, $10,241,000 $978,000;<br/>
<a id="pl.154.15"></a><var>154.15</var>(3) fiscal year 2012, $10,826,000 $0; and<br/>
<a id="pl.154.16"></a><var>154.16</var>(4) fiscal year 2013, $4,046,000 $0.<br/>
<a id="pl.154.17"></a><var>154.17</var>The commissioner shall authorize the <br/>
<a id="pl.154.18"></a><var>154.18</var>transfer of sufficient TANF funds to the <br/>
<a id="pl.154.19"></a><var>154.19</var>federal child care and development fund to <br/>
<a id="pl.154.20"></a><var>154.20</var>meet this appropriation and shall ensure that <br/>
<a id="pl.154.21"></a><var>154.21</var>all transferred funds are expended according <br/>
<a id="pl.154.22"></a><var>154.22</var>to federal child care and development fund <br/>
<a id="pl.154.23"></a><var>154.23</var>regulations.<br/>
<br/>
<a id="bill.10.14.0"></a><a id="pl.154.24"></a><var>154.24</var>    Sec. 14. Laws 2009, chapter 79, article 13, section 3, subdivision 4, as amended by <br/>
<a id="pl.154.25"></a><var>154.25</var>Laws 2009, chapter 173, article 2, section 1, subdivision 4, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.154.26"></a><var>154.26</var><br/>
<a id="pl.154.27"></a><var>154.27</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Children and Economic Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.154.28"></a><var>154.28</var>The amounts that may be spent from this <br/>
<a id="pl.154.29"></a><var>154.29</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.154.30"></a><var>154.30</var><br/>
</td>
<td colspan="3"><b>(a) MFIP/DWP Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.155.1"></a><var>155.1</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.155.2"></a><var>155.2</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">63,205,000<br/>
</td>
<td align="right">89,033,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.155.3"></a><var>155.3</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">100,818,000<br/>
</td>
<td align="right">84,538,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.155.4"></a><var>155.4</var><br/>
</td>
<td colspan="3"><b>(b) Support Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.155.5"></a><var>155.5</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.155.6"></a><var>155.6</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">8,715,000<br/>
</td>
<td align="right">12,498,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.155.7"></a><var>155.7</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">116,557,000<br/>
</td>
<td align="right">107,457,000<br/>
</td>
</tr>
</table><a id="pl.155.8"></a><var>155.8</var><b>MFIP Consolidated Fund.</b> The MFIP <br/>
<a id="pl.155.9"></a><var>155.9</var>consolidated fund TANF appropriation is <br/>
<a id="pl.155.10"></a><var>155.10</var>reduced by $1,854,000 in fiscal year 2010 <br/>
<a id="pl.155.11"></a><var>155.11</var>and fiscal year 2011.<br/>
<a id="pl.155.12"></a><var>155.12</var>Notwithstanding Minnesota Statutes, section <br/>
<statute_ref><a id="pl.155.13"></a><var>155.13</var>256J.626, subdivision 8
         </statute_ref>, paragraph (b), the <br/>
<a id="pl.155.14"></a><var>155.14</var>commissioner shall reduce proportionately <br/>
<a id="pl.155.15"></a><var>155.15</var>the reimbursement to counties for <br/>
<a id="pl.155.16"></a><var>155.16</var>administrative expenses.<br/>
<a id="pl.155.17"></a><var>155.17</var><b>Subsidized Employment Funding Through </b><br/>
<a id="pl.155.18"></a><var>155.18</var><b>ARRA.</b> The commissioner is authorized to <br/>
<a id="pl.155.19"></a><var>155.19</var>apply for TANF emergency fund grants for <br/>
<a id="pl.155.20"></a><var>155.20</var>subsidized employment activities. Growth <br/>
<a id="pl.155.21"></a><var>155.21</var>in expenditures for subsidized employment <br/>
<a id="pl.155.22"></a><var>155.22</var>within the supported work program and the <br/>
<a id="pl.155.23"></a><var>155.23</var>MFIP consolidated fund over the amount <br/>
<a id="pl.155.24"></a><var>155.24</var>expended in the calendar quarters in the <br/>
<a id="pl.155.25"></a><var>155.25</var>TANF emergency fund base year shall be <br/>
<a id="pl.155.26"></a><var>155.26</var>used to leverage the TANF emergency fund <br/>
<a id="pl.155.27"></a><var>155.27</var>grants for subsidized employment and to <br/>
<a id="pl.155.28"></a><var>155.28</var>fund supported work. The commissioner <br/>
<a id="pl.155.29"></a><var>155.29</var>shall develop procedures to maximize <br/>
<a id="pl.155.30"></a><var>155.30</var>reimbursement of these expenditures over the <br/>
<a id="pl.155.31"></a><var>155.31</var>TANF emergency fund base year quarters, <br/>
<a id="pl.155.32"></a><var>155.32</var>and may contract directly with employers <br/>
<a id="pl.155.33"></a><var>155.33</var>and providers to maximize these TANF <br/>
<a id="pl.155.34"></a><var>155.34</var>emergency fund grants, including provisions <br/>
<a id="pl.155.35"></a><var>155.35</var>of TANF summer youth program wage <br/>
<a id="pl.156.1"></a><var>156.1</var>subsidies for MFIP youth and caregivers. <br/>
<a id="pl.156.2"></a><var>156.2</var>MFIP youth are individuals up to age 25 who <br/>
<a id="pl.156.3"></a><var>156.3</var>are part of an eligible household as defined <br/>
<a id="pl.156.4"></a><var>156.4</var>under rules governing TANF maintenance <br/>
<a id="pl.156.5"></a><var>156.5</var>of effort with incomes less than 200 percent <br/>
<a id="pl.156.6"></a><var>156.6</var>of federal poverty guidelines. Expenditures <br/>
<a id="pl.156.7"></a><var>156.7</var>may only be used for subsidized wages and <br/>
<a id="pl.156.8"></a><var>156.8</var>benefits and eligible training and supervision <br/>
<a id="pl.156.9"></a><var>156.9</var>expenditures. The commissioner shall <br/>
<a id="pl.156.10"></a><var>156.10</var>contract with the Minnesota Department of <br/>
<a id="pl.156.11"></a><var>156.11</var>Employment and Economic Development <br/>
<a id="pl.156.12"></a><var>156.12</var>for the summer youth program. The <br/>
<a id="pl.156.13"></a><var>156.13</var>commissioner shall develop procedures <br/>
<a id="pl.156.14"></a><var>156.14</var>to maximize reimbursement of these <br/>
<a id="pl.156.15"></a><var>156.15</var>expenditures over the TANF emergency fund <br/>
<a id="pl.156.16"></a><var>156.16</var>year quarters. No more than $6,000,000 shall <br/>
<a id="pl.156.17"></a><var>156.17</var>be reimbursed. This provision is effective <br/>
<a id="pl.156.18"></a><var>156.18</var>upon enactment.<br/>
<a id="pl.156.19"></a><var>156.19</var><b>Supported Work.</b> Of the TANF <br/>
<a id="pl.156.20"></a><var>156.20</var>appropriation, $4,700,000 in fiscal year 2010 <br/>
<a id="pl.156.21"></a><var>156.21</var>and $4,700,000 in fiscal year 2011 are to the <br/>
<a id="pl.156.22"></a><var>156.22</var>commissioner for supported work for MFIP <br/>
<a id="pl.156.23"></a><var>156.23</var>recipients and is available until expended. <br/>
<a id="pl.156.24"></a><var>156.24</var>Supported work includes paid transitional <br/>
<a id="pl.156.25"></a><var>156.25</var>work experience and a continuum of <br/>
<a id="pl.156.26"></a><var>156.26</var>employment assistance, including outreach <br/>
<a id="pl.156.27"></a><var>156.27</var>and recruitment, program orientation <br/>
<a id="pl.156.28"></a><var>156.28</var>and intake, testing and assessment, job <br/>
<a id="pl.156.29"></a><var>156.29</var>development and marketing, preworksite <br/>
<a id="pl.156.30"></a><var>156.30</var>training, supported worksite experience, <br/>
<a id="pl.156.31"></a><var>156.31</var>job coaching, and postplacement follow-up, <br/>
<a id="pl.156.32"></a><var>156.32</var>in addition to extensive case management <br/>
<a id="pl.156.33"></a><var>156.33</var>and referral services. This is a onetime <br/>
<a id="pl.156.34"></a><var>156.34</var>appropriation.<br/>
<a id="pl.156.35"></a><var>156.35</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.156.36"></a><var>156.36</var>is reduced by $3,783,000 in each of fiscal <br/>
<a id="pl.157.1"></a><var>157.1</var>years 2012 and 2013. The TANF fund base <br/>
<a id="pl.157.2"></a><var>157.2</var>is increased by $5,004,000 in each of fiscal <br/>
<a id="pl.157.3"></a><var>157.3</var>years 2012 and 2013.<br/>
<a id="pl.157.4"></a><var>157.4</var><b>Integrated Services Program Funding.</b> <br/>
<a id="pl.157.5"></a><var>157.5</var>The TANF appropriation for integrated <br/>
<a id="pl.157.6"></a><var>157.6</var>services program funding is $1,250,000 in <br/>
<a id="pl.157.7"></a><var>157.7</var>fiscal year 2010 and $0 in fiscal year 2011 <br/>
<a id="pl.157.8"></a><var>157.8</var>and the base for fiscal years 2012 and 2013 <br/>
<a id="pl.157.9"></a><var>157.9</var>is $0.<br/>
<a id="pl.157.10"></a><var>157.10</var><b>TANF Emergency Fund; Nonrecurrent </b><br/>
<a id="pl.157.11"></a><var>157.11</var><b>Short-Term Benefits.</b> (a) TANF emergency <br/>
<a id="pl.157.12"></a><var>157.12</var>contingency fund grants received due to <br/>
<a id="pl.157.13"></a><var>157.13</var>increases in expenditures for nonrecurrent <br/>
<a id="pl.157.14"></a><var>157.14</var>short-term benefits must be used to offset the <br/>
<a id="pl.157.15"></a><var>157.15</var>increase in these expenditures for counties <br/>
<a id="pl.157.16"></a><var>157.16</var>under the MFIP consolidated fund, under <br/>
<a id="pl.157.17"></a><var>157.17</var>Minnesota Statutes, section 
         <statute_ref>256J.626</statute_ref>, <br/>
<a id="pl.157.18"></a><var>157.18</var>and the diversionary work program. The <br/>
<a id="pl.157.19"></a><var>157.19</var>commissioner shall develop procedures <br/>
<a id="pl.157.20"></a><var>157.20</var>to maximize reimbursement of these <br/>
<a id="pl.157.21"></a><var>157.21</var>expenditures over the TANF emergency fund <br/>
<a id="pl.157.22"></a><var>157.22</var>base year quarters. Growth in expenditures <br/>
<a id="pl.157.23"></a><var>157.23</var>for the diversionary work program over the <br/>
<a id="pl.157.24"></a><var>157.24</var>amount expended in the calendar quarters in <br/>
<a id="pl.157.25"></a><var>157.25</var>the TANF emergency fund base year shall be <br/>
<a id="pl.157.26"></a><var>157.26</var>used to leverage these funds.<br/>
<a id="pl.157.27"></a><var>157.27</var>(b) To the extent that the commissioner <br/>
<a id="pl.157.28"></a><var>157.28</var>can claim eligible tax credit growth as <br/>
<a id="pl.157.29"></a><var>157.29</var>nonrecurrent short-term benefits, the <br/>
<a id="pl.157.30"></a><var>157.30</var>commissioner shall use those funds to <br/>
<a id="pl.157.31"></a><var>157.31</var>leverage the increased expenditures in <br/>
<a id="pl.157.32"></a><var>157.32</var>paragraph (a).<br/>
<a id="pl.157.33"></a><var>157.33</var>(c) TANF emergency funds for nonrecurrent <br/>
<a id="pl.157.34"></a><var>157.34</var>short-term benefits received in excess of the <br/>
<a id="pl.157.35"></a><var>157.35</var>amounts necessary for paragraphs (a) and (b) <br/>
<a id="pl.158.1"></a><var>158.1</var>shall be used to reimburse the general fund <br/>
<a id="pl.158.2"></a><var>158.2</var>for the costs of eligible tax credits in fiscal <br/>
<a id="pl.158.3"></a><var>158.3</var>year 2011. The amount of such funds shall <br/>
<a id="pl.158.4"></a><var>158.4</var>not exceed $15,500,000 in fiscal year 2010. <br/>
<a id="pl.158.5"></a><var>158.5</var>(d) This rider is effective the day following <br/>
<a id="pl.158.6"></a><var>158.6</var>final enactment.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.158.7"></a><var>158.7</var><br/>
</td>
<td colspan="3"><b>(c) MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">61,171,000<br/>
</td>
<td align="center"></td>
<td align="right">65,214,000<br/>
</td>
</tr>
</table><a id="pl.158.8"></a><var>158.8</var><b>Acceleration of ARRA Child Care and </b><br/>
<a id="pl.158.9"></a><var>158.9</var><b>Development Fund Expenditure.</b> The <br/>
<a id="pl.158.10"></a><var>158.10</var>commissioner must liquidate all child care <br/>
<a id="pl.158.11"></a><var>158.11</var>and development money available under <br/>
<a id="pl.158.12"></a><var>158.12</var>the American Recovery and Reinvestment <br/>
<a id="pl.158.13"></a><var>158.13</var>Act (ARRA) of 2009, Public Law 111-5, <br/>
<a id="pl.158.14"></a><var>158.14</var>by September 30, 2010. In order to expend <br/>
<a id="pl.158.15"></a><var>158.15</var>those funds by September 30, 2010, the <br/>
<a id="pl.158.16"></a><var>158.16</var>commissioner may redesignate and expend <br/>
<a id="pl.158.17"></a><var>158.17</var>the ARRA child care and development funds <br/>
<a id="pl.158.18"></a><var>158.18</var>appropriated in fiscal year 2011 for purposes <br/>
<a id="pl.158.19"></a><var>158.19</var>under this section for related purposes that <br/>
<a id="pl.158.20"></a><var>158.20</var>will allow liquidation by September 30, <br/>
<a id="pl.158.21"></a><var>158.21</var>2010. Child care and development funds <br/>
<a id="pl.158.22"></a><var>158.22</var>otherwise available to the commissioner <br/>
<a id="pl.158.23"></a><var>158.23</var>for those related purposes shall be used to <br/>
<a id="pl.158.24"></a><var>158.24</var>fund the purposes from which the ARRA <br/>
<a id="pl.158.25"></a><var>158.25</var>child care and development funds had been <br/>
<a id="pl.158.26"></a><var>158.26</var>redesignated.<br/>
<a id="pl.158.27"></a><var>158.27</var><b>School Readiness Service Agreements.</b> <br/>
<a id="pl.158.28"></a><var>158.28</var>$400,000 in fiscal year 2010 and $400,000 <br/>
<a id="pl.158.29"></a><var>158.29</var>in fiscal year 2011 are from the federal <br/>
<a id="pl.158.30"></a><var>158.30</var>TANF fund to the commissioner of human <br/>
<a id="pl.158.31"></a><var>158.31</var>services consistent with federal regulations <br/>
<a id="pl.158.32"></a><var>158.32</var>for the purpose of school readiness service <br/>
<a id="pl.158.33"></a><var>158.33</var>agreements under Minnesota Statutes, <br/>
<a id="pl.158.34"></a><var>158.34</var>section 
         <statute_ref>119B.231</statute_ref>. This is a onetime <br/>
<a id="pl.159.1"></a><var>159.1</var>appropriation. Any unexpended balance the <br/>
<a id="pl.159.2"></a><var>159.2</var>first year is available in the second year.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.159.3"></a><var>159.3</var><br/>
<a id="pl.159.4"></a><var>159.4</var><br/>
</td>
<td colspan="3"><b>(d) Basic Sliding Fee Child Care Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">40,100,000<br/>
</td>
<td align="center"></td>
<td align="right">45,092,000<br/>
</td>
</tr>
</table><a id="pl.159.5"></a><var>159.5</var><b>School Readiness Service Agreements.</b> <br/>
<a id="pl.159.6"></a><var>159.6</var>$257,000 in fiscal year 2010 and $257,000 <br/>
<a id="pl.159.7"></a><var>159.7</var>in fiscal year 2011 are from the general <br/>
<a id="pl.159.8"></a><var>159.8</var>fund for the purpose of school readiness <br/>
<a id="pl.159.9"></a><var>159.9</var>service agreements under Minnesota <br/>
<a id="pl.159.10"></a><var>159.10</var>Statutes, section 
         <statute_ref>119B.231</statute_ref>. This is a onetime <br/>
<a id="pl.159.11"></a><var>159.11</var>appropriation. Any unexpended balance the <br/>
<a id="pl.159.12"></a><var>159.12</var>first year is available in the second year.<br/>
<a id="pl.159.13"></a><var>159.13</var><b>Child Care Development Fund </b><br/>
<a id="pl.159.14"></a><var>159.14</var><b>Unexpended Balance.</b> In addition to <br/>
<a id="pl.159.15"></a><var>159.15</var>the amount provided in this section, the <br/>
<a id="pl.159.16"></a><var>159.16</var>commissioner shall expend $5,244,000 in <br/>
<a id="pl.159.17"></a><var>159.17</var>fiscal year 2010 from the federal child care <br/>
<a id="pl.159.18"></a><var>159.18</var>development fund unexpended balance <br/>
<a id="pl.159.19"></a><var>159.19</var>for basic sliding fee child care under <br/>
<a id="pl.159.20"></a><var>159.20</var>Minnesota Statutes, section 
         <statute_ref>119B.03</statute_ref>. The <br/>
<a id="pl.159.21"></a><var>159.21</var>commissioner shall ensure that all child <br/>
<a id="pl.159.22"></a><var>159.22</var>care and development funds are expended <br/>
<a id="pl.159.23"></a><var>159.23</var>according to the federal child care and <br/>
<a id="pl.159.24"></a><var>159.24</var>development fund regulations.<br/>
<a id="pl.159.25"></a><var>159.25</var><b>Basic Sliding Fee.</b> $4,000,000 in fiscal year <br/>
<a id="pl.159.26"></a><var>159.26</var>2010 and $4,000,000 in fiscal year 2011 are <br/>
<a id="pl.159.27"></a><var>159.27</var>from the federal child care development <br/>
<a id="pl.159.28"></a><var>159.28</var>funds received from the American Recovery <br/>
<a id="pl.159.29"></a><var>159.29</var>and Reinvestment Act of 2009, Public <br/>
<a id="pl.159.30"></a><var>159.30</var>Law 111-5, to the commissioner of human <br/>
<a id="pl.159.31"></a><var>159.31</var>services consistent with federal regulations <br/>
<a id="pl.159.32"></a><var>159.32</var>for the purpose of basic sliding fee child care <br/>
<a id="pl.159.33"></a><var>159.33</var>assistance under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.159.34"></a><var>159.34</var>119B.03
         </statute_ref>. This is a onetime appropriation. <br/>
<a id="pl.160.1"></a><var>160.1</var>Any unexpended balance the first year is <br/>
<a id="pl.160.2"></a><var>160.2</var>available in the second year.<br/>
<a id="pl.160.3"></a><var>160.3</var><b>Basic Sliding Fee Allocation for Calendar </b><br/>
<a id="pl.160.4"></a><var>160.4</var><b>Year 2010.</b> Notwithstanding Minnesota <br/>
<a id="pl.160.5"></a><var>160.5</var>Statutes, section 
         <statute_ref>119B.03, subdivision 6</statute_ref>, <br/>
<a id="pl.160.6"></a><var>160.6</var>in calendar year 2010, basic sliding fee <br/>
<a id="pl.160.7"></a><var>160.7</var>funds shall be distributed according to <br/>
<a id="pl.160.8"></a><var>160.8</var>this provision. Funds shall be allocated <br/>
<a id="pl.160.9"></a><var>160.9</var>first in amounts equal to each county's <br/>
<a id="pl.160.10"></a><var>160.10</var>guaranteed floor, according to Minnesota <br/>
<a id="pl.160.11"></a><var>160.11</var>Statutes, section 
         <statute_ref>119B.03, subdivision 8</statute_ref>, <br/>
<a id="pl.160.12"></a><var>160.12</var>with any remaining available funds allocated <br/>
<a id="pl.160.13"></a><var>160.13</var>according to the following formula:<br/>
<a id="pl.160.14"></a><var>160.14</var>(a) Up to one-fourth of the funds shall be <br/>
<a id="pl.160.15"></a><var>160.15</var>allocated in proportion to the number of <br/>
<a id="pl.160.16"></a><var>160.16</var>families participating in the transition year <br/>
<a id="pl.160.17"></a><var>160.17</var>child care program as reported during and <br/>
<a id="pl.160.18"></a><var>160.18</var>averaged over the most recent six months <br/>
<a id="pl.160.19"></a><var>160.19</var>completed at the time of the notice of <br/>
<a id="pl.160.20"></a><var>160.20</var>allocation. Funds in excess of the amount <br/>
<a id="pl.160.21"></a><var>160.21</var>necessary to serve all families in this category <br/>
<a id="pl.160.22"></a><var>160.22</var>shall be allocated according to paragraph (d).<br/>
<a id="pl.160.23"></a><var>160.23</var>(b) Up to three-fourths of the funds shall <br/>
<a id="pl.160.24"></a><var>160.24</var>be allocated in proportion to the average <br/>
<a id="pl.160.25"></a><var>160.25</var>of each county's most recent six months of <br/>
<a id="pl.160.26"></a><var>160.26</var>reported waiting list as defined in Minnesota <br/>
<a id="pl.160.27"></a><var>160.27</var>Statutes, section 
         <statute_ref>119B.03, subdivision 2</statute_ref>, and <br/>
<a id="pl.160.28"></a><var>160.28</var>the reinstatement list of those families whose <br/>
<a id="pl.160.29"></a><var>160.29</var>assistance was terminated with the approval <br/>
<a id="pl.160.30"></a><var>160.30</var>of the commissioner under Minnesota Rules, <br/>
<a id="pl.160.31"></a><var>160.31</var>part 3400.0183, subpart 1. Funds in excess <br/>
<a id="pl.160.32"></a><var>160.32</var>of the amount necessary to serve all families <br/>
<a id="pl.160.33"></a><var>160.33</var>in this category shall be allocated according <br/>
<a id="pl.160.34"></a><var>160.34</var>to paragraph (d).<br/>
<a id="pl.161.1"></a><var>161.1</var>(c) The amount necessary to serve all families <br/>
<a id="pl.161.2"></a><var>161.2</var>in paragraphs (a) and (b) shall be calculated <br/>
<a id="pl.161.3"></a><var>161.3</var>based on the basic sliding fee average cost of <br/>
<a id="pl.161.4"></a><var>161.4</var>care per family in the county with the highest <br/>
<a id="pl.161.5"></a><var>161.5</var>cost in the most recently completed calendar <br/>
<a id="pl.161.6"></a><var>161.6</var>year.<br/>
<a id="pl.161.7"></a><var>161.7</var>(d) Funds in excess of the amount necessary <br/>
<a id="pl.161.8"></a><var>161.8</var>to serve all families in paragraphs (a) and <br/>
<a id="pl.161.9"></a><var>161.9</var>(b) shall be allocated in proportion to each <br/>
<a id="pl.161.10"></a><var>161.10</var>county's total expenditures for the basic <br/>
<a id="pl.161.11"></a><var>161.11</var>sliding fee child care program reported <br/>
<a id="pl.161.12"></a><var>161.12</var>during the most recent fiscal year completed <br/>
<a id="pl.161.13"></a><var>161.13</var>at the time of the notice of allocation. To <br/>
<a id="pl.161.14"></a><var>161.14</var>the extent that funds are available, and <br/>
<a id="pl.161.15"></a><var>161.15</var>notwithstanding Minnesota Statutes, section <br/>
<statute_ref><a id="pl.161.16"></a><var>161.16</var>119B.03, subdivision 8
         </statute_ref>, for the period <br/>
<a id="pl.161.17"></a><var>161.17</var>January 1, 2011, to December 31, 2011, each <br/>
<a id="pl.161.18"></a><var>161.18</var>county's guaranteed floor must be equal to its <br/>
<a id="pl.161.19"></a><var>161.19</var>original calendar year 2010 allocation.<br/>
<a id="pl.161.20"></a><var>161.20</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.161.21"></a><var>161.21</var>decreased by $257,000 in each of fiscal years <br/>
<a id="pl.161.22"></a><var>161.22</var>2012 and 2013.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.161.23"></a><var>161.23</var><br/>
</td>
<td colspan="3"><b>(e) Child Care Development Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">1,487,000<br/>
</td>
<td align="center"></td>
<td align="right">1,487,000<br/>
</td>
</tr>
</table><a id="pl.161.24"></a><var>161.24</var><b>Family, friends, and neighbor grants.</b> <br/>
<a id="pl.161.25"></a><var>161.25</var>$375,000 in fiscal year 2010 and $375,000 <br/>
<a id="pl.161.26"></a><var>161.26</var>in fiscal year 2011 are from the child <br/>
<a id="pl.161.27"></a><var>161.27</var>care development fund required targeted <br/>
<a id="pl.161.28"></a><var>161.28</var>quality funds for quality expansion and <br/>
<a id="pl.161.29"></a><var>161.29</var>infant/toddler from the American Recovery <br/>
<a id="pl.161.30"></a><var>161.30</var>and Reinvestment Act of 2009, Public <br/>
<a id="pl.161.31"></a><var>161.31</var>Law 111-5, to the commissioner of human <br/>
<a id="pl.161.32"></a><var>161.32</var>services for family, friends, and neighbor <br/>
<a id="pl.161.33"></a><var>161.33</var>grants under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.161.34"></a><var>161.34</var>119B.232
         </statute_ref>. This appropriation may be used <br/>
<a id="pl.161.35"></a><var>161.35</var>on programs receiving family, friends, and <br/>
<a id="pl.162.1"></a><var>162.1</var>neighbor grant funds as of June 30, 2009, <br/>
<a id="pl.162.2"></a><var>162.2</var>or on new programs or projects. This is a <br/>
<a id="pl.162.3"></a><var>162.3</var>onetime appropriation. Any unexpended <br/>
<a id="pl.162.4"></a><var>162.4</var>balance the first year is available in the <br/>
<a id="pl.162.5"></a><var>162.5</var>second year.<br/>
<a id="pl.162.6"></a><var>162.6</var><b>Voluntary quality rating system training, </b><br/>
<a id="pl.162.7"></a><var>162.7</var><b>coaching, consultation, and supports.</b> <br/>
<a id="pl.162.8"></a><var>162.8</var>$633,000 in fiscal year 2010 and $633,000 <br/>
<a id="pl.162.9"></a><var>162.9</var>in fiscal year 2011 are from the federal child <br/>
<a id="pl.162.10"></a><var>162.10</var>care development fund required targeted <br/>
<a id="pl.162.11"></a><var>162.11</var>quality funds for quality expansion and <br/>
<a id="pl.162.12"></a><var>162.12</var>infant/toddler from the American Recovery <br/>
<a id="pl.162.13"></a><var>162.13</var>and Reinvestment Act of 2009, Public <br/>
<a id="pl.162.14"></a><var>162.14</var>Law 111-5, to the commissioner of human <br/>
<a id="pl.162.15"></a><var>162.15</var>services consistent with federal regulations <br/>
<a id="pl.162.16"></a><var>162.16</var>for the purpose of providing grants to provide <br/>
<a id="pl.162.17"></a><var>162.17</var>statewide child-care provider training, <br/>
<a id="pl.162.18"></a><var>162.18</var>coaching, consultation, and supports to <br/>
<a id="pl.162.19"></a><var>162.19</var>prepare for the voluntary Minnesota quality <br/>
<a id="pl.162.20"></a><var>162.20</var>rating system rating tool. This is a onetime <br/>
<a id="pl.162.21"></a><var>162.21</var>appropriation. Any unexpended balance the <br/>
<a id="pl.162.22"></a><var>162.22</var>first year is available in the second year.<br/>
<a id="pl.162.23"></a><var>162.23</var><b>Voluntary quality rating system.</b> $184,000 <br/>
<a id="pl.162.24"></a><var>162.24</var>in fiscal year 2010 and $1,200,000 in fiscal <br/>
<a id="pl.162.25"></a><var>162.25</var>year 2011 are from the federal child care <br/>
<a id="pl.162.26"></a><var>162.26</var>development fund required targeted funds for <br/>
<a id="pl.162.27"></a><var>162.27</var>quality expansion and infant/toddler from the <br/>
<a id="pl.162.28"></a><var>162.28</var>American Recovery and Reinvestment Act of <br/>
<a id="pl.162.29"></a><var>162.29</var>2009, Public Law 111-5, to the commissioner <br/>
<a id="pl.162.30"></a><var>162.30</var>of human services consistent with federal <br/>
<a id="pl.162.31"></a><var>162.31</var>regulations for the purpose of implementing <br/>
<a id="pl.162.32"></a><var>162.32</var>the voluntary Parent Aware quality star <br/>
<a id="pl.162.33"></a><var>162.33</var>rating system pilot in coordination with the <br/>
<a id="pl.162.34"></a><var>162.34</var>Minnesota Early Learning Foundation. The <br/>
<a id="pl.162.35"></a><var>162.35</var>appropriation for the first year is to complete <br/>
<a id="pl.162.36"></a><var>162.36</var>and promote the voluntary Parent Aware <br/>
<a id="pl.163.1"></a><var>163.1</var>quality rating system pilot program through <br/>
<a id="pl.163.2"></a><var>163.2</var>June 30, 2010, and the appropriation for <br/>
<a id="pl.163.3"></a><var>163.3</var>the second year is to continue the voluntary <br/>
<a id="pl.163.4"></a><var>163.4</var>Minnesota quality rating system pilot <br/>
<a id="pl.163.5"></a><var>163.5</var>through June 30, 2011. This is a onetime <br/>
<a id="pl.163.6"></a><var>163.6</var>appropriation. Any unexpended balance the <br/>
<a id="pl.163.7"></a><var>163.7</var>first year is available in the second year.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.163.8"></a><var>163.8</var><br/>
</td>
<td colspan="3"><b>(f) Child Support Enforcement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">3,705,000<br/>
</td>
<td align="center"></td>
<td align="right">3,705,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12.1"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.163.9"></a><var>163.9</var><br/>
</td>
<td colspan="3"><b>(g) Children's Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.163.10"></a><var>163.10</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.11"></a><var>163.11</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">48,333,000<br/>
</td>
<td align="right">50,498,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.12"></a><var>163.12</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">340,000<br/>
</td>
<td align="right">240,000<br/>
</td>
</tr>
</table><a id="pl.163.13"></a><var>163.13</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.163.14"></a><var>163.14</var>decreased by $5,371,000 in fiscal year 2012 <br/>
<a id="pl.163.15"></a><var>163.15</var>and decreased $5,371,000 in fiscal year 2013.<br/>
<a id="pl.163.16"></a><var>163.16</var><b>Privatized Adoption Grants.</b> Federal <br/>
<a id="pl.163.17"></a><var>163.17</var>reimbursement for privatized adoption grant <br/>
<a id="pl.163.18"></a><var>163.18</var>and foster care recruitment grant expenditures <br/>
<a id="pl.163.19"></a><var>163.19</var>is appropriated to the commissioner for <br/>
<a id="pl.163.20"></a><var>163.20</var>adoption grants and foster care and adoption <br/>
<a id="pl.163.21"></a><var>163.21</var>administrative purposes.<br/>
<a id="pl.163.22"></a><var>163.22</var><b>Adoption Assistance Incentive Grants.</b> <br/>
<a id="pl.163.23"></a><var>163.23</var>Federal funds available during fiscal year <br/>
<a id="pl.163.24"></a><var>163.24</var>2010 and fiscal year 2011 for the adoption <br/>
<a id="pl.163.25"></a><var>163.25</var>incentive grants are appropriated to the <br/>
<a id="pl.163.26"></a><var>163.26</var>commissioner for postadoption services <br/>
<a id="pl.163.27"></a><var>163.27</var>including parent support groups.<br/>
<a id="pl.163.28"></a><var>163.28</var><b>Adoption Assistance and Relative Custody </b><br/>
<a id="pl.163.29"></a><var>163.29</var><b>Assistance.</b> The commissioner may transfer <br/>
<a id="pl.163.30"></a><var>163.30</var>unencumbered appropriation balances for <br/>
<a id="pl.163.31"></a><var>163.31</var>adoption assistance and relative custody <br/>
<a id="pl.163.32"></a><var>163.32</var>assistance between fiscal years and between <br/>
<a id="pl.163.33"></a><var>163.33</var>programs.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.163.34"></a><var>163.34</var><br/>
</td>
<td colspan="3"><b>(h) Children and Community Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">67,663,000<br/>
</td>
<td align="center"></td>
<td align="right">67,542,000<br/>
</td>
</tr>
</table><a id="pl.164.1"></a><var>164.1</var><b>Targeted Case Management Temporary </b><br/>
<a id="pl.164.2"></a><var>164.2</var><b>Funding Adjustment.</b> The commissioner <br/>
<a id="pl.164.3"></a><var>164.3</var>shall recover from each county and tribe <br/>
<a id="pl.164.4"></a><var>164.4</var>receiving a targeted case management <br/>
<a id="pl.164.5"></a><var>164.5</var>temporary funding payment in fiscal year <br/>
<a id="pl.164.6"></a><var>164.6</var>2008 an amount equal to that payment. The <br/>
<a id="pl.164.7"></a><var>164.7</var>commissioner shall recover one-half of the <br/>
<a id="pl.164.8"></a><var>164.8</var>funds by February 1, 2010, and the remainder <br/>
<a id="pl.164.9"></a><var>164.9</var>by February 1, 2011. At the commissioner's <br/>
<a id="pl.164.10"></a><var>164.10</var>discretion and at the request of a county <br/>
<a id="pl.164.11"></a><var>164.11</var>or tribe, the commissioner may revise <br/>
<a id="pl.164.12"></a><var>164.12</var>the payment schedule, but full payment <br/>
<a id="pl.164.13"></a><var>164.13</var>must not be delayed beyond May 1, 2011. <br/>
<a id="pl.164.14"></a><var>164.14</var>The commissioner may use the recovery <br/>
<a id="pl.164.15"></a><var>164.15</var>procedure under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.164.16"></a><var>164.16</var>256.017
         </statute_ref>, to recover the funds. Recovered <br/>
<a id="pl.164.17"></a><var>164.17</var>funds must be deposited into the general <br/>
<a id="pl.164.18"></a><var>164.18</var>fund.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.164.19"></a><var>164.19</var><br/>
</td>
<td colspan="3"><b>(i) General Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">48,215,000<br/>
</td>
<td align="center"></td>
<td align="right">48,608,000<br/>
</td>
</tr>
</table><a id="pl.164.20"></a><var>164.20</var><b>General Assistance Standard.</b> The <br/>
<a id="pl.164.21"></a><var>164.21</var>commissioner shall set the monthly standard <br/>
<a id="pl.164.22"></a><var>164.22</var>of assistance for general assistance units <br/>
<a id="pl.164.23"></a><var>164.23</var>consisting of an adult recipient who is <br/>
<a id="pl.164.24"></a><var>164.24</var>childless and unmarried or living apart <br/>
<a id="pl.164.25"></a><var>164.25</var>from parents or a legal guardian at $203. <br/>
<a id="pl.164.26"></a><var>164.26</var>The commissioner may reduce this amount <br/>
<a id="pl.164.27"></a><var>164.27</var>according to Laws 1997, chapter 85, article <br/>
<a id="pl.164.28"></a><var>164.28</var>3, section 54.<br/>
<a id="pl.164.29"></a><var>164.29</var><b>Emergency General Assistance.</b> The <br/>
<a id="pl.164.30"></a><var>164.30</var>amount appropriated for emergency general <br/>
<a id="pl.164.31"></a><var>164.31</var>assistance funds is limited to no more <br/>
<a id="pl.164.32"></a><var>164.32</var>than $7,889,812 in fiscal year 2010 and <br/>
<a id="pl.164.33"></a><var>164.33</var>$7,889,812 in fiscal year 2011. Funds <br/>
<a id="pl.164.34"></a><var>164.34</var>to counties must be allocated by the <br/>
<a id="pl.164.35"></a><var>164.35</var>commissioner using the allocation method <br/>
<a id="pl.165.1"></a><var>165.1</var>specified in Minnesota Statutes, section <br/>
<statute_ref><a id="pl.165.2"></a><var>165.2</var>256D.06
         </statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.165.3"></a><var>165.3</var><br/>
</td>
<td colspan="3"><b>(j) Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">33,930,000<br/>
</td>
<td align="center"></td>
<td align="right">35,191,000<br/>
</td>
</tr>
</table><a id="pl.165.4"></a><var>165.4</var><b>Emergency Minnesota Supplemental </b><br/>
<a id="pl.165.5"></a><var>165.5</var><b>Aid Funds.</b> The amount appropriated for <br/>
<a id="pl.165.6"></a><var>165.6</var>emergency Minnesota supplemental aid <br/>
<a id="pl.165.7"></a><var>165.7</var>funds is limited to no more than $1,100,000 <br/>
<a id="pl.165.8"></a><var>165.8</var>in fiscal year 2010 and $1,100,000 in fiscal <br/>
<a id="pl.165.9"></a><var>165.9</var>year 2011. Funds to counties must be <br/>
<a id="pl.165.10"></a><var>165.10</var>allocated by the commissioner using the <br/>
<a id="pl.165.11"></a><var>165.11</var>allocation method specified in Minnesota <br/>
<a id="pl.165.12"></a><var>165.12</var>Statutes, section 
         <statute_ref>256D.46</statute_ref>.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.165.13"></a><var>165.13</var><br/>
</td>
<td colspan="3"><b>(k) Group Residential Housing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">111,778,000<br/>
</td>
<td align="center"></td>
<td align="right">114,034,000<br/>
</td>
</tr>
</table><a id="pl.165.14"></a><var>165.14</var><b>Group Residential Housing Costs </b><br/>
<a id="pl.165.15"></a><var>165.15</var><b>Refinanced.</b> (a) Effective July 1, 2011, the <br/>
<a id="pl.165.16"></a><var>165.16</var>commissioner shall increase the home and <br/>
<a id="pl.165.17"></a><var>165.17</var>community-based service rates and county <br/>
<a id="pl.165.18"></a><var>165.18</var>allocations provided to programs for persons <br/>
<a id="pl.165.19"></a><var>165.19</var>with disabilities established under section <br/>
<a id="pl.165.20"></a><var>165.20</var>1915(c) of the Social Security Act to the <br/>
<a id="pl.165.21"></a><var>165.21</var>extent that these programs will be paying <br/>
<a id="pl.165.22"></a><var>165.22</var>for the costs above the rate established <br/>
<a id="pl.165.23"></a><var>165.23</var>in Minnesota Statutes, section 
         <statute_ref>256I.05, <br/>
<a id="pl.165.24"></a><var>165.24</var>subdivision 1
         </statute_ref>.<br/>
<a id="pl.165.25"></a><var>165.25</var>(b) For persons receiving services under <br/>
<a id="pl.165.26"></a><var>165.26</var>Minnesota Statutes, section 
         <statute_ref>245A.02</statute_ref>, who <br/>
<a id="pl.165.27"></a><var>165.27</var>reside in licensed adult foster care beds <br/>
<a id="pl.165.28"></a><var>165.28</var>for which a difficulty of care payment <br/>
<a id="pl.165.29"></a><var>165.29</var>was being made under Minnesota Statutes, <br/>
<a id="pl.165.30"></a><var>165.30</var>section 
         <statute_ref>256I.05, subdivision 1c</statute_ref>, paragraph <br/>
<a id="pl.165.31"></a><var>165.31</var>(b), counties may request an exception to <br/>
<a id="pl.165.32"></a><var>165.32</var>the individual's service authorization not to <br/>
<a id="pl.165.33"></a><var>165.33</var>exceed the difference between the client's <br/>
<a id="pl.165.34"></a><var>165.34</var>monthly service expenditures plus the <br/>
<a id="pl.165.35"></a><var>165.35</var>amount of the difficulty of care payment.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.166.1"></a><var>166.1</var><br/>
</td>
<td colspan="3"><b>(l) Children's Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">16,885,000<br/>
</td>
<td align="center"></td>
<td align="right">16,882,000<br/>
</td>
</tr>
</table><a id="pl.166.2"></a><var>166.2</var><b>Funding Usage.</b> Up to 75 percent of a fiscal <br/>
<a id="pl.166.3"></a><var>166.3</var>year's appropriation for children's mental <br/>
<a id="pl.166.4"></a><var>166.4</var>health grants may be used to fund allocations <br/>
<a id="pl.166.5"></a><var>166.5</var>in that portion of the fiscal year ending <br/>
<a id="pl.166.6"></a><var>166.6</var>December 31.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.166.7"></a><var>166.7</var><br/>
<a id="pl.166.8"></a><var>166.8</var><br/>
</td>
<td colspan="3"><b>(m) Other Children and Economic Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">16,047,000<br/>
</td>
<td align="center"></td>
<td align="right">15,339,000<br/>
</td>
</tr>
</table><a id="pl.166.9"></a><var>166.9</var><b>Fraud Prevention Grants.</b> Of this <br/>
<a id="pl.166.10"></a><var>166.10</var>appropriation, $228,000 in fiscal year 2010 <br/>
<a id="pl.166.11"></a><var>166.11</var>and $228,000 $379,000 in fiscal year 2011 <br/>
<a id="pl.166.12"></a><var>166.12</var>is to the commissioner for fraud prevention <br/>
<a id="pl.166.13"></a><var>166.13</var>grants to counties.<br/>
<a id="pl.166.14"></a><var>166.14</var><b>Homeless and Runaway Youth.</b> $218,000 <br/>
<a id="pl.166.15"></a><var>166.15</var>in fiscal year 2010 is for the Runaway <br/>
<a id="pl.166.16"></a><var>166.16</var>and Homeless Youth Act under Minnesota <br/>
<a id="pl.166.17"></a><var>166.17</var>Statutes, section 
         <statute_ref>256K.45</statute_ref>. Funds shall be <br/>
<a id="pl.166.18"></a><var>166.18</var>spent in each area of the continuum of care <br/>
<a id="pl.166.19"></a><var>166.19</var>to ensure that programs are meeting the <br/>
<a id="pl.166.20"></a><var>166.20</var>greatest need. Any unexpended balance in <br/>
<a id="pl.166.21"></a><var>166.21</var>the first year is available in the second year. <br/>
<a id="pl.166.22"></a><var>166.22</var>Beginning July 1, 2011, the base is increased <br/>
<a id="pl.166.23"></a><var>166.23</var>by $119,000 each year.<br/>
<a id="pl.166.24"></a><var>166.24</var><b>ARRA Homeless Youth Funds.</b> To the <br/>
<a id="pl.166.25"></a><var>166.25</var>extent permitted under federal law, the <br/>
<a id="pl.166.26"></a><var>166.26</var>commissioner shall designate $2,500,000 <br/>
<a id="pl.166.27"></a><var>166.27</var>of the Homeless Prevention and Rapid <br/>
<a id="pl.166.28"></a><var>166.28</var>Re-Housing Program funds provided under <br/>
<a id="pl.166.29"></a><var>166.29</var>the American Recovery and Reinvestment <br/>
<a id="pl.166.30"></a><var>166.30</var>Act of 2009, Public Law 111-5, for agencies <br/>
<a id="pl.166.31"></a><var>166.31</var>providing homelessness prevention and rapid <br/>
<a id="pl.166.32"></a><var>166.32</var>rehousing services to youth.<br/>
<a id="pl.166.33"></a><var>166.33</var><b>Supportive Housing Services.</b> $1,500,000 <br/>
<a id="pl.166.34"></a><var>166.34</var>each year is for supportive services under <br/>
<a id="pl.167.1"></a><var>167.1</var>Minnesota Statutes, section 
         <statute_ref>256K.26</statute_ref>. This is <br/>
<a id="pl.167.2"></a><var>167.2</var>a onetime appropriation. <br/>
<a id="pl.167.3"></a><var>167.3</var><b>Community Action Grants.</b> Community <br/>
<a id="pl.167.4"></a><var>167.4</var>action grants are reduced one time by <br/>
<a id="pl.167.5"></a><var>167.5</var>$1,794,000 each year. This reduction is due <br/>
<a id="pl.167.6"></a><var>167.6</var>to the availability of federal funds under the <br/>
<a id="pl.167.7"></a><var>167.7</var>American Recovery and Reinvestment Act.<br/>
<a id="pl.167.8"></a><var>167.8</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.167.9"></a><var>167.9</var>is increased by $773,000 $903,000 in fiscal <br/>
<a id="pl.167.10"></a><var>167.10</var>year 2012 and $773,000 $413,000 in fiscal <br/>
<a id="pl.167.11"></a><var>167.11</var>year 2013.<br/>
<a id="pl.167.12"></a><var>167.12</var><b>Federal ARRA Funds for Existing </b><br/>
<a id="pl.167.13"></a><var>167.13</var><b>Programs.</b> (a) Federal funds received by the <br/>
<a id="pl.167.14"></a><var>167.14</var>commissioner for the emergency food and <br/>
<a id="pl.167.15"></a><var>167.15</var>shelter program from the American Recovery <br/>
<a id="pl.167.16"></a><var>167.16</var>and Reinvestment Act of 2009, Public <br/>
<a id="pl.167.17"></a><var>167.17</var>Law 111-5, but not previously approved <br/>
<a id="pl.167.18"></a><var>167.18</var>by the legislature are appropriated to the <br/>
<a id="pl.167.19"></a><var>167.19</var>commissioner for the purposes of the grant <br/>
<a id="pl.167.20"></a><var>167.20</var>program.<br/>
<a id="pl.167.21"></a><var>167.21</var>(b) Federal funds received by the <br/>
<a id="pl.167.22"></a><var>167.22</var>commissioner for the emergency shelter <br/>
<a id="pl.167.23"></a><var>167.23</var>grant program including the Homelessness <br/>
<a id="pl.167.24"></a><var>167.24</var>Prevention and Rapid Re-Housing <br/>
<a id="pl.167.25"></a><var>167.25</var>Program from the American Recovery and <br/>
<a id="pl.167.26"></a><var>167.26</var>Reinvestment Act of 2009, Public Law <br/>
<a id="pl.167.27"></a><var>167.27</var>111-5, are appropriated to the commissioner <br/>
<a id="pl.167.28"></a><var>167.28</var>for the purposes of the grant programs.<br/>
<a id="pl.167.29"></a><var>167.29</var>(c) Federal funds received by the <br/>
<a id="pl.167.30"></a><var>167.30</var>commissioner for the emergency food <br/>
<a id="pl.167.31"></a><var>167.31</var>assistance program from the American <br/>
<a id="pl.167.32"></a><var>167.32</var>Recovery and Reinvestment Act of 2009, <br/>
<a id="pl.167.33"></a><var>167.33</var>Public Law 111-5, are appropriated to the <br/>
<a id="pl.167.34"></a><var>167.34</var>commissioner for the purposes of the grant <br/>
<a id="pl.167.35"></a><var>167.35</var>program.<br/>
<a id="pl.168.1"></a><var>168.1</var>(d) Federal funds received by the <br/>
<a id="pl.168.2"></a><var>168.2</var>commissioner for senior congregate meals <br/>
<a id="pl.168.3"></a><var>168.3</var>and senior home-delivered meals from the <br/>
<a id="pl.168.4"></a><var>168.4</var>American Recovery and Reinvestment Act <br/>
<a id="pl.168.5"></a><var>168.5</var>of 2009, Public Law 111-5, are appropriated <br/>
<a id="pl.168.6"></a><var>168.6</var>to the commissioner for the Minnesota Board <br/>
<a id="pl.168.7"></a><var>168.7</var>on Aging, for purposes of the grant programs.<br/>
<a id="pl.168.8"></a><var>168.8</var>(e) Federal funds received by the <br/>
<a id="pl.168.9"></a><var>168.9</var>commissioner for the community services <br/>
<a id="pl.168.10"></a><var>168.10</var>block grant program from the American <br/>
<a id="pl.168.11"></a><var>168.11</var>Recovery and Reinvestment Act of 2009, <br/>
<a id="pl.168.12"></a><var>168.12</var>Public Law 111-5, are appropriated to the <br/>
<a id="pl.168.13"></a><var>168.13</var>commissioner for the purposes of the grant <br/>
<a id="pl.168.14"></a><var>168.14</var>program.<br/>
<a id="pl.168.15"></a><var>168.15</var><b>Long-Term Homeless Supportive </b><br/>
<a id="pl.168.16"></a><var>168.16</var><b>Service Fund Appropriation.</b> To the <br/>
<a id="pl.168.17"></a><var>168.17</var>extent permitted under federal law, the <br/>
<a id="pl.168.18"></a><var>168.18</var>commissioner shall designate $3,000,000 <br/>
<a id="pl.168.19"></a><var>168.19</var>of the Homelessness Prevention and Rapid <br/>
<a id="pl.168.20"></a><var>168.20</var>Re-Housing Program funds provided under <br/>
<a id="pl.168.21"></a><var>168.21</var>the American Recovery and Reinvestment <br/>
<a id="pl.168.22"></a><var>168.22</var>Act of 2009, Public Law, 111-5, to the <br/>
<a id="pl.168.23"></a><var>168.23</var>long-term homeless service fund under <br/>
<a id="pl.168.24"></a><var>168.24</var>Minnesota Statutes, section 
         <statute_ref>256K.26</statute_ref>. This <br/>
<a id="pl.168.25"></a><var>168.25</var>appropriation shall become available by July <br/>
<a id="pl.168.26"></a><var>168.26</var>1, 2009. This paragraph is effective the day <br/>
<a id="pl.168.27"></a><var>168.27</var>following final enactment.<br/>
<br/>
<a id="bill.10.15.0"></a><a id="pl.168.28"></a><var>168.28</var>    Sec. 15. Laws 2009, chapter 79, article 13, section 3, subdivision 8, as amended by <br/>
<a id="pl.168.29"></a><var>168.29</var>Laws 2009, chapter 173, article 2, section 1, subdivision 8, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.168.30"></a><var>168.30</var><br/>
</td>
<td align="left" colspan="3">Subd. 8.<b>Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.168.31"></a><var>168.31</var>The amounts that may be spent from the <br/>
<a id="pl.168.32"></a><var>168.32</var>appropriation for each purpose are as follows:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.168.33"></a><var>168.33</var><br/>
</td>
<td align="left" colspan="3"><b>(a) Aging and Adult Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">13,499,000<br/>
</td>
<td align="center"></td>
<td align="right">15,805,000<br/>
</td>
</tr>
</table><a id="pl.169.1"></a><var>169.1</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.169.2"></a><var>169.2</var>increased by $5,751,000 in fiscal year 2012 <br/>
<a id="pl.169.3"></a><var>169.3</var>and $6,705,000 in fiscal year 2013.<br/>
<a id="pl.169.4"></a><var>169.4</var><b>Information and Assistance </b><br/>
<a id="pl.169.5"></a><var>169.5</var><b>Reimbursement.</b> Federal administrative <br/>
<a id="pl.169.6"></a><var>169.6</var>reimbursement obtained from information <br/>
<a id="pl.169.7"></a><var>169.7</var>and assistance services provided by the <br/>
<a id="pl.169.8"></a><var>169.8</var>Senior LinkAge or Disability Linkage lines <br/>
<a id="pl.169.9"></a><var>169.9</var>to people who are identified as eligible for <br/>
<a id="pl.169.10"></a><var>169.10</var>medical assistance shall be appropriated to <br/>
<a id="pl.169.11"></a><var>169.11</var>the commissioner for this activity.<br/>
<a id="pl.169.12"></a><var>169.12</var><b>Community Service Development Grant </b><br/>
<a id="pl.169.13"></a><var>169.13</var><b>Reduction.</b> Funding for community service <br/>
<a id="pl.169.14"></a><var>169.14</var>development grants must be reduced by <br/>
<a id="pl.169.15"></a><var>169.15</var>$260,000 for fiscal year 2010; $284,000 in <br/>
<a id="pl.169.16"></a><var>169.16</var>fiscal year 2011; $43,000 in fiscal year 2012; <br/>
<a id="pl.169.17"></a><var>169.17</var>and $43,000 in fiscal year 2013. Base level <br/>
<a id="pl.169.18"></a><var>169.18</var>funding shall be restored in fiscal year 2014.<br/>
<a id="pl.169.19"></a><var>169.19</var><b>Community Service Development Grant </b><br/>
<a id="pl.169.20"></a><var>169.20</var><b>Community Initiative.</b> Funding for <br/>
<a id="pl.169.21"></a><var>169.21</var>community service development grants shall <br/>
<a id="pl.169.22"></a><var>169.22</var>be used to offset the cost of aging support <br/>
<a id="pl.169.23"></a><var>169.23</var>grants. Base level funding shall be restored <br/>
<a id="pl.169.24"></a><var>169.24</var>in fiscal year 2014.<br/>
<a id="pl.169.25"></a><var>169.25</var><b>Senior Nutrition Use of Federal Funds.</b> <br/>
<a id="pl.169.26"></a><var>169.26</var>For fiscal year 2010, general fund grants <br/>
<a id="pl.169.27"></a><var>169.27</var>for home-delivered meals and congregate <br/>
<a id="pl.169.28"></a><var>169.28</var>dining shall be reduced by $500,000. The <br/>
<a id="pl.169.29"></a><var>169.29</var>commissioner must replace these general <br/>
<a id="pl.169.30"></a><var>169.30</var>fund reductions with equal amounts from <br/>
<a id="pl.169.31"></a><var>169.31</var>federal funding for senior nutrition from the <br/>
<a id="pl.169.32"></a><var>169.32</var>American Recovery and Reinvestment Act <br/>
<a id="pl.169.33"></a><var>169.33</var>of 2009.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.169.34"></a><var>169.34</var><br/>
</td>
<td align="left" colspan="3"><b>(b) Alternative Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">50,234,000<br/>
</td>
<td align="center"></td>
<td align="right">48,576,000<br/>
</td>
</tr>
</table><a id="pl.170.1"></a><var>170.1</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.170.2"></a><var>170.2</var>decreased by $3,598,000 in fiscal year 2012 <br/>
<a id="pl.170.3"></a><var>170.3</var>and $3,470,000 in fiscal year 2013.<br/>
<a id="pl.170.4"></a><var>170.4</var><b>Alternative Care Transfer.</b> Any money <br/>
<a id="pl.170.5"></a><var>170.5</var>allocated to the alternative care program that <br/>
<a id="pl.170.6"></a><var>170.6</var>is not spent for the purposes indicated does <br/>
<a id="pl.170.7"></a><var>170.7</var>not cancel but must be transferred to the <br/>
<a id="pl.170.8"></a><var>170.8</var>medical assistance account.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.170.9"></a><var>170.9</var><br/>
<a id="pl.170.10"></a><var>170.10</var><br/>
</td>
<td align="left" colspan="3"><b>(c) Medical Assistance Grants; Long-Term </b><br/>
<b>Care Facilities.</b><br/>
</td>
<td align="center"></td>
<td align="right">367,444,000<br/>
</td>
<td align="center"></td>
<td align="right">419,749,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.170.11"></a><var>170.11</var><br/>
<a id="pl.170.12"></a><var>170.12</var><br/>
</td>
<td align="left" colspan="3"><b>(d) Medical Assistance Long-Term Care </b><br/>
<b>Waivers and Home Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">853,567,000<br/>
</td>
<td align="center"></td>
<td align="right">1,039,517,000<br/>
</td>
</tr>
</table><a id="pl.170.13"></a><var>170.13</var><b>Manage Growth in TBI and CADI </b><br/>
<a id="pl.170.14"></a><var>170.14</var><b>Waivers.</b> During the fiscal years beginning <br/>
<a id="pl.170.15"></a><var>170.15</var>on July 1, 2009, and July 1, 2010, the <br/>
<a id="pl.170.16"></a><var>170.16</var>commissioner shall allocate money for home <br/>
<a id="pl.170.17"></a><var>170.17</var>and community-based waiver programs <br/>
<a id="pl.170.18"></a><var>170.18</var>under Minnesota Statutes, section 
         <statute_ref>256B.49</statute_ref>, <br/>
<a id="pl.170.19"></a><var>170.19</var>to ensure a reduction in state spending that is <br/>
<a id="pl.170.20"></a><var>170.20</var>equivalent to limiting the caseload growth of <br/>
<a id="pl.170.21"></a><var>170.21</var>the TBI waiver to 12.5 allocations per month <br/>
<a id="pl.170.22"></a><var>170.22</var>each year of the biennium and the CADI <br/>
<a id="pl.170.23"></a><var>170.23</var>waiver to 95 allocations per month each year <br/>
<a id="pl.170.24"></a><var>170.24</var>of the biennium. Limits do not apply: (1) <br/>
<a id="pl.170.25"></a><var>170.25</var>when there is an approved plan for nursing <br/>
<a id="pl.170.26"></a><var>170.26</var>facility bed closures for individuals under <br/>
<a id="pl.170.27"></a><var>170.27</var>age 65 who require relocation due to the <br/>
<a id="pl.170.28"></a><var>170.28</var>bed closure; (2) to fiscal year 2009 waiver <br/>
<a id="pl.170.29"></a><var>170.29</var>allocations delayed due to unallotment; or (3) <br/>
<a id="pl.170.30"></a><var>170.30</var>to transfers authorized by the commissioner <br/>
<a id="pl.170.31"></a><var>170.31</var>from the personal care assistance program <br/>
<a id="pl.170.32"></a><var>170.32</var>of individuals having a home care rating <br/>
<a id="pl.170.33"></a><var>170.33</var>of "CS," "MT," or "HL." Priorities for the <br/>
<a id="pl.170.34"></a><var>170.34</var>allocation of funds must be for individuals <br/>
<a id="pl.170.35"></a><var>170.35</var>anticipated to be discharged from institutional <br/>
<a id="pl.171.1"></a><var>171.1</var>settings or who are at imminent risk of a <br/>
<a id="pl.171.2"></a><var>171.2</var>placement in an institutional setting.<br/>
<a id="pl.171.3"></a><var>171.3</var><b>Manage Growth in DD Waiver.</b> The <br/>
<a id="pl.171.4"></a><var>171.4</var>commissioner shall manage the growth in <br/>
<a id="pl.171.5"></a><var>171.5</var>the DD waiver by limiting the allocations <br/>
<a id="pl.171.6"></a><var>171.6</var>included in the February 2009 forecast to 15 <br/>
<a id="pl.171.7"></a><var>171.7</var>additional diversion allocations each month <br/>
<a id="pl.171.8"></a><var>171.8</var>for the calendar years that begin on January <br/>
<a id="pl.171.9"></a><var>171.9</var>1, 2010, and January 1, 2011. Additional <br/>
<a id="pl.171.10"></a><var>171.10</var>allocations must be made available for <br/>
<a id="pl.171.11"></a><var>171.11</var>transfers authorized by the commissioner <br/>
<a id="pl.171.12"></a><var>171.12</var>from the personal care program of individuals <br/>
<a id="pl.171.13"></a><var>171.13</var>having a home care rating of "CS," "MT," <br/>
<a id="pl.171.14"></a><var>171.14</var>or "HL."<br/>
<a id="pl.171.15"></a><var>171.15</var><b>Adjustment to Lead Agency Waiver </b><br/>
<a id="pl.171.16"></a><var>171.16</var><b>Allocations.</b> Prior to the availability of the <br/>
<a id="pl.171.17"></a><var>171.17</var>alternative license defined in Minnesota <br/>
<a id="pl.171.18"></a><var>171.18</var>Statutes, section 
         <statute_ref>245A.11, subdivision 8</statute_ref>, <br/>
<a id="pl.171.19"></a><var>171.19</var>the commissioner shall reduce lead agency <br/>
<a id="pl.171.20"></a><var>171.20</var>waiver allocations for the purposes of <br/>
<a id="pl.171.21"></a><var>171.21</var>implementing a moratorium on corporate <br/>
<a id="pl.171.22"></a><var>171.22</var>foster care.<br/>
<a id="pl.171.23"></a><var>171.23</var><b>Alternatives to Personal Care Assistance </b><br/>
<a id="pl.171.24"></a><var>171.24</var><b>Services.</b> Base level funding of $3,237,000 <br/>
<a id="pl.171.25"></a><var>171.25</var>in fiscal year 2012 and $4,856,000 in <br/>
<a id="pl.171.26"></a><var>171.26</var>fiscal year 2013 is to implement alternative <br/>
<a id="pl.171.27"></a><var>171.27</var>services to personal care assistance services <br/>
<a id="pl.171.28"></a><var>171.28</var>for persons with mental health and other <br/>
<a id="pl.171.29"></a><var>171.29</var>behavioral challenges who can benefit <br/>
<a id="pl.171.30"></a><var>171.30</var>from other services that more appropriately <br/>
<a id="pl.171.31"></a><var>171.31</var>meet their needs and assist them in living <br/>
<a id="pl.171.32"></a><var>171.32</var>independently in the community. These <br/>
<a id="pl.171.33"></a><var>171.33</var>services may include, but not be limited to, a <br/>
<a id="pl.171.34"></a><var>171.34</var>1915(i) state plan option.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.171.35"></a><var>171.35</var><br/>
</td>
<td align="left" colspan="3"><b>(e) Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.172.1"></a><var>172.1</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.172.2"></a><var>172.2</var><br/>
</td>
<td align="left">General<br/>
</td>
<td align="right">77,739,000<br/>
</td>
<td align="right">77,739,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.172.3"></a><var>172.3</var><br/>
</td>
<td align="left">Health Care Access<br/>
</td>
<td align="right">750,000<br/>
</td>
<td align="right">750,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.172.4"></a><var>172.4</var><br/>
</td>
<td align="left">Lottery Prize<br/>
</td>
<td align="right">1,508,000<br/>
</td>
<td align="right">1,508,000<br/>
</td>
</tr>
</table><a id="pl.172.5"></a><var>172.5</var><b>Funding Usage.</b> Up to 75 percent of a fiscal <br/>
<a id="pl.172.6"></a><var>172.6</var>year's appropriation for adult mental health <br/>
<a id="pl.172.7"></a><var>172.7</var>grants may be used to fund allocations in that <br/>
<a id="pl.172.8"></a><var>172.8</var>portion of the fiscal year ending December <br/>
<a id="pl.172.9"></a><var>172.9</var>31.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.172.10"></a><var>172.10</var><br/>
</td>
<td align="left" colspan="3"><b>(f) Deaf and Hard-of-Hearing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">1,930,000<br/>
</td>
<td align="center"></td>
<td align="right">1,917,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.172.11"></a><var>172.11</var><br/>
</td>
<td align="left" colspan="3"><b>(g) Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">111,303,000<br/>
</td>
<td align="center"></td>
<td align="right">122,822,000<br/>
</td>
</tr>
</table><a id="pl.172.12"></a><var>172.12</var><b>Payments for Substance Abuse Treatment.</b> <br/>
<a id="pl.172.13"></a><var>172.13</var>For services provided placements beginning <br/>
<a id="pl.172.14"></a><var>172.14</var>during fiscal years 2010 and 2011, <br/>
<a id="pl.172.15"></a><var>172.15</var>county-negotiated rates and provider claims <br/>
<a id="pl.172.16"></a><var>172.16</var>to the consolidated chemical dependency <br/>
<a id="pl.172.17"></a><var>172.17</var>fund must not exceed the lesser of:<br/>
<a id="pl.172.18"></a><var>172.18</var>(1)  rates charged for these services on <br/>
<a id="pl.172.19"></a><var>172.19</var>January 1, 2009; or<br/>
<a id="pl.172.20"></a><var>172.20</var>(2) 160 percent of the average rate on January <br/>
<a id="pl.172.21"></a><var>172.21</var>1, 2009, for each group of vendors with <br/>
<a id="pl.172.22"></a><var>172.22</var>similar attributes.<br/>
<a id="pl.172.23"></a><var>172.23</var>Effective July 1, 2010, rates that were above <br/>
<a id="pl.172.24"></a><var>172.24</var>the average rate on January 1, 2009, are <br/>
<a id="pl.172.25"></a><var>172.25</var>reduced by five percent from the rates in <br/>
<a id="pl.172.26"></a><var>172.26</var>effect on June 1, 2010. Rates below the <br/>
<a id="pl.172.27"></a><var>172.27</var>average rate on January 1, 2009, are reduced <br/>
<a id="pl.172.28"></a><var>172.28</var>by 1.8 percent from the rates in effect on June <br/>
<a id="pl.172.29"></a><var>172.29</var>1, 2010. Services provided under this section <br/>
<a id="pl.172.30"></a><var>172.30</var>by state-operated services are exempt from <br/>
<a id="pl.172.31"></a><var>172.31</var>the rate reduction. For services provided in <br/>
<a id="pl.172.32"></a><var>172.32</var>fiscal years 2012 and 2013, statewide average <br/>
<a id="pl.172.33"></a><var>172.33</var>rates the statewide aggregate payment  under <br/>
<a id="pl.172.34"></a><var>172.34</var>the new rate methodology to be developed <br/>
<a id="pl.173.1"></a><var>173.1</var>under Minnesota Statutes, section 
         <statute_ref>254B.12</statute_ref>, <br/>
<a id="pl.173.2"></a><var>173.2</var>must not exceed the average rates charged <br/>
<a id="pl.173.3"></a><var>173.3</var>for these services on January 1, 2009 <br/>
<a id="pl.173.4"></a><var>173.4</var>projected aggregate payment under the rates <br/>
<a id="pl.173.5"></a><var>173.5</var>in effect for fiscal year 2011 excluding the <br/>
<a id="pl.173.6"></a><var>173.6</var>rate reduction for rates that were below <br/>
<a id="pl.173.7"></a><var>173.7</var>the average on January 1, 2009, plus a <br/>
<a id="pl.173.8"></a><var>173.8</var>state share increase of $3,787,000 for fiscal <br/>
<a id="pl.173.9"></a><var>173.9</var>year 2012 and $5,023,000 for fiscal year <br/>
<a id="pl.173.10"></a><var>173.10</var>2013. Notwithstanding any provision to the <br/>
<a id="pl.173.11"></a><var>173.11</var>contrary in this article, this provision expires <br/>
<a id="pl.173.12"></a><var>173.12</var>on June 30, 2013.<br/>
<a id="pl.173.13"></a><var>173.13</var><b>Chemical Dependency Special Revenue </b><br/>
<a id="pl.173.14"></a><var>173.14</var><b>Account.</b> For fiscal year 2010, $750,000 <br/>
<a id="pl.173.15"></a><var>173.15</var>must be transferred from the consolidated <br/>
<a id="pl.173.16"></a><var>173.16</var>chemical dependency treatment fund <br/>
<a id="pl.173.17"></a><var>173.17</var>administrative account and deposited into the <br/>
<a id="pl.173.18"></a><var>173.18</var>general fund.<br/>
<a id="pl.173.19"></a><var>173.19</var><b>County CD Share of MA Costs for </b><br/>
<a id="pl.173.20"></a><var>173.20</var><b>ARRA Compliance.</b> Notwithstanding the <br/>
<a id="pl.173.21"></a><var>173.21</var>provisions of Minnesota Statutes, chapter <br/>
<a id="pl.173.22"></a><var>173.22</var>254B, for chemical dependency services <br/>
<a id="pl.173.23"></a><var>173.23</var>provided during the period October 1, 2008, <br/>
<a id="pl.173.24"></a><var>173.24</var>to December 31, 2010, and reimbursed by <br/>
<a id="pl.173.25"></a><var>173.25</var>medical assistance at the enhanced federal <br/>
<a id="pl.173.26"></a><var>173.26</var>matching rate provided under the American <br/>
<a id="pl.173.27"></a><var>173.27</var>Recovery and Reinvestment Act of 2009, the <br/>
<a id="pl.173.28"></a><var>173.28</var>county share is 30 percent of the nonfederal <br/>
<a id="pl.173.29"></a><var>173.29</var>share. This provision is effective the day <br/>
<a id="pl.173.30"></a><var>173.30</var>following final enactment.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.173.31"></a><var>173.31</var><br/>
<a id="pl.173.32"></a><var>173.32</var><br/>
</td>
<td align="left" colspan="3"><b>(h) Chemical Dependency Nonentitlement </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">1,729,000<br/>
</td>
<td align="center"></td>
<td align="right">1,729,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="11.899999999999999"/>
<tr>
<td><a id="pl.173.33"></a><var>173.33</var><br/>
</td>
<td align="left" colspan="3"><b>(i) Other Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">19,201,000<br/>
</td>
<td align="center"></td>
<td align="right">17,528,000<br/>
</td>
</tr>
</table><a id="pl.173.34"></a><var>173.34</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.173.35"></a><var>173.35</var>increased by $2,639,000 in fiscal year 2012 <br/>
<a id="pl.174.1"></a><var>174.1</var>and increased by $3,854,000 in fiscal year <br/>
<a id="pl.174.2"></a><var>174.2</var>2013.<br/>
<a id="pl.174.3"></a><var>174.3</var><b>Technology Grants.</b> $650,000 in fiscal <br/>
<a id="pl.174.4"></a><var>174.4</var>year 2010 and $1,000,000 in fiscal year <br/>
<a id="pl.174.5"></a><var>174.5</var>2011 are for technology grants, case <br/>
<a id="pl.174.6"></a><var>174.6</var>consultation, evaluation, and consumer <br/>
<a id="pl.174.7"></a><var>174.7</var>information grants related to developing and <br/>
<a id="pl.174.8"></a><var>174.8</var>supporting alternatives to shift-staff foster <br/>
<a id="pl.174.9"></a><var>174.9</var>care residential service models.<br/>
<a id="pl.174.10"></a><var>174.10</var><b>Other Continuing Care Grants; HIV </b><br/>
<a id="pl.174.11"></a><var>174.11</var><b>Grants.</b> Money appropriated for the HIV <br/>
<a id="pl.174.12"></a><var>174.12</var>drug and insurance grant program in fiscal <br/>
<a id="pl.174.13"></a><var>174.13</var>year 2010 may be used in either year of the <br/>
<a id="pl.174.14"></a><var>174.14</var>biennium.<br/>
<a id="pl.174.15"></a><var>174.15</var><b>Quality Assurance Commission.</b> Effective <br/>
<a id="pl.174.16"></a><var>174.16</var>July 1, 2009, state funding for the quality <br/>
<a id="pl.174.17"></a><var>174.17</var>assurance commission under Minnesota <br/>
<a id="pl.174.18"></a><var>174.18</var>Statutes, section 
         <statute_ref>256B.0951</statute_ref>, is canceled.<br/>
<br/>
<a id="bill.10.16.0"></a><a id="pl.174.19"></a><var>174.19</var>    Sec. 16. Laws 2009, chapter 79, article 13, section 5, subdivision 8, as amended by <br/>
<a id="pl.174.20"></a><var>174.20</var>Laws 2009, chapter 173, article 2, section 3, subdivision 8, is amended to read:<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.174.21"></a><var>174.21</var><br/>
<a id="pl.174.22"></a><var>174.22</var><br/>
</td>
<td align="left" colspan="3" valign="bottom">Subd. 8.<b>Board of Nursing Home </b><br/>
<b>Administrators</b><br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,211,000<br/>
</td>
<td align="center" valign="bottom"></td>
<td align="right" valign="bottom">1,023,000<br/>
</td>
</tr>
</table><a id="pl.174.23"></a><var>174.23</var><b>Administrative Services Unit - Operating </b><br/>
<a id="pl.174.24"></a><var>174.24</var><b>Costs.</b> Of this appropriation, $524,000 <br/>
<a id="pl.174.25"></a><var>174.25</var>in fiscal year 2010 and $526,000 in <br/>
<a id="pl.174.26"></a><var>174.26</var>fiscal year 2011 are for operating costs <br/>
<a id="pl.174.27"></a><var>174.27</var>of the administrative services unit. The <br/>
<a id="pl.174.28"></a><var>174.28</var>administrative services unit may receive <br/>
<a id="pl.174.29"></a><var>174.29</var>and expend reimbursements for services <br/>
<a id="pl.174.30"></a><var>174.30</var>performed by other agencies.<br/>
<a id="pl.174.31"></a><var>174.31</var><b>Administrative Services Unit - Retirement </b><br/>
<a id="pl.174.32"></a><var>174.32</var><b>Costs.</b> Of this appropriation in fiscal year <br/>
<a id="pl.174.33"></a><var>174.33</var>2010, $201,000 is for onetime retirement <br/>
<a id="pl.174.34"></a><var>174.34</var>costs in the health-related boards. This <br/>
<a id="pl.175.1"></a><var>175.1</var>funding may be transferred to the health <br/>
<a id="pl.175.2"></a><var>175.2</var>boards incurring those costs for their <br/>
<a id="pl.175.3"></a><var>175.3</var>payment. These funds are available either <br/>
<a id="pl.175.4"></a><var>175.4</var>year of the biennium.<br/>
<a id="pl.175.5"></a><var>175.5</var><b>Administrative Services Unit - Volunteer </b><br/>
<a id="pl.175.6"></a><var>175.6</var><b>Health Care Provider Program.</b> Of this <br/>
<a id="pl.175.7"></a><var>175.7</var>appropriation, $79,000 $130,000  in fiscal <br/>
<a id="pl.175.8"></a><var>175.8</var>year 2010 and $89,000 $150,000  in fiscal <br/>
<a id="pl.175.9"></a><var>175.9</var>year 2011 are to pay for medical professional <br/>
<a id="pl.175.10"></a><var>175.10</var>liability coverage required under Minnesota <br/>
<a id="pl.175.11"></a><var>175.11</var>Statutes, section 
         <statute_ref>214.40</statute_ref>.<br/>
<a id="pl.175.12"></a><var>175.12</var><b>Administrative Services Unit - Contested </b><br/>
<a id="pl.175.13"></a><var>175.13</var><b>Cases and Other Legal Proceedings.</b> Of <br/>
<a id="pl.175.14"></a><var>175.14</var>this appropriation, $200,000 in fiscal year <br/>
<a id="pl.175.15"></a><var>175.15</var>2010 and $200,000 in fiscal year 2011 are <br/>
<a id="pl.175.16"></a><var>175.16</var>for costs of contested case hearings and other <br/>
<a id="pl.175.17"></a><var>175.17</var>unanticipated costs of legal proceedings <br/>
<a id="pl.175.18"></a><var>175.18</var>involving health-related boards funded <br/>
<a id="pl.175.19"></a><var>175.19</var>under this section and for unforeseen <br/>
<a id="pl.175.20"></a><var>175.20</var>expenditures of an urgent nature. Upon <br/>
<a id="pl.175.21"></a><var>175.21</var>certification of a health-related board to the <br/>
<a id="pl.175.22"></a><var>175.22</var>administrative services unit that the costs <br/>
<a id="pl.175.23"></a><var>175.23</var>will be incurred and that there is insufficient <br/>
<a id="pl.175.24"></a><var>175.24</var>money available to pay for the costs out of <br/>
<a id="pl.175.25"></a><var>175.25</var>money currently available to that board, the <br/>
<a id="pl.175.26"></a><var>175.26</var>administrative services unit is authorized <br/>
<a id="pl.175.27"></a><var>175.27</var>to transfer money from this appropriation <br/>
<a id="pl.175.28"></a><var>175.28</var>to the board for payment of those costs <br/>
<a id="pl.175.29"></a><var>175.29</var>with the approval of the commissioner of <br/>
<a id="pl.175.30"></a><var>175.30</var>finance. This appropriation does not cancel. <br/>
<a id="pl.175.31"></a><var>175.31</var>Any unencumbered and unspent balances <br/>
<a id="pl.175.32"></a><var>175.32</var>remain available for these expenditures in <br/>
<a id="pl.175.33"></a><var>175.33</var>subsequent fiscal years. The boards receiving <br/>
<a id="pl.175.34"></a><var>175.34</var>funds under this section shall include these <br/>
<a id="pl.175.35"></a><var>175.35</var>amounts when setting fees to cover their <br/>
<a id="pl.175.36"></a><var>175.36</var>costs.<br/>
<br/>
<a id="bill.10.17.0"></a><a id="pl.176.1"></a><var>176.1</var>    Sec. 17. <b>EXPIRATION OF UNCODIFIED LANGUAGE.</b><br/>
<a id="pl.176.2"></a><var>176.2</var>All uncodified language contained in this article expires on June 30, 2011, unless a <br/>
<a id="pl.176.3"></a><var>176.3</var>different expiration date is explicit.<br/>
<br/>
<a id="bill.10.18.0"></a><a id="pl.176.4"></a><var>176.4</var>    Sec. 18. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.176.5"></a><var>176.5</var>The provisions in this article are effective July 1, 2010, unless a different effective <br/>
<a id="pl.176.6"></a><var>176.6</var>date is explicit."<br/>
<a id="pl.176.7"></a><var>176.7</var>Delete the title and insert:<br/>

<a id="pl.176.10"></a><var>176.10</var>children and family services; health care reform; Department of Health; <br/>
<a id="pl.176.11"></a><var>176.11</var>public health; health plans; increasing fees and surcharges; requiring reports; <br/>
<a id="pl.176.12"></a><var>176.12</var>making supplemental and contingent appropriations and reductions for the <br/>
<a id="pl.176.13"></a><var>176.13</var>Departments of Health and Human Services and other health-related boards <br/>
<a id="pl.176.14"></a><var>176.14</var>and councils;amending Minnesota Statutes 2008, sections 62D.08, by adding <br/>
<a id="pl.176.15"></a><var>176.15</var>a subdivision; 62J.692, subdivision 4; 62Q.19, subdivision 1; 144.05, by <br/>
<a id="pl.176.16"></a><var>176.16</var>adding a subdivision; 144.226, subdivision 3; 144.293, subdivision 4; 144.651, <br/>
<a id="pl.176.17"></a><var>176.17</var>subdivision 2; 144.9504, by adding a subdivision; 144A.51, subdivision 5; <br/>
<a id="pl.176.18"></a><var>176.18</var>144D.03, subdivision 2, by adding a subdivision; 144D.04, subdivision 2; <br/>
<a id="pl.176.19"></a><var>176.19</var>144E.37; 144G.06; 152.126, as amended; 214.40, subdivision 7; 246.18, by <br/>
<a id="pl.176.20"></a><var>176.20</var>adding a subdivision; 254B.01, subdivision 2; 254B.02, subdivisions 1, 5; <br/>
<a id="pl.176.21"></a><var>176.21</var>254B.03, subdivision 4; 254B.05, subdivision 4; 254B.06, subdivision 2; <br/>
<a id="pl.176.22"></a><var>176.22</var>254B.09, subdivision 8; 256.9657, subdivisions 2, 3, 3a; 256.969, subdivisions <br/>
<a id="pl.176.23"></a><var>176.23</var>21, 26, by adding a subdivision; 256B.055, by adding a subdivision; 256B.056, <br/>
<a id="pl.176.24"></a><var>176.24</var>subdivisions 3, 4; 256B.057, subdivision 9; 256B.0625, subdivisions 8, 8a, 8b, <br/>
<a id="pl.176.25"></a><var>176.25</var>18a, 22, 31, by adding subdivisions; 256B.0631, subdivisions 1, 3; 256B.0644, <br/>
<a id="pl.176.26"></a><var>176.26</var>as amended; 256B.0915, by adding a subdivision; 256B.19, subdivision 1c; <br/>
<a id="pl.176.27"></a><var>176.27</var>256B.5012, by adding a subdivision; 256B.69, subdivisions 20, as amended, <br/>
<a id="pl.176.28"></a><var>176.28</var>27, by adding a subdivision; 256B.692, subdivision 1; 256B.76, subdivisions <br/>
<a id="pl.176.29"></a><var>176.29</var>2, 4; 256D.03, subdivision 3b; 256D.0515; 256I.05, by adding a subdivision; <br/>
<a id="pl.176.30"></a><var>176.30</var>256J.24, subdivision 6; 256L.07, by adding a subdivision; 256L.11, subdivision <br/>
<a id="pl.176.31"></a><var>176.31</var>6; 256L.12, subdivisions 5, 9, by adding a subdivision; 256L.15, subdivision <br/>
<a id="pl.176.32"></a><var>176.32</var>1; 517.08, subdivision 1c, as amended; Minnesota Statutes 2009 Supplement, <br/>
<a id="pl.176.33"></a><var>176.33</var>sections 157.16, subdivision 3; 252.27, subdivision 2a; 256.969, subdivisions 2b, <br/>
<a id="pl.176.34"></a><var>176.34</var>3a; 256.975, subdivision 7; 256B.0625, subdivision 13h; 256B.0653, subdivision <br/>
<a id="pl.176.35"></a><var>176.35</var>5; 256B.0659, subdivision 11; 256B.0911, subdivisions 1a, 3c; 256B.441, <br/>
<a id="pl.176.36"></a><var>176.36</var>subdivision 55; 256B.69, subdivisions 5a, 23; 256B.76, subdivision 1; 256B.766; <br/>
<a id="pl.176.37"></a><var>176.37</var>256D.03, subdivision 3, as amended; 256J.425, subdivision 3; 256L.03, <br/>
<a id="pl.176.38"></a><var>176.38</var>subdivision 5; 327.15, subdivision 3; 517.08, subdivision 1b; Laws 2005, First <br/>
<a id="pl.176.39"></a><var>176.39</var>Special Session chapter 4, article 8, section 66, as amended; Laws 2009, chapter <br/>
<a id="pl.176.40"></a><var>176.40</var>79, article 3, section 18; article 5, sections 17; 18; 22; 75, subdivision 1; 78, <br/>
<a id="pl.176.41"></a><var>176.41</var>subdivision 5; article 8, sections 2; 51; 84; article 13, sections 3, subdivisions <br/>
<a id="pl.176.42"></a><var>176.42</var>1, as amended, 3, as amended, 4, as amended, 8, as amended; 5, subdivision 8, <br/>
<a id="pl.176.43"></a><var>176.43</var>as amended; Laws 2009, chapter 173, article 1, section 17; Laws 2010, chapter <br/>
<a id="pl.176.44"></a><var>176.44</var>200, article 1, sections 12; 16; 21; article 2, section 2, subdivisions 1, 5, 8; <br/>
<a id="pl.176.45"></a><var>176.45</var>proposing coding for new law in Minnesota Statutes, chapters 62D; 62E; 62Q; <br/>
<a id="pl.176.46"></a><var>176.46</var>137; 144; 144D; 246; 254B; 256; 256B; repealing Minnesota Statutes 2008, <br/>
<a id="pl.176.47"></a><var>176.47</var>sections 254B.02, subdivisions 2, 3, 4; 254B.09, subdivisions 4, 5, 7; 256D.03, <br/>
<a id="pl.176.48"></a><var>176.48</var>subdivisions 3, 3a, 5, 6, 7, 8; Minnesota Statutes 2009 Supplement, section <br/>
<a id="pl.176.49"></a><var>176.49</var>256J.621; Laws 2010, chapter 200, article 1, sections 12; 18; 19."<br/>
<table>
<col width="50px"/>
<col width="252px"/>
<col width="42px"/>
<col width="252px"/>
<tr>
<td><a id="pl.177.1"></a><var>177.1</var><br/>
</td>
<td colspan="3">We request the adoption of this report and repassage of the bill.<br/>
</td>
</tr>
<tr>
<td><a id="pl.177.2"></a><var>177.2</var><br/>
</td>
<td>House Conferees:<br/>
<span width="2em"></span></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.177.3"></a><var>177.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.177.4"></a><var>177.4</var><br/>
</td>
<td>Thomas Huntley<br/>
</td>
<td></td>
<td>Karen Clark<br/>
</td>
</tr>
<tr>
<td><a id="pl.177.5"></a><var>177.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.177.6"></a><var>177.6</var><br/>
</td>
<td>Paul Thissen<br/>
</td>
<td></td>
<td>Larry Hosch<br/>
</td>
</tr>
<tr>
<td><a id="pl.177.7"></a><var>177.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.177.8"></a><var>177.8</var><br/>
</td>
<td>Jim Abeler<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.177.9"></a><var>177.9</var><br/>
</td>
<td>Senate Conferees:<br/>
<span width="2em"></span></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.177.10"></a><var>177.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.177.11"></a><var>177.11</var><br/>
</td>
<td>Linda Berglin<br/>
</td>
<td></td>
<td>Yvonne Prettner Solon<br/>
</td>
</tr>
<tr>
<td><a id="pl.177.12"></a><var>177.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.177.13"></a><var>177.13</var><br/>
</td>
<td>Kathy Sheran<br/>
</td>
<td></td>
<td>Tony Lourey<br/>
</td>
</tr>
<tr>
<td><a id="pl.177.14"></a><var>177.14</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.177.15"></a><var>177.15</var><br/>
</td>
<td>Steve Dille<br/>
</td>
<td></td>
<td></td>
</tr>
</table>