<a id="pl.1.4"></a><var>1.4</var>modifying provisions related to continuing care, chemical and mental health, <br/>
<a id="pl.1.5"></a><var>1.5</var>children and family services, human services licensing, health care programs, <br/>
<a id="pl.1.6"></a><var>1.6</var>the Department of Health, and health licensing boards; appropriating money to <br/>
<a id="pl.1.7"></a><var>1.7</var>the departments of health and human services and other health-related boards <br/>
<a id="pl.1.8"></a><var>1.8</var>and councils; making forecast adjustments; requiring reports; imposing fees; <br/>
<a id="pl.1.9"></a><var>1.9</var>imposing criminal penalties;amending Minnesota Statutes 2010, sections 8.31, <br/>
<a id="pl.1.10"></a><var>1.10</var>subdivisions 1, 3a; 62E.14, by adding a subdivision; 62J.04, subdivision 3; <br/>
<a id="pl.1.11"></a><var>1.11</var>62J.17, subdivision 4a; 62J.692, subdivisions 4, 7; 103I.005, subdivisions <br/>
<a id="pl.1.12"></a><var>1.12</var>2, 8, 12, by adding a subdivision; 103I.101, subdivisions 2, 5; 103I.105; <br/>
<a id="pl.1.13"></a><var>1.13</var>103I.111, subdivision 8; 103I.205, subdivision 4; 103I.208, subdivision 2; <br/>
<a id="pl.1.14"></a><var>1.14</var>103I.501; 103I.531, subdivision 5; 103I.535, subdivision 6; 103I.641; 103I.711, <br/>
<a id="pl.1.15"></a><var>1.15</var>subdivision 1; 103I.715, subdivision 2; 119B.011, subdivision 13; 119B.09, <br/>
<a id="pl.1.16"></a><var>1.16</var>subdivision 10, by adding subdivisions; 119B.125, by adding a subdivision; <br/>
<a id="pl.1.17"></a><var>1.17</var>119B.13, subdivisions 1, 1a, 7; 144.125, subdivisions 1, 3; 144.128; 144.396, <br/>
<a id="pl.1.18"></a><var>1.18</var>subdivisions 5, 6; 145.925, subdivision 1; 145.928, subdivisions 7, 8; 148.108, by <br/>
<a id="pl.1.19"></a><var>1.19</var>adding a subdivision; 148.191, subdivision 2; 148.212, subdivision 1; 148.231; <br/>
<a id="pl.1.20"></a><var>1.20</var>151.07; 151.101; 151.102, by adding a subdivision; 151.12; 151.13, subdivision <br/>
<a id="pl.1.21"></a><var>1.21</var>1; 151.19; 151.25; 151.47, subdivision 1; 151.48; 152.12, subdivision 3; <br/>
<a id="pl.1.22"></a><var>1.22</var>245A.10, subdivisions 1, 3, 4, by adding subdivisions; 245A.11, subdivision <br/>
<a id="pl.1.23"></a><var>1.23</var>2b; 245A.143, subdivision 1; 245C.10, by adding a subdivision; 254B.03, <br/>
<a id="pl.1.24"></a><var>1.24</var>subdivision 4; 254B.04, by adding a subdivision; 254B.06, subdivision 2; 256.01, <br/>
<a id="pl.1.25"></a><var>1.25</var>subdivisions 14, 24, 29, by adding a subdivision; 256.969, subdivision 2b; <br/>
<a id="pl.1.26"></a><var>1.26</var>256B.04, subdivision 18; 256B.056, subdivisions 1a, 3; 256B.057, subdivision <br/>
<a id="pl.1.27"></a><var>1.27</var>9; 256B.06, subdivision 4; 256B.0625, subdivisions 8, 8a, 8b, 8c, 12, 13e, <br/>
<a id="pl.1.28"></a><var>1.28</var>17, 17a, 18, 19a, 25, 31a, by adding subdivisions; 256B.0651, subdivision 1; <br/>
<a id="pl.1.29"></a><var>1.29</var>256B.0652, subdivision 6; 256B.0653, subdivisions 2, 6; 256B.0911, subdivision <br/>
<a id="pl.1.30"></a><var>1.30</var>3a; 256B.0913, subdivision 4; 256B.0915, subdivisions 3a, 3b, 3e, 3h, 6, <br/>
<a id="pl.1.31"></a><var>1.31</var>10; 256B.14, by adding a subdivision; 256B.431, subdivisions 2r, 32, 42, by <br/>
<a id="pl.1.32"></a><var>1.32</var>adding a subdivision; 256B.437, subdivision 6; 256B.441, subdivisions 50a, <br/>
<a id="pl.1.33"></a><var>1.33</var>59; 256B.48, subdivision 1; 256B.49, subdivision 16a; 256B.69, subdivisions <br/>
<a id="pl.1.34"></a><var>1.34</var>4, 5a, by adding a subdivision; 256B.76, subdivision 4; 256D.02, subdivision <br/>
<a id="pl.1.35"></a><var>1.35</var>12a; 256D.031, subdivisions 6, 7, 9; 256D.44, subdivision 5; 256D.47; 256D.49, <br/>
<a id="pl.1.36"></a><var>1.36</var>subdivision 3; 256E.30, subdivision 2; 256E.35, subdivisions 5, 6; 256J.12, <br/>
<a id="pl.1.37"></a><var>1.37</var>subdivisions 1a, 2; 256J.37, by adding a subdivision; 256J.38, subdivision 1; <br/>
<a id="pl.1.38"></a><var>1.38</var>256L.04, subdivision 7; 256L.05, by adding a subdivision; 256L.11, subdivision <br/>
<a id="pl.1.39"></a><var>1.39</var>7; 256L.12, subdivision 9; 297F.10, subdivision 1; 393.07, subdivision 10; <br/>
<a id="pl.1.40"></a><var>1.40</var>402A.10, subdivisions 4, 5; 402A.15; 518A.51; Laws 2008, chapter 363, article <br/>
<a id="pl.1.41"></a><var>1.41</var>18, section 3, subdivision 5; Laws 2010, First Special Session chapter 1, article <br/>
<a id="pl.1.42"></a><var>1.42</var>15, section 3, subdivision 6; article 25, section 3, subdivision 6; proposing <br/>
<a id="pl.1.43"></a><var>1.43</var>coding for new law in Minnesota Statutes, chapters 1; 145; 148; 151; 214; 256; <br/>
<a id="pl.2.1"></a><var>2.1</var>256B; 256L; proposing coding for new law as Minnesota Statutes, chapter <br/>
<a id="pl.2.2"></a><var>2.2</var>256N; repealing Minnesota Statutes 2010, sections 62J.17, subdivisions 1, 3, 5a, <br/>
<a id="pl.2.3"></a><var>2.3</var>6a, 8; 62J.321, subdivision 5a; 62J.381; 62J.41, subdivisions 1, 2; 103I.005, <br/>
<a id="pl.2.4"></a><var>2.4</var>subdivision 20; 144.1464; 144.147; 144.1487; 144.1488, subdivisions 1, 3, <br/>
<a id="pl.2.5"></a><var>2.5</var>4; 144.1489; 144.1490; 144.1491; 144.1499; 144.1501; 144.6062; 145.925; <br/>
<a id="pl.2.6"></a><var>2.6</var>145A.14, subdivisions 1, 2a; 245A.10, subdivision 5; 256.979, subdivisions <br/>
<a id="pl.2.7"></a><var>2.7</var>5, 6, 7, 10; 256.9791; 256B.055, subdivision 15; 256B.0625, subdivision 8e; <br/>
<a id="pl.2.8"></a><var>2.8</var>256B.0653, subdivision 5; 256B.0756; 256D.01, subdivisions 1, 1a, 1b, 1e, <br/>
<a id="pl.2.9"></a><var>2.9</var>2; 256D.03, subdivisions 1, 2, 2a; 256D.031, subdivisions 5, 8; 256D.05, <br/>
<a id="pl.2.10"></a><var>2.10</var>subdivisions 1, 2, 4, 5, 6, 7, 8; 256D.0513; 256D.053, subdivisions 1, 2, 3; <br/>
<a id="pl.2.11"></a><var>2.11</var>256D.06, subdivisions 1, 1b, 2, 5, 7, 8; 256D.09, subdivisions 1, 2, 2a, 2b, 5, 6; <br/>
<a id="pl.2.12"></a><var>2.12</var>256D.10; 256D.13; 256D.15; 256D.16; 256D.35, subdivision 8b; 256D.46; Laws <br/>
<a id="pl.2.13"></a><var>2.13</var>2010, First Special Session chapter 1, article 16, sections 6; 7; Minnesota Rules, <br/>
<a id="pl.2.14"></a><var>2.14</var>parts 3400.0130, subpart 8; 4651.0100, subparts 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, <br/>
<a id="pl.2.15"></a><var>2.15</var>12, 14, 15, 16, 16a, 18, 19, 20, 20a, 21, 22, 23; 4651.0110, subparts 2, 2a, 3, 4, 5; <br/>
<a id="pl.2.16"></a><var>2.16</var>4651.0120; 4651.0130; 4651.0140; 4651.0150; 9500.1243, subpart 3.<br/>
<a id="pl.2.17"></a><var>2.17</var>May 17, 2011<br/>
<a id="pl.2.18"></a><var>2.18</var>The Honorable Michelle L. Fischbach<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>The Honorable Kurt Zellers<br/>
<a id="pl.2.21"></a><var>2.21</var>Speaker of the House of Representatives<br/>
<a id="pl.2.22"></a><var>2.22</var>We, the undersigned conferees for S.F. No. 760 report that we have agreed upon the <br/>
<a id="pl.2.23"></a><var>2.23</var>items in dispute and recommend as follows:<br/>
<a id="pl.2.24"></a><var>2.24</var>That the House recede from its amendments and that S.F. No. 760 be further <br/>
<a id="pl.2.25"></a><var>2.25</var>amended as follows:<br/>
<a id="pl.2.26"></a><var>2.26</var>Delete everything after the enacting clause and insert:<br/>
<br/>
<a id="bill.1.0.0"></a>
            		"<b>ARTICLE 1</b>

<a id="bill.1.1.0"></a><a id="pl.2.29"></a><var>2.29</var>    Section 1. Minnesota Statutes 2010, section 119B.011, subdivision 13, is amended to <br/>
<a id="pl.2.30"></a><var>2.30</var>read:<br/>
<a id="pl.2.31"></a><var>2.31</var>    Subd. 13. <b>Family.</b> "Family" means parents, stepparents, guardians and their spouses, <br/>
<a id="pl.2.32"></a><var>2.32</var>or other eligible relative caregivers and their spouses, and their blood related dependent <br/>
<a id="pl.2.33"></a><var>2.33</var>children and adoptive siblings under the age of 18 years living in the same home including <br/>
<a id="pl.2.34"></a><var>2.34</var>children temporarily absent from the household in settings such as schools, foster care, and <br/>
<a id="pl.2.35"></a><var>2.35</var>residential treatment facilities or parents, stepparents, guardians and their spouses, or other <br/>
<a id="pl.2.36"></a><var>2.36</var>relative caregivers and their spouses temporarily absent from the household in settings <br/>
<a id="pl.2.37"></a><var>2.37</var>such as schools, military service, or rehabilitation programs. An adult family member who <br/>
<a id="pl.2.38"></a><var>2.38</var>is not in an authorized activity under this chapter may be temporarily absent for up to 60 <br/>
<a id="pl.2.39"></a><var>2.39</var>days. When a minor parent or parents and his, her, or their child or children are living with <br/>
<a id="pl.2.40"></a><var>2.40</var>other relatives, and the minor parent or parents apply for a child care subsidy, "family" <br/>
<a id="pl.2.41"></a><var>2.41</var>means only the minor parent or parents and their child or children. An adult age 18 or <br/>
<a id="pl.2.42"></a><var>2.42</var>older who meets this definition of family and is a full-time high school or postsecondary <br/>
<a id="pl.3.1"></a><var>3.1</var>student may be considered a dependent member of the family unit if 50 percent or more of <br/>
<a id="pl.3.2"></a><var>3.2</var>the adult's support is provided by the parents, stepparents, guardians, and their spouses or <br/>
<a id="pl.3.3"></a><var>3.3</var>eligible relative caregivers and their spouses residing in the same household.<br/>
<a id="pl.3.4"></a><var>3.4</var><b>EFFECTIVE DATE.</b>This section is effective April 16, 2012.<br/>
<br/>
<a id="bill.1.2.0"></a><a id="pl.3.5"></a><var>3.5</var>    Sec. 2. Minnesota Statutes 2010, section 119B.035, subdivision 4, is amended to read:<br/>
<a id="pl.3.6"></a><var>3.6</var>    Subd. 4. <b>Assistance.</b> (a) A family is limited to a lifetime total of 12 months of <br/>
<a id="pl.3.7"></a><var>3.7</var>assistance under subdivision 2. The maximum rate of assistance is equal to 90 68 percent <br/>
<a id="pl.3.8"></a><var>3.8</var>of the rate established under section 
         <statute_ref>119B.13</statute_ref> for care of infants in licensed family child <br/>
<a id="pl.3.9"></a><var>3.9</var>care in the applicant's county of residence.<br/>
<a id="pl.3.10"></a><var>3.10</var>(b) A participating family must report income and other family changes as specified <br/>
<a id="pl.3.11"></a><var>3.11</var>in the county's plan under section 
         <statute_ref>119B.08, subdivision 3</statute_ref>.<br/>
<a id="pl.3.12"></a><var>3.12</var>(c) Persons who are admitted to the at-home infant child care program retain their <br/>
<a id="pl.3.13"></a><var>3.13</var>position in any basic sliding fee program. Persons leaving the at-home infant child care <br/>
<a id="pl.3.14"></a><var>3.14</var>program reenter the basic sliding fee program at the position they would have occupied.<br/>
<a id="pl.3.15"></a><var>3.15</var>(d) Assistance under this section does not establish an employer-employee <br/>
<a id="pl.3.16"></a><var>3.16</var>relationship between any member of the assisted family and the county or state.<br/>
<a id="pl.3.17"></a><var>3.17</var><b>EFFECTIVE DATE.</b>This section is effective October 31, 2011.<br/>
<br/>
<a id="bill.1.3.0"></a><a id="pl.3.18"></a><var>3.18</var>    Sec. 3. Minnesota Statutes 2010, section 119B.09, is amended by adding a subdivision <br/>
<a id="pl.3.19"></a><var>3.19</var>to read:<br/>
<a id="pl.3.20"></a><var>3.20</var>    Subd. 9a. <b>Child care centers; assistance.</b> (a) For the purposes of this subdivision, <br/>
<a id="pl.3.21"></a><var>3.21</var>"qualifying child" means a child who satisfies both of the following:<br/>
<a id="pl.3.22"></a><var>3.22</var>(1) is not a child or dependent of an employee of the child care provider; and<br/>
<a id="pl.3.23"></a><var>3.23</var>(2) does not reside with an employee of the child care provider.<br/>
<a id="pl.3.24"></a><var>3.24</var>(b) Funds distributed under this chapter must not be paid for child care services <br/>
<a id="pl.3.25"></a><var>3.25</var>that are provided for a child by a child care provider who employs either the parent of <br/>
<a id="pl.3.26"></a><var>3.26</var>the child or a person who resides with the child, unless at all times at least 50 percent of <br/>
<a id="pl.3.27"></a><var>3.27</var>the children for whom the child care provider is providing care are qualifying children <br/>
<a id="pl.3.28"></a><var>3.28</var>under paragraph (a).<br/>
<a id="pl.3.29"></a><var>3.29</var>(c) If a child care provider satisfies the requirements for payment under paragraph <br/>
<a id="pl.3.30"></a><var>3.30</var>(b), but the percentage of qualifying children under paragraph (a) for whom the provider <br/>
<a id="pl.3.31"></a><var>3.31</var>is providing care falls below 50 percent, the provider shall have four weeks to raise the <br/>
<a id="pl.3.32"></a><var>3.32</var>percentage of qualifying children for whom the provider is providing care to at least 50 <br/>
<a id="pl.4.1"></a><var>4.1</var>percent before payments to the provider are discontinued for child care services provided <br/>
<a id="pl.4.2"></a><var>4.2</var>for a child who is not a qualifying child.<br/>
<a id="pl.4.3"></a><var>4.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.1.4.0"></a><a id="pl.4.4"></a><var>4.4</var>    Sec. 4. Minnesota Statutes 2010, section 119B.09, subdivision 10, is amended to read:<br/>
<a id="pl.4.5"></a><var>4.5</var>    Subd. 10. <b>Payment of funds.</b> All federal, state, and local child care funds must <br/>
<a id="pl.4.6"></a><var>4.6</var>be paid directly to the parent when a provider cares for children in the children's own <br/>
<a id="pl.4.7"></a><var>4.7</var>home. In all other cases, all federal, state, and local child care funds must be paid directly <br/>
<a id="pl.4.8"></a><var>4.8</var>to the child care provider, either licensed or legal nonlicensed, on behalf of the eligible <br/>
<a id="pl.4.9"></a><var>4.9</var>family. Funds distributed under this chapter must not be used for child care services that <br/>
<a id="pl.4.10"></a><var>4.10</var>are provided for a child by a child care provider who resides in the same household or <br/>
<a id="pl.4.11"></a><var>4.11</var>occupies the same residence as the child.<br/>
<a id="pl.4.12"></a><var>4.12</var><b>EFFECTIVE DATE.</b>This section is effective March 5, 2012.<br/>
<br/>
<a id="bill.1.5.0"></a><a id="pl.4.13"></a><var>4.13</var>    Sec. 5. Minnesota Statutes 2010, section 119B.09, is amended by adding a subdivision <br/>
<a id="pl.4.14"></a><var>4.14</var>to read:<br/>
<a id="pl.4.15"></a><var>4.15</var>    Subd. 13. <b>Child care in the child's home.</b> Child care assistance must only be <br/>
<a id="pl.4.16"></a><var>4.16</var>authorized in the child's home if the child's parents have authorized activities outside of <br/>
<a id="pl.4.17"></a><var>4.17</var>the home and if one or more of the following circumstances are met:<br/>
<a id="pl.4.18"></a><var>4.18</var>(1) the parents' qualifying activity occurs during times when out-of-home care is <br/>
<a id="pl.4.19"></a><var>4.19</var>not available. If child care is needed during any period when out-of-home care is not <br/>
<a id="pl.4.20"></a><var>4.20</var>available, in-home care can be approved for the entire time care is needed;<br/>
<a id="pl.4.21"></a><var>4.21</var>(2) the family lives in an area where out-of-home care is not available; or<br/>
<a id="pl.4.22"></a><var>4.22</var>(3) a child has a verified illness or disability that would place the child or other <br/>
<a id="pl.4.23"></a><var>4.23</var>children in an out-of-home facility at risk or creates a hardship for the child and the family <br/>
<a id="pl.4.24"></a><var>4.24</var>to take the child out of the home to a child care home or center.<br/>
<a id="pl.4.25"></a><var>4.25</var><b>EFFECTIVE DATE.</b>This section is effective March 5, 2012.<br/>
<br/>
<a id="bill.1.6.0"></a><a id="pl.4.26"></a><var>4.26</var>    Sec. 6. Minnesota Statutes 2010, section 119B.125, is amended by adding a subdivision <br/>
<a id="pl.4.27"></a><var>4.27</var>to read:<br/>
<a id="pl.4.28"></a><var>4.28</var>    Subd. 1b. <b>Training required.</b> (a) Effective November 1, 2011, prior to initial <br/>
<a id="pl.4.29"></a><var>4.29</var>authorization as required in subdivision 1, a legal nonlicensed family child care provider <br/>
<a id="pl.4.30"></a><var>4.30</var>must complete first aid and CPR training and provide the verification of first aid and CPR <br/>
<a id="pl.4.31"></a><var>4.31</var>training to the county. The training documentation must have valid effective dates as of <br/>
<a id="pl.5.1"></a><var>5.1</var>the date the registration request is submitted to the county and the training must have been <br/>
<a id="pl.5.2"></a><var>5.2</var>provided by an individual approved to provide first aid and CPR instruction.<br/>
<a id="pl.5.3"></a><var>5.3</var>(b) Legal nonlicensed family child care providers with an authorization effective <br/>
<a id="pl.5.4"></a><var>5.4</var>before November 1, 2011, must be notified of the requirements before October 1, 2011, or <br/>
<a id="pl.5.5"></a><var>5.5</var>at authorization, and must meet the requirements upon renewal of an authorization that <br/>
<a id="pl.5.6"></a><var>5.6</var>occurs on or after January 1, 2012.<br/>
<a id="pl.5.7"></a><var>5.7</var>(c) Upon each reauthorization after the authorization period when the initial first aid <br/>
<a id="pl.5.8"></a><var>5.8</var>and CPR training requirements are met, a legal nonlicensed family child care provider <br/>
<a id="pl.5.9"></a><var>5.9</var>must provide verification of at least eight hours of additional training listed in the <br/>
<a id="pl.5.10"></a><var>5.10</var>Minnesota Center for Professional Development Registry.<br/>
<a id="pl.5.11"></a><var>5.11</var>(d) This subdivision only applies to legal nonlicensed family child care providers.<br/>
<br/>
<a id="bill.1.7.0"></a><a id="pl.5.12"></a><var>5.12</var>    Sec. 7. Minnesota Statutes 2010, section 119B.13, subdivision 1, is amended to read:<br/>
<a id="pl.5.13"></a><var>5.13</var>    Subdivision 1. <b>Subsidy restrictions.</b> (a) Beginning July 1, 2006 October 31, 2011, <br/>
<a id="pl.5.14"></a><var>5.14</var>the maximum rate paid for child care assistance in any county or multicounty region under <br/>
<a id="pl.5.15"></a><var>5.15</var>the child care fund shall be the rate for like-care arrangements in the county effective <br/>
<a id="pl.5.16"></a><var>5.16</var>January July 1, 2006, increased decreased by six five percent.<br/>
<a id="pl.5.17"></a><var>5.17</var>    (b) Rate changes shall be implemented for services provided in September 2006 <br/>
<a id="pl.5.18"></a><var>5.18</var>unless a participant eligibility redetermination or a new provider agreement is completed <br/>
<a id="pl.5.19"></a><var>5.19</var>between July 1, 2006, and August 31, 2006.<br/>
<a id="pl.5.20"></a><var>5.20</var>    As necessary, appropriate notice of adverse action must be made according to <br/>
<a id="pl.5.21"></a><var>5.21</var>Minnesota Rules, part 3400.0185, subparts 3 and 4.<br/>
<a id="pl.5.22"></a><var>5.22</var>    New cases approved on or after July 1, 2006, shall have the maximum rates under <br/>
<a id="pl.5.23"></a><var>5.23</var>paragraph (a), implemented immediately.<br/>
<a id="pl.5.24"></a><var>5.24</var>    (c) (b) Every year, the commissioner shall survey rates charged by child care <br/>
<a id="pl.5.25"></a><var>5.25</var>providers in Minnesota to determine the 75th percentile for like-care arrangements in <br/>
<a id="pl.5.26"></a><var>5.26</var>counties. When the commissioner determines that, using the commissioner's established <br/>
<a id="pl.5.27"></a><var>5.27</var>protocol, the number of providers responding to the survey is too small to determine <br/>
<a id="pl.5.28"></a><var>5.28</var>the 75th percentile rate for like-care arrangements in a county or multicounty region, <br/>
<a id="pl.5.29"></a><var>5.29</var>the commissioner may establish the 75th percentile maximum rate based on like-care <br/>
<a id="pl.5.30"></a><var>5.30</var>arrangements in a county, region, or category that the commissioner deems to be similar.<br/>
<a id="pl.5.31"></a><var>5.31</var>    (d) (c) A rate which includes a special needs rate paid under subdivision 3 or under a <br/>
<a id="pl.5.32"></a><var>5.32</var>school readiness service agreement paid under section 119B.231, may be in excess of the <br/>
<a id="pl.5.33"></a><var>5.33</var>maximum rate allowed under this subdivision.<br/>
<a id="pl.5.34"></a><var>5.34</var>    (e) (d) The department shall monitor the effect of this paragraph on provider rates. <br/>
<a id="pl.5.35"></a><var>5.35</var>The county shall pay the provider's full charges for every child in care up to the maximum <br/>
<a id="pl.6.1"></a><var>6.1</var>established. The commissioner shall determine the maximum rate for each type of care <br/>
<a id="pl.6.2"></a><var>6.2</var>on an hourly, full-day, and weekly basis, including special needs and disability care. The <br/>
<a id="pl.6.3"></a><var>6.3</var>maximum payment to a provider for one day of care must not exceed the daily rate. The <br/>
<a id="pl.6.4"></a><var>6.4</var>maximum payment to a provider for one week of care must not exceed the weekly rate.<br/>
<a id="pl.6.5"></a><var>6.5</var>(e) Child care providers receiving reimbursement under this chapter must not be <br/>
<a id="pl.6.6"></a><var>6.6</var>paid activity fees or an additional amount above the maximum rates for care provided <br/>
<a id="pl.6.7"></a><var>6.7</var>during nonstandard hours for families receiving assistance.<br/>
<a id="pl.6.8"></a><var>6.8</var>    (f) When the provider charge is greater than the maximum provider rate allowed, <br/>
<a id="pl.6.9"></a><var>6.9</var>the parent is responsible for payment of the difference in the rates in addition to any <br/>
<a id="pl.6.10"></a><var>6.10</var>family co-payment fee.<br/>
<a id="pl.6.11"></a><var>6.11</var>    (g) All maximum provider rates changes shall be implemented on the Monday <br/>
<a id="pl.6.12"></a><var>6.12</var>following the effective date of the maximum provider rate.<br/>
<a id="pl.6.13"></a><var>6.13</var><b>EFFECTIVE DATE.</b>Paragraph (d) is effective April 16, 2012. Paragraph (e) <br/>
<a id="pl.6.14"></a><var>6.14</var>is effective September 3, 2012.<br/>
<br/>
<a id="bill.1.8.0"></a><a id="pl.6.15"></a><var>6.15</var>    Sec. 8. Minnesota Statutes 2010, section 119B.13, subdivision 1a, is amended to read:<br/>
<a id="pl.6.16"></a><var>6.16</var>    Subd. 1a. <b>Legal nonlicensed family child care provider rates.</b> (a) Legal <br/>
<a id="pl.6.17"></a><var>6.17</var>nonlicensed family child care providers receiving reimbursement under this chapter must <br/>
<a id="pl.6.18"></a><var>6.18</var>be paid on an hourly basis for care provided to families receiving assistance.<br/>
<a id="pl.6.19"></a><var>6.19</var>(b) The maximum rate paid to legal nonlicensed family child care providers must be <br/>
<a id="pl.6.20"></a><var>6.20</var>80 68 percent of the county maximum hourly rate for licensed family child care providers. <br/>
<a id="pl.6.21"></a><var>6.21</var>In counties where the maximum hourly rate for licensed family child care providers is <br/>
<a id="pl.6.22"></a><var>6.22</var>higher than the maximum weekly rate for those providers divided by 50, the maximum <br/>
<a id="pl.6.23"></a><var>6.23</var>hourly rate that may be paid to legal nonlicensed family child care providers is the rate <br/>
<a id="pl.6.24"></a><var>6.24</var>equal to the maximum weekly rate for licensed family child care providers divided by 50 <br/>
<a id="pl.6.25"></a><var>6.25</var>and then multiplied by 0.80 0.68. The maximum payment to a provider for one day of care <br/>
<a id="pl.6.26"></a><var>6.26</var>must not exceed the maximum hourly rate times ten. The maximum payment to a provider <br/>
<a id="pl.6.27"></a><var>6.27</var>for one week of care must not exceed the maximum hourly rate times 50.<br/>
<a id="pl.6.28"></a><var>6.28</var>(c) A rate which includes a special needs rate paid under subdivision 3 may be in <br/>
<a id="pl.6.29"></a><var>6.29</var>excess of the maximum rate allowed under this subdivision.<br/>
<a id="pl.6.30"></a><var>6.30</var>(d) Legal nonlicensed family child care providers receiving reimbursement under <br/>
<a id="pl.6.31"></a><var>6.31</var>this chapter may not be paid registration fees for families receiving assistance.<br/>
<a id="pl.6.32"></a><var>6.32</var><b>EFFECTIVE DATE.</b>This section is effective April 16, 2012, except the <br/>
<a id="pl.6.33"></a><var>6.33</var>amendment changing 80 to 68 and 0.80 to 0.68 is effective October 31, 2011.<br/>
<br/>
<a id="bill.1.9.0"></a><a id="pl.7.1"></a><var>7.1</var>    Sec. 9. Minnesota Statutes 2010, section 119B.13, subdivision 7, is amended to read:<br/>
<a id="pl.7.2"></a><var>7.2</var>    Subd. 7. <b>Absent days.</b> (a) Licensed child care providers may and license-exempt <br/>
<a id="pl.7.3"></a><var>7.3</var>centers must not be reimbursed for more than 25 ten full-day absent days per child, <br/>
<a id="pl.7.4"></a><var>7.4</var>excluding holidays, in a fiscal year, or for more than ten consecutive full-day absent days, <br/>
<a id="pl.7.5"></a><var>7.5</var>unless the child has a documented medical condition that causes more frequent absences. <br/>
<a id="pl.7.6"></a><var>7.6</var>Absences due to a documented medical condition of a parent or sibling who lives in the <br/>
<a id="pl.7.7"></a><var>7.7</var>same residence as the child receiving child care assistance do not count against the 25-day <br/>
<a id="pl.7.8"></a><var>7.8</var>absent day limit in a fiscal year. Documentation of medical conditions must be on the <br/>
<a id="pl.7.9"></a><var>7.9</var>forms and submitted according to the timelines established by the commissioner. A public <br/>
<a id="pl.7.10"></a><var>7.10</var>health nurse or school nurse may verify the illness in lieu of a medical practitioner. If a <br/>
<a id="pl.7.11"></a><var>7.11</var>provider sends a child home early due to a medical reason, including, but not limited to, <br/>
<a id="pl.7.12"></a><var>7.12</var>fever or contagious illness, the child care center director or lead teacher may verify the <br/>
<a id="pl.7.13"></a><var>7.13</var>illness in lieu of a medical practitioner. Legal nonlicensed family child care providers <br/>
<a id="pl.7.14"></a><var>7.14</var>must not be reimbursed for absent days. If a child attends for part of the time authorized to <br/>
<a id="pl.7.15"></a><var>7.15</var>be in care in a day, but is absent for part of the time authorized to be in care in that same <br/>
<a id="pl.7.16"></a><var>7.16</var>day, the absent time will must be reimbursed but the time will must not count toward the <br/>
<a id="pl.7.17"></a><var>7.17</var>ten consecutive or 25 cumulative absent day limits limit. Children in families where at <br/>
<a id="pl.7.18"></a><var>7.18</var>least one parent is under the age of 21, does not have a high school or general equivalency <br/>
<a id="pl.7.19"></a><var>7.19</var>diploma, and is a student in a school district or another similar program that provides or <br/>
<a id="pl.7.20"></a><var>7.20</var>arranges for child care, as well as parenting, social services, career and employment <br/>
<a id="pl.7.21"></a><var>7.21</var>supports, and academic support to achieve high school graduation, may be exempt from <br/>
<a id="pl.7.22"></a><var>7.22</var>the absent day limits upon request of the program and approval of the county. If a child <br/>
<a id="pl.7.23"></a><var>7.23</var>attends part of an authorized day, payment to the provider must be for the full amount <br/>
<a id="pl.7.24"></a><var>7.24</var>of care authorized for that day. Child care providers may must only be reimbursed for <br/>
<a id="pl.7.25"></a><var>7.25</var>absent days if the provider has a written policy for child absences and charges all other <br/>
<a id="pl.7.26"></a><var>7.26</var>families in care for similar absences.<br/>
<a id="pl.7.27"></a><var>7.27</var>    (b) Child care providers must be reimbursed for up to ten federal or state holidays <br/>
<a id="pl.7.28"></a><var>7.28</var>or designated holidays per year when the provider charges all families for these days <br/>
<a id="pl.7.29"></a><var>7.29</var>and the holiday or designated holiday falls on a day when the child is authorized to be <br/>
<a id="pl.7.30"></a><var>7.30</var>in attendance. Parents may substitute other cultural or religious holidays for the ten <br/>
<a id="pl.7.31"></a><var>7.31</var>recognized state and federal holidays. Holidays do not count toward the ten consecutive <br/>
<a id="pl.7.32"></a><var>7.32</var>or 25 cumulative absent day limits limit.<br/>
<a id="pl.7.33"></a><var>7.33</var>    (c) A family or child care provider may must not be assessed an overpayment for an <br/>
<a id="pl.7.34"></a><var>7.34</var>absent day payment unless (1) there was an error in the amount of care authorized for the <br/>
<a id="pl.7.35"></a><var>7.35</var>family, (2) all of the allowed full-day absent payments for the child have been paid, or (3) <br/>
<a id="pl.7.36"></a><var>7.36</var>the family or provider did not timely report a change as required under law.<br/>
<a id="pl.8.1"></a><var>8.1</var>    (d) The provider and family must receive notification of the number of absent days <br/>
<a id="pl.8.2"></a><var>8.2</var>used upon initial provider authorization for a family and when the family has used 15 <br/>
<a id="pl.8.3"></a><var>8.3</var>cumulative absent days. Upon statewide implementation of the Minnesota Electronic <br/>
<a id="pl.8.4"></a><var>8.4</var>Child Care System, the provider and family shall receive notification of the number of <br/>
<a id="pl.8.5"></a><var>8.5</var>absent days used upon initial provider authorization for a family and ongoing notification <br/>
<a id="pl.8.6"></a><var>8.6</var>of the number of absent days used as of the date of the notification.<br/>
<a id="pl.8.7"></a><var>8.7</var>    (e) A county may pay for more absent days than the statewide absent day policy <br/>
<a id="pl.8.8"></a><var>8.8</var>established under this subdivision if current market practice in the county justifies payment <br/>
<a id="pl.8.9"></a><var>8.9</var>for those additional days. County policies for payment of absent days in excess of the <br/>
<a id="pl.8.10"></a><var>8.10</var>statewide absent day policy and justification for these county policies must be included in <br/>
<a id="pl.8.11"></a><var>8.11</var>the county's child care fund plan under section 
<statute_ref>119B.08</statute_ref>, subdivision 3.<br/>
<a id="pl.8.12"></a><var>8.12</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.1.10.0"></a><a id="pl.8.13"></a><var>8.13</var>    Sec. 10. <b>[256.987] ELECTRONIC BENEFIT TRANSFER CARD.</b><br/>
<a id="pl.8.14"></a><var>8.14</var>    Subdivision 1. <b>Electronic benefit transfer (EBT) card.</b> Cash benefits for the <br/>
<a id="pl.8.15"></a><var>8.15</var>general assistance and Minnesota supplemental aid programs under chapter 256D and <br/>
<a id="pl.8.16"></a><var>8.16</var>programs under chapter 256J must be issued on a separate EBT card with the name of the <br/>
<a id="pl.8.17"></a><var>8.17</var>head of household printed on the card. The card must include the following statement: "It <br/>
<a id="pl.8.18"></a><var>8.18</var>is unlawful to use this card to purchase tobacco products or alcoholic beverages." This <br/>
<a id="pl.8.19"></a><var>8.19</var>card must be issued within 30 calendar days of an eligibility determination. During the <br/>
<a id="pl.8.20"></a><var>8.20</var>initial 30 calendar days of eligibility, a recipient may have cash benefits issued on an EBT <br/>
<a id="pl.8.21"></a><var>8.21</var>card without a name printed on the card. This card may be the same card on which food <br/>
<a id="pl.8.22"></a><var>8.22</var>support benefits are issued and does not need to meet the requirements of this section.<br/>
<a id="pl.8.23"></a><var>8.23</var>    Subd. 2. <b>EBT card use restricted to Minnesota vendors.</b> EBT cardholders <br/>
<a id="pl.8.24"></a><var>8.24</var>receiving cash benefits under the general assistance and Minnesota supplemental aid <br/>
<a id="pl.8.25"></a><var>8.25</var>programs under chapter 256D or programs under chapter 256J are prohibited from using <br/>
<a id="pl.8.26"></a><var>8.26</var>their EBT cards at vendors located outside of Minnesota. This subdivision does not apply <br/>
<a id="pl.8.27"></a><var>8.27</var>to food support benefits.<br/>
<a id="pl.8.28"></a><var>8.28</var>    Subd. 3. <b>Prohibited purchases.</b> EBT debit cardholders in programs listed under <br/>
<a id="pl.8.29"></a><var>8.29</var>subdivision 1 are prohibited from using the EBT debit card to purchase tobacco products <br/>
<a id="pl.8.30"></a><var>8.30</var>and alcoholic beverages, as defined in section 340A.101, subdivision 2. It is unlawful for <br/>
<a id="pl.8.31"></a><var>8.31</var>an EBT cardholder to purchase or attempt to purchase tobacco products or alcoholic <br/>
<a id="pl.8.32"></a><var>8.32</var>beverages with the cardholder's EBT card. Violation of this subdivision is a petty <br/>
<a id="pl.8.33"></a><var>8.33</var>misdemeanor. A retailer must not be held liable for the crime of another under section <br/>
<a id="pl.8.34"></a><var>8.34</var>609.05, for actions taken under this subdivision.<br/>
<a id="pl.9.1"></a><var>9.1</var><b>EFFECTIVE DATE.</b>Subdivisions 1 and 2 of this section are effective June 1, 2012.<br/>
<br/>
<a id="bill.1.11.0"></a><a id="pl.9.2"></a><var>9.2</var>    Sec. 11. Minnesota Statutes 2010, section 256D.02, subdivision 12a, is amended to <br/>
<a id="pl.9.3"></a><var>9.3</var>read:<br/>
<a id="pl.9.4"></a><var>9.4</var>    Subd. 12a. <b>Resident</b><b>; general assistance medical care</b><b>.</b> (a) For purposes of <br/>
<a id="pl.9.5"></a><var>9.5</var>eligibility for general assistance and general assistance medical care, a person must be a <br/>
<a id="pl.9.6"></a><var>9.6</var>resident of this state.<br/>
<a id="pl.9.7"></a><var>9.7</var>(b) A "resident" is a person living in the state for at least 30 days with the intention of <br/>
<a id="pl.9.8"></a><var>9.8</var>making the person's home here and not for any temporary purpose. Time spent in a shelter <br/>
<a id="pl.9.9"></a><var>9.9</var>for battered women shall count toward satisfying the 30-day residency requirement. All <br/>
<a id="pl.9.10"></a><var>9.10</var>applicants for these programs are required to demonstrate the requisite intent and can do <br/>
<a id="pl.9.11"></a><var>9.11</var>so in any of the following ways:<br/>
<a id="pl.9.12"></a><var>9.12</var>(1) by showing that the applicant maintains a residence at a verified address, other <br/>
<a id="pl.9.13"></a><var>9.13</var>than a place of public accommodation. An applicant may verify a residence address by <br/>
<a id="pl.9.14"></a><var>9.14</var>presenting a valid state driver's license,; a state identification card,; a voter registration <br/>
<a id="pl.9.15"></a><var>9.15</var>card,; a rent receipt,; a statement by the landlord, apartment manager, or homeowner <br/>
<a id="pl.9.16"></a><var>9.16</var>verifying that the individual is residing at the address,; or other form of verification <br/>
<a id="pl.9.17"></a><var>9.17</var>approved by the commissioner; or<br/>
<a id="pl.9.18"></a><var>9.18</var>(2) by verifying residence according to Minnesota Rules, part 9500.1219, subpart <br/>
<a id="pl.9.19"></a><var>9.19</var>3, item C.<br/>
<a id="pl.9.20"></a><var>9.20</var>(c) For general assistance medical care, a county agency shall waive the 30-day <br/>
<a id="pl.9.21"></a><var>9.21</var>residency requirement in cases of medical emergencies. For general assistance, a county <br/>
<a id="pl.9.22"></a><var>9.22</var>shall waive the 30-day residency requirement where unusual hardship would result from <br/>
<a id="pl.9.23"></a><var>9.23</var>denial of general assistance. For purposes of this subdivision, "unusual hardship" means <br/>
<a id="pl.9.24"></a><var>9.24</var>the applicant is without shelter or is without available resources for food.<br/>
<a id="pl.9.25"></a><var>9.25</var>The county agency must report to the commissioner within 30 days on any waiver <br/>
<a id="pl.9.26"></a><var>9.26</var>granted under this section. The county shall not deny an application solely because the <br/>
<a id="pl.9.27"></a><var>9.27</var>applicant does not meet at least one of the criteria in this subdivision, but shall continue to <br/>
<a id="pl.9.28"></a><var>9.28</var>process the application and leave the application pending until the residency requirement <br/>
<a id="pl.9.29"></a><var>9.29</var>is met or until eligibility or ineligibility is established.<br/>
<a id="pl.9.30"></a><var>9.30</var>(d) For purposes of paragraph (c), the following definitions apply (1) "metropolitan <br/>
<a id="pl.9.31"></a><var>9.31</var>statistical area" is as defined by the United States Census Bureau; (2) "shelter" includes <br/>
<a id="pl.9.32"></a><var>9.32</var>any shelter that is located within the metropolitan statistical area containing the county <br/>
<a id="pl.9.33"></a><var>9.33</var>and for which the applicant is eligible, provided the applicant does not have to travel more <br/>
<a id="pl.9.34"></a><var>9.34</var>than 20 miles to reach the shelter and has access to transportation to the shelter. Clause (2) <br/>
<a id="pl.9.35"></a><var>9.35</var>does not apply to counties in the Minneapolis-St. Paul metropolitan statistical area.<br/>
<a id="pl.10.1"></a><var>10.1</var>(e) Migrant workers as defined in section 
         <statute_ref>256J.08</statute_ref> and, until March 31, 1998, their <br/>
<a id="pl.10.2"></a><var>10.2</var>immediate families are exempt from the residency requirements of this section, provided <br/>
<a id="pl.10.3"></a><var>10.3</var>the migrant worker provides verification that the migrant family worked in this state <br/>
<a id="pl.10.4"></a><var>10.4</var>within the last 12 months and earned at least $1,000 in gross wages during the time the <br/>
<a id="pl.10.5"></a><var>10.5</var>migrant worker worked in this state. <br/>
<a id="pl.10.6"></a><var>10.6</var>(f) For purposes of eligibility for emergency general assistance, the 30-day residency <br/>
<a id="pl.10.7"></a><var>10.7</var>requirement under this section shall not be waived.<br/>
<a id="pl.10.8"></a><var>10.8</var>(g) (e) If any provision of this subdivision is enjoined from implementation or found <br/>
<a id="pl.10.9"></a><var>10.9</var>unconstitutional by any court of competent jurisdiction, the remaining provisions shall <br/>
<a id="pl.10.10"></a><var>10.10</var>remain valid and shall be given full effect.<br/>
<a id="pl.10.11"></a><var>10.11</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.12.0"></a><a id="pl.10.12"></a><var>10.12</var>    Sec. 12. Minnesota Statutes 2010, section 256D.05, subdivision 1, is amended to read:<br/>
<a id="pl.10.13"></a><var>10.13</var>    Subdivision 1. <b>Eligibility.</b> (a) Each assistance unit with income and resources <br/>
<a id="pl.10.14"></a><var>10.14</var>less than the standard of assistance established by the commissioner and with a member <br/>
<a id="pl.10.15"></a><var>10.15</var>who is a resident of the state shall be eligible for and entitled to general assistance if <br/>
<a id="pl.10.16"></a><var>10.16</var>the assistance unit is:<br/>
<a id="pl.10.17"></a><var>10.17</var>(1) a person who is suffering from a professionally certified permanent or temporary <br/>
<a id="pl.10.18"></a><var>10.18</var>illness, injury, or incapacity which is expected to continue for more than 30 90 days and <br/>
<a id="pl.10.19"></a><var>10.19</var>which prevents the person from obtaining or retaining employment;<br/>
<a id="pl.10.20"></a><var>10.20</var>(2) a person whose presence in the home on a substantially continuous basis is <br/>
<a id="pl.10.21"></a><var>10.21</var>required because of the professionally certified illness, injury, incapacity, or the age of <br/>
<a id="pl.10.22"></a><var>10.22</var>another member of the household;<br/>
<a id="pl.10.23"></a><var>10.23</var>(3) (2) a person who has been placed in, and is residing in, a licensed or certified <br/>
<a id="pl.10.24"></a><var>10.24</var>facility for purposes of physical or mental health or rehabilitation, or in an approved <br/>
<a id="pl.10.25"></a><var>10.25</var>chemical dependency domiciliary facility, if the placement is based on illness or incapacity <br/>
<a id="pl.10.26"></a><var>10.26</var>and is according to a plan developed or approved by the county agency through its <br/>
<a id="pl.10.27"></a><var>10.27</var>director or designated representative;<br/>
<a id="pl.10.28"></a><var>10.28</var>(4) (3) a person who resides in a shelter facility described in subdivision 3;<br/>
<a id="pl.10.29"></a><var>10.29</var>(5) (4) a person not described in clause (1) or (3) (2) who is diagnosed by a licensed <br/>
<a id="pl.10.30"></a><var>10.30</var>physician, psychological practitioner, or other qualified professional, as developmentally <br/>
<a id="pl.10.31"></a><var>10.31</var>disabled or mentally ill, and that condition prevents the person from obtaining or retaining <br/>
<a id="pl.10.32"></a><var>10.32</var>employment;<br/>
<a id="pl.10.33"></a><var>10.33</var>(6) a person who has an application pending for, or is appealing termination of <br/>
<a id="pl.10.34"></a><var>10.34</var>benefits from, the Social Security disability program or the program of supplemental <br/>
<a id="pl.10.35"></a><var>10.35</var>security income for the aged, blind, and disabled, provided the person has a professionally <br/>
<a id="pl.11.1"></a><var>11.1</var>certified permanent or temporary illness, injury, or incapacity which is expected to <br/>
<a id="pl.11.2"></a><var>11.2</var>continue for more than 30 days and which prevents the person from obtaining or retaining <br/>
<a id="pl.11.3"></a><var>11.3</var>employment;<br/>
<a id="pl.11.4"></a><var>11.4</var>(7) a person who is unable to obtain or retain employment because advanced age <br/>
<a id="pl.11.5"></a><var>11.5</var>significantly affects the person's ability to seek or engage in substantial work;<br/>
<a id="pl.11.6"></a><var>11.6</var>(8) (5) a person who has been assessed by a vocational specialist and, in consultation <br/>
<a id="pl.11.7"></a><var>11.7</var>with the county agency, has been determined to be unemployable for purposes of this <br/>
<a id="pl.11.8"></a><var>11.8</var>clause; a person is considered employable if there exist positions of employment in the <br/>
<a id="pl.11.9"></a><var>11.9</var>local labor market, regardless of the current availability of openings for those positions, <br/>
<a id="pl.11.10"></a><var>11.10</var>that the person is capable of performing. The person's eligibility under this category must <br/>
<a id="pl.11.11"></a><var>11.11</var>be reassessed at least annually. The county agency must provide notice to the person not <br/>
<a id="pl.11.12"></a><var>11.12</var>later than 30 days before annual eligibility under this item ends, informing the person of the <br/>
<a id="pl.11.13"></a><var>11.13</var>date annual eligibility will end and the need for vocational assessment if the person wishes <br/>
<a id="pl.11.14"></a><var>11.14</var>to continue eligibility under this clause. For purposes of establishing eligibility under this <br/>
<a id="pl.11.15"></a><var>11.15</var>clause, it is the applicant's or recipient's duty to obtain any needed vocational assessment;<br/>
<a id="pl.11.16"></a><var>11.16</var>(9) (6) a person who is determined by the county agency, according to permanent <br/>
<a id="pl.11.17"></a><var>11.17</var>rules adopted by the commissioner, to be learning disabled have a condition that qualifies <br/>
<a id="pl.11.18"></a><var>11.18</var>under Minnesota's special education rules as a specific learning disability, provided that if <br/>
<a id="pl.11.19"></a><var>11.19</var>a rehabilitation plan for the person is developed or approved by the county agency, and <br/>
<a id="pl.11.20"></a><var>11.20</var>the person is following the plan;<br/>
<a id="pl.11.21"></a><var>11.21</var>(10) (7) a child under the age of 18 who is not living with a parent, stepparent, or <br/>
<a id="pl.11.22"></a><var>11.22</var>legal custodian, and only if: the child is legally emancipated or living with an adult with <br/>
<a id="pl.11.23"></a><var>11.23</var>the consent of an agency acting as a legal custodian; the child is at least 16 years of age <br/>
<a id="pl.11.24"></a><var>11.24</var>and the general assistance grant is approved by the director of the county agency or a <br/>
<a id="pl.11.25"></a><var>11.25</var>designated representative as a component of a social services case plan for the child; or the <br/>
<a id="pl.11.26"></a><var>11.26</var>child is living with an adult with the consent of the child's legal custodian and the county <br/>
<a id="pl.11.27"></a><var>11.27</var>agency. For purposes of this clause, "legally emancipated" means a person under the age <br/>
<a id="pl.11.28"></a><var>11.28</var>of 18 years who: (i) has been married; (ii) is on active duty in the uniformed services of <br/>
<a id="pl.11.29"></a><var>11.29</var>the United States; (iii) has been emancipated by a court of competent jurisdiction; or (iv) <br/>
<a id="pl.11.30"></a><var>11.30</var>is otherwise considered emancipated under Minnesota law, and for whom county social <br/>
<a id="pl.11.31"></a><var>11.31</var>services has not determined that a social services case plan is necessary, for reasons other <br/>
<a id="pl.11.32"></a><var>11.32</var>than the child has failed or refuses to cooperate with the county agency in developing <br/>
<a id="pl.11.33"></a><var>11.33</var>the plan;<br/>
<a id="pl.11.34"></a><var>11.34</var>(11) (8) a person who is eligible for displaced homemaker services, programs, or <br/>
<a id="pl.11.35"></a><var>11.35</var>assistance under section 
         <statute_ref>116L.96</statute_ref>, but only if that person is enrolled as a full-time student;<br/>
<a id="pl.12.1"></a><var>12.1</var>(12) a person who lives more than four hours round-trip traveling time from any <br/>
<a id="pl.12.2"></a><var>12.2</var>potential suitable employment;<br/>
<a id="pl.12.3"></a><var>12.3</var>(13) (9) a person who is involved with protective or court-ordered services that <br/>
<a id="pl.12.4"></a><var>12.4</var>prevent the applicant or recipient from working at least four hours per day; or<br/>
<a id="pl.12.5"></a><var>12.5</var>(14) a person over age 18 whose primary language is not English and who is <br/>
<a id="pl.12.6"></a><var>12.6</var>attending high school at least half time; or<br/>
<a id="pl.12.7"></a><var>12.7</var>(15) (10) a person whose alcohol and drug addiction is a material factor that <br/>
<a id="pl.12.8"></a><var>12.8</var>contributes to the person's disability; applicants who assert this clause as a basis for <br/>
<a id="pl.12.9"></a><var>12.9</var>eligibility must be assessed by the county agency to determine if they are amenable <br/>
<a id="pl.12.10"></a><var>12.10</var>to treatment; if the applicant is determined to be not amenable to treatment, but is <br/>
<a id="pl.12.11"></a><var>12.11</var>otherwise eligible for benefits, then general assistance must be paid in vendor form, for <br/>
<a id="pl.12.12"></a><var>12.12</var>the individual's shelter costs up to the limit of the grant amount, with the residual, if <br/>
<a id="pl.12.13"></a><var>12.13</var>any, paid according to section 
         <statute_ref>256D.09, subdivision 2a</statute_ref>; if the applicant is determined <br/>
<a id="pl.12.14"></a><var>12.14</var>to be amenable to treatment, then in order to receive benefits, the applicant must be in <br/>
<a id="pl.12.15"></a><var>12.15</var>a treatment program or on a waiting list and the benefits must be paid in vendor form, <br/>
<a id="pl.12.16"></a><var>12.16</var>for the individual's shelter costs, up to the limit of the grant amount, with the residual, if <br/>
<a id="pl.12.17"></a><var>12.17</var>any, paid according to section 
         <statute_ref>256D.09, subdivision 2a</statute_ref>.<br/>
<a id="pl.12.18"></a><var>12.18</var>(b) As a condition of eligibility under paragraph (a), clauses (1), (3) (2), (5) (4), <br/>
<a id="pl.12.19"></a><var>12.19</var>(8) (5), and (9) (6), the recipient must complete an interim assistance agreement and <br/>
<a id="pl.12.20"></a><var>12.20</var>must apply for other maintenance benefits as specified in section 
         <statute_ref>256D.06, subdivision <br/>
<a id="pl.12.21"></a><var>12.21</var>5
         </statute_ref>, and must comply with efforts to determine the recipient's eligibility for those other <br/>
<a id="pl.12.22"></a><var>12.22</var>maintenance benefits.<br/>
<a id="pl.12.23"></a><var>12.23</var>(c) The burden of providing documentation for a county agency to use to verify <br/>
<a id="pl.12.24"></a><var>12.24</var>eligibility for general assistance or for exemption from the food stamp employment <br/>
<a id="pl.12.25"></a><var>12.25</var>and training program is upon the applicant or recipient. The county agency shall use <br/>
<a id="pl.12.26"></a><var>12.26</var>documents already in its possession to verify eligibility, and shall help the applicant or <br/>
<a id="pl.12.27"></a><var>12.27</var>recipient obtain other existing verification necessary to determine eligibility which the <br/>
<a id="pl.12.28"></a><var>12.28</var>applicant or recipient does not have and is unable to obtain.<br/>
<a id="pl.12.29"></a><var>12.29</var><b>EFFECTIVE DATE.</b>This section is effective May 1, 2012.<br/>
<br/>
<a id="bill.1.13.0"></a><a id="pl.12.30"></a><var>12.30</var>    Sec. 13. Minnesota Statutes 2010, section 256D.06, subdivision 2, is amended to read:<br/>
<a id="pl.12.31"></a><var>12.31</var>    Subd. 2. <b>Emergency need.</b> (a) Notwithstanding the provisions of subdivision 1, a <br/>
<a id="pl.12.32"></a><var>12.32</var>grant of emergency general assistance shall, to the extent funds are available, be made to <br/>
<a id="pl.12.33"></a><var>12.33</var>an eligible single adult, married couple, or family for an emergency need, as defined in <br/>
<a id="pl.12.34"></a><var>12.34</var>rules promulgated by the commissioner, where the recipient requests temporary assistance <br/>
<a id="pl.12.35"></a><var>12.35</var>not exceeding 30 days if an emergency situation appears to exist and the individual or <br/>
<a id="pl.13.1"></a><var>13.1</var>family is ineligible for MFIP or DWP or is not a participant of MFIP or DWP under <br/>
<a id="pl.13.2"></a><var>13.2</var>written criteria adopted by the county agency. If an applicant or recipient relates facts <br/>
<a id="pl.13.3"></a><var>13.3</var>to the county agency which may be sufficient to constitute an emergency situation, the <br/>
<a id="pl.13.4"></a><var>13.4</var>county agency shall, to the extent funds are available, advise the person of the procedure <br/>
<a id="pl.13.5"></a><var>13.5</var>for applying for assistance according to this subdivision. <br/>
<a id="pl.13.6"></a><var>13.6</var>    (b) The applicant must be ineligible for assistance under chapter 256J, must have <br/>
<a id="pl.13.7"></a><var>13.7</var>annual net income no greater than 200 percent of the federal poverty guidelines for the <br/>
<a id="pl.13.8"></a><var>13.8</var>previous calendar year, and may receive an emergency general assistance grant is available <br/>
<a id="pl.13.9"></a><var>13.9</var>to a recipient not more than once in any 12-month period. <br/>
<a id="pl.13.10"></a><var>13.10</var>    (c) Funding for an emergency general assistance program is limited to the <br/>
<a id="pl.13.11"></a><var>13.11</var>appropriation. Each fiscal year, the commissioner shall allocate to counties the money <br/>
<a id="pl.13.12"></a><var>13.12</var>appropriated for emergency general assistance grants based on each county agency's <br/>
<a id="pl.13.13"></a><var>13.13</var>average share of state's emergency general expenditures for the immediate past three fiscal <br/>
<a id="pl.13.14"></a><var>13.14</var>years as determined by the commissioner, and may reallocate any unspent amounts to <br/>
<a id="pl.13.15"></a><var>13.15</var>other counties. No county shall be allocated less than $1,000 for a fiscal year.<br/>
<a id="pl.13.16"></a><var>13.16</var>    (d) Any emergency general assistance expenditures by a county above the amount of <br/>
<a id="pl.13.17"></a><var>13.17</var>the commissioner's allocation to the county must be made from county funds.<br/>
<a id="pl.13.18"></a><var>13.18</var><b>EFFECTIVE DATE.</b>This section is effective November 1, 2011.<br/>
<br/>
<a id="bill.1.14.0"></a><a id="pl.13.19"></a><var>13.19</var>    Sec. 14. Minnesota Statutes 2010, section 256D.44, subdivision 5, is amended to read:<br/>
<a id="pl.13.20"></a><var>13.20</var>    Subd. 5. <b>Special needs.</b> In addition to the state standards of assistance established in <br/>
<a id="pl.13.21"></a><var>13.21</var>subdivisions 1 to 4, payments are allowed for the following special needs of recipients of <br/>
<a id="pl.13.22"></a><var>13.22</var>Minnesota supplemental aid who are not residents of a nursing home, a regional treatment <br/>
<a id="pl.13.23"></a><var>13.23</var>center, or a group residential housing facility.<br/>
<a id="pl.13.24"></a><var>13.24</var>    (a) The county agency shall pay a monthly allowance for medically prescribed <br/>
<a id="pl.13.25"></a><var>13.25</var>diets if the cost of those additional dietary needs cannot be met through some other <br/>
<a id="pl.13.26"></a><var>13.26</var>maintenance benefit. The need for special diets or dietary items must be prescribed by <br/>
<a id="pl.13.27"></a><var>13.27</var>a licensed physician. Costs for special diets shall be determined as percentages of the <br/>
<a id="pl.13.28"></a><var>13.28</var>allotment for a one-person household under the thrifty food plan as defined by the United <br/>
<a id="pl.13.29"></a><var>13.29</var>States Department of Agriculture. The types of diets and the percentages of the thrifty <br/>
<a id="pl.13.30"></a><var>13.30</var>food plan that are covered are as follows:<br/>
<a id="pl.13.31"></a><var>13.31</var>    (1) high protein diet, at least 80 grams daily, 25 percent of thrifty food plan;<br/>
<a id="pl.13.32"></a><var>13.32</var>    (2) controlled protein diet, 40 to 60 grams and requires special products, 100 percent <br/>
<a id="pl.13.33"></a><var>13.33</var>of thrifty food plan;<br/>
<a id="pl.13.34"></a><var>13.34</var>    (3) controlled protein diet, less than 40 grams and requires special products, 125 <br/>
<a id="pl.13.35"></a><var>13.35</var>percent of thrifty food plan;<br/>
<a id="pl.14.1"></a><var>14.1</var>    (4) low cholesterol diet, 25 percent of thrifty food plan;<br/>
<a id="pl.14.2"></a><var>14.2</var>    (5) high residue diet, 20 percent of thrifty food plan;<br/>
<a id="pl.14.3"></a><var>14.3</var>    (6) pregnancy and lactation diet, 35 percent of thrifty food plan;<br/>
<a id="pl.14.4"></a><var>14.4</var>    (7) gluten-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.14.5"></a><var>14.5</var>    (8) lactose-free diet, 25 percent of thrifty food plan;<br/>
<a id="pl.14.6"></a><var>14.6</var>    (9) antidumping diet, 15 percent of thrifty food plan;<br/>
<a id="pl.14.7"></a><var>14.7</var>    (10) hypoglycemic diet, 15 percent of thrifty food plan; or<br/>
<a id="pl.14.8"></a><var>14.8</var>    (11) ketogenic diet, 25 percent of thrifty food plan.<br/>
<a id="pl.14.9"></a><var>14.9</var>    (b) Payment for nonrecurring special needs must be allowed for necessary home <br/>
<a id="pl.14.10"></a><var>14.10</var>repairs or necessary repairs or replacement of household furniture and appliances using <br/>
<a id="pl.14.11"></a><var>14.11</var>the payment standard of the AFDC program in effect on July 16, 1996, for these expenses, <br/>
<a id="pl.14.12"></a><var>14.12</var>as long as other funding sources are not available.<br/>
<a id="pl.14.13"></a><var>14.13</var>    (c) A fee for guardian or conservator service is allowed at a reasonable rate <br/>
<a id="pl.14.14"></a><var>14.14</var>negotiated by the county or approved by the court. This rate shall not exceed five percent <br/>
<a id="pl.14.15"></a><var>14.15</var>of the assistance unit's gross monthly income up to a maximum of $100 per month. If the <br/>
<a id="pl.14.16"></a><var>14.16</var>guardian or conservator is a member of the county agency staff, no fee is allowed.<br/>
<a id="pl.14.17"></a><var>14.17</var>    (d) The county agency shall continue to pay a monthly allowance of $68 for <br/>
<a id="pl.14.18"></a><var>14.18</var>restaurant meals for a person who was receiving a restaurant meal allowance on June 1, <br/>
<a id="pl.14.19"></a><var>14.19</var>1990, and who eats two or more meals in a restaurant daily. The allowance must continue <br/>
<a id="pl.14.20"></a><var>14.20</var>until the person has not received Minnesota supplemental aid for one full calendar month <br/>
<a id="pl.14.21"></a><var>14.21</var>or until the person's living arrangement changes and the person no longer meets the criteria <br/>
<a id="pl.14.22"></a><var>14.22</var>for the restaurant meal allowance, whichever occurs first.<br/>
<a id="pl.14.23"></a><var>14.23</var>    (e) A fee of ten percent of the recipient's gross income or $25, whichever is less, <br/>
<a id="pl.14.24"></a><var>14.24</var>is allowed for representative payee services provided by an agency that meets the <br/>
<a id="pl.14.25"></a><var>14.25</var>requirements under SSI regulations to charge a fee for representative payee services. This <br/>
<a id="pl.14.26"></a><var>14.26</var>special need is available to all recipients of Minnesota supplemental aid regardless of <br/>
<a id="pl.14.27"></a><var>14.27</var>their living arrangement.<br/>
<a id="pl.14.28"></a><var>14.28</var>    (f) (a)(1) Notwithstanding the language in this subdivision, An amount equal to the <br/>
<a id="pl.14.29"></a><var>14.29</var>maximum allotment authorized by the federal Food Stamp Program for a single individual <br/>
<a id="pl.14.30"></a><var>14.30</var>which is in effect on the first day of July of each year will be added to the standards of <br/>
<a id="pl.14.31"></a><var>14.31</var>assistance established in subdivisions 1 to 4 for adults under the age of 65 who qualify <br/>
<a id="pl.14.32"></a><var>14.32</var>as shelter needy and are: (i) relocating from an institution, or an adult mental health <br/>
<a id="pl.14.33"></a><var>14.33</var>residential treatment program under section 
         <statute_ref>256B.0622</statute_ref>; (ii) eligible for the self-directed <br/>
<a id="pl.14.34"></a><var>14.34</var>supports option as defined under section 
         <statute_ref>256B.0657, subdivision 2</statute_ref>; or (iii) home and <br/>
<a id="pl.14.35"></a><var>14.35</var>community-based waiver recipients living in their own home or rented or leased apartment <br/>
<a id="pl.15.1"></a><var>15.1</var>which is not owned, operated, or controlled by a provider of service not related by blood <br/>
<a id="pl.15.2"></a><var>15.2</var>or marriage, unless allowed under paragraph (g) (b).<br/>
<a id="pl.15.3"></a><var>15.3</var>    (2) Notwithstanding subdivision 3, paragraph (c), an individual eligible for the <br/>
<a id="pl.15.4"></a><var>15.4</var>shelter needy benefit under this paragraph is considered a household of one. An eligible <br/>
<a id="pl.15.5"></a><var>15.5</var>individual who receives this benefit prior to age 65 may continue to receive the benefit <br/>
<a id="pl.15.6"></a><var>15.6</var>after the age of 65.<br/>
<a id="pl.15.7"></a><var>15.7</var>    (3) "Shelter needy" means that the assistance unit incurs monthly shelter costs that <br/>
<a id="pl.15.8"></a><var>15.8</var>exceed 40 percent of the assistance unit's gross income before the application of this <br/>
<a id="pl.15.9"></a><var>15.9</var>special needs standard. "Gross income" for the purposes of this section is the applicant's or <br/>
<a id="pl.15.10"></a><var>15.10</var>recipient's income as defined in section 
         <statute_ref>256D.35, subdivision 10</statute_ref>, or the standard specified <br/>
<a id="pl.15.11"></a><var>15.11</var>in subdivision 3, paragraph (a) or (b), whichever is greater. A recipient of a federal or <br/>
<a id="pl.15.12"></a><var>15.12</var>state housing subsidy, that limits shelter costs to a percentage of gross income, shall not be <br/>
<a id="pl.15.13"></a><var>15.13</var>considered shelter needy for purposes of this paragraph.<br/>
<a id="pl.15.14"></a><var>15.14</var>(g) Notwithstanding this subdivision, (b) To access housing and services as provided <br/>
<a id="pl.15.15"></a><var>15.15</var>in paragraph (f) (a), the recipient may choose housing that may be owned, operated, or <br/>
<a id="pl.15.16"></a><var>15.16</var>controlled by the recipient's service provider. In a multifamily building of four or more <br/>
<a id="pl.15.17"></a><var>15.17</var>units, the maximum number of apartments that may be used by recipients of this program <br/>
<a id="pl.15.18"></a><var>15.18</var>shall be 50 percent of the units in a building. This paragraph expires on June 30, 2012.<br/>
<a id="pl.15.19"></a><var>15.19</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2011.<br/>
<br/>
<a id="bill.1.15.0"></a><a id="pl.15.20"></a><var>15.20</var>    Sec. 15. Minnesota Statutes 2010, section 256D.46, subdivision 1, is amended to read:<br/>
<a id="pl.15.21"></a><var>15.21</var>    Subdivision 1. <b>Eligibility.</b> A county agency must grant emergency Minnesota <br/>
<a id="pl.15.22"></a><var>15.22</var>supplemental aid, to the extent funds are available, if the recipient is without adequate <br/>
<a id="pl.15.23"></a><var>15.23</var>resources to resolve an emergency that, if unresolved, will threaten the health or safety of <br/>
<a id="pl.15.24"></a><var>15.24</var>the recipient. For the purposes of this section, the term "recipient" includes persons for <br/>
<a id="pl.15.25"></a><var>15.25</var>whom a group residential housing benefit is being paid under sections 
<statute_ref>256I.01</statute_ref> to 
<statute_ref>256I.06</statute_ref>. <br/>
<a id="pl.15.26"></a><var>15.26</var>Applicants for or recipients of SSI or Minnesota supplemental aid who have emergency <br/>
<a id="pl.15.27"></a><var>15.27</var>need may apply for emergency general assistance under section 256D.06, subdivision 2. <br/>
<a id="pl.15.28"></a><var>15.28</var><b>EFFECTIVE DATE.</b>This section is effective November 1, 2011.<br/>
<br/>
<a id="bill.1.16.0"></a><a id="pl.15.29"></a><var>15.29</var>    Sec. 16. Minnesota Statutes 2010, section 256D.47, is amended to read:<br/>
<a id="pl.15.30"></a><var>15.30</var><b>256D.47 PAYMENT METHODS.</b><br/>
<a id="pl.15.31"></a><var>15.31</var>Minnesota supplemental aid payments must be issued to the recipient, a protective <br/>
<a id="pl.15.32"></a><var>15.32</var>payee, or a conservator or guardian of the recipient's estate in the form of county warrants <br/>
<a id="pl.15.33"></a><var>15.33</var>immediately redeemable in cash, electronic benefits transfer, or by direct deposit into the <br/>
<a id="pl.16.1"></a><var>16.1</var>recipient's account in a financial institution. Minnesota supplemental aid payments must <br/>
<a id="pl.16.2"></a><var>16.2</var>be issued regularly on the first day of the month. The supplemental aid warrants must be <br/>
<a id="pl.16.3"></a><var>16.3</var>mailed only to the address at which the recipient resides, unless another address has been <br/>
<a id="pl.16.4"></a><var>16.4</var>approved in advance by the county agency. Vendor payments must not be issued by the <br/>
<a id="pl.16.5"></a><var>16.5</var>county agency except for nonrecurring emergency need payments; at the request of the <br/>
<a id="pl.16.6"></a><var>16.6</var>recipient; for special needs, other than special diets; or when the agency determines the <br/>
<a id="pl.16.7"></a><var>16.7</var>need for protective payments exist.<br/>
<a id="pl.16.8"></a><var>16.8</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2011.<br/>
<br/>
<a id="bill.1.17.0"></a><a id="pl.16.9"></a><var>16.9</var>    Sec. 17. Minnesota Statutes 2010, section 256E.35, subdivision 5, is amended to read:<br/>
<a id="pl.16.10"></a><var>16.10</var>    Subd. 5. <b>Household eligibility; participation.</b> (a) To be eligible for state or TANF <br/>
<a id="pl.16.11"></a><var>16.11</var>matching funds in the family assets for independence initiative, a household must meet the <br/>
<a id="pl.16.12"></a><var>16.12</var>eligibility requirements of the federal Assets for Independence Act, Public Law 105-285, <br/>
<a id="pl.16.13"></a><var>16.13</var>in Title IV, section 408 of that act.<br/>
<a id="pl.16.14"></a><var>16.14</var>(b) Each participating household must sign a family asset agreement that includes <br/>
<a id="pl.16.15"></a><var>16.15</var>the amount of scheduled deposits into its savings account, the proposed use, and the <br/>
<a id="pl.16.16"></a><var>16.16</var>proposed savings goal. A participating household must agree to complete an economic <br/>
<a id="pl.16.17"></a><var>16.17</var>literacy training program.<br/>
<a id="pl.16.18"></a><var>16.18</var>Participating households may only deposit money that is derived from household <br/>
<a id="pl.16.19"></a><var>16.19</var>earned income or from state and federal income tax credits.<br/>
<br/>
<a id="bill.1.18.0"></a><a id="pl.16.20"></a><var>16.20</var>    Sec. 18. Minnesota Statutes 2010, section 256E.35, subdivision 6, is amended to read:<br/>
<a id="pl.16.21"></a><var>16.21</var>    Subd. 6. <b>Withdrawal; matching; permissible uses.</b> (a) To receive a match, a <br/>
<a id="pl.16.22"></a><var>16.22</var>participating household must transfer funds withdrawn from a family asset account to its <br/>
<a id="pl.16.23"></a><var>16.23</var>matching fund custodial account held by the fiscal agent, according to the family asset <br/>
<a id="pl.16.24"></a><var>16.24</var>agreement. The fiscal agent must determine if the match request is for a permissible use <br/>
<a id="pl.16.25"></a><var>16.25</var>consistent with the household's family asset agreement.<br/>
<a id="pl.16.26"></a><var>16.26</var>The fiscal agent must ensure the household's custodial account contains the <br/>
<a id="pl.16.27"></a><var>16.27</var>applicable matching funds to match the balance in the household's account, including <br/>
<a id="pl.16.28"></a><var>16.28</var>interest, on at least a quarterly basis and at the time of an approved withdrawal. Matches <br/>
<a id="pl.16.29"></a><var>16.29</var>must be provided as follows:<br/>
<a id="pl.16.30"></a><var>16.30</var>(1) from state grant and TANF funds a matching contribution of $1.50 for every $1 <br/>
<a id="pl.16.31"></a><var>16.31</var>of funds withdrawn from the family asset account equal to the lesser of $720 per year or a <br/>
<a id="pl.16.32"></a><var>16.32</var>$3,000 lifetime limit; and<br/>
<a id="pl.17.1"></a><var>17.1</var>(2) from nonstate funds, a matching contribution of no less than $1.50 for every $1 <br/>
<a id="pl.17.2"></a><var>17.2</var>of funds withdrawn from the family asset account equal to the lesser of $720 per year or <br/>
<a id="pl.17.3"></a><var>17.3</var>a $3,000 lifetime limit.<br/>
<a id="pl.17.4"></a><var>17.4</var>(b) Upon receipt of transferred custodial account funds, the fiscal agent must make a <br/>
<a id="pl.17.5"></a><var>17.5</var>direct payment to the vendor of the goods or services for the permissible use.<br/>
<br/>
<a id="bill.1.19.0"></a><a id="pl.17.6"></a><var>17.6</var>    Sec. 19. Minnesota Statutes 2010, section 256I.03, is amended by adding a subdivision <br/>
<a id="pl.17.7"></a><var>17.7</var>to read:<br/>
<a id="pl.17.8"></a><var>17.8</var>    Subd. 8. <b>Supplementary services.</b> "Supplementary services" means services <br/>
<a id="pl.17.9"></a><var>17.9</var>provided to residents of group residential housing providers in addition to room and <br/>
<a id="pl.17.10"></a><var>17.10</var>board including, but not limited to, oversight and up to 24-hour supervision, medication <br/>
<a id="pl.17.11"></a><var>17.11</var>reminders, assistance with transportation, arranging for meetings and appointments, and <br/>
<a id="pl.17.12"></a><var>17.12</var>arranging for medical and social services.<br/>
<br/>
<a id="bill.1.20.0"></a><a id="pl.17.13"></a><var>17.13</var>    Sec. 20. Minnesota Statutes 2010, section 256I.04, subdivision 1, is amended to read:<br/>
<a id="pl.17.14"></a><var>17.14</var>    Subdivision 1. <b>Individual eligibility requirements.</b> An individual is eligible for <br/>
<a id="pl.17.15"></a><var>17.15</var>and entitled to a group residential housing payment to be made on the individual's behalf <br/>
<a id="pl.17.16"></a><var>17.16</var>if the county agency has approved the individual's residence in a group residential housing <br/>
<a id="pl.17.17"></a><var>17.17</var>setting and the individual meets the requirements in paragraph (a) or (b) this section.<br/>
<a id="pl.17.18"></a><var>17.18</var>(a) The individual is aged, blind, or is over 18 years of age and disabled as <br/>
<a id="pl.17.19"></a><var>17.19</var>determined under the criteria used by the title II program of the Social Security Act, <br/>
<a id="pl.17.20"></a><var>17.20</var>and meets the resource restrictions and standards of the supplemental security income <br/>
<a id="pl.17.21"></a><var>17.21</var>program, and the individual's countable income after deducting the (1) exclusions and <br/>
<a id="pl.17.22"></a><var>17.22</var>disregards of the SSI program, (2) the medical assistance personal needs allowance <br/>
<a id="pl.17.23"></a><var>17.23</var>under section 
         <statute_ref>256B.35</statute_ref>, and (3) an amount equal to the income actually made available <br/>
<a id="pl.17.24"></a><var>17.24</var>to a community spouse by an elderly waiver recipient under the provisions of sections <br/>
<statute_ref><a id="pl.17.25"></a><var>17.25</var>256B.0575, paragraph (a)
         </statute_ref>, clause (4), and 
         <statute_ref>256B.058, subdivision 2</statute_ref>, is less than the <br/>
<a id="pl.17.26"></a><var>17.26</var>monthly rate specified in the county agency's agreement with the provider of group <br/>
<a id="pl.17.27"></a><var>17.27</var>residential housing in which the individual resides.<br/>
<a id="pl.17.28"></a><var>17.28</var>(b) The individual meets a category of eligibility under section 
<statute_ref>256D.05, subdivision <br/>
<a id="pl.17.29"></a><var>17.29</var>1
</statute_ref>, paragraph (a), and the individual's resources are less than the standards specified by <br/>
<a id="pl.17.30"></a><var>17.30</var>section 
<statute_ref>256D.08</statute_ref>, and the individual's countable income as determined under sections <br/>
<a id="pl.17.31"></a><var>17.31</var><statute_ref>256D.01</statute_ref> to 
<statute_ref>256D.21</statute_ref>, less the medical assistance personal needs allowance under section <br/>
<a id="pl.17.32"></a><var>17.32</var><statute_ref>256B.35</statute_ref> is less than the monthly rate specified in the county agency's agreement with the <br/>
<a id="pl.17.33"></a><var>17.33</var>provider of group residential housing in which the individual resides.<br/>
<a id="pl.18.1"></a><var>18.1</var>(b) Each individual with income and resources less than the standard of assistance <br/>
<a id="pl.18.2"></a><var>18.2</var>established by the commissioner and who is a resident of the state shall be eligible for and <br/>
<a id="pl.18.3"></a><var>18.3</var>entitled to group residential housing if the assistance unit is:<br/>
<a id="pl.18.4"></a><var>18.4</var>(1) a person who is suffering from a professionally certified permanent or temporary <br/>
<a id="pl.18.5"></a><var>18.5</var>illness, injury, or incapacity which is expected to continue for more than 90 days and <br/>
<a id="pl.18.6"></a><var>18.6</var>which prevents the person from obtaining or retaining employment;<br/>
<a id="pl.18.7"></a><var>18.7</var>(2) a person who has been placed in, and is residing in, a licensed or certified facility <br/>
<a id="pl.18.8"></a><var>18.8</var>for purposes of physical or mental health or rehabilitation, or in an approved chemical <br/>
<a id="pl.18.9"></a><var>18.9</var>dependency domiciliary facility, if the placement is based on illness or incapacity and is <br/>
<a id="pl.18.10"></a><var>18.10</var>according to a plan developed or approved by the county agency through its director or <br/>
<a id="pl.18.11"></a><var>18.11</var>designated representative;<br/>
<a id="pl.18.12"></a><var>18.12</var>(3) a person not described in clause (1) or (2) who is diagnosed by a licensed <br/>
<a id="pl.18.13"></a><var>18.13</var>physician, psychological practitioner, or other qualified professional, as developmentally <br/>
<a id="pl.18.14"></a><var>18.14</var>disabled or mentally ill, and that condition prevents the person from obtaining or retaining <br/>
<a id="pl.18.15"></a><var>18.15</var>employment;<br/>
<a id="pl.18.16"></a><var>18.16</var>(4) a person who has been assessed by a vocational specialist and, in consultation <br/>
<a id="pl.18.17"></a><var>18.17</var>with the county agency, has been determined to be unemployable for purposes of this <br/>
<a id="pl.18.18"></a><var>18.18</var>clause; a person is considered employable if there exist positions of employment in the <br/>
<a id="pl.18.19"></a><var>18.19</var>local labor market, regardless of the current availability of openings for those positions, <br/>
<a id="pl.18.20"></a><var>18.20</var>that the person is capable of performing. The person's eligibility under this category must <br/>
<a id="pl.18.21"></a><var>18.21</var>be reassessed at least annually. The county agency must provide notice to the person not <br/>
<a id="pl.18.22"></a><var>18.22</var>later than 30 days before annual eligibility under this item ends, informing the person of the <br/>
<a id="pl.18.23"></a><var>18.23</var>date annual eligibility will end and the need for vocational assessment if the person wishes <br/>
<a id="pl.18.24"></a><var>18.24</var>to continue eligibility under this clause. For purposes of establishing eligibility under this <br/>
<a id="pl.18.25"></a><var>18.25</var>clause, it is the applicant's or recipient's duty to obtain any needed vocational assessment;<br/>
<a id="pl.18.26"></a><var>18.26</var>(5) a person who is determined by the county agency, according to permanent rules <br/>
<a id="pl.18.27"></a><var>18.27</var>adopted by the commissioner, to have a condition that qualifies under Minnesota's special <br/>
<a id="pl.18.28"></a><var>18.28</var>education rules as a specific learning disability, provided that a rehabilitation plan for <br/>
<a id="pl.18.29"></a><var>18.29</var>the person is developed or approved by the county agency, and the person is following <br/>
<a id="pl.18.30"></a><var>18.30</var>the plan; or<br/>
<a id="pl.18.31"></a><var>18.31</var>(6) a person whose alcohol and drug addiction is a material factor that contributes <br/>
<a id="pl.18.32"></a><var>18.32</var>to the person's disability.<br/>
<a id="pl.18.33"></a><var>18.33</var>(c) As a condition of eligibility under paragraph (b), the recipient must complete an <br/>
<a id="pl.18.34"></a><var>18.34</var>interim assistance agreement and must apply for other maintenance benefits as specified in <br/>
<a id="pl.18.35"></a><var>18.35</var>section 256N.35, and must comply with efforts to determine the recipient's eligibility for <br/>
<a id="pl.18.36"></a><var>18.36</var>those other maintenance benefits.<br/>
<a id="pl.19.1"></a><var>19.1</var>(d) As a condition of eligibility under this section, the recipient must complete <br/>
<a id="pl.19.2"></a><var>19.2</var>at least 20 hours per month of volunteer or paid work. The county of residence shall <br/>
<a id="pl.19.3"></a><var>19.3</var>determine what may be included as volunteer work. Recipients must provide monthly <br/>
<a id="pl.19.4"></a><var>19.4</var>proof of volunteer work on the forms established by the county. A person who is unable <br/>
<a id="pl.19.5"></a><var>19.5</var>to obtain or retain 20 hours per month of volunteer or paid work due to a professionally <br/>
<a id="pl.19.6"></a><var>19.6</var>certified illness, injury, disability, or incapacity must not be made ineligible for group <br/>
<a id="pl.19.7"></a><var>19.7</var>residential housing under this section.<br/>
<a id="pl.19.8"></a><var>19.8</var>(e) The burden of providing documentation for a county agency to use to verify <br/>
<a id="pl.19.9"></a><var>19.9</var>eligibility under this section is upon the applicant or recipient. The county agency shall <br/>
<a id="pl.19.10"></a><var>19.10</var>use documents already in its possession to verify eligibility, and shall help the applicant or <br/>
<a id="pl.19.11"></a><var>19.11</var>recipient obtain other existing verification necessary to determine eligibility which the <br/>
<a id="pl.19.12"></a><var>19.12</var>applicant or recipient does not have and is unable to obtain.<br/>
<a id="pl.19.13"></a><var>19.13</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.21.0"></a><a id="pl.19.14"></a><var>19.14</var>    Sec. 21. Minnesota Statutes 2010, section 256I.04, subdivision 2b, is amended to read:<br/>
<a id="pl.19.15"></a><var>19.15</var>    Subd. 2b. <b>Group residential housing agreements.</b> (a) Agreements between county <br/>
<a id="pl.19.16"></a><var>19.16</var>agencies and providers of group residential housing must be in writing and must specify <br/>
<a id="pl.19.17"></a><var>19.17</var>the name and address under which the establishment subject to the agreement does <br/>
<a id="pl.19.18"></a><var>19.18</var>business and under which the establishment, or service provider, if different from the <br/>
<a id="pl.19.19"></a><var>19.19</var>group residential housing establishment, is licensed by the Department of Health or the <br/>
<a id="pl.19.20"></a><var>19.20</var>Department of Human Services; the specific license or registration from the Department <br/>
<a id="pl.19.21"></a><var>19.21</var>of Health or the Department of Human Services held by the provider and the number <br/>
<a id="pl.19.22"></a><var>19.22</var>of beds subject to that license; the address of the location or locations at which group <br/>
<a id="pl.19.23"></a><var>19.23</var>residential housing is provided under this agreement; the per diem and monthly rates that <br/>
<a id="pl.19.24"></a><var>19.24</var>are to be paid from group residential housing funds for each eligible resident at each <br/>
<a id="pl.19.25"></a><var>19.25</var>location; the number of beds at each location which are subject to the group residential <br/>
<a id="pl.19.26"></a><var>19.26</var>housing agreement; whether the license holder is a not-for-profit corporation under section <br/>
<a id="pl.19.27"></a><var>19.27</var>501(c)(3) of the Internal Revenue Code; and a statement that the agreement is subject to <br/>
<a id="pl.19.28"></a><var>19.28</var>the provisions of sections 
         <statute_ref>256I.01</statute_ref> to 
         <statute_ref>256I.06</statute_ref> and subject to any changes to those sections. <br/>
<a id="pl.19.29"></a><var>19.29</var>Group residential housing agreements may be terminated with or without cause by either <br/>
<a id="pl.19.30"></a><var>19.30</var>the county or the provider with two calendar months prior notice.<br/>
<a id="pl.19.31"></a><var>19.31</var>(b) Counties must not enter into agreements with providers of group residential <br/>
<a id="pl.19.32"></a><var>19.32</var>housing that are licensed as board and lodging with special services and that do not include <br/>
<a id="pl.19.33"></a><var>19.33</var>a residency requirement of at least 20 hours per month of volunteer or paid work. A person <br/>
<a id="pl.19.34"></a><var>19.34</var>who is unable to obtain or retain 20 hours per month of volunteer or paid work due to a <br/>
<a id="pl.19.35"></a><var>19.35</var>professionally certified illness, injury, disability, or incapacity must not be made ineligible <br/>
<a id="pl.20.1"></a><var>20.1</var>for group residential housing under this section. This paragraph does not apply to group <br/>
<a id="pl.20.2"></a><var>20.2</var>residential housing providers who serve people aged 21 or younger if the residents are <br/>
<a id="pl.20.3"></a><var>20.3</var>required to attend school or improve independent living skills.<br/>
<a id="pl.20.4"></a><var>20.4</var><b>EFFECTIVE DATE.</b>This section is effective May 1, 2012.<br/>
<br/>
<a id="bill.1.22.0"></a><a id="pl.20.5"></a><var>20.5</var>    Sec. 22. Minnesota Statutes 2010, section 256I.05, subdivision 1a, is amended to read:<br/>
<a id="pl.20.6"></a><var>20.6</var>    Subd. 1a. <b>Supplementary service rates.</b> (a) Subject to the provisions of section <br/>
<statute_ref><a id="pl.20.7"></a><var>20.7</var>256I.04, subdivision 3
         </statute_ref>, the county agency may negotiate a payment not to exceed $426.37 <br/>
<a id="pl.20.8"></a><var>20.8</var>for other services necessary to provide room and board provided by the group residence <br/>
<a id="pl.20.9"></a><var>20.9</var>if the residence is licensed by or registered by the Department of Health, or licensed by <br/>
<a id="pl.20.10"></a><var>20.10</var>the Department of Human Services to provide services in addition to room and board, <br/>
<a id="pl.20.11"></a><var>20.11</var>and if the provider of services is not also concurrently receiving funding for services for <br/>
<a id="pl.20.12"></a><var>20.12</var>a recipient under a home and community-based waiver under title XIX of the Social <br/>
<a id="pl.20.13"></a><var>20.13</var>Security Act; or funding from the medical assistance program under section 
         <statute_ref>256B.0659</statute_ref>, <br/>
<a id="pl.20.14"></a><var>20.14</var>for personal care services for residents in the setting; or residing in a setting which <br/>
<a id="pl.20.15"></a><var>20.15</var>receives funding under Minnesota Rules, parts 9535.2000 to 9535.3000. If funding is <br/>
<a id="pl.20.16"></a><var>20.16</var>available for other necessary services through a home and community-based waiver, or <br/>
<a id="pl.20.17"></a><var>20.17</var>personal care services under section 
         <statute_ref>256B.0659</statute_ref>, then the GRH rate is limited to the rate <br/>
<a id="pl.20.18"></a><var>20.18</var>set in subdivision 1. Unless otherwise provided in law, in no case may the supplementary <br/>
<a id="pl.20.19"></a><var>20.19</var>service rate exceed $426.37. The registration and licensure requirement does not apply to <br/>
<a id="pl.20.20"></a><var>20.20</var>establishments which are exempt from state licensure because they are located on Indian <br/>
<a id="pl.20.21"></a><var>20.21</var>reservations and for which the tribe has prescribed health and safety requirements. Service <br/>
<a id="pl.20.22"></a><var>20.22</var>payments under this section may be prohibited under rules to prevent the supplanting of <br/>
<a id="pl.20.23"></a><var>20.23</var>federal funds with state funds. The commissioner shall pursue the feasibility of obtaining <br/>
<a id="pl.20.24"></a><var>20.24</var>the approval of the Secretary of Health and Human Services to provide home and <br/>
<a id="pl.20.25"></a><var>20.25</var>community-based waiver services under title XIX of the Social Security Act for residents <br/>
<a id="pl.20.26"></a><var>20.26</var>who are not eligible for an existing home and community-based waiver due to a primary <br/>
<a id="pl.20.27"></a><var>20.27</var>diagnosis of mental illness or chemical dependency and shall apply for a waiver if it is <br/>
<a id="pl.20.28"></a><var>20.28</var>determined to be cost-effective.<br/>
<a id="pl.20.29"></a><var>20.29</var>(b) The commissioner is authorized to make cost-neutral transfers from the GRH <br/>
<a id="pl.20.30"></a><var>20.30</var>fund for beds under this section to other funding programs administered by the department <br/>
<a id="pl.20.31"></a><var>20.31</var>after consultation with the county or counties in which the affected beds are located. <br/>
<a id="pl.20.32"></a><var>20.32</var>The commissioner may also make cost-neutral transfers from the GRH fund to county <br/>
<a id="pl.20.33"></a><var>20.33</var>human service agencies for beds permanently removed from the GRH census under a plan <br/>
<a id="pl.20.34"></a><var>20.34</var>submitted by the county agency and approved by the commissioner. The commissioner <br/>
<a id="pl.20.35"></a><var>20.35</var>shall report the amount of any transfers under this provision annually to the legislature.<br/>
<a id="pl.21.1"></a><var>21.1</var>(c) The provisions of paragraph (b) do not apply to a facility that has its <br/>
<a id="pl.21.2"></a><var>21.2</var>reimbursement rate established under section 
         <statute_ref>256B.431, subdivision 4</statute_ref>, paragraph (c).<br/>
<a id="pl.21.3"></a><var>21.3</var>    (d) Counties must not negotiate supplementary service rates with providers of group <br/>
<a id="pl.21.4"></a><var>21.4</var>residential housing that are licensed as board and lodging with special services and that <br/>
<a id="pl.21.5"></a><var>21.5</var>do not encourage a policy of sobriety on their premises.<br/>
<a id="pl.21.6"></a><var>21.6</var><b>EFFECTIVE DATE.</b>This section is effective May 1, 2012.<br/>
<br/>
<a id="bill.1.23.0"></a><a id="pl.21.7"></a><var>21.7</var>    Sec. 23. Minnesota Statutes 2010, section 256J.12, subdivision 1a, is amended to read:<br/>
<a id="pl.21.8"></a><var>21.8</var>    Subd. 1a. <b>30-day</b><b> 60-day</b><b> residency requirement.</b> An assistance unit is considered <br/>
<a id="pl.21.9"></a><var>21.9</var>to have established residency in this state only when a child or caregiver has resided in this <br/>
<a id="pl.21.10"></a><var>21.10</var>state for at least 30 60 consecutive days with the intention of making the person's home <br/>
<a id="pl.21.11"></a><var>21.11</var>here and not for any temporary purpose. The birth of a child in Minnesota to a member <br/>
<a id="pl.21.12"></a><var>21.12</var>of the assistance unit does not automatically establish the residency in this state under <br/>
<a id="pl.21.13"></a><var>21.13</var>this subdivision of the other members of the assistance unit. Time spent in a shelter for <br/>
<a id="pl.21.14"></a><var>21.14</var>battered women shall count toward satisfying the 30-day 60-day residency requirement.<br/>
<br/>
<a id="bill.1.24.0"></a><a id="pl.21.15"></a><var>21.15</var>    Sec. 24. Minnesota Statutes 2010, section 256J.12, subdivision 2, is amended to read:<br/>
<a id="pl.21.16"></a><var>21.16</var>    Subd. 2. <b>Exceptions.</b> (a) A county shall waive the 30-day residency requirement <br/>
<a id="pl.21.17"></a><var>21.17</var>where unusual hardship would result from denial of assistance.<br/>
<a id="pl.21.18"></a><var>21.18</var>(b) For purposes of this section, unusual hardship means an assistance unit:<br/>
<a id="pl.21.19"></a><var>21.19</var>(1) is without alternative shelter; or<br/>
<a id="pl.21.20"></a><var>21.20</var>(2) is without available resources for food.<br/>
<a id="pl.21.21"></a><var>21.21</var>(c) For purposes of this subdivision, the following definitions apply (1) "metropolitan <br/>
<a id="pl.21.22"></a><var>21.22</var>statistical area" is as defined by the U.S. Census Bureau; (2) "alternative shelter" includes <br/>
<a id="pl.21.23"></a><var>21.23</var>any shelter that is located within the metropolitan statistical area containing the county and <br/>
<a id="pl.21.24"></a><var>21.24</var>for which the family is eligible, provided the assistance unit does not have to travel more <br/>
<a id="pl.21.25"></a><var>21.25</var>than 20 miles to reach the shelter and has access to transportation to the shelter. Clause (2) <br/>
<a id="pl.21.26"></a><var>21.26</var>does not apply to counties in the Minneapolis-St. Paul metropolitan statistical area.<br/>
<a id="pl.21.27"></a><var>21.27</var>(d) Applicants are considered to meet the residency requirement under subdivision <br/>
<a id="pl.21.28"></a><var>21.28</var>1a if they once resided in Minnesota and:<br/>
<a id="pl.21.29"></a><var>21.29</var>(1) joined the United States armed services, returned to Minnesota within 30 days of <br/>
<a id="pl.21.30"></a><var>21.30</var>leaving the armed services, and intend to remain in Minnesota; or<br/>
<a id="pl.21.31"></a><var>21.31</var>(2) left to attend school in another state, paid nonresident tuition or Minnesota <br/>
<a id="pl.21.32"></a><var>21.32</var>tuition rates under a reciprocity agreement, and returned to Minnesota within 30 days of <br/>
<a id="pl.21.33"></a><var>21.33</var>graduation with the intent to remain in Minnesota.<br/>
<a id="pl.21.34"></a><var>21.34</var>(e) (b) The 30-day 60-day residence requirement is met when:<br/>
<a id="pl.22.1"></a><var>22.1</var>(1) a minor child or a minor caregiver moves from another state to the residence of <br/>
<a id="pl.22.2"></a><var>22.2</var>a relative caregiver; and<br/>
<a id="pl.22.3"></a><var>22.3</var>(2) the relative caregiver has resided in Minnesota for at least 30 60 consecutive <br/>
<a id="pl.22.4"></a><var>22.4</var>days and:<br/>
<a id="pl.22.5"></a><var>22.5</var>(i) the minor caregiver applies for and receives MFIP; or<br/>
<a id="pl.22.6"></a><var>22.6</var>(ii) the relative caregiver applies for assistance for the minor child but does not <br/>
<a id="pl.22.7"></a><var>22.7</var>choose to be a member of the MFIP assistance unit.<br/>
<br/>
<a id="bill.1.25.0"></a><a id="pl.22.8"></a><var>22.8</var>    Sec. 25. Minnesota Statutes 2010, section 256J.20, subdivision 3, is amended to read:<br/>
<a id="pl.22.9"></a><var>22.9</var>    Subd. 3. <b>Other property limitations.</b> To be eligible for MFIP, the equity value of <br/>
<a id="pl.22.10"></a><var>22.10</var>all nonexcluded real and personal property of the assistance unit must not exceed $2,000 <br/>
<a id="pl.22.11"></a><var>22.11</var>for applicants and $5,000 for ongoing participants. The value of assets in clauses (1) to <br/>
<a id="pl.22.12"></a><var>22.12</var>(19) must be excluded when determining the equity value of real and personal property:<br/>
<a id="pl.22.13"></a><var>22.13</var>    (1) a licensed vehicle up to a loan value of less than or equal to $15,000 $10,000. If <br/>
<a id="pl.22.14"></a><var>22.14</var>the assistance unit owns more than one licensed vehicle, the county agency shall determine <br/>
<a id="pl.22.15"></a><var>22.15</var>the loan value of all additional vehicles and exclude the combined loan value of less than <br/>
<a id="pl.22.16"></a><var>22.16</var>or equal to $7,500. The county agency shall apply any excess loan value as if it were <br/>
<a id="pl.22.17"></a><var>22.17</var>equity value to the asset limit described in this section, excluding: (i) the value of one <br/>
<a id="pl.22.18"></a><var>22.18</var>vehicle per physically disabled person when the vehicle is needed to transport the disabled <br/>
<a id="pl.22.19"></a><var>22.19</var>unit member; this exclusion does not apply to mentally disabled people; (ii) the value of <br/>
<a id="pl.22.20"></a><var>22.20</var>special equipment for a disabled member of the assistance unit; and (iii) any vehicle used <br/>
<a id="pl.22.21"></a><var>22.21</var>for long-distance travel, other than daily commuting, for the employment of a unit member.<br/>
<a id="pl.22.22"></a><var>22.22</var>    To establish the loan value of vehicles, a county agency must use the N.A.D.A. <br/>
<a id="pl.22.23"></a><var>22.23</var>Official Used Car Guide, Midwest Edition, for newer model cars. When a vehicle is not <br/>
<a id="pl.22.24"></a><var>22.24</var>listed in the guidebook, or when the applicant or participant disputes the loan value listed <br/>
<a id="pl.22.25"></a><var>22.25</var>in the guidebook as unreasonable given the condition of the particular vehicle, the county <br/>
<a id="pl.22.26"></a><var>22.26</var>agency may require the applicant or participant document the loan value by securing a <br/>
<a id="pl.22.27"></a><var>22.27</var>written statement from a motor vehicle dealer licensed under section 
         <statute_ref>168.27</statute_ref>, stating <br/>
<a id="pl.22.28"></a><var>22.28</var>the amount that the dealer would pay to purchase the vehicle. The county agency shall <br/>
<a id="pl.22.29"></a><var>22.29</var>reimburse the applicant or participant for the cost of a written statement that documents <br/>
<a id="pl.22.30"></a><var>22.30</var>a lower loan value;<br/>
<a id="pl.22.31"></a><var>22.31</var>    (2) the value of life insurance policies for members of the assistance unit;<br/>
<a id="pl.22.32"></a><var>22.32</var>    (3) one burial plot per member of an assistance unit;<br/>
<a id="pl.22.33"></a><var>22.33</var>    (4) the value of personal property needed to produce earned income, including <br/>
<a id="pl.22.34"></a><var>22.34</var>tools, implements, farm animals, inventory, business loans, business checking and <br/>
<a id="pl.22.35"></a><var>22.35</var>savings accounts used at least annually and used exclusively for the operation of a <br/>
<a id="pl.23.1"></a><var>23.1</var>self-employment business, and any motor vehicles if at least 50 percent of the vehicle's use <br/>
<a id="pl.23.2"></a><var>23.2</var>is to produce income and if the vehicles are essential for the self-employment business;<br/>
<a id="pl.23.3"></a><var>23.3</var>    (5) the value of personal property not otherwise specified which is commonly <br/>
<a id="pl.23.4"></a><var>23.4</var>used by household members in day-to-day living such as clothing, necessary household <br/>
<a id="pl.23.5"></a><var>23.5</var>furniture, equipment, and other basic maintenance items essential for daily living;<br/>
<a id="pl.23.6"></a><var>23.6</var>    (6) the value of real and personal property owned by a recipient of Supplemental <br/>
<a id="pl.23.7"></a><var>23.7</var>Security Income or Minnesota supplemental aid;<br/>
<a id="pl.23.8"></a><var>23.8</var>    (7) the value of corrective payments, but only for the month in which the payment <br/>
<a id="pl.23.9"></a><var>23.9</var>is received and for the following month;<br/>
<a id="pl.23.10"></a><var>23.10</var>    (8) a mobile home or other vehicle used by an applicant or participant as the <br/>
<a id="pl.23.11"></a><var>23.11</var>applicant's or participant's home;<br/>
<a id="pl.23.12"></a><var>23.12</var>    (9) money in a separate escrow account that is needed to pay real estate taxes or <br/>
<a id="pl.23.13"></a><var>23.13</var>insurance and that is used for this purpose;<br/>
<a id="pl.23.14"></a><var>23.14</var>    (10) money held in escrow to cover employee FICA, employee tax withholding, <br/>
<a id="pl.23.15"></a><var>23.15</var>sales tax withholding, employee worker compensation, business insurance, property rental, <br/>
<a id="pl.23.16"></a><var>23.16</var>property taxes, and other costs that are paid at least annually, but less often than monthly;<br/>
<a id="pl.23.17"></a><var>23.17</var>    (11) monthly assistance payments for the current month's or short-term emergency <br/>
<a id="pl.23.18"></a><var>23.18</var>needs under section 
         <statute_ref>256J.626, subdivision 2</statute_ref>;<br/>
<a id="pl.23.19"></a><var>23.19</var>    (12) the value of school loans, grants, or scholarships for the period they are <br/>
<a id="pl.23.20"></a><var>23.20</var>intended to cover;<br/>
<a id="pl.23.21"></a><var>23.21</var>    (13) payments listed in section 
         <statute_ref>256J.21, subdivision 2</statute_ref>, clause (9), which are held <br/>
<a id="pl.23.22"></a><var>23.22</var>in escrow for a period not to exceed three months to replace or repair personal or real <br/>
<a id="pl.23.23"></a><var>23.23</var>property;<br/>
<a id="pl.23.24"></a><var>23.24</var>    (14) income received in a budget month through the end of the payment month;<br/>
<a id="pl.23.25"></a><var>23.25</var>    (15) savings from earned income of a minor child or a minor parent that are set aside <br/>
<a id="pl.23.26"></a><var>23.26</var>in a separate account designated specifically for future education or employment costs;<br/>
<a id="pl.23.27"></a><var>23.27</var>    (16) the federal earned income credit, Minnesota working family credit, state and <br/>
<a id="pl.23.28"></a><var>23.28</var>federal income tax refunds, state homeowners and renters credits under chapter 290A, <br/>
<a id="pl.23.29"></a><var>23.29</var>property tax rebates and other federal or state tax rebates in the month received and the <br/>
<a id="pl.23.30"></a><var>23.30</var>following month;<br/>
<a id="pl.23.31"></a><var>23.31</var>    (17) payments excluded under federal law as long as those payments are held in a <br/>
<a id="pl.23.32"></a><var>23.32</var>separate account from any nonexcluded funds;<br/>
<a id="pl.23.33"></a><var>23.33</var>    (18) the assets of children ineligible to receive MFIP benefits because foster care or <br/>
<a id="pl.23.34"></a><var>23.34</var>adoption assistance payments are made on their behalf; and<br/>
<a id="pl.23.35"></a><var>23.35</var>    (19) the assets of persons whose income is excluded under section 
         <statute_ref>256J.21, <br/>
<a id="pl.23.36"></a><var>23.36</var>subdivision 2
         </statute_ref>, clause (43).<br/>
<a id="pl.24.1"></a><var>24.1</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.1.26.0"></a><a id="pl.24.2"></a><var>24.2</var>    Sec. 26. Minnesota Statutes 2010, section 256J.37, is amended by adding a subdivision <br/>
<a id="pl.24.3"></a><var>24.3</var>to read:<br/>
<a id="pl.24.4"></a><var>24.4</var>    Subd. 3c. <b>Treatment of Supplemental Security Income.</b> The county shall reduce <br/>
<a id="pl.24.5"></a><var>24.5</var>the cash portion of the MFIP grant by $50 per adult SSI recipient who resides in the <br/>
<a id="pl.24.6"></a><var>24.6</var>household, and who would otherwise be included in the MFIP assistance unit under <br/>
<a id="pl.24.7"></a><var>24.7</var>section 256J.24, subdivision 2, but is excluded solely due to the SSI recipient status under <br/>
<a id="pl.24.8"></a><var>24.8</var>section 256J.24, subdivision 3, paragraph (a), clause (1). If the SSI recipient receives less <br/>
<a id="pl.24.9"></a><var>24.9</var>than $50 of SSI, only the amount received shall be used in calculating the MFIP cash <br/>
<a id="pl.24.10"></a><var>24.10</var>assistance payment. This provision does not apply to relative caregivers who could elect <br/>
<a id="pl.24.11"></a><var>24.11</var>to be included in the MFIP assistance unit under section 256J.24, subdivision 4, unless the <br/>
<a id="pl.24.12"></a><var>24.12</var>caregiver's children or stepchildren are included in the MFIP assistance unit.<br/>
<a id="pl.24.13"></a><var>24.13</var><b>EFFECTIVE DATE.</b>This section is effective May 1, 2012.<br/>
<br/>
<a id="bill.1.27.0"></a><a id="pl.24.14"></a><var>24.14</var>    Sec. 27. Minnesota Statutes 2010, section 256J.49, subdivision 13, is amended to read:<br/>
<a id="pl.24.15"></a><var>24.15</var>    Subd. 13.  <b>Work activity.</b> (a) "Work activity" means any activity in a participant's <br/>
<a id="pl.24.16"></a><var>24.16</var>approved employment plan that leads to employment. For purposes of the MFIP program, <br/>
<a id="pl.24.17"></a><var>24.17</var>this includes activities that meet the definition of work activity under the participation <br/>
<a id="pl.24.18"></a><var>24.18</var>requirements of TANF. Work activity includes: <br/>
<a id="pl.24.19"></a><var>24.19</var>    (1) unsubsidized employment, including work study and paid apprenticeships or <br/>
<a id="pl.24.20"></a><var>24.20</var>internships; <br/>
<a id="pl.24.21"></a><var>24.21</var>    (2) subsidized private sector or public sector employment, including grant diversion <br/>
<a id="pl.24.22"></a><var>24.22</var>as specified in section 
         <statute_ref>256J.69</statute_ref>, on-the-job training as specified in section 
         <statute_ref>256J.66</statute_ref>, paid <br/>
<a id="pl.24.23"></a><var>24.23</var>work experience, and supported work when a wage subsidy is provided; <br/>
<a id="pl.24.24"></a><var>24.24</var>    (3) unpaid work experience, including community service, volunteer work, <br/>
<a id="pl.24.25"></a><var>24.25</var>the community work experience program as specified in section 
         <statute_ref>256J.67</statute_ref>, unpaid <br/>
<a id="pl.24.26"></a><var>24.26</var>apprenticeships or internships, and supported work when a wage subsidy is not provided. <br/>
<a id="pl.24.27"></a><var>24.27</var>Unpaid work experience is only an option if the participant has been unable to obtain or <br/>
<a id="pl.24.28"></a><var>24.28</var>maintain paid employment in the competitive labor market, and no paid work experience <br/>
<a id="pl.24.29"></a><var>24.29</var>programs are available to the participant. Prior to placing a participant in unpaid work, <br/>
<a id="pl.24.30"></a><var>24.30</var>the county must inform the participant that the participant will be notified if a paid work <br/>
<a id="pl.24.31"></a><var>24.31</var>experience or supported work position becomes available. Unless a participant consents in <br/>
<a id="pl.24.32"></a><var>24.32</var>writing to participate in unpaid work experience, the participant's employment plan may <br/>
<a id="pl.24.33"></a><var>24.33</var>only include unpaid work experience if including the unpaid work experience in the plan <br/>
<a id="pl.24.34"></a><var>24.34</var>will meet the following criteria: <br/>
<a id="pl.25.1"></a><var>25.1</var>    (i) the unpaid work experience will provide the participant specific skills or <br/>
<a id="pl.25.2"></a><var>25.2</var>experience that cannot be obtained through other work activity options where the <br/>
<a id="pl.25.3"></a><var>25.3</var>participant resides or is willing to reside; and <br/>
<a id="pl.25.4"></a><var>25.4</var>    (ii) the skills or experience gained through the unpaid work experience will result <br/>
<a id="pl.25.5"></a><var>25.5</var>in higher wages for the participant than the participant could earn without the unpaid <br/>
<a id="pl.25.6"></a><var>25.6</var>work experience; <br/>
<a id="pl.25.7"></a><var>25.7</var>    (4) job search including job readiness assistance, job clubs, job placement, <br/>
<a id="pl.25.8"></a><var>25.8</var>job-related counseling, and job retention services; <br/>
<a id="pl.25.9"></a><var>25.9</var>    (5) job readiness education, including English as a second language (ESL) or <br/>
<a id="pl.25.10"></a><var>25.10</var>functional work literacy classes as limited by the provisions of section 
         <statute_ref>256J.531, <br/>
<a id="pl.25.11"></a><var>25.11</var>subdivision 2
         </statute_ref>, general educational development (GED) course work, high school <br/>
<a id="pl.25.12"></a><var>25.12</var>completion, and adult basic education as limited by the provisions of section 
         <statute_ref>256J.531, <br/>
<a id="pl.25.13"></a><var>25.13</var>subdivision 1
         </statute_ref>; <br/>
<a id="pl.25.14"></a><var>25.14</var>    (6) job skills training directly related to employment, including education and <br/>
<a id="pl.25.15"></a><var>25.15</var>training that can reasonably be expected to lead to employment, as limited by the <br/>
<a id="pl.25.16"></a><var>25.16</var>provisions of section 
         <statute_ref>256J.53</statute_ref>; <br/>
<a id="pl.25.17"></a><var>25.17</var>    (7) providing child care services to a participant who is working in a community <br/>
<a id="pl.25.18"></a><var>25.18</var>service program; <br/>
<a id="pl.25.19"></a><var>25.19</var>    (8) activities included in the employment plan that is developed under section <br/>
<statute_ref><a id="pl.25.20"></a><var>25.20</var>256J.521, subdivision 3
         </statute_ref>; and <br/>
<a id="pl.25.21"></a><var>25.21</var>    (9) preemployment activities including chemical and mental health assessments, <br/>
<a id="pl.25.22"></a><var>25.22</var>treatment, and services; learning disabilities services; child protective services; family <br/>
<a id="pl.25.23"></a><var>25.23</var>stabilization services; or other programs designed to enhance employability. <br/>
<a id="pl.25.24"></a><var>25.24</var>(b) "Work activity" does not include activities done for political purposes as defined <br/>
<a id="pl.25.25"></a><var>25.25</var>in section 211B.01, subdivision 6.<br/>
<br/>
<a id="bill.1.28.0"></a><a id="pl.25.26"></a><var>25.26</var>    Sec. 28. Minnesota Statutes 2010, section 256J.53, subdivision 2, is amended to read:<br/>
<a id="pl.25.27"></a><var>25.27</var>    Subd. 2. <b>Approval of postsecondary education or training.</b> (a) In order for a <br/>
<a id="pl.25.28"></a><var>25.28</var>postsecondary education or training program to be an approved activity in an employment <br/>
<a id="pl.25.29"></a><var>25.29</var>plan, the plan must include additional work activities if the education and training <br/>
<a id="pl.25.30"></a><var>25.30</var>activities do not meet the minimum hours required to meet the federal work participation <br/>
<a id="pl.25.31"></a><var>25.31</var>rate under Code of Federal Regulations, title 45, sections 
<statute_ref>261.31</statute_ref> and 
<statute_ref>261.35</statute_ref> participant <br/>
<a id="pl.25.32"></a><var>25.32</var>must be working in unsubsidized employment at least 10 hours per week.<br/>
<a id="pl.25.33"></a><var>25.33</var>    (b) Participants seeking approval of a postsecondary education or training plan <br/>
<a id="pl.25.34"></a><var>25.34</var>must provide documentation that:<br/>
<a id="pl.25.35"></a><var>25.35</var>    (1) the employment goal can only be met with the additional education or training;<br/>
<a id="pl.26.1"></a><var>26.1</var>    (2) there are suitable employment opportunities that require the specific education or <br/>
<a id="pl.26.2"></a><var>26.2</var>training in the area in which the participant resides or is willing to reside;<br/>
<a id="pl.26.3"></a><var>26.3</var>    (3) the education or training will result in significantly higher wages for the <br/>
<a id="pl.26.4"></a><var>26.4</var>participant than the participant could earn without the education or training;<br/>
<a id="pl.26.5"></a><var>26.5</var>    (4) the participant can meet the requirements for admission into the program; and<br/>
<a id="pl.26.6"></a><var>26.6</var>    (5) there is a reasonable expectation that the participant will complete the training <br/>
<a id="pl.26.7"></a><var>26.7</var>program based on such factors as the participant's MFIP assessment, previous education, <br/>
<a id="pl.26.8"></a><var>26.8</var>training, and work history; current motivation; and changes in previous circumstances.<br/>
<a id="pl.26.9"></a><var>26.9</var>(c) The hourly unsubsidized employment requirement does not apply for intensive <br/>
<a id="pl.26.10"></a><var>26.10</var>education or training programs lasting 12 weeks or less when full-time attendance is <br/>
<a id="pl.26.11"></a><var>26.11</var>required.<br/>
<br/>
<a id="bill.1.29.0"></a><a id="pl.26.12"></a><var>26.12</var>    Sec. 29. <b>[256N.10] ADULT ASSISTANCE GRANT PROGRAM.</b><br/>
<a id="pl.26.13"></a><var>26.13</var>The adult assistance grant program is a capped allocation to counties that can be <br/>
<a id="pl.26.14"></a><var>26.14</var>spent in a flexible manner, to the extent funds are available, for adult assistance.<br/>
<a id="pl.26.15"></a><var>26.15</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.30.0"></a><a id="pl.26.16"></a><var>26.16</var>    Sec. 30. <b>[256N.20] DEFINITIONS.</b><br/>
<a id="pl.26.17"></a><var>26.17</var>    Subdivision 1. <b>Scope.</b> For the purposes of sections 
<statute_ref>256N.01</statute_ref> to 
<statute_ref>256N.80</statute_ref>, the terms <br/>
<a id="pl.26.18"></a><var>26.18</var>defined in this section have the meanings given them.<br/>
<a id="pl.26.19"></a><var>26.19</var>    Subd. 2. <b>Adult assistance.</b> "Adult assistance" means a capped allocation provided <br/>
<a id="pl.26.20"></a><var>26.20</var>or arranged for by county boards for ongoing emergency needs, special diets, or special <br/>
<a id="pl.26.21"></a><var>26.21</var>needs as determined by the county.<br/>
<a id="pl.26.22"></a><var>26.22</var>    Subd. 3. <b>Commissioner.</b> "Commissioner" means the commissioner of human <br/>
<a id="pl.26.23"></a><var>26.23</var>services.<br/>
<a id="pl.26.24"></a><var>26.24</var>    Subd. 4. <b>County board.</b> "County board" means the board of county commissioners <br/>
<a id="pl.26.25"></a><var>26.25</var>in each county.<br/>
<a id="pl.26.26"></a><var>26.26</var>    Subd. 5. <b>Eligible participant.</b> "Eligible participant" means low-income adults who <br/>
<a id="pl.26.27"></a><var>26.27</var>meet the residency requirements under section 256N.22, and who were previously eligible <br/>
<a id="pl.26.28"></a><var>26.28</var>for programs under subdivision 6 are eligible for adult assistance. The commissioner may <br/>
<a id="pl.26.29"></a><var>26.29</var>develop more specific eligibility criteria.<br/>
<a id="pl.26.30"></a><var>26.30</var>    Subd. 6. <b>Former programs.</b> "Former programs" means funding for:<br/>
<a id="pl.26.31"></a><var>26.31</var>(1) general assistance;<br/>
<a id="pl.26.32"></a><var>26.32</var>(2) emergency general assistance;<br/>
<a id="pl.26.33"></a><var>26.33</var>(3) emergency supplemental aid; and<br/>
<a id="pl.26.34"></a><var>26.34</var>(4) Minnesota supplemental aid special needs and special diets.<br/>
<a id="pl.27.1"></a><var>27.1</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.31.0"></a><a id="pl.27.2"></a><var>27.2</var>    Sec. 31. <b>[256N.22] RESIDENCY.</b><br/>
<a id="pl.27.3"></a><var>27.3</var>(a) For purposes of eligibility for adult assistance, a person must be a resident of <br/>
<a id="pl.27.4"></a><var>27.4</var>this state.<br/>
<a id="pl.27.5"></a><var>27.5</var>(b) A "resident" is a person living in the state for at least 60 days with the intention of <br/>
<a id="pl.27.6"></a><var>27.6</var>making the person's home here and not for any temporary purpose. Time spent in a shelter <br/>
<a id="pl.27.7"></a><var>27.7</var>for battered women shall count toward satisfying the 60-day residency requirement. All <br/>
<a id="pl.27.8"></a><var>27.8</var>applicants for these programs are required to demonstrate the requisite intent and may do <br/>
<a id="pl.27.9"></a><var>27.9</var>so in any of the following ways:<br/>
<a id="pl.27.10"></a><var>27.10</var>(1) by showing that the applicant maintains a residence at a verified address, other <br/>
<a id="pl.27.11"></a><var>27.11</var>than a place of public accommodation. An applicant may verify a residence address by <br/>
<a id="pl.27.12"></a><var>27.12</var>presenting a valid state driver's license, a state identification card, a voter registration <br/>
<a id="pl.27.13"></a><var>27.13</var>card, or a rent receipt; or<br/>
<a id="pl.27.14"></a><var>27.14</var>(2) by verifying residence according to Minnesota Rules, part 9500.1219, subpart <br/>
<a id="pl.27.15"></a><var>27.15</var>3, item C. <br/>
<a id="pl.27.16"></a><var>27.16</var>(c) The county shall not deny an application solely because the applicant does not <br/>
<a id="pl.27.17"></a><var>27.17</var>meet at least one of the criteria in this subdivision, but shall continue to process the <br/>
<a id="pl.27.18"></a><var>27.18</var>application and leave the application pending until the residency requirement is met or <br/>
<a id="pl.27.19"></a><var>27.19</var>until eligibility or ineligibility is established. <br/>
<a id="pl.27.20"></a><var>27.20</var>(d) If any provision of this subdivision is enjoined from implementation or found <br/>
<a id="pl.27.21"></a><var>27.21</var>unconstitutional by any court of competent jurisdiction, the remaining provisions shall <br/>
<a id="pl.27.22"></a><var>27.22</var>remain valid and shall be given full effect. <br/>
<a id="pl.27.23"></a><var>27.23</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.32.0"></a><a id="pl.27.24"></a><var>27.24</var>    Sec. 32. <b>[256N.25] PROGRAM EVALUATION.</b><br/>
<a id="pl.27.25"></a><var>27.25</var>    Subdivision 1. <b>County evaluation.</b> Each county shall submit to the commissioner <br/>
<a id="pl.27.26"></a><var>27.26</var>data from the past calendar year on the outcomes and performance indicators, and <br/>
<a id="pl.27.27"></a><var>27.27</var>information as to how grant funds are being spent on the target population. The <br/>
<a id="pl.27.28"></a><var>27.28</var>commissioner shall prescribe standard methods to be used by the counties in providing <br/>
<a id="pl.27.29"></a><var>27.29</var>the data. The data shall be submitted no later than March 1 of each year, beginning with <br/>
<a id="pl.27.30"></a><var>27.30</var>March 1, 2013. The commissioner shall define outcomes and performance indicators.<br/>
<a id="pl.27.31"></a><var>27.31</var>    Subd. 2. <b>Statewide evaluation.</b> Six months after the end of the first full calendar <br/>
<a id="pl.27.32"></a><var>27.32</var>year and biennially thereafter, the commissioner shall prepare a report on the counties' <br/>
<a id="pl.27.33"></a><var>27.33</var>progress in improving the outcomes of adults related to safety and well-being. This report <br/>
<a id="pl.27.34"></a><var>27.34</var>shall be disseminated electronically throughout the state.<br/>
<a id="pl.28.1"></a><var>28.1</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.33.0"></a><a id="pl.28.2"></a><var>28.2</var>    Sec. 33. <b>[256N.30] FUNDING.</b><br/>
<a id="pl.28.3"></a><var>28.3</var>    Subdivision 1. <b>Assistance.</b> (a) Counties may use the capped allocation for adult <br/>
<a id="pl.28.4"></a><var>28.4</var>assistance for individuals under section 256N.20, subdivision 2.<br/>
<a id="pl.28.5"></a><var>28.5</var>(b) The county agency shall, within available appropriations, provide a personal <br/>
<a id="pl.28.6"></a><var>28.6</var>needs allowance to individuals eligible for group residential housing under section <br/>
<a id="pl.28.7"></a><var>28.7</var>256I.04, subdivision 1, paragraph (b), and to other individuals who reside in licensed <br/>
<a id="pl.28.8"></a><var>28.8</var>residential facilities other than group residential housing. The county may determine the <br/>
<a id="pl.28.9"></a><var>28.9</var>amount of the personal needs allowance based on the individual's net income and need.<br/>
<a id="pl.28.10"></a><var>28.10</var>(c) In determining the amount of assistance, the county shall disregard the first <br/>
<a id="pl.28.11"></a><var>28.11</var>$150 of earned income per month. In addition, the county shall disregard additional <br/>
<a id="pl.28.12"></a><var>28.12</var>earned income up to a maximum of $500 per month for individuals residing in facilities or <br/>
<a id="pl.28.13"></a><var>28.13</var>group residential housing for whom the county agency has approved a discharge plan that <br/>
<a id="pl.28.14"></a><var>28.14</var>includes work. The additional amount disregarded must be placed in a separate savings <br/>
<a id="pl.28.15"></a><var>28.15</var>account by the eligible individual, to be used upon discharge from the residential facility <br/>
<a id="pl.28.16"></a><var>28.16</var>into the community, up to a maximum of $2,000.<br/>
<a id="pl.28.17"></a><var>28.17</var>(d) The county shall give priority to eligible individuals who are enrolled in a <br/>
<a id="pl.28.18"></a><var>28.18</var>12-month residential chemical dependency treatment program.<br/>
<a id="pl.28.19"></a><var>28.19</var>    Subd. 2. <b>Allocation.</b> Funding for the adult assistance grant program is limited to the <br/>
<a id="pl.28.20"></a><var>28.20</var>appropriation. The commissioner shall allocate to counties the money appropriated for the <br/>
<a id="pl.28.21"></a><var>28.21</var>program based on each county agency's average share of the state's former programs under <br/>
<a id="pl.28.22"></a><var>28.22</var>section 256N.20, subdivision 6. The commissioner may reallocate any unspent amounts <br/>
<a id="pl.28.23"></a><var>28.23</var>to other counties. No county shall be allocated less than $1,000 for the fiscal year. Any <br/>
<a id="pl.28.24"></a><var>28.24</var>adult assistance aid expenditures by a county above the amount of the commissioner's <br/>
<a id="pl.28.25"></a><var>28.25</var>allocation to the county must be made from county funds.<br/>
<a id="pl.28.26"></a><var>28.26</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.34.0"></a><a id="pl.28.27"></a><var>28.27</var>    Sec. 34. <b>[256N.35] APPLICANT REQUIREMENTS.</b><br/>
<a id="pl.28.28"></a><var>28.28</var>(a) Any applicant, otherwise eligible for adult assistance and possibly eligible for <br/>
<a id="pl.28.29"></a><var>28.29</var>federal maintenance benefits from any other source shall: (1) make application for those <br/>
<a id="pl.28.30"></a><var>28.30</var>benefits within 30 days of the adult assistance application; and (2) execute an interim <br/>
<a id="pl.28.31"></a><var>28.31</var>assistance authorization on a form as directed by the commissioner.<br/>
<a id="pl.28.32"></a><var>28.32</var>(b) The commissioner shall review a denial of an application for other federal <br/>
<a id="pl.28.33"></a><var>28.33</var>maintenance benefits and may require a recipient of adult assistance to file an appeal of <br/>
<a id="pl.28.34"></a><var>28.34</var>the denial if appropriate.<br/>
<a id="pl.29.1"></a><var>29.1</var>(c) If found eligible for maintenance benefits, and maintenance benefits were <br/>
<a id="pl.29.2"></a><var>29.2</var>received during the period in which adult assistance was also being received, the recipient <br/>
<a id="pl.29.3"></a><var>29.3</var>shall be required to reimburse the state for the interim assistance paid. Reimbursement <br/>
<a id="pl.29.4"></a><var>29.4</var>shall not exceed the amount of adult assistance paid during the time period to which the <br/>
<a id="pl.29.5"></a><var>29.5</var>other maintenance benefits apply.<br/>
<a id="pl.29.6"></a><var>29.6</var>(d) The commissioner may contract with the county agencies, qualified agencies, <br/>
<a id="pl.29.7"></a><var>29.7</var>organizations, or persons to provide advocacy and support services to process claims for <br/>
<a id="pl.29.8"></a><var>29.8</var>federal disability benefits for applicants or recipients of services or benefits supervised by <br/>
<a id="pl.29.9"></a><var>29.9</var>the commissioner using money retained under this section.<br/>
<a id="pl.29.10"></a><var>29.10</var>(e) The commissioner may provide methods by which county agencies shall identify, <br/>
<a id="pl.29.11"></a><var>29.11</var>refer, and assist recipients who may be eligible for benefits under federal programs for the <br/>
<a id="pl.29.12"></a><var>29.12</var>disabled.<br/>
<a id="pl.29.13"></a><var>29.13</var>(f) The total amount of interim assistance recoveries retained under this section <br/>
<a id="pl.29.14"></a><var>29.14</var>for advocacy, support, and claim processing services shall not exceed 35 percent of the <br/>
<a id="pl.29.15"></a><var>29.15</var>interim assistance recoveries in the prior fiscal year.<br/>
<a id="pl.29.16"></a><var>29.16</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2012.<br/>
<br/>
<a id="bill.1.35.0"></a><a id="pl.29.17"></a><var>29.17</var>    Sec. 35. Minnesota Statutes 2010, section 260C.157, subdivision 3, is amended to read:<br/>
<a id="pl.29.18"></a><var>29.18</var>    Subd. 3. <b>Juvenile treatment screening team.</b> (a) The responsible social services <br/>
<a id="pl.29.19"></a><var>29.19</var>agency shall establish a juvenile treatment screening team to conduct screenings and <br/>
<a id="pl.29.20"></a><var>29.20</var>prepare case plans under this subdivision section 245.487, subdivision 3, and chapters <br/>
<a id="pl.29.21"></a><var>29.21</var>260C and 260D. Screenings shall be conducted within 15 days of a request for a screening. <br/>
<a id="pl.29.22"></a><var>29.22</var>The team, which may be the team constituted under section 
         <statute_ref>245.4885</statute_ref> or 
         <statute_ref>256B.092</statute_ref> or <br/>
<a id="pl.29.23"></a><var>29.23</var>Minnesota Rules, parts 9530.6600 to 9530.6655, shall consist of social workers, juvenile <br/>
<a id="pl.29.24"></a><var>29.24</var>justice professionals, and persons with expertise in the treatment of juveniles who are <br/>
<a id="pl.29.25"></a><var>29.25</var>emotionally disabled, chemically dependent, or have a developmental disability. The team <br/>
<a id="pl.29.26"></a><var>29.26</var>shall involve parents or guardians in the screening process as appropriate, and the child's <br/>
<a id="pl.29.27"></a><var>29.27</var>parent, guardian, or permanent legal custodian under section 260C.201, subdivision 11. <br/>
<a id="pl.29.28"></a><var>29.28</var>The team may be the same team as defined in section 
         <statute_ref>260B.157, subdivision 3</statute_ref>.<br/>
<a id="pl.29.29"></a><var>29.29</var>(b) The social services agency shall determine whether a child brought to its <br/>
<a id="pl.29.30"></a><var>29.30</var>attention for the purposes described in this section is an Indian child, as defined in section <br/>
<statute_ref><a id="pl.29.31"></a><var>29.31</var>260C.007, subdivision 21
         </statute_ref>, and shall determine the identity of the Indian child's tribe, as <br/>
<a id="pl.29.32"></a><var>29.32</var>defined in section 
         <statute_ref>260.755, subdivision 9</statute_ref>. When a child to be evaluated is an Indian child, <br/>
<a id="pl.29.33"></a><var>29.33</var>the team provided in paragraph (a) shall include a designated representative of the Indian <br/>
<a id="pl.29.34"></a><var>29.34</var>child's tribe, unless the child's tribal authority declines to appoint a representative. The <br/>
<a id="pl.30.1"></a><var>30.1</var>Indian child's tribe may delegate its authority to represent the child to any other federally <br/>
<a id="pl.30.2"></a><var>30.2</var>recognized Indian tribe, as defined in section 
         <statute_ref>260.755, subdivision 12</statute_ref>.<br/>
<a id="pl.30.3"></a><var>30.3</var>(c) If the court, prior to, or as part of, a final disposition, proposes to place a child:<br/>
<a id="pl.30.4"></a><var>30.4</var>(1) for the primary purpose of treatment for an emotional disturbance, a <br/>
<a id="pl.30.5"></a><var>30.5</var>developmental disability, or chemical dependency in a residential treatment facility out <br/>
<a id="pl.30.6"></a><var>30.6</var>of state or in one which is within the state and licensed by the commissioner of human <br/>
<a id="pl.30.7"></a><var>30.7</var>services under chapter 245A; or<br/>
<a id="pl.30.8"></a><var>30.8</var>(2) in any out-of-home setting potentially exceeding 30 days in duration, including a <br/>
<a id="pl.30.9"></a><var>30.9</var>postdispositional placement in a facility licensed by the commissioner of corrections or <br/>
<a id="pl.30.10"></a><var>30.10</var>human services, the court shall ascertain whether the child is an Indian child and shall <br/>
<a id="pl.30.11"></a><var>30.11</var>notify the county welfare agency and, if the child is an Indian child, shall notify the Indian <br/>
<a id="pl.30.12"></a><var>30.12</var>child's tribe. The county's juvenile treatment screening team must either: (i) screen and <br/>
<a id="pl.30.13"></a><var>30.13</var>evaluate the child and file its recommendations with the court within 14 days of receipt <br/>
<a id="pl.30.14"></a><var>30.14</var>of the notice; or (ii) elect not to screen a given case and notify the court of that decision <br/>
<a id="pl.30.15"></a><var>30.15</var>within three working days.<br/>
<a id="pl.30.16"></a><var>30.16</var>(d) If the screening team has elected to screen and evaluate the child, The child <br/>
<a id="pl.30.17"></a><var>30.17</var>may not be placed for the primary purpose of treatment for an emotional disturbance, a <br/>
<a id="pl.30.18"></a><var>30.18</var>developmental disability, or chemical dependency, in a residential treatment facility out of <br/>
<a id="pl.30.19"></a><var>30.19</var>state nor in a residential treatment facility within the state that is licensed under chapter <br/>
<a id="pl.30.20"></a><var>30.20</var>245A, unless one of the following conditions applies:<br/>
<a id="pl.30.21"></a><var>30.21</var>(1) a treatment professional certifies that an emergency requires the placement <br/>
<a id="pl.30.22"></a><var>30.22</var>of the child in a facility within the state;<br/>
<a id="pl.30.23"></a><var>30.23</var>(2) the screening team has evaluated the child and recommended that a residential <br/>
<a id="pl.30.24"></a><var>30.24</var>placement is necessary to meet the child's treatment needs and the safety needs of the <br/>
<a id="pl.30.25"></a><var>30.25</var>community, that it is a cost-effective means of meeting the treatment needs, and that it <br/>
<a id="pl.30.26"></a><var>30.26</var>will be of therapeutic value to the child; or<br/>
<a id="pl.30.27"></a><var>30.27</var>(3) the court, having reviewed a screening team recommendation against placement, <br/>
<a id="pl.30.28"></a><var>30.28</var>determines to the contrary that a residential placement is necessary. The court shall state <br/>
<a id="pl.30.29"></a><var>30.29</var>the reasons for its determination in writing, on the record, and shall respond specifically <br/>
<a id="pl.30.30"></a><var>30.30</var>to the findings and recommendation of the screening team in explaining why the <br/>
<a id="pl.30.31"></a><var>30.31</var>recommendation was rejected. The attorney representing the child and the prosecuting <br/>
<a id="pl.30.32"></a><var>30.32</var>attorney shall be afforded an opportunity to be heard on the matter.<br/>
<a id="pl.30.33"></a><var>30.33</var>(e) When the county's juvenile treatment screening team has elected to screen and <br/>
<a id="pl.30.34"></a><var>30.34</var>evaluate a child determined to be an Indian child, the team shall provide notice to the <br/>
<a id="pl.30.35"></a><var>30.35</var>tribe or tribes that accept jurisdiction for the Indian child or that recognize the child as a <br/>
<a id="pl.31.1"></a><var>31.1</var>member of the tribe or as a person eligible for membership in the tribe, and permit the <br/>
<a id="pl.31.2"></a><var>31.2</var>tribe's representative to participate in the screening team.<br/>
<a id="pl.31.3"></a><var>31.3</var>(f) When the Indian child's tribe or tribal health care services provider or Indian <br/>
<a id="pl.31.4"></a><var>31.4</var>Health Services provider proposes to place a child for the primary purpose of treatment <br/>
<a id="pl.31.5"></a><var>31.5</var>for an emotional disturbance, a developmental disability, or co-occurring emotional <br/>
<a id="pl.31.6"></a><var>31.6</var>disturbance and chemical dependency, the Indian child's tribe or the tribe delegated by <br/>
<a id="pl.31.7"></a><var>31.7</var>the child's tribe shall submit necessary documentation to the county juvenile treatment <br/>
<a id="pl.31.8"></a><var>31.8</var>screening team, which must invite the Indian child's tribe to designate a representative to <br/>
<a id="pl.31.9"></a><var>31.9</var>the screening team.<br/>
<br/>
<a id="bill.1.36.0"></a><a id="pl.31.10"></a><var>31.10</var>    Sec. 36. Minnesota Statutes 2010, section 260D.01, is amended to read:<br/>
<a id="pl.31.11"></a><var>31.11</var><b>260D.01 CHILD IN VOLUNTARY FOSTER CARE FOR TREATMENT.</b><br/>
<a id="pl.31.12"></a><var>31.12</var>    (a) Sections 
         <statute_ref>260D.01</statute_ref> to 
         <statute_ref>260D.10</statute_ref>, may be cited as the "child in voluntary foster care <br/>
<a id="pl.31.13"></a><var>31.13</var>for treatment" provisions of the Juvenile Court Act.<br/>
<a id="pl.31.14"></a><var>31.14</var>    (b) The juvenile court has original and exclusive jurisdiction over a child in <br/>
<a id="pl.31.15"></a><var>31.15</var>voluntary foster care for treatment upon the filing of a report or petition required under <br/>
<a id="pl.31.16"></a><var>31.16</var>this chapter. All obligations of the agency to a child and family in foster care contained in <br/>
<a id="pl.31.17"></a><var>31.17</var>chapter 260C not inconsistent with this chapter are also obligations of the agency with <br/>
<a id="pl.31.18"></a><var>31.18</var>regard to a child in foster care for treatment under this chapter.<br/>
<a id="pl.31.19"></a><var>31.19</var>    (c) This chapter shall be construed consistently with the mission of the children's <br/>
<a id="pl.31.20"></a><var>31.20</var>mental health service system as set out in section 
         <statute_ref>245.487, subdivision 3</statute_ref>, and the duties <br/>
<a id="pl.31.21"></a><var>31.21</var>of an agency under section 
         <statute_ref>256B.092</statute_ref>, 260C.157, and Minnesota Rules, parts 9525.0004 <br/>
<a id="pl.31.22"></a><var>31.22</var>to 9525.0016, to meet the needs of a child with a developmental disability or related <br/>
<a id="pl.31.23"></a><var>31.23</var>condition. This chapter:<br/>
<a id="pl.31.24"></a><var>31.24</var>    (1) establishes voluntary foster care through a voluntary foster care agreement as the <br/>
<a id="pl.31.25"></a><var>31.25</var>means for an agency and a parent to provide needed treatment when the child must be in <br/>
<a id="pl.31.26"></a><var>31.26</var>foster care to receive necessary treatment for an emotional disturbance or developmental <br/>
<a id="pl.31.27"></a><var>31.27</var>disability or related condition;<br/>
<a id="pl.31.28"></a><var>31.28</var>    (2) establishes court review requirements for a child in voluntary foster care for <br/>
<a id="pl.31.29"></a><var>31.29</var>treatment due to emotional disturbance or developmental disability or a related condition;<br/>
<a id="pl.31.30"></a><var>31.30</var>    (3) establishes the ongoing responsibility of the parent as legal custodian to visit the <br/>
<a id="pl.31.31"></a><var>31.31</var>child, to plan together with the agency for the child's treatment needs, to be available and <br/>
<a id="pl.31.32"></a><var>31.32</var>accessible to the agency to make treatment decisions, and to obtain necessary medical, <br/>
<a id="pl.31.33"></a><var>31.33</var>dental, and other care for the child; and<br/>
<a id="pl.31.34"></a><var>31.34</var>    (4) applies to voluntary foster care when the child's parent and the agency agree that <br/>
<a id="pl.31.35"></a><var>31.35</var>the child's treatment needs require foster care either:<br/>
<a id="pl.32.1"></a><var>32.1</var>    (i) due to a level of care determination by the agency's screening team informed by <br/>
<a id="pl.32.2"></a><var>32.2</var>the diagnostic and functional assessment under section 
         <statute_ref>245.4885</statute_ref>; or<br/>
<a id="pl.32.3"></a><var>32.3</var>    (ii) due to a determination regarding the level of services needed by the responsible <br/>
<a id="pl.32.4"></a><var>32.4</var>social services' screening team under section 
         <statute_ref>256B.092</statute_ref>, and Minnesota Rules, parts <br/>
<a id="pl.32.5"></a><var>32.5</var>9525.0004 to 9525.0016.<br/>
<a id="pl.32.6"></a><var>32.6</var>    (d) This chapter does not apply when there is a current determination under section <br/>
<statute_ref><a id="pl.32.7"></a><var>32.7</var>626.556
         </statute_ref> that the child requires child protective services or when the child is in foster care <br/>
<a id="pl.32.8"></a><var>32.8</var>for any reason other than treatment for the child's emotional disturbance or developmental <br/>
<a id="pl.32.9"></a><var>32.9</var>disability or related condition. When there is a determination under section 
         <statute_ref>626.556</statute_ref> that <br/>
<a id="pl.32.10"></a><var>32.10</var>the child requires child protective services based on an assessment that there are safety <br/>
<a id="pl.32.11"></a><var>32.11</var>and risk issues for the child that have not been mitigated through the parent's engagement <br/>
<a id="pl.32.12"></a><var>32.12</var>in services or otherwise, or when the child is in foster care for any reason other than <br/>
<a id="pl.32.13"></a><var>32.13</var>the child's emotional disturbance or developmental disability or related condition, the <br/>
<a id="pl.32.14"></a><var>32.14</var>provisions of chapter 260C apply.<br/>
<a id="pl.32.15"></a><var>32.15</var>    (e) The paramount consideration in all proceedings concerning a child in voluntary <br/>
<a id="pl.32.16"></a><var>32.16</var>foster care for treatment is the safety, health, and the best interests of the child. The <br/>
<a id="pl.32.17"></a><var>32.17</var>purpose of this chapter is:<br/>
<a id="pl.32.18"></a><var>32.18</var>    (1) to ensure a child with a disability is provided the services necessary to treat or <br/>
<a id="pl.32.19"></a><var>32.19</var>ameliorate the symptoms of the child's disability;<br/>
<a id="pl.32.20"></a><var>32.20</var>    (2) to preserve and strengthen the child's family ties whenever possible and in the <br/>
<a id="pl.32.21"></a><var>32.21</var>child's best interests, approving the child's placement away from the child's parents only <br/>
<a id="pl.32.22"></a><var>32.22</var>when the child's need for care or treatment requires it and the child cannot be maintained <br/>
<a id="pl.32.23"></a><var>32.23</var>in the home of the parent; and<br/>
<a id="pl.32.24"></a><var>32.24</var>    (3) to ensure the child's parent retains legal custody of the child and associated <br/>
<a id="pl.32.25"></a><var>32.25</var>decision-making authority unless the child's parent willfully fails or is unable to make <br/>
<a id="pl.32.26"></a><var>32.26</var>decisions that meet the child's safety, health, and best interests. The court may not find <br/>
<a id="pl.32.27"></a><var>32.27</var>that the parent willfully fails or is unable to make decisions that meet the child's needs <br/>
<a id="pl.32.28"></a><var>32.28</var>solely because the parent disagrees with the agency's choice of foster care facility, unless <br/>
<a id="pl.32.29"></a><var>32.29</var>the agency files a petition under chapter 260C, and establishes by clear and convincing <br/>
<a id="pl.32.30"></a><var>32.30</var>evidence that the child is in need of protection or services.<br/>
<a id="pl.32.31"></a><var>32.31</var>    (f) The legal parent-child relationship shall be supported under this chapter by <br/>
<a id="pl.32.32"></a><var>32.32</var>maintaining the parent's legal authority and responsibility for ongoing planning for the <br/>
<a id="pl.32.33"></a><var>32.33</var>child and by the agency's assisting the parent, where necessary, to exercise the parent's <br/>
<a id="pl.32.34"></a><var>32.34</var>ongoing right and obligation to visit or to have reasonable contact with the child. Ongoing <br/>
<a id="pl.32.35"></a><var>32.35</var>planning means:<br/>
<a id="pl.33.1"></a><var>33.1</var>    (1) actively participating in the planning and provision of educational services, <br/>
<a id="pl.33.2"></a><var>33.2</var>medical, and dental care for the child;<br/>
<a id="pl.33.3"></a><var>33.3</var>    (2) actively planning and participating with the agency and the foster care facility <br/>
<a id="pl.33.4"></a><var>33.4</var>for the child's treatment needs; and<br/>
<a id="pl.33.5"></a><var>33.5</var>    (3) planning to meet the child's need for safety, stability, and permanency, and the <br/>
<a id="pl.33.6"></a><var>33.6</var>child's need to stay connected to the child's family and community.<br/>
<a id="pl.33.7"></a><var>33.7</var>    (g) The provisions of section 
         <statute_ref>260.012</statute_ref> to ensure placement prevention, family <br/>
<a id="pl.33.8"></a><var>33.8</var>reunification, and all active and reasonable effort requirements of that section apply. This <br/>
<a id="pl.33.9"></a><var>33.9</var>chapter shall be construed consistently with the requirements of the Indian Child Welfare <br/>
<a id="pl.33.10"></a><var>33.10</var>Act of 1978, United States Code, title 25, section 1901, et al., and the provisions of the <br/>
<a id="pl.33.11"></a><var>33.11</var>Minnesota Indian Family Preservation Act, sections 
         <statute_ref>260.751</statute_ref> to 
         <statute_ref>260.835</statute_ref>.<br/>
<br/>
<a id="bill.1.37.0"></a><a id="pl.33.12"></a><var>33.12</var>    Sec. 37. Minnesota Statutes 2010, section 393.07, subdivision 10a, is amended to read:<br/>
<a id="pl.33.13"></a><var>33.13</var>    Subd. 10a. <b>Expedited issuance of food stamps.</b> The commissioner of human <br/>
<a id="pl.33.14"></a><var>33.14</var>services shall continually monitor the expedited issuance of food stamp benefits to ensure <br/>
<a id="pl.33.15"></a><var>33.15</var>that each county complies with federal regulations and that households eligible for <br/>
<a id="pl.33.16"></a><var>33.16</var>expedited issuance of food stamps are identified, processed, and certified within the time <br/>
<a id="pl.33.17"></a><var>33.17</var>frames prescribed in federal regulations.<br/>
<a id="pl.33.18"></a><var>33.18</var>County food stamp offices shall screen and issue food stamps to applicants on the <br/>
<a id="pl.33.19"></a><var>33.19</var>day of application. Applicants who meet the federal criteria for expedited issuance and <br/>
<a id="pl.33.20"></a><var>33.20</var>have an immediate need for food assistance shall receive either: within five working days<br/>
<a id="pl.33.21"></a><var>33.21</var>(1) a manual Authorization to Participate (ATP) card; or<br/>
<a id="pl.33.22"></a><var>33.22</var>(2) the immediate issuance of food stamp coupons benefits.<br/>
<a id="pl.33.23"></a><var>33.23</var>The local food stamp agency shall conspicuously post in each food stamp office a <br/>
<a id="pl.33.24"></a><var>33.24</var>notice of the availability of and the procedure for applying for expedited issuance and <br/>
<a id="pl.33.25"></a><var>33.25</var>verbally advise each applicant of the availability of the expedited process.<br/>
<br/>
<a id="bill.1.38.0"></a><a id="pl.33.26"></a><var>33.26</var>    Sec. 38. Minnesota Statutes 2010, section 518A.51, is amended to read:<br/>
<a id="pl.33.27"></a><var>33.27</var><b>518A.51 FEES FOR IV-D SERVICES.</b><br/>
<a id="pl.33.28"></a><var>33.28</var>(a) When a recipient of IV-D services is no longer receiving assistance under the <br/>
<a id="pl.33.29"></a><var>33.29</var>state's title IV-A, IV-E foster care, medical assistance, or MinnesotaCare programs, the <br/>
<a id="pl.33.30"></a><var>33.30</var>public authority responsible for child support enforcement must notify the recipient, <br/>
<a id="pl.33.31"></a><var>33.31</var>within five working days of the notification of ineligibility, that IV-D services will be <br/>
<a id="pl.33.32"></a><var>33.32</var>continued unless the public authority is notified to the contrary by the recipient. The <br/>
<a id="pl.33.33"></a><var>33.33</var>notice must include the implications of continuing to receive IV-D services, including the <br/>
<a id="pl.33.34"></a><var>33.34</var>available services and fees, cost recovery fees, and distribution policies relating to fees.<br/>
<a id="pl.34.1"></a><var>34.1</var>(b) An application fee of $25 shall be paid by the person who applies for child <br/>
<a id="pl.34.2"></a><var>34.2</var>support and maintenance collection services, except persons who are receiving public <br/>
<a id="pl.34.3"></a><var>34.3</var>assistance as defined in section 
         <statute_ref>256.741</statute_ref> and the diversionary work program under section <br/>
<statute_ref><a id="pl.34.4"></a><var>34.4</var>256J.95
         </statute_ref>, persons who transfer from public assistance to nonpublic assistance status, and <br/>
<a id="pl.34.5"></a><var>34.5</var>minor parents and parents enrolled in a public secondary school, area learning center, or <br/>
<a id="pl.34.6"></a><var>34.6</var>alternative learning program approved by the commissioner of education.<br/>
<a id="pl.34.7"></a><var>34.7</var>(c) In the case of an individual who has never received assistance under a state <br/>
<a id="pl.34.8"></a><var>34.8</var>program funded under Title IV-A of the Social Security Act and for whom the public <br/>
<a id="pl.34.9"></a><var>34.9</var>authority has collected at least $500 of support, the public authority must impose an <br/>
<a id="pl.34.10"></a><var>34.10</var>annual federal collections fee of $25 for each case in which services are furnished. This <br/>
<a id="pl.34.11"></a><var>34.11</var>fee must be retained by the public authority from support collected on behalf of the <br/>
<a id="pl.34.12"></a><var>34.12</var>individual, but not from the first $500 collected.<br/>
<a id="pl.34.13"></a><var>34.13</var>(d) When the public authority provides full IV-D services to an obligee who has <br/>
<a id="pl.34.14"></a><var>34.14</var>applied for those services, upon written notice to the obligee, the public authority must <br/>
<a id="pl.34.15"></a><var>34.15</var>charge a cost recovery fee of one percent of the amount collected. This fee must be <br/>
<a id="pl.34.16"></a><var>34.16</var>deducted from the amount of the child support and maintenance collected and not assigned <br/>
<a id="pl.34.17"></a><var>34.17</var>under section 
         <statute_ref>256.741</statute_ref> before disbursement to the obligee. This fee does not apply to an <br/>
<a id="pl.34.18"></a><var>34.18</var>obligee who:<br/>
<a id="pl.34.19"></a><var>34.19</var>(1) is currently receiving assistance under the state's title IV-A, IV-E foster care, <br/>
<a id="pl.34.20"></a><var>34.20</var>medical assistance, or MinnesotaCare programs; or<br/>
<a id="pl.34.21"></a><var>34.21</var>(2) has received assistance under the state's title IV-A or IV-E foster care programs, <br/>
<a id="pl.34.22"></a><var>34.22</var>until the person has not received this assistance for 24 consecutive months.<br/>
<a id="pl.34.23"></a><var>34.23</var> (e) When the public authority provides full IV-D services to an obligor who has <br/>
<a id="pl.34.24"></a><var>34.24</var>applied for such services, upon written notice to the obligor, the public authority must <br/>
<a id="pl.34.25"></a><var>34.25</var>charge a cost recovery fee of one percent of the monthly court-ordered child support and <br/>
<a id="pl.34.26"></a><var>34.26</var>maintenance obligation. The fee may be collected through income withholding, as well <br/>
<a id="pl.34.27"></a><var>34.27</var>as by any other enforcement remedy available to the public authority responsible for <br/>
<a id="pl.34.28"></a><var>34.28</var>child support enforcement.<br/>
<a id="pl.34.29"></a><var>34.29</var> (f) Fees assessed by state and federal tax agencies for collection of overdue support <br/>
<a id="pl.34.30"></a><var>34.30</var>owed to or on behalf of a person not receiving public assistance must be imposed on the <br/>
<a id="pl.34.31"></a><var>34.31</var>person for whom these services are provided. The public authority upon written notice to <br/>
<a id="pl.34.32"></a><var>34.32</var>the obligee shall assess a fee of $25 to the person not receiving public assistance for each <br/>
<a id="pl.34.33"></a><var>34.33</var>successful federal tax interception. The fee must be withheld prior to the release of the <br/>
<a id="pl.34.34"></a><var>34.34</var>funds received from each interception and deposited in the general fund.<br/>
<a id="pl.34.35"></a><var>34.35</var> (g) Federal collections fees collected under paragraph (c) and cost recovery <br/>
<a id="pl.34.36"></a><var>34.36</var>fees collected under paragraphs (d) and (e), retained by the commissioner of human <br/>
<a id="pl.35.1"></a><var>35.1</var>services, shall be considered child support program income according to Code of Federal <br/>
<a id="pl.35.2"></a><var>35.2</var>Regulations, title 45, section 304.50, and shall be deposited in the special revenue fund <br/>
<a id="pl.35.3"></a><var>35.3</var>account established under paragraph (i). The commissioner of human services must elect <br/>
<a id="pl.35.4"></a><var>35.4</var>to recover costs based on either actual or standardized costs.<br/>
<a id="pl.35.5"></a><var>35.5</var> (h) The limitations of this section on the assessment of fees shall not apply to <br/>
<a id="pl.35.6"></a><var>35.6</var>the extent inconsistent with the requirements of federal law for receiving funds for the <br/>
<a id="pl.35.7"></a><var>35.7</var>programs under Title IV-A and Title IV-D of the Social Security Act, United States Code, <br/>
<a id="pl.35.8"></a><var>35.8</var>title 42, sections 601 to 613 and United States Code, title 42, sections 651 to 662.<br/>
<a id="pl.35.9"></a><var>35.9</var> (i) The commissioner of human services is authorized to establish a special revenue <br/>
<a id="pl.35.10"></a><var>35.10</var>fund account to receive the federal collections fees collected under paragraph (c) and cost <br/>
<a id="pl.35.11"></a><var>35.11</var>recovery fees collected under paragraphs (d) and (e). A portion of the nonfederal share of <br/>
<a id="pl.35.12"></a><var>35.12</var>these fees may be retained for expenditures necessary to administer the fees and must be <br/>
<a id="pl.35.13"></a><var>35.13</var>transferred to the child support system special revenue account. The remaining nonfederal <br/>
<a id="pl.35.14"></a><var>35.14</var>share of the federal collections fees and cost recovery fees must be retained by the <br/>
<a id="pl.35.15"></a><var>35.15</var>commissioner and dedicated to the child support general fund county performance-based <br/>
<a id="pl.35.16"></a><var>35.16</var>grant account authorized under sections 
<statute_ref>256.979</statute_ref> and 
<statute_ref>256.9791</statute_ref>. The commissioner shall <br/>
<a id="pl.35.17"></a><var>35.17</var>distribute the remaining nonfederal share of these fees to the counties quarterly using the <br/>
<a id="pl.35.18"></a><var>35.18</var>methodology specified in section 256.979, subdivision 11. The funds received by the <br/>
<a id="pl.35.19"></a><var>35.19</var>counties must be reinvested in the child support enforcement program, and the counties <br/>
<a id="pl.35.20"></a><var>35.20</var>shall not reduce the funding of their child support programs by the amount of funding <br/>
<a id="pl.35.21"></a><var>35.21</var>distributed.<br/>
<br/>
<a id="bill.1.39.0"></a><a id="pl.35.22"></a><var>35.22</var>    Sec. 39. <b>REQUIREMENT FOR LIQUOR STORES, TOBACCO STORES, </b><br/>
<a id="pl.35.23"></a><var>35.23</var><b>GAMBLING ESTABLISHMENTS, AND TATTOO PARLORS.</b><br/>
<a id="pl.35.24"></a><var>35.24</var>Liquor stores, tobacco stores, gambling establishments, and tattoo parlors must <br/>
<a id="pl.35.25"></a><var>35.25</var>negotiate with their third-party processors to block EBT card cash transactions at their <br/>
<a id="pl.35.26"></a><var>35.26</var>places of business and withdrawals of cash at automatic teller machines located in their <br/>
<a id="pl.35.27"></a><var>35.27</var>places of business.<br/>
<br/>
<a id="bill.1.40.0"></a><a id="pl.35.28"></a><var>35.28</var>    Sec. 40. <b>MINNESOTA EBT BUSINESS TASK FORCE.</b><br/>
<a id="pl.35.29"></a><var>35.29</var>    Subdivision 1. <b>Members.</b> The Minnesota EBT Business Task Force includes seven <br/>
<a id="pl.35.30"></a><var>35.30</var>members, appointed as follows:<br/>
<a id="pl.35.31"></a><var>35.31</var>(1) two members of the Minnesota house of representatives appointed by the speaker <br/>
<a id="pl.35.32"></a><var>35.32</var>of the house;<br/>
<a id="pl.35.33"></a><var>35.33</var>(2) two members of the Minnesota senate appointed by the senate majority leader;<br/>
<a id="pl.35.34"></a><var>35.34</var>(3) the commissioner of human services, or designee;<br/>
<a id="pl.36.1"></a><var>36.1</var>(4) an appointee of the Minnesota Grocers Association; and<br/>
<a id="pl.36.2"></a><var>36.2</var>(5) a credit card processor, appointed by the commissioner of human services.<br/>
<a id="pl.36.3"></a><var>36.3</var>    Subd. 2. <b>Duties.</b> The Minnesota EBT Business Task Force shall create a workable <br/>
<a id="pl.36.4"></a><var>36.4</var>strategy to eliminate the purchase of tobacco and alcoholic beverages by recipients of the <br/>
<a id="pl.36.5"></a><var>36.5</var>general assistance program and Minnesota supplemental aid program under Minnesota <br/>
<a id="pl.36.6"></a><var>36.6</var>Statutes, chapter 256D, and programs under Minnesota Statutes, chapter 256J, using EBT <br/>
<a id="pl.36.7"></a><var>36.7</var>cards. The task force will consider cost to the state, feasibility of execution at retail, and <br/>
<a id="pl.36.8"></a><var>36.8</var>ease of use and privacy for EBT cardholders.<br/>
<a id="pl.36.9"></a><var>36.9</var>    Subd. 3. <b>Report.</b> The task force will report back to the legislative committees with <br/>
<a id="pl.36.10"></a><var>36.10</var>jurisdiction over health and human services policy and finance by April 1, 2012, with <br/>
<a id="pl.36.11"></a><var>36.11</var>recommendations related to the task force duties under subdivision 2.<br/>
<a id="pl.36.12"></a><var>36.12</var>    Subd. 4. <b>Expiration.</b> The task force expires on June 30, 2012.<br/>
<br/>
<a id="bill.1.41.0"></a><a id="pl.36.13"></a><var>36.13</var>    Sec. 41. <b>STREAMLINING CHILDREN AND COMMUNITY SERVICES ACT </b><br/>
<a id="pl.36.14"></a><var>36.14</var><b>REPORTING REQUIREMENTS.</b><br/>
<a id="pl.36.15"></a><var>36.15</var>    The commissioner of human services and county human services representatives, in <br/>
<a id="pl.36.16"></a><var>36.16</var>consultation with other interested parties, shall develop a streamlined alternative to current <br/>
<a id="pl.36.17"></a><var>36.17</var>reporting requirements related to the Children and Community Services Act service plan. <br/>
<a id="pl.36.18"></a><var>36.18</var>The commissioner shall submit recommendations and draft legislation to the chairs and <br/>
<a id="pl.36.19"></a><var>36.19</var>ranking minority members of the committees having jurisdiction over human services no <br/>
<a id="pl.36.20"></a><var>36.20</var>later than November 15, 2012.<br/>
<br/>
<a id="bill.1.42.0"></a><a id="pl.36.21"></a><var>36.21</var>    Sec. 42. <b>REVISOR'S INSTRUCTION.</b><br/>
<a id="pl.36.22"></a><var>36.22</var>The revisor of statutes shall make conforming amendments and correct statutory <br/>
<a id="pl.36.23"></a><var>36.23</var>cross-references as necessitated by the creation of Minnesota Statutes, chapter 256N, and <br/>
<a id="pl.36.24"></a><var>36.24</var>related repealers in this article.<br/>
<br/>
<a id="bill.1.43.0"></a><a id="pl.36.25"></a><var>36.25</var>    Sec. 43. <b> REPEALER.</b><br/>
<a id="pl.36.26"></a><var>36.26</var>(a) Minnesota Statutes 2010, section 256.9862, subdivision 2, is repealed effective <br/>
<a id="pl.36.27"></a><var>36.27</var>February 1, 2012.<br/>
<a id="pl.36.28"></a><var>36.28</var>(b) Minnesota Statutes 2010, sections 256.979, subdivisions 5, 6, 7, and 10; <br/>
<a id="pl.36.29"></a><var>36.29</var>256.9791; 256D.01, subdivisions 1, 1a, 1b, 1e, and 2; 256D.03, subdivisions 1, 2, and 2a; <br/>
<a id="pl.36.30"></a><var>36.30</var>256D.05, subdivisions 1, 2, 4, 5, 6, 7, and 8; 256D.0513; 256D.06, subdivisions 1, 1b, 2, <br/>
<a id="pl.36.31"></a><var>36.31</var>5, 7, and 8; 256D.09, subdivisions 1, 2, 2a, 2b, 5, and 6; 256D.10; 256D.13; 256D.15; <br/>
<a id="pl.36.32"></a><var>36.32</var>256D.16; 256D.35, subdivision 8b; and 256D.46, are repealed effective October 1, 2012.<br/>
<a id="pl.37.1"></a><var>37.1</var>(c) Minnesota Rules, part 3400.0130, subpart 8, is repealed effective September <br/>
<a id="pl.37.2"></a><var>37.2</var>3, 2012.<br/>
<a id="pl.37.3"></a><var>37.3</var>(d) Minnesota Rules, part 9500.1261, subparts 3, items D and E, 4, and 5, are <br/>
<a id="pl.37.4"></a><var>37.4</var>repealed effective November 1, 2011.<br/>
<br/>
<a id="bill.2.0.0"></a>
<b>ARTICLE 2</b>

<a id="bill.2.1.0"></a><a id="pl.37.7"></a><var>37.7</var>    Section 1. Minnesota Statutes 2010, section 62D.08, subdivision 7, is amended to read:<br/>
<a id="pl.37.8"></a><var>37.8</var>    Subd. 7. <b>Consistent administrative expenses and investment income reporting.</b><br/>
<a id="pl.37.9"></a><var>37.9</var>(a) Every health maintenance organization must directly allocate administrative expenses <br/>
<a id="pl.37.10"></a><var>37.10</var>to specific lines of business or products when such information is available. The definition <br/>
<a id="pl.37.11"></a><var>37.11</var>of administrative expenses must be consistent with that of the National Association of <br/>
<a id="pl.37.12"></a><var>37.12</var>Insurance Commissioners (NAIC) as provided in the most current NAIC blank. Remaining <br/>
<a id="pl.37.13"></a><var>37.13</var>expenses that cannot be directly allocated must be allocated based on other methods, as <br/>
<a id="pl.37.14"></a><var>37.14</var>recommended by the Advisory Group on Administrative Expenses. Health maintenance <br/>
<a id="pl.37.15"></a><var>37.15</var>organizations must submit this information, including administrative expenses for dental <br/>
<a id="pl.37.16"></a><var>37.16</var>services, using the reporting template provided by the commissioner of health.<br/>
<a id="pl.37.17"></a><var>37.17</var>(b) Every health maintenance organization must allocate investment income based <br/>
<a id="pl.37.18"></a><var>37.18</var>on cumulative net income over time by business line or product and must submit this <br/>
<a id="pl.37.19"></a><var>37.19</var>information, including investment income for dental services, using the reporting template <br/>
<a id="pl.37.20"></a><var>37.20</var>provided by the commissioner of health.<br/>
<br/>
<a id="bill.2.2.0"></a><a id="pl.37.21"></a><var>37.21</var>    Sec. 2. Minnesota Statutes 2010, section 62J.04, subdivision 3, is amended to read:<br/>
<a id="pl.37.22"></a><var>37.22</var>    Subd. 3. <b>Cost containment duties.</b> The commissioner shall:<br/>
<a id="pl.37.23"></a><var>37.23</var>(1) establish statewide and regional cost containment goals for total health care <br/>
<a id="pl.37.24"></a><var>37.24</var>spending under this section and collect data as described in sections 
         <statute_ref>62J.38</statute_ref> to 
<statute_ref>62J.41</statute_ref> and <br/>
<a id="pl.37.25"></a><var>37.25</var>62J.40 to monitor statewide achievement of the cost containment goals; <br/>
<a id="pl.37.26"></a><var>37.26</var>(2) divide the state into no fewer than four regions, with one of those regions being <br/>
<a id="pl.37.27"></a><var>37.27</var>the Minneapolis/St. Paul metropolitan statistical area but excluding Chisago, Isanti, <br/>
<a id="pl.37.28"></a><var>37.28</var>Wright, and Sherburne Counties, for purposes of fostering the development of regional <br/>
<a id="pl.37.29"></a><var>37.29</var>health planning and coordination of health care delivery among regional health care <br/>
<a id="pl.37.30"></a><var>37.30</var>systems and working to achieve the cost containment goals;<br/>
<a id="pl.37.31"></a><var>37.31</var>(3) monitor the quality of health care throughout the state and take action as <br/>
<a id="pl.37.32"></a><var>37.32</var>necessary to ensure an appropriate level of quality;<br/>
<a id="pl.37.33"></a><var>37.33</var>(4) issue recommendations regarding uniform billing forms, uniform electronic <br/>
<a id="pl.37.34"></a><var>37.34</var>billing procedures and data interchanges, patient identification cards, and other uniform <br/>
<a id="pl.38.1"></a><var>38.1</var>claims and administrative procedures for health care providers and private and public <br/>
<a id="pl.38.2"></a><var>38.2</var>sector payers. In developing the recommendations, the commissioner shall review the <br/>
<a id="pl.38.3"></a><var>38.3</var>work of the work group on electronic data interchange (WEDI) and the American National <br/>
<a id="pl.38.4"></a><var>38.4</var>Standards Institute (ANSI) at the national level, and the work being done at the state and <br/>
<a id="pl.38.5"></a><var>38.5</var>local level. The commissioner may adopt rules requiring the use of the Uniform Bill <br/>
<a id="pl.38.6"></a><var>38.6</var>82/92 form, the National Council of Prescription Drug Providers (NCPDP) 3.2 electronic <br/>
<a id="pl.38.7"></a><var>38.7</var>version, the Centers for Medicare and Medicaid Services 1500 form, or other standardized <br/>
<a id="pl.38.8"></a><var>38.8</var>forms or procedures;<br/>
<a id="pl.38.9"></a><var>38.9</var>(5) undertake health planning responsibilities;<br/>
<a id="pl.38.10"></a><var>38.10</var>(6) authorize, fund, or promote research and experimentation on new technologies <br/>
<a id="pl.38.11"></a><var>38.11</var>and health care procedures;<br/>
<a id="pl.38.12"></a><var>38.12</var>(7) within the limits of appropriations for these purposes, administer or contract for <br/>
<a id="pl.38.13"></a><var>38.13</var>statewide consumer education and wellness programs that will improve the health of <br/>
<a id="pl.38.14"></a><var>38.14</var>Minnesotans and increase individual responsibility relating to personal health and the <br/>
<a id="pl.38.15"></a><var>38.15</var>delivery of health care services, undertake prevention programs including initiatives to <br/>
<a id="pl.38.16"></a><var>38.16</var>improve birth outcomes, expand childhood immunization efforts, and provide start-up <br/>
<a id="pl.38.17"></a><var>38.17</var>grants for worksite wellness programs;<br/>
<a id="pl.38.18"></a><var>38.18</var>(8) undertake other activities to monitor and oversee the delivery of health care <br/>
<a id="pl.38.19"></a><var>38.19</var>services in Minnesota with the goal of improving affordability, quality, and accessibility of <br/>
<a id="pl.38.20"></a><var>38.20</var>health care for all Minnesotans; and<br/>
<a id="pl.38.21"></a><var>38.21</var>(9) make the cost containment goal data available to the public in a <br/>
<a id="pl.38.22"></a><var>38.22</var>consumer-oriented manner.<br/>
<a id="pl.38.23"></a><var>38.23</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.2.3.0"></a><a id="pl.38.24"></a><var>38.24</var>    Sec. 3. Minnesota Statutes 2010, section 62J.17, subdivision 4a, is amended to read:<br/>
<a id="pl.38.25"></a><var>38.25</var>    Subd. 4a. <b>Expenditure reporting.</b> Each hospital, outpatient surgical center, <br/>
<a id="pl.38.26"></a><var>38.26</var>diagnostic imaging center, and physician clinic shall report annually to the commissioner <br/>
<a id="pl.38.27"></a><var>38.27</var>on all major spending commitments, in the form and manner specified by the <br/>
<a id="pl.38.28"></a><var>38.28</var>commissioner. The report shall include the following information:<br/>
<a id="pl.38.29"></a><var>38.29</var>    (a) a description of major spending commitments made during the previous year, <br/>
<a id="pl.38.30"></a><var>38.30</var>including the total dollar amount of major spending commitments and purpose of the <br/>
<a id="pl.38.31"></a><var>38.31</var>expenditures;<br/>
<a id="pl.38.32"></a><var>38.32</var>    (b) the cost of land acquisition, construction of new facilities, and renovation of <br/>
<a id="pl.38.33"></a><var>38.33</var>existing facilities;<br/>
<a id="pl.38.34"></a><var>38.34</var>    (c) the cost of purchased or leased medical equipment, by type of equipment;<br/>
<a id="pl.38.35"></a><var>38.35</var>    (d) expenditures by type for specialty care and new specialized services;<br/>
<a id="pl.39.1"></a><var>39.1</var>    (e) information on the amount and types of added capacity for diagnostic imaging <br/>
<a id="pl.39.2"></a><var>39.2</var>services, outpatient surgical services, and new specialized services; and<br/>
<a id="pl.39.3"></a><var>39.3</var>    (f) information on investments in electronic medical records systems.<br/>
<a id="pl.39.4"></a><var>39.4</var>For hospitals and outpatient surgical centers, this information shall be included in reports <br/>
<a id="pl.39.5"></a><var>39.5</var>to the commissioner that are required under section 
         <statute_ref>144.698</statute_ref>. For diagnostic imaging <br/>
<a id="pl.39.6"></a><var>39.6</var>centers, this information shall be included in reports to the commissioner that are required <br/>
<a id="pl.39.7"></a><var>39.7</var>under section 
         <statute_ref>144.565</statute_ref>. For physician clinics, this information shall be included in reports <br/>
<a id="pl.39.8"></a><var>39.8</var>to the commissioner that are required under section 
<statute_ref>62J.41</statute_ref>. For all other health care <br/>
<a id="pl.39.9"></a><var>39.9</var>providers that are subject to this reporting requirement, reports must be submitted to the <br/>
<a id="pl.39.10"></a><var>39.10</var>commissioner by March 1 each year for the preceding calendar year.<br/>
<a id="pl.39.11"></a><var>39.11</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.2.4.0"></a><a id="pl.39.12"></a><var>39.12</var>    Sec. 4. Minnesota Statutes 2010, section 62J.495, is amended by adding a subdivision <br/>
<a id="pl.39.13"></a><var>39.13</var>to read:<br/>
<a id="pl.39.14"></a><var>39.14</var>    Subd. 7. <b>Exemption.</b> Any clinical practice with a total annual net revenue of less <br/>
<a id="pl.39.15"></a><var>39.15</var>than $500,000, and that has not received a state or federal grant for implementation <br/>
<a id="pl.39.16"></a><var>39.16</var>of electronic health records, is exempt from the requirements of subdivision 1. This <br/>
<a id="pl.39.17"></a><var>39.17</var>subdivision expires December 31, 2020.<br/>
<br/>
<a id="bill.2.5.0"></a><a id="pl.39.18"></a><var>39.18</var>    Sec. 5. Minnesota Statutes 2010, section 62J.692, is amended to read:<br/>
<a id="pl.39.19"></a><var>39.19</var><b>62J.692 MEDICAL EDUCATION.</b><br/>
<a id="pl.39.20"></a><var>39.20</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, the following definitions <br/>
<a id="pl.39.21"></a><var>39.21</var>apply:<br/>
<a id="pl.39.22"></a><var>39.22</var>    (a) "Accredited clinical training" means the clinical training provided by a <br/>
<a id="pl.39.23"></a><var>39.23</var>medical education program that is accredited through an organization recognized by the <br/>
<a id="pl.39.24"></a><var>39.24</var>Department of Education, the Centers for Medicare and Medicaid Services, or another <br/>
<a id="pl.39.25"></a><var>39.25</var>national body who reviews the accrediting organizations for multiple disciplines and <br/>
<a id="pl.39.26"></a><var>39.26</var>whose standards for recognizing accrediting organizations are reviewed and approved by <br/>
<a id="pl.39.27"></a><var>39.27</var>the commissioner of health in consultation with the Medical Education and Research <br/>
<a id="pl.39.28"></a><var>39.28</var>Advisory Committee.<br/>
<a id="pl.39.29"></a><var>39.29</var>    (b) "Commissioner" means the commissioner of health.<br/>
<a id="pl.39.30"></a><var>39.30</var>    (c) "Clinical medical education program" means the accredited clinical training of <br/>
<a id="pl.39.31"></a><var>39.31</var>physicians (medical students and residents), doctor of pharmacy practitioners, doctors <br/>
<a id="pl.39.32"></a><var>39.32</var>of chiropractic, dentists, advanced practice nurses (clinical nurse specialists, certified <br/>
<a id="pl.40.1"></a><var>40.1</var>registered nurse anesthetists, nurse practitioners, and certified nurse midwives), and <br/>
<a id="pl.40.2"></a><var>40.2</var>physician assistants.<br/>
<a id="pl.40.3"></a><var>40.3</var>    (d) "Sponsoring institution" means a hospital, school, or consortium located in <br/>
<a id="pl.40.4"></a><var>40.4</var>Minnesota that sponsors and maintains primary organizational and financial responsibility <br/>
<a id="pl.40.5"></a><var>40.5</var>for a clinical medical education program in Minnesota and which is accountable to the <br/>
<a id="pl.40.6"></a><var>40.6</var>accrediting body.<br/>
<a id="pl.40.7"></a><var>40.7</var>    (e) "Teaching institution" means a hospital, medical center, clinic, or other <br/>
<a id="pl.40.8"></a><var>40.8</var>organization that conducts a clinical medical education program in Minnesota.<br/>
<a id="pl.40.9"></a><var>40.9</var>    (f) "Trainee" means a student or resident involved in a clinical medical education <br/>
<a id="pl.40.10"></a><var>40.10</var>program.<br/>
<a id="pl.40.11"></a><var>40.11</var>    (g) "Eligible trainee FTE's" means the number of trainees, as measured by full-time <br/>
<a id="pl.40.12"></a><var>40.12</var>equivalent counts, that are at training sites located in Minnesota with currently active <br/>
<a id="pl.40.13"></a><var>40.13</var>medical assistance enrollment status and a National Provider Identification (NPI) number <br/>
<a id="pl.40.14"></a><var>40.14</var>where training occurs in either an inpatient or ambulatory patient care setting and where <br/>
<a id="pl.40.15"></a><var>40.15</var>the training is funded, in part, by patient care revenues. Training that occurs in nursing <br/>
<a id="pl.40.16"></a><var>40.16</var>facility settings is not eligible for funding under this section.<br/>
<a id="pl.40.17"></a><var>40.17</var>    Subd. 3. <b>Application process.</b> (a) A clinical medical education program <br/>
<a id="pl.40.18"></a><var>40.18</var>conducted in Minnesota by a teaching institution to train physicians, doctor of pharmacy <br/>
<a id="pl.40.19"></a><var>40.19</var>practitioners, dentists, chiropractors, or physician assistants is eligible for funds under <br/>
<a id="pl.40.20"></a><var>40.20</var>subdivision 4 or 11, as appropriate, if the program:<br/>
<a id="pl.40.21"></a><var>40.21</var>(1) is funded, in part, by patient care revenues;<br/>
<a id="pl.40.22"></a><var>40.22</var>(2) occurs in patient care settings that face increased financial pressure as a result <br/>
<a id="pl.40.23"></a><var>40.23</var>of competition with nonteaching patient care entities; and<br/>
<a id="pl.40.24"></a><var>40.24</var>(3) emphasizes primary care or specialties that are in undersupply in Minnesota.<br/>
<a id="pl.40.25"></a><var>40.25</var>A clinical medical education program that trains pediatricians is requested to include <br/>
<a id="pl.40.26"></a><var>40.26</var>in its program curriculum training in case management and medication management for <br/>
<a id="pl.40.27"></a><var>40.27</var>children suffering from mental illness to be eligible for funds under subdivision 4.<br/>
<a id="pl.40.28"></a><var>40.28</var>(b) A clinical medical education program for advanced practice nursing is eligible <br/>
<a id="pl.40.29"></a><var>40.29</var>for funds under subdivision 4 or 11, as appropriate, if the program meets the eligibility <br/>
<a id="pl.40.30"></a><var>40.30</var>requirements in paragraph (a), clauses (1) to (3), and is sponsored by the University of <br/>
<a id="pl.40.31"></a><var>40.31</var>Minnesota Academic Health Center, the Mayo Foundation, or institutions that are part <br/>
<a id="pl.40.32"></a><var>40.32</var>of the Minnesota State Colleges and Universities system or members of the Minnesota <br/>
<a id="pl.40.33"></a><var>40.33</var>Private College Council.<br/>
<a id="pl.40.34"></a><var>40.34</var>(c) Applications must be submitted to the commissioner by a sponsoring institution <br/>
<a id="pl.40.35"></a><var>40.35</var>on behalf of an eligible clinical medical education program and must be received by <br/>
<a id="pl.41.1"></a><var>41.1</var>October 31 of each year for distribution in the following year. An application for funds <br/>
<a id="pl.41.2"></a><var>41.2</var>must contain the following information:<br/>
<a id="pl.41.3"></a><var>41.3</var>(1) the official name and address of the sponsoring institution and the official <br/>
<a id="pl.41.4"></a><var>41.4</var>name and site address of the clinical medical education programs on whose behalf the <br/>
<a id="pl.41.5"></a><var>41.5</var>sponsoring institution is applying;<br/>
<a id="pl.41.6"></a><var>41.6</var>(2) the name, title, and business address of those persons responsible for <br/>
<a id="pl.41.7"></a><var>41.7</var>administering the funds;<br/>
<a id="pl.41.8"></a><var>41.8</var>(3) for each clinical medical education program for which funds are being sought; <br/>
<a id="pl.41.9"></a><var>41.9</var>the type and specialty orientation of trainees in the program; the name, site address, and <br/>
<a id="pl.41.10"></a><var>41.10</var>medical assistance provider number and national provider identification number of each <br/>
<a id="pl.41.11"></a><var>41.11</var>training site used in the program; the federal tax identification number of each training site <br/>
<a id="pl.41.12"></a><var>41.12</var>used in the program, where available; the total number of trainees at each training site; and <br/>
<a id="pl.41.13"></a><var>41.13</var>the total number of eligible trainee FTEs at each site; and<br/>
<a id="pl.41.14"></a><var>41.14</var>(4) other supporting information the commissioner deems necessary to determine <br/>
<a id="pl.41.15"></a><var>41.15</var>program eligibility based on the criteria in paragraphs (a) and (b) and to ensure the <br/>
<a id="pl.41.16"></a><var>41.16</var>equitable distribution of funds.<br/>
<a id="pl.41.17"></a><var>41.17</var>(d) An application must include the information specified in clauses (1) to (3) for <br/>
<a id="pl.41.18"></a><var>41.18</var>each clinical medical education program on an annual basis for three consecutive years. <br/>
<a id="pl.41.19"></a><var>41.19</var>After that time, an application must include the information specified in clauses (1) to (3) <br/>
<a id="pl.41.20"></a><var>41.20</var>when requested, at the discretion of the commissioner:<br/>
<a id="pl.41.21"></a><var>41.21</var>(1) audited clinical training costs per trainee for each clinical medical education <br/>
<a id="pl.41.22"></a><var>41.22</var>program when available or estimates of clinical training costs based on audited financial <br/>
<a id="pl.41.23"></a><var>41.23</var>data;<br/>
<a id="pl.41.24"></a><var>41.24</var>(2) a description of current sources of funding for clinical medical education costs, <br/>
<a id="pl.41.25"></a><var>41.25</var>including a description and dollar amount of all state and federal financial support, <br/>
<a id="pl.41.26"></a><var>41.26</var>including Medicare direct and indirect payments; and<br/>
<a id="pl.41.27"></a><var>41.27</var>(3) other revenue received for the purposes of clinical training.<br/>
<a id="pl.41.28"></a><var>41.28</var>(e) An applicant that does not provide information requested by the commissioner <br/>
<a id="pl.41.29"></a><var>41.29</var>shall not be eligible for funds for the current funding cycle.<br/>
<a id="pl.41.30"></a><var>41.30</var>    Subd. 4. <b>Distribution of funds.</b> (a) Following the distribution described under <br/>
<a id="pl.41.31"></a><var>41.31</var>paragraph (b), the commissioner shall annually distribute the available medical education <br/>
<a id="pl.41.32"></a><var>41.32</var>funds to all qualifying applicants based on a distribution formula that reflects a summation <br/>
<a id="pl.41.33"></a><var>41.33</var>of two factors:<br/>
<a id="pl.41.34"></a><var>41.34</var>    (1) a public program volume factor, which is determined by the total volume of <br/>
<a id="pl.41.35"></a><var>41.35</var>public program revenue received by each training site as a percentage of all public <br/>
<a id="pl.41.36"></a><var>41.36</var>program revenue received by all training sites in the fund pool; and<br/>
<a id="pl.42.1"></a><var>42.1</var>    (2) a supplemental public program volume factor, which is determined by providing <br/>
<a id="pl.42.2"></a><var>42.2</var>a supplemental payment of 20 percent of each training site's grant to training sites whose <br/>
<a id="pl.42.3"></a><var>42.3</var>public program revenue accounted for at least 0.98 percent of the total public program <br/>
<a id="pl.42.4"></a><var>42.4</var>revenue received by all eligible training sites. Grants to training sites whose public <br/>
<a id="pl.42.5"></a><var>42.5</var>program revenue accounted for less than 0.98 percent of the total public program revenue <br/>
<a id="pl.42.6"></a><var>42.6</var>received by all eligible training sites shall be reduced by an amount equal to the total <br/>
<a id="pl.42.7"></a><var>42.7</var>value of the supplemental payment.<br/>
<a id="pl.42.8"></a><var>42.8</var>    Public program revenue for the distribution formula includes revenue from medical <br/>
<a id="pl.42.9"></a><var>42.9</var>assistance, prepaid medical assistance, general assistance medical care, and prepaid <br/>
<a id="pl.42.10"></a><var>42.10</var>general assistance medical care. Training sites that receive no public program revenue <br/>
<a id="pl.42.11"></a><var>42.11</var>are ineligible for funds available under this subdivision. For purposes of determining <br/>
<a id="pl.42.12"></a><var>42.12</var>training-site level grants to be distributed under paragraph (a), total statewide average <br/>
<a id="pl.42.13"></a><var>42.13</var>costs per trainee for medical residents is based on audited clinical training costs per trainee <br/>
<a id="pl.42.14"></a><var>42.14</var>in primary care clinical medical education programs for medical residents. Total statewide <br/>
<a id="pl.42.15"></a><var>42.15</var>average costs per trainee for dental residents is based on audited clinical training costs <br/>
<a id="pl.42.16"></a><var>42.16</var>per trainee in clinical medical education programs for dental students. Total statewide <br/>
<a id="pl.42.17"></a><var>42.17</var>average costs per trainee for pharmacy residents is based on audited clinical training costs <br/>
<a id="pl.42.18"></a><var>42.18</var>per trainee in clinical medical education programs for pharmacy students. Training sites <br/>
<a id="pl.42.19"></a><var>42.19</var>whose training site level grant is less than $1,000, based on the formula described in this <br/>
<a id="pl.42.20"></a><var>42.20</var>paragraph, are ineligible for funds available under this subdivision.<br/>
<a id="pl.42.21"></a><var>42.21</var>    (b) $5,350,000 $2,680,000 of the available medical education funds shall be <br/>
<a id="pl.42.22"></a><var>42.22</var>distributed as follows:<br/>
<a id="pl.42.23"></a><var>42.23</var>    (1) $1,475,000 $740,000 to the University of Minnesota Medical Center-Fairview;<br/>
<a id="pl.42.24"></a><var>42.24</var>    (2) $2,075,000 $970,000 to the University of Minnesota School of Dentistry; and<br/>
<a id="pl.42.25"></a><var>42.25</var>    (3) $1,800,000 $970,000 to the Academic Health Center. $150,000 of the funds <br/>
<a id="pl.42.26"></a><var>42.26</var>distributed to the Academic Health Center under this paragraph shall be used for a <br/>
<a id="pl.42.27"></a><var>42.27</var>program to assist internationally trained physicians who are legal residents and who <br/>
<a id="pl.42.28"></a><var>42.28</var>commit to serving underserved Minnesota communities in a health professional shortage <br/>
<a id="pl.42.29"></a><var>42.29</var>area to successfully compete for family medicine residency programs at the University <br/>
<a id="pl.42.30"></a><var>42.30</var>of Minnesota.<br/>
<a id="pl.42.31"></a><var>42.31</var>    (c) Funds distributed shall not be used to displace current funding appropriations <br/>
<a id="pl.42.32"></a><var>42.32</var>from federal or state sources.<br/>
<a id="pl.42.33"></a><var>42.33</var>    (d) Funds shall be distributed to the sponsoring institutions indicating the amount <br/>
<a id="pl.42.34"></a><var>42.34</var>to be distributed to each of the sponsor's clinical medical education programs based on <br/>
<a id="pl.42.35"></a><var>42.35</var>the criteria in this subdivision and in accordance with the commissioner's approval letter. <br/>
<a id="pl.42.36"></a><var>42.36</var>Each clinical medical education program must distribute funds allocated under paragraph <br/>
<a id="pl.43.1"></a><var>43.1</var>(a) to the training sites as specified in the commissioner's approval letter. Sponsoring <br/>
<a id="pl.43.2"></a><var>43.2</var>institutions, which are accredited through an organization recognized by the Department <br/>
<a id="pl.43.3"></a><var>43.3</var>of Education or the Centers for Medicare and Medicaid Services, may contract directly <br/>
<a id="pl.43.4"></a><var>43.4</var>with training sites to provide clinical training. To ensure the quality of clinical training, <br/>
<a id="pl.43.5"></a><var>43.5</var>those accredited sponsoring institutions must:<br/>
<a id="pl.43.6"></a><var>43.6</var>    (1) develop contracts specifying the terms, expectations, and outcomes of the clinical <br/>
<a id="pl.43.7"></a><var>43.7</var>training conducted at sites; and<br/>
<a id="pl.43.8"></a><var>43.8</var>    (2) take necessary action if the contract requirements are not met. Action may <br/>
<a id="pl.43.9"></a><var>43.9</var>include the withholding of payments under this section or the removal of students from <br/>
<a id="pl.43.10"></a><var>43.10</var>the site.<br/>
<a id="pl.43.11"></a><var>43.11</var>    (e) Any funds not distributed in accordance with the commissioner's approval letter <br/>
<a id="pl.43.12"></a><var>43.12</var>must be returned to the medical education and research fund within 30 days of receiving <br/>
<a id="pl.43.13"></a><var>43.13</var>notice from the commissioner. The commissioner shall distribute returned funds to the <br/>
<a id="pl.43.14"></a><var>43.14</var>appropriate training sites in accordance with the commissioner's approval letter.<br/>
<a id="pl.43.15"></a><var>43.15</var>    (f) A maximum of $150,000 of the funds dedicated to the commissioner under <br/>
<a id="pl.43.16"></a><var>43.16</var>section 
         <statute_ref>297F.10, subdivision 1</statute_ref>, clause (2), may be used by the commissioner for <br/>
<a id="pl.43.17"></a><var>43.17</var>administrative expenses associated with implementing this section.<br/>
<a id="pl.43.18"></a><var>43.18</var>    Subd. 5. <b>Report.</b> (a) Sponsoring institutions receiving funds under this section <br/>
<a id="pl.43.19"></a><var>43.19</var>must sign and submit a medical education grant verification report (GVR) to verify that <br/>
<a id="pl.43.20"></a><var>43.20</var>the correct grant amount was forwarded to each eligible training site. If the sponsoring <br/>
<a id="pl.43.21"></a><var>43.21</var>institution fails to submit the GVR by the stated deadline, or to request and meet <br/>
<a id="pl.43.22"></a><var>43.22</var>the deadline for an extension, the sponsoring institution is required to return the full <br/>
<a id="pl.43.23"></a><var>43.23</var>amount of funds received to the commissioner within 30 days of receiving notice from <br/>
<a id="pl.43.24"></a><var>43.24</var>the commissioner. The commissioner shall distribute returned funds to the appropriate <br/>
<a id="pl.43.25"></a><var>43.25</var>training sites in accordance with the commissioner's approval letter.<br/>
<a id="pl.43.26"></a><var>43.26</var>    (b) The reports must provide verification of the distribution of the funds and must <br/>
<a id="pl.43.27"></a><var>43.27</var>include:<br/>
<a id="pl.43.28"></a><var>43.28</var>    (1) the total number of eligible trainee FTEs in each clinical medical education <br/>
<a id="pl.43.29"></a><var>43.29</var>program;<br/>
<a id="pl.43.30"></a><var>43.30</var>    (2) the name of each funded program and, for each program, the dollar amount <br/>
<a id="pl.43.31"></a><var>43.31</var>distributed to each training site;<br/>
<a id="pl.43.32"></a><var>43.32</var>    (3) documentation of any discrepancies between the initial grant distribution notice <br/>
<a id="pl.43.33"></a><var>43.33</var>included in the commissioner's approval letter and the actual distribution;<br/>
<a id="pl.43.34"></a><var>43.34</var>    (4) a statement by the sponsoring institution stating that the completed grant <br/>
<a id="pl.43.35"></a><var>43.35</var>verification report is valid and accurate; and<br/>
<a id="pl.44.1"></a><var>44.1</var>    (5) other information the commissioner, with advice from the advisory committee, <br/>
<a id="pl.44.2"></a><var>44.2</var>deems appropriate to evaluate the effectiveness of the use of funds for medical education.<br/>
<a id="pl.44.3"></a><var>44.3</var>    (c) By February 15 of each year, the commissioner, with advice from the <br/>
<a id="pl.44.4"></a><var>44.4</var>advisory committee, shall provide an annual summary report to the legislature on the <br/>
<a id="pl.44.5"></a><var>44.5</var>implementation of this section.<br/>
<a id="pl.44.6"></a><var>44.6</var>    Subd. 6. <b>Other available funds.</b> The commissioner is authorized to distribute, in <br/>
<a id="pl.44.7"></a><var>44.7</var>accordance with subdivision 4 or 11, as appropriate, funds made available through:<br/>
<a id="pl.44.8"></a><var>44.8</var>(1) voluntary contributions by employers or other entities;<br/>
<a id="pl.44.9"></a><var>44.9</var>(2) allocations for the commissioner of human services to support medical education <br/>
<a id="pl.44.10"></a><var>44.10</var>and research; and<br/>
<a id="pl.44.11"></a><var>44.11</var>(3) other sources as identified and deemed appropriate by the legislature for <br/>
<a id="pl.44.12"></a><var>44.12</var>inclusion in the fund.<br/>
<a id="pl.44.13"></a><var>44.13</var>    Subd. 7. <b>Transfers from the commissioner of human services.</b> Of the amount <br/>
<a id="pl.44.14"></a><var>44.14</var>transferred according to section 
         <statute_ref>256B.69, subdivision 5c</statute_ref>, paragraph (a), clauses (1) to (4), <br/>
<a id="pl.44.15"></a><var>44.15</var>$21,714,000 shall be distributed as follows:<br/>
<a id="pl.44.16"></a><var>44.16</var>(1) $2,157,000 shall be distributed by the commissioner to the University of <br/>
<a id="pl.44.17"></a><var>44.17</var>Minnesota Board of Regents for the purposes described in sections 
         <statute_ref>137.38</statute_ref> to 
         <statute_ref>137.40</statute_ref>;<br/>
<a id="pl.44.18"></a><var>44.18</var>(2) $1,035,360 shall be distributed by the commissioner to the Hennepin County <br/>
<a id="pl.44.19"></a><var>44.19</var>Medical Center for clinical medical education;<br/>
<a id="pl.44.20"></a><var>44.20</var>(3) $17,400,000 shall be distributed by the commissioner to the University of <br/>
<a id="pl.44.21"></a><var>44.21</var>Minnesota Board of Regents for purposes of medical education;<br/>
<a id="pl.44.22"></a><var>44.22</var>(4) $1,121,640 shall be distributed by the commissioner to clinical medical education <br/>
<a id="pl.44.23"></a><var>44.23</var>dental innovation grants in accordance with subdivision 7a; and<br/>
<a id="pl.44.24"></a><var>44.24</var>(5) the remainder of the amount transferred according to section 
         <statute_ref>256B.69</statute_ref>, <br/>
<a id="pl.44.25"></a><var>44.25</var>subdivision 5c, clauses (1) to (4), shall be distributed by the commissioner annually to <br/>
<a id="pl.44.26"></a><var>44.26</var>clinical medical education programs that meet the qualifications of subdivision 3 based on <br/>
<a id="pl.44.27"></a><var>44.27</var>the formula in subdivision 4, paragraph (a), or 11, as appropriate.<br/>
<a id="pl.44.28"></a><var>44.28</var>    Subd. 7a. <b>Clinical medical education innovations grants.</b> (a) The commissioner <br/>
<a id="pl.44.29"></a><var>44.29</var>shall award grants to teaching institutions and clinical training sites for projects that <br/>
<a id="pl.44.30"></a><var>44.30</var>increase dental access for underserved populations and promote innovative clinical <br/>
<a id="pl.44.31"></a><var>44.31</var>training of dental professionals. In awarding the grants, the commissioner, in consultation <br/>
<a id="pl.44.32"></a><var>44.32</var>with the commissioner of human services, shall consider the following:<br/>
<a id="pl.44.33"></a><var>44.33</var>(1) potential to successfully increase access to an underserved population;<br/>
<a id="pl.44.34"></a><var>44.34</var>(2) the long-term viability of the project to improve access beyond the period <br/>
<a id="pl.44.35"></a><var>44.35</var>of initial funding;<br/>
<a id="pl.44.36"></a><var>44.36</var>(3) evidence of collaboration between the applicant and local communities;<br/>
<a id="pl.45.1"></a><var>45.1</var>(4) the efficiency in the use of the funding; and<br/>
<a id="pl.45.2"></a><var>45.2</var>(5) the priority level of the project in relation to state clinical education, access, <br/>
<a id="pl.45.3"></a><var>45.3</var>and workforce goals.<br/>
<a id="pl.45.4"></a><var>45.4</var>(b) The commissioner shall periodically evaluate the priorities in awarding the <br/>
<a id="pl.45.5"></a><var>45.5</var>innovations grants in order to ensure that the priorities meet the changing workforce <br/>
<a id="pl.45.6"></a><var>45.6</var>needs of the state.<br/>
<a id="pl.45.7"></a><var>45.7</var>    Subd. 8. <b>Federal financial participation.</b>  The commissioner of human services <br/>
<a id="pl.45.8"></a><var>45.8</var>shall seek to maximize federal financial participation in payments for medical education <br/>
<a id="pl.45.9"></a><var>45.9</var>and research costs.<br/>
<a id="pl.45.10"></a><var>45.10</var>    The commissioner shall use physician clinic rates where possible to maximize <br/>
<a id="pl.45.11"></a><var>45.11</var>federal financial participation. Any additional funds that become available must be <br/>
<a id="pl.45.12"></a><var>45.12</var>distributed under subdivision 4, paragraph (a), or 11, as appropriate.<br/>
<a id="pl.45.13"></a><var>45.13</var>    Subd. 9. <b>Review of eligible providers.</b> The commissioner and the Medical <br/>
<a id="pl.45.14"></a><var>45.14</var>Education and Research Costs Advisory Committee may review provider groups included <br/>
<a id="pl.45.15"></a><var>45.15</var>in the definition of a clinical medical education program to assure that the distribution of <br/>
<a id="pl.45.16"></a><var>45.16</var>the funds continue to be consistent with the purpose of this section. The results of any <br/>
<a id="pl.45.17"></a><var>45.17</var>such reviews must be reported to the Legislative Commission on Health Care Access.<br/>
<a id="pl.45.18"></a><var>45.18</var>    Subd. 11. <b>Distribution of funds.</b> (a) Upon receiving federal approval, the <br/>
<a id="pl.45.19"></a><var>45.19</var>commissioner shall annually distribute the available medical education funds to all <br/>
<a id="pl.45.20"></a><var>45.20</var>qualifying applicants based on the distribution formula provided in this subdivision, which <br/>
<a id="pl.45.21"></a><var>45.21</var>supersedes the formula described in subdivision 4, paragraph (a).<br/>
<a id="pl.45.22"></a><var>45.22</var>(1) Following the distribution of funds described under subdivision 4, paragraph <br/>
<a id="pl.45.23"></a><var>45.23</var>(b), the commissioner shall annually distribute the available medical education funds <br/>
<a id="pl.45.24"></a><var>45.24</var>to all qualifying applicants based on a distribution formula that reflects a summation <br/>
<a id="pl.45.25"></a><var>45.25</var>of two factors:<br/>
<a id="pl.45.26"></a><var>45.26</var>(i) a public program volume factor, which is determined by the total volume of <br/>
<a id="pl.45.27"></a><var>45.27</var>public program revenue received by each training site as a percentage of all public <br/>
<a id="pl.45.28"></a><var>45.28</var>program revenue received by all training sites in the fund pool; and <br/>
<a id="pl.45.29"></a><var>45.29</var>(ii) a supplemental public program volume factor, which is determined by providing <br/>
<a id="pl.45.30"></a><var>45.30</var>a supplemental payment of 20 percent of each training site's grant to training sites whose <br/>
<a id="pl.45.31"></a><var>45.31</var>public program revenue accounted for at least 0.98 percent of the total public program <br/>
<a id="pl.45.32"></a><var>45.32</var>revenue received by all eligible training sites. Grants to training sites whose public <br/>
<a id="pl.45.33"></a><var>45.33</var>program revenue accounted for less than 0.98 percent of the total public program revenue <br/>
<a id="pl.45.34"></a><var>45.34</var>received by all eligible training sites shall be reduced by an amount equal to the total <br/>
<a id="pl.45.35"></a><var>45.35</var>value of the supplemental payment. <br/>
<a id="pl.46.1"></a><var>46.1</var>Public program revenue for the distribution formula includes revenue from medical <br/>
<a id="pl.46.2"></a><var>46.2</var>assistance, prepaid medical assistance, general assistance medical care, and prepaid <br/>
<a id="pl.46.3"></a><var>46.3</var>general assistance medical care. Training sites that receive no public program revenue are <br/>
<a id="pl.46.4"></a><var>46.4</var>ineligible for funds available under this subdivision. For purposes of determining training <br/>
<a id="pl.46.5"></a><var>46.5</var>site level grants to be distributed under paragraph (a), total statewide average costs per <br/>
<a id="pl.46.6"></a><var>46.6</var>trainee for medical residents is based on audited clinical training costs per trainee in <br/>
<a id="pl.46.7"></a><var>46.7</var>primary care clinical medical education programs for medical residents. Total statewide <br/>
<a id="pl.46.8"></a><var>46.8</var>average costs per trainee for dental residents is based on audited clinical training costs <br/>
<a id="pl.46.9"></a><var>46.9</var>per trainee in clinical medical education programs for dental students. Total statewide <br/>
<a id="pl.46.10"></a><var>46.10</var>average costs per trainee for pharmacy residents is based on audited clinical training costs <br/>
<a id="pl.46.11"></a><var>46.11</var>per trainee in clinical medical education programs for pharmacy students.<br/>
<a id="pl.46.12"></a><var>46.12</var>(2) Ten percent of available medical education funds shall be used to create a primary <br/>
<a id="pl.46.13"></a><var>46.13</var>care bonus pool.  Grants to eligible training sites under this clause shall be determined by <br/>
<a id="pl.46.14"></a><var>46.14</var>dividing the total number of eligible FTE trainees from primary care medicine, advanced <br/>
<a id="pl.46.15"></a><var>46.15</var>practice nursing, or physician assistant programs at all eligible training sites by the amount <br/>
<a id="pl.46.16"></a><var>46.16</var>of funds available in the primary care bonus pool to determine a grant per primary care <br/>
<a id="pl.46.17"></a><var>46.17</var>FTE; each eligible training site shall receive a grant equal to the grant per primary care <br/>
<a id="pl.46.18"></a><var>46.18</var>FTE multiplied by the number of eligible primary care FTE's at the training site. <br/>
<a id="pl.46.19"></a><var>46.19</var>(3) After determining the grant amount for each training site under clause (1), items <br/>
<a id="pl.46.20"></a><var>46.20</var>(i) and (ii), and clause (2), the commissioner shall calculate a grant per eligible trainee for <br/>
<a id="pl.46.21"></a><var>46.21</var>each training site.  Any training site whose grant per eligible trainee is greater than the <br/>
<a id="pl.46.22"></a><var>46.22</var>95th percentile grant per eligible trainee shall have the grant amount reduced to the 95th <br/>
<a id="pl.46.23"></a><var>46.23</var>percentile grant per eligible trainee.  Grants in excess of this amount for any training site <br/>
<a id="pl.46.24"></a><var>46.24</var>shall be redistributed based on the criteria in clause (4).<br/>
<a id="pl.46.25"></a><var>46.25</var>Any training site with fewer than 0.1 FTE eligible trainees from all programs or a <br/>
<a id="pl.46.26"></a><var>46.26</var>calculated grant less than $1,000 based on the formula described in clauses (1) and (2) <br/>
<a id="pl.46.27"></a><var>46.27</var>shall be eliminated from the distribution; the calculated grants for these training sites shall <br/>
<a id="pl.46.28"></a><var>46.28</var>be redistributed based on the criteria in clause (4).<br/>
<a id="pl.46.29"></a><var>46.29</var>(4) The commissioner shall award from available funds appropriated for this purpose <br/>
<a id="pl.46.30"></a><var>46.30</var>and equally divided between the following programs: <br/>
<a id="pl.46.31"></a><var>46.31</var>(i) the community mental health center grants program under section 145.9272; and<br/>
<a id="pl.46.32"></a><var>46.32</var>(ii) the community health centers development grants program under section <br/>
<a id="pl.46.33"></a><var>46.33</var>145.987.<br/>
<a id="pl.46.34"></a><var>46.34</var>If federal approval for this funding mechanism is not received for either of the grant <br/>
<a id="pl.46.35"></a><var>46.35</var>programs described in this paragraph, available funds will be provided to the remaining <br/>
<a id="pl.46.36"></a><var>46.36</var>grant program described in this paragraph. If none of the grant programs described in this <br/>
<a id="pl.47.1"></a><var>47.1</var>paragraph receive federal approval, available funds will be distributed to eligible training <br/>
<a id="pl.47.2"></a><var>47.2</var>sites based on the formula in clauses (1) to (3).<br/>
<a id="pl.47.3"></a><var>47.3</var>(b) Funds distributed shall not be used to displace current funding appropriations <br/>
<a id="pl.47.4"></a><var>47.4</var>from federal or state sources. <br/>
<a id="pl.47.5"></a><var>47.5</var>(c) Funds shall be distributed to the sponsoring institutions indicating the amount <br/>
<a id="pl.47.6"></a><var>47.6</var>to be distributed to each of the sponsor's clinical medical education programs based on <br/>
<a id="pl.47.7"></a><var>47.7</var>the criteria in this subdivision and according to the commissioner's approval letter. Each <br/>
<a id="pl.47.8"></a><var>47.8</var>clinical medical education program must distribute funds allocated under paragraph <br/>
<a id="pl.47.9"></a><var>47.9</var>(a) to the training sites as specified in the commissioner's approval letter. Sponsoring <br/>
<a id="pl.47.10"></a><var>47.10</var>institutions, which are accredited through an organization recognized by the Department <br/>
<a id="pl.47.11"></a><var>47.11</var>of Education or the Centers for Medicare and Medicaid Services, may contract directly <br/>
<a id="pl.47.12"></a><var>47.12</var>with training sites to provide clinical training. To ensure the quality of clinical training, <br/>
<a id="pl.47.13"></a><var>47.13</var>those accredited sponsoring institutions must:<br/>
<a id="pl.47.14"></a><var>47.14</var>(1) develop contracts specifying the terms, expectations, and outcomes of the clinical <br/>
<a id="pl.47.15"></a><var>47.15</var>training conducted at sites; and <br/>
<a id="pl.47.16"></a><var>47.16</var>(2) take necessary action if the contract requirements are not met. Action may <br/>
<a id="pl.47.17"></a><var>47.17</var>include the withholding of payments under this section or the removal of students from <br/>
<a id="pl.47.18"></a><var>47.18</var>the site. <br/>
<a id="pl.47.19"></a><var>47.19</var>(d) Any funds not distributed according to the commissioner's approval letter must <br/>
<a id="pl.47.20"></a><var>47.20</var>be returned to the medical education and research fund within 30 days of receiving <br/>
<a id="pl.47.21"></a><var>47.21</var>notice from the commissioner. The commissioner shall distribute returned funds to the <br/>
<a id="pl.47.22"></a><var>47.22</var>appropriate training sites according to the commissioner's approval letter. <br/>
<a id="pl.47.23"></a><var>47.23</var>(e) A maximum of $150,000 of the funds dedicated to the commissioner under <br/>
<a id="pl.47.24"></a><var>47.24</var>section 297F.10, subdivision 1, clause (2), may be used by the commissioner for <br/>
<a id="pl.47.25"></a><var>47.25</var>administrative expenses associated with implementing this section.<br/>
<br/>
<a id="bill.2.6.0"></a><a id="pl.47.26"></a><var>47.26</var>    Sec. 6. <b>[62U.15] ALZHEIMER'S DISEASE; PREVALENCE AND SCREENING </b><br/>
<a id="pl.47.27"></a><var>47.27</var><b>MEASURES.</b><br/>
<a id="pl.47.28"></a><var>47.28</var>    Subdivision 1. <b>Data from providers.</b> (a) By July 1, 2012, the commissioner <br/>
<a id="pl.47.29"></a><var>47.29</var>shall review currently available quality measures and make recommendations for future <br/>
<a id="pl.47.30"></a><var>47.30</var>measurement aimed at improving assessment and care related to Alzheimer's disease and <br/>
<a id="pl.47.31"></a><var>47.31</var>other dementia diagnoses, including improved rates and results of cognitive screening, <br/>
<a id="pl.47.32"></a><var>47.32</var>rates of Alzheimer's and other dementia diagnoses, and prescribed care and treatment <br/>
<a id="pl.47.33"></a><var>47.33</var>plans.<br/>
<a id="pl.47.34"></a><var>47.34</var>(b) The commissioner may contract with a private entity to complete the <br/>
<a id="pl.47.35"></a><var>47.35</var>requirements in this subdivision. If the commissioner contracts with a private entity <br/>
<a id="pl.48.1"></a><var>48.1</var>already under contract through section 62U.02, then the commissioner may use a sole <br/>
<a id="pl.48.2"></a><var>48.2</var>source contract and is exempt from competitive procurement processes.<br/>
<a id="pl.48.3"></a><var>48.3</var>    Subd. 2. <b>Learning collaborative.</b> By July 1, 2012, the commissioner shall <br/>
<a id="pl.48.4"></a><var>48.4</var>develop a health care home learning collaborative curriculum that includes screening and <br/>
<a id="pl.48.5"></a><var>48.5</var>education on best practices regarding identification and management of Alzheimer's and <br/>
<a id="pl.48.6"></a><var>48.6</var>other dementia patients under section 256B.0751, subdivision 5, for providers, clinics, <br/>
<a id="pl.48.7"></a><var>48.7</var>care coordinators, clinic administrators, patient partners and families, and community <br/>
<a id="pl.48.8"></a><var>48.8</var>resources including public health.<br/>
<a id="pl.48.9"></a><var>48.9</var>    Subd. 3. <b>Comparison data.</b> The commissioner, with the commissioner of human <br/>
<a id="pl.48.10"></a><var>48.10</var>services, the Minnesota Board on Aging, and other appropriate state offices, shall jointly <br/>
<a id="pl.48.11"></a><var>48.11</var>review existing and forthcoming literature in order to estimate differences in the outcomes <br/>
<a id="pl.48.12"></a><var>48.12</var>and costs of current practices for caring for those with Alzheimer's disease and other <br/>
<a id="pl.48.13"></a><var>48.13</var>dementias, compared to the outcomes and costs resulting from:<br/>
<a id="pl.48.14"></a><var>48.14</var>(1) earlier identification of Alzheimer's and other dementias;<br/>
<a id="pl.48.15"></a><var>48.15</var>(2) improved support of family caregivers; and<br/>
<a id="pl.48.16"></a><var>48.16</var>(3) improved collaboration between medical care management and community-based <br/>
<a id="pl.48.17"></a><var>48.17</var>supports.<br/>
<a id="pl.48.18"></a><var>48.18</var>    Subd. 4. <b>Reporting.</b> By January 15, 2013, the commissioner must report to the <br/>
<a id="pl.48.19"></a><var>48.19</var>legislature on progress toward establishment and collection of quality measures required <br/>
<a id="pl.48.20"></a><var>48.20</var>under this section.<br/>
<br/>
<a id="bill.2.7.0"></a><a id="pl.48.21"></a><var>48.21</var>    Sec. 7. Minnesota Statutes 2010, section 144.1501, subdivision 1, is amended to read:<br/>
<a id="pl.48.22"></a><var>48.22</var>    Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following definitions <br/>
<a id="pl.48.23"></a><var>48.23</var>apply.<br/>
<a id="pl.48.24"></a><var>48.24</var>(b) "Dentist" means an individual who is licensed to practice dentistry.<br/>
<a id="pl.48.25"></a><var>48.25</var>(c) "Designated rural area" means:<br/>
<a id="pl.48.26"></a><var>48.26</var>(1) an area in Minnesota outside the counties of Anoka, Carver, Dakota, Hennepin, <br/>
<a id="pl.48.27"></a><var>48.27</var>Ramsey, Scott, and Washington, excluding the cities of Duluth, Mankato, Moorhead, <br/>
<a id="pl.48.28"></a><var>48.28</var>Rochester, and St. Cloud; or<br/>
<a id="pl.48.29"></a><var>48.29</var>(2) a municipal corporation, as defined under section 
<statute_ref>471.634</statute_ref>, that is physically <br/>
<a id="pl.48.30"></a><var>48.30</var>located, in whole or in part, in an area defined as a designated rural area under clause (1). <br/>
<a id="pl.48.31"></a><var>48.31</var>an area defined as a small rural area or isolated rural area according to the four category <br/>
<a id="pl.48.32"></a><var>48.32</var>classifications of the Rural Urban Commuting Area system developed for the United <br/>
<a id="pl.48.33"></a><var>48.33</var>States Health Resources and Services Administration.<br/>
<a id="pl.49.1"></a><var>49.1</var>(d) "Emergency circumstances" means those conditions that make it impossible for <br/>
<a id="pl.49.2"></a><var>49.2</var>the participant to fulfill the service commitment, including death, total and permanent <br/>
<a id="pl.49.3"></a><var>49.3</var>disability, or temporary disability lasting more than two years.<br/>
<a id="pl.49.4"></a><var>49.4</var>(e) "Medical resident" means an individual participating in a medical residency in <br/>
<a id="pl.49.5"></a><var>49.5</var>family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.<br/>
<a id="pl.49.6"></a><var>49.6</var>(f) "Midlevel practitioner" means a nurse practitioner, nurse-midwife, nurse <br/>
<a id="pl.49.7"></a><var>49.7</var>anesthetist, advanced clinical nurse specialist, or physician assistant.<br/>
<a id="pl.49.8"></a><var>49.8</var>(g) "Nurse" means an individual who has completed training and received all <br/>
<a id="pl.49.9"></a><var>49.9</var>licensing or certification necessary to perform duties as a licensed practical nurse or <br/>
<a id="pl.49.10"></a><var>49.10</var>registered nurse.<br/>
<a id="pl.49.11"></a><var>49.11</var>(h) "Nurse-midwife" means a registered nurse who has graduated from a program of <br/>
<a id="pl.49.12"></a><var>49.12</var>study designed to prepare registered nurses for advanced practice as nurse-midwives.<br/>
<a id="pl.49.13"></a><var>49.13</var>(i) "Nurse practitioner" means a registered nurse who has graduated from a program <br/>
<a id="pl.49.14"></a><var>49.14</var>of study designed to prepare registered nurses for advanced practice as nurse practitioners.<br/>
<a id="pl.49.15"></a><var>49.15</var>(j) "Pharmacist" means an individual with a valid license issued under chapter 151.<br/>
<a id="pl.49.16"></a><var>49.16</var>(k) "Physician" means an individual who is licensed to practice medicine in the areas <br/>
<a id="pl.49.17"></a><var>49.17</var>of family practice, internal medicine, obstetrics and gynecology, pediatrics, or psychiatry.<br/>
<a id="pl.49.18"></a><var>49.18</var>(l) "Physician assistant" means a person licensed under chapter 147A.<br/>
<a id="pl.49.19"></a><var>49.19</var>(m) "Qualified educational loan" means a government, commercial, or foundation <br/>
<a id="pl.49.20"></a><var>49.20</var>loan for actual costs paid for tuition, reasonable education expenses, and reasonable living <br/>
<a id="pl.49.21"></a><var>49.21</var>expenses related to the graduate or undergraduate education of a health care professional.<br/>
<a id="pl.49.22"></a><var>49.22</var>(n) "Underserved urban community" means a Minnesota urban area or population <br/>
<a id="pl.49.23"></a><var>49.23</var>included in the list of designated primary medical care health professional shortage areas <br/>
<a id="pl.49.24"></a><var>49.24</var>(HPSAs), medically underserved areas (MUAs), or medically underserved populations <br/>
<a id="pl.49.25"></a><var>49.25</var>(MUPs) maintained and updated by the United States Department of Health and Human <br/>
<a id="pl.49.26"></a><var>49.26</var>Services.<br/>
<br/>
<a id="bill.2.8.0"></a><a id="pl.49.27"></a><var>49.27</var>    Sec. 8. Minnesota Statutes 2010, section 144.396, subdivision 5, is amended to read:<br/>
<a id="pl.49.28"></a><var>49.28</var>    Subd. 5. <b>Statewide tobacco prevention grants.</b> (a) To the extent funds are <br/>
<a id="pl.49.29"></a><var>49.29</var>appropriated for the purposes of this subdivision, the commissioner of health shall, within <br/>
<a id="pl.49.30"></a><var>49.30</var>available appropriations, award competitive grants to eligible applicants for projects and <br/>
<a id="pl.49.31"></a><var>49.31</var>initiatives directed at the prevention of tobacco use. The project areas for grants include:<br/>
<a id="pl.49.32"></a><var>49.32</var>(1) statewide public education and information campaigns which include <br/>
<a id="pl.49.33"></a><var>49.33</var>implementation at the local level; and<br/>
<a id="pl.49.34"></a><var>49.34</var>(2) coordinated special projects, including training and technical assistance, a <br/>
<a id="pl.49.35"></a><var>49.35</var>resource clearinghouse, and contracts with ethnic and minority communities.<br/>
<a id="pl.50.1"></a><var>50.1</var>(b) Eligible applicants may include, but are not limited to, nonprofit organizations, <br/>
<a id="pl.50.2"></a><var>50.2</var>colleges and universities, professional health associations, community health boards, and <br/>
<a id="pl.50.3"></a><var>50.3</var>other health care organizations. Applicants must submit proposals to the commissioner. <br/>
<a id="pl.50.4"></a><var>50.4</var>The proposals must specify the strategies to be implemented to target tobacco use among <br/>
<a id="pl.50.5"></a><var>50.5</var>youth, and must take into account the need for a coordinated statewide tobacco prevention <br/>
<a id="pl.50.6"></a><var>50.6</var>effort.<br/>
<a id="pl.50.7"></a><var>50.7</var>(c) The commissioner must give priority to applicants who demonstrate that the <br/>
<a id="pl.50.8"></a><var>50.8</var>proposed project:<br/>
<a id="pl.50.9"></a><var>50.9</var>(1) is research based or based on proven effective strategies;<br/>
<a id="pl.50.10"></a><var>50.10</var>(2) is designed to coordinate with other activities and education messages related <br/>
<a id="pl.50.11"></a><var>50.11</var>to other health initiatives;<br/>
<a id="pl.50.12"></a><var>50.12</var>(3) utilizes and enhances existing prevention activities and resources; or<br/>
<a id="pl.50.13"></a><var>50.13</var>(4) involves innovative approaches preventing tobacco use among youth.<br/>
<br/>
<a id="bill.2.9.0"></a><a id="pl.50.14"></a><var>50.14</var>    Sec. 9. Minnesota Statutes 2010, section 144.396, subdivision 6, is amended to read:<br/>
<a id="pl.50.15"></a><var>50.15</var>    Subd. 6. <b>Local tobacco prevention grants.</b> (a) The commissioner shall award <br/>
<a id="pl.50.16"></a><var>50.16</var>grants, within available appropriations, to eligible applicants for local and regional <br/>
<a id="pl.50.17"></a><var>50.17</var>projects and initiatives directed at tobacco prevention in coordination with other health <br/>
<a id="pl.50.18"></a><var>50.18</var>areas aimed at reducing high-risk behaviors in youth that lead to adverse health-related <br/>
<a id="pl.50.19"></a><var>50.19</var>problems. The project areas for grants include:<br/>
<a id="pl.50.20"></a><var>50.20</var>(1) school-based tobacco prevention programs aimed at youth and parents;<br/>
<a id="pl.50.21"></a><var>50.21</var>(2) local public awareness and education projects aimed at tobacco prevention in <br/>
<a id="pl.50.22"></a><var>50.22</var>coordination with locally assessed community public health needs pursuant to chapter <br/>
<a id="pl.50.23"></a><var>50.23</var>145A; or<br/>
<a id="pl.50.24"></a><var>50.24</var>(3) local initiatives aimed at reducing high-risk behavior in youth associated with <br/>
<a id="pl.50.25"></a><var>50.25</var>tobacco use and the health consequences of these behaviors.<br/>
<a id="pl.50.26"></a><var>50.26</var>(b) Eligible applicants may include, but are not limited to, community health boards, <br/>
<a id="pl.50.27"></a><var>50.27</var>school districts, community clinics, Indian tribes, nonprofit organizations, and other health <br/>
<a id="pl.50.28"></a><var>50.28</var>care organizations. Applicants must submit proposals to the commissioner. The proposals <br/>
<a id="pl.50.29"></a><var>50.29</var>must specify the strategies to be implemented to target tobacco use among youth, and must <br/>
<a id="pl.50.30"></a><var>50.30</var>be targeted to achieve the outcomes established in subdivision 2.<br/>
<a id="pl.50.31"></a><var>50.31</var>(c) The commissioner must give priority to applicants who demonstrate that the <br/>
<a id="pl.50.32"></a><var>50.32</var>proposed project or initiative is:<br/>
<a id="pl.50.33"></a><var>50.33</var>(1) supported by the community in which the applicant serves;<br/>
<a id="pl.50.34"></a><var>50.34</var>(2) is based on research or on proven effective strategies;<br/>
<a id="pl.51.1"></a><var>51.1</var>(3) is designed to coordinate with other community activities related to other health <br/>
<a id="pl.51.2"></a><var>51.2</var>initiatives;<br/>
<a id="pl.51.3"></a><var>51.3</var>(4) incorporates an understanding of the role of community in influencing behavioral <br/>
<a id="pl.51.4"></a><var>51.4</var>changes among youth regarding tobacco use and other high-risk health-related behaviors; <br/>
<a id="pl.51.5"></a><var>51.5</var>or<br/>
<a id="pl.51.6"></a><var>51.6</var>(5) addresses disparities among populations of color related to tobacco use and <br/>
<a id="pl.51.7"></a><var>51.7</var>other high-risk health-related behaviors.<br/>
<a id="pl.51.8"></a><var>51.8</var>(d) The commissioner shall divide the state into specific geographic regions and <br/>
<a id="pl.51.9"></a><var>51.9</var>allocate a percentage of the money available for distribution to projects or initiatives <br/>
<a id="pl.51.10"></a><var>51.10</var>aimed at that geographic region. If the commissioner does not receive a sufficient number <br/>
<a id="pl.51.11"></a><var>51.11</var>of grant proposals from applicants that serve a particular region or the proposals submitted <br/>
<a id="pl.51.12"></a><var>51.12</var>do not meet the criteria developed by the commissioner, the commissioner shall provide <br/>
<a id="pl.51.13"></a><var>51.13</var>technical assistance and expertise to ensure the development of adequate proposals <br/>
<a id="pl.51.14"></a><var>51.14</var>aimed at addressing the public health needs of that region. In awarding the grants, the <br/>
<a id="pl.51.15"></a><var>51.15</var>commissioner shall consider locally assessed community public health needs pursuant to <br/>
<a id="pl.51.16"></a><var>51.16</var>chapter 145A.<br/>
<br/>
<a id="bill.2.10.0"></a><a id="pl.51.17"></a><var>51.17</var>    Sec. 10. Minnesota Statutes 2010, section 144.98, subdivision 2a, is amended to read:<br/>
<a id="pl.51.18"></a><var>51.18</var>    Subd. 2a. <b>Standards.</b> Notwithstanding the exemptions in subdivisions 8 and 9, the <br/>
<a id="pl.51.19"></a><var>51.19</var>commissioner shall accredit laboratories according to the most current environmental <br/>
<a id="pl.51.20"></a><var>51.20</var>laboratory accreditation standards under subdivision 1 and as accepted by the accreditation <br/>
<a id="pl.51.21"></a><var>51.21</var>bodies recognized by the National Environmental Laboratory Accreditation Program <br/>
<a id="pl.51.22"></a><var>51.22</var>(NELAP) of the NELAC Institute.<br/>
<br/>
<a id="bill.2.11.0"></a><a id="pl.51.23"></a><var>51.23</var>    Sec. 11. Minnesota Statutes 2010, section 144.98, subdivision 7, is amended to read:<br/>
<a id="pl.51.24"></a><var>51.24</var>    Subd. 7. <b>Initial accreditation and annual accreditation renewal.</b> (a) The <br/>
<a id="pl.51.25"></a><var>51.25</var>commissioner shall issue or renew accreditation after receipt of the completed application <br/>
<a id="pl.51.26"></a><var>51.26</var>and documentation required in this section, provided the laboratory maintains compliance <br/>
<a id="pl.51.27"></a><var>51.27</var>with the standards specified in subdivision 2a, notwithstanding any exemptions under <br/>
<a id="pl.51.28"></a><var>51.28</var>subdivisions 8 and 9, and attests to the compliance on the application form.<br/>
<a id="pl.51.29"></a><var>51.29</var>(b) The commissioner shall prorate the fees in subdivision 3 for laboratories <br/>
<a id="pl.51.30"></a><var>51.30</var>applying for accreditation after December 31. The fees are prorated on a quarterly basis <br/>
<a id="pl.51.31"></a><var>51.31</var>beginning with the quarter in which the commissioner receives the completed application <br/>
<a id="pl.51.32"></a><var>51.32</var>from the laboratory.<br/>
<a id="pl.51.33"></a><var>51.33</var>(c) Applications for renewal of accreditation must be received by November 1 and <br/>
<a id="pl.51.34"></a><var>51.34</var>no earlier than October 1 of each year. The commissioner shall send annual renewal <br/>
<a id="pl.52.1"></a><var>52.1</var>notices to laboratories 90 days before expiration. Failure to receive a renewal notice does <br/>
<a id="pl.52.2"></a><var>52.2</var>not exempt laboratories from meeting the annual November 1 renewal date.<br/>
<a id="pl.52.3"></a><var>52.3</var>(d) The commissioner shall issue all accreditations for the calendar year for which <br/>
<a id="pl.52.4"></a><var>52.4</var>the application is made, and the accreditation shall expire on December 31 of that year.<br/>
<a id="pl.52.5"></a><var>52.5</var>(e) The accreditation of any laboratory that fails to submit a renewal application <br/>
<a id="pl.52.6"></a><var>52.6</var>and fees to the commissioner expires automatically on December 31 without notice or <br/>
<a id="pl.52.7"></a><var>52.7</var>further proceeding. Any person who operates a laboratory as accredited after expiration of <br/>
<a id="pl.52.8"></a><var>52.8</var>accreditation or without having submitted an application and paid the fees is in violation <br/>
<a id="pl.52.9"></a><var>52.9</var>of the provisions of this section and is subject to enforcement action under sections <br/>
<statute_ref><a id="pl.52.10"></a><var>52.10</var>144.989
         </statute_ref> to 
         <statute_ref>144.993</statute_ref>, the Health Enforcement Consolidation Act. A laboratory with expired <br/>
<a id="pl.52.11"></a><var>52.11</var>accreditation may reapply under subdivision 6.<br/>
<br/>
<a id="bill.2.12.0"></a><a id="pl.52.12"></a><var>52.12</var>    Sec. 12. Minnesota Statutes 2010, section 144.98, is amended by adding a subdivision <br/>
<a id="pl.52.13"></a><var>52.13</var>to read:<br/>
<a id="pl.52.14"></a><var>52.14</var>    Subd. 8. <b>Exemption from national standards for quality control and personnel </b><br/>
<a id="pl.52.15"></a><var>52.15</var><b>requirements.</b> Effective January 1, 2012, a laboratory that analyzes samples for <br/>
<a id="pl.52.16"></a><var>52.16</var>compliance with a permit issued under section 115.03, subdivision 5, may request <br/>
<a id="pl.52.17"></a><var>52.17</var>exemption from the personnel requirements and specific quality control provisions for <br/>
<a id="pl.52.18"></a><var>52.18</var>microbiology and chemistry stated in the national standards as incorporated by reference <br/>
<a id="pl.52.19"></a><var>52.19</var>in subdivision 2a. The commissioner shall grant the exemption if the laboratory:<br/>
<a id="pl.52.20"></a><var>52.20</var>(1) complies with the methodology and quality control requirements, where <br/>
<a id="pl.52.21"></a><var>52.21</var>available, in the most recent, approved edition of the Standard Methods for the <br/>
<a id="pl.52.22"></a><var>52.22</var>Examination of Water and Wastewater as published by the Water Environment Federation; <br/>
<a id="pl.52.23"></a><var>52.23</var>and<br/>
<a id="pl.52.24"></a><var>52.24</var>(2) supplies the name of the person meeting the requirements in section 115.73, or <br/>
<a id="pl.52.25"></a><var>52.25</var>the personnel requirements in the national standard pursuant to subdivision 2a.<br/>
<a id="pl.52.26"></a><var>52.26</var>A laboratory applying for this exemption shall not apply for simultaneous <br/>
<a id="pl.52.27"></a><var>52.27</var>accreditation under the national standard.<br/>
<br/>
<a id="bill.2.13.0"></a><a id="pl.52.28"></a><var>52.28</var>    Sec. 13. Minnesota Statutes 2010, section 144.98, is amended by adding a subdivision <br/>
<a id="pl.52.29"></a><var>52.29</var>to read:<br/>
<a id="pl.52.30"></a><var>52.30</var>    Subd. 9. <b>Exemption from national standards for proficiency testing frequency.</b><br/>
<a id="pl.52.31"></a><var>52.31</var>(a) Effective January 1, 2012, a laboratory applying for or requesting accreditation under <br/>
<a id="pl.52.32"></a><var>52.32</var>the exemption in subdivision 8 must obtain an acceptable proficiency test result for each <br/>
<a id="pl.52.33"></a><var>52.33</var>of the laboratory's accredited or requested fields of testing. The laboratory must analyze <br/>
<a id="pl.53.1"></a><var>53.1</var>proficiency samples selected from one of two annual proficiency testing studies scheduled <br/>
<a id="pl.53.2"></a><var>53.2</var>by the commissioner.<br/>
<a id="pl.53.3"></a><var>53.3</var>(b) If a laboratory fails to successfully complete the first scheduled proficiency <br/>
<a id="pl.53.4"></a><var>53.4</var>study, the laboratory shall:<br/>
<a id="pl.53.5"></a><var>53.5</var>(1) obtain and analyze a supplemental test sample within 15 days of receiving the <br/>
<a id="pl.53.6"></a><var>53.6</var>test report for the initial failed attempt; and<br/>
<a id="pl.53.7"></a><var>53.7</var>(2) participate in the second annual study as scheduled by the commissioner.<br/>
<a id="pl.53.8"></a><var>53.8</var>(c) If a laboratory does not submit results or fails two consecutive proficiency <br/>
<a id="pl.53.9"></a><var>53.9</var>samples, the commissioner will revoke the laboratory's accreditation for the affected <br/>
<a id="pl.53.10"></a><var>53.10</var>fields of testing.<br/>
<a id="pl.53.11"></a><var>53.11</var>(d) The commissioner may require a laboratory to analyze additional proficiency <br/>
<a id="pl.53.12"></a><var>53.12</var>testing samples beyond what is required in this subdivision if information available to <br/>
<a id="pl.53.13"></a><var>53.13</var>the commissioner indicates that the laboratory's analysis for the field of testing does not <br/>
<a id="pl.53.14"></a><var>53.14</var>meet the requirements for accreditation.<br/>
<a id="pl.53.15"></a><var>53.15</var>(e) The commissioner may collect from laboratories accredited under the exemption <br/>
<a id="pl.53.16"></a><var>53.16</var>in subdivision 8 any additional costs required to administer this subdivision and <br/>
<a id="pl.53.17"></a><var>53.17</var>subdivision 8.<br/>
<br/>
<a id="bill.2.14.0"></a><a id="pl.53.18"></a><var>53.18</var>    Sec. 14. Minnesota Statutes 2010, section 144A.102, is amended to read:<br/>
<a id="pl.53.19"></a><var>53.19</var><b>144A.102 WAIVER FROM FEDERAL RULES AND REGULATIONS; </b><br/>
<a id="pl.53.20"></a><var>53.20</var><b>PENALTIES.</b><br/>
<a id="pl.53.21"></a><var>53.21</var>(a) By January 2000, the commissioner of health shall work with providers to <br/>
<a id="pl.53.22"></a><var>53.22</var>examine state and federal rules and regulations governing the provision of care in licensed <br/>
<a id="pl.53.23"></a><var>53.23</var>nursing facilities and apply for federal waivers and identify necessary changes in state <br/>
<a id="pl.53.24"></a><var>53.24</var>law to:<br/>
<a id="pl.53.25"></a><var>53.25</var>(1) allow the use of civil money penalties imposed upon nursing facilities to abate <br/>
<a id="pl.53.26"></a><var>53.26</var>any deficiencies identified in a nursing facility's plan of correction; and<br/>
<a id="pl.53.27"></a><var>53.27</var>(2) stop the accrual of any fine imposed by the Health Department when a follow-up <br/>
<a id="pl.53.28"></a><var>53.28</var>inspection survey is not conducted by the department within the regulatory deadline.<br/>
<a id="pl.53.29"></a><var>53.29</var>(b) By January 2012, the commissioner of health shall work with providers and <br/>
<a id="pl.53.30"></a><var>53.30</var>the ombudsman for long-term care to examine state and federal rules and regulations <br/>
<a id="pl.53.31"></a><var>53.31</var>governing the provision of care in licensed nursing facilities and apply for federal waivers <br/>
<a id="pl.53.32"></a><var>53.32</var>and identify necessary changes in state law to:<br/>
<a id="pl.53.33"></a><var>53.33</var>(1) eliminate the requirement for written plans of correction from nursing homes for <br/>
<a id="pl.53.34"></a><var>53.34</var>federal deficiencies issued at a scope and severity that is not widespread, harmful, or in <br/>
<a id="pl.53.35"></a><var>53.35</var>immediate jeopardy; and<br/>
<a id="pl.54.1"></a><var>54.1</var>(2) issue the federal survey form electronically to nursing homes.<br/>
<a id="pl.54.2"></a><var>54.2</var>The commissioner shall issue a report to the legislative chairs of the committees <br/>
<a id="pl.54.3"></a><var>54.3</var>with jurisdiction over health and human services by January 31, 2012, on the status of <br/>
<a id="pl.54.4"></a><var>54.4</var>implementation of this paragraph.<br/>
<br/>
<a id="bill.2.15.0"></a><a id="pl.54.5"></a><var>54.5</var>    Sec. 15. Minnesota Statutes 2010, section 144A.61, is amended by adding a <br/>
<a id="pl.54.6"></a><var>54.6</var>subdivision to read:<br/>
<a id="pl.54.7"></a><var>54.7</var>    Subd. 9. <b>Electronic transmission.</b> The commissioner of health must accept <br/>
<a id="pl.54.8"></a><var>54.8</var>electronic transmission of applications and supporting documentation for interstate <br/>
<a id="pl.54.9"></a><var>54.9</var>endorsement for the nursing assistant registry.<br/>
<br/>
<a id="bill.2.16.0"></a><a id="pl.54.10"></a><var>54.10</var>    Sec. 16. Minnesota Statutes 2010, section 144E.123, is amended to read:<br/>
<a id="pl.54.11"></a><var>54.11</var><b>144E.123 PREHOSPITAL CARE DATA.</b><br/>
<a id="pl.54.12"></a><var>54.12</var>    Subdivision 1. <b>Collection and maintenance.</b> A licensee shall collect and provide <br/>
<a id="pl.54.13"></a><var>54.13</var>prehospital care data to the board in a manner prescribed by the board. At a minimum, <br/>
<a id="pl.54.14"></a><var>54.14</var>the data must include items identified by the board that are part of the National Uniform <br/>
<a id="pl.54.15"></a><var>54.15</var>Emergency Medical Services Data Set. A licensee shall maintain prehospital care data <br/>
<a id="pl.54.16"></a><var>54.16</var>for every response.<br/>
<a id="pl.54.17"></a><var>54.17</var>    Subd. 2. <b>Copy to receiving hospital.</b> If a patient is transported to a hospital, a copy <br/>
<a id="pl.54.18"></a><var>54.18</var>of the ambulance report delineating prehospital medical care given shall be provided <br/>
<a id="pl.54.19"></a><var>54.19</var>to the receiving hospital.<br/>
<a id="pl.54.20"></a><var>54.20</var>    Subd. 3. <b>Review.</b> Prehospital care data may be reviewed by the board or its <br/>
<a id="pl.54.21"></a><var>54.21</var>designees. The data shall be classified as private data on individuals under chapter 13, the <br/>
<a id="pl.54.22"></a><var>54.22</var>Minnesota Government Data Practices Act.<br/>
<a id="pl.54.23"></a><var>54.23</var>    Subd. 4. <b>Penalty.</b> Failure to report all information required by the board under this <br/>
<a id="pl.54.24"></a><var>54.24</var>section shall constitute grounds for license revocation.<br/>
<a id="pl.54.25"></a><var>54.25</var>    Subd. 5. <b>Working group.</b> By October 1, 2011, the board must convene a working <br/>
<a id="pl.54.26"></a><var>54.26</var>group composed of six members, three of which must be appointed by the board and three <br/>
<a id="pl.54.27"></a><var>54.27</var>of which must be appointed by the Minnesota Ambulance Association, to redesign the <br/>
<a id="pl.54.28"></a><var>54.28</var>board's policies related to collection of data from licenses. The issues to be considered <br/>
<a id="pl.54.29"></a><var>54.29</var>include, but are not limited to, the following: user-friendly reporting requirements; data <br/>
<a id="pl.54.30"></a><var>54.30</var>sets; improved accuracy of reported information; appropriate use of information gathered <br/>
<a id="pl.54.31"></a><var>54.31</var>through the reporting system; and methods for minimizing the financial impact of data <br/>
<a id="pl.54.32"></a><var>54.32</var>reporting on licenses, particularly for rural volunteer services. The working group must <br/>
<a id="pl.54.33"></a><var>54.33</var>report its findings and recommendations to the board no later than July 1, 2012.<br/>
<a id="pl.55.1"></a><var>55.1</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.2.17.0"></a><a id="pl.55.2"></a><var>55.2</var>    Sec. 17. <b>[145.4221] HUMAN CLONING PROHIBITED.</b><br/>
<a id="pl.55.3"></a><var>55.3</var>    Subdivision 1. <b>Definitions.</b> (a) For purposes of this section, the following terms <br/>
<a id="pl.55.4"></a><var>55.4</var>have the meanings given.<br/>
<a id="pl.55.5"></a><var>55.5</var>(b) "Human cloning" means human asexual reproduction accomplished by <br/>
<a id="pl.55.6"></a><var>55.6</var>introducing nuclear material from one or more human somatic cells into a fertilized <br/>
<a id="pl.55.7"></a><var>55.7</var>or unfertilized oocyte whose nuclear material has been removed or inactivated so as <br/>
<a id="pl.55.8"></a><var>55.8</var>to produce a living organism at any stage of development that is genetically virtually <br/>
<a id="pl.55.9"></a><var>55.9</var>identical to an existing or previously existing human organism.<br/>
<a id="pl.55.10"></a><var>55.10</var>(c) "Somatic cell" means a diploid cell, having a complete set of chromosomes, <br/>
<a id="pl.55.11"></a><var>55.11</var>obtained or derived from a living or deceased human body at any stage of development.<br/>
<a id="pl.55.12"></a><var>55.12</var>    Subd. 2. <b>Prohibition on cloning.</b> No person or entity, whether public or private, <br/>
<a id="pl.55.13"></a><var>55.13</var>may:<br/>
<a id="pl.55.14"></a><var>55.14</var>(1) perform or attempt to perform human cloning;<br/>
<a id="pl.55.15"></a><var>55.15</var>(2) participate in an attempt to perform human cloning;<br/>
<a id="pl.55.16"></a><var>55.16</var>(3) ship, import, or receive for any purpose an embryo produced by human cloning <br/>
<a id="pl.55.17"></a><var>55.17</var>or any product derived from such an embryo; or <br/>
<a id="pl.55.18"></a><var>55.18</var>(4) ship or receive, in whole or in part, any oocyte, embryo, fetus, or human somatic <br/>
<a id="pl.55.19"></a><var>55.19</var>cell, for the purpose of human cloning.<br/>
<a id="pl.55.20"></a><var>55.20</var>    Subd. 3. <b>Scientific research.</b> Nothing in this section shall restrict areas of scientific <br/>
<a id="pl.55.21"></a><var>55.21</var>research not specifically prohibited by this section, including research in the use of nuclear <br/>
<a id="pl.55.22"></a><var>55.22</var>transfer or other cloning techniques to produce molecules, DNA, cells other than human <br/>
<a id="pl.55.23"></a><var>55.23</var>embryos, tissues, organs, plants, or animals other than humans. In addition, nothing in this <br/>
<a id="pl.55.24"></a><var>55.24</var>section shall restrict, inhibit, or make unlawful the scientific field of stem cell research, <br/>
<a id="pl.55.25"></a><var>55.25</var>unless explicitly prohibited.<br/>
<a id="pl.55.26"></a><var>55.26</var>    Subd. 4. <b>Penalties.</b> Any person or entity that knowingly or recklessly violates <br/>
<a id="pl.55.27"></a><var>55.27</var>subdivision 2 is guilty of a misdemeanor.<br/>
<a id="pl.55.28"></a><var>55.28</var>    Subd. 5. <b>Severability.</b> If any provision, section, subdivision, sentence, clause, <br/>
<a id="pl.55.29"></a><var>55.29</var>phrase, or word in this section or the application thereof to any person or circumstance is <br/>
<a id="pl.55.30"></a><var>55.30</var>found to be unconstitutional, the same is hereby declared to be severable and the remainder <br/>
<a id="pl.55.31"></a><var>55.31</var>of this section shall remain effective notwithstanding such unconstitutional provision. The <br/>
<a id="pl.55.32"></a><var>55.32</var>legislature declares that it would have passed this section and each provision, subdivision, <br/>
<a id="pl.55.33"></a><var>55.33</var>sentence, clause, phrase, or word thereof, regardless of the fact that any provision, section, <br/>
<a id="pl.55.34"></a><var>55.34</var>subdivision, sentence, clause, phrase, or word is declared unconstitutional.<br/>
<a id="pl.56.1"></a><var>56.1</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2011, and applies to crimes <br/>
<a id="pl.56.2"></a><var>56.2</var>committed on or after that date.<br/>
<br/>
<a id="bill.2.18.0"></a><a id="pl.56.3"></a><var>56.3</var>    Sec. 18. Minnesota Statutes 2010, section 145.925, subdivision 1, is amended to read:<br/>
<a id="pl.56.4"></a><var>56.4</var>    Subdivision 1. <b>Eligible organizations; purpose.</b> The commissioner of health may, <br/>
<a id="pl.56.5"></a><var>56.5</var>within available appropriations, make special grants to cities, counties, groups of cities or <br/>
<a id="pl.56.6"></a><var>56.6</var>counties, or nonprofit corporations to provide prepregnancy family planning services.<br/>
<br/>
<a id="bill.2.19.0"></a><a id="pl.56.7"></a><var>56.7</var>    Sec. 19. Minnesota Statutes 2010, section 145.925, subdivision 2, is amended to read:<br/>
<a id="pl.56.8"></a><var>56.8</var>    Subd. 2. <b>Prohibition.</b> The commissioner shall not make special grants pursuant to <br/>
<a id="pl.56.9"></a><var>56.9</var>this section to any nonprofit corporation which performs abortions eligible organization <br/>
<a id="pl.56.10"></a><var>56.10</var>that performs abortions or provides referrals for abortion services. No state funds shall be <br/>
<a id="pl.56.11"></a><var>56.11</var>used under contract from a grantee to any nonprofit corporation which performs abortions. <br/>
<a id="pl.56.12"></a><var>56.12</var>This provision shall not apply to hospitals licensed pursuant to sections 
<statute_ref>144.50</statute_ref> to 
<statute_ref>144.56</statute_ref>, <br/>
<a id="pl.56.13"></a><var>56.13</var>or health maintenance organizations certified pursuant to chapter 62D eligible organization <br/>
<a id="pl.56.14"></a><var>56.14</var>that performs abortions or provides referrals for abortion services. <br/>
<br/>
<a id="bill.2.20.0"></a><a id="pl.56.15"></a><var>56.15</var>    Sec. 20. <b>[145.9271] WHITE EARTH BAND URBAN CLINIC.</b><br/>
<a id="pl.56.16"></a><var>56.16</var>    Subdivision 1. <b>Establish urban clinic.</b> The White Earth Band of Ojibwe Indians <br/>
<a id="pl.56.17"></a><var>56.17</var>shall establish and operate one or more health care clinics in the Minneapolis area or <br/>
<a id="pl.56.18"></a><var>56.18</var>greater Minnesota to serve members of the White Earth Tribe and may use funds received <br/>
<a id="pl.56.19"></a><var>56.19</var>under this section for application to qualify as a federally qualified health center.<br/>
<a id="pl.56.20"></a><var>56.20</var>    Subd. 2. <b>Grant agreements.</b> Before receiving the funds under this section, the <br/>
<a id="pl.56.21"></a><var>56.21</var>White Earth Band of Ojibwe Indians is requested to submit to the commissioner of health <br/>
<a id="pl.56.22"></a><var>56.22</var>a work plan and budget that describes its annual plan for the funds. The commissioner will <br/>
<a id="pl.56.23"></a><var>56.23</var>incorporate the work plan and budget into a grant agreement between the commissioner <br/>
<a id="pl.56.24"></a><var>56.24</var>and the White Earth Band of Ojibwe Indians. Before each successive disbursement, the <br/>
<a id="pl.56.25"></a><var>56.25</var>White Earth Band of Ojibwe Indians is requested to submit a narrative progress report and <br/>
<a id="pl.56.26"></a><var>56.26</var>an expenditure report to the commissioner.<br/>
<br/>
<a id="bill.2.21.0"></a><a id="pl.56.27"></a><var>56.27</var>    Sec. 21. <b>[145.9272] COMMUNITY MENTAL HEALTH CENTER GRANTS.</b><br/>
<a id="pl.56.28"></a><var>56.28</var>    Subdivision 1. <b>Definitions.</b> For purposes of this section, "community mental <br/>
<a id="pl.56.29"></a><var>56.29</var>health center" means an entity that is eligible for payment under section 256B.0625, <br/>
<a id="pl.56.30"></a><var>56.30</var>subdivision 5.<br/>
<a id="pl.56.31"></a><var>56.31</var>    Subd. 2. <b>Allocation of subsidies.</b> The commissioner of health shall distribute, from <br/>
<a id="pl.56.32"></a><var>56.32</var>money appropriated for this purpose, grants to community mental health centers operating <br/>
<a id="pl.57.1"></a><var>57.1</var>in the state on July 1 of the year 2011 and each subsequent year for community mental <br/>
<a id="pl.57.2"></a><var>57.2</var>health center services to low-income consumers and patients with mental illness. The <br/>
<a id="pl.57.3"></a><var>57.3</var>amount of each grant shall be in proportion to each community mental health center's <br/>
<a id="pl.57.4"></a><var>57.4</var>revenues received from state health care programs in the most recent calendar year for <br/>
<a id="pl.57.5"></a><var>57.5</var>which data is available.<br/>
<a id="pl.57.6"></a><var>57.6</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, or upon federal <br/>
<a id="pl.57.7"></a><var>57.7</var>approval of the funding mechanism set out in Minnesota Statutes, section 62J.692, <br/>
<a id="pl.57.8"></a><var>57.8</var>subdivision 11, whichever is later.<br/>
<br/>
<a id="bill.2.22.0"></a><a id="pl.57.9"></a><var>57.9</var>    Sec. 22. Minnesota Statutes 2010, section 145.928, subdivision 7, is amended to read:<br/>
<a id="pl.57.10"></a><var>57.10</var>    Subd. 7. <b>Community grant program; immunization rates and infant mortality </b><br/>
<a id="pl.57.11"></a><var>57.11</var><b>rates.</b> (a) The commissioner shall, within available appropriations, award grants to <br/>
<a id="pl.57.12"></a><var>57.12</var>eligible applicants for local or regional projects and initiatives directed at reducing health <br/>
<a id="pl.57.13"></a><var>57.13</var>disparities in one or both of the following priority areas:<br/>
<a id="pl.57.14"></a><var>57.14</var>(1) decreasing racial and ethnic disparities in infant mortality rates; or<br/>
<a id="pl.57.15"></a><var>57.15</var>(2) increasing adult and child immunization rates in nonwhite racial and ethnic <br/>
<a id="pl.57.16"></a><var>57.16</var>populations.<br/>
<a id="pl.57.17"></a><var>57.17</var>(b) The commissioner may award up to 20 percent of the funds available as planning <br/>
<a id="pl.57.18"></a><var>57.18</var>grants. Planning grants must be used to address such areas as community assessment, <br/>
<a id="pl.57.19"></a><var>57.19</var>coordination activities, and development of community supported strategies.<br/>
<a id="pl.57.20"></a><var>57.20</var>(c) Eligible applicants may include, but are not limited to, faith-based organizations, <br/>
<a id="pl.57.21"></a><var>57.21</var>social service organizations, community nonprofit organizations, community health <br/>
<a id="pl.57.22"></a><var>57.22</var>boards, tribal governments, and community clinics. Applicants must submit proposals to <br/>
<a id="pl.57.23"></a><var>57.23</var>the commissioner. A proposal must specify the strategies to be implemented to address <br/>
<a id="pl.57.24"></a><var>57.24</var>one or both of the priority areas listed in paragraph (a) and must be targeted to achieve the <br/>
<a id="pl.57.25"></a><var>57.25</var>outcomes established according to subdivision 3.<br/>
<a id="pl.57.26"></a><var>57.26</var>(d) The commissioner shall give priority to applicants who demonstrate that their <br/>
<a id="pl.57.27"></a><var>57.27</var>proposed project or initiative:<br/>
<a id="pl.57.28"></a><var>57.28</var>(1) is supported by the community the applicant will serve;<br/>
<a id="pl.57.29"></a><var>57.29</var>(2) is research-based or based on promising strategies;<br/>
<a id="pl.57.30"></a><var>57.30</var>(3) is designed to complement other related community activities;<br/>
<a id="pl.57.31"></a><var>57.31</var>(4) utilizes strategies that positively impact both priority areas;<br/>
<a id="pl.57.32"></a><var>57.32</var>(5) reflects racially and ethnically appropriate approaches; and<br/>
<a id="pl.57.33"></a><var>57.33</var>(6) will be implemented through or with community-based organizations that reflect <br/>
<a id="pl.57.34"></a><var>57.34</var>the race or ethnicity of the population to be reached.<br/>
<br/>
<a id="bill.2.23.0"></a><a id="pl.58.1"></a><var>58.1</var>    Sec. 23. Minnesota Statutes 2010, section 145.928, subdivision 8, is amended to read:<br/>
<a id="pl.58.2"></a><var>58.2</var>    Subd. 8. <b>Community grant program; other health disparities.</b> (a) The <br/>
<a id="pl.58.3"></a><var>58.3</var>commissioner shall, within available appropriations, award grants to eligible applicants <br/>
<a id="pl.58.4"></a><var>58.4</var>for local or regional projects and initiatives directed at reducing health disparities in <br/>
<a id="pl.58.5"></a><var>58.5</var>one or more of the following priority areas:<br/>
<a id="pl.58.6"></a><var>58.6</var>(1) decreasing racial and ethnic disparities in morbidity and mortality rates from <br/>
<a id="pl.58.7"></a><var>58.7</var>breast and cervical cancer;<br/>
<a id="pl.58.8"></a><var>58.8</var>(2) decreasing racial and ethnic disparities in morbidity and mortality rates from <br/>
<a id="pl.58.9"></a><var>58.9</var>HIV/AIDS and sexually transmitted infections;<br/>
<a id="pl.58.10"></a><var>58.10</var>(3) decreasing racial and ethnic disparities in morbidity and mortality rates from <br/>
<a id="pl.58.11"></a><var>58.11</var>cardiovascular disease;<br/>
<a id="pl.58.12"></a><var>58.12</var>(4) decreasing racial and ethnic disparities in morbidity and mortality rates from <br/>
<a id="pl.58.13"></a><var>58.13</var>diabetes; or<br/>
<a id="pl.58.14"></a><var>58.14</var>(5) decreasing racial and ethnic disparities in morbidity and mortality rates from <br/>
<a id="pl.58.15"></a><var>58.15</var>accidental injuries or violence.<br/>
<a id="pl.58.16"></a><var>58.16</var>(b) The commissioner may award up to 20 percent of the funds available as planning <br/>
<a id="pl.58.17"></a><var>58.17</var>grants. Planning grants must be used to address such areas as community assessment, <br/>
<a id="pl.58.18"></a><var>58.18</var>determining community priority areas, coordination activities, and development of <br/>
<a id="pl.58.19"></a><var>58.19</var>community supported strategies.<br/>
<a id="pl.58.20"></a><var>58.20</var>(c) Eligible applicants may include, but are not limited to, faith-based organizations, <br/>
<a id="pl.58.21"></a><var>58.21</var>social service organizations, community nonprofit organizations, community health <br/>
<a id="pl.58.22"></a><var>58.22</var>boards, and community clinics. Applicants shall submit proposals to the commissioner. <br/>
<a id="pl.58.23"></a><var>58.23</var>A proposal must specify the strategies to be implemented to address one or more of <br/>
<a id="pl.58.24"></a><var>58.24</var>the priority areas listed in paragraph (a) and must be targeted to achieve the outcomes <br/>
<a id="pl.58.25"></a><var>58.25</var>established according to subdivision 3.<br/>
<a id="pl.58.26"></a><var>58.26</var>(d) The commissioner shall give priority to applicants who demonstrate that their <br/>
<a id="pl.58.27"></a><var>58.27</var>proposed project or initiative:<br/>
<a id="pl.58.28"></a><var>58.28</var>(1) is supported by the community the applicant will serve;<br/>
<a id="pl.58.29"></a><var>58.29</var>(2) is research-based or based on promising strategies;<br/>
<a id="pl.58.30"></a><var>58.30</var>(3) is designed to complement other related community activities;<br/>
<a id="pl.58.31"></a><var>58.31</var>(4) utilizes strategies that positively impact more than one priority area;<br/>
<a id="pl.58.32"></a><var>58.32</var>(5) reflects racially and ethnically appropriate approaches; and<br/>
<a id="pl.58.33"></a><var>58.33</var>(6) will be implemented through or with community-based organizations that reflect <br/>
<a id="pl.58.34"></a><var>58.34</var>the race or ethnicity of the population to be reached.<br/>
<br/>
<a id="bill.2.24.0"></a><a id="pl.59.1"></a><var>59.1</var>    Sec. 24. <b>[145.987] COMMUNITY HEALTH CENTERS DEVELOPMENT </b><br/>
<a id="pl.59.2"></a><var>59.2</var><b>GRANTS.</b><br/>
<a id="pl.59.3"></a><var>59.3</var>(a) The commissioner of health shall award grants from money appropriated for this <br/>
<a id="pl.59.4"></a><var>59.4</var>purpose to expand community health centers, as defined in section 145.9269, subdivision <br/>
<a id="pl.59.5"></a><var>59.5</var>1, in the state through the establishment of new community health centers or sites in <br/>
<a id="pl.59.6"></a><var>59.6</var>areas defined as small rural areas or isolated rural areas according to the four category <br/>
<a id="pl.59.7"></a><var>59.7</var>classification of the Rural Urban Commuting Area system developed for the United States <br/>
<a id="pl.59.8"></a><var>59.8</var>Health Resources and Services Administration or serving underserved patient populations.<br/>
<a id="pl.59.9"></a><var>59.9</var>(b) Grant funds may be used to pay for:<br/>
<a id="pl.59.10"></a><var>59.10</var>(1) costs for an organization to develop and submit a proposal to the federal <br/>
<a id="pl.59.11"></a><var>59.11</var>government for the designation of a new community health center or site; and<br/>
<a id="pl.59.12"></a><var>59.12</var>(2) costs of planning, designing, remodeling, constructing, or purchasing equipment <br/>
<a id="pl.59.13"></a><var>59.13</var>for a new center or site.<br/>
<a id="pl.59.14"></a><var>59.14</var>Funds may not be used for operating costs.<br/>
<a id="pl.59.15"></a><var>59.15</var>(c) The commissioner shall award grants on a competitive basis.<br/>
<a id="pl.59.16"></a><var>59.16</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, or upon federal <br/>
<a id="pl.59.17"></a><var>59.17</var>approval of the funding mechanism set out in Minnesota Statutes, section 62J.692, <br/>
<a id="pl.59.18"></a><var>59.18</var>subdivision 11, whichever is later.<br/>
<br/>
<a id="bill.2.25.0"></a><a id="pl.59.19"></a><var>59.19</var>    Sec. 25. Minnesota Statutes 2010, section 145A.17, subdivision 3, is amended to read:<br/>
<a id="pl.59.20"></a><var>59.20</var>    Subd. 3. <b>Requirements for programs; process.</b> (a) Community health boards <br/>
<a id="pl.59.21"></a><var>59.21</var>and tribal governments that receive funding under this section must submit a plan to <br/>
<a id="pl.59.22"></a><var>59.22</var>the commissioner describing a multidisciplinary approach to targeted home visiting for <br/>
<a id="pl.59.23"></a><var>59.23</var>families. The plan must be submitted on forms provided by the commissioner. At a <br/>
<a id="pl.59.24"></a><var>59.24</var>minimum, the plan must include the following:<br/>
<a id="pl.59.25"></a><var>59.25</var>    (1) a description of outreach strategies to families prenatally or at birth;<br/>
<a id="pl.59.26"></a><var>59.26</var>    (2) provisions for the seamless delivery of health, safety, and early learning services;<br/>
<a id="pl.59.27"></a><var>59.27</var>    (3) methods to promote continuity of services when families move within the state;<br/>
<a id="pl.59.28"></a><var>59.28</var>    (4) a description of the community demographics;<br/>
<a id="pl.59.29"></a><var>59.29</var>    (5) a plan for meeting outcome measures; and<br/>
<a id="pl.59.30"></a><var>59.30</var>    (6) a proposed work plan that includes:<br/>
<a id="pl.59.31"></a><var>59.31</var>    (i) coordination to ensure nonduplication of services for children and families;<br/>
<a id="pl.59.32"></a><var>59.32</var>    (ii) a description of the strategies to ensure that children and families at greatest risk <br/>
<a id="pl.59.33"></a><var>59.33</var>receive appropriate services; and<br/>
<a id="pl.59.34"></a><var>59.34</var>    (iii) collaboration with multidisciplinary partners including public health, <br/>
<a id="pl.59.35"></a><var>59.35</var>ECFE, Head Start, community health workers, social workers, community home <br/>
<a id="pl.60.1"></a><var>60.1</var>visiting programs, school districts, and other relevant partners. Letters of intent from <br/>
<a id="pl.60.2"></a><var>60.2</var>multidisciplinary partners must be submitted with the plan.<br/>
<a id="pl.60.3"></a><var>60.3</var>    (b) Each program that receives funds must accomplish the following program <br/>
<a id="pl.60.4"></a><var>60.4</var>requirements:<br/>
<a id="pl.60.5"></a><var>60.5</var>    (1) use a community-based strategy to provide preventive and early intervention <br/>
<a id="pl.60.6"></a><var>60.6</var>home visiting services;<br/>
<a id="pl.60.7"></a><var>60.7</var>    (2) offer a home visit by a trained home visitor. If a home visit is accepted, the first <br/>
<a id="pl.60.8"></a><var>60.8</var>home visit must occur prenatally or as soon after birth as possible and must include a <br/>
<a id="pl.60.9"></a><var>60.9</var>public health nursing assessment by a public health nurse;<br/>
<a id="pl.60.10"></a><var>60.10</var>    (3) offer, at a minimum, information on infant care, child growth and development, <br/>
<a id="pl.60.11"></a><var>60.11</var>positive parenting, preventing diseases, preventing exposure to environmental hazards, <br/>
<a id="pl.60.12"></a><var>60.12</var>and support services available in the community;<br/>
<a id="pl.60.13"></a><var>60.13</var>    (4) provide information on and referrals to health care services, if needed, including <br/>
<a id="pl.60.14"></a><var>60.14</var>information on and assistance in applying for health care coverage for which the child or <br/>
<a id="pl.60.15"></a><var>60.15</var>family may be eligible; and provide information on preventive services, developmental <br/>
<a id="pl.60.16"></a><var>60.16</var>assessments, and the availability of public assistance programs as appropriate;<br/>
<a id="pl.60.17"></a><var>60.17</var>    (5) provide youth development programs when appropriate;<br/>
<a id="pl.60.18"></a><var>60.18</var>    (6) recruit home visitors who will represent, to the extent possible, the races, <br/>
<a id="pl.60.19"></a><var>60.19</var>cultures, and languages spoken by families that may be served;<br/>
<a id="pl.60.20"></a><var>60.20</var>    (7) train and supervise home visitors in accordance with the requirements established <br/>
<a id="pl.60.21"></a><var>60.21</var>under subdivision 4;<br/>
<a id="pl.60.22"></a><var>60.22</var>    (8) maximize resources and minimize duplication by coordinating or contracting <br/>
<a id="pl.60.23"></a><var>60.23</var>with local social and human services organizations, education organizations, and other <br/>
<a id="pl.60.24"></a><var>60.24</var>appropriate governmental entities and community-based organizations and agencies;<br/>
<a id="pl.60.25"></a><var>60.25</var>    (9) utilize appropriate racial and ethnic approaches to providing home visiting <br/>
<a id="pl.60.26"></a><var>60.26</var>services; and<br/>
<a id="pl.60.27"></a><var>60.27</var>    (10) connect eligible families, as needed, to additional resources available in the <br/>
<a id="pl.60.28"></a><var>60.28</var>community, including, but not limited to, early care and education programs, health or <br/>
<a id="pl.60.29"></a><var>60.29</var>mental health services, family literacy programs, employment agencies, social services, <br/>
<a id="pl.60.30"></a><var>60.30</var>and child care resources and referral agencies.<br/>
<a id="pl.60.31"></a><var>60.31</var>    (c) When available, programs that receive funds under this section must offer or <br/>
<a id="pl.60.32"></a><var>60.32</var>provide the family with a referral to center-based or group meetings that meet at least <br/>
<a id="pl.60.33"></a><var>60.33</var>once per month for those families identified with additional needs. The meetings must <br/>
<a id="pl.60.34"></a><var>60.34</var>focus on further enhancing the information, activities, and skill-building addressed during <br/>
<a id="pl.60.35"></a><var>60.35</var>home visitation; offering opportunities for parents to meet with and support each other; <br/>
<a id="pl.61.1"></a><var>61.1</var>and offering infants and toddlers a safe, nurturing, and stimulating environment for <br/>
<a id="pl.61.2"></a><var>61.2</var>socialization and supervised play with qualified teachers.<br/>
<a id="pl.61.3"></a><var>61.3</var>    (d) Funds available under this section shall not be used for medical services. The <br/>
<a id="pl.61.4"></a><var>61.4</var>commissioner shall establish an administrative cost limit for recipients of funds. The <br/>
<a id="pl.61.5"></a><var>61.5</var>outcome measures established under subdivision 6 must be specified to recipients of <br/>
<a id="pl.61.6"></a><var>61.6</var>funds at the time the funds are distributed.<br/>
<a id="pl.61.7"></a><var>61.7</var>    (e) Data collected on individuals served by the home visiting programs must remain <br/>
<a id="pl.61.8"></a><var>61.8</var>confidential and must not be disclosed by providers of home visiting services without a <br/>
<a id="pl.61.9"></a><var>61.9</var>specific informed written consent that identifies disclosures to be made. Upon request, <br/>
<a id="pl.61.10"></a><var>61.10</var>agencies providing home visiting services must provide recipients with information on <br/>
<a id="pl.61.11"></a><var>61.11</var>disclosures, including the names of entities and individuals receiving the information and <br/>
<a id="pl.61.12"></a><var>61.12</var>the general purpose of the disclosure. Prospective and current recipients of home visiting <br/>
<a id="pl.61.13"></a><var>61.13</var>services must be told and informed in writing that written consent for disclosure of data is <br/>
<a id="pl.61.14"></a><var>61.14</var>not required for access to home visiting services.<br/>
<a id="pl.61.15"></a><var>61.15</var>(f) Upon initial contact with a family, programs that receive funding under this <br/>
<a id="pl.61.16"></a><var>61.16</var>section must receive permission from the family to share with other family service <br/>
<a id="pl.61.17"></a><var>61.17</var>providers information about services the family is receiving and unmet needs of the family <br/>
<a id="pl.61.18"></a><var>61.18</var>in order to select a lead agency for the family and coordinate available resources. For <br/>
<a id="pl.61.19"></a><var>61.19</var>purposes of this paragraph, the term "family service providers" includes local public <br/>
<a id="pl.61.20"></a><var>61.20</var>health, social services, school districts, Head Start programs, health care providers, and <br/>
<a id="pl.61.21"></a><var>61.21</var>other public agencies.<br/>
<br/>
<a id="bill.2.26.0"></a><a id="pl.61.22"></a><var>61.22</var>    Sec. 26. Minnesota Statutes 2010, section 157.15, is amended by adding a subdivision <br/>
<a id="pl.61.23"></a><var>61.23</var>to read:<br/>
<a id="pl.61.24"></a><var>61.24</var>    Subd. 7a. <b>Limited food establishment.</b> "Limited food establishment" means a food <br/>
<a id="pl.61.25"></a><var>61.25</var>and beverage service establishment that primarily provides beverages that consist of <br/>
<a id="pl.61.26"></a><var>61.26</var>combining dry mixes and water or ice for immediate service to the consumer. Limited <br/>
<a id="pl.61.27"></a><var>61.27</var>food establishments must use equipment and utensils that are nontoxic, durable, and retain <br/>
<a id="pl.61.28"></a><var>61.28</var>their characteristic qualities under normal use conditions and may request a variance for <br/>
<a id="pl.61.29"></a><var>61.29</var>plumbing requirements from the commissioner.<br/>
<a id="pl.61.30"></a><var>61.30</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, and applies to <br/>
<a id="pl.61.31"></a><var>61.31</var>applications for licensure submitted on or after that date.<br/>
<br/>
<a id="bill.2.27.0"></a><a id="pl.61.32"></a><var>61.32</var>    Sec. 27. Minnesota Statutes 2010, section 157.20, is amended by adding a subdivision <br/>
<a id="pl.61.33"></a><var>61.33</var>to read:<br/>
<a id="pl.62.1"></a><var>62.1</var>    Subd. 5. <b>Variance requests.</b> (a) A person may request a variance from all parts of <br/>
<a id="pl.62.2"></a><var>62.2</var>Minnesota Rules, chapter 4626, except as provided in paragraph (b) or Minnesota Rules, <br/>
<a id="pl.62.3"></a><var>62.3</var>chapter 4626. At the time of application for plan review, the person, operator, or submitter <br/>
<a id="pl.62.4"></a><var>62.4</var>must be notified of the right to request variances.<br/>
<a id="pl.62.5"></a><var>62.5</var>(b) No variance may be requested or approved for the following parts of Minnesota <br/>
<a id="pl.62.6"></a><var>62.6</var>Rules, chapter 4626:<br/>
<a id="pl.62.7"></a><var>62.7</var>(1) Minnesota Rules, part 4626.0020, subpart 35;<br/>
<a id="pl.62.8"></a><var>62.8</var>(2) Minnesota Rules, parts 4626.0040 to 4626.0060;<br/>
<a id="pl.62.9"></a><var>62.9</var>(3) Minnesota Rules, parts 4626.0065 to 4626.0100;<br/>
<a id="pl.62.10"></a><var>62.10</var>(4) Minnesota Rules, parts 4626.0105 to 4626.0120;<br/>
<a id="pl.62.11"></a><var>62.11</var>(5) Minnesota Rules, part 4626.1565;<br/>
<a id="pl.62.12"></a><var>62.12</var>(6) Minnesota Rules, parts 4626.1590 and 4626.1595; and <br/>
<a id="pl.62.13"></a><var>62.13</var>(7) Minnesota Rules, parts 4626.1600 to 4626.1675.<br/>
<br/>
<a id="bill.2.28.0"></a><a id="pl.62.14"></a><var>62.14</var>    Sec. 28. Minnesota Statutes 2010, section 297F.10, subdivision 1, is amended to read:<br/>
<a id="pl.62.15"></a><var>62.15</var>    Subdivision 1. <b>Tax and use tax on cigarettes.</b> Revenue received from cigarette <br/>
<a id="pl.62.16"></a><var>62.16</var>taxes, as well as related penalties, interest, license fees, and miscellaneous sources of <br/>
<a id="pl.62.17"></a><var>62.17</var>revenue shall be deposited by the commissioner in the state treasury and credited as <br/>
<a id="pl.62.18"></a><var>62.18</var>follows:<br/>
<a id="pl.62.19"></a><var>62.19</var>(1) $22,220,000 for fiscal year 2006 and $22,250,000 for fiscal year 2007 and each <br/>
<a id="pl.62.20"></a><var>62.20</var>year thereafter must be credited to the Academic Health Center special revenue fund <br/>
<a id="pl.62.21"></a><var>62.21</var>hereby created and is annually appropriated to the Board of Regents at the University of <br/>
<a id="pl.62.22"></a><var>62.22</var>Minnesota for Academic Health Center funding at the University of Minnesota; and<br/>
<a id="pl.62.23"></a><var>62.23</var>(2) $8,553,000 for fiscal year 2006 and $8,550,000 for fiscal year years 2007 and <br/>
<a id="pl.62.24"></a><var>62.24</var>each year thereafter through fiscal year 2011 and $6,244,000 each fiscal year thereafter <br/>
<a id="pl.62.25"></a><var>62.25</var>must be credited to the medical education and research costs account hereby created in <br/>
<a id="pl.62.26"></a><var>62.26</var>the special revenue fund and is annually appropriated to the commissioner of health for <br/>
<a id="pl.62.27"></a><var>62.27</var>distribution under section 
         <statute_ref>62J.692, subdivision 4</statute_ref> or 11, as appropriate; and<br/>
<a id="pl.62.28"></a><var>62.28</var>(3) the balance of the revenues derived from taxes, penalties, and interest (under <br/>
<a id="pl.62.29"></a><var>62.29</var>this chapter) and from license fees and miscellaneous sources of revenue shall be credited <br/>
<a id="pl.62.30"></a><var>62.30</var>to the general fund.<br/>
<br/>
<a id="bill.2.29.0"></a><a id="pl.62.31"></a><var>62.31</var>    Sec. 29. <b>EVALUATION OF HEALTH AND HUMAN SERVICES REGULATORY </b><br/>
<a id="pl.62.32"></a><var>62.32</var><b>RESPONSIBILITIES.</b><br/>
<a id="pl.62.33"></a><var>62.33</var>(a) The commissioner of health, in consultation with the commissioner of human <br/>
<a id="pl.62.34"></a><var>62.34</var>services, shall evaluate and recommend options for reorganizing health and human <br/>
<a id="pl.63.1"></a><var>63.1</var>services regulatory responsibilities in both agencies to provide better efficiency and <br/>
<a id="pl.63.2"></a><var>63.2</var>operational cost savings while maintaining the protection of the health, safety, and welfare <br/>
<a id="pl.63.3"></a><var>63.3</var>of the public. Regulatory responsibilities that are to be evaluated are those found in <br/>
<a id="pl.63.4"></a><var>63.4</var>Minnesota Statutes, chapters 62D, 62N, 62R, 62T, 144A, 144D, 144G, 146A, 146B, <br/>
<a id="pl.63.5"></a><var>63.5</var>149A, 153A, 245A, 245B, and 245C, and sections 62Q.19, 144.058, 144.0722, 144.50, <br/>
<a id="pl.63.6"></a><var>63.6</var>144.651, 148.511, 148.6401, 148.995, 256B.692, 626.556, and 626.557.<br/>
<a id="pl.63.7"></a><var>63.7</var>(b) The evaluation and recommendations shall be submitted in a report to the <br/>
<a id="pl.63.8"></a><var>63.8</var>legislative committees with jurisdiction over health and human services no later than <br/>
<a id="pl.63.9"></a><var>63.9</var>February 15, 2012, and shall include, at a minimum, the following:<br/>
<a id="pl.63.10"></a><var>63.10</var>(1) whether the regulatory responsibilities of each agency should be combined into <br/>
<a id="pl.63.11"></a><var>63.11</var>a separate agency;<br/>
<a id="pl.63.12"></a><var>63.12</var>(2) whether the regulatory responsibilities of each agency should be merged into <br/>
<a id="pl.63.13"></a><var>63.13</var>an existing agency;<br/>
<a id="pl.63.14"></a><var>63.14</var>(3) what cost savings would result by merging the activities regardless of where <br/>
<a id="pl.63.15"></a><var>63.15</var>they are located;<br/>
<a id="pl.63.16"></a><var>63.16</var>(4) what additional costs would result if the activities were merged;<br/>
<a id="pl.63.17"></a><var>63.17</var>(5) whether there are additional regulatory responsibilities in both agencies that <br/>
<a id="pl.63.18"></a><var>63.18</var>should be considered in any reorganization; and<br/>
<a id="pl.63.19"></a><var>63.19</var>(6) for each option recommended, projected cost and a timetable and identification <br/>
<a id="pl.63.20"></a><var>63.20</var>of the necessary steps and requirements for a successful transition period.<br/>
<br/>
<a id="bill.2.30.0"></a><a id="pl.63.21"></a><var>63.21</var>    Sec. 30. <b>STUDY OF FOR-PROFIT HEALTH MAINTENANCE </b><br/>
<a id="pl.63.22"></a><var>63.22</var><b>ORGANIZATIONS.</b><br/>
<a id="pl.63.23"></a><var>63.23</var>The commissioner of health shall contract with an entity with expertise in health <br/>
<a id="pl.63.24"></a><var>63.24</var>economics and health care delivery and quality to study the efficiency, costs, service <br/>
<a id="pl.63.25"></a><var>63.25</var>quality, and enrollee satisfaction of for-profit health maintenance organizations, relative to <br/>
<a id="pl.63.26"></a><var>63.26</var>not-for-profit health maintenance organizations operating in Minnesota and other states. <br/>
<a id="pl.63.27"></a><var>63.27</var>The study findings must address whether the state of Minnesota could: (1) reduce medical <br/>
<a id="pl.63.28"></a><var>63.28</var>assistance and MinnesotaCare costs and costs of providing coverage to state employees; <br/>
<a id="pl.63.29"></a><var>63.29</var>and (2) maintain or improve the quality of care provided to state health care program <br/>
<a id="pl.63.30"></a><var>63.30</var>enrollees and state employees if for-profit health maintenance organizations were allowed <br/>
<a id="pl.63.31"></a><var>63.31</var>to operate in the state. The commissioner shall require the entity under contract to report <br/>
<a id="pl.63.32"></a><var>63.32</var>study findings to the commissioner and the legislature by January 15, 2012.<br/>
<br/>
<a id="bill.2.31.0"></a><a id="pl.63.33"></a><var>63.33</var>    Sec. 31. <b>MINNESOTA TASK FORCE ON PREMATURITY.</b><br/>
<a id="pl.64.1"></a><var>64.1</var>    Subdivision 1. <b>Establishment.</b> The Minnesota Task Force on Prematurity is <br/>
<a id="pl.64.2"></a><var>64.2</var>established to evaluate and make recommendations on methods for reducing prematurity <br/>
<a id="pl.64.3"></a><var>64.3</var>and improving premature infant health care in the state.<br/>
<a id="pl.64.4"></a><var>64.4</var>    Subd. 2. <b>Membership; meetings; staff.</b> (a) The task force shall be composed of at <br/>
<a id="pl.64.5"></a><var>64.5</var>least the following members, who serve at the pleasure of their appointing authority:<br/>
<a id="pl.64.6"></a><var>64.6</var>(1) 15 representatives of the Minnesota Prematurity Coalition including, but not <br/>
<a id="pl.64.7"></a><var>64.7</var>limited to, health care providers who treat pregnant women or neonates, organizations <br/>
<a id="pl.64.8"></a><var>64.8</var>focused on preterm births, early childhood education and development professionals, and <br/>
<a id="pl.64.9"></a><var>64.9</var>families affected by prematurity;<br/>
<a id="pl.64.10"></a><var>64.10</var>(2) one representative appointed by the commissioner of human services;<br/>
<a id="pl.64.11"></a><var>64.11</var>(3) two representatives appointed by the commissioner of health;<br/>
<a id="pl.64.12"></a><var>64.12</var>(4) one representative appointed by the commissioner of education; <br/>
<a id="pl.64.13"></a><var>64.13</var>(5) two members of the house of representatives, one appointed by the speaker of <br/>
<a id="pl.64.14"></a><var>64.14</var>the house and one appointed by the minority leader; and<br/>
<a id="pl.64.15"></a><var>64.15</var>(6) two members of the senate, appointed according to the rules of the senate.<br/>
<a id="pl.64.16"></a><var>64.16</var>(b) Members of the task force serve without compensation or payment of expenses.<br/>
<a id="pl.64.17"></a><var>64.17</var>(c) The commissioner of health must convene the first meeting of the Minnesota <br/>
<a id="pl.64.18"></a><var>64.18</var>Task Force on Prematurity by July 31, 2011. The task force must continue to meet at <br/>
<a id="pl.64.19"></a><var>64.19</var>least quarterly. Staffing and technical assistance shall be provided by the Minnesota <br/>
<a id="pl.64.20"></a><var>64.20</var>Perinatal Coalition.<br/>
<a id="pl.64.21"></a><var>64.21</var>    Subd. 3. <b>Duties.</b> The task force must report the current state of prematurity in <br/>
<a id="pl.64.22"></a><var>64.22</var>Minnesota and develop recommendations on strategies for reducing prematurity and <br/>
<a id="pl.64.23"></a><var>64.23</var>improving premature infant health care in the state by considering the following:<br/>
<a id="pl.64.24"></a><var>64.24</var>(1) standards of care for premature infants born less than 37 weeks gestational age, <br/>
<a id="pl.64.25"></a><var>64.25</var>including recommendations to improve hospital discharge and follow-up care procedures;<br/>
<a id="pl.64.26"></a><var>64.26</var>(2) coordination of information among appropriate professional and advocacy <br/>
<a id="pl.64.27"></a><var>64.27</var>organizations on measures to improve health care for infants born prematurely;<br/>
<a id="pl.64.28"></a><var>64.28</var>(3) identification and centralization of available resources to improve access and <br/>
<a id="pl.64.29"></a><var>64.29</var>awareness for caregivers of premature infants;<br/>
<a id="pl.64.30"></a><var>64.30</var>(4) development and dissemination of evidence-based practices through networking <br/>
<a id="pl.64.31"></a><var>64.31</var>and educational opportunities; <br/>
<a id="pl.64.32"></a><var>64.32</var>(5) a review of relevant evidence-based research regarding the causes and effects of <br/>
<a id="pl.64.33"></a><var>64.33</var>premature births in Minnesota;<br/>
<a id="pl.64.34"></a><var>64.34</var>(6) a review of relevant evidence-based research regarding premature infant health <br/>
<a id="pl.64.35"></a><var>64.35</var>care, including methods for improving quality of and access to care for premature infants;<br/>
<a id="pl.65.1"></a><var>65.1</var>(7) a review of the potential improvements in health status related to the use of <br/>
<a id="pl.65.2"></a><var>65.2</var>health care homes to provide and coordinate pregnancy-related services; and<br/>
<a id="pl.65.3"></a><var>65.3</var>(8) identification of gaps in public reporting measures and possible effects of these <br/>
<a id="pl.65.4"></a><var>65.4</var>measures on prematurity rates.<br/>
<a id="pl.65.5"></a><var>65.5</var>    Subd. 4. <b>Report; expiration.</b> (a) By November 30, 2011, the task force must submit <br/>
<a id="pl.65.6"></a><var>65.6</var>a report on the current state of prematurity in Minnesota to the chairs of the legislative <br/>
<a id="pl.65.7"></a><var>65.7</var>policy committees on health and human services.<br/>
<a id="pl.65.8"></a><var>65.8</var>(b) By January 15, 2013, the task force must report its final recommendations, <br/>
<a id="pl.65.9"></a><var>65.9</var>including any draft legislation necessary for implementation, to the chairs of the legislative <br/>
<a id="pl.65.10"></a><var>65.10</var>policy committees on health and human services.<br/>
<a id="pl.65.11"></a><var>65.11</var>(c) This task force expires on January 31, 2013, or upon submission of the final <br/>
<a id="pl.65.12"></a><var>65.12</var>report required in paragraph (b), whichever is earlier.<br/>
<br/>
<a id="bill.2.32.0"></a><a id="pl.65.13"></a><var>65.13</var>    Sec. 32. <b>NURSING HOME REGULATORY EFFICIENCY.</b><br/>
<a id="pl.65.14"></a><var>65.14</var>The commissioner of health must work with long-term care providers, provider <br/>
<a id="pl.65.15"></a><var>65.15</var>associations, and consumer advocates to clarify for the benefit of providers, survey <br/>
<a id="pl.65.16"></a><var>65.16</var>teams, and investigators from the office of health facility complaints all of the situations <br/>
<a id="pl.65.17"></a><var>65.17</var>that providers must report and are required to report to the department under federal <br/>
<a id="pl.65.18"></a><var>65.18</var>certification regulations and to the common entry point under the Minnesota Vulnerable <br/>
<a id="pl.65.19"></a><var>65.19</var>Adults Act. The commissioner must produce decision trees, flow sheets, or other <br/>
<a id="pl.65.20"></a><var>65.20</var>reproducible materials to guide the parties and to reduce the number of unnecessary <br/>
<a id="pl.65.21"></a><var>65.21</var>reports.<br/>
<br/>
<a id="bill.2.33.0"></a><a id="pl.65.22"></a><var>65.22</var>    Sec. 33. <b> REPEALER.</b><br/>
<a id="pl.65.23"></a><var>65.23</var>(a) Minnesota Statutes 2010, sections 62J.17, subdivisions 1, 3, 5a, 6a, and 8; <br/>
<a id="pl.65.24"></a><var>65.24</var>62J.321, subdivision 5a; 62J.381; 62J.41, subdivisions 1 and 2; 144.1464; 144.147; and <br/>
<a id="pl.65.25"></a><var>65.25</var>144.1499, are repealed.<br/>
<a id="pl.65.26"></a><var>65.26</var>(b) Minnesota Rules, parts 4651.0100, subparts 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, <br/>
<a id="pl.65.27"></a><var>65.27</var>14, 15, 16, 16a, 18, 19, 20, 20a, 21, 22, and 23; 4651.0110, subparts 2, 2a, 3, 4, and 5; <br/>
<a id="pl.65.28"></a><var>65.28</var>4651.0120; 4651.0130; 4651.0140; and 4651.0150, are repealed effective July 1, 2011.<br/>
<br/>
<a id="bill.3.0.0"></a>
<b>ARTICLE 3</b>

<a id="bill.3.1.0"></a><a id="pl.65.31"></a><var>65.31</var>    Section 1. Minnesota Statutes 2010, section 245A.14, subdivision 4, is amended to <br/>
<a id="pl.65.32"></a><var>65.32</var>read:<br/>
<a id="pl.66.1"></a><var>66.1</var>    Subd. 4. <b>Special family day care homes.</b> Nonresidential child care programs <br/>
<a id="pl.66.2"></a><var>66.2</var>serving 14 or fewer children that are conducted at a location other than the license holder's <br/>
<a id="pl.66.3"></a><var>66.3</var>own residence shall be licensed under this section and the rules governing family day <br/>
<a id="pl.66.4"></a><var>66.4</var>care or group family day care if:<br/>
<a id="pl.66.5"></a><var>66.5</var>(a) the license holder is the primary provider of care and the nonresidential child <br/>
<a id="pl.66.6"></a><var>66.6</var>care program is conducted in a dwelling that is located on a residential lot;<br/>
<a id="pl.66.7"></a><var>66.7</var>(b) the license holder is an employer who may or may not be the primary provider <br/>
<a id="pl.66.8"></a><var>66.8</var>of care, and the purpose for the child care program is to provide child care services to <br/>
<a id="pl.66.9"></a><var>66.9</var>children of the license holder's employees;<br/>
<a id="pl.66.10"></a><var>66.10</var>(c) the license holder is a church or religious organization;<br/>
<a id="pl.66.11"></a><var>66.11</var>(d) the license holder is a community collaborative child care provider. For <br/>
<a id="pl.66.12"></a><var>66.12</var>purposes of this subdivision, a community collaborative child care provider is a provider <br/>
<a id="pl.66.13"></a><var>66.13</var>participating in a cooperative agreement with a community action agency as defined in <br/>
<a id="pl.66.14"></a><var>66.14</var>section 256E.31; or<br/>
<a id="pl.66.15"></a><var>66.15</var>(e) the license holder is a not-for-profit agency that provides child care in a dwelling <br/>
<a id="pl.66.16"></a><var>66.16</var>located on a residential lot and the license holder maintains two or more contracts with <br/>
<a id="pl.66.17"></a><var>66.17</var>community employers or other community organizations to provide child care services. <br/>
<a id="pl.66.18"></a><var>66.18</var>The county licensing agency may grant a capacity variance to a license holder licensed <br/>
<a id="pl.66.19"></a><var>66.19</var>under this paragraph to exceed the licensed capacity of 14 children by no more than five <br/>
<a id="pl.66.20"></a><var>66.20</var>children during transition periods related to the work schedules of parents, if the license <br/>
<a id="pl.66.21"></a><var>66.21</var>holder meets the following requirements:<br/>
<a id="pl.66.22"></a><var>66.22</var>(1) the program does not exceed a capacity of 14 children more than a cumulative <br/>
<a id="pl.66.23"></a><var>66.23</var>total of four hours per day;<br/>
<a id="pl.66.24"></a><var>66.24</var>(2) the program meets a one to seven staff-to-child ratio during the variance period;<br/>
<a id="pl.66.25"></a><var>66.25</var>(3) all employees receive at least an extra four hours of training per year than <br/>
<a id="pl.66.26"></a><var>66.26</var>required in the rules governing family child care each year;<br/>
<a id="pl.66.27"></a><var>66.27</var>(4) the facility has square footage required per child under Minnesota Rules, part <br/>
<a id="pl.66.28"></a><var>66.28</var>9502.0425;<br/>
<a id="pl.66.29"></a><var>66.29</var>(5) the program is in compliance with local zoning regulations;<br/>
<a id="pl.66.30"></a><var>66.30</var>(6) the program is in compliance with the applicable fire code as follows:<br/>
<a id="pl.66.31"></a><var>66.31</var>(i) if the program serves more than five children older than 2-1/2 years of age, <br/>
<a id="pl.66.32"></a><var>66.32</var>but no more than five children 2-1/2 years of age or less, the applicable fire code is <br/>
<a id="pl.66.33"></a><var>66.33</var>educational occupancy, as provided in Group E Occupancy under the Minnesota State <br/>
<a id="pl.66.34"></a><var>66.34</var>Fire Code 2003, Section 202; or<br/>
<a id="pl.67.1"></a><var>67.1</var>(ii) if the program serves more than five children 2-1/2 years of age or less, the <br/>
<a id="pl.67.2"></a><var>67.2</var>applicable fire code is Group I-4 Occupancies, as provided in the Minnesota State Fire <br/>
<a id="pl.67.3"></a><var>67.3</var>Code 2003, Section 202; and<br/>
<a id="pl.67.4"></a><var>67.4</var>(7) any age and capacity limitations required by the fire code inspection and square <br/>
<a id="pl.67.5"></a><var>67.5</var>footage determinations shall be printed on the license.; or<br/>
<a id="pl.67.6"></a><var>67.6</var>(f) the license holder is the primary provider of care and has located the licensed <br/>
<a id="pl.67.7"></a><var>67.7</var>child care program in a commercial space, if the license holder meets the following <br/>
<a id="pl.67.8"></a><var>67.8</var>requirements:<br/>
<a id="pl.67.9"></a><var>67.9</var>(1) the program is in compliance with local zoning regulations;<br/>
<a id="pl.67.10"></a><var>67.10</var>(2) the program is in compliance with the applicable fire code as follows:<br/>
<a id="pl.67.11"></a><var>67.11</var>(i) if the program serves more than five children older than 2-1/2 years of age, <br/>
<a id="pl.67.12"></a><var>67.12</var>but no more than five children 2-1/2 years of age or less, the applicable fire code is <br/>
<a id="pl.67.13"></a><var>67.13</var>educational occupancy, as provided in Group E Occupancy under the Minnesota State <br/>
<a id="pl.67.14"></a><var>67.14</var>Fire Code 2003, Section 202; or<br/>
<a id="pl.67.15"></a><var>67.15</var>(ii) if the program serves more than five children 2-1/2 years of age or less, the <br/>
<a id="pl.67.16"></a><var>67.16</var>applicable fire code is Group I-4 Occupancies, as provided under the Minnesota State Fire <br/>
<a id="pl.67.17"></a><var>67.17</var>Code 2003, Section 202;<br/>
<a id="pl.67.18"></a><var>67.18</var>(3) any age and capacity limitations required by the fire code inspection and square <br/>
<a id="pl.67.19"></a><var>67.19</var>footage determinations are printed on the license; and<br/>
<a id="pl.67.20"></a><var>67.20</var>(4) the license holder prominently displays the license issued by the commissioner <br/>
<a id="pl.67.21"></a><var>67.21</var>which contains the statement "This special family child care provider is not licensed as a <br/>
<a id="pl.67.22"></a><var>67.22</var>child care center."<br/>
<br/>
<a id="bill.3.2.0"></a><a id="pl.67.23"></a><var>67.23</var>    Sec. 2. Minnesota Statutes 2010, section 245C.03, is amended by adding a subdivision <br/>
<a id="pl.67.24"></a><var>67.24</var>to read:<br/>
<a id="pl.67.25"></a><var>67.25</var>    Subd. 7. <b>Children's therapeutic services and supports providers.</b> The <br/>
<a id="pl.67.26"></a><var>67.26</var>commissioner shall conduct background studies according to this chapter when initiated <br/>
<a id="pl.67.27"></a><var>67.27</var>by a children's therapeutic services and supports provider under section 256B.0943.<br/>
<br/>
<a id="bill.3.3.0"></a><a id="pl.67.28"></a><var>67.28</var>    Sec. 3. Minnesota Statutes 2010, section 245C.10, is amended by adding a subdivision <br/>
<a id="pl.67.29"></a><var>67.29</var>to read:<br/>
<a id="pl.67.30"></a><var>67.30</var>    Subd. 8. <b>Children's therapeutic services and supports providers.</b> The <br/>
<a id="pl.67.31"></a><var>67.31</var>commissioner shall recover the cost of background studies required under section <br/>
<a id="pl.67.32"></a><var>67.32</var>245C.03, subdivision 7, for the purposes of children's therapeutic services and supports <br/>
<a id="pl.67.33"></a><var>67.33</var>under section 256B.0943, through a fee of no more than $20 per study charged to <br/>
<a id="pl.68.1"></a><var>68.1</var>the license holder. The fees collected under this subdivision are appropriated to the <br/>
<a id="pl.68.2"></a><var>68.2</var>commissioner for the purpose of conducting background studies.<br/>
<br/>
<a id="bill.3.4.0"></a><a id="pl.68.3"></a><var>68.3</var>    Sec. 4. Minnesota Statutes 2010, section 256B.04, subdivision 14a, is amended to read:<br/>
<a id="pl.68.4"></a><var>68.4</var>    Subd. 14a. <b>Level of need determination.</b> Nonemergency medical transportation <br/>
<a id="pl.68.5"></a><var>68.5</var>level of need determinations must be performed by a physician, a registered nurse working <br/>
<a id="pl.68.6"></a><var>68.6</var>under direct supervision of a physician, a physician's assistant, a nurse practitioner, a <br/>
<a id="pl.68.7"></a><var>68.7</var>licensed practical nurse, or a discharge planner.<br/>
<a id="pl.68.8"></a><var>68.8</var> Nonemergency medical transportation level of need determinations must not be <br/>
<a id="pl.68.9"></a><var>68.9</var>performed more than annually on any individual, unless the individual's circumstances <br/>
<a id="pl.68.10"></a><var>68.10</var>have sufficiently changed so as to require a new level of need determination. No entity <br/>
<a id="pl.68.11"></a><var>68.11</var>shall charge, and the commissioner shall pay, no more than $25 for performing a level of <br/>
<a id="pl.68.12"></a><var>68.12</var>need determination regarding any person receiving nonemergency medical transportation, <br/>
<a id="pl.68.13"></a><var>68.13</var>including special transportation.<br/>
<a id="pl.68.14"></a><var>68.14</var>Special transportation services to eligible persons who need a stretcher-accessible <br/>
<a id="pl.68.15"></a><var>68.15</var>vehicle from an inpatient or outpatient hospital are exempt from a level of need <br/>
<a id="pl.68.16"></a><var>68.16</var>determination if the special transportation services have been ordered by the eligible <br/>
<a id="pl.68.17"></a><var>68.17</var>person's physician, registered nurse working under direct supervision of a physician, <br/>
<a id="pl.68.18"></a><var>68.18</var>physician's assistant, nurse practitioner, licensed practical nurse, or discharge planner <br/>
<a id="pl.68.19"></a><var>68.19</var>pursuant to Medicare guidelines.<br/>
<a id="pl.68.20"></a><var>68.20</var> Individuals transported to or residing in licensed nursing facilities are exempt from a <br/>
<a id="pl.68.21"></a><var>68.21</var>level of need determination and are eligible for special transportation services until the <br/>
<a id="pl.68.22"></a><var>68.22</var>individual no longer resides in a licensed nursing facility. If a person authorized by this <br/>
<a id="pl.68.23"></a><var>68.23</var>subdivision to perform a level of need determination determines that an individual requires <br/>
<a id="pl.68.24"></a><var>68.24</var>stretcher transportation, the individual is presumed to maintain that level of need until <br/>
<a id="pl.68.25"></a><var>68.25</var>otherwise determined by a person authorized to perform a level of need determination, or <br/>
<a id="pl.68.26"></a><var>68.26</var>for six months, whichever is sooner.<br/>
<br/>
<a id="bill.3.5.0"></a><a id="pl.68.27"></a><var>68.27</var>    Sec. 5. Minnesota Statutes 2010, section 256B.0625, subdivision 17, is amended to <br/>
<a id="pl.68.28"></a><var>68.28</var>read:<br/>
<a id="pl.68.29"></a><var>68.29</var>    Subd. 17. <b>Transportation costs.</b> (a) Medical assistance covers medical <br/>
<a id="pl.68.30"></a><var>68.30</var>transportation costs incurred solely for obtaining emergency medical care or transportation <br/>
<a id="pl.68.31"></a><var>68.31</var>costs incurred by eligible persons in obtaining emergency or nonemergency medical <br/>
<a id="pl.68.32"></a><var>68.32</var>care when paid directly to an ambulance company, common carrier, or other recognized <br/>
<a id="pl.68.33"></a><var>68.33</var>providers of transportation services. Medical transportation must be provided by:<br/>
<a id="pl.68.34"></a><var>68.34</var>(1) an ambulance, as defined in section 
         <statute_ref>144E.001, subdivision 2</statute_ref>;<br/>
<a id="pl.69.1"></a><var>69.1</var>(2) special transportation; or<br/>
<a id="pl.69.2"></a><var>69.2</var>(3) common carrier including, but not limited to, bus, taxicab, other commercial <br/>
<a id="pl.69.3"></a><var>69.3</var>carrier, or private automobile.<br/>
<a id="pl.69.4"></a><var>69.4</var>(b) Medical assistance covers special transportation, as defined in Minnesota Rules, <br/>
<a id="pl.69.5"></a><var>69.5</var>part 9505.0315, subpart 1, item F, if the recipient has a physical or mental impairment that <br/>
<a id="pl.69.6"></a><var>69.6</var>would prohibit the recipient from safely accessing and using a bus, taxi, other commercial <br/>
<a id="pl.69.7"></a><var>69.7</var>transportation, or private automobile.<br/>
<a id="pl.69.8"></a><var>69.8</var>The commissioner may use an order by the recipient's attending physician to certify that <br/>
<a id="pl.69.9"></a><var>69.9</var>the recipient requires special transportation services. Special transportation providers <br/>
<a id="pl.69.10"></a><var>69.10</var>shall perform driver-assisted services for eligible individuals. Driver-assisted service <br/>
<a id="pl.69.11"></a><var>69.11</var>includes passenger pickup at and return to the individual's residence or place of business, <br/>
<a id="pl.69.12"></a><var>69.12</var>assistance with admittance of the individual to the medical facility, and assistance in <br/>
<a id="pl.69.13"></a><var>69.13</var>passenger securement or in securing of wheelchairs or stretchers in the vehicle. Special <br/>
<a id="pl.69.14"></a><var>69.14</var>transportation providers must obtain written documentation from the health care service <br/>
<a id="pl.69.15"></a><var>69.15</var>provider who is serving the recipient being transported, identifying the time that the <br/>
<a id="pl.69.16"></a><var>69.16</var>recipient arrived. Special transportation providers may not bill for separate base rates for <br/>
<a id="pl.69.17"></a><var>69.17</var>the continuation of a trip beyond the original destination. Special transportation providers <br/>
<a id="pl.69.18"></a><var>69.18</var>must take recipients to the nearest appropriate health care provider, using the most direct <br/>
<a id="pl.69.19"></a><var>69.19</var>route as determined by a commercially available mileage software program approved by <br/>
<a id="pl.69.20"></a><var>69.20</var>the commissioner. The minimum medical assistance reimbursement rates for special <br/>
<a id="pl.69.21"></a><var>69.21</var>transportation services are:<br/>
<a id="pl.69.22"></a><var>69.22</var>(1) (i) $17 for the base rate and $1.35 per mile for special transportation services to <br/>
<a id="pl.69.23"></a><var>69.23</var>eligible persons who need a wheelchair-accessible van;<br/>
<a id="pl.69.24"></a><var>69.24</var>(ii) $11.50 for the base rate and $1.30 per mile for special transportation services to <br/>
<a id="pl.69.25"></a><var>69.25</var>eligible persons who do not need a wheelchair-accessible van; and<br/>
<a id="pl.69.26"></a><var>69.26</var>(iii) $60 for the base rate and $2.40 per mile, and an attendant rate of $9 per trip, for <br/>
<a id="pl.69.27"></a><var>69.27</var>special transportation services to eligible persons who need a stretcher-accessible vehicle;<br/>
<a id="pl.69.28"></a><var>69.28</var>(2) the base rates for special transportation services in areas defined under RUCA <br/>
<a id="pl.69.29"></a><var>69.29</var>to be super rural shall be equal to the reimbursement rate established in clause (1) plus <br/>
<a id="pl.69.30"></a><var>69.30</var>11.3 percent; and<br/>
<a id="pl.69.31"></a><var>69.31</var>(3) for special transportation services in areas defined under RUCA to be rural <br/>
<a id="pl.69.32"></a><var>69.32</var>or super rural areas:<br/>
<a id="pl.69.33"></a><var>69.33</var>(i) for a trip equal to 17 miles or less, mileage reimbursement shall be equal to 125 <br/>
<a id="pl.69.34"></a><var>69.34</var>percent of the respective mileage rate in clause (1); and<br/>
<a id="pl.69.35"></a><var>69.35</var>(ii) for a trip between 18 and 50 miles, mileage reimbursement shall be equal to <br/>
<a id="pl.69.36"></a><var>69.36</var>112.5 percent of the respective mileage rate in clause (1).<br/>
<a id="pl.70.1"></a><var>70.1</var>(c) For purposes of reimbursement rates for special transportation services under <br/>
<a id="pl.70.2"></a><var>70.2</var>paragraph (b), the zip code of the recipient's place of residence shall determine whether <br/>
<a id="pl.70.3"></a><var>70.3</var>the urban, rural, or super rural reimbursement rate applies.<br/>
<a id="pl.70.4"></a><var>70.4</var>(d) For purposes of this subdivision, "rural urban commuting area" or "RUCA" <br/>
<a id="pl.70.5"></a><var>70.5</var>means a census-tract based classification system under which a geographical area is <br/>
<a id="pl.70.6"></a><var>70.6</var>determined to be urban, rural, or super rural.<br/>
<br/>
<a id="bill.3.6.0"></a><a id="pl.70.7"></a><var>70.7</var>    Sec. 6. Minnesota Statutes 2010, section 256B.0943, is amended by adding a <br/>
<a id="pl.70.8"></a><var>70.8</var>subdivision to read:<br/>
<a id="pl.70.9"></a><var>70.9</var>    Subd. 5a. <b>Background studies.</b> The requirements for background studies under <br/>
<a id="pl.70.10"></a><var>70.10</var>this section may be met by a children's therapeutic services and supports services agency <br/>
<a id="pl.70.11"></a><var>70.11</var>through the commissioner's NETStudy system as provided under sections 245C.03, <br/>
<a id="pl.70.12"></a><var>70.12</var>subdivision 7, and 245C.10, subdivision 8.<br/>
<br/>
<a id="bill.3.7.0"></a><a id="pl.70.13"></a><var>70.13</var>    Sec. 7. Minnesota Statutes 2010, section 256B.14, is amended by adding a subdivision <br/>
<a id="pl.70.14"></a><var>70.14</var>to read:<br/>
<a id="pl.70.15"></a><var>70.15</var>    Subd. 3a. <b>Spousal contribution.</b> (a) For purposes of this subdivision, the following <br/>
<a id="pl.70.16"></a><var>70.16</var>terms have the meanings given:<br/>
<a id="pl.70.17"></a><var>70.17</var>(1) "commissioner" means the commissioner of human services;<br/>
<a id="pl.70.18"></a><var>70.18</var>(2) "community spouse" means the spouse, who lives in the community, of an <br/>
<a id="pl.70.19"></a><var>70.19</var>individual receiving long-term care services in a long-term care facility or home care <br/>
<a id="pl.70.20"></a><var>70.20</var>services pursuant to the Medicaid waiver for elderly services under section 256B.0915 <br/>
<a id="pl.70.21"></a><var>70.21</var>or the alternative care program under section 256B.0913. A community spouse does not <br/>
<a id="pl.70.22"></a><var>70.22</var>include a spouse living in the community who receives a monthly income allowance under <br/>
<a id="pl.70.23"></a><var>70.23</var>section 256B.058, subdivision 2, or who receives home and community-based services <br/>
<a id="pl.70.24"></a><var>70.24</var>under section 256B.0915, 256B.092, or 256B.49, or the alternative care program under <br/>
<a id="pl.70.25"></a><var>70.25</var>section 256B.0913;<br/>
<a id="pl.70.26"></a><var>70.26</var>(3) "cost of care" means the actual fee-for-service costs or capitated payments for <br/>
<a id="pl.70.27"></a><var>70.27</var>the long-term care spouse;<br/>
<a id="pl.70.28"></a><var>70.28</var>(4) "department" means the Department of Human Services;<br/>
<a id="pl.70.29"></a><var>70.29</var>(5) "disabled child" means a blind or permanently and totally disabled son or <br/>
<a id="pl.70.30"></a><var>70.30</var>daughter of any age based on the Social Security Administration disability standards;<br/>
<a id="pl.70.31"></a><var>70.31</var>(6) "income" means earned and unearned income, attributable to the community <br/>
<a id="pl.70.32"></a><var>70.32</var>spouse, used to calculate the adjusted gross income on the prior year's income tax return. <br/>
<a id="pl.70.33"></a><var>70.33</var>Evidence of income includes, but is not limited to, W-2 and 1099 forms; and<br/>
<a id="pl.71.1"></a><var>71.1</var>(7) "long-term care spouse" means the spouse who is receiving long-term care <br/>
<a id="pl.71.2"></a><var>71.2</var>services in a long-term care facility or home and community based services pursuant <br/>
<a id="pl.71.3"></a><var>71.3</var>to the Medicaid waiver for elderly services under section 256B.0915 or the alternative <br/>
<a id="pl.71.4"></a><var>71.4</var>care program under section 256B.0913.<br/>
<a id="pl.71.5"></a><var>71.5</var>(b) The community spouse of a long-term care spouse who receives medical <br/>
<a id="pl.71.6"></a><var>71.6</var>assistance or alternative care services has an obligation to contribute to the cost of care. <br/>
<a id="pl.71.7"></a><var>71.7</var>The community spouse must pay a monthly fee on a sliding fee scale based on the <br/>
<a id="pl.71.8"></a><var>71.8</var>community spouse's income. If a minor or disabled child resides with and receives care <br/>
<a id="pl.71.9"></a><var>71.9</var>from the community spouse, then no fee shall be assessed.<br/>
<a id="pl.71.10"></a><var>71.10</var>(c) For a community spouse with an income equal to or greater than 250 percent of <br/>
<a id="pl.71.11"></a><var>71.11</var>the federal poverty guidelines for a family of two and less than 545 percent of the federal <br/>
<a id="pl.71.12"></a><var>71.12</var>poverty guidelines for a family of two, the spousal contribution shall be determined using <br/>
<a id="pl.71.13"></a><var>71.13</var>a sliding fee scale established by the commissioner that begins at 7.5 percent of the <br/>
<a id="pl.71.14"></a><var>71.14</var>community spouse's income and increases to 15 percent for those with an income of up to <br/>
<a id="pl.71.15"></a><var>71.15</var>545 percent of the federal poverty guidelines for a family of two.<br/>
<a id="pl.71.16"></a><var>71.16</var>(d) For a community spouse with an income equal to or greater than 545 percent of <br/>
<a id="pl.71.17"></a><var>71.17</var>the federal poverty guidelines for a family of two and less than 750 percent of the federal <br/>
<a id="pl.71.18"></a><var>71.18</var>poverty guidelines for a family of two, the spousal contribution shall be determined using <br/>
<a id="pl.71.19"></a><var>71.19</var>a sliding fee scale established by the commissioner that begins at 15 percent of the <br/>
<a id="pl.71.20"></a><var>71.20</var>community spouse's income and increases to 25 percent for those with an income of up to <br/>
<a id="pl.71.21"></a><var>71.21</var>750 percent of the federal poverty guidelines for a family of two.<br/>
<a id="pl.71.22"></a><var>71.22</var>(e) For a community spouse with an income equal to or greater than 750 percent of <br/>
<a id="pl.71.23"></a><var>71.23</var>the federal poverty guidelines for a family of two and less than 975 percent of the federal <br/>
<a id="pl.71.24"></a><var>71.24</var>poverty guidelines for a family of two, the spousal contribution shall be determined using <br/>
<a id="pl.71.25"></a><var>71.25</var>a sliding fee scale established by the commissioner that begins at 25 percent of the <br/>
<a id="pl.71.26"></a><var>71.26</var>community spouse's income and increases to 33 percent for those with an income of up to <br/>
<a id="pl.71.27"></a><var>71.27</var>975 percent of the federal poverty guidelines for a family of two.<br/>
<a id="pl.71.28"></a><var>71.28</var>(f) For a community spouse with an income equal to or greater than 975 percent of <br/>
<a id="pl.71.29"></a><var>71.29</var>the federal poverty guidelines for a family of two, the spousal contribution shall be 33 <br/>
<a id="pl.71.30"></a><var>71.30</var>percent of the community spouse's income.<br/>
<a id="pl.71.31"></a><var>71.31</var>(g) The spousal contribution shall be explained in writing at the time eligibility <br/>
<a id="pl.71.32"></a><var>71.32</var>for medical assistance or alternative care is being determined. In addition to explaining <br/>
<a id="pl.71.33"></a><var>71.33</var>the formula used to determine the fee, the county or tribal agency shall provide written <br/>
<a id="pl.71.34"></a><var>71.34</var>information describing how to request a variance for undue hardship, how a contribution <br/>
<a id="pl.71.35"></a><var>71.35</var>may be reviewed or redetermined, the right to appeal a contribution determination, and <br/>
<a id="pl.71.36"></a><var>71.36</var>that the consequences for not complying with a request to provide information shall be <br/>
<a id="pl.72.1"></a><var>72.1</var>an assessment against the community spouse for the full cost of care for the long-term <br/>
<a id="pl.72.2"></a><var>72.2</var>care spouse.<br/>
<a id="pl.72.3"></a><var>72.3</var>(h) The contribution shall be assessed for each month the long-term care spouse <br/>
<a id="pl.72.4"></a><var>72.4</var>has a community spouse and is eligible for medical assistance payment of long-term <br/>
<a id="pl.72.5"></a><var>72.5</var>care services or alternative care.<br/>
<a id="pl.72.6"></a><var>72.6</var>(i) The spousal contribution shall be reviewed at least once every 12 months and <br/>
<a id="pl.72.7"></a><var>72.7</var>when there is a loss or gain in income in excess of ten percent. Thirty days prior to a <br/>
<a id="pl.72.8"></a><var>72.8</var>review or redetermination, written notice must be provided to the community spouse <br/>
<a id="pl.72.9"></a><var>72.9</var>and must contain the amount the spouse is required to contribute, notice of the right to <br/>
<a id="pl.72.10"></a><var>72.10</var>redetermination and appeal, and the telephone number of the division at the agency that is <br/>
<a id="pl.72.11"></a><var>72.11</var>responsible for redetermination and review. If, after review, the contribution amount is to <br/>
<a id="pl.72.12"></a><var>72.12</var>be adjusted, the county or tribal agency shall mail a written notice to the community spouse <br/>
<a id="pl.72.13"></a><var>72.13</var>30 days in advance of the effective date of the change in the amount of the contribution.<br/>
<a id="pl.72.14"></a><var>72.14</var>(1) The spouse shall notify the county or tribal agency within 30 days of a gain or <br/>
<a id="pl.72.15"></a><var>72.15</var>loss in income in excess of ten percent and provide the agency supporting documentation <br/>
<a id="pl.72.16"></a><var>72.16</var>to verify the need for redetermination of the fee.<br/>
<a id="pl.72.17"></a><var>72.17</var>(2) When a spouse requests a review or redetermination of the contribution amount, <br/>
<a id="pl.72.18"></a><var>72.18</var>a request for information shall be sent to the spouse within ten calendar days after the <br/>
<a id="pl.72.19"></a><var>72.19</var>county or tribal agency receives the request for review.<br/>
<a id="pl.72.20"></a><var>72.20</var>(3) No action shall be taken on a review or redetermination until the required <br/>
<a id="pl.72.21"></a><var>72.21</var>information is received by the county or tribal agency.<br/>
<a id="pl.72.22"></a><var>72.22</var>(4) The review of the spousal contribution shall be completed within ten days after <br/>
<a id="pl.72.23"></a><var>72.23</var>the county or tribal agency receives completed information that verifies a loss or gain in <br/>
<a id="pl.72.24"></a><var>72.24</var>income in excess of ten percent.<br/>
<a id="pl.72.25"></a><var>72.25</var>(5) An increase in the contribution amount is effective in the month in which the <br/>
<a id="pl.72.26"></a><var>72.26</var>increase in income occurs.<br/>
<a id="pl.72.27"></a><var>72.27</var>(6) A decrease in the contribution amount is effective in the month the spouse <br/>
<a id="pl.72.28"></a><var>72.28</var>verifies the reduction in income, retroactive to no longer than six months.<br/>
<a id="pl.72.29"></a><var>72.29</var>(j) In no case shall the spousal contribution exceed the amount of medical assistance <br/>
<a id="pl.72.30"></a><var>72.30</var>expended or the cost of alternative care services for the care of the long-term care spouse. <br/>
<a id="pl.72.31"></a><var>72.31</var>Annually, upon redetermination, or at termination of eligibility, the total amount of <br/>
<a id="pl.72.32"></a><var>72.32</var>medical assistance paid or costs of alternative care for the care of the long-term care spouse <br/>
<a id="pl.72.33"></a><var>72.33</var>and the total amount of the spousal contribution shall be compared. If the total amount <br/>
<a id="pl.72.34"></a><var>72.34</var>of the spousal contribution exceeds the total amount of medical assistance expended or <br/>
<a id="pl.72.35"></a><var>72.35</var>cost of alternative care, then the agency shall reimburse the community spouse the excess <br/>
<a id="pl.73.1"></a><var>73.1</var>amount if the long-term care spouse is no longer receiving services, or apply the excess <br/>
<a id="pl.73.2"></a><var>73.2</var>amount to the spousal contribution due until the excess amount is exhausted.<br/>
<a id="pl.73.3"></a><var>73.3</var>(k) A community spouse may request a variance by submitting a written request <br/>
<a id="pl.73.4"></a><var>73.4</var>and supporting documentation that payment of the calculated contribution would cause <br/>
<a id="pl.73.5"></a><var>73.5</var>an undue hardship. An undue hardship is defined as the inability to pay the calculated <br/>
<a id="pl.73.6"></a><var>73.6</var>contribution due to medical expenses incurred by the community spouse. Documentation <br/>
<a id="pl.73.7"></a><var>73.7</var>must include proof of medical expenses incurred by the community spouse since the last <br/>
<a id="pl.73.8"></a><var>73.8</var>annual redetermination of the contribution amount that are not reimbursable by any public <br/>
<a id="pl.73.9"></a><var>73.9</var>or private source, and are a type, regardless of amount, that would be allowable as a <br/>
<a id="pl.73.10"></a><var>73.10</var>federal tax deduction under the Internal Revenue Code.<br/>
<a id="pl.73.11"></a><var>73.11</var>(1) A spouse who requests a variance from a notice of an increase in the amount <br/>
<a id="pl.73.12"></a><var>73.12</var>of spousal contribution shall continue to make monthly payments at the lower amount <br/>
<a id="pl.73.13"></a><var>73.13</var>pending determination of the variance request. A spouse who requests a variance from <br/>
<a id="pl.73.14"></a><var>73.14</var>the initial determination shall not be required to make a payment pending determination <br/>
<a id="pl.73.15"></a><var>73.15</var>of the variance request. Payments made pending outcome of the variance request that <br/>
<a id="pl.73.16"></a><var>73.16</var>result in overpayment must be returned to the spouse, if the long-term care spouse is no <br/>
<a id="pl.73.17"></a><var>73.17</var>longer receiving services, or applied to the spousal contribution in the current year. If the <br/>
<a id="pl.73.18"></a><var>73.18</var>variance is denied, the spouse shall pay the additional amount due from the effective date <br/>
<a id="pl.73.19"></a><var>73.19</var>of the increase or the total amount due from the effective date of the original notice of <br/>
<a id="pl.73.20"></a><var>73.20</var>determination of the spousal contribution.<br/>
<a id="pl.73.21"></a><var>73.21</var>(2) A spouse who is granted a variance shall sign a written agreement in which the <br/>
<a id="pl.73.22"></a><var>73.22</var>spouse agrees to report to the county or tribal agency any changes in circumstances that <br/>
<a id="pl.73.23"></a><var>73.23</var>gave rise to the undue hardship variance.<br/>
<a id="pl.73.24"></a><var>73.24</var>(3) When the county or tribal agency receives a request for a variance, written notice <br/>
<a id="pl.73.25"></a><var>73.25</var>of a grant or denial of the variance shall be mailed to the spouse within 30 calendar days <br/>
<a id="pl.73.26"></a><var>73.26</var>after the county or tribal agency receives the financial information required in this clause. <br/>
<a id="pl.73.27"></a><var>73.27</var>The granting of a variance will necessitate a written agreement between the spouse and the <br/>
<a id="pl.73.28"></a><var>73.28</var>county or tribal agency with regard to the specific terms of the variance. The variance <br/>
<a id="pl.73.29"></a><var>73.29</var>will not become effective until the written agreement is signed by the spouse. If the <br/>
<a id="pl.73.30"></a><var>73.30</var>county or tribal agency denies in whole or in part the request for a variance, the denial <br/>
<a id="pl.73.31"></a><var>73.31</var>notice shall set forth in writing the reasons for the denial that address the specific hardship <br/>
<a id="pl.73.32"></a><var>73.32</var>and right to appeal.<br/>
<a id="pl.73.33"></a><var>73.33</var>(4) If a variance is granted, the term of the variance shall not exceed 12 months <br/>
<a id="pl.73.34"></a><var>73.34</var>unless otherwise determined by the county or tribal agency.<br/>
<a id="pl.73.35"></a><var>73.35</var>(5) Undue hardship does not include action taken by a spouse which divested or <br/>
<a id="pl.73.36"></a><var>73.36</var>diverted income in order to avoid being assessed a spousal contribution.<br/>
<a id="pl.74.1"></a><var>74.1</var>(l) A spouse aggrieved by an action under this subdivision has the right to appeal <br/>
<a id="pl.74.2"></a><var>74.2</var>under subdivision 4. If the spouse appeals on or before the effective date of an increase <br/>
<a id="pl.74.3"></a><var>74.3</var>in the spousal fee, the spouse shall continue to make payments to the county or tribal <br/>
<a id="pl.74.4"></a><var>74.4</var>agency in the lower amount while the appeal is pending. A spouse appealing an initial <br/>
<a id="pl.74.5"></a><var>74.5</var>determination of a spousal contribution shall not be required to make monthly payments <br/>
<a id="pl.74.6"></a><var>74.6</var>pending an appeal decision. Payments made that result in an overpayment shall be <br/>
<a id="pl.74.7"></a><var>74.7</var>reimbursed to the spouse if the long-term care spouse is no longer receiving services, or <br/>
<a id="pl.74.8"></a><var>74.8</var>applied to the spousal contribution remaining in the current year. If the county or tribal <br/>
<a id="pl.74.9"></a><var>74.9</var>agency's determination is affirmed, the community spouse shall pay within 90 calendar <br/>
<a id="pl.74.10"></a><var>74.10</var>days of the order the total amount due from the effective date of the original notice of <br/>
<a id="pl.74.11"></a><var>74.11</var>determination of the spousal contribution. The commissioner's order is binding on the <br/>
<a id="pl.74.12"></a><var>74.12</var>spouse and the agency and shall be implemented subject to section 256.045, subdivision 7. <br/>
<a id="pl.74.13"></a><var>74.13</var>No additional notice is required to enforce the commissioner's order.<br/>
<a id="pl.74.14"></a><var>74.14</var>(m) If the county or tribal agency finds that notice of the payment obligation was <br/>
<a id="pl.74.15"></a><var>74.15</var>given to the community spouse and the spouse was determined to be able to pay, but that <br/>
<a id="pl.74.16"></a><var>74.16</var>the spouse failed or refused to pay, a cause of action exists against the community spouse <br/>
<a id="pl.74.17"></a><var>74.17</var>for that portion of medical assistance payment of long-term care services or alternative <br/>
<a id="pl.74.18"></a><var>74.18</var>care services granted after notice was given to the community spouse. The action may be <br/>
<a id="pl.74.19"></a><var>74.19</var>brought by the county or tribal agency in the county where assistance was granted for the <br/>
<a id="pl.74.20"></a><var>74.20</var>assistance together with the costs of disbursements incurred due to the action. In addition <br/>
<a id="pl.74.21"></a><var>74.21</var>to granting the county or tribal agency a money judgment, the court may, upon a motion or <br/>
<a id="pl.74.22"></a><var>74.22</var>order to show cause, order continuing contributions by a community spouse found able to <br/>
<a id="pl.74.23"></a><var>74.23</var>repay the county or tribal agency. The order shall be effective only for the period of time <br/>
<a id="pl.74.24"></a><var>74.24</var>during which a contribution shall be assessed.<br/>
<a id="pl.74.25"></a><var>74.25</var>    (n) Counties and tribes are entitled to one-half of the nonfederal share of <br/>
<a id="pl.74.26"></a><var>74.26</var>contributions made under this section for long-term care spouses on medical assistance <br/>
<a id="pl.74.27"></a><var>74.27</var>that are directly attributed to county or tribal efforts. Counties and tribes are entitled to <br/>
<a id="pl.74.28"></a><var>74.28</var>25 percent of the contributions made under this section for long-term care spouses on <br/>
<a id="pl.74.29"></a><var>74.29</var>alternative care directly attributed to county or tribal efforts.<br/>
<a id="pl.74.30"></a><var>74.30</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2012.<br/>
<br/>
<a id="bill.3.8.0"></a><a id="pl.74.31"></a><var>74.31</var>    Sec. 8. Minnesota Statutes 2010, section 326B.175, is amended to read:<br/>
<a id="pl.74.32"></a><var>74.32</var><b>326B.175 ELEVATORS, ENTRANCES SEALED.</b><br/>
<a id="pl.74.33"></a><var>74.33</var>    Except as provided in section 326B.188, it shall be the duty of the department and <br/>
<a id="pl.74.34"></a><var>74.34</var>the licensing authority of any municipality which adopts any such ordinance whenever <br/>
<a id="pl.75.1"></a><var>75.1</var>it finds any such elevator under its jurisdiction in use in violation of any provision of <br/>
<a id="pl.75.2"></a><var>75.2</var>sections 
         <statute_ref>326B.163</statute_ref> to 
         <statute_ref>326B.178</statute_ref> to seal the entrances of such elevator and attach a notice <br/>
<a id="pl.75.3"></a><var>75.3</var>forbidding the use of such elevator until the provisions thereof are complied with.<br/>
<br/>
<a id="bill.3.9.0"></a><a id="pl.75.4"></a><var>75.4</var>    Sec. 9. <b>[326B.188] COMPLIANCE WITH ELEVATOR CODE CHANGES.</b><br/>
<a id="pl.75.5"></a><var>75.5</var>(a) This section applies to code requirements for existing elevators and related <br/>
<a id="pl.75.6"></a><var>75.6</var>devices under Minnesota Rules, chapter 1307, where the deadline set by law for meeting <br/>
<a id="pl.75.7"></a><var>75.7</var>the code requirements is January 29, 2012, or later.<br/>
<a id="pl.75.8"></a><var>75.8</var>(b) If the department or municipality conducting elevator inspections within its <br/>
<a id="pl.75.9"></a><var>75.9</var>jurisdiction notifies the owner of an existing elevator or related device of the code <br/>
<a id="pl.75.10"></a><var>75.10</var>requirements before the effective date of this section, the owner may submit a compliance <br/>
<a id="pl.75.11"></a><var>75.11</var>plan by December 30, 2011. If the department or municipality does not notify the owner <br/>
<a id="pl.75.12"></a><var>75.12</var>of an existing elevator or related device of the code requirements before the effective <br/>
<a id="pl.75.13"></a><var>75.13</var>date of this section, the department or municipality shall notify the owner of the code <br/>
<a id="pl.75.14"></a><var>75.14</var>requirements and permit the owner to submit a compliance plan by December 30, 2011, or <br/>
<a id="pl.75.15"></a><var>75.15</var>within 60 days after the date of notification, whichever is later.<br/>
<a id="pl.75.16"></a><var>75.16</var>(c) Any compliance plan submitted under this section must result in compliance with <br/>
<a id="pl.75.17"></a><var>75.17</var>the code requirements by the later of January 29, 2012, or three years after submission of <br/>
<a id="pl.75.18"></a><var>75.18</var>the compliance plan. Elevators and related devices that are not in compliance with the <br/>
<a id="pl.75.19"></a><var>75.19</var>code requirements by the later of January 29, 2012, or three years after the submission of <br/>
<a id="pl.75.20"></a><var>75.20</var>the compliance plan may be taken out of service as provided in section 326B.175.<br/>
<br/>
<a id="bill.3.10.0"></a><a id="pl.75.21"></a><var>75.21</var>    Sec. 10. <b>NONEMERGENCY MEDICAL TRANSPORTATION SINGLE </b><br/>
<a id="pl.75.22"></a><var>75.22</var><b>ADMINISTRATIVE STRUCTURE PROPOSAL.</b><br/>
<a id="pl.75.23"></a><var>75.23</var>(a) The commissioner of human services shall develop a proposal to create a single <br/>
<a id="pl.75.24"></a><var>75.24</var>administrative structure for providing nonemergency medical transportation services to <br/>
<a id="pl.75.25"></a><var>75.25</var>fee-for-service medical assistance recipients. This proposal must consolidate access and <br/>
<a id="pl.75.26"></a><var>75.26</var>special transportation into one administrative structure with the goal of standardizing <br/>
<a id="pl.75.27"></a><var>75.27</var>eligibility determination processes, scheduling arrangements, billing procedures, data <br/>
<a id="pl.75.28"></a><var>75.28</var>collection, and oversight mechanisms in order to enhance coordination, improve <br/>
<a id="pl.75.29"></a><var>75.29</var>accountability, and lessen confusion.<br/>
<a id="pl.75.30"></a><var>75.30</var>(b) In developing the proposal, the commissioner shall:<br/>
<a id="pl.75.31"></a><var>75.31</var>(1) examine the current responsibilities performed by the counties and the <br/>
<a id="pl.75.32"></a><var>75.32</var>Department of Human Services and consider the shift in costs if these responsibilities are <br/>
<a id="pl.75.33"></a><var>75.33</var>changed;<br/>
<a id="pl.76.1"></a><var>76.1</var>(2) identify key performance measures to assess the cost effectiveness of <br/>
<a id="pl.76.2"></a><var>76.2</var>nonemergency medical transportation statewide, including a process to collect, audit, <br/>
<a id="pl.76.3"></a><var>76.3</var>and report data;<br/>
<a id="pl.76.4"></a><var>76.4</var>(3) develop a statewide complaint system for medical assistance recipients using <br/>
<a id="pl.76.5"></a><var>76.5</var>special transportation;<br/>
<a id="pl.76.6"></a><var>76.6</var>(4) establish a standardized billing process;<br/>
<a id="pl.76.7"></a><var>76.7</var>(5) establish a process that provides public input from interested parties before <br/>
<a id="pl.76.8"></a><var>76.8</var>special transportation eligibility policies are implemented or significantly changed;<br/>
<a id="pl.76.9"></a><var>76.9</var>(6) establish specific eligibility criteria that include the frequency of eligibility <br/>
<a id="pl.76.10"></a><var>76.10</var>assessments and the length of time a recipient remains eligible for special transportation;<br/>
<a id="pl.76.11"></a><var>76.11</var>(7) develop a reimbursement method to compensate volunteers for no-load miles <br/>
<a id="pl.76.12"></a><var>76.12</var>when transporting recipients to or from health-related appointments; and<br/>
<a id="pl.76.13"></a><var>76.13</var>(8) establish specific eligibility criteria to maximize the use of public transportation <br/>
<a id="pl.76.14"></a><var>76.14</var>by recipients who are without a physical, mental, or other impairment that would prohibit <br/>
<a id="pl.76.15"></a><var>76.15</var>safely accessing and using public transportation.<br/>
<a id="pl.76.16"></a><var>76.16</var>(c) In developing the proposal, the commissioner shall consult with the <br/>
<a id="pl.76.17"></a><var>76.17</var>nonemergency medical transportation advisory council established under paragraph (d).<br/>
<a id="pl.76.18"></a><var>76.18</var>(d) The commissioner shall establish the nonemergency medical transportation <br/>
<a id="pl.76.19"></a><var>76.19</var>advisory council to assist the commissioner in developing a single administrative structure <br/>
<a id="pl.76.20"></a><var>76.20</var>for providing nonemergency medical transportation services. The council shall be <br/>
<a id="pl.76.21"></a><var>76.21</var>comprised of: <br/>
<a id="pl.76.22"></a><var>76.22</var>(1) one representative each from the departments of human services and <br/>
<a id="pl.76.23"></a><var>76.23</var>transportation; <br/>
<a id="pl.76.24"></a><var>76.24</var>(2) one representative each from the following organizations: the Minnesota State <br/>
<a id="pl.76.25"></a><var>76.25</var>Council on Disability, the Minnesota Consortium for Citizens with Disabilities, ARC <br/>
<a id="pl.76.26"></a><var>76.26</var>of Minnesota, the Association of Minnesota Counties, the Metropolitan Inter-County <br/>
<a id="pl.76.27"></a><var>76.27</var>Association, the R-80 Medical Transportation Coalition, the Minnesota Paratransit <br/>
<a id="pl.76.28"></a><var>76.28</var>Association, legal aid, the Minnesota Ambulance Association, the National Alliance on <br/>
<a id="pl.76.29"></a><var>76.29</var>Mental Illness, Medical Transportation Management, and other transportation providers; <br/>
<a id="pl.76.30"></a><var>76.30</var>and<br/>
<a id="pl.76.31"></a><var>76.31</var>(3) four members from the house of representatives, two from the majority party <br/>
<a id="pl.76.32"></a><var>76.32</var>and two from the minority party, appointed by the speaker, and four members from the <br/>
<a id="pl.76.33"></a><var>76.33</var>senate, two from the majority party and two from the minority party, appointed by the <br/>
<a id="pl.76.34"></a><var>76.34</var>Subcommittee on Committees of the Committee on Rules and Administration.<br/>
<a id="pl.77.1"></a><var>77.1</var>The council is governed by Minnesota Statutes, section 15.509, except that members <br/>
<a id="pl.77.2"></a><var>77.2</var>shall not receive per diems. The commissioner of human services shall fund all costs <br/>
<a id="pl.77.3"></a><var>77.3</var>related to the council from existing resources.<br/>
<a id="pl.77.4"></a><var>77.4</var>(e) The commissioner shall submit the proposal and draft legislation necessary for <br/>
<a id="pl.77.5"></a><var>77.5</var>implementation to the chairs and ranking minority members of the senate and house of <br/>
<a id="pl.77.6"></a><var>77.6</var>representatives committees or divisions with jurisdiction over health care policy and <br/>
<a id="pl.77.7"></a><var>77.7</var>finance by January 15, 2012.<br/>
<br/>
<a id="bill.4.0.0"></a>
<b>ARTICLE 4</b>

<a id="bill.4.1.0"></a><a id="pl.77.10"></a><var>77.10</var>    Section 1. Minnesota Statutes 2010, section 148.07, subdivision 1, is amended to read:<br/>
<a id="pl.77.11"></a><var>77.11</var>    Subdivision 1. <b>Renewal fees.</b> All persons practicing chiropractic within this state, <br/>
<a id="pl.77.12"></a><var>77.12</var>or licensed so to do, shall pay, on or before the date of expiration of their licenses, to the <br/>
<a id="pl.77.13"></a><var>77.13</var>Board of Chiropractic Examiners a renewal fee set by the board in accordance with section <br/>
<a id="pl.77.14"></a><var>77.14</var>16A.1283, with a penalty set by the board for each month or portion thereof for which a <br/>
<a id="pl.77.15"></a><var>77.15</var>license fee is in arrears and upon payment of the renewal and upon compliance with all the <br/>
<a id="pl.77.16"></a><var>77.16</var>rules of the board, shall be entitled to renewal of their license.<br/>
<br/>
<a id="bill.4.2.0"></a><a id="pl.77.17"></a><var>77.17</var>    Sec. 2. Minnesota Statutes 2010, section 148.108, is amended by adding a subdivision <br/>
<a id="pl.77.18"></a><var>77.18</var>to read:<br/>
<a id="pl.77.19"></a><var>77.19</var>    Subd. 4. <b>Animal chiropractic.</b> (a) Animal chiropractic registration fee is $125.<br/>
<a id="pl.77.20"></a><var>77.20</var>(b) Animal chiropractic registration renewal fee is $75.<br/>
<a id="pl.77.21"></a><var>77.21</var>(c) Animal chiropractic inactive renewal fee is $25.<br/>
<br/>
<a id="bill.4.3.0"></a><a id="pl.77.22"></a><var>77.22</var>    Sec. 3. Minnesota Statutes 2010, section 148.191, subdivision 2, is amended to read:<br/>
<a id="pl.77.23"></a><var>77.23</var>    Subd. 2. <b>Powers.</b> (a) The board is authorized to adopt and, from time to time, revise <br/>
<a id="pl.77.24"></a><var>77.24</var>rules not inconsistent with the law, as may be necessary to enable it to carry into effect the <br/>
<a id="pl.77.25"></a><var>77.25</var>provisions of sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref>. The board shall prescribe by rule curricula <br/>
<a id="pl.77.26"></a><var>77.26</var>and standards for schools and courses preparing persons for licensure under sections <br/>
<statute_ref><a id="pl.77.27"></a><var>77.27</var>148.171
         </statute_ref> to 
         <statute_ref>148.285</statute_ref>. It shall conduct or provide for surveys of such schools and courses <br/>
<a id="pl.77.28"></a><var>77.28</var>at such times as it may deem necessary. It shall approve such schools and courses as <br/>
<a id="pl.77.29"></a><var>77.29</var>meet the requirements of sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref> and board rules. It shall examine, <br/>
<a id="pl.77.30"></a><var>77.30</var>license, and renew the license of duly qualified applicants. It shall hold examinations <br/>
<a id="pl.77.31"></a><var>77.31</var>at least once in each year at such time and place as it may determine. It shall by rule <br/>
<a id="pl.77.32"></a><var>77.32</var>adopt, evaluate, and periodically revise, as necessary, requirements for licensure and for <br/>
<a id="pl.77.33"></a><var>77.33</var>registration and renewal of registration as defined in section 
         <statute_ref>148.231</statute_ref>. It shall maintain a <br/>
<a id="pl.78.1"></a><var>78.1</var>record of all persons licensed by the board to practice professional or practical nursing and <br/>
<a id="pl.78.2"></a><var>78.2</var>all registered nurses who hold Minnesota licensure and registration and are certified as <br/>
<a id="pl.78.3"></a><var>78.3</var>advanced practice registered nurses. It shall cause the prosecution of all persons violating <br/>
<a id="pl.78.4"></a><var>78.4</var>sections 
         <statute_ref>148.171</statute_ref> to 
         <statute_ref>148.285</statute_ref> and have power to incur such necessary expense therefor. <br/>
<a id="pl.78.5"></a><var>78.5</var>It shall register public health nurses who meet educational and other requirements <br/>
<a id="pl.78.6"></a><var>78.6</var>established by the board by rule, including payment of a fee. Prior to the adoption of rules, <br/>
<a id="pl.78.7"></a><var>78.7</var>the board shall use the same procedures used by the Department of Health to certify public <br/>
<a id="pl.78.8"></a><var>78.8</var>health nurses. It shall have power to issue subpoenas, and to compel the attendance of <br/>
<a id="pl.78.9"></a><var>78.9</var>witnesses and the production of all necessary documents and other evidentiary material. <br/>
<a id="pl.78.10"></a><var>78.10</var>Any board member may administer oaths to witnesses, or take their affirmation. It shall <br/>
<a id="pl.78.11"></a><var>78.11</var>keep a record of all its proceedings. <br/>
<a id="pl.78.12"></a><var>78.12</var>(b) The board shall have access to hospital, nursing home, and other medical records <br/>
<a id="pl.78.13"></a><var>78.13</var>of a patient cared for by a nurse under review. If the board does not have a written consent <br/>
<a id="pl.78.14"></a><var>78.14</var>from a patient permitting access to the patient's records, the nurse or facility shall delete <br/>
<a id="pl.78.15"></a><var>78.15</var>any data in the record that identifies the patient before providing it to the board. The board <br/>
<a id="pl.78.16"></a><var>78.16</var>shall have access to such other records as reasonably requested by the board to assist the <br/>
<a id="pl.78.17"></a><var>78.17</var>board in its investigation. Nothing herein may be construed to allow access to any records <br/>
<a id="pl.78.18"></a><var>78.18</var>protected by section 
         <statute_ref>145.64</statute_ref>. The board shall maintain any records obtained pursuant to <br/>
<a id="pl.78.19"></a><var>78.19</var>this paragraph as investigative data under chapter 13. <br/>
<a id="pl.78.20"></a><var>78.20</var>(c) The board may accept and expend grants or gifts of money or in-kind services <br/>
<a id="pl.78.21"></a><var>78.21</var>from a person, a public or private entity, or any other source for purposes consistent with <br/>
<a id="pl.78.22"></a><var>78.22</var>the board's role and within the scope of its statutory authority.<br/>
<a id="pl.78.23"></a><var>78.23</var>(d) The board may accept registration fees for meetings and conferences conducted <br/>
<a id="pl.78.24"></a><var>78.24</var>for the purposes of board activities that are within the scope of its authority.<br/>
<br/>
<a id="bill.4.4.0"></a><a id="pl.78.25"></a><var>78.25</var>    Sec. 4. Minnesota Statutes 2010, section 148.212, subdivision 1, is amended to read:<br/>
<a id="pl.78.26"></a><var>78.26</var>    Subdivision 1. <b>Issuance.</b> Upon receipt of the applicable licensure or reregistration <br/>
<a id="pl.78.27"></a><var>78.27</var>fee and permit fee, and in accordance with rules of the board, the board may issue <br/>
<a id="pl.78.28"></a><var>78.28</var>a nonrenewable temporary permit to practice professional or practical nursing to an <br/>
<a id="pl.78.29"></a><var>78.29</var>applicant for licensure or reregistration who is not the subject of a pending investigation <br/>
<a id="pl.78.30"></a><var>78.30</var>or disciplinary action, nor disqualified for any other reason, under the following <br/>
<a id="pl.78.31"></a><var>78.31</var>circumstances:<br/>
<a id="pl.78.32"></a><var>78.32</var>(a) The applicant for licensure by examination under section 
<statute_ref>148.211, subdivision <br/>
<a id="pl.78.33"></a><var>78.33</var>1
</statute_ref>, has graduated from an approved nursing program within the 60 days preceding board <br/>
<a id="pl.78.34"></a><var>78.34</var>receipt of an affidavit of graduation or transcript and has been authorized by the board to <br/>
<a id="pl.78.35"></a><var>78.35</var>write the licensure examination for the first time in the United States. The permit holder <br/>
<a id="pl.79.1"></a><var>79.1</var>must practice professional or practical nursing under the direct supervision of a registered <br/>
<a id="pl.79.2"></a><var>79.2</var>nurse. The permit is valid from the date of issue until the date the board takes action on <br/>
<a id="pl.79.3"></a><var>79.3</var>the application or for 60 days whichever occurs first. <br/>
<a id="pl.79.4"></a><var>79.4</var>(b) The applicant for licensure by endorsement under section 
         <statute_ref>148.211, subdivision 2</statute_ref>, <br/>
<a id="pl.79.5"></a><var>79.5</var>is currently licensed to practice professional or practical nursing in another state, territory, <br/>
<a id="pl.79.6"></a><var>79.6</var>or Canadian province. The permit is valid from submission of a proper request until the <br/>
<a id="pl.79.7"></a><var>79.7</var>date of board action on the application or for 60 days, whichever comes first. <br/>
<a id="pl.79.8"></a><var>79.8</var>(c) (b) The applicant for licensure by endorsement under section 
         <statute_ref>148.211, <br/>
<a id="pl.79.9"></a><var>79.9</var>subdivision 2
         </statute_ref>, or for reregistration under section 
         <statute_ref>148.231, subdivision 5</statute_ref>, is currently <br/>
<a id="pl.79.10"></a><var>79.10</var>registered in a formal, structured refresher course or its equivalent for nurses that includes <br/>
<a id="pl.79.11"></a><var>79.11</var>clinical practice. <br/>
<a id="pl.79.12"></a><var>79.12</var>(d) The applicant for licensure by examination under section 
<statute_ref>148.211, subdivision <br/>
<a id="pl.79.13"></a><var>79.13</var>1
</statute_ref>, who graduated from a nursing program in a country other than the United States or <br/>
<a id="pl.79.14"></a><var>79.14</var>Canada has completed all requirements for licensure except registering for and taking the <br/>
<a id="pl.79.15"></a><var>79.15</var>nurse licensure examination for the first time in the United States. The permit holder must <br/>
<a id="pl.79.16"></a><var>79.16</var>practice professional nursing under the direct supervision of a registered nurse. The permit <br/>
<a id="pl.79.17"></a><var>79.17</var>is valid from the date of issue until the date the board takes action on the application or for <br/>
<a id="pl.79.18"></a><var>79.18</var>60 days, whichever occurs first. <br/>
<br/>
<a id="bill.4.5.0"></a><a id="pl.79.19"></a><var>79.19</var>    Sec. 5. Minnesota Statutes 2010, section 148.231, is amended to read:<br/>
<a id="pl.79.20"></a><var>79.20</var><b>148.231 REGISTRATION; FAILURE TO REGISTER; REREGISTRATION; </b><br/>
<a id="pl.79.21"></a><var>79.21</var><b>VERIFICATION.</b><br/>
<a id="pl.79.22"></a><var>79.22</var>    Subdivision 1. <b>Registration.</b> Every person licensed to practice professional or <br/>
<a id="pl.79.23"></a><var>79.23</var>practical nursing must maintain with the board a current registration for practice as a <br/>
<a id="pl.79.24"></a><var>79.24</var>registered nurse or licensed practical nurse which must be renewed at regular intervals <br/>
<a id="pl.79.25"></a><var>79.25</var>established by the board by rule. No certificate of registration shall be issued by the board <br/>
<a id="pl.79.26"></a><var>79.26</var>to a nurse until the nurse has submitted satisfactory evidence of compliance with the <br/>
<a id="pl.79.27"></a><var>79.27</var>procedures and minimum requirements established by the board.<br/>
<a id="pl.79.28"></a><var>79.28</var>The fee for periodic registration for practice as a nurse shall be determined by the <br/>
<a id="pl.79.29"></a><var>79.29</var>board by rule law. A penalty fee shall be added for any application received after the <br/>
<a id="pl.79.30"></a><var>79.30</var>required date as specified by the board by rule. Upon receipt of the application and the <br/>
<a id="pl.79.31"></a><var>79.31</var>required fees, the board shall verify the application and the evidence of completion of <br/>
<a id="pl.79.32"></a><var>79.32</var>continuing education requirements in effect, and thereupon issue to the nurse a certificate <br/>
<a id="pl.79.33"></a><var>79.33</var>of registration for the next renewal period.<br/>
<a id="pl.80.1"></a><var>80.1</var>    Subd. 4. <b>Failure to register.</b> Any person licensed under the provisions of sections <br/>
<statute_ref><a id="pl.80.2"></a><var>80.2</var>148.171
         </statute_ref> to 
         <statute_ref>148.285</statute_ref> who fails to register within the required period shall not be entitled to <br/>
<a id="pl.80.3"></a><var>80.3</var>practice nursing in this state as a registered nurse or licensed practical nurse. <br/>
<a id="pl.80.4"></a><var>80.4</var>    Subd. 5. <b>Reregistration.</b> A person whose registration has lapsed desiring to <br/>
<a id="pl.80.5"></a><var>80.5</var>resume practice shall make application for reregistration, submit satisfactory evidence of <br/>
<a id="pl.80.6"></a><var>80.6</var>compliance with the procedures and requirements established by the board, and pay the <br/>
<a id="pl.80.7"></a><var>80.7</var>registration reregistration fee for the current period to the board. A penalty fee shall be <br/>
<a id="pl.80.8"></a><var>80.8</var>required from a person who practiced nursing without current registration. Thereupon, the <br/>
<a id="pl.80.9"></a><var>80.9</var>registration certificate shall be issued to the person who shall immediately be placed on <br/>
<a id="pl.80.10"></a><var>80.10</var>the practicing list as a registered nurse or licensed practical nurse.<br/>
<a id="pl.80.11"></a><var>80.11</var>    Subd. 6. <b>Verification.</b> A person licensed under the provisions of sections 
         <statute_ref>148.171</statute_ref> to <br/>
<statute_ref><a id="pl.80.12"></a><var>80.12</var>148.285
         </statute_ref> who requests the board to verify a Minnesota license to another state, territory, <br/>
<a id="pl.80.13"></a><var>80.13</var>or country or to an agency, facility, school, or institution shall pay a fee to the board <br/>
<a id="pl.80.14"></a><var>80.14</var>for each verification. <br/>
<br/>
<a id="bill.4.6.0"></a><a id="pl.80.15"></a><var>80.15</var>    Sec. 6. <b>[148.242] FEES.</b><br/>
<a id="pl.80.16"></a><var>80.16</var>The fees specified in section 148.243 are nonrefundable and must be deposited in <br/>
<a id="pl.80.17"></a><var>80.17</var>the state government special revenue fund.<br/>
<br/>
<a id="bill.4.7.0"></a><a id="pl.80.18"></a><var>80.18</var>    Sec. 7. <b>[148.243] FEE AMOUNTS.</b><br/>
<a id="pl.80.19"></a><var>80.19</var>    Subdivision 1. <b>Licensure by examination.</b> The fee for licensure by examination is <br/>
<a id="pl.80.20"></a><var>80.20</var>$105.<br/>
<a id="pl.80.21"></a><var>80.21</var>    Subd. 2. <b>Reexamination fee.</b> The reexamination fee is $60.<br/>
<a id="pl.80.22"></a><var>80.22</var>    Subd. 3. <b>Licensure by endorsement.</b> The fee for licensure by endorsement is $105.<br/>
<a id="pl.80.23"></a><var>80.23</var>    Subd. 4. <b>Registration renewal.</b> The fee for registration renewal is $85.<br/>
<a id="pl.80.24"></a><var>80.24</var>    Subd. 5. <b>Reregistration.</b> The fee for reregistration is $105.<br/>
<a id="pl.80.25"></a><var>80.25</var>    Subd. 6. <b>Replacement license.</b> The fee for a replacement license is $20.<br/>
<a id="pl.80.26"></a><var>80.26</var>    Subd. 7. <b>Public health nurse certification.</b> The fee for public health nurse <br/>
<a id="pl.80.27"></a><var>80.27</var>certification is $30.<br/>
<a id="pl.80.28"></a><var>80.28</var>    Subd. 8. <b>Drug Enforcement Administration verification for Advanced Practice </b><br/>
<a id="pl.80.29"></a><var>80.29</var><b>Registered Nurse (APRN).</b> The Drug Enforcement Administration verification for <br/>
<a id="pl.80.30"></a><var>80.30</var>APRN is $50.<br/>
<a id="pl.80.31"></a><var>80.31</var>    Subd. 9. <b>Licensure verification other than through Nursys.</b> The fee for <br/>
<a id="pl.80.32"></a><var>80.32</var>verification of licensure status other than through Nursys verification is $20.<br/>
<a id="pl.80.33"></a><var>80.33</var>    Subd. 10. <b>Verification of examination scores.</b> The fee for verification of <br/>
<a id="pl.80.34"></a><var>80.34</var>examination scores is $20.<br/>
<a id="pl.81.1"></a><var>81.1</var>    Subd. 11. <b>Microfilmed licensure application materials.</b> The fee for a copy of <br/>
<a id="pl.81.2"></a><var>81.2</var>microfilmed licensure application materials is $20.<br/>
<a id="pl.81.3"></a><var>81.3</var>    Subd. 12. <b>Nursing business registration; initial application.</b> The fee for the initial <br/>
<a id="pl.81.4"></a><var>81.4</var>application for nursing business registration is $100.<br/>
<a id="pl.81.5"></a><var>81.5</var>    Subd. 13. <b>Nursing business registration; annual application.</b> The fee for the <br/>
<a id="pl.81.6"></a><var>81.6</var>annual application for nursing business registration is $25.<br/>
<a id="pl.81.7"></a><var>81.7</var>    Subd. 14. <b>Practicing without current registration.</b> The fee for practicing without <br/>
<a id="pl.81.8"></a><var>81.8</var>current registration is two times the amount of the current registration renewal fee for any <br/>
<a id="pl.81.9"></a><var>81.9</var>part of the first calendar month, plus the current registration renewal fee for any part of <br/>
<a id="pl.81.10"></a><var>81.10</var>any subsequent month up to 24 months.<br/>
<a id="pl.81.11"></a><var>81.11</var>    Subd. 15. <b>Practicing without current APRN certification.</b> The fee for practicing <br/>
<a id="pl.81.12"></a><var>81.12</var>without current APRN certification is $200 for the first month or any part thereof, plus <br/>
<a id="pl.81.13"></a><var>81.13</var>$100 for each subsequent month or part thereof.<br/>
<a id="pl.81.14"></a><var>81.14</var>    Subd. 16. <b>Dishonored check fee.</b> The service fee for a dishonored check is as <br/>
<a id="pl.81.15"></a><var>81.15</var>provided in section 604.113.<br/>
<a id="pl.81.16"></a><var>81.16</var>    Subd. 17. <b>Border state registry fee.</b> The initial application fee for border state <br/>
<a id="pl.81.17"></a><var>81.17</var>registration is $50. Any subsequent notice of employment change to remain or be <br/>
<a id="pl.81.18"></a><var>81.18</var>reinstated on the registry is $50.<br/>
<br/>
<a id="bill.4.8.0"></a><a id="pl.81.19"></a><var>81.19</var>    Sec. 8. <b>[148.2855] NURSE LICENSURE COMPACT.</b><br/>
<a id="pl.81.20"></a><var>81.20</var>The Nurse Licensure Compact is enacted into law and entered into with all other <br/>
<a id="pl.81.21"></a><var>81.21</var>jurisdictions legally joining in it, in the form substantially as follows:<br/>

<a id="pl.81.25"></a><var>81.25</var>(a) "Adverse action" means a home or remote state action.<br/>
<a id="pl.81.26"></a><var>81.26</var>(b) "Alternative program" means a voluntary, nondisciplinary monitoring program <br/>
<a id="pl.81.27"></a><var>81.27</var>approved by a nurse licensing board.<br/>
<a id="pl.81.28"></a><var>81.28</var>(c) "Coordinated licensure information system" means an integrated process for <br/>
<a id="pl.81.29"></a><var>81.29</var>collecting, storing, and sharing information on nurse licensure and enforcement activities <br/>
<a id="pl.81.30"></a><var>81.30</var>related to nurse licensure laws, which is administered by a nonprofit organization <br/>
<a id="pl.81.31"></a><var>81.31</var>composed of and controlled by state nurse licensing boards.<br/>
<a id="pl.81.32"></a><var>81.32</var>(d) "Current significant investigative information" means:<br/>
<a id="pl.81.33"></a><var>81.33</var>(1) investigative information that a licensing board, after a preliminary inquiry that <br/>
<a id="pl.81.34"></a><var>81.34</var>includes notification and an opportunity for the nurse to respond if required by state law, <br/>
<a id="pl.82.1"></a><var>82.1</var>has reason to believe is not groundless and, if proved true, would indicate more than a <br/>
<a id="pl.82.2"></a><var>82.2</var>minor infraction; or<br/>
<a id="pl.82.3"></a><var>82.3</var>(2) investigative information that indicates that the nurse represents an immediate <br/>
<a id="pl.82.4"></a><var>82.4</var>threat to public health and safety regardless of whether the nurse has been notified and <br/>
<a id="pl.82.5"></a><var>82.5</var>had an opportunity to respond.<br/>
<a id="pl.82.6"></a><var>82.6</var>(e) "Home state" means the party state which is the nurse's primary state of residence.<br/>
<a id="pl.82.7"></a><var>82.7</var>(f) "Home state action" means any administrative, civil, equitable, or criminal <br/>
<a id="pl.82.8"></a><var>82.8</var>action permitted by the home state's laws which are imposed on a nurse by the home <br/>
<a id="pl.82.9"></a><var>82.9</var>state's licensing board or other authority including actions against an individual's license <br/>
<a id="pl.82.10"></a><var>82.10</var>such as revocation, suspension, probation, or any other action which affects a nurse's <br/>
<a id="pl.82.11"></a><var>82.11</var>authorization to practice.<br/>
<a id="pl.82.12"></a><var>82.12</var>(g) "Licensing board" means a party state's regulatory body responsible for issuing <br/>
<a id="pl.82.13"></a><var>82.13</var>nurse licenses.<br/>
<a id="pl.82.14"></a><var>82.14</var>(h) "Multistate licensure privilege" means current, official authority from a <br/>
<a id="pl.82.15"></a><var>82.15</var>remote state permitting the practice of nursing as either a registered nurse or a licensed <br/>
<a id="pl.82.16"></a><var>82.16</var>practical/vocational nurse in the party state. All party states have the authority, according <br/>
<a id="pl.82.17"></a><var>82.17</var>to existing state due process law, to take actions against the nurse's privilege such as <br/>
<a id="pl.82.18"></a><var>82.18</var>revocation, suspension, probation, or any other action which affects a nurse's authorization <br/>
<a id="pl.82.19"></a><var>82.19</var>to practice.<br/>
<a id="pl.82.20"></a><var>82.20</var>(i) "Nurse" means a registered nurse or licensed practical/vocational nurse as those <br/>
<a id="pl.82.21"></a><var>82.21</var>terms are defined by each party state's practice laws.<br/>
<a id="pl.82.22"></a><var>82.22</var>(j) "Party state" means any state that has adopted this compact.<br/>
<a id="pl.82.23"></a><var>82.23</var>(k) "Remote state" means a party state other than the home state:<br/>
<a id="pl.82.24"></a><var>82.24</var>(1) where the patient is located at the time nursing care is provided; or<br/>
<a id="pl.82.25"></a><var>82.25</var>(2) in the case of the practice of nursing not involving a patient, in the party state <br/>
<a id="pl.82.26"></a><var>82.26</var>where the recipient of nursing practice is located.<br/>
<a id="pl.82.27"></a><var>82.27</var>(l) "Remote state action" means:<br/>
<a id="pl.82.28"></a><var>82.28</var>(1) any administrative, civil, equitable, or criminal action permitted by a remote <br/>
<a id="pl.82.29"></a><var>82.29</var>state's laws which are imposed on a nurse by the remote state's licensing board or other <br/>
<a id="pl.82.30"></a><var>82.30</var>authority including actions against an individual's multistate licensure privilege to practice <br/>
<a id="pl.82.31"></a><var>82.31</var>in the remote state; and<br/>
<a id="pl.82.32"></a><var>82.32</var>(2) cease and desist and other injunctive or equitable orders issued by remote states <br/>
<a id="pl.82.33"></a><var>82.33</var>or the licensing boards of those states.<br/>
<a id="pl.82.34"></a><var>82.34</var>(m) "State" means a state, territory, or possession of the United States, the District of <br/>
<a id="pl.82.35"></a><var>82.35</var>Columbia, or the Commonwealth of Puerto Rico.<br/>
<a id="pl.83.1"></a><var>83.1</var>(n) "State practice laws" means individual party state laws and regulations that <br/>
<a id="pl.83.2"></a><var>83.2</var>govern the practice of nursing, define the scope of nursing practice, and create the <br/>
<a id="pl.83.3"></a><var>83.3</var>methods and grounds for imposing discipline. State practice laws does not include the <br/>
<a id="pl.83.4"></a><var>83.4</var>initial qualifications for licensure or requirements necessary to obtain and retain a license, <br/>
<a id="pl.83.5"></a><var>83.5</var>except for qualifications or requirements of the home state.<br/>

<a id="pl.83.9"></a><var>83.9</var>that state will be recognized by each party state as authorizing a multistate licensure <br/>
<a id="pl.83.10"></a><var>83.10</var>privilege to practice as a registered nurse in the party state. A license to practice licensed <br/>
<a id="pl.83.11"></a><var>83.11</var>practical/vocational nursing issued by a home state to a resident in that state will be <br/>
<a id="pl.83.12"></a><var>83.12</var>recognized by each party state as authorizing a multistate licensure privilege to practice <br/>
<a id="pl.83.13"></a><var>83.13</var>as a licensed practical/vocational nurse in the party state. In order to obtain or retain a <br/>
<a id="pl.83.14"></a><var>83.14</var>license, an applicant must meet the home state's qualifications for licensure and license <br/>
<a id="pl.83.15"></a><var>83.15</var>renewal as well as all other applicable state laws.<br/>
<a id="pl.83.16"></a><var>83.16</var>(b) Party states may, according to state due process laws, limit or revoke the <br/>
<a id="pl.83.17"></a><var>83.17</var>multistate licensure privilege of any nurse to practice in their state and may take any other <br/>
<a id="pl.83.18"></a><var>83.18</var>actions under their applicable state laws necessary to protect the health and safety of <br/>
<a id="pl.83.19"></a><var>83.19</var>their citizens. If a party state takes such action, it shall promptly notify the administrator <br/>
<a id="pl.83.20"></a><var>83.20</var>of the coordinated licensure information system. The administrator of the coordinated <br/>
<a id="pl.83.21"></a><var>83.21</var>licensure information system shall promptly notify the home state of any such actions by <br/>
<a id="pl.83.22"></a><var>83.22</var>remote states.<br/>
<a id="pl.83.23"></a><var>83.23</var>(c) Every nurse practicing in a party state must comply with the state practice laws of <br/>
<a id="pl.83.24"></a><var>83.24</var>the state in which the patient is located at the time care is rendered. In addition, the practice <br/>
<a id="pl.83.25"></a><var>83.25</var>of nursing is not limited to patient care, but shall include all nursing practice as defined by <br/>
<a id="pl.83.26"></a><var>83.26</var>the state practice laws of the party state. The practice of nursing will subject a nurse to the <br/>
<a id="pl.83.27"></a><var>83.27</var>jurisdiction of the nurse licensing board, the courts, and the laws in the party state.<br/>
<a id="pl.83.28"></a><var>83.28</var>(d) This compact does not affect additional requirements imposed by states for <br/>
<a id="pl.83.29"></a><var>83.29</var>advanced practice registered nursing. However, a multistate licensure privilege to practice <br/>
<a id="pl.83.30"></a><var>83.30</var>registered nursing granted by a party state shall be recognized by other party states as a <br/>
<a id="pl.83.31"></a><var>83.31</var>license to practice registered nursing if one is required by state law as a precondition for <br/>
<a id="pl.83.32"></a><var>83.32</var>qualifying for advanced practice registered nurse authorization.<br/>
<a id="pl.83.33"></a><var>83.33</var>(e) Individuals not residing in a party state shall continue to be able to apply for <br/>
<a id="pl.83.34"></a><var>83.34</var>nurse licensure as provided for under the laws of each party state. However, the license <br/>
<a id="pl.83.35"></a><var>83.35</var>granted to these individuals will not be recognized as granting the privilege to practice <br/>
<a id="pl.83.36"></a><var>83.36</var>nursing in any other party state unless explicitly agreed to by that party state.<br/>

<a id="pl.84.4"></a><var>84.4</var>through the coordinated licensure information system, whether the applicant has ever held <br/>
<a id="pl.84.5"></a><var>84.5</var>or is the holder of a license issued by any other state, whether there are any restrictions <br/>
<a id="pl.84.6"></a><var>84.6</var>on the multistate licensure privilege, and whether any other adverse action by a state <br/>
<a id="pl.84.7"></a><var>84.7</var>has been taken against the license.<br/>
<a id="pl.84.8"></a><var>84.8</var>(b) A nurse in a party state shall hold licensure in only one party state at a time, <br/>
<a id="pl.84.9"></a><var>84.9</var>issued by the home state.<br/>
<a id="pl.84.10"></a><var>84.10</var>(c) A nurse who intends to change primary state of residence may apply for licensure <br/>
<a id="pl.84.11"></a><var>84.11</var>in the new home state in advance of the change. However, new licenses will not be <br/>
<a id="pl.84.12"></a><var>84.12</var>issued by a party state until after a nurse provides evidence of change in primary state of <br/>
<a id="pl.84.13"></a><var>84.13</var>residence satisfactory to the new home state's licensing board.<br/>
<a id="pl.84.14"></a><var>84.14</var>(d) When a nurse changes primary state of residence by:<br/>
<a id="pl.84.15"></a><var>84.15</var>(1) moving between two party states, and obtains a license from the new home state, <br/>
<a id="pl.84.16"></a><var>84.16</var>the license from the former home state is no longer valid;<br/>
<a id="pl.84.17"></a><var>84.17</var>(2) moving from a nonparty state to a party state, and obtains a license from the new <br/>
<a id="pl.84.18"></a><var>84.18</var>home state, the individual state license issued by the nonparty state is not affected and will <br/>
<a id="pl.84.19"></a><var>84.19</var>remain in full force if so provided by the laws of the nonparty state; or<br/>
<a id="pl.84.20"></a><var>84.20</var>(3) moving from a party state to a nonparty state, the license issued by the prior <br/>
<a id="pl.84.21"></a><var>84.21</var>home state converts to an individual state license, valid only in the former home state, <br/>
<a id="pl.84.22"></a><var>84.22</var>without the multistate licensure privilege to practice in other party states.<br/>

<a id="pl.84.26"></a><var>84.26</var>article apply.<br/>
<a id="pl.84.27"></a><var>84.27</var>(a) The licensing board of a remote state shall promptly report to the administrator <br/>
<a id="pl.84.28"></a><var>84.28</var>of the coordinated licensure information system any remote state actions including the <br/>
<a id="pl.84.29"></a><var>84.29</var>factual and legal basis for the action, if known. The licensing board of a remote state shall <br/>
<a id="pl.84.30"></a><var>84.30</var>also promptly report any significant current investigative information yet to result in a <br/>
<a id="pl.84.31"></a><var>84.31</var>remote state action. The administrator of the coordinated licensure information system <br/>
<a id="pl.84.32"></a><var>84.32</var>shall promptly notify the home state of any reports.<br/>
<a id="pl.84.33"></a><var>84.33</var>(b) The licensing board of a party state shall have the authority to complete any <br/>
<a id="pl.84.34"></a><var>84.34</var>pending investigation for a nurse who changes primary state of residence during the <br/>
<a id="pl.84.35"></a><var>84.35</var>course of the investigation. The board shall also have the authority to take appropriate <br/>
<a id="pl.84.36"></a><var>84.36</var>action, and shall promptly report the conclusion of the investigation to the administrator <br/>
<a id="pl.85.1"></a><var>85.1</var>of the coordinated licensure information system. The administrator of the coordinated <br/>
<a id="pl.85.2"></a><var>85.2</var>licensure information system shall promptly notify the new home state of any action.<br/>
<a id="pl.85.3"></a><var>85.3</var>(c) A remote state may take adverse action affecting the multistate licensure <br/>
<a id="pl.85.4"></a><var>85.4</var>privilege to practice within that party state. However, only the home state shall have the <br/>
<a id="pl.85.5"></a><var>85.5</var>power to impose adverse action against the license issued by the home state.<br/>
<a id="pl.85.6"></a><var>85.6</var>(d) For purposes of imposing adverse actions, the licensing board of the home state <br/>
<a id="pl.85.7"></a><var>85.7</var>shall give the same priority and effect to reported conduct received from a remote state as <br/>
<a id="pl.85.8"></a><var>85.8</var>it would if the conduct had occurred within the home state. In so doing, it shall apply its <br/>
<a id="pl.85.9"></a><var>85.9</var>own state laws to determine appropriate action.<br/>
<a id="pl.85.10"></a><var>85.10</var>(e) The home state may take adverse action based on the factual findings of the <br/>
<a id="pl.85.11"></a><var>85.11</var>remote state, provided each state follows its own procedures for imposing the adverse <br/>
<a id="pl.85.12"></a><var>85.12</var>action.<br/>
<a id="pl.85.13"></a><var>85.13</var>(f) Nothing in this compact shall override a party state's decision that participation <br/>
<a id="pl.85.14"></a><var>85.14</var>in an alternative program may be used in lieu of licensure action and that participation <br/>
<a id="pl.85.15"></a><var>85.15</var>shall remain nonpublic if required by the party state's laws.<br/>
<a id="pl.85.16"></a><var>85.16</var>Party states must require nurses who enter any alternative programs to agree not to <br/>
<a id="pl.85.17"></a><var>85.17</var>practice in any other party state during the term of the alternative program without prior <br/>
<a id="pl.85.18"></a><var>85.18</var>authorization from the other party state.<br/>

<a id="pl.85.23"></a><var>85.23</var>authority to:<br/>
<a id="pl.85.24"></a><var>85.24</var>(1) if otherwise permitted by state law, recover from the affected nurse the costs of <br/>
<a id="pl.85.25"></a><var>85.25</var>investigation and disposition of cases resulting from any adverse action taken against <br/>
<a id="pl.85.26"></a><var>85.26</var>that nurse;<br/>
<a id="pl.85.27"></a><var>85.27</var>(2) issue subpoenas for both hearings and investigations which require the attendance <br/>
<a id="pl.85.28"></a><var>85.28</var>and testimony of witnesses, and the production of evidence. Subpoenas issued by a nurse <br/>
<a id="pl.85.29"></a><var>85.29</var>licensing board in a party state for the attendance and testimony of witnesses, and the <br/>
<a id="pl.85.30"></a><var>85.30</var>production of evidence from another party state, shall be enforced in the latter state by <br/>
<a id="pl.85.31"></a><var>85.31</var>any court of competent jurisdiction according to the practice and procedure of that court <br/>
<a id="pl.85.32"></a><var>85.32</var>applicable to subpoenas issued in proceedings pending before it. The issuing authority <br/>
<a id="pl.85.33"></a><var>85.33</var>shall pay any witness fees, travel expenses, mileage, and other fees required by the service <br/>
<a id="pl.85.34"></a><var>85.34</var>statutes of the state where the witnesses and evidence are located;<br/>
<a id="pl.85.35"></a><var>85.35</var>(3) issue cease and desist orders to limit or revoke a nurse's authority to practice <br/>
<a id="pl.85.36"></a><var>85.36</var>in the nurse's state; and<br/>
<a id="pl.86.1"></a><var>86.1</var>(4) adopt uniform rules and regulations as provided for in article 7, paragraph (c).<br/>

<a id="pl.86.5"></a><var>86.5</var>database of all licensed registered nurses and licensed practical/vocational nurses. This <br/>
<a id="pl.86.6"></a><var>86.6</var>system shall include information on the licensure and disciplinary history of each <br/>
<a id="pl.86.7"></a><var>86.7</var>nurse, as contributed by party states, to assist in the coordination of nurse licensure and <br/>
<a id="pl.86.8"></a><var>86.8</var>enforcement efforts.<br/>
<a id="pl.86.9"></a><var>86.9</var>(b) Notwithstanding any other provision of law, all party states' licensing boards shall <br/>
<a id="pl.86.10"></a><var>86.10</var>promptly report adverse actions, actions against multistate licensure privileges, any current <br/>
<a id="pl.86.11"></a><var>86.11</var>significant investigative information yet to result in adverse action, denials of applications, <br/>
<a id="pl.86.12"></a><var>86.12</var>and the reasons for the denials to the coordinated licensure information system.<br/>
<a id="pl.86.13"></a><var>86.13</var>(c) Current significant investigative information shall be transmitted through the <br/>
<a id="pl.86.14"></a><var>86.14</var>coordinated licensure information system only to party state licensing boards.<br/>
<a id="pl.86.15"></a><var>86.15</var>(d) Notwithstanding any other provision of law, all party states' licensing boards <br/>
<a id="pl.86.16"></a><var>86.16</var>contributing information to the coordinated licensure information system may designate <br/>
<a id="pl.86.17"></a><var>86.17</var>information that may not be shared with nonparty states or disclosed to other entities or <br/>
<a id="pl.86.18"></a><var>86.18</var>individuals without the express permission of the contributing state.<br/>
<a id="pl.86.19"></a><var>86.19</var>(e) Any personally identifiable information obtained by a party state's licensing <br/>
<a id="pl.86.20"></a><var>86.20</var>board from the coordinated licensure information system may not be shared with nonparty <br/>
<a id="pl.86.21"></a><var>86.21</var>states or disclosed to other entities or individuals except to the extent permitted by the <br/>
<a id="pl.86.22"></a><var>86.22</var>laws of the party state contributing the information.<br/>
<a id="pl.86.23"></a><var>86.23</var>(f) Any information contributed to the coordinated licensure information system that <br/>
<a id="pl.86.24"></a><var>86.24</var>is subsequently required to be expunged by the laws of the party state contributing that <br/>
<a id="pl.86.25"></a><var>86.25</var>information shall also be expunged from the coordinated licensure information system.<br/>
<a id="pl.86.26"></a><var>86.26</var>(g) The compact administrators, acting jointly with each other and in consultation <br/>
<a id="pl.86.27"></a><var>86.27</var>with the administrator of the coordinated licensure information system, shall formulate <br/>
<a id="pl.86.28"></a><var>86.28</var>necessary and proper procedures for the identification, collection, and exchange of <br/>
<a id="pl.86.29"></a><var>86.29</var>information under this compact.<br/>

<a id="pl.86.34"></a><var>86.34</var>administrator of this compact for that state.<br/>
<a id="pl.86.35"></a><var>86.35</var>(b) The compact administrator of each party state shall furnish to the compact <br/>
<a id="pl.86.36"></a><var>86.36</var>administrator of each other party state any information and documents including, but not <br/>
<a id="pl.87.1"></a><var>87.1</var>limited to, a uniform data set of investigations, identifying information, licensure data, and <br/>
<a id="pl.87.2"></a><var>87.2</var>disclosable alternative program participation information to facilitate the administration of <br/>
<a id="pl.87.3"></a><var>87.3</var>this compact.<br/>
<a id="pl.87.4"></a><var>87.4</var>(c) Compact administrators shall have the authority to develop uniform rules to <br/>
<a id="pl.87.5"></a><var>87.5</var>facilitate and coordinate implementation of this compact. These uniform rules shall be <br/>
<a id="pl.87.6"></a><var>87.6</var>adopted by party states under the authority in article 5, clause (4).<br/>

<a id="pl.87.10"></a><var>87.10</var>board who acts in good faith according to the provisions of this compact shall not be <br/>
<a id="pl.87.11"></a><var>87.11</var>liable for any act or omission while engaged in the performance of their duties under <br/>
<a id="pl.87.12"></a><var>87.12</var>this compact. Good faith shall not include willful misconduct, gross negligence, or <br/>
<a id="pl.87.13"></a><var>87.13</var>recklessness.<br/>

<a id="pl.87.17"></a><var>87.17</var>that state. Any party state may withdraw from this compact by repealing the nurse licensure <br/>
<a id="pl.87.18"></a><var>87.18</var>compact, but no withdrawal shall take effect until six months after the withdrawing state <br/>
<a id="pl.87.19"></a><var>87.19</var>has given notice of the withdrawal to the executive heads of all other party states.<br/>
<a id="pl.87.20"></a><var>87.20</var>(b) No withdrawal shall affect the validity or applicability by the licensing boards <br/>
<a id="pl.87.21"></a><var>87.21</var>of states remaining party to the compact of any report of adverse action occurring prior <br/>
<a id="pl.87.22"></a><var>87.22</var>to the withdrawal.<br/>
<a id="pl.87.23"></a><var>87.23</var>(c) Nothing contained in this compact shall be construed to invalidate or prevent any <br/>
<a id="pl.87.24"></a><var>87.24</var>nurse licensure agreement or other cooperative arrangement between a party state and a <br/>
<a id="pl.87.25"></a><var>87.25</var>nonparty state that is made according to the other provisions of this compact.<br/>
<a id="pl.87.26"></a><var>87.26</var>(d) This compact may be amended by the party states. No amendment to this <br/>
<a id="pl.87.27"></a><var>87.27</var>compact shall become effective and binding upon the party states until it is enacted into <br/>
<a id="pl.87.28"></a><var>87.28</var>the laws of all party states.<br/>

<a id="pl.87.32"></a><var>87.32</var>compact. The provisions of this compact shall be severable and if any phrase, clause, <br/>
<a id="pl.87.33"></a><var>87.33</var>sentence, or provision of this compact is declared to be contrary to the constitution of any <br/>
<a id="pl.87.34"></a><var>87.34</var>party state or of the United States or the applicability thereof to any government, agency, <br/>
<a id="pl.87.35"></a><var>87.35</var>person, or circumstance is held invalid, the validity of the remainder of this compact and <br/>
<a id="pl.87.36"></a><var>87.36</var>the applicability of it to any government, agency, person, or circumstance shall not be <br/>
<a id="pl.88.1"></a><var>88.1</var>affected by it. If this compact is held contrary to the constitution of any party state, the <br/>
<a id="pl.88.2"></a><var>88.2</var>compact shall remain in full force and effect for the remaining party states and in full force <br/>
<a id="pl.88.3"></a><var>88.3</var>and effect for the party state affected as to all severable matters.<br/>
<a id="pl.88.4"></a><var>88.4</var>(b) In the event party states find a need for settling disputes arising under this <br/>
<a id="pl.88.5"></a><var>88.5</var>compact:<br/>
<a id="pl.88.6"></a><var>88.6</var>(1) the party states may submit the issues in dispute to an arbitration panel which <br/>
<a id="pl.88.7"></a><var>88.7</var>shall be comprised of an individual appointed by the compact administrator in the home <br/>
<a id="pl.88.8"></a><var>88.8</var>state, an individual appointed by the compact administrator in the remote states involved, <br/>
<a id="pl.88.9"></a><var>88.9</var>and an individual mutually agreed upon by the compact administrators of the party states <br/>
<a id="pl.88.10"></a><var>88.10</var>involved in the dispute; and<br/>
<a id="pl.88.11"></a><var>88.11</var>(2) the decision of a majority of the arbitrators shall be final and binding.<br/>
<br/>
<a id="bill.4.9.0"></a><a id="pl.88.12"></a><var>88.12</var>    Sec. 9. <b>[148.2856] APPLICATION OF NURSE LICENSURE COMPACT TO </b><br/>
<a id="pl.88.13"></a><var>88.13</var><b>EXISTING LAWS.</b><br/>
<a id="pl.88.14"></a><var>88.14</var>(a) A nurse practicing professional or practical nursing in Minnesota under the <br/>
<a id="pl.88.15"></a><var>88.15</var>authority of section 148.2855 shall have the same obligations, privileges, and rights as if <br/>
<a id="pl.88.16"></a><var>88.16</var>the nurse was licensed in Minnesota. Notwithstanding any contrary provisions in section <br/>
<a id="pl.88.17"></a><var>88.17</var>148.2855, the Board of Nursing shall comply with and follow all laws and rules with <br/>
<a id="pl.88.18"></a><var>88.18</var>respect to registered and licensed practical nurses practicing professional or practical <br/>
<a id="pl.88.19"></a><var>88.19</var>nursing in Minnesota under the authority of section 148.2855, and all such individuals <br/>
<a id="pl.88.20"></a><var>88.20</var>shall be governed and regulated as if they were licensed by the board.<br/>
<a id="pl.88.21"></a><var>88.21</var>(b) Section 148.2855 does not relieve employers of nurses from complying with <br/>
<a id="pl.88.22"></a><var>88.22</var>statutorily imposed obligations.<br/>
<a id="pl.88.23"></a><var>88.23</var>(c) Section 148.2855 does not supersede existing state labor laws.<br/>
<a id="pl.88.24"></a><var>88.24</var>(d) For purposes of the Minnesota Government Data Practices Act, chapter 13, <br/>
<a id="pl.88.25"></a><var>88.25</var>an individual not licensed as a nurse under sections 148.171 to 148.285 who practices <br/>
<a id="pl.88.26"></a><var>88.26</var>professional or practical nursing in Minnesota under the authority of section 148.2855 is <br/>
<a id="pl.88.27"></a><var>88.27</var>considered to be a licensee of the board.<br/>
<a id="pl.88.28"></a><var>88.28</var>(e) Uniform rules developed by the compact administrators shall not be subject <br/>
<a id="pl.88.29"></a><var>88.29</var>to the provisions of sections 14.05 to 14.389, except for sections 14.07, 14.08, 14.101, <br/>
<a id="pl.88.30"></a><var>88.30</var>14.131, 14.18, 14.22, 14.23, 14.27, 14.28, 14.365, 14.366, 14.37, and 14.38.<br/>
<a id="pl.88.31"></a><var>88.31</var>(f) Proceedings brought against an individual's multistate privilege shall be <br/>
<a id="pl.88.32"></a><var>88.32</var>adjudicated following the procedures listed in sections 14.50 to 14.62 and shall be subject <br/>
<a id="pl.88.33"></a><var>88.33</var>to judicial review as provided for in sections 14.63 to 14.69.<br/>
<a id="pl.88.34"></a><var>88.34</var>(g) For purposes of sections 62M.09, subdivision 2; 121A.22, subdivision 4; <br/>
<a id="pl.88.35"></a><var>88.35</var>144.051; 144.052; 145A.02, subdivision 18; 148.975; 151.37; 152.12; 154.04; 256B.0917, <br/>
<a id="pl.89.1"></a><var>89.1</var>subdivision 8; 595.02, subdivision 1, paragraph (g); 604.20, subdivision 5; and 631.40, <br/>
<a id="pl.89.2"></a><var>89.2</var>subdivision 2; and chapters 319B and 364, holders of a multistate privilege who are <br/>
<a id="pl.89.3"></a><var>89.3</var>licensed as registered or licensed practical nurses in the home state shall be considered <br/>
<a id="pl.89.4"></a><var>89.4</var>to be licensees in Minnesota. If any of the statutes listed in this paragraph are limited to <br/>
<a id="pl.89.5"></a><var>89.5</var>registered nurses or the practice of professional nursing, then only holders of a multistate <br/>
<a id="pl.89.6"></a><var>89.6</var>privilege who are licensed as registered nurses in the home state shall be considered <br/>
<a id="pl.89.7"></a><var>89.7</var>licensees.<br/>
<a id="pl.89.8"></a><var>89.8</var>(h) The reporting requirements of sections 144.4175, 148.263, 626.52, and 626.557 <br/>
<a id="pl.89.9"></a><var>89.9</var>apply to individuals not licensed as registered or licensed practical nurses under sections <br/>
<a id="pl.89.10"></a><var>89.10</var>148.171 to 148.285 who practice professional or practical nursing in Minnesota under <br/>
<a id="pl.89.11"></a><var>89.11</var>the authority of section 148.2855.<br/>
<a id="pl.89.12"></a><var>89.12</var>(i) The board may take action against an individual's multistate privilege based on <br/>
<a id="pl.89.13"></a><var>89.13</var>the grounds listed in section 148.261, subdivision 1, and any other statute authorizing or <br/>
<a id="pl.89.14"></a><var>89.14</var>requiring the board to take corrective or disciplinary action.<br/>
<a id="pl.89.15"></a><var>89.15</var>(j) The board may take all forms of disciplinary action provided for in section <br/>
<a id="pl.89.16"></a><var>89.16</var>148.262, subdivision 1, and corrective action provided for in section 214.103, subdivision <br/>
<a id="pl.89.17"></a><var>89.17</var>6, against an individual's multistate privilege.<br/>
<a id="pl.89.18"></a><var>89.18</var>(k) The immunity provisions of section 148.264, subdivision 1, apply to individuals <br/>
<a id="pl.89.19"></a><var>89.19</var>who practice professional or practical nursing in Minnesota under the authority of section <br/>
<a id="pl.89.20"></a><var>89.20</var>148.2855.<br/>
<a id="pl.89.21"></a><var>89.21</var>(l) The cooperation requirements of section 148.265 apply to individuals who <br/>
<a id="pl.89.22"></a><var>89.22</var>practice professional or practical nursing in Minnesota under the authority of section <br/>
<a id="pl.89.23"></a><var>89.23</var>148.2855.<br/>
<a id="pl.89.24"></a><var>89.24</var>(m) The provisions of section 148.283 shall not apply to individuals who practice <br/>
<a id="pl.89.25"></a><var>89.25</var>professional or practical nursing in Minnesota under the authority of section 148.2855.<br/>
<a id="pl.89.26"></a><var>89.26</var>(n) Complaints against individuals who practice professional or practical nursing <br/>
<a id="pl.89.27"></a><var>89.27</var>in Minnesota under the authority of section 148.2855 shall be handled as provided in <br/>
<a id="pl.89.28"></a><var>89.28</var>sections 214.10 and 214.103.<br/>
<a id="pl.89.29"></a><var>89.29</var>(o) All provisions of section 148.2855 authorizing or requiring the board to provide <br/>
<a id="pl.89.30"></a><var>89.30</var>data to party states are authorized by section 214.10, subdivision 8, paragraph (d).<br/>
<a id="pl.89.31"></a><var>89.31</var>(p) Except as provided in section 13.41, subdivision 6, the board shall not report to a <br/>
<a id="pl.89.32"></a><var>89.32</var>remote state any active investigative data regarding a complaint investigation against a <br/>
<a id="pl.89.33"></a><var>89.33</var>nurse licensed under sections 148.171 to 148.285, unless the board obtains reasonable <br/>
<a id="pl.89.34"></a><var>89.34</var>assurances from the remote state that the data will be maintained with the same protections <br/>
<a id="pl.89.35"></a><var>89.35</var>as provided in Minnesota law.<br/>
<a id="pl.90.1"></a><var>90.1</var>(q) The provisions of sections 214.17 to 214.25 apply to individuals who practice <br/>
<a id="pl.90.2"></a><var>90.2</var>professional or practical nursing in Minnesota under the authority of section 148.2855 <br/>
<a id="pl.90.3"></a><var>90.3</var>when the practice involves direct physical contact between the nurse and a patient.<br/>
<a id="pl.90.4"></a><var>90.4</var>(r) A nurse practicing professional or practical nursing in Minnesota under the <br/>
<a id="pl.90.5"></a><var>90.5</var>authority of section 148.2855 must comply with any criminal background check required <br/>
<a id="pl.90.6"></a><var>90.6</var>under Minnesota law.<br/>
<br/>
<a id="bill.4.10.0"></a><a id="pl.90.7"></a><var>90.7</var>    Sec. 10. <b>[148.2857] WITHDRAWAL FROM COMPACT.</b><br/>
<a id="pl.90.8"></a><var>90.8</var>The governor may withdraw the state from the compact in section 148.2855 if <br/>
<a id="pl.90.9"></a><var>90.9</var>the Board of Nursing notifies the governor that a party state to the compact changed <br/>
<a id="pl.90.10"></a><var>90.10</var>the party state's requirements for nurse licensure after July 1, 2009, and that the party <br/>
<a id="pl.90.11"></a><var>90.11</var>state's requirements, as changed, are substantially lower than the requirements for nurse <br/>
<a id="pl.90.12"></a><var>90.12</var>licensure in this state.<br/>
<br/>
<a id="bill.4.11.0"></a><a id="pl.90.13"></a><var>90.13</var>    Sec. 11. <b>[148.2858] MISCELLANEOUS PROVISIONS.</b><br/>
<a id="pl.90.14"></a><var>90.14</var>(a) For the purposes of section 148.2855, "head of the Nurse Licensing Board" <br/>
<a id="pl.90.15"></a><var>90.15</var>means the executive director of the board.<br/>
<a id="pl.90.16"></a><var>90.16</var>(b) The Board of Nursing shall have the authority to recover from a nurse practicing <br/>
<a id="pl.90.17"></a><var>90.17</var>professional or practical nursing in Minnesota under the authority of section 148.2855 <br/>
<a id="pl.90.18"></a><var>90.18</var>the costs of investigation and disposition of cases resulting from any adverse action <br/>
<a id="pl.90.19"></a><var>90.19</var>taken against the nurse.<br/>
<a id="pl.90.20"></a><var>90.20</var>(c) The board may implement a system of identifying individuals who practice <br/>
<a id="pl.90.21"></a><var>90.21</var>professional or practical nursing in Minnesota under the authority of section 148.2855.<br/>
<br/>
<a id="bill.4.12.0"></a><a id="pl.90.22"></a><var>90.22</var>    Sec. 12. <b>[148.2859] NURSE LICENSURE COMPACT ADVISORY </b><br/>
<a id="pl.90.23"></a><var>90.23</var><b>COMMITTEE.</b><br/>
<a id="pl.90.24"></a><var>90.24</var>    Subdivision 1. <b>Establishment; membership.</b> A Nurse Licensure Compact Advisory <br/>
<a id="pl.90.25"></a><var>90.25</var>Committee is established to advise the compact administrator in the implementation of <br/>
<a id="pl.90.26"></a><var>90.26</var>section 148.2855. Members of the advisory committee shall be appointed by the board <br/>
<a id="pl.90.27"></a><var>90.27</var>and shall be composed of representatives of Minnesota nursing organizations, Minnesota <br/>
<a id="pl.90.28"></a><var>90.28</var>licensed nurses who practice in nursing facilities or hospitals, Minnesota licensed nurses <br/>
<a id="pl.90.29"></a><var>90.29</var>who provide home care, Minnesota licensed advanced practice registered nurses, and <br/>
<a id="pl.90.30"></a><var>90.30</var>public members as defined in section 214.02.<br/>
<a id="pl.90.31"></a><var>90.31</var>    Subd. 2. <b>Duties.</b> The advisory committee shall advise the compact administrator in <br/>
<a id="pl.90.32"></a><var>90.32</var>the implementation of section 148.2855.<br/>
<a id="pl.91.1"></a><var>91.1</var>    Subd. 3. <b>Organization.</b> The advisory committee shall be organized and <br/>
<a id="pl.91.2"></a><var>91.2</var>administered under section 15.059.<br/>
<br/>
<a id="bill.4.13.0"></a><a id="pl.91.3"></a><var>91.3</var>    Sec. 13. Minnesota Statutes 2010, section 148B.17, is amended to read:<br/>
<a id="pl.91.4"></a><var>91.4</var><b>148B.17 FEES.</b><br/>
<a id="pl.91.5"></a><var>91.5</var>    Subdivision. 1. <b>Fees; Board of Marriage and Family Therapy.</b> Each board shall <br/>
<a id="pl.91.6"></a><var>91.6</var>by rule establish The board's fees, including late fees, for licenses and renewals are <br/>
<a id="pl.91.7"></a><var>91.7</var>established so that the total fees collected by the board will as closely as possible equal <br/>
<a id="pl.91.8"></a><var>91.8</var>anticipated expenditures during the fiscal biennium, as provided in section 
         <statute_ref>16A.1285</statute_ref>. <br/>
<a id="pl.91.9"></a><var>91.9</var>Fees must be credited to accounts the board's account in the state government special <br/>
<a id="pl.91.10"></a><var>91.10</var>revenue fund. <br/>
<a id="pl.91.11"></a><var>91.11</var>    Subd. 2. <b>Licensure and application fees.</b> Nonrefundable licensure and application <br/>
<a id="pl.91.12"></a><var>91.12</var>fees charged by the board are as follows:<br/>
<a id="pl.91.13"></a><var>91.13</var>(1) application fee for national examination is $220;<br/>
<a id="pl.91.14"></a><var>91.14</var>(2) application fee for Licensed Marriage and Family Therapist (LMFT) state <br/>
<a id="pl.91.15"></a><var>91.15</var>examination is $110;<br/>
<a id="pl.91.16"></a><var>91.16</var>(3) initial LMFT license fee is prorated, but cannot exceed $125;<br/>
<a id="pl.91.17"></a><var>91.17</var>(4) annual renewal fee for LMFT license is $125;<br/>
<a id="pl.91.18"></a><var>91.18</var>(5) late fee for initial Licensed Associate Marriage and Family Therapist LAMFT <br/>
<a id="pl.91.19"></a><var>91.19</var>license renewal is $50;<br/>
<a id="pl.91.20"></a><var>91.20</var>(6) application fee for LMFT licensure by reciprocity is $340;<br/>
<a id="pl.91.21"></a><var>91.21</var>(7) fee for initial Licensed Associate Marriage and Family Therapist (LAMFT) <br/>
<a id="pl.91.22"></a><var>91.22</var>license is $75;<br/>
<a id="pl.91.23"></a><var>91.23</var>(8) annual renewal fee for LAMFT license is $75;<br/>
<a id="pl.91.24"></a><var>91.24</var>(9) late fee for LAMFT renewal is $50;<br/>
<a id="pl.91.25"></a><var>91.25</var>(10) fee for reinstatement of license is $150; and <br/>
<a id="pl.91.26"></a><var>91.26</var>(11) fee for emeritus status is $125.<br/>
<a id="pl.91.27"></a><var>91.27</var>    Subd. 3. <b>Other fees.</b> Other fees charged by the board are as follows:<br/>
<a id="pl.91.28"></a><var>91.28</var>(1) sponsor application fee for approval of a continuing education course is $60;<br/>
<a id="pl.91.29"></a><var>91.29</var>(2) fee for license verification by mail is $10;<br/>
<a id="pl.91.30"></a><var>91.30</var>(3) duplicate license fee is $25;<br/>
<a id="pl.91.31"></a><var>91.31</var>(4) duplicate renewal card fee is $10;<br/>
<a id="pl.91.32"></a><var>91.32</var>(5) fee for licensee mailing list is $60;<br/>
<a id="pl.91.33"></a><var>91.33</var>(6) fee for a rule book is $10; and<br/>
<a id="pl.91.34"></a><var>91.34</var>(7) fees as authorized by section 148B.175, subdivision 6, clause (7).<br/>
<br/>
<a id="bill.4.14.0"></a><a id="pl.92.1"></a><var>92.1</var>    Sec. 14. Minnesota Statutes 2010, section 148B.33, subdivision 2, is amended to read:<br/>
<a id="pl.92.2"></a><var>92.2</var>    Subd. 2. <b>Fee.</b> Each applicant shall pay a nonrefundable application fee set by <br/>
<a id="pl.92.3"></a><var>92.3</var>the board under section 148B.17.<br/>
<br/>
<a id="bill.4.15.0"></a><a id="pl.92.4"></a><var>92.4</var>    Sec. 15. Minnesota Statutes 2010, section 148B.52, is amended to read:<br/>
<a id="pl.92.5"></a><var>92.5</var><b>148B.52 DUTIES OF THE BOARD.</b><br/>
<a id="pl.92.6"></a><var>92.6</var>(a) The Board of Behavioral Health and Therapy shall:<br/>
<a id="pl.92.7"></a><var>92.7</var>(1) establish by rule appropriate techniques, including examinations and other <br/>
<a id="pl.92.8"></a><var>92.8</var>methods, for determining whether applicants and licensees are qualified under sections <br/>
<statute_ref><a id="pl.92.9"></a><var>92.9</var>148B.50
         </statute_ref> to 
         <statute_ref>148B.593</statute_ref>; <br/>
<a id="pl.92.10"></a><var>92.10</var>(2) establish by rule standards for professional conduct, including adoption of a <br/>
<a id="pl.92.11"></a><var>92.11</var>Code of Professional Ethics and requirements for continuing education and supervision;<br/>
<a id="pl.92.12"></a><var>92.12</var>(3) issue licenses to individuals qualified under sections 
         <statute_ref>148B.50</statute_ref> to 
         <statute_ref>148B.593</statute_ref>; <br/>
<a id="pl.92.13"></a><var>92.13</var>(4) establish by rule standards for initial education including coursework for <br/>
<a id="pl.92.14"></a><var>92.14</var>licensure and content of professional education;<br/>
<a id="pl.92.15"></a><var>92.15</var>(5) establish, maintain, and publish annually a register of current licensees and <br/>
<a id="pl.92.16"></a><var>92.16</var>approved supervisors;<br/>
<a id="pl.92.17"></a><var>92.17</var>(6) establish initial and renewal application and examination fees sufficient to cover <br/>
<a id="pl.92.18"></a><var>92.18</var>operating expenses of the board and its agents in accordance with section 16A.1283;<br/>
<a id="pl.92.19"></a><var>92.19</var>(7) educate the public about the existence and content of the laws and rules for <br/>
<a id="pl.92.20"></a><var>92.20</var>licensed professional counselors to enable consumers to file complaints against licensees <br/>
<a id="pl.92.21"></a><var>92.21</var>who may have violated the rules; and<br/>
<a id="pl.92.22"></a><var>92.22</var>(8) periodically evaluate its rules in order to refine the standards for licensing <br/>
<a id="pl.92.23"></a><var>92.23</var>professional counselors and to improve the methods used to enforce the board's standards.<br/>
<a id="pl.92.24"></a><var>92.24</var>(b) The board may appoint a professional discipline committee for each occupational <br/>
<a id="pl.92.25"></a><var>92.25</var>licensure regulated by the board, and may appoint a board member as chair. The <br/>
<a id="pl.92.26"></a><var>92.26</var>professional discipline committee shall consist of five members representative of the <br/>
<a id="pl.92.27"></a><var>92.27</var>licensed occupation and shall provide recommendations to the board with regard to rule <br/>
<a id="pl.92.28"></a><var>92.28</var>techniques, standards, procedures, and related issues specific to the licensed occupation.<br/>
<br/>
<a id="bill.4.16.0"></a><a id="pl.92.29"></a><var>92.29</var>    Sec. 16. Minnesota Statutes 2010, section 150A.091, subdivision 2, is amended to read:<br/>
<a id="pl.92.30"></a><var>92.30</var>    Subd. 2. <b>Application fees.</b> Each applicant shall submit with a license, advanced <br/>
<a id="pl.92.31"></a><var>92.31</var>dental therapist certificate, or permit application a nonrefundable fee in the following <br/>
<a id="pl.92.32"></a><var>92.32</var>amounts in order to administratively process an application:<br/>
<a id="pl.92.33"></a><var>92.33</var>(1) dentist, $140;<br/>
<a id="pl.92.34"></a><var>92.34</var>(2) full faculty dentist, $140;<br/>
<a id="pl.93.1"></a><var>93.1</var>(2) (3) limited faculty dentist, $140;<br/>
<a id="pl.93.2"></a><var>93.2</var>(3) (4) resident dentist or dental provider, $55;<br/>
<a id="pl.93.3"></a><var>93.3</var>(5) advanced dental therapist, $100;<br/>
<a id="pl.93.4"></a><var>93.4</var>(4) (6) dental therapist, $100;<br/>
<a id="pl.93.5"></a><var>93.5</var>(5) (7) dental hygienist, $55;<br/>
<a id="pl.93.6"></a><var>93.6</var>(6) (8) licensed dental assistant, $55; and<br/>
<a id="pl.93.7"></a><var>93.7</var>(7) (9) dental assistant with a permit as described in Minnesota Rules, part <br/>
<a id="pl.93.8"></a><var>93.8</var>3100.8500, subpart 3, $15.<br/>
<br/>
<a id="bill.4.17.0"></a><a id="pl.93.9"></a><var>93.9</var>    Sec. 17. Minnesota Statutes 2010, section 150A.091, subdivision 3, is amended to read:<br/>
<a id="pl.93.10"></a><var>93.10</var>    Subd. 3. <b>Initial license or permit fees.</b> Along with the application fee, each of the <br/>
<a id="pl.93.11"></a><var>93.11</var>following applicants shall submit a separate prorated initial license or permit fee. The <br/>
<a id="pl.93.12"></a><var>93.12</var>prorated initial fee shall be established by the board based on the number of months of the <br/>
<a id="pl.93.13"></a><var>93.13</var>applicant's initial term as described in Minnesota Rules, part 3100.1700, subpart 1a, not to <br/>
<a id="pl.93.14"></a><var>93.14</var>exceed the following monthly fee amounts:<br/>
<a id="pl.93.15"></a><var>93.15</var>(1) dentist or full faculty dentist, $14 times the number of months of the initial term;<br/>
<a id="pl.93.16"></a><var>93.16</var>(2) dental therapist, $10 times the number of months of the initial term;<br/>
<a id="pl.93.17"></a><var>93.17</var>(3) dental hygienist, $5 times the number of months of the initial term;<br/>
<a id="pl.93.18"></a><var>93.18</var>(4) licensed dental assistant, $3 times the number of months of the initial term; and<br/>
<a id="pl.93.19"></a><var>93.19</var>(5) dental assistant with a permit as described in Minnesota Rules, part 3100.8500, <br/>
<a id="pl.93.20"></a><var>93.20</var>subpart 3, $1 times the number of months of the initial term.<br/>
<br/>
<a id="bill.4.18.0"></a><a id="pl.93.21"></a><var>93.21</var>    Sec. 18. Minnesota Statutes 2010, section 150A.091, subdivision 4, is amended to read:<br/>
<a id="pl.93.22"></a><var>93.22</var>    Subd. 4. <b>Annual license fees.</b> Each limited faculty or resident dentist shall submit <br/>
<a id="pl.93.23"></a><var>93.23</var>with an annual license renewal application a fee established by the board not to exceed <br/>
<a id="pl.93.24"></a><var>93.24</var>the following amounts:<br/>
<a id="pl.93.25"></a><var>93.25</var>(1) limited faculty dentist, $168; and<br/>
<a id="pl.93.26"></a><var>93.26</var>(2) resident dentist or dental provider, $59.<br/>
<br/>
<a id="bill.4.19.0"></a><a id="pl.93.27"></a><var>93.27</var>    Sec. 19. Minnesota Statutes 2010, section 150A.091, subdivision 5, is amended to read:<br/>
<a id="pl.93.28"></a><var>93.28</var>    Subd. 5. <b>Biennial license or permit fees.</b> Each of the following applicants shall <br/>
<a id="pl.93.29"></a><var>93.29</var>submit with a biennial license or permit renewal application a fee as established by the <br/>
<a id="pl.93.30"></a><var>93.30</var>board, not to exceed the following amounts:<br/>
<a id="pl.93.31"></a><var>93.31</var>(1) dentist or full faculty dentist, $336;<br/>
<a id="pl.93.32"></a><var>93.32</var>(2) dental therapist, $180;<br/>
<a id="pl.93.33"></a><var>93.33</var>(3) dental hygienist, $118;<br/>
<a id="pl.94.1"></a><var>94.1</var>(4) licensed dental assistant, $80; and<br/>
<a id="pl.94.2"></a><var>94.2</var>(5) dental assistant with a permit as described in Minnesota Rules, part 3100.8500, <br/>
<a id="pl.94.3"></a><var>94.3</var>subpart 3, $24.<br/>
<br/>
<a id="bill.4.20.0"></a><a id="pl.94.4"></a><var>94.4</var>    Sec. 20. Minnesota Statutes 2010, section 150A.091, subdivision 8, is amended to read:<br/>
<a id="pl.94.5"></a><var>94.5</var>    Subd. 8. <b>Duplicate license or certificate fee.</b> Each applicant shall submit, with <br/>
<a id="pl.94.6"></a><var>94.6</var>a request for issuance of a duplicate of the original license, or of an annual or biennial <br/>
<a id="pl.94.7"></a><var>94.7</var>renewal certificate for a license or permit, a fee in the following amounts:<br/>
<a id="pl.94.8"></a><var>94.8</var>(1) original dentist, full faculty dentist, dental therapist, dental hygiene, or dental <br/>
<a id="pl.94.9"></a><var>94.9</var>assistant license, $35; and<br/>
<a id="pl.94.10"></a><var>94.10</var>(2) annual or biennial renewal certificates, $10.<br/>
<br/>
<a id="bill.4.21.0"></a><a id="pl.94.11"></a><var>94.11</var>    Sec. 21. Minnesota Statutes 2010, section 150A.091, is amended by adding a <br/>
<a id="pl.94.12"></a><var>94.12</var>subdivision to read:<br/>
<a id="pl.94.13"></a><var>94.13</var>    Subd. 16. <b>Failure of professional development portfolio audit.</b> A licensee shall <br/>
<a id="pl.94.14"></a><var>94.14</var>submit a fee as established by the board not to exceed the amount of $250 after failing <br/>
<a id="pl.94.15"></a><var>94.15</var>two consecutive professional development portfolio audits and, thereafter, for each failed <br/>
<a id="pl.94.16"></a><var>94.16</var>professional development portfolio audit under Minnesota Rules, part 3100.5300.<br/>
<br/>
<a id="bill.4.22.0"></a><a id="pl.94.17"></a><var>94.17</var>    Sec. 22. <b>[151.065] FEE AMOUNTS.</b><br/>
<a id="pl.94.18"></a><var>94.18</var>    Subdivision 1. <b>Application fees.</b> Application fees for licensure and registration <br/>
<a id="pl.94.19"></a><var>94.19</var>are as follows:<br/>
<a id="pl.94.20"></a><var>94.20</var>(1) pharmacist licensed by examination, $130;<br/>
<a id="pl.94.21"></a><var>94.21</var>(2) pharmacist licensed by reciprocity, $225;<br/>
<a id="pl.94.22"></a><var>94.22</var>(3) pharmacy intern, $30;<br/>
<a id="pl.94.23"></a><var>94.23</var>(4) pharmacy technician, $30;<br/>
<a id="pl.94.24"></a><var>94.24</var>(5) pharmacy, $190;<br/>
<a id="pl.94.25"></a><var>94.25</var>(6) drug wholesaler, legend drugs only, $200;<br/>
<a id="pl.94.26"></a><var>94.26</var>(7) drug wholesaler, legend and nonlegend drugs, $200;<br/>
<a id="pl.94.27"></a><var>94.27</var>(8) drug wholesaler, nonlegend drugs, veterinary legend drugs, or both, $175;<br/>
<a id="pl.94.28"></a><var>94.28</var>(9) drug wholesaler, medical gases, $150;<br/>
<a id="pl.94.29"></a><var>94.29</var>(10) drug wholesaler, also licensed as a pharmacy in Minnesota, $125;<br/>
<a id="pl.94.30"></a><var>94.30</var>(11) drug manufacturer, legend drugs only, $200;<br/>
<a id="pl.94.31"></a><var>94.31</var>(12) drug manufacturer, legend and nonlegend drugs, $200;<br/>
<a id="pl.94.32"></a><var>94.32</var>(13) drug manufacturer, nonlegend or veterinary legend drugs, $175;<br/>
<a id="pl.94.33"></a><var>94.33</var>(14) drug manufacturer, medical gases, $150;<br/>
<a id="pl.95.1"></a><var>95.1</var>(15) drug manufacturer, also licensed as a pharmacy in Minnesota, $125;<br/>
<a id="pl.95.2"></a><var>95.2</var>(16) medical gas distributor, $75;<br/>
<a id="pl.95.3"></a><var>95.3</var>(17) controlled substance researcher, $50; and<br/>
<a id="pl.95.4"></a><var>95.4</var>(18) pharmacy professional corporation, $100.<br/>
<a id="pl.95.5"></a><var>95.5</var>    Subd. 2. <b>Original license fee.</b> The pharmacist original licensure fee, $130.<br/>
<a id="pl.95.6"></a><var>95.6</var>    Subd. 3. <b>Annual renewal fees.</b> Annual licensure and registration renewal fees <br/>
<a id="pl.95.7"></a><var>95.7</var>are as follows:<br/>
<a id="pl.95.8"></a><var>95.8</var>(1) pharmacist, $130;<br/>
<a id="pl.95.9"></a><var>95.9</var>(2) pharmacy technician, $30;<br/>
<a id="pl.95.10"></a><var>95.10</var>(3) pharmacy, $190;<br/>
<a id="pl.95.11"></a><var>95.11</var>(4) drug wholesaler, legend drugs only, $200;<br/>
<a id="pl.95.12"></a><var>95.12</var>(5) drug wholesaler, legend and nonlegend drugs, $200;<br/>
<a id="pl.95.13"></a><var>95.13</var>(6) drug wholesaler, nonlegend drugs, veterinary legend drugs, or both, $175;<br/>
<a id="pl.95.14"></a><var>95.14</var>(7) drug wholesaler, medical gases, $150;<br/>
<a id="pl.95.15"></a><var>95.15</var>(8) drug wholesaler, also licensed as a pharmacy in Minnesota, $125;<br/>
<a id="pl.95.16"></a><var>95.16</var>(9) drug manufacturer, legend drugs only, $200;<br/>
<a id="pl.95.17"></a><var>95.17</var>(10) drug manufacturer, legend and nonlegend drugs, $200;<br/>
<a id="pl.95.18"></a><var>95.18</var>(11) drug manufacturer, nonlegend, veterinary legend drugs, or both, $175;<br/>
<a id="pl.95.19"></a><var>95.19</var>(12) drug manufacturer, medical gases, $150;<br/>
<a id="pl.95.20"></a><var>95.20</var>(13) drug manufacturer, also licensed as a pharmacy in Minnesota, $125;<br/>
<a id="pl.95.21"></a><var>95.21</var>(14) medical gas distributor, $75;<br/>
<a id="pl.95.22"></a><var>95.22</var>(15) controlled substance researcher, $50; and<br/>
<a id="pl.95.23"></a><var>95.23</var>(16) pharmacy professional corporation, $45.<br/>
<a id="pl.95.24"></a><var>95.24</var>    Subd. 4. <b>Miscellaneous fees.</b> Fees for issuance of affidavits and duplicate licenses <br/>
<a id="pl.95.25"></a><var>95.25</var>and certificates are as follows:<br/>
<a id="pl.95.26"></a><var>95.26</var>(1) intern affidavit, $15;<br/>
<a id="pl.95.27"></a><var>95.27</var>(2) duplicate small license, $15; and<br/>
<a id="pl.95.28"></a><var>95.28</var>(3) duplicate large certificate, $25.<br/>
<a id="pl.95.29"></a><var>95.29</var>    Subd. 5. <b>Late fees.</b> All annual renewal fees are subject to a 50 percent late fee if <br/>
<a id="pl.95.30"></a><var>95.30</var>the renewal fee and application are not received by the board prior to the date specified <br/>
<a id="pl.95.31"></a><var>95.31</var>by the board.<br/>
<a id="pl.95.32"></a><var>95.32</var>    Subd. 6. <b>Reinstatement fees.</b> (a) A pharmacist who has allowed the pharmacist's <br/>
<a id="pl.95.33"></a><var>95.33</var>license to lapse may reinstate the license with board approval and upon payment of any <br/>
<a id="pl.95.34"></a><var>95.34</var>fees and late fees in arrears, up to a maximum of $1,000.<br/>
<a id="pl.96.1"></a><var>96.1</var>(b) A pharmacy technician who has allowed the technician's registration to lapse <br/>
<a id="pl.96.2"></a><var>96.2</var>may reinstate the registration with board approval and upon payment of any fees and late <br/>
<a id="pl.96.3"></a><var>96.3</var>fees in arrears, up to a maximum of $90.<br/>
<a id="pl.96.4"></a><var>96.4</var>(c) An owner of a pharmacy, a drug wholesaler, a drug manufacturer, or a medical <br/>
<a id="pl.96.5"></a><var>96.5</var>gas distributor who has allowed the license of the establishment to lapse may reinstate the <br/>
<a id="pl.96.6"></a><var>96.6</var>license with board approval and upon payment of any fees and late fees in arrears.<br/>
<a id="pl.96.7"></a><var>96.7</var>(d) A controlled substance researcher who has allowed the researcher's registration <br/>
<a id="pl.96.8"></a><var>96.8</var>to lapse may reinstate the registration with board approval and upon payment of any fees <br/>
<a id="pl.96.9"></a><var>96.9</var>and late fees in arrears.<br/>
<a id="pl.96.10"></a><var>96.10</var>(e) A pharmacist owner of a professional corporation who has allowed the <br/>
<a id="pl.96.11"></a><var>96.11</var>corporation's registration to lapse may reinstate the registration with board approval and <br/>
<a id="pl.96.12"></a><var>96.12</var>upon payment of any fees and late fees in arrears.<br/>
<br/>
<a id="bill.4.23.0"></a><a id="pl.96.13"></a><var>96.13</var>    Sec. 23. Minnesota Statutes 2010, section 151.07, is amended to read:<br/>
<a id="pl.96.14"></a><var>96.14</var><b>151.07 MEETINGS; EXAMINATION FEE.</b><br/>
<a id="pl.96.15"></a><var>96.15</var>The board shall meet at times as may be necessary and as it may determine to <br/>
<a id="pl.96.16"></a><var>96.16</var>examine applicants for licensure and to transact its other business, giving reasonable <br/>
<a id="pl.96.17"></a><var>96.17</var>notice of all examinations by mail to known applicants therefor. The secretary shall record <br/>
<a id="pl.96.18"></a><var>96.18</var>the names of all persons licensed by the board, together with the grounds upon which <br/>
<a id="pl.96.19"></a><var>96.19</var>the right of each to licensure was claimed. The fee for examination shall be in such the <br/>
<a id="pl.96.20"></a><var>96.20</var> amount as the board may determine specified in section 151.065, which fee may in the <br/>
<a id="pl.96.21"></a><var>96.21</var>discretion of the board be returned to applicants not taking the examination.<br/>
<br/>
<a id="bill.4.24.0"></a><a id="pl.96.22"></a><var>96.22</var>    Sec. 24. Minnesota Statutes 2010, section 151.101, is amended to read:<br/>
<a id="pl.96.23"></a><var>96.23</var><b>151.101 INTERNSHIP.</b><br/>
<a id="pl.96.24"></a><var>96.24</var>Upon payment of the fee specified in section 151.065, the board may license register <br/>
<a id="pl.96.25"></a><var>96.25</var>as an intern any natural persons who have satisfied the board that they are of good moral <br/>
<a id="pl.96.26"></a><var>96.26</var>character, not physically or mentally unfit, and who have successfully completed the <br/>
<a id="pl.96.27"></a><var>96.27</var>educational requirements for intern licensure registration prescribed by the board. The <br/>
<a id="pl.96.28"></a><var>96.28</var>board shall prescribe standards and requirements for interns, pharmacist-preceptors, and <br/>
<a id="pl.96.29"></a><var>96.29</var>internship training but may not require more than one year of such training.<br/>
<a id="pl.96.30"></a><var>96.30</var>The board in its discretion may accept internship experience obtained in another <br/>
<a id="pl.96.31"></a><var>96.31</var>state provided the internship requirements in such other state are in the opinion of the <br/>
<a id="pl.96.32"></a><var>96.32</var>board equivalent to those herein provided.<br/>
<br/>
<a id="bill.4.25.0"></a><a id="pl.97.1"></a><var>97.1</var>    Sec. 25. Minnesota Statutes 2010, section 151.102, is amended by adding a subdivision <br/>
<a id="pl.97.2"></a><var>97.2</var>to read:<br/>
<a id="pl.97.3"></a><var>97.3</var>    Subd. 3. <b>Registration fee.</b> The board shall not register an individual as a pharmacy <br/>
<a id="pl.97.4"></a><var>97.4</var>technician unless all applicable fees specified in section 151.065 have been paid.<br/>
<br/>
<a id="bill.4.26.0"></a><a id="pl.97.5"></a><var>97.5</var>    Sec. 26. Minnesota Statutes 2010, section 151.12, is amended to read:<br/>
<a id="pl.97.6"></a><var>97.6</var><b>151.12 RECIPROCITY; LICENSURE.</b><br/>
<a id="pl.97.7"></a><var>97.7</var>The board may in its discretion grant licensure without examination to any <br/>
<a id="pl.97.8"></a><var>97.8</var>pharmacist licensed by the Board of Pharmacy or a similar board of another state which <br/>
<a id="pl.97.9"></a><var>97.9</var>accords similar recognition to licensees of this state; provided, the requirements for <br/>
<a id="pl.97.10"></a><var>97.10</var>licensure in such other state are in the opinion of the board equivalent to those herein <br/>
<a id="pl.97.11"></a><var>97.11</var>provided. The fee for licensure shall be in such the amount as the board may determine by <br/>
<a id="pl.97.12"></a><var>97.12</var>rule specified in section 151.065.<br/>
<br/>
<a id="bill.4.27.0"></a><a id="pl.97.13"></a><var>97.13</var>    Sec. 27. Minnesota Statutes 2010, section 151.13, subdivision 1, is amended to read:<br/>
<a id="pl.97.14"></a><var>97.14</var>    Subdivision 1. <b>Renewal fee.</b> Every person licensed by the board as a pharmacist <br/>
<a id="pl.97.15"></a><var>97.15</var>shall pay to the board a the annual renewal fee to be fixed by it specified in section <br/>
<a id="pl.97.16"></a><var>97.16</var>151.065. The board may promulgate by rule a charge to be assessed for the delinquent <br/>
<a id="pl.97.17"></a><var>97.17</var>payment of a fee. the late fee specified in section 151.065 if the renewal fee and <br/>
<a id="pl.97.18"></a><var>97.18</var>application are not received by the board prior to the date specified by the board. It shall <br/>
<a id="pl.97.19"></a><var>97.19</var>be unlawful for any person licensed as a pharmacist who refuses or fails to pay such any <br/>
<a id="pl.97.20"></a><var>97.20</var>applicable  renewal or late fee to practice pharmacy in this state. Every certificate and <br/>
<a id="pl.97.21"></a><var>97.21</var>license shall expire at the time therein prescribed.<br/>
<br/>
<a id="bill.4.28.0"></a><a id="pl.97.22"></a><var>97.22</var>    Sec. 28. Minnesota Statutes 2010, section 151.19, is amended to read:<br/>
<a id="pl.97.23"></a><var>97.23</var><b>151.19 REGISTRATION; FEES.</b><br/>
<a id="pl.97.24"></a><var>97.24</var>    Subdivision 1. <b>Pharmacy registration.</b> The board shall require and provide for the <br/>
<a id="pl.97.25"></a><var>97.25</var>annual registration of every pharmacy now or hereafter doing business within this state. <br/>
<a id="pl.97.26"></a><var>97.26</var>Upon the payment of a any applicable  fee to be set by the board specified in section <br/>
<a id="pl.97.27"></a><var>97.27</var>151.065, the board shall issue a registration certificate in such form as it may prescribe to <br/>
<a id="pl.97.28"></a><var>97.28</var>such persons as may be qualified by law to conduct a pharmacy. Such certificate shall be <br/>
<a id="pl.97.29"></a><var>97.29</var>displayed in a conspicuous place in the pharmacy for which it is issued and expire on the <br/>
<a id="pl.97.30"></a><var>97.30</var>30th day of June following the date of issue. It shall be unlawful for any person to conduct <br/>
<a id="pl.97.31"></a><var>97.31</var>a pharmacy unless such certificate has been issued to the person by the board.<br/>
<a id="pl.97.32"></a><var>97.32</var>    Subd. 2. <b>Nonresident pharmacies.</b> The board shall require and provide for an <br/>
<a id="pl.97.33"></a><var>97.33</var>annual nonresident special pharmacy registration for all pharmacies located outside of this <br/>
<a id="pl.98.1"></a><var>98.1</var>state that regularly dispense medications for Minnesota residents and mail, ship, or deliver <br/>
<a id="pl.98.2"></a><var>98.2</var>prescription medications into this state. Nonresident special pharmacy registration shall <br/>
<a id="pl.98.3"></a><var>98.3</var>be granted by the board upon payment of any applicable fee specified in section 151.065 <br/>
<a id="pl.98.4"></a><var>98.4</var>and the disclosure and certification by a pharmacy:<br/>
<a id="pl.98.5"></a><var>98.5</var>    (1) that it is licensed in the state in which the dispensing facility is located and from <br/>
<a id="pl.98.6"></a><var>98.6</var>which the drugs are dispensed;<br/>
<a id="pl.98.7"></a><var>98.7</var>    (2) the location, names, and titles of all principal corporate officers and all <br/>
<a id="pl.98.8"></a><var>98.8</var>pharmacists who are dispensing drugs to residents of this state;<br/>
<a id="pl.98.9"></a><var>98.9</var>    (3) that it complies with all lawful directions and requests for information from <br/>
<a id="pl.98.10"></a><var>98.10</var>the Board of Pharmacy of all states in which it is licensed or registered, except that it <br/>
<a id="pl.98.11"></a><var>98.11</var>shall respond directly to all communications from the board concerning emergency <br/>
<a id="pl.98.12"></a><var>98.12</var>circumstances arising from the dispensing of drugs to residents of this state;<br/>
<a id="pl.98.13"></a><var>98.13</var>    (4) that it maintains its records of drugs dispensed to residents of this state so that the <br/>
<a id="pl.98.14"></a><var>98.14</var>records are readily retrievable from the records of other drugs dispensed;<br/>
<a id="pl.98.15"></a><var>98.15</var>    (5) that it cooperates with the board in providing information to the Board of <br/>
<a id="pl.98.16"></a><var>98.16</var>Pharmacy of the state in which it is licensed concerning matters related to the dispensing <br/>
<a id="pl.98.17"></a><var>98.17</var>of drugs to residents of this state;<br/>
<a id="pl.98.18"></a><var>98.18</var>    (6) that during its regular hours of operation, but not less than six days per week, for <br/>
<a id="pl.98.19"></a><var>98.19</var>a minimum of 40 hours per week, a toll-free telephone service is provided to facilitate <br/>
<a id="pl.98.20"></a><var>98.20</var>communication between patients in this state and a pharmacist at the pharmacy who has <br/>
<a id="pl.98.21"></a><var>98.21</var>access to the patients' records; the toll-free number must be disclosed on the label affixed <br/>
<a id="pl.98.22"></a><var>98.22</var>to each container of drugs dispensed to residents of this state; and<br/>
<a id="pl.98.23"></a><var>98.23</var>    (7) that, upon request of a resident of a long-term care facility located within the <br/>
<a id="pl.98.24"></a><var>98.24</var>state of Minnesota, the resident's authorized representative, or a contract pharmacy or <br/>
<a id="pl.98.25"></a><var>98.25</var>licensed health care facility acting on behalf of the resident, the pharmacy will dispense <br/>
<a id="pl.98.26"></a><var>98.26</var>medications prescribed for the resident in unit-dose packaging or, alternatively, comply <br/>
<a id="pl.98.27"></a><var>98.27</var>with the provisions of section 
         <statute_ref>151.415, subdivision 5</statute_ref>.<br/>
<a id="pl.98.28"></a><var>98.28</var>    Subd. 3. <b>Sale of federally restricted medical gases.</b> The board shall require and <br/>
<a id="pl.98.29"></a><var>98.29</var>provide for the annual registration of every person or establishment not licensed as a <br/>
<a id="pl.98.30"></a><var>98.30</var>pharmacy or a practitioner engaged in the retail sale or distribution of federally restricted <br/>
<a id="pl.98.31"></a><var>98.31</var>medical gases. Upon the payment of a any applicable  fee to be set by the board specified <br/>
<a id="pl.98.32"></a><var>98.32</var>in section 151.065, the board shall issue a registration certificate in such form as it may <br/>
<a id="pl.98.33"></a><var>98.33</var>prescribe to those persons or places that may be qualified to sell or distribute federally <br/>
<a id="pl.98.34"></a><var>98.34</var>restricted medical gases. The certificate shall be displayed in a conspicuous place in the <br/>
<a id="pl.98.35"></a><var>98.35</var>business for which it is issued and expire on the date set by the board. It is unlawful for <br/>
<a id="pl.99.1"></a><var>99.1</var>a person to sell or distribute federally restricted medical gases unless a certificate has <br/>
<a id="pl.99.2"></a><var>99.2</var>been issued to that person by the board.<br/>
<br/>
<a id="bill.4.29.0"></a><a id="pl.99.3"></a><var>99.3</var>    Sec. 29. Minnesota Statutes 2010, section 151.25, is amended to read:<br/>
<a id="pl.99.4"></a><var>99.4</var><b>151.25 REGISTRATION OF MANUFACTURERS; FEE; PROHIBITIONS.</b><br/>
<a id="pl.99.5"></a><var>99.5</var>The board shall require and provide for the annual registration of every person <br/>
<a id="pl.99.6"></a><var>99.6</var>engaged in manufacturing drugs, medicines, chemicals, or poisons for medicinal purposes, <br/>
<a id="pl.99.7"></a><var>99.7</var>now or hereafter doing business with accounts in this state. Upon a payment of a any <br/>
<a id="pl.99.8"></a><var>99.8</var>applicable fee as set by the board specified in section 151.065, the board shall issue a <br/>
<a id="pl.99.9"></a><var>99.9</var>registration certificate in such form as it may prescribe to such manufacturer. Such <br/>
<a id="pl.99.10"></a><var>99.10</var>registration certificate shall be displayed in a conspicuous place in such manufacturer's <br/>
<a id="pl.99.11"></a><var>99.11</var>or wholesaler's place of business for which it is issued and expire on the date set by the <br/>
<a id="pl.99.12"></a><var>99.12</var>board. It shall be unlawful for any person to manufacture drugs, medicines, chemicals, <br/>
<a id="pl.99.13"></a><var>99.13</var>or poisons for medicinal purposes unless such a certificate has been issued to the person <br/>
<a id="pl.99.14"></a><var>99.14</var>by the board. It shall be unlawful for any person engaged in the manufacture of drugs, <br/>
<a id="pl.99.15"></a><var>99.15</var>medicines, chemicals, or poisons for medicinal purposes, or the person's agent, to sell <br/>
<a id="pl.99.16"></a><var>99.16</var>legend drugs to other than a pharmacy, except as provided in this chapter.<br/>
<br/>
<a id="bill.4.30.0"></a><a id="pl.99.17"></a><var>99.17</var>    Sec. 30. Minnesota Statutes 2010, section 151.47, subdivision 1, is amended to read:<br/>
<a id="pl.99.18"></a><var>99.18</var>    Subdivision 1. <b>Requirements.</b> All wholesale drug distributors are subject to the <br/>
<a id="pl.99.19"></a><var>99.19</var>requirements in paragraphs (a) to (f).<br/>
<a id="pl.99.20"></a><var>99.20</var>(a) No person or distribution outlet shall act as a wholesale drug distributor without <br/>
<a id="pl.99.21"></a><var>99.21</var>first obtaining a license from the board and paying the required any applicable  fee <br/>
<a id="pl.99.22"></a><var>99.22</var>specified in section 151.065.<br/>
<a id="pl.99.23"></a><var>99.23</var>(b) No license shall be issued or renewed for a wholesale drug distributor to operate <br/>
<a id="pl.99.24"></a><var>99.24</var>unless the applicant agrees to operate in a manner prescribed by federal and state law and <br/>
<a id="pl.99.25"></a><var>99.25</var>according to the rules adopted by the board.<br/>
<a id="pl.99.26"></a><var>99.26</var>(c) The board may require a separate license for each facility directly or indirectly <br/>
<a id="pl.99.27"></a><var>99.27</var>owned or operated by the same business entity within the state, or for a parent entity <br/>
<a id="pl.99.28"></a><var>99.28</var>with divisions, subsidiaries, or affiliate companies within the state, when operations <br/>
<a id="pl.99.29"></a><var>99.29</var>are conducted at more than one location and joint ownership and control exists among <br/>
<a id="pl.99.30"></a><var>99.30</var>all the entities.<br/>
<a id="pl.99.31"></a><var>99.31</var>(d) As a condition for receiving and retaining a wholesale drug distributor license <br/>
<a id="pl.99.32"></a><var>99.32</var>issued under sections 
         <statute_ref>151.42</statute_ref> to 
         <statute_ref>151.51</statute_ref>, an applicant shall satisfy the board that it has <br/>
<a id="pl.99.33"></a><var>99.33</var>and will continuously maintain: <br/>
<a id="pl.99.34"></a><var>99.34</var>(1) adequate storage conditions and facilities;<br/>
<a id="pl.100.1"></a><var>100.1</var>(2) minimum liability and other insurance as may be required under any applicable <br/>
<a id="pl.100.2"></a><var>100.2</var>federal or state law;<br/>
<a id="pl.100.3"></a><var>100.3</var>(3) a viable security system that includes an after hours central alarm, or comparable <br/>
<a id="pl.100.4"></a><var>100.4</var>entry detection capability; restricted access to the premises; comprehensive employment <br/>
<a id="pl.100.5"></a><var>100.5</var>applicant screening; and safeguards against all forms of employee theft;<br/>
<a id="pl.100.6"></a><var>100.6</var>(4) a system of records describing all wholesale drug distributor activities set forth <br/>
<a id="pl.100.7"></a><var>100.7</var>in section 
         <statute_ref>151.44</statute_ref> for at least the most recent two-year period, which shall be reasonably <br/>
<a id="pl.100.8"></a><var>100.8</var>accessible as defined by board regulations in any inspection authorized by the board; <br/>
<a id="pl.100.9"></a><var>100.9</var>(5) principals and persons, including officers, directors, primary shareholders, <br/>
<a id="pl.100.10"></a><var>100.10</var>and key management executives, who must at all times demonstrate and maintain their <br/>
<a id="pl.100.11"></a><var>100.11</var>capability of conducting business in conformity with sound financial practices as well <br/>
<a id="pl.100.12"></a><var>100.12</var>as state and federal law;<br/>
<a id="pl.100.13"></a><var>100.13</var>(6) complete, updated information, to be provided to the board as a condition for <br/>
<a id="pl.100.14"></a><var>100.14</var>obtaining and retaining a license, about each wholesale drug distributor to be licensed, <br/>
<a id="pl.100.15"></a><var>100.15</var>including all pertinent corporate licensee information, if applicable, or other ownership, <br/>
<a id="pl.100.16"></a><var>100.16</var>principal, key personnel, and facilities information found to be necessary by the board;<br/>
<a id="pl.100.17"></a><var>100.17</var>(7) written policies and procedures that assure reasonable wholesale drug distributor <br/>
<a id="pl.100.18"></a><var>100.18</var>preparation for, protection against, and handling of any facility security or operation <br/>
<a id="pl.100.19"></a><var>100.19</var>problems, including, but not limited to, those caused by natural disaster or government <br/>
<a id="pl.100.20"></a><var>100.20</var>emergency, inventory inaccuracies or product shipping and receiving, outdated product <br/>
<a id="pl.100.21"></a><var>100.21</var>or other unauthorized product control, appropriate disposition of returned goods, and <br/>
<a id="pl.100.22"></a><var>100.22</var>product recalls;<br/>
<a id="pl.100.23"></a><var>100.23</var>(8) sufficient inspection procedures for all incoming and outgoing product <br/>
<a id="pl.100.24"></a><var>100.24</var>shipments; and<br/>
<a id="pl.100.25"></a><var>100.25</var>(9) operations in compliance with all federal requirements applicable to wholesale <br/>
<a id="pl.100.26"></a><var>100.26</var>drug distribution.<br/>
<a id="pl.100.27"></a><var>100.27</var>(e) An agent or employee of any licensed wholesale drug distributor need not seek <br/>
<a id="pl.100.28"></a><var>100.28</var>licensure under this section.<br/>
<a id="pl.100.29"></a><var>100.29</var>(f) A wholesale drug distributor shall file with the board an annual report, in a <br/>
<a id="pl.100.30"></a><var>100.30</var>form and on the date prescribed by the board, identifying all payments, honoraria, <br/>
<a id="pl.100.31"></a><var>100.31</var>reimbursement or other compensation authorized under section 
         <statute_ref>151.461</statute_ref>, clauses (3) to <br/>
<a id="pl.100.32"></a><var>100.32</var>(5), paid to practitioners in Minnesota during the preceding calendar year. The report <br/>
<a id="pl.100.33"></a><var>100.33</var>shall identify the nature and value of any payments totaling $100 or more, to a particular <br/>
<a id="pl.100.34"></a><var>100.34</var>practitioner during the year, and shall identify the practitioner. Reports filed under this <br/>
<a id="pl.100.35"></a><var>100.35</var>provision are public data. <br/>
<br/>
<a id="bill.4.31.0"></a><a id="pl.101.1"></a><var>101.1</var>    Sec. 31. Minnesota Statutes 2010, section 151.48, is amended to read:<br/>
<a id="pl.101.2"></a><var>101.2</var><b>151.48 OUT-OF-STATE WHOLESALE DRUG DISTRIBUTOR LICENSING.</b><br/>
<a id="pl.101.3"></a><var>101.3</var>(a) It is unlawful for an out-of-state wholesale drug distributor to conduct business <br/>
<a id="pl.101.4"></a><var>101.4</var>in the state without first obtaining a license from the board and paying the required any <br/>
<a id="pl.101.5"></a><var>101.5</var>applicable fee specified in section 151.065.<br/>
<a id="pl.101.6"></a><var>101.6</var>(b) Application for an out-of-state wholesale drug distributor license under this <br/>
<a id="pl.101.7"></a><var>101.7</var>section shall be made on a form furnished by the board.<br/>
<a id="pl.101.8"></a><var>101.8</var>(c) No person acting as principal or agent for any out-of-state wholesale drug <br/>
<a id="pl.101.9"></a><var>101.9</var>distributor may sell or distribute drugs in the state unless the distributor has obtained <br/>
<a id="pl.101.10"></a><var>101.10</var>a license.<br/>
<a id="pl.101.11"></a><var>101.11</var>(d) The board may adopt regulations that permit out-of-state wholesale drug <br/>
<a id="pl.101.12"></a><var>101.12</var>distributors to obtain a license on the basis of reciprocity to the extent that an out-of-state <br/>
<a id="pl.101.13"></a><var>101.13</var>wholesale drug distributor:<br/>
<a id="pl.101.14"></a><var>101.14</var>(1) possesses a valid license granted by another state under legal standards <br/>
<a id="pl.101.15"></a><var>101.15</var>comparable to those that must be met by a wholesale drug distributor of this state as <br/>
<a id="pl.101.16"></a><var>101.16</var>prerequisites for obtaining a license under the laws of this state; and<br/>
<a id="pl.101.17"></a><var>101.17</var>(2) can show that the other state would extend reciprocal treatment under its own <br/>
<a id="pl.101.18"></a><var>101.18</var>laws to a wholesale drug distributor of this state.<br/>
<br/>
<a id="bill.4.32.0"></a><a id="pl.101.19"></a><var>101.19</var>    Sec. 32. Minnesota Statutes 2010, section 152.12, subdivision 3, is amended to read:<br/>
<a id="pl.101.20"></a><var>101.20</var>    Subd. 3. <b>Research project use of controlled substances.</b> Any qualified person <br/>
<a id="pl.101.21"></a><var>101.21</var>may use controlled substances in the course of a bona fide research project but cannot <br/>
<a id="pl.101.22"></a><var>101.22</var>administer or dispense such drugs to human beings unless such drugs are prescribed, <br/>
<a id="pl.101.23"></a><var>101.23</var>dispensed and administered by a person lawfully authorized to do so. Every person <br/>
<a id="pl.101.24"></a><var>101.24</var>who engages in research involving the use of such substances shall apply annually for <br/>
<a id="pl.101.25"></a><var>101.25</var>registration by the state Board of Pharmacy and shall pay any applicable fee specified in <br/>
<a id="pl.101.26"></a><var>101.26</var>section 151.065, provided that such registration shall not be required if the person is <br/>
<a id="pl.101.27"></a><var>101.27</var>covered by and has complied with federal laws covering such research projects.<br/>
<br/>
<a id="bill.4.33.0"></a><a id="pl.101.28"></a><var>101.28</var>    Sec. 33. <b>[214.107] HEALTH-RELATED LICENSING BOARDS </b><br/>
<a id="pl.101.29"></a><var>101.29</var><b>ADMINISTRATIVE SERVICES UNIT.</b><br/>
<a id="pl.101.30"></a><var>101.30</var>    Subdivision 1. <b>Establishment.</b> An administrative services unit is established <br/>
<a id="pl.101.31"></a><var>101.31</var>for the health-related licensing boards in section 214.01, subdivision 2, to perform <br/>
<a id="pl.101.32"></a><var>101.32</var>administrative, financial, and management functions common to all the boards in a manner <br/>
<a id="pl.101.33"></a><var>101.33</var>that streamlines services, reduces expenditures, targets the use of state resources, and <br/>
<a id="pl.101.34"></a><var>101.34</var>meets the mission of public protection.<br/>
<a id="pl.102.1"></a><var>102.1</var>    Subd. 2. <b>Authority.</b> The administrative services unit shall act as an agent of the <br/>
<a id="pl.102.2"></a><var>102.2</var>boards.<br/>
<a id="pl.102.3"></a><var>102.3</var>    Subd. 3. <b>Funding.</b> (a) The administrative service unit shall apportion among the <br/>
<a id="pl.102.4"></a><var>102.4</var>health-related licensing boards an amount to be allocated to each health-related licensing <br/>
<a id="pl.102.5"></a><var>102.5</var>board. The amount apportioned to each board shall equal each board's share of the annual <br/>
<a id="pl.102.6"></a><var>102.6</var>operating costs for the unit and shall be deposited into the state government special <br/>
<a id="pl.102.7"></a><var>102.7</var>revenue fund.<br/>
<a id="pl.102.8"></a><var>102.8</var>(b) The administrative services unit may receive and expend reimbursements for <br/>
<a id="pl.102.9"></a><var>102.9</var>services performed for other agencies.<br/>
<br/>
<a id="bill.4.34.0"></a><a id="pl.102.10"></a><var>102.10</var>    Sec. 34. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.102.11"></a><var>102.11</var>Sections 8 to 12 are effective upon implementation of the coordinated licensure <br/>
<a id="pl.102.12"></a><var>102.12</var>information system defined in Minnesota Statutes, section 148.2855, but no sooner than <br/>
<a id="pl.102.13"></a><var>102.13</var>July 1, 2012.<br/>
<br/>
<a id="bill.5.0.0"></a>
<b>ARTICLE 5</b>

<a id="bill.5.1.0"></a><a id="pl.102.16"></a><var>102.16</var>    Section 1. <b>[1.06] FREEDOM OF CHOICE IN HEALTH CARE ACT.</b><br/>
<a id="pl.102.17"></a><var>102.17</var>    Subdivision 1. <b>Citation.</b> This section shall be known as and may be cited as the <br/>
<a id="pl.102.18"></a><var>102.18</var>"Freedom of Choice in Health Care Act."<br/>
<a id="pl.102.19"></a><var>102.19</var>    Subd. 2. <b>Definitions.</b> (a) For purposes of this section, the following terms have <br/>
<a id="pl.102.20"></a><var>102.20</var>the meaning given them.<br/>
<a id="pl.102.21"></a><var>102.21</var>(b) "Health care service" means any service, treatment, or provision of a product for <br/>
<a id="pl.102.22"></a><var>102.22</var>the care of a physical or mental disease, illness, injury, defect, or condition, or to otherwise <br/>
<a id="pl.102.23"></a><var>102.23</var>maintain or improve physical or mental health, subject to all laws and rules regulating <br/>
<a id="pl.102.24"></a><var>102.24</var>health service providers and products within the state of Minnesota.<br/>
<a id="pl.102.25"></a><var>102.25</var>(c) "Mode of securing" means to purchase directly or on credit or by trade, or to <br/>
<a id="pl.102.26"></a><var>102.26</var>contract for third-party payment by insurance or other legal means as authorized by the <br/>
<a id="pl.102.27"></a><var>102.27</var>state of Minnesota, or to apply for or accept employer-sponsored or government-sponsored <br/>
<a id="pl.102.28"></a><var>102.28</var>health care benefits under such conditions as may legally be required as a condition of <br/>
<a id="pl.102.29"></a><var>102.29</var>such benefits, or any combination of the same.<br/>
<a id="pl.102.30"></a><var>102.30</var>(d) "Penalty" means any civil or criminal fine, tax, salary or wage withholding, <br/>
<a id="pl.102.31"></a><var>102.31</var>surcharge, fee, or any other imposed consequence established by law or rule of a <br/>
<a id="pl.102.32"></a><var>102.32</var>government or its subdivision or agency that is used to punish or discourage the exercise <br/>
<a id="pl.102.33"></a><var>102.33</var>of rights protected under this section.<br/>
<a id="pl.103.1"></a><var>103.1</var>    Subd. 3. <b>Statement of public policy.</b> (a) The power to require or regulate a person's <br/>
<a id="pl.103.2"></a><var>103.2</var>choice in the mode of securing health care services, or to impose a penalty related to that <br/>
<a id="pl.103.3"></a><var>103.3</var>choice, is not found in the Constitution of the United States of America, and is therefore a <br/>
<a id="pl.103.4"></a><var>103.4</var>power reserved to the people pursuant to the Ninth Amendment, and to the several states <br/>
<a id="pl.103.5"></a><var>103.5</var>pursuant to the Tenth Amendment. The state of Minnesota hereby exercises its sovereign <br/>
<a id="pl.103.6"></a><var>103.6</var>power to declare the public policy of the state of Minnesota regarding the right of all <br/>
<a id="pl.103.7"></a><var>103.7</var>persons residing in the state in choosing the mode of securing health care services.<br/>
<a id="pl.103.8"></a><var>103.8</var>(b) It is hereby declared that the public policy of the state of Minnesota, consistent <br/>
<a id="pl.103.9"></a><var>103.9</var>with our constitutionally recognized and inalienable rights of liberty, is that every person <br/>
<a id="pl.103.10"></a><var>103.10</var>within the state of Minnesota is and shall be free to choose or decline to choose any mode <br/>
<a id="pl.103.11"></a><var>103.11</var>of securing health care services without penalty or threat of penalty.<br/>
<a id="pl.103.12"></a><var>103.12</var>(c) The policy stated under this section shall not be applied to impair any right of <br/>
<a id="pl.103.13"></a><var>103.13</var>contract related to the provision of health care services to any person or group.<br/>
<a id="pl.103.14"></a><var>103.14</var>    Subd. 4. <b>Enforcement.</b> (a) No public official, employee, or agent of the state of <br/>
<a id="pl.103.15"></a><var>103.15</var>Minnesota or any of its political subdivisions shall act to impose, collect, enforce, or <br/>
<a id="pl.103.16"></a><var>103.16</var>effectuate any penalty in the state of Minnesota that violates the public policy set forth <br/>
<a id="pl.103.17"></a><var>103.17</var>in this section.<br/>
<a id="pl.103.18"></a><var>103.18</var>(b) The attorney general shall take any action as is provided in this section or section <br/>
<a id="pl.103.19"></a><var>103.19</var>8.31 in the defense or prosecution of rights protected under this section.<br/>
<br/>
<a id="bill.5.2.0"></a><a id="pl.103.20"></a><var>103.20</var>    Sec. 2. Minnesota Statutes 2010, section 8.31, subdivision 1, is amended to read:<br/>
<a id="pl.103.21"></a><var>103.21</var>    Subdivision 1. <b>Investigate offenses against provisions of certain designated </b><br/>
<a id="pl.103.22"></a><var>103.22</var><b>sections; assist in enforcement.</b> (a) The attorney general shall investigate violations of the <br/>
<a id="pl.103.23"></a><var>103.23</var>law of this state respecting unfair, discriminatory, and other unlawful practices in business, <br/>
<a id="pl.103.24"></a><var>103.24</var>commerce, or trade, and specifically, but not exclusively, the Nonprofit Corporation Act <br/>
<a id="pl.103.25"></a><var>103.25</var>(sections 
         <statute_ref>317A.001</statute_ref> to 317A.909), the Act Against Unfair Discrimination and Competition <br/>
<a id="pl.103.26"></a><var>103.26</var>(sections 
         <statute_ref>325D.01</statute_ref> to 325D.07), the Unlawful Trade Practices Act (sections 
         <statute_ref>325D.09</statute_ref> to <br/>
<a id="pl.103.27"></a><var>103.27</var>325D.16), the Antitrust Act (sections 
         <statute_ref>325D.49</statute_ref> to 325D.66), section 
         <statute_ref>325F.67</statute_ref> and other <br/>
<a id="pl.103.28"></a><var>103.28</var>laws against false or fraudulent advertising, the antidiscrimination acts contained in <br/>
<a id="pl.103.29"></a><var>103.29</var>section 
         <statute_ref>325D.67</statute_ref>, the act against monopolization of food products (section 325D.68), <br/>
<a id="pl.103.30"></a><var>103.30</var>the act regulating telephone advertising services (section 325E.39), the Prevention of <br/>
<a id="pl.103.31"></a><var>103.31</var>Consumer Fraud Act (sections 
         <statute_ref>325F.68</statute_ref> to 325F.70), and chapter 53A regulating currency <br/>
<a id="pl.103.32"></a><var>103.32</var>exchanges and assist in the enforcement of those laws as in this section provided. <br/>
<a id="pl.103.33"></a><var>103.33</var>(b) The attorney general shall seek injunctive and any other appropriate relief as <br/>
<a id="pl.103.34"></a><var>103.34</var>expeditiously as possible to preserve the rights and property of the residents of Minnesota, <br/>
<a id="pl.103.35"></a><var>103.35</var>and to defend as necessary the state of Minnesota, its officials, employees, and agents in <br/>
<a id="pl.104.1"></a><var>104.1</var>the event that any law or regulation violating the public policy set forth in the Freedom <br/>
<a id="pl.104.2"></a><var>104.2</var>of Choice in Health Care Act in this section is enacted by any government, subdivision, <br/>
<a id="pl.104.3"></a><var>104.3</var>or agency thereof.<br/>
<a id="pl.104.4"></a><var>104.4</var>(c) The attorney general shall seek injunctive and any other appropriate relief <br/>
<a id="pl.104.5"></a><var>104.5</var>as expeditiously as possible in the event that any law or regulation violating the public <br/>
<a id="pl.104.6"></a><var>104.6</var>policy set forth in the Freedom of Choice in Health Care Act in this section is enacted <br/>
<a id="pl.104.7"></a><var>104.7</var>without adequate federal funding to the state to ensure affordable health care coverage <br/>
<a id="pl.104.8"></a><var>104.8</var>is available to the residents of Minnesota.<br/>
<br/>
<a id="bill.5.3.0"></a><a id="pl.104.9"></a><var>104.9</var>    Sec. 3. Minnesota Statutes 2010, section 8.31, subdivision 3a, is amended to read:<br/>
<a id="pl.104.10"></a><var>104.10</var>    Subd. 3a. <b>Private remedies.</b> In addition to the remedies otherwise provided by law, <br/>
<a id="pl.104.11"></a><var>104.11</var>any person injured by a violation of any of the laws referred to in subdivision 1 or a <br/>
<a id="pl.104.12"></a><var>104.12</var>violation of the public policy in section 1.06 may bring a civil action and recover damages, <br/>
<a id="pl.104.13"></a><var>104.13</var>together with costs and disbursements, including costs of investigation and reasonable <br/>
<a id="pl.104.14"></a><var>104.14</var>attorney's fees, and receive other equitable relief as determined by the court. The court <br/>
<a id="pl.104.15"></a><var>104.15</var>may, as appropriate, enter a consent judgment or decree without the finding of illegality. <br/>
<a id="pl.104.16"></a><var>104.16</var>In any action brought by the attorney general pursuant to this section, the court may award <br/>
<a id="pl.104.17"></a><var>104.17</var>any of the remedies allowable under this subdivision. An action under this subdivision <br/>
<a id="pl.104.18"></a><var>104.18</var>for any violation of section 1.06 is in the public interest.<br/>
<br/>
<a id="bill.5.4.0"></a><a id="pl.104.19"></a><var>104.19</var>    Sec. 4. Minnesota Statutes 2010, section 62E.08, subdivision 1, is amended to read:<br/>
<a id="pl.104.20"></a><var>104.20</var>    Subdivision 1. <b>Establishment.</b> The association shall establish the following <br/>
<a id="pl.104.21"></a><var>104.21</var>maximum premiums to be charged for membership in the comprehensive health insurance <br/>
<a id="pl.104.22"></a><var>104.22</var>plan:<br/>
<a id="pl.104.23"></a><var>104.23</var>(a) the premium for the number one qualified plan shall range from a minimum of <br/>
<a id="pl.104.24"></a><var>104.24</var>101 percent to a maximum of 125 percent of the weighted average of rates charged by <br/>
<a id="pl.104.25"></a><var>104.25</var>those insurers and health maintenance organizations with individuals enrolled in:<br/>
<a id="pl.104.26"></a><var>104.26</var>(1) $1,000 annual deductible individual plans of insurance in force in Minnesota;<br/>
<a id="pl.104.27"></a><var>104.27</var>(2) individual health maintenance organization contracts of coverage with a $1,000 <br/>
<a id="pl.104.28"></a><var>104.28</var>annual deductible which are in force in Minnesota; and<br/>
<a id="pl.104.29"></a><var>104.29</var>(3) other plans of coverage similar to plans offered by the association based on <br/>
<a id="pl.104.30"></a><var>104.30</var>generally accepted actuarial principles;<br/>
<a id="pl.104.31"></a><var>104.31</var>(b) the premium for the number two qualified plan shall range from a minimum of <br/>
<a id="pl.104.32"></a><var>104.32</var>101 percent to a maximum of 125 percent of the weighted average of rates charged by <br/>
<a id="pl.104.33"></a><var>104.33</var>those insurers and health maintenance organizations with individuals enrolled in:<br/>
<a id="pl.104.34"></a><var>104.34</var>(1) $500 annual deductible individual plans of insurance in force in Minnesota;<br/>
<a id="pl.105.1"></a><var>105.1</var>(2) individual health maintenance organization contracts of coverage with a $500 <br/>
<a id="pl.105.2"></a><var>105.2</var>annual deductible which are in force in Minnesota; and<br/>
<a id="pl.105.3"></a><var>105.3</var>(3) other plans of coverage similar to plans offered by the association based on <br/>
<a id="pl.105.4"></a><var>105.4</var>generally accepted actuarial principles;<br/>
<a id="pl.105.5"></a><var>105.5</var>(c) the premiums for the plans with a $2,000, $5,000, or $10,000 annual deductible <br/>
<a id="pl.105.6"></a><var>105.6</var>shall range from a minimum of 101 percent to a maximum of 125 percent of the weighted <br/>
<a id="pl.105.7"></a><var>105.7</var>average of rates charged by those insurers and health maintenance organizations with <br/>
<a id="pl.105.8"></a><var>105.8</var>individuals enrolled in:<br/>
<a id="pl.105.9"></a><var>105.9</var>(1) $2,000, $5,000, or $10,000 annual deductible individual plans, respectively, in <br/>
<a id="pl.105.10"></a><var>105.10</var>force in Minnesota; and<br/>
<a id="pl.105.11"></a><var>105.11</var>(2) individual health maintenance organization contracts of coverage with a $2,000, <br/>
<a id="pl.105.12"></a><var>105.12</var>$5,000, or $10,000 annual deductible, respectively, which are in force in Minnesota; or<br/>
<a id="pl.105.13"></a><var>105.13</var>(3) other plans of coverage similar to plans offered by the association based on <br/>
<a id="pl.105.14"></a><var>105.14</var>generally accepted actuarial principles;<br/>
<a id="pl.105.15"></a><var>105.15</var>(d) the premium for each type of Medicare supplement plan required to be offered <br/>
<a id="pl.105.16"></a><var>105.16</var>by the association pursuant to section 
         <statute_ref>62E.12</statute_ref> shall range from a minimum of 101 percent <br/>
<a id="pl.105.17"></a><var>105.17</var>to a maximum of 125 percent of the weighted average of rates charged by those insurers <br/>
<a id="pl.105.18"></a><var>105.18</var>and health maintenance organizations with individuals enrolled in: <br/>
<a id="pl.105.19"></a><var>105.19</var>(1) Medicare supplement plans in force in Minnesota;<br/>
<a id="pl.105.20"></a><var>105.20</var>(2) health maintenance organization Medicare supplement contracts of coverage <br/>
<a id="pl.105.21"></a><var>105.21</var>which are in force in Minnesota; and<br/>
<a id="pl.105.22"></a><var>105.22</var>(3) other plans of coverage similar to plans offered by the association based on <br/>
<a id="pl.105.23"></a><var>105.23</var>generally accepted actuarial principles; and<br/>
<a id="pl.105.24"></a><var>105.24</var>(e) the charge for health maintenance organization coverage shall be based on <br/>
<a id="pl.105.25"></a><var>105.25</var>generally accepted actuarial principles.; and<br/>
<a id="pl.105.26"></a><var>105.26</var>(f) the premium for a high-deductible, basic plan offered under section 62E.121 shall <br/>
<a id="pl.105.27"></a><var>105.27</var>range from a minimum of 101 percent to a maximum of 125 percent of the weighted <br/>
<a id="pl.105.28"></a><var>105.28</var>average of rates charged by those insurers and health maintenance organizations offering <br/>
<a id="pl.105.29"></a><var>105.29</var>comparable plans outside of the Minnesota Comprehensive Health Association.<br/>
<a id="pl.105.30"></a><var>105.30</var>The list of insurers and health maintenance organizations whose rates are used to <br/>
<a id="pl.105.31"></a><var>105.31</var>establish the premium for coverage offered by the association pursuant to paragraphs (a) <br/>
<a id="pl.105.32"></a><var>105.32</var>to (d) and (f) shall be established by the commissioner on the basis of information which <br/>
<a id="pl.105.33"></a><var>105.33</var>shall be provided to the association by all insurers and health maintenance organizations <br/>
<a id="pl.105.34"></a><var>105.34</var>annually at the commissioner's request. This information shall include the number of <br/>
<a id="pl.105.35"></a><var>105.35</var>individuals covered by each type of plan or contract specified in paragraphs (a) to (d) and <br/>
<a id="pl.105.36"></a><var>105.36</var>(f) that is sold, issued, and renewed by the insurers and health maintenance organizations, <br/>
<a id="pl.106.1"></a><var>106.1</var>including those plans or contracts available only on a renewal basis. The information shall <br/>
<a id="pl.106.2"></a><var>106.2</var>also include the rates charged for each type of plan or contract.<br/>
<a id="pl.106.3"></a><var>106.3</var>In establishing premiums pursuant to this section, the association shall utilize <br/>
<a id="pl.106.4"></a><var>106.4</var>generally accepted actuarial principles, provided that the association shall not discriminate <br/>
<a id="pl.106.5"></a><var>106.5</var>in charging premiums based upon sex. In order to compute a weighted average for each <br/>
<a id="pl.106.6"></a><var>106.6</var>type of plan or contract specified under paragraphs (a) to (d) and (f), the association <br/>
<a id="pl.106.7"></a><var>106.7</var>shall, using the information collected pursuant to this subdivision, list insurers and health <br/>
<a id="pl.106.8"></a><var>106.8</var>maintenance organizations in rank order of the total number of individuals covered by <br/>
<a id="pl.106.9"></a><var>106.9</var>each insurer or health maintenance organization. The association shall then compute <br/>
<a id="pl.106.10"></a><var>106.10</var>a weighted average of the rates charged for coverage by all the insurers and health <br/>
<a id="pl.106.11"></a><var>106.11</var>maintenance organizations by:<br/>
<a id="pl.106.12"></a><var>106.12</var>(1) multiplying the numbers of individuals covered by each insurer or health <br/>
<a id="pl.106.13"></a><var>106.13</var>maintenance organization by the rates charged for coverage;<br/>
<a id="pl.106.14"></a><var>106.14</var>(2) separately summing both the number of individuals covered by all the insurers <br/>
<a id="pl.106.15"></a><var>106.15</var>and health maintenance organizations and all the products computed under clause (1); and<br/>
<a id="pl.106.16"></a><var>106.16</var>(3) dividing the total of the products computed under clause (1) by the total number <br/>
<a id="pl.106.17"></a><var>106.17</var>of individuals covered.<br/>
<a id="pl.106.18"></a><var>106.18</var>The association may elect to use a sample of information from the insurers and <br/>
<a id="pl.106.19"></a><var>106.19</var>health maintenance organizations for purposes of computing a weighted average. In no <br/>
<a id="pl.106.20"></a><var>106.20</var>case, however, may a sample used by the association to compute a weighted average <br/>
<a id="pl.106.21"></a><var>106.21</var>include information from fewer than the two insurers or health maintenance organizations <br/>
<a id="pl.106.22"></a><var>106.22</var>highest in rank order.<br/>
<br/>
<a id="bill.5.5.0"></a><a id="pl.106.23"></a><var>106.23</var>    Sec. 5. <b>[62E.121] HIGH-DEDUCTIBLE, BASIC PLAN.</b><br/>
<a id="pl.106.24"></a><var>106.24</var>    Subdivision 1. <b>Required offering.</b> The Minnesota Comprehensive Health <br/>
<a id="pl.106.25"></a><var>106.25</var>Association shall offer a high-deductible, basic plan that meets the requirements specified <br/>
<a id="pl.106.26"></a><var>106.26</var>in this section. The high-deductible, basic plan is a one-person plan. Any dependents <br/>
<a id="pl.106.27"></a><var>106.27</var>must be covered separately.<br/>
<a id="pl.106.28"></a><var>106.28</var>    Subd. 2. <b>Annual deductible; out-of-pocket maximum.</b> (a) The plan shall provide <br/>
<a id="pl.106.29"></a><var>106.29</var>the following in-network annual deductible options: $3,000, $6,000, $9,000, and $12,000. <br/>
<a id="pl.106.30"></a><var>106.30</var>The in-network annual out-of-pocket maximum for each annual deductible option shall be <br/>
<a id="pl.106.31"></a><var>106.31</var>$1,000 greater than the amount of the annual deductible.<br/>
<a id="pl.106.32"></a><var>106.32</var>(b) The deductible is subject to an annual increase based on the change in the <br/>
<a id="pl.106.33"></a><var>106.33</var>Consumer Price Index (CPI).<br/>
<a id="pl.106.34"></a><var>106.34</var>    Subd. 3. <b>Office visits for nonpreventive care.</b> The following co-payments shall <br/>
<a id="pl.106.35"></a><var>106.35</var>apply for each of the first three office visits per calendar year for nonpreventive care:<br/>
<a id="pl.107.1"></a><var>107.1</var>(1) $30 per visit for the $3,000 annual deductible option;<br/>
<a id="pl.107.2"></a><var>107.2</var>(2) $40 per visit for the $6,000 annual deductible option;<br/>
<a id="pl.107.3"></a><var>107.3</var>(3) $50 per visit for the $9,000 annual deductible option; and<br/>
<a id="pl.107.4"></a><var>107.4</var>(4) $60 per visit for the $12,000 annual deductible option.<br/>
<a id="pl.107.5"></a><var>107.5</var>For the fourth and subsequent visits during the calendar year, 80 percent coverage is <br/>
<a id="pl.107.6"></a><var>107.6</var>provided under all deductible options, after the deductible is met.<br/>
<a id="pl.107.7"></a><var>107.7</var>    Subd. 4. <b>Preventive care.</b> One hundred percent coverage is provided for preventive <br/>
<a id="pl.107.8"></a><var>107.8</var>care, and no co-payment, coinsurance, or deductible requirements apply.<br/>
<a id="pl.107.9"></a><var>107.9</var>    Subd. 5. <b>Prescription drugs.</b> A $10 co-payment applies to preferred generic drugs. <br/>
<a id="pl.107.10"></a><var>107.10</var>Preferred brand-name drugs require an enrollee payment of 100 percent of the health <br/>
<a id="pl.107.11"></a><var>107.11</var>plan's discounted rate.<br/>
<a id="pl.107.12"></a><var>107.12</var>    Subd. 6. <b>Convenience care center visits.</b> A $20 co-payment applies for the first <br/>
<a id="pl.107.13"></a><var>107.13</var>three convenience care center visits during a calendar year. For the fourth and subsequent <br/>
<a id="pl.107.14"></a><var>107.14</var>visits during a calendar year, 80 percent coverage is provided after the deductible is met.<br/>
<a id="pl.107.15"></a><var>107.15</var>    Subd. 7. <b>Urgent care center visits.</b> A $100 co-payment applies for the first urgent <br/>
<a id="pl.107.16"></a><var>107.16</var>care center visit during a calendar year. For the second and subsequent visits during a <br/>
<a id="pl.107.17"></a><var>107.17</var>calendar year, 80 percent coverage is provided after the deductible is met.<br/>
<a id="pl.107.18"></a><var>107.18</var>    Subd. 8. <b>Emergency room visits.</b> A $200 co-payment applies for the first <br/>
<a id="pl.107.19"></a><var>107.19</var>emergency room visit during a calendar year. For the second and subsequent visits during <br/>
<a id="pl.107.20"></a><var>107.20</var>a calendar year, 80 percent coverage is provided after the deductible is met.<br/>
<a id="pl.107.21"></a><var>107.21</var>    Subd. 9. <b>Lab and x-ray; hospital services; ambulance; surgery.</b> Lab and x-ray <br/>
<a id="pl.107.22"></a><var>107.22</var>services, hospital services, ambulance services, and surgery are covered at 80 percent <br/>
<a id="pl.107.23"></a><var>107.23</var>after the deductible is met.<br/>
<a id="pl.107.24"></a><var>107.24</var>    Subd. 10. <b>Eyewear.</b> The health plan pays up to $50 per calendar year for eyewear.<br/>
<a id="pl.107.25"></a><var>107.25</var>    Subd. 11. <b>Maternity.</b> Maternity, labor and delivery, and postpartum care are not <br/>
<a id="pl.107.26"></a><var>107.26</var>covered. One hundred percent coverage is provided for prenatal care and no deductible <br/>
<a id="pl.107.27"></a><var>107.27</var>applies.<br/>
<a id="pl.107.28"></a><var>107.28</var>    Subd. 12. <b>Other eligible health care services.</b> Other eligible health care services <br/>
<a id="pl.107.29"></a><var>107.29</var>are covered at 80 percent after the deductible is met.<br/>
<a id="pl.107.30"></a><var>107.30</var>    Subd. 13. <b>Option to remove mental health and substance abuse coverage.</b><br/>
<a id="pl.107.31"></a><var>107.31</var>Enrollees have the option of removing mental health and substance abuse coverage in <br/>
<a id="pl.107.32"></a><var>107.32</var>exchange for a reduced premium.<br/>
<a id="pl.107.33"></a><var>107.33</var>    Subd. 14. <b>Option to upgrade prescription drug coverage.</b> Enrollees have <br/>
<a id="pl.107.34"></a><var>107.34</var>the option to upgrade prescription drug coverage to include coverage for preferred <br/>
<a id="pl.107.35"></a><var>107.35</var>brand-name drugs with a $50 co-payment and coverage for nonpreferred drugs with a <br/>
<a id="pl.107.36"></a><var>107.36</var>$100 co-payment in exchange for an increased premium.<br/>
<a id="pl.108.1"></a><var>108.1</var>    Subd. 15. <b>Out-of-network services.</b> (a) The out-of-network annual deductible is <br/>
<a id="pl.108.2"></a><var>108.2</var>double the in-network annual deductible.<br/>
<a id="pl.108.3"></a><var>108.3</var>(b) There is no out-of-pocket maximum for out-of-network services.<br/>
<a id="pl.108.4"></a><var>108.4</var>(c) Benefits for out-of-network services are covered at 60 percent after the deductible <br/>
<a id="pl.108.5"></a><var>108.5</var>is met.<br/>
<a id="pl.108.6"></a><var>108.6</var>(d) The lifetime maximum benefit for out-of-network services is $1,000,000.<br/>
<a id="pl.108.7"></a><var>108.7</var>    Subd. 16. <b>Services not covered.</b> Services not covered include: custodial care <br/>
<a id="pl.108.8"></a><var>108.8</var>or rest care; most dental services; cosmetic services; refractive eye surgery; infertility <br/>
<a id="pl.108.9"></a><var>108.9</var>services; and services that are investigational, not medically necessary, or received while <br/>
<a id="pl.108.10"></a><var>108.10</var>on military duty.<br/>
<br/>
<a id="bill.5.6.0"></a><a id="pl.108.11"></a><var>108.11</var>    Sec. 6. Minnesota Statutes 2010, section 62E.14, is amended by adding a subdivision <br/>
<a id="pl.108.12"></a><var>108.12</var>to read:<br/>
<a id="pl.108.13"></a><var>108.13</var>    Subd. 4f. <b>Waiver of preexisting conditions for persons covered by healthy </b><br/>
<a id="pl.108.14"></a><var>108.14</var><b>Minnesota contribution program.</b> A person may enroll in the comprehensive plan with <br/>
<a id="pl.108.15"></a><var>108.15</var>a waiver of the preexisting condition limitation in subdivision 3 if the person is eligible for <br/>
<a id="pl.108.16"></a><var>108.16</var>the healthy Minnesota contribution program, and has been denied coverage as described <br/>
<a id="pl.108.17"></a><var>108.17</var>under section 256L.031, subdivision 6.<br/>
<br/>
<a id="bill.5.7.0"></a><a id="pl.108.18"></a><var>108.18</var>    Sec. 7. Minnesota Statutes 2010, section 62J.04, subdivision 9, is amended to read:<br/>
<a id="pl.108.19"></a><var>108.19</var>    Subd. 9. <b>Growth limits; federal programs.</b> The commissioners of health and <br/>
<a id="pl.108.20"></a><var>108.20</var>human services shall establish a rate methodology for Medicare and Medicaid risk-based <br/>
<a id="pl.108.21"></a><var>108.21</var>contracting with health plan companies that is consistent with statewide growth limits. <br/>
<a id="pl.108.22"></a><var>108.22</var>The methodology shall be presented for review by the Minnesota Health Care Commission <br/>
<a id="pl.108.23"></a><var>108.23</var>and the Legislative Commission on Health Care Access prior to the submission of a <br/>
<a id="pl.108.24"></a><var>108.24</var>waiver request to the Centers for Medicare and Medicaid Services and subsequent <br/>
<a id="pl.108.25"></a><var>108.25</var>implementation of the methodology.<br/>
<br/>
<a id="bill.5.8.0"></a><a id="pl.108.26"></a><var>108.26</var>    Sec. 8. Minnesota Statutes 2010, section 62J.692, subdivision 7, is amended to read:<br/>
<a id="pl.108.27"></a><var>108.27</var>    Subd. 7. <b>Transfers from the commissioner of human services.</b> Of the amount <br/>
<a id="pl.108.28"></a><var>108.28</var>transferred according to section 
         <statute_ref>256B.69, subdivision 5c</statute_ref>, paragraph (a), clauses (1) to (4), <br/>
<a id="pl.108.29"></a><var>108.29</var>$21,714,000 shall be distributed as follows:<br/>
<a id="pl.108.30"></a><var>108.30</var>(1) $2,157,000 shall be distributed by the commissioner to the University of <br/>
<a id="pl.108.31"></a><var>108.31</var>Minnesota Board of Regents for the purposes described in sections 
         <statute_ref>137.38</statute_ref> to 
         <statute_ref>137.40</statute_ref>;<br/>
<a id="pl.108.32"></a><var>108.32</var>(2) $1,035,360 shall be distributed by the commissioner to the Hennepin County <br/>
<a id="pl.108.33"></a><var>108.33</var>Medical Center for clinical medical education;<br/>
<a id="pl.109.1"></a><var>109.1</var>(3) $17,400,000 shall be distributed by the commissioner to the University of <br/>
<a id="pl.109.2"></a><var>109.2</var>Minnesota Board of Regents for purposes of medical education;<br/>
<a id="pl.109.3"></a><var>109.3</var>(4) $1,121,640 shall be distributed by the commissioner to clinical medical education <br/>
<a id="pl.109.4"></a><var>109.4</var>dental innovation grants in accordance with subdivision 7a; and<br/>
<a id="pl.109.5"></a><var>109.5</var>(5) the remainder of the amount transferred according to section 
         <statute_ref>256B.69</statute_ref>, <br/>
<a id="pl.109.6"></a><var>109.6</var>subdivision 5c, clauses (1) to (4), shall be distributed by the commissioner annually to <br/>
<a id="pl.109.7"></a><var>109.7</var>clinical medical education programs that meet the qualifications of subdivision 3 based on <br/>
<a id="pl.109.8"></a><var>109.8</var>the formula in subdivision 4, paragraph (a), or subdivision 11, as appropriate.<br/>
<br/>
<a id="bill.5.9.0"></a><a id="pl.109.9"></a><var>109.9</var>    Sec. 9. Minnesota Statutes 2010, section 62J.692, subdivision 9, is amended to read:<br/>
<a id="pl.109.10"></a><var>109.10</var>    Subd. 9. <b>Review of eligible providers.</b> The commissioner and the Medical <br/>
<a id="pl.109.11"></a><var>109.11</var>Education and Research Costs Advisory Committee may review provider groups included <br/>
<a id="pl.109.12"></a><var>109.12</var>in the definition of a clinical medical education program to assure that the distribution of <br/>
<a id="pl.109.13"></a><var>109.13</var>the funds continue to be consistent with the purpose of this section. The results of any <br/>
<a id="pl.109.14"></a><var>109.14</var>such reviews must be reported to the Legislative Commission on Health Care Access <br/>
<a id="pl.109.15"></a><var>109.15</var>chairs and ranking minority members of the legislative committees with jurisdiction over <br/>
<a id="pl.109.16"></a><var>109.16</var>health care policy and finance.<br/>
<br/>
<a id="bill.5.10.0"></a><a id="pl.109.17"></a><var>109.17</var>    Sec. 10. <b>[62J.824] BILLING FOR PROCEDURES TO CORRECT MEDICAL </b><br/>
<a id="pl.109.18"></a><var>109.18</var><b>ERRORS PROHIBITED.</b><br/>
<a id="pl.109.19"></a><var>109.19</var>A health care provider shall not bill a patient, and shall not be reimbursed, for <br/>
<a id="pl.109.20"></a><var>109.20</var>any operation, treatment, or other care that is provided to reverse, correct, or otherwise <br/>
<a id="pl.109.21"></a><var>109.21</var>minimize the affects of an adverse health care event, as described in section 144.7065, <br/>
<a id="pl.109.22"></a><var>109.22</var>subdivisions 2 to 7, for which that health care provider is responsible.<br/>
<br/>
<a id="bill.5.11.0"></a><a id="pl.109.23"></a><var>109.23</var>    Sec. 11. Minnesota Statutes 2010, section 62Q.32, is amended to read:<br/>
<a id="pl.109.24"></a><var>109.24</var><b>62Q.32 LOCAL OMBUDSPERSON.</b><br/>
<a id="pl.109.25"></a><var>109.25</var>County board or community health service agencies may establish an office of <br/>
<a id="pl.109.26"></a><var>109.26</var>ombudsperson to provide a system of consumer advocacy for persons receiving health <br/>
<a id="pl.109.27"></a><var>109.27</var>care services through a health plan company. The ombudsperson's functions may include, <br/>
<a id="pl.109.28"></a><var>109.28</var>but are not limited to:<br/>
<a id="pl.109.29"></a><var>109.29</var>(a) mediation or advocacy on behalf of a person accessing the complaint and appeal <br/>
<a id="pl.109.30"></a><var>109.30</var>procedures to ensure that necessary medical services are provided by the health plan <br/>
<a id="pl.109.31"></a><var>109.31</var>company; and<br/>
<a id="pl.109.32"></a><var>109.32</var>(b) investigation of the quality of services provided to a person and determine the <br/>
<a id="pl.109.33"></a><var>109.33</var>extent to which quality assurance mechanisms are needed or any other system change <br/>
<a id="pl.110.1"></a><var>110.1</var>may be needed. The commissioner of health shall make recommendations for funding <br/>
<a id="pl.110.2"></a><var>110.2</var>these functions including the amount of funding needed and a plan for distribution. The <br/>
<a id="pl.110.3"></a><var>110.3</var>commissioner shall submit these recommendations to the Legislative Commission on <br/>
<a id="pl.110.4"></a><var>110.4</var>Health Care Access by January 15, 1996.<br/>
<br/>
<a id="bill.5.12.0"></a><a id="pl.110.5"></a><var>110.5</var>    Sec. 12. Minnesota Statutes 2010, section 62U.04, subdivision 3, is amended to read:<br/>
<a id="pl.110.6"></a><var>110.6</var>    Subd. 3. <b>Provider peer grouping.</b> (a) The commissioner shall develop a peer <br/>
<a id="pl.110.7"></a><var>110.7</var>grouping system for providers based on a combined measure that incorporates both <br/>
<a id="pl.110.8"></a><var>110.8</var>provider risk-adjusted cost of care and quality of care, and for specific conditions as <br/>
<a id="pl.110.9"></a><var>110.9</var>determined by the commissioner. In developing this system, the commissioner shall <br/>
<a id="pl.110.10"></a><var>110.10</var>consult and coordinate with health care providers, health plan companies, state agencies, <br/>
<a id="pl.110.11"></a><var>110.11</var>and organizations that work to improve health care quality in Minnesota. For purposes of <br/>
<a id="pl.110.12"></a><var>110.12</var>the final establishment of the peer grouping system, the commissioner shall not contract <br/>
<a id="pl.110.13"></a><var>110.13</var>with any private entity, organization, or consortium of entities that has or will have a direct <br/>
<a id="pl.110.14"></a><var>110.14</var>financial interest in the outcome of the system.<br/>
<a id="pl.110.15"></a><var>110.15</var>    (b) By no later than October 15, 2010, the commissioner shall disseminate <br/>
<a id="pl.110.16"></a><var>110.16</var>information to providers on their total cost of care, total resource use, total quality of care, <br/>
<a id="pl.110.17"></a><var>110.17</var>and the total care results of the grouping developed under this subdivision in comparison <br/>
<a id="pl.110.18"></a><var>110.18</var>to an appropriate peer group. Any analyses or reports that identify providers may only be <br/>
<a id="pl.110.19"></a><var>110.19</var>published after the provider has been provided the opportunity by the commissioner to <br/>
<a id="pl.110.20"></a><var>110.20</var>review the underlying data and submit comments. Providers may be given any data for <br/>
<a id="pl.110.21"></a><var>110.21</var>which they are the subject of the data. The provider shall have 30 days to review the data <br/>
<a id="pl.110.22"></a><var>110.22</var>for accuracy and initiate an appeal as specified in paragraph (d).<br/>
<a id="pl.110.23"></a><var>110.23</var>    (c) By no later than January 1, 2011, the commissioner shall disseminate information <br/>
<a id="pl.110.24"></a><var>110.24</var>to providers on their condition-specific cost of care, condition-specific resource use, <br/>
<a id="pl.110.25"></a><var>110.25</var>condition-specific quality of care, and the condition-specific results of the grouping <br/>
<a id="pl.110.26"></a><var>110.26</var>developed under this subdivision in comparison to an appropriate peer group. Any <br/>
<a id="pl.110.27"></a><var>110.27</var>analyses or reports that identify providers may only be published after the provider has <br/>
<a id="pl.110.28"></a><var>110.28</var>been provided the opportunity by the commissioner to review the underlying data and <br/>
<a id="pl.110.29"></a><var>110.29</var>submit comments. Providers may be given any data for which they are the subject of the <br/>
<a id="pl.110.30"></a><var>110.30</var>data. The provider shall have 30 days to review the data for accuracy and initiate an <br/>
<a id="pl.110.31"></a><var>110.31</var>appeal as specified in paragraph (d).<br/>
<a id="pl.110.32"></a><var>110.32</var>(d) The commissioner shall establish an appeals process to resolve disputes from <br/>
<a id="pl.110.33"></a><var>110.33</var>providers regarding the accuracy of the data used to develop analyses or reports. When <br/>
<a id="pl.110.34"></a><var>110.34</var>a provider appeals the accuracy of the data used to calculate the peer grouping system <br/>
<a id="pl.110.35"></a><var>110.35</var>results, the provider shall:<br/>
<a id="pl.111.1"></a><var>111.1</var>(1) clearly indicate the reason they believe the data used to calculate the peer group <br/>
<a id="pl.111.2"></a><var>111.2</var>system results are not accurate;<br/>
<a id="pl.111.3"></a><var>111.3</var>(2) provide evidence and documentation to support the reason that data was not <br/>
<a id="pl.111.4"></a><var>111.4</var>accurate; and<br/>
<a id="pl.111.5"></a><var>111.5</var>(3) cooperate with the commissioner, including allowing the commissioner access to <br/>
<a id="pl.111.6"></a><var>111.6</var>data necessary and relevant to resolving the dispute.<br/>
<a id="pl.111.7"></a><var>111.7</var>If a provider does not meet the requirements of this paragraph, a provider's appeal shall be <br/>
<a id="pl.111.8"></a><var>111.8</var>considered withdrawn. The commissioner shall not publish results for a specific provider <br/>
<a id="pl.111.9"></a><var>111.9</var>under paragraph (e) or (f) while that provider has an unresolved appeal.<br/>
<a id="pl.111.10"></a><var>111.10</var>    (e) Beginning January 1, 2011, the commissioner shall, no less than annually, <br/>
<a id="pl.111.11"></a><var>111.11</var>publish information on providers' total cost, total resource use, total quality, and the results <br/>
<a id="pl.111.12"></a><var>111.12</var>of the total care portion of the peer grouping process. The results that are published must <br/>
<a id="pl.111.13"></a><var>111.13</var>be on a risk-adjusted basis.<br/>
<a id="pl.111.14"></a><var>111.14</var>(f) Beginning March 30, 2011, the commissioner shall no less than annually publish <br/>
<a id="pl.111.15"></a><var>111.15</var>information on providers' condition-specific cost, condition-specific resource use, and <br/>
<a id="pl.111.16"></a><var>111.16</var>condition-specific quality, and the results of the condition-specific portion of the peer <br/>
<a id="pl.111.17"></a><var>111.17</var>grouping process. The results that are published must be on a risk-adjusted basis.<br/>
<a id="pl.111.18"></a><var>111.18</var>(g) Prior to disseminating data to providers under paragraph (b) or (c) or publishing <br/>
<a id="pl.111.19"></a><var>111.19</var>information under paragraph (e) or (f), the commissioner shall ensure the scientific <br/>
<a id="pl.111.20"></a><var>111.20</var>validity and reliability of the results according to the standards described in paragraph (h). <br/>
<a id="pl.111.21"></a><var>111.21</var>If additional time is needed to establish the scientific validity and reliability of the results, <br/>
<a id="pl.111.22"></a><var>111.22</var>the commissioner may delay the dissemination of data to providers under paragraph (b) <br/>
<a id="pl.111.23"></a><var>111.23</var>or (c), or the publication of information under paragraph (e) or (f). If the delay is more <br/>
<a id="pl.111.24"></a><var>111.24</var>than 60 days, the commissioner shall report in writing to the Legislative Commission on <br/>
<a id="pl.111.25"></a><var>111.25</var>Health Care Access chairs and ranking minority members of the legislative committees <br/>
<a id="pl.111.26"></a><var>111.26</var>with jurisdiction over health care policy and finance the following information:<br/>
<a id="pl.111.27"></a><var>111.27</var>(1) the reason for the delay;<br/>
<a id="pl.111.28"></a><var>111.28</var>(2) the actions being taken to resolve the delay and establish the scientific validity <br/>
<a id="pl.111.29"></a><var>111.29</var>and reliability of the results; and<br/>
<a id="pl.111.30"></a><var>111.30</var>(3) the new dates by which the results shall be disseminated.<br/>
<a id="pl.111.31"></a><var>111.31</var>If there is a delay under this paragraph, the commissioner must disseminate the <br/>
<a id="pl.111.32"></a><var>111.32</var>information to providers under paragraph (b) or (c) at least 90 days before publishing <br/>
<a id="pl.111.33"></a><var>111.33</var>results under paragraph (e) or (f).<br/>
<a id="pl.111.34"></a><var>111.34</var>(h) The commissioner's assurance of valid and reliable clinic and hospital peer <br/>
<a id="pl.111.35"></a><var>111.35</var>grouping performance results shall include, at a minimum, the following:<br/>
<a id="pl.111.36"></a><var>111.36</var>(1) use of the best available evidence, research, and methodologies; and<br/>
<a id="pl.112.1"></a><var>112.1</var>(2) establishment of an explicit minimum reliability threshold developed in <br/>
<a id="pl.112.2"></a><var>112.2</var>collaboration with the subjects of the data and the users of the data, at a level not below <br/>
<a id="pl.112.3"></a><var>112.3</var>nationally accepted standards where such standards exist.<br/>
<a id="pl.112.4"></a><var>112.4</var>In achieving these thresholds, the commissioner shall not aggregate clinics that are not <br/>
<a id="pl.112.5"></a><var>112.5</var>part of the same system or practice group. The commissioner shall consult with and solicit <br/>
<a id="pl.112.6"></a><var>112.6</var>feedback from representatives of physician clinics and hospitals during the peer grouping <br/>
<a id="pl.112.7"></a><var>112.7</var>data analysis process to obtain input on the methodological options prior to final analysis <br/>
<a id="pl.112.8"></a><var>112.8</var>and on the design, development, and testing of provider reports.<br/>
<br/>
<a id="bill.5.13.0"></a><a id="pl.112.9"></a><var>112.9</var>    Sec. 13. Minnesota Statutes 2010, section 62U.04, subdivision 9, is amended to read:<br/>
<a id="pl.112.10"></a><var>112.10</var>    Subd. 9. <b>Uses of information.</b> (a) By no later than 12 months after the commissioner <br/>
<a id="pl.112.11"></a><var>112.11</var>publishes the information in subdivision 3, paragraph (e): For product renewals or for <br/>
<a id="pl.112.12"></a><var>112.12</var>new products that are offered, after 12 months have elapsed from publication by the <br/>
<a id="pl.112.13"></a><var>112.13</var>commissioner of the information in subdivision 3, paragraph (e):<br/>
<a id="pl.112.14"></a><var>112.14</var>    (1) the commissioner of management and budget shall use the information and <br/>
<a id="pl.112.15"></a><var>112.15</var>methods developed under subdivision 3 to strengthen incentives for members of the state <br/>
<a id="pl.112.16"></a><var>112.16</var>employee group insurance program to use high-quality, low-cost providers;<br/>
<a id="pl.112.17"></a><var>112.17</var>    (2) all political subdivisions, as defined in section 
         <statute_ref>13.02, subdivision 11</statute_ref>, that offer <br/>
<a id="pl.112.18"></a><var>112.18</var>health benefits to their employees must offer plans that differentiate providers on their <br/>
<a id="pl.112.19"></a><var>112.19</var>cost and quality performance and create incentives for members to use better-performing <br/>
<a id="pl.112.20"></a><var>112.20</var>providers;<br/>
<a id="pl.112.21"></a><var>112.21</var>    (3) all health plan companies shall use the information and methods developed <br/>
<a id="pl.112.22"></a><var>112.22</var>under subdivision 3 to develop products that encourage consumers to use high-quality, <br/>
<a id="pl.112.23"></a><var>112.23</var>low-cost providers; and<br/>
<a id="pl.112.24"></a><var>112.24</var>    (4) health plan companies that issue health plans in the individual market or the <br/>
<a id="pl.112.25"></a><var>112.25</var>small employer market must offer at least one health plan that uses the information <br/>
<a id="pl.112.26"></a><var>112.26</var>developed under subdivision 3 to establish financial incentives for consumers to choose <br/>
<a id="pl.112.27"></a><var>112.27</var>higher-quality, lower-cost providers through enrollee cost-sharing or selective provider <br/>
<a id="pl.112.28"></a><var>112.28</var>networks.<br/>
<a id="pl.112.29"></a><var>112.29</var>    (b) By January 1, 2011, the commissioner of health shall report to the governor <br/>
<a id="pl.112.30"></a><var>112.30</var>and the legislature on recommendations to encourage health plan companies to promote <br/>
<a id="pl.112.31"></a><var>112.31</var>widespread adoption of products that encourage the use of high-quality, low-cost providers. <br/>
<a id="pl.112.32"></a><var>112.32</var>The commissioner's recommendations may include tax incentives, public reporting of <br/>
<a id="pl.112.33"></a><var>112.33</var>health plan performance, regulatory incentives or changes, and other strategies.<br/>
<br/>
<a id="bill.5.14.0"></a><a id="pl.112.34"></a><var>112.34</var>    Sec. 14. Minnesota Statutes 2010, section 62U.06, subdivision 2, is amended to read:<br/>
<a id="pl.113.1"></a><var>113.1</var>    Subd. 2. <b>Legislative oversight.</b> Beginning January 15, 2009, the commissioner <br/>
<a id="pl.113.2"></a><var>113.2</var>of health shall submit to the Legislative Commission on Health Care Access chairs and <br/>
<a id="pl.113.3"></a><var>113.3</var>ranking minority members of the legislative committees with jurisdiction over health care <br/>
<a id="pl.113.4"></a><var>113.4</var>policy and finance periodic progress reports on the implementation of this chapter and <br/>
<a id="pl.113.5"></a><var>113.5</var>sections 
         <statute_ref>256B.0751</statute_ref> to 
         <statute_ref>256B.0754</statute_ref>.<br/>
<br/>
<a id="bill.5.15.0"></a><a id="pl.113.6"></a><var>113.6</var>    Sec. 15. Minnesota Statutes 2010, section 256.01, subdivision 2b, is amended to read:<br/>
<a id="pl.113.7"></a><var>113.7</var>    Subd. 2b. <b>Performance payments.</b> The commissioner shall develop and implement <br/>
<a id="pl.113.8"></a><var>113.8</var>a pay-for-performance system to provide performance payments to eligible medical <br/>
<a id="pl.113.9"></a><var>113.9</var>groups and clinics that demonstrate optimum care in serving individuals with chronic <br/>
<a id="pl.113.10"></a><var>113.10</var>diseases who are enrolled in health care programs administered by the commissioner under <br/>
<a id="pl.113.11"></a><var>113.11</var>chapters 256B, 256D, and 256L. The commissioner may receive any federal matching <br/>
<a id="pl.113.12"></a><var>113.12</var>money that is made available through the medical assistance program for managed care <br/>
<a id="pl.113.13"></a><var>113.13</var>oversight contracted through vendors, including consumer surveys, studies, and external <br/>
<a id="pl.113.14"></a><var>113.14</var>quality reviews as required by the federal Balanced Budget Act of 1997, Code of Federal <br/>
<a id="pl.113.15"></a><var>113.15</var>Regulations, title 42, part 438-managed care, subpart E-external quality review. Any <br/>
<a id="pl.113.16"></a><var>113.16</var>federal money received for managed care oversight is appropriated to the commissioner <br/>
<a id="pl.113.17"></a><var>113.17</var>for this purpose. The commissioner may expend the federal money received in either <br/>
<a id="pl.113.18"></a><var>113.18</var>year of the biennium.<br/>
<br/>
<a id="bill.5.16.0"></a><a id="pl.113.19"></a><var>113.19</var>    Sec. 16. Minnesota Statutes 2010, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.113.20"></a><var>113.20</var>to read:<br/>
<a id="pl.113.21"></a><var>113.21</var>    Subd. 33. <b>Contingency contract fees.</b> (a) When the commissioner enters into <br/>
<a id="pl.113.22"></a><var>113.22</var>a contingency-based contract for the purpose of recovering medical assistance or <br/>
<a id="pl.113.23"></a><var>113.23</var>MinnesotaCare funds, the commissioner may retain that portion of the recovered funds <br/>
<a id="pl.113.24"></a><var>113.24</var>equal to the amount of the contingency fee.<br/>
<a id="pl.113.25"></a><var>113.25</var>(b) Amounts attributed to new recoveries under this subdivision are appropriated <br/>
<a id="pl.113.26"></a><var>113.26</var>to the commissioner to the extent they fulfill the payment terms of the contract with the <br/>
<a id="pl.113.27"></a><var>113.27</var>vendor and shall be deposited into an account in a fund other than the general fund for <br/>
<a id="pl.113.28"></a><var>113.28</var>purposes of fulfilling the terms of the vendor contract. <br/>
<br/>
<a id="bill.5.17.0"></a><a id="pl.113.29"></a><var>113.29</var>    Sec. 17. Minnesota Statutes 2010, section 256.969, subdivision 2b, is amended to read:<br/>
<a id="pl.113.30"></a><var>113.30</var>    Subd. 2b. <b>Operating payment rates.</b> In determining operating payment rates for <br/>
<a id="pl.113.31"></a><var>113.31</var>admissions occurring on or after the rate year beginning January 1, 1991, and every two <br/>
<a id="pl.113.32"></a><var>113.32</var>years after, or more frequently as determined by the commissioner, the commissioner <br/>
<a id="pl.113.33"></a><var>113.33</var>shall obtain operating data from an updated base year and establish operating payment <br/>
<a id="pl.114.1"></a><var>114.1</var>rates per admission for each hospital based on the cost-finding methods and allowable <br/>
<a id="pl.114.2"></a><var>114.2</var>costs of the Medicare program in effect during the base year. Rates under the general <br/>
<a id="pl.114.3"></a><var>114.3</var>assistance medical care, medical assistance, and MinnesotaCare programs shall not be <br/>
<a id="pl.114.4"></a><var>114.4</var>rebased to more current data on January 1, 1997, January 1, 2005, for the first 24 months <br/>
<a id="pl.114.5"></a><var>114.5</var>of the rebased period beginning January 1, 2009. For the first 24 months of the rebased <br/>
<a id="pl.114.6"></a><var>114.6</var>period beginning January 1, 2011, rates shall not be rebased, except that a Minnesota <br/>
<a id="pl.114.7"></a><var>114.7</var>long-term hospital shall be rebased effective January 1, 2011, based on its most recent <br/>
<a id="pl.114.8"></a><var>114.8</var>Medicare cost report ending on or before September 1, 2008, with the provisions under <br/>
<a id="pl.114.9"></a><var>114.9</var>subdivisions 9 and 23, based on the rates in effect on December 31, 2010. For subsequent <br/>
<a id="pl.114.10"></a><var>114.10</var>rate setting periods in which the base years are updated, a Minnesota long-term hospital's <br/>
<a id="pl.114.11"></a><var>114.11</var>base year shall remain within the same period as other hospitals. Effective January 1, <br/>
<a id="pl.114.12"></a><var>114.12</var>2013, rates shall be rebased at full value Rates must not be rebased to more current data <br/>
<a id="pl.114.13"></a><var>114.13</var>for the first six months of the rebased period beginning January 1, 2013. The base year <br/>
<a id="pl.114.14"></a><var>114.14</var>operating payment rate per admission is standardized by the case mix index and adjusted <br/>
<a id="pl.114.15"></a><var>114.15</var>by the hospital cost index, relative values, and disproportionate population adjustment. <br/>
<a id="pl.114.16"></a><var>114.16</var>The cost and charge data used to establish operating rates shall only reflect inpatient <br/>
<a id="pl.114.17"></a><var>114.17</var>services covered by medical assistance and shall not include property cost information <br/>
<a id="pl.114.18"></a><var>114.18</var>and costs recognized in outlier payments.<br/>
<br/>
<a id="bill.5.18.0"></a><a id="pl.114.19"></a><var>114.19</var>    Sec. 18. Minnesota Statutes 2010, section 256B.04, subdivision 18, is amended to read:<br/>
<a id="pl.114.20"></a><var>114.20</var>    Subd. 18. <b>Applications for medical assistance.</b> (a) The state agency may <br/>
<a id="pl.114.21"></a><var>114.21</var>take applications for medical assistance and conduct eligibility determinations for <br/>
<a id="pl.114.22"></a><var>114.22</var>MinnesotaCare enrollees.<br/>
<a id="pl.114.23"></a><var>114.23</var>    (b) The commissioner of human services shall modify the Minnesota health care <br/>
<a id="pl.114.24"></a><var>114.24</var>programs application form to add a question asking applicants whether they have ever <br/>
<a id="pl.114.25"></a><var>114.25</var>served in the United States military.<br/>
<a id="pl.114.26"></a><var>114.26</var><b>EFFECTIVE DATE.</b>This section is effective August 1, 2011.<br/>
<br/>
<a id="bill.5.19.0"></a><a id="pl.114.27"></a><var>114.27</var>    Sec. 19. Minnesota Statutes 2010, section 256B.056, subdivision 3, is amended to read:<br/>
<a id="pl.114.28"></a><var>114.28</var>    Subd. 3. <b>Asset limitations for individuals and families.</b> (a) To be eligible for <br/>
<a id="pl.114.29"></a><var>114.29</var>medical assistance, a person must not individually own more than $3,000 in assets, or if a <br/>
<a id="pl.114.30"></a><var>114.30</var>member of a household with two family members, husband and wife, or parent and child, <br/>
<a id="pl.114.31"></a><var>114.31</var>the household must not own more than $6,000 in assets, plus $200 for each additional <br/>
<a id="pl.114.32"></a><var>114.32</var>legal dependent. In addition to these maximum amounts, an eligible individual or family <br/>
<a id="pl.114.33"></a><var>114.33</var>may accrue interest on these amounts, but they must be reduced to the maximum at the <br/>
<a id="pl.114.34"></a><var>114.34</var>time of an eligibility redetermination. The accumulation of the clothing and personal <br/>
<a id="pl.115.1"></a><var>115.1</var>needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be reduced to the maximum at <br/>
<a id="pl.115.2"></a><var>115.2</var>the time of the eligibility redetermination. The value of assets that are not considered in <br/>
<a id="pl.115.3"></a><var>115.3</var>determining eligibility for medical assistance is the value of those assets excluded under <br/>
<a id="pl.115.4"></a><var>115.4</var>the supplemental security income program for aged, blind, and disabled persons, with <br/>
<a id="pl.115.5"></a><var>115.5</var>the following exceptions:<br/>
<a id="pl.115.6"></a><var>115.6</var>    (1) household goods and personal effects are not considered;<br/>
<a id="pl.115.7"></a><var>115.7</var>    (2) capital and operating assets of a trade or business that the local agency determines <br/>
<a id="pl.115.8"></a><var>115.8</var>are necessary to the person's ability to earn an income are not considered;<br/>
<a id="pl.115.9"></a><var>115.9</var>    (3) motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.115.10"></a><var>115.10</var>security income program;<br/>
<a id="pl.115.11"></a><var>115.11</var>    (4) assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.115.12"></a><var>115.12</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.115.13"></a><var>115.13</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.115.14"></a><var>115.14</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses; and<br/>
<a id="pl.115.15"></a><var>115.15</var>    (5) effective upon federal approval, for a person who no longer qualifies as an <br/>
<a id="pl.115.16"></a><var>115.16</var>employed person with a disability due to loss of earnings, assets allowed while eligible <br/>
<a id="pl.115.17"></a><var>115.17</var>for medical assistance under section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, are not considered for 12 <br/>
<a id="pl.115.18"></a><var>115.18</var>months, beginning with the first month of ineligibility as an employed person with a <br/>
<a id="pl.115.19"></a><var>115.19</var>disability, to the extent that the person's total assets remain within the allowed limits of <br/>
<a id="pl.115.20"></a><var>115.20</var>section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph (c).<br/>
<a id="pl.115.21"></a><var>115.21</var>    (b) No asset limit shall apply to persons eligible under section 
<statute_ref>256B.055</statute_ref>, subdivision <br/>
<a id="pl.115.22"></a><var>115.22</var>15.<br/>
<a id="pl.115.23"></a><var>115.23</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.5.20.0"></a><a id="pl.115.24"></a><var>115.24</var>    Sec. 20. Minnesota Statutes 2010, section 256B.056, subdivision 4, is amended to read:<br/>
<a id="pl.115.25"></a><var>115.25</var>    Subd. 4. <b>Income.</b> (a) To be eligible for medical assistance, a person eligible under <br/>
<a id="pl.115.26"></a><var>115.26</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.115.27"></a><var>115.27</var>the federal poverty guidelines. Effective January 1, 2000, and each successive January, <br/>
<a id="pl.115.28"></a><var>115.28</var>recipients of supplemental security income may have an income up to the supplemental <br/>
<a id="pl.115.29"></a><var>115.29</var>security income standard in effect on that date.<br/>
<a id="pl.115.30"></a><var>115.30</var>    (b) To be eligible for medical assistance, families and children may have an income <br/>
<a id="pl.115.31"></a><var>115.31</var>up to 133-1/3 percent of the AFDC income standard in effect under the July 16, 1996, <br/>
<a id="pl.115.32"></a><var>115.32</var>AFDC state plan. Effective July 1, 2000, the base AFDC standard in effect on July 16, <br/>
<a id="pl.115.33"></a><var>115.33</var>1996, shall be increased by three percent.<br/>
<a id="pl.115.34"></a><var>115.34</var>    (c) Effective July 1, 2002, to be eligible for medical assistance, families and children <br/>
<a id="pl.115.35"></a><var>115.35</var>may have an income up to 100 percent of the federal poverty guidelines for the family size.<br/>
<a id="pl.116.1"></a><var>116.1</var>    (d) To be eligible for medical assistance under section 
<statute_ref>256B.055, subdivision 15</statute_ref>, a <br/>
<a id="pl.116.2"></a><var>116.2</var>person may have an income up to 75 percent of federal poverty guidelines for the family <br/>
<a id="pl.116.3"></a><var>116.3</var>size.<br/>
<a id="pl.116.4"></a><var>116.4</var>    (e) (d) In computing income to determine eligibility of persons under paragraphs <br/>
<a id="pl.116.5"></a><var>116.5</var>(a) to (d) (c) who are not residents of long-term care facilities, the commissioner shall <br/>
<a id="pl.116.6"></a><var>116.6</var>disregard increases in income as required by Public Law Numbers 94-566, section 503; <br/>
<a id="pl.116.7"></a><var>116.7</var>99-272; and 99-509. Veterans aid and attendance benefits and Veterans Administration <br/>
<a id="pl.116.8"></a><var>116.8</var>unusual medical expense payments are considered income to the recipient.<br/>
<a id="pl.116.9"></a><var>116.9</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.5.21.0"></a><a id="pl.116.10"></a><var>116.10</var>    Sec. 21. Minnesota Statutes 2010, section 256B.06, subdivision 4, is amended to read:<br/>
<a id="pl.116.11"></a><var>116.11</var>    Subd. 4. <b>Citizenship requirements.</b> (a) Eligibility for medical assistance is limited <br/>
<a id="pl.116.12"></a><var>116.12</var>to citizens of the United States, qualified noncitizens as defined in this subdivision, and <br/>
<a id="pl.116.13"></a><var>116.13</var>other persons residing lawfully in the United States. Citizens or nationals of the United <br/>
<a id="pl.116.14"></a><var>116.14</var>States must cooperate in obtaining satisfactory documentary evidence of citizenship or <br/>
<a id="pl.116.15"></a><var>116.15</var>nationality according to the requirements of the federal Deficit Reduction Act of 2005, <br/>
<a id="pl.116.16"></a><var>116.16</var>Public Law 109-171.<br/>
<a id="pl.116.17"></a><var>116.17</var>(b) "Qualified noncitizen" means a person who meets one of the following <br/>
<a id="pl.116.18"></a><var>116.18</var>immigration criteria:<br/>
<a id="pl.116.19"></a><var>116.19</var>(1) admitted for lawful permanent residence according to United States Code, title 8;<br/>
<a id="pl.116.20"></a><var>116.20</var>(2) admitted to the United States as a refugee according to United States Code, <br/>
<a id="pl.116.21"></a><var>116.21</var>title 8, section 1157;<br/>
<a id="pl.116.22"></a><var>116.22</var>(3) granted asylum according to United States Code, title 8, section 1158;<br/>
<a id="pl.116.23"></a><var>116.23</var>(4) granted withholding of deportation according to United States Code, title 8, <br/>
<a id="pl.116.24"></a><var>116.24</var>section 1253(h);<br/>
<a id="pl.116.25"></a><var>116.25</var>(5) paroled for a period of at least one year according to United States Code, title 8, <br/>
<a id="pl.116.26"></a><var>116.26</var>section 1182(d)(5);<br/>
<a id="pl.116.27"></a><var>116.27</var>(6) granted conditional entrant status according to United States Code, title 8, <br/>
<a id="pl.116.28"></a><var>116.28</var>section 1153(a)(7);<br/>
<a id="pl.116.29"></a><var>116.29</var>(7) determined to be a battered noncitizen by the United States Attorney General <br/>
<a id="pl.116.30"></a><var>116.30</var>according to the Illegal Immigration Reform and Immigrant Responsibility Act of 1996, <br/>
<a id="pl.116.31"></a><var>116.31</var>title V of the Omnibus Consolidated Appropriations Bill, Public Law 104-200;<br/>
<a id="pl.116.32"></a><var>116.32</var>(8) is a child of a noncitizen determined to be a battered noncitizen by the United <br/>
<a id="pl.116.33"></a><var>116.33</var>States Attorney General according to the Illegal Immigration Reform and Immigrant <br/>
<a id="pl.116.34"></a><var>116.34</var>Responsibility Act of 1996, title V, of the Omnibus Consolidated Appropriations Bill, <br/>
<a id="pl.116.35"></a><var>116.35</var>Public Law 104-200; or<br/>
<a id="pl.117.1"></a><var>117.1</var>(9) determined to be a Cuban or Haitian entrant as defined in section 501(e) of Public <br/>
<a id="pl.117.2"></a><var>117.2</var>Law 96-422, the Refugee Education Assistance Act of 1980.<br/>
<a id="pl.117.3"></a><var>117.3</var>(c) All qualified noncitizens who were residing in the United States before August <br/>
<a id="pl.117.4"></a><var>117.4</var>22, 1996, who otherwise meet the eligibility requirements of this chapter, are eligible for <br/>
<a id="pl.117.5"></a><var>117.5</var>medical assistance with federal financial participation.<br/>
<a id="pl.117.6"></a><var>117.6</var>(d) All qualified noncitizens who entered the United States on or after August 22, <br/>
<a id="pl.117.7"></a><var>117.7</var>1996, and who otherwise meet the eligibility requirements of this chapter, are eligible for <br/>
<a id="pl.117.8"></a><var>117.8</var>medical assistance with federal financial participation through November 30, 1996.<br/>
<a id="pl.117.9"></a><var>117.9</var>Beginning December 1, 1996, qualified noncitizens who entered the United States <br/>
<a id="pl.117.10"></a><var>117.10</var>on or after August 22, 1996, and who otherwise meet the eligibility requirements of this <br/>
<a id="pl.117.11"></a><var>117.11</var>chapter are eligible for medical assistance with federal participation for five years if they <br/>
<a id="pl.117.12"></a><var>117.12</var>meet one of the following criteria:<br/>
<a id="pl.117.13"></a><var>117.13</var>(i) refugees admitted to the United States according to United States Code, title 8, <br/>
<a id="pl.117.14"></a><var>117.14</var>section 1157;<br/>
<a id="pl.117.15"></a><var>117.15</var>(ii) persons granted asylum according to United States Code, title 8, section 1158;<br/>
<a id="pl.117.16"></a><var>117.16</var>(iii) persons granted withholding of deportation according to United States Code, <br/>
<a id="pl.117.17"></a><var>117.17</var>title 8, section 1253(h);<br/>
<a id="pl.117.18"></a><var>117.18</var>(iv) veterans of the United States armed forces with an honorable discharge for <br/>
<a id="pl.117.19"></a><var>117.19</var>a reason other than noncitizen status, their spouses and unmarried minor dependent <br/>
<a id="pl.117.20"></a><var>117.20</var>children; or<br/>
<a id="pl.117.21"></a><var>117.21</var>(v) persons on active duty in the United States armed forces, other than for training, <br/>
<a id="pl.117.22"></a><var>117.22</var>their spouses and unmarried minor dependent children.<br/>
<a id="pl.117.23"></a><var>117.23</var>Beginning December 1, 1996, qualified noncitizens who do not meet one of the <br/>
<a id="pl.117.24"></a><var>117.24</var>criteria in items (i) to (v) are eligible for medical assistance without federal financial <br/>
<a id="pl.117.25"></a><var>117.25</var>participation as described in paragraph (j).<br/>
<a id="pl.117.26"></a><var>117.26</var>Notwithstanding paragraph (j), Beginning July 1, 2010, children and pregnant <br/>
<a id="pl.117.27"></a><var>117.27</var>women who are noncitizens described in paragraph (b) or (e) who are lawfully in the <br/>
<a id="pl.117.28"></a><var>117.28</var>United States as defined in Code of Federal Regulations, title 8, section 103.12, and who <br/>
<a id="pl.117.29"></a><var>117.29</var>otherwise meet eligibility requirements of this chapter, are eligible for medical assistance <br/>
<a id="pl.117.30"></a><var>117.30</var>with federal financial participation as provided by the federal Children's Health Insurance <br/>
<a id="pl.117.31"></a><var>117.31</var>Program Reauthorization Act of 2009, Public Law 111-3.<br/>
<a id="pl.117.32"></a><var>117.32</var>(e) Noncitizens who are not qualified noncitizens as defined in paragraph (b), who <br/>
<a id="pl.117.33"></a><var>117.33</var>are lawfully present in the United States, as defined in Code of Federal Regulations, title <br/>
<a id="pl.117.34"></a><var>117.34</var>8, section 
<statute_ref>103.12</statute_ref>, and who otherwise meet the eligibility requirements of this chapter, are <br/>
<a id="pl.117.35"></a><var>117.35</var>eligible for medical assistance under clauses (1) to (3). These individuals must cooperate <br/>
<a id="pl.117.36"></a><var>117.36</var>with the United States Citizenship and Immigration Services to pursue any applicable <br/>
<a id="pl.118.1"></a><var>118.1</var>immigration status, including citizenship, that would qualify them for medical assistance <br/>
<a id="pl.118.2"></a><var>118.2</var>with federal financial participation.<br/>
<a id="pl.118.3"></a><var>118.3</var>(1) Persons who were medical assistance recipients on August 22, 1996, are eligible <br/>
<a id="pl.118.4"></a><var>118.4</var>for medical assistance with federal financial participation through December 31, 1996.<br/>
<a id="pl.118.5"></a><var>118.5</var>(2) Beginning January 1, 1997, persons described in clause (1) are eligible for <br/>
<a id="pl.118.6"></a><var>118.6</var>medical assistance without federal financial participation as described in paragraph (j).<br/>
<a id="pl.118.7"></a><var>118.7</var>(3) Beginning December 1, 1996, persons residing in the United States prior to <br/>
<a id="pl.118.8"></a><var>118.8</var>August 22, 1996, who were not receiving medical assistance and persons who arrived on <br/>
<a id="pl.118.9"></a><var>118.9</var>or after August 22, 1996, are eligible for medical assistance without federal financial <br/>
<a id="pl.118.10"></a><var>118.10</var>participation as described in paragraph (j).<br/>
<a id="pl.118.11"></a><var>118.11</var>(f) (e) Nonimmigrants who otherwise meet the eligibility requirements of this <br/>
<a id="pl.118.12"></a><var>118.12</var>chapter are eligible for the benefits as provided in paragraphs (g) (f) to (i) (h). For purposes <br/>
<a id="pl.118.13"></a><var>118.13</var>of this subdivision, a "nonimmigrant" is a person in one of the classes listed in United <br/>
<a id="pl.118.14"></a><var>118.14</var>States Code, title 8, section 1101(a)(15).<br/>
<a id="pl.118.15"></a><var>118.15</var>(g) (f) Payment shall also be made for care and services that are furnished to <br/>
<a id="pl.118.16"></a><var>118.16</var>noncitizens, regardless of immigration status, who otherwise meet the eligibility <br/>
<a id="pl.118.17"></a><var>118.17</var>requirements of this chapter, if such care and services are necessary for the treatment of an <br/>
<a id="pl.118.18"></a><var>118.18</var>emergency medical condition, except for organ transplants and related care and services <br/>
<a id="pl.118.19"></a><var>118.19</var>and routine prenatal care.<br/>
<a id="pl.118.20"></a><var>118.20</var>(h) (g) For purposes of this subdivision, the term "emergency medical condition" <br/>
<a id="pl.118.21"></a><var>118.21</var>means a medical condition that meets the requirements of United States Code, title 42, <br/>
<a id="pl.118.22"></a><var>118.22</var>section 1396b(v).<br/>
<a id="pl.118.23"></a><var>118.23</var>(h)(1) Notwithstanding paragraph (g), services that are necessary for the treatment <br/>
<a id="pl.118.24"></a><var>118.24</var>of an emergency medical condition are limited to the following:<br/>
<a id="pl.118.25"></a><var>118.25</var>(i) services delivered in an emergency room or by an ambulance service licensed <br/>
<a id="pl.118.26"></a><var>118.26</var>under chapter 144E that are directly related to the treatment of an emergency medical <br/>
<a id="pl.118.27"></a><var>118.27</var>condition;<br/>
<a id="pl.118.28"></a><var>118.28</var>(ii) services delivered in an inpatient hospital setting following admission from an <br/>
<a id="pl.118.29"></a><var>118.29</var>emergency room or clinic for an acute emergency condition; and<br/>
<a id="pl.118.30"></a><var>118.30</var>(iii) follow-up services that are directly related to the original service provided <br/>
<a id="pl.118.31"></a><var>118.31</var>to treat the emergency medical condition and are covered by the global payment made <br/>
<a id="pl.118.32"></a><var>118.32</var>to the provider.<br/>
<a id="pl.118.33"></a><var>118.33</var>    (2) Services for the treatment of emergency medical conditions do not include:<br/>
<a id="pl.118.34"></a><var>118.34</var>(i) services delivered in an emergency room or inpatient setting to treat a <br/>
<a id="pl.118.35"></a><var>118.35</var>nonemergency condition;<br/>
<a id="pl.118.36"></a><var>118.36</var>(ii) organ transplants and related care;<br/>
<a id="pl.119.1"></a><var>119.1</var>(iii) services for routine prenatal care;<br/>
<a id="pl.119.2"></a><var>119.2</var>(iv) continuing care, including long-term care, nursing facility services, home health <br/>
<a id="pl.119.3"></a><var>119.3</var>care, adult day care, day training, or supportive living services;<br/>
<a id="pl.119.4"></a><var>119.4</var>(v) elective surgery;<br/>
<a id="pl.119.5"></a><var>119.5</var>(vi) outpatient prescription drugs, unless the drugs are administered or dispensed as <br/>
<a id="pl.119.6"></a><var>119.6</var>part of an emergency room visit;<br/>
<a id="pl.119.7"></a><var>119.7</var>(vii) preventative health care and family planning services;<br/>
<a id="pl.119.8"></a><var>119.8</var>(viii) dialysis;<br/>
<a id="pl.119.9"></a><var>119.9</var>(ix) chemotherapy or therapeutic radiation services;<br/>
<a id="pl.119.10"></a><var>119.10</var>(x) rehabilitation services;<br/>
<a id="pl.119.11"></a><var>119.11</var>(xi) physical, occupational, or speech therapy;<br/>
<a id="pl.119.12"></a><var>119.12</var>(xii) transportation services;<br/>
<a id="pl.119.13"></a><var>119.13</var>(xiii) case management;<br/>
<a id="pl.119.14"></a><var>119.14</var>(xiv) prosthetics, orthotics, durable medical equipment, or medical supplies;<br/>
<a id="pl.119.15"></a><var>119.15</var>(xv) dental services;<br/>
<a id="pl.119.16"></a><var>119.16</var>(xvi) hospice care;<br/>
<a id="pl.119.17"></a><var>119.17</var>(xvii) audiology services and hearing aids;<br/>
<a id="pl.119.18"></a><var>119.18</var>(xviii) podiatry services;<br/>
<a id="pl.119.19"></a><var>119.19</var>(xix) chiropractic services;<br/>
<a id="pl.119.20"></a><var>119.20</var>(xx) immunizations;<br/>
<a id="pl.119.21"></a><var>119.21</var>(xxi) vision services and eyeglasses;<br/>
<a id="pl.119.22"></a><var>119.22</var>(xxii) waiver services;<br/>
<a id="pl.119.23"></a><var>119.23</var>(xxiii) individualized education programs; or<br/>
<a id="pl.119.24"></a><var>119.24</var>(xxiv) chemical dependency treatment.<br/>
<a id="pl.119.25"></a><var>119.25</var>(i) Beginning July 1, 2009, pregnant noncitizens who are undocumented, <br/>
<a id="pl.119.26"></a><var>119.26</var>nonimmigrants, or lawfully present as designated in paragraph (e) and who in the United <br/>
<a id="pl.119.27"></a><var>119.27</var>States as defined in Code of Federal Regulations, title 8, section 103.12, are not covered by <br/>
<a id="pl.119.28"></a><var>119.28</var>a group health plan or health insurance coverage according to Code of Federal Regulations, <br/>
<a id="pl.119.29"></a><var>119.29</var>title 42, section 457.310, and who otherwise meet the eligibility requirements of this <br/>
<a id="pl.119.30"></a><var>119.30</var>chapter, are eligible for medical assistance through the period of pregnancy, including <br/>
<a id="pl.119.31"></a><var>119.31</var>labor and delivery, and 60 days postpartum, to the extent federal funds are available under <br/>
<a id="pl.119.32"></a><var>119.32</var>title XXI of the Social Security Act, and the state children's health insurance program.<br/>
<a id="pl.119.33"></a><var>119.33</var>(j) Qualified noncitizens as described in paragraph (d), and all other noncitizens <br/>
<a id="pl.119.34"></a><var>119.34</var>lawfully residing in the United States as described in paragraph (e), who are ineligible <br/>
<a id="pl.119.35"></a><var>119.35</var>for medical assistance with federal financial participation and who otherwise meet the <br/>
<a id="pl.119.36"></a><var>119.36</var>eligibility requirements of chapter 256B and of this paragraph, are eligible for medical <br/>
<a id="pl.120.1"></a><var>120.1</var>assistance without federal financial participation. Qualified noncitizens as described <br/>
<a id="pl.120.2"></a><var>120.2</var>in paragraph (d) are only eligible for medical assistance without federal financial <br/>
<a id="pl.120.3"></a><var>120.3</var>participation for five years from their date of entry into the United States.<br/>
<a id="pl.120.4"></a><var>120.4</var>(k) (j) Beginning October 1, 2003, persons who are receiving care and rehabilitation <br/>
<a id="pl.120.5"></a><var>120.5</var>services from a nonprofit center established to serve victims of torture and are otherwise <br/>
<a id="pl.120.6"></a><var>120.6</var>ineligible for medical assistance under this chapter are eligible for medical assistance <br/>
<a id="pl.120.7"></a><var>120.7</var>without federal financial participation. These individuals are eligible only for the period <br/>
<a id="pl.120.8"></a><var>120.8</var>during which they are receiving services from the center. Individuals eligible under this <br/>
<a id="pl.120.9"></a><var>120.9</var>paragraph shall not be required to participate in prepaid medical assistance.<br/>
<br/>
<a id="bill.5.22.0"></a><a id="pl.120.10"></a><var>120.10</var>    Sec. 22. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.120.11"></a><var>120.11</var>subdivision to read:<br/>
<a id="pl.120.12"></a><var>120.12</var>    Subd. 3q. <b>Evidence-based childbirth program.</b> (a) The commissioner shall <br/>
<a id="pl.120.13"></a><var>120.13</var>implement a program to reduce the number of elective inductions of labor prior to 39 <br/>
<a id="pl.120.14"></a><var>120.14</var>weeks' gestation. In this subdivision, the term "elective induction of labor" means the <br/>
<a id="pl.120.15"></a><var>120.15</var>use of artificial means to stimulate labor in a woman without the presence of a medical <br/>
<a id="pl.120.16"></a><var>120.16</var>condition affecting the woman or the child that makes the onset of labor a medical <br/>
<a id="pl.120.17"></a><var>120.17</var>necessity. The program must promote the implementation of policies within hospitals <br/>
<a id="pl.120.18"></a><var>120.18</var>providing services to recipients of medical assistance or MinnesotaCare that prohibit the <br/>
<a id="pl.120.19"></a><var>120.19</var>use of elective inductions prior to 39 weeks' gestation, and adherence to such policies by <br/>
<a id="pl.120.20"></a><var>120.20</var>the attending providers.<br/>
<a id="pl.120.21"></a><var>120.21</var>(b) For all births covered by medical assistance or MinnesotaCare on or after <br/>
<a id="pl.120.22"></a><var>120.22</var>January 1, 2012, a payment for professional services associated with the delivery of a <br/>
<a id="pl.120.23"></a><var>120.23</var>child in a hospital must not be made unless the provider has submitted information about <br/>
<a id="pl.120.24"></a><var>120.24</var>the nature of the labor and delivery including any induction of labor that was performed <br/>
<a id="pl.120.25"></a><var>120.25</var>in conjunction with that specific birth. The information must be on a form prescribed by <br/>
<a id="pl.120.26"></a><var>120.26</var>the commissioner.<br/>
<a id="pl.120.27"></a><var>120.27</var>(c) The requirements in paragraph (b) must not apply to deliveries performed <br/>
<a id="pl.120.28"></a><var>120.28</var>at a hospital that has policies and processes in place that have been approved by the <br/>
<a id="pl.120.29"></a><var>120.29</var>commissioner which prohibit elective inductions prior to 39 weeks' gestation. A process <br/>
<a id="pl.120.30"></a><var>120.30</var>for review of hospital induction policies must be established by the commissioner and <br/>
<a id="pl.120.31"></a><var>120.31</var>review of policies must occur at the discretion of the commissioner. The commissioner's <br/>
<a id="pl.120.32"></a><var>120.32</var>decision to approve or rescind approval must include verification and review of items <br/>
<a id="pl.120.33"></a><var>120.33</var>including, but not limited to:<br/>
<a id="pl.120.34"></a><var>120.34</var>(1) policies that prohibit use of elective inductions for gestation less than 39 weeks;<br/>
<a id="pl.121.1"></a><var>121.1</var>(2) policies that encourage providers to document and communicate with patients a <br/>
<a id="pl.121.2"></a><var>121.2</var>final expected date of delivery by 20 weeks' gestation that includes data from ultrasound <br/>
<a id="pl.121.3"></a><var>121.3</var>measurements as applicable;<br/>
<a id="pl.121.4"></a><var>121.4</var>(3) policies that encourage patient education regarding elective inductions, and <br/>
<a id="pl.121.5"></a><var>121.5</var>requires documentation of the processes used to educate patients;<br/>
<a id="pl.121.6"></a><var>121.6</var>(4) ongoing quality improvement review as determined by the commissioner; and<br/>
<a id="pl.121.7"></a><var>121.7</var>(5) any data that has been collected by the commissioner.<br/>
<a id="pl.121.8"></a><var>121.8</var>(d) All hospitals must report annually to the commissioner induction information <br/>
<a id="pl.121.9"></a><var>121.9</var>for all births that were covered by medical assistance or MinnesotaCare in a format and <br/>
<a id="pl.121.10"></a><var>121.10</var>manner to be established by the commissioner.<br/>
<a id="pl.121.11"></a><var>121.11</var>(e) The commissioner at any time may choose not to implement or may discontinue <br/>
<a id="pl.121.12"></a><var>121.12</var>any or all aspects of the program if the commissioner is able to determine that hospitals <br/>
<a id="pl.121.13"></a><var>121.13</var>representing at least 90 percent of births covered by medical assistance or MinnesotaCare <br/>
<a id="pl.121.14"></a><var>121.14</var>have approved policies in place.<br/>
<a id="pl.121.15"></a><var>121.15</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.5.23.0"></a><a id="pl.121.16"></a><var>121.16</var>    Sec. 23. Minnesota Statutes 2010, section 256B.0625, subdivision 8, is amended to <br/>
<a id="pl.121.17"></a><var>121.17</var>read:<br/>
<a id="pl.121.18"></a><var>121.18</var>    Subd. 8. <b>Physical therapy.</b> (a) Medical assistance covers physical therapy and <br/>
<a id="pl.121.19"></a><var>121.19</var>related services, including specialized maintenance therapy. Specialized maintenance <br/>
<a id="pl.121.20"></a><var>121.20</var>therapy is covered for recipients age 20 and under.<br/>
<a id="pl.121.21"></a><var>121.21</var>(b) Authorization by the commissioner is required to provide medically necessary <br/>
<a id="pl.121.22"></a><var>121.22</var>services to a recipient beyond any of the following onetime service thresholds, or a lower <br/>
<a id="pl.121.23"></a><var>121.23</var>threshold where one has been established by the commissioner for a specified service: (1) <br/>
<a id="pl.121.24"></a><var>121.24</var>80 units of any approved CPT code other than modalities; (2) 20 modality sessions; and <br/>
<a id="pl.121.25"></a><var>121.25</var>(3) three evaluations or reevaluations. Services provided by a physical therapy assistant <br/>
<a id="pl.121.26"></a><var>121.26</var>shall be reimbursed at the same rate as services performed by a physical therapist when <br/>
<a id="pl.121.27"></a><var>121.27</var>the services of the physical therapy assistant are provided under the direction of a physical <br/>
<a id="pl.121.28"></a><var>121.28</var>therapist who is on the premises. Services provided by a physical therapy assistant that <br/>
<a id="pl.121.29"></a><var>121.29</var>are provided under the direction of a physical therapist who is not on the premises shall <br/>
<a id="pl.121.30"></a><var>121.30</var>be reimbursed at 65 percent of the physical therapist rate.<br/>
<a id="pl.121.31"></a><var>121.31</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, for services provided <br/>
<a id="pl.121.32"></a><var>121.32</var>on a fee-for-service basis, and January 1, 2012, for services provided by a managed care <br/>
<a id="pl.121.33"></a><var>121.33</var>plan or county-based purchasing plan.<br/>
<br/>
<a id="bill.5.24.0"></a><a id="pl.122.1"></a><var>122.1</var>    Sec. 24. Minnesota Statutes 2010, section 256B.0625, subdivision 8a, is amended to <br/>
<a id="pl.122.2"></a><var>122.2</var>read:<br/>
<a id="pl.122.3"></a><var>122.3</var>    Subd. 8a. <b>Occupational therapy.</b> (a) Medical assistance covers occupational <br/>
<a id="pl.122.4"></a><var>122.4</var>therapy and related services, including specialized maintenance therapy. Specialized <br/>
<a id="pl.122.5"></a><var>122.5</var>maintenance therapy is covered for recipients age 20 and under.<br/>
<a id="pl.122.6"></a><var>122.6</var>(b) Authorization by the commissioner is required to provide medically necessary <br/>
<a id="pl.122.7"></a><var>122.7</var>services to a recipient beyond any of the following onetime service thresholds, or a lower <br/>
<a id="pl.122.8"></a><var>122.8</var>threshold where one has been established by the commissioner for a specified service: <br/>
<a id="pl.122.9"></a><var>122.9</var>(1) 120 units of any combination of approved CPT codes; and (2) two evaluations or <br/>
<a id="pl.122.10"></a><var>122.10</var>reevaluations. Services provided by an occupational therapy assistant shall be reimbursed <br/>
<a id="pl.122.11"></a><var>122.11</var>at the same rate as services performed by an occupational therapist when the services of <br/>
<a id="pl.122.12"></a><var>122.12</var>the occupational therapy assistant are provided under the direction of the occupational <br/>
<a id="pl.122.13"></a><var>122.13</var>therapist who is on the premises. Services provided by an occupational therapy assistant <br/>
<a id="pl.122.14"></a><var>122.14</var>that are provided under the direction of an occupational therapist who is not on the <br/>
<a id="pl.122.15"></a><var>122.15</var>premises shall be reimbursed at 65 percent of the occupational therapist rate.<br/>
<a id="pl.122.16"></a><var>122.16</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, for services provided <br/>
<a id="pl.122.17"></a><var>122.17</var>on a fee-for-service basis, and January 1, 2012, for services provided by a managed care <br/>
<a id="pl.122.18"></a><var>122.18</var>plan or county-based purchasing plan.<br/>
<br/>
<a id="bill.5.25.0"></a><a id="pl.122.19"></a><var>122.19</var>    Sec. 25. Minnesota Statutes 2010, section 256B.0625, subdivision 8b, is amended to <br/>
<a id="pl.122.20"></a><var>122.20</var>read:<br/>
<a id="pl.122.21"></a><var>122.21</var>    Subd. 8b. <b>Speech-language pathology and audiology services.</b> (a) Medical <br/>
<a id="pl.122.22"></a><var>122.22</var>assistance covers speech-language pathology and related services, including specialized <br/>
<a id="pl.122.23"></a><var>122.23</var>maintenance therapy. Specialized maintenance therapy is covered for recipients age <br/>
<a id="pl.122.24"></a><var>122.24</var>20 and under.<br/>
<a id="pl.122.25"></a><var>122.25</var>(b) Authorization by the commissioner is required to provide medically necessary <br/>
<a id="pl.122.26"></a><var>122.26</var>speech-language pathology services to a recipient beyond any of the following <br/>
<a id="pl.122.27"></a><var>122.27</var>onetime service thresholds, or a lower threshold where one has been established by the <br/>
<a id="pl.122.28"></a><var>122.28</var>commissioner for a specified service: (1) 50 treatment sessions with any combination of <br/>
<a id="pl.122.29"></a><var>122.29</var>approved CPT codes; and (2) one evaluation. <br/>
<a id="pl.122.30"></a><var>122.30</var>(c) Medical assistance covers audiology services and related services. Services <br/>
<a id="pl.122.31"></a><var>122.31</var>provided by a person who has been issued a temporary registration under section <br/>
<statute_ref><a id="pl.122.32"></a><var>122.32</var>148.5161
         </statute_ref> shall be reimbursed at the same rate as services performed by a speech-language <br/>
<a id="pl.122.33"></a><var>122.33</var>pathologist or audiologist as long as the requirements of section 
         <statute_ref>148.5161, subdivision <br/>
<a id="pl.122.34"></a><var>122.34</var>3
         </statute_ref>, are met.<br/>
<a id="pl.123.1"></a><var>123.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, for services provided <br/>
<a id="pl.123.2"></a><var>123.2</var>on a fee-for-service basis, and January 1, 2012, for services provided by a managed care <br/>
<a id="pl.123.3"></a><var>123.3</var>plan or county-based purchasing plan.<br/>
<br/>
<a id="bill.5.26.0"></a><a id="pl.123.4"></a><var>123.4</var>    Sec. 26. Minnesota Statutes 2010, section 256B.0625, subdivision 8c, is amended to <br/>
<a id="pl.123.5"></a><var>123.5</var>read:<br/>
<a id="pl.123.6"></a><var>123.6</var>    Subd. 8c. <b>Care management; rehabilitation services.</b> (a) Effective July 1, 1999, <br/>
<a id="pl.123.7"></a><var>123.7</var>onetime thresholds shall replace annual thresholds for provision of rehabilitation services <br/>
<a id="pl.123.8"></a><var>123.8</var>described in subdivisions 8, 8a, and 8b. The onetime thresholds will be the same in <br/>
<a id="pl.123.9"></a><var>123.9</var>amount and description as the thresholds prescribed by the Department of Human Services <br/>
<a id="pl.123.10"></a><var>123.10</var>health care programs provider manual for calendar year 1997, except they will not be <br/>
<a id="pl.123.11"></a><var>123.11</var>renewed annually, and they will include sensory skills and cognitive training skills.<br/>
<a id="pl.123.12"></a><var>123.12</var>(b) A care management approach for authorization of rehabilitation services beyond <br/>
<a id="pl.123.13"></a><var>123.13</var>the threshold described in subdivisions 8, 8a, and 8b  shall be instituted in conjunction <br/>
<a id="pl.123.14"></a><var>123.14</var>with the onetime thresholds. The care management approach shall require the provider <br/>
<a id="pl.123.15"></a><var>123.15</var>and the department rehabilitation reviewer to work together directly through written <br/>
<a id="pl.123.16"></a><var>123.16</var>communication, or telephone communication when appropriate, to establish a medically <br/>
<a id="pl.123.17"></a><var>123.17</var>necessary care management plan. Authorization for rehabilitation services shall include <br/>
<a id="pl.123.18"></a><var>123.18</var>approval for up to 12 months of services at a time without additional documentation from <br/>
<a id="pl.123.19"></a><var>123.19</var>the provider during the extended period, when the rehabilitation services are medically <br/>
<a id="pl.123.20"></a><var>123.20</var>necessary due to an ongoing health condition.<br/>
<a id="pl.123.21"></a><var>123.21</var>(c) The commissioner shall implement an expedited five-day turnaround time to <br/>
<a id="pl.123.22"></a><var>123.22</var>review authorization requests for recipients who need emergency rehabilitation services <br/>
<a id="pl.123.23"></a><var>123.23</var>and who have exhausted their onetime threshold limit for those services.<br/>
<a id="pl.123.24"></a><var>123.24</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.5.27.0"></a><a id="pl.123.25"></a><var>123.25</var>    Sec. 27. Minnesota Statutes 2010, section 256B.0625, subdivision 8e, is amended to <br/>
<a id="pl.123.26"></a><var>123.26</var>read:<br/>
<a id="pl.123.27"></a><var>123.27</var>    Subd. 8e. <b>Chiropractic services.</b> Payment for chiropractic services is limited to <br/>
<a id="pl.123.28"></a><var>123.28</var>one annual evaluation and 12 24 visits per year unless prior authorization of a greater <br/>
<a id="pl.123.29"></a><var>123.29</var>number of visits is obtained.<br/>
<br/>
<a id="bill.5.28.0"></a><a id="pl.123.30"></a><var>123.30</var>    Sec. 28. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.123.31"></a><var>123.31</var>subdivision to read:<br/>
<a id="pl.123.32"></a><var>123.32</var>    Subd. 8f. <b>Acupuncture services.</b> Medical assistance covers acupuncture, as defined <br/>
<a id="pl.123.33"></a><var>123.33</var>in section 147B.01, subdivision 3, only when provided by a licensed acupuncturist or by <br/>
<a id="pl.124.1"></a><var>124.1</var>another Minnesota licensed practitioner for whom acupuncture is within the practitioner's <br/>
<a id="pl.124.2"></a><var>124.2</var>scope of practice and who has specific acupuncture training or credentialing.<br/>
<br/>
<a id="bill.5.29.0"></a><a id="pl.124.3"></a><var>124.3</var>    Sec. 29. Minnesota Statutes 2010, section 256B.0625, subdivision 13e, is amended to <br/>
<a id="pl.124.4"></a><var>124.4</var>read:<br/>
<a id="pl.124.5"></a><var>124.5</var>    Subd. 13e. <b>Payment rates.</b> (a) The basis for determining the amount of payment <br/>
<a id="pl.124.6"></a><var>124.6</var>shall be the lower of the actual acquisition costs of the drugs plus a fixed dispensing fee; <br/>
<a id="pl.124.7"></a><var>124.7</var>or the maximum allowable cost set by the federal government or by the commissioner <br/>
<a id="pl.124.8"></a><var>124.8</var>plus the fixed dispensing fee; or the usual and customary price charged to the public. The <br/>
<a id="pl.124.9"></a><var>124.9</var>amount of payment basis must be reduced to reflect all discount amounts applied to the <br/>
<a id="pl.124.10"></a><var>124.10</var>charge by any provider/insurer agreement or contract for submitted charges to medical <br/>
<a id="pl.124.11"></a><var>124.11</var>assistance programs. The net submitted charge may not be greater than the patient liability <br/>
<a id="pl.124.12"></a><var>124.12</var>for the service. The pharmacy dispensing fee shall be $3.65, except that the dispensing fee <br/>
<a id="pl.124.13"></a><var>124.13</var>for intravenous solutions which must be compounded by the pharmacist shall be $8 per <br/>
<a id="pl.124.14"></a><var>124.14</var>bag, $14 per bag for cancer chemotherapy products, and $30 per bag for total parenteral <br/>
<a id="pl.124.15"></a><var>124.15</var>nutritional products dispensed in one liter quantities, or $44 per bag for total parenteral <br/>
<a id="pl.124.16"></a><var>124.16</var>nutritional products dispensed in quantities greater than one liter. Actual acquisition cost <br/>
<a id="pl.124.17"></a><var>124.17</var>includes quantity and other special discounts except time and cash discounts. Effective <br/>
<a id="pl.124.18"></a><var>124.18</var>July 1, 2009, The actual acquisition cost of a drug shall be estimated by the commissioner, <br/>
<a id="pl.124.19"></a><var>124.19</var>at average wholesale price minus 15 percent. The actual acquisition cost of antihemophilic <br/>
<a id="pl.124.20"></a><var>124.20</var>factor drugs shall be estimated at the average wholesale price minus 30 percent.  wholesale <br/>
<a id="pl.124.21"></a><var>124.21</var>acquisition cost plus four percent for independently owned pharmacies located in a <br/>
<a id="pl.124.22"></a><var>124.22</var>designated rural area within Minnesota, and at wholesale acquisition cost plus two percent <br/>
<a id="pl.124.23"></a><var>124.23</var>for all other pharmacies. A pharmacy is "independently owned" if it is one of four or <br/>
<a id="pl.124.24"></a><var>124.24</var>fewer pharmacies under the same ownership nationally. A "designated rural area" means <br/>
<a id="pl.124.25"></a><var>124.25</var>an area defined as a small rural area or isolated rural area according to the four-category <br/>
<a id="pl.124.26"></a><var>124.26</var>classification of the Rural Urban Commuting Area system developed for the United States <br/>
<a id="pl.124.27"></a><var>124.27</var>Health Resources and Services Administration. Wholesale acquisition cost is defined as <br/>
<a id="pl.124.28"></a><var>124.28</var>the manufacturer's list price for a drug or biological to wholesalers or direct purchasers <br/>
<a id="pl.124.29"></a><var>124.29</var>in the United States, not including prompt pay or other discounts, rebates, or reductions <br/>
<a id="pl.124.30"></a><var>124.30</var>in price, for the most recent month for which information is available, as reported in <br/>
<a id="pl.124.31"></a><var>124.31</var>wholesale price guides or other publications of drug or biological pricing data. The <br/>
<a id="pl.124.32"></a><var>124.32</var>maximum allowable cost of a multisource drug may be set by the commissioner and it <br/>
<a id="pl.124.33"></a><var>124.33</var>shall be comparable to, but no higher than, the maximum amount paid by other third-party <br/>
<a id="pl.124.34"></a><var>124.34</var>payors in this state who have maximum allowable cost programs. Establishment of the <br/>
<a id="pl.125.1"></a><var>125.1</var>amount of payment for drugs shall not be subject to the requirements of the Administrative <br/>
<a id="pl.125.2"></a><var>125.2</var>Procedure Act.<br/>
<a id="pl.125.3"></a><var>125.3</var>    (b) An additional dispensing fee of $.30 may be added to the dispensing fee paid <br/>
<a id="pl.125.4"></a><var>125.4</var>to pharmacists for legend drug prescriptions dispensed to residents of long-term care <br/>
<a id="pl.125.5"></a><var>125.5</var>facilities when a unit dose blister card system, approved by the department, is used. Under <br/>
<a id="pl.125.6"></a><var>125.6</var>this type of dispensing system, the pharmacist must dispense a 30-day supply of drug. <br/>
<a id="pl.125.7"></a><var>125.7</var>The National Drug Code (NDC) from the drug container used to fill the blister card must <br/>
<a id="pl.125.8"></a><var>125.8</var>be identified on the claim to the department. The unit dose blister card containing the <br/>
<a id="pl.125.9"></a><var>125.9</var>drug must meet the packaging standards set forth in Minnesota Rules, part 6800.2700, <br/>
<a id="pl.125.10"></a><var>125.10</var>that govern the return of unused drugs to the pharmacy for reuse. The pharmacy provider <br/>
<a id="pl.125.11"></a><var>125.11</var>will be required to credit the department for the actual acquisition cost of all unused <br/>
<a id="pl.125.12"></a><var>125.12</var>drugs that are eligible for reuse. Over-the-counter medications must be dispensed in the <br/>
<a id="pl.125.13"></a><var>125.13</var>manufacturer's unopened package. The commissioner may permit the drug clozapine to be <br/>
<a id="pl.125.14"></a><var>125.14</var>dispensed in a quantity that is less than a 30-day supply.<br/>
<a id="pl.125.15"></a><var>125.15</var>    (c) Whenever a maximum allowable cost has been set for a multisource drug, <br/>
<a id="pl.125.16"></a><var>125.16</var>payment shall be on the basis of the lower of the usual and customary price charged <br/>
<a id="pl.125.17"></a><var>125.17</var>to the public or the maximum allowable cost established by the commissioner unless <br/>
<a id="pl.125.18"></a><var>125.18</var>prior authorization for the brand name product has been granted according to the criteria <br/>
<a id="pl.125.19"></a><var>125.19</var>established by the Drug Formulary Committee as required by subdivision 13f, paragraph <br/>
<a id="pl.125.20"></a><var>125.20</var>(a), and the prescriber has indicated "dispense as written" on the prescription in a manner <br/>
<a id="pl.125.21"></a><var>125.21</var>consistent with section 
         <statute_ref>151.21, subdivision 2</statute_ref>.<br/>
<a id="pl.125.22"></a><var>125.22</var>    (d) The basis for determining the amount of payment for drugs administered in an <br/>
<a id="pl.125.23"></a><var>125.23</var>outpatient setting shall be the lower of the usual and customary cost submitted by the <br/>
<a id="pl.125.24"></a><var>125.24</var>provider or the amount established for Medicare by the 106 percent of the average sales <br/>
<a id="pl.125.25"></a><var>125.25</var>price as determined by the United States Department of Health and Human Services <br/>
<a id="pl.125.26"></a><var>125.26</var>pursuant to title XVIII, section 1847a of the federal Social Security Act. If average sales <br/>
<a id="pl.125.27"></a><var>125.27</var>price is unavailable, the amount of payment must be lower of the usual and customary cost <br/>
<a id="pl.125.28"></a><var>125.28</var>submitted by the provider or the wholesale acquisition cost.<br/>
<a id="pl.125.29"></a><var>125.29</var>    (e) The commissioner may negotiate lower reimbursement rates for specialty <br/>
<a id="pl.125.30"></a><var>125.30</var>pharmacy products than the rates specified in paragraph (a). The commissioner may <br/>
<a id="pl.125.31"></a><var>125.31</var>require individuals enrolled in the health care programs administered by the department <br/>
<a id="pl.125.32"></a><var>125.32</var>to obtain specialty pharmacy products from providers with whom the commissioner has <br/>
<a id="pl.125.33"></a><var>125.33</var>negotiated lower reimbursement rates. Specialty pharmacy products are defined as those <br/>
<a id="pl.125.34"></a><var>125.34</var>used by a small number of recipients or recipients with complex and chronic diseases <br/>
<a id="pl.125.35"></a><var>125.35</var>that require expensive and challenging drug regimens. Examples of these conditions <br/>
<a id="pl.125.36"></a><var>125.36</var>include, but are not limited to: multiple sclerosis, HIV/AIDS, transplantation, hepatitis <br/>
<a id="pl.126.1"></a><var>126.1</var>C, growth hormone deficiency, Crohn's Disease, rheumatoid arthritis, and certain forms <br/>
<a id="pl.126.2"></a><var>126.2</var>of cancer. Specialty pharmaceutical products include injectable and infusion therapies, <br/>
<a id="pl.126.3"></a><var>126.3</var>biotechnology drugs, antihemophilic factor products, high-cost therapies, and therapies <br/>
<a id="pl.126.4"></a><var>126.4</var>that require complex care. The commissioner shall consult with the formulary committee <br/>
<a id="pl.126.5"></a><var>126.5</var>to develop a list of specialty pharmacy products subject to this paragraph. In consulting <br/>
<a id="pl.126.6"></a><var>126.6</var>with the formulary committee in developing this list, the commissioner shall take into <br/>
<a id="pl.126.7"></a><var>126.7</var>consideration the population served by specialty pharmacy products, the current delivery <br/>
<a id="pl.126.8"></a><var>126.8</var>system and standard of care in the state, and access to care issues. The commissioner shall <br/>
<a id="pl.126.9"></a><var>126.9</var>have the discretion to adjust the reimbursement rate to prevent access to care issues.<br/>
<a id="pl.126.10"></a><var>126.10</var>(f) Home infusion therapy services provided by home infusion therapy pharmacies <br/>
<a id="pl.126.11"></a><var>126.11</var>must be paid at rates according to subdivision 8d.<br/>
<a id="pl.126.12"></a><var>126.12</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011, or upon federal <br/>
<a id="pl.126.13"></a><var>126.13</var>approval, whichever is later.<br/>
<br/>
<a id="bill.5.30.0"></a><a id="pl.126.14"></a><var>126.14</var>    Sec. 30. Minnesota Statutes 2010, section 256B.0625, subdivision 13h, is amended to <br/>
<a id="pl.126.15"></a><var>126.15</var>read:<br/>
<a id="pl.126.16"></a><var>126.16</var>    Subd. 13h. <b>Medication therapy management services.</b> (a) Medical assistance <br/>
<a id="pl.126.17"></a><var>126.17</var>and general assistance medical care cover medication therapy management services for <br/>
<a id="pl.126.18"></a><var>126.18</var>a recipient taking four three or more prescriptions to treat or prevent two one or more <br/>
<a id="pl.126.19"></a><var>126.19</var>chronic medical conditions, or; a recipient with a drug therapy problem that is identified <br/>
<a id="pl.126.20"></a><var>126.20</var>by the commissioner or identified by a pharmacist and approved by the commissioner; or <br/>
<a id="pl.126.21"></a><var>126.21</var>prior authorized by the commissioner that has resulted or is likely to result in significant <br/>
<a id="pl.126.22"></a><var>126.22</var>nondrug program costs. The commissioner may cover medical therapy management <br/>
<a id="pl.126.23"></a><var>126.23</var>services under MinnesotaCare if the commissioner determines this is cost-effective. For <br/>
<a id="pl.126.24"></a><var>126.24</var>purposes of this subdivision, "medication therapy management" means the provision <br/>
<a id="pl.126.25"></a><var>126.25</var>of the following pharmaceutical care services by a licensed pharmacist to optimize the <br/>
<a id="pl.126.26"></a><var>126.26</var>therapeutic outcomes of the patient's medications:<br/>
<a id="pl.126.27"></a><var>126.27</var>    (1) performing or obtaining necessary assessments of the patient's health status;<br/>
<a id="pl.126.28"></a><var>126.28</var>    (2) formulating a medication treatment plan;<br/>
<a id="pl.126.29"></a><var>126.29</var>    (3) monitoring and evaluating the patient's response to therapy, including safety <br/>
<a id="pl.126.30"></a><var>126.30</var>and effectiveness;<br/>
<a id="pl.126.31"></a><var>126.31</var>    (4) performing a comprehensive medication review to identify, resolve, and prevent <br/>
<a id="pl.126.32"></a><var>126.32</var>medication-related problems, including adverse drug events;<br/>
<a id="pl.126.33"></a><var>126.33</var>    (5) documenting the care delivered and communicating essential information to <br/>
<a id="pl.126.34"></a><var>126.34</var>the patient's other primary care providers;<br/>
<a id="pl.127.1"></a><var>127.1</var>    (6) providing verbal education and training designed to enhance patient <br/>
<a id="pl.127.2"></a><var>127.2</var>understanding and appropriate use of the patient's medications;<br/>
<a id="pl.127.3"></a><var>127.3</var>    (7) providing information, support services, and resources designed to enhance <br/>
<a id="pl.127.4"></a><var>127.4</var>patient adherence with the patient's therapeutic regimens; and<br/>
<a id="pl.127.5"></a><var>127.5</var>    (8) coordinating and integrating medication therapy management services within the <br/>
<a id="pl.127.6"></a><var>127.6</var>broader health care management services being provided to the patient.<br/>
<a id="pl.127.7"></a><var>127.7</var>Nothing in this subdivision shall be construed to expand or modify the scope of practice of <br/>
<a id="pl.127.8"></a><var>127.8</var>the pharmacist as defined in section 
         <statute_ref>151.01, subdivision 27</statute_ref>.<br/>
<a id="pl.127.9"></a><var>127.9</var>    (b) To be eligible for reimbursement for services under this subdivision, a pharmacist <br/>
<a id="pl.127.10"></a><var>127.10</var>must meet the following requirements:<br/>
<a id="pl.127.11"></a><var>127.11</var>    (1) have a valid license issued under chapter 151;<br/>
<a id="pl.127.12"></a><var>127.12</var>    (2) have graduated from an accredited college of pharmacy on or after May 1996, or <br/>
<a id="pl.127.13"></a><var>127.13</var>completed a structured and comprehensive education program approved by the Board of <br/>
<a id="pl.127.14"></a><var>127.14</var>Pharmacy and the American Council of Pharmaceutical Education for the provision and <br/>
<a id="pl.127.15"></a><var>127.15</var>documentation of pharmaceutical care management services that has both clinical and <br/>
<a id="pl.127.16"></a><var>127.16</var>didactic elements;<br/>
<a id="pl.127.17"></a><var>127.17</var>    (3) be practicing in an ambulatory care setting as part of a multidisciplinary team or <br/>
<a id="pl.127.18"></a><var>127.18</var>have developed a structured patient care process that is offered in a private or semiprivate <br/>
<a id="pl.127.19"></a><var>127.19</var>patient care area that is separate from the commercial business that also occurs in the <br/>
<a id="pl.127.20"></a><var>127.20</var>setting, or in home settings, excluding including long-term care and settings, group homes, <br/>
<a id="pl.127.21"></a><var>127.21</var>if the service is ordered by the provider-directed care coordination team and facilities <br/>
<a id="pl.127.22"></a><var>127.22</var>providing assisted living services, but excluding skilled nursing facilities; and<br/>
<a id="pl.127.23"></a><var>127.23</var>    (4) make use of an electronic patient record system that meets state standards.<br/>
<a id="pl.127.24"></a><var>127.24</var>    (c) For purposes of reimbursement for medication therapy management services, <br/>
<a id="pl.127.25"></a><var>127.25</var>the commissioner may enroll individual pharmacists as medical assistance and general <br/>
<a id="pl.127.26"></a><var>127.26</var>assistance medical care providers. The commissioner may also establish contact <br/>
<a id="pl.127.27"></a><var>127.27</var>requirements between the pharmacist and recipient, including limiting the number of <br/>
<a id="pl.127.28"></a><var>127.28</var>reimbursable consultations per recipient.<br/>
<a id="pl.127.29"></a><var>127.29</var>(d) If there are no pharmacists who meet the requirements of paragraph (b) practicing <br/>
<a id="pl.127.30"></a><var>127.30</var>within a reasonable geographic distance of the patient, a pharmacist who meets the <br/>
<a id="pl.127.31"></a><var>127.31</var>requirements may provide the services via two-way interactive video. Reimbursement <br/>
<a id="pl.127.32"></a><var>127.32</var>shall be at the same rates and under the same conditions that would otherwise apply to <br/>
<a id="pl.127.33"></a><var>127.33</var>the services provided. To qualify for reimbursement under this paragraph, the pharmacist <br/>
<a id="pl.127.34"></a><var>127.34</var>providing the services must meet the requirements of paragraph (b), and must be located <br/>
<a id="pl.127.35"></a><var>127.35</var>within an ambulatory care setting approved by the commissioner. The patient must also <br/>
<a id="pl.128.1"></a><var>128.1</var>be located within an ambulatory care setting approved by the commissioner. Services <br/>
<a id="pl.128.2"></a><var>128.2</var>provided under this paragraph may not be transmitted into the patient's residence.<br/>
<a id="pl.128.3"></a><var>128.3</var>(e) The commissioner shall establish a pilot project for an intensive medication <br/>
<a id="pl.128.4"></a><var>128.4</var>therapy management program for patients identified by the commissioner with multiple <br/>
<a id="pl.128.5"></a><var>128.5</var>chronic conditions and a high number of medications who are at high risk of preventable <br/>
<a id="pl.128.6"></a><var>128.6</var>hospitalizations, emergency room use, medication complications, and suboptimal <br/>
<a id="pl.128.7"></a><var>128.7</var>treatment outcomes due to medication-related problems. For purposes of the pilot <br/>
<a id="pl.128.8"></a><var>128.8</var>project, medication therapy management services may be provided in a patient's home <br/>
<a id="pl.128.9"></a><var>128.9</var>or community setting, in addition to other authorized settings. The commissioner may <br/>
<a id="pl.128.10"></a><var>128.10</var>waive existing payment policies and establish special payment rates for the pilot project. <br/>
<a id="pl.128.11"></a><var>128.11</var>The pilot project must be designed to produce a net savings to the state compared to the <br/>
<a id="pl.128.12"></a><var>128.12</var>estimated costs that would otherwise be incurred for similar patients without the program. <br/>
<a id="pl.128.13"></a><var>128.13</var>The pilot project must begin by January 1, 2010, and end June 30, 2012.<br/>
<a id="pl.128.14"></a><var>128.14</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.5.31.0"></a><a id="pl.128.15"></a><var>128.15</var>    Sec. 31. Minnesota Statutes 2010, section 256B.0625, subdivision 17, is amended to <br/>
<a id="pl.128.16"></a><var>128.16</var>read:<br/>
<a id="pl.128.17"></a><var>128.17</var>    Subd. 17. <b>Transportation costs.</b> (a) Medical assistance covers medical <br/>
<a id="pl.128.18"></a><var>128.18</var>transportation costs incurred solely for obtaining emergency medical care or transportation <br/>
<a id="pl.128.19"></a><var>128.19</var>costs incurred by eligible persons in obtaining emergency or nonemergency medical <br/>
<a id="pl.128.20"></a><var>128.20</var>care when paid directly to an ambulance company, common carrier, or other recognized <br/>
<a id="pl.128.21"></a><var>128.21</var>providers of transportation services. Medical transportation must be provided by:<br/>
<a id="pl.128.22"></a><var>128.22</var>(1) an ambulance, as defined in section 
         <statute_ref>144E.001, subdivision 2</statute_ref>;<br/>
<a id="pl.128.23"></a><var>128.23</var>(2) special transportation; or<br/>
<a id="pl.128.24"></a><var>128.24</var>(3) common carrier including, but not limited to, bus, taxicab, other commercial <br/>
<a id="pl.128.25"></a><var>128.25</var>carrier, or private automobile.<br/>
<a id="pl.128.26"></a><var>128.26</var>(b) Medical assistance covers special transportation, as defined in Minnesota Rules, <br/>
<a id="pl.128.27"></a><var>128.27</var>part 9505.0315, subpart 1, item F, if the recipient has a physical or mental impairment that <br/>
<a id="pl.128.28"></a><var>128.28</var>would prohibit the recipient from safely accessing and using a bus, taxi, other commercial <br/>
<a id="pl.128.29"></a><var>128.29</var>transportation, or private automobile.<br/>
<a id="pl.128.30"></a><var>128.30</var>The commissioner may use an order by the recipient's attending physician to certify that <br/>
<a id="pl.128.31"></a><var>128.31</var>the recipient requires special transportation services. Special transportation providers shall <br/>
<a id="pl.128.32"></a><var>128.32</var>perform driver-assisted services for eligible individuals. Driver-assisted service includes <br/>
<a id="pl.128.33"></a><var>128.33</var>passenger pickup at and return to the individual's residence or place of business, assistance <br/>
<a id="pl.128.34"></a><var>128.34</var>with admittance of the individual to the medical facility, and assistance in passenger <br/>
<a id="pl.128.35"></a><var>128.35</var>securement or in securing of wheelchairs or stretchers in the vehicle. Special transportation <br/>
<a id="pl.129.1"></a><var>129.1</var>providers must obtain written documentation from the health care service provider who <br/>
<a id="pl.129.2"></a><var>129.2</var>is serving the recipient being transported, identifying the time that the recipient arrived. <br/>
<a id="pl.129.3"></a><var>129.3</var>Special transportation providers may not bill for separate base rates for the continuation of <br/>
<a id="pl.129.4"></a><var>129.4</var>a trip beyond the original destination. Special transportation providers must take recipients <br/>
<a id="pl.129.5"></a><var>129.5</var>to the nearest appropriate health care provider, using the most direct route. The minimum <br/>
<a id="pl.129.6"></a><var>129.6</var>medical assistance reimbursement rates for special transportation services are:<br/>
<a id="pl.129.7"></a><var>129.7</var>(1) (i) $17 for the base rate and $1.35 per mile for special transportation services to <br/>
<a id="pl.129.8"></a><var>129.8</var>eligible persons who need a wheelchair-accessible van;<br/>
<a id="pl.129.9"></a><var>129.9</var>(ii) $11.50 for the base rate and $1.30 per mile for special transportation services to <br/>
<a id="pl.129.10"></a><var>129.10</var>eligible persons who do not need a wheelchair-accessible van; and<br/>
<a id="pl.129.11"></a><var>129.11</var>(iii) $60 for the base rate and $2.40 per mile, and an attendant rate of $9 per trip, for <br/>
<a id="pl.129.12"></a><var>129.12</var>special transportation services to eligible persons who need a stretcher-accessible vehicle;<br/>
<a id="pl.129.13"></a><var>129.13</var>(2) the base rates for special transportation services in areas defined under RUCA <br/>
<a id="pl.129.14"></a><var>129.14</var>to be super rural shall be equal to the reimbursement rate established in clause (1) plus <br/>
<a id="pl.129.15"></a><var>129.15</var>11.3 percent; and<br/>
<a id="pl.129.16"></a><var>129.16</var>(3) for special transportation services in areas defined under RUCA to be rural <br/>
<a id="pl.129.17"></a><var>129.17</var>or super rural areas:<br/>
<a id="pl.129.18"></a><var>129.18</var>(i) for a trip equal to 17 miles or less, mileage reimbursement shall be equal to 125 <br/>
<a id="pl.129.19"></a><var>129.19</var>percent of the respective mileage rate in clause (1); and<br/>
<a id="pl.129.20"></a><var>129.20</var>(ii) for a trip between 18 and 50 miles, mileage reimbursement shall be equal to <br/>
<a id="pl.129.21"></a><var>129.21</var>112.5 percent of the respective mileage rate in clause (1).<br/>
<a id="pl.129.22"></a><var>129.22</var>(c) For purposes of reimbursement rates for special transportation services under <br/>
<a id="pl.129.23"></a><var>129.23</var>paragraph (b), the zip code of the recipient's place of residence shall determine whether <br/>
<a id="pl.129.24"></a><var>129.24</var>the urban, rural, or super rural reimbursement rate applies.<br/>
<a id="pl.129.25"></a><var>129.25</var>(d) For purposes of this subdivision, "rural urban commuting area" or "RUCA" <br/>
<a id="pl.129.26"></a><var>129.26</var>means a census-tract based classification system under which a geographical area is <br/>
<a id="pl.129.27"></a><var>129.27</var>determined to be urban, rural, or super rural.<br/>
<a id="pl.129.28"></a><var>129.28</var>(e) Effective for services provided on or after July 1, 2011, nonemergency <br/>
<a id="pl.129.29"></a><var>129.29</var>transportation rates, including special transportation, taxi, and other commercial carriers, <br/>
<a id="pl.129.30"></a><var>129.30</var>are reduced 4.5 percent. Payments made to managed care plans and county-based <br/>
<a id="pl.129.31"></a><var>129.31</var>purchasing plans must be reduced for services provided on or after January 1, 2012, <br/>
<a id="pl.129.32"></a><var>129.32</var>to reflect this reduction.<br/>
<br/>
<a id="bill.5.32.0"></a><a id="pl.129.33"></a><var>129.33</var>    Sec. 32. Minnesota Statutes 2010, section 256B.0625, subdivision 17a, is amended to <br/>
<a id="pl.129.34"></a><var>129.34</var>read:<br/>
<a id="pl.130.1"></a><var>130.1</var>    Subd. 17a. <b>Payment for ambulance services.</b> (a) Medical assistance covers <br/>
<a id="pl.130.2"></a><var>130.2</var>ambulance services. Providers shall bill ambulance services according to Medicare <br/>
<a id="pl.130.3"></a><var>130.3</var>criteria. Nonemergency ambulance services shall not be paid as emergencies. Effective <br/>
<a id="pl.130.4"></a><var>130.4</var>for services rendered on or after July 1, 2001, medical assistance payments for ambulance <br/>
<a id="pl.130.5"></a><var>130.5</var>services shall be paid at the Medicare reimbursement rate or at the medical assistance <br/>
<a id="pl.130.6"></a><var>130.6</var>payment rate in effect on July 1, 2000, whichever is greater.<br/>
<a id="pl.130.7"></a><var>130.7</var>(b) Effective for services provided on or after July 1, 2011, ambulance services <br/>
<a id="pl.130.8"></a><var>130.8</var>payment rates are reduced 4.5 percent. Payments made to managed care plans and <br/>
<a id="pl.130.9"></a><var>130.9</var>county-based purchasing plans must be reduced for services provided on or after January <br/>
<a id="pl.130.10"></a><var>130.10</var>1, 2012, to reflect this reduction.<br/>
<br/>
<a id="bill.5.33.0"></a><a id="pl.130.11"></a><var>130.11</var>    Sec. 33. Minnesota Statutes 2010, section 256B.0625, subdivision 18, is amended to <br/>
<a id="pl.130.12"></a><var>130.12</var>read:<br/>
<a id="pl.130.13"></a><var>130.13</var>    Subd. 18. <b>Bus or taxicab transportation.</b> To the extent authorized by rule of the <br/>
<a id="pl.130.14"></a><var>130.14</var>state agency, medical assistance covers costs of the most appropriate and cost-effective <br/>
<a id="pl.130.15"></a><var>130.15</var>form of transportation incurred by any ambulatory eligible person for obtaining <br/>
<a id="pl.130.16"></a><var>130.16</var>nonemergency medical care.<br/>
<br/>
<a id="bill.5.34.0"></a><a id="pl.130.17"></a><var>130.17</var>    Sec. 34. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.130.18"></a><var>130.18</var>subdivision to read:<br/>
<a id="pl.130.19"></a><var>130.19</var>    Subd. 25b. <b>Authorization with third-party liability.</b> (a) Except as otherwise <br/>
<a id="pl.130.20"></a><var>130.20</var>allowed under this subdivision or required under federal or state regulations, the <br/>
<a id="pl.130.21"></a><var>130.21</var>commissioner must not consider a request for authorization of a service when the recipient <br/>
<a id="pl.130.22"></a><var>130.22</var>has coverage from a third-party payer unless the provider requesting authorization has <br/>
<a id="pl.130.23"></a><var>130.23</var>made a good faith effort to receive payment or authorization from the third-party payer. <br/>
<a id="pl.130.24"></a><var>130.24</var>A good faith effort is established by supplying with the authorization request to the <br/>
<a id="pl.130.25"></a><var>130.25</var>commissioner the following:<br/>
<a id="pl.130.26"></a><var>130.26</var>(1) a determination of payment for the service from the third-party payer, a <br/>
<a id="pl.130.27"></a><var>130.27</var>determination of authorization for the service from the third-party payer, or a verification <br/>
<a id="pl.130.28"></a><var>130.28</var>of noncoverage of the service by the third-party payer; and<br/>
<a id="pl.130.29"></a><var>130.29</var>(2) the information or records required by the department to document the reason for <br/>
<a id="pl.130.30"></a><var>130.30</var>the determination or to validate noncoverage from the third-party payer.<br/>
<a id="pl.130.31"></a><var>130.31</var>(b) A provider requesting authorization for services covered by Medicare is not <br/>
<a id="pl.130.32"></a><var>130.32</var>required to bill Medicare before requesting authorization from the commissioner if the <br/>
<a id="pl.130.33"></a><var>130.33</var>provider has reason to believe that a service covered by Medicare is not eligible for <br/>
<a id="pl.130.34"></a><var>130.34</var>payment. The provider must document that, because of recent claim experiences with <br/>
<a id="pl.131.1"></a><var>131.1</var>Medicare or because of written communication from Medicare, coverage is not available <br/>
<a id="pl.131.2"></a><var>131.2</var>for the service.<br/>
<a id="pl.131.3"></a><var>131.3</var>(c) Authorization is not required if a third-party payer has made payment that is <br/>
<a id="pl.131.4"></a><var>131.4</var>equal to or greater than 60 percent of the maximum payment amount for the service <br/>
<a id="pl.131.5"></a><var>131.5</var>allowed under medical assistance.<br/>
<br/>
<a id="bill.5.35.0"></a><a id="pl.131.6"></a><var>131.6</var>    Sec. 35. Minnesota Statutes 2010, section 256B.0625, subdivision 31a, is amended to <br/>
<a id="pl.131.7"></a><var>131.7</var>read:<br/>
<a id="pl.131.8"></a><var>131.8</var>    Subd. 31a. <b>Augmentative and alternative communication systems.</b> (a) Medical <br/>
<a id="pl.131.9"></a><var>131.9</var>assistance covers augmentative and alternative communication systems consisting of <br/>
<a id="pl.131.10"></a><var>131.10</var>electronic or nonelectronic devices and the related components necessary to enable a <br/>
<a id="pl.131.11"></a><var>131.11</var>person with severe expressive communication limitations to produce or transmit messages <br/>
<a id="pl.131.12"></a><var>131.12</var>or symbols in a manner that compensates for that disability.<br/>
<a id="pl.131.13"></a><var>131.13</var>(b) Until the volume of systems purchased increases to allow a discount price, the <br/>
<a id="pl.131.14"></a><var>131.14</var>commissioner shall reimburse augmentative and alternative communication manufacturers <br/>
<a id="pl.131.15"></a><var>131.15</var>and vendors at the manufacturer's suggested retail price for augmentative and alternative <br/>
<a id="pl.131.16"></a><var>131.16</var>communication systems and related components. The commissioner shall separately <br/>
<a id="pl.131.17"></a><var>131.17</var>reimburse providers for purchasing and integrating individual communication systems <br/>
<a id="pl.131.18"></a><var>131.18</var>which are unavailable as a package from an augmentative and alternative communication <br/>
<a id="pl.131.19"></a><var>131.19</var>vendor. Augmentative and alternative communication systems must be paid the lower <br/>
<a id="pl.131.20"></a><var>131.20</var>of the: <br/>
<a id="pl.131.21"></a><var>131.21</var>(1) submitted charge; or<br/>
<a id="pl.131.22"></a><var>131.22</var>(2)(i) manufacturer's suggested retail price minus 20 percent for providers that are <br/>
<a id="pl.131.23"></a><var>131.23</var>manufacturers of augmentative and alternative communication systems; or<br/>
<a id="pl.131.24"></a><var>131.24</var>(ii) manufacturer's invoice charge plus 20 percent for providers that are not <br/>
<a id="pl.131.25"></a><var>131.25</var>manufacturers of augmentative and alternative communication systems.<br/>
<a id="pl.131.26"></a><var>131.26</var>(c) Reimbursement rates established by this purchasing program are not subject to <br/>
<a id="pl.131.27"></a><var>131.27</var>Minnesota Rules, part 9505.0445, item S or T.<br/>
<br/>
<a id="bill.5.36.0"></a><a id="pl.131.28"></a><var>131.28</var>    Sec. 36. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.131.29"></a><var>131.29</var>subdivision to read:<br/>
<a id="pl.131.30"></a><var>131.30</var>    Subd. 55. <b>Payment for noncovered services.</b> (a) Except when specifically <br/>
<a id="pl.131.31"></a><var>131.31</var>prohibited by the commissioner or federal law, a provider may seek payment from the <br/>
<a id="pl.131.32"></a><var>131.32</var>recipient for services not eligible for payment under the medical assistance program when <br/>
<a id="pl.131.33"></a><var>131.33</var>the provider, prior to delivering the service, reviews and considers all other available <br/>
<a id="pl.131.34"></a><var>131.34</var>covered alternatives with the recipient and obtains a signed acknowledgment from the <br/>
<a id="pl.132.1"></a><var>132.1</var>recipient of the potential of the recipient's liability. The signed acknowledgment must be <br/>
<a id="pl.132.2"></a><var>132.2</var>in a form approved by the commissioner.<br/>
<a id="pl.132.3"></a><var>132.3</var>(b) Conditions under which a provider must not request payment from the recipient <br/>
<a id="pl.132.4"></a><var>132.4</var>include, but are not limited to:<br/>
<a id="pl.132.5"></a><var>132.5</var>(1) a service that requires prior authorization, unless authorization has been denied <br/>
<a id="pl.132.6"></a><var>132.6</var>as not medically necessary and all other therapeutic alternatives have been reviewed;<br/>
<a id="pl.132.7"></a><var>132.7</var>(2) a service for which payment has been denied for reasons relating to billing <br/>
<a id="pl.132.8"></a><var>132.8</var>requirements;<br/>
<a id="pl.132.9"></a><var>132.9</var>(3) standard shipping or delivery and setup of medical equipment or medical <br/>
<a id="pl.132.10"></a><var>132.10</var>supplies;<br/>
<a id="pl.132.11"></a><var>132.11</var>(4) services that are included in the recipient's long term care per diem;<br/>
<a id="pl.132.12"></a><var>132.12</var>(5) the recipient is enrolled in the Restricted Recipient Program and the provider is <br/>
<a id="pl.132.13"></a><var>132.13</var>one of a provider type designated for the recipient's health care services; and<br/>
<a id="pl.132.14"></a><var>132.14</var>(6) the noncovered service is a prescriptive drug identified by the commissioner as <br/>
<a id="pl.132.15"></a><var>132.15</var>having the potential for abuse and overuse, except where payment by the recipient is <br/>
<a id="pl.132.16"></a><var>132.16</var>specifically approved by the commissioner on the date of service based upon compelling <br/>
<a id="pl.132.17"></a><var>132.17</var>evidence supplied by the prescribing provider that establishes medical necessity for that <br/>
<a id="pl.132.18"></a><var>132.18</var>particular drug.<br/>
<a id="pl.132.19"></a><var>132.19</var>(c) The payment requested from recipients for noncovered services under this <br/>
<a id="pl.132.20"></a><var>132.20</var>subdivision must not exceed the provider's usual and customary charge for the actual <br/>
<a id="pl.132.21"></a><var>132.21</var>service received by the recipient. A recipient must not be billed for the difference between <br/>
<a id="pl.132.22"></a><var>132.22</var>what medical assistance paid for the service or would pay for a less costly alternative <br/>
<a id="pl.132.23"></a><var>132.23</var>service.<br/>
<br/>
<a id="bill.5.37.0"></a><a id="pl.132.24"></a><var>132.24</var>    Sec. 37. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.132.25"></a><var>132.25</var>subdivision to read:<br/>
<a id="pl.132.26"></a><var>132.26</var>    Subd. 56. <b>Medical service coordination.</b> (a) Medical assistance covers in-reach <br/>
<a id="pl.132.27"></a><var>132.27</var>community-based service coordination that is performed in a hospital emergency <br/>
<a id="pl.132.28"></a><var>132.28</var>department as an eligible procedure under a state healthcare program or private insurance <br/>
<a id="pl.132.29"></a><var>132.29</var>for a frequent user. A frequent user is defined as an individual who has frequented the <br/>
<a id="pl.132.30"></a><var>132.30</var>hospital emergency department for services three or more times in the previous four <br/>
<a id="pl.132.31"></a><var>132.31</var>consecutive months. In-reach community-based service coordination includes navigating <br/>
<a id="pl.132.32"></a><var>132.32</var>services to address a client's mental health, chemical health, social, economic, and housing <br/>
<a id="pl.132.33"></a><var>132.33</var>needs, or any other activity targeted at reducing the incidence of emergency room and <br/>
<a id="pl.132.34"></a><var>132.34</var>other nonmedically necessary health care utilization.<br/>
<a id="pl.133.1"></a><var>133.1</var>(b) Reimbursement must be made in 15-minute increments under current Medicaid <br/>
<a id="pl.133.2"></a><var>133.2</var>mental health social work reimbursement methodology and allowed for up to 60 days <br/>
<a id="pl.133.3"></a><var>133.3</var>posthospital discharge based upon the specific identified emergency department visit or <br/>
<a id="pl.133.4"></a><var>133.4</var>inpatient admitting event. A frequent user who is participating in care coordination within <br/>
<a id="pl.133.5"></a><var>133.5</var>a health care home framework is ineligible for reimbursement under this subdivision. <br/>
<a id="pl.133.6"></a><var>133.6</var>Eligible in-reach service coordinators must hold a minimum of a bachelor's degree in <br/>
<a id="pl.133.7"></a><var>133.7</var>social work, public health, corrections, or a related field. The commissioner shall submit <br/>
<a id="pl.133.8"></a><var>133.8</var>any necessary application for waivers to the Centers for Medicare and Medicaid Services <br/>
<a id="pl.133.9"></a><var>133.9</var>to implement this subdivision.<br/>
<a id="pl.133.10"></a><var>133.10</var>(c) For the purposes of this subdivision, "in-reach community-based service <br/>
<a id="pl.133.11"></a><var>133.11</var>coordination" means the practice of a community-based worker with training, knowledge, <br/>
<a id="pl.133.12"></a><var>133.12</var>skills, and ability to access a continuum of services, including housing, transportation, <br/>
<a id="pl.133.13"></a><var>133.13</var>chemical and mental health treatment, employment, and peer support services, by working <br/>
<a id="pl.133.14"></a><var>133.14</var>with an organization's staff to transition an individual back into the individual's living <br/>
<a id="pl.133.15"></a><var>133.15</var>environment. In-reach community-based service coordination includes working with the <br/>
<a id="pl.133.16"></a><var>133.16</var>individual during their discharge and for up to a defined amount of time in the individual's <br/>
<a id="pl.133.17"></a><var>133.17</var>living environment, reducing the individual's need for readmittance.<br/>
<br/>
<a id="bill.5.38.0"></a><a id="pl.133.18"></a><var>133.18</var>    Sec. 38. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.133.19"></a><var>133.19</var>subdivision to read:<br/>
<a id="pl.133.20"></a><var>133.20</var>    Subd. 57. <b>Payment for Part B Medicare crossover claims.</b> Effective for services <br/>
<a id="pl.133.21"></a><var>133.21</var>provided on or after January 1, 2012, medical assistance payment for an enrollee's cost <br/>
<a id="pl.133.22"></a><var>133.22</var>sharing associated with Medicare Part B is limited to an amount up to the medical <br/>
<a id="pl.133.23"></a><var>133.23</var>assistance total allowed, when the medical assistance rate exceeds the amount paid by <br/>
<a id="pl.133.24"></a><var>133.24</var>Medicare.<br/>
<a id="pl.133.25"></a><var>133.25</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.5.39.0"></a><a id="pl.133.26"></a><var>133.26</var>    Sec. 39. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.133.27"></a><var>133.27</var>subdivision to read:<br/>
<a id="pl.133.28"></a><var>133.28</var>    Subd. 58. <b>Early and periodic screening, diagnosis, and treatment services.</b><br/>
<a id="pl.133.29"></a><var>133.29</var>Medical assistance covers early and periodic screening, diagnosis, and treatment services <br/>
<a id="pl.133.30"></a><var>133.30</var>(EPSDT). The payment amount for a complete EPSDT screening shall not exceed the rate <br/>
<a id="pl.133.31"></a><var>133.31</var>established per Minnesota Rules, part 9505.0445, item M, effective October 1, 2010.<br/>
<br/>
<a id="bill.5.40.0"></a><a id="pl.133.32"></a><var>133.32</var>    Sec. 40. Minnesota Statutes 2010, section 256B.0625, is amended by adding a <br/>
<a id="pl.133.33"></a><var>133.33</var>subdivision to read:<br/>
<a id="pl.134.1"></a><var>134.1</var>    Subd. 59. <b>Services provided by advanced dental therapists and dental </b><br/>
<a id="pl.134.2"></a><var>134.2</var><b>therapists.</b> Medical assistance covers services provided by advanced dental therapists <br/>
<a id="pl.134.3"></a><var>134.3</var>and dental therapists when provided within the scope of practice identified in sections <br/>
<a id="pl.134.4"></a><var>134.4</var>150A.105 and 150A.106.<br/>
<br/>
<a id="bill.5.41.0"></a><a id="pl.134.5"></a><var>134.5</var>    Sec. 41. Minnesota Statutes 2010, section 256B.0631, subdivision 1, is amended to <br/>
<a id="pl.134.6"></a><var>134.6</var>read:<br/>
<a id="pl.134.7"></a><var>134.7</var>    Subdivision 1. <b>Co-payments</b><b> Cost-sharing</b><b>.</b> (a) Except as provided in subdivision <br/>
<a id="pl.134.8"></a><var>134.8</var>2, the medical assistance benefit plan shall include the following co-payments cost-sharing <br/>
<a id="pl.134.9"></a><var>134.9</var>for all recipients, effective for services provided on or after October 1, 2003, and before <br/>
<a id="pl.134.10"></a><var>134.10</var>January 1, 2009 July 1, 2011:<br/>
<a id="pl.134.11"></a><var>134.11</var>    (1) $3 per nonpreventive visit, except as provided in paragraph (c). For purposes <br/>
<a id="pl.134.12"></a><var>134.12</var>of this subdivision, a visit means an episode of service which is required because of <br/>
<a id="pl.134.13"></a><var>134.13</var>a recipient's symptoms, diagnosis, or established illness, and which is delivered in an <br/>
<a id="pl.134.14"></a><var>134.14</var>ambulatory setting by a physician or physician ancillary, chiropractor, podiatrist, nurse <br/>
<a id="pl.134.15"></a><var>134.15</var>midwife, advanced practice nurse, audiologist, optician, or optometrist;<br/>
<a id="pl.134.16"></a><var>134.16</var>    (2) $3 for eyeglasses;<br/>
<a id="pl.134.17"></a><var>134.17</var>    (3) $6 $3.50 for nonemergency visits to a hospital-based emergency room, except <br/>
<a id="pl.134.18"></a><var>134.18</var>that this co-payment shall be increased to $20 upon federal approval; and<br/>
<a id="pl.134.19"></a><var>134.19</var>    (4) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.134.20"></a><var>134.20</var>subject to a $12 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.134.21"></a><var>134.21</var>shall apply to antipsychotic drugs when used for the treatment of mental illness.;<br/>
<a id="pl.134.22"></a><var>134.22</var>(5) a family deductible equal to the maximum amount allowed under Code of <br/>
<a id="pl.134.23"></a><var>134.23</var>Federal Regulations, title 42, part 447.54; and<br/>
<a id="pl.134.24"></a><var>134.24</var>    (b) Except as provided in subdivision 2, the medical assistance benefit plan shall <br/>
<a id="pl.134.25"></a><var>134.25</var>include the following co-payments for all recipients, effective for services provided on <br/>
<a id="pl.134.26"></a><var>134.26</var>or after January 1, 2009:<br/>
<a id="pl.134.27"></a><var>134.27</var>    (1) $3.50 for nonemergency visits to a hospital-based emergency room;<br/>
<a id="pl.134.28"></a><var>134.28</var>    (2) $3 per brand-name drug prescription and $1 per generic drug prescription, <br/>
<a id="pl.134.29"></a><var>134.29</var>subject to a $7 per month maximum for prescription drug co-payments. No co-payments <br/>
<a id="pl.134.30"></a><var>134.30</var>shall apply to antipsychotic drugs when used for the treatment of mental illness; and<br/>
<a id="pl.134.31"></a><var>134.31</var>    (3) (6) for individuals identified by the commissioner with income at or below 100 <br/>
<a id="pl.134.32"></a><var>134.32</var>percent of the federal poverty guidelines, total monthly co-payments cost-sharing must <br/>
<a id="pl.134.33"></a><var>134.33</var>not exceed five percent of family income. For purposes of this paragraph, family income <br/>
<a id="pl.134.34"></a><var>134.34</var>is the total earned and unearned income of the individual and the individual's spouse, if <br/>
<a id="pl.135.1"></a><var>135.1</var>the spouse is enrolled in medical assistance and also subject to the five percent limit on <br/>
<a id="pl.135.2"></a><var>135.2</var>co-payments cost-sharing.<br/>
<a id="pl.135.3"></a><var>135.3</var>    (c) (b) Recipients of medical assistance are responsible for all co-payments  and <br/>
<a id="pl.135.4"></a><var>135.4</var>deductibles in this subdivision.<br/>
<a id="pl.135.5"></a><var>135.5</var>(c) Effective January 1, 2012, or upon federal approval, whichever is later, the <br/>
<a id="pl.135.6"></a><var>135.6</var>following co-payments for nonpreventive visits shall apply to providers included in <br/>
<a id="pl.135.7"></a><var>135.7</var>provider peer grouping:<br/>
<a id="pl.135.8"></a><var>135.8</var>(1) $3 for visits to providers whose average, risk-adjusted, total annual cost of <br/>
<a id="pl.135.9"></a><var>135.9</var>care per medical assistance enrollee is at the 60th percentile or lower for providers of <br/>
<a id="pl.135.10"></a><var>135.10</var>the same type;<br/>
<a id="pl.135.11"></a><var>135.11</var>(2) $6 for visits to providers whose average, risk-adjusted, total annual cost of care <br/>
<a id="pl.135.12"></a><var>135.12</var>per medical assistance enrollee is greater than the 60th percentile but does not exceed the <br/>
<a id="pl.135.13"></a><var>135.13</var>80th percentile for providers of the same type; and<br/>
<a id="pl.135.14"></a><var>135.14</var>(3) $10 for visits to providers whose average, risk-adjusted, total annual cost of <br/>
<a id="pl.135.15"></a><var>135.15</var>care per medical assistance enrollee is greater than the 80th percentile for providers of <br/>
<a id="pl.135.16"></a><var>135.16</var>the same type.<br/>
<a id="pl.135.17"></a><var>135.17</var>Each managed care and county-based purchasing plan shall calculate the average, <br/>
<a id="pl.135.18"></a><var>135.18</var>risk-adjusted, total annual cost of care for providers under this paragraph using a <br/>
<a id="pl.135.19"></a><var>135.19</var>methodology approved by the commissioner. The commissioner shall develop a <br/>
<a id="pl.135.20"></a><var>135.20</var>methodology for calculating the average, risk-adjusted, total annual cost of care for <br/>
<a id="pl.135.21"></a><var>135.21</var>fee-for-service providers.<br/>
<a id="pl.135.22"></a><var>135.22</var>(d) The commissioner shall seek any federal waivers and approvals necessary to <br/>
<a id="pl.135.23"></a><var>135.23</var>increase the co-payment for nonemergency visits to a hospital-based emergency room <br/>
<a id="pl.135.24"></a><var>135.24</var>under paragraph (a), clause (3), and to implement paragraph (c).<br/>
<br/>
<a id="bill.5.42.0"></a><a id="pl.135.25"></a><var>135.25</var>    Sec. 42. Minnesota Statutes 2010, section 256B.0631, subdivision 2, is amended to <br/>
<a id="pl.135.26"></a><var>135.26</var>read:<br/>
<a id="pl.135.27"></a><var>135.27</var>    Subd. 2. <b>Exceptions.</b> Co-payments and deductibles shall be subject to the following <br/>
<a id="pl.135.28"></a><var>135.28</var>exceptions:<br/>
<a id="pl.135.29"></a><var>135.29</var>(1) children under the age of 21;<br/>
<a id="pl.135.30"></a><var>135.30</var>(2) pregnant women for services that relate to the pregnancy or any other medical <br/>
<a id="pl.135.31"></a><var>135.31</var>condition that may complicate the pregnancy;<br/>
<a id="pl.135.32"></a><var>135.32</var>(3) recipients expected to reside for at least 30 days in a hospital, nursing home, or <br/>
<a id="pl.135.33"></a><var>135.33</var>intermediate care facility for the developmentally disabled;<br/>
<a id="pl.135.34"></a><var>135.34</var>(4) recipients receiving hospice care;<br/>
<a id="pl.135.35"></a><var>135.35</var>(5) 100 percent federally funded services provided by an Indian health service;<br/>
<a id="pl.136.1"></a><var>136.1</var>(6) emergency services;<br/>
<a id="pl.136.2"></a><var>136.2</var>(7) family planning services;<br/>
<a id="pl.136.3"></a><var>136.3</var>(8) services that are paid by Medicare, resulting in the medical assistance program <br/>
<a id="pl.136.4"></a><var>136.4</var>paying for the coinsurance and deductible; and<br/>
<a id="pl.136.5"></a><var>136.5</var>(9) co-payments that exceed one per day per provider for nonpreventive visits, <br/>
<a id="pl.136.6"></a><var>136.6</var>eyeglasses, and nonemergency visits to a hospital-based emergency room.<br/>
<br/>
<a id="bill.5.43.0"></a><a id="pl.136.7"></a><var>136.7</var>    Sec. 43. Minnesota Statutes 2010, section 256B.0631, subdivision 3, is amended to <br/>
<a id="pl.136.8"></a><var>136.8</var>read:<br/>
<a id="pl.136.9"></a><var>136.9</var>    Subd. 3. <b>Collection.</b> (a) The medical assistance reimbursement to the provider shall <br/>
<a id="pl.136.10"></a><var>136.10</var>be reduced by the amount of the co-payment or deductible, except that reimbursements <br/>
<a id="pl.136.11"></a><var>136.11</var>shall not be reduced:<br/>
<a id="pl.136.12"></a><var>136.12</var>    (1) once a recipient has reached the $12 per month maximum or the $7 per month <br/>
<a id="pl.136.13"></a><var>136.13</var>maximum effective January 1, 2009, for prescription drug co-payments; or<br/>
<a id="pl.136.14"></a><var>136.14</var>    (2) for a recipient identified by the commissioner under 100 percent of the federal <br/>
<a id="pl.136.15"></a><var>136.15</var>poverty guidelines who has met their monthly five percent co-payment cost-sharing limit.<br/>
<a id="pl.136.16"></a><var>136.16</var>    (b) The provider collects the co-payment or deductible from the recipient. Providers <br/>
<a id="pl.136.17"></a><var>136.17</var>may not deny services to recipients who are unable to pay the co-payment or deductible.<br/>
<a id="pl.136.18"></a><var>136.18</var>    (c) Medical assistance reimbursement to fee-for-service providers and payments to <br/>
<a id="pl.136.19"></a><var>136.19</var>managed care plans shall not be increased as a result of the removal of co-payments or <br/>
<a id="pl.136.20"></a><var>136.20</var>deductibles effective on or after January 1, 2009.<br/>
<br/>
<a id="bill.5.44.0"></a><a id="pl.136.21"></a><var>136.21</var>    Sec. 44. Minnesota Statutes 2010, section 256B.0644, is amended to read:<br/>
<a id="pl.136.22"></a><var>136.22</var><b>256B.0644 REIMBURSEMENT UNDER OTHER STATE HEALTH CARE </b><br/>
<a id="pl.136.23"></a><var>136.23</var><b>PROGRAMS.</b><br/>
<a id="pl.136.24"></a><var>136.24</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.136.25"></a><var>136.25</var>health maintenance organization, as defined in chapter 62D, must participate as a provider <br/>
<a id="pl.136.26"></a><var>136.26</var>or contractor in the medical assistance program, general assistance medical care program, <br/>
<a id="pl.136.27"></a><var>136.27</var>and MinnesotaCare as a condition of participating as a provider in health insurance plans <br/>
<a id="pl.136.28"></a><var>136.28</var>and programs or contractor for state employees established under section 
         <statute_ref>43A.18</statute_ref>, the <br/>
<a id="pl.136.29"></a><var>136.29</var>public employees insurance program under section 
         <statute_ref>43A.316</statute_ref>, for health insurance plans <br/>
<a id="pl.136.30"></a><var>136.30</var>offered to local statutory or home rule charter city, county, and school district employees, <br/>
<a id="pl.136.31"></a><var>136.31</var>the workers' compensation system under section 
         <statute_ref>176.135</statute_ref>, and insurance plans provided <br/>
<a id="pl.136.32"></a><var>136.32</var>through the Minnesota Comprehensive Health Association under sections 
         <statute_ref>62E.01</statute_ref> to <br/>
<statute_ref><a id="pl.136.33"></a><var>136.33</var>62E.19
         </statute_ref>. The limitations on insurance plans offered to local government employees shall <br/>
<a id="pl.137.1"></a><var>137.1</var>not be applicable in geographic areas where provider participation is limited by managed <br/>
<a id="pl.137.2"></a><var>137.2</var>care contracts with the Department of Human Services.<br/>
<a id="pl.137.3"></a><var>137.3</var>    (b) For providers other than health maintenance organizations, participation in the <br/>
<a id="pl.137.4"></a><var>137.4</var>medical assistance program means that:<br/>
<a id="pl.137.5"></a><var>137.5</var>     (1) the provider accepts new medical assistance, general assistance medical care, <br/>
<a id="pl.137.6"></a><var>137.6</var>and MinnesotaCare patients;<br/>
<a id="pl.137.7"></a><var>137.7</var>    (2) for providers other than dental service providers, at least 20 percent of the <br/>
<a id="pl.137.8"></a><var>137.8</var>provider's patients are covered by medical assistance, general assistance medical care, <br/>
<a id="pl.137.9"></a><var>137.9</var>and MinnesotaCare as their primary source of coverage; or<br/>
<a id="pl.137.10"></a><var>137.10</var>    (3) for dental service providers, at least ten percent of the provider's patients are <br/>
<a id="pl.137.11"></a><var>137.11</var>covered by medical assistance, general assistance medical care, and MinnesotaCare as <br/>
<a id="pl.137.12"></a><var>137.12</var>their primary source of coverage, or the provider accepts new medical assistance and <br/>
<a id="pl.137.13"></a><var>137.13</var>MinnesotaCare patients who are children with special health care needs. For purposes <br/>
<a id="pl.137.14"></a><var>137.14</var>of this section, "children with special health care needs" means children up to age 18 <br/>
<a id="pl.137.15"></a><var>137.15</var>who: (i) require health and related services beyond that required by children generally; <br/>
<a id="pl.137.16"></a><var>137.16</var>and (ii) have or are at risk for a chronic physical, developmental, behavioral, or emotional <br/>
<a id="pl.137.17"></a><var>137.17</var>condition, including: bleeding and coagulation disorders; immunodeficiency disorders; <br/>
<a id="pl.137.18"></a><var>137.18</var>cancer; endocrinopathy; developmental disabilities; epilepsy, cerebral palsy, and other <br/>
<a id="pl.137.19"></a><var>137.19</var>neurological diseases; visual impairment or deafness; Down syndrome and other genetic <br/>
<a id="pl.137.20"></a><var>137.20</var>disorders; autism; fetal alcohol syndrome; and other conditions designated by the <br/>
<a id="pl.137.21"></a><var>137.21</var>commissioner after consultation with representatives of pediatric dental providers and <br/>
<a id="pl.137.22"></a><var>137.22</var>consumers.<br/>
<a id="pl.137.23"></a><var>137.23</var>    (c) Patients seen on a volunteer basis by the provider at a location other than <br/>
<a id="pl.137.24"></a><var>137.24</var>the provider's usual place of practice may be considered in meeting the participation <br/>
<a id="pl.137.25"></a><var>137.25</var>requirement in this section. The commissioner shall establish participation requirements <br/>
<a id="pl.137.26"></a><var>137.26</var>for health maintenance organizations. The commissioner shall provide lists of participating <br/>
<a id="pl.137.27"></a><var>137.27</var>medical assistance providers on a quarterly basis to the commissioner of management and <br/>
<a id="pl.137.28"></a><var>137.28</var>budget, the commissioner of labor and industry, and the commissioner of commerce. Each <br/>
<a id="pl.137.29"></a><var>137.29</var>of the commissioners shall develop and implement procedures to exclude as participating <br/>
<a id="pl.137.30"></a><var>137.30</var>providers in the program or programs under their jurisdiction those providers who do <br/>
<a id="pl.137.31"></a><var>137.31</var>not participate in the medical assistance program. The commissioner of management <br/>
<a id="pl.137.32"></a><var>137.32</var>and budget shall implement this section through contracts with participating health and <br/>
<a id="pl.137.33"></a><var>137.33</var>dental carriers.<br/>
<a id="pl.137.34"></a><var>137.34</var>    (d) For purposes of paragraphs (a) and (b), participation in the general assistance <br/>
<a id="pl.137.35"></a><var>137.35</var>medical care program applies only to pharmacy providers.<br/>
<a id="pl.138.1"></a><var>138.1</var>    (e) A provider described in section 256B.76, subdivision 5, may limit the eligibility <br/>
<a id="pl.138.2"></a><var>138.2</var>of new medical assistance, general assistance medical care, and MinnesotaCare patients <br/>
<a id="pl.138.3"></a><var>138.3</var>for specific categories of rehabilitative services, if medical assistance, general assistance <br/>
<a id="pl.138.4"></a><var>138.4</var>medical care, and MinnesotaCare patients served by the provider in the aggregate exceed <br/>
<a id="pl.138.5"></a><var>138.5</var>30 percent of the provider's overall patient population.<br/>
<br/>
<a id="bill.5.45.0"></a><a id="pl.138.6"></a><var>138.6</var>    Sec. 45. Minnesota Statutes 2010, section 256B.0751, subdivision 4, is amended to <br/>
<a id="pl.138.7"></a><var>138.7</var>read:<br/>
<a id="pl.138.8"></a><var>138.8</var>    Subd. 4. <b>Alternative models</b><b> and waivers of requirements</b><b>.</b> (a) Nothing in this <br/>
<a id="pl.138.9"></a><var>138.9</var>section shall preclude the continued development of existing medical or health care <br/>
<a id="pl.138.10"></a><var>138.10</var>home projects currently operating or under development by the commissioner of human <br/>
<a id="pl.138.11"></a><var>138.11</var>services or preclude the commissioner from establishing alternative models and payment <br/>
<a id="pl.138.12"></a><var>138.12</var>mechanisms for persons who are enrolled in integrated Medicare and Medicaid programs <br/>
<a id="pl.138.13"></a><var>138.13</var>under section 
         <statute_ref>256B.69, subdivisions 23 </statute_ref>and 28, are enrolled in managed care long-term <br/>
<a id="pl.138.14"></a><var>138.14</var>care programs under section 
         <statute_ref>256B.69</statute_ref>, subdivision 6b, are dually eligible for Medicare and <br/>
<a id="pl.138.15"></a><var>138.15</var>medical assistance, are in the waiting period for Medicare, or who have other primary <br/>
<a id="pl.138.16"></a><var>138.16</var>coverage.<br/>
<a id="pl.138.17"></a><var>138.17</var>(b) The commissioner of health shall waive health care home certification <br/>
<a id="pl.138.18"></a><var>138.18</var>requirements if an applicant demonstrates that compliance with a certification requirement <br/>
<a id="pl.138.19"></a><var>138.19</var>will create a major financial hardship or is not feasible, and the applicant establishes an <br/>
<a id="pl.138.20"></a><var>138.20</var>alternative way to accomplish the objectives of the certification requirement.<br/>
<br/>
<a id="bill.5.46.0"></a><a id="pl.138.21"></a><var>138.21</var>    Sec. 46. Minnesota Statutes 2010, section 256B.0751, is amended by adding a <br/>
<a id="pl.138.22"></a><var>138.22</var>subdivision to read:<br/>
<a id="pl.138.23"></a><var>138.23</var>    Subd. 8. <b>Coordination with local services.</b> The health care home and the county <br/>
<a id="pl.138.24"></a><var>138.24</var>shall coordinate care and services provided to patients enrolled with a health care home <br/>
<a id="pl.138.25"></a><var>138.25</var>who have complex medical needs or a disability, and who need and are eligible for <br/>
<a id="pl.138.26"></a><var>138.26</var>additional local services administered by counties, including but not limited to waivered <br/>
<a id="pl.138.27"></a><var>138.27</var>services, mental health services, social services, public health services, transportation, and <br/>
<a id="pl.138.28"></a><var>138.28</var>housing.  The coordination of care and services must be as provided in the plan established <br/>
<a id="pl.138.29"></a><var>138.29</var>by the patient and health care home.<br/>
<br/>
<a id="bill.5.47.0"></a><a id="pl.138.30"></a><var>138.30</var>    Sec. 47. Minnesota Statutes 2010, section 256B.69, subdivision 5a, is amended to read:<br/>
<a id="pl.138.31"></a><var>138.31</var>    Subd. 5a. <b>Managed care contracts.</b> (a) Managed care contracts under this section <br/>
<a id="pl.138.32"></a><var>138.32</var>and section 
         <statute_ref>256L.12</statute_ref> shall be entered into or renewed on a calendar year basis beginning <br/>
<a id="pl.138.33"></a><var>138.33</var>January 1, 1996. Managed care contracts which were in effect on June 30, 1995, and set to <br/>
<a id="pl.139.1"></a><var>139.1</var>renew on July 1, 1995, shall be renewed for the period July 1, 1995 through December <br/>
<a id="pl.139.2"></a><var>139.2</var>31, 1995 at the same terms that were in effect on June 30, 1995. The commissioner may <br/>
<a id="pl.139.3"></a><var>139.3</var>issue separate contracts with requirements specific to services to medical assistance <br/>
<a id="pl.139.4"></a><var>139.4</var>recipients age 65 and older.<br/>
<a id="pl.139.5"></a><var>139.5</var>    (b) A prepaid health plan providing covered health services for eligible persons <br/>
<a id="pl.139.6"></a><var>139.6</var>pursuant to chapters 256B and 256L is responsible for complying with the terms of its <br/>
<a id="pl.139.7"></a><var>139.7</var>contract with the commissioner. Requirements applicable to managed care programs <br/>
<a id="pl.139.8"></a><var>139.8</var>under chapters 256B and 256L established after the effective date of a contract with the <br/>
<a id="pl.139.9"></a><var>139.9</var>commissioner take effect when the contract is next issued or renewed.<br/>
<a id="pl.139.10"></a><var>139.10</var>    (c) Effective for services rendered on or after January 1, 2003, the commissioner <br/>
<a id="pl.139.11"></a><var>139.11</var>shall withhold five percent of managed care plan payments under this section and <br/>
<a id="pl.139.12"></a><var>139.12</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692 </statute_ref>for the prepaid medical <br/>
<a id="pl.139.13"></a><var>139.13</var>assistance program pending completion of performance targets. Each performance target <br/>
<a id="pl.139.14"></a><var>139.14</var>must be quantifiable, objective, measurable, and reasonably attainable, except in the case <br/>
<a id="pl.139.15"></a><var>139.15</var>of a performance target based on a federal or state law or rule. Criteria for assessment <br/>
<a id="pl.139.16"></a><var>139.16</var>of each performance target must be outlined in writing prior to the contract effective <br/>
<a id="pl.139.17"></a><var>139.17</var>date. The managed care plan must demonstrate, to the commissioner's satisfaction, <br/>
<a id="pl.139.18"></a><var>139.18</var>that the data submitted regarding attainment of the performance target is accurate. The <br/>
<a id="pl.139.19"></a><var>139.19</var>commissioner shall periodically change the administrative measures used as performance <br/>
<a id="pl.139.20"></a><var>139.20</var>targets in order to improve plan performance across a broader range of administrative <br/>
<a id="pl.139.21"></a><var>139.21</var>services. The performance targets must include measurement of plan efforts to contain <br/>
<a id="pl.139.22"></a><var>139.22</var>spending on health care services and administrative activities. The commissioner may <br/>
<a id="pl.139.23"></a><var>139.23</var>adopt plan-specific performance targets that take into account factors affecting only one <br/>
<a id="pl.139.24"></a><var>139.24</var>plan, including characteristics of the plan's enrollee population. The withheld funds <br/>
<a id="pl.139.25"></a><var>139.25</var>must be returned no sooner than July of the following year if performance targets in the <br/>
<a id="pl.139.26"></a><var>139.26</var>contract are achieved. The commissioner may exclude special demonstration projects <br/>
<a id="pl.139.27"></a><var>139.27</var>under subdivision 23.<br/>
<a id="pl.139.28"></a><var>139.28</var>    (d) Effective for services rendered on or after January 1, 2009, through December <br/>
<a id="pl.139.29"></a><var>139.29</var>31, 2009, the commissioner shall withhold three percent of managed care plan payments <br/>
<a id="pl.139.30"></a><var>139.30</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.139.31"></a><var>139.31</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.139.32"></a><var>139.32</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.139.33"></a><var>139.33</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.139.34"></a><var>139.34</var>(e) Effective for services provided on or after January 1, 2010, the commissioner <br/>
<a id="pl.139.35"></a><var>139.35</var>shall require that managed care plans use the assessment and authorization processes, <br/>
<a id="pl.139.36"></a><var>139.36</var>forms, timelines, standards, documentation, and data reporting requirements, protocols, <br/>
<a id="pl.140.1"></a><var>140.1</var>billing processes, and policies consistent with medical assistance fee-for-service or the <br/>
<a id="pl.140.2"></a><var>140.2</var>Department of Human Services contract requirements consistent with medical assistance <br/>
<a id="pl.140.3"></a><var>140.3</var>fee-for-service or the Department of Human Services contract requirements for all <br/>
<a id="pl.140.4"></a><var>140.4</var>personal care assistance services under section 
         <statute_ref>256B.0659</statute_ref>.<br/>
<a id="pl.140.5"></a><var>140.5</var>(f) Effective for services rendered on or after January 1, 2010, through December <br/>
<a id="pl.140.6"></a><var>140.6</var>31, 2010, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.140.7"></a><var>140.7</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.140.8"></a><var>140.8</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.140.9"></a><var>140.9</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.140.10"></a><var>140.10</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.140.11"></a><var>140.11</var>(g) Effective for services rendered on or after January 1, 2011, the commissioner <br/>
<a id="pl.140.12"></a><var>140.12</var>shall include as part of the performance targets described in paragraph (c) a reduction in <br/>
<a id="pl.140.13"></a><var>140.13</var>the health plan's emergency room utilization rate for state health care program enrollees <br/>
<a id="pl.140.14"></a><var>140.14</var>by a measurable rate of five percent from the plan's utilization rate for state health care <br/>
<a id="pl.140.15"></a><var>140.15</var>program enrollees for the previous calendar year.<br/>
<a id="pl.140.16"></a><var>140.16</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.140.17"></a><var>140.17</var>of the following calendar year if the managed care plan demonstrates to the satisfaction of <br/>
<a id="pl.140.18"></a><var>140.18</var>the commissioner that a reduction in the utilization rate was achieved.<br/>
<a id="pl.140.19"></a><var>140.19</var>The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.140.20"></a><var>140.20</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.140.21"></a><var>140.21</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization <br/>
<a id="pl.140.22"></a><var>140.22</var>rate for state health care program enrollees for calendar year 2009. Hospitals shall <br/>
<a id="pl.140.23"></a><var>140.23</var>cooperate with the health plans in meeting this performance target and shall accept <br/>
<a id="pl.140.24"></a><var>140.24</var>payment withholds that may be returned to the hospitals if the performance target is <br/>
<a id="pl.140.25"></a><var>140.25</var>achieved. The commissioner shall structure the withhold so that the commissioner returns <br/>
<a id="pl.140.26"></a><var>140.26</var>a portion of the withheld funds in amounts commensurate with achieved reductions in <br/>
<a id="pl.140.27"></a><var>140.27</var>utilization less than the targeted amount. The withhold in this paragraph does not apply to <br/>
<a id="pl.140.28"></a><var>140.28</var>county-based purchasing plans.<br/>
<a id="pl.140.29"></a><var>140.29</var>(h) Effective for services rendered on or after January 1, 2012, the commissioner <br/>
<a id="pl.140.30"></a><var>140.30</var>shall include as part of the performance targets described in paragraph (c) a reduction in <br/>
<a id="pl.140.31"></a><var>140.31</var>the plan's hospitalization rates or subsequent hospitalizations within 30 days of a previous <br/>
<a id="pl.140.32"></a><var>140.32</var>hospitalization of a patient regardless of the reason for the hospitalization for state health <br/>
<a id="pl.140.33"></a><var>140.33</var>care program enrollees by a measurable rate of five percent from the plan's utilization rate <br/>
<a id="pl.140.34"></a><var>140.34</var>for state health care program enrollees for the previous calendar year.<br/>
<a id="pl.140.35"></a><var>140.35</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.140.36"></a><var>140.36</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.141.1"></a><var>141.1</var>demonstrates to the satisfaction of the commissioner that a reduction in the hospitalization <br/>
<a id="pl.141.2"></a><var>141.2</var>rate was achieved.<br/>
<a id="pl.141.3"></a><var>141.3</var>The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.141.4"></a><var>141.4</var>contract period until the plan's subsequent hospitalization rate for state health care <br/>
<a id="pl.141.5"></a><var>141.5</var>program enrollees is reduced by 25 percent of the plan's subsequent hospitalization rate <br/>
<a id="pl.141.6"></a><var>141.6</var>for state health care program enrollees for calendar year 2010. Hospitals shall cooperate <br/>
<a id="pl.141.7"></a><var>141.7</var>with the plans in meeting this performance target and shall accept payment withholds that <br/>
<a id="pl.141.8"></a><var>141.8</var>must be returned to the hospitals if the performance target is achieved. The commissioner <br/>
<a id="pl.141.9"></a><var>141.9</var>shall structure the withhold so that the commissioner returns a portion of the withheld <br/>
<a id="pl.141.10"></a><var>141.10</var>funds in amounts commensurate with achieved reductions in utilization less than the <br/>
<a id="pl.141.11"></a><var>141.11</var>targeted amount.<br/>
<a id="pl.141.12"></a><var>141.12</var>(h) (i) Effective for services rendered on or after January 1, 2011, through December <br/>
<a id="pl.141.13"></a><var>141.13</var>31, 2011, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.141.14"></a><var>141.14</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.141.15"></a><var>141.15</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.141.16"></a><var>141.16</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.141.17"></a><var>141.17</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.141.18"></a><var>141.18</var>(i) (j) Effective for services rendered on or after January 1, 2012, through December <br/>
<a id="pl.141.19"></a><var>141.19</var>31, 2012, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.141.20"></a><var>141.20</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.141.21"></a><var>141.21</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.141.22"></a><var>141.22</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.141.23"></a><var>141.23</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.141.24"></a><var>141.24</var>(j) (k) Effective for services rendered on or after January 1, 2013, through December <br/>
<a id="pl.141.25"></a><var>141.25</var>31, 2013, the commissioner shall withhold 4.5 percent of managed care plan payments <br/>
<a id="pl.141.26"></a><var>141.26</var>under this section and county-based purchasing plan payments under section 
         <statute_ref>256B.692 <br/>
</statute_ref><a id="pl.141.27"></a><var>141.27</var>for the prepaid medical assistance program. The withheld funds must be returned no <br/>
<a id="pl.141.28"></a><var>141.28</var>sooner than July 1 and no later than July 31 of the following year. The commissioner may <br/>
<a id="pl.141.29"></a><var>141.29</var>exclude special demonstration projects under subdivision 23.<br/>
<a id="pl.141.30"></a><var>141.30</var>(k) (l) Effective for services rendered on or after January 1, 2014, the commissioner <br/>
<a id="pl.141.31"></a><var>141.31</var>shall withhold three percent of managed care plan payments under this section and <br/>
<a id="pl.141.32"></a><var>141.32</var>county-based purchasing plan payments under section 
         <statute_ref>256B.692</statute_ref> for the prepaid medical <br/>
<a id="pl.141.33"></a><var>141.33</var>assistance program. The withheld funds must be returned no sooner than July 1 and <br/>
<a id="pl.141.34"></a><var>141.34</var>no later than July 31 of the following year. The commissioner may exclude special <br/>
<a id="pl.141.35"></a><var>141.35</var>demonstration projects under subdivision 23.<br/>
<a id="pl.142.1"></a><var>142.1</var>(l) (m) A managed care plan or a county-based purchasing plan under section <br/>
<statute_ref><a id="pl.142.2"></a><var>142.2</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.142.3"></a><var>142.3</var>under this section that is reasonably expected to be returned.<br/>
<a id="pl.142.4"></a><var>142.4</var>(m) (n) Contracts between the commissioner and a prepaid health plan are exempt <br/>
<a id="pl.142.5"></a><var>142.5</var>from the set-aside and preference provisions of section 
         <statute_ref>16C.16, subdivisions 6</statute_ref>, paragraph <br/>
<a id="pl.142.6"></a><var>142.6</var>(a), and 7.<br/>
<a id="pl.142.7"></a><var>142.7</var>(n) (o) The return of the withhold under paragraphs (d), (f), and (h) to (k) is not <br/>
<a id="pl.142.8"></a><var>142.8</var>subject to the requirements of paragraph (c).<br/>
<br/>
<a id="bill.5.48.0"></a><a id="pl.142.9"></a><var>142.9</var>    Sec. 48. Minnesota Statutes 2010, section 256B.69, subdivision 5c, is amended to read:<br/>
<a id="pl.142.10"></a><var>142.10</var>    Subd. 5c. <b>Medical education and research fund.</b> (a) The commissioner of human <br/>
<a id="pl.142.11"></a><var>142.11</var>services shall transfer each year to the medical education and research fund established <br/>
<a id="pl.142.12"></a><var>142.12</var>under section 
         <statute_ref>62J.692</statute_ref>, an amount specified in this subdivision. The commissioner shall <br/>
<a id="pl.142.13"></a><var>142.13</var>calculate the following:<br/>
<a id="pl.142.14"></a><var>142.14</var>(1) an amount equal to the reduction in the prepaid medical assistance payments as <br/>
<a id="pl.142.15"></a><var>142.15</var>specified in this clause. Until January 1, 2002, the county medical assistance capitation <br/>
<a id="pl.142.16"></a><var>142.16</var>base rate prior to plan specific adjustments and after the regional rate adjustments under <br/>
<a id="pl.142.17"></a><var>142.17</var>subdivision 5b is reduced 6.3 percent for Hennepin County, two percent for the remaining <br/>
<a id="pl.142.18"></a><var>142.18</var>metropolitan counties, and no reduction for nonmetropolitan Minnesota counties; and after <br/>
<a id="pl.142.19"></a><var>142.19</var>January 1, 2002, the county medical assistance capitation base rate prior to plan specific <br/>
<a id="pl.142.20"></a><var>142.20</var>adjustments is reduced 6.3 percent for Hennepin County, two percent for the remaining <br/>
<a id="pl.142.21"></a><var>142.21</var>metropolitan counties, and 1.6 percent for nonmetropolitan Minnesota counties. Nursing <br/>
<a id="pl.142.22"></a><var>142.22</var>facility and elderly waiver payments and demonstration project payments operating <br/>
<a id="pl.142.23"></a><var>142.23</var>under subdivision 23 are excluded from this reduction. The amount calculated under <br/>
<a id="pl.142.24"></a><var>142.24</var>this clause shall not be adjusted for periods already paid due to subsequent changes to <br/>
<a id="pl.142.25"></a><var>142.25</var>the capitation payments;<br/>
<a id="pl.142.26"></a><var>142.26</var>(2) beginning July 1, 2003, $4,314,000 from the capitation rates paid under this <br/>
<a id="pl.142.27"></a><var>142.27</var>section;<br/>
<a id="pl.142.28"></a><var>142.28</var>(3) beginning July 1, 2002, an additional $12,700,000 from the capitation rates <br/>
<a id="pl.142.29"></a><var>142.29</var>paid under this section; and<br/>
<a id="pl.142.30"></a><var>142.30</var>(4) beginning July 1, 2003, an additional $4,700,000 from the capitation rates paid <br/>
<a id="pl.142.31"></a><var>142.31</var>under this section.<br/>
<a id="pl.142.32"></a><var>142.32</var>(b) This subdivision shall be effective upon approval of a federal waiver which <br/>
<a id="pl.142.33"></a><var>142.33</var>allows federal financial participation in the medical education and research fund. Effective <br/>
<a id="pl.142.34"></a><var>142.34</var>July 1, 2009, and thereafter, The transfers required by amount specified under paragraph <br/>
<a id="pl.142.35"></a><var>142.35</var>(a), clauses (1) to (4), shall not exceed the total amount transferred for fiscal year 2009. <br/>
<a id="pl.143.1"></a><var>143.1</var>Any excess shall first reduce the amounts otherwise required to be transferred specified <br/>
<a id="pl.143.2"></a><var>143.2</var>under paragraph (a), clauses (2) to (4). Any excess following this reduction shall <br/>
<a id="pl.143.3"></a><var>143.3</var>proportionally reduce the transfers amount specified under paragraph (a), clause (1).<br/>
<a id="pl.143.4"></a><var>143.4</var>(c) Beginning July 1, 2009 2011, of the amounts amount in paragraph (a), the <br/>
<a id="pl.143.5"></a><var>143.5</var>commissioner shall transfer $21,714,000 each fiscal year to the medical education and <br/>
<a id="pl.143.6"></a><var>143.6</var>research fund. The balance of the transfers under paragraph (a) shall be transferred to the <br/>
<a id="pl.143.7"></a><var>143.7</var>medical education and research fund no earlier than July 1 of the following fiscal year.<br/>
<a id="pl.143.8"></a><var>143.8</var>(d) Beginning July 1, 2011, of the amount in paragraph (a), following the transfer <br/>
<a id="pl.143.9"></a><var>143.9</var>under paragraph (c), the commissioner shall transfer to the medical education research <br/>
<a id="pl.143.10"></a><var>143.10</var>fund $4,024,000 in fiscal year 2012 and $4,626,000 in fiscal year 2013 and thereafter.<br/>
<br/>
<a id="bill.5.49.0"></a><a id="pl.143.11"></a><var>143.11</var>    Sec. 49. Minnesota Statutes 2010, section 256B.69, subdivision 28, is amended to read:<br/>
<a id="pl.143.12"></a><var>143.12</var>    Subd. 28. <b>Medicare special needs plans; medical assistance basic health care.</b><br/>
<a id="pl.143.13"></a><var>143.13</var>    (a) The commissioner may contract with qualified Medicare-approved special needs <br/>
<a id="pl.143.14"></a><var>143.14</var>plans to provide medical assistance basic health care services to persons with disabilities, <br/>
<a id="pl.143.15"></a><var>143.15</var>including those with developmental disabilities. Basic health care services include:<br/>
<a id="pl.143.16"></a><var>143.16</var>    (1) those services covered by the medical assistance state plan except for ICF/MR <br/>
<a id="pl.143.17"></a><var>143.17</var>services, home and community-based waiver services, case management for persons with <br/>
<a id="pl.143.18"></a><var>143.18</var>developmental disabilities under section 
         <statute_ref>256B.0625</statute_ref>, subdivision 20a, and personal care <br/>
<a id="pl.143.19"></a><var>143.19</var>and certain home care services defined by the commissioner in consultation with the <br/>
<a id="pl.143.20"></a><var>143.20</var>stakeholder group established under paragraph (d); and<br/>
<a id="pl.143.21"></a><var>143.21</var>    (2) basic health care services may also include risk for up to 100 days of nursing <br/>
<a id="pl.143.22"></a><var>143.22</var>facility services for persons who reside in a noninstitutional setting and home health <br/>
<a id="pl.143.23"></a><var>143.23</var>services related to rehabilitation as defined by the commissioner after consultation with <br/>
<a id="pl.143.24"></a><var>143.24</var>the stakeholder group.<br/>
<a id="pl.143.25"></a><var>143.25</var>    The commissioner may exclude other medical assistance services from the basic <br/>
<a id="pl.143.26"></a><var>143.26</var>health care benefit set. Enrollees in these plans can access any excluded services on the <br/>
<a id="pl.143.27"></a><var>143.27</var>same basis as other medical assistance recipients who have not enrolled.<br/>
<a id="pl.143.28"></a><var>143.28</var>    Unless a person is otherwise required to enroll in managed care, enrollment in these <br/>
<a id="pl.143.29"></a><var>143.29</var>plans for Medicaid services must be voluntary. For purposes of this subdivision, automatic <br/>
<a id="pl.143.30"></a><var>143.30</var>enrollment with an option to opt out is not voluntary enrollment.<br/>
<a id="pl.143.31"></a><var>143.31</var>    (b) Beginning January 1, 2007, the commissioner may contract with qualified <br/>
<a id="pl.143.32"></a><var>143.32</var>Medicare special needs plans to provide basic health care services under medical <br/>
<a id="pl.143.33"></a><var>143.33</var>assistance to persons who are dually eligible for both Medicare and Medicaid and those <br/>
<a id="pl.143.34"></a><var>143.34</var>Social Security beneficiaries eligible for Medicaid but in the waiting period for Medicare. <br/>
<a id="pl.143.35"></a><var>143.35</var>The commissioner shall consult with the stakeholder group under paragraph (d) in <br/>
<a id="pl.144.1"></a><var>144.1</var>developing program specifications for these services. The commissioner shall report to <br/>
<a id="pl.144.2"></a><var>144.2</var>the chairs of the house of representatives and senate committees with jurisdiction over <br/>
<a id="pl.144.3"></a><var>144.3</var>health and human services policy and finance by February 1, 2007, on implementation <br/>
<a id="pl.144.4"></a><var>144.4</var>of these programs and the need for increased funding for the ombudsman for managed <br/>
<a id="pl.144.5"></a><var>144.5</var>care and other consumer assistance and protections needed due to enrollment in managed <br/>
<a id="pl.144.6"></a><var>144.6</var>care of persons with disabilities. Payment for Medicaid services provided under this <br/>
<a id="pl.144.7"></a><var>144.7</var>subdivision for the months of May and June will be made no earlier than July 1 of the <br/>
<a id="pl.144.8"></a><var>144.8</var>same calendar year.<br/>
<a id="pl.144.9"></a><var>144.9</var>    (c) Notwithstanding subdivision 4, beginning January 1, 2008 2012, the <br/>
<a id="pl.144.10"></a><var>144.10</var>commissioner may expand contracting under this subdivision to all  shall enroll persons <br/>
<a id="pl.144.11"></a><var>144.11</var>with disabilities not otherwise required to enroll in managed care under this section, <br/>
<a id="pl.144.12"></a><var>144.12</var>unless the individual chooses to opt out of enrollment. The commissioner shall establish <br/>
<a id="pl.144.13"></a><var>144.13</var>enrollment and opt out procedures consistent with applicable enrollment procedures under <br/>
<a id="pl.144.14"></a><var>144.14</var>this subdivision.<br/>
<a id="pl.144.15"></a><var>144.15</var>    (d) The commissioner shall establish a state-level stakeholder group to provide <br/>
<a id="pl.144.16"></a><var>144.16</var>advice on managed care programs for persons with disabilities, including both MnDHO <br/>
<a id="pl.144.17"></a><var>144.17</var>and contracts with special needs plans that provide basic health care services as described <br/>
<a id="pl.144.18"></a><var>144.18</var>in paragraphs (a) and (b). The stakeholder group shall provide advice on program <br/>
<a id="pl.144.19"></a><var>144.19</var>expansions under this subdivision and subdivision 23, including:<br/>
<a id="pl.144.20"></a><var>144.20</var>    (1) implementation efforts;<br/>
<a id="pl.144.21"></a><var>144.21</var>    (2) consumer protections; and<br/>
<a id="pl.144.22"></a><var>144.22</var>    (3) program specifications such as quality assurance measures, data collection and <br/>
<a id="pl.144.23"></a><var>144.23</var>reporting, and evaluation of costs, quality, and results.<br/>
<a id="pl.144.24"></a><var>144.24</var>    (e) Each plan under contract to provide medical assistance basic health care services <br/>
<a id="pl.144.25"></a><var>144.25</var>shall establish a local or regional stakeholder group, including representatives of the <br/>
<a id="pl.144.26"></a><var>144.26</var>counties covered by the plan, members, consumer advocates, and providers, for advice on <br/>
<a id="pl.144.27"></a><var>144.27</var>issues that arise in the local or regional area.<br/>
<a id="pl.144.28"></a><var>144.28</var>    (f) The commissioner is prohibited from providing the names of potential enrollees <br/>
<a id="pl.144.29"></a><var>144.29</var>to health plans for marketing purposes. The commissioner may shall mail no more than <br/>
<a id="pl.144.30"></a><var>144.30</var>two sets of marketing materials per contract year to potential enrollees on behalf of health <br/>
<a id="pl.144.31"></a><var>144.31</var>plans, in which case at the health plan's request. The marketing materials shall be mailed <br/>
<a id="pl.144.32"></a><var>144.32</var>by the commissioner within 30 days of receipt of these materials from the health plan. The <br/>
<a id="pl.144.33"></a><var>144.33</var>health plans shall cover any costs incurred by the commissioner for mailing marketing <br/>
<a id="pl.144.34"></a><var>144.34</var>materials.<br/>
<br/>
<a id="bill.5.50.0"></a><a id="pl.145.1"></a><var>145.1</var>    Sec. 50. Minnesota Statutes 2010, section 256B.69, is amended by adding a <br/>
<a id="pl.145.2"></a><var>145.2</var>subdivision to read:<br/>
<a id="pl.145.3"></a><var>145.3</var>    Subd. 30. <b>Provider payment rates.</b> (a) Each managed care and county-based plan <br/>
<a id="pl.145.4"></a><var>145.4</var>shall, by October 1, 2011, array all providers within each provider type, employed by or <br/>
<a id="pl.145.5"></a><var>145.5</var>under contract with the plan, by their average total annual cost of care for serving medical <br/>
<a id="pl.145.6"></a><var>145.6</var>assistance and MinnesotaCare enrollees for the most recent reporting year for which data <br/>
<a id="pl.145.7"></a><var>145.7</var>is available, risk-adjusted for enrollee demographics and health status.<br/>
<a id="pl.145.8"></a><var>145.8</var>(b) Beginning January 1, 2012, and each contract year thereafter, each managed <br/>
<a id="pl.145.9"></a><var>145.9</var>care and county-based purchasing plan shall implement a progressive payment withhold <br/>
<a id="pl.145.10"></a><var>145.10</var>methodology for each provider type, under which the withhold for a provider increases <br/>
<a id="pl.145.11"></a><var>145.11</var>proportionally as the provider's risk-adjusted total annual cost increases, relative to other <br/>
<a id="pl.145.12"></a><var>145.12</var>providers of the same type. For purposes of this paragraph, the risk-adjusted total annual <br/>
<a id="pl.145.13"></a><var>145.13</var>cost of care is the dollar amount calculated under paragraph (a).<br/>
<a id="pl.145.14"></a><var>145.14</var>(c) At the end of each contract year, each plan shall array all providers within each <br/>
<a id="pl.145.15"></a><var>145.15</var>provider type by their average total annual cost of care for serving medical assistance and <br/>
<a id="pl.145.16"></a><var>145.16</var>MinnesotaCare enrollees for that contract year, risk-adjusted for enrollee demographics <br/>
<a id="pl.145.17"></a><var>145.17</var>and health status. For each provider whose risk-adjusted total annual cost of care is at or <br/>
<a id="pl.145.18"></a><var>145.18</var>below the 70th percentile of providers of the same type or specialty, the plan shall return <br/>
<a id="pl.145.19"></a><var>145.19</var>the full amount of any withhold. For each provider whose risk-adjusted total annual cost <br/>
<a id="pl.145.20"></a><var>145.20</var>of care is above the 70th percentile, the plan shall return only the portion of the withhold <br/>
<a id="pl.145.21"></a><var>145.21</var>sufficient to bring the provider's payment rate to the average for providers within the <br/>
<a id="pl.145.22"></a><var>145.22</var>provider type whose risk-adjusted total annual cost of care is at the 70th percentile. Each <br/>
<a id="pl.145.23"></a><var>145.23</var>plan shall reduce provider payments only as allowed under paragraph (f).<br/>
<a id="pl.145.24"></a><var>145.24</var>(d) Each managed care and county-based purchasing plan must establish an appeals <br/>
<a id="pl.145.25"></a><var>145.25</var>process to allow providers to appeal determinations of risk-adjusted total annual cost of <br/>
<a id="pl.145.26"></a><var>145.26</var>care. Each plan's appeals process must be approved by the commissioner.<br/>
<a id="pl.145.27"></a><var>145.27</var>(e) The commissioner shall require each plan to submit to the commissioner, in <br/>
<a id="pl.145.28"></a><var>145.28</var>the form and manner specified by the commissioner, all provider payment data and <br/>
<a id="pl.145.29"></a><var>145.29</var>information on the withhold methodology that the commissioner determines is necessary <br/>
<a id="pl.145.30"></a><var>145.30</var>to verify compliance with this subdivision.<br/>
<a id="pl.145.31"></a><var>145.31</var>(f) The commissioner, for the contract year beginning January 1, 2012, shall reduce <br/>
<a id="pl.145.32"></a><var>145.32</var>plan capitation rates by ten percent from the rates that would otherwise apply, absent <br/>
<a id="pl.145.33"></a><var>145.33</var>application of this subdivision. The reduced rate shall be the historical base rate for <br/>
<a id="pl.145.34"></a><var>145.34</var>negotiating capitation rates for future contract years. The commissioner may recommend <br/>
<a id="pl.145.35"></a><var>145.35</var>additional reductions in capitation rates for future contract years to the legislature, if the <br/>
<a id="pl.145.36"></a><var>145.36</var>commissioner determines this is necessary to ensure that health care providers under <br/>
<a id="pl.146.1"></a><var>146.1</var>contract with managed care and county-based purchasing plans practice in an efficient <br/>
<a id="pl.146.2"></a><var>146.2</var>manner. Effective for services rendered on or after January 1, 2012, managed care plans <br/>
<a id="pl.146.3"></a><var>146.3</var>and county-based purchasing plans contracted with the state to administer the health <br/>
<a id="pl.146.4"></a><var>146.4</var>care programs provided under sections 256B.69, 256B.692, and 256L.12, may reduce <br/>
<a id="pl.146.5"></a><var>146.5</var>payments made to providers employed or under contract with the plan. However, a <br/>
<a id="pl.146.6"></a><var>146.6</var>managed care or county-based purchasing plan is prohibited from: (1) reducing payments <br/>
<a id="pl.146.7"></a><var>146.7</var>made to providers whose risk-adjusted total annual cost of care is at or below the 70th <br/>
<a id="pl.146.8"></a><var>146.8</var>percentile of providers of the same type or specialty, or at or below the 80th percentile <br/>
<a id="pl.146.9"></a><var>146.9</var>for provider types or specialties currently subject to plan care management requirements <br/>
<a id="pl.146.10"></a><var>146.10</var>that in the aggregate are more extensive than those that apply to other provider types or <br/>
<a id="pl.146.11"></a><var>146.11</var>specialties, or for which a majority of services are currently subject to prior authorization <br/>
<a id="pl.146.12"></a><var>146.12</var>by the plan and (2) reducing payments to hospitals described under the Social Security <br/>
<a id="pl.146.13"></a><var>146.13</var>Act, title 18, section 1886, subsection (d), paragraph (l), and subparagraph (B), clause (iii).<br/>
<a id="pl.146.14"></a><var>146.14</var>(g) The commissioner of human services, in consultation with the commissioner of <br/>
<a id="pl.146.15"></a><var>146.15</var>health, shall develop and provide to managed care and county-based purchasing plans, by <br/>
<a id="pl.146.16"></a><var>146.16</var>September 1, 2011, standard criteria and definitions necessary for consistent calculation <br/>
<a id="pl.146.17"></a><var>146.17</var>of the total annual risk-adjusted cost of care across plans. The commissioner may use <br/>
<a id="pl.146.18"></a><var>146.18</var>encounter data to implement this subdivision, and may provide encounter data or analyses <br/>
<a id="pl.146.19"></a><var>146.19</var>to plans.<br/>
<a id="pl.146.20"></a><var>146.20</var>(h) For purposes of this subdivision, "provider" means a vendor of medical care <br/>
<a id="pl.146.21"></a><var>146.21</var>as defined in section 256B.02, subdivision 7, for which sufficient encounter data on <br/>
<a id="pl.146.22"></a><var>146.22</var>utilization and costs is available to implement this subdivision.<br/>
<a id="pl.146.23"></a><var>146.23</var>(i) A managed care or county-based purchasing plan must use the methodology <br/>
<a id="pl.146.24"></a><var>146.24</var>described in paragraphs (a) to (e), unless the plan develops an alternative model consistent <br/>
<a id="pl.146.25"></a><var>146.25</var>with the purpose of this subdivision.<br/>
<a id="pl.146.26"></a><var>146.26</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.5.51.0"></a><a id="pl.146.27"></a><var>146.27</var>    Sec. 51. Minnesota Statutes 2010, section 256B.69, is amended by adding a <br/>
<a id="pl.146.28"></a><var>146.28</var>subdivision to read:<br/>
<a id="pl.146.29"></a><var>146.29</var>    Subd. 32. <b>Health education.</b> The commissioner shall require managed care and <br/>
<a id="pl.146.30"></a><var>146.30</var>county-based purchasing plans, as a condition of contract, to provide health education, <br/>
<a id="pl.146.31"></a><var>146.31</var>wellness training, and information about the availability and benefits of preventive <br/>
<a id="pl.146.32"></a><var>146.32</var>services to all medical assistance and MinnesotaCare enrollees, beginning January 1, <br/>
<a id="pl.146.33"></a><var>146.33</var>2012. Plan initiatives developed or implemented to comply with this requirement must be <br/>
<a id="pl.146.34"></a><var>146.34</var>approved by the commissioner.<br/>
<br/>
<a id="bill.5.52.0"></a><a id="pl.147.1"></a><var>147.1</var>    Sec. 52. Minnesota Statutes 2010, section 256B.76, subdivision 4, is amended to read:<br/>
<a id="pl.147.2"></a><var>147.2</var>    Subd. 4. <b>Critical access dental providers. </b> (a) Effective for dental services <br/>
<a id="pl.147.3"></a><var>147.3</var>rendered on or after January 1, 2002, the commissioner shall increase reimbursements <br/>
<a id="pl.147.4"></a><var>147.4</var>to dentists and dental clinics deemed by the commissioner to be critical access dental <br/>
<a id="pl.147.5"></a><var>147.5</var>providers. For dental services rendered on or after July 1, 2007, the commissioner shall <br/>
<a id="pl.147.6"></a><var>147.6</var>increase reimbursement by 30 percent above the reimbursement rate that would otherwise <br/>
<a id="pl.147.7"></a><var>147.7</var>be paid to the critical access dental provider. The commissioner shall pay the managed <br/>
<a id="pl.147.8"></a><var>147.8</var>care plans and county-based purchasing plans in amounts sufficient to reflect increased <br/>
<a id="pl.147.9"></a><var>147.9</var>reimbursements to critical access dental providers as approved by the commissioner.<br/>
<a id="pl.147.10"></a><var>147.10</var>(b) The commissioner shall designate the following dentists and dental clinics as <br/>
<a id="pl.147.11"></a><var>147.11</var>critical access dental providers:<br/>
<a id="pl.147.12"></a><var>147.12</var>    (1) nonprofit community clinics that:<br/>
<a id="pl.147.13"></a><var>147.13</var>(i) have nonprofit status in accordance with chapter 317A;<br/>
<a id="pl.147.14"></a><var>147.14</var>(ii) have tax exempt status in accordance with the Internal Revenue Code, section <br/>
<a id="pl.147.15"></a><var>147.15</var>501(c)(3);<br/>
<a id="pl.147.16"></a><var>147.16</var>(iii) are established to provide oral health services to patients who are low income, <br/>
<a id="pl.147.17"></a><var>147.17</var>uninsured, have special needs, and are underserved;<br/>
<a id="pl.147.18"></a><var>147.18</var>(iv) have professional staff familiar with the cultural background of the clinic's <br/>
<a id="pl.147.19"></a><var>147.19</var>patients;<br/>
<a id="pl.147.20"></a><var>147.20</var>(v) charge for services on a sliding fee scale designed to provide assistance to <br/>
<a id="pl.147.21"></a><var>147.21</var>low-income patients based on current poverty income guidelines and family size;<br/>
<a id="pl.147.22"></a><var>147.22</var>(vi) do not restrict access or services because of a patient's financial limitations <br/>
<a id="pl.147.23"></a><var>147.23</var>or public assistance status; and<br/>
<a id="pl.147.24"></a><var>147.24</var>(vii) have free care available as needed;<br/>
<a id="pl.147.25"></a><var>147.25</var>    (2) federally qualified health centers, rural health clinics, and public health clinics;<br/>
<a id="pl.147.26"></a><var>147.26</var>    (3) county owned and operated hospital-based dental clinics;<br/>
<a id="pl.147.27"></a><var>147.27</var>(4) a dental clinic or dental group owned and operated by a nonprofit corporation in <br/>
<a id="pl.147.28"></a><var>147.28</var>accordance with chapter 317A with more than 10,000 patient encounters per year with <br/>
<a id="pl.147.29"></a><var>147.29</var>patients who are uninsured or covered by medical assistance, general assistance medical <br/>
<a id="pl.147.30"></a><var>147.30</var>care, or MinnesotaCare; and<br/>
<a id="pl.147.31"></a><var>147.31</var>(5) a dental clinic associated with an oral health or dental education program owned <br/>
<a id="pl.147.32"></a><var>147.32</var>and operated by the University of Minnesota or an institution within the Minnesota State <br/>
<a id="pl.147.33"></a><var>147.33</var>Colleges and Universities system.<br/>
<a id="pl.147.34"></a><var>147.34</var>     (c) The commissioner may designate a dentist or dental clinic as a critical access <br/>
<a id="pl.147.35"></a><var>147.35</var>dental provider if the dentist or dental clinic is willing to provide care to patients covered <br/>
<a id="pl.148.1"></a><var>148.1</var>by medical assistance, general assistance medical care, or MinnesotaCare at a level which <br/>
<a id="pl.148.2"></a><var>148.2</var>significantly increases access to dental care in the service area.<br/>
<a id="pl.148.3"></a><var>148.3</var>(d) Notwithstanding paragraph (a), critical access payments must not be made for <br/>
<a id="pl.148.4"></a><var>148.4</var>dental services provided from April 1, 2010, through June 30, 2010.<br/>
<a id="pl.148.5"></a><var>148.5</var>(e) Notwithstanding section 256B.04, subdivision 2, the commissioner of human <br/>
<a id="pl.148.6"></a><var>148.6</var>services shall not adopt rules governing this section or section 256L.11, subdivision 7.<br/>
<a id="pl.148.7"></a><var>148.7</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.5.53.0"></a><a id="pl.148.8"></a><var>148.8</var>    Sec. 53. <b>[256B.771] COMPLEMENTARY AND ALTERNATIVE MEDICINE </b><br/>
<a id="pl.148.9"></a><var>148.9</var><b>DEMONSTRATION PROJECT.</b><br/>
<a id="pl.148.10"></a><var>148.10</var>    Subdivision 1. <b>Establishment and implementation.</b> The commissioner of <br/>
<a id="pl.148.11"></a><var>148.11</var>human services, in consultation with the commissioner of health, shall contract <br/>
<a id="pl.148.12"></a><var>148.12</var>with a Minnesota-based academic and research institution specializing in providing <br/>
<a id="pl.148.13"></a><var>148.13</var>complementary and alternative medicine education and clinical services to establish and <br/>
<a id="pl.148.14"></a><var>148.14</var>implement a five-year demonstration project in conjunction with federally qualified health <br/>
<a id="pl.148.15"></a><var>148.15</var>centers and federally qualified health center look-alikes as defined in section 145.9269, to <br/>
<a id="pl.148.16"></a><var>148.16</var>improve the quality and cost-effectiveness of care provided under medical assistance to <br/>
<a id="pl.148.17"></a><var>148.17</var>enrollees with neck and back problems.  The demonstration project must maximize the use <br/>
<a id="pl.148.18"></a><var>148.18</var>of complementary and alternative medicine-oriented primary care providers, including but <br/>
<a id="pl.148.19"></a><var>148.19</var>not limited to physicians and chiropractors.  The demonstration project must be designed <br/>
<a id="pl.148.20"></a><var>148.20</var>to significantly improve physical and mental health for enrollees who present with <br/>
<a id="pl.148.21"></a><var>148.21</var>neck and back problems while decreasing medical treatment costs. The commissioner, <br/>
<a id="pl.148.22"></a><var>148.22</var>in consultation with the commissioner of health, shall deliver services through the <br/>
<a id="pl.148.23"></a><var>148.23</var>demonstration project beginning July 1, 2011, or upon federal approval, whichever is later.<br/>
<a id="pl.148.24"></a><var>148.24</var>    Subd. 2. <b>RFP and project criteria.</b> The commissioner, in consultation with the <br/>
<a id="pl.148.25"></a><var>148.25</var>commissioner of health, shall develop and issue a request for proposal (RFP) for the <br/>
<a id="pl.148.26"></a><var>148.26</var>demonstration project. The RFP must require the academic and research institution <br/>
<a id="pl.148.27"></a><var>148.27</var>selected to demonstrate a proven track record over at least five years of conducting <br/>
<a id="pl.148.28"></a><var>148.28</var>high-quality, federally funded clinical research. The RFP shall specify the state costs <br/>
<a id="pl.148.29"></a><var>148.29</var>directly related to the requirements of this section and shall require that the selected <br/>
<a id="pl.148.30"></a><var>148.30</var>institution pay those costs to the state. The institution and the federally qualified health <br/>
<a id="pl.148.31"></a><var>148.31</var>centers and federally qualified health center look-alikes shall also:<br/>
<a id="pl.148.32"></a><var>148.32</var>(1) provide patient education, provider education, and enrollment training <br/>
<a id="pl.148.33"></a><var>148.33</var>components on health and lifestyle issues in order to promote enrollee responsibility for <br/>
<a id="pl.148.34"></a><var>148.34</var>health care decisions, enhance productivity, prepare enrollees to reenter the workforce, <br/>
<a id="pl.148.35"></a><var>148.35</var>and reduce future health care expenditures;<br/>
<a id="pl.149.1"></a><var>149.1</var>(2) use high-quality and cost-effective integrated disease management that includes <br/>
<a id="pl.149.2"></a><var>149.2</var>the best practices of traditional and complementary and alternative medicine;<br/>
<a id="pl.149.3"></a><var>149.3</var>(3) incorporate holistic medical care, appropriate nutrition, exercise, medications, <br/>
<a id="pl.149.4"></a><var>149.4</var>and conflict resolution techniques;<br/>
<a id="pl.149.5"></a><var>149.5</var>(4) include a provider education component that makes use of professional <br/>
<a id="pl.149.6"></a><var>149.6</var>organizations representing chiropractors, nurses, and other primary care providers <br/>
<a id="pl.149.7"></a><var>149.7</var>and provides appropriate educational materials and activities in order to improve the <br/>
<a id="pl.149.8"></a><var>149.8</var>integration of traditional medical care with licensed chiropractic services and other <br/>
<a id="pl.149.9"></a><var>149.9</var>alternative health care services and achieve program enrollment objectives; and<br/>
<a id="pl.149.10"></a><var>149.10</var>(5) provide to the commissioner the information and data necessary for the <br/>
<a id="pl.149.11"></a><var>149.11</var>commissioner to prepare the annual reports required under subdivision 6.<br/>
<a id="pl.149.12"></a><var>149.12</var>    Subd. 3. <b>Enrollment.</b> Enrollees from the program shall be selected by the <br/>
<a id="pl.149.13"></a><var>149.13</var>commissioner from current enrollees in the prepaid medical assistance program who <br/>
<a id="pl.149.14"></a><var>149.14</var>have, or are determined to be at significant risk of developing, neck and back problems. <br/>
<a id="pl.149.15"></a><var>149.15</var>Participation in the demonstration project shall be voluntary.  The commissioner shall <br/>
<a id="pl.149.16"></a><var>149.16</var>seek to enroll, over the term of the demonstration project, ten percent of current and <br/>
<a id="pl.149.17"></a><var>149.17</var>future medical assistance enrollees who have, or are determined to be at significant risk <br/>
<a id="pl.149.18"></a><var>149.18</var>of developing, neck and back problems.<br/>
<a id="pl.149.19"></a><var>149.19</var>    Subd. 4. <b>Federal approval.</b> The commissioner shall seek any federal waivers and <br/>
<a id="pl.149.20"></a><var>149.20</var>approvals necessary to implement the demonstration project.<br/>
<a id="pl.149.21"></a><var>149.21</var>    Subd. 5. <b>Project costs.</b> The commissioner shall require the academic and research <br/>
<a id="pl.149.22"></a><var>149.22</var>institution selected, federally qualified health centers, and federally qualified health center <br/>
<a id="pl.149.23"></a><var>149.23</var>look-alikes to fund all costs of the demonstration project. Amounts received under <br/>
<a id="pl.149.24"></a><var>149.24</var>subdivision 2 are appropriated to the commissioner for the purposes of this section.<br/>
<a id="pl.149.25"></a><var>149.25</var>    Subd. 6. <b>Annual reports.</b> The commissioner, in consultation with the commissioner <br/>
<a id="pl.149.26"></a><var>149.26</var>of health, beginning December 15, 2011, and each December 15 thereafter through <br/>
<a id="pl.149.27"></a><var>149.27</var>December 15, 2015, shall report annually to the legislature on the functional and mental <br/>
<a id="pl.149.28"></a><var>149.28</var>improvements of the populations served by the demonstration project, patient satisfaction, <br/>
<a id="pl.149.29"></a><var>149.29</var>and the cost-effectiveness of the program. The reports must also include data on hospital <br/>
<a id="pl.149.30"></a><var>149.30</var>admissions, days in hospital, rates of outpatient surgery and other services, and drug <br/>
<a id="pl.149.31"></a><var>149.31</var>utilization. The report, due December 15, 2015, must include recommendations on <br/>
<a id="pl.149.32"></a><var>149.32</var>whether the demonstration project should be continued and expanded.<br/>
<br/>
<a id="bill.5.54.0"></a><a id="pl.149.33"></a><var>149.33</var>    Sec. 54. <b>[256B.841] MINNESOTA CHOICE WAIVER APPLICATION AND </b><br/>
<a id="pl.149.34"></a><var>149.34</var><b>PROCESS.</b><br/>
<a id="pl.149.35"></a><var>149.35</var>    Subdivision 1. <b>Intent.</b> It is the intent of the legislature that medical assistance be:<br/>
<a id="pl.150.1"></a><var>150.1</var>(1) a sustainable, cost-effective, person-centered, and opportunity-driven program <br/>
<a id="pl.150.2"></a><var>150.2</var>utilizing competitive and value-based purchasing to maximize available service options; <br/>
<a id="pl.150.3"></a><var>150.3</var>and<br/>
<a id="pl.150.4"></a><var>150.4</var>(2) a results-oriented system of coordinated care that focuses on independence <br/>
<a id="pl.150.5"></a><var>150.5</var>and choice, promotes accountability and transparency, encourages and rewards healthy <br/>
<a id="pl.150.6"></a><var>150.6</var>outcomes and responsible choices, and promotes efficiency.<br/>
<a id="pl.150.7"></a><var>150.7</var>    Subd. 2. <b>Waiver application.</b> (a) By September 1, 2011, the commissioner of <br/>
<a id="pl.150.8"></a><var>150.8</var>human services shall apply for a waiver and any necessary state plan amendments from <br/>
<a id="pl.150.9"></a><var>150.9</var>the secretary of the United States Department of Health and Human Services, including, <br/>
<a id="pl.150.10"></a><var>150.10</var>but not limited to, a waiver of the appropriate sections of title XIX of the federal Social <br/>
<a id="pl.150.11"></a><var>150.11</var>Security Act, United States Code, title 42, section 1396 et seq., or other provisions of <br/>
<a id="pl.150.12"></a><var>150.12</var>federal law that provide program flexibility and under which Minnesota will operate <br/>
<a id="pl.150.13"></a><var>150.13</var>all facets of the state's medical assistance program. For purposes of this section, and <br/>
<a id="pl.150.14"></a><var>150.14</var>256B.842, and 256B.843, this waiver shall be known as the Minnesota Consumer Health <br/>
<a id="pl.150.15"></a><var>150.15</var>Opportunities and Innovative Care Excellence (CHOICE) waiver.<br/>
<a id="pl.150.16"></a><var>150.16</var>(b) The commissioner of human services shall provide the legislative committees <br/>
<a id="pl.150.17"></a><var>150.17</var>with jurisdiction over health and human services finance and policy with the CHOICE <br/>
<a id="pl.150.18"></a><var>150.18</var>waiver application and financial and other related materials, at least ten days prior to <br/>
<a id="pl.150.19"></a><var>150.19</var>submitting the application and materials to the federal Centers for Medicare and Medicaid <br/>
<a id="pl.150.20"></a><var>150.20</var>Services.<br/>
<a id="pl.150.21"></a><var>150.21</var>(c) If the state's CHOICE waiver application is approved, the commissioner of <br/>
<a id="pl.150.22"></a><var>150.22</var>human services shall:<br/>
<a id="pl.150.23"></a><var>150.23</var>(1) notify the chairs of the legislative committees with jurisdiction over health and <br/>
<a id="pl.150.24"></a><var>150.24</var>human services finance and policy and allow the legislative committees with jurisdiction <br/>
<a id="pl.150.25"></a><var>150.25</var>over health and human services finance and policy to review the terms of the CHOICE <br/>
<a id="pl.150.26"></a><var>150.26</var>waiver; and<br/>
<a id="pl.150.27"></a><var>150.27</var>(2) not implement the CHOICE waiver until ten legislative days have passed <br/>
<a id="pl.150.28"></a><var>150.28</var>following notification of the chairs.<br/>
<a id="pl.150.29"></a><var>150.29</var>    Subd. 3. <b>Rulemaking; legislative proposals.</b> Upon acceptance of the terms of the <br/>
<a id="pl.150.30"></a><var>150.30</var>CHOICE waiver, the commissioner of human services shall:<br/>
<a id="pl.150.31"></a><var>150.31</var>(1) adopt rules to implement the CHOICE waiver; and<br/>
<a id="pl.150.32"></a><var>150.32</var>(2) propose any legislative changes necessary to implement the terms of the <br/>
<a id="pl.150.33"></a><var>150.33</var>CHOICE waiver.<br/>
<a id="pl.150.34"></a><var>150.34</var>    Subd. 4. <b>Joint commission on waiver implementation.</b> (a) After acceptance of the <br/>
<a id="pl.150.35"></a><var>150.35</var>terms of the CHOICE waiver, the governor shall establish a joint commission on CHOICE <br/>
<a id="pl.150.36"></a><var>150.36</var>waiver implementation. The commission shall consist of eight members; four of whom <br/>
<a id="pl.151.1"></a><var>151.1</var>shall be members of the senate, not more than three from the same political party, to be <br/>
<a id="pl.151.2"></a><var>151.2</var>appointed by the Subcommittee on Committees of the senate Committee on Rules and <br/>
<a id="pl.151.3"></a><var>151.3</var>Administration, and four of whom shall be members of the house of representatives, not <br/>
<a id="pl.151.4"></a><var>151.4</var>more than three from the same political party, to be appointed by the speaker of the house.<br/>
<a id="pl.151.5"></a><var>151.5</var>(b) The commission shall:<br/>
<a id="pl.151.6"></a><var>151.6</var>(1) oversee implementation of the CHOICE waiver;<br/>
<a id="pl.151.7"></a><var>151.7</var>(2) confer as necessary with state agency commissioners;<br/>
<a id="pl.151.8"></a><var>151.8</var>(3) make recommendations on services covered under the medical assistance <br/>
<a id="pl.151.9"></a><var>151.9</var>program;<br/>
<a id="pl.151.10"></a><var>151.10</var>(4) monitor and make recommendations on quality and access to care under the <br/>
<a id="pl.151.11"></a><var>151.11</var>CHOICE  waiver; and<br/>
<a id="pl.151.12"></a><var>151.12</var>(5) make recommendations for the efficient and cost-effective administration of the <br/>
<a id="pl.151.13"></a><var>151.13</var>medical assistance program under the terms of the CHOICE waiver.<br/>
<br/>
<a id="bill.5.55.0"></a><a id="pl.151.14"></a><var>151.14</var>    Sec. 55. <b>[256B.842] PRINCIPLES AND GOALS FOR MEDICAL ASSISTANCE </b><br/>
<a id="pl.151.15"></a><var>151.15</var><b>REFORM.</b><br/>
<a id="pl.151.16"></a><var>151.16</var>    Subdivision 1. <b>Goals for reform.</b>  In developing the CHOICE waiver application <br/>
<a id="pl.151.17"></a><var>151.17</var>and implementing the CHOICE waiver, the commissioner of human services shall ensure <br/>
<a id="pl.151.18"></a><var>151.18</var>that the reformed medical assistance program is a person-centered, financially sustainable, <br/>
<a id="pl.151.19"></a><var>151.19</var>and cost-effective program.<br/>
<a id="pl.151.20"></a><var>151.20</var>    Subd. 2. <b>Reformed medical assistance criteria.</b> The reformed medical assistance <br/>
<a id="pl.151.21"></a><var>151.21</var>program established through the CHOICE waiver must:<br/>
<a id="pl.151.22"></a><var>151.22</var>(1) empower consumers to make informed and cost-effective choices about their <br/>
<a id="pl.151.23"></a><var>151.23</var>health and offer consumers rewards for healthy decisions;<br/>
<a id="pl.151.24"></a><var>151.24</var>(2) ensure adequate access to needed services;<br/>
<a id="pl.151.25"></a><var>151.25</var>(3) enable consumers to receive individualized health care that is outcome-oriented <br/>
<a id="pl.151.26"></a><var>151.26</var>and focused on prevention, disease management, recovery, and maintaining independence;<br/>
<a id="pl.151.27"></a><var>151.27</var>(4) promote competition between health care providers to ensure best value <br/>
<a id="pl.151.28"></a><var>151.28</var>purchasing, leverage resources, and to create opportunities for improving service quality <br/>
<a id="pl.151.29"></a><var>151.29</var>and performance;<br/>
<a id="pl.151.30"></a><var>151.30</var>(5) redesign purchasing and payment methods and encourage and reward <br/>
<a id="pl.151.31"></a><var>151.31</var>high-quality and cost-effective care by incorporating and expanding upon current payment <br/>
<a id="pl.151.32"></a><var>151.32</var>reform and quality of care initiatives including, but not limited to, those initiatives <br/>
<a id="pl.151.33"></a><var>151.33</var>authorized under chapter 62U; and<br/>
<a id="pl.152.1"></a><var>152.1</var>(6) continually improve technology to take advantage of recent innovations and <br/>
<a id="pl.152.2"></a><var>152.2</var>advances that help decision makers, consumers, and providers make informed and <br/>
<a id="pl.152.3"></a><var>152.3</var>cost-effective decisions regarding health care.<br/>
<a id="pl.152.4"></a><var>152.4</var>    Subd. 3. <b>Annual report.</b> The commissioner of human services shall annually <br/>
<a id="pl.152.5"></a><var>152.5</var>submit a report to the governor and the legislature, beginning December 1, 2012, and each <br/>
<a id="pl.152.6"></a><var>152.6</var>December 1 thereafter, describing the status of the administration and implementation <br/>
<a id="pl.152.7"></a><var>152.7</var>of the CHOICE waiver.<br/>
<br/>
<a id="bill.5.56.0"></a><a id="pl.152.8"></a><var>152.8</var>    Sec. 56. <b>[256B.843] CHOICE WAIVER APPLICATION REQUIREMENTS.</b><br/>
<a id="pl.152.9"></a><var>152.9</var>    Subdivision 1. <b>Requirements for CHOICE waiver request.</b> The commissioner <br/>
<a id="pl.152.10"></a><var>152.10</var>shall seek federal approval to:<br/>
<a id="pl.152.11"></a><var>152.11</var>(1) enter into a five-year agreement with the United States Department of Health and <br/>
<a id="pl.152.12"></a><var>152.12</var>Human Services and Centers for Medicaid and Medicare Services (CMS) under section <br/>
<a id="pl.152.13"></a><var>152.13</var>1115a to waive, as part of the CHOICE waiver, provisions of title XIX of the federal <br/>
<a id="pl.152.14"></a><var>152.14</var>Social Security Act, United States Code, title 42, section 1396 et seq., requiring:<br/>
<a id="pl.152.15"></a><var>152.15</var>(i) statewideness to allow for the provision of different services in different areas or <br/>
<a id="pl.152.16"></a><var>152.16</var>regions of the state;<br/>
<a id="pl.152.17"></a><var>152.17</var>(ii) comparability of services to allow for the provision of different services to <br/>
<a id="pl.152.18"></a><var>152.18</var>members of the same or different coverage groups;<br/>
<a id="pl.152.19"></a><var>152.19</var>(iii) no prohibitions restricting the amount, duration, and scope of services included <br/>
<a id="pl.152.20"></a><var>152.20</var>in the medical assistance state plan;<br/>
<a id="pl.152.21"></a><var>152.21</var>(iv) no prohibitions limiting freedom of choice of providers; and<br/>
<a id="pl.152.22"></a><var>152.22</var>(v) retroactive payment for medical assistance, at the state's discretion;<br/>
<a id="pl.152.23"></a><var>152.23</var>(2) waive the applicable provisions of title XIX of the federal Social Security Act, <br/>
<a id="pl.152.24"></a><var>152.24</var>United States Code, title 42, section 1396 et seq., in order to:<br/>
<a id="pl.152.25"></a><var>152.25</var>(i) expand cost sharing requirements above the five percent of income threshold for <br/>
<a id="pl.152.26"></a><var>152.26</var>beneficiaries in certain populations;<br/>
<a id="pl.152.27"></a><var>152.27</var>(ii) establish health savings or power accounts that encourage and reward <br/>
<a id="pl.152.28"></a><var>152.28</var>beneficiaries who reach certain prevention and wellness targets; and<br/>
<a id="pl.152.29"></a><var>152.29</var>(iii) implement a tiered set of parameters to use as the basis for determining <br/>
<a id="pl.152.30"></a><var>152.30</var>long-term service care and setting needs;<br/>
<a id="pl.152.31"></a><var>152.31</var>(3) modify income and resource rules in a manner consistent with the goals of the <br/>
<a id="pl.152.32"></a><var>152.32</var>reformed program;<br/>
<a id="pl.152.33"></a><var>152.33</var>(4) provide enrollees with a choice of appropriate private sector health coverage <br/>
<a id="pl.152.34"></a><var>152.34</var>options, with full federal financial participation;<br/>
<a id="pl.153.1"></a><var>153.1</var>(5) treat payments made toward the cost of care as a monthly premium for <br/>
<a id="pl.153.2"></a><var>153.2</var>beneficiaries receiving home and community-based services when applicable;<br/>
<a id="pl.153.3"></a><var>153.3</var>(6) provide health coverage and services to individuals over the age of 65 that are <br/>
<a id="pl.153.4"></a><var>153.4</var>limited in scope and are available only in the home and community-based setting;<br/>
<a id="pl.153.5"></a><var>153.5</var>(7) consolidate all home and community-based services currently provided under <br/>
<a id="pl.153.6"></a><var>153.6</var>title XIX of the federal Social Security Act, United States Code, title 42, section 1915(c), <br/>
<a id="pl.153.7"></a><var>153.7</var>into a single program of home and community-based services that include options for <br/>
<a id="pl.153.8"></a><var>153.8</var>consumer direction and shared living;<br/>
<a id="pl.153.9"></a><var>153.9</var>(8) expand disease management, care coordination, and wellness programs for all <br/>
<a id="pl.153.10"></a><var>153.10</var>medical assistance recipients; and<br/>
<a id="pl.153.11"></a><var>153.11</var>(9) empower and encourage able-bodied medical assistance recipients to work, <br/>
<a id="pl.153.12"></a><var>153.12</var>whenever possible.<br/>
<a id="pl.153.13"></a><var>153.13</var>    Subd. 2. <b>Agency coordination.</b> The commissioner shall establish an intraagency <br/>
<a id="pl.153.14"></a><var>153.14</var>assessment and coordination unit to ensure that decision making and program planning for <br/>
<a id="pl.153.15"></a><var>153.15</var>recipients who may need long-term care, residential placement, and community support <br/>
<a id="pl.153.16"></a><var>153.16</var>services are coordinated. The assessment and coordination unit shall determine level of <br/>
<a id="pl.153.17"></a><var>153.17</var>care, develop service plans and a service budget, make referrals to appropriate settings, <br/>
<a id="pl.153.18"></a><var>153.18</var>provide education and choice counseling to consumers and providers, track utilization, <br/>
<a id="pl.153.19"></a><var>153.19</var>and monitor outcomes. <br/>
<br/>
<a id="bill.5.57.0"></a><a id="pl.153.20"></a><var>153.20</var>    Sec. 57. Minnesota Statutes 2010, section 256D.03, subdivision 3, is amended to read:<br/>
<a id="pl.153.21"></a><var>153.21</var>    Subd. 3. <b>General assistance medical care; eligibility.</b> (a) Beginning April 1, <br/>
<a id="pl.153.22"></a><var>153.22</var>2010 October 1, 2011, the general assistance medical care program shall be administered <br/>
<a id="pl.153.23"></a><var>153.23</var>according to section 
         <statute_ref>256D.031</statute_ref>, unless otherwise stated, except for outpatient prescription <br/>
<a id="pl.153.24"></a><var>153.24</var>drug coverage, which shall continue to be administered under this section and funded <br/>
<a id="pl.153.25"></a><var>153.25</var>under section 
         <statute_ref>256D.031, subdivision 9</statute_ref>, beginning June 1, 2010.<br/>
<a id="pl.153.26"></a><var>153.26</var>    (b) Outpatient prescription drug coverage under general assistance medical care is <br/>
<a id="pl.153.27"></a><var>153.27</var>limited to prescription drugs that:<br/>
<a id="pl.153.28"></a><var>153.28</var>    (1) are covered under the medical assistance program as described in section <br/>
<statute_ref><a id="pl.153.29"></a><var>153.29</var>256B.0625, subdivisions 13
         </statute_ref> and 13d; and<br/>
<a id="pl.153.30"></a><var>153.30</var>    (2) are provided by manufacturers that have fully executed general assistance <br/>
<a id="pl.153.31"></a><var>153.31</var>medical care rebate agreements with the commissioner and comply with the agreements. <br/>
<a id="pl.153.32"></a><var>153.32</var>Outpatient prescription drug coverage under general assistance medical care must conform <br/>
<a id="pl.153.33"></a><var>153.33</var>to coverage under the medical assistance program according to section 
         <statute_ref>256B.0625, <br/>
<a id="pl.153.34"></a><var>153.34</var>subdivisions 13
         </statute_ref> to 13h.<br/>
<a id="pl.154.1"></a><var>154.1</var>    (c) Outpatient prescription drug coverage does not include drugs administered in a <br/>
<a id="pl.154.2"></a><var>154.2</var>clinic or other outpatient setting.<br/>
<a id="pl.154.3"></a><var>154.3</var>    (d) For the period beginning April 1, 2010, to May 31, 2010, general assistance <br/>
<a id="pl.154.4"></a><var>154.4</var>medical care covers the services listed in subdivision 4.<br/>
<a id="pl.154.5"></a><var>154.5</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.5.58.0"></a><a id="pl.154.6"></a><var>154.6</var>    Sec. 58. Minnesota Statutes 2010, section 256D.031, subdivision 1, is amended to read:<br/>
<a id="pl.154.7"></a><var>154.7</var>    Subdivision 1. <b>Eligibility.</b> (a) Except as provided under subdivision 2, general <br/>
<a id="pl.154.8"></a><var>154.8</var>assistance medical care may be paid for any individual who is not eligible for medical <br/>
<a id="pl.154.9"></a><var>154.9</var>assistance under chapter 256B, including eligibility for medical assistance based on a <br/>
<a id="pl.154.10"></a><var>154.10</var>spenddown of excess income according to section 
         <statute_ref>256B.056, subdivision 5</statute_ref>, and who:<br/>
<a id="pl.154.11"></a><var>154.11</var>(1) is receiving assistance under section 
         <statute_ref>256D.05</statute_ref>, except for families with children <br/>
<a id="pl.154.12"></a><var>154.12</var>who are eligible under the Minnesota family investment program (MFIP), or who is <br/>
<a id="pl.154.13"></a><var>154.13</var>having a payment made on the person's behalf under sections 
         <statute_ref>256I.01</statute_ref> to 
         <statute_ref>256I.06</statute_ref>; or<br/>
<a id="pl.154.14"></a><var>154.14</var>(2) is a resident of Minnesota and has gross countable income not in excess of 75 <br/>
<a id="pl.154.15"></a><var>154.15</var>percent of federal poverty guidelines for the family size, using a six-month budget period, <br/>
<a id="pl.154.16"></a><var>154.16</var>and whose equity in assets is not in excess of $1,000 per assistance unit.<br/>
<a id="pl.154.17"></a><var>154.17</var>(2) is a resident of Minnesota and has gross countable income that is equal to or less <br/>
<a id="pl.154.18"></a><var>154.18</var>than 125 percent of the federal poverty guidelines for the family size, using a six-month <br/>
<a id="pl.154.19"></a><var>154.19</var>budget period, and who meets the asset limit specified in section 256L.17, subdivision 2.<br/>
<a id="pl.154.20"></a><var>154.20</var>Exempt assets, the reduction of excess assets, and the waiver of excess assets must <br/>
<a id="pl.154.21"></a><var>154.21</var>conform to the medical assistance program in section 
         <statute_ref>256B.056, subdivisions 3</statute_ref> and 3d, <br/>
<a id="pl.154.22"></a><var>154.22</var>except that the maximum amount of undistributed funds in a trust that could be distributed <br/>
<a id="pl.154.23"></a><var>154.23</var>to or on behalf of the beneficiary by the trustee, assuming the full exercise of the trustee's <br/>
<a id="pl.154.24"></a><var>154.24</var>discretion under the terms of the trust, must be applied toward the asset maximum.<br/>
<a id="pl.154.25"></a><var>154.25</var>(b) The commissioner shall adjust the income standards under this section each July <br/>
<a id="pl.154.26"></a><var>154.26</var>1 by the annual update of the federal poverty guidelines following publication by the <br/>
<a id="pl.154.27"></a><var>154.27</var>United States Department of Health and Human Services.<br/>
<br/>
<a id="bill.5.59.0"></a><a id="pl.154.28"></a><var>154.28</var>    Sec. 59. Minnesota Statutes 2010, section 256D.031, subdivision 6, is amended to read:<br/>
<a id="pl.154.29"></a><var>154.29</var>    Subd. 6. <b>Coordinated care delivery systems.</b> (a) Effective June 1, 2010 October <br/>
<a id="pl.154.30"></a><var>154.30</var>1, 2011, the commissioner shall contract with hospitals or groups of hospitals, or <br/>
<a id="pl.154.31"></a><var>154.31</var>county-based purchasing plans, that qualify under paragraph (b) and agree to deliver <br/>
<a id="pl.154.32"></a><var>154.32</var>services according to this subdivision. Contracting hospitals or plans shall develop <br/>
<a id="pl.154.33"></a><var>154.33</var>and implement a coordinated care delivery system to provide health care services to <br/>
<a id="pl.154.34"></a><var>154.34</var>individuals who are eligible for general assistance medical care under this section and who <br/>
<a id="pl.155.1"></a><var>155.1</var>either choose to receive services through the coordinated care delivery system or who are <br/>
<a id="pl.155.2"></a><var>155.2</var>enrolled by the commissioner under paragraph (c). The health care services provided by <br/>
<a id="pl.155.3"></a><var>155.3</var>the system must include: (1) the services described in subdivision 4 with the exception <br/>
<a id="pl.155.4"></a><var>155.4</var>of outpatient prescription drug coverage but shall include drugs administered in a clinic <br/>
<a id="pl.155.5"></a><var>155.5</var>or other outpatient setting; or (2) a set of comprehensive and medically necessary health <br/>
<a id="pl.155.6"></a><var>155.6</var>services that the recipients might reasonably require to be maintained in good health and <br/>
<a id="pl.155.7"></a><var>155.7</var>that has been approved by the commissioner, including at a minimum, but not limited <br/>
<a id="pl.155.8"></a><var>155.8</var>to, emergency care, medical transportation services, inpatient hospital and physician <br/>
<a id="pl.155.9"></a><var>155.9</var>care, outpatient health services, preventive health services, mental health services, <br/>
<a id="pl.155.10"></a><var>155.10</var>and prescription drugs administered in a clinic or other outpatient setting. Outpatient <br/>
<a id="pl.155.11"></a><var>155.11</var>prescription drug coverage is covered on a fee-for-service basis in accordance with section <br/>
<statute_ref><a id="pl.155.12"></a><var>155.12</var>256D.03, subdivision 3
         </statute_ref>, and funded under subdivision 9. A hospital or plan establishing a <br/>
<a id="pl.155.13"></a><var>155.13</var>coordinated care delivery system under this subdivision must ensure that the requirements <br/>
<a id="pl.155.14"></a><var>155.14</var>of this subdivision are met.<br/>
<a id="pl.155.15"></a><var>155.15</var>    (b) A hospital or group of hospitals, or a county-based purchasing plan established <br/>
<a id="pl.155.16"></a><var>155.16</var>under section 256B.692, may contract with the commissioner to develop and implement a <br/>
<a id="pl.155.17"></a><var>155.17</var>coordinated care delivery system as follows: if the hospital or group of hospitals or plan <br/>
<a id="pl.155.18"></a><var>155.18</var>agrees to satisfy the requirements of this subdivision.<br/>
<a id="pl.155.19"></a><var>155.19</var>    (1) effective June 1, 2010, a hospital qualifies under this subdivision if: (i) during <br/>
<a id="pl.155.20"></a><var>155.20</var>calendar year 2008, it received fee-for-service payments for services to general assistance <br/>
<a id="pl.155.21"></a><var>155.21</var>medical care recipients (A) equal to or greater than $1,500,000, or (B) equal to or greater <br/>
<a id="pl.155.22"></a><var>155.22</var>than 1.3 percent of net patient revenue; or (ii) a contract with the hospital is necessary to <br/>
<a id="pl.155.23"></a><var>155.23</var>provide geographic access or to ensure that at least 80 percent of enrollees have access to <br/>
<a id="pl.155.24"></a><var>155.24</var>a coordinated care delivery system; and<br/>
<a id="pl.155.25"></a><var>155.25</var>    (2) effective December 1, 2010, a Minnesota hospital not qualified under clause <br/>
<a id="pl.155.26"></a><var>155.26</var>(1) may contract with the commissioner under this subdivision if it agrees to satisfy the <br/>
<a id="pl.155.27"></a><var>155.27</var>requirements of this subdivision.<br/>
<a id="pl.155.28"></a><var>155.28</var>Participation by hospitals or plans shall become effective quarterly on June 1, September <br/>
<a id="pl.155.29"></a><var>155.29</var>1, December 1, or March 1 October 1, January 1, April 1, or July 1. Hospital or plan <br/>
<a id="pl.155.30"></a><var>155.30</var>participation is effective for a period of 12 months and may be renewed for successive <br/>
<a id="pl.155.31"></a><var>155.31</var>12-month periods.<br/>
<a id="pl.155.32"></a><var>155.32</var>    (c) Applicants and recipients may enroll in any available coordinated care delivery <br/>
<a id="pl.155.33"></a><var>155.33</var>system statewide. If more than one coordinated care delivery system is available, the <br/>
<a id="pl.155.34"></a><var>155.34</var>applicant or recipient shall be allowed to choose among the systems. The commissioner <br/>
<a id="pl.155.35"></a><var>155.35</var>may assign an applicant or recipient to a coordinated care delivery system if no choice <br/>
<a id="pl.155.36"></a><var>155.36</var>is made by the applicant or recipient. The commissioner shall consider a recipient's zip <br/>
<a id="pl.156.1"></a><var>156.1</var>code, city of residence, county of residence, or distance from a participating coordinated <br/>
<a id="pl.156.2"></a><var>156.2</var>care delivery system when determining default assignment. An applicant or recipient <br/>
<a id="pl.156.3"></a><var>156.3</var>may decline enrollment in a coordinated care delivery system but services excluding <br/>
<a id="pl.156.4"></a><var>156.4</var>outpatient prescription drug coverage are only available through a coordinated care <br/>
<a id="pl.156.5"></a><var>156.5</var>delivery system. Upon enrollment into a coordinated care delivery system, the recipient <br/>
<a id="pl.156.6"></a><var>156.6</var>must agree to receive all nonemergency services through the coordinated care delivery <br/>
<a id="pl.156.7"></a><var>156.7</var>system. Enrollment in a coordinated care delivery system is for six months and may be <br/>
<a id="pl.156.8"></a><var>156.8</var>renewed for additional six-month periods, except that initial enrollment is for six months <br/>
<a id="pl.156.9"></a><var>156.9</var>or until the end of a recipient's period of general assistance medical care eligibility, <br/>
<a id="pl.156.10"></a><var>156.10</var>whichever occurs first. A recipient who continues to meet the eligibility requirements of <br/>
<a id="pl.156.11"></a><var>156.11</var>this section is not eligible to enroll in MinnesotaCare during a period of enrollment in a <br/>
<a id="pl.156.12"></a><var>156.12</var>coordinated care delivery system. From June 1, 2010, to February 28, 2011, applicants <br/>
<a id="pl.156.13"></a><var>156.13</var>and recipients not enrolled in a coordinated care delivery system may seek services from <br/>
<a id="pl.156.14"></a><var>156.14</var>a hospital eligible for reimbursement under the temporary uncompensated care pool <br/>
<a id="pl.156.15"></a><var>156.15</var>established under subdivision 8. After February 28, 2011, services are available only <br/>
<a id="pl.156.16"></a><var>156.16</var>through a coordinated care delivery system.<br/>
<a id="pl.156.17"></a><var>156.17</var>    (d) The hospital or plan may contract and coordinate with providers and clinics <br/>
<a id="pl.156.18"></a><var>156.18</var>for the delivery of services and shall contract with essential community providers as <br/>
<a id="pl.156.19"></a><var>156.19</var>defined under section 
         <statute_ref>62Q.19, subdivision 1</statute_ref>, paragraph (a), clauses (1) and (2), to the <br/>
<a id="pl.156.20"></a><var>156.20</var>extent practicable. When contracting with providers and clinics, the hospital or plan <br/>
<a id="pl.156.21"></a><var>156.21</var>shall give preference to providers and clinics certified as health care homes under section <br/>
<a id="pl.156.22"></a><var>156.22</var>256B.0751. The hospital or plan must contract with federally qualified health centers or <br/>
<a id="pl.156.23"></a><var>156.23</var>federally qualified health center look-alikes, as defined in section 145.9269, subdivision 1, <br/>
<a id="pl.156.24"></a><var>156.24</var>and essential community providers as defined in section 62Q.19, that agree to accept the <br/>
<a id="pl.156.25"></a><var>156.25</var>terms, conditions, and payment rates offered by the hospital or plan to similarly situated <br/>
<a id="pl.156.26"></a><var>156.26</var>providers, except that reimbursement to federally qualified health centers and federally <br/>
<a id="pl.156.27"></a><var>156.27</var>qualified health center look-alikes must comply with federal law. If a provider or clinic or <br/>
<a id="pl.156.28"></a><var>156.28</var>health center contracts with a hospital or plan to provide services through the coordinated <br/>
<a id="pl.156.29"></a><var>156.29</var>care delivery system, the provider may not refuse to provide services to any recipient <br/>
<a id="pl.156.30"></a><var>156.30</var>enrolled in the system, and payment for services shall be negotiated with the hospital or <br/>
<a id="pl.156.31"></a><var>156.31</var>plan and paid by the hospital or plan from the system's allocation under subdivision 7.<br/>
<a id="pl.156.32"></a><var>156.32</var>    (e) A coordinated care delivery system must:<br/>
<a id="pl.156.33"></a><var>156.33</var>    (1) provide the covered services required under paragraph (a) to recipients enrolled <br/>
<a id="pl.156.34"></a><var>156.34</var>in the coordinated care delivery system, and comply with the requirements of subdivision <br/>
<a id="pl.156.35"></a><var>156.35</var>4, paragraphs (b) to (g);<br/>
<a id="pl.156.36"></a><var>156.36</var>    (2) establish a process to monitor enrollment and ensure the quality of care provided;<br/>
<a id="pl.157.1"></a><var>157.1</var>    (3) in cooperation with counties, coordinate the delivery of health care services with <br/>
<a id="pl.157.2"></a><var>157.2</var>existing homeless prevention, supportive housing, and rent subsidy programs and funding <br/>
<a id="pl.157.3"></a><var>157.3</var>administered by the Minnesota Housing Finance Agency under chapter 462A; and<br/>
<a id="pl.157.4"></a><var>157.4</var>    (4) adopt innovative and cost-effective methods of care delivery and coordination, <br/>
<a id="pl.157.5"></a><var>157.5</var>which may include the use of allied health professionals, telemedicine, patient educators, <br/>
<a id="pl.157.6"></a><var>157.6</var>care coordinators, and community health workers.<br/>
<a id="pl.157.7"></a><var>157.7</var>    (f) The hospital or plan may require a recipient to designate a primary care provider <br/>
<a id="pl.157.8"></a><var>157.8</var>or a primary care clinic. The hospital or plan may limit the delivery of services to a <br/>
<a id="pl.157.9"></a><var>157.9</var>network of providers who have contracted with the hospital or plan to deliver services in <br/>
<a id="pl.157.10"></a><var>157.10</var>accordance with this subdivision, and require a recipient to seek services only within this <br/>
<a id="pl.157.11"></a><var>157.11</var>network. The hospital or plan may also require a referral to a provider before the service <br/>
<a id="pl.157.12"></a><var>157.12</var>is eligible for payment. A coordinated care delivery system is not required to provide <br/>
<a id="pl.157.13"></a><var>157.13</var>payment to a provider who is not employed by or under contract with the system for <br/>
<a id="pl.157.14"></a><var>157.14</var>services provided to a recipient enrolled in the system, except in cases of an emergency. <br/>
<a id="pl.157.15"></a><var>157.15</var>For purposes of this section, emergency services are defined in accordance with Code of <br/>
<a id="pl.157.16"></a><var>157.16</var>Federal Regulations, title 42, section 438.114 (a).<br/>
<a id="pl.157.17"></a><var>157.17</var>    (g) A recipient enrolled in a coordinated care delivery system has the right to appeal <br/>
<a id="pl.157.18"></a><var>157.18</var>to the commissioner according to section 
         <statute_ref>256.045</statute_ref>.<br/>
<a id="pl.157.19"></a><var>157.19</var>    (h) The state shall not be liable for the payment of any cost or obligation incurred <br/>
<a id="pl.157.20"></a><var>157.20</var>by the coordinated care delivery system.<br/>
<a id="pl.157.21"></a><var>157.21</var>    (i) The hospital or plan must provide the commissioner with data necessary for <br/>
<a id="pl.157.22"></a><var>157.22</var>assessing enrollment, quality of care, cost, and utilization of services. Each hospital or <br/>
<a id="pl.157.23"></a><var>157.23</var>plan must provide, on a quarterly basis on a form prescribed by the commissioner for each <br/>
<a id="pl.157.24"></a><var>157.24</var>recipient served by the coordinated care delivery system, the services provided, the cost of <br/>
<a id="pl.157.25"></a><var>157.25</var>services provided, and the actual payment amount for the services provided and any other <br/>
<a id="pl.157.26"></a><var>157.26</var>information the commissioner deems necessary to claim federal Medicaid match. The <br/>
<a id="pl.157.27"></a><var>157.27</var>commissioner must provide this data to the legislature on a quarterly basis.<br/>
<a id="pl.157.28"></a><var>157.28</var>    (j) Effective June 1, 2010, The provisions of section 
         <statute_ref>256.9695, subdivision 2</statute_ref>, <br/>
<a id="pl.157.29"></a><var>157.29</var>paragraph (b), do not apply to general assistance medical care provided under this section.<br/>
<a id="pl.157.30"></a><var>157.30</var>    (k) Notwithstanding any other provision in this section to the contrary, for <br/>
<a id="pl.157.31"></a><var>157.31</var>participation beginning September 1, 2010, the commissioner shall offer the same contract <br/>
<a id="pl.157.32"></a><var>157.32</var>terms related to shall negotiate an enrollment threshold formula and financial liability <br/>
<a id="pl.157.33"></a><var>157.33</var>protections to with a hospital or group of hospitals or plan qualified under this subdivision <br/>
<a id="pl.157.34"></a><var>157.34</var>to develop and implement a coordinated care delivery system as those contained in the <br/>
<a id="pl.157.35"></a><var>157.35</var>coordinated care delivery system contracts effective June 1, 2010.<br/>
<a id="pl.158.1"></a><var>158.1</var>    (l) If sections 
<statute_ref>256B.055, subdivision 15</statute_ref>, and 
<statute_ref>256B.056, subdivisions 3</statute_ref> and 4, are <br/>
<a id="pl.158.2"></a><var>158.2</var>implemented effective July 1, 2010, this subdivision must not be implemented.<br/>
<a id="pl.158.3"></a><var>158.3</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.5.60.0"></a><a id="pl.158.4"></a><var>158.4</var>    Sec. 60. Minnesota Statutes 2010, section 256D.031, subdivision 7, is amended to read:<br/>
<a id="pl.158.5"></a><var>158.5</var>    Subd. 7. <b>Payments; rate setting for the </b><b>hospital</b><b> coordinated care delivery </b><br/>
<a id="pl.158.6"></a><var>158.6</var><b>system.</b> (a) Effective for general assistance medical care services, with the exception <br/>
<a id="pl.158.7"></a><var>158.7</var>of outpatient prescription drug coverage, provided on or after June 1, 2010, through a <br/>
<a id="pl.158.8"></a><var>158.8</var>coordinated care delivery system, the commissioner shall allocate the annual appropriation <br/>
<a id="pl.158.9"></a><var>158.9</var>for the coordinated care delivery system to hospitals or plans participating under <br/>
<a id="pl.158.10"></a><var>158.10</var>subdivision 6 in quarterly payments, beginning on the first scheduled warrant on or after <br/>
<a id="pl.158.11"></a><var>158.11</var>June 1, 2010 October 1, 2011. The payment shall be allocated among all hospitals or <br/>
<a id="pl.158.12"></a><var>158.12</var>plans qualified to participate on the allocation date as follows: based upon the enrollment <br/>
<a id="pl.158.13"></a><var>158.13</var>thresholds negotiated with the commissioner.<br/>
<a id="pl.158.14"></a><var>158.14</var>    (1) each hospital or group of hospitals shall be allocated an initial amount based on <br/>
<a id="pl.158.15"></a><var>158.15</var>the hospital's or group of hospitals' pro rata share of calendar year 2008 payments for <br/>
<a id="pl.158.16"></a><var>158.16</var>general assistance medical care services to all participating hospitals;<br/>
<a id="pl.158.17"></a><var>158.17</var>    (2) the initial allocations to Hennepin County Medical Center; Regions Hospital; <br/>
<a id="pl.158.18"></a><var>158.18</var>Saint Mary's Medical Center; and the University of Minnesota Medical Center, Fairview, <br/>
<a id="pl.158.19"></a><var>158.19</var>shall be increased to 110 percent of the value determined in clause (1);<br/>
<a id="pl.158.20"></a><var>158.20</var>    (3) the initial allocation to hospitals not listed in clause (2) shall be reduced a pro rata <br/>
<a id="pl.158.21"></a><var>158.21</var>amount in order to keep the allocations within the limit of available appropriations; and<br/>
<a id="pl.158.22"></a><var>158.22</var>    (4) the amounts determined under clauses (1) to (3) shall be allocated to participating <br/>
<a id="pl.158.23"></a><var>158.23</var>hospitals.<br/>
<a id="pl.158.24"></a><var>158.24</var>    The commissioner may prospectively reallocate payments to participating hospitals <br/>
<a id="pl.158.25"></a><var>158.25</var>or plans on a biannual basis to ensure that final allocations reflect actual coordinated <br/>
<a id="pl.158.26"></a><var>158.26</var>care delivery system enrollment. The 2008 base year shall be updated by one calendar <br/>
<a id="pl.158.27"></a><var>158.27</var>year each June 1, beginning June 1, 2011.<br/>
<a id="pl.158.28"></a><var>158.28</var>    (b) Beginning June 1, 2010, and every quarter beginning in June thereafter, the <br/>
<a id="pl.158.29"></a><var>158.29</var>commissioner shall make one-third of the quarterly payment in June and the remaining <br/>
<a id="pl.158.30"></a><var>158.30</var>two-thirds of the quarterly payment in July to each participating hospital or group of <br/>
<a id="pl.158.31"></a><var>158.31</var>hospitals.<br/>
<a id="pl.158.32"></a><var>158.32</var>    (c) (b) In order to be reimbursed under this section, nonhospital providers of health <br/>
<a id="pl.158.33"></a><var>158.33</var>care services shall contract with one or more hospitals or plans described in paragraph (a) <br/>
<a id="pl.158.34"></a><var>158.34</var>to provide services to general assistance medical care recipients through the coordinated <br/>
<a id="pl.158.35"></a><var>158.35</var>care delivery system established by the hospital or plan. The hospital or plan shall <br/>
<a id="pl.159.1"></a><var>159.1</var>reimburse bills submitted by nonhospital providers participating under this paragraph at a <br/>
<a id="pl.159.2"></a><var>159.2</var>rate negotiated between the hospital or plan and the nonhospital provider.<br/>
<a id="pl.159.3"></a><var>159.3</var>    (d) (c) The commissioner shall apply for federal matching funds under section <br/>
<statute_ref><a id="pl.159.4"></a><var>159.4</var>256B.199
         </statute_ref>, paragraphs (a) to (d), for expenditures under this subdivision.<br/>
<a id="pl.159.5"></a><var>159.5</var>    (e) (d) Outpatient prescription drug coverage is provided in accordance with section <br/>
<statute_ref><a id="pl.159.6"></a><var>159.6</var>256D.03, subdivision 3
         </statute_ref>, and paid on a fee-for-service basis under subdivision 9.<br/>
<a id="pl.159.7"></a><var>159.7</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.5.61.0"></a><a id="pl.159.8"></a><var>159.8</var>    Sec. 61. Minnesota Statutes 2010, section 256D.031, subdivision 9, is amended to read:<br/>
<a id="pl.159.9"></a><var>159.9</var>    Subd. 9. <b>Prescription drug pool.</b> (a) The commissioner shall establish an outpatient <br/>
<a id="pl.159.10"></a><var>159.10</var>prescription drug pool, effective June 1, 2010 October 1, 2011. Money in the pool must <br/>
<a id="pl.159.11"></a><var>159.11</var>be used to reimburse pharmacies and other pharmacy service providers as defined in <br/>
<a id="pl.159.12"></a><var>159.12</var>Minnesota Rules, part 9505.0340, for the covered outpatient prescription drugs dispensed <br/>
<a id="pl.159.13"></a><var>159.13</var>to recipients. Payment for drugs shall be on a fee-for-service basis according to the rates <br/>
<a id="pl.159.14"></a><var>159.14</var>established in section 
         <statute_ref>256B.0625, subdivision 13e</statute_ref>. Outpatient prescription drug coverage <br/>
<a id="pl.159.15"></a><var>159.15</var>is subject to the availability of funds in the pool. If the commissioner forecasts that <br/>
<a id="pl.159.16"></a><var>159.16</var>expenditures under this subdivision will exceed the appropriation for this purpose, the <br/>
<a id="pl.159.17"></a><var>159.17</var>commissioner may bring recommendations to the Legislative Advisory Commission on <br/>
<a id="pl.159.18"></a><var>159.18</var>methods to resolve the shortfall.<br/>
<a id="pl.159.19"></a><var>159.19</var>(b) Effective June 1, 2010 January 1, 2012, coordinated care delivery systems <br/>
<a id="pl.159.20"></a><var>159.20</var>established under subdivision 6 shall pay to the commissioner, on a quarterly basis, an <br/>
<a id="pl.159.21"></a><var>159.21</var>assessment equal to 20 percent of payments for the prescribed drugs for recipients of <br/>
<a id="pl.159.22"></a><var>159.22</var>services through that coordinated care delivery system, as calculated by the commissioner <br/>
<a id="pl.159.23"></a><var>159.23</var>based on the most recent available data.<br/>
<br/>
<a id="bill.5.62.0"></a><a id="pl.159.24"></a><var>159.24</var>    Sec. 62. Minnesota Statutes 2010, section 256D.031, subdivision 10, is amended to <br/>
<a id="pl.159.25"></a><var>159.25</var>read:<br/>
<a id="pl.159.26"></a><var>159.26</var>    Subd. 10. <b>Assistance for veterans.</b> Hospitals and plans participating in the <br/>
<a id="pl.159.27"></a><var>159.27</var>coordinated care delivery system under subdivision 6 shall consult with counties, county <br/>
<a id="pl.159.28"></a><var>159.28</var>veterans service officers, and the Veterans Administration to identify other programs for <br/>
<a id="pl.159.29"></a><var>159.29</var>which general assistance medical care recipients enrolled in their system are qualified.<br/>
<br/>
<a id="bill.5.63.0"></a><a id="pl.159.30"></a><var>159.30</var>    Sec. 63. Minnesota Statutes 2010, section 256L.01, subdivision 4a, is amended to read:<br/>
<a id="pl.159.31"></a><var>159.31</var>    Subd. 4a. <b>Gross individual or gross family income.</b> (a) "Gross individual or gross <br/>
<a id="pl.159.32"></a><var>159.32</var>family income" for nonfarm self-employed means income calculated for the 12-month <br/>
<a id="pl.159.33"></a><var>159.33</var>six-month period of eligibility using as a baseline the adjusted gross income reported <br/>
<a id="pl.160.1"></a><var>160.1</var>on the applicant's federal income tax form for the previous year and adding back in <br/>
<a id="pl.160.2"></a><var>160.2</var>depreciation, and carryover net operating loss amounts that apply to the business in which <br/>
<a id="pl.160.3"></a><var>160.3</var>the family is currently engaged.<br/>
<a id="pl.160.4"></a><var>160.4</var>(b) "Gross individual or gross family income" for farm self-employed means <br/>
<a id="pl.160.5"></a><var>160.5</var>income calculated for the 12-month six-month period of eligibility using as the baseline <br/>
<a id="pl.160.6"></a><var>160.6</var>the adjusted gross income reported on the applicant's federal income tax form for the <br/>
<a id="pl.160.7"></a><var>160.7</var>previous year.<br/>
<a id="pl.160.8"></a><var>160.8</var>(c) "Gross individual or gross family income" means the total income for all family <br/>
<a id="pl.160.9"></a><var>160.9</var>members, calculated for the 12-month six-month period of eligibility.<br/>
<br/>
<a id="bill.5.64.0"></a><a id="pl.160.10"></a><var>160.10</var>    Sec. 64. Minnesota Statutes 2010, section 256L.02, subdivision 3, is amended to read:<br/>
<a id="pl.160.11"></a><var>160.11</var>    Subd. 3. <b>Financial management.</b> (a) The commissioner shall manage spending for <br/>
<a id="pl.160.12"></a><var>160.12</var>the MinnesotaCare program in a manner that maintains a minimum reserve. As part of <br/>
<a id="pl.160.13"></a><var>160.13</var>each state revenue and expenditure forecast, the commissioner must make an assessment <br/>
<a id="pl.160.14"></a><var>160.14</var>of the expected expenditures for the covered services for the remainder of the current <br/>
<a id="pl.160.15"></a><var>160.15</var>biennium and for the following biennium. The estimated expenditure, including the <br/>
<a id="pl.160.16"></a><var>160.16</var>reserve, shall be compared to an estimate of the revenues that will be available in the health <br/>
<a id="pl.160.17"></a><var>160.17</var>care access fund. Based on this comparison, and after consulting with the chairs of the <br/>
<a id="pl.160.18"></a><var>160.18</var>house of representatives Ways and Means Committee and the senate Finance Committee, <br/>
<a id="pl.160.19"></a><var>160.19</var>and the Legislative Commission on Health Care Access, the commissioner shall, as <br/>
<a id="pl.160.20"></a><var>160.20</var>necessary, make the adjustments specified in paragraph (b) to ensure that expenditures <br/>
<a id="pl.160.21"></a><var>160.21</var>remain within the limits of available revenues for the remainder of the current biennium <br/>
<a id="pl.160.22"></a><var>160.22</var>and for the following biennium. The commissioner shall not hire additional staff using <br/>
<a id="pl.160.23"></a><var>160.23</var>appropriations from the health care access fund until the commissioner of management <br/>
<a id="pl.160.24"></a><var>160.24</var>and budget makes a determination that the adjustments implemented under paragraph (b) <br/>
<a id="pl.160.25"></a><var>160.25</var>are sufficient to allow MinnesotaCare expenditures to remain within the limits of available <br/>
<a id="pl.160.26"></a><var>160.26</var>revenues for the remainder of the current biennium and for the following biennium.<br/>
<a id="pl.160.27"></a><var>160.27</var>(b) The adjustments the commissioner shall use must be implemented in this order: <br/>
<a id="pl.160.28"></a><var>160.28</var>first, stop enrollment of single adults and households without children; second, upon 45 <br/>
<a id="pl.160.29"></a><var>160.29</var>days' notice, stop coverage of single adults and households without children already <br/>
<a id="pl.160.30"></a><var>160.30</var>enrolled in the MinnesotaCare program; third, upon 90 days' notice, decrease the premium <br/>
<a id="pl.160.31"></a><var>160.31</var>subsidy amounts by ten percent for families with gross annual income above 200 percent <br/>
<a id="pl.160.32"></a><var>160.32</var>of the federal poverty guidelines; fourth, upon 90 days' notice, decrease the premium <br/>
<a id="pl.160.33"></a><var>160.33</var>subsidy amounts by ten percent for families with gross annual income at or below 200 <br/>
<a id="pl.160.34"></a><var>160.34</var>percent; and fifth, require applicants to be uninsured for at least six months prior to <br/>
<a id="pl.160.35"></a><var>160.35</var>eligibility in the MinnesotaCare program. If these measures are insufficient to limit the <br/>
<a id="pl.161.1"></a><var>161.1</var>expenditures to the estimated amount of revenue, the commissioner shall further limit <br/>
<a id="pl.161.2"></a><var>161.2</var>enrollment or decrease premium subsidies.<br/>
<br/>
<a id="bill.5.65.0"></a><a id="pl.161.3"></a><var>161.3</var>    Sec. 65. Minnesota Statutes 2010, section 256L.03, subdivision 5, is amended to read:<br/>
<a id="pl.161.4"></a><var>161.4</var>    Subd. 5. <b>Co-payments and coinsurance</b><b> Cost-sharing</b><b>.</b> (a) Except as provided in <br/>
<a id="pl.161.5"></a><var>161.5</var>paragraphs (b) and, (c), and (h), the MinnesotaCare benefit plan shall include the following <br/>
<a id="pl.161.6"></a><var>161.6</var>co-payments and coinsurance cost-sharing requirements for all enrollees:<br/>
<a id="pl.161.7"></a><var>161.7</var>    (1) ten percent of the paid charges for inpatient hospital services for adult enrollees, <br/>
<a id="pl.161.8"></a><var>161.8</var>subject to an annual inpatient out-of-pocket maximum of $1,000 per individual;<br/>
<a id="pl.161.9"></a><var>161.9</var>    (2) $3 per prescription for adult enrollees;<br/>
<a id="pl.161.10"></a><var>161.10</var>    (3) $25 for eyeglasses for adult enrollees;<br/>
<a id="pl.161.11"></a><var>161.11</var>    (4) $3 per nonpreventive visit. For purposes of this subdivision, a "visit" means an <br/>
<a id="pl.161.12"></a><var>161.12</var>episode of service which is required because of a recipient's symptoms, diagnosis, or <br/>
<a id="pl.161.13"></a><var>161.13</var>established illness, and which is delivered in an ambulatory setting by a physician or <br/>
<a id="pl.161.14"></a><var>161.14</var>physician ancillary, chiropractor, podiatrist, nurse midwife, advanced practice nurse, <br/>
<a id="pl.161.15"></a><var>161.15</var>audiologist, optician, or optometrist; and<br/>
<a id="pl.161.16"></a><var>161.16</var>    (5) $6 for nonemergency visits to a hospital-based emergency room for services <br/>
<a id="pl.161.17"></a><var>161.17</var>provided through December 31, 2010, and $3.50 effective January 1, 2011; and<br/>
<a id="pl.161.18"></a><var>161.18</var>(6) a family deductible equal to the maximum amount allowed under Code of <br/>
<a id="pl.161.19"></a><var>161.19</var>Federal Regulations, title 42, part 447.54.<br/>
<a id="pl.161.20"></a><var>161.20</var>    (b) Paragraph (a), clause (1), does and paragraph (e) do not apply to parents and <br/>
<a id="pl.161.21"></a><var>161.21</var>relative caretakers of children under the age of 21.<br/>
<a id="pl.161.22"></a><var>161.22</var>    (c) Paragraph (a) does not apply to pregnant women and children under the age of 21.<br/>
<a id="pl.161.23"></a><var>161.23</var>    (d) Paragraph (a), clause (4), does not apply to mental health services.<br/>
<a id="pl.161.24"></a><var>161.24</var>    (e) Adult enrollees with family gross income that exceeds 200 percent of the federal <br/>
<a id="pl.161.25"></a><var>161.25</var>poverty guidelines or 215 percent of the federal poverty guidelines on or after July 1, 2009, <br/>
<a id="pl.161.26"></a><var>161.26</var>and who are not pregnant shall be financially responsible for the coinsurance amount, if <br/>
<a id="pl.161.27"></a><var>161.27</var>applicable, and amounts which exceed the $10,000 inpatient hospital benefit limit.<br/>
<a id="pl.161.28"></a><var>161.28</var>    (f) When a MinnesotaCare enrollee becomes a member of a prepaid health plan, <br/>
<a id="pl.161.29"></a><var>161.29</var>or changes from one prepaid health plan to another during a calendar year, any charges <br/>
<a id="pl.161.30"></a><var>161.30</var>submitted towards the $10,000 annual inpatient benefit limit, and any out-of-pocket <br/>
<a id="pl.161.31"></a><var>161.31</var>expenses incurred by the enrollee for inpatient services, that were submitted or incurred <br/>
<a id="pl.161.32"></a><var>161.32</var>prior to enrollment, or prior to the change in health plans, shall be disregarded.<br/>
<a id="pl.161.33"></a><var>161.33</var>(g) MinnesotaCare reimbursements to fee-for-service providers and payments to <br/>
<a id="pl.161.34"></a><var>161.34</var>managed care plans or county-based purchasing plans shall not be increased as a result of <br/>
<a id="pl.161.35"></a><var>161.35</var>the reduction of the co-payments in paragraph (a), clause (5), effective January 1, 2011.<br/>
<a id="pl.162.1"></a><var>162.1</var>(h) Effective January 1, 2012, the following co-payments for nonpreventive visits <br/>
<a id="pl.162.2"></a><var>162.2</var>shall apply to enrollees who are adults without children eligible under section 256L.04, <br/>
<a id="pl.162.3"></a><var>162.3</var>subdivision 7:<br/>
<a id="pl.162.4"></a><var>162.4</var>(1) $3 for visits to providers whose average, risk-adjusted, total annual cost of care <br/>
<a id="pl.162.5"></a><var>162.5</var>per MinnesotaCare enrollee is at the 60th percentile or lower for providers of the same <br/>
<a id="pl.162.6"></a><var>162.6</var>type;<br/>
<a id="pl.162.7"></a><var>162.7</var>(2) $6 for visits to providers whose average, risk-adjusted, total annual cost of care <br/>
<a id="pl.162.8"></a><var>162.8</var>per MinnesotaCare enrollee is greater than the 60th percentile but does not exceed the <br/>
<a id="pl.162.9"></a><var>162.9</var>80th percentile for providers of the same type; and<br/>
<a id="pl.162.10"></a><var>162.10</var>(3) $10 for visits to providers whose average, risk-adjusted, total annual cost of <br/>
<a id="pl.162.11"></a><var>162.11</var>care per MinnesotaCare enrollee is greater than the 80th percentile for providers of the <br/>
<a id="pl.162.12"></a><var>162.12</var>same type.<br/>
<a id="pl.162.13"></a><var>162.13</var>Each managed care and county-based purchasing plan shall calculate the average, <br/>
<a id="pl.162.14"></a><var>162.14</var>risk-adjusted, total annual cost of care for providers under this paragraph using a <br/>
<a id="pl.162.15"></a><var>162.15</var>methodology that has been approved by the commissioner.<br/>
<br/>
<a id="bill.5.66.0"></a><a id="pl.162.16"></a><var>162.16</var>    Sec. 66. <b>[256L.031] HEALTHY MINNESOTA CONTRIBUTION PROGRAM.</b><br/>
<a id="pl.162.17"></a><var>162.17</var>    Subdivision 1. <b>Defined contributions to enrollees.</b> (a) Beginning January 1, 2012, <br/>
<a id="pl.162.18"></a><var>162.18</var>the commissioner shall provide each MinnesotaCare enrollee eligible under section <br/>
<a id="pl.162.19"></a><var>162.19</var>256L.04, subdivision 7, with family income greater than 125 percent of the federal poverty <br/>
<a id="pl.162.20"></a><var>162.20</var>guidelines with a monthly defined contribution to purchase health coverage under a health <br/>
<a id="pl.162.21"></a><var>162.21</var>plan as defined in section 62A.011, subdivision 3.<br/>
<a id="pl.162.22"></a><var>162.22</var>(b) Beginning January 1, 2012, the commissioner shall provide each MinnesotaCare <br/>
<a id="pl.162.23"></a><var>162.23</var>adult enrollee eligible under section 256L.04, subdivision 1, with family income greater <br/>
<a id="pl.162.24"></a><var>162.24</var>than 133 percent of the federal poverty guidelines with a monthly defined contribution to <br/>
<a id="pl.162.25"></a><var>162.25</var>purchase health coverage under a health plan as defined in section 62A.011, subdivision 3, <br/>
<a id="pl.162.26"></a><var>162.26</var>offered by a health plan company as defined in section 62Q.01, subdivision 4.<br/>
<a id="pl.162.27"></a><var>162.27</var>(c) Enrollees eligible under paragraph (a) or (b) shall not be charged premiums <br/>
<a id="pl.162.28"></a><var>162.28</var>under section 256L.15 and are exempt from the managed care enrollment requirement <br/>
<a id="pl.162.29"></a><var>162.29</var>of section 256L.12.<br/>
<a id="pl.162.30"></a><var>162.30</var>(d) Sections 256L.03; 256L.05, subdivision 3; and 256L.11 do not apply to enrollees <br/>
<a id="pl.162.31"></a><var>162.31</var>eligible under paragraph (a) or (b) unless otherwise provided in this section. Covered <br/>
<a id="pl.162.32"></a><var>162.32</var>services, cost sharing, disenrollment for nonpayment of premium, enrollee appeal rights <br/>
<a id="pl.162.33"></a><var>162.33</var>and complaint procedures, and the effective date of coverage for enrollees eligible under <br/>
<a id="pl.162.34"></a><var>162.34</var>paragraph (a) shall be as provided under the terms of the health plan purchased by the <br/>
<a id="pl.162.35"></a><var>162.35</var>enrollee.<br/>
<a id="pl.163.1"></a><var>163.1</var>(e) Unless otherwise provided in this section, all MinnesotaCare requirements <br/>
<a id="pl.163.2"></a><var>163.2</var>related to eligibility, income and asset methodology, income reporting, and program <br/>
<a id="pl.163.3"></a><var>163.3</var>administration, continue to apply to enrollees obtaining coverage under this section.<br/>
<a id="pl.163.4"></a><var>163.4</var>    Subd. 2. <b>Use of defined contribution; health plan requirements.</b> (a) An enrollee <br/>
<a id="pl.163.5"></a><var>163.5</var>may use up to the monthly defined contribution to pay premiums for coverage under a <br/>
<a id="pl.163.6"></a><var>163.6</var>health plan as defined in section 62A.011, subdivision 3.<br/>
<a id="pl.163.7"></a><var>163.7</var>(b) An enrollee must select a health plan within three calendar months of approval of <br/>
<a id="pl.163.8"></a><var>163.8</var>MinnesotaCare eligibility. If a health plan is not selected and purchased within this time <br/>
<a id="pl.163.9"></a><var>163.9</var>period, the enrollee must reapply and must meet all eligibility criteria.<br/>
<a id="pl.163.10"></a><var>163.10</var>(c) A health plan purchased under this section must:<br/>
<a id="pl.163.11"></a><var>163.11</var>(1) provide coverage for mental health and chemical dependency treatment services; <br/>
<a id="pl.163.12"></a><var>163.12</var>and<br/>
<a id="pl.163.13"></a><var>163.13</var>(2) comply with the coverage limitations specified in section 256L.03, subdivision <br/>
<a id="pl.163.14"></a><var>163.14</var>1, the second paragraph.<br/>
<a id="pl.163.15"></a><var>163.15</var>    Subd. 3. <b>Determination of defined contribution amount.</b> (a) The commissioner <br/>
<a id="pl.163.16"></a><var>163.16</var>shall determine the defined contribution sliding scale using the base contribution specified <br/>
<a id="pl.163.17"></a><var>163.17</var>in paragraph (b) for the specified age ranges. The commissioner shall use a sliding scale <br/>
<a id="pl.163.18"></a><var>163.18</var>for defined contributions that provides:<br/>
<a id="pl.163.19"></a><var>163.19</var>(1) persons with the lowest eligible household income with a defined contribution <br/>
<a id="pl.163.20"></a><var>163.20</var>of 110 percent of the base contribution;<br/>
<a id="pl.163.21"></a><var>163.21</var>(2) persons with household incomes equal to 175 percent of the federal poverty <br/>
<a id="pl.163.22"></a><var>163.22</var>guidelines with a defined contribution of 100 percent of the base contribution;<br/>
<a id="pl.163.23"></a><var>163.23</var>(3) persons with household incomes equal to or greater than 250 percent of <br/>
<a id="pl.163.24"></a><var>163.24</var>the federal poverty guidelines with a defined contribution of 80 percent of the base <br/>
<a id="pl.163.25"></a><var>163.25</var>contribution; and<br/>
<a id="pl.163.26"></a><var>163.26</var>(4) persons with household incomes in evenly spaced increments between the <br/>
<a id="pl.163.27"></a><var>163.27</var>percentages of the federal poverty guideline or income level specified in clauses (1) to (3) <br/>
<a id="pl.163.28"></a><var>163.28</var>with a base contribution that is a percentage interpolated from the defined contribution <br/>
<a id="pl.163.29"></a><var>163.29</var>percentages specified in clauses (1) to (3).<br/>
<table>
<col width="50px"/>
<col width="9.399999999999999"/>
<col width="10.600000000000001"/>
<tr>
<td><a id="pl.163.30"></a><var>163.30</var><br/>
</td>
<td align="left">Under 19<br/>
</td>
<td align="left">$105<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.31"></a><var>163.31</var><br/>
</td>
<td align="left">19-29<br/>
</td>
<td align="left">$125<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.32"></a><var>163.32</var><br/>
</td>
<td align="left">30-34<br/>
</td>
<td align="left">$135<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.33"></a><var>163.33</var><br/>
</td>
<td align="left">35-39<br/>
</td>
<td align="left">$140<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.34"></a><var>163.34</var><br/>
</td>
<td align="left">40-44<br/>
</td>
<td align="left">$175<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.35"></a><var>163.35</var><br/>
</td>
<td align="left">45-49<br/>
</td>
<td align="left">$215<br/>
</td>
</tr>
<tr>
<td><a id="pl.163.36"></a><var>163.36</var><br/>
</td>
<td align="left">50-54<br/>
</td>
<td align="left">$295<br/>
</td>
</tr>
<tr>
<td><a id="pl.164.1"></a><var>164.1</var><br/>
</td>
<td align="left">55-59<br/>
</td>
<td align="left">$345<br/>
</td>
</tr>
<tr>
<td><a id="pl.164.2"></a><var>164.2</var><br/>
</td>
<td align="left">60+<br/>
</td>
<td align="left">$360<br/>
</td>
</tr>
</table><a id="pl.164.3"></a><var>164.3</var>(b) The commissioner shall multiply the defined contribution amounts developed <br/>
<a id="pl.164.4"></a><var>164.4</var>under paragraph (a) by 1.20 for enrollees who are denied coverage under an individual <br/>
<a id="pl.164.5"></a><var>164.5</var>health plan by a health plan company and who purchase coverage through the Minnesota <br/>
<a id="pl.164.6"></a><var>164.6</var>Comprehensive Health Association.<br/>
<a id="pl.164.7"></a><var>164.7</var>    Subd. 4. <b>Administration by commissioner.</b> (a) The commissioner shall administer <br/>
<a id="pl.164.8"></a><var>164.8</var>the defined contributions. The commissioner shall:<br/>
<a id="pl.164.9"></a><var>164.9</var>    (1) calculate and process defined contributions for enrollees; and<br/>
<a id="pl.164.10"></a><var>164.10</var>    (2) pay the defined contribution amount to health plan companies or the Minnesota <br/>
<a id="pl.164.11"></a><var>164.11</var>Comprehensive Health Association, as applicable, for enrollee health plan coverage.<br/>
<a id="pl.164.12"></a><var>164.12</var>(b) Nonpayment of a health plan premium shall result in disenrollment from <br/>
<a id="pl.164.13"></a><var>164.13</var>MinnesotaCare effective the first day of the calendar month following the calendar month <br/>
<a id="pl.164.14"></a><var>164.14</var>for which the premium was due. Persons disenrolled for nonpayment or who voluntarily <br/>
<a id="pl.164.15"></a><var>164.15</var>terminate coverage may not reenroll until four calendar months have elapsed.<br/>
<a id="pl.164.16"></a><var>164.16</var>    Subd. 5. <b>Assistance to enrollees.</b> The commissioner of human services, in <br/>
<a id="pl.164.17"></a><var>164.17</var>consultation with the commissioner of commerce, shall develop an efficient and <br/>
<a id="pl.164.18"></a><var>164.18</var>cost-effective method of referring eligible applicants to professional insurance agent <br/>
<a id="pl.164.19"></a><var>164.19</var>associations.<br/>
<a id="pl.164.20"></a><var>164.20</var>    Subd. 6. <b>Minnesota Comprehensive Health Association (MCHA).</b> Beginning <br/>
<a id="pl.164.21"></a><var>164.21</var>January 1, 2012, MinnesotaCare enrollees who are denied coverage in the individual <br/>
<a id="pl.164.22"></a><var>164.22</var>health market by a health plan company in accordance with section 62A.65 are eligible <br/>
<a id="pl.164.23"></a><var>164.23</var>for coverage through a health plan offered by the Minnesota Comprehensive Health <br/>
<a id="pl.164.24"></a><var>164.24</var>Association and may enroll in MCHA in accordance with section 62E.14. Any difference <br/>
<a id="pl.164.25"></a><var>164.25</var>between the revenue and covered losses to the MCHA related to implementation of this <br/>
<a id="pl.164.26"></a><var>164.26</var>section shall be paid to the MCHA from the health care access fund.<br/>
<a id="pl.164.27"></a><var>164.27</var>    Subd. 7. <b>Federal approval.</b> The commissioner shall seek all federal waivers and <br/>
<a id="pl.164.28"></a><var>164.28</var>approvals necessary to implement coverage under this section for MinnesotaCare enrollees <br/>
<a id="pl.164.29"></a><var>164.29</var>eligible under subdivision 1. The commissioner shall seek the continuation of federal <br/>
<a id="pl.164.30"></a><var>164.30</var>financial participation for the adult enrollees eligible under section 256L.04, subdivision 1.<br/>
<br/>
<a id="bill.5.67.0"></a><a id="pl.164.31"></a><var>164.31</var>    Sec. 67. Minnesota Statutes 2010, section 256L.04, subdivision 1, is amended to read:<br/>
<a id="pl.164.32"></a><var>164.32</var>    Subdivision 1. <b>Families with children.</b> (a) Families with children with family <br/>
<a id="pl.164.33"></a><var>164.33</var>income equal to or less than 275 percent of the federal poverty guidelines for the <br/>
<a id="pl.164.34"></a><var>164.34</var>applicable family size shall be eligible for MinnesotaCare according to this section. All <br/>
<a id="pl.165.1"></a><var>165.1</var>other provisions of sections 
         <statute_ref>256L.01</statute_ref> to 
         <statute_ref>256L.18</statute_ref>, including the insurance-related barriers <br/>
<a id="pl.165.2"></a><var>165.2</var>to enrollment under section 
         <statute_ref>256L.07</statute_ref>, shall apply unless otherwise specified.<br/>
<a id="pl.165.3"></a><var>165.3</var>    (b) Parents who enroll in the MinnesotaCare program must also enroll their children, <br/>
<a id="pl.165.4"></a><var>165.4</var>if the children are eligible. Children may be enrolled separately without enrollment by <br/>
<a id="pl.165.5"></a><var>165.5</var>parents. However, if one parent in the household enrolls, both parents must enroll, unless <br/>
<a id="pl.165.6"></a><var>165.6</var>other insurance is available. If one child from a family is enrolled, all children must <br/>
<a id="pl.165.7"></a><var>165.7</var>be enrolled, unless other insurance is available. If one spouse in a household enrolls, <br/>
<a id="pl.165.8"></a><var>165.8</var>the other spouse in the household must also enroll, unless other insurance is available. <br/>
<a id="pl.165.9"></a><var>165.9</var>Families cannot choose to enroll only certain uninsured members.<br/>
<a id="pl.165.10"></a><var>165.10</var>    (c) Beginning October 1, 2003, the dependent sibling definition no longer applies <br/>
<a id="pl.165.11"></a><var>165.11</var>to the MinnesotaCare program. These persons are no longer counted in the parental <br/>
<a id="pl.165.12"></a><var>165.12</var>household and may apply as a separate household.<br/>
<a id="pl.165.13"></a><var>165.13</var>    (d) Beginning July 1, 2010, or upon federal approval, whichever is later, Parents are <br/>
<a id="pl.165.14"></a><var>165.14</var>not eligible for MinnesotaCare if their gross income exceeds $57,500 $50,000.<br/>
<a id="pl.165.15"></a><var>165.15</var>    (e) Children formerly enrolled in medical assistance and automatically deemed <br/>
<a id="pl.165.16"></a><var>165.16</var>eligible for MinnesotaCare according to section 
<statute_ref>256B.057, subdivision 2c</statute_ref>, are exempt <br/>
<a id="pl.165.17"></a><var>165.17</var>from the requirements of this section until renewal.<br/>
<a id="pl.165.18"></a><var>165.18</var>(f) [Reserved.]<br/>
<br/>
<a id="bill.5.68.0"></a><a id="pl.165.19"></a><var>165.19</var>    Sec. 68. Minnesota Statutes 2010, section 256L.04, subdivision 7, is amended to read:<br/>
<a id="pl.165.20"></a><var>165.20</var>    Subd. 7. <b>Single adults and households with no children.</b> (a) The definition of <br/>
<a id="pl.165.21"></a><var>165.21</var>eligible persons, through September 30, 2011,  includes all individuals and households <br/>
<a id="pl.165.22"></a><var>165.22</var>with no children who have gross family incomes that are equal to or less than 200 250 <br/>
<a id="pl.165.23"></a><var>165.23</var>percent of the federal poverty guidelines.<br/>
<a id="pl.165.24"></a><var>165.24</var>    (b) Effective July 1, 2009 October 1, 2011, the definition of eligible persons includes <br/>
<a id="pl.165.25"></a><var>165.25</var>all individuals and households with no children who have gross family incomes that are <br/>
<a id="pl.165.26"></a><var>165.26</var>greater than 125 percent of the federal poverty guidelines and equal to or less than 250 <br/>
<a id="pl.165.27"></a><var>165.27</var>percent of the federal poverty guidelines.<br/>
<a id="pl.165.28"></a><var>165.28</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.5.69.0"></a><a id="pl.165.29"></a><var>165.29</var>    Sec. 69. Minnesota Statutes 2010, section 256L.04, subdivision 10, is amended to read:<br/>
<a id="pl.165.30"></a><var>165.30</var>    Subd. 10. <b>Citizenship requirements.</b> Eligibility for MinnesotaCare is limited to <br/>
<a id="pl.165.31"></a><var>165.31</var>citizens or nationals of the United States, qualified noncitizens, and other persons residing <br/>
<a id="pl.165.32"></a><var>165.32</var>lawfully in the United States as described in section 
<statute_ref>256B.06, subdivision 4</statute_ref>, paragraphs <br/>
<a id="pl.165.33"></a><var>165.33</var>(a) to (e) and (j) who are eligible for medical assistance with federal participation <br/>
<a id="pl.165.34"></a><var>165.34</var>according to United States Code, title 8, section 1612. Undocumented noncitizens and <br/>
<a id="pl.166.1"></a><var>166.1</var>nonimmigrants are ineligible for MinnesotaCare. For purposes of this subdivision, a <br/>
<a id="pl.166.2"></a><var>166.2</var>nonimmigrant is an individual in one or more of the classes listed in United States Code, <br/>
<a id="pl.166.3"></a><var>166.3</var>title 8, section 1101(a)(15), and an undocumented noncitizen is an individual who resides <br/>
<a id="pl.166.4"></a><var>166.4</var>in the United States without the approval or acquiescence of the United States Citizenship <br/>
<a id="pl.166.5"></a><var>166.5</var>and Immigration Services. Families with children who are citizens or nationals of <br/>
<a id="pl.166.6"></a><var>166.6</var>the United States must cooperate in obtaining satisfactory documentary evidence of <br/>
<a id="pl.166.7"></a><var>166.7</var>citizenship or nationality according to the requirements of the federal Deficit Reduction <br/>
<a id="pl.166.8"></a><var>166.8</var>Act of 2005, Public Law 109-171.<br/>
<a id="pl.166.9"></a><var>166.9</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.5.70.0"></a><a id="pl.166.10"></a><var>166.10</var>    Sec. 70. Minnesota Statutes 2010, section 256L.05, subdivision 2, is amended to read:<br/>
<a id="pl.166.11"></a><var>166.11</var>    Subd. 2. <b>Commissioner's duties.</b> (a) The commissioner or county agency shall <br/>
<a id="pl.166.12"></a><var>166.12</var>use electronic verification as the primary method of income verification. If there is a <br/>
<a id="pl.166.13"></a><var>166.13</var>discrepancy between reported income and electronically verified income, an individual <br/>
<a id="pl.166.14"></a><var>166.14</var>may be required to submit additional verification. In addition, the commissioner shall <br/>
<a id="pl.166.15"></a><var>166.15</var>perform random audits to verify reported income and eligibility. The commissioner <br/>
<a id="pl.166.16"></a><var>166.16</var>may execute data sharing arrangements with the Department of Revenue and any other <br/>
<a id="pl.166.17"></a><var>166.17</var>governmental agency in order to perform income verification related to eligibility and <br/>
<a id="pl.166.18"></a><var>166.18</var>premium payment under the MinnesotaCare program.<br/>
<a id="pl.166.19"></a><var>166.19</var>(b) In determining eligibility for MinnesotaCare, the commissioner shall require <br/>
<a id="pl.166.20"></a><var>166.20</var>applicants and enrollees seeking renewal of eligibility to verify both earned and unearned <br/>
<a id="pl.166.21"></a><var>166.21</var>income. The commissioner shall also require applicants and enrollees , and their spouses <br/>
<a id="pl.166.22"></a><var>166.22</var>or parents, who are age 21 and over and employed 20 or more hours per week by any one <br/>
<a id="pl.166.23"></a><var>166.23</var>employer, to verify that they do not have access to employer-subsidized coverage as <br/>
<a id="pl.166.24"></a><var>166.24</var>described in section 256L.07, subdivision 2. Data collected is nonpublic data as defined <br/>
<a id="pl.166.25"></a><var>166.25</var>in section 13.02, subdivision 9.<br/>
<br/>
<a id="bill.5.71.0"></a><a id="pl.166.26"></a><var>166.26</var>    Sec. 71. Minnesota Statutes 2010, section 256L.05, subdivision 3a, is amended to read:<br/>
<a id="pl.166.27"></a><var>166.27</var>    Subd. 3a. <b>Renewal of eligibility.</b> (a) Beginning July 1, 2007 2011, an enrollee's <br/>
<a id="pl.166.28"></a><var>166.28</var>eligibility must be renewed every 12 six months. The 12-month period begins in the <br/>
<a id="pl.166.29"></a><var>166.29</var>month after the month the application is approved.<br/>
<a id="pl.166.30"></a><var>166.30</var>    (b) Each new period of eligibility must take into account any changes in <br/>
<a id="pl.166.31"></a><var>166.31</var>circumstances that impact eligibility and premium amount. An enrollee must provide all <br/>
<a id="pl.166.32"></a><var>166.32</var>the information needed to redetermine eligibility by the first day of the month that ends <br/>
<a id="pl.166.33"></a><var>166.33</var>the eligibility period. If there is no change in circumstances, the enrollee may renew <br/>
<a id="pl.166.34"></a><var>166.34</var>eligibility at designated locations that include community clinics and health care providers' <br/>
<a id="pl.167.1"></a><var>167.1</var>offices. The designated sites shall forward the renewal forms to the commissioner. The <br/>
<a id="pl.167.2"></a><var>167.2</var>commissioner may establish criteria and timelines for sites to forward applications to the <br/>
<a id="pl.167.3"></a><var>167.3</var>commissioner or county agencies. The premium for the new period of eligibility must be <br/>
<a id="pl.167.4"></a><var>167.4</var>received as provided in section 
         <statute_ref>256L.06</statute_ref> in order for eligibility to continue.<br/>
<a id="pl.167.5"></a><var>167.5</var>    (c) An enrollee who fails to submit renewal forms and related documentation <br/>
<a id="pl.167.6"></a><var>167.6</var>necessary for verification of continued eligibility in a timely manner shall remain eligible <br/>
<a id="pl.167.7"></a><var>167.7</var>for one additional month beyond the end of the current eligibility period before being <br/>
<a id="pl.167.8"></a><var>167.8</var>disenrolled. The enrollee remains responsible for MinnesotaCare premiums for the <br/>
<a id="pl.167.9"></a><var>167.9</var>additional month.<br/>
<br/>
<a id="bill.5.72.0"></a><a id="pl.167.10"></a><var>167.10</var>    Sec. 72. Minnesota Statutes 2010, section 256L.05, is amended by adding a subdivision <br/>
<a id="pl.167.11"></a><var>167.11</var>to read:<br/>
<a id="pl.167.12"></a><var>167.12</var>    Subd. 6. <b>Referral of veterans.</b> The commissioner shall ensure that all applicants <br/>
<a id="pl.167.13"></a><var>167.13</var>for MinnesotaCare who identify themselves as veterans are referred to a county veterans <br/>
<a id="pl.167.14"></a><var>167.14</var>service officer for assistance in applying to the United States Department of Veterans <br/>
<a id="pl.167.15"></a><var>167.15</var>Affairs for any veterans benefits for which they may be eligible.<br/>
<br/>
<a id="bill.5.73.0"></a><a id="pl.167.16"></a><var>167.16</var>    Sec. 73. Minnesota Statutes 2010, section 256L.07, subdivision 1, is amended to read:<br/>
<a id="pl.167.17"></a><var>167.17</var>    Subdivision 1. <b>General requirements.</b> (a) Children enrolled in the original <br/>
<a id="pl.167.18"></a><var>167.18</var>children's health plan as of September 30, 1992, children who enrolled in the <br/>
<a id="pl.167.19"></a><var>167.19</var>MinnesotaCare program after September 30, 1992, pursuant to Laws 1992, chapter 549, <br/>
<a id="pl.167.20"></a><var>167.20</var>article 4, section 17, and children who have family gross incomes that are equal to or <br/>
<a id="pl.167.21"></a><var>167.21</var>less than 150 percent of the federal poverty guidelines are eligible without meeting <br/>
<a id="pl.167.22"></a><var>167.22</var>the requirements of subdivision 2 and the four-month requirement in subdivision 3, as <br/>
<a id="pl.167.23"></a><var>167.23</var>long as they maintain continuous coverage in the MinnesotaCare program or medical <br/>
<a id="pl.167.24"></a><var>167.24</var>assistance. Children who apply for MinnesotaCare on or after the implementation date <br/>
<a id="pl.167.25"></a><var>167.25</var>of the employer-subsidized health coverage program as described in Laws 1998, chapter <br/>
<a id="pl.167.26"></a><var>167.26</var>407, article 5, section 45, who have family gross incomes that are equal to or less than 150 <br/>
<a id="pl.167.27"></a><var>167.27</var>percent of the federal poverty guidelines, must meet the requirements of subdivision 2 to <br/>
<a id="pl.167.28"></a><var>167.28</var>be eligible for MinnesotaCare.<br/>
<a id="pl.167.29"></a><var>167.29</var>    (b) Families enrolled in MinnesotaCare under section 
         <statute_ref>256L.04, subdivision 1</statute_ref>, whose <br/>
<a id="pl.167.30"></a><var>167.30</var>income increases above 275 percent of the federal poverty guidelines the limits described <br/>
<a id="pl.167.31"></a><var>167.31</var>in section 256L.04, subdivision 1, are no longer eligible for the program and shall be <br/>
<a id="pl.167.32"></a><var>167.32</var>disenrolled by the commissioner. Beginning January 1, 2008,<br/>
<a id="pl.167.33"></a><var>167.33</var>(c) Individuals enrolled in MinnesotaCare under section 
         <statute_ref>256L.04, subdivision 7</statute_ref>, <br/>
<a id="pl.167.34"></a><var>167.34</var>whose income increases above 200 percent of the federal poverty guidelines or 250 <br/>
<a id="pl.168.1"></a><var>168.1</var>percent of the federal poverty guidelines on or after July 1, 2009, are no longer eligible for <br/>
<a id="pl.168.2"></a><var>168.2</var>the program and shall be disenrolled by the commissioner.<br/>
<a id="pl.168.3"></a><var>168.3</var>(d) For persons disenrolled under this subdivision, MinnesotaCare coverage <br/>
<a id="pl.168.4"></a><var>168.4</var>terminates the last day of the calendar month following the month in which the <br/>
<a id="pl.168.5"></a><var>168.5</var>commissioner determines that the income of a family or individual exceeds program <br/>
<a id="pl.168.6"></a><var>168.6</var>income limits.<br/>
<a id="pl.168.7"></a><var>168.7</var>    (b) (e) Notwithstanding paragraph (a) (b), children may remain enrolled in <br/>
<a id="pl.168.8"></a><var>168.8</var>MinnesotaCare if ten percent of their gross individual or gross family income as defined <br/>
<a id="pl.168.9"></a><var>168.9</var>in section 
         <statute_ref>256L.01, subdivision 4</statute_ref>, is less than the annual premium for a six-month <br/>
<a id="pl.168.10"></a><var>168.10</var>policy with a $500 deductible available through the Minnesota Comprehensive Health <br/>
<a id="pl.168.11"></a><var>168.11</var>Association. Children who are no longer eligible for MinnesotaCare under this clause shall <br/>
<a id="pl.168.12"></a><var>168.12</var>be given a 12-month notice period from the date that ineligibility is determined before <br/>
<a id="pl.168.13"></a><var>168.13</var>disenrollment. The premium for children remaining eligible under this clause shall be the <br/>
<a id="pl.168.14"></a><var>168.14</var>maximum premium determined under section 
         <statute_ref>256L.15, subdivision 2</statute_ref>, paragraph (b).<br/>
<a id="pl.168.15"></a><var>168.15</var>    (c) (f) Notwithstanding paragraphs (a) and (b) (e), parents are not eligible for <br/>
<a id="pl.168.16"></a><var>168.16</var>MinnesotaCare if gross household income exceeds $57,500 for the 12-month $25,000 for <br/>
<a id="pl.168.17"></a><var>168.17</var>the six-month period of eligibility.<br/>
<br/>
<a id="bill.5.74.0"></a><a id="pl.168.18"></a><var>168.18</var>    Sec. 74. Minnesota Statutes 2010, section 256L.11, subdivision 7, is amended to read:<br/>
<a id="pl.168.19"></a><var>168.19</var>    Subd. 7. <b>Critical access dental providers.</b> Effective for dental services provided to <br/>
<a id="pl.168.20"></a><var>168.20</var>MinnesotaCare enrollees on or after January 1, 2007, July 1, 2011, the commissioner shall <br/>
<a id="pl.168.21"></a><var>168.21</var>increase payment rates to dentists and dental clinics deemed by the commissioner to be <br/>
<a id="pl.168.22"></a><var>168.22</var>critical access providers under section 
         <statute_ref>256B.76</statute_ref>, subdivision 4, by 50 30 percent above <br/>
<a id="pl.168.23"></a><var>168.23</var>the payment rate that would otherwise be paid to the provider. The commissioner shall <br/>
<a id="pl.168.24"></a><var>168.24</var>pay the prepaid health plans under contract with the commissioner amounts sufficient to <br/>
<a id="pl.168.25"></a><var>168.25</var>reflect this rate increase. The prepaid health plan must pass this rate increase to providers <br/>
<a id="pl.168.26"></a><var>168.26</var>who have been identified by the commissioner as critical access dental providers under <br/>
<a id="pl.168.27"></a><var>168.27</var>section 
         <statute_ref>256B.76</statute_ref>, subdivision 4.<br/>
<br/>
<a id="bill.5.75.0"></a><a id="pl.168.28"></a><var>168.28</var>    Sec. 75. Minnesota Statutes 2010, section 256L.12, subdivision 9, is amended to read:<br/>
<a id="pl.168.29"></a><var>168.29</var>    Subd. 9. <b>Rate setting; performance withholds.</b> (a) Rates will be prospective, <br/>
<a id="pl.168.30"></a><var>168.30</var>per capita, where possible. The commissioner may allow health plans to arrange for <br/>
<a id="pl.168.31"></a><var>168.31</var>inpatient hospital services on a risk or nonrisk basis. The commissioner shall consult with <br/>
<a id="pl.168.32"></a><var>168.32</var>an independent actuary to determine appropriate rates.<br/>
<a id="pl.168.33"></a><var>168.33</var>    (b) For services rendered on or after January 1, 2004, the commissioner shall <br/>
<a id="pl.168.34"></a><var>168.34</var>withhold five percent of managed care plan payments and county-based purchasing <br/>
<a id="pl.169.1"></a><var>169.1</var>plan payments under this section pending completion of performance targets. Each <br/>
<a id="pl.169.2"></a><var>169.2</var>performance target must be quantifiable, objective, measurable, and reasonably attainable, <br/>
<a id="pl.169.3"></a><var>169.3</var>except in the case of a performance target based on a federal or state law or rule. Criteria <br/>
<a id="pl.169.4"></a><var>169.4</var>for assessment of each performance target must be outlined in writing prior to the <br/>
<a id="pl.169.5"></a><var>169.5</var>contract effective date. The managed care plan must demonstrate, to the commissioner's <br/>
<a id="pl.169.6"></a><var>169.6</var>satisfaction, that the data submitted regarding attainment of the performance target is <br/>
<a id="pl.169.7"></a><var>169.7</var>accurate. The commissioner shall periodically change the administrative measures used <br/>
<a id="pl.169.8"></a><var>169.8</var>as performance targets in order to improve plan performance across a broader range of <br/>
<a id="pl.169.9"></a><var>169.9</var>administrative services. The performance targets must include measurement of plan <br/>
<a id="pl.169.10"></a><var>169.10</var>efforts to contain spending on health care services and administrative activities. The <br/>
<a id="pl.169.11"></a><var>169.11</var>commissioner may adopt plan-specific performance targets that take into account factors <br/>
<a id="pl.169.12"></a><var>169.12</var>affecting only one plan, such as characteristics of the plan's enrollee population. The <br/>
<a id="pl.169.13"></a><var>169.13</var>withheld funds must be returned no sooner than July 1 and no later than July 31 of the <br/>
<a id="pl.169.14"></a><var>169.14</var>following calendar year if performance targets in the contract are achieved.<br/>
<a id="pl.169.15"></a><var>169.15</var>(c) For services rendered on or after January 1, 2011, the commissioner shall <br/>
<a id="pl.169.16"></a><var>169.16</var>withhold an additional three percent of managed care plan or county-based purchasing <br/>
<a id="pl.169.17"></a><var>169.17</var>plan payments under this section. The withheld funds must be returned no sooner than <br/>
<a id="pl.169.18"></a><var>169.18</var>July 1 and no later than July 31 of the following calendar year. The return of the withhold <br/>
<a id="pl.169.19"></a><var>169.19</var>under this paragraph is not subject to the requirements of paragraph (b).<br/>
<a id="pl.169.20"></a><var>169.20</var>(d) Effective for services rendered on or after January 1, 2011, the commissioner <br/>
<a id="pl.169.21"></a><var>169.21</var>shall include as part of the performance targets described in paragraph (b) a reduction in <br/>
<a id="pl.169.22"></a><var>169.22</var>the plan's emergency room utilization rate for state health care program enrollees by a <br/>
<a id="pl.169.23"></a><var>169.23</var>measurable rate of five percent from the plan's utilization rate for the previous calendar <br/>
<a id="pl.169.24"></a><var>169.24</var>year.<br/>
<a id="pl.169.25"></a><var>169.25</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.169.26"></a><var>169.26</var>of the following calendar year if the managed care plan demonstrates to the satisfaction of <br/>
<a id="pl.169.27"></a><var>169.27</var>the commissioner that a reduction in the utilization rate was achieved.<br/>
<a id="pl.169.28"></a><var>169.28</var>The withhold described in this paragraph shall continue for each consecutive <br/>
<a id="pl.169.29"></a><var>169.29</var>contract period until the plan's emergency room utilization rate for state health care <br/>
<a id="pl.169.30"></a><var>169.30</var>program enrollees is reduced by 25 percent of the plan's emergency room utilization rate <br/>
<a id="pl.169.31"></a><var>169.31</var>for state health care program enrollees for calendar year 2009. Hospitals shall cooperate <br/>
<a id="pl.169.32"></a><var>169.32</var>with the health plans in meeting this performance target and shall accept payment <br/>
<a id="pl.169.33"></a><var>169.33</var>withholds that may be returned to the hospitals if the performance target is achieved. The <br/>
<a id="pl.169.34"></a><var>169.34</var>commissioner shall structure the withhold so that the commissioner returns a portion of <br/>
<a id="pl.169.35"></a><var>169.35</var>the withheld funds in amounts commensurate with achieved reductions in utilization less <br/>
<a id="pl.170.1"></a><var>170.1</var>than the targeted amount. The withhold described in this paragraph does not apply to <br/>
<a id="pl.170.2"></a><var>170.2</var>county-based purchasing plans.<br/>
<a id="pl.170.3"></a><var>170.3</var>(e) Effective for services provided on or after January 1, 2012, the commissioner <br/>
<a id="pl.170.4"></a><var>170.4</var>shall include as part of the performance targets described in paragraph (b) a reduction in <br/>
<a id="pl.170.5"></a><var>170.5</var>the plan's hospitalization rate for a subsequent hospitalization within 30 days of a previous <br/>
<a id="pl.170.6"></a><var>170.6</var>hospitalization of a patient regardless of the reason for the hospitalization for state health <br/>
<a id="pl.170.7"></a><var>170.7</var>care program enrollees by a measurable rate of five percent from the plan's hospitalization <br/>
<a id="pl.170.8"></a><var>170.8</var>rate for the previous calendar year.<br/>
<a id="pl.170.9"></a><var>170.9</var>The withheld funds must be returned no sooner than July 1 and no later than July 31 <br/>
<a id="pl.170.10"></a><var>170.10</var>of the following calendar year if the managed care plan or county-based purchasing plan <br/>
<a id="pl.170.11"></a><var>170.11</var>demonstrates to the satisfaction of the commissioner that a reduction in the hospitalization <br/>
<a id="pl.170.12"></a><var>170.12</var>rate was achieved.<br/>
<a id="pl.170.13"></a><var>170.13</var>The withhold described in this paragraph must continue for each consecutive <br/>
<a id="pl.170.14"></a><var>170.14</var>contract period until the plan's subsequent hospitalization rate for state health care <br/>
<a id="pl.170.15"></a><var>170.15</var>program enrollees is reduced by 25 percent of the plan's subsequent hospitalization rate <br/>
<a id="pl.170.16"></a><var>170.16</var>for state health care program enrollees for calendar year 2010. Hospitals shall cooperate <br/>
<a id="pl.170.17"></a><var>170.17</var>with the plans in meeting this performance target and shall accept payment withholds that <br/>
<a id="pl.170.18"></a><var>170.18</var>must be returned to the hospitals if the performance target is achieved. The commissioner <br/>
<a id="pl.170.19"></a><var>170.19</var>shall structure the withhold so that the commissioner returns a portion of the withheld <br/>
<a id="pl.170.20"></a><var>170.20</var>funds in amounts commensurate with achieved reductions in utilizations less than the <br/>
<a id="pl.170.21"></a><var>170.21</var>targeted amount. The withhold described in this paragraph does not apply to county-based <br/>
<a id="pl.170.22"></a><var>170.22</var>purchasing plans.<br/>
<a id="pl.170.23"></a><var>170.23</var>(e) (f) A managed care plan or a county-based purchasing plan under section <br/>
<statute_ref><a id="pl.170.24"></a><var>170.24</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.170.25"></a><var>170.25</var>under this section that is reasonably expected to be returned.<br/>
<br/>
<a id="bill.5.76.0"></a><a id="pl.170.26"></a><var>170.26</var>    Sec. 76. Minnesota Statutes 2010, section 256L.15, subdivision 1a, is amended to read:<br/>
<a id="pl.170.27"></a><var>170.27</var>    Subd. 1a. <b>Payment options.</b> The commissioner may offer the following payment <br/>
<a id="pl.170.28"></a><var>170.28</var>options to an enrollee:<br/>
<a id="pl.170.29"></a><var>170.29</var>(1) payment by check;<br/>
<a id="pl.170.30"></a><var>170.30</var>(2) payment by credit card;<br/>
<a id="pl.170.31"></a><var>170.31</var>(3) payment by recurring automatic checking withdrawal;<br/>
<a id="pl.170.32"></a><var>170.32</var>(4) payment by onetime electronic transfer of funds;<br/>
<a id="pl.170.33"></a><var>170.33</var>(5) payment by wage withholding with the consent of the employer and the <br/>
<a id="pl.170.34"></a><var>170.34</var>employee; or<br/>
<a id="pl.170.35"></a><var>170.35</var>(6) payment by using state tax refund payments.<br/>
<a id="pl.171.1"></a><var>171.1</var>The commissioner shall include information about the payment options on each <br/>
<a id="pl.171.2"></a><var>171.2</var>premium notice. At application or reapplication, a MinnesotaCare applicant or enrollee <br/>
<a id="pl.171.3"></a><var>171.3</var>may authorize the commissioner to use the Revenue Recapture Act in chapter 270A to <br/>
<a id="pl.171.4"></a><var>171.4</var>collect funds from the applicant's or enrollee's refund for the purposes of meeting all or <br/>
<a id="pl.171.5"></a><var>171.5</var>part of the applicant's or enrollee's MinnesotaCare premium obligation. The applicant or <br/>
<a id="pl.171.6"></a><var>171.6</var>enrollee may authorize the commissioner to apply for the state working family tax credit <br/>
<a id="pl.171.7"></a><var>171.7</var>on behalf of the applicant or enrollee. The setoff due under this subdivision shall not be <br/>
<a id="pl.171.8"></a><var>171.8</var>subject to the $10 fee under section 
         <statute_ref>270A.07, subdivision 1</statute_ref>.<br/>
<br/>
<a id="bill.5.77.0"></a><a id="pl.171.9"></a><var>171.9</var>    Sec. 77. <b>PLAN TO COORDINATE CARE FOR CHILDREN WITH HIGH-COST </b><br/>
<a id="pl.171.10"></a><var>171.10</var><b>MENTAL HEALTH CONDITIONS.</b><br/>
<a id="pl.171.11"></a><var>171.11</var>The commissioner of human services shall develop and submit to the legislature <br/>
<a id="pl.171.12"></a><var>171.12</var>by December 15, 2011, a plan to provide care coordination to medical assistance and <br/>
<a id="pl.171.13"></a><var>171.13</var>MinnesotaCare enrollees who are children with high-cost mental health conditions. For <br/>
<a id="pl.171.14"></a><var>171.14</var>purposes of this section, a child has a "high-cost mental health condition" if mental health <br/>
<a id="pl.171.15"></a><var>171.15</var>and medical expenses over the past year totalled $100,000 or more. For purposes of this <br/>
<a id="pl.171.16"></a><var>171.16</var>section, "care coordination" means collaboration between an advanced practice nurse and <br/>
<a id="pl.171.17"></a><var>171.17</var>primary care physicians and specialists to manage care; development of mental health <br/>
<a id="pl.171.18"></a><var>171.18</var>management plans for recurrent mental health issues; oversight and coordination of all <br/>
<a id="pl.171.19"></a><var>171.19</var>aspects of care in partnership with families; organization of medical, treatment, and <br/>
<a id="pl.171.20"></a><var>171.20</var>therapy information into a summary of critical information; coordination and appropriate <br/>
<a id="pl.171.21"></a><var>171.21</var>sequencing of evaluations and multiple appointments; information and assistance with <br/>
<a id="pl.171.22"></a><var>171.22</var>accessing resources; and telephone triage for behavior or other problems.<br/>
<br/>
<a id="bill.5.78.0"></a><a id="pl.171.23"></a><var>171.23</var>    Sec. 78. <b>REGULATORY SIMPLIFICATION AND REDUCTION OF </b><br/>
<a id="pl.171.24"></a><var>171.24</var><b>PROVIDER REPORTING AND DATA SUBMITTAL REQUIREMENTS.</b><br/>
<a id="pl.171.25"></a><var>171.25</var>    Subdivision 1. <b>Regulatory simplification and report reduction work group.</b> The <br/>
<a id="pl.171.26"></a><var>171.26</var>commissioner of management and budget shall convene a regulatory simplification and <br/>
<a id="pl.171.27"></a><var>171.27</var>report reduction work group of persons designated by the commissioners of health, human <br/>
<a id="pl.171.28"></a><var>171.28</var>services, and commerce to eliminate redundant, unnecessary, and obsolete state mandated <br/>
<a id="pl.171.29"></a><var>171.29</var>reporting or data submittal requirements for health care providers or group purchasers <br/>
<a id="pl.171.30"></a><var>171.30</var>related to health care costs, quality, utilization, access, or patient encounters or related to <br/>
<a id="pl.171.31"></a><var>171.31</var>provider or group purchaser, monitoring, finances, and regulation.  For purposes of this <br/>
<a id="pl.171.32"></a><var>171.32</var>section, the term "health care providers or group purchasers" has the meaning provided <br/>
<a id="pl.171.33"></a><var>171.33</var>in Minnesota Statutes, section 62J.03, subdivisions 6 and 8, except that it also includes <br/>
<a id="pl.171.34"></a><var>171.34</var>nursing homes.<br/>
<a id="pl.172.1"></a><var>172.1</var>    Subd. 2. <b>Plan development and other duties.</b> (a) The commissioner of <br/>
<a id="pl.172.2"></a><var>172.2</var>management and budget, in consultation with the work group, shall develop a plan for <br/>
<a id="pl.172.3"></a><var>172.3</var>regulatory simplification and report reduction activities of the commissioners of health, <br/>
<a id="pl.172.4"></a><var>172.4</var>human services, and commerce that considers collection and regulation of the following <br/>
<a id="pl.172.5"></a><var>172.5</var>in a coordinated manner:<br/>
<a id="pl.172.6"></a><var>172.6</var>(1) encounter data;<br/>
<a id="pl.172.7"></a><var>172.7</var>(2) group purchaser provider network data;<br/>
<a id="pl.172.8"></a><var>172.8</var>(3) financial reporting;<br/>
<a id="pl.172.9"></a><var>172.9</var>(4) reporting and documentation requirements relating to member communications <br/>
<a id="pl.172.10"></a><var>172.10</var>and marketing materials;<br/>
<a id="pl.172.11"></a><var>172.11</var>(5) state regulation and oversight of group purchasers;<br/>
<a id="pl.172.12"></a><var>172.12</var>(6) requirements and procedures for denial, termination, or reduction of services <br/>
<a id="pl.172.13"></a><var>172.13</var>and member appeals and grievances; and<br/>
<a id="pl.172.14"></a><var>172.14</var>(7) state performance improvement projects, requirements, and procedures.<br/>
<a id="pl.172.15"></a><var>172.15</var>(b) The commissioners of health, human services, and commerce, following <br/>
<a id="pl.172.16"></a><var>172.16</var>consultation with the work group, shall present to the legislature by January 1, 2012, <br/>
<a id="pl.172.17"></a><var>172.17</var>proposals to implement their recommendations.<br/>
<a id="pl.172.18"></a><var>172.18</var>    Subd. 3. <b>New reporting and other duties.</b> (a) The commissioner of management <br/>
<a id="pl.172.19"></a><var>172.19</var>and budget, in consultation with the work group and the commissioners of health, human <br/>
<a id="pl.172.20"></a><var>172.20</var>services, and commerce, shall develop criteria to be used by the commissioners in <br/>
<a id="pl.172.21"></a><var>172.21</var>determining whether to establish new reporting and data submittal requirements. These <br/>
<a id="pl.172.22"></a><var>172.22</var>criteria must support the establishment of new reporting and data submittal requirements <br/>
<a id="pl.172.23"></a><var>172.23</var>only:<br/>
<a id="pl.172.24"></a><var>172.24</var>(1) if required by a federal agency or state statute;<br/>
<a id="pl.172.25"></a><var>172.25</var>(2) if needed for a state regulatory audit or corrective action plan;<br/>
<a id="pl.172.26"></a><var>172.26</var>(3) if needed to monitor or protect public health;<br/>
<a id="pl.172.27"></a><var>172.27</var>(4) if needed to manage the cost and quality of Minnesota's public health insurance <br/>
<a id="pl.172.28"></a><var>172.28</var>programs; or<br/>
<a id="pl.172.29"></a><var>172.29</var>(5) if a review and analysis by the commissioner of the relevant agency has <br/>
<a id="pl.172.30"></a><var>172.30</var>documented the necessity, importance, and administrative cost of the requirement, and <br/>
<a id="pl.172.31"></a><var>172.31</var>has determined that the information sought cannot be efficiently obtained through another <br/>
<a id="pl.172.32"></a><var>172.32</var>state or federal report.<br/>
<a id="pl.172.33"></a><var>172.33</var>(b) The commissioners of health, human services, and commerce, following <br/>
<a id="pl.172.34"></a><var>172.34</var>consultation with the work group, may propose to the legislature new provider and group <br/>
<a id="pl.172.35"></a><var>172.35</var>purchaser reporting and data submittal requirements to take effect on or after July 1, 2012. <br/>
<a id="pl.173.1"></a><var>173.1</var>These proposals shall include an analysis of the extent to which the requirements meet <br/>
<a id="pl.173.2"></a><var>173.2</var>the criteria developed under paragraph (a).<br/>
<br/>
<a id="bill.5.79.0"></a><a id="pl.173.3"></a><var>173.3</var>    Sec. 79. <b>SPECIALIZED MAINTENANCE THERAPY.</b><br/>
<a id="pl.173.4"></a><var>173.4</var>The commissioner of human services shall evaluate whether providing medical <br/>
<a id="pl.173.5"></a><var>173.5</var>assistance coverage for specialized maintenance therapy for enrollees with serious and <br/>
<a id="pl.173.6"></a><var>173.6</var>persistent mental illness who are at risk of hospitalization will improve the quality of <br/>
<a id="pl.173.7"></a><var>173.7</var>care and lower medical assistance spending by reducing rates of hospitalization. The <br/>
<a id="pl.173.8"></a><var>173.8</var>commissioner shall present findings and recommendations to the chairs and ranking <br/>
<a id="pl.173.9"></a><var>173.9</var>minority members of the legislative committees with jurisdiction over health and human <br/>
<a id="pl.173.10"></a><var>173.10</var>services finance and policy by December 15, 2011.<br/>
<br/>
<a id="bill.5.80.0"></a><a id="pl.173.11"></a><var>173.11</var>    Sec. 80. <b>BENEFIT SET OPTIONS.</b><br/>
<a id="pl.173.12"></a><var>173.12</var>The commissioner of human services shall analyze and provide recommendations <br/>
<a id="pl.173.13"></a><var>173.13</var>for state plan amendments that would provide different benefits for different demographic <br/>
<a id="pl.173.14"></a><var>173.14</var>populations under the medical assistance program as permitted under federal law, with the <br/>
<a id="pl.173.15"></a><var>173.15</var>goal of tailoring more cost-effective coverage based on unique needs of the demographic <br/>
<a id="pl.173.16"></a><var>173.16</var>population. The commissioner shall report these recommendations to the chairs and <br/>
<a id="pl.173.17"></a><var>173.17</var>ranking minority members of the senate and house health and human services committees <br/>
<a id="pl.173.18"></a><var>173.18</var>by January 15, 2012.<br/>
<br/>
<a id="bill.5.81.0"></a><a id="pl.173.19"></a><var>173.19</var>    Sec. 81. <b>REDUCING HOSPITALIZATION RATES.</b><br/>
<a id="pl.173.20"></a><var>173.20</var>The commissioner of human services, by January 15, 2012, shall present <br/>
<a id="pl.173.21"></a><var>173.21</var>recommendations to the legislature to reduce hospitalization rates for state health care <br/>
<a id="pl.173.22"></a><var>173.22</var>program enrollees who are children with high-cost medical conditions.<br/>
<br/>
<a id="bill.5.82.0"></a><a id="pl.173.23"></a><var>173.23</var>    Sec. 82. <b>MEDICAID FRAUD PREVENTION AND DETECTION.</b><br/>
<a id="pl.173.24"></a><var>173.24</var>    Subdivision 1. <b>Request for proposals.</b> By October 31, 2011, the commissioner <br/>
<a id="pl.173.25"></a><var>173.25</var>of human services shall issue a request for proposals to prevent and detect Medicaid <br/>
<a id="pl.173.26"></a><var>173.26</var>fraud and mispayment. The request for proposals shall require the vendor to provide <br/>
<a id="pl.173.27"></a><var>173.27</var>data analytics capabilities, including, but not limited to, predictive modeling techniques <br/>
<a id="pl.173.28"></a><var>173.28</var>and other forms of advanced analytics, technical assistance, claims review, and medical <br/>
<a id="pl.173.29"></a><var>173.29</var>record and documentation investigations, to detect and investigate improper payments <br/>
<a id="pl.173.30"></a><var>173.30</var>both before and after payments are made.<br/>
<a id="pl.174.1"></a><var>174.1</var>    Subd. 2. <b>Proof of concept phase.</b> The selected vendor, at no cost to the state, shall <br/>
<a id="pl.174.2"></a><var>174.2</var>be required to apply its analytics and investigations on a subset of data provided by the <br/>
<a id="pl.174.3"></a><var>174.3</var>commissioner to demonstrate the direct recoveries of the solution.<br/>
<a id="pl.174.4"></a><var>174.4</var>    Subd. 3. <b>Data confidentiality.</b> Data provided by the commissioner to the vendor <br/>
<a id="pl.174.5"></a><var>174.5</var>under this section must maintain the confidentiality of the information.<br/>
<a id="pl.174.6"></a><var>174.6</var>    Subd. 4. <b>Full implementation phase.</b> The request for proposal must require the <br/>
<a id="pl.174.7"></a><var>174.7</var>commissioner to implement the recommendations provided by the vendor if the work <br/>
<a id="pl.174.8"></a><var>174.8</var>done under the requirements of subdivision 2 provides recoveries directly related to the <br/>
<a id="pl.174.9"></a><var>174.9</var>investigations to the state. After full implementation, the vendor shall be paid from <br/>
<a id="pl.174.10"></a><var>174.10</var>recoveries directly attributable to the work done by the vendor, according to the terms and <br/>
<a id="pl.174.11"></a><var>174.11</var>performance measures negotiated in the contract.<br/>
<a id="pl.174.12"></a><var>174.12</var>    Subd. 5. <b>Selection of vendor.</b> The commissioner of human services shall select a <br/>
<a id="pl.174.13"></a><var>174.13</var>vendor from the responses to the request for proposal by January 31, 2012.<br/>
<a id="pl.174.14"></a><var>174.14</var>    Subd. 6. <b>Progress report.</b> The commissioner shall provide a report describing the <br/>
<a id="pl.174.15"></a><var>174.15</var>progress made under this section to the governor and the chairs and ranking minority <br/>
<a id="pl.174.16"></a><var>174.16</var>members of the legislative committees with jurisdiction over the Department of Human <br/>
<a id="pl.174.17"></a><var>174.17</var>Services by June 15, 2012. The report shall provide a dynamic scoring analysis of the <br/>
<a id="pl.174.18"></a><var>174.18</var>work described in the report.<br/>
<br/>
<a id="bill.5.83.0"></a><a id="pl.174.19"></a><var>174.19</var>    Sec. 83. <b>WOUND CARE TREATMENT.</b><br/>
<a id="pl.174.20"></a><var>174.20</var>The commissioner of human services, through the health services policy committee <br/>
<a id="pl.174.21"></a><var>174.21</var>established under Minnesota Statutes, section 256B.0625, subdivision 3c, shall study <br/>
<a id="pl.174.22"></a><var>174.22</var>the effectiveness of new strategies for wound care treatment for medical assistance and <br/>
<a id="pl.174.23"></a><var>174.23</var>MinnesotaCare enrollees with diabetes, including but not limited to the use of new wound <br/>
<a id="pl.174.24"></a><var>174.24</var>care technologies, assessment tools, and reporting programs. The commissioner shall <br/>
<a id="pl.174.25"></a><var>174.25</var>present recommendations by December 15, 2011, to the legislature on whether these <br/>
<a id="pl.174.26"></a><var>174.26</var>new strategies for wound care treatment should be covered under medical assistance <br/>
<a id="pl.174.27"></a><var>174.27</var>and MinnesotaCare.<br/>
<br/>
<a id="bill.5.84.0"></a><a id="pl.174.28"></a><var>174.28</var>    Sec. 84. <b>PROHIBITION OF STATE FUNDS TO IMPLEMENT CERTAIN </b><br/>
<a id="pl.174.29"></a><var>174.29</var><b>FEDERAL HEALTH CARE REFORMS.</b><br/>
<a id="pl.174.30"></a><var>174.30</var>State funds must not be expended in the planning or implementation of the Patient <br/>
<a id="pl.174.31"></a><var>174.31</var>Protection and Affordable Care Act, Public Law 111-148, as amended by the Health Care <br/>
<a id="pl.174.32"></a><var>174.32</var>and Education Affordability and Reconciliation Act of 2010, Public Law 111-152, and no <br/>
<a id="pl.175.1"></a><var>175.1</var>provisions of the act may be implemented, until the constitutionality of the act has been <br/>
<a id="pl.175.2"></a><var>175.2</var>affirmed by the United States Supreme Court.<br/>
<a id="pl.175.3"></a><var>175.3</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.5.85.0"></a><a id="pl.175.4"></a><var>175.4</var>    Sec. 85. <b>COMMISSIONER'S ACTIONS; REPEAL OF EARLY MEDICAL </b><br/>
<a id="pl.175.5"></a><var>175.5</var><b>ASSISTANCE EXPANSION.</b><br/>
<a id="pl.175.6"></a><var>175.6</var>    (a) Effective October 1, 2011, the commissioner of human services shall suspend <br/>
<a id="pl.175.7"></a><var>175.7</var>implementation and administration of Minnesota Statutes 2010, sections 256B.055, <br/>
<a id="pl.175.8"></a><var>175.8</var>subdivision 15; 256B.056, subdivision 3, paragraph (b); and 256B.056, subdivision 4, <br/>
<a id="pl.175.9"></a><var>175.9</var>paragraph (d). The commissioner shall refer persons enrolled under these provisions, and <br/>
<a id="pl.175.10"></a><var>175.10</var>applicants for coverage under these provisions, to the general assistance medical care <br/>
<a id="pl.175.11"></a><var>175.11</var>program established under Minnesota Statutes, section 256D.031.<br/>
<a id="pl.175.12"></a><var>175.12</var>(b) The commissioner shall seek all federal approvals and waivers necessary <br/>
<a id="pl.175.13"></a><var>175.13</var>to implement Minnesota Statutes, section 256D.031, and to ensure federal financial <br/>
<a id="pl.175.14"></a><var>175.14</var>participation for the population covered under Minnesota Statutes, section 256D.031.<br/>
<br/>
<a id="bill.5.86.0"></a><a id="pl.175.15"></a><var>175.15</var>    Sec. 86. <b>GENERAL ASSISTANCE MEDICAL CARE PROGRAM; </b><br/>
<a id="pl.175.16"></a><var>175.16</var><b>PROVISIONS REVIVED.</b><br/>
<a id="pl.175.17"></a><var>175.17</var>    Notwithstanding their contingent repeal in Laws 2010, First Special Session chapter <br/>
<a id="pl.175.18"></a><var>175.18</var>1, article 16, section 47, the following statutes are revived and have the force of law <br/>
<a id="pl.175.19"></a><var>175.19</var>effective October 1, 2011:<br/>
<a id="pl.175.20"></a><var>175.20</var>    (1) Minnesota Statutes 2010, section 256D.03, subdivisions 3, 3a, 6, 7, and 8;<br/>
<a id="pl.175.21"></a><var>175.21</var>    (2) Minnesota Statutes 2010, section 256D.031, subdivisions 1, 2, 3, 4, 6, 7, 9, <br/>
<a id="pl.175.22"></a><var>175.22</var>and 10; and<br/>
<a id="pl.175.23"></a><var>175.23</var>    (3) Laws 2010, chapter 200, article 1, section 18.<br/>
<br/>
<a id="bill.5.87.0"></a><a id="pl.175.24"></a><var>175.24</var>    Sec. 87. <b> REPEALER.</b><br/>
<a id="pl.175.25"></a><var>175.25</var>(a) Minnesota Statutes 2010, section 62J.07, subdivisions 1, 2, and 3, are repealed.<br/>
<a id="pl.175.26"></a><var>175.26</var>(b) Minnesota Statutes 2010, section 256L.07, subdivision 7,<b> exempting eligibility </b><br/>
<a id="pl.175.27"></a><var>175.27</var><b>for children formally under medical assistance</b>, is repealed retroactively from October <br/>
<a id="pl.175.28"></a><var>175.28</var>1, 2008, and federal approval is no longer necessary.<br/>
<a id="pl.175.29"></a><var>175.29</var>(c) The amendment in Laws 2009, chapter 79, article 5, section 55, as amended by <br/>
<a id="pl.175.30"></a><var>175.30</var>Laws 2009, chapter 173, article 1, section 36, (<b>256L.04, subdivision 1, children deemed </b><br/>
<a id="pl.175.31"></a><var>175.31</var><b>eligible are exempt from eligibility requirements</b>) is repealed retroactively from January <br/>
<a id="pl.175.32"></a><var>175.32</var>1, 2009, and federal approval is no longer necessary.<br/>
<a id="pl.176.1"></a><var>176.1</var>(d) Laws 2009, chapter 79, article 5, section 56,  (<b>256L.04, subdivision 1b, </b><br/>
<a id="pl.176.2"></a><var>176.2</var><b>exemption from income limit for children</b>) is repealed retroactively from July 1, 2009, <br/>
<a id="pl.176.3"></a><var>176.3</var>and federal approval is no longer necessary.<br/>
<a id="pl.176.4"></a><var>176.4</var>(e) Laws 2009, chapter 79, article 5, section 60, (<b>256L.05, subdivision 1c, open </b><br/>
<a id="pl.176.5"></a><var>176.5</var><b>enrollment and streamlined application</b>) is repealed retroactively from July 1, 2009, <br/>
<a id="pl.176.6"></a><var>176.6</var>and federal approval is no longer necessary.<br/>
<a id="pl.176.7"></a><var>176.7</var>(f) Laws 2009, chapter 79, article 5, section 66, (<b>256L.07, subdivision 8, automatic </b><br/>
<a id="pl.176.8"></a><var>176.8</var><b>eligibility certain children</b>) is repealed retroactively from July 1, 2009, and federal <br/>
<a id="pl.176.9"></a><var>176.9</var>approval is no longer necessary.<br/>
<a id="pl.176.10"></a><var>176.10</var>(g) The amendment in Laws 2009, chapter 79, article 5, section 57, (<b>256L.04, </b><br/>
<a id="pl.176.11"></a><var>176.11</var><b>subdivision 7a, ineligibility for adults with certain income</b>) is repealed retroactively <br/>
<a id="pl.176.12"></a><var>176.12</var>from July 1, 2009, and federal approval is no longer necessary.<br/>
<a id="pl.176.13"></a><var>176.13</var>(h) The amendment in Laws 2009, chapter 79, article 5, section 61,  (<b>256L.05, </b><br/>
<a id="pl.176.14"></a><var>176.14</var><b>subdivision 3, children eligibility following termination from foster care</b>) is repealed <br/>
<a id="pl.176.15"></a><var>176.15</var>retroactively from July 1, 2009, and federal approval is no longer necessary.<br/>
<a id="pl.176.16"></a><var>176.16</var>(i) The amendment in Laws 2009, chapter 79, article 5, section 62,  (<b>256L.05, </b><br/>
<a id="pl.176.17"></a><var>176.17</var><b>subdivision 3a, exemption from cancellation for nonrenewal for children</b>) is repealed <br/>
<a id="pl.176.18"></a><var>176.18</var>retroactively from July 1, 2009, and federal approval is no longer necessary.<br/>
<a id="pl.176.19"></a><var>176.19</var>(j) The amendment in Laws 2009, chapter 79, article 5, section 63,  (<b>256L.07, </b><br/>
<a id="pl.176.20"></a><var>176.20</var><b>subdivision 1, children whose gross family income is greater than 275 percent FPG </b><br/>
<a id="pl.176.21"></a><var>176.21</var><b>may remain enrolled</b>) is repealed retroactively from July 1, 2009, and federal approval is <br/>
<a id="pl.176.22"></a><var>176.22</var>no longer necessary.<br/>
<a id="pl.176.23"></a><var>176.23</var>(k) The amendment in Laws 2009, chapter 79, article 5, section 64,  (<b>256L.07, </b><br/>
<a id="pl.176.24"></a><var>176.24</var><b>subdivision 2, exempts children from requirement not to have employer-subsidized </b><br/>
<a id="pl.176.25"></a><var>176.25</var><b>coverage</b>) is repealed retroactively from July 1, 2009, and federal approval is no longer <br/>
<a id="pl.176.26"></a><var>176.26</var>necessary.<br/>
<a id="pl.176.27"></a><var>176.27</var>(l) The amendment in Laws 2009, chapter 79, article 5, section 65,  (<b>256L.07, </b><br/>
<a id="pl.176.28"></a><var>176.28</var><b>subdivision 3, requires children with family gross income over 200 percent of FPG </b><br/>
<a id="pl.176.29"></a><var>176.29</var><b>to have had no health coverage for four months prior to application</b>) is repealed <br/>
<a id="pl.176.30"></a><var>176.30</var>retroactively from July 1, 2009, and federal approval is no longer necessary.<br/>
<a id="pl.176.31"></a><var>176.31</var>(m) The amendment in Laws 2009, chapter 79, article 5, section 68,  (<b>256L.15, </b><br/>
<a id="pl.176.32"></a><var>176.32</var><b>subdivision 2, children in families with income less than 200 percent FPG pay no </b><br/>
<a id="pl.176.33"></a><var>176.33</var><b>premium</b>) is repealed retroactively from July 1, 2009, and federal approval is no longer <br/>
<a id="pl.176.34"></a><var>176.34</var>necessary.<br/>
<a id="pl.176.35"></a><var>176.35</var>(n) The amendment in Laws 2009, chapter 79, article 5, section 69,  (<b>256L.15, </b><br/>
<a id="pl.176.36"></a><var>176.36</var><b>subdivision 3, exempts children with family income below 200 percent FPG from </b><br/>
<a id="pl.177.1"></a><var>177.1</var><b>sliding fee scale</b>) is repealed retroactively from July 1, 2009, and federal approval is <br/>
<a id="pl.177.2"></a><var>177.2</var>no longer necessary.<br/>
<a id="pl.177.3"></a><var>177.3</var>(o) Laws 2009, chapter 79, article 5, section 79,  (<b>uncoded federal approval</b>) is <br/>
<a id="pl.177.4"></a><var>177.4</var>repealed the day following final enactment.<br/>
<a id="pl.177.5"></a><var>177.5</var>(p) Minnesota Statutes 2010, section 256B.057, subdivision 2c, (<b>extended medical </b><br/>
<a id="pl.177.6"></a><var>177.6</var><b>assistance for certain children</b>) is repealed.<br/>
<a id="pl.177.7"></a><var>177.7</var>(q) The amendments in Laws 2008, chapter 358, article 3, sections 8; and 9, <br/>
<a id="pl.177.8"></a><var>177.8</var>(<b>renewal rolling month and premium grace month</b>) are repealed.<br/>
<br/>
<a id="bill.5.88.0"></a><a id="pl.177.9"></a><var>177.9</var>    Sec. 88. <b> REPEALER.</b><br/>
<a id="pl.177.10"></a><var>177.10</var>Minnesota Statutes 2010, sections 256B.055, subdivision 15; and 256B.0756, are <br/>
<a id="pl.177.11"></a><var>177.11</var>repealed effective October 1, 2011.<br/>
<br/>
<a id="bill.6.0.0"></a>
<b>ARTICLE 6</b>

<a id="bill.6.1.0"></a><a id="pl.177.14"></a><var>177.14</var>    Section 1. <b>[15.996] PERFORMANCE-BASED ORGANIZATIONS.</b><br/>
<a id="pl.177.15"></a><var>177.15</var>    Subdivision 1. <b>Designation.</b> The governor may designate one or more programs <br/>
<a id="pl.177.16"></a><var>177.16</var>within the Department of Human Services and within up to two other executive branch <br/>
<a id="pl.177.17"></a><var>177.17</var>state agencies whose missions involve people with disabilities as performance-based <br/>
<a id="pl.177.18"></a><var>177.18</var>organizations. The goal of the performance-based organization designation is to provide <br/>
<a id="pl.177.19"></a><var>177.19</var>the best services in the most cost-effective manner to people with disabilities.  For a <br/>
<a id="pl.177.20"></a><var>177.20</var>program that is designated as a performance-based organization, the agency providing <br/>
<a id="pl.177.21"></a><var>177.21</var>services or another governmental or private organization under contract with the agency <br/>
<a id="pl.177.22"></a><var>177.22</var>may enter into a performance-based agreement that allows the agency or the entity under <br/>
<a id="pl.177.23"></a><var>177.23</var>contract with the agency more flexibility in its operations in exchange for a greater level of <br/>
<a id="pl.177.24"></a><var>177.24</var>accountability. With any required legislative approval, a performance-based organization <br/>
<a id="pl.177.25"></a><var>177.25</var>agreement may exempt an agency or an outside entity providing services from one or <br/>
<a id="pl.177.26"></a><var>177.26</var>more procedural laws, rules, or policies that otherwise would govern the program.<br/>
<a id="pl.177.27"></a><var>177.27</var>    Subd. 2. <b>Performance-based organization agreement.</b> Designation of a <br/>
<a id="pl.177.28"></a><var>177.28</var>performance-based organization must be implemented through a performance-based <br/>
<a id="pl.177.29"></a><var>177.29</var>organization agreement. A performance-based organization agreement may be between <br/>
<a id="pl.177.30"></a><var>177.30</var>the governor and an agency, if an agency is to provide services under the agreement, or <br/>
<a id="pl.177.31"></a><var>177.31</var>between an agency and an outside entity, if the outside entity is to provide the services. A <br/>
<a id="pl.177.32"></a><var>177.32</var>performance-based organization agreement must:<br/>
<a id="pl.177.33"></a><var>177.33</var>(1) describe the programs subject to the agreement;<br/>
<a id="pl.178.1"></a><var>178.1</var>(2) specify the procedural laws, rules, or policies that will not apply to the <br/>
<a id="pl.178.2"></a><var>178.2</var>performance-based organization, why waiver or variance from these laws, rules, or <br/>
<a id="pl.178.3"></a><var>178.3</var>policies is necessary to achieve desired outcomes, and a description of alternative means <br/>
<a id="pl.178.4"></a><var>178.4</var>of accomplishing the purposes of those laws, rules, or policies;<br/>
<a id="pl.178.5"></a><var>178.5</var>(3) contain procedures for oversight of the performance-based organization, <br/>
<a id="pl.178.6"></a><var>178.6</var>including requirements and procedures for program and financial audits;<br/>
<a id="pl.178.7"></a><var>178.7</var>(4) if the performance-based organization involves a nonstate entity, contain <br/>
<a id="pl.178.8"></a><var>178.8</var>provisions governing assumption of liability, and types and amounts of insurance coverage <br/>
<a id="pl.178.9"></a><var>178.9</var>to be obtained;<br/>
<a id="pl.178.10"></a><var>178.10</var>(5) specify the duration of the agreement; and<br/>
<a id="pl.178.11"></a><var>178.11</var>(6) specify measurable performance-based outcomes for achieving program <br/>
<a id="pl.178.12"></a><var>178.12</var>goals, time periods during which these outcomes will be measured and reported, and <br/>
<a id="pl.178.13"></a><var>178.13</var>consequences for not meeting the performance-based outcomes.<br/>
<a id="pl.178.14"></a><var>178.14</var>    Subd. 3. <b>Duration; legislative approval; reporting.</b> (a) A performance-based <br/>
<a id="pl.178.15"></a><var>178.15</var>organization agreement may be up to three years and may be renewed.<br/>
<a id="pl.178.16"></a><var>178.16</var>(b) The chief executive of the state agency whose program is subject to a <br/>
<a id="pl.178.17"></a><var>178.17</var>performance-based organization must report to the chairs and ranking minority members <br/>
<a id="pl.178.18"></a><var>178.18</var>of legislative policy and finance committees with jurisdiction over the program on the <br/>
<a id="pl.178.19"></a><var>178.19</var>proposed content of the performance-based organization, and specifically describing <br/>
<a id="pl.178.20"></a><var>178.20</var>any procedural laws, rules, and policies that will not apply. The legislature must <br/>
<a id="pl.178.21"></a><var>178.21</var>approve a performance-based organization before the state agency may enter into a <br/>
<a id="pl.178.22"></a><var>178.22</var>performance-based agreement.<br/>
<br/>
<a id="bill.6.2.0"></a><a id="pl.178.23"></a><var>178.23</var>    Sec. 2. Minnesota Statutes 2010, section 252.27, subdivision 2a, is amended to read:<br/>
<a id="pl.178.24"></a><var>178.24</var>    Subd. 2a. <b>Contribution amount.</b> (a) The natural or adoptive parents of a minor <br/>
<a id="pl.178.25"></a><var>178.25</var>child, including a child determined eligible for medical assistance without consideration of <br/>
<a id="pl.178.26"></a><var>178.26</var>parental income, must contribute to the cost of services used by making monthly payments <br/>
<a id="pl.178.27"></a><var>178.27</var>on a sliding scale based on income, unless the child is married or has been married, <br/>
<a id="pl.178.28"></a><var>178.28</var>parental rights have been terminated, or the child's adoption is subsidized according to <br/>
<a id="pl.178.29"></a><var>178.29</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.178.30"></a><var>178.30</var>is a partial or full payment for medical services provided for diagnostic, therapeutic, <br/>
<a id="pl.178.31"></a><var>178.31</var>curing, treating, mitigating, rehabilitation, maintenance, and personal care services as <br/>
<a id="pl.178.32"></a><var>178.32</var>defined in United States Code, title 26, section 213, needed by the child with a chronic <br/>
<a id="pl.178.33"></a><var>178.33</var>illness or disability.<br/>
<a id="pl.179.1"></a><var>179.1</var>    (b) For households with adjusted gross income equal to or greater than 100 percent <br/>
<a id="pl.179.2"></a><var>179.2</var>of federal poverty guidelines, the parental contribution shall be computed by applying the <br/>
<a id="pl.179.3"></a><var>179.3</var>following schedule of rates to the adjusted gross income of the natural or adoptive parents:<br/>
<a id="pl.179.4"></a><var>179.4</var>    (1) if the adjusted gross income is equal to or greater than 100 percent of federal <br/>
<a id="pl.179.5"></a><var>179.5</var>poverty guidelines and less than 175 percent of federal poverty guidelines, the parental <br/>
<a id="pl.179.6"></a><var>179.6</var>contribution is $4 per month;<br/>
<a id="pl.179.7"></a><var>179.7</var>    (2) if the adjusted gross income is equal to or greater than 175 percent of federal <br/>
<a id="pl.179.8"></a><var>179.8</var>poverty guidelines and less than or equal to 545 525 percent of federal poverty guidelines, <br/>
<a id="pl.179.9"></a><var>179.9</var>the parental contribution shall be determined using a sliding fee scale established by the <br/>
<a id="pl.179.10"></a><var>179.10</var>commissioner of human services which begins at one percent of adjusted gross income at <br/>
<a id="pl.179.11"></a><var>179.11</var>175 percent of federal poverty guidelines and increases to 7.5 eight percent of adjusted <br/>
<a id="pl.179.12"></a><var>179.12</var>gross income for those with adjusted gross income up to 545 525 percent of federal <br/>
<a id="pl.179.13"></a><var>179.13</var>poverty guidelines;<br/>
<a id="pl.179.14"></a><var>179.14</var>    (3) if the adjusted gross income is greater than 545 525 percent of federal <br/>
<a id="pl.179.15"></a><var>179.15</var>poverty guidelines and less than 675 percent of federal poverty guidelines, the parental <br/>
<a id="pl.179.16"></a><var>179.16</var>contribution shall be 7.5 9.5 percent of adjusted gross income;<br/>
<a id="pl.179.17"></a><var>179.17</var>    (4) if the adjusted gross income is equal to or greater than 675 percent of federal <br/>
<a id="pl.179.18"></a><var>179.18</var>poverty guidelines and less than 975 900 percent of federal poverty guidelines, the parental <br/>
<a id="pl.179.19"></a><var>179.19</var>contribution shall be determined using a sliding fee scale established by the commissioner <br/>
<a id="pl.179.20"></a><var>179.20</var>of human services which begins at 7.5 9.5 percent of adjusted gross income at 675 percent <br/>
<a id="pl.179.21"></a><var>179.21</var>of federal poverty guidelines and increases to ten 12 percent of adjusted gross income for <br/>
<a id="pl.179.22"></a><var>179.22</var>those with adjusted gross income up to 975 900 percent of federal poverty guidelines; and<br/>
<a id="pl.179.23"></a><var>179.23</var>    (5) if the adjusted gross income is equal to or greater than 975 900 percent of <br/>
<a id="pl.179.24"></a><var>179.24</var>federal poverty guidelines, the parental contribution shall be 12.5 13.5 percent of adjusted <br/>
<a id="pl.179.25"></a><var>179.25</var>gross income.<br/>
<a id="pl.179.26"></a><var>179.26</var>    If the child lives with the parent, the annual adjusted gross income is reduced by <br/>
<a id="pl.179.27"></a><var>179.27</var>$2,400 prior to calculating the parental contribution. If the child resides in an institution <br/>
<a id="pl.179.28"></a><var>179.28</var>specified in section 
         <statute_ref>256B.35</statute_ref>, the parent is responsible for the personal needs allowance <br/>
<a id="pl.179.29"></a><var>179.29</var>specified under that section in addition to the parental contribution determined under this <br/>
<a id="pl.179.30"></a><var>179.30</var>section. The parental contribution is reduced by any amount required to be paid directly to <br/>
<a id="pl.179.31"></a><var>179.31</var>the child pursuant to a court order, but only if actually paid.<br/>
<a id="pl.179.32"></a><var>179.32</var>    (c) The household size to be used in determining the amount of contribution under <br/>
<a id="pl.179.33"></a><var>179.33</var>paragraph (b) includes natural and adoptive parents and their dependents, including the <br/>
<a id="pl.179.34"></a><var>179.34</var>child receiving services. Adjustments in the contribution amount due to annual changes <br/>
<a id="pl.179.35"></a><var>179.35</var>in the federal poverty guidelines shall be implemented on the first day of July following <br/>
<a id="pl.179.36"></a><var>179.36</var>publication of the changes.<br/>
<a id="pl.180.1"></a><var>180.1</var>    (d) For purposes of paragraph (b), "income" means the adjusted gross income of the <br/>
<a id="pl.180.2"></a><var>180.2</var>natural or adoptive parents determined according to the previous year's federal tax form, <br/>
<a id="pl.180.3"></a><var>180.3</var>except, effective retroactive to July 1, 2003, taxable capital gains to the extent the funds <br/>
<a id="pl.180.4"></a><var>180.4</var>have been used to purchase a home shall not be counted as income.<br/>
<a id="pl.180.5"></a><var>180.5</var>    (e) The contribution shall be explained in writing to the parents at the time eligibility <br/>
<a id="pl.180.6"></a><var>180.6</var>for services is being determined. The contribution shall be made on a monthly basis <br/>
<a id="pl.180.7"></a><var>180.7</var>effective with the first month in which the child receives services. Annually upon <br/>
<a id="pl.180.8"></a><var>180.8</var>redetermination or at termination of eligibility, if the contribution exceeded the cost of <br/>
<a id="pl.180.9"></a><var>180.9</var>services provided, the local agency or the state shall reimburse that excess amount to <br/>
<a id="pl.180.10"></a><var>180.10</var>the parents, either by direct reimbursement if the parent is no longer required to pay a <br/>
<a id="pl.180.11"></a><var>180.11</var>contribution, or by a reduction in or waiver of parental fees until the excess amount is <br/>
<a id="pl.180.12"></a><var>180.12</var>exhausted. All reimbursements must include a notice that the amount reimbursed may be <br/>
<a id="pl.180.13"></a><var>180.13</var>taxable income if the parent paid for the parent's fees through an employer's health care <br/>
<a id="pl.180.14"></a><var>180.14</var>flexible spending account under the Internal Revenue Code, section 125, and that the <br/>
<a id="pl.180.15"></a><var>180.15</var>parent is responsible for paying the taxes owed on the amount reimbursed.<br/>
<a id="pl.180.16"></a><var>180.16</var>    (f) The monthly contribution amount must be reviewed at least every 12 months; <br/>
<a id="pl.180.17"></a><var>180.17</var>when there is a change in household size; and when there is a loss of or gain in income <br/>
<a id="pl.180.18"></a><var>180.18</var>from one month to another in excess of ten percent. The local agency shall mail a written <br/>
<a id="pl.180.19"></a><var>180.19</var>notice 30 days in advance of the effective date of a change in the contribution amount. <br/>
<a id="pl.180.20"></a><var>180.20</var>A decrease in the contribution amount is effective in the month that the parent verifies a <br/>
<a id="pl.180.21"></a><var>180.21</var>reduction in income or change in household size.<br/>
<a id="pl.180.22"></a><var>180.22</var>    (g) Parents of a minor child who do not live with each other shall each pay the <br/>
<a id="pl.180.23"></a><var>180.23</var>contribution required under paragraph (a). An amount equal to the annual court-ordered <br/>
<a id="pl.180.24"></a><var>180.24</var>child support payment actually paid on behalf of the child receiving services shall be <br/>
<a id="pl.180.25"></a><var>180.25</var>deducted from the adjusted gross income of the parent making the payment prior to <br/>
<a id="pl.180.26"></a><var>180.26</var>calculating the parental contribution under paragraph (b).<br/>
<a id="pl.180.27"></a><var>180.27</var>    (h) The contribution under paragraph (b) shall be increased by an additional five <br/>
<a id="pl.180.28"></a><var>180.28</var>percent if the local agency determines that insurance coverage is available but not <br/>
<a id="pl.180.29"></a><var>180.29</var>obtained for the child. For purposes of this section, "available" means the insurance is a <br/>
<a id="pl.180.30"></a><var>180.30</var>benefit of employment for a family member at an annual cost of no more than five percent <br/>
<a id="pl.180.31"></a><var>180.31</var>of the family's annual income. For purposes of this section, "insurance" means health <br/>
<a id="pl.180.32"></a><var>180.32</var>and accident insurance coverage, enrollment in a nonprofit health service plan, health <br/>
<a id="pl.180.33"></a><var>180.33</var>maintenance organization, self-insured plan, or preferred provider organization.<br/>
<a id="pl.180.34"></a><var>180.34</var>    Parents who have more than one child receiving services shall not be required <br/>
<a id="pl.180.35"></a><var>180.35</var>to pay more than the amount for the child with the highest expenditures. There shall <br/>
<a id="pl.180.36"></a><var>180.36</var>be no resource contribution from the parents. The parent shall not be required to pay <br/>
<a id="pl.181.1"></a><var>181.1</var>a contribution in excess of the cost of the services provided to the child, not counting <br/>
<a id="pl.181.2"></a><var>181.2</var>payments made to school districts for education-related services. Notice of an increase in <br/>
<a id="pl.181.3"></a><var>181.3</var>fee payment must be given at least 30 days before the increased fee is due.<br/>
<a id="pl.181.4"></a><var>181.4</var>    (i) The contribution under paragraph (b) shall be reduced by $300 per fiscal year if, <br/>
<a id="pl.181.5"></a><var>181.5</var>in the 12 months prior to July 1:<br/>
<a id="pl.181.6"></a><var>181.6</var>    (1) the parent applied for insurance for the child;<br/>
<a id="pl.181.7"></a><var>181.7</var>    (2) the insurer denied insurance;<br/>
<a id="pl.181.8"></a><var>181.8</var>    (3) the parents submitted a complaint or appeal, in writing to the insurer, submitted <br/>
<a id="pl.181.9"></a><var>181.9</var>a complaint or appeal, in writing, to the commissioner of health or the commissioner of <br/>
<a id="pl.181.10"></a><var>181.10</var>commerce, or litigated the complaint or appeal; and<br/>
<a id="pl.181.11"></a><var>181.11</var>    (4) as a result of the dispute, the insurer reversed its decision and granted insurance.<br/>
<a id="pl.181.12"></a><var>181.12</var>    For purposes of this section, "insurance" has the meaning given in paragraph (h).<br/>
<a id="pl.181.13"></a><var>181.13</var>    A parent who has requested a reduction in the contribution amount under this <br/>
<a id="pl.181.14"></a><var>181.14</var>paragraph shall submit proof in the form and manner prescribed by the commissioner or <br/>
<a id="pl.181.15"></a><var>181.15</var>county agency, including, but not limited to, the insurer's denial of insurance, the written <br/>
<a id="pl.181.16"></a><var>181.16</var>letter or complaint of the parents, court documents, and the written response of the insurer <br/>
<a id="pl.181.17"></a><var>181.17</var>approving insurance. The determinations of the commissioner or county agency under this <br/>
<a id="pl.181.18"></a><var>181.18</var>paragraph are not rules subject to chapter 14.<br/>
<a id="pl.181.19"></a><var>181.19</var>(j) Notwithstanding paragraph (b), for the period from July 1, 2010, to June 30, <br/>
<a id="pl.181.20"></a><var>181.20</var>2013, the parental contribution shall be computed by applying the following contribution <br/>
<a id="pl.181.21"></a><var>181.21</var>schedule to the adjusted gross income of the natural or adoptive parents:<br/>
<a id="pl.181.22"></a><var>181.22</var>(1) if the adjusted gross income is equal to or greater than 100 percent of federal <br/>
<a id="pl.181.23"></a><var>181.23</var>poverty guidelines and less than 175 percent of federal poverty guidelines, the parental <br/>
<a id="pl.181.24"></a><var>181.24</var>contribution is $4 per month;<br/>
<a id="pl.181.25"></a><var>181.25</var>(2) if the adjusted gross income is equal to or greater than 175 percent of federal <br/>
<a id="pl.181.26"></a><var>181.26</var>poverty guidelines and less than or equal to 525 percent of federal poverty guidelines, <br/>
<a id="pl.181.27"></a><var>181.27</var>the parental contribution shall be determined using a sliding fee scale established by the <br/>
<a id="pl.181.28"></a><var>181.28</var>commissioner of human services which begins at one percent of adjusted gross income <br/>
<a id="pl.181.29"></a><var>181.29</var>at 175 percent of federal poverty guidelines and increases to eight percent of adjusted <br/>
<a id="pl.181.30"></a><var>181.30</var>gross income for those with adjusted gross income up to 525 percent of federal poverty <br/>
<a id="pl.181.31"></a><var>181.31</var>guidelines;<br/>
<a id="pl.181.32"></a><var>181.32</var>(3) if the adjusted gross income is greater than 525 percent of federal poverty <br/>
<a id="pl.181.33"></a><var>181.33</var>guidelines and less than 675 percent of federal poverty guidelines, the parental contribution <br/>
<a id="pl.181.34"></a><var>181.34</var>shall be 9.5 percent of adjusted gross income;<br/>
<a id="pl.181.35"></a><var>181.35</var>(4) if the adjusted gross income is equal to or greater than 675 percent of federal <br/>
<a id="pl.181.36"></a><var>181.36</var>poverty guidelines and less than 900 percent of federal poverty guidelines, the parental <br/>
<a id="pl.182.1"></a><var>182.1</var>contribution shall be determined using a sliding fee scale established by the commissioner <br/>
<a id="pl.182.2"></a><var>182.2</var>of human services which begins at 9.5 percent of adjusted gross income at 675 percent of <br/>
<a id="pl.182.3"></a><var>182.3</var>federal poverty guidelines and increases to 12 percent of adjusted gross income for those <br/>
<a id="pl.182.4"></a><var>182.4</var>with adjusted gross income up to 900 percent of federal poverty guidelines; and<br/>
<a id="pl.182.5"></a><var>182.5</var>(5) if the adjusted gross income is equal to or greater than 900 percent of federal <br/>
<a id="pl.182.6"></a><var>182.6</var>poverty guidelines, the parental contribution shall be 13.5 percent of adjusted gross <br/>
<a id="pl.182.7"></a><var>182.7</var>income. If the child lives with the parent, the annual adjusted gross income is reduced by <br/>
<a id="pl.182.8"></a><var>182.8</var>$2,400 prior to calculating the parental contribution. If the child resides in an institution <br/>
<a id="pl.182.9"></a><var>182.9</var>specified in section 
<statute_ref>256B.35</statute_ref>, the parent is responsible for the personal needs allowance <br/>
<a id="pl.182.10"></a><var>182.10</var>specified under that section in addition to the parental contribution determined under this <br/>
<a id="pl.182.11"></a><var>182.11</var>section. The parental contribution is reduced by any amount required to be paid directly to <br/>
<a id="pl.182.12"></a><var>182.12</var>the child pursuant to a court order, but only if actually paid.<br/>
<br/>
<a id="bill.6.3.0"></a><a id="pl.182.13"></a><var>182.13</var>    Sec. 3. Minnesota Statutes 2010, section 256.01, subdivision 24, is amended to read:<br/>
<a id="pl.182.14"></a><var>182.14</var>    Subd. 24. <b>Disability Linkage Line.</b> The commissioner shall establish the Disability <br/>
<a id="pl.182.15"></a><var>182.15</var>Linkage Line, a to serve as Minnesota's neutral access point for statewide consumer <br/>
<a id="pl.182.16"></a><var>182.16</var>disability information, referral, and assistance system for people with disabilities and <br/>
<a id="pl.182.17"></a><var>182.17</var>chronic illnesses that. The Disability Linkage Line shall:<br/>
<a id="pl.182.18"></a><var>182.18</var>(1) deliver information and assistance based on national and state standards;<br/>
<a id="pl.182.19"></a><var>182.19</var>    (1) provides (2) provide information about state and federal eligibility requirements, <br/>
<a id="pl.182.20"></a><var>182.20</var>benefits, and service options;<br/>
<a id="pl.182.21"></a><var>182.21</var>(3) provide benefits and options counseling;<br/>
<a id="pl.182.22"></a><var>182.22</var>    (2) makes (4) make referrals to appropriate support entities;<br/>
<a id="pl.182.23"></a><var>182.23</var>    (3) delivers information and assistance based on national and state standards;<br/>
<a id="pl.182.24"></a><var>182.24</var>    (4) assists (5) educate people to on their options so they can make well-informed <br/>
<a id="pl.182.25"></a><var>182.25</var>decisions choices; and<br/>
<a id="pl.182.26"></a><var>182.26</var>    (5) supports (6) help support the timely resolution of service access and benefit <br/>
<a id="pl.182.27"></a><var>182.27</var>issues.;<br/>
<a id="pl.182.28"></a><var>182.28</var>(7) inform people of their long-term community services and supports;<br/>
<a id="pl.182.29"></a><var>182.29</var>(8) provide necessary resources and supports that can lead to employment and <br/>
<a id="pl.182.30"></a><var>182.30</var>increased economic stability of people with disabilities; and<br/>
<a id="pl.182.31"></a><var>182.31</var>(9) serve as the technical assistance and help center for the Web-based tool, <br/>
<a id="pl.182.32"></a><var>182.32</var>Minnesota's Disability Benefits 101.org.<br/>
<a id="pl.182.33"></a><var>182.33</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.6.4.0"></a><a id="pl.182.34"></a><var>182.34</var>    Sec. 4. Minnesota Statutes 2010, section 256.01, subdivision 29, is amended to read:<br/>
<a id="pl.183.1"></a><var>183.1</var>    Subd. 29. <b>State medical review team.</b> (a) To ensure the timely processing of <br/>
<a id="pl.183.2"></a><var>183.2</var>determinations of disability by the commissioner's state medical review team under <br/>
<a id="pl.183.3"></a><var>183.3</var>sections 
         <statute_ref>256B.055, subdivision 7</statute_ref>, paragraph (b), 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph <br/>
<a id="pl.183.4"></a><var>183.4</var>(j), and 
         <statute_ref>256B.055, subdivision 12</statute_ref>, the commissioner shall review all medical evidence <br/>
<a id="pl.183.5"></a><var>183.5</var>submitted by county agencies with a referral and seek additional information from <br/>
<a id="pl.183.6"></a><var>183.6</var>providers, applicants, and enrollees to support the determination of disability where <br/>
<a id="pl.183.7"></a><var>183.7</var>necessary. Disability shall be determined according to the rules of title XVI and title <br/>
<a id="pl.183.8"></a><var>183.8</var>XIX of the Social Security Act and pertinent rules and policies of the Social Security <br/>
<a id="pl.183.9"></a><var>183.9</var>Administration.<br/>
<a id="pl.183.10"></a><var>183.10</var>    (b) Prior to a denial or withdrawal of a requested determination of disability due <br/>
<a id="pl.183.11"></a><var>183.11</var>to insufficient evidence, the commissioner shall (1) ensure that the missing evidence is <br/>
<a id="pl.183.12"></a><var>183.12</var>necessary and appropriate to a determination of disability, and (2) assist applicants and <br/>
<a id="pl.183.13"></a><var>183.13</var>enrollees to obtain the evidence, including, but not limited to, medical examinations <br/>
<a id="pl.183.14"></a><var>183.14</var>and electronic medical records.<br/>
<a id="pl.183.15"></a><var>183.15</var>(c) The commissioner shall provide the chairs of the legislative committees with <br/>
<a id="pl.183.16"></a><var>183.16</var>jurisdiction over health and human services finance and budget the following information <br/>
<a id="pl.183.17"></a><var>183.17</var>on the activities of the state medical review team by February 1 of each year:<br/>
<a id="pl.183.18"></a><var>183.18</var>(1) the number of applications to the state medical review team that were denied, <br/>
<a id="pl.183.19"></a><var>183.19</var>approved, or withdrawn;<br/>
<a id="pl.183.20"></a><var>183.20</var>(2) the average length of time from receipt of the application to a decision;<br/>
<a id="pl.183.21"></a><var>183.21</var>(3) the number of appeals, appeal results, and the length of time taken from the date <br/>
<a id="pl.183.22"></a><var>183.22</var>the person involved requested an appeal for a written decision to be made on each appeal;<br/>
<a id="pl.183.23"></a><var>183.23</var>(4) for applicants, their age, health coverage at the time of application, hospitalization <br/>
<a id="pl.183.24"></a><var>183.24</var>history within three months of application, and whether an application for Social Security <br/>
<a id="pl.183.25"></a><var>183.25</var>or Supplemental Security Income benefits is pending; and<br/>
<a id="pl.183.26"></a><var>183.26</var>(5) specific information on the medical certification, licensure, or other credentials <br/>
<a id="pl.183.27"></a><var>183.27</var>of the person or persons performing the medical review determinations and length of <br/>
<a id="pl.183.28"></a><var>183.28</var>time in that position.<br/>
<a id="pl.183.29"></a><var>183.29</var>(d) Any appeal made under section 
         <statute_ref>256.045, subdivision 3</statute_ref>, of a disability <br/>
<a id="pl.183.30"></a><var>183.30</var>determination made by the state medical review team must be decided according to the <br/>
<a id="pl.183.31"></a><var>183.31</var>timelines under section 
         <statute_ref>256.0451, subdivision 22</statute_ref>, paragraph (a). If a written decision is <br/>
<a id="pl.183.32"></a><var>183.32</var>not issued within the timelines under section 
         <statute_ref>256.0451, subdivision 22</statute_ref>, paragraph (a), the <br/>
<a id="pl.183.33"></a><var>183.33</var>appeal must be immediately reviewed by the chief appeals referee.<br/>
<a id="pl.183.34"></a><var>183.34</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.6.5.0"></a><a id="pl.184.1"></a><var>184.1</var>    Sec. 5. Minnesota Statutes 2010, section 256B.04, is amended by adding a subdivision <br/>
<a id="pl.184.2"></a><var>184.2</var>to read:<br/>
<a id="pl.184.3"></a><var>184.3</var>    Subd. 20. <b>Money Follows the Person Rebalancing demonstration project.</b> In <br/>
<a id="pl.184.4"></a><var>184.4</var>accordance with federal law governing Money Follows the Person Rebalancing funds, <br/>
<a id="pl.184.5"></a><var>184.5</var>amounts equal to the value of enhanced federal funding resulting from the operation of the <br/>
<a id="pl.184.6"></a><var>184.6</var>demonstration project grant must be transferred from the medical assistance account in <br/>
<a id="pl.184.7"></a><var>184.7</var>the general fund to an account in the special revenue fund. Funds in the special revenue <br/>
<a id="pl.184.8"></a><var>184.8</var>fund account do not cancel and are appropriated to the commissioner to carry out the <br/>
<a id="pl.184.9"></a><var>184.9</var>goals of the Money Follows the Person Rebalancing demonstration project as required <br/>
<a id="pl.184.10"></a><var>184.10</var>under the approved federal plan for the use of the funds, and may be transferred to the <br/>
<a id="pl.184.11"></a><var>184.11</var>medical assistance account if applicable.<br/>
<br/>
<a id="bill.6.6.0"></a><a id="pl.184.12"></a><var>184.12</var>    Sec. 6. Minnesota Statutes 2010, section 256B.05, is amended by adding a subdivision <br/>
<a id="pl.184.13"></a><var>184.13</var>to read:<br/>
<a id="pl.184.14"></a><var>184.14</var>    Subd. 5. <b>Obligation of local agency to process medical assistance applications </b><br/>
<a id="pl.184.15"></a><var>184.15</var><b>within established timelines.</b> The local agency must act on an application for medical <br/>
<a id="pl.184.16"></a><var>184.16</var>assistance within ten working days of receipt of all information needed to act on the <br/>
<a id="pl.184.17"></a><var>184.17</var>application but no later than required under Minnesota Rules, part 9505.0090, subparts <br/>
<a id="pl.184.18"></a><var>184.18</var>2 and 3.<br/>
<br/>
<a id="bill.6.7.0"></a><a id="pl.184.19"></a><var>184.19</var>    Sec. 7. Minnesota Statutes 2010, section 256B.056, subdivision 3, is amended to read:<br/>
<a id="pl.184.20"></a><var>184.20</var>    Subd. 3. <b>Asset limitations for individuals and families.</b> (a) To be eligible for <br/>
<a id="pl.184.21"></a><var>184.21</var>medical assistance, a person must not individually own more than $3,000 in assets, or if a <br/>
<a id="pl.184.22"></a><var>184.22</var>member of a household with two family members, husband and wife, or parent and child, <br/>
<a id="pl.184.23"></a><var>184.23</var>the household must not own more than $6,000 in assets, plus $200 for each additional <br/>
<a id="pl.184.24"></a><var>184.24</var>legal dependent. In addition to these maximum amounts, an eligible individual or family <br/>
<a id="pl.184.25"></a><var>184.25</var>may accrue interest on these amounts, but they must be reduced to the maximum at the <br/>
<a id="pl.184.26"></a><var>184.26</var>time of an eligibility redetermination. The accumulation of the clothing and personal <br/>
<a id="pl.184.27"></a><var>184.27</var>needs allowance according to section 
         <statute_ref>256B.35</statute_ref> must also be reduced to the maximum at <br/>
<a id="pl.184.28"></a><var>184.28</var>the time of the eligibility redetermination. The value of assets that are not considered in <br/>
<a id="pl.184.29"></a><var>184.29</var>determining eligibility for medical assistance is the value of those assets excluded under <br/>
<a id="pl.184.30"></a><var>184.30</var>the supplemental security income program for aged, blind, and disabled persons, with <br/>
<a id="pl.184.31"></a><var>184.31</var>the following exceptions:<br/>
<a id="pl.184.32"></a><var>184.32</var>(1) household goods and personal effects are not considered;<br/>
<a id="pl.184.33"></a><var>184.33</var>(2) capital and operating assets of a trade or business that the local agency determines <br/>
<a id="pl.184.34"></a><var>184.34</var>are necessary to the person's ability to earn an income are not considered;<br/>
<a id="pl.185.1"></a><var>185.1</var>(3) motor vehicles are excluded to the same extent excluded by the supplemental <br/>
<a id="pl.185.2"></a><var>185.2</var>security income program;<br/>
<a id="pl.185.3"></a><var>185.3</var>(4) assets designated as burial expenses are excluded to the same extent excluded by <br/>
<a id="pl.185.4"></a><var>185.4</var>the supplemental security income program. Burial expenses funded by annuity contracts <br/>
<a id="pl.185.5"></a><var>185.5</var>or life insurance policies must irrevocably designate the individual's estate as contingent <br/>
<a id="pl.185.6"></a><var>185.6</var>beneficiary to the extent proceeds are not used for payment of selected burial expenses; and<br/>
<a id="pl.185.7"></a><var>185.7</var>(5) effective upon federal approval, for a person who no longer qualifies as an <br/>
<a id="pl.185.8"></a><var>185.8</var>employed person with a disability due to loss of earnings, assets allowed while eligible <br/>
<a id="pl.185.9"></a><var>185.9</var>for medical assistance under section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, are not considered for 12 <br/>
<a id="pl.185.10"></a><var>185.10</var>months, beginning with the first month of ineligibility as an employed person with a <br/>
<a id="pl.185.11"></a><var>185.11</var>disability, to the extent that the person's total assets remain within the allowed limits of <br/>
<a id="pl.185.12"></a><var>185.12</var>section 
         <statute_ref>256B.057, subdivision 9</statute_ref>, paragraph (c) (d).<br/>
<a id="pl.185.13"></a><var>185.13</var>(b) No asset limit shall apply to persons eligible under section 
         <statute_ref>256B.055</statute_ref>, subdivision <br/>
<a id="pl.185.14"></a><var>185.14</var>15.<br/>
<a id="pl.185.15"></a><var>185.15</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2014.<br/>
<br/>
<a id="bill.6.8.0"></a><a id="pl.185.16"></a><var>185.16</var>    Sec. 8. Minnesota Statutes 2010, section 256B.057, subdivision 9, is amended to read:<br/>
<a id="pl.185.17"></a><var>185.17</var>    Subd. 9. <b>Employed persons with disabilities.</b> (a) Medical assistance may be paid <br/>
<a id="pl.185.18"></a><var>185.18</var>for a person who is employed and who:<br/>
<a id="pl.185.19"></a><var>185.19</var>(1) but for excess earnings or assets, meets the definition of disabled under the <br/>
<a id="pl.185.20"></a><var>185.20</var>Supplemental Security Income program;<br/>
<a id="pl.185.21"></a><var>185.21</var>(2) is at least 16 but less than 65 years of age;<br/>
<a id="pl.185.22"></a><var>185.22</var>(3) meets the asset limits in paragraph (c) (d); and<br/>
<a id="pl.185.23"></a><var>185.23</var>(4) pays a premium and other obligations under paragraph (e).<br/>
<a id="pl.185.24"></a><var>185.24</var>    (b) For purposes of eligibility, there is a $65 earned income disregard. To be eligible <br/>
<a id="pl.185.25"></a><var>185.25</var>for medical assistance under this subdivision, a person must have more than $65 of earned <br/>
<a id="pl.185.26"></a><var>185.26</var>income. Earned income must have Medicare, Social Security, and applicable state and <br/>
<a id="pl.185.27"></a><var>185.27</var>federal taxes withheld. The person must document earned income tax withholding. Any <br/>
<a id="pl.185.28"></a><var>185.28</var>spousal income or assets shall be disregarded for purposes of eligibility and premium <br/>
<a id="pl.185.29"></a><var>185.29</var>determinations.<br/>
<a id="pl.185.30"></a><var>185.30</var>(b) (c) After the month of enrollment, a person enrolled in medical assistance under <br/>
<a id="pl.185.31"></a><var>185.31</var>this subdivision who:<br/>
<a id="pl.185.32"></a><var>185.32</var>(1) is temporarily unable to work and without receipt of earned income due to a <br/>
<a id="pl.185.33"></a><var>185.33</var>medical condition, as verified by a physician, may retain eligibility for up to four calendar <br/>
<a id="pl.185.34"></a><var>185.34</var>months; or<br/>
<a id="pl.186.1"></a><var>186.1</var>(2) effective January 1, 2004, loses employment for reasons not attributable to the <br/>
<a id="pl.186.2"></a><var>186.2</var>enrollee, and is without receipt of earned income may retain eligibility for up to four <br/>
<a id="pl.186.3"></a><var>186.3</var>consecutive months after the month of job loss. To receive a four-month extension, <br/>
<a id="pl.186.4"></a><var>186.4</var>enrollees must verify the medical condition or provide notification of job loss. All other <br/>
<a id="pl.186.5"></a><var>186.5</var>eligibility requirements must be met and the enrollee must pay all calculated premium <br/>
<a id="pl.186.6"></a><var>186.6</var>costs for continued eligibility.<br/>
<a id="pl.186.7"></a><var>186.7</var>(c) (d) For purposes of determining eligibility under this subdivision, a person's <br/>
<a id="pl.186.8"></a><var>186.8</var>assets must not exceed $20,000, excluding:<br/>
<a id="pl.186.9"></a><var>186.9</var>(1) all assets excluded under section 
         <statute_ref>256B.056</statute_ref>;<br/>
<a id="pl.186.10"></a><var>186.10</var>(2) retirement accounts, including individual accounts, 401(k) plans, 403(b) plans, <br/>
<a id="pl.186.11"></a><var>186.11</var>Keogh plans, and pension plans; and<br/>
<a id="pl.186.12"></a><var>186.12</var>(3) medical expense accounts set up through the person's employer.; and<br/>
<a id="pl.186.13"></a><var>186.13</var>(4) spousal assets, including spouse's share of jointly held assets.<br/>
<a id="pl.186.14"></a><var>186.14</var>(d)(1) Effective January 1, 2004, for purposes of eligibility, there will be a $65 <br/>
<a id="pl.186.15"></a><var>186.15</var>earned income disregard. To be eligible, a person applying for medical assistance under <br/>
<a id="pl.186.16"></a><var>186.16</var>this subdivision must have earned income above the disregard level.<br/>
<a id="pl.186.17"></a><var>186.17</var>(2) Effective January 1, 2004, to be considered earned income, Medicare, Social <br/>
<a id="pl.186.18"></a><var>186.18</var>Security, and applicable state and federal income taxes must be withheld. To be eligible, <br/>
<a id="pl.186.19"></a><var>186.19</var>a person must document earned income tax withholding.<br/>
<a id="pl.186.20"></a><var>186.20</var>(e)(1) A person whose earned and unearned income is equal to or greater than 100 <br/>
<a id="pl.186.21"></a><var>186.21</var>percent of federal poverty guidelines for the applicable family size must pay a premium <br/>
<a id="pl.186.22"></a><var>186.22</var>to be eligible for medical assistance under this subdivision. (e) All enrollees must pay a <br/>
<a id="pl.186.23"></a><var>186.23</var>premium to be eligible for medical assistance under this subdivision, except as provided <br/>
<a id="pl.186.24"></a><var>186.24</var>under section 256.01, subdivision 18b.<br/>
<a id="pl.186.25"></a><var>186.25</var>(1) An enrollee must pay the greater of a $65 premium or the premium shall be <br/>
<a id="pl.186.26"></a><var>186.26</var>calculated based on the person's gross earned and unearned income and the applicable <br/>
<a id="pl.186.27"></a><var>186.27</var>family size using a sliding fee scale established by the commissioner, which begins at <br/>
<a id="pl.186.28"></a><var>186.28</var>one percent of income at 100 percent of the federal poverty guidelines and increases <br/>
<a id="pl.186.29"></a><var>186.29</var>to 7.5 percent of income for those with incomes at or above 300 percent of the federal <br/>
<a id="pl.186.30"></a><var>186.30</var>poverty guidelines. <br/>
<a id="pl.186.31"></a><var>186.31</var>(2) Annual adjustments in the premium schedule based upon changes in the federal <br/>
<a id="pl.186.32"></a><var>186.32</var>poverty guidelines shall be effective for premiums due in July of each year.<br/>
<a id="pl.186.33"></a><var>186.33</var>(2) Effective January 1, 2004, all enrollees must pay a premium to be eligible for <br/>
<a id="pl.186.34"></a><var>186.34</var>medical assistance under this subdivision. An enrollee shall pay the greater of a $35 <br/>
<a id="pl.186.35"></a><var>186.35</var>premium or the premium calculated in clause (1).<br/>
<a id="pl.187.1"></a><var>187.1</var>(3) Effective November 1, 2003, All enrollees who receive unearned income must <br/>
<a id="pl.187.2"></a><var>187.2</var>pay one-half of one five percent of unearned income in addition to the premium amount, <br/>
<a id="pl.187.3"></a><var>187.3</var>except as provided under section 256.01, subdivision 18b.<br/>
<a id="pl.187.4"></a><var>187.4</var>(4) Effective November 1, 2003, for enrollees whose income does not exceed 200 <br/>
<a id="pl.187.5"></a><var>187.5</var>percent of the federal poverty guidelines and who are also enrolled in Medicare, the <br/>
<a id="pl.187.6"></a><var>187.6</var>commissioner must reimburse the enrollee for Medicare Part B premiums under section <br/>
<a id="pl.187.7"></a><var>187.7</var><statute_ref>256B.0625, subdivision 15</statute_ref>, paragraph (a).<br/>
<a id="pl.187.8"></a><var>187.8</var>(5) (4) Increases in benefits under title II of the Social Security Act shall not be <br/>
<a id="pl.187.9"></a><var>187.9</var>counted as income for purposes of this subdivision until July 1 of each year.<br/>
<a id="pl.187.10"></a><var>187.10</var>(f) A person's eligibility and premium shall be determined by the local county <br/>
<a id="pl.187.11"></a><var>187.11</var>agency. Premiums must be paid to the commissioner. All premiums are dedicated to <br/>
<a id="pl.187.12"></a><var>187.12</var>the commissioner.<br/>
<a id="pl.187.13"></a><var>187.13</var>(g) Any required premium shall be determined at application and redetermined at <br/>
<a id="pl.187.14"></a><var>187.14</var>the enrollee's six-month income review or when a change in income or household size is <br/>
<a id="pl.187.15"></a><var>187.15</var>reported. Enrollees must report any change in income or household size within ten days <br/>
<a id="pl.187.16"></a><var>187.16</var>of when the change occurs. A decreased premium resulting from a reported change in <br/>
<a id="pl.187.17"></a><var>187.17</var>income or household size shall be effective the first day of the next available billing month <br/>
<a id="pl.187.18"></a><var>187.18</var>after the change is reported. Except for changes occurring from annual cost-of-living <br/>
<a id="pl.187.19"></a><var>187.19</var>increases, a change resulting in an increased premium shall not affect the premium amount <br/>
<a id="pl.187.20"></a><var>187.20</var>until the next six-month review.<br/>
<a id="pl.187.21"></a><var>187.21</var>(h) Premium payment is due upon notification from the commissioner of the <br/>
<a id="pl.187.22"></a><var>187.22</var>premium amount required. Premiums may be paid in installments at the discretion of <br/>
<a id="pl.187.23"></a><var>187.23</var>the commissioner.<br/>
<a id="pl.187.24"></a><var>187.24</var>(i) Nonpayment of the premium shall result in denial or termination of medical <br/>
<a id="pl.187.25"></a><var>187.25</var>assistance unless the person demonstrates good cause for nonpayment. Good cause exists <br/>
<a id="pl.187.26"></a><var>187.26</var>if the requirements specified in Minnesota Rules, part 9506.0040, subpart 7, items B to <br/>
<a id="pl.187.27"></a><var>187.27</var>D, are met. Except when an installment agreement is accepted by the commissioner, <br/>
<a id="pl.187.28"></a><var>187.28</var>all persons disenrolled for nonpayment of a premium must pay any past due premiums <br/>
<a id="pl.187.29"></a><var>187.29</var>as well as current premiums due prior to being reenrolled. Nonpayment shall include <br/>
<a id="pl.187.30"></a><var>187.30</var>payment with a returned, refused, or dishonored instrument. The commissioner may <br/>
<a id="pl.187.31"></a><var>187.31</var>require a guaranteed form of payment as the only means to replace a returned, refused, <br/>
<a id="pl.187.32"></a><var>187.32</var>or dishonored instrument.<br/>
<a id="pl.187.33"></a><var>187.33</var>(j) The commissioner shall notify enrollees annually beginning at least 24 months <br/>
<a id="pl.187.34"></a><var>187.34</var>before the person's 65th birthday of the medical assistance eligibility rules affecting <br/>
<a id="pl.187.35"></a><var>187.35</var>income, assets, and treatment of a spouse's income and assets that will be applied upon <br/>
<a id="pl.187.36"></a><var>187.36</var>reaching age 65.<br/>
<a id="pl.188.1"></a><var>188.1</var>(k) For enrollees whose income does not exceed 200 percent of the federal poverty <br/>
<a id="pl.188.2"></a><var>188.2</var>guidelines and who are also enrolled in Medicare, the commissioner shall reimburse <br/>
<a id="pl.188.3"></a><var>188.3</var>the enrollee for Medicare part B premiums under section 256B.0625, subdivision 15, <br/>
<a id="pl.188.4"></a><var>188.4</var>paragraph (a).<br/>
<a id="pl.188.5"></a><var>188.5</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2014, for adults age 21 or <br/>
<a id="pl.188.6"></a><var>188.6</var>older, and October 1, 2019, for children age 16 to before the child's 21st birthday.<br/>
<br/>
<a id="bill.6.9.0"></a><a id="pl.188.7"></a><var>188.7</var>    Sec. 9. Minnesota Statutes 2010, section 256B.0659, subdivision 11, is amended to <br/>
<a id="pl.188.8"></a><var>188.8</var>read:<br/>
<a id="pl.188.9"></a><var>188.9</var>    Subd. 11. <b>Personal care assistant; requirements.</b> (a) A personal care assistant <br/>
<a id="pl.188.10"></a><var>188.10</var>must meet the following requirements:<br/>
<a id="pl.188.11"></a><var>188.11</var>    (1) be at least 18 years of age with the exception of persons who are 16 or 17 years <br/>
<a id="pl.188.12"></a><var>188.12</var>of age with these additional requirements:<br/>
<a id="pl.188.13"></a><var>188.13</var>    (i) supervision by a qualified professional every 60 days; and<br/>
<a id="pl.188.14"></a><var>188.14</var>    (ii) employment by only one personal care assistance provider agency responsible <br/>
<a id="pl.188.15"></a><var>188.15</var>for compliance with current labor laws;<br/>
<a id="pl.188.16"></a><var>188.16</var>    (2) be employed by a personal care assistance provider agency;<br/>
<a id="pl.188.17"></a><var>188.17</var>    (3) enroll with the department as a personal care assistant after clearing a background <br/>
<a id="pl.188.18"></a><var>188.18</var>study. Except as provided in subdivision 11a, before a personal care assistant provides <br/>
<a id="pl.188.19"></a><var>188.19</var>services, the personal care assistance provider agency must initiate a background study on <br/>
<a id="pl.188.20"></a><var>188.20</var>the personal care assistant under chapter 245C, and the personal care assistance provider <br/>
<a id="pl.188.21"></a><var>188.21</var>agency must have received a notice from the commissioner that the personal care assistant <br/>
<a id="pl.188.22"></a><var>188.22</var>is:<br/>
<a id="pl.188.23"></a><var>188.23</var>    (i) not disqualified under section 
         <statute_ref>245C.14</statute_ref>; or<br/>
<a id="pl.188.24"></a><var>188.24</var>    (ii) is disqualified, but the personal care assistant has received a set aside of the <br/>
<a id="pl.188.25"></a><var>188.25</var>disqualification under section 
         <statute_ref>245C.22</statute_ref>;<br/>
<a id="pl.188.26"></a><var>188.26</var>    (4) be able to effectively communicate with the recipient and personal care <br/>
<a id="pl.188.27"></a><var>188.27</var>assistance provider agency;<br/>
<a id="pl.188.28"></a><var>188.28</var>    (5) be able to provide covered personal care assistance services according to the <br/>
<a id="pl.188.29"></a><var>188.29</var>recipient's personal care assistance care plan, respond appropriately to recipient needs, <br/>
<a id="pl.188.30"></a><var>188.30</var>and report changes in the recipient's condition to the supervising qualified professional <br/>
<a id="pl.188.31"></a><var>188.31</var>or physician;<br/>
<a id="pl.188.32"></a><var>188.32</var>    (6) not be a consumer of personal care assistance services;<br/>
<a id="pl.188.33"></a><var>188.33</var>    (7) maintain daily written records including, but not limited to, time sheets under <br/>
<a id="pl.188.34"></a><var>188.34</var>subdivision 12;<br/>
<a id="pl.189.1"></a><var>189.1</var>    (8) effective January 1, 2010, complete standardized training as determined <br/>
<a id="pl.189.2"></a><var>189.2</var>by the commissioner before completing enrollment. The training must be available <br/>
<a id="pl.189.3"></a><var>189.3</var>in languages other than English and to those who need accommodations due to <br/>
<a id="pl.189.4"></a><var>189.4</var>disabilities. Personal care assistant training must include successful completion of the <br/>
<a id="pl.189.5"></a><var>189.5</var>following training components: basic first aid, vulnerable adult, child maltreatment, <br/>
<a id="pl.189.6"></a><var>189.6</var>OSHA universal precautions, basic roles and responsibilities of personal care assistants <br/>
<a id="pl.189.7"></a><var>189.7</var>including information about assistance with lifting and transfers for recipients, emergency <br/>
<a id="pl.189.8"></a><var>189.8</var>preparedness, orientation to positive behavioral practices, fraud issues, and completion of <br/>
<a id="pl.189.9"></a><var>189.9</var>time sheets. Upon completion of the training components, the personal care assistant must <br/>
<a id="pl.189.10"></a><var>189.10</var>demonstrate the competency to provide assistance to recipients;<br/>
<a id="pl.189.11"></a><var>189.11</var>    (9) complete training and orientation on the needs of the recipient within the first <br/>
<a id="pl.189.12"></a><var>189.12</var>seven days after the services begin; and<br/>
<a id="pl.189.13"></a><var>189.13</var>    (10) be limited to providing and being paid for up to 275 hours per month, except <br/>
<a id="pl.189.14"></a><var>189.14</var>that this limit shall be 275 hours per month for the period July 1, 2009, through June 30, <br/>
<a id="pl.189.15"></a><var>189.15</var>2011, of personal care assistance services regardless of the number of recipients being <br/>
<a id="pl.189.16"></a><var>189.16</var>served or the number of personal care assistance provider agencies enrolled with. The <br/>
<a id="pl.189.17"></a><var>189.17</var>number of hours worked per day shall not be disallowed by the department unless in <br/>
<a id="pl.189.18"></a><var>189.18</var>violation of the law.<br/>
<a id="pl.189.19"></a><var>189.19</var>    (b) A legal guardian may be a personal care assistant if the guardian is not being paid <br/>
<a id="pl.189.20"></a><var>189.20</var>for the guardian services and meets the criteria for personal care assistants in paragraph (a).<br/>
<a id="pl.189.21"></a><var>189.21</var>    (c) Effective January 1, 2010, Persons who do not qualify as a personal care assistant <br/>
<a id="pl.189.22"></a><var>189.22</var>include parents and stepparents of minors, spouses, paid legal guardians, family foster <br/>
<a id="pl.189.23"></a><var>189.23</var>care providers, except as otherwise allowed in section 
         <statute_ref>256B.0625, subdivision 19a</statute_ref>, or <br/>
<a id="pl.189.24"></a><var>189.24</var>staff of a residential setting. When the personal care assistant is a relative of the recipient, <br/>
<a id="pl.189.25"></a><var>189.25</var>the commissioner shall pay 80 percent of the provider rate. For purposes of this section, <br/>
<a id="pl.189.26"></a><var>189.26</var>relative means the parent or adoptive parent of an adult child, a sibling aged 16 years or <br/>
<a id="pl.189.27"></a><var>189.27</var>older, an adult child, a grandparent, or a grandchild. <br/>
<a id="pl.189.28"></a><var>189.28</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.6.10.0"></a><a id="pl.189.29"></a><var>189.29</var>    Sec. 10. Minnesota Statutes 2010, section 256B.0659, subdivision 28, is amended to <br/>
<a id="pl.189.30"></a><var>189.30</var>read:<br/>
<a id="pl.189.31"></a><var>189.31</var>    Subd. 28. <b>Personal care assistance provider agency; required documentation.</b><br/>
<a id="pl.189.32"></a><var>189.32</var>(a) Required documentation must be completed and kept in the personal care assistance <br/>
<a id="pl.189.33"></a><var>189.33</var>provider agency file or the recipient's home residence. The required documentation <br/>
<a id="pl.189.34"></a><var>189.34</var>consists of:<br/>
<a id="pl.189.35"></a><var>189.35</var>(1) employee files, including:<br/>
<a id="pl.190.1"></a><var>190.1</var>(i) applications for employment;<br/>
<a id="pl.190.2"></a><var>190.2</var>(ii) background study requests and results;<br/>
<a id="pl.190.3"></a><var>190.3</var>(iii) orientation records about the agency policies;<br/>
<a id="pl.190.4"></a><var>190.4</var>(iv) trainings completed with demonstration of competence;<br/>
<a id="pl.190.5"></a><var>190.5</var>(v) supervisory visits;<br/>
<a id="pl.190.6"></a><var>190.6</var>(vi) evaluations of employment; and<br/>
<a id="pl.190.7"></a><var>190.7</var>(vii) signature on fraud statement;<br/>
<a id="pl.190.8"></a><var>190.8</var>(2) recipient files, including:<br/>
<a id="pl.190.9"></a><var>190.9</var>(i) demographics;<br/>
<a id="pl.190.10"></a><var>190.10</var>(ii) emergency contact information and emergency backup plan;<br/>
<a id="pl.190.11"></a><var>190.11</var>(iii) personal care assistance service plan;<br/>
<a id="pl.190.12"></a><var>190.12</var>(iv) personal care assistance care plan;<br/>
<a id="pl.190.13"></a><var>190.13</var>(v) month-to-month service use plan;<br/>
<a id="pl.190.14"></a><var>190.14</var>(vi) all communication records;<br/>
<a id="pl.190.15"></a><var>190.15</var>(vii) start of service information, including the written agreement with recipient; and<br/>
<a id="pl.190.16"></a><var>190.16</var>(viii) date the home care bill of rights was given to the recipient;<br/>
<a id="pl.190.17"></a><var>190.17</var>(3) agency policy manual, including:<br/>
<a id="pl.190.18"></a><var>190.18</var>(i) policies for employment and termination;<br/>
<a id="pl.190.19"></a><var>190.19</var>(ii) grievance policies with resolution of consumer grievances;<br/>
<a id="pl.190.20"></a><var>190.20</var>(iii) staff and consumer safety;<br/>
<a id="pl.190.21"></a><var>190.21</var>(iv) staff misconduct; and<br/>
<a id="pl.190.22"></a><var>190.22</var>(v) staff hiring, service delivery, staff and consumer safety, staff misconduct, and <br/>
<a id="pl.190.23"></a><var>190.23</var>resolution of consumer grievances;<br/>
<a id="pl.190.24"></a><var>190.24</var>(4) time sheets for each personal care assistant along with completed activity sheets <br/>
<a id="pl.190.25"></a><var>190.25</var>for each recipient served; and<br/>
<a id="pl.190.26"></a><var>190.26</var>(5) agency marketing and advertising materials and documentation of marketing <br/>
<a id="pl.190.27"></a><var>190.27</var>activities and costs; and<br/>
<a id="pl.190.28"></a><var>190.28</var>(6) for each personal care assistant, whether or not the personal care assistant is <br/>
<a id="pl.190.29"></a><var>190.29</var>providing care to a relative as defined in subdivision 11.<br/>
<a id="pl.190.30"></a><var>190.30</var>(b) The commissioner may assess a fine of up to $500 on provider agencies that do <br/>
<a id="pl.190.31"></a><var>190.31</var>not consistently comply with the requirements of this subdivision.<br/>
<br/>
<a id="bill.6.11.0"></a><a id="pl.190.32"></a><var>190.32</var>    Sec. 11. Minnesota Statutes 2010, section 256B.0911, subdivision 1a, is amended to <br/>
<a id="pl.190.33"></a><var>190.33</var>read:<br/>
<a id="pl.190.34"></a><var>190.34</var>    Subd. 1a. <b>Definitions.</b> For purposes of this section, the following definitions apply:<br/>
<a id="pl.190.35"></a><var>190.35</var>    (a) "Long-term care consultation services" means:<br/>
<a id="pl.191.1"></a><var>191.1</var>    (1) assistance in identifying services needed to maintain an individual in the most <br/>
<a id="pl.191.2"></a><var>191.2</var>inclusive environment;<br/>
<a id="pl.191.3"></a><var>191.3</var>    (2) providing recommendations on cost-effective community services that are <br/>
<a id="pl.191.4"></a><var>191.4</var>available to the individual;<br/>
<a id="pl.191.5"></a><var>191.5</var>    (3) development of an individual's person-centered community support plan;<br/>
<a id="pl.191.6"></a><var>191.6</var>    (4) providing information regarding eligibility for Minnesota health care programs;<br/>
<a id="pl.191.7"></a><var>191.7</var>    (5) face-to-face long-term care consultation assessments, which may be completed <br/>
<a id="pl.191.8"></a><var>191.8</var>in a hospital, nursing facility, intermediate care facility for persons with developmental <br/>
<a id="pl.191.9"></a><var>191.9</var>disabilities (ICF/DDs), regional treatment centers, or the person's current or planned <br/>
<a id="pl.191.10"></a><var>191.10</var>residence;<br/>
<a id="pl.191.11"></a><var>191.11</var>    (6) federally mandated screening to determine the need for an institutional level of <br/>
<a id="pl.191.12"></a><var>191.12</var>care under subdivision 4a;<br/>
<a id="pl.191.13"></a><var>191.13</var>    (7) determination of home and community-based waiver service eligibility <br/>
<a id="pl.191.14"></a><var>191.14</var>including level of care determination for individuals who need an institutional level of <br/>
<a id="pl.191.15"></a><var>191.15</var>care as defined under section 
         <statute_ref>144.0724, subdivision 11</statute_ref>, or 
         <statute_ref>256B.092</statute_ref>, service eligibility <br/>
<a id="pl.191.16"></a><var>191.16</var>including state plan home care services identified in sections 
         <statute_ref>256B.0625, subdivisions <br/>
<a id="pl.191.17"></a><var>191.17</var>6
         </statute_ref>, 7, and 19, paragraphs (a) and (c), and 
         <statute_ref>256B.0657</statute_ref>, based on assessment and support <br/>
<a id="pl.191.18"></a><var>191.18</var>plan development with appropriate referrals, including the option for consumer-directed <br/>
<a id="pl.191.19"></a><var>191.19</var>community self-directed supports;<br/>
<a id="pl.191.20"></a><var>191.20</var>    (8) providing recommendations for nursing facility placement when there are no <br/>
<a id="pl.191.21"></a><var>191.21</var>cost-effective community services available; and<br/>
<a id="pl.191.22"></a><var>191.22</var>    (9) assistance to transition people back to community settings after facility <br/>
<a id="pl.191.23"></a><var>191.23</var>admission; and<br/>
<a id="pl.191.24"></a><var>191.24</var>(10) providing notice to the individual or legal representative of the annual and <br/>
<a id="pl.191.25"></a><var>191.25</var>monthly average authorized amount for traditional agency services and self-directed <br/>
<a id="pl.191.26"></a><var>191.26</var>services under section 256B.0657 for which the recipient is found eligible.<br/>
<a id="pl.191.27"></a><var>191.27</var>    (b) "Long-term care options counseling" means the services provided by the linkage <br/>
<a id="pl.191.28"></a><var>191.28</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.191.29"></a><var>191.29</var>telephone assistance and follow up once a long-term care consultation assessment has <br/>
<a id="pl.191.30"></a><var>191.30</var>been completed.<br/>
<a id="pl.191.31"></a><var>191.31</var>    (c) "Minnesota health care programs" means the medical assistance program under <br/>
<a id="pl.191.32"></a><var>191.32</var>chapter 256B and the alternative care program under section 
         <statute_ref>256B.0913</statute_ref>.<br/>
<a id="pl.191.33"></a><var>191.33</var>    (d) "Lead agencies" means counties or a collaboration of counties, tribes, and health <br/>
<a id="pl.191.34"></a><var>191.34</var>plans administering long-term care consultation assessment and support planning services.<br/>
<a id="pl.191.35"></a><var>191.35</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.12.0"></a><a id="pl.192.1"></a><var>192.1</var>    Sec. 12. Minnesota Statutes 2010, section 256B.0911, subdivision 3a, is amended to <br/>
<a id="pl.192.2"></a><var>192.2</var>read:<br/>
<a id="pl.192.3"></a><var>192.3</var>    Subd. 3a. <b>Assessment and support planning.</b> (a) Persons requesting assessment, <br/>
<a id="pl.192.4"></a><var>192.4</var>services planning, or other assistance intended to support community-based living, <br/>
<a id="pl.192.5"></a><var>192.5</var>including persons who need assessment in order to determine waiver or alternative <br/>
<a id="pl.192.6"></a><var>192.6</var>care program eligibility, must be visited by a long-term care consultation team within <br/>
<a id="pl.192.7"></a><var>192.7</var>15 calendar 20 calendar days after the date on which an assessment was requested or <br/>
<a id="pl.192.8"></a><var>192.8</var>recommended. After January 1, 2011, these requirements also apply to personal care <br/>
<a id="pl.192.9"></a><var>192.9</var>assistance services, private duty nursing, and home health agency services, on timelines <br/>
<a id="pl.192.10"></a><var>192.10</var>established in subdivision 5. Face-to-face assessments must be conducted according <br/>
<a id="pl.192.11"></a><var>192.11</var>to paragraphs (b) to (i).<br/>
<a id="pl.192.12"></a><var>192.12</var>    (b) The county may utilize a team of either the social worker or public health nurse, <br/>
<a id="pl.192.13"></a><var>192.13</var>or both. After January 1, 2011, lead agencies shall use certified assessors to conduct the <br/>
<a id="pl.192.14"></a><var>192.14</var>assessment in a face-to-face interview. The consultation team members must confer <br/>
<a id="pl.192.15"></a><var>192.15</var>regarding the most appropriate care for each individual screened or assessed.<br/>
<a id="pl.192.16"></a><var>192.16</var>    (c) The assessment must be comprehensive and include a person-centered <br/>
<a id="pl.192.17"></a><var>192.17</var>assessment of the health, psychological, functional, environmental, and social needs of <br/>
<a id="pl.192.18"></a><var>192.18</var>referred individuals and provide information necessary to develop a support plan that <br/>
<a id="pl.192.19"></a><var>192.19</var>meets the consumers needs, using an assessment form provided by the commissioner.<br/>
<a id="pl.192.20"></a><var>192.20</var>    (d) The assessment must be conducted in a face-to-face interview with the person <br/>
<a id="pl.192.21"></a><var>192.21</var>being assessed and the person's legal representative, as required by legally executed <br/>
<a id="pl.192.22"></a><var>192.22</var>documents, and other individuals as requested by the person, who can provide information <br/>
<a id="pl.192.23"></a><var>192.23</var>on the needs, strengths, and preferences of the person necessary to develop a support <br/>
<a id="pl.192.24"></a><var>192.24</var>plan that ensures the person's health and safety, but who is not a provider of service or <br/>
<a id="pl.192.25"></a><var>192.25</var>has any financial interest in the provision of services. For persons who are to be assessed <br/>
<a id="pl.192.26"></a><var>192.26</var>for elderly waiver customized living services under section 256B.0915, and with the <br/>
<a id="pl.192.27"></a><var>192.27</var>permission of the person being assessed or the persons' designated or legal representative, <br/>
<a id="pl.192.28"></a><var>192.28</var>the client's current or proposed provider of services may submit a copy of the provider's <br/>
<a id="pl.192.29"></a><var>192.29</var>nursing assessment or written report outlining their recommendations regarding the <br/>
<a id="pl.192.30"></a><var>192.30</var>client's care needs. The person conducting the assessment will notify the provider of the <br/>
<a id="pl.192.31"></a><var>192.31</var>date by which this information is to be submitted. This information shall be provided to <br/>
<a id="pl.192.32"></a><var>192.32</var>the person conducting the assessment prior to the assessment.<br/>
<a id="pl.192.33"></a><var>192.33</var>    (e) The person, or the person's legal representative, must be provided with <br/>
<a id="pl.192.34"></a><var>192.34</var>written recommendations for community-based services, including consumer-directed <br/>
<a id="pl.192.35"></a><var>192.35</var>self-directed  options, or institutional care that include documentation that the most <br/>
<a id="pl.192.36"></a><var>192.36</var>cost-effective alternatives available were offered to the individual. For purposes of <br/>
<a id="pl.193.1"></a><var>193.1</var>this requirement, "cost-effective alternatives" means community services and living <br/>
<a id="pl.193.2"></a><var>193.2</var>arrangements that cost the same as or less than institutional care. For persons determined <br/>
<a id="pl.193.3"></a><var>193.3</var>eligible for services defined under subdivision 1a, paragraph (a), clauses (7) to (9), the <br/>
<a id="pl.193.4"></a><var>193.4</var>community support plan must also include the estimated annual and monthly average <br/>
<a id="pl.193.5"></a><var>193.5</var>authorized budget amount for those services.<br/>
<a id="pl.193.6"></a><var>193.6</var>    (f)(1) If the person chooses to use community-based services, the person or the <br/>
<a id="pl.193.7"></a><var>193.7</var>person's legal representative must be provided with a written community support plan, <br/>
<a id="pl.193.8"></a><var>193.8</var>regardless of whether the individual is eligible for Minnesota health care programs. The <br/>
<a id="pl.193.9"></a><var>193.9</var>written community support plan must include:<br/>
<a id="pl.193.10"></a><var>193.10</var>    (i) a summary of assessed needs as defined in paragraphs (c) and (d);<br/>
<a id="pl.193.11"></a><var>193.11</var>    (ii) the individual's options and choices to meet identified needs, including all <br/>
<a id="pl.193.12"></a><var>193.12</var>available options for case management services and providers;<br/>
<a id="pl.193.13"></a><var>193.13</var>    (iii) identification of health and safety risks and how those risks will be addressed, <br/>
<a id="pl.193.14"></a><var>193.14</var>including personal risk management strategies;<br/>
<a id="pl.193.15"></a><var>193.15</var>    (iv) referral information; and <br/>
<a id="pl.193.16"></a><var>193.16</var>    (v) informal caregiver supports, if applicable.<br/>
<a id="pl.193.17"></a><var>193.17</var>    (2) For persons determined eligible for services defined under subdivision 1a, <br/>
<a id="pl.193.18"></a><var>193.18</var>paragraph (a), clauses (7) to (10), the community support plan must also include:<br/>
<a id="pl.193.19"></a><var>193.19</var>    (i) identification of individual goals;<br/>
<a id="pl.193.20"></a><var>193.20</var>    (ii) identification of short-term and long-term service outcomes. Short-term service <br/>
<a id="pl.193.21"></a><var>193.21</var>outcomes are defined as achievable within six months; <br/>
<a id="pl.193.22"></a><var>193.22</var>    (iii) a recommended schedule for case management visits. When achievement of <br/>
<a id="pl.193.23"></a><var>193.23</var>short-term service outcomes may affect the amount of service required, the schedule must <br/>
<a id="pl.193.24"></a><var>193.24</var>be at least every six months and must reflect evaluation and progress toward identified <br/>
<a id="pl.193.25"></a><var>193.25</var>short-term service outcomes; and<br/>
<a id="pl.193.26"></a><var>193.26</var>    (iv) the estimated annual and monthly budget amount for services.<br/>
<a id="pl.193.27"></a><var>193.27</var>    (3) In addition, for persons determined eligible for state plan home care under <br/>
<a id="pl.193.28"></a><var>193.28</var>subdivision 1a, paragraph (a), clause (8), the person or person's representative must also <br/>
<a id="pl.193.29"></a><var>193.29</var>receive a copy of the home care service plan developed by a certified assessor.<br/>
<a id="pl.193.30"></a><var>193.30</var>(4) A person may request assistance in identifying community supports without <br/>
<a id="pl.193.31"></a><var>193.31</var>participating in a complete assessment. Upon a request for assistance identifying <br/>
<a id="pl.193.32"></a><var>193.32</var>community support, the person must be transferred or referred to the services available <br/>
<a id="pl.193.33"></a><var>193.33</var>under sections 
         <statute_ref>256.975, subdivision 7</statute_ref>, and 
         <statute_ref>256.01</statute_ref>, subdivision 24, for telephone <br/>
<a id="pl.193.34"></a><var>193.34</var>assistance and follow up.<br/>
<a id="pl.194.1"></a><var>194.1</var>    (g) The person has the right to make the final decision between institutional <br/>
<a id="pl.194.2"></a><var>194.2</var>placement and community placement after the recommendations have been provided, <br/>
<a id="pl.194.3"></a><var>194.3</var>except as provided in subdivision 4a, paragraph (c).<br/>
<a id="pl.194.4"></a><var>194.4</var>    (h) The team must give the person receiving assessment or support planning, or <br/>
<a id="pl.194.5"></a><var>194.5</var>the person's legal representative, materials, and forms supplied by the commissioner <br/>
<a id="pl.194.6"></a><var>194.6</var>containing the following information:<br/>
<a id="pl.194.7"></a><var>194.7</var>    (1) the need for and purpose of preadmission screening if the person selects nursing <br/>
<a id="pl.194.8"></a><var>194.8</var>facility placement;<br/>
<a id="pl.194.9"></a><var>194.9</var>    (2) the role of the long-term care consultation assessment and support planning in <br/>
<a id="pl.194.10"></a><var>194.10</var>waiver and alternative care program eligibility determination;<br/>
<a id="pl.194.11"></a><var>194.11</var>    (3) information about Minnesota health care programs;<br/>
<a id="pl.194.12"></a><var>194.12</var>    (4) the person's freedom to accept or reject the recommendations of the team;<br/>
<a id="pl.194.13"></a><var>194.13</var>    (5) the person's right to confidentiality under the Minnesota Government Data <br/>
<a id="pl.194.14"></a><var>194.14</var>Practices Act, chapter 13;<br/>
<a id="pl.194.15"></a><var>194.15</var>    (6) the long-term care consultant's decision regarding the person's need for <br/>
<a id="pl.194.16"></a><var>194.16</var>institutional level of care as determined under criteria established in section 
         <statute_ref>144.0724, <br/>
<a id="pl.194.17"></a><var>194.17</var>subdivision 11
         </statute_ref>, or 
         <statute_ref>256B.092</statute_ref>; and<br/>
<a id="pl.194.18"></a><var>194.18</var>(7) the person's right to appeal the decision regarding the need for nursing facility <br/>
<a id="pl.194.19"></a><var>194.19</var>level of care or the county's final decisions regarding public programs eligibility according <br/>
<a id="pl.194.20"></a><var>194.20</var>to section 
         <statute_ref>256.045, subdivision 3</statute_ref>.<br/>
<a id="pl.194.21"></a><var>194.21</var>    (i) Face-to-face assessment completed as part of eligibility determination for <br/>
<a id="pl.194.22"></a><var>194.22</var>the alternative care, elderly waiver, community alternatives for disabled individuals, <br/>
<a id="pl.194.23"></a><var>194.23</var>community alternative care, and traumatic brain injury waiver programs under sections <br/>
<statute_ref><a id="pl.194.24"></a><var>194.24</var>256B.0915
         </statute_ref>, 
         <statute_ref>256B.0917</statute_ref>, and 
         <statute_ref>256B.49</statute_ref> is valid to establish service eligibility for no more <br/>
<a id="pl.194.25"></a><var>194.25</var>than 60 calendar days after the date of assessment. The effective eligibility start date <br/>
<a id="pl.194.26"></a><var>194.26</var>for these programs can never be prior to the date of assessment. If an assessment was <br/>
<a id="pl.194.27"></a><var>194.27</var>completed more than 60 days before the effective waiver or alternative care program <br/>
<a id="pl.194.28"></a><var>194.28</var>eligibility start date, assessment and support plan information must be updated in a <br/>
<a id="pl.194.29"></a><var>194.29</var>face-to-face visit and documented in the department's Medicaid Management Information <br/>
<a id="pl.194.30"></a><var>194.30</var>System (MMIS). The updated assessment may be completed by face-to-face visit, written <br/>
<a id="pl.194.31"></a><var>194.31</var>communication, or telephone as determined by the commissioner to establish statewide <br/>
<a id="pl.194.32"></a><var>194.32</var>consistency. The effective date of program eligibility in this case cannot be prior to the <br/>
<a id="pl.194.33"></a><var>194.33</var>date the updated assessment is completed.<br/>
<a id="pl.194.34"></a><var>194.34</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.13.0"></a><a id="pl.195.1"></a><var>195.1</var>    Sec. 13. Minnesota Statutes 2010, section 256B.0913, subdivision 4, is amended to <br/>
<a id="pl.195.2"></a><var>195.2</var>read:<br/>
<a id="pl.195.3"></a><var>195.3</var>    Subd. 4. <b>Eligibility for funding for services for nonmedical assistance recipients.</b><br/>
<a id="pl.195.4"></a><var>195.4</var>    (a) Funding for services under the alternative care program is available to persons who <br/>
<a id="pl.195.5"></a><var>195.5</var>meet the following criteria:<br/>
<a id="pl.195.6"></a><var>195.6</var>    (1) the person has been determined by a community assessment under section <br/>
<statute_ref><a id="pl.195.7"></a><var>195.7</var>256B.0911
         </statute_ref> to be a person who would require the level of care provided in a nursing <br/>
<a id="pl.195.8"></a><var>195.8</var>facility, but for the provision of services under the alternative care program. Effective <br/>
<a id="pl.195.9"></a><var>195.9</var>January 1, 2011, this determination must be made according to the criteria established in <br/>
<a id="pl.195.10"></a><var>195.10</var>section 
         <statute_ref>144.0724, subdivision 11</statute_ref>;<br/>
<a id="pl.195.11"></a><var>195.11</var>    (2) the person is age 65 or older;<br/>
<a id="pl.195.12"></a><var>195.12</var>    (3) the person would be eligible for medical assistance within 135 days of admission <br/>
<a id="pl.195.13"></a><var>195.13</var>to a nursing facility;<br/>
<a id="pl.195.14"></a><var>195.14</var>    (4) the person is not ineligible for the payment of long-term care services by the <br/>
<a id="pl.195.15"></a><var>195.15</var>medical assistance program due to an asset transfer penalty under section 
         <statute_ref>256B.0595</statute_ref> or <br/>
<a id="pl.195.16"></a><var>195.16</var>equity interest in the home exceeding $500,000 as stated in section 
         <statute_ref>256B.056</statute_ref>;<br/>
<a id="pl.195.17"></a><var>195.17</var>    (5) the person needs long-term care services that are not funded through other <br/>
<a id="pl.195.18"></a><var>195.18</var>state or federal funding, or other health insurance or other third-party insurance such as <br/>
<a id="pl.195.19"></a><var>195.19</var>long-term care insurance;<br/>
<a id="pl.195.20"></a><var>195.20</var>    (6) except for individuals described in clause (7), the monthly cost of the alternative <br/>
<a id="pl.195.21"></a><var>195.21</var>care services funded by the program for this person does not exceed 75 percent of the <br/>
<a id="pl.195.22"></a><var>195.22</var>monthly limit described under section 
         <statute_ref>256B.0915, subdivision 3a</statute_ref>. This monthly limit <br/>
<a id="pl.195.23"></a><var>195.23</var>does not prohibit the alternative care client from payment for additional services, but in no <br/>
<a id="pl.195.24"></a><var>195.24</var>case may the cost of additional services purchased under this section exceed the difference <br/>
<a id="pl.195.25"></a><var>195.25</var>between the client's monthly service limit defined under section 
         <statute_ref>256B.0915, subdivision <br/>
<a id="pl.195.26"></a><var>195.26</var>3
         </statute_ref>, and the alternative care program monthly service limit defined in this paragraph. If <br/>
<a id="pl.195.27"></a><var>195.27</var>care-related supplies and equipment or environmental modifications and adaptations are or <br/>
<a id="pl.195.28"></a><var>195.28</var>will be purchased for an alternative care services recipient, the costs may be prorated on a <br/>
<a id="pl.195.29"></a><var>195.29</var>monthly basis for up to 12 consecutive months beginning with the month of purchase. <br/>
<a id="pl.195.30"></a><var>195.30</var>If the monthly cost of a recipient's other alternative care services exceeds the monthly <br/>
<a id="pl.195.31"></a><var>195.31</var>limit established in this paragraph, the annual cost of the alternative care services shall be <br/>
<a id="pl.195.32"></a><var>195.32</var>determined. In this event, the annual cost of alternative care services shall not exceed 12 <br/>
<a id="pl.195.33"></a><var>195.33</var>times the monthly limit described in this paragraph;<br/>
<a id="pl.195.34"></a><var>195.34</var>    (7) for individuals assigned a case mix classification A as described under section <br/>
<statute_ref><a id="pl.195.35"></a><var>195.35</var>256B.0915, subdivision 3a
         </statute_ref>, paragraph (a), with (i) no dependencies in activities of daily <br/>
<a id="pl.195.36"></a><var>195.36</var>living, or (ii) only one dependency up to two dependencies in bathing, dressing, grooming, <br/>
<a id="pl.196.1"></a><var>196.1</var>or walking, or (iii) a dependency score of less than three if eating is the only dependency <br/>
<a id="pl.196.2"></a><var>196.2</var>and eating when the dependency score in eating is three or greater as determined by <br/>
<a id="pl.196.3"></a><var>196.3</var>an assessment performed under section 
         <statute_ref>256B.0911</statute_ref>, the monthly cost of alternative <br/>
<a id="pl.196.4"></a><var>196.4</var>care services funded by the program cannot exceed $600 $593 per month for all new <br/>
<a id="pl.196.5"></a><var>196.5</var>participants enrolled in the program on or after July 1, 2009 2011. This monthly limit <br/>
<a id="pl.196.6"></a><var>196.6</var>shall be applied to all other participants who meet this criteria at reassessment. This <br/>
<a id="pl.196.7"></a><var>196.7</var>monthly limit shall be increased annually as described in section 
         <statute_ref>256B.0915, subdivision <br/>
<a id="pl.196.8"></a><var>196.8</var>3a
         </statute_ref>, paragraph (a). This monthly limit does not prohibit the alternative care client from <br/>
<a id="pl.196.9"></a><var>196.9</var>payment for additional services, but in no case may the cost of additional services <br/>
<a id="pl.196.10"></a><var>196.10</var>purchased exceed the difference between the client's monthly service limit defined in this <br/>
<a id="pl.196.11"></a><var>196.11</var>clause and the limit described in clause (6) for case mix classification A; and<br/>
<a id="pl.196.12"></a><var>196.12</var>(8) the person is making timely payments of the assessed monthly fee.<br/>
<a id="pl.196.13"></a><var>196.13</var>A person is ineligible if payment of the fee is over 60 days past due, unless the person <br/>
<a id="pl.196.14"></a><var>196.14</var>agrees to:<br/>
<a id="pl.196.15"></a><var>196.15</var>    (i) the appointment of a representative payee;<br/>
<a id="pl.196.16"></a><var>196.16</var>    (ii) automatic payment from a financial account;<br/>
<a id="pl.196.17"></a><var>196.17</var>    (iii) the establishment of greater family involvement in the financial management of <br/>
<a id="pl.196.18"></a><var>196.18</var>payments; or<br/>
<a id="pl.196.19"></a><var>196.19</var>    (iv) another method acceptable to the lead agency to ensure prompt fee payments.<br/>
<a id="pl.196.20"></a><var>196.20</var>    The lead agency may extend the client's eligibility as necessary while making <br/>
<a id="pl.196.21"></a><var>196.21</var>arrangements to facilitate payment of past-due amounts and future premium payments. <br/>
<a id="pl.196.22"></a><var>196.22</var>Following disenrollment due to nonpayment of a monthly fee, eligibility shall not be <br/>
<a id="pl.196.23"></a><var>196.23</var>reinstated for a period of 30 days.<br/>
<a id="pl.196.24"></a><var>196.24</var>    (b) Alternative care funding under this subdivision is not available for a person <br/>
<a id="pl.196.25"></a><var>196.25</var>who is a medical assistance recipient or who would be eligible for medical assistance <br/>
<a id="pl.196.26"></a><var>196.26</var>without a spenddown or waiver obligation. A person whose initial application for medical <br/>
<a id="pl.196.27"></a><var>196.27</var>assistance and the elderly waiver program is being processed may be served under the <br/>
<a id="pl.196.28"></a><var>196.28</var>alternative care program for a period up to 60 days. If the individual is found to be eligible <br/>
<a id="pl.196.29"></a><var>196.29</var>for medical assistance, medical assistance must be billed for services payable under the <br/>
<a id="pl.196.30"></a><var>196.30</var>federally approved elderly waiver plan and delivered from the date the individual was <br/>
<a id="pl.196.31"></a><var>196.31</var>found eligible for the federally approved elderly waiver plan. Notwithstanding this <br/>
<a id="pl.196.32"></a><var>196.32</var>provision, alternative care funds may not be used to pay for any service the cost of which: <br/>
<a id="pl.196.33"></a><var>196.33</var>(i) is payable by medical assistance; (ii) is used by a recipient to meet a waiver obligation; <br/>
<a id="pl.196.34"></a><var>196.34</var>or (iii) is used to pay a medical assistance income spenddown for a person who is eligible <br/>
<a id="pl.196.35"></a><var>196.35</var>to participate in the federally approved elderly waiver program under the special income <br/>
<a id="pl.196.36"></a><var>196.36</var>standard provision.<br/>
<a id="pl.197.1"></a><var>197.1</var>    (c) Alternative care funding is not available for a person who resides in a licensed <br/>
<a id="pl.197.2"></a><var>197.2</var>nursing home, certified boarding care home, hospital, or intermediate care facility, except <br/>
<a id="pl.197.3"></a><var>197.3</var>for case management services which are provided in support of the discharge planning <br/>
<a id="pl.197.4"></a><var>197.4</var>process for a nursing home resident or certified boarding care home resident to assist with <br/>
<a id="pl.197.5"></a><var>197.5</var>a relocation process to a community-based setting.<br/>
<a id="pl.197.6"></a><var>197.6</var>    (d) Alternative care funding is not available for a person whose income is greater <br/>
<a id="pl.197.7"></a><var>197.7</var>than the maintenance needs allowance under section 
         <statute_ref>256B.0915, subdivision 1d</statute_ref>, but equal <br/>
<a id="pl.197.8"></a><var>197.8</var>to or less than 120 percent of the federal poverty guideline effective July 1 in the fiscal <br/>
<a id="pl.197.9"></a><var>197.9</var>year for which alternative care eligibility is determined, who would be eligible for the <br/>
<a id="pl.197.10"></a><var>197.10</var>elderly waiver with a waiver obligation.<br/>
<br/>
<a id="bill.6.14.0"></a><a id="pl.197.11"></a><var>197.11</var>    Sec. 14. Minnesota Statutes 2010, section 256B.0915, subdivision 3a, is amended to <br/>
<a id="pl.197.12"></a><var>197.12</var>read:<br/>
<a id="pl.197.13"></a><var>197.13</var>    Subd. 3a. <b>Elderly waiver cost limits.</b> (a) The monthly limit for the cost of <br/>
<a id="pl.197.14"></a><var>197.14</var>waivered services to an individual elderly waiver client except for individuals described <br/>
<a id="pl.197.15"></a><var>197.15</var>in paragraph (b) shall be the weighted average monthly nursing facility rate of the case <br/>
<a id="pl.197.16"></a><var>197.16</var>mix resident class to which the elderly waiver client would be assigned under Minnesota <br/>
<a id="pl.197.17"></a><var>197.17</var>Rules, parts 9549.0050 to 9549.0059, less the recipient's maintenance needs allowance <br/>
<a id="pl.197.18"></a><var>197.18</var>as described in subdivision 1d, paragraph (a), until the first day of the state fiscal year in <br/>
<a id="pl.197.19"></a><var>197.19</var>which the resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> for nursing home <br/>
<a id="pl.197.20"></a><var>197.20</var>rate determination is implemented. Effective on the first day of the state fiscal year in <br/>
<a id="pl.197.21"></a><var>197.21</var>which the resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> for nursing home <br/>
<a id="pl.197.22"></a><var>197.22</var>rate determination is implemented and the first day of each subsequent state fiscal year, the <br/>
<a id="pl.197.23"></a><var>197.23</var>monthly limit for the cost of waivered services to an individual elderly waiver client shall <br/>
<a id="pl.197.24"></a><var>197.24</var>be the rate of the case mix resident class to which the waiver client would be assigned <br/>
<a id="pl.197.25"></a><var>197.25</var>under Minnesota Rules, parts 9549.0050 to 9549.0059, in effect on the last day of the <br/>
<a id="pl.197.26"></a><var>197.26</var>previous state fiscal year, adjusted by the greater of any legislatively adopted home and <br/>
<a id="pl.197.27"></a><var>197.27</var>community-based services percentage rate increase or the average statewide percentage <br/>
<a id="pl.197.28"></a><var>197.28</var>increase in nursing facility payment rates adjustment.<br/>
<a id="pl.197.29"></a><var>197.29</var>    (b) The monthly limit for the cost of waivered services to an individual elderly <br/>
<a id="pl.197.30"></a><var>197.30</var>waiver client assigned to a case mix classification A under paragraph (a) with:<br/>
<a id="pl.197.31"></a><var>197.31</var>(1) no dependencies in activities of daily living,; or<br/>
<a id="pl.197.32"></a><var>197.32</var>(2) only one dependency up to two dependencies in bathing, dressing, grooming, or <br/>
<a id="pl.197.33"></a><var>197.33</var>walking, or (3) a dependency score of less than three if eating is the only dependency, <br/>
<a id="pl.197.34"></a><var>197.34</var>and eating when the dependency score in eating is three or greater as determined by an <br/>
<a id="pl.197.35"></a><var>197.35</var>assessment performed under section 256B.0911<br/>
<a id="pl.198.1"></a><var>198.1</var> shall be the lower of the case mix classification amount for case mix A as determined <br/>
<a id="pl.198.2"></a><var>198.2</var>under paragraph (a) or the case mix classification amount for case mix A $1,750 per <br/>
<a id="pl.198.3"></a><var>198.3</var>month effective on October July 1, 2008 2011, per month for all new participants enrolled <br/>
<a id="pl.198.4"></a><var>198.4</var>in the program on or after July 1, 2009 2011. This monthly limit shall be applied to all <br/>
<a id="pl.198.5"></a><var>198.5</var>other participants who meet this criteria at reassessment. This monthly limit shall be <br/>
<a id="pl.198.6"></a><var>198.6</var>increased annually as described in paragraph (a).<br/>
<a id="pl.198.7"></a><var>198.7</var>(c) If extended medical supplies and equipment or environmental modifications are <br/>
<a id="pl.198.8"></a><var>198.8</var>or will be purchased for an elderly waiver client, the costs may be prorated for up to <br/>
<a id="pl.198.9"></a><var>198.9</var>12 consecutive months beginning with the month of purchase. If the monthly cost of a <br/>
<a id="pl.198.10"></a><var>198.10</var>recipient's waivered services exceeds the monthly limit established in paragraph (a) or <br/>
<a id="pl.198.11"></a><var>198.11</var>(b), the annual cost of all waivered services shall be determined. In this event, the annual <br/>
<a id="pl.198.12"></a><var>198.12</var>cost of all waivered services shall not exceed 12 times the monthly limit of waivered <br/>
<a id="pl.198.13"></a><var>198.13</var>services as described in paragraph (a) or (b).<br/>
<br/>
<a id="bill.6.15.0"></a><a id="pl.198.14"></a><var>198.14</var>    Sec. 15. Minnesota Statutes 2010, section 256B.0915, subdivision 3b, is amended to <br/>
<a id="pl.198.15"></a><var>198.15</var>read:<br/>
<a id="pl.198.16"></a><var>198.16</var>    Subd. 3b. <b>Cost limits for elderly waiver applicants who reside in a nursing </b><br/>
<a id="pl.198.17"></a><var>198.17</var><b>facility.</b> (a) For a person who is a nursing facility resident at the time of requesting a <br/>
<a id="pl.198.18"></a><var>198.18</var>determination of eligibility for elderly waivered services, a monthly conversion budget <br/>
<a id="pl.198.19"></a><var>198.19</var>limit for the cost of elderly waivered services may be requested. The monthly conversion <br/>
<a id="pl.198.20"></a><var>198.20</var>budget limit for the cost of elderly waiver services shall be the resident class assigned <br/>
<a id="pl.198.21"></a><var>198.21</var>under Minnesota Rules, parts 9549.0050 to 9549.0059, for that resident in the nursing <br/>
<a id="pl.198.22"></a><var>198.22</var>facility where the resident currently resides until July 1 of the state fiscal year in which <br/>
<a id="pl.198.23"></a><var>198.23</var>the resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> for nursing home rate <br/>
<a id="pl.198.24"></a><var>198.24</var>determination is implemented. Effective on July 1 of the state fiscal year in which the <br/>
<a id="pl.198.25"></a><var>198.25</var>resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> for nursing home rate <br/>
<a id="pl.198.26"></a><var>198.26</var>determination is implemented, the monthly conversion budget limit for the cost of elderly <br/>
<a id="pl.198.27"></a><var>198.27</var>waiver services shall be based on the per diem nursing facility rate as determined by the <br/>
<a id="pl.198.28"></a><var>198.28</var>resident assessment system as described in section 
         <statute_ref>256B.438</statute_ref> for that resident residents <br/>
<a id="pl.198.29"></a><var>198.29</var>in the nursing facility where the resident elderly waiver applicant currently resides <br/>
<a id="pl.198.30"></a><var>198.30</var>multiplied. The monthly conversion budget limit shall be calculated by multiplying the <br/>
<a id="pl.198.31"></a><var>198.31</var>per diem by 365 and,  divided by 12, less and reduced by  the recipient's maintenance needs <br/>
<a id="pl.198.32"></a><var>198.32</var>allowance as described in subdivision 1d. The initially approved monthly conversion rate <br/>
<a id="pl.198.33"></a><var>198.33</var>may budget limit shall be adjusted by the greater of any subsequent legislatively adopted <br/>
<a id="pl.198.34"></a><var>198.34</var>home and community-based services percentage rate increase or the average statewide <br/>
<a id="pl.198.35"></a><var>198.35</var>percentage increase in nursing facility payment rates annually as described in subdivision <br/>
<a id="pl.199.1"></a><var>199.1</var>3a, paragraph (a). The limit under this subdivision only applies to persons discharged from <br/>
<a id="pl.199.2"></a><var>199.2</var>a nursing facility after a minimum 30-day stay and found eligible for waivered services <br/>
<a id="pl.199.3"></a><var>199.3</var>on or after July 1, 1997. For conversions from the nursing home to the elderly waiver <br/>
<a id="pl.199.4"></a><var>199.4</var>with consumer directed community support services, the conversion rate limit is equal to <br/>
<a id="pl.199.5"></a><var>199.5</var>the nursing facility rate per diem used to calculate the monthly conversion budget limit <br/>
<a id="pl.199.6"></a><var>199.6</var>must be reduced by a percentage equal to the percentage difference between the consumer <br/>
<a id="pl.199.7"></a><var>199.7</var>directed services budget limit that would be assigned according to the federally approved <br/>
<a id="pl.199.8"></a><var>199.8</var>waiver plan and the corresponding community case mix cap, but not to exceed 50 percent.<br/>
<a id="pl.199.9"></a><var>199.9</var>    (b) The following costs must be included in determining the total monthly costs <br/>
<a id="pl.199.10"></a><var>199.10</var>for the waiver client:<br/>
<a id="pl.199.11"></a><var>199.11</var>    (1) cost of all waivered services, including extended medical specialized supplies <br/>
<a id="pl.199.12"></a><var>199.12</var>and equipment and environmental modifications and accessibility adaptations; and<br/>
<a id="pl.199.13"></a><var>199.13</var>    (2) cost of skilled nursing, home health aide, and personal care services reimbursable <br/>
<a id="pl.199.14"></a><var>199.14</var>by medical assistance.<br/>
<br/>
<a id="bill.6.16.0"></a><a id="pl.199.15"></a><var>199.15</var>    Sec. 16. Minnesota Statutes 2010, section 256B.0915, subdivision 3e, is amended to <br/>
<a id="pl.199.16"></a><var>199.16</var>read:<br/>
<a id="pl.199.17"></a><var>199.17</var>    Subd. 3e. <b>Customized living service rate.</b> (a) Payment for customized living <br/>
<a id="pl.199.18"></a><var>199.18</var>services shall be a monthly rate authorized by the lead agency within the parameters <br/>
<a id="pl.199.19"></a><var>199.19</var>established by the commissioner. The payment agreement must delineate the amount of <br/>
<a id="pl.199.20"></a><var>199.20</var>each component service included in the recipient's customized living service plan. The <br/>
<a id="pl.199.21"></a><var>199.21</var>lead agency shall ensure that there is a documented need within the parameters established <br/>
<a id="pl.199.22"></a><var>199.22</var>by the commissioner for all component customized living services authorized.<br/>
<a id="pl.199.23"></a><var>199.23</var>(b) The payment rate must be based on the amount of component services to be <br/>
<a id="pl.199.24"></a><var>199.24</var>provided utilizing component rates established by the commissioner. Counties and tribes <br/>
<a id="pl.199.25"></a><var>199.25</var>shall use tools issued by the commissioner to develop and document customized living <br/>
<a id="pl.199.26"></a><var>199.26</var>service plans and rates.<br/>
<a id="pl.199.27"></a><var>199.27</var>(c) Component service rates must not exceed payment rates for comparable elderly <br/>
<a id="pl.199.28"></a><var>199.28</var>waiver or medical assistance services and must reflect economies of scale. Customized <br/>
<a id="pl.199.29"></a><var>199.29</var>living services must not include rent or raw food costs.<br/>
<a id="pl.199.30"></a><var>199.30</var>    (d) With the exception of individuals described in subdivision 3a, paragraph (b), the <br/>
<a id="pl.199.31"></a><var>199.31</var>individualized monthly authorized payment for the customized living service plan shall <br/>
<a id="pl.199.32"></a><var>199.32</var>not exceed 50 percent of the greater of either the statewide or any of the geographic <br/>
<a id="pl.199.33"></a><var>199.33</var>groups' weighted average monthly nursing facility rate of the case mix resident class <br/>
<a id="pl.199.34"></a><var>199.34</var>to which the elderly waiver eligible client would be assigned under Minnesota Rules, <br/>
<a id="pl.199.35"></a><var>199.35</var>parts 9549.0050 to 9549.0059, less the maintenance needs allowance as described <br/>
<a id="pl.200.1"></a><var>200.1</var>in subdivision 1d, paragraph (a), until the July 1 of the state fiscal year in which the <br/>
<a id="pl.200.2"></a><var>200.2</var>resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for nursing home rate <br/>
<a id="pl.200.3"></a><var>200.3</var>determination is implemented. Effective on July 1 of the state fiscal year in which <br/>
<a id="pl.200.4"></a><var>200.4</var>the resident assessment system as described in section 
         <statute_ref>256B.438 </statute_ref>for nursing home <br/>
<a id="pl.200.5"></a><var>200.5</var>rate determination is implemented and July 1 of each subsequent state fiscal year, the <br/>
<a id="pl.200.6"></a><var>200.6</var>individualized monthly authorized payment for the services described in this clause shall <br/>
<a id="pl.200.7"></a><var>200.7</var>not exceed the limit which was in effect on June 30 of the previous state fiscal year <br/>
<a id="pl.200.8"></a><var>200.8</var>updated annually based on legislatively adopted changes to all service rate maximums for <br/>
<a id="pl.200.9"></a><var>200.9</var>home and community-based service providers.<br/>
<a id="pl.200.10"></a><var>200.10</var>(e) Effective July 1, 2011, the individualized monthly payment for the customized <br/>
<a id="pl.200.11"></a><var>200.11</var>living service plan for individuals described in subdivision 3a, paragraph (b), must be the <br/>
<a id="pl.200.12"></a><var>200.12</var>monthly authorized payment limit for customized living for individuals classified as case <br/>
<a id="pl.200.13"></a><var>200.13</var>mix A, reduced by 25 percent. This rate limit must be applied to all new participants <br/>
<a id="pl.200.14"></a><var>200.14</var>enrolled in the program on or after July 1, 2011, who meet the criteria described in <br/>
<a id="pl.200.15"></a><var>200.15</var>subdivision 3a, paragraph (b). This monthly limit also applies to all other participants who <br/>
<a id="pl.200.16"></a><var>200.16</var>meet the criteria described in subdivision 3a, paragraph (b), at reassessment.<br/>
<a id="pl.200.17"></a><var>200.17</var>    (e) (f) Customized living services are delivered by a provider licensed by the <br/>
<a id="pl.200.18"></a><var>200.18</var>Department of Health as a class A or class F home care provider and provided in a <br/>
<a id="pl.200.19"></a><var>200.19</var>building that is registered as a housing with services establishment under chapter 144D. <br/>
<a id="pl.200.20"></a><var>200.20</var>Licensed home care providers are subject to section 256B.0651, subdivision 14.<br/>
<a id="pl.200.21"></a><var>200.21</var>(g) A provider may not bill or otherwise charge an elderly waiver participant or their <br/>
<a id="pl.200.22"></a><var>200.22</var>family for additional units of any allowable component service beyond those available <br/>
<a id="pl.200.23"></a><var>200.23</var>under the service rate limits described in paragraph (d), nor for additional units of any <br/>
<a id="pl.200.24"></a><var>200.24</var>allowable component service beyond those approved in the service plan by the lead agency.<br/>
<br/>
<a id="bill.6.17.0"></a><a id="pl.200.25"></a><var>200.25</var>    Sec. 17. Minnesota Statutes 2010, section 256B.0915, subdivision 3h, is amended to <br/>
<a id="pl.200.26"></a><var>200.26</var>read:<br/>
<a id="pl.200.27"></a><var>200.27</var>    Subd. 3h. <b>Service rate limits; 24-hour customized living services.</b> (a) The <br/>
<a id="pl.200.28"></a><var>200.28</var>payment rate for 24-hour customized living services is a monthly rate authorized by the <br/>
<a id="pl.200.29"></a><var>200.29</var>lead agency within the parameters established by the commissioner of human services. <br/>
<a id="pl.200.30"></a><var>200.30</var>The payment agreement must delineate the amount of each component service included in <br/>
<a id="pl.200.31"></a><var>200.31</var>each recipient's customized living service plan. The lead agency shall ensure that there is a <br/>
<a id="pl.200.32"></a><var>200.32</var>documented need within the parameters established by the commissioner for all component <br/>
<a id="pl.200.33"></a><var>200.33</var>customized living services authorized. The lead agency shall not authorize 24-hour <br/>
<a id="pl.200.34"></a><var>200.34</var>customized living services unless there is a documented need for 24-hour supervision.<br/>
<a id="pl.201.1"></a><var>201.1</var>(b) For purposes of this section, "24-hour supervision" means that the recipient <br/>
<a id="pl.201.2"></a><var>201.2</var>requires assistance due to needs related to one or more of the following:<br/>
<a id="pl.201.3"></a><var>201.3</var>    (1) intermittent assistance with toileting, positioning, or transferring;<br/>
<a id="pl.201.4"></a><var>201.4</var>    (2) cognitive or behavioral issues;<br/>
<a id="pl.201.5"></a><var>201.5</var>    (3) a medical condition that requires clinical monitoring; or<br/>
<a id="pl.201.6"></a><var>201.6</var>    (4) for all new participants enrolled in the program on or after January July 1, 2011, <br/>
<a id="pl.201.7"></a><var>201.7</var>and all other participants at their first reassessment after January July 1, 2011, dependency <br/>
<a id="pl.201.8"></a><var>201.8</var>in at least two three of the following activities of daily living as determined by assessment <br/>
<a id="pl.201.9"></a><var>201.9</var>under section 
         <statute_ref>256B.0911</statute_ref>: bathing; dressing; grooming; walking; or eating when the <br/>
<a id="pl.201.10"></a><var>201.10</var>dependency score in eating is three or greater; and needs medication management and at <br/>
<a id="pl.201.11"></a><var>201.11</var>least 50 hours of service per month. The lead agency shall ensure that the frequency and <br/>
<a id="pl.201.12"></a><var>201.12</var>mode of supervision of the recipient and the qualifications of staff providing supervision <br/>
<a id="pl.201.13"></a><var>201.13</var>are described and meet the needs of the recipient.<br/>
<a id="pl.201.14"></a><var>201.14</var>(c) The payment rate for 24-hour customized living services must be based on the <br/>
<a id="pl.201.15"></a><var>201.15</var>amount of component services to be provided utilizing component rates established by the <br/>
<a id="pl.201.16"></a><var>201.16</var>commissioner. Counties and tribes will use tools issued by the commissioner to develop <br/>
<a id="pl.201.17"></a><var>201.17</var>and document customized living plans and authorize rates.<br/>
<a id="pl.201.18"></a><var>201.18</var>(d) Component service rates must not exceed payment rates for comparable elderly <br/>
<a id="pl.201.19"></a><var>201.19</var>waiver or medical assistance services and must reflect economies of scale.<br/>
<a id="pl.201.20"></a><var>201.20</var>(e) The individually authorized 24-hour customized living payments, in combination <br/>
<a id="pl.201.21"></a><var>201.21</var>with the payment for other elderly waiver services, including case management, must not <br/>
<a id="pl.201.22"></a><var>201.22</var>exceed the recipient's community budget cap specified in subdivision 3a. Customized <br/>
<a id="pl.201.23"></a><var>201.23</var>living services must not include rent or raw food costs.<br/>
<a id="pl.201.24"></a><var>201.24</var>(f) The individually authorized 24-hour customized living payment rates shall not <br/>
<a id="pl.201.25"></a><var>201.25</var>exceed the 95 percentile of statewide monthly authorizations for 24-hour customized <br/>
<a id="pl.201.26"></a><var>201.26</var>living services in effect and in the Medicaid management information systems on March <br/>
<a id="pl.201.27"></a><var>201.27</var>31, 2009, for each case mix resident class under Minnesota Rules, parts 9549.0050 <br/>
<a id="pl.201.28"></a><var>201.28</var>to 9549.0059, to which elderly waiver service clients are assigned. When there are <br/>
<a id="pl.201.29"></a><var>201.29</var>fewer than 50 authorizations in effect in the case mix resident class, the commissioner <br/>
<a id="pl.201.30"></a><var>201.30</var>shall multiply the calculated service payment rate maximum for the A classification by <br/>
<a id="pl.201.31"></a><var>201.31</var>the standard weight for that classification under Minnesota Rules, parts 9549.0050 to <br/>
<a id="pl.201.32"></a><var>201.32</var>9549.0059, to determine the applicable payment rate maximum. Service payment rate <br/>
<a id="pl.201.33"></a><var>201.33</var>maximums shall be updated annually based on legislatively adopted changes to all service <br/>
<a id="pl.201.34"></a><var>201.34</var>rates for home and community-based service providers.<br/>
<a id="pl.201.35"></a><var>201.35</var>    (g) Notwithstanding the requirements of paragraphs (d) and (f), the commissioner <br/>
<a id="pl.201.36"></a><var>201.36</var>may establish alternative payment rate systems for 24-hour customized living services in <br/>
<a id="pl.202.1"></a><var>202.1</var>housing with services establishments which are freestanding buildings with a capacity of <br/>
<a id="pl.202.2"></a><var>202.2</var>16 or fewer, by applying a single hourly rate for covered component services provided <br/>
<a id="pl.202.3"></a><var>202.3</var>in either:<br/>
<a id="pl.202.4"></a><var>202.4</var>    (1) licensed corporate adult foster homes; or<br/>
<a id="pl.202.5"></a><var>202.5</var>    (2) specialized dementia care units which meet the requirements of section 
         <statute_ref>144D.065 <br/>
</statute_ref><a id="pl.202.6"></a><var>202.6</var>and in which:<br/>
<a id="pl.202.7"></a><var>202.7</var>    (i) each resident is offered the option of having their own apartment; or<br/>
<a id="pl.202.8"></a><var>202.8</var>    (ii) the units are licensed as board and lodge establishments with maximum capacity <br/>
<a id="pl.202.9"></a><var>202.9</var>of eight residents, and which meet the requirements of Minnesota Rules, part 9555.6205, <br/>
<a id="pl.202.10"></a><var>202.10</var>subparts 1, 2, 3, and 4, item A.<br/>
<a id="pl.202.11"></a><var>202.11</var>(h) A provider may not bill or otherwise charge an elderly waiver participant or their <br/>
<a id="pl.202.12"></a><var>202.12</var>family for additional units of any allowable component service beyond those available <br/>
<a id="pl.202.13"></a><var>202.13</var>under the service rate limits described in paragraph (e), nor for additional units of any <br/>
<a id="pl.202.14"></a><var>202.14</var>allowable component service beyond those approved in the service plan by the lead agency.<br/>
<br/>
<a id="bill.6.18.0"></a><a id="pl.202.15"></a><var>202.15</var>    Sec. 18. Minnesota Statutes 2010, section 256B.0915, subdivision 10, is amended to <br/>
<a id="pl.202.16"></a><var>202.16</var>read:<br/>
<a id="pl.202.17"></a><var>202.17</var>    Subd. 10. <b>Waiver payment rates; managed care organizations.</b> The <br/>
<a id="pl.202.18"></a><var>202.18</var>commissioner shall adjust the elderly waiver capitation payment rates for managed care <br/>
<a id="pl.202.19"></a><var>202.19</var>organizations paid under section 
         <statute_ref>256B.69, subdivisions 6a</statute_ref> and 23, to reflect the maximum <br/>
<a id="pl.202.20"></a><var>202.20</var>service rate limits for customized living services and 24-hour customized living services <br/>
<a id="pl.202.21"></a><var>202.21</var>under subdivisions 3e and 3h for the contract period beginning October 1, 2009. Medical <br/>
<a id="pl.202.22"></a><var>202.22</var>assistance rates paid to customized living providers by managed care organizations under <br/>
<a id="pl.202.23"></a><var>202.23</var>this section shall not exceed the maximum service rate limits and component rates as <br/>
<a id="pl.202.24"></a><var>202.24</var>determined by the commissioner under subdivisions 3e and 3h.<br/>
<br/>
<a id="bill.6.19.0"></a><a id="pl.202.25"></a><var>202.25</var>    Sec. 19. Minnesota Statutes 2010, section 256B.0916, subdivision 6a, is amended to <br/>
<a id="pl.202.26"></a><var>202.26</var>read:<br/>
<a id="pl.202.27"></a><var>202.27</var>    Subd. 6a. <b>Statewide availability of </b><b>consumer-directed community</b><b> self-directed </b><br/>
<a id="pl.202.28"></a><var>202.28</var><b> support services.</b> (a) The commissioner shall submit to the federal Health Care Financing <br/>
<a id="pl.202.29"></a><var>202.29</var>Administration by August 1, 2001, an amendment to the home and community-based <br/>
<a id="pl.202.30"></a><var>202.30</var>waiver for persons with developmental disabilities under section 256B.092 and by April 1, <br/>
<a id="pl.202.31"></a><var>202.31</var>2005, for waivers under sections 256B.0915 and 256B.49,  to make consumer-directed <br/>
<a id="pl.202.32"></a><var>202.32</var>community  self-directed support services available in every county of the state by January <br/>
<a id="pl.202.33"></a><var>202.33</var>1, 2002.<br/>
<a id="pl.203.1"></a><var>203.1</var>(b) Until the waiver amendment for self-directed community supports is effective, if <br/>
<a id="pl.203.2"></a><var>203.2</var>a county declines to meet the requirements for provision of consumer-directed community <br/>
<a id="pl.203.3"></a><var>203.3</var>self-directed supports, the commissioner shall contract with another county, a group of <br/>
<a id="pl.203.4"></a><var>203.4</var>counties, or a private agency to plan for and administer consumer-directed community <br/>
<a id="pl.203.5"></a><var>203.5</var>self-directed  supports in that county.<br/>
<a id="pl.203.6"></a><var>203.6</var>(c) The state of Minnesota, county agencies, tribal governments, or administrative <br/>
<a id="pl.203.7"></a><var>203.7</var>entities under contract to participate in the implementation and administration of the home <br/>
<a id="pl.203.8"></a><var>203.8</var>and community-based waiver for persons with developmental disabilities, shall not be <br/>
<a id="pl.203.9"></a><var>203.9</var>liable for damages, injuries, or liabilities sustained through the purchase of support by the <br/>
<a id="pl.203.10"></a><var>203.10</var>individual, the individual's family, legal representative, or the authorized representative <br/>
<a id="pl.203.11"></a><var>203.11</var>with funds received through the consumer-directed community self-directed support <br/>
<a id="pl.203.12"></a><var>203.12</var>service under this section. Liabilities include but are not limited to: workers' compensation <br/>
<a id="pl.203.13"></a><var>203.13</var>liability, the Federal Insurance Contributions Act (FICA), or the Federal Unemployment <br/>
<a id="pl.203.14"></a><var>203.14</var>Tax Act (FUTA).<br/>
<a id="pl.203.15"></a><var>203.15</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.6.20.0"></a><a id="pl.203.16"></a><var>203.16</var>    Sec. 20. Minnesota Statutes 2010, section 256B.092, subdivision 1b, is amended to <br/>
<a id="pl.203.17"></a><var>203.17</var>read:<br/>
<a id="pl.203.18"></a><var>203.18</var>    Subd. 1b. <b>Individual service</b><b> Coordinated services and support</b><b> plan.</b> The <br/>
<a id="pl.203.19"></a><var>203.19</var>individual service Each recipient of case management services and any legal representative <br/>
<a id="pl.203.20"></a><var>203.20</var>shall be provided a written copy of the coordinated services and support plan must, which:<br/>
<a id="pl.203.21"></a><var>203.21</var>(1) include is developed within ten working days after the case manager receives the <br/>
<a id="pl.203.22"></a><var>203.22</var>community support plan from the certified assessor under section 256B.0911;<br/>
<a id="pl.203.23"></a><var>203.23</var>(2) includes the results of the assessment information on the person's need for <br/>
<a id="pl.203.24"></a><var>203.24</var>service, including identification of service needs that will be or that are met by the person's <br/>
<a id="pl.203.25"></a><var>203.25</var>relatives, friends, and others, as well as community services used by the general public;<br/>
<a id="pl.203.26"></a><var>203.26</var>(3) reasonably assures the health, safety, and welfare of the recipient;<br/>
<a id="pl.203.27"></a><var>203.27</var>(2) identify (4) identifies the person's preferences for services as stated by the person, <br/>
<a id="pl.203.28"></a><var>203.28</var>the person's legal guardian or conservator, or the parent if the person is a minor;<br/>
<a id="pl.203.29"></a><var>203.29</var>(5) provides for an informed choice, as defined in section 256B.77, subdivision 2, <br/>
<a id="pl.203.30"></a><var>203.30</var>paragraph (o), of service and support providers;<br/>
<a id="pl.203.31"></a><var>203.31</var>(3) identify (6) identifies long- and short-range goals for the person;<br/>
<a id="pl.203.32"></a><var>203.32</var>(4) identify (7) identifies specific services and the amount and frequency of the <br/>
<a id="pl.203.33"></a><var>203.33</var>services to be provided to the person based on assessed needs, preferences, and available <br/>
<a id="pl.203.34"></a><var>203.34</var>resources. The individual service plan shall also specify other services the person needs <br/>
<a id="pl.203.35"></a><var>203.35</var>that are not available, and other services the person needs that are not available. The <br/>
<a id="pl.204.1"></a><var>204.1</var>individual coordinated services and support plan shall also specify service outcomes and <br/>
<a id="pl.204.2"></a><var>204.2</var>the provider's responsibility to monitor the achievement of the service outcomes;<br/>
<a id="pl.204.3"></a><var>204.3</var>(5) identify (8) identifies the need for an individual program individual's provider <br/>
<a id="pl.204.4"></a><var>204.4</var>plan to be developed by the provider according to the respective state and federal licensing <br/>
<a id="pl.204.5"></a><var>204.5</var>and certification standards, and additional assessments to be completed or arranged by the <br/>
<a id="pl.204.6"></a><var>204.6</var>provider after service initiation;<br/>
<a id="pl.204.7"></a><var>204.7</var>(6) identify (9) identifies provider responsibilities to implement and make <br/>
<a id="pl.204.8"></a><var>204.8</var>recommendations for modification to the individual service coordinated services and <br/>
<a id="pl.204.9"></a><var>204.9</var>support  plan;<br/>
<a id="pl.204.10"></a><var>204.10</var>(7) include (10) includes notice of the right to have assessments completed and <br/>
<a id="pl.204.11"></a><var>204.11</var>service plans developed within specified time periods, the right to appeal action or <br/>
<a id="pl.204.12"></a><var>204.12</var>inaction, and the right to request a conciliation conference or a hearing an appeal under <br/>
<a id="pl.204.13"></a><var>204.13</var>section 
         <statute_ref>256.045</statute_ref>;<br/>
<a id="pl.204.14"></a><var>204.14</var>(8) be (11) is agreed upon and signed by the person, the person's legal guardian <br/>
<a id="pl.204.15"></a><var>204.15</var>or conservator, or the parent if the person is a minor, and the authorized county <br/>
<a id="pl.204.16"></a><var>204.16</var>representative; and<br/>
<a id="pl.204.17"></a><var>204.17</var>(9) be (12) is reviewed by a health professional if the person has overriding medical <br/>
<a id="pl.204.18"></a><var>204.18</var>needs that impact the delivery of services.<br/>
<a id="pl.204.19"></a><var>204.19</var>Service planning formats developed for interagency planning such as transition, <br/>
<a id="pl.204.20"></a><var>204.20</var>vocational, and individual family service plans may be substituted for service planning <br/>
<a id="pl.204.21"></a><var>204.21</var>formats developed by county agencies.<br/>
<a id="pl.204.22"></a><var>204.22</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2013.<br/>
<br/>
<a id="bill.6.21.0"></a><a id="pl.204.23"></a><var>204.23</var>    Sec. 21. Minnesota Statutes 2010, section 256B.092, subdivision 1e, is amended to <br/>
<a id="pl.204.24"></a><var>204.24</var>read:<br/>
<a id="pl.204.25"></a><var>204.25</var>    Subd. 1e. <b>Case management service monitoring, </b><b>coordination, </b><b>and </b><b>evaluation</b><b>, </b><br/>
<a id="pl.204.26"></a><var>204.26</var><b>and monitoring of services</b><b> duties</b><b>.</b> (a) If the individual service coordinated services and <br/>
<a id="pl.204.27"></a><var>204.27</var>support  plan identifies the need for individual program provider plans for authorized <br/>
<a id="pl.204.28"></a><var>204.28</var>services, the case manager management service provider shall assure that individual <br/>
<a id="pl.204.29"></a><var>204.29</var>program the individual provider plans are developed by the providers according to clauses <br/>
<a id="pl.204.30"></a><var>204.30</var>(2) to (5). The providers shall assure that the individual program provider plans:<br/>
<a id="pl.204.31"></a><var>204.31</var>(1) are developed according to the respective state and federal licensing and <br/>
<a id="pl.204.32"></a><var>204.32</var>certification requirements;<br/>
<a id="pl.204.33"></a><var>204.33</var>(2) are designed to achieve the goals of the individual service plan;<br/>
<a id="pl.204.34"></a><var>204.34</var>(3) are consistent with other aspects of the individual service coordinated services <br/>
<a id="pl.204.35"></a><var>204.35</var>and support plan;<br/>
<a id="pl.205.1"></a><var>205.1</var>(4) assure the health and safety of the person; and<br/>
<a id="pl.205.2"></a><var>205.2</var>(5) are developed with consistent and coordinated approaches to services and service <br/>
<a id="pl.205.3"></a><var>205.3</var>outcomes among the various service providers.<br/>
<a id="pl.205.4"></a><var>205.4</var>(b) The case manager management service provider shall monitor the provision of <br/>
<a id="pl.205.5"></a><var>205.5</var>services:<br/>
<a id="pl.205.6"></a><var>205.6</var>(1) to assure that the individual service coordinated services and support plan is <br/>
<a id="pl.205.7"></a><var>205.7</var>being followed according to paragraph (a);<br/>
<a id="pl.205.8"></a><var>205.8</var>(2) to identify any changes or modifications that might be needed in the individual <br/>
<a id="pl.205.9"></a><var>205.9</var>service coordinated services and support plan, including changes resulting from <br/>
<a id="pl.205.10"></a><var>205.10</var>recommendations of current service providers;<br/>
<a id="pl.205.11"></a><var>205.11</var>(3) to determine if the person's legal rights are protected, and if not, notify the <br/>
<a id="pl.205.12"></a><var>205.12</var>person's legal guardian or conservator, or the parent if the person is a minor, protection <br/>
<a id="pl.205.13"></a><var>205.13</var>services, or licensing agencies as appropriate; and<br/>
<a id="pl.205.14"></a><var>205.14</var>(4) to determine if the person, the person's legal guardian or conservator, or the <br/>
<a id="pl.205.15"></a><var>205.15</var>parent if the person is a minor, is satisfied with the services provided.<br/>
<a id="pl.205.16"></a><var>205.16</var>(c) If the provider fails to develop or carry out the individual program provider plan <br/>
<a id="pl.205.17"></a><var>205.17</var>according to paragraph (a), the case manager shall notify the person's legal guardian or <br/>
<a id="pl.205.18"></a><var>205.18</var>conservator, or the parent if the person is a minor, the provider, the respective licensing <br/>
<a id="pl.205.19"></a><var>205.19</var>and certification agencies, and the county board where the services are being provided. In <br/>
<a id="pl.205.20"></a><var>205.20</var>addition, the case manager shall identify other steps needed to assure the person receives <br/>
<a id="pl.205.21"></a><var>205.21</var>the services identified in the individual service coordinated services and support plan.<br/>
<a id="pl.205.22"></a><var>205.22</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.22.0"></a><a id="pl.205.23"></a><var>205.23</var>    Sec. 22. Minnesota Statutes 2010, section 256B.092, subdivision 1g, is amended to <br/>
<a id="pl.205.24"></a><var>205.24</var>read:<br/>
<a id="pl.205.25"></a><var>205.25</var>    Subd. 1g. <b>Conditions not requiring development of </b><b>individual service</b><b> a </b><br/>
<a id="pl.205.26"></a><var>205.26</var><b>coordinated services and support</b><b> plan.</b> Unless otherwise required by federal law, the <br/>
<a id="pl.205.27"></a><var>205.27</var>county agency is not required to complete an individual service a coordinated services and <br/>
<a id="pl.205.28"></a><var>205.28</var>support plan as defined in subdivision 1b for:<br/>
<a id="pl.205.29"></a><var>205.29</var>(1) persons whose families are requesting respite care for their family member who <br/>
<a id="pl.205.30"></a><var>205.30</var>resides with them, or whose families are requesting a family support grant and are not <br/>
<a id="pl.205.31"></a><var>205.31</var>requesting purchase or arrangement of habilitative services; and<br/>
<a id="pl.205.32"></a><var>205.32</var>(2) persons with developmental disabilities, living independently without authorized <br/>
<a id="pl.205.33"></a><var>205.33</var>services or receiving funding for services at a rehabilitation facility as defined in section <br/>
<statute_ref><a id="pl.205.34"></a><var>205.34</var>268A.01, subdivision 6
         </statute_ref>, and not in need of or requesting additional services.<br/>
<a id="pl.206.1"></a><var>206.1</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.23.0"></a><a id="pl.206.2"></a><var>206.2</var>    Sec. 23. Minnesota Statutes 2010, section 256B.092, subdivision 3, is amended to read:<br/>
<a id="pl.206.3"></a><var>206.3</var>    Subd. 3. <b>Authorization and termination of services.</b> County agency case managers <br/>
<a id="pl.206.4"></a><var>206.4</var>Lead agencies, under rules of the commissioner, shall authorize and terminate services <br/>
<a id="pl.206.5"></a><var>206.5</var>of community and regional treatment center providers according to individual service <br/>
<a id="pl.206.6"></a><var>206.6</var>coordinated services and support plans. Services provided to persons with developmental <br/>
<a id="pl.206.7"></a><var>206.7</var>disabilities may only be authorized and terminated by case managers according to (1) <br/>
<a id="pl.206.8"></a><var>206.8</var>rules of the commissioner and (2) the individual service coordinated services and support <br/>
<a id="pl.206.9"></a><var>206.9</var>plan as defined in subdivision 1b. Medical assistance services not needed shall not be <br/>
<a id="pl.206.10"></a><var>206.10</var>authorized by county lead agencies or funded by the commissioner. When purchasing or <br/>
<a id="pl.206.11"></a><var>206.11</var>arranging for unlicensed respite care services for persons with overriding health needs, the <br/>
<a id="pl.206.12"></a><var>206.12</var>county agency shall seek the advice of a health care professional in assessing provider <br/>
<a id="pl.206.13"></a><var>206.13</var>staff training needs and skills necessary to meet the medical needs of the person.<br/>
<a id="pl.206.14"></a><var>206.14</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.24.0"></a><a id="pl.206.15"></a><var>206.15</var>    Sec. 24. Minnesota Statutes 2010, section 256B.092, subdivision 8, is amended to read:<br/>
<a id="pl.206.16"></a><var>206.16</var>    Subd. 8. <b>Screening team</b><b> </b><b>Additional certified assessor </b><b>duties.</b> The screening team <br/>
<a id="pl.206.17"></a><var>206.17</var>certified assessor shall:<br/>
<a id="pl.206.18"></a><var>206.18</var>(1) review diagnostic data;<br/>
<a id="pl.206.19"></a><var>206.19</var>(2) review health, social, and developmental assessment data using a uniform <br/>
<a id="pl.206.20"></a><var>206.20</var>screening comprehensive assessment tool specified by the commissioner;<br/>
<a id="pl.206.21"></a><var>206.21</var>(3) identify the level of services appropriate to maintain the person in the most <br/>
<a id="pl.206.22"></a><var>206.22</var>normal and least restrictive setting that is consistent with the person's treatment needs;<br/>
<a id="pl.206.23"></a><var>206.23</var>(4) identify other noninstitutional public assistance or social service that may prevent <br/>
<a id="pl.206.24"></a><var>206.24</var>or delay long-term residential placement;<br/>
<a id="pl.206.25"></a><var>206.25</var>(5) assess whether a person is in need of long-term residential care;<br/>
<a id="pl.206.26"></a><var>206.26</var>(6) make recommendations regarding placement services and payment for: (i) social <br/>
<a id="pl.206.27"></a><var>206.27</var>service or public assistance support, or both, to maintain a person in the person's own home <br/>
<a id="pl.206.28"></a><var>206.28</var>or other place of residence; (ii) training and habilitation service, vocational rehabilitation, <br/>
<a id="pl.206.29"></a><var>206.29</var>and employment training activities; (iii) community residential placement services; (iv) <br/>
<a id="pl.206.30"></a><var>206.30</var>regional treatment center placement; or (v) (iv)  a home and community-based service <br/>
<a id="pl.206.31"></a><var>206.31</var>alternative to community residential placement or regional treatment center placement;<br/>
<a id="pl.206.32"></a><var>206.32</var>(7) evaluate the availability, location, and quality of the services listed in clause <br/>
<a id="pl.206.33"></a><var>206.33</var>(6), including the impact of placement alternatives services and supports options on the <br/>
<a id="pl.207.1"></a><var>207.1</var>person's ability to maintain or improve existing patterns of contact and involvement with <br/>
<a id="pl.207.2"></a><var>207.2</var>parents and other family members;<br/>
<a id="pl.207.3"></a><var>207.3</var>(8) identify the cost implications of recommendations in clause (6) and provide <br/>
<a id="pl.207.4"></a><var>207.4</var>written notice of the annual and monthly average authorized amount to be spent for <br/>
<a id="pl.207.5"></a><var>207.5</var>services for the recipient;<br/>
<a id="pl.207.6"></a><var>207.6</var>(9) make recommendations to a court as may be needed to assist the court in making <br/>
<a id="pl.207.7"></a><var>207.7</var>decisions regarding commitment of persons with developmental disabilities; and<br/>
<a id="pl.207.8"></a><var>207.8</var>(10) inform the person and the person's legal guardian or conservator, or the parent if <br/>
<a id="pl.207.9"></a><var>207.9</var>the person is a minor, that appeal may be made to the commissioner pursuant to section <br/>
<statute_ref><a id="pl.207.10"></a><var>207.10</var>256.045
         </statute_ref>.<br/>
<a id="pl.207.11"></a><var>207.11</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.25.0"></a><a id="pl.207.12"></a><var>207.12</var>    Sec. 25. <b>[256B.0961] STATE QUALITY ASSURANCE, QUALITY </b><br/>
<a id="pl.207.13"></a><var>207.13</var><b>IMPROVEMENT, AND LICENSING SYSTEM.</b><br/>
<a id="pl.207.14"></a><var>207.14</var>    Subdivision 1. <b>Scope.</b> (a) In order to improve the quality of services provided to <br/>
<a id="pl.207.15"></a><var>207.15</var>Minnesotans with disabilities and to meet the requirements of the federally approved <br/>
<a id="pl.207.16"></a><var>207.16</var>home and community-based waivers under section 1915c of the Social Security Act, a <br/>
<a id="pl.207.17"></a><var>207.17</var>State Quality Assurance, Quality Improvement, and Licensing System for Minnesotans <br/>
<a id="pl.207.18"></a><var>207.18</var>receiving disability services is enacted. This system is a partnership between the <br/>
<a id="pl.207.19"></a><var>207.19</var>Department of Human Services and the State Quality Council established under <br/>
<a id="pl.207.20"></a><var>207.20</var>subdivision 3.<br/>
<a id="pl.207.21"></a><var>207.21</var>    (b) This system is a result of the recommendations from the Department of Human <br/>
<a id="pl.207.22"></a><var>207.22</var>Services' licensing and alternative quality assurance study mandated under Laws 2005, <br/>
<a id="pl.207.23"></a><var>207.23</var>First Special Session chapter 4, article 7, section 57, and presented to the legislature <br/>
<a id="pl.207.24"></a><var>207.24</var>in February 2007.<br/>
<a id="pl.207.25"></a><var>207.25</var>    (c) The disability services eligible under this section include:<br/>
<a id="pl.207.26"></a><var>207.26</var>    (1) the home and community-based services waiver programs for persons with <br/>
<a id="pl.207.27"></a><var>207.27</var>developmental disabilities under section 256B.092, subdivision 4, or section 256B.49, <br/>
<a id="pl.207.28"></a><var>207.28</var>including traumatic brain injuries and services for those who qualify for nursing facility <br/>
<a id="pl.207.29"></a><var>207.29</var>level of care or hospital facility level of care;<br/>
<a id="pl.207.30"></a><var>207.30</var>    (2) home care services under section 256B.0651;<br/>
<a id="pl.207.31"></a><var>207.31</var>    (3) family support grants under section 252.32;<br/>
<a id="pl.207.32"></a><var>207.32</var>    (4) consumer support grants under section 256.476;<br/>
<a id="pl.207.33"></a><var>207.33</var>    (5) semi-independent living services under section 252.275; and<br/>
<a id="pl.207.34"></a><var>207.34</var>    (6) services provided through an intermediate care facility for the developmentally <br/>
<a id="pl.207.35"></a><var>207.35</var>disabled.<br/>
<a id="pl.208.1"></a><var>208.1</var>    (d) For purposes of this section, the following definitions apply:<br/>
<a id="pl.208.2"></a><var>208.2</var>    (1) "commissioner" means the commissioner of human services;<br/>
<a id="pl.208.3"></a><var>208.3</var>    (2) "council" means the State Quality Council under subdivision 3;<br/>
<a id="pl.208.4"></a><var>208.4</var>    (3) "Quality Assurance Commission" means the commission under section <br/>
<a id="pl.208.5"></a><var>208.5</var>256B.0951; and<br/>
<a id="pl.208.6"></a><var>208.6</var>    (4) "system" means the State Quality Assurance, Quality Improvement and <br/>
<a id="pl.208.7"></a><var>208.7</var>Licensing System under this section.<br/>
<a id="pl.208.8"></a><var>208.8</var>    Subd. 2. <b>Duties of the commissioner of human services.</b> (a) The commissioner of <br/>
<a id="pl.208.9"></a><var>208.9</var>human services shall establish the State Quality Council under subdivision 3.<br/>
<a id="pl.208.10"></a><var>208.10</var>    (b) The commissioner shall initially delegate authority to perform licensing <br/>
<a id="pl.208.11"></a><var>208.11</var>functions and activities according to section 245A.16 to a host county in Region 10. The <br/>
<a id="pl.208.12"></a><var>208.12</var>commissioner must not license or reimburse a participating facility, program, or service <br/>
<a id="pl.208.13"></a><var>208.13</var>located in Region 10 if the commissioner has received notification from the host county <br/>
<a id="pl.208.14"></a><var>208.14</var>that the facility, program, or service has failed to qualify for licensure.<br/>
<a id="pl.208.15"></a><var>208.15</var>    (c) The commissioner may conduct random licensing inspections based on outcomes <br/>
<a id="pl.208.16"></a><var>208.16</var>adopted under section 256B.0951, subdivision 3, at facilities or programs, and of services <br/>
<a id="pl.208.17"></a><var>208.17</var>eligible under this section. The role of the random inspections is to verify that the system <br/>
<a id="pl.208.18"></a><var>208.18</var>protects the safety and well-being of persons served and maintains the availability of <br/>
<a id="pl.208.19"></a><var>208.19</var>high-quality services for persons with disabilities.<br/>
<a id="pl.208.20"></a><var>208.20</var>    (d) The commissioner shall ensure that the federal home and community-based <br/>
<a id="pl.208.21"></a><var>208.21</var>waiver requirements are met and that incidents that may have jeopardized safety and health <br/>
<a id="pl.208.22"></a><var>208.22</var>or violated services-related assurances, civil and human rights, and other protections <br/>
<a id="pl.208.23"></a><var>208.23</var>designed to prevent abuse, neglect, and exploitation, are reviewed, investigated, and <br/>
<a id="pl.208.24"></a><var>208.24</var>acted upon in a timely manner.<br/>
<a id="pl.208.25"></a><var>208.25</var>    (e) The commissioner shall seek a federal waiver by July 1, 2012 to allow <br/>
<a id="pl.208.26"></a><var>208.26</var>intermediate care facilities for persons with developmental disabilities to participate in <br/>
<a id="pl.208.27"></a><var>208.27</var>this system.<br/>
<a id="pl.208.28"></a><var>208.28</var>    Subd. 3. <b>State Quality Council.</b> (a) There is hereby created a State Quality <br/>
<a id="pl.208.29"></a><var>208.29</var>Council which must define regional quality councils, and carry out a community-based, <br/>
<a id="pl.208.30"></a><var>208.30</var>person-directed quality review component, and a comprehensive system for effective <br/>
<a id="pl.208.31"></a><var>208.31</var>incident reporting, investigation, analysis, and follow-up.<br/>
<a id="pl.208.32"></a><var>208.32</var>    (b) By August 1, 2011, the commissioner of human services shall appoint the <br/>
<a id="pl.208.33"></a><var>208.33</var>members of the initial State Quality Council. Members shall include representatives <br/>
<a id="pl.208.34"></a><var>208.34</var>from the following groups:<br/>
<a id="pl.208.35"></a><var>208.35</var>    (1) disability service recipients and their family members; <br/>
<a id="pl.209.1"></a><var>209.1</var>    (2) during the first two years of the State Quality Council, there must be at least three <br/>
<a id="pl.209.2"></a><var>209.2</var>members from the Region 10 stakeholders. As regional quality councils are formed under <br/>
<a id="pl.209.3"></a><var>209.3</var>subdivision 4, each regional quality council shall appoint one member;<br/>
<a id="pl.209.4"></a><var>209.4</var>    (3) disability service providers;<br/>
<a id="pl.209.5"></a><var>209.5</var>    (4) disability advocacy groups; and<br/>
<a id="pl.209.6"></a><var>209.6</var>    (5) county human services agencies and staff from the Department of Human <br/>
<a id="pl.209.7"></a><var>209.7</var>Services and Ombudsman for Mental Health and Developmental Disabilities.<br/>
<a id="pl.209.8"></a><var>209.8</var>    (c) Members of the council who do not receive a salary or wages from an employer <br/>
<a id="pl.209.9"></a><var>209.9</var>for time spent on council duties may receive a per diem payment when performing council <br/>
<a id="pl.209.10"></a><var>209.10</var>duties and functions.<br/>
<a id="pl.209.11"></a><var>209.11</var>    (d) The State Quality Council shall:<br/>
<a id="pl.209.12"></a><var>209.12</var>    (1) assist the Department of Human Services in fulfilling federally mandated <br/>
<a id="pl.209.13"></a><var>209.13</var>obligations by monitoring disability service quality and quality assurance and <br/>
<a id="pl.209.14"></a><var>209.14</var>improvement practices in Minnesota; and<br/>
<a id="pl.209.15"></a><var>209.15</var>    (2) establish state quality improvement priorities with methods for achieving results <br/>
<a id="pl.209.16"></a><var>209.16</var>and provide an annual report to the legislative committees with jurisdiction over policy <br/>
<a id="pl.209.17"></a><var>209.17</var>and funding of disability services on the outcomes, improvement priorities, and activities <br/>
<a id="pl.209.18"></a><var>209.18</var>undertaken by the commission during the previous state fiscal year.<br/>
<a id="pl.209.19"></a><var>209.19</var>    (e) The State Quality Council, in partnership with the commissioner, shall:<br/>
<a id="pl.209.20"></a><var>209.20</var>    (1) approve and direct implementation of the community-based, person-directed <br/>
<a id="pl.209.21"></a><var>209.21</var>system established in this section;<br/>
<a id="pl.209.22"></a><var>209.22</var>    (2) recommend an appropriate method of funding this system, and determine the <br/>
<a id="pl.209.23"></a><var>209.23</var>feasibility of the use of Medicaid, licensing fees, as well as other possible funding options;<br/>
<a id="pl.209.24"></a><var>209.24</var>    (3) approve measurable outcomes in the areas of health and safety, consumer <br/>
<a id="pl.209.25"></a><var>209.25</var>evaluation, education and training, providers, and systems;<br/>
<a id="pl.209.26"></a><var>209.26</var>    (4) establish variable licensure periods not to exceed three years based on outcomes <br/>
<a id="pl.209.27"></a><var>209.27</var>achieved; and<br/>
<a id="pl.209.28"></a><var>209.28</var>    (5) in cooperation with the Quality Assurance Commission, design a transition plan <br/>
<a id="pl.209.29"></a><var>209.29</var>for licensed providers from Region 10 into the alternative licensing system by July 1, 2013.<br/>
<a id="pl.209.30"></a><var>209.30</var>    (f) The State Quality Council shall notify the commissioner of human services that a <br/>
<a id="pl.209.31"></a><var>209.31</var>facility, program, or service has been reviewed by quality assurance team members under <br/>
<a id="pl.209.32"></a><var>209.32</var>subdivision 4, paragraph (b), clause (13), and qualifies for a license.<br/>
<a id="pl.209.33"></a><var>209.33</var>    (g) The State Quality Council, in partnership with the commissioner, shall establish <br/>
<a id="pl.209.34"></a><var>209.34</var>an ongoing review process for the system. The review shall take into account the <br/>
<a id="pl.209.35"></a><var>209.35</var>comprehensive nature of the system which is designed to evaluate the broad spectrum of <br/>
<a id="pl.210.1"></a><var>210.1</var>licensed and unlicensed entities that provide services to persons with disabilities. The <br/>
<a id="pl.210.2"></a><var>210.2</var>review shall address efficiencies and effectiveness of the system.<br/>
<a id="pl.210.3"></a><var>210.3</var>    (h) The State Quality Council may recommend to the commissioner certain <br/>
<a id="pl.210.4"></a><var>210.4</var>variances from the standards governing licensure of programs for persons with disabilities <br/>
<a id="pl.210.5"></a><var>210.5</var>in order to improve the quality of services so long as the recommended variances do <br/>
<a id="pl.210.6"></a><var>210.6</var>not adversely affect the health or safety of persons being served or compromise the <br/>
<a id="pl.210.7"></a><var>210.7</var>qualifications of staff to provide services.<br/>
<a id="pl.210.8"></a><var>210.8</var>    (i) The safety standards, rights, or procedural protections referenced under <br/>
<a id="pl.210.9"></a><var>210.9</var>subdivision 2, paragraph (c), shall not be varied. The State Quality Council may make <br/>
<a id="pl.210.10"></a><var>210.10</var>recommendations to the commissioner or to the legislature in the report required under <br/>
<a id="pl.210.11"></a><var>210.11</var>paragraph (c) regarding alternatives or modifications to the safety standards, rights, or <br/>
<a id="pl.210.12"></a><var>210.12</var>procedural protections referenced under subdivision 2, paragraph (c).<br/>
<a id="pl.210.13"></a><var>210.13</var>    (j) The State Quality Council may hire staff to perform the duties assigned in this <br/>
<a id="pl.210.14"></a><var>210.14</var>subdivision.<br/>
<a id="pl.210.15"></a><var>210.15</var>    Subd. 4. <b>Regional quality councils.</b> (a) The commissioner shall establish, as <br/>
<a id="pl.210.16"></a><var>210.16</var>selected by the State Quality Council, regional quality councils of key stakeholders, <br/>
<a id="pl.210.17"></a><var>210.17</var>including regional representatives of:<br/>
<a id="pl.210.18"></a><var>210.18</var>    (1) disability service recipients and their family members;<br/>
<a id="pl.210.19"></a><var>210.19</var>    (2) disability service providers;<br/>
<a id="pl.210.20"></a><var>210.20</var>    (3) disability advocacy groups; and<br/>
<a id="pl.210.21"></a><var>210.21</var>    (4) county human services agencies and staff from the Department of Human <br/>
<a id="pl.210.22"></a><var>210.22</var>Services and Ombudsman for Mental Health and Developmental Disabilities.<br/>
<a id="pl.210.23"></a><var>210.23</var>    (b) Each regional quality council shall:<br/>
<a id="pl.210.24"></a><var>210.24</var>    (1) direct and monitor the community-based, person-directed quality assurance <br/>
<a id="pl.210.25"></a><var>210.25</var>system in this section;<br/>
<a id="pl.210.26"></a><var>210.26</var>    (2) approve a training program for quality assurance team members under clause <br/>
<a id="pl.210.27"></a><var>210.27</var>(13);<br/>
<a id="pl.210.28"></a><var>210.28</var>    (3) review summary reports from quality assurance team reviews and make <br/>
<a id="pl.210.29"></a><var>210.29</var>recommendations to the State Quality Council regarding program licensure;<br/>
<a id="pl.210.30"></a><var>210.30</var>    (4) make recommendations to the State Quality Council regarding the system;<br/>
<a id="pl.210.31"></a><var>210.31</var>    (5) resolve complaints between the quality assurance teams, counties, providers, <br/>
<a id="pl.210.32"></a><var>210.32</var>persons receiving services, their families, and legal representatives;<br/>
<a id="pl.210.33"></a><var>210.33</var>    (6) analyze and review quality outcomes and critical incident data reporting <br/>
<a id="pl.210.34"></a><var>210.34</var>incidents of life safety concerns immediately to the Department of Human Services <br/>
<a id="pl.210.35"></a><var>210.35</var>licensing division;<br/>
<a id="pl.211.1"></a><var>211.1</var>    (7) provide information and training programs for persons with disabilities and their <br/>
<a id="pl.211.2"></a><var>211.2</var>families and legal representatives on service options and quality expectations;<br/>
<a id="pl.211.3"></a><var>211.3</var>    (8) disseminate information and resources developed to other regional quality <br/>
<a id="pl.211.4"></a><var>211.4</var>councils;<br/>
<a id="pl.211.5"></a><var>211.5</var>    (9) respond to state-level priorities;<br/>
<a id="pl.211.6"></a><var>211.6</var>    (10) establish regional priorities for quality improvement;<br/>
<a id="pl.211.7"></a><var>211.7</var>    (11) submit an annual report to the State Quality Council on the status, outcomes, <br/>
<a id="pl.211.8"></a><var>211.8</var>improvement priorities, and activities in the region;<br/>
<a id="pl.211.9"></a><var>211.9</var>    (12) choose a representative to participate on the State Quality Council and assume <br/>
<a id="pl.211.10"></a><var>211.10</var>other responsibilities consistent with the priorities of the State Quality Council; and<br/>
<a id="pl.211.11"></a><var>211.11</var>    (13) recruit, train, and assign duties to members of quality assurance teams, taking <br/>
<a id="pl.211.12"></a><var>211.12</var>into account the size of the service provider, the number of services to be reviewed, <br/>
<a id="pl.211.13"></a><var>211.13</var>the skills necessary for the team members to complete the process, and ensure that no <br/>
<a id="pl.211.14"></a><var>211.14</var>team member has a financial, personal, or family relationship with the facility, program, <br/>
<a id="pl.211.15"></a><var>211.15</var>or service being reviewed or with anyone served at the facility, program, or service. <br/>
<a id="pl.211.16"></a><var>211.16</var>Quality assurance teams must be comprised of county staff, persons receiving services <br/>
<a id="pl.211.17"></a><var>211.17</var>or the person's families, legal representatives, members of advocacy organizations, <br/>
<a id="pl.211.18"></a><var>211.18</var>providers, and other involved community members. Team members must complete <br/>
<a id="pl.211.19"></a><var>211.19</var>the training program approved by the regional quality council and must demonstrate <br/>
<a id="pl.211.20"></a><var>211.20</var>performance-based competency. Team members may be paid a per diem and reimbursed <br/>
<a id="pl.211.21"></a><var>211.21</var>for expenses related to their participation in the quality assurance process.<br/>
<a id="pl.211.22"></a><var>211.22</var>    (c) The commissioner shall monitor the safety standards, rights, and procedural <br/>
<a id="pl.211.23"></a><var>211.23</var>protections for the monitoring of psychotropic medications and those identified under <br/>
<a id="pl.211.24"></a><var>211.24</var>sections 245.825; 245.91 to 245.97; 245A.09, subdivision 2, paragraph (c), clauses (2) <br/>
<a id="pl.211.25"></a><var>211.25</var>and (5); 245A.12; 245A.13; 252.41, subdivision 9; 256B.092, subdivision 1b, clause <br/>
<a id="pl.211.26"></a><var>211.26</var>(7); 626.556; and 626.557.<br/>
<a id="pl.211.27"></a><var>211.27</var>    (d) The regional quality councils may hire staff to perform the duties assigned in <br/>
<a id="pl.211.28"></a><var>211.28</var>this subdivision.<br/>
<a id="pl.211.29"></a><var>211.29</var>    (e) The regional quality councils may charge fees for their services.<br/>
<a id="pl.211.30"></a><var>211.30</var>    (f) The quality assurance process undertaken by a regional quality council consists of <br/>
<a id="pl.211.31"></a><var>211.31</var>an evaluation by a quality assurance team of the facility, program, or service. The process <br/>
<a id="pl.211.32"></a><var>211.32</var>must include an evaluation of a random sample of persons served. The sample must be <br/>
<a id="pl.211.33"></a><var>211.33</var>representative of each service provided. The sample size must be at least five percent but <br/>
<a id="pl.211.34"></a><var>211.34</var>not less than two persons served. All persons must be given the opportunity to be included <br/>
<a id="pl.211.35"></a><var>211.35</var>in the quality assurance process in addition to those chosen for the random sample.<br/>
<a id="pl.212.1"></a><var>212.1</var>    (g) A facility, program, or service may contest a licensing decision of the regional <br/>
<a id="pl.212.2"></a><var>212.2</var>quality council as permitted under chapter 245A.<br/>
<a id="pl.212.3"></a><var>212.3</var>    Subd. 5. <b>Annual survey of service recipients.</b> The commissioner, in consultation <br/>
<a id="pl.212.4"></a><var>212.4</var>with the State Quality Council, shall conduct an annual independent statewide survey <br/>
<a id="pl.212.5"></a><var>212.5</var>of service recipients, randomly selected, to determine the effectiveness and quality <br/>
<a id="pl.212.6"></a><var>212.6</var>of disability services. The survey must be consistent with the system performance <br/>
<a id="pl.212.7"></a><var>212.7</var>expectations of the Centers for Medicare and Medicaid Services (CMS) Quality <br/>
<a id="pl.212.8"></a><var>212.8</var>Framework. The survey must analyze whether desired outcomes for persons with different <br/>
<a id="pl.212.9"></a><var>212.9</var>demographic, diagnostic, health, and functional needs, who are receiving different types <br/>
<a id="pl.212.10"></a><var>212.10</var>of services in different settings and with different costs, have been achieved. Annual <br/>
<a id="pl.212.11"></a><var>212.11</var>statewide and regional reports of the results must be published and used to assist regions, <br/>
<a id="pl.212.12"></a><var>212.12</var>counties, and providers to plan and measure the impact of quality improvement activities.<br/>
<a id="pl.212.13"></a><var>212.13</var>    Subd. 6. <b>Mandated reporters.</b> Members of the State Quality Council under <br/>
<a id="pl.212.14"></a><var>212.14</var>subdivision 3, the regional quality councils under subdivision 4, and quality assurance <br/>
<a id="pl.212.15"></a><var>212.15</var>team members under subdivision 4, paragraph (b), clause (13), are mandated reporters as <br/>
<a id="pl.212.16"></a><var>212.16</var>defined in sections 626.556, subdivision 3, and 626.5572, subdivision 16.<br/>
<a id="pl.212.17"></a><var>212.17</var><b>EFFECTIVE DATE.</b>(a) Subdivisions 1 to 6 are effective July 1, 2011.<br/>
<a id="pl.212.18"></a><var>212.18</var>    (b) The jurisdictions of the regional quality councils in subdivision 4 must be <br/>
<a id="pl.212.19"></a><var>212.19</var>defined, with implementation dates, by July 1, 2012. During the biennium beginning July <br/>
<a id="pl.212.20"></a><var>212.20</var>1, 2011, the Quality Assurance Commission shall continue to implement the alternative <br/>
<a id="pl.212.21"></a><var>212.21</var>licensing system under this section.<br/>
<br/>
<a id="bill.6.26.0"></a><a id="pl.212.22"></a><var>212.22</var>    Sec. 26. Minnesota Statutes 2010, section 256B.431, subdivision 2r, is amended to <br/>
<a id="pl.212.23"></a><var>212.23</var>read:<br/>
<a id="pl.212.24"></a><var>212.24</var>    Subd. 2r. <b>Payment restrictions on leave days.</b> (a) Effective July 1, 1993, the <br/>
<a id="pl.212.25"></a><var>212.25</var>commissioner shall limit payment for leave days in a nursing facility to 79 percent of that <br/>
<a id="pl.212.26"></a><var>212.26</var>nursing facility's total payment rate for the involved resident. <br/>
<a id="pl.212.27"></a><var>212.27</var>(b) For services rendered on or after July 1, 2003, for facilities reimbursed under this <br/>
<a id="pl.212.28"></a><var>212.28</var>section or section 
         <statute_ref>256B.434</statute_ref>, the commissioner shall limit payment for leave days in a <br/>
<a id="pl.212.29"></a><var>212.29</var>nursing facility to 60 percent of that nursing facility's total payment rate for the involved <br/>
<a id="pl.212.30"></a><var>212.30</var>resident.<br/>
<a id="pl.212.31"></a><var>212.31</var>(c) For services rendered on or after July 1, 2011, for facilities reimbursed under <br/>
<a id="pl.212.32"></a><var>212.32</var>this chapter, the commissioner shall limit payment for leave days in a nursing facility <br/>
<a id="pl.212.33"></a><var>212.33</var>to 30 percent of that nursing facility's total payment rate for the involved resident, and <br/>
<a id="pl.212.34"></a><var>212.34</var>shall allow this payment only when the occupancy of the nursing facility, inclusive of <br/>
<a id="pl.213.1"></a><var>213.1</var>bed hold days, is equal to or greater than 96 percent, notwithstanding Minnesota Rules, <br/>
<a id="pl.213.2"></a><var>213.2</var>part 9505.0415.<br/>
<br/>
<a id="bill.6.27.0"></a><a id="pl.213.3"></a><var>213.3</var>    Sec. 27. Minnesota Statutes 2010, section 256B.431, subdivision 32, is amended to <br/>
<a id="pl.213.4"></a><var>213.4</var>read:<br/>
<a id="pl.213.5"></a><var>213.5</var>    Subd. 32. <b>Payment during first </b><b>90</b><b> 30</b><b> days.</b> (a) For rate years beginning on or after <br/>
<a id="pl.213.6"></a><var>213.6</var>July 1, 2001, the total payment rate for a facility reimbursed under this section, section <br/>
<a id="pl.213.7"></a><var>213.7</var><statute_ref>256B.434</statute_ref>, or any other section for the first 90 paid days after admission shall be:<br/>
<a id="pl.213.8"></a><var>213.8</var>(1) for the first 30 paid days, the rate shall be 120 percent of the facility's medical <br/>
<a id="pl.213.9"></a><var>213.9</var>assistance rate for each case mix class;<br/>
<a id="pl.213.10"></a><var>213.10</var>(2) for the next 60 paid days after the first 30 paid days, the rate shall be 110 percent <br/>
<a id="pl.213.11"></a><var>213.11</var>of the facility's medical assistance rate for each case mix class;<br/>
<a id="pl.213.12"></a><var>213.12</var>(3) beginning with the 91st paid day after admission, the payment rate shall be the <br/>
<a id="pl.213.13"></a><var>213.13</var>rate otherwise determined under this section, section 
<statute_ref>256B.434</statute_ref>, or any other section; and<br/>
<a id="pl.213.14"></a><var>213.14</var>(4) payments under this paragraph apply to admissions occurring on or after July 1, <br/>
<a id="pl.213.15"></a><var>213.15</var>2001, and before July 1, 2003, and to resident days occurring before July 30, 2003.<br/>
<a id="pl.213.16"></a><var>213.16</var>(b) For rate years beginning on or after July 1, 2003 2011, the total payment rate for <br/>
<a id="pl.213.17"></a><var>213.17</var>a facility reimbursed under this section, section 
         <statute_ref>256B.434</statute_ref>, or any other section shall be:<br/>
<a id="pl.213.18"></a><var>213.18</var>(1) for the first 30 calendar days after admission, the rate shall be 120 percent of <br/>
<a id="pl.213.19"></a><var>213.19</var>the facility's medical assistance rate for each RUG class;<br/>
<a id="pl.213.20"></a><var>213.20</var>(2) beginning with the 31st calendar day after admission, the payment rate shall be <br/>
<a id="pl.213.21"></a><var>213.21</var>the rate otherwise determined under this section, section 
         <statute_ref>256B.434</statute_ref>, or any other section; <br/>
<a id="pl.213.22"></a><var>213.22</var>and<br/>
<a id="pl.213.23"></a><var>213.23</var>(3) payments under this paragraph apply to admissions occurring on or after July <br/>
<a id="pl.213.24"></a><var>213.24</var>1, 2003 2011.<br/>
<a id="pl.213.25"></a><var>213.25</var>(c) Effective January 1, 2004, (b)  The enhanced rates under this subdivision shall not <br/>
<a id="pl.213.26"></a><var>213.26</var>be allowed if a resident has resided during the previous 30 calendar days in:<br/>
<a id="pl.213.27"></a><var>213.27</var>(1) the same nursing facility;<br/>
<a id="pl.213.28"></a><var>213.28</var>(2) a nursing facility owned or operated by a related party; or<br/>
<a id="pl.213.29"></a><var>213.29</var>(3) a nursing facility or part of a facility that closed or was in the process of closing.<br/>
<br/>
<a id="bill.6.28.0"></a><a id="pl.213.30"></a><var>213.30</var>    Sec. 28. Minnesota Statutes 2010, section 256B.434, subdivision 4, is amended to read:<br/>
<a id="pl.213.31"></a><var>213.31</var>    Subd. 4. <b>Alternate rates for nursing facilities.</b> (a) For nursing facilities which <br/>
<a id="pl.213.32"></a><var>213.32</var>have their payment rates determined under this section rather than section 
         <statute_ref>256B.431</statute_ref>, the <br/>
<a id="pl.213.33"></a><var>213.33</var>commissioner shall establish a rate under this subdivision. The nursing facility must enter <br/>
<a id="pl.213.34"></a><var>213.34</var>into a written contract with the commissioner.<br/>
<a id="pl.214.1"></a><var>214.1</var>    (b) A nursing facility's case mix payment rate for the first rate year of a facility's <br/>
<a id="pl.214.2"></a><var>214.2</var>contract under this section is the payment rate the facility would have received under <br/>
<a id="pl.214.3"></a><var>214.3</var>section 
         <statute_ref>256B.431</statute_ref>.<br/>
<a id="pl.214.4"></a><var>214.4</var>    (c) A nursing facility's case mix payment rates for the second and subsequent years <br/>
<a id="pl.214.5"></a><var>214.5</var>of a facility's contract under this section are the previous rate year's contract payment <br/>
<a id="pl.214.6"></a><var>214.6</var>rates plus an inflation adjustment and, for facilities reimbursed under this section or <br/>
<a id="pl.214.7"></a><var>214.7</var>section 
         <statute_ref>256B.431</statute_ref>, an adjustment to include the cost of any increase in Health Department <br/>
<a id="pl.214.8"></a><var>214.8</var>licensing fees for the facility taking effect on or after July 1, 2001. The index for the <br/>
<a id="pl.214.9"></a><var>214.9</var>inflation adjustment must be based on the change in the Consumer Price Index-All Items <br/>
<a id="pl.214.10"></a><var>214.10</var>(United States City average) (CPI-U) forecasted by the commissioner of management and <br/>
<a id="pl.214.11"></a><var>214.11</var>budget's national economic consultant, as forecasted in the fourth quarter of the calendar <br/>
<a id="pl.214.12"></a><var>214.12</var>year preceding the rate year. The inflation adjustment must be based on the 12-month <br/>
<a id="pl.214.13"></a><var>214.13</var>period from the midpoint of the previous rate year to the midpoint of the rate year for <br/>
<a id="pl.214.14"></a><var>214.14</var>which the rate is being determined. For the rate years beginning on July 1, 1999, July 1, <br/>
<a id="pl.214.15"></a><var>214.15</var>2000, July 1, 2001, July 1, 2002, July 1, 2003, July 1, 2004, July 1, 2005, July 1, 2006, <br/>
<a id="pl.214.16"></a><var>214.16</var>July 1, 2007, July 1, 2008, October 1, 2009, and October 1, 2010, October 1, 2011, and <br/>
<a id="pl.214.17"></a><var>214.17</var>October 1, 2012. this paragraph shall apply only to the property-related payment rate, <br/>
<a id="pl.214.18"></a><var>214.18</var>except that adjustments to include the cost of any increase in Health Department licensing <br/>
<a id="pl.214.19"></a><var>214.19</var>fees taking effect on or after July 1, 2001, shall be provided. For the rate years beginning <br/>
<a id="pl.214.20"></a><var>214.20</var>on October 1, 2011, and October 1, 2012, the rate adjustment under this paragraph shall <br/>
<a id="pl.214.21"></a><var>214.21</var>be suspended. Beginning in 2005, adjustment to the property payment rate under this <br/>
<a id="pl.214.22"></a><var>214.22</var>section and section 
         <statute_ref>256B.431</statute_ref> shall be effective on October 1. In determining the amount <br/>
<a id="pl.214.23"></a><var>214.23</var>of the property-related payment rate adjustment under this paragraph, the commissioner <br/>
<a id="pl.214.24"></a><var>214.24</var>shall determine the proportion of the facility's rates that are property-related based on the <br/>
<a id="pl.214.25"></a><var>214.25</var>facility's most recent cost report.<br/>
<a id="pl.214.26"></a><var>214.26</var>    (d) The commissioner shall develop additional incentive-based payments of up to <br/>
<a id="pl.214.27"></a><var>214.27</var>five percent above a facility's operating payment rate for achieving outcomes specified <br/>
<a id="pl.214.28"></a><var>214.28</var>in a contract. The commissioner may solicit contract amendments and implement those <br/>
<a id="pl.214.29"></a><var>214.29</var>which, on a competitive basis, best meet the state's policy objectives. The commissioner <br/>
<a id="pl.214.30"></a><var>214.30</var>shall limit the amount of any incentive payment and the number of contract amendments <br/>
<a id="pl.214.31"></a><var>214.31</var>under this paragraph to operate the incentive payments within funds appropriated for this <br/>
<a id="pl.214.32"></a><var>214.32</var>purpose. The contract amendments may specify various levels of payment for various <br/>
<a id="pl.214.33"></a><var>214.33</var>levels of performance. Incentive payments to facilities under this paragraph may be in the <br/>
<a id="pl.214.34"></a><var>214.34</var>form of time-limited rate adjustments or onetime supplemental payments. In establishing <br/>
<a id="pl.214.35"></a><var>214.35</var>the specified outcomes and related criteria, the commissioner shall consider the following <br/>
<a id="pl.214.36"></a><var>214.36</var>state policy objectives:<br/>
<a id="pl.215.1"></a><var>215.1</var>    (1) successful diversion or discharge of residents to the residents' prior home or other <br/>
<a id="pl.215.2"></a><var>215.2</var>community-based alternatives;<br/>
<a id="pl.215.3"></a><var>215.3</var>    (2) adoption of new technology to improve quality or efficiency;<br/>
<a id="pl.215.4"></a><var>215.4</var>    (3) improved quality as measured in the Nursing Home Report Card;<br/>
<a id="pl.215.5"></a><var>215.5</var>    (4) reduced acute care costs; and<br/>
<a id="pl.215.6"></a><var>215.6</var>    (5) any additional outcomes proposed by a nursing facility that the commissioner <br/>
<a id="pl.215.7"></a><var>215.7</var>finds desirable.<br/>
<a id="pl.215.8"></a><var>215.8</var>    (e) Notwithstanding the threshold in section 
         <statute_ref>256B.431, subdivision 16</statute_ref>, facilities that <br/>
<a id="pl.215.9"></a><var>215.9</var>take action to come into compliance with existing or pending requirements of the life <br/>
<a id="pl.215.10"></a><var>215.10</var>safety code provisions or federal regulations governing sprinkler systems must receive <br/>
<a id="pl.215.11"></a><var>215.11</var>reimbursement for the costs associated with compliance if all of the following conditions <br/>
<a id="pl.215.12"></a><var>215.12</var>are met:<br/>
<a id="pl.215.13"></a><var>215.13</var>    (1) the expenses associated with compliance occurred on or after January 1, 2005, <br/>
<a id="pl.215.14"></a><var>215.14</var>and before December 31, 2008;<br/>
<a id="pl.215.15"></a><var>215.15</var>    (2) the costs were not otherwise reimbursed under subdivision 4f or section <br/>
<statute_ref><a id="pl.215.16"></a><var>215.16</var>144A.071
         </statute_ref> or 
         <statute_ref>144A.073</statute_ref>; and<br/>
<a id="pl.215.17"></a><var>215.17</var>    (3) the total allowable costs reported under this paragraph are less than the minimum <br/>
<a id="pl.215.18"></a><var>215.18</var>threshold established under section 
         <statute_ref>256B.431, subdivision 15</statute_ref>, paragraph (e), and <br/>
<a id="pl.215.19"></a><var>215.19</var>subdivision 16.<br/>
<a id="pl.215.20"></a><var>215.20</var>The commissioner shall use money appropriated for this purpose to provide to qualifying <br/>
<a id="pl.215.21"></a><var>215.21</var>nursing facilities a rate adjustment beginning October 1, 2007, and ending September 30, <br/>
<a id="pl.215.22"></a><var>215.22</var>2008. Nursing facilities that have spent money or anticipate the need to spend money <br/>
<a id="pl.215.23"></a><var>215.23</var>to satisfy the most recent life safety code requirements by (1) installing a sprinkler <br/>
<a id="pl.215.24"></a><var>215.24</var>system or (2) replacing all or portions of an existing sprinkler system may submit to the <br/>
<a id="pl.215.25"></a><var>215.25</var>commissioner by June 30, 2007, on a form provided by the commissioner the actual <br/>
<a id="pl.215.26"></a><var>215.26</var>costs of a completed project or the estimated costs, based on a project bid, of a planned <br/>
<a id="pl.215.27"></a><var>215.27</var>project. The commissioner shall calculate a rate adjustment equal to the allowable <br/>
<a id="pl.215.28"></a><var>215.28</var>costs of the project divided by the resident days reported for the report year ending <br/>
<a id="pl.215.29"></a><var>215.29</var>September 30, 2006. If the costs from all projects exceed the appropriation for this <br/>
<a id="pl.215.30"></a><var>215.30</var>purpose, the commissioner shall allocate the money appropriated on a pro rata basis <br/>
<a id="pl.215.31"></a><var>215.31</var>to the qualifying facilities by reducing the rate adjustment determined for each facility <br/>
<a id="pl.215.32"></a><var>215.32</var>by an equal percentage. Facilities that used estimated costs when requesting the rate <br/>
<a id="pl.215.33"></a><var>215.33</var>adjustment shall report to the commissioner by January 31, 2009, on the use of this <br/>
<a id="pl.215.34"></a><var>215.34</var>money on a form provided by the commissioner. If the nursing facility fails to provide <br/>
<a id="pl.215.35"></a><var>215.35</var>the report, the commissioner shall recoup the money paid to the facility for this purpose. <br/>
<a id="pl.215.36"></a><var>215.36</var>If the facility reports expenditures allowable under this subdivision that are less than <br/>
<a id="pl.216.1"></a><var>216.1</var>the amount received in the facility's annualized rate adjustment, the commissioner shall <br/>
<a id="pl.216.2"></a><var>216.2</var>recoup the difference.<br/>
<br/>
<a id="bill.6.29.0"></a><a id="pl.216.3"></a><var>216.3</var>    Sec. 29. Minnesota Statutes 2010, section 256B.437, subdivision 6, is amended to read:<br/>
<a id="pl.216.4"></a><var>216.4</var>    Subd. 6. <b>Planned closure rate adjustment.</b> (a) The commissioner of human <br/>
<a id="pl.216.5"></a><var>216.5</var>services shall calculate the amount of the planned closure rate adjustment available under <br/>
<a id="pl.216.6"></a><var>216.6</var>subdivision 3, paragraph (b), for up to 5,140 beds according to clauses (1) to (4):<br/>
<a id="pl.216.7"></a><var>216.7</var>(1) the amount available is the net reduction of nursing facility beds multiplied <br/>
<a id="pl.216.8"></a><var>216.8</var>by $2,080;<br/>
<a id="pl.216.9"></a><var>216.9</var>(2) the total number of beds in the nursing facility or facilities receiving the planned <br/>
<a id="pl.216.10"></a><var>216.10</var>closure rate adjustment must be identified;<br/>
<a id="pl.216.11"></a><var>216.11</var>(3) capacity days are determined by multiplying the number determined under <br/>
<a id="pl.216.12"></a><var>216.12</var>clause (2) by 365; and<br/>
<a id="pl.216.13"></a><var>216.13</var>(4) the planned closure rate adjustment is the amount available in clause (1), divided <br/>
<a id="pl.216.14"></a><var>216.14</var>by capacity days determined under clause (3).<br/>
<a id="pl.216.15"></a><var>216.15</var>(b) A planned closure rate adjustment under this section is effective on the first day <br/>
<a id="pl.216.16"></a><var>216.16</var>of the month following completion of closure of the facility designated for closure in the <br/>
<a id="pl.216.17"></a><var>216.17</var>application and becomes part of the nursing facility's total operating payment rate.<br/>
<a id="pl.216.18"></a><var>216.18</var>(c) Applicants may use the planned closure rate adjustment to allow for a property <br/>
<a id="pl.216.19"></a><var>216.19</var>payment for a new nursing facility or an addition to an existing nursing facility or as an <br/>
<a id="pl.216.20"></a><var>216.20</var>operating payment rate adjustment. Applications approved under this subdivision are <br/>
<a id="pl.216.21"></a><var>216.21</var>exempt from other requirements for moratorium exceptions under section 
         <statute_ref>144A.073</statute_ref>, <br/>
<a id="pl.216.22"></a><var>216.22</var>subdivisions 2 and 3.<br/>
<a id="pl.216.23"></a><var>216.23</var>(d) Upon the request of a closing facility, the commissioner must allow the facility a <br/>
<a id="pl.216.24"></a><var>216.24</var>closure rate adjustment as provided under section 
         <statute_ref>144A.161, subdivision 10</statute_ref>.<br/>
<a id="pl.216.25"></a><var>216.25</var>(e) A facility that has received a planned closure rate adjustment may reassign it <br/>
<a id="pl.216.26"></a><var>216.26</var>to another facility that is under the same ownership at any time within three years of its <br/>
<a id="pl.216.27"></a><var>216.27</var>effective date. The amount of the adjustment shall be computed according to paragraph (a).<br/>
<a id="pl.216.28"></a><var>216.28</var>(f) If the per bed dollar amount specified in paragraph (a), clause (1), is increased, <br/>
<a id="pl.216.29"></a><var>216.29</var>the commissioner shall recalculate planned closure rate adjustments for facilities that <br/>
<a id="pl.216.30"></a><var>216.30</var>delicense beds under this section on or after July 1, 2001, to reflect the increase in the per <br/>
<a id="pl.216.31"></a><var>216.31</var>bed dollar amount. The recalculated planned closure rate adjustment shall be effective <br/>
<a id="pl.216.32"></a><var>216.32</var>from the date the per bed dollar amount is increased.<br/>
<a id="pl.216.33"></a><var>216.33</var>(g) For planned closures approved after June 30, 2009, the commissioner of human <br/>
<a id="pl.216.34"></a><var>216.34</var>services shall calculate the amount of the planned closure rate adjustment available under <br/>
<a id="pl.216.35"></a><var>216.35</var>subdivision 3, paragraph (b), according to paragraph (a), clauses (1) to (4).<br/>
<a id="pl.217.1"></a><var>217.1</var>(h) Beginning July 16, 2011, the commissioner shall no longer accept applications <br/>
<a id="pl.217.2"></a><var>217.2</var>for planned closure rate adjustments under subdivision 3.<br/>
<br/>
<a id="bill.6.30.0"></a><a id="pl.217.3"></a><var>217.3</var>    Sec. 30. Minnesota Statutes 2010, section 256B.441, subdivision 50a, is amended to <br/>
<a id="pl.217.4"></a><var>217.4</var>read:<br/>
<a id="pl.217.5"></a><var>217.5</var>    Subd. 50a. <b>Determination of proximity adjustments.</b> (a) For a nursing facility <br/>
<a id="pl.217.6"></a><var>217.6</var>located in close proximity to another nursing facility of the same facility group type but in <br/>
<a id="pl.217.7"></a><var>217.7</var>a different peer group and that has higher limits for care-related or other operating costs, <br/>
<a id="pl.217.8"></a><var>217.8</var>the commissioner shall adjust the limits in accordance with clauses (1) to (4):<br/>
<a id="pl.217.9"></a><var>217.9</var>    (1) determine the difference between the limits;<br/>
<a id="pl.217.10"></a><var>217.10</var>    (2) determine the distance between the two facilities, by the shortest driving route. If <br/>
<a id="pl.217.11"></a><var>217.11</var>the distance exceeds 20 miles, no adjustment shall be made;<br/>
<a id="pl.217.12"></a><var>217.12</var>    (3) subtract the value in clause (2) from 20 miles, divide by 20, and convert to a <br/>
<a id="pl.217.13"></a><var>217.13</var>percentage; and<br/>
<a id="pl.217.14"></a><var>217.14</var>    (4) increase the limits for the nursing facility with the lower limits by the value <br/>
<a id="pl.217.15"></a><var>217.15</var>determined in clause (1) multiplied by the value determined in clause (3).<br/>
<a id="pl.217.16"></a><var>217.16</var>(b) Effective October 1, 2011, nursing facilities located no more than one-quarter <br/>
<a id="pl.217.17"></a><var>217.17</var>mile from a peer group with higher limits under either subdivision 50 or 51, may receive <br/>
<a id="pl.217.18"></a><var>217.18</var>an operating rate adjustment. The operating payment rates of a lower-limit peer group <br/>
<a id="pl.217.19"></a><var>217.19</var>facility must be adjusted to be equal to those of the nearest facility in a higher-limit peer <br/>
<a id="pl.217.20"></a><var>217.20</var>group if that facility's RUG rate with a weight of 1.00 is higher than the lower-limit peer <br/>
<a id="pl.217.21"></a><var>217.21</var>group facility. Peer groups are those defined in subdivision 30. The nearest facility must <br/>
<a id="pl.217.22"></a><var>217.22</var>be determined by the most direct driving route.<br/>
<br/>
<a id="bill.6.31.0"></a><a id="pl.217.23"></a><var>217.23</var>    Sec. 31. Minnesota Statutes 2010, section 256B.441, is amended by adding a <br/>
<a id="pl.217.24"></a><var>217.24</var>subdivision to read:<br/>
<a id="pl.217.25"></a><var>217.25</var>    Subd. 61. <b>Rate increase for low-rate facilities.</b> Effective October 1, 2011, <br/>
<a id="pl.217.26"></a><var>217.26</var>operating payment rates of all nursing facilities that are reimbursed under this section or <br/>
<a id="pl.217.27"></a><var>217.27</var>section 256B.434 shall be increased for a resource utilization group rate with a weight <br/>
<a id="pl.217.28"></a><var>217.28</var>of 1.00 by up to 2.45 percent, but not to exceed for the same resource utilization group <br/>
<a id="pl.217.29"></a><var>217.29</var>weight the rate of the facility at the 18th percentile of all nursing facilities in the state. The <br/>
<a id="pl.217.30"></a><var>217.30</var>percentage of the operating payment rate for each facility to be case-mix adjusted shall be <br/>
<a id="pl.217.31"></a><var>217.31</var>equal to the percentage that is case-mix adjusted in that facility's operating payment rate <br/>
<a id="pl.217.32"></a><var>217.32</var>on the preceding September 30.<br/>
<br/>
<a id="bill.6.32.0"></a><a id="pl.217.33"></a><var>217.33</var>    Sec. 32. Minnesota Statutes 2010, section 256B.48, subdivision 1, is amended to read:<br/>
<a id="pl.218.1"></a><var>218.1</var>    Subdivision 1. <b>Prohibited practices.</b> A nursing facility is not eligible to receive <br/>
<a id="pl.218.2"></a><var>218.2</var>medical assistance payments unless it refrains from all of the following:.<br/>
<a id="pl.218.3"></a><var>218.3</var>(a) Charging private paying residents rates for similar services which exceed those <br/>
<a id="pl.218.4"></a><var>218.4</var>which are approved by the state agency for medical assistance recipients as determined by <br/>
<a id="pl.218.5"></a><var>218.5</var>the prospective desk audit rate, except under the following circumstances: <br/>
<a id="pl.218.6"></a><var>218.6</var>(1) the nursing facility may:<br/>
<a id="pl.218.7"></a><var>218.7</var>(1) (i) charge private paying residents a higher rate for a private room,; and <br/>
<a id="pl.218.8"></a><var>218.8</var>(2) (ii) charge for special services which are not included in the daily rate if medical <br/>
<a id="pl.218.9"></a><var>218.9</var>assistance residents are charged separately at the same rate for the same services in <br/>
<a id="pl.218.10"></a><var>218.10</var>addition to the daily rate paid by the commissioner;<br/>
<a id="pl.218.11"></a><var>218.11</var>(2) effective July 1, 2011, through September 30, 2012, nursing facilities may <br/>
<a id="pl.218.12"></a><var>218.12</var>charge private paying residents rates up to two percent higher than the allowable medical <br/>
<a id="pl.218.13"></a><var>218.13</var>assistance payment rate determined by the commissioner for the RUGS group currently <br/>
<a id="pl.218.14"></a><var>218.14</var>assigned to the resident; and<br/>
<a id="pl.218.15"></a><var>218.15</var>(3) effective for rate years beginning October 1, 2012, and after, nursing facilities <br/>
<a id="pl.218.16"></a><var>218.16</var>may charge private paying residents rates greater than the allowable medical assistance <br/>
<a id="pl.218.17"></a><var>218.17</var>payment rate determined by the commissioner for the RUGS group currently assigned <br/>
<a id="pl.218.18"></a><var>218.18</var>to the resident by up to two percent more than the differential in effect on the prior <br/>
<a id="pl.218.19"></a><var>218.19</var>September 30. Nothing in this section precludes a nursing facility from charging a rate <br/>
<a id="pl.218.20"></a><var>218.20</var>allowable under the facility's single room election option under Minnesota Rules, part <br/>
<a id="pl.218.21"></a><var>218.21</var>9549.0060, subpart 11, or the enhanced rates under section 256B.431, subdivision 32. <br/>
<a id="pl.218.22"></a><var>218.22</var>Services covered by the payment rate must be the same regardless of payment source. <br/>
<a id="pl.218.23"></a><var>218.23</var>Special services, if offered, must be available to all residents in all areas of the nursing <br/>
<a id="pl.218.24"></a><var>218.24</var>facility and charged separately at the same rate. Residents are free to select or decline <br/>
<a id="pl.218.25"></a><var>218.25</var>special services. Special services must not include services which must be provided by <br/>
<a id="pl.218.26"></a><var>218.26</var>the nursing facility in order to comply with licensure or certification standards and that <br/>
<a id="pl.218.27"></a><var>218.27</var>if not provided would result in a deficiency or violation by the nursing facility. Services <br/>
<a id="pl.218.28"></a><var>218.28</var>beyond those required to comply with licensure or certification standards must not be <br/>
<a id="pl.218.29"></a><var>218.29</var>charged separately as a special service if they were included in the payment rate for the <br/>
<a id="pl.218.30"></a><var>218.30</var>previous reporting year. A nursing facility that charges a private paying resident a rate in <br/>
<a id="pl.218.31"></a><var>218.31</var>violation of this clause paragraph is subject to an action by the state of Minnesota or any of <br/>
<a id="pl.218.32"></a><var>218.32</var>its subdivisions or agencies for civil damages. A private paying resident or the resident's <br/>
<a id="pl.218.33"></a><var>218.33</var>legal representative has a cause of action for civil damages against a nursing facility that <br/>
<a id="pl.218.34"></a><var>218.34</var>charges the resident rates in violation of this clause paragraph. The damages awarded shall <br/>
<a id="pl.218.35"></a><var>218.35</var>include three times the payments that result from the violation, together with costs and <br/>
<a id="pl.218.36"></a><var>218.36</var>disbursements, including reasonable attorneys' attorney fees or their equivalent. A private <br/>
<a id="pl.219.1"></a><var>219.1</var>paying resident or the resident's legal representative, the state, subdivision or agency, or a <br/>
<a id="pl.219.2"></a><var>219.2</var>nursing facility may request a hearing to determine the allowed rate or rates at issue in <br/>
<a id="pl.219.3"></a><var>219.3</var>the cause of action. Within 15 calendar days after receiving a request for such a hearing, <br/>
<a id="pl.219.4"></a><var>219.4</var>the commissioner shall request assignment of an administrative law judge under sections <br/>
<statute_ref><a id="pl.219.5"></a><var>219.5</var>14.48
         </statute_ref> to 
         <statute_ref>14.56</statute_ref> to conduct the hearing as soon as possible or according to agreement by <br/>
<a id="pl.219.6"></a><var>219.6</var>the parties. The administrative law judge shall issue a report within 15 calendar days <br/>
<a id="pl.219.7"></a><var>219.7</var>following the close of the hearing. The prohibition set forth in this clause paragraph shall <br/>
<a id="pl.219.8"></a><var>219.8</var>not apply to facilities licensed as boarding care facilities which are not certified as skilled <br/>
<a id="pl.219.9"></a><var>219.9</var>or intermediate care facilities level I or II for reimbursement through medical assistance.<br/>
<a id="pl.219.10"></a><var>219.10</var>(b)(1) Charging, soliciting, accepting, or receiving from an applicant for admission <br/>
<a id="pl.219.11"></a><var>219.11</var>to the facility, or from anyone acting in behalf of the applicant, as a condition of admission, <br/>
<a id="pl.219.12"></a><var>219.12</var>expediting the admission, or as a requirement for the individual's continued stay, any fee, <br/>
<a id="pl.219.13"></a><var>219.13</var>deposit, gift, money, donation, or other consideration not otherwise required as payment <br/>
<a id="pl.219.14"></a><var>219.14</var>under the state plan. For residents on medical assistance, medical assistance payments <br/>
<a id="pl.219.15"></a><var>219.15</var>according to the state plan must be accepted as payment in full for continued stay, except <br/>
<a id="pl.219.16"></a><var>219.16</var>where otherwise provided for under statute;<br/>
<a id="pl.219.17"></a><var>219.17</var>(2) requiring an individual, or anyone acting in behalf of the individual, to loan <br/>
<a id="pl.219.18"></a><var>219.18</var>any money to the nursing facility;<br/>
<a id="pl.219.19"></a><var>219.19</var>(3) requiring an individual, or anyone acting in behalf of the individual, to promise <br/>
<a id="pl.219.20"></a><var>219.20</var>to leave all or part of the individual's estate to the facility; or<br/>
<a id="pl.219.21"></a><var>219.21</var>(4) requiring a third-party guarantee of payment to the facility as a condition of <br/>
<a id="pl.219.22"></a><var>219.22</var>admission, expedited admission, or continued stay in the facility.<br/>
<a id="pl.219.23"></a><var>219.23</var>Nothing in this paragraph would prohibit discharge for nonpayment of services in <br/>
<a id="pl.219.24"></a><var>219.24</var>accordance with state and federal regulations.<br/>
<a id="pl.219.25"></a><var>219.25</var>(c) Requiring any resident of the nursing facility to utilize a vendor of health care <br/>
<a id="pl.219.26"></a><var>219.26</var>services chosen by the nursing facility. A nursing facility may require a resident to use <br/>
<a id="pl.219.27"></a><var>219.27</var>pharmacies that utilize unit dose packing systems approved by the Minnesota Board of <br/>
<a id="pl.219.28"></a><var>219.28</var>Pharmacy, and may require a resident to use pharmacies that are able to meet the federal <br/>
<a id="pl.219.29"></a><var>219.29</var>regulations for safe and timely administration of medications such as systems with specific <br/>
<a id="pl.219.30"></a><var>219.30</var>number of doses, prompt delivery of medications, or access to medications on a 24-hour <br/>
<a id="pl.219.31"></a><var>219.31</var>basis. Notwithstanding the provisions of this paragraph, nursing facilities shall not restrict <br/>
<a id="pl.219.32"></a><var>219.32</var>a resident's choice of pharmacy because the pharmacy utilizes a specific system of unit <br/>
<a id="pl.219.33"></a><var>219.33</var>dose drug packing.<br/>
<a id="pl.219.34"></a><var>219.34</var>(d) Providing differential treatment on the basis of status with regard to public <br/>
<a id="pl.219.35"></a><var>219.35</var>assistance.<br/>
<a id="pl.220.1"></a><var>220.1</var>(e) Discriminating in admissions, services offered, or room assignment on the <br/>
<a id="pl.220.2"></a><var>220.2</var>basis of status with regard to public assistance or refusal to purchase special services. <br/>
<a id="pl.220.3"></a><var>220.3</var>Discrimination in admissions discrimination, services offered, or room assignment shall <br/>
<a id="pl.220.4"></a><var>220.4</var>include, but is not limited to:<br/>
<a id="pl.220.5"></a><var>220.5</var>(1) basing admissions decisions upon assurance by the applicant to the nursing <br/>
<a id="pl.220.6"></a><var>220.6</var>facility, or the applicant's guardian or conservator, that the applicant is neither eligible for <br/>
<a id="pl.220.7"></a><var>220.7</var>nor will seek information or assurances regarding current or future eligibility for public <br/>
<a id="pl.220.8"></a><var>220.8</var>assistance for payment of nursing facility care costs; and<br/>
<a id="pl.220.9"></a><var>220.9</var>(2) engaging in preferential selection from waiting lists based on an applicant's <br/>
<a id="pl.220.10"></a><var>220.10</var>ability to pay privately or an applicant's refusal to pay for a special service.<br/>
<a id="pl.220.11"></a><var>220.11</var>The collection and use by a nursing facility of financial information of any applicant <br/>
<a id="pl.220.12"></a><var>220.12</var>pursuant to a preadmission screening program established by law shall not raise an <br/>
<a id="pl.220.13"></a><var>220.13</var>inference that the nursing facility is utilizing that information for any purpose prohibited <br/>
<a id="pl.220.14"></a><var>220.14</var>by this paragraph.<br/>
<a id="pl.220.15"></a><var>220.15</var>(f) Requiring any vendor of medical care as defined by section 
         <statute_ref>256B.02, subdivision <br/>
<a id="pl.220.16"></a><var>220.16</var>7
         </statute_ref>, who is reimbursed by medical assistance under a separate fee schedule, to pay any <br/>
<a id="pl.220.17"></a><var>220.17</var>amount based on utilization or service levels or any portion of the vendor's fee to the <br/>
<a id="pl.220.18"></a><var>220.18</var>nursing facility except as payment for renting or leasing space or equipment or purchasing <br/>
<a id="pl.220.19"></a><var>220.19</var>support services from the nursing facility as limited by section 
         <statute_ref>256B.433</statute_ref>. All agreements <br/>
<a id="pl.220.20"></a><var>220.20</var>must be disclosed to the commissioner upon request of the commissioner. Nursing <br/>
<a id="pl.220.21"></a><var>220.21</var>facilities and vendors of ancillary services that are found to be in violation of this provision <br/>
<a id="pl.220.22"></a><var>220.22</var>shall each be subject to an action by the state of Minnesota or any of its subdivisions or <br/>
<a id="pl.220.23"></a><var>220.23</var>agencies for treble civil damages on the portion of the fee in excess of that allowed by <br/>
<a id="pl.220.24"></a><var>220.24</var>this provision and section 
         <statute_ref>256B.433</statute_ref>. Damages awarded must include three times the <br/>
<a id="pl.220.25"></a><var>220.25</var>excess payments together with costs and disbursements including reasonable attorney's <br/>
<a id="pl.220.26"></a><var>220.26</var>fees or their equivalent.<br/>
<a id="pl.220.27"></a><var>220.27</var>(g) Refusing, for more than 24 hours, to accept a resident returning to the same <br/>
<a id="pl.220.28"></a><var>220.28</var>bed or a bed certified for the same level of care, in accordance with a physician's order <br/>
<a id="pl.220.29"></a><var>220.29</var>authorizing transfer, after receiving inpatient hospital services.<br/>
<a id="pl.220.30"></a><var>220.30</var>(h) For a period not to exceed 180 days, the commissioner may continue to make <br/>
<a id="pl.220.31"></a><var>220.31</var>medical assistance payments to a nursing facility or boarding care home which is in <br/>
<a id="pl.220.32"></a><var>220.32</var>violation of this section if extreme hardship to the residents would result. In these cases <br/>
<a id="pl.220.33"></a><var>220.33</var>the commissioner shall issue an order requiring the nursing facility to correct the violation. <br/>
<a id="pl.220.34"></a><var>220.34</var>The nursing facility shall have 20 days from its receipt of the order to correct the violation. <br/>
<a id="pl.220.35"></a><var>220.35</var>If the violation is not corrected within the 20-day period the commissioner may reduce <br/>
<a id="pl.220.36"></a><var>220.36</var>the payment rate to the nursing facility by up to 20 percent. The amount of the payment <br/>
<a id="pl.221.1"></a><var>221.1</var>rate reduction shall be related to the severity of the violation and shall remain in effect <br/>
<a id="pl.221.2"></a><var>221.2</var>until the violation is corrected. The nursing facility or boarding care home may appeal the <br/>
<a id="pl.221.3"></a><var>221.3</var>commissioner's action pursuant to the provisions of chapter 14 pertaining to contested <br/>
<a id="pl.221.4"></a><var>221.4</var>cases. An appeal shall be considered timely if written notice of appeal is received by the <br/>
<a id="pl.221.5"></a><var>221.5</var>commissioner within 20 days of notice of the commissioner's proposed action.<br/>
<a id="pl.221.6"></a><var>221.6</var>In the event that the commissioner determines that a nursing facility is not eligible <br/>
<a id="pl.221.7"></a><var>221.7</var>for reimbursement for a resident who is eligible for medical assistance, the commissioner <br/>
<a id="pl.221.8"></a><var>221.8</var>may authorize the nursing facility to receive reimbursement on a temporary basis until the <br/>
<a id="pl.221.9"></a><var>221.9</var>resident can be relocated to a participating nursing facility.<br/>
<a id="pl.221.10"></a><var>221.10</var>Certified beds in facilities which do not allow medical assistance intake on July 1, <br/>
<a id="pl.221.11"></a><var>221.11</var>1984, or after shall be deemed to be decertified for purposes of section 
         <statute_ref>144A.071</statute_ref> only.<br/>
<br/>
<a id="bill.6.33.0"></a><a id="pl.221.12"></a><var>221.12</var>    Sec. 33. Minnesota Statutes 2010, section 256B.49, subdivision 13, is amended to read:<br/>
<a id="pl.221.13"></a><var>221.13</var>    Subd. 13. <b>Case management.</b> (a) Each recipient of a home and community-based <br/>
<a id="pl.221.14"></a><var>221.14</var>waiver under this section shall be provided case management services according to <br/>
<a id="pl.221.15"></a><var>221.15</var>section 256B.092, subdivisions 1a, 1b, and 1e, by qualified vendors as described in the <br/>
<a id="pl.221.16"></a><var>221.16</var>federally approved waiver application. The case management service activities provided <br/>
<a id="pl.221.17"></a><var>221.17</var>will include:<br/>
<a id="pl.221.18"></a><var>221.18</var>    (1) assessing the needs of the individual within 20 working days of a recipient's <br/>
<a id="pl.221.19"></a><var>221.19</var>request;<br/>
<a id="pl.221.20"></a><var>221.20</var>    (2) developing the written individual service plan within ten working days after the <br/>
<a id="pl.221.21"></a><var>221.21</var>assessment is completed;<br/>
<a id="pl.221.22"></a><var>221.22</var>    (3) informing the recipient or the recipient's legal guardian or conservator of service <br/>
<a id="pl.221.23"></a><var>221.23</var>options;<br/>
<a id="pl.221.24"></a><var>221.24</var>    (4) assisting the recipient in the identification of potential service providers;<br/>
<a id="pl.221.25"></a><var>221.25</var>    (5) assisting the recipient to access services;<br/>
<a id="pl.221.26"></a><var>221.26</var>    (6) coordinating, evaluating, and monitoring of the services identified in the service <br/>
<a id="pl.221.27"></a><var>221.27</var>plan;<br/>
<a id="pl.221.28"></a><var>221.28</var>    (7) completing the annual reviews of the service plan; and<br/>
<a id="pl.221.29"></a><var>221.29</var>    (8) informing the recipient or legal representative of the right to have assessments <br/>
<a id="pl.221.30"></a><var>221.30</var>completed and service plans developed within specified time periods, and to appeal county <br/>
<a id="pl.221.31"></a><var>221.31</var>action or inaction under section 
<statute_ref>256.045, subdivision 3</statute_ref>, including the determination of <br/>
<a id="pl.221.32"></a><var>221.32</var>nursing facility level of care.<br/>
<a id="pl.221.33"></a><var>221.33</var>    (b) The case manager may delegate certain aspects of the case management service <br/>
<a id="pl.221.34"></a><var>221.34</var>activities to another individual provided there is oversight by the case manager. The case <br/>
<a id="pl.222.1"></a><var>222.1</var>manager may not delegate those aspects which require professional judgment including <br/>
<a id="pl.222.2"></a><var>222.2</var>assessments, reassessments, and care plan development.<br/>
<a id="pl.222.3"></a><var>222.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012.<br/>
<br/>
<a id="bill.6.34.0"></a><a id="pl.222.4"></a><var>222.4</var>    Sec. 34. Minnesota Statutes 2010, section 256B.49, subdivision 14, is amended to read:<br/>
<a id="pl.222.5"></a><var>222.5</var>    Subd. 14. <b>Assessment and reassessment.</b> (a) Assessments of each recipient's <br/>
<a id="pl.222.6"></a><var>222.6</var>strengths, informal support systems, and need for services shall be completed within 20 <br/>
<a id="pl.222.7"></a><var>222.7</var>working days of the recipient's request as provided in section 256B.0911. Reassessment <br/>
<a id="pl.222.8"></a><var>222.8</var>of each recipient's strengths, support systems, and need for services shall be conducted <br/>
<a id="pl.222.9"></a><var>222.9</var>at least every 12 months and at other times when there has been a significant change in <br/>
<a id="pl.222.10"></a><var>222.10</var>the recipient's functioning.<br/>
<a id="pl.222.11"></a><var>222.11</var>(b) There must be a determination that the client requires a hospital level of care or a <br/>
<a id="pl.222.12"></a><var>222.12</var>nursing facility level of care as defined in section 
         <statute_ref>144.0724, subdivision 11</statute_ref>, at initial and <br/>
<a id="pl.222.13"></a><var>222.13</var>subsequent assessments to initiate and maintain participation in the waiver program.<br/>
<a id="pl.222.14"></a><var>222.14</var>(c) Regardless of other assessments identified in section 
         <statute_ref>144.0724, subdivision 4</statute_ref>, as <br/>
<a id="pl.222.15"></a><var>222.15</var>appropriate to determine nursing facility level of care for purposes of medical assistance <br/>
<a id="pl.222.16"></a><var>222.16</var>payment for nursing facility services, only face-to-face assessments conducted according <br/>
<a id="pl.222.17"></a><var>222.17</var>to section 
         <statute_ref>256B.0911, subdivisions 3a</statute_ref>, 3b, and 4d, that result in a hospital level of care <br/>
<a id="pl.222.18"></a><var>222.18</var>determination or a nursing facility level of care determination must be accepted for <br/>
<a id="pl.222.19"></a><var>222.19</var>purposes of initial and ongoing access to waiver services payment.<br/>
<a id="pl.222.20"></a><var>222.20</var>(d) Persons with developmental disabilities who apply for services under the nursing <br/>
<a id="pl.222.21"></a><var>222.21</var>facility level waiver programs shall be screened for the appropriate level of care according <br/>
<a id="pl.222.22"></a><var>222.22</var>to section 
         <statute_ref>256B.092</statute_ref>.<br/>
<a id="pl.222.23"></a><var>222.23</var>(e) Recipients who are found eligible for home and community-based services under <br/>
<a id="pl.222.24"></a><var>222.24</var>this section before their 65th birthday may remain eligible for these services after their <br/>
<a id="pl.222.25"></a><var>222.25</var>65th birthday if they continue to meet all other eligibility factors.<br/>
<a id="pl.222.26"></a><var>222.26</var>(f) The commissioner shall develop criteria to identify recipients whose level of <br/>
<a id="pl.222.27"></a><var>222.27</var>functioning is reasonably expected to improve and reassess these recipients to establish <br/>
<a id="pl.222.28"></a><var>222.28</var>a baseline assessment. Recipients who meet these criteria must have a comprehensive <br/>
<a id="pl.222.29"></a><var>222.29</var>transitional service plan developed under subdivision 15, paragraphs (b) and (c), and be <br/>
<a id="pl.222.30"></a><var>222.30</var>reassessed every six months until there has been no significant change in the recipient's <br/>
<a id="pl.222.31"></a><var>222.31</var>functioning for at least 12 months. After there has been no significant change in the <br/>
<a id="pl.222.32"></a><var>222.32</var>recipient's functioning for at least 12 months, reassessments of the recipient's strengths, <br/>
<a id="pl.222.33"></a><var>222.33</var>informal support systems, and need for services shall be conducted at least every 12 <br/>
<a id="pl.222.34"></a><var>222.34</var>months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.223.1"></a><var>223.1</var>functioning. Counties, case managers, and service providers are responsible for conducting <br/>
<a id="pl.223.2"></a><var>223.2</var>these reassessments and shall complete the reassessments out of existing funds.<br/>
<a id="pl.223.3"></a><var>223.3</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012, except for paragraph <br/>
<a id="pl.223.4"></a><var>223.4</var>(f), which is effective July 1, 2013.<br/>
<br/>
<a id="bill.6.35.0"></a><a id="pl.223.5"></a><var>223.5</var>    Sec. 35. Minnesota Statutes 2010, section 256B.49, subdivision 15, is amended to read:<br/>
<a id="pl.223.6"></a><var>223.6</var>    Subd. 15. <b>Individualized service</b><b> </b><b> Coordinated services and support</b><b> plan</b><b>; </b><br/>
<a id="pl.223.7"></a><var>223.7</var><b>comprehensive transitional service plan; maintenance service plan</b><b>.</b> (a) Each recipient <br/>
<a id="pl.223.8"></a><var>223.8</var>of home and community-based waivered services shall be provided a copy of the written <br/>
<a id="pl.223.9"></a><var>223.9</var>service  coordinated services and support plan which: that complies with the requirements <br/>
<a id="pl.223.10"></a><var>223.10</var>of section 256B.092, subdivisions 1b and 1e.<br/>
<a id="pl.223.11"></a><var>223.11</var>(1) is developed and signed by the recipient within ten working days of the <br/>
<a id="pl.223.12"></a><var>223.12</var>completion of the assessment;<br/>
<a id="pl.223.13"></a><var>223.13</var>(2) meets the assessed needs of the recipient;<br/>
<a id="pl.223.14"></a><var>223.14</var>(3) reasonably ensures the health and safety of the recipient;<br/>
<a id="pl.223.15"></a><var>223.15</var>(4) promotes independence;<br/>
<a id="pl.223.16"></a><var>223.16</var>(5) allows for services to be provided in the most integrated settings; and<br/>
<a id="pl.223.17"></a><var>223.17</var>(6) provides for an informed choice, as defined in section 
<statute_ref>256B.77, subdivision 2</statute_ref>, <br/>
<a id="pl.223.18"></a><var>223.18</var>paragraph (p), of service and support providers.<br/>
<a id="pl.223.19"></a><var>223.19</var>(b) In developing the comprehensive transitional service plan, the individual <br/>
<a id="pl.223.20"></a><var>223.20</var>receiving services, the case manager, and the guardian, if applicable, will identify <br/>
<a id="pl.223.21"></a><var>223.21</var>the transitional service plan fundamental service outcome and anticipated timeline to <br/>
<a id="pl.223.22"></a><var>223.22</var>achieve this outcome. Within the first 20 days following a recipient's request for an <br/>
<a id="pl.223.23"></a><var>223.23</var>assessment or reassessment, the transitional service planning team must be identified. A <br/>
<a id="pl.223.24"></a><var>223.24</var>team leader must be identified who will be responsible for assigning responsibility and <br/>
<a id="pl.223.25"></a><var>223.25</var>communicating with team members to ensure implementation of the transition plan and <br/>
<a id="pl.223.26"></a><var>223.26</var>ongoing assessment and communication process. The team leader should be an individual, <br/>
<a id="pl.223.27"></a><var>223.27</var>such as the case manager or guardian, who has the opportunity to follow the recipient to <br/>
<a id="pl.223.28"></a><var>223.28</var>the next level of service.<br/>
<a id="pl.223.29"></a><var>223.29</var>Within ten days following an assessment, a comprehensive transitional service plan <br/>
<a id="pl.223.30"></a><var>223.30</var>must be developed incorporating elements of a comprehensive functional assessment and <br/>
<a id="pl.223.31"></a><var>223.31</var>including short-term measurable outcomes and timelines for achievement of and reporting <br/>
<a id="pl.223.32"></a><var>223.32</var>on these outcomes. Functional milestones must also be identified and reported according <br/>
<a id="pl.223.33"></a><var>223.33</var>to the timelines agreed upon by the transitional service planning team. In addition, the <br/>
<a id="pl.223.34"></a><var>223.34</var>comprehensive transitional service plan must identify additional supports that may assist <br/>
<a id="pl.223.35"></a><var>223.35</var>in the achievement of the fundamental service outcome such as the development of greater <br/>
<a id="pl.224.1"></a><var>224.1</var>natural community support, increased collaboration among agencies, and technological <br/>
<a id="pl.224.2"></a><var>224.2</var>supports.<br/>
<a id="pl.224.3"></a><var>224.3</var>The timelines for reporting on functional milestones will prompt a reassessment of <br/>
<a id="pl.224.4"></a><var>224.4</var>services provided, the units of services, rates, and appropriate service providers. It is <br/>
<a id="pl.224.5"></a><var>224.5</var>the responsibility of the transitional service planning team leader to review functional <br/>
<a id="pl.224.6"></a><var>224.6</var>milestone reporting to determine if the milestones are consistent with observable skills <br/>
<a id="pl.224.7"></a><var>224.7</var>and that milestone achievement prompts any needed changes to the comprehensive <br/>
<a id="pl.224.8"></a><var>224.8</var>transitional service plan.<br/>
<a id="pl.224.9"></a><var>224.9</var>For those whose fundamental transitional service outcome involves the need to <br/>
<a id="pl.224.10"></a><var>224.10</var>procure housing, a plan for the recipient to seek the resources necessary to secure the least <br/>
<a id="pl.224.11"></a><var>224.11</var>restrictive housing possible should be incorporated into the plan, including employment <br/>
<a id="pl.224.12"></a><var>224.12</var>and public supports such as housing access and shelter needy funding.<br/>
<a id="pl.224.13"></a><var>224.13</var>(c) Counties and other agencies responsible for funding community placement and <br/>
<a id="pl.224.14"></a><var>224.14</var>ongoing community supportive services are responsible for the implementation of the <br/>
<a id="pl.224.15"></a><var>224.15</var>comprehensive transitional service plans. Oversight responsibilities include both ensuring <br/>
<a id="pl.224.16"></a><var>224.16</var>effective transitional service delivery and efficient utilization of funding resources.<br/>
<a id="pl.224.17"></a><var>224.17</var>(d) Following one year of transitional services, the transitional services planning <br/>
<a id="pl.224.18"></a><var>224.18</var>team will make a determination as to whether or not the individual receiving services <br/>
<a id="pl.224.19"></a><var>224.19</var>requires the current level of continuous and consistent support in order to maintain the <br/>
<a id="pl.224.20"></a><var>224.20</var>recipient's current level of functioning. Recipients who are determined to have not had <br/>
<a id="pl.224.21"></a><var>224.21</var>a significant change in functioning for 12 months must move from a transitional to a <br/>
<a id="pl.224.22"></a><var>224.22</var>maintenance service plan. Recipients on a maintenance service plan must be reassessed <br/>
<a id="pl.224.23"></a><var>224.23</var>to determine if the recipient would benefit from a transitional service plan at least every <br/>
<a id="pl.224.24"></a><var>224.24</var>12 months and at other times when there has been a significant change in the recipient's <br/>
<a id="pl.224.25"></a><var>224.25</var>functioning. This assessment should consider any changes to technological or natural <br/>
<a id="pl.224.26"></a><var>224.26</var>community supports.<br/>
<a id="pl.224.27"></a><var>224.27</var>(b) (e) When a county is evaluating denials, reductions, or terminations of home <br/>
<a id="pl.224.28"></a><var>224.28</var>and community-based services under section 
         <statute_ref>256B.49</statute_ref> for an individual, the case manager <br/>
<a id="pl.224.29"></a><var>224.29</var>shall offer to meet with the individual or the individual's guardian in order to discuss the <br/>
<a id="pl.224.30"></a><var>224.30</var>prioritization of service needs within the individualized service plan, comprehensive <br/>
<a id="pl.224.31"></a><var>224.31</var>transitional service plan, or maintenance service plan. The reduction in the authorized <br/>
<a id="pl.224.32"></a><var>224.32</var>services for an individual due to changes in funding for waivered services may not exceed <br/>
<a id="pl.224.33"></a><var>224.33</var>the amount needed to ensure medically necessary services to meet the individual's health, <br/>
<a id="pl.224.34"></a><var>224.34</var>safety, and welfare.<br/>
<a id="pl.224.35"></a><var>224.35</var><b>EFFECTIVE DATE.</b>This section is effective January 1, 2012, except for <br/>
<a id="pl.224.36"></a><var>224.36</var>paragraphs (b), (c), and (d), which are effective July 1, 2013.<br/>
<br/>
<a id="bill.6.36.0"></a><a id="pl.225.1"></a><var>225.1</var>    Sec. 36. Minnesota Statutes 2010, section 256B.5012, is amended by adding a <br/>
<a id="pl.225.2"></a><var>225.2</var>subdivision to read:<br/>
<a id="pl.225.3"></a><var>225.3</var>    Subd. 9. <b>ICF/MR rate increase.</b> Effective July 1, 2011, the commissioner shall <br/>
<a id="pl.225.4"></a><var>225.4</var>increase the daily rate to $138.23 at an intermediate care facility for the developmentally <br/>
<a id="pl.225.5"></a><var>225.5</var>disabled located in Clearwater County and classified as a class A facility with 15 beds.<br/>
<a id="pl.225.6"></a><var>225.6</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.6.37.0"></a><a id="pl.225.7"></a><var>225.7</var>    Sec. 37. Minnesota Statutes 2010, section 256B.5012, is amended by adding a <br/>
<a id="pl.225.8"></a><var>225.8</var>subdivision to read:<br/>
<a id="pl.225.9"></a><var>225.9</var>    Subd. 10. <b>ICF/MR rate adjustment.</b> For each facility reimbursed under this <br/>
<a id="pl.225.10"></a><var>225.10</var>section, except for a facility located in Clearwater County and classified as a class A <br/>
<a id="pl.225.11"></a><var>225.11</var>facility with 15 beds, the commissioner shall decrease operating payment rates equal <br/>
<a id="pl.225.12"></a><var>225.12</var>to 0.095 percent of the operating payment rates in effect on June 30, 2011. For each <br/>
<a id="pl.225.13"></a><var>225.13</var>facility, the commissioner shall apply the rate reduction, based on occupied beds, using the <br/>
<a id="pl.225.14"></a><var>225.14</var>percentage specified in this subdivision multiplied by the total payment rate, including the <br/>
<a id="pl.225.15"></a><var>225.15</var>variable rate but excluding the property-related payment rate, in effect on the preceding <br/>
<a id="pl.225.16"></a><var>225.16</var>date. The total rate reduction shall include the adjustment provided in section 256B.501, <br/>
<a id="pl.225.17"></a><var>225.17</var>subdivision 12.<br/>
<br/>
<a id="bill.6.38.0"></a><a id="pl.225.18"></a><var>225.18</var>    Sec. 38. Minnesota Statutes 2010, section 256G.02, subdivision 6, is amended to read:<br/>
<a id="pl.225.19"></a><var>225.19</var>    Subd. 6. <b>Excluded time.</b> "Excluded time" means:<br/>
<a id="pl.225.20"></a><var>225.20</var>(a) any period an applicant spends in a hospital, sanitarium, nursing home, shelter <br/>
<a id="pl.225.21"></a><var>225.21</var>other than an emergency shelter, halfway house, foster home, semi-independent living <br/>
<a id="pl.225.22"></a><var>225.22</var>domicile or services program, residential facility offering care, board and lodging facility <br/>
<a id="pl.225.23"></a><var>225.23</var>or other institution for the hospitalization or care of human beings, as defined in section <br/>
<statute_ref><a id="pl.225.24"></a><var>225.24</var>144.50
         </statute_ref>, 
         <statute_ref>144A.01</statute_ref>, or 
         <statute_ref>245A.02, subdivision 14</statute_ref>; maternity home, battered women's shelter, <br/>
<a id="pl.225.25"></a><var>225.25</var>or correctional facility; or any facility based on an emergency hold under sections <br/>
<statute_ref><a id="pl.225.26"></a><var>225.26</var>253B.05, subdivisions 1 and 2
         </statute_ref>, and 
         <statute_ref>253B.07, subdivision 6</statute_ref>;<br/>
<a id="pl.225.27"></a><var>225.27</var>(b) any period an applicant spends on a placement basis in a training and habilitation <br/>
<a id="pl.225.28"></a><var>225.28</var>program, including a rehabilitation facility or work or employment program as defined <br/>
<a id="pl.225.29"></a><var>225.29</var>in section 
         <statute_ref>268A.01</statute_ref>; or receiving personal care assistance services pursuant to section <br/>
<a id="pl.225.30"></a><var>225.30</var><statute_ref>256B.0659</statute_ref>; semi-independent living services provided under section 
         <statute_ref>252.275</statute_ref>, and <br/>
<a id="pl.225.31"></a><var>225.31</var>Minnesota Rules, parts 9525.0500 to 9525.0660; or day training and habilitation programs <br/>
<a id="pl.225.32"></a><var>225.32</var>and assisted living services; and<br/>
<a id="pl.225.33"></a><var>225.33</var>(c) any placement for a person with an indeterminate commitment, including <br/>
<a id="pl.225.34"></a><var>225.34</var>independent living.<br/>
<a id="pl.226.1"></a><var>226.1</var><b>EFFECTIVE DATE.</b>This section is effective July 1, 2011.<br/>
<br/>
<a id="bill.6.39.0"></a><a id="pl.226.2"></a><var>226.2</var>    Sec. 39. Laws 2009, chapter 79, article 13, section 3, subdivision 8, as amended by <br/>
<a id="pl.226.3"></a><var>226.3</var>Laws 2009, chapter 173, article 2, section 1, subdivision 8, and Laws 2010, First Special <br/>
<a id="pl.226.4"></a><var>226.4</var>Session chapter 1, article 15, section 5, and article 25, section 16, 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.226.5"></a><var>226.5</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.226.6"></a><var>226.6</var>The amounts that may be spent from the <br/>
<a id="pl.226.7"></a><var>226.7</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="11.899999999999999"/>
<tr>
<td><a id="pl.226.8"></a><var>226.8</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.226.9"></a><var>226.9</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.226.10"></a><var>226.10</var>increased by $5,751,000 in fiscal year 2012 <br/>
<a id="pl.226.11"></a><var>226.11</var>and $6,705,000 in fiscal year 2013.<br/>
<a id="pl.226.12"></a><var>226.12</var><b>Information and Assistance </b><br/>
<a id="pl.226.13"></a><var>226.13</var><b>Reimbursement.</b> Federal administrative <br/>
<a id="pl.226.14"></a><var>226.14</var>reimbursement obtained from information <br/>
<a id="pl.226.15"></a><var>226.15</var>and assistance services provided by the <br/>
<a id="pl.226.16"></a><var>226.16</var>Senior LinkAge or Disability Linkage lines <br/>
<a id="pl.226.17"></a><var>226.17</var>to people who are identified as eligible for <br/>
<a id="pl.226.18"></a><var>226.18</var>medical assistance shall be appropriated to <br/>
<a id="pl.226.19"></a><var>226.19</var>the commissioner for this activity.<br/>
<a id="pl.226.20"></a><var>226.20</var><b>Community Service Development Grant </b><br/>
<a id="pl.226.21"></a><var>226.21</var><b>Reduction.</b> Funding for community service <br/>
<a id="pl.226.22"></a><var>226.22</var>development grants must be reduced by <br/>
<a id="pl.226.23"></a><var>226.23</var>$260,000 for fiscal year 2010; $284,000 in <br/>
<a id="pl.226.24"></a><var>226.24</var>fiscal year 2011; $43,000 in fiscal year 2012; <br/>
<a id="pl.226.25"></a><var>226.25</var>and $43,000 in fiscal year 2013. Base level <br/>
<a id="pl.226.26"></a><var>226.26</var>funding shall be restored in fiscal year 2014.<br/>
<a id="pl.226.27"></a><var>226.27</var><b>Community Service Development Grant </b><br/>
<a id="pl.226.28"></a><var>226.28</var><b>Community Initiative.</b> Funding for <br/>
<a id="pl.226.29"></a><var>226.29</var>community service development grants shall <br/>
<a id="pl.226.30"></a><var>226.30</var>be used to offset the cost of aging support <br/>
<a id="pl.226.31"></a><var>226.31</var>grants. Base level funding shall be restored <br/>
<a id="pl.226.32"></a><var>226.32</var>in fiscal year 2014.<br/>
<a id="pl.227.1"></a><var>227.1</var><b>Senior Nutrition Use of Federal Funds.</b> <br/>
<a id="pl.227.2"></a><var>227.2</var>For fiscal year 2010, general fund grants <br/>
<a id="pl.227.3"></a><var>227.3</var>for home-delivered meals and congregate <br/>
<a id="pl.227.4"></a><var>227.4</var>dining shall be reduced by $500,000. The <br/>
<a id="pl.227.5"></a><var>227.5</var>commissioner must replace these general <br/>
<a id="pl.227.6"></a><var>227.6</var>fund reductions with equal amounts from <br/>
<a id="pl.227.7"></a><var>227.7</var>federal funding for senior nutrition from the <br/>
<a id="pl.227.8"></a><var>227.8</var>American Recovery and Reinvestment Act <br/>
<a id="pl.227.9"></a><var>227.9</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.227.10"></a><var>227.10</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.227.11"></a><var>227.11</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.227.12"></a><var>227.12</var>decreased by $3,598,000 in fiscal year 2012 <br/>
<a id="pl.227.13"></a><var>227.13</var>and $3,470,000 in fiscal year 2013.<br/>
<a id="pl.227.14"></a><var>227.14</var><b>Alternative Care Transfer.</b> Any money <br/>
<a id="pl.227.15"></a><var>227.15</var>allocated to the alternative care program that <br/>
<a id="pl.227.16"></a><var>227.16</var>is not spent for the purposes indicated does <br/>
<a id="pl.227.17"></a><var>227.17</var>not cancel but must be transferred to the <br/>
<a id="pl.227.18"></a><var>227.18</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.227.19"></a><var>227.19</var><br/>
<a id="pl.227.20"></a><var>227.20</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.227.21"></a><var>227.21</var><br/>
<a id="pl.227.22"></a><var>227.22</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.227.23"></a><var>227.23</var><b>Manage Growth in TBI and CADI </b><br/>
<a id="pl.227.24"></a><var>227.24</var><b>Waivers.</b> During the fiscal years beginning <br/>
<a id="pl.227.25"></a><var>227.25</var>on July 1, 2009, and July 1, 2010, the <br/>
<a id="pl.227.26"></a><var>227.26</var>commissioner shall allocate money for home <br/>
<a id="pl.227.27"></a><var>227.27</var>and community-based waiver programs <br/>
<a id="pl.227.28"></a><var>227.28</var>under Minnesota Statutes, section 
         <statute_ref>256B.49</statute_ref>, <br/>
<a id="pl.227.29"></a><var>227.29</var>to ensure a reduction in state spending that is <br/>
<a id="pl.227.30"></a><var>227.30</var>equivalent to limiting the caseload growth of <br/>
<a id="pl.227.31"></a><var>227.31</var>the TBI waiver to 12.5 allocations per month <br/>
<a id="pl.227.32"></a><var>227.32</var>each year of the biennium and the CADI <br/>
<a id="pl.227.33"></a><var>227.33</var>waiver to 95 allocations per month each year <br/>
<a id="pl.227.34"></a><var>227.34</var>of the biennium. Limits do not apply: (1) <br/>
<a id="pl.227.35"></a><var>227.35</var>when there is an approved plan for nursing <br/>
<a id="pl.228.1"></a><var>228.1</var>facility bed closures for individuals under <br/>
<a id="pl.228.2"></a><var>228.2</var>age 65 who require relocation due to the <br/>
<a id="pl.228.3"></a><var>228.3</var>bed closure; (2) to fiscal year 2009 waiver <br/>
<a id="pl.228.4"></a><var>228.4</var>allocations delayed due to unallotment; or (3) <br/>
<a id="pl.228.5"></a><var>228.5</var>to transfers authorized by the commissioner <br/>
<a id="pl.228.6"></a><var>228.6</var>from the personal care assistance program <br/>
<a id="pl.228.7"></a><var>228.7</var>of individuals having a home care rating <br/>
<a id="pl.228.8"></a><var>228.8</var>of "CS," "MT," or "HL." Priorities for the <br/>
<a id="pl.228.9"></a><var>228.9</var>allocation of funds must be for individuals <br/>
<a id="pl.228.10"></a><var>228.10</var>anticipated to be discharged from institutional <br/>
<a id="pl.228.11"></a><var>228.11</var>settings or who are at imminent risk of a <br/>
<a id="pl.228.12"></a><var>228.12</var>placement in an institutional setting.<br/>
<a id="pl.228.13"></a><var>228.13</var><b>Manage Growth in DD Waiver.</b> The <br/>
<a id="pl.228.14"></a><var>228.14</var>commissioner shall manage the growth in <br/>
<a id="pl.228.15"></a><var>228.15</var>the DD waiver by limiting the allocations <br/>
<a id="pl.228.16"></a><var>228.16</var>included in the February 2009 forecast to 15 <br/>
<a id="pl.228.17"></a><var>228.17</var>additional diversion allocations each month <br/>
<a id="pl.228.18"></a><var>228.18</var>for the calendar years that begin on January <br/>
<a id="pl.228.19"></a><var>228.19</var>1, 2010, and January 1, 2011. Additional <br/>
<a id="pl.228.20"></a><var>228.20</var>allocations must be made available for <br/>
<a id="pl.228.21"></a><var>228.21</var>transfers authorized by the commissioner <br/>
<a id="pl.228.22"></a><var>228.22</var>from the personal care program of individuals <br/>
<a id="pl.228.23"></a><var>228.23</var>having a home care rating of "CS," "MT," <br/>
<a id="pl.228.24"></a><var>228.24</var>or "HL."<br/>
<a id="pl.228.25"></a><var>228.25</var><b>Adjustment to Lead Agency Waiver </b><br/>
<a id="pl.228.26"></a><var>228.26</var><b>Allocations.</b> Prior to the availability of the <br/>
<a id="pl.228.27"></a><var>228.27</var>alternative license defined in Minnesota <br/>
<a id="pl.228.28"></a><var>228.28</var>Statutes, section 
         <statute_ref>245A.11, subdivision 8</statute_ref>, <br/>
<a id="pl.228.29"></a><var>228.29</var>the commissioner shall reduce lead agency <br/>
<a id="pl.228.30"></a><var>228.30</var>waiver allocations for the purposes of <br/>
<a id="pl.228.31"></a><var>228.31</var>implementing a moratorium on corporate <br/>
<a id="pl.228.32"></a><var>228.32</var>foster care.<br/>
<a id="pl.228.33"></a><var>228.33</var><b>Alternatives to Personal Care Assistance </b><br/>
<a id="pl.228.34"></a><var>228.34</var><b>Services.</b> Base level funding of $3,237,000 <br/>
<a id="pl.228.35"></a><var>228.35</var>in fiscal year 2012 and $4,856,000 in <br/>
<a id="pl.229.1"></a><var>229.1</var>fiscal year 2013 is to implement alternative <br/>
<a id="pl.229.2"></a><var>229.2</var>services to personal care assistance services <br/>
<a id="pl.229.3"></a><var>229.3</var>for persons with mental health and other <br/>
<a id="pl.229.4"></a><var>229.4</var>behavioral challenges who can benefit <br/>
<a id="pl.229.5"></a><var>229.5</var>from other services that more appropriately <br/>
<a id="pl.229.6"></a><var>229.6</var>meet their needs and assist them in living <br/>
<a id="pl.229.7"></a><var>229.7</var>independently in the community. These <br/>
<a id="pl.229.8"></a><var>229.8</var>services may include, but not be limited to, a <br/>
<a id="pl.229.9"></a><var>229.9</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.229.10"></a><var>229.10</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.229.11"></a><var>229.11</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.229.12"></a><var>229.12</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.229.13"></a><var>229.13</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.229.14"></a><var>229.14</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.229.15"></a><var>229.15</var><b>Funding Usage.</b> Up to 75 percent of a fiscal <br/>
<a id="pl.229.16"></a><var>229.16</var>year's appropriation for adult mental health <br/>
<a id="pl.229.17"></a><var>229.17</var>grants may be used to fund allocations in that <br/>
<a id="pl.229.18"></a><var>229.18</var>portion of the fiscal year ending December <br/>
<a id="pl.229.19"></a><var>229.19</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.229.20"></a><var>229.20</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.229.21"></a><var>229.21</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.229.22"></a><var>229.22</var><b>Payments for Substance Abuse Treatment.</b> <br/>
<a id="pl.229.23"></a><var>229.23</var>For placements beginning during fiscal years <br/>
<a id="pl.229.24"></a><var>229.24</var>2010 and 2011, county-negotiated rates and <br/>
<a id="pl.229.25"></a><var>229.25</var>provider claims to the consolidated chemical <br/>
<a id="pl.229.26"></a><var>229.26</var>dependency fund must not exceed the lesser <br/>
<a id="pl.229.27"></a><var>229.27</var>of:<br/>
<a id="pl.229.28"></a><var>229.28</var>(1) rates charged for these services on <br/>
<a id="pl.229.29"></a><var>229.29</var>January 1, 2009; or<br/>
<a id="pl.229.30"></a><var>229.30</var>(2) 160 percent of the average rate on January <br/>
<a id="pl.229.31"></a><var>229.31</var>1, 2009, for each group of vendors with <br/>
<a id="pl.229.32"></a><var>229.32</var>similar attributes.<br/>
<a id="pl.229.33"></a><var>229.33</var>Rates for fiscal years 2010 and 2011 must <br/>
<a id="pl.229.34"></a><var>229.34</var>not exceed 160 percent of the average rate on <br/>
<a id="pl.230.1"></a><var>230.1</var>January 1, 2009, for each group of vendors <br/>
<a id="pl.230.2"></a><var>230.2</var>with similar attributes.<br/>
<a id="pl.230.3"></a><var>230.3</var>Effective July 1, 2010, rates that were above <br/>
<a id="pl.230.4"></a><var>230.4</var>the average rate on January 1, 2009, are <br/>
<a id="pl.230.5"></a><var>230.5</var>reduced by five percent from the rates in <br/>
<a id="pl.230.6"></a><var>230.6</var>effect on June 1, 2010. Rates below the <br/>
<a id="pl.230.7"></a><var>230.7</var>average rate on January 1, 2009, are reduced <br/>
<a id="pl.230.8"></a><var>230.8</var>by 1.8 percent from the rates in effect on <br/>
<a id="pl.230.9"></a><var>230.9</var>June 1, 2010. Services provided under <br/>
<a id="pl.230.10"></a><var>230.10</var>this section by state-operated services are <br/>
<a id="pl.230.11"></a><var>230.11</var>exempt from the rate reduction. For services <br/>
<a id="pl.230.12"></a><var>230.12</var>provided in fiscal years 2012 and 2013, the <br/>
<a id="pl.230.13"></a><var>230.13</var>statewide aggregate payment under the new <br/>
<a id="pl.230.14"></a><var>230.14</var>rate methodology to be developed under <br/>
<a id="pl.230.15"></a><var>230.15</var>Minnesota Statutes, section 
         <statute_ref>254B.12</statute_ref>, must <br/>
<a id="pl.230.16"></a><var>230.16</var>not exceed the projected aggregate payment <br/>
<a id="pl.230.17"></a><var>230.17</var>under the rates in effect for fiscal year 2011 <br/>
<a id="pl.230.18"></a><var>230.18</var>excluding the rate reduction for rates that <br/>
<a id="pl.230.19"></a><var>230.19</var>were below the average on January 1, 2009, <br/>
<a id="pl.230.20"></a><var>230.20</var>plus a state share increase of $3,787,000 for <br/>
<a id="pl.230.21"></a><var>230.21</var>fiscal year 2012 and $5,023,000 for fiscal <br/>
<a id="pl.230.22"></a><var>230.22</var>year 2013. Notwithstanding any provision <br/>
<a id="pl.230.23"></a><var>230.23</var>to the contrary in this article, this provision <br/>
<a id="pl.230.24"></a><var>230.24</var>expires on June 30, 2013.<br/>
<a id="pl.230.25"></a><var>230.25</var><b>Chemical Dependency Special Revenue </b><br/>
<a id="pl.230.26"></a><var>230.26</var><b>Account.</b> For fiscal year 2010, $750,000 <br/>
<a id="pl.230.27"></a><var>230.27</var>must be transferred from the consolidated <br/>
<a id="pl.230.28"></a><var>230.28</var>chemical dependency treatment fund <br/>
<a id="pl.230.29"></a><var>230.29</var>administrative account and deposited into the <br/>
<a id="pl.230.30"></a><var>230.30</var>general fund.<br/>
<a id="pl.230.31"></a><var>230.31</var><b>County CD Share of MA Costs for </b><br/>
<a id="pl.230.32"></a><var>230.32</var><b>ARRA Compliance.</b> Notwithstanding the <br/>
<a id="pl.230.33"></a><var>230.33</var>provisions of Minnesota Statutes, chapter <br/>
<a id="pl.230.34"></a><var>230.34</var>254B, for chemical dependency services <br/>
<a id="pl.230.35"></a><var>230.35</var>provided during the period October 1, 2008, <br/>
<a id="pl.231.1"></a><var>231.1</var>to December 31, 2010, and reimbursed by <br/>
<a id="pl.231.2"></a><var>231.2</var>medical assistance at the enhanced federal <br/>
<a id="pl.231.3"></a><var>231.3</var>matching rate provided under the American <br/>
<a id="pl.231.4"></a><var>231.4</var>Recovery and Reinvestment Act of 2009, the <br/>
<a id="pl.231.5"></a><var>231.5</var>county share is 30 percent of the nonfederal <br/>
<a id="pl.231.6"></a><var>231.6</var>share. This provision is effective the day <br/>
<a id="pl.231.7"></a><var>231.7</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.231.8"></a><var>231.8</var><br/>
<a id="pl.231.9"></a><var>231.9</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.231.10"></a><var>231.10</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.231.11"></a><var>231.11</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.231.12"></a><var>231.12</var>increased by $2,639,000 in fiscal year 2012 <br/>
<a id="pl.231.13"></a><var>231.13</var>and increased by $3,854,000 in fiscal year <br/>
<a id="pl.231.14"></a><var>231.14</var>2013.<br/>
<a id="pl.231.15"></a><var>231.15</var><b>Technology Grants.</b> $650,000 in fiscal <br/>
<a id="pl.231.16"></a><var>231.16</var>year 2010 and $1,000,000 in fiscal year <br/>
<a id="pl.231.17"></a><var>231.17</var>2011 are for technology grants, case <br/>
<a id="pl.231.18"></a><var>231.18</var>consultation, evaluation, and consumer <br/>
<a id="pl.231.19"></a><var>231.19</var>information grants related to developing and <br/>
<a id="pl.231.20"></a><var>231.20</var>supporting alternatives to shift-staff foster <br/>
<a id="pl.231.21"></a><var>231.21</var>care residential service models.<br/>
<a id="pl.231.22"></a><var>231.22</var><b>Other Continuing Care Grants; HIV </b><br/>
<a id="pl.231.23"></a><var>231.23</var><b>Grants.</b> Money appropriated for the HIV <br/>
<a id="pl.231.24"></a><var>231.24</var>drug and insurance grant program in fiscal <br/>
<a id="pl.231.25"></a><var>231.25</var>year 2010 may be used in either year of the <br/>
<a id="pl.231.26"></a><var>231.26</var>biennium.<br/>
<a id="pl.231.27"></a><var>231.27</var><b>Quality Assurance Commission.</b> Effective <br/>
<a id="pl.231.28"></a><var>231.28</var>July 1, 2009, state funding for the quality <br/>
<a id="pl.231.29"></a><var>231.29</var>assurance commission under Minnesota <br/>
<a id="pl.231.30"></a><var>231.30</var>Statutes, section 
         <statute_ref>256B.0951</statute_ref>, is canceled.<br/>
<br/>
<a id="bill.6.40.0"></a><a id="pl.231.31"></a><var>231.31</var>    Sec. 40. <b>ESTABLISHMENT OF RATES FOR SHARED HOME AND </b><br/>
<a id="pl.231.32"></a><var>231.32</var><b>COMMUNITY-BASED WAIVER SERVICES.</b><br/>
<a id="pl.231.33"></a><var>231.33</var>By January 1, 2012, the commissioner shall establish rates to begin paying for <br/>
<a id="pl.231.34"></a><var>231.34</var>in-home services and personal supports under all of the home and community-based <br/>
<a id="pl.232.1"></a><var>232.1</var>waiver services programs consistent with the standards in Minnesota Statutes, section <br/>
<a id="pl.232.2"></a><var>232.2</var>256B.4912, subdivision 2.<br/>
<br/>
<a id="bill.6.41.0"></a><a id="pl.232.3"></a><var>232.3</var>    Sec. 41. <b>ESTABLISHMENT OF RATE FOR CASE MANAGEMENT </b><br/>
<a id="pl.232.4"></a><var>232.4</var><b>SERVICES.</b><br/>
<a id="pl.232.5"></a><var>232.5</var>By July 1, 2012, the commissioner shall establish the rate to be paid for case <br/>
<a id="pl.232.6"></a><var>232.6</var>management services under Minnesota Statutes, sections 256B.0621, subdivision 2, clause <br/>
<a id="pl.232.7"></a><var>232.7</var>(4), 256B.092, and 256B.49, consistent with the standards in Minnesota Statutes, section <br/>
<a id="pl.232.8"></a><var>232.8</var>256B.4912, subdivision 2.<br/>
<br/>
<a id="bill.6.42.0"></a><a id="pl.232.9"></a><var>232.9</var>    Sec. 42. <b>RECOMMENDATIONS FOR FURTHER CASE MANAGEMENT </b><br/>
<a id="pl.232.10"></a><var>232.10</var><b>REDESIGN.</b><br/>
<a id="pl.232.11"></a><var>232.11</var>By February 1, 2012, the commissioner of human services shall develop a legislative <br/>
<a id="pl.232.12"></a><var>232.12</var>report with specific recommendations and language for proposed legislation to be effective <br/>
<a id="pl.232.13"></a><var>232.13</var>July 1, 2012, for the following:<br/>
<a id="pl.232.14"></a><var>232.14</var>(1) definitions of service and consolidation of standards and rates to the extent <br/>
<a id="pl.232.15"></a><var>232.15</var>appropriate for all types of medical assistance case management services, including <br/>
<a id="pl.232.16"></a><var>232.16</var>targeted case management under Minnesota Statutes, sections 256B.0621; 256B.0625, <br/>
<a id="pl.232.17"></a><var>232.17</var>subdivision 20; and 256B.0924; mental health case management services for children <br/>
<a id="pl.232.18"></a><var>232.18</var>and adults, all types of home and community-based waiver case management, and case <br/>
<a id="pl.232.19"></a><var>232.19</var>management under Minnesota Rules, parts 9525.0004 to 9525.0036. This work shall be <br/>
<a id="pl.232.20"></a><var>232.20</var>completed in collaboration with efforts under Minnesota Statutes, section 256B.4912;<br/>
<a id="pl.232.21"></a><var>232.21</var>(2) recommendations on county of financial responsibility requirements and quality <br/>
<a id="pl.232.22"></a><var>232.22</var>assurance measures for case management; <br/>
<a id="pl.232.23"></a><var>232.23</var>(3) identification of county administrative functions that may remain entwined in <br/>
<a id="pl.232.24"></a><var>232.24</var>case management service delivery models; and<br/>
<a id="pl.232.25"></a><var>232.25</var>(4) implementation of a methodology to fully fund county case management <br/>
<a id="pl.232.26"></a><var>232.26</var>administrative functions. <br/>
<br/>
<a id="bill.6.43.0"></a><a id="pl.232.27"></a><var>232.27</var>    Sec. 43. <b>MY LIFE, MY CHOICES TASK FORCE.</b><br/>
<a id="pl.232.28"></a><var>232.28</var>    Subdivision 1. <b>Establishment.</b> The My Life, My Choices Task Force is established <br/>
<a id="pl.232.29"></a><var>232.29</var>to create a system of supports and services for people with disabilities governed by the <br/>
<a id="pl.232.30"></a><var>232.30</var>following principles:<br/>
<a id="pl.232.31"></a><var>232.31</var>(1) freedom to act as a consumer of services in the marketplace;<br/>
<a id="pl.232.32"></a><var>232.32</var>(2) freedom to choose to take as much risk as any other citizen;<br/>
<a id="pl.232.33"></a><var>232.33</var>(3) more choices in levels of service that may vary throughout life;<br/>
<a id="pl.233.1"></a><var>233.1</var>(4) opportunity to work with a trusted advocate and fiscal support entity to manage a <br/>
<a id="pl.233.2"></a><var>233.2</var>personal budget and to be accountable for reporting spending and personal outcomes;<br/>
<a id="pl.233.3"></a><var>233.3</var>(5) opportunity to live with minimal constraints instead of minimal freedoms; and<br/>
<a id="pl.233.4"></a><var>233.4</var>(6) ability to consolidate funding streams into an individualized budget.<br/>
<a id="pl.233.5"></a><var>233.5</var>    Subd. 2. <b>Membership.</b> The My Life, My Choices Task Force shall consist of:<br/>
<a id="pl.233.6"></a><var>233.6</var>(1) the lieutenant governor; <br/>
<a id="pl.233.7"></a><var>233.7</var>(2) the commissioner of human services, or the commissioner's designee;<br/>
<a id="pl.233.8"></a><var>233.8</var>(3) a representative of the Minnesota Chamber of Commerce;<br/>
<a id="pl.233.9"></a><var>233.9</var>(4) a county representative appointed by the Association of Minnesota Counties;<br/>
<a id="pl.233.10"></a><var>233.10</var>(5) seven members appointed by the governor as follows: one administrative law <br/>
<a id="pl.233.11"></a><var>233.11</var>judge, one labor representative, two family members of people with disabilities, and three <br/>
<a id="pl.233.12"></a><var>233.12</var>individual members with different disabilities;<br/>
<a id="pl.233.13"></a><var>233.13</var>(6)  two members appointed by the speaker of the house as follows: a representative <br/>
<a id="pl.233.14"></a><var>233.14</var>of a disability advocacy organization, and a representative of a disability legal services <br/>
<a id="pl.233.15"></a><var>233.15</var>advocacy organization; and<br/>
<a id="pl.233.16"></a><var>233.16</var>(7) three members appointed by the majority leader of the senate, including two <br/>
<a id="pl.233.17"></a><var>233.17</var>representatives from nonprofit organizations, one of which serves all 87 counties and <br/>
<a id="pl.233.18"></a><var>233.18</var>one that serves persons with disabilities and employs fewer than 50 people, and a <br/>
<a id="pl.233.19"></a><var>233.19</var>representative of a philanthropic organization.<br/>
<a id="pl.233.20"></a><var>233.20</var>    Appointed nongovernmental members of the task force shall serve as staff for the <br/>
<a id="pl.233.21"></a><var>233.21</var>task force and take on responsibilities of coordinating meetings, reporting on committee <br/>
<a id="pl.233.22"></a><var>233.22</var>recommendations, and providing other staff support as needed to meet the responsibilities <br/>
<a id="pl.233.23"></a><var>233.23</var>of the task force as described in subdivision 3. The chairs and ranking minority members <br/>
<a id="pl.233.24"></a><var>233.24</var>of the legislative committees with jurisdiction over health and human services policy and <br/>
<a id="pl.233.25"></a><var>233.25</var>finance shall serve as ex officio members.<br/>
<a id="pl.233.26"></a><var>233.26</var>    Subd. 3. <b>Duties.</b> The task force shall make recommendations, including proposed <br/>
<a id="pl.233.27"></a><var>233.27</var>legislation, and report to the legislative committees with jurisdiction over health and <br/>
<a id="pl.233.28"></a><var>233.28</var>human services policy and finance by November 15, 2011, on creating a system of <br/>
<a id="pl.233.29"></a><var>233.29</var>supports and services for people with disabilities by July 1, 2012, as governed by the <br/>
<a id="pl.233.30"></a><var>233.30</var>principles under subdivision 1. In making recommendations and proposed legislation, the <br/>
<a id="pl.233.31"></a><var>233.31</var>council shall work in conjunction with the Consumer-Directed Community Supports Task <br/>
<a id="pl.233.32"></a><var>233.32</var>Force and shall include self-directed planning, individual budgeting, choice of trusted <br/>
<a id="pl.233.33"></a><var>233.33</var>partner, self-directed purchasing of services and supports, reporting of outcomes, ability to <br/>
<a id="pl.233.34"></a><var>233.34</var>share in any savings, and any additional rules or laws that may need to be waived. <br/>
<a id="pl.234.1"></a><var>234.1</var>    Subd. 4. <b>Expense reimbursement.</b> The members of the task force shall not be <br/>
<a id="pl.234.2"></a><var>234.2</var>reimbursed by the state for expenses related to the duties of the task force. The task force <br/>
<a id="pl.234.3"></a><var>234.3</var>shall be independently staffed and coordinated by nongovernmental appointees who <br/>
<a id="pl.234.4"></a><var>234.4</var>serve on the task force, and no state dollars shall be appropriated for expenses related to <br/>
<a id="pl.234.5"></a><var>234.5</var>the task force under this section.<br/>
<a id="pl.234.6"></a><var>234.6</var>    Subd. 5. <b>Expiration.</b> The task force expires on July 1, 2013.<br/>
<a id="pl.234.7"></a><var>234.7</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.6.44.0"></a><a id="pl.234.8"></a><var>234.8</var>    Sec. 44. <b>DIRECTION TO OMBUDSMAN FOR LONG-TERM CARE.</b><br/>
<a id="pl.234.9"></a><var>234.9</var>The Office of Ombudsman for Long-Term Care shall develop a work group to <br/>
<a id="pl.234.10"></a><var>234.10</var>address issues about, but not limited to: housing with services fees, staffing, and quality <br/>
<a id="pl.234.11"></a><var>234.11</var>assurance. The work group shall include, but not be limited to: consumers, relatives of <br/>
<a id="pl.234.12"></a><var>234.12</var>consumers, advocates, and providers.  The Office of Ombudsman for Long-Term Care <br/>
<a id="pl.234.13"></a><var>234.13</var>shall present a report with recommendations related to housing with services fees, staffing, <br/>
<a id="pl.234.14"></a><var>234.14</var>and quality assurance to the legislative committees with jurisdiction over health and <br/>
<a id="pl.234.15"></a><var>234.15</var>human services policy and finance by January 15, 2012. <br/>
<br/>
<a id="bill.6.45.0"></a><a id="pl.234.16"></a><var>234.16</var>    Sec. 45. <b>DIRECTION TO COUNTIES.</b><br/>
<a id="pl.234.17"></a><var>234.17</var>Counties must inform individuals who have had a level of service reduction of <br/>
<a id="pl.234.18"></a><var>234.18</var>their right to request an informal review conference with their case worker and any other <br/>
<a id="pl.234.19"></a><var>234.19</var>relevant county staff.<br/>
<br/>
<a id="bill.6.46.0"></a><a id="pl.234.20"></a><var>234.20</var>    Sec. 46. <b>NURSING FACILITY PILOT PROJECT.</b><br/>
<a id="pl.234.21"></a><var>234.21</var>    Subdivision 1. <b>Report.</b> The commissioner of human services, in consultation with <br/>
<a id="pl.234.22"></a><var>234.22</var>the commissioner of health, stakeholders, and experts, shall provide to the legislature <br/>
<a id="pl.234.23"></a><var>234.23</var>recommendations by November 15, 2011, on how to develop a project to demonstrate a <br/>
<a id="pl.234.24"></a><var>234.24</var>new approach to caring for certain individuals in nursing facilities.<br/>
<a id="pl.234.25"></a><var>234.25</var>    Subd. 2. <b>Contents of report.</b> The recommendations shall address the:<br/>
<a id="pl.234.26"></a><var>234.26</var>(1) nature of the demonstration in terms of timing, size, qualifications to participate, <br/>
<a id="pl.234.27"></a><var>234.27</var>participation selection criteria and postdemonstration options for the demonstration and <br/>
<a id="pl.234.28"></a><var>234.28</var>for participating facilities;<br/>
<a id="pl.234.29"></a><var>234.29</var>(2) nature of needed new form of licensure;<br/>
<a id="pl.235.1"></a><var>235.1</var>(3) characteristics of the individuals the new model is intended to serve and <br/>
<a id="pl.235.2"></a><var>235.2</var>comparison of these characteristics with those individuals served by existing models of <br/>
<a id="pl.235.3"></a><var>235.3</var>care;<br/>
<a id="pl.235.4"></a><var>235.4</var>(4) quality standards for licensure addressing management, types and amounts of <br/>
<a id="pl.235.5"></a><var>235.5</var>staffing, safety, infection control, care processes, quality improvement, and resident rights;<br/>
<a id="pl.235.6"></a><var>235.6</var>(5) characteristics of inspection process;<br/>
<a id="pl.235.7"></a><var>235.7</var>(6) funding for inspection process;<br/>
<a id="pl.235.8"></a><var>235.8</var>(7) enforcement authorities;<br/>
<a id="pl.235.9"></a><var>235.9</var>(8) role of Medicare;<br/>
<a id="pl.235.10"></a><var>235.10</var>(9) participation in the elderly waiver program, including rate setting;<br/>
<a id="pl.235.11"></a><var>235.11</var>(10) nature of any federal approval or waiver requirements and the method and <br/>
<a id="pl.235.12"></a><var>235.12</var>timing of obtaining them;<br/>
<a id="pl.235.13"></a><var>235.13</var>(11) consumer rights; and<br/>
<a id="pl.235.14"></a><var>235.14</var>(12) methods and resources needed to evaluate the effectiveness of the model with <br/>
<a id="pl.235.15"></a><var>235.15</var>regards to cost and quality.<br/>
<br/>
<a id="bill.7.0.0"></a>
<b>ARTICLE 7</b>

<a id="bill.7.1.0"></a><a id="pl.235.18"></a><var>235.18</var>    Section 1. Minnesota Statutes 2010, section 246B.10, is amended to read:<br/>
<a id="pl.235.19"></a><var>235.19</var><b>246B.10 LIABILITY OF COUNTY; REIMBURSEMENT.</b><br/>
<a id="pl.235.20"></a><var>235.20</var>    The civilly committed sex offender's county shall pay to the state a portion of the <br/>
<a id="pl.235.21"></a><var>235.21</var>cost of care provided in the Minnesota sex offender program to a civilly committed sex <br/>
<a id="pl.235.22"></a><var>235.22</var>offender who has legally settled in that county. A county's payment must be made from <br/>
<a id="pl.235.23"></a><var>235.23</var>the county's own sources of revenue and payments must equal ten 25 percent of the cost of <br/>
<a id="pl.235.24"></a><var>235.24</var>care, as determined by the commissioner, for each day or portion of a day, that the civilly <br/>
<a id="pl.235.25"></a><var>235.25</var>committed sex offender spends at the facility. If payments received by the state under this <br/>
<a id="pl.235.26"></a><var>235.26</var>chapter exceed 90 75 percent of the cost of care, the county is responsible for paying the <br/>
<a id="pl.235.27"></a><var>235.27</var>state the remaining amount. The county is not entitled to reimbursement from the civilly <br/>
<a id="pl.235.28"></a><var>235.28</var>committed sex offender, the civilly committed sex offender's estate, or from the civilly <br/>
<a id="pl.235.29"></a><var>235.29</var>committed sex offender's relatives, except as provided in section 
         <statute_ref>246B.07</statute_ref>.<br/>
<a id="pl.235.30"></a><var>235.30</var><b>EFFECTIVE DATE.</b>This section is effective for all individuals who are civilly <br/>
<a id="pl.235.31"></a><var>235.31</var>committed to the Minnesota sex offender program on or after August 1, 2011.<br/>
<br/>
<a id="bill.7.2.0"></a><a id="pl.235.32"></a><var>235.32</var>    Sec. 2. Minnesota Statutes 2010, section 252.025, subdivision 7, is amended to read:<br/>
<a id="pl.235.33"></a><var>235.33</var>    Subd. 7. <b>Minnesota extended treatment options.</b> The commissioner shall develop <br/>
<a id="pl.235.34"></a><var>235.34</var>by July 1, 1997, the Minnesota extended treatment options to serve Minnesotans who <br/>
<a id="pl.236.1"></a><var>236.1</var>have developmental disabilities and exhibit severe behaviors which present a risk to <br/>
<a id="pl.236.2"></a><var>236.2</var>public safety. This program is statewide and must provide specialized residential services <br/>
<a id="pl.236.3"></a><var>236.3</var>in Cambridge and an array of community-based services with sufficient levels of care <br/>
<a id="pl.236.4"></a><var>236.4</var>and a sufficient number of specialists to ensure that individuals referred to the program <br/>
<a id="pl.236.5"></a><var>236.5</var>receive the appropriate care. The individuals working in the community-based services <br/>
<a id="pl.236.6"></a><var>236.6</var>under this section are state employees supervised by the commissioner of human services. <br/>
<a id="pl.236.7"></a><var>236.7</var>No midcontract layoffs shall occur as a result of restructuring under this section, but <br/>
<a id="pl.236.8"></a><var>236.8</var>layoffs may occur as a normal consequence of a low census or closure of the facility <br/>
<a id="pl.236.9"></a><var>236.9</var>due to decreased census.<br/>
<br/>
<a id="bill.7.3.0"></a><a id="pl.236.10"></a><var>236.10</var>    Sec. 3. Minnesota Statutes 2010, section 253B.212, is amended to read:<br/>
<a id="pl.236.11"></a><var>236.11</var><b>253B.212 COMMITMENT; RED LAKE BAND OF CHIPPEWA INDIANS</b><b>; </b><br/>
<a id="pl.236.12"></a><var>236.12</var><b>WHITE EARTH BAND OF OJIBWE</b><b>.</b><br/>
<a id="pl.236.13"></a><var>236.13</var>    Subdivision 1. <b>Cost of care; commitment by tribal court order</b><b>; Red Lake </b><br/>
<a id="pl.236.14"></a><var>236.14</var><b>Band of Chippewa Indians</b><b>.</b> The commissioner of human services may contract with <br/>
<a id="pl.236.15"></a><var>236.15</var>and receive payment from the Indian Health Service of the United States Department of <br/>
<a id="pl.236.16"></a><var>236.16</var>Health and Human Services for the care and treatment of those members of the Red <br/>
<a id="pl.236.17"></a><var>236.17</var>Lake Band of Chippewa Indians who have been committed by tribal court order to the <br/>
<a id="pl.236.18"></a><var>236.18</var>Indian Health Service for care and treatment of mental illness, developmental disability, or <br/>
<a id="pl.236.19"></a><var>236.19</var>chemical dependency. The contract shall provide that the Indian Health Service may not <br/>
<a id="pl.236.20"></a><var>236.20</var>transfer any person for admission to a regional center unless the commitment procedure <br/>
<a id="pl.236.21"></a><var>236.21</var>utilized by the tribal court provided due process protections similar to those afforded <br/>
<a id="pl.236.22"></a><var>236.22</var>by sections 
         <statute_ref>253B.05</statute_ref> to 
         <statute_ref>253B.10</statute_ref>.<br/>
<a id="pl.236.23"></a><var>236.23</var>    Subd. 1a. <b>Cost of care; commitment by tribal court order; White Earth Band of </b><br/>
<a id="pl.236.24"></a><var>236.24</var><b>Ojibwe Indians.</b> The commissioner of human services may contract with and receive <br/>
<a id="pl.236.25"></a><var>236.25</var>payment from the Indian Health Service of the United States Department of Health and <br/>
<a id="pl.236.26"></a><var>236.26</var>Human Services for the care and treatment of those members of the White Earth Band <br/>
<a id="pl.236.27"></a><var>236.27</var>of Ojibwe Indians who have been committed by tribal court order to the Indian Health <br/>
<a id="pl.236.28"></a><var>236.28</var>Service for care and treatment of mental illness, developmental disability, or chemical <br/>
<a id="pl.236.29"></a><var>236.29</var>dependency. The tribe may also contract directly with the commissioner for treatment <br/>
<a id="pl.236.30"></a><var>236.30</var>of those members of the White Earth Band who have been committed by tribal court <br/>
<a id="pl.236.31"></a><var>236.31</var>order to the White Earth Department of Health for care and treatment of mental illness, <br/>
<a id="pl.236.32"></a><var>236.32</var>developmental disability, or chemical dependency. The contract shall provide that the <br/>
<a id="pl.236.33"></a><var>236.33</var>Indian Health Service and the White Earth Band shall not transfer any person for admission <br/>
<a id="pl.236.34"></a><var>236.34</var>to a regional center unless the commitment procedure utilized by the tribal court provided <br/>
<a id="pl.236.35"></a><var>236.35</var>due process protections similar to those afforded by sections 
<statute_ref>253B.05</statute_ref> to 
<statute_ref>253B.10</statute_ref>.<br/>
<a id="pl.237.1"></a><var>237.1</var>    Subd. 2. <b>Effect given to tribal commitment order.</b> When, under an agreement <br/>
<a id="pl.237.2"></a><var>237.2</var>entered into pursuant to subdivision 1 subdivisions 1 or 1a, the Indian Health Service <br/>
<a id="pl.237.3"></a><var>237.3</var>applies to a regional center for admission of a person committed to the jurisdiction of the <br/>
<a id="pl.237.4"></a><var>237.4</var>health service by the tribal court as a person who is mentally ill, developmentally disabled, <br/>
<a id="pl.237.5"></a><var>237.5</var>or chemically dependent, the commissioner may treat the patient with the consent of <br/>
<a id="pl.237.6"></a><var>237.6</var>the Indian Health Service.<br/>
<a id="pl.237.7"></a><var>237.7</var>A person admitted to a regional center pursuant to this section has all the rights <br/>
<a id="pl.237.8"></a><var>237.8</var>accorded by section 
         <statute_ref>253B.03</statute_ref>. In addition, treatment reports, prepared in accordance with <br/>
<a id="pl.237.9"></a><var>237.9</var>the requirements of section 
         <statute_ref>253B.12, subdivision 1</statute_ref>, shall be filed with the Indian Health <br/>
<a id="pl.237.10"></a><var>237.10</var>Service within 60 days of commencement of the patient's stay at the facility. A subsequent <br/>
<a id="pl.237.11"></a><var>237.11</var>treatment report shall be filed with the Indian Health Service within six months of the <br/>
<a id="pl.237.12"></a><var>237.12</var>patient's admission to the facility or prior to discharge, whichever comes first. Provisional <br/>
<a id="pl.237.13"></a><var>237.13</var>discharge or transfer of the patient may be authorized by the head of the treatment facility <br/>
<a id="pl.237.14"></a><var>237.14</var>only with the consent of the Indian Health Service. Discharge from the facility to the <br/>
<a id="pl.237.15"></a><var>237.15</var>Indian Health Service may be authorized by the head of the treatment facility after notice <br/>
<a id="pl.237.16"></a><var>237.16</var>to and consultation with the Indian Health Service.<br/>
<br/>
<a id="bill.7.4.0"></a><a id="pl.237.17"></a><var>237.17</var>    Sec. 4. Minnesota Statutes 2010, section 254B.03, subdivision 1, is amended to read:<br/>
<a id="pl.237.18"></a><var>237.18</var>    Subdivision 1. <b>Local agency duties.</b> (a) Every local agency shall provide chemical <br/>
<a id="pl.237.19"></a><var>237.19</var>dependency services to persons residing within its jurisdiction who meet criteria <br/>
<a id="pl.237.20"></a><var>237.20</var>established by the commissioner for placement in a chemical dependency residential <br/>
<a id="pl.237.21"></a><var>237.21</var>or nonresidential treatment service subject to the limitations on residential chemical <br/>
<a id="pl.237.22"></a><var>237.22</var>dependency treatment in section 254B.04, subdivision 1. Chemical dependency money <br/>
<a id="pl.237.23"></a><var>237.23</var>must be administered by the local agencies according to law and rules adopted by the <br/>
<a id="pl.237.24"></a><var>237.24</var>commissioner under sections 
         <statute_ref>14.001</statute_ref> to 
         <statute_ref>14.69</statute_ref>.<br/>
<a id="pl.237.25"></a><var>237.25</var>    (b) In order to contain costs, the commissioner of human services shall select eligible <br/>
<a id="pl.237.26"></a><var>237.26</var>vendors of chemical dependency services who can provide economical and appropriate <br/>
<a id="pl.237.27"></a><var>237.27</var>treatment. Unless the local agency is a social services department directly administered by <br/>
<a id="pl.237.28"></a><var>237.28</var>a county or human services board, the local agency shall not be an eligible vendor under <br/>
<a id="pl.237.29"></a><var>237.29</var>section 
         <statute_ref>254B.05</statute_ref>. The commissioner may approve proposals from county boards to provide <br/>
<a id="pl.237.30"></a><var>237.30</var>services in an economical manner or to control utilization, with safeguards to ensure that <br/>
<a id="pl.237.31"></a><var>237.31</var>necessary services are provided. If a county implements a demonstration or experimental <br/>
<a id="pl.237.32"></a><var>237.32</var>medical services funding plan, the commissioner shall transfer the money as appropriate.<br/>
<a id="pl.237.33"></a><var>237.33</var>    (c) A culturally specific vendor that provides assessments under a variance under <br/>
<a id="pl.237.34"></a><var>237.34</var>Minnesota Rules, part 9530.6610, shall be allowed to provide assessment services to <br/>
<a id="pl.237.35"></a><var>237.35</var>persons not covered by the variance.<br/>
<br/>
<a id="bill.7.5.0"></a><a id="pl.238.1"></a><var>238.1</var>    Sec. 5. Minnesota Statutes 2010, section 254B.03, subdivision 4, is amended to read:<br/>
<a id="pl.238.2"></a><var>238.2</var>    Subd. 4. <b>Division of costs.</b> Except for services provided by a county under <br/>
<a id="pl.238.3"></a><var>238.3</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.238.4"></a><var>238.4</var>subdivision 4
         </statute_ref>, paragraph (b), the county shall, out of local money, pay the state for <br/>
<a id="pl.238.5"></a><var>238.5</var>16.14 22.95 percent of the cost of chemical dependency services, including those services <br/>
<a id="pl.238.6"></a><var>238.6</var>provided to persons eligible for medical assistance under chapter 256B and general <br/>
<a id="pl.238.7"></a><var>238.7</var>assistance medical care under chapter 256D. Counties may use the indigent hospitalization <br/>
<a id="pl.238.8"></a><var>238.8</var>levy for treatment and hospital payments made under this section. 16.14 22.95 percent <br/>
<a id="pl.238.9"></a><var>238.9</var>of any state collections from private or third-party pay, less 15 percent for the cost of <br/>
<a id="pl.238.10"></a><var>238.10</var>payment and collections, must be distributed to the county that paid for a portion of the <br/>
<a id="pl.238.11"></a><var>238.11</var>treatment under this section.<br/>
<a id="pl.238.12"></a><var>238.12</var><b>EFFECTIVE DATE.</b>This section is effective for claims processed beginning <br/>
<a id="pl.238.13"></a><var>238.13</var>July 1, 2011.<br/>
<br/>
<a id="bill.7.6.0"></a><a id="pl.238.14"></a><var>238.14</var>    Sec. 6. Minnesota Statutes 2010, section 254B.04, subdivision 1, is amended to read:<br/>
<a id="pl.238.15"></a><var>238.15</var>    Subdivision 1. <b>Eligibility.</b> (a) Persons eligible for benefits under Code of Federal <br/>
<a id="pl.238.16"></a><var>238.16</var>Regulations, title 25, part 20, persons eligible for medical assistance benefits under <br/>
<a id="pl.238.17"></a><var>238.17</var>sections 
         <statute_ref>256B.055</statute_ref>, 
         <statute_ref>256B.056</statute_ref>, and 
         <statute_ref>256B.057, subdivisions 1, 2, 5, and 6</statute_ref>, or who meet <br/>
<a id="pl.238.18"></a><var>238.18</var>the income standards of section 
         <statute_ref>256B.056, subdivision 4</statute_ref>, and persons eligible for general <br/>
<a id="pl.238.19"></a><var>238.19</var>assistance medical care under section 
         <statute_ref>256D.03, subdivision 3</statute_ref>, are entitled to chemical <br/>
<a id="pl.238.20"></a><var>238.20</var>dependency fund services subject to the following limitations: (1) no more than three <br/>
<a id="pl.238.21"></a><var>238.21</var>residential chemical dependency treatment episodes for the same person in a four-year <br/>
<a id="pl.238.22"></a><var>238.22</var>period of time unless the person meets the criteria established by the commissioner of <br/>
<a id="pl.238.23"></a><var>238.23</var>human services; and (2) no more than four residential chemical dependency treatment <br/>
<a id="pl.238.24"></a><var>238.24</var>episodes in a lifetime unless the person meets the criteria established by the commissioner <br/>
<a id="pl.238.25"></a><var>238.25</var>of human services. For purposes of this section, "episode" means a span of treatment <br/>
<a id="pl.238.26"></a><var>238.26</var>without interruption of 30 days or more. State money appropriated for this paragraph must <br/>
<a id="pl.238.27"></a><var>238.27</var>be placed in a separate account established for this purpose. <br/>
<a id="pl.238.28"></a><var>238.28</var>Persons with dependent children who are determined to be in need of chemical <br/>
<a id="pl.238.29"></a><var>238.29</var>dependency treatment pursuant to an assessment under section 
         <statute_ref>626.556, subdivision 10</statute_ref>, or <br/>
<a id="pl.238.30"></a><var>238.30</var>a case plan under section 
         <statute_ref>260C.201, subdivision 6</statute_ref>, or 
         <statute_ref>260C.212</statute_ref>, shall be assisted by the <br/>
<a id="pl.238.31"></a><var>238.31</var>local agency to access needed treatment services. Treatment services must be appropriate <br/>
<a id="pl.238.32"></a><var>238.32</var>for the individual or family, which may include long-term care treatment or treatment in a <br/>
<a id="pl.238.33"></a><var>238.33</var>facility that allows the dependent children to stay in the treatment facility. The county <br/>
<a id="pl.238.34"></a><var>238.34</var>shall pay for out-of-home placement costs, if applicable. <br/>
<a id="pl.239.1"></a><var>239.1</var>(b) A person not entitled to services under paragraph (a), but with family income <br/>
<a id="pl.239.2"></a><var>239.2</var>that is less than 215 percent of the federal poverty guidelines for the applicable family <br/>
<a id="pl.239.3"></a><var>239.3</var>size, shall be eligible to receive chemical dependency fund services within the limit <br/>
<a id="pl.239.4"></a><var>239.4</var>of funds appropriated for this group for the fiscal year. If notified by the state agency <br/>
<a id="pl.239.5"></a><var>239.5</var>of limited funds, a county must give preferential treatment to persons with dependent <br/>
<a id="pl.239.6"></a><var>239.6</var>children who are in need of chemical dependency treatment pursuant to an assessment <br/>
<a id="pl.239.7"></a><var>239.7</var>under section 
         <statute_ref>626.556, subdivision 10</statute_ref>, or a case plan under section 
         <statute_ref>260C.201, subdivision <br/>
<a id="pl.239.8"></a><var>239.8</var>6
         </statute_ref>, or 
         <statute_ref>260C.212</statute_ref>. A county may spend money from its own sources to serve persons under <br/>
<a id="pl.239.9"></a><var>239.9</var>this paragraph. State money appropriated for this paragraph must be placed in a separate <br/>
<a id="pl.239.10"></a><var>239.10</var>account established for this purpose. <br/>
<a id="pl.239.11"></a><var>239.11</var>(c) Persons whose income is between 215 percent and 412 percent of the federal <br/>
<a id="pl.239.12"></a><var>239.12</var>poverty guidelines for the applicable family size shall be eligible for chemical dependency <br/>
<a id="pl.239.13"></a><var>239.13</var>services on a sliding fee basis, within the limit of funds appropriated for this group for the <br/>
<a id="pl.239.14"></a><var>239.14</var>fiscal year. Persons eligible under this paragraph must contribute to the cost of services <br/>
<a id="pl.239.15"></a><var>239.15</var>according to the sliding fee scale established under subdivision 3. A county may spend <br/>
<a id="pl.239.16"></a><var>239.16</var>money from its own sources to provide services to persons under this paragraph. State <br/>
<a id="pl.239.17"></a><var>239.17</var>money appropriated for this paragraph must be placed in a separate account established <br/>
<a id="pl.239.18"></a><var>239.18</var>for this purpose.<br/>
<a id="pl.239.19"></a><var>239.19</var><b>EFFECTIVE DATE.</b>This section is effective for all chemical dependency <br/>
<a id="pl.239.20"></a><var>239.20</var>residential treatment beginning on or after July 1, 2011.<br/>
<br/>
<a id="bill.7.7.0"></a><a id="pl.239.21"></a><var>239.21</var>    Sec. 7. Minnesota Statutes 2010, section 254B.04, is amended by adding a subdivision <br/>
<a id="pl.239.22"></a><var>239.22</var>to read:<br/>
<a id="pl.239.23"></a><var>239.23</var>    Subd. 2a. <b>Eligibility for treatment in residential settings.</b> Notwithstanding <br/>
<a id="pl.239.24"></a><var>239.24</var>provisions of Minnesota Rules, part 9530.6622, subparts 5 and 6, related to an assessor's <br/>
<a id="pl.239.25"></a><var>239.25</var>discretion in making placements to residential treatment settings, a person eligible for <br/>
<a id="pl.239.26"></a><var>239.26</var>services under this section must score at level 4 on assessment dimensions related to <br/>
<a id="pl.239.27"></a><var>239.27</var>relapse, continued use, and recovery environment in order to be assigned to services with <br/>
<a id="pl.239.28"></a><var>239.28</var>a room and board component reimbursed under this section.<br/>
<br/>
<a id="bill.7.8.0"></a><a id="pl.239.29"></a><var>239.29</var>    Sec. 8. Minnesota Statutes 2010, section 254B.06, subdivision 2, is amended to read:<br/>
<a id="pl.239.30"></a><var>239.30</var>    Subd. 2. <b>Allocation of collections.</b> The commissioner shall allocate all federal <br/>
<a id="pl.239.31"></a><var>239.31</var>financial participation collections to a special revenue account. The commissioner shall <br/>
<a id="pl.239.32"></a><var>239.32</var>allocate 83.86 77.05 percent of patient payments and third-party payments to the special <br/>
<a id="pl.239.33"></a><var>239.33</var>revenue account and 16.14 22.95 percent to the county financially responsible for the <br/>
<a id="pl.239.34"></a><var>239.34</var>patient.<br/>
<a id="pl.240.1"></a><var>240.1</var><b>EFFECTIVE DATE.</b>This section is effective for claims processed beginning <br/>
<a id="pl.240.2"></a><var>240.2</var>July 1, 2011.<br/>
<br/>
<a id="bill.7.9.0"></a><a id="pl.240.3"></a><var>240.3</var>    Sec. 9. Minnesota Statutes 2010, section 256B.0625, subdivision 41, is amended to <br/>
<a id="pl.240.4"></a><var>240.4</var>read:<br/>
<a id="pl.240.5"></a><var>240.5</var>    Subd. 41. <b>Residential services for children with severe emotional disturbance.</b><br/>
<a id="pl.240.6"></a><var>240.6</var>Medical assistance covers rehabilitative services in accordance with section 
         <statute_ref>256B.0945</statute_ref> <br/>
<a id="pl.240.7"></a><var>240.7</var>that are provided by a county or an American Indian tribe through a residential facility, <br/>
<a id="pl.240.8"></a><var>240.8</var>for children who have been diagnosed with severe emotional disturbance and have been <br/>
<a id="pl.240.9"></a><var>240.9</var>determined to require the level of care provided in a residential facility.<br/>
<a id="pl.240.10"></a><var>240.10</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.7.10.0"></a><a id="pl.240.11"></a><var>240.11</var>    Sec. 10. Minnesota Statutes 2010, section 256B.0945, subdivision 4, is amended to <br/>
<a id="pl.240.12"></a><var>240.12</var>read:<br/>
<a id="pl.240.13"></a><var>240.13</var>    Subd. 4. <b>Payment rates.</b> (a) Notwithstanding sections 
         <statute_ref>256B.19</statute_ref> and 
         <statute_ref>256B.041</statute_ref>, <br/>
<a id="pl.240.14"></a><var>240.14</var>payments to counties for residential services provided by a residential facility shall only <br/>
<a id="pl.240.15"></a><var>240.15</var>be made of federal earnings for services provided under this section, and the nonfederal <br/>
<a id="pl.240.16"></a><var>240.16</var>share of costs for services provided under this section shall be paid by the county from <br/>
<a id="pl.240.17"></a><var>240.17</var>sources other than federal funds or funds used to match other federal funds. Payment to <br/>
<a id="pl.240.18"></a><var>240.18</var>counties for services provided according to this section shall be a proportion of the per <br/>
<a id="pl.240.19"></a><var>240.19</var>day contract rate that relates to rehabilitative mental health services and shall not include <br/>
<a id="pl.240.20"></a><var>240.20</var>payment for costs or services that are billed to the IV-E program as room and board.<br/>
<a id="pl.240.21"></a><var>240.21</var>    (b) Per diem rates paid to providers under this section by prepaid plans shall be <br/>
<a id="pl.240.22"></a><var>240.22</var>the proportion of the per-day contract rate that relates to rehabilitative mental health <br/>
<a id="pl.240.23"></a><var>240.23</var>services and shall not include payment for group foster care costs or services that are <br/>
<a id="pl.240.24"></a><var>240.24</var>billed to the county of financial responsibility. Services provided in facilities located in <br/>
<a id="pl.240.25"></a><var>240.25</var>bordering states are eligible for reimbursement on a fee-for-service basis only as described <br/>
<a id="pl.240.26"></a><var>240.26</var>in paragraph (a) and are not covered under prepaid health plans.<br/>
<a id="pl.240.27"></a><var>240.27</var>    (c) Payment for mental health rehabilitative services provided under this section by <br/>
<a id="pl.240.28"></a><var>240.28</var>or under contract with an American Indian tribe or tribal organization or by agencies <br/>
<a id="pl.240.29"></a><var>240.29</var>operated by or under contract with an American Indian tribe or tribal organization must <br/>
<a id="pl.240.30"></a><var>240.30</var>be made according to section 256B.0625, subdivision 34, or other relevant federally <br/>
<a id="pl.240.31"></a><var>240.31</var>approved rate-setting methodology.<br/>
<a id="pl.240.32"></a><var>240.32</var>(d) The commissioner shall set aside a portion not to exceed five percent of the <br/>
<a id="pl.240.33"></a><var>240.33</var>federal funds earned for county expenditures under this section to cover the state costs of <br/>
<a id="pl.241.1"></a><var>241.1</var>administering this section. Any unexpended funds from the set-aside shall be distributed <br/>
<a id="pl.241.2"></a><var>241.2</var>to the counties in proportion to their earnings under this section.<br/>
<a id="pl.241.3"></a><var>241.3</var><b>EFFECTIVE DATE.</b>This section is effective October 1, 2011.<br/>
<br/>
<a id="bill.7.11.0"></a><a id="pl.241.4"></a><var>241.4</var>    Sec. 11. <b>COMMUNITY MENTAL HEALTH SERVICES; USE OF </b><br/>
<a id="pl.241.5"></a><var>241.5</var><b>BEHAVIORAL HEALTH HOSPITALS.</b><br/>
<a id="pl.241.6"></a><var>241.6</var>The commissioner shall issue a written report to the chairs and ranking minority <br/>
<a id="pl.241.7"></a><var>241.7</var>members of the house and senate committees with jurisdiction of health and human <br/>
<a id="pl.241.8"></a><var>241.8</var>services by December 31, 2011, on how the community behavioral health hospital <br/>
<a id="pl.241.9"></a><var>241.9</var>facilities will be fully utilized to meet the mental health needs of regions in which the <br/>
<a id="pl.241.10"></a><var>241.10</var>hospitals are located. The commissioner must consult with the regional planning work <br/>
<a id="pl.241.11"></a><var>241.11</var>groups for adult mental health and must include the recommendations of the work groups <br/>
<a id="pl.241.12"></a><var>241.12</var>in the legislative report. The report must address future use of community behavioral <br/>
<a id="pl.241.13"></a><var>241.13</var>health hospitals that are not certified as Medicaid eligible by CMS or have a less than 65 <br/>
<a id="pl.241.14"></a><var>241.14</var>percent licensed bed occupancy rate, and using the facilities for another purpose that will <br/>
<a id="pl.241.15"></a><var>241.15</var>meet the mental health needs of residents of the region. The regional planning work <br/>
<a id="pl.241.16"></a><var>241.16</var>groups shall work with the commissioner to prioritize the needs of their regions. These <br/>
<a id="pl.241.17"></a><var>241.17</var>priorities, by region, must be included in the commissioner's report to the legislature.<br/>
<br/>
<a id="bill.7.12.0"></a><a id="pl.241.18"></a><var>241.18</var>    Sec. 12. <b>INTEGRATED DUAL DIAGNOSIS TREATMENT.</b><br/>
<a id="pl.241.19"></a><var>241.19</var>(a) The commissioner shall require individuals who perform chemical dependency <br/>
<a id="pl.241.20"></a><var>241.20</var>assessments or mental health diagnostic assessments to use screening tools approved <br/>
<a id="pl.241.21"></a><var>241.21</var>by the commissioner in order to identify whether an individual who is the subject of <br/>
<a id="pl.241.22"></a><var>241.22</var>the assessment screens positive for co-occurring mental health or chemical dependency <br/>
<a id="pl.241.23"></a><var>241.23</var>disorders. Screening for co-occurring disorders must begin no later than December 31, <br/>
<a id="pl.241.24"></a><var>241.24</var>2011.<br/>
<a id="pl.241.25"></a><var>241.25</var>(b) The commissioner shall adopt rules as necessary to implement this section. The <br/>
<a id="pl.241.26"></a><var>241.26</var>commissioner shall ensure that the rules are effective on July 1, 2013, thereby establishing <br/>
<a id="pl.241.27"></a><var>241.27</var>a certification process for integrated dual disorder treatment providers and a system <br/>
<a id="pl.241.28"></a><var>241.28</var>through which individuals receive integrated dual diagnosis treatment if assessed as having <br/>
<a id="pl.241.29"></a><var>241.29</var>both a substance use disorder and either a serious mental illness or emotional disturbance.<br/>
<a id="pl.241.30"></a><var>241.30</var>(c) The commissioner shall apply for any federal waivers necessary to secure, to the <br/>
<a id="pl.241.31"></a><var>241.31</var>extent allowed by law, federal financial participation for the provision of integrated dual <br/>
<a id="pl.241.32"></a><var>241.32</var>diagnosis treatment to persons with co-occurring disorders. <br/>
<br/>
<a id="bill.7.13.0"></a><a id="pl.241.33"></a><var>241.33</var>    Sec. 13. <b>REGIONAL TREATMENT CENTERS; EMPLOYEES; REPORT.</b><br/>
<a id="pl.242.1"></a><var>242.1</var>The commissioner shall issue a report to the legislative committees with jurisdiction <br/>
<a id="pl.242.2"></a><var>242.2</var>over health and human services finance no later than December 31, 2011, which provides <br/>
<a id="pl.242.3"></a><var>242.3</var>the number of employees in management positions at the Anoka-Metro Regional <br/>
<a id="pl.242.4"></a><var>242.4</var>Treatment Center and the Minnesota Security Hospital at St. Peter and the ratio of <br/>
<a id="pl.242.5"></a><var>242.5</var>management to direct-care staff for each facility.<br/>
<br/>
<a id="bill.7.14.0"></a><a id="pl.242.6"></a><var>242.6</var>    Sec. 14. <b>COMMISSIONER'S CRITERIA FOR RESIDENTIAL TREATMENT.</b><br/>
<a id="pl.242.7"></a><var>242.7</var>The commissioner shall develop specific criteria to approve treatment for individuals <br/>
<a id="pl.242.8"></a><var>242.8</var>who require residential chemical dependency treatment in excess of the maximum allowed <br/>
<a id="pl.242.9"></a><var>242.9</var>in section 254B.04, subdivision 1, due to co-occurring disorders, including disorders <br/>
<a id="pl.242.10"></a><var>242.10</var>related to cognition, traumatic brain injury, or documented disability. Criteria shall be <br/>
<a id="pl.242.11"></a><var>242.11</var>developed for use no later than October 1, 2011.<br/>
<br/>
<a id="bill.7.15.0"></a><a id="pl.242.12"></a><var>242.12</var>    Sec. 15. <b> REPEALER.</b><br/>
<a id="pl.242.13"></a><var>242.13</var>Laws 2009, chapter 79, article 3, section 18, as amended by Laws 2010, First Special <br/>
<a id="pl.242.14"></a><var>242.14</var>Session chapter 1, article 19, section 19, is repealed.<br/>
<br/>
<a id="bill.8.0.0"></a>
<b>ARTICLE 8</b>

<a id="bill.8.1.0"></a><a id="pl.242.17"></a><var>242.17</var>    Section 1. Minnesota Statutes 2010, section 256.01, subdivision 14, is amended to read:<br/>
<a id="pl.242.18"></a><var>242.18</var>    Subd. 14. <b>Child welfare reform pilots.</b> The commissioner of human services <br/>
<a id="pl.242.19"></a><var>242.19</var>shall encourage local reforms in the delivery of child welfare services, within available <br/>
<a id="pl.242.20"></a><var>242.20</var>appropriations, and is authorized to approve local pilot programs which focus on reforming <br/>
<a id="pl.242.21"></a><var>242.21</var>the child protection and child welfare systems in Minnesota. Authority to approve pilots <br/>
<a id="pl.242.22"></a><var>242.22</var>includes authority to waive existing state rules as needed to accomplish reform efforts. <br/>
<a id="pl.242.23"></a><var>242.23</var>Notwithstanding section 
         <statute_ref>626.556, subdivision 10</statute_ref>, 10b, or 10d, the commissioner may <br/>
<a id="pl.242.24"></a><var>242.24</var>authorize programs to use alternative methods of investigating and assessing reports of <br/>
<a id="pl.242.25"></a><var>242.25</var>child maltreatment, provided that the programs comply with the provisions of section <br/>
<statute_ref><a id="pl.242.26"></a><var>242.26</var>626.556
         </statute_ref> dealing with the rights of individuals who are subjects of reports or investigations, <br/>
<a id="pl.242.27"></a><var>242.27</var>including notice and appeal rights and data practices requirements. Pilot programs must <br/>
<a id="pl.242.28"></a><var>242.28</var>be required to address responsibility for safety and protection of children, be time limited, <br/>
<a id="pl.242.29"></a><var>242.29</var>and include evaluation of the pilot program.<br/>
<br/>
<a id="bill.8.2.0"></a><a id="pl.242.30"></a><var>242.30</var>    Sec. 2. Minnesota Statutes 2010, section 256.01, subdivision 14b, is amended to read:<br/>
<a id="pl.242.31"></a><var>242.31</var>    Subd. 14b. <b>American Indian child welfare projects.</b> (a) The commissioner of <br/>
<a id="pl.242.32"></a><var>242.32</var>human services may authorize projects to test tribal delivery of child welfare services to <br/>
<a id="pl.243.1"></a><var>243.1</var>American Indian children and their parents and custodians living on the reservation. <br/>
<a id="pl.243.2"></a><var>243.2</var>The commissioner has authority to solicit and determine which tribes may participate <br/>
<a id="pl.243.3"></a><var>243.3</var>in a project. Grants may be issued to Minnesota Indian tribes to support the projects. <br/>
<a id="pl.243.4"></a><var>243.4</var>The commissioner may waive existing state rules as needed to accomplish the projects. <br/>
<a id="pl.243.5"></a><var>243.5</var>Notwithstanding section 
         <statute_ref>626.556</statute_ref>, the commissioner may authorize projects to use <br/>
<a id="pl.243.6"></a><var>243.6</var>alternative methods of investigating and assessing reports of child maltreatment, provided <br/>
<a id="pl.243.7"></a><var>243.7</var>that the projects comply with the provisions of section 
         <statute_ref>626.556</statute_ref> dealing with the rights <br/>
<a id="pl.243.8"></a><var>243.8</var>of individuals who are subjects of reports or investigations, including notice and appeal <br/>
<a id="pl.243.9"></a><var>243.9</var>rights and data practices requirements. The commissioner may seek any federal approvals <br/>
<a id="pl.243.10"></a><var>243.10</var>necessary to carry out the projects as well as seek and use any funds available to the <br/>
<a id="pl.243.11"></a><var>243.11</var>commissioner, including use of federal funds, foundation funds, existing grant funds, <br/>
<a id="pl.243.12"></a><var>243.12</var>and other funds. The commissioner is authorized to advance state funds as necessary to <br/>
<a id="pl.243.13"></a><var>243.13</var>operate the projects. Federal reimbursement applicable to the projects is appropriated <br/>
<a id="pl.243.14"></a><var>243.14</var>to the commissioner for the purposes of the projects. The projects must be required to <br/>
<a id="pl.243.15"></a><var>243.15</var>address responsibility for safety, permanency, and well-being of children.<br/>
<a id="pl.243.16"></a><var>243.16</var>(b) For the purposes of this section, "American Indian child" means a person under <br/>
<a id="pl.243.17"></a><var>243.17</var>18 years of age who is a tribal member or eligible for membership in one of the tribes <br/>
<a id="pl.243.18"></a><var>243.18</var>chosen for a project under this subdivision and who is residing on the reservation of <br/>
<a id="pl.243.19"></a><var>243.19</var>that tribe.<br/>
<a id="pl.243.20"></a><var>243.20</var>(c) In order to qualify for an American Indian child welfare project, a tribe must:<br/>
<a id="pl.243.21"></a><var>243.21</var>(1) be one of the existing tribes with reservation land in Minnesota;<br/>
<a id="pl.243.22"></a><var>243.22</var>(2) have a tribal court with jurisdiction over child custody proceedings;<br/>
<a id="pl.243.23"></a><var>243.23</var>(3) have a substantial number of children for whom determinations of maltreatment <br/>
<a id="pl.243.24"></a><var>243.24</var>have occurred;<br/>
<a id="pl.243.25"></a><var>243.25</var>(4) have capacity to respond to reports of abuse and neglect under section 
         <statute_ref>626.556</statute_ref>;<br/>
<a id="pl.243.26"></a><var>243.26</var>(5) provide a wide range of services to families in need of child welfare services; and<br/>
<a id="pl.243.27"></a><var>243.27</var>(6) have a tribal-state title IV-E agreement in effect.<br/>
<a id="pl.243.28"></a><var>243.28</var>(d) Grants awarded under this section may be used for the nonfederal costs of <br/>
<a id="pl.243.29"></a><var>243.29</var>providing child welfare services to American Indian children on the tribe's reservation, <br/>
<a id="pl.243.30"></a><var>243.30</var>including costs associated with:<br/>
<a id="pl.243.31"></a><var>243.31</var>(1) assessment and prevention of child abuse and neglect;<br/>
<a id="pl.243.32"></a><var>243.32</var>(2) family preservation;<br/>
<a id="pl.243.33"></a><var>243.33</var>(3) facilitative, supportive, and reunification services;<br/>
<a id="pl.243.34"></a><var>243.34</var>(4) out-of-home placement for children removed from the home for child protective <br/>
<a id="pl.243.35"></a><var>243.35</var>purposes; and<br/>
<a id="pl.244.1"></a><var>244.1</var>(5) other activities and services approved by the commissioner that further the goals <br/>
<a id="pl.244.2"></a><var>244.2</var>of providing safety, permanency, and well-being of American Indian children.<br/>
<a id="pl.244.3"></a><var>244.3</var>(e) When a tribe has initiated a project and has been approved by the commissioner <br/>
<a id="pl.244.4"></a><var>244.4</var>to assume child welfare responsibilities for American Indian children of that tribe under <br/>
<a id="pl.244.5"></a><var>244.5</var>this section, the affected county social service agency is relieved of responsibility for <br/>
<a id="pl.244.6"></a><var>244.6</var>responding to reports of abuse and neglect under section 
         <statute_ref>626.556</statute_ref> for those children <br/>
<a id="pl.244.7"></a><var>244.7</var>during the time within which the tribal project is in effect and funded. The commissioner <br/>
<a id="pl.244.8"></a><var>244.8</var>shall work with tribes and affected counties to develop procedures for data collection, <br/>
<a id="pl.244.9"></a><var>244.9</var>evaluation, and clarification of ongoing role and financial responsibilities of the county <br/>
<a id="pl.244.10"></a><var>244.10</var>and tribe for child welfare services prior to initiation of the project. Children who have not <br/>
<a id="pl.244.11"></a><var>244.11</var>been identified by the tribe as participating in the project shall remain the responsibility <br/>
<a id="pl.244.12"></a><var>244.12</var>of the county. Nothing in this section shall alter responsibilities of the county for law <br/>
<a id="pl.244.13"></a><var>244.13</var>enforcement or court services.<br/>
<a id="pl.244.14"></a><var>244.14</var>(f) Participating tribes may conduct children's mental health screenings under section <br/>
<statute_ref><a id="pl.244.15"></a><var>244.15</var>245.4874, subdivision 1
         </statute_ref>, paragraph (a), clause (14), for children who are eligible for the <br/>
<a id="pl.244.16"></a><var>244.16</var>initiative and living on the reservation and who meet one of the following criteria:<br/>
<a id="pl.244.17"></a><var>244.17</var>(1) the child must be receiving child protective services;<br/>
<a id="pl.244.18"></a><var>244.18</var>(2) the child must be in foster care; or<br/>
<a id="pl.244.19"></a><var>244.19</var>(3) the child's parents must have had parental rights suspended or terminated.<br/>
<a id="pl.244.20"></a><var>244.20</var>Tribes may access reimbursement from available state funds for conducting the screenings. <br/>
<a id="pl.244.21"></a><var>244.21</var>Nothing in this section shall alter responsibilities of the county for providing services <br/>
<a id="pl.244.22"></a><var>244.22</var>under section 
         <statute_ref>245.487</statute_ref>.<br/>
<a id="pl.244.23"></a><var>244.23</var>(g) Participating tribes may establish a local child mortality review panel. In <br/>
<a id="pl.244.24"></a><var>244.24</var>establishing a local child mortality review panel, the tribe agrees to conduct local child <br/>
<a id="pl.244.25"></a><var>244.25</var>mortality reviews for child deaths or near-fatalities occurring on the reservation under <br/>
<a id="pl.244.26"></a><var>244.26</var>subdivision 12. Tribes with established child mortality review panels shall have access <br/>
<a id="pl.244.27"></a><var>244.27</var>to nonpublic data and shall protect nonpublic data under subdivision 12, paragraphs (c) <br/>
<a id="pl.244.28"></a><var>244.28</var>to (e). The tribe shall provide written notice to the commissioner and affected counties <br/>
<a id="pl.244.29"></a><var>244.29</var>when a local child mortality review panel has been established and shall provide data upon <br/>
<a id="pl.244.30"></a><var>244.30</var>request of the commissioner for purposes of sharing nonpublic data with members of the <br/>
<a id="pl.244.31"></a><var>244.31</var>state child mortality review panel in connection to an individual case.<br/>
<a id="pl.244.32"></a><var>244.32</var>(h) The commissioner shall collect information on outcomes relating to child safety, <br/>
<a id="pl.244.33"></a><var>244.33</var>permanency, and well-being of American Indian children who are served in the projects. <br/>
<a id="pl.244.34"></a><var>244.34</var>Participating tribes must provide information to the state in a format and completeness <br/>
<a id="pl.244.35"></a><var>244.35</var>deemed acceptable by the state to meet state and federal reporting requirements.<br/>
<a id="pl.245.1"></a><var>245.1</var>    (i) In consultation with the White Earth Band, the commissioner shall develop <br/>
<a id="pl.245.2"></a><var>245.2</var>and submit to the chairs and ranking minority members of the legislative committees <br/>
<a id="pl.245.3"></a><var>245.3</var>with jurisdiction over health and human services a plan to transfer legal responsibility <br/>
<a id="pl.245.4"></a><var>245.4</var>for providing child protective services to White Earth Band member children residing in <br/>
<a id="pl.245.5"></a><var>245.5</var>Hennepin County to the White Earth Band. The plan shall include a financing proposal, <br/>
<a id="pl.245.6"></a><var>245.6</var>definitions of key terms, statutory amendments required, and other provisions required to <br/>
<a id="pl.245.7"></a><var>245.7</var>implement the plan. The commissioner shall submit the plan by January 15, 2012.<br/>
<br/>
<a id="bill.8.3.0"></a><a id="pl.245.8"></a><var>245.8</var>    Sec. 3. Minnesota Statutes 2010, section 256B.69, is amended by adding a subdivision <br/>
<a id="pl.245.9"></a><var>245.9</var>to read:<br/>
<a id="pl.245.10"></a><var>245.10</var>    Subd. 30. <b>Provision of required materials in alternative formats.</b> (a) For the <br/>
<a id="pl.245.11"></a><var>245.11</var>purposes of this subdivision, "alternative format" means a medium other than paper and <br/>
<a id="pl.245.12"></a><var>245.12</var>"prepaid health plan" means managed care plans and county-based purchasing plans.<br/>
<a id="pl.245.13"></a><var>245.13</var>(b) A prepaid health plan may provide in an alternative format a provider directory <br/>
<a id="pl.245.14"></a><var>245.14</var>and certificate of coverage, or materials otherwise required to be available in writing <br/>
<a id="pl.245.15"></a><var>245.15</var>under Code of Federal Regulations, title 42, section 438.10, or under the commissioner's <br/>
<a id="pl.245.16"></a><var>245.16</var>contract with the prepaid health plan, if the following conditions are met:<br/>
<a id="pl.245.17"></a><var>245.17</var>(1) the prepaid health plan, local agency, or commissioner, as applicable, informs the <br/>
<a id="pl.245.18"></a><var>245.18</var>enrollee that:<br/>
<a id="pl.245.19"></a><var>245.19</var>(i) an alternative format is available and the enrollee affirmatively requests of <br/>
<a id="pl.245.20"></a><var>245.20</var>the prepaid health plan that the provider directory, certificate of coverage, or materials <br/>
<a id="pl.245.21"></a><var>245.21</var>otherwise required under Code of Federal Regulations, title 42, section 438.10, or under <br/>
<a id="pl.245.22"></a><var>245.22</var>the commissioner's contract with the prepaid health plan be provided in an alternative <br/>
<a id="pl.245.23"></a><var>245.23</var>format; and<br/>
<a id="pl.245.24"></a><var>245.24</var>(ii) a record of the enrollee request is retained by the prepaid health plan in the <br/>
<a id="pl.245.25"></a><var>245.25</var>form of written direction from the enrollee or a documented telephone call followed by a <br/>
<a id="pl.245.26"></a><var>245.26</var>confirmation letter to the enrollee from the prepaid health plan that explains that the <br/>
<a id="pl.245.27"></a><var>245.27</var>enrollee may change the request at any time;<br/>
<a id="pl.245.28"></a><var>245.28</var>(2) the materials are sent to a secure electronic mailbox and are made available at a <br/>
<a id="pl.245.29"></a><var>245.29</var>password-protected secure electronic Web site or on a data storage device if the materials <br/>
<a id="pl.245.30"></a><var>245.30</var>contain enrollee data that is individually identifiable;<br/>
<a id="pl.245.31"></a><var>245.31</var>(3) the enrollee is provided a customer service number on the enrollee's membership <br/>
<a id="pl.245.32"></a><var>245.32</var>card that may be called to request a paper version of the materials provided in an <br/>
<a id="pl.245.33"></a><var>245.33</var>alternative format; and<br/>
<a id="pl.245.34"></a><var>245.34</var>(4) the materials provided in an alternative format meets all other requirements of <br/>
<a id="pl.245.35"></a><var>245.35</var>the commissioner regarding content, size of the typeface, and any required time frames <br/>
<a id="pl.246.1"></a><var>246.1</var>for distribution. "Required time frames for distribution" must permit sufficient time for <br/>
<a id="pl.246.2"></a><var>246.2</var>prepaid health plans to distribute materials in alternative formats upon receipt of enrollees' <br/>
<a id="pl.246.3"></a><var>246.3</var>requests for the materials.<br/>
<a id="pl.246.4"></a><var>246.4</var>(c) A prepaid health plan may provide in an alternative format its primary care <br/>
<a id="pl.246.5"></a><var>246.5</var>network list to the commissioner and to local agencies within its service area. The <br/>
<a id="pl.246.6"></a><var>246.6</var>commissioner or local agency, as applicable, shall inform a potential enrollee of the <br/>
<a id="pl.246.7"></a><var>246.7</var>availability of a prepaid health plan's primary care network list in an alternative format. If <br/>
<a id="pl.246.8"></a><var>246.8</var>the potential enrollee requests an alternative format of the prepaid health plan's primary <br/>
<a id="pl.246.9"></a><var>246.9</var>care network list, a record of that request shall be retained by the commissioner or local <br/>
<a id="pl.246.10"></a><var>246.10</var>agency. The potential enrollee is permitted to withdraw the request at any time.<br/>
<a id="pl.246.11"></a><var>246.11</var>The prepaid health plan shall submit sufficient paper versions of the primary <br/>
<a id="pl.246.12"></a><var>246.12</var>care network list to the commissioner and to local agencies within its service area to <br/>
<a id="pl.246.13"></a><var>246.13</var>accommodate potential enrollee requests for paper versions of the primary care network <br/>
<a id="pl.246.14"></a><var>246.14</var>list.<br/>
<a id="pl.246.15"></a><var>246.15</var>(d) A prepaid health plan may provide in an alternative format materials otherwise <br/>
<a id="pl.246.16"></a><var>246.16</var>required to be available in writing under Code of Federal Regulations, title 42, section <br/>
<a id="pl.246.17"></a><var>246.17</var>438.10, or under the commissioner's contract with the prepaid health plan, if the conditions <br/>
<a id="pl.246.18"></a><var>246.18</var>of paragraphs (b), (c), and (e), are met for persons who are eligible for enrollment in <br/>
<a id="pl.246.19"></a><var>246.19</var>managed care.<br/>
<a id="pl.246.20"></a><var>246.20</var>(e) The commissioner shall seek any federal Medicaid waivers within 90 days after <br/>
<a id="pl.246.21"></a><var>246.21</var>the effective date of this subdivision that are necessary to provide alternative formats of <br/>
<a id="pl.246.22"></a><var>246.22</var>required material to enrollees of prepaid health plans as authorized under this subdivision.<br/>
<a id="pl.246.23"></a><var>246.23</var>(f) The commissioner shall consult with managed care plans, county-based <br/>
<a id="pl.246.24"></a><var>246.24</var>purchasing plans, counties, and other interested parties to determine how materials <br/>
<a id="pl.246.25"></a><var>246.25</var>required to be made available to enrollees under Code of Federal Regulations, title 42, <br/>
<a id="pl.246.26"></a><var>246.26</var>section 438.10, or under the commissioner's contract with a prepaid health plan may <br/>
<a id="pl.246.27"></a><var>246.27</var>be provided in an alternative format on the basis that the enrollee has not opted in to <br/>
<a id="pl.246.28"></a><var>246.28</var>receive the alternative format. The commissioner shall consult with managed care <br/>
<a id="pl.246.29"></a><var>246.29</var>plans, county-based purchasing plans, counties, and other interested parties to develop <br/>
<a id="pl.246.30"></a><var>246.30</var>recommendations relating to the conditions that must be met for an opt-out process <br/>
<a id="pl.246.31"></a><var>246.31</var>to be granted.<br/>
<br/>
<a id="bill.8.4.0"></a><a id="pl.246.32"></a><var>246.32</var>    Sec. 4. Minnesota Statutes 2010, section 256D.09, subdivision 6, is amended to read:<br/>
<a id="pl.246.33"></a><var>246.33</var>    Subd. 6. <b>Recovery of overpayments.</b> (a) If an amount of general assistance or <br/>
<a id="pl.246.34"></a><var>246.34</var>family general assistance is paid to a recipient in excess of the payment due, it shall be <br/>
<a id="pl.247.1"></a><var>247.1</var>recoverable by the county agency. The agency shall give written notice to the recipient of <br/>
<a id="pl.247.2"></a><var>247.2</var>its intention to recover the overpayment.<br/>
<a id="pl.247.3"></a><var>247.3</var>(b) Except as provided for interim assistance in section 256D.06, subdivision <br/>
<a id="pl.247.4"></a><var>247.4</var>5, when an overpayment occurs, the county agency shall recover the overpayment <br/>
<a id="pl.247.5"></a><var>247.5</var>from a current recipient by reducing the amount of aid payable to the assistance unit of <br/>
<a id="pl.247.6"></a><var>247.6</var>which the recipient is a member, for one or more monthly assistance payments, until <br/>
<a id="pl.247.7"></a><var>247.7</var>the overpayment is repaid. All county agencies in the state shall reduce the assistance <br/>
<a id="pl.247.8"></a><var>247.8</var>payment by three percent of the assistance unit's standard of need in nonfraud cases and <br/>
<a id="pl.247.9"></a><var>247.9</var>ten percent where fraud has occurred, or the amount of the monthly payment, whichever is <br/>
<a id="pl.247.10"></a><var>247.10</var>less, for all overpayments.<br/>
<a id="pl.247.11"></a><var>247.11</var>(c) In cases when there is both an overpayment and underpayment, the county <br/>
<a id="pl.247.12"></a><var>247.12</var>agency shall offset one against the other in correcting the payment.<br/>
<a id="pl.247.13"></a><var>247.13</var>(d) Overpayments may also be voluntarily repaid, in part or in full, by the individual, <br/>
<a id="pl.247.14"></a><var>247.14</var>in addition to the aid reductions provided in this subdivision, to include further voluntary <br/>
<a id="pl.247.15"></a><var>247.15</var>reductions in the grant level agreed to in writing by the individual, until the total amount <br/>
<a id="pl.247.16"></a><var>247.16</var>of the overpayment is repaid.<br/>
<a id="pl.247.17"></a><var>247.17</var>(e) The county agency shall make reasonable efforts to recover overpayments to <br/>
<a id="pl.247.18"></a><var>247.18</var>persons no longer on assistance under standards adopted in rule by the commissioner <br/>
<a id="pl.247.19"></a><var>247.19</var>of human services. The county agency need not attempt to recover overpayments of <br/>
<a id="pl.247.20"></a><var>247.20</var>less than $35 paid to an individual no longer on assistance if the individual does not <br/>
<a id="pl.247.21"></a><var>247.21</var>receive assistance again within three years, unless the individual has been convicted of <br/>
<a id="pl.247.22"></a><var>247.22</var>violating section 
         <statute_ref>256.98</statute_ref>.<br/>
<a id="pl.247.23"></a><var>247.23</var>(f) Establishment of an overpayment is limited to 12 months prior to the month of <br/>
<a id="pl.247.24"></a><var>247.24</var>discovery due to agency error and six years prior to the month of discovery due to client <br/>
<a id="pl.247.25"></a><var>247.25</var>error or an intentional program violation determined under section 256.046.<br/>
<br/>
<a id="bill.8.5.0"></a><a id="pl.247.26"></a><var>247.26</var>    Sec. 5. Minnesota Statutes 2010, section 256D.49, subdivision 3, is amended to read:<br/>
<a id="pl.247.27"></a><var>247.27</var>    Subd. 3. <b>Overpayment of monthly grants and recovery of ATM errors.</b> (a) When <br/>
<a id="pl.247.28"></a><var>247.28</var>the county agency determines that an overpayment of the recipient's monthly payment <br/>
<a id="pl.247.29"></a><var>247.29</var>of Minnesota supplemental aid has occurred, it shall issue a notice of overpayment <br/>
<a id="pl.247.30"></a><var>247.30</var>to the recipient. If the person is no longer receiving Minnesota supplemental aid, the <br/>
<a id="pl.247.31"></a><var>247.31</var>county agency may request voluntary repayment or pursue civil recovery. If the person is <br/>
<a id="pl.247.32"></a><var>247.32</var>receiving Minnesota supplemental aid, the county agency shall recover the overpayment <br/>
<a id="pl.247.33"></a><var>247.33</var>by withholding an amount equal to three percent of the standard of assistance for the <br/>
<a id="pl.247.34"></a><var>247.34</var>recipient or the total amount of the monthly grant, whichever is less. <br/>
<a id="pl.248.1"></a><var>248.1</var>(b) Establishment of an overpayment is limited to 12 months from the date of <br/>
<a id="pl.248.2"></a><var>248.2</var>discovery due to agency error. Establishment of an overpayment is limited to six years <br/>
<a id="pl.248.3"></a><var>248.3</var>prior to the month of discovery due to client error or an intentional program violation <br/>
<a id="pl.248.4"></a><var>248.4</var>determined under section 256.046.<br/>
<a id="pl.248.5"></a><var>248.5</var>(c) For recipients receiving benefits via electronic benefit transfer, if the overpayment <br/>
<a id="pl.248.6"></a><var>248.6</var>is a result of an automated teller machine (ATM) dispensing funds in error to the recipient, <br/>
<a id="pl.248.7"></a><var>248.7</var>the agency may recover the ATM error by immediately withdrawing funds from the <br/>
<a id="pl.248.8"></a><var>248.8</var>recipient's electronic benefit transfer account, up to the amount of the error. <br/>
<a id="pl.248.9"></a><var>248.9</var>(d) Residents of nursing homes, regional treatment centers, and licensed residential <br/>
<a id="pl.248.10"></a><var>248.10</var>facilities with negotiated rates shall not have overpayments recovered from their personal <br/>
<a id="pl.248.11"></a><var>248.11</var>needs allowance.<br/>
<br/>
<a id="bill.8.6.0"></a><a id="pl.248.12"></a><var>248.12</var>    Sec. 6. Minnesota Statutes 2010, section 256J.38, subdivision 1, is amended to read:<br/>
<a id="pl.248.13"></a><var>248.13</var>    Subdivision 1. <b>Scope of overpayment.</b> (a) When a participant or former participant <br/>
<a id="pl.248.14"></a><var>248.14</var>receives an overpayment due to agency, client, or ATM error, or due to assistance received <br/>
<a id="pl.248.15"></a><var>248.15</var>while an appeal is pending and the participant or former participant is determined <br/>
<a id="pl.248.16"></a><var>248.16</var>ineligible for assistance or for less assistance than was received, the county agency must <br/>
<a id="pl.248.17"></a><var>248.17</var>recoup or recover the overpayment using the following methods:<br/>
<a id="pl.248.18"></a><var>248.18</var>(1) reconstruct each affected budget month and corresponding payment month;<br/>
<a id="pl.248.19"></a><var>248.19</var>(2) use the policies and procedures that were in effect for the payment month; and<br/>
<a id="pl.248.20"></a><var>248.20</var>(3) do not allow employment disregards in section 
         <statute_ref>256J.21, subdivision 3</statute_ref> or 4, in the <br/>
<a id="pl.248.21"></a><var>248.21</var>calculation of the overpayment when the unit has not reported within two calendar months <br/>
<a id="pl.248.22"></a><var>248.22</var>following the end of the month in which the income was received. <br/>
<a id="pl.248.23"></a><var>248.23</var>(b) Establishment of an overpayment is limited to 12 months prior to the month of <br/>
<a id="pl.248.24"></a><var>248.24</var>discovery due to agency error. Establishment of an overpayment is limited to six years <br/>
<a id="pl.248.25"></a><var>248.25</var>prior to the month of discovery due to client error or an intentional program violation <br/>
<a id="pl.248.26"></a><var>248.26</var>determined under section 256.046.<br/>
<br/>
<a id="bill.8.7.0"></a><a id="pl.248.27"></a><var>248.27</var>    Sec. 7. Minnesota Statutes 2010, section 393.07, subdivision 10, is amended to read:<br/>
<a id="pl.248.28"></a><var>248.28</var>    Subd. 10. <b>Food stamp program; Maternal and Child Nutrition Act.</b> (a) The local <br/>
<a id="pl.248.29"></a><var>248.29</var>social services agency shall establish and administer the food stamp program according <br/>
<a id="pl.248.30"></a><var>248.30</var>to rules of the commissioner of human services, the supervision of the commissioner as <br/>
<a id="pl.248.31"></a><var>248.31</var>specified in section 
         <statute_ref>256.01</statute_ref>, and all federal laws and regulations. The commissioner of <br/>
<a id="pl.248.32"></a><var>248.32</var>human services shall monitor food stamp program delivery on an ongoing basis to ensure <br/>
<a id="pl.248.33"></a><var>248.33</var>that each county complies with federal laws and regulations. Program requirements to be <br/>
<a id="pl.248.34"></a><var>248.34</var>monitored include, but are not limited to, number of applications, number of approvals, <br/>
<a id="pl.249.1"></a><var>249.1</var>number of cases pending, length of time required to process each application and deliver <br/>
<a id="pl.249.2"></a><var>249.2</var>benefits, number of applicants eligible for expedited issuance, length of time required <br/>
<a id="pl.249.3"></a><var>249.3</var>to process and deliver expedited issuance, number of terminations and reasons for <br/>
<a id="pl.249.4"></a><var>249.4</var>terminations, client profiles by age, household composition and income level and sources, <br/>
<a id="pl.249.5"></a><var>249.5</var>and the use of phone certification and home visits. The commissioner shall determine the <br/>
<a id="pl.249.6"></a><var>249.6</var>county-by-county and statewide participation rate.<br/>
<a id="pl.249.7"></a><var>249.7</var>(b) On July 1 of each year, the commissioner of human services shall determine a <br/>
<a id="pl.249.8"></a><var>249.8</var>statewide and county-by-county food stamp program participation rate. The commissioner <br/>
<a id="pl.249.9"></a><var>249.9</var>may designate a different agency to administer the food stamp program in a county if the <br/>
<a id="pl.249.10"></a><var>249.10</var>agency administering the program fails to increase the food stamp program participation <br/>
<a id="pl.249.11"></a><var>249.11</var>rate among families or eligible individuals, or comply with all federal laws and regulations <br/>
<a id="pl.249.12"></a><var>249.12</var>governing the food stamp program. The commissioner shall review agency performance <br/>
<a id="pl.249.13"></a><var>249.13</var>annually to determine compliance with this paragraph.<br/>
<a id="pl.249.14"></a><var>249.14</var>(c) A person who commits any of the following acts has violated section 
         <statute_ref>256.98</statute_ref> or <br/>
<statute_ref><a id="pl.249.15"></a><var>249.15</var>609.821
         </statute_ref>, or both, and is subject to both the criminal and civil penalties provided under <br/>
<a id="pl.249.16"></a><var>249.16</var>those sections:<br/>
<a id="pl.249.17"></a><var>249.17</var>(1) obtains or attempts to obtain, or aids or abets any person to obtain by means of a <br/>
<a id="pl.249.18"></a><var>249.18</var>willful statement or misrepresentation, or intentional concealment of a material fact, food <br/>
<a id="pl.249.19"></a><var>249.19</var>stamps or vouchers issued according to sections 
         <statute_ref>145.891</statute_ref> to 
         <statute_ref>145.897</statute_ref> to which the person <br/>
<a id="pl.249.20"></a><var>249.20</var>is not entitled or in an amount greater than that to which that person is entitled or which <br/>
<a id="pl.249.21"></a><var>249.21</var>specify nutritional supplements to which that person is not entitled; or<br/>
<a id="pl.249.22"></a><var>249.22</var>(2) presents or causes to be presented, coupons or vouchers issued according to <br/>
<a id="pl.249.23"></a><var>249.23</var>sections 
         <statute_ref>145.891</statute_ref> to 
         <statute_ref>145.897</statute_ref> for payment or redemption knowing them to have been <br/>
<a id="pl.249.24"></a><var>249.24</var>received, transferred or used in a manner contrary to existing state or federal law; or<br/>
<a id="pl.249.25"></a><var>249.25</var>(3) willfully uses, possesses, or transfers food stamp coupons, authorization to <br/>
<a id="pl.249.26"></a><var>249.26</var>purchase cards or vouchers issued according to sections 
         <statute_ref>145.891</statute_ref> to 
         <statute_ref>145.897</statute_ref> in any manner <br/>
<a id="pl.249.27"></a><var>249.27</var>contrary to existing state or federal law, rules, or regulations; or<br/>
<a id="pl.249.28"></a><var>249.28</var>(4) buys or sells food stamp coupons, authorization to purchase cards, other <br/>
<a id="pl.249.29"></a><var>249.29</var>assistance transaction devices, vouchers issued according to sections 
         <statute_ref>145.891</statute_ref> to 
         <statute_ref>145.897</statute_ref>, <br/>
<a id="pl.249.30"></a><var>249.30</var>or any food obtained through the redemption of vouchers issued according to sections <br/>
<statute_ref><a id="pl.249.31"></a><var>249.31</var>145.891
         </statute_ref> to 
         <statute_ref>145.897</statute_ref> for cash or consideration other than eligible food.<br/>
<a id="pl.249.32"></a><var>249.32</var>(d) A peace officer or welfare fraud investigator may confiscate food stamps, <br/>
<a id="pl.249.33"></a><var>249.33</var>authorization to purchase cards, or other assistance transaction devices found in the <br/>
<a id="pl.249.34"></a><var>249.34</var>possession of any person who is neither a recipient of the food stamp program nor <br/>
<a id="pl.249.35"></a><var>249.35</var>otherwise authorized to possess and use such materials. Confiscated property shall be <br/>
<a id="pl.249.36"></a><var>249.36</var>disposed of as the commissioner may direct and consistent with state and federal food <br/>
<a id="pl.250.1"></a><var>250.1</var>stamp law. The confiscated property must be retained for a period of not less than 30 days <br/>
<a id="pl.250.2"></a><var>250.2</var>to allow any affected person to appeal the confiscation under section 
         <statute_ref>256.045</statute_ref>.<br/>
<a id="pl.250.3"></a><var>250.3</var>(e) Food stamp overpayment claims which are due in whole or in part to client error <br/>
<a id="pl.250.4"></a><var>250.4</var>shall be established by the county agency for a period of six years from the date of any <br/>
<a id="pl.250.5"></a><var>250.5</var>resultant overpayment Establishment of an overpayment is limited to 12 months prior to <br/>
<a id="pl.250.6"></a><var>250.6</var>the month of discovery due to agency error. Establishment of an overpayment is limited <br/>
<a id="pl.250.7"></a><var>250.7</var>to six years prior to the month of discovery due to client error or an intentional program <br/>
<a id="pl.250.8"></a><var>250.8</var>violation determined under section 256.046.<br/>
<a id="pl.250.9"></a><var>250.9</var>(f) With regard to the federal tax revenue offset program only, recovery incentives <br/>
<a id="pl.250.10"></a><var>250.10</var>authorized by the federal food and consumer service shall be retained at the rate of 50 <br/>
<a id="pl.250.11"></a><var>250.11</var>percent by the state agency and 50 percent by the certifying county agency.<br/>
<a id="pl.250.12"></a><var>250.12</var>(g) A peace officer, welfare fraud investigator, federal law enforcement official, <br/>
<a id="pl.250.13"></a><var>250.13</var>or the commissioner of health may confiscate vouchers found in the possession of any <br/>
<a id="pl.250.14"></a><var>250.14</var>person who is neither issued vouchers under sections 
         <statute_ref>145.891</statute_ref> to 
         <statute_ref>145.897</statute_ref>, nor otherwise <br/>
<a id="pl.250.15"></a><var>250.15</var>authorized to possess and use such vouchers. Confiscated property shall be disposed of <br/>
<a id="pl.250.16"></a><var>250.16</var>as the commissioner of health may direct and consistent with state and federal law. The <br/>
<a id="pl.250.17"></a><var>250.17</var>confiscated property must be retained for a period of not less than 30 days.<br/>
<a id="pl.250.18"></a><var>250.18</var>(h) The commissioner of human services may seek a waiver from the United States <br/>
<a id="pl.250.19"></a><var>250.19</var>Department of Agriculture to allow the state to specify foods that may and may not be <br/>
<a id="pl.250.20"></a><var>250.20</var>purchased in Minnesota with benefits funded by the federal Food Stamp Program. The <br/>
<a id="pl.250.21"></a><var>250.21</var>commissioner shall consult with the members of the house of representatives and senate <br/>
<a id="pl.250.22"></a><var>250.22</var>policy committees having jurisdiction over food support issues in developing the waiver. <br/>
<a id="pl.250.23"></a><var>250.23</var>The commissioner, in consultation with the commissioners of health and education, shall <br/>
<a id="pl.250.24"></a><var>250.24</var>develop a broad public health policy related to improved nutrition and health status. The <br/>
<a id="pl.250.25"></a><var>250.25</var>commissioner must seek legislative approval prior to implementing the waiver.<br/>
<br/>
<a id="bill.8.8.0"></a><a id="pl.250.26"></a><var>250.26</var>    Sec. 8. Minnesota Statutes 2010, section 402A.10, subdivision 4, is amended to read:<br/>
<a id="pl.250.27"></a><var>250.27</var>    Subd. 4. <b>Essential human services or essential services.</b> "Essential human <br/>
<a id="pl.250.28"></a><var>250.28</var>services" or "essential services" means assistance and services to recipients or potential <br/>
<a id="pl.250.29"></a><var>250.29</var>recipients of public welfare and other services delivered by counties or tribes that are <br/>
<a id="pl.250.30"></a><var>250.30</var>mandated in federal and state law that are to be available in all counties of the state.<br/>
<br/>
<a id="bill.8.9.0"></a><a id="pl.250.31"></a><var>250.31</var>    Sec. 9. Minnesota Statutes 2010, section 402A.10, subdivision 5, is amended to read:<br/>
<a id="pl.250.32"></a><var>250.32</var>    Subd. 5. <b>Service delivery authority.</b> "Service delivery authority" means a single <br/>
<a id="pl.250.33"></a><var>250.33</var>county, or group consortium of counties operating by execution of a joint powers <br/>
<a id="pl.250.34"></a><var>250.34</var>agreement under section 
         <statute_ref>471.59</statute_ref> or other contractual agreement, that has voluntarily <br/>
<a id="pl.251.1"></a><var>251.1</var>chosen by resolution of the county board of commissioners to participate in the redesign <br/>
<a id="pl.251.2"></a><var>251.2</var>under this chapter or has been assigned by the commissioner pursuant to section 402A.18. <br/>
<a id="pl.251.3"></a><var>251.3</var>A service delivery authority includes an Indian tribe or group of tribes that have voluntarily <br/>
<a id="pl.251.4"></a><var>251.4</var>chosen by resolution of tribal government to participate in redesign under this chapter.<br/>
<br/>
<a id="bill.8.10.0"></a><a id="pl.251.5"></a><var>251.5</var>    Sec. 10. Minnesota Statutes 2010, section 402A.15, is amended to read:<br/>
<a id="pl.251.6"></a><var>251.6</var><b>402A.15 STEERING COMMITTEE ON PERFORMANCE AND OUTCOME </b><br/>
<a id="pl.251.7"></a><var>251.7</var><b>REFORMS.</b><br/>
<a id="pl.251.8"></a><var>251.8</var>    Subdivision 1. <b>Duties.</b> (a) The Steering Committee on Performance and Outcome <br/>
<a id="pl.251.9"></a><var>251.9</var>Reforms shall develop a uniform process to establish and review performance and outcome <br/>
<a id="pl.251.10"></a><var>251.10</var>standards for all essential human services based on the current level of resources available, <br/>
<a id="pl.251.11"></a><var>251.11</var>and to shall develop appropriate reporting measures and a uniform accountability process <br/>
<a id="pl.251.12"></a><var>251.12</var>for responding to a county's or human service delivery authority's failure to make adequate <br/>
<a id="pl.251.13"></a><var>251.13</var>progress on achieving performance measures. The accountability process shall focus on <br/>
<a id="pl.251.14"></a><var>251.14</var>the performance measures rather than inflexible implementation requirements.<br/>
<a id="pl.251.15"></a><var>251.15</var>(b) The steering committee shall:<br/>
<a id="pl.251.16"></a><var>251.16</var>(1) by November 1, 2009, establish an agreed-upon list of essential services;<br/>
<a id="pl.251.17"></a><var>251.17</var>(2) by February 15, 2010, develop and recommend to the legislature a uniform, <br/>
<a id="pl.251.18"></a><var>251.18</var>graduated process, in addition to the remedies identified in section 
         <statute_ref>402A.18</statute_ref>, for responding <br/>
<a id="pl.251.19"></a><var>251.19</var>to a county's failure to make adequate progress on achieving performance measures; and<br/>
<a id="pl.251.20"></a><var>251.20</var>(3) by December 15, 2012, for each essential service, make recommendations <br/>
<a id="pl.251.21"></a><var>251.21</var>to the legislature regarding (1) (i) performance measures and goals based on those <br/>
<a id="pl.251.22"></a><var>251.22</var>measures for each essential service, (2) and (ii) a system for reporting on the performance <br/>
<a id="pl.251.23"></a><var>251.23</var>measures and goals, and (3) appropriate resources, including funding, needed to achieve <br/>
<a id="pl.251.24"></a><var>251.24</var>those performance measures and goals. The resource recommendations shall take into <br/>
<a id="pl.251.25"></a><var>251.25</var>consideration program demand and the unique differences of local areas in geography and <br/>
<a id="pl.251.26"></a><var>251.26</var>the populations served. Priority shall be given to services with the greatest variation in <br/>
<a id="pl.251.27"></a><var>251.27</var>availability and greatest administrative demands. By January 15 of each year starting <br/>
<a id="pl.251.28"></a><var>251.28</var>January 15, 2011, the steering committee shall report its recommendations to the governor <br/>
<a id="pl.251.29"></a><var>251.29</var>and legislative committees with jurisdiction over health and human services. As part of its <br/>
<a id="pl.251.30"></a><var>251.30</var>report, the steering committee shall, as appropriate, recommend statutory provisions, rules <br/>
<a id="pl.251.31"></a><var>251.31</var>and requirements, and reports that should be repealed or eliminated.<br/>
<a id="pl.251.32"></a><var>251.32</var>(c) As far as possible, the performance measures, reporting system, and funding <br/>
<a id="pl.251.33"></a><var>251.33</var>shall be consistent across program areas. The development of performance measures shall <br/>
<a id="pl.251.34"></a><var>251.34</var>consider the manner in which data will be collected and performance will be reported. <br/>
<a id="pl.251.35"></a><var>251.35</var>The steering committee shall consider state and local administrative costs related to <br/>
<a id="pl.252.1"></a><var>252.1</var>collecting data and reporting outcomes when developing performance measures. The <br/>
<a id="pl.252.2"></a><var>252.2</var>steering committee shall correlate the performance measures and goals to available levels <br/>
<a id="pl.252.3"></a><var>252.3</var>of resources, including state and local funding. The steering committee shall also identify <br/>
<a id="pl.252.4"></a><var>252.4</var>and incorporate federal performance measures in its recommendations for those program <br/>
<a id="pl.252.5"></a><var>252.5</var>areas where federal funding is contingent on meeting federal performance standards. The <br/>
<a id="pl.252.6"></a><var>252.6</var>steering committee shall take into consideration that the goal of implementing changes <br/>
<a id="pl.252.7"></a><var>252.7</var>to program monitoring and reporting the progress toward achieving outcomes is to <br/>
<a id="pl.252.8"></a><var>252.8</var>significantly minimize the cost of administrative requirements and to allow funds freed <br/>
<a id="pl.252.9"></a><var>252.9</var>by reduced administrative expenditures to be used to provide additional services, allow <br/>
<a id="pl.252.10"></a><var>252.10</var>flexibility in service design and management, and focus energies on achieving program <br/>
<a id="pl.252.11"></a><var>252.11</var>and client outcomes.<br/>
<a id="pl.252.12"></a><var>252.12</var>(d) In making its recommendations, the steering committee shall consider input from <br/>
<a id="pl.252.13"></a><var>252.13</var>the council established in section 
         <statute_ref>402A.20</statute_ref>. The steering committee shall review the <br/>
<a id="pl.252.14"></a><var>252.14</var>measurable goals established in a memorandum of understanding entered into under <br/>
<a id="pl.252.15"></a><var>252.15</var>section 
<statute_ref>402A.30, subdivision 2</statute_ref>, paragraph (b), and consider whether they may be applied <br/>
<a id="pl.252.16"></a><var>252.16</var>as statewide performance outcomes.<br/>
<a id="pl.252.17"></a><var>252.17</var>(e) The steering committee shall form work groups that include persons who provide <br/>
<a id="pl.252.18"></a><var>252.18</var>or receive essential services and representatives of organizations who advocate on behalf <br/>
<a id="pl.252.19"></a><var>252.19</var>of those persons.<br/>
<a id="pl.252.20"></a><var>252.20</var>(f) By December 15, 2009, the steering committee shall establish a three-year <br/>
<a id="pl.252.21"></a><var>252.21</var>schedule for completion of its work. The schedule shall be published on the Department of <br/>
<a id="pl.252.22"></a><var>252.22</var>Human Services Web site and reported to the legislative committees with jurisdiction over <br/>
<a id="pl.252.23"></a><var>252.23</var>health and human services. In addition, the commissioner shall post quarterly updates on <br/>
<a id="pl.252.24"></a><var>252.24</var>the progress of the steering committee on the Department of Human Services Web site.<br/>
<a id="pl.252.25"></a><var>252.25</var>    Subd. 2. <b>Composition.</b> (a) The steering committee shall include:<br/>
<a id="pl.252.26"></a><var>252.26</var>(1) the commissioner of human services, or designee, and two additional <br/>
<a id="pl.252.27"></a><var>252.27</var>representatives of the department;<br/>
<a id="pl.252.28"></a><var>252.28</var>(2) two county commissioners, representative of rural and urban counties, selected <br/>
<a id="pl.252.29"></a><var>252.29</var>by the Association of Minnesota Counties;<br/>
<a id="pl.252.30"></a><var>252.30</var>(3) two county directors of human services, representative of rural and urban <br/>
<a id="pl.252.31"></a><var>252.31</var>counties, selected by the Minnesota Association of County Social Service Administrators; <br/>
<a id="pl.252.32"></a><var>252.32</var>and<br/>
<a id="pl.252.33"></a><var>252.33</var>(4) three clients or client advocates representing different populations receiving <br/>
<a id="pl.252.34"></a><var>252.34</var>services from the Department of Human Services, who are appointed by the commissioner.<br/>
<a id="pl.253.1"></a><var>253.1</var>(b) The commissioner, or designee, and a county commissioner shall serve as <br/>
<a id="pl.253.2"></a><var>253.2</var>cochairs of the committee. The committee shall be convened within 60 days of May <br/>
<a id="pl.253.3"></a><var>253.3</var>15, 2009.<br/>
<a id="pl.253.4"></a><var>253.4</var>(c) State agency staff shall serve as informational resources and staff to the steering <br/>
<a id="pl.253.5"></a><var>253.5</var>committee. Statewide county associations may assemble county program data as required.<br/>
<a id="pl.253.6"></a><var>253.6</var>(d) To promote information sharing and coordination between the steering committee <br/>
<a id="pl.253.7"></a><var>253.7</var>and council, one of the county representatives from paragraph (a), clause (2), and one of the <br/>
<a id="pl.253.8"></a><var>253.8</var>county representatives from paragraph (a), clause (3), must also serve as a representative <br/>
<a id="pl.253.9"></a><var>253.9</var>on the council under section 
<statute_ref>402A.20, subdivision 1</statute_ref>, paragraph (b), clause (5) or (6).<br/>
<br/>
<a id="bill.8.11.0"></a><a id="pl.253.10"></a><var>253.10</var>    Sec. 11. Minnesota Statutes 2010, section 402A.18, is amended to read:<br/>
<a id="pl.253.11"></a><var>253.11</var><b>402A.18 COMMISSIONER POWER TO REMEDY FAILURE TO MEET </b><br/>
<a id="pl.253.12"></a><var>253.12</var><b>PERFORMANCE OUTCOMES.</b><br/>
<a id="pl.253.13"></a><var>253.13</var>    Subdivision 1. <b>Underperforming county; specific service.</b> If the commissioner <br/>
<a id="pl.253.14"></a><var>253.14</var>determines that a county or service delivery authority is deficient in achieving minimum <br/>
<a id="pl.253.15"></a><var>253.15</var>performance outcomes for a specific essential service, the commissioner may impose the <br/>
<a id="pl.253.16"></a><var>253.16</var>following remedies and adjust state and federal program allocations accordingly:<br/>
<a id="pl.253.17"></a><var>253.17</var>(1) voluntary incorporation of the administration and operation of the specific <br/>
<a id="pl.253.18"></a><var>253.18</var>essential service with an existing service delivery authority or another county. A <br/>
<a id="pl.253.19"></a><var>253.19</var>service delivery authority or county incorporating an underperforming county shall <br/>
<a id="pl.253.20"></a><var>253.20</var>not be financially liable for the costs associated with remedying performance outcome <br/>
<a id="pl.253.21"></a><var>253.21</var>deficiencies;<br/>
<a id="pl.253.22"></a><var>253.22</var>(2) mandatory incorporation of the administration and operation of the specific <br/>
<a id="pl.253.23"></a><var>253.23</var>essential service with an existing service delivery authority or another county. A <br/>
<a id="pl.253.24"></a><var>253.24</var>service delivery authority or county incorporating an underperforming county shall <br/>
<a id="pl.253.25"></a><var>253.25</var>not be financially liable for the costs associated with remedying performance outcome <br/>
<a id="pl.253.26"></a><var>253.26</var>deficiencies; or <br/>
<a id="pl.253.27"></a><var>253.27</var>(3) transfer of authority for program administration and operation of the specific <br/>
<a id="pl.253.28"></a><var>253.28</var>essential service to the commissioner.<br/>
<a id="pl.253.29"></a><var>253.29</var>    Subd. 2. <b>Underperforming county; more than one-half of </b><b>service</b><b> services</b><b>.</b> If <br/>
<a id="pl.253.30"></a><var>253.30</var>the commissioner determines that a county or service delivery authority is deficient in <br/>
<a id="pl.253.31"></a><var>253.31</var>achieving minimum performance outcomes for more than one-half of the defined essential <br/>
<a id="pl.253.32"></a><var>253.32</var>service services, the commissioner may impose the following remedies:<br/>
<a id="pl.253.33"></a><var>253.33</var>(1) voluntary incorporation of the administration and operation of the specific <br/>
<a id="pl.253.34"></a><var>253.34</var>essential service services with an existing service delivery authority or another county. <br/>
<a id="pl.253.35"></a><var>253.35</var>A service delivery authority or county incorporating an underperforming county shall <br/>
<a id="pl.254.1"></a><var>254.1</var>not be financially liable for the costs associated with remedying performance outcome <br/>
<a id="pl.254.2"></a><var>254.2</var>deficiencies;<br/>
<a id="pl.254.3"></a><var>254.3</var>(2) mandatory incorporation of the administration and operation of the specific <br/>
<a id="pl.254.4"></a><var>254.4</var>essential service services with an existing service delivery authority or another county. <br/>
<a id="pl.254.5"></a><var>254.5</var>A service delivery authority or county incorporating an underperforming county shall <br/>
<a id="pl.254.6"></a><var>254.6</var>not be financially liable for the costs associated with remedying performance outcome <br/>
<a id="pl.254.7"></a><var>254.7</var>deficiencies; or <br/>
<a id="pl.254.8"></a><var>254.8</var>(3) transfer of authority for program administration and operation of the specific <br/>
<a id="pl.254.9"></a><var>254.9</var>essential service services to the commissioner.<br/>
<a id="pl.254.10"></a><var>254.10</var>    Subd. 2a. <b>Financial responsibility of underperforming county.</b> A county subject <br/>
<a id="pl.254.11"></a><var>254.11</var>to remedies under subdivision 1 or 2 shall provide to the entity assuming administration of <br/>
<a id="pl.254.12"></a><var>254.12</var>the essential service or essential services the amount of nonfederal and nonstate funding <br/>
<a id="pl.254.13"></a><var>254.13</var>needed to remedy performance outcome deficiencies.<br/>
<a id="pl.254.14"></a><var>254.14</var>    Subd. 3. <b>Conditions prior to imposing remedies.</b> Before the commissioner may <br/>
<a id="pl.254.15"></a><var>254.15</var>impose the remedies authorized under this section, the following conditions must be met:<br/>
<a id="pl.254.16"></a><var>254.16</var>(1) the county or service delivery authority determined by the commissioner <br/>
<a id="pl.254.17"></a><var>254.17</var>to be deficient in achieving minimum performance outcomes has the opportunity, in <br/>
<a id="pl.254.18"></a><var>254.18</var>coordination with the council, to develop a program outcome improvement plan. The <br/>
<a id="pl.254.19"></a><var>254.19</var>program outcome improvement plan must be developed no later than six months from the <br/>
<a id="pl.254.20"></a><var>254.20</var>date of the deficiency determination; and<br/>
<a id="pl.254.21"></a><var>254.21</var>(2) the council has conducted an assessment of the program outcome improvement <br/>
<a id="pl.254.22"></a><var>254.22</var>plan to determine if the county or service delivery authority has made satisfactory <br/>
<a id="pl.254.23"></a><var>254.23</var>progress toward performance outcomes and has made a recommendation about remedies <br/>
<a id="pl.254.24"></a><var>254.24</var>to the commissioner. The review assessment and recommendation must be made to the <br/>
<a id="pl.254.25"></a><var>254.25</var>commissioner within 12 months from the date of the deficiency determination.<br/>
<br/>
<a id="bill.8.12.0"></a><a id="pl.254.26"></a><var>254.26</var>    Sec. 12. Minnesota Statutes 2010, section 402A.20, is amended to read:<br/>
<a id="pl.254.27"></a><var>254.27</var><b>402A.20 COUNCIL.</b><br/>
<a id="pl.254.28"></a><var>254.28</var>    Subdivision 1. <b>Council.</b> (a) The State-County Results, Accountability, and Service <br/>
<a id="pl.254.29"></a><var>254.29</var>Delivery Redesign Council is established. Appointed council members must be appointed <br/>
<a id="pl.254.30"></a><var>254.30</var>by their respective agencies, associations, or governmental units by November 1, 2009. <br/>
<a id="pl.254.31"></a><var>254.31</var>The council shall be cochaired by the commissioner of human services, or designee, and a <br/>
<a id="pl.254.32"></a><var>254.32</var>county representative from paragraph (b), clause (4) or (5), appointed by the Association <br/>
<a id="pl.254.33"></a><var>254.33</var>of Minnesota Counties. Recommendations of the council must be approved by a majority <br/>
<a id="pl.254.34"></a><var>254.34</var>of the voting council members. The provisions of section 
         <statute_ref>15.059</statute_ref> do not apply to this <br/>
<a id="pl.254.35"></a><var>254.35</var>council, and this council does not expire.<br/>
<a id="pl.255.1"></a><var>255.1</var>(b) The council must consist of the following members:<br/>
<a id="pl.255.2"></a><var>255.2</var>(1) two legislators appointed by the speaker of the house, one from the minority <br/>
<a id="pl.255.3"></a><var>255.3</var>and one from the majority;<br/>
<a id="pl.255.4"></a><var>255.4</var>(2) two legislators appointed by the Senate Rules Committee, one from the majority <br/>
<a id="pl.255.5"></a><var>255.5</var>and one from the minority;<br/>
<a id="pl.255.6"></a><var>255.6</var>(3) the commissioner of human services, or designee, and three employees from <br/>
<a id="pl.255.7"></a><var>255.7</var>the department;<br/>
<a id="pl.255.8"></a><var>255.8</var>(4) two county commissioners appointed by the Association of Minnesota Counties;<br/>
<a id="pl.255.9"></a><var>255.9</var>(5) two county representatives appointed by the Minnesota Association of County <br/>
<a id="pl.255.10"></a><var>255.10</var>Social Service Administrators; <br/>
<a id="pl.255.11"></a><var>255.11</var>(6) one representative appointed by AFSCME as a nonvoting member; and<br/>
<a id="pl.255.12"></a><var>255.12</var>(7) one representative appointed by the Teamsters as a nonvoting member.<br/>
<a id="pl.255.13"></a><var>255.13</var>(c) Administrative support to the council may be provided by the Association of <br/>
<a id="pl.255.14"></a><var>255.14</var>Minnesota Counties and affiliates.<br/>
<a id="pl.255.15"></a><var>255.15</var>(d) Member agencies and associations are responsible for initial and subsequent <br/>
<a id="pl.255.16"></a><var>255.16</var>appointments to the council.<br/>
<a id="pl.255.17"></a><var>255.17</var>    Subd. 2. <b>Council duties.</b> The council shall:<br/>
<a id="pl.255.18"></a><var>255.18</var>(1) provide review of the service delivery redesign process, including proposed <br/>
<a id="pl.255.19"></a><var>255.19</var>memoranda of understanding to establish a service delivery authority to conduct and <br/>
<a id="pl.255.20"></a><var>255.20</var>administer experimental projects to test new methods and procedures of delivering <br/>
<a id="pl.255.21"></a><var>255.21</var>services;<br/>
<a id="pl.255.22"></a><var>255.22</var>(2) certify, in accordance with section 
<statute_ref>402A.30, subdivision 4</statute_ref>, the formation of <br/>
<a id="pl.255.23"></a><var>255.23</var>a service delivery authority, including the memorandum of understanding in section <br/>
<a id="pl.255.24"></a><var>255.24</var><statute_ref>402A.30, subdivision 2</statute_ref>, paragraph (b);<br/>
<a id="pl.255.25"></a><var>255.25</var>(3) ensure the consistency of the memorandum of understanding entered into <br/>
<a id="pl.255.26"></a><var>255.26</var>under section 
<statute_ref>402A.30, subdivision 2</statute_ref>, paragraph (b), with the performance standards <br/>
<a id="pl.255.27"></a><var>255.27</var>recommended by the steering committee and enacted by the legislature;<br/>
<a id="pl.255.28"></a><var>255.28</var>(4) (2) ensure the consistency of the memorandum of understanding, to the extent <br/>
<a id="pl.255.29"></a><var>255.29</var>appropriate, or with other memorandum of understanding entered into by other service <br/>
<a id="pl.255.30"></a><var>255.30</var>delivery authorities; <br/>
<a id="pl.255.31"></a><var>255.31</var>(3) review and make recommendations on applications from a service delivery <br/>
<a id="pl.255.32"></a><var>255.32</var>authority for waivers of statutory or rule program requirements that are needed for <br/>
<a id="pl.255.33"></a><var>255.33</var>flexibility to determine the most cost-effective means of achieving specified measurable <br/>
<a id="pl.255.34"></a><var>255.34</var>goals in a redesign of human services delivery;<br/>
<a id="pl.255.35"></a><var>255.35</var>(5) (4) establish a process to take public input on the service delivery framework <br/>
<a id="pl.255.36"></a><var>255.36</var>specified in the memorandum of understanding in section 
<statute_ref>402A.30, subdivision 2</statute_ref>, <br/>
<a id="pl.256.1"></a><var>256.1</var>paragraph (b) scope of essential services over which a service delivery authority has <br/>
<a id="pl.256.2"></a><var>256.2</var>jurisdiction;<br/>
<a id="pl.256.3"></a><var>256.3</var>(6) (5) form work groups as necessary to carry out the duties of the council under the <br/>
<a id="pl.256.4"></a><var>256.4</var>redesign;<br/>
<a id="pl.256.5"></a><var>256.5</var>(7) (6) serve as a forum for resolving conflicts among participating counties and <br/>
<a id="pl.256.6"></a><var>256.6</var>tribes or between participating counties or tribes and the commissioner of human services, <br/>
<a id="pl.256.7"></a><var>256.7</var>provided nothing in this section is intended to create a formal binding legal process;<br/>
<a id="pl.256.8"></a><var>256.8</var>(8) (7) engage in the program improvement process established in section 
         <statute_ref>402A.18</statute_ref>, <br/>
<a id="pl.256.9"></a><var>256.9</var>subdivision 3; and<br/>
<a id="pl.256.10"></a><var>256.10</var>(9) (8) identify and recommend incentives for counties and tribes to participate in <br/>
<a id="pl.256.11"></a><var>256.11</var>human services service delivery authorities.<br/>
<a id="pl.256.12"></a><var>256.12</var>    Subd. 3. <b>Program evaluation.</b> By December 15, 2014, the council shall request <br/>
<a id="pl.256.13"></a><var>256.13</var>consideration by the legislative auditor for a reevaluation under section 3.971, subdivision <br/>
<a id="pl.256.14"></a><var>256.14</var>7, of those aspects of the program evaluation of human services administration reported <br/>
<a id="pl.256.15"></a><var>256.15</var>in January 2007 affected by this chapter.<br/>
<br/>
<a id="bill.8.13.0"></a><a id="pl.256.16"></a><var>256.16</var>    Sec. 13. <b>[402A.35] DESIGNATION OF SERVICE DELIVERY AUTHORITY.</b><br/>
<a id="pl.256.17"></a><var>256.17</var>    Subdivision 1. <b>Requirements for establishing a service delivery authority.</b><br/>
<a id="pl.256.18"></a><var>256.18</var>(a) A county, tribe, or consortium of counties is eligible to establish a service delivery <br/>
<a id="pl.256.19"></a><var>256.19</var>authority if:<br/>
<a id="pl.256.20"></a><var>256.20</var>(1) the county, tribe, or consortium of counties is:<br/>
<a id="pl.256.21"></a><var>256.21</var>(i) a single county with a population of 55,000 or more;<br/>
<a id="pl.256.22"></a><var>256.22</var>(ii) a consortium of counties with a total combined population of 55,000 or more;<br/>
<a id="pl.256.23"></a><var>256.23</var>(iii) a consortium of four or more counties in reasonable geographic proximity <br/>
<a id="pl.256.24"></a><var>256.24</var>without regard to population; or<br/>
<a id="pl.256.25"></a><var>256.25</var>(iv) one or more tribes with a total combined population of 25,000 or more.<br/>
<a id="pl.256.26"></a><var>256.26</var>The council may recommend that the commissioner of human services exempt a <br/>
<a id="pl.256.27"></a><var>256.27</var>single county, tribe, or consortium of counties from the minimum population standard if <br/>
<a id="pl.256.28"></a><var>256.28</var>the county, tribe, or consortium of counties can demonstrate that it can otherwise meet <br/>
<a id="pl.256.29"></a><var>256.29</var>the requirements of this chapter.<br/>
<a id="pl.256.30"></a><var>256.30</var>(b) A service delivery authority shall:<br/>
<a id="pl.256.31"></a><var>256.31</var>(1) comply with current state and federal law, including any existing federal or state <br/>
<a id="pl.256.32"></a><var>256.32</var>performance measures and performance measures under section 402A.15 when they are <br/>
<a id="pl.256.33"></a><var>256.33</var>enacted into law, except where waivers are approved by the commissioner. Nothing <br/>
<a id="pl.256.34"></a><var>256.34</var>in this subdivision requires the establishment of performance measures under section <br/>
<a id="pl.257.1"></a><var>257.1</var>402A.15 prior to a service delivery authority participating in the service delivery redesign <br/>
<a id="pl.257.2"></a><var>257.2</var>under this chapter;<br/>
<a id="pl.257.3"></a><var>257.3</var>(2) define the scope of essential services over which the service delivery authority <br/>
<a id="pl.257.4"></a><var>257.4</var>has jurisdiction;<br/>
<a id="pl.257.5"></a><var>257.5</var>(3) designate a single administrative structure to oversee the delivery of those <br/>
<a id="pl.257.6"></a><var>257.6</var>services included in a proposal for a redesigned service or services and identify a single <br/>
<a id="pl.257.7"></a><var>257.7</var>administrative agent for purposes of contact and communication with the department;<br/>
<a id="pl.257.8"></a><var>257.8</var>(4) identify the waivers from statutory or rule program requirements that are needed <br/>
<a id="pl.257.9"></a><var>257.9</var>to ensure greater local control and flexibility to determine the most cost-effective means of <br/>
<a id="pl.257.10"></a><var>257.10</var>achieving specified measurable goals that the participating service delivery authority is <br/>
<a id="pl.257.11"></a><var>257.11</var>expected to achieve;<br/>
<a id="pl.257.12"></a><var>257.12</var>(5) set forth a reasonable level of targeted reductions in overhead and administrative <br/>
<a id="pl.257.13"></a><var>257.13</var>costs for each service delivery authority participating in the service delivery redesign;<br/>
<a id="pl.257.14"></a><var>257.14</var>(6) set forth the terms under which a county, tribe, or consortium of counties <br/>
<a id="pl.257.15"></a><var>257.15</var>may withdraw from participation. In the case of withdrawal of any or all parties or <br/>
<a id="pl.257.16"></a><var>257.16</var>the dissolution of the service delivery authority, the employees shall continue to be <br/>
<a id="pl.257.17"></a><var>257.17</var>represented by the same exclusive representative or representatives and continue to be <br/>
<a id="pl.257.18"></a><var>257.18</var>covered by the same collective bargaining union agreement until a new agreement is <br/>
<a id="pl.257.19"></a><var>257.19</var>negotiated or the collective bargaining agreement term ends; and<br/>
<a id="pl.257.20"></a><var>257.20</var>(7) set forth a structure for managing the terms and conditions of employment of the <br/>
<a id="pl.257.21"></a><var>257.21</var>employees as provided in section 402A.40.<br/>
<a id="pl.257.22"></a><var>257.22</var>(c) Once a county, tribe, or consortium of counties establishes a service delivery <br/>
<a id="pl.257.23"></a><var>257.23</var>authority, no county, tribe, or consortium of counties that is a member of the service <br/>
<a id="pl.257.24"></a><var>257.24</var>delivery authority may participate as a member of any other service delivery authority. <br/>
<a id="pl.257.25"></a><var>257.25</var>The service delivery authority may allow an additional county, a tribe, or a consortium of <br/>
<a id="pl.257.26"></a><var>257.26</var>counties to join the service delivery authority subject to the approval of the council and <br/>
<a id="pl.257.27"></a><var>257.27</var>the commissioner.<br/>
<a id="pl.257.28"></a><var>257.28</var>(d) Nothing in this chapter precludes local governments from using sections 465.81 <br/>
<a id="pl.257.29"></a><var>257.29</var>and 465.82 to establish procedures for local governments to merge, with the consent <br/>
<a id="pl.257.30"></a><var>257.30</var>of the voters. Nothing in this chapter limits the authority of a county board or tribal <br/>
<a id="pl.257.31"></a><var>257.31</var>council to enter into contractual agreements for services not covered by the provisions <br/>
<a id="pl.257.32"></a><var>257.32</var>of a memorandum of understanding establishing a service delivery authority with other <br/>
<a id="pl.257.33"></a><var>257.33</var>agencies or with other units of government.<br/>
<a id="pl.257.34"></a><var>257.34</var>    Subd. 2. <b>Relief from statutory requirements.</b> (a) Unless otherwise identified in <br/>
<a id="pl.257.35"></a><var>257.35</var>the memorandum of understanding, any county, tribe, or consortium of counties forming a <br/>
<a id="pl.257.36"></a><var>257.36</var>service delivery authority is exempt from the provisions of sections 245.465; 245.4835; <br/>
<a id="pl.258.1"></a><var>258.1</var>245.4874; 245.492, subdivision 2; 245.4932; 256F.13; 256J.626, subdivision 2, paragraph <br/>
<a id="pl.258.2"></a><var>258.2</var>(b); and 256M.30.<br/>
<a id="pl.258.3"></a><var>258.3</var>(b) This subdivision does not preclude any county, tribe, or consortium of counties <br/>
<a id="pl.258.4"></a><var>258.4</var>forming a service delivery authority from requesting additional waivers from statutory and <br/>
<a id="pl.258.5"></a><var>258.5</var>rule requirements to ensure greater local control and flexibility.<br/>
<a id="pl.258.6"></a><var>258.6</var>    Subd. 3. <b>Duties.</b> The service delivery authority shall:<br/>
<a id="pl.258.7"></a><var>258.7</var>(1) within the scope of essential services set forth in the memorandum of <br/>
<a id="pl.258.8"></a><var>258.8</var>understanding establishing the authority, carry out the responsibilities required of local <br/>
<a id="pl.258.9"></a><var>258.9</var>agencies under chapter 393 and human services boards under chapter 402;<br/>
<a id="pl.258.10"></a><var>258.10</var>(2) manage the public resources devoted to human services and other public services <br/>
<a id="pl.258.11"></a><var>258.11</var>delivered or purchased by the counties or tribes that are subsidized or regulated by the <br/>
<a id="pl.258.12"></a><var>258.12</var>Department of Human Services under chapters 245 to 261;<br/>
<a id="pl.258.13"></a><var>258.13</var>(3) employ staff to assist in carrying out its duties;<br/>
<a id="pl.258.14"></a><var>258.14</var>(4) develop and maintain a continuity of operations plan to ensure the continued <br/>
<a id="pl.258.15"></a><var>258.15</var>operation or resumption of essential human services functions in the event of any business <br/>
<a id="pl.258.16"></a><var>258.16</var>interruption according to local, state, and federal emergency planning requirements;<br/>
<a id="pl.258.17"></a><var>258.17</var>(5) receive and expend funds received for the redesign process under the <br/>
<a id="pl.258.18"></a><var>258.18</var>memorandum of understanding;<br/>
<a id="pl.258.19"></a><var>258.19</var>(6) plan and deliver services directly or through contract with other governmental, <br/>
<a id="pl.258.20"></a><var>258.20</var>tribal, or nongovernmental providers;<br/>
<a id="pl.258.21"></a><var>258.21</var>(7) rent, purchase, sell, and otherwise dispose of real and personal property as <br/>
<a id="pl.258.22"></a><var>258.22</var>necessary to carry out the redesign; and<br/>
<a id="pl.258.23"></a><var>258.23</var>(8) carry out any other service designated as a responsibility of a county.<br/>
<a id="pl.258.24"></a><var>258.24</var>    Subd. 4. <b>Process for establishing a service delivery authority.</b> (a) The county, <br/>
<a id="pl.258.25"></a><var>258.25</var>tribe, or consortium of counties meeting the requirements of section 402A.30 and <br/>
<a id="pl.258.26"></a><var>258.26</var>proposing to establish a service delivery authority shall present to the council:<br/>
<a id="pl.258.27"></a><var>258.27</var>(1) in conjunction with the commissioner, a proposed memorandum of understanding <br/>
<a id="pl.258.28"></a><var>258.28</var>meeting the requirements of subdivision 1, paragraph (b), and outlining:<br/>
<a id="pl.258.29"></a><var>258.29</var>(i) the details of the proposal;<br/>
<a id="pl.258.30"></a><var>258.30</var>(ii) the state, tribal, and local resources, which may include, but are not limited to, <br/>
<a id="pl.258.31"></a><var>258.31</var>funding, administrative and technology support, and other requirements necessary for <br/>
<a id="pl.258.32"></a><var>258.32</var>the service delivery authority; and<br/>
<a id="pl.258.33"></a><var>258.33</var>(iii) the relief available to the service delivery authority if the resource commitments <br/>
<a id="pl.258.34"></a><var>258.34</var>identified in item (ii) are not met; and<br/>
<a id="pl.259.1"></a><var>259.1</var>(2) a board resolution from the board of commissioners of each participating county <br/>
<a id="pl.259.2"></a><var>259.2</var>stating the county's intent to participate, or in the case of a tribe, a resolution from tribal <br/>
<a id="pl.259.3"></a><var>259.3</var>government, stating the tribe's intent to participate.<br/>
<a id="pl.259.4"></a><var>259.4</var>(b) After the council has considered and recommended approval of a proposed <br/>
<a id="pl.259.5"></a><var>259.5</var>memorandum of understanding, the commissioner may finalize and execute the <br/>
<a id="pl.259.6"></a><var>259.6</var>memorandum of understanding.<br/>
<a id="pl.259.7"></a><var>259.7</var>    Subd. 5. <b>Commissioner authority to seek waivers.</b> The commissioner may use the <br/>
<a id="pl.259.8"></a><var>259.8</var>authority under section 256.01, subdivision 2, paragraph (l), to grant waivers identified as <br/>
<a id="pl.259.9"></a><var>259.9</var>part of a proposed service delivery authority under subdivision 1, paragraph (b), clause <br/>
<a id="pl.259.10"></a><var>259.10</var>(4), except that waivers granted under this section must be approved by the council under <br/>
<a id="pl.259.11"></a><var>259.11</var>section 402A.20 rather than the Legislative Advisory Committee.<br/>
<br/>
<a id="bill.8.14.0"></a><a id="pl.259.12"></a><var>259.12</var>    Sec. 14. <b>[402A.40] TRANSITION TO NEW BARGAINING UNIT STRUCTURE.</b><br/>
<a id="pl.259.13"></a><var>259.13</var>    Subdivision 1. <b>Application of section.</b> Notwithstanding the provisions of section <br/>
<a id="pl.259.14"></a><var>259.14</var>179A.12 or any other law, this section governs, where contrary to other law, the initial <br/>
<a id="pl.259.15"></a><var>259.15</var>certification and decertification, if any, of exclusive representatives for service delivery <br/>
<a id="pl.259.16"></a><var>259.16</var>authorities. Employees of a service delivery authority are public employees under section <br/>
<a id="pl.259.17"></a><var>259.17</var>179A.03, subdivision 14. Service delivery authorities are public employers under section <br/>
<a id="pl.259.18"></a><var>259.18</var>179A.03, subdivision 15.<br/>
<a id="pl.259.19"></a><var>259.19</var>    Subd. 2. <b>Existing majority.</b> The commissioner of the Minnesota Bureau of <br/>
<a id="pl.259.20"></a><var>259.20</var>Mediation Services shall certify an employee organization for employees of a service <br/>
<a id="pl.259.21"></a><var>259.21</var>delivery authority as exclusive representative for an appropriate unit upon a petition <br/>
<a id="pl.259.22"></a><var>259.22</var>filed with the commissioner by the organization demonstrating that the petitioner is <br/>
<a id="pl.259.23"></a><var>259.23</var>certified pursuant to section 179A.12 as the exclusive representative of a majority of the <br/>
<a id="pl.259.24"></a><var>259.24</var>employees included within the unit as of that date. Two or more employee organizations <br/>
<a id="pl.259.25"></a><var>259.25</var>that represent the employees in a unit may petition jointly under this subdivision, provided <br/>
<a id="pl.259.26"></a><var>259.26</var>that any organization may withdraw from a joint certification in favor of the remaining <br/>
<a id="pl.259.27"></a><var>259.27</var>organizations on 30 days' notice to the remaining organizations, the employer, and the <br/>
<a id="pl.259.28"></a><var>259.28</var>commissioner, without affecting the rights and obligations of the remaining organizations <br/>
<a id="pl.259.29"></a><var>259.29</var>or the employer. The commissioner shall make a determination on a timely petition within <br/>
<a id="pl.259.30"></a><var>259.30</var>45 days of its receipt.<br/>
<a id="pl.259.31"></a><var>259.31</var>    Subd. 3. <b>No existing majority.</b> (a) If no exclusive representative is certified under <br/>
<a id="pl.259.32"></a><var>259.32</var>subdivision 2, the commissioner shall certify an employee organization as exclusive <br/>
<a id="pl.259.33"></a><var>259.33</var>representative for an appropriate unit established upon a petition filed by the organization <br/>
<a id="pl.259.34"></a><var>259.34</var>within the time period provided in subdivision 2 demonstrating that the petitioner is <br/>
<a id="pl.259.35"></a><var>259.35</var>certified under section 179A.12 as the exclusive representative of fewer than a majority <br/>
<a id="pl.260.1"></a><var>260.1</var>of the employees included within the unit if no other employee organization so certified <br/>
<a id="pl.260.2"></a><var>260.2</var>has filed a petition within the time period provided in subdivision 2 and a majority of the <br/>
<a id="pl.260.3"></a><var>260.3</var>employees in the unit are represented by employee organizations under section 179A.12 <br/>
<a id="pl.260.4"></a><var>260.4</var>on the date of the petition. Two or more employee organizations, each of which represents <br/>
<a id="pl.260.5"></a><var>260.5</var>employees included in the unit may petition jointly under this paragraph, provided that <br/>
<a id="pl.260.6"></a><var>260.6</var>any organization may withdraw from a joint certification in favor of the remaining <br/>
<a id="pl.260.7"></a><var>260.7</var>organizations on 30 days' notice to the remaining organizations, the employer, and the <br/>
<a id="pl.260.8"></a><var>260.8</var>commissioner without affecting the rights and obligations of the remaining organizations <br/>
<a id="pl.260.9"></a><var>260.9</var>or the employer. The commissioner shall make a determination on a timely petition within <br/>
<a id="pl.260.10"></a><var>260.10</var>45 days of its receipt.<br/>
<a id="pl.260.11"></a><var>260.11</var>(b) If no exclusive representative is certified under paragraph (a) or subdivision 2, <br/>
<a id="pl.260.12"></a><var>260.12</var>and an employee organization petitions the commissioner within 90 days of the creation of <br/>
<a id="pl.260.13"></a><var>260.13</var>the service delivery authority demonstrating that a majority of the employees included <br/>
<a id="pl.260.14"></a><var>260.14</var>within an appropriate unit wish to be represented by the petitioner, where this majority <br/>
<a id="pl.260.15"></a><var>260.15</var>is evidenced by current dues deduction rights, signed statements from employees in <br/>
<a id="pl.260.16"></a><var>260.16</var>counties within the service delivery authority that are not currently represented by any <br/>
<a id="pl.260.17"></a><var>260.17</var>employee organization plainly indicating that the signatories wish to be represented for <br/>
<a id="pl.260.18"></a><var>260.18</var>collective bargaining purposes by the petitioner rather than by any other organization, <br/>
<a id="pl.260.19"></a><var>260.19</var>or a combination of those, the commissioner shall certify the petitioner as exclusive <br/>
<a id="pl.260.20"></a><var>260.20</var>representative of the employees in the unit. The commissioner shall make a determination <br/>
<a id="pl.260.21"></a><var>260.21</var>on a timely petition within 45 days of its receipt.<br/>
<a id="pl.260.22"></a><var>260.22</var>(c) If no exclusive representative is certified under paragraph (a) or (b) or subdivision <br/>
<a id="pl.260.23"></a><var>260.23</var>2, and an employee organization petitions the commissioner subsequent to the creation <br/>
<a id="pl.260.24"></a><var>260.24</var>of the service delivery authority demonstrating that at least 30 percent of the employees <br/>
<a id="pl.260.25"></a><var>260.25</var>included within an appropriate unit wish to be represented by the petitioner, where this 30 <br/>
<a id="pl.260.26"></a><var>260.26</var>percent is evidenced by current dues deduction rights, signed statements from employees <br/>
<a id="pl.260.27"></a><var>260.27</var>in counties within the service delivery authority that are not currently represented by any <br/>
<a id="pl.260.28"></a><var>260.28</var>employee organization plainly indicating that the signatories wish to be represented for <br/>
<a id="pl.260.29"></a><var>260.29</var>collective bargaining purposes by the petitioner rather than by any other organization, or a <br/>
<a id="pl.260.30"></a><var>260.30</var>combination of those, the commissioner shall conduct a secret ballot election to determine <br/>
<a id="pl.260.31"></a><var>260.31</var>the wishes of the majority. The election must be conducted within 45 days of receipt or <br/>
<a id="pl.260.32"></a><var>260.32</var>final decision on any petitions filed pursuant to subdivision 2, whichever is later. The <br/>
<a id="pl.260.33"></a><var>260.33</var>election is governed by section 179A.12, where not inconsistent with other provisions <br/>
<a id="pl.260.34"></a><var>260.34</var>of this section.<br/>
<a id="pl.261.1"></a><var>261.1</var>    Subd. 4. <b>Decertification.</b> The commissioner may not consider a petition for <br/>
<a id="pl.261.2"></a><var>261.2</var>decertification of an exclusive representative certified under this section for one year after <br/>
<a id="pl.261.3"></a><var>261.3</var>certification, unless section 179A.20, subdivision 6, applies.<br/>
<a id="pl.261.4"></a><var>261.4</var>    Subd. 5. <b>Continuing contract.</b> (a) The terms and conditions of collective <br/>
<a id="pl.261.5"></a><var>261.5</var>bargaining agreements covering the employees of service delivery authorities remain in <br/>
<a id="pl.261.6"></a><var>261.6</var>effect until a successor agreement becomes effective or, if no employee organization <br/>
<a id="pl.261.7"></a><var>261.7</var>petitions to represent the employees of the service delivery authority, until six months <br/>
<a id="pl.261.8"></a><var>261.8</var>after the establishment of the service delivery authority.<br/>
<a id="pl.261.9"></a><var>261.9</var>(b) Any accrued leave, including but not limited to sick leave, vacation time, <br/>
<a id="pl.261.10"></a><var>261.10</var>compensatory leave or paid time off, or severance pay benefits accumulated under policies <br/>
<a id="pl.261.11"></a><var>261.11</var>of the previously employing county or a collective bargaining agreement between the <br/>
<a id="pl.261.12"></a><var>261.12</var>previously employing county and an exclusive representative shall continue to apply in the <br/>
<a id="pl.261.13"></a><var>261.13</var>newly created service delivery authority for the employees of the previously employing <br/>
<a id="pl.261.14"></a><var>261.14</var>county. An employee who was eligible for the benefits of the Family and Medical Leave <br/>
<a id="pl.261.15"></a><var>261.15</var>Act at the previously employing county shall continue to be eligible at the newly created <br/>
<a id="pl.261.16"></a><var>261.16</var>service delivery authority.<br/>
<a id="pl.261.17"></a><var>261.17</var>(c) If it is necessary, prior to the negotiation of a new collective bargaining <br/>
<a id="pl.261.18"></a><var>261.18</var>agreement, to lay off an employee of a service delivery authority and if two or more <br/>
<a id="pl.261.19"></a><var>261.19</var>employees previously performed the work, seniority based on continuous length of <br/>
<a id="pl.261.20"></a><var>261.20</var>service with a service delivery authority member county shall be the determining factor <br/>
<a id="pl.261.21"></a><var>261.21</var>in determining which qualified employee shall be offered the job by the service delivery <br/>
<a id="pl.261.22"></a><var>261.22</var>authority. An employee whose work is being transferred to the service delivery authority <br/>
<a id="pl.261.23"></a><var>261.23</var>shall have the option of being laid off.<br/>
<a id="pl.261.24"></a><var>261.24</var>    Subd. 6. <b>Contract and representation responsibilities.</b> (a) The exclusive <br/>
<a id="pl.261.25"></a><var>261.25</var>representatives of units of employees certified prior to the creation of the service delivery <br/>
<a id="pl.261.26"></a><var>261.26</var>authority remain responsible for administration of their contracts and for other contractual <br/>
<a id="pl.261.27"></a><var>261.27</var>duties and have the right to dues and fair share fee deduction and other contractual <br/>
<a id="pl.261.28"></a><var>261.28</var>privileges and rights until a contract is agreed upon with the service delivery authority. <br/>
<a id="pl.261.29"></a><var>261.29</var>Exclusive representatives of service delivery authority employees certified after the <br/>
<a id="pl.261.30"></a><var>261.30</var>creation of the service delivery authority are immediately upon certification responsible <br/>
<a id="pl.261.31"></a><var>261.31</var>for bargaining on behalf of employees within the unit. They are also responsible for <br/>
<a id="pl.261.32"></a><var>261.32</var>administering grievances arising under previous contracts covering employees included <br/>
<a id="pl.261.33"></a><var>261.33</var>within the unit that remain unresolved upon agreement with the service delivery authority <br/>
<a id="pl.261.34"></a><var>261.34</var>on a contract. Where the employer does not object, these responsibilities may be varied by <br/>
<a id="pl.261.35"></a><var>261.35</var>agreement between the outgoing and incoming exclusive representatives. All other rights <br/>
<a id="pl.261.36"></a><var>261.36</var>and duties of representation begin upon the creation of a service delivery authority, except <br/>
<a id="pl.262.1"></a><var>262.1</var>that exclusive representatives certified upon or after the creation of the service delivery <br/>
<a id="pl.262.2"></a><var>262.2</var>authority shall immediately, upon certification, have the right to all employer information <br/>
<a id="pl.262.3"></a><var>262.3</var>and all forms of access to employees within the bargaining unit which would be permitted <br/>
<a id="pl.262.4"></a><var>262.4</var>to the current contract holder, including the rights in section 179A.07, subdivision 6. This <br/>
<a id="pl.262.5"></a><var>262.5</var>section does not affect an existing collective bargaining contract. Incoming exclusive <br/>
<a id="pl.262.6"></a><var>262.6</var>representatives are immediately, upon certification, responsible for bargaining on behalf of <br/>
<a id="pl.262.7"></a><var>262.7</var>all previously unrepresented employees assigned to their units.<br/>
<a id="pl.262.8"></a><var>262.8</var>(b) Nothing in this section prevents an exclusive representative certified after <br/>
<a id="pl.262.9"></a><var>262.9</var>the effective dates of these provisions from assessing fair share or dues deductions <br/>
<a id="pl.262.10"></a><var>262.10</var>immediately upon certification if the employees were unrepresented for collective <br/>
<a id="pl.262.11"></a><var>262.11</var>bargaining purposes before that certification.<br/>
<br/>
<a id="bill.8.15.0"></a><a id="pl.262.12"></a><var>262.12</var>    Sec. 15. <b>COUNTY ELECTRONIC VERIFICATION PROCEDURES.</b><br/>
<a id="pl.262.13"></a><var>262.13</var>The commissioner of human services shall define which public assistance program <br/>
<a id="pl.262.14"></a><var>262.14</var>requirements may be electronically verified for the purposes of determining eligibility, <br/>
<a id="pl.262.15"></a><var>262.15</var>and shall also define procedures for electronic verification. The commissioner of human <br/>
<a id="pl.262.16"></a><var>262.16</var>services shall report back to the chairs and ranking minority members of the legislative <br/>
<a id="pl.262.17"></a><var>262.17</var>committees with jurisdiction over these issues by January 15, 2012, with draft legislation <br/>
<a id="pl.262.18"></a><var>262.18</var>to implement the procedures if legislation is necessary for purposes of implementation.<br/>
<br/>
<a id="bill.8.16.0"></a><a id="pl.262.19"></a><var>262.19</var>    Sec. 16. <b>ALIGNMENT OF PROGRAM POLICY AND PROCEDURES.</b><br/>
<a id="pl.262.20"></a><var>262.20</var>The commissioner of human services, in consultation with counties and other key <br/>
<a id="pl.262.21"></a><var>262.21</var>stakeholders, shall analyze and develop recommendations to align program policy and <br/>
<a id="pl.262.22"></a><var>262.22</var>procedures across all public assistance programs to simplify and streamline program <br/>
<a id="pl.262.23"></a><var>262.23</var>eligibility and access. The commissioner shall report back to the chairs and ranking <br/>
<a id="pl.262.24"></a><var>262.24</var>minority members of the legislative committees with jurisdiction over these issues by <br/>
<a id="pl.262.25"></a><var>262.25</var>January 15, 2013, with draft legislation to implement the recommendations.<br/>
<br/>
<a id="bill.8.17.0"></a><a id="pl.262.26"></a><var>262.26</var>    Sec. 17. <b>ALTERNATIVE STRATEGIES FOR CERTAIN </b><br/>
<a id="pl.262.27"></a><var>262.27</var><b>REDETERMINATIONS.</b><br/>
<a id="pl.262.28"></a><var>262.28</var>The commissioner of human services shall develop and implement by January 15, <br/>
<a id="pl.262.29"></a><var>262.29</var>2012, a simplified process to redetermine eligibility for recipient populations in the medical <br/>
<a id="pl.262.30"></a><var>262.30</var>assistance, Minnesota supplemental aid, food support, and group residential housing <br/>
<a id="pl.262.31"></a><var>262.31</var>programs who are eligible based upon disability, age, or chronic medical conditions, and <br/>
<a id="pl.262.32"></a><var>262.32</var>who are expected to experience minimal change in income or assets from month to month. <br/>
<a id="pl.262.33"></a><var>262.33</var>The commissioner shall apply for any federal waivers needed to implement this section.<br/>
<br/>
<a id="bill.8.18.0"></a><a id="pl.263.1"></a><var>263.1</var>    Sec. 18. <b>SIMPLIFICATION OF ELIGIBILITY AND ENROLLMENT </b><br/>
<a id="pl.263.2"></a><var>263.2</var><b>PROCESS.</b><br/>
<a id="pl.263.3"></a><var>263.3</var>(a) The commissioner of human services shall issue a request for information for an <br/>
<a id="pl.263.4"></a><var>263.4</var>integrated service delivery system for health care programs, food support, cash assistance, <br/>
<a id="pl.263.5"></a><var>263.5</var>and child care. The commissioner shall determine, in consultation with partners in <br/>
<a id="pl.263.6"></a><var>263.6</var>paragraph (c), if the products meet departments' and counties' functions. The request for <br/>
<a id="pl.263.7"></a><var>263.7</var>information may incorporate a performance-based vendor financing option in which the <br/>
<a id="pl.263.8"></a><var>263.8</var>vendor shares the risk of the project's success. The health care system must be developed <br/>
<a id="pl.263.9"></a><var>263.9</var>in phases with the capacity to integrate food support, cash assistance, and child care <br/>
<a id="pl.263.10"></a><var>263.10</var>programs as funds are available. The request for information must require that the system:<br/>
<a id="pl.263.11"></a><var>263.11</var>(1) streamline eligibility determinations and case processing to support statewide <br/>
<a id="pl.263.12"></a><var>263.12</var>eligibility processing;<br/>
<a id="pl.263.13"></a><var>263.13</var>(2) enable interested persons to determine eligibility for each program, and to apply <br/>
<a id="pl.263.14"></a><var>263.14</var>for programs online in a manner that the applicant will be asked only those questions <br/>
<a id="pl.263.15"></a><var>263.15</var>relevant to the programs for which the person is applying;<br/>
<a id="pl.263.16"></a><var>263.16</var>(3) leverage technology that has been operational in other state environments with <br/>
<a id="pl.263.17"></a><var>263.17</var>similar requirements; and<br/>
<a id="pl.263.18"></a><var>263.18</var>(4) include Web-based application, worker application processing support, and the <br/>
<a id="pl.263.19"></a><var>263.19</var>opportunity for expansion.<br/>
<a id="pl.263.20"></a><var>263.20</var>(b) The commissioner shall issue a final report, including the implementation plan, <br/>
<a id="pl.263.21"></a><var>263.21</var>to the chairs and ranking minority members of the legislative committees with jurisdiction <br/>
<a id="pl.263.22"></a><var>263.22</var>over health and human services no later than October 31, 2011.<br/>
<a id="pl.263.23"></a><var>263.23</var>(c) The commissioner shall partner with counties, a service delivery authority <br/>
<a id="pl.263.24"></a><var>263.24</var>established under Minnesota Statutes, chapter 402A, the Office of Enterprise Technology, <br/>
<a id="pl.263.25"></a><var>263.25</var>other state agencies, and service partners to develop an integrated service delivery <br/>
<a id="pl.263.26"></a><var>263.26</var>framework, which will simplify and streamline human services eligibility and enrollment <br/>
<a id="pl.263.27"></a><var>263.27</var>processes. The primary objectives for the simplification effort include significantly <br/>
<a id="pl.263.28"></a><var>263.28</var>improved eligibility processing productivity resulting in reduced time for eligibility <br/>
<a id="pl.263.29"></a><var>263.29</var>determination and enrollment, increased customer service for applicants and recipients of <br/>
<a id="pl.263.30"></a><var>263.30</var>services, increased program integrity, and greater administrative flexibility.<br/>
<a id="pl.263.31"></a><var>263.31</var>(d) The commissioner, along with a county representative appointed by the <br/>
<a id="pl.263.32"></a><var>263.32</var>Association of Minnesota Counties, shall report specific implementation progress to the <br/>
<a id="pl.263.33"></a><var>263.33</var>legislature annually beginning May 15, 2012.<br/>
<a id="pl.263.34"></a><var>263.34</var>(e) The commissioner shall work with the Minnesota Association of County Social <br/>
<a id="pl.263.35"></a><var>263.35</var>Service Administrators and the Office of Enterprise Technology to develop collaborative <br/>
<a id="pl.263.36"></a><var>263.36</var>task forces, as necessary, to support implementation of the service delivery components <br/>
<a id="pl.264.1"></a><var>264.1</var>under this paragraph. The commissioner must evaluate, develop, and include as part <br/>
<a id="pl.264.2"></a><var>264.2</var>of the integrated eligibility and enrollment service delivery framework, the following <br/>
<a id="pl.264.3"></a><var>264.3</var>minimum components:<br/>
<a id="pl.264.4"></a><var>264.4</var>(1) screening tools for applicants to determine potential eligibility as part of an <br/>
<a id="pl.264.5"></a><var>264.5</var>online application process;<br/>
<a id="pl.264.6"></a><var>264.6</var>(2) the capacity to use databases to electronically verify application and renewal <br/>
<a id="pl.264.7"></a><var>264.7</var>data as required by law;<br/>
<a id="pl.264.8"></a><var>264.8</var>(3) online accounts accessible by applicants and enrollees;<br/>
<a id="pl.264.9"></a><var>264.9</var>(4) an interactive voice response system, available statewide, that provides case <br/>
<a id="pl.264.10"></a><var>264.10</var>information for applicants, enrollees, and authorized third parties;<br/>
<a id="pl.264.11"></a><var>264.11</var>(5) an electronic document management system that provides electronic transfer of <br/>
<a id="pl.264.12"></a><var>264.12</var>all documents required for eligibility and enrollment processes; and<br/>
<a id="pl.264.13"></a><var>264.13</var>(6) a centralized customer contact center that applicants, enrollees, and authorized <br/>
<a id="pl.264.14"></a><var>264.14</var>third parties can use statewide to receive program information, application assistance, <br/>
<a id="pl.264.15"></a><var>264.15</var>and case information, report changes, make cost-sharing payments, and conduct other <br/>
<a id="pl.264.16"></a><var>264.16</var>eligibility and enrollment transactions.<br/>
<a id="pl.264.17"></a><var>264.17</var>(f) Subject to a legislative appropriation, the commissioner of human services shall <br/>
<a id="pl.264.18"></a><var>264.18</var>issue a request for proposal for the appropriate phase of an integrated service delivery <br/>
<a id="pl.264.19"></a><var>264.19</var>system for health care programs, food support, cash assistance, and child care.<br/>
<a id="pl.264.20"></a><var>264.20</var><b>EFFECTIVE DATE.</b>This section is effective the day following final enactment.<br/>
<br/>
<a id="bill.8.19.0"></a><a id="pl.264.21"></a><var>264.21</var>    Sec. 19. <b>WHITE EARTH BAND OF OJIBWE HUMAN SERVICES PROJECT.</b><br/>
<a id="pl.264.22"></a><var>264.22</var>(a) The commissioner of human services, in consultation with the White Earth Band <br/>
<a id="pl.264.23"></a><var>264.23</var>of Ojibwe, shall transfer legal responsibility to the tribe for providing human services to <br/>
<a id="pl.264.24"></a><var>264.24</var>tribal members and their families who reside on or off the reservation in Mahnomen <br/>
<a id="pl.264.25"></a><var>264.25</var>County. The transfer shall include:<br/>
<a id="pl.264.26"></a><var>264.26</var>(1) financing, including federal and state funds, grants, and foundation funds; and<br/>
<a id="pl.264.27"></a><var>264.27</var>(2) services to eligible tribal members and families defined as it applies to state <br/>
<a id="pl.264.28"></a><var>264.28</var>programs being transferred to the tribe.<br/>
<a id="pl.264.29"></a><var>264.29</var>(b) The determination as to which programs will be transferred to the tribe and <br/>
<a id="pl.264.30"></a><var>264.30</var>the timing of the transfer of the programs shall be made by a consensus decision of the <br/>
<a id="pl.264.31"></a><var>264.31</var>governing body of the tribe and the commissioner. The commissioner shall waive existing <br/>
<a id="pl.264.32"></a><var>264.32</var>rules and seek all federal approvals and waivers as needed to carry out the transfer.<br/>
<a id="pl.264.33"></a><var>264.33</var>(c) When the commissioner approves transfer of programs and the tribe assumes <br/>
<a id="pl.264.34"></a><var>264.34</var>responsibility under this section, Mahnomen County is relieved of responsibility for <br/>
<a id="pl.264.35"></a><var>264.35</var>providing program services to tribal members and their families who live on or off the <br/>
<a id="pl.265.1"></a><var>265.1</var>reservation while the tribal project is in effect and funded, except that a family member <br/>
<a id="pl.265.2"></a><var>265.2</var>who is not a White Earth member may choose to receive services through the tribe or the <br/>
<a id="pl.265.3"></a><var>265.3</var>county. The commissioner shall have authority to redirect funds provided to Mahnomen <br/>
<a id="pl.265.4"></a><var>265.4</var>County for these services, including administrative expenses, to the White Earth Band <br/>
<a id="pl.265.5"></a><var>265.5</var>of Ojibwe Indians.<br/>
<a id="pl.265.6"></a><var>265.6</var>(d) Upon the successful transfer of legal responsibility for providing human services <br/>
<a id="pl.265.7"></a><var>265.7</var>for tribal members and their families who reside on and off the reservation in Mahnomen <br/>
<a id="pl.265.8"></a><var>265.8</var>County, the commissioner and the White Earth Band of Ojibwe shall develop a plan to <br/>
<a id="pl.265.9"></a><var>265.9</var>transfer legal responsibility for providing human services for tribal members and their <br/>
<a id="pl.265.10"></a><var>265.10</var>families who reside on or off reservation in Clearwater and Becker Counties.<br/>
<a id="pl.265.11"></a><var>265.11</var>(e) No later than January 15, 2012, the commissioner shall submit a written <br/>
<a id="pl.265.12"></a><var>265.12</var>report detailing the transfer progress to the chairs and ranking minority members of the <br/>
<a id="pl.265.13"></a><var>265.13</var>legislative committees with jurisdiction over health and human services. If legislation is <br/>
<a id="pl.265.14"></a><var>265.14</var>needed to fully complete the transfer of legal responsibility for providing human services, <br/>
<a id="pl.265.15"></a><var>265.15</var>the commissioner shall submit proposed legislation along with the written report.<br/>
<br/>
<a id="bill.8.20.0"></a><a id="pl.265.16"></a><var>265.16</var>    Sec. 20. <b> REPEALER.</b><br/>
<a id="pl.265.17"></a><var>265.17</var>(a) Minnesota Statutes 2010, sections 402A.30; and 402A.45, are repealed.<br/>
<a id="pl.265.18"></a><var>265.18</var>(b) Minnesota Rules, part 9500.1243, subpart 3, is repealed.<br/>
<br/>
<a id="bill.9.0.0"></a>
<b>ARTICLE 9</b>

<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.265.21"></a><var>265.21</var><br/>
<a id="pl.265.22"></a><var>265.22</var><br/>
</td>
<td colspan="7">Section 1. <b>DEPARTMENT OF HUMAN SERVICES FORECAST ADJUSTMENT </b><br/>
<b>APPROPRIATIONS.</b><b> </b><br/>
</td>
</tr>
</table><a id="pl.265.23"></a><var>265.23</var>The sums shown are added to, or if shown in parentheses, are subtracted from the <br/>
<a id="pl.265.24"></a><var>265.24</var>appropriations in Laws 2009, chapter 79, article 13, as amended by Laws 2009, chapter <br/>
<a id="pl.265.25"></a><var>265.25</var>173, article 2; Laws 2010, First Special Session chapter 1, articles 15, 23, and 25; and <br/>
<a id="pl.265.26"></a><var>265.26</var>Laws 2010, Second Special Session chapter 1, article 3, to the commissioner of human <br/>
<a id="pl.265.27"></a><var>265.27</var>services and for the purposes specified in this article. The appropriations are from the <br/>
<a id="pl.265.28"></a><var>265.28</var>general fund or another named fund and are available for the fiscal year indicated for <br/>
<a id="pl.265.29"></a><var>265.29</var>each purpose. The figure "2011" used in this article means that the appropriation or <br/>
<a id="pl.265.30"></a><var>265.30</var>appropriations listed are available for the fiscal year ending June 30, 2011.<br/>
<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.265.31"></a><var>265.31</var><br/>
<a id="pl.265.32"></a><var>265.32</var><br/>
</td>
<td colspan="3">Sec. 2. <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.265.33"></a><var>265.33</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>(235,463,000)</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.266.1"></a><var>266.1</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.2"></a><var>266.2</var><br/>
</td>
<td></td>
<td align="center"></td>
<td align="center">2011<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.3"></a><var>266.3</var><br/>
</td>
<td>General<br/>
</td>
<td align="right"></td>
<td align="right">(381,869,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.4"></a><var>266.4</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right"></td>
<td align="right">169,514,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.5"></a><var>266.5</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right"></td>
<td align="right">(23,108,000)<br/>
</td>
</tr>
</table><a id="pl.266.6"></a><var>266.6</var>The amounts that may be spent for each <br/>
<a id="pl.266.7"></a><var>266.7</var>purpose are specified in the following <br/>
<a id="pl.266.8"></a><var>266.8</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.266.9"></a><var>266.9</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"><b>732,000</b><br/>
</td>
</tr>
</table><a id="pl.266.10"></a><var>266.10</var>This appropriation is from the federal TANF <br/>
<a id="pl.266.11"></a><var>266.11</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="12"/>
<tr>
<td><a id="pl.266.12"></a><var>266.12</var><br/>
<a id="pl.266.13"></a><var>266.13</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.266.14"></a><var>266.14</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.15"></a><var>266.15</var><br/>
</td>
<td>General<br/>
</td>
<td align="right"></td>
<td align="right">(7,098,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.16"></a><var>266.16</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right"></td>
<td align="right">(23,840,000)<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.266.17"></a><var>266.17</var><br/>
</td>
<td colspan="3">(a) <b>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.266.18"></a><var>266.18</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.19"></a><var>266.19</var><br/>
</td>
<td>General<br/>
</td>
<td align="right"></td>
<td align="right">18,715,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.20"></a><var>266.20</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right"></td>
<td align="right">(23,840,000)<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.266.21"></a><var>266.21</var><br/>
</td>
<td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">(24,394,000)<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.266.22"></a><var>266.22</var><br/>
</td>
<td colspan="3">(c) <b>General Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">(664,000)<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.266.23"></a><var>266.23</var><br/>
</td>
<td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">793,000<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.266.24"></a><var>266.24</var><br/>
</td>
<td colspan="3">(e) <b>Group Residential Housing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">(1,548,000)<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.266.25"></a><var>266.25</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.266.26"></a><var>266.26</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.27"></a><var>266.27</var><br/>
</td>
<td>General<br/>
</td>
<td align="right"></td>
<td align="right">(335,050,000)<br/>
</td>
</tr>
<tr>
<td><a id="pl.266.28"></a><var>266.28</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right"></td>
<td align="right">169,514,000<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.266.29"></a><var>266.29</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">169,514,000<br/>
</td>
</tr>
</table><a id="pl.266.30"></a><var>266.30</var>This appropriation is from the health care <br/>
<a id="pl.266.31"></a><var>266.31</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.266.32"></a><var>266.32</var><br/>
<a id="pl.266.33"></a><var>266.33</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"></td>
<td align="center"></td>
<td align="right">(49,368,000)<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.267.1"></a><var>267.1</var><br/>
<a id="pl.267.2"></a><var>267.2</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"></td>
<td align="center"></td>
<td align="right">(43,258,000)<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.267.3"></a><var>267.3</var><br/>
<a id="pl.267.4"></a><var>267.4</var><br/>
</td>
<td colspan="3">(d) <b>Medical Assistance Basic Health Care - </b><br/>
<b>Adults without Children</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">(242,424,000)<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.267.5"></a><var>267.5</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Continuing Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">(39,721,000)<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.267.6"></a><var>267.6</var><br/>
<a id="pl.267.7"></a><var>267.7</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"></td>
<td align="center"></td>
<td align="right">(14,627,000)<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.267.8"></a><var>267.8</var><br/>
<a id="pl.267.9"></a><var>267.9</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"></td>
<td align="center"></td>
<td align="right">(44,718,000)<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.267.10"></a><var>267.10</var><br/>
</td>
<td colspan="3">(c) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right">19,624,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.9.3.0"></a><a id="pl.267.11"></a><var>267.11</var>    Sec. 3. Laws 2010, First Special Session chapter 1, article 25, section 3, subdivision 6, <br/>
<a id="pl.267.12"></a><var>267.12</var>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.267.13"></a><var>267.13</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.267.14"></a><var>267.14</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">(13,376,000)<br/>
</td>
</tr>
</table><a id="pl.267.15"></a><var>267.15</var>This appropriation is from the health care <br/>
<a id="pl.267.16"></a><var>267.16</var>access fund.<br/>
<a id="pl.267.17"></a><var>267.17</var><b>Health Care Access Fund Transfer to </b><br/>
<a id="pl.267.18"></a><var>267.18</var><b>General Fund.</b> The commissioner of <br/>
<a id="pl.267.19"></a><var>267.19</var>management and budget shall transfer the <br/>
<a id="pl.267.20"></a><var>267.20</var>following amounts in the following years <br/>
<a id="pl.267.21"></a><var>267.21</var>from the health care access fund to the <br/>
<a id="pl.267.22"></a><var>267.22</var>general fund: $998,000 $0 in fiscal year <br/>
<a id="pl.267.23"></a><var>267.23</var>2010; $176,704,000 $59,901,000 in fiscal <br/>
<a id="pl.267.24"></a><var>267.24</var>year 2011; $141,041,000 in fiscal year 2012; <br/>
<a id="pl.267.25"></a><var>267.25</var>and $286,150,000 in fiscal year 2013. If at <br/>
<a id="pl.267.26"></a><var>267.26</var>any time the governor issues an executive <br/>
<a id="pl.267.27"></a><var>267.27</var>order not to participate in early medical <br/>
<a id="pl.267.28"></a><var>267.28</var>assistance expansion, no funds shall be <br/>
<a id="pl.267.29"></a><var>267.29</var>transferred from the health care access <br/>
<a id="pl.267.30"></a><var>267.30</var>fund to the general fund until early medical <br/>
<a id="pl.267.31"></a><var>267.31</var>assistance expansion takes effect. This <br/>
<a id="pl.267.32"></a><var>267.32</var>paragraph is effective the day following final <br/>
<a id="pl.267.33"></a><var>267.33</var>enactment.<br/>
<a id="pl.268.1"></a><var>268.1</var><b>MinnesotaCare Ratable Reduction.</b> <br/>
<a id="pl.268.2"></a><var>268.2</var>Effective for services rendered on or after <br/>
<a id="pl.268.3"></a><var>268.3</var>July 1, 2010, to December 31, 2013, <br/>
<a id="pl.268.4"></a><var>268.4</var>MinnesotaCare payments to managed care <br/>
<a id="pl.268.5"></a><var>268.5</var>plans under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.268.6"></a><var>268.6</var>256L.12
         </statute_ref>, for single adults and households <br/>
<a id="pl.268.7"></a><var>268.7</var>without children whose income is greater <br/>
<a id="pl.268.8"></a><var>268.8</var>than 75 percent of federal poverty guidelines <br/>
<a id="pl.268.9"></a><var>268.9</var>shall be reduced by 15 percent. Effective <br/>
<a id="pl.268.10"></a><var>268.10</var>for services provided from July 1, 2010, to <br/>
<a id="pl.268.11"></a><var>268.11</var>June 30, 2011, this reduction shall apply to <br/>
<a id="pl.268.12"></a><var>268.12</var>all services. Effective for services provided <br/>
<a id="pl.268.13"></a><var>268.13</var>from July 1, 2011, to December 31, 2013, this <br/>
<a id="pl.268.14"></a><var>268.14</var>reduction shall apply to all services except <br/>
<a id="pl.268.15"></a><var>268.15</var>inpatient hospital services. Notwithstanding <br/>
<a id="pl.268.16"></a><var>268.16</var>any contrary provision of this article, this <br/>
<a id="pl.268.17"></a><var>268.17</var>paragraph shall expire on December 31, <br/>
<a id="pl.268.18"></a><var>268.18</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.268.19"></a><var>268.19</var><br/>
<a id="pl.268.20"></a><var>268.20</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">295,512,000<br/>
</td>
</tr>
</table><a id="pl.268.21"></a><var>268.21</var><b>Critical Access Dental.</b> Of the general <br/>
<a id="pl.268.22"></a><var>268.22</var>fund appropriation, $731,000 in fiscal year <br/>
<a id="pl.268.23"></a><var>268.23</var>2011 is to the commissioner for critical <br/>
<a id="pl.268.24"></a><var>268.24</var>access dental provider reimbursement <br/>
<a id="pl.268.25"></a><var>268.25</var>payments under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.268.26"></a><var>268.26</var>256B.76
         </statute_ref> subdivision 4. This is a onetime <br/>
<a id="pl.268.27"></a><var>268.27</var>appropriation.<br/>
<a id="pl.268.28"></a><var>268.28</var><b>Nonadministrative Rate Reduction.</b> For <br/>
<a id="pl.268.29"></a><var>268.29</var>services rendered on or after July 1, 2010, <br/>
<a id="pl.268.30"></a><var>268.30</var>to December 31, 2013, the commissioner <br/>
<a id="pl.268.31"></a><var>268.31</var>shall reduce contract rates paid to managed <br/>
<a id="pl.268.32"></a><var>268.32</var>care plans under Minnesota Statutes, <br/>
<a id="pl.268.33"></a><var>268.33</var>sections 
         <statute_ref>256B.69</statute_ref> and 
         <statute_ref>256L.12</statute_ref>, and to <br/>
<a id="pl.268.34"></a><var>268.34</var>county-based purchasing plans under <br/>
<a id="pl.268.35"></a><var>268.35</var>Minnesota Statutes, section 
         <statute_ref>256B.692</statute_ref>, by <br/>
<a id="pl.268.36"></a><var>268.36</var>three percent of the contract rate attributable <br/>
<a id="pl.269.1"></a><var>269.1</var>to nonadministrative services in effect on <br/>
<a id="pl.269.2"></a><var>269.2</var>June 30, 2010. Notwithstanding any contrary <br/>
<a id="pl.269.3"></a><var>269.3</var>provision in this article, this rider expires on <br/>
<a id="pl.269.4"></a><var>269.4</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.269.5"></a><var>269.5</var><br/>
<a id="pl.269.6"></a><var>269.6</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">(30,265,000)<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.269.7"></a><var>269.7</var><br/>
<a id="pl.269.8"></a><var>269.8</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/>
(59,583,000)<br/>
</td>
</tr>
</table><a id="pl.269.9"></a><var>269.9</var>The reduction to general assistance medical <br/>
<a id="pl.269.10"></a><var>269.10</var>care grants is contingent upon the effective <br/>
<a id="pl.269.11"></a><var>269.11</var>date in Laws 2010, First Special Session <br/>
<a id="pl.269.12"></a><var>269.12</var>chapter 1, article 16, section 48. The <br/>
<a id="pl.269.13"></a><var>269.13</var>reduction shall be reestimated based upon <br/>
<a id="pl.269.14"></a><var>269.14</var>the actual effective date of the law. The <br/>
<a id="pl.269.15"></a><var>269.15</var>commissioner of management and budget <br/>
<a id="pl.269.16"></a><var>269.16</var>shall make adjustments in fiscal year <br/>
<a id="pl.269.17"></a><var>269.17</var>2011 to general assistance medical care <br/>
<a id="pl.269.18"></a><var>269.18</var>appropriations to conform to the total <br/>
<a id="pl.269.19"></a><var>269.19</var>expected expenditure reductions specified in <br/>
<a id="pl.269.20"></a><var>269.20</var>this section.<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.269.21"></a><var>269.21</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">(7,000,000)<br/>
</td>
</tr>
</table><a id="pl.269.22"></a><var>269.22</var><b>Cobra Carryforward.</b> Unexpended funds <br/>
<a id="pl.269.23"></a><var>269.23</var>appropriated in fiscal year 2010 for COBRA <br/>
<a id="pl.269.24"></a><var>269.24</var>grants under Laws 2009, chapter 79, article <br/>
<a id="pl.269.25"></a><var>269.25</var>5, section 78, do not cancel and are available <br/>
<a id="pl.269.26"></a><var>269.26</var>to the commissioner for fiscal year 2011 <br/>
<a id="pl.269.27"></a><var>269.27</var>COBRA grant expenditures. Up to $111,000 <br/>
<a id="pl.269.28"></a><var>269.28</var>of the fiscal year 2011 appropriation for <br/>
<a id="pl.269.29"></a><var>269.29</var>COBRA grants provided in Laws 2009, <br/>
<a id="pl.269.30"></a><var>269.30</var>chapter 79, article 13, section 3, subdivision <br/>
<a id="pl.269.31"></a><var>269.31</var>6, may be used by the commissioner for costs <br/>
<a id="pl.269.32"></a><var>269.32</var>related to administration of the COBRA <br/>
<a id="pl.269.33"></a><var>269.33</var>grants.<br/>
<br/>
<a id="bill.9.4.0"></a><a id="pl.269.34"></a><var>269.34</var>    Sec. 4. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.270.1"></a><var>270.1</var>This article is effective the day following final enactment.<br/>
<br/>
<a id="bill.10.0.0"></a>
<b>ARTICLE 10</b>

<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.270.4"></a><var>270.4</var><br/>
</td>
<td colspan="7">Section 1. <b> SUMMARY OF APPROPRIATIONS.</b><br/>
</td>
</tr>
</table><a id="pl.270.5"></a><var>270.5</var>The amounts shown in this section summarize direct appropriations, by fund, made <br/>
<a id="pl.270.6"></a><var>270.6</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.270.7"></a><var>270.7</var><br/>
</td>
<td></td>
<td></td>
<td align="center"><b>2012</b><br/>
</td>
<td></td>
<td align="center"><b>2013</b><br/>
</td>
<td></td>
<td align="center"><b>Total</b><br/>
</td>
</tr>
<tr>
<td><a id="pl.270.8"></a><var>270.8</var><br/>
</td>
<td>General<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">5,564,457,000<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">5,407,093,000<br/>
</td>
<td align="center">$<br/>
</td>
<td align="right">10,971,550,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.9"></a><var>270.9</var><br/>
<a id="pl.270.10"></a><var>270.10</var><br/>
</td>
<td>State Government Special <br/>
Revenue<br/>
</td>
<td align="center"></td>
<td align="right">63,700,000<br/>
</td>
<td align="center"></td>
<td align="right">63,475,000<br/>
</td>
<td align="center"></td>
<td align="right">127,175,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.11"></a><var>270.11</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="center"></td>
<td align="right">317,467,000<br/>
</td>
<td align="center"></td>
<td align="right">306,733,000<br/>
</td>
<td align="center"></td>
<td align="right">624,200,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.12"></a><var>270.12</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="center"></td>
<td align="right">286,744,000<br/>
</td>
<td align="center"></td>
<td align="right">258,466,000<br/>
</td>
<td align="center"></td>
<td align="right">545,210,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.13"></a><var>270.13</var><br/>
</td>
<td>Lottery Prize Fund<br/>
</td>
<td align="center"></td>
<td align="right">1,665,000<br/>
</td>
<td align="center"></td>
<td align="right">1,665,000<br/>
</td>
<td align="center"></td>
<td align="right">3,330,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.14"></a><var>270.14</var><br/>
</td>
<td><b>Total</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>6,234,032,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>6,037,432,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>12,271,464,000</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.270.15"></a><var>270.15</var><br/>
</td>
<td colspan="7">Sec. 2. <b>HUMAN SERVICES APPROPRIATIONS.</b><b> </b><br/>
</td>
</tr>
</table><a id="pl.270.16"></a><var>270.16</var>The sums shown in the columns marked "Appropriations" are appropriated to the <br/>
<a id="pl.270.17"></a><var>270.17</var>agencies and for the purposes specified in this article. The appropriations are from the <br/>
<a id="pl.270.18"></a><var>270.18</var>general fund, or another named fund, and are available for the fiscal years indicated <br/>
<a id="pl.270.19"></a><var>270.19</var>for each purpose. The figures "2012" and "2013" used in this article mean that the <br/>
<a id="pl.270.20"></a><var>270.20</var>appropriations listed under them are available for the fiscal year ending June 30, 2012, or <br/>
<a id="pl.270.21"></a><var>270.21</var>June 30, 2013, respectively. "The first year" is fiscal year 2012. "The second year" is fiscal <br/>
<a id="pl.270.22"></a><var>270.22</var>year 2013. "The biennium" is fiscal years 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.270.23"></a><var>270.23</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.270.24"></a><var>270.24</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.270.25"></a><var>270.25</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.270.26"></a><var>270.26</var><br/>
</td>
<td></td>
<td></td>
<td></td>
<td></td>
<td align="center"><b>2012</b><br/>
</td>
<td></td>
<td align="center"><b>2013</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.270.27"></a><var>270.27</var><br/>
<a id="pl.270.28"></a><var>270.28</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.270.29"></a><var>270.29</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>6,078,510,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>5,891,475,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.270.30"></a><var>270.30</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.31"></a><var>270.31</var><br/>
</td>
<td></td>
<td align="center">2012<br/>
</td>
<td align="center">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.32"></a><var>270.32</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">5,489,816,000<br/>
</td>
<td align="right">5,337,566,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.33"></a><var>270.33</var><br/>
<a id="pl.270.34"></a><var>270.34</var><br/>
</td>
<td>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.270.35"></a><var>270.35</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">306,086,000<br/>
</td>
<td align="right">299,578,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.36"></a><var>270.36</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">280,378,000<br/>
</td>
<td align="right">252,101,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.270.37"></a><var>270.37</var><br/>
</td>
<td>Lottery Prize Fund<br/>
</td>
<td align="right">1,665,000<br/>
</td>
<td align="right">1,665,000<br/>
</td>
</tr>
</table><a id="pl.271.1"></a><var>271.1</var><b>Receipts for Systems Projects. </b><br/>
<a id="pl.271.2"></a><var>271.2</var>Appropriations and federal receipts for <br/>
<a id="pl.271.3"></a><var>271.3</var>information systems projects for MAXIS, <br/>
<a id="pl.271.4"></a><var>271.4</var>PRISM, MMIS, and SSIS must be deposited <br/>
<a id="pl.271.5"></a><var>271.5</var>in the state systems account authorized in <br/>
<a id="pl.271.6"></a><var>271.6</var>Minnesota Statutes, section 256.014. Money <br/>
<a id="pl.271.7"></a><var>271.7</var>appropriated for computer projects approved <br/>
<a id="pl.271.8"></a><var>271.8</var>by the Minnesota Office of Enterprise <br/>
<a id="pl.271.9"></a><var>271.9</var>Technology, funded by the legislature, <br/>
<a id="pl.271.10"></a><var>271.10</var>and approved by the commissioner <br/>
<a id="pl.271.11"></a><var>271.11</var>of management and budget, may be <br/>
<a id="pl.271.12"></a><var>271.12</var>transferred from one project to another <br/>
<a id="pl.271.13"></a><var>271.13</var>and from development to operations as the <br/>
<a id="pl.271.14"></a><var>271.14</var>commissioner of human services considers <br/>
<a id="pl.271.15"></a><var>271.15</var>necessary. Any unexpended balance in <br/>
<a id="pl.271.16"></a><var>271.16</var>the appropriation for these projects does <br/>
<a id="pl.271.17"></a><var>271.17</var>not cancel but is available for ongoing <br/>
<a id="pl.271.18"></a><var>271.18</var>development and operations.<br/>
<a id="pl.271.19"></a><var>271.19</var><b>Nonfederal Share Transfers. </b>The <br/>
<a id="pl.271.20"></a><var>271.20</var>nonfederal share of activities for which <br/>
<a id="pl.271.21"></a><var>271.21</var>federal administrative reimbursement is <br/>
<a id="pl.271.22"></a><var>271.22</var>appropriated to the commissioner may be <br/>
<a id="pl.271.23"></a><var>271.23</var>transferred to the special revenue fund.<br/>
<a id="pl.271.24"></a><var>271.24</var><b>TANF Maintenance of Effort.</b><br/>
<a id="pl.271.25"></a><var>271.25</var>(a) In order to meet the basic maintenance <br/>
<a id="pl.271.26"></a><var>271.26</var>of effort (MOE) requirements of the TANF <br/>
<a id="pl.271.27"></a><var>271.27</var>block grant specified under Code of Federal <br/>
<a id="pl.271.28"></a><var>271.28</var>Regulations, title 45, section 263.1, the <br/>
<a id="pl.271.29"></a><var>271.29</var>commissioner may only report nonfederal <br/>
<a id="pl.271.30"></a><var>271.30</var>money expended for allowable activities <br/>
<a id="pl.271.31"></a><var>271.31</var>listed in the following clauses as TANF/MOE <br/>
<a id="pl.271.32"></a><var>271.32</var>expenditures:<br/>
<a id="pl.271.33"></a><var>271.33</var>(1) MFIP cash, diversionary work program, <br/>
<a id="pl.271.34"></a><var>271.34</var>and food assistance benefits under Minnesota <br/>
<a id="pl.271.35"></a><var>271.35</var>Statutes, chapter 256J;<br/>
<a id="pl.272.1"></a><var>272.1</var>(2) the child care assistance programs <br/>
<a id="pl.272.2"></a><var>272.2</var>under Minnesota Statutes, sections 119B.03 <br/>
<a id="pl.272.3"></a><var>272.3</var>and 119B.05, and county child care <br/>
<a id="pl.272.4"></a><var>272.4</var>administrative costs under Minnesota <br/>
<a id="pl.272.5"></a><var>272.5</var>Statutes, section 119B.15;<br/>
<a id="pl.272.6"></a><var>272.6</var>(3) state and county MFIP administrative <br/>
<a id="pl.272.7"></a><var>272.7</var>costs under Minnesota Statutes, chapters <br/>
<a id="pl.272.8"></a><var>272.8</var>256J and 256K;<br/>
<a id="pl.272.9"></a><var>272.9</var>(4) state, county, and tribal MFIP <br/>
<a id="pl.272.10"></a><var>272.10</var>employment services under Minnesota <br/>
<a id="pl.272.11"></a><var>272.11</var>Statutes, chapters 256J and 256K;<br/>
<a id="pl.272.12"></a><var>272.12</var>(5) qualifying working family credit <br/>
<a id="pl.272.13"></a><var>272.13</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.272.14"></a><var>272.14</var>section 290.0671; and<br/>
<a id="pl.272.15"></a><var>272.15</var>(6) qualifying Minnesota education credit <br/>
<a id="pl.272.16"></a><var>272.16</var>expenditures under Minnesota Statutes, <br/>
<a id="pl.272.17"></a><var>272.17</var>section 290.0674.<br/>
<a id="pl.272.18"></a><var>272.18</var>(b) The commissioner shall ensure that <br/>
<a id="pl.272.19"></a><var>272.19</var>sufficient qualified nonfederal expenditures <br/>
<a id="pl.272.20"></a><var>272.20</var>are made each year to meet the state's <br/>
<a id="pl.272.21"></a><var>272.21</var>TANF/MOE requirements. For the activities <br/>
<a id="pl.272.22"></a><var>272.22</var>listed in paragraph (a), clauses (2) to <br/>
<a id="pl.272.23"></a><var>272.23</var>(6), the commissioner may only report <br/>
<a id="pl.272.24"></a><var>272.24</var>expenditures that are excluded from the <br/>
<a id="pl.272.25"></a><var>272.25</var>definition of assistance under Code of <br/>
<a id="pl.272.26"></a><var>272.26</var>Federal Regulations, title 45, section 260.31.<br/>
<a id="pl.272.27"></a><var>272.27</var>(c) For fiscal years beginning with state fiscal <br/>
<a id="pl.272.28"></a><var>272.28</var>year 2003, the commissioner shall assure <br/>
<a id="pl.272.29"></a><var>272.29</var>that the maintenance of effort used by the <br/>
<a id="pl.272.30"></a><var>272.30</var>commissioner of management and budget <br/>
<a id="pl.272.31"></a><var>272.31</var>for the February and November forecasts <br/>
<a id="pl.272.32"></a><var>272.32</var>required under Minnesota Statutes, section <br/>
<a id="pl.272.33"></a><var>272.33</var>16A.103, contains expenditures under <br/>
<a id="pl.272.34"></a><var>272.34</var>paragraph (a), clause (1), equal to at least 16 <br/>
<a id="pl.273.1"></a><var>273.1</var>percent of the total required under Code of <br/>
<a id="pl.273.2"></a><var>273.2</var>Federal Regulations, title 45, section 263.1.<br/>
<a id="pl.273.3"></a><var>273.3</var>(d) Minnesota Statutes, section 256.011, <br/>
<a id="pl.273.4"></a><var>273.4</var>subdivision 3, which requires that federal <br/>
<a id="pl.273.5"></a><var>273.5</var>grants or aids secured or obtained under that <br/>
<a id="pl.273.6"></a><var>273.6</var>subdivision be used to reduce any direct <br/>
<a id="pl.273.7"></a><var>273.7</var>appropriations provided by law, do not apply <br/>
<a id="pl.273.8"></a><var>273.8</var>if the grants or aids are federal TANF funds.<br/>
<a id="pl.273.9"></a><var>273.9</var>(e) For the federal fiscal years beginning on <br/>
<a id="pl.273.10"></a><var>273.10</var>or after October 1, 2007, the commissioner <br/>
<a id="pl.273.11"></a><var>273.11</var>may not claim an amount of TANF/MOE in <br/>
<a id="pl.273.12"></a><var>273.12</var>excess of the 75 percent standard in Code <br/>
<a id="pl.273.13"></a><var>273.13</var>of Federal Regulations, title 45, section <br/>
<a id="pl.273.14"></a><var>273.14</var>263.1(a)(2), except:<br/>
<a id="pl.273.15"></a><var>273.15</var>(1) to the extent necessary to meet the 80 <br/>
<a id="pl.273.16"></a><var>273.16</var>percent standard under Code of Federal <br/>
<a id="pl.273.17"></a><var>273.17</var>Regulations, title 45, section 263.1(a)(1), <br/>
<a id="pl.273.18"></a><var>273.18</var>if it is determined by the commissioner <br/>
<a id="pl.273.19"></a><var>273.19</var>that the state will not meet the TANF work <br/>
<a id="pl.273.20"></a><var>273.20</var>participation target rate for the current year; <br/>
<a id="pl.273.21"></a><var>273.21</var>(2) to provide any additional amounts <br/>
<a id="pl.273.22"></a><var>273.22</var>under Code of Federal Regulations, title 45, <br/>
<a id="pl.273.23"></a><var>273.23</var>section 264.5, that relate to replacement of <br/>
<a id="pl.273.24"></a><var>273.24</var>TANF funds due to the operation of TANF <br/>
<a id="pl.273.25"></a><var>273.25</var>penalties; and<br/>
<a id="pl.273.26"></a><var>273.26</var>(3) to provide any additional amounts that <br/>
<a id="pl.273.27"></a><var>273.27</var>may contribute to avoiding or reducing <br/>
<a id="pl.273.28"></a><var>273.28</var>TANF work participation penalties through <br/>
<a id="pl.273.29"></a><var>273.29</var>the operation of the excess MOE provisions <br/>
<a id="pl.273.30"></a><var>273.30</var>of Code of Federal Regulations, title 45, <br/>
<a id="pl.273.31"></a><var>273.31</var>section 261.43(a)(2). <br/>
<a id="pl.273.32"></a><var>273.32</var>For the purposes of clauses (1) to (3), <br/>
<a id="pl.273.33"></a><var>273.33</var>the commissioner may supplement the <br/>
<a id="pl.273.34"></a><var>273.34</var>MOE claim with working family credit <br/>
<a id="pl.274.1"></a><var>274.1</var>expenditures or other qualified expenditures <br/>
<a id="pl.274.2"></a><var>274.2</var>to the extent such expenditures are otherwise <br/>
<a id="pl.274.3"></a><var>274.3</var>available after considering the expenditures <br/>
<a id="pl.274.4"></a><var>274.4</var>allowed in this subdivision. <br/>
<a id="pl.274.5"></a><var>274.5</var>(f) Notwithstanding any contrary provision <br/>
<a id="pl.274.6"></a><var>274.6</var>in this article, paragraphs (a) to (e) expire <br/>
<a id="pl.274.7"></a><var>274.7</var>June 30, 2015.<br/>
<a id="pl.274.8"></a><var>274.8</var><b>Working Family Credit Expenditures </b><br/>
<a id="pl.274.9"></a><var>274.9</var><b>as TANF/MOE. </b>The commissioner may <br/>
<a id="pl.274.10"></a><var>274.10</var>claim as TANF maintenance of effort up to <br/>
<a id="pl.274.11"></a><var>274.11</var>$6,707,000 per year of working family credit <br/>
<a id="pl.274.12"></a><var>274.12</var>expenditures for fiscal years 2012 and 2013.<br/>
<a id="pl.274.13"></a><var>274.13</var><b>Working Family Credit Expenditures </b><br/>
<a id="pl.274.14"></a><var>274.14</var><b>to be Claimed for TANF/MOE. </b>The <br/>
<a id="pl.274.15"></a><var>274.15</var>commissioner may count the following <br/>
<a id="pl.274.16"></a><var>274.16</var>amounts of working family credit <br/>
<a id="pl.274.17"></a><var>274.17</var>expenditures as TANF/MOE:<br/>
<a id="pl.274.18"></a><var>274.18</var>(1) fiscal year 2012, $37,517,000;<br/>
<a id="pl.274.19"></a><var>274.19</var>(2) fiscal year 2013, $28,171,000;<br/>
<a id="pl.274.20"></a><var>274.20</var>(3) fiscal year 2014, $34,097,000; and<br/>
<a id="pl.274.21"></a><var>274.21</var>(4) fiscal year 2015, $34,100,000.<br/>
<a id="pl.274.22"></a><var>274.22</var>Notwithstanding any contrary provision in <br/>
<a id="pl.274.23"></a><var>274.23</var>this article, this rider expires June 30, 2015.<br/>
<a id="pl.274.24"></a><var>274.24</var><b>TANF Transfer to Federal Child Care </b><br/>
<a id="pl.274.25"></a><var>274.25</var><b>and Development Fund.</b> (a) The following <br/>
<a id="pl.274.26"></a><var>274.26</var>TANF fund amounts are appropriated <br/>
<a id="pl.274.27"></a><var>274.27</var>to the commissioner for purposes of <br/>
<a id="pl.274.28"></a><var>274.28</var>MFIP/Transition Year Child Care Assistance <br/>
<a id="pl.274.29"></a><var>274.29</var>under Minnesota Statutes, section 119B.05:<br/>
<a id="pl.274.30"></a><var>274.30</var>(1) fiscal year 2012, $25,020,000;<br/>
<a id="pl.274.31"></a><var>274.31</var>(2) fiscal year 2013, $12,020,000;<br/>
<a id="pl.274.32"></a><var>274.32</var>(3) fiscal year 2014, $15,818,000; and<br/>
<a id="pl.275.1"></a><var>275.1</var>(4) fiscal year 2015, $15,818,000.<br/>
<a id="pl.275.2"></a><var>275.2</var>(b) The commissioner shall authorize the <br/>
<a id="pl.275.3"></a><var>275.3</var>transfer of sufficient TANF funds to the <br/>
<a id="pl.275.4"></a><var>275.4</var>federal child care and development fund to <br/>
<a id="pl.275.5"></a><var>275.5</var>meet this appropriation and shall ensure that <br/>
<a id="pl.275.6"></a><var>275.6</var>all transferred funds are expended according <br/>
<a id="pl.275.7"></a><var>275.7</var>to federal child care and development fund <br/>
<a id="pl.275.8"></a><var>275.8</var>regulations.<br/>
<a id="pl.275.9"></a><var>275.9</var><b>Food Stamps Employment and Training </b><br/>
<a id="pl.275.10"></a><var>275.10</var><b>Funds. </b>(a) Notwithstanding Minnesota <br/>
<a id="pl.275.11"></a><var>275.11</var>Statutes, sections 256D.051, subdivisions 1a, <br/>
<a id="pl.275.12"></a><var>275.12</var>6b, and 6c, and 256J.626, federal food stamps <br/>
<a id="pl.275.13"></a><var>275.13</var>employment and training funds received <br/>
<a id="pl.275.14"></a><var>275.14</var>as reimbursement for child care assistance <br/>
<a id="pl.275.15"></a><var>275.15</var>program expenditures must be deposited in <br/>
<a id="pl.275.16"></a><var>275.16</var>the general fund. The amount of funds must <br/>
<a id="pl.275.17"></a><var>275.17</var>be limited to $500,000 per year in fiscal <br/>
<a id="pl.275.18"></a><var>275.18</var>years 2012 through 2015, contingent upon <br/>
<a id="pl.275.19"></a><var>275.19</var>approval by the federal Food and Nutrition <br/>
<a id="pl.275.20"></a><var>275.20</var>Service.<br/>
<a id="pl.275.21"></a><var>275.21</var>(b) Consistent with the receipt of these <br/>
<a id="pl.275.22"></a><var>275.22</var>federal funds, the commissioner may <br/>
<a id="pl.275.23"></a><var>275.23</var>adjust the level of working family credit <br/>
<a id="pl.275.24"></a><var>275.24</var>expenditures claimed as TANF maintenance <br/>
<a id="pl.275.25"></a><var>275.25</var>of effort. Notwithstanding any contrary <br/>
<a id="pl.275.26"></a><var>275.26</var>provision in this article, this rider expires <br/>
<a id="pl.275.27"></a><var>275.27</var>June 30, 2015.<br/>
<a id="pl.275.28"></a><var>275.28</var><b>ARRA Food Support Benefit Increases. </b><br/>
<a id="pl.275.29"></a><var>275.29</var>The funds provided for food support benefit <br/>
<a id="pl.275.30"></a><var>275.30</var>increases under the Supplemental Nutrition <br/>
<a id="pl.275.31"></a><var>275.31</var>Assistance Program provisions of the <br/>
<a id="pl.275.32"></a><var>275.32</var>American Recovery and Reinvestment Act <br/>
<a id="pl.275.33"></a><var>275.33</var>(ARRA) of 2009 must be used for benefit <br/>
<a id="pl.275.34"></a><var>275.34</var>increases beginning July 1, 2009.<br/>
<a id="pl.276.1"></a><var>276.1</var><b>Supplemental Security Interim Assistance </b><br/>
<a id="pl.276.2"></a><var>276.2</var><b>Reimbursement Funds. </b>$2,800,000 of <br/>
<a id="pl.276.3"></a><var>276.3</var>uncommitted revenue available to the <br/>
<a id="pl.276.4"></a><var>276.4</var>commissioner of human services for SSI <br/>
<a id="pl.276.5"></a><var>276.5</var>advocacy and outreach services must be <br/>
<a id="pl.276.6"></a><var>276.6</var>transferred to and deposited into the general <br/>
<a id="pl.276.7"></a><var>276.7</var>fund by October 1, 2011.<br/>
<a id="pl.276.8"></a><var>276.8</var><b>Transfer. </b> By June 30, 2012, the <br/>
<a id="pl.276.9"></a><var>276.9</var>commissioner of management and budget <br/>
<a id="pl.276.10"></a><var>276.10</var>must transfer $49,694,000 from the health <br/>
<a id="pl.276.11"></a><var>276.11</var>care access fund to the general fund. By June <br/>
<a id="pl.276.12"></a><var>276.12</var>30, 2013, the commissioner of management <br/>
<a id="pl.276.13"></a><var>276.13</var>and budget must transfer $5,000,000 from the <br/>
<a id="pl.276.14"></a><var>276.14</var>health care access fund 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.276.15"></a><var>276.15</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Central Office Operations</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.276.16"></a><var>276.16</var>The amounts that may be spent from this <br/>
<a id="pl.276.17"></a><var>276.17</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.276.18"></a><var>276.18</var><br/>
</td>
<td colspan="3">(a) <b>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.276.19"></a><var>276.19</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.276.20"></a><var>276.20</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">72,547,000<br/>
</td>
<td align="right">71,077,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.276.21"></a><var>276.21</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">11,508,000<br/>
</td>
<td align="right">11,508,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.276.22"></a><var>276.22</var><br/>
<a id="pl.276.23"></a><var>276.23</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">440,000<br/>
</td>
<td align="right">440,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.276.24"></a><var>276.24</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">222,000<br/>
</td>
<td align="right">222,000<br/>
</td>
</tr>
</table><a id="pl.276.25"></a><var>276.25</var><b>DHS Receipt Center Accounting. </b>The <br/>
<a id="pl.276.26"></a><var>276.26</var>commissioner is authorized to transfer <br/>
<a id="pl.276.27"></a><var>276.27</var>appropriations to, and account for DHS <br/>
<a id="pl.276.28"></a><var>276.28</var>receipt center operations in, the special <br/>
<a id="pl.276.29"></a><var>276.29</var>revenue fund.<br/>
<a id="pl.276.30"></a><var>276.30</var><b>Administrative Recovery; Set-Aside.</b> The <br/>
<a id="pl.276.31"></a><var>276.31</var>commissioner may invoice local entities <br/>
<a id="pl.276.32"></a><var>276.32</var>through the SWIFT accounting system as an <br/>
<a id="pl.276.33"></a><var>276.33</var>alternative means to recover the actual cost <br/>
<a id="pl.276.34"></a><var>276.34</var>of administering the following provisions:<br/>
<a id="pl.277.1"></a><var>277.1</var>(1) Minnesota Statutes, section 125A.744, <br/>
<a id="pl.277.2"></a><var>277.2</var>subdivision 3;<br/>
<a id="pl.277.3"></a><var>277.3</var>(2) Minnesota Statutes, section 245.495, <br/>
<a id="pl.277.4"></a><var>277.4</var>paragraph (b);<br/>
<a id="pl.277.5"></a><var>277.5</var>(3) Minnesota Statutes, section 256B.0625, <br/>
<a id="pl.277.6"></a><var>277.6</var>subdivision 20, paragraph (k);<br/>
<a id="pl.277.7"></a><var>277.7</var>(4) Minnesota Statutes, section 256B.0924, <br/>
<a id="pl.277.8"></a><var>277.8</var>subdivision 6, paragraph (g);<br/>
<a id="pl.277.9"></a><var>277.9</var>(5) Minnesota Statutes, section 256B.0945, <br/>
<a id="pl.277.10"></a><var>277.10</var>subdivision 4, paragraph (d); and<br/>
<a id="pl.277.11"></a><var>277.11</var>(6) Minnesota Statutes, section 256F.10, <br/>
<a id="pl.277.12"></a><var>277.12</var>subdivision 6, paragraph (b).<br/>
<a id="pl.277.13"></a><var>277.13</var><b>Payments for Cost Settlements. </b>The <br/>
<a id="pl.277.14"></a><var>277.14</var>commissioner is authorized to use amounts <br/>
<a id="pl.277.15"></a><var>277.15</var>repaid to the general assistance medical care <br/>
<a id="pl.277.16"></a><var>277.16</var>program under Minnesota Statutes 2009 <br/>
<a id="pl.277.17"></a><var>277.17</var>Supplement, section 256D.03, subdivision <br/>
<a id="pl.277.18"></a><var>277.18</var>3, to pay cost settlements for claims for <br/>
<a id="pl.277.19"></a><var>277.19</var>services provided prior to June 1, 2010. <br/>
<a id="pl.277.20"></a><var>277.20</var>Notwithstanding any contrary provision in <br/>
<a id="pl.277.21"></a><var>277.21</var>this article, this provision does not expire.<br/>
<a id="pl.277.22"></a><var>277.22</var><b>Base Adjustment. </b>The general fund base <br/>
<a id="pl.277.23"></a><var>277.23</var>for fiscal year 2014 shall be increased by <br/>
<a id="pl.277.24"></a><var>277.24</var>$68,000 and decreased by $11,000 in fiscal <br/>
<a id="pl.277.25"></a><var>277.25</var>year 2015.<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.277.26"></a><var>277.26</var><br/>
</td>
<td colspan="3">(b) <b>Children and Families</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.277.27"></a><var>277.27</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.277.28"></a><var>277.28</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">9,457,000<br/>
</td>
<td align="right">9,337,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.277.29"></a><var>277.29</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">2,160,000<br/>
</td>
<td align="right">2,160,000<br/>
</td>
</tr>
</table><a id="pl.277.30"></a><var>277.30</var><b>Financial Institution Data Match and </b><br/>
<a id="pl.277.31"></a><var>277.31</var><b>Payment of Fees. </b>The commissioner is <br/>
<a id="pl.277.32"></a><var>277.32</var>authorized to allocate up to $310,000 each <br/>
<a id="pl.277.33"></a><var>277.33</var>year in fiscal years 2012 and 2013 from the <br/>
<a id="pl.278.1"></a><var>278.1</var>PRISM special revenue account to make <br/>
<a id="pl.278.2"></a><var>278.2</var>payments to financial institutions in exchange <br/>
<a id="pl.278.3"></a><var>278.3</var>for performing data matches between account <br/>
<a id="pl.278.4"></a><var>278.4</var>information held by financial institutions <br/>
<a id="pl.278.5"></a><var>278.5</var>and the public authority's database of child <br/>
<a id="pl.278.6"></a><var>278.6</var>support obligors as authorized by Minnesota <br/>
<a id="pl.278.7"></a><var>278.7</var>Statutes, section 13B.06, subdivision 7.<br/>
<a id="pl.278.8"></a><var>278.8</var><b>Base Adjustment. </b>The general fund base <br/>
<a id="pl.278.9"></a><var>278.9</var>is decreased by $47,000 in fiscal years 2014 <br/>
<a id="pl.278.10"></a><var>278.10</var>and 2015.<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.278.11"></a><var>278.11</var><br/>
</td>
<td colspan="3">(c) <b>Health Care</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.278.12"></a><var>278.12</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.278.13"></a><var>278.13</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">16,376,000<br/>
</td>
<td align="right">16,278,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.278.14"></a><var>278.14</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">22,623,000<br/>
</td>
<td align="right">26,926,000<br/>
</td>
</tr>
</table><a id="pl.278.15"></a><var>278.15</var><b>Minnesota Senior Health Options </b><br/>
<a id="pl.278.16"></a><var>278.16</var><b>Reimbursement. </b>Federal administrative <br/>
<a id="pl.278.17"></a><var>278.17</var>reimbursement resulting from the Minnesota <br/>
<a id="pl.278.18"></a><var>278.18</var>senior health options project is appropriated <br/>
<a id="pl.278.19"></a><var>278.19</var>to the commissioner for this activity.<br/>
<a id="pl.278.20"></a><var>278.20</var><b>Utilization Review. </b>Federal administrative <br/>
<a id="pl.278.21"></a><var>278.21</var>reimbursement resulting from prior <br/>
<a id="pl.278.22"></a><var>278.22</var>authorization and inpatient admission <br/>
<a id="pl.278.23"></a><var>278.23</var>certification by a professional review <br/>
<a id="pl.278.24"></a><var>278.24</var>organization shall be dedicated to the <br/>
<a id="pl.278.25"></a><var>278.25</var>commissioner for these purposes. A portion <br/>
<a id="pl.278.26"></a><var>278.26</var>of these funds must be used for activities to <br/>
<a id="pl.278.27"></a><var>278.27</var>decrease unnecessary pharmaceutical costs <br/>
<a id="pl.278.28"></a><var>278.28</var>in medical assistance.<br/>
<a id="pl.278.29"></a><var>278.29</var><b>Base Adjustment. </b>The general fund base <br/>
<a id="pl.278.30"></a><var>278.30</var>shall be decreased by $2,000 in fiscal year <br/>
<a id="pl.278.31"></a><var>278.31</var>2014 and $114,000 in fiscal year 2015.<br/>
<a id="pl.278.32"></a><var>278.32</var>The health care access fund base is decreased <br/>
<a id="pl.278.33"></a><var>278.33</var>by $411,000 in fiscal year 2014 and $880,000 <br/>
<a id="pl.278.34"></a><var>278.34</var>in fiscal year 2015.<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.279.1"></a><var>279.1</var><br/>
</td>
<td colspan="3">(d) <b>Continuing Care</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.279.2"></a><var>279.2</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.279.3"></a><var>279.3</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">18,078,000<br/>
</td>
<td align="right">17,864,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.279.4"></a><var>279.4</var><br/>
<a id="pl.279.5"></a><var>279.5</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">125,000<br/>
</td>
<td align="right">125,000<br/>
</td>
</tr>
</table><a id="pl.279.6"></a><var>279.6</var><b>Region 10 Administrative Expenses.</b> <br/>
<a id="pl.279.7"></a><var>279.7</var>$100,000 is appropriated each fiscal <br/>
<a id="pl.279.8"></a><var>279.8</var>year, beginning in fiscal year 2012, for <br/>
<a id="pl.279.9"></a><var>279.9</var>the administration of the State Quality <br/>
<a id="pl.279.10"></a><var>279.10</var>Improvement and Licensing System under <br/>
<a id="pl.279.11"></a><var>279.11</var>Minnesota Statutes, section 256B.0961.<br/>
<a id="pl.279.12"></a><var>279.12</var><b>Base Adjustment. </b>The general fund base is <br/>
<a id="pl.279.13"></a><var>279.13</var>decreased by $662,000 in fiscal year 2014 <br/>
<a id="pl.279.14"></a><var>279.14</var>and $762,000 in fiscal year 2015.<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.279.15"></a><var>279.15</var><br/>
</td>
<td colspan="3">(e) <b>Chemical and Mental 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="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.279.16"></a><var>279.16</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.279.17"></a><var>279.17</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">4,194,000<br/>
</td>
<td align="right">4,194,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.279.18"></a><var>279.18</var><br/>
</td>
<td>Lottery Prize<br/>
</td>
<td align="right">157,000<br/>
</td>
<td align="right">157,000<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.279.19"></a><var>279.19</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Forecasted Programs</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.279.20"></a><var>279.20</var>The amounts that may be spent from this <br/>
<a id="pl.279.21"></a><var>279.21</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.279.22"></a><var>279.22</var><br/>
</td>
<td colspan="3">(a) <b>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.279.23"></a><var>279.23</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.279.24"></a><var>279.24</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">83,986,000<br/>
</td>
<td align="right">88,187,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.279.25"></a><var>279.25</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">84,425,000<br/>
</td>
<td align="right">75,417,000<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.279.26"></a><var>279.26</var><br/>
</td>
<td colspan="3">(b) <b>MFIP Child Care Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">39,012,000<br/>
</td>
<td align="center"></td>
<td align="right">44,805,000<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.279.27"></a><var>279.27</var><br/>
<a id="pl.279.28"></a><var>279.28</var><br/>
</td>
<td colspan="3">(c) <b>General Assistance Grants and Adult </b><br/>
<b>Assistance</b><br/>
</td>
<td align="center"></td>
<td align="right">48,774,000<br/>
</td>
<td align="center"></td>
<td align="right">44,003,000<br/>
</td>
</tr>
</table><a id="pl.279.29"></a><var>279.29</var><b>General Assistance Standard. </b>The <br/>
<a id="pl.279.30"></a><var>279.30</var>commissioner shall set the monthly standard <br/>
<a id="pl.279.31"></a><var>279.31</var>of assistance for general assistance units <br/>
<a id="pl.279.32"></a><var>279.32</var>consisting of an adult recipient who is <br/>
<a id="pl.279.33"></a><var>279.33</var>childless and unmarried or living apart <br/>
<a id="pl.279.34"></a><var>279.34</var>from parents or a legal guardian at $203. <br/>
<a id="pl.280.1"></a><var>280.1</var>The commissioner may reduce this amount <br/>
<a id="pl.280.2"></a><var>280.2</var>according to Laws 1997, chapter 85, article <br/>
<a id="pl.280.3"></a><var>280.3</var>3, section 54. This paragraph expires <br/>
<a id="pl.280.4"></a><var>280.4</var>September 30, 2012.<br/>
<a id="pl.280.5"></a><var>280.5</var><b>Emergency General Assistance. </b>The <br/>
<a id="pl.280.6"></a><var>280.6</var>amount appropriated for emergency general <br/>
<a id="pl.280.7"></a><var>280.7</var>assistance funds is limited to no more <br/>
<a id="pl.280.8"></a><var>280.8</var>than $7,089,812 in fiscal year 2012 and <br/>
<a id="pl.280.9"></a><var>280.9</var>$1,682,453 in fiscal year 2013. Funds <br/>
<a id="pl.280.10"></a><var>280.10</var>to counties shall be allocated by the <br/>
<a id="pl.280.11"></a><var>280.11</var>commissioner using the allocation method <br/>
<a id="pl.280.12"></a><var>280.12</var>specified in Minnesota Statutes, section <br/>
<a id="pl.280.13"></a><var>280.13</var>256D.06. This paragraph expires September <br/>
<a id="pl.280.14"></a><var>280.14</var>30, 2012.<br/>
<a id="pl.280.15"></a><var>280.15</var><b>Base Adjustment.</b> The general fund base <br/>
<a id="pl.280.16"></a><var>280.16</var>for adult assistance is $44,512,000 in fiscal <br/>
<a id="pl.280.17"></a><var>280.17</var>years 2014 and 2015.<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.280.18"></a><var>280.18</var><br/>
</td>
<td colspan="3">(d) <b>Minnesota Supplemental Aid Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">34,460,000<br/>
</td>
<td align="center"></td>
<td align="right">33,532,000<br/>
</td>
</tr>
</table><a id="pl.280.19"></a><var>280.19</var><b>Emergency Minnesota Supplemental </b><br/>
<a id="pl.280.20"></a><var>280.20</var><b>Aid Funds. </b>The amount appropriated for <br/>
<a id="pl.280.21"></a><var>280.21</var>emergency Minnesota supplemental aid <br/>
<a id="pl.280.22"></a><var>280.22</var>funds is limited to no more than $367,000 <br/>
<a id="pl.280.23"></a><var>280.23</var>in fiscal year 2012. Funds to counties shall <br/>
<a id="pl.280.24"></a><var>280.24</var>be allocated by the commissioner using the <br/>
<a id="pl.280.25"></a><var>280.25</var>allocation method specified in Minnesota <br/>
<a id="pl.280.26"></a><var>280.26</var>Statutes, section 256D.46. This paragraph <br/>
<a id="pl.280.27"></a><var>280.27</var>expires September 30, 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.280.28"></a><var>280.28</var><br/>
</td>
<td colspan="3">(e) <b>Group Residential Housing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">121,080,000<br/>
</td>
<td align="center"></td>
<td align="right">129,238,000<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.280.29"></a><var>280.29</var><br/>
</td>
<td colspan="3">(f) <b>MinnesotaCare Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">271,430,000<br/>
</td>
<td align="center"></td>
<td align="right">260,619,000<br/>
</td>
</tr>
</table><a id="pl.280.30"></a><var>280.30</var>This appropriation is from the health care <br/>
<a id="pl.280.31"></a><var>280.31</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.280.32"></a><var>280.32</var><br/>
</td>
<td align="left" colspan="3">(g) <b>GAMC Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">174,150,000<br/>
</td>
<td align="center"></td>
<td align="right">232,200,000<br/>
</td>
</tr>
</table><a id="pl.281.1"></a><var>281.1</var><b>General Assistance Medical Care </b><br/>
<a id="pl.281.2"></a><var>281.2</var><b>Payments.</b> For general assistance medical <br/>
<a id="pl.281.3"></a><var>281.3</var>care payments under Minnesota Statutes, <br/>
<a id="pl.281.4"></a><var>281.4</var>section 256D.031:<br/>
<a id="pl.281.5"></a><var>281.5</var>$120,150,000 in fiscal year 2012 and <br/>
<a id="pl.281.6"></a><var>281.6</var>$160,200,000 in fiscal year 2013 are for <br/>
<a id="pl.281.7"></a><var>281.7</var>payments to coordinated care delivery <br/>
<a id="pl.281.8"></a><var>281.8</var>systems under Minnesota Statutes, section <br/>
<a id="pl.281.9"></a><var>281.9</var>256D.031, subdivision 7; and<br/>
<a id="pl.281.10"></a><var>281.10</var>$54,000,000 in fiscal year 2012 and <br/>
<a id="pl.281.11"></a><var>281.11</var>$72,000,000 in fiscal year 2013 are for <br/>
<a id="pl.281.12"></a><var>281.12</var>payments for prescription drugs under <br/>
<a id="pl.281.13"></a><var>281.13</var>Minnesota Statutes, section 256D.031, <br/>
<a id="pl.281.14"></a><var>281.14</var>subdivision 9.<br/>
<a id="pl.281.15"></a><var>281.15</var>Any amount under paragraph (g) that is not <br/>
<a id="pl.281.16"></a><var>281.16</var>spent in the first year does not cancel and is <br/>
<a id="pl.281.17"></a><var>281.17</var>available for payments in the second year.<br/>
<a id="pl.281.18"></a><var>281.18</var>The commissioner may transfer any <br/>
<a id="pl.281.19"></a><var>281.19</var>unexpended amount under Minnesota <br/>
<a id="pl.281.20"></a><var>281.20</var>Statutes, section 256D.031, subdivision 9, <br/>
<a id="pl.281.21"></a><var>281.21</var>after the final allocation in fiscal year 2011 to <br/>
<a id="pl.281.22"></a><var>281.22</var>make payments under Minnesota Statutes, <br/>
<a id="pl.281.23"></a><var>281.23</var>section 256D.031, subdivision 7.<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.281.24"></a><var>281.24</var><br/>
</td>
<td colspan="3">(h) <b>Medical Assistance Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">4,175,592,000<br/>
</td>
<td align="center"></td>
<td align="right">3,938,873,000<br/>
</td>
</tr>
</table><a id="pl.281.25"></a><var>281.25</var><b>Managed Care Incentive Payments. </b>The <br/>
<a id="pl.281.26"></a><var>281.26</var>commissioner shall not make managed care <br/>
<a id="pl.281.27"></a><var>281.27</var>incentive payments for expanding preventive <br/>
<a id="pl.281.28"></a><var>281.28</var>services. This provision does not expire.<br/>
<a id="pl.281.29"></a><var>281.29</var><b>Capitation Payment Delay.</b> The <br/>
<a id="pl.281.30"></a><var>281.30</var>commissioner shall delay 71 percent of the <br/>
<a id="pl.281.31"></a><var>281.31</var>medical assistance capitation payment for <br/>
<a id="pl.281.32"></a><var>281.32</var>families with children to managed care plans <br/>
<a id="pl.281.33"></a><var>281.33</var>and county-based purchasing plans due in <br/>
<a id="pl.281.34"></a><var>281.34</var>May of 2013 until July of 2013.<br/>
<a id="pl.282.1"></a><var>282.1</var><b>Reduction of Rates for Congregate </b><br/>
<a id="pl.282.2"></a><var>282.2</var><b>Living for Individuals with Lower Needs. </b><br/>
<a id="pl.282.3"></a><var>282.3</var>Beginning October 1, 2011, lead agencies <br/>
<a id="pl.282.4"></a><var>282.4</var>must reduce rates in effect on January 1, <br/>
<a id="pl.282.5"></a><var>282.5</var>2011, by ten percent for individuals with <br/>
<a id="pl.282.6"></a><var>282.6</var>lower needs living in foster care settings <br/>
<a id="pl.282.7"></a><var>282.7</var>where the license holder does not share the <br/>
<a id="pl.282.8"></a><var>282.8</var>residence with recipients on the CADI, DD, <br/>
<a id="pl.282.9"></a><var>282.9</var>and TBI waivers and customized living <br/>
<a id="pl.282.10"></a><var>282.10</var>settings for CADI and TBI. Lead agencies <br/>
<a id="pl.282.11"></a><var>282.11</var>must adjust contracts within 60 days of the <br/>
<a id="pl.282.12"></a><var>282.12</var>effective date.<br/>
<a id="pl.282.13"></a><var>282.13</var><b>Reduction of Lead Agency Waiver </b><br/>
<a id="pl.282.14"></a><var>282.14</var><b>Allocations to Implement Rate Reductions </b><br/>
<a id="pl.282.15"></a><var>282.15</var><b>for Congregate Living for Individuals </b><br/>
<a id="pl.282.16"></a><var>282.16</var><b>with Lower Needs. </b>Beginning October 1, <br/>
<a id="pl.282.17"></a><var>282.17</var>2011, the commissioner shall reduce lead <br/>
<a id="pl.282.18"></a><var>282.18</var>agency waiver allocations to implement the <br/>
<a id="pl.282.19"></a><var>282.19</var>reduction of rates for individuals with lower <br/>
<a id="pl.282.20"></a><var>282.20</var>needs living in foster care settings where the <br/>
<a id="pl.282.21"></a><var>282.21</var>license holder does not share the residence <br/>
<a id="pl.282.22"></a><var>282.22</var>with recipients on the CADI, DD, and TBI <br/>
<a id="pl.282.23"></a><var>282.23</var>waivers and customized living settings for <br/>
<a id="pl.282.24"></a><var>282.24</var>CADI and TBI.<br/>
<a id="pl.282.25"></a><var>282.25</var><b>Manage Elderly Waiver Growth. </b><br/>
<a id="pl.282.26"></a><var>282.26</var>Beginning July 1, 2011, and ending on June <br/>
<a id="pl.282.27"></a><var>282.27</var>30, 2013, the commissioner shall manage <br/>
<a id="pl.282.28"></a><var>282.28</var>the elderly waiver so that the number of <br/>
<a id="pl.282.29"></a><var>282.29</var>people does not exceed the number on June <br/>
<a id="pl.282.30"></a><var>282.30</var>30, 2011.<br/>
<a id="pl.282.31"></a><var>282.31</var><b>Reduce customized living and 24-hour </b><br/>
<a id="pl.282.32"></a><var>282.32</var><b>customized living component rates.</b> <br/>
<a id="pl.282.33"></a><var>282.33</var>Effective July 1, 2011, the commissioner <br/>
<a id="pl.282.34"></a><var>282.34</var>shall reduce elderly waiver customized living <br/>
<a id="pl.282.35"></a><var>282.35</var>and 24-hour customized living component <br/>
<a id="pl.283.1"></a><var>283.1</var>service spending by ten percent through <br/>
<a id="pl.283.2"></a><var>283.2</var>reductions in component rates and service <br/>
<a id="pl.283.3"></a><var>283.3</var>rate limits. The commissioner shall adjust <br/>
<a id="pl.283.4"></a><var>283.4</var>the elderly waiver capitation payment <br/>
<a id="pl.283.5"></a><var>283.5</var>rates for managed care organizations paid <br/>
<a id="pl.283.6"></a><var>283.6</var>under Minnesota Statutes, section 256B.69, <br/>
<a id="pl.283.7"></a><var>283.7</var>subdivisions 6a and 23, to reflect reductions <br/>
<a id="pl.283.8"></a><var>283.8</var>in component spending for customized living <br/>
<a id="pl.283.9"></a><var>283.9</var>services and 24-hour customized living <br/>
<a id="pl.283.10"></a><var>283.10</var>services under Minnesota Statutes, section <br/>
<a id="pl.283.11"></a><var>283.11</var>256B.0915, subdivisions 3e and 3h, for the <br/>
<a id="pl.283.12"></a><var>283.12</var>contract period beginning January 1, 2012. <br/>
<a id="pl.283.13"></a><var>283.13</var>To implement the reduction specified in <br/>
<a id="pl.283.14"></a><var>283.14</var>this provision, capitation rates paid by the <br/>
<a id="pl.283.15"></a><var>283.15</var>commissioner to managed care organizations <br/>
<a id="pl.283.16"></a><var>283.16</var>under Minnesota Statutes, section 256B.69, <br/>
<a id="pl.283.17"></a><var>283.17</var>shall reflect a 20 percent reduction for the <br/>
<a id="pl.283.18"></a><var>283.18</var>specified services for the period January 1, <br/>
<a id="pl.283.19"></a><var>283.19</var>2012, to June 30, 2012, and a ten percent <br/>
<a id="pl.283.20"></a><var>283.20</var>reduction for those services on or after July <br/>
<a id="pl.283.21"></a><var>283.21</var>1, 2012.<br/>
<a id="pl.283.22"></a><var>283.22</var><b>Limit Growth in the Developmental </b><br/>
<a id="pl.283.23"></a><var>283.23</var><b>Disability Waiver.</b> For the biennium <br/>
<a id="pl.283.24"></a><var>283.24</var>beginning July 1, 2011, the commissioner <br/>
<a id="pl.283.25"></a><var>283.25</var>shall limit the developmental disability <br/>
<a id="pl.283.26"></a><var>283.26</var>waiver to the number of recipients served <br/>
<a id="pl.283.27"></a><var>283.27</var>in March 2010. If necessary to achieve <br/>
<a id="pl.283.28"></a><var>283.28</var>this level, the commissioner shall not <br/>
<a id="pl.283.29"></a><var>283.29</var>refill waiver openings until the number of <br/>
<a id="pl.283.30"></a><var>283.30</var>waiver recipients reaches the March 2010 <br/>
<a id="pl.283.31"></a><var>283.31</var>level. Once the March 2010 enrollment <br/>
<a id="pl.283.32"></a><var>283.32</var>level is reached, the commissioner shall <br/>
<a id="pl.283.33"></a><var>283.33</var>refill vacated openings to maintain the <br/>
<a id="pl.283.34"></a><var>283.34</var>March 2010 enrollment level. To the <br/>
<a id="pl.283.35"></a><var>283.35</var>extent possible, waiver allocations shall <br/>
<a id="pl.283.36"></a><var>283.36</var>be available to individuals who meet the <br/>
<a id="pl.284.1"></a><var>284.1</var>priorities for accessing waiver services <br/>
<a id="pl.284.2"></a><var>284.2</var>described in Minnesota Statutes, section <br/>
<a id="pl.284.3"></a><var>284.3</var>256B.092, subdivision 12. The limits do not <br/>
<a id="pl.284.4"></a><var>284.4</var>include conversions from intermediate care <br/>
<a id="pl.284.5"></a><var>284.5</var>facilities for persons with developmental <br/>
<a id="pl.284.6"></a><var>284.6</var>disabilities. When implementing the waiver <br/>
<a id="pl.284.7"></a><var>284.7</var>enrollment limits under this provision, it <br/>
<a id="pl.284.8"></a><var>284.8</var>is an absolute defense to an appeal under <br/>
<a id="pl.284.9"></a><var>284.9</var>Minnesota Statutes, section 256.045, if <br/>
<a id="pl.284.10"></a><var>284.10</var>the commissioner or lead agency proves <br/>
<a id="pl.284.11"></a><var>284.11</var>that it followed the established written <br/>
<a id="pl.284.12"></a><var>284.12</var>procedures and criteria and determined that <br/>
<a id="pl.284.13"></a><var>284.13</var>home and community-based services could <br/>
<a id="pl.284.14"></a><var>284.14</var>not be provided to the person within the <br/>
<a id="pl.284.15"></a><var>284.15</var>appropriations or lead agency's allocation of <br/>
<a id="pl.284.16"></a><var>284.16</var>home and community-based services money.<br/>
<a id="pl.284.17"></a><var>284.17</var><b>Limit Growth in the Community </b><br/>
<a id="pl.284.18"></a><var>284.18</var><b>Alternatives for Disabled Individuals </b><br/>
<a id="pl.284.19"></a><var>284.19</var><b>Waiver.</b> For the biennium beginning <br/>
<a id="pl.284.20"></a><var>284.20</var>July 1, 2011, the commissioner shall limit <br/>
<a id="pl.284.21"></a><var>284.21</var>the community alternatives for disabled <br/>
<a id="pl.284.22"></a><var>284.22</var>individuals waiver to the number of <br/>
<a id="pl.284.23"></a><var>284.23</var>recipients served in March 2010. If necessary <br/>
<a id="pl.284.24"></a><var>284.24</var>to achieve this level, the commissioner shall <br/>
<a id="pl.284.25"></a><var>284.25</var>not refill waiver openings until the number <br/>
<a id="pl.284.26"></a><var>284.26</var>of waiver recipients reaches the March 2010 <br/>
<a id="pl.284.27"></a><var>284.27</var>level. Once the March 2010 enrollment <br/>
<a id="pl.284.28"></a><var>284.28</var>level is reached, the commissioner shall <br/>
<a id="pl.284.29"></a><var>284.29</var>refill vacated openings to maintain the <br/>
<a id="pl.284.30"></a><var>284.30</var>March 2010 enrollment level. To the <br/>
<a id="pl.284.31"></a><var>284.31</var>extent possible, waiver allocations shall <br/>
<a id="pl.284.32"></a><var>284.32</var>be available to individuals who meet the <br/>
<a id="pl.284.33"></a><var>284.33</var>priorities for accessing waiver services <br/>
<a id="pl.284.34"></a><var>284.34</var>described in Minnesota Statutes, section <br/>
<a id="pl.284.35"></a><var>284.35</var>256B.49, subdivision 11a. The limits include <br/>
<a id="pl.284.36"></a><var>284.36</var>conversions and diversions, unless the <br/>
<a id="pl.285.1"></a><var>285.1</var>commissioner has approved a plan to convert <br/>
<a id="pl.285.2"></a><var>285.2</var>funding due to the closure or downsizing <br/>
<a id="pl.285.3"></a><var>285.3</var>of a residential facility or nursing facility <br/>
<a id="pl.285.4"></a><var>285.4</var>to serve directly affected individuals on <br/>
<a id="pl.285.5"></a><var>285.5</var>the community alternatives for disabled <br/>
<a id="pl.285.6"></a><var>285.6</var>individuals waiver. When implementing <br/>
<a id="pl.285.7"></a><var>285.7</var>the waiver enrollment limits under this <br/>
<a id="pl.285.8"></a><var>285.8</var>provision, it is an absolute defense to an <br/>
<a id="pl.285.9"></a><var>285.9</var>appeal under Minnesota Statutes, section <br/>
<a id="pl.285.10"></a><var>285.10</var>256.045, if the commissioner or lead agency <br/>
<a id="pl.285.11"></a><var>285.11</var>proves that it followed the established written <br/>
<a id="pl.285.12"></a><var>285.12</var>procedures and criteria and determined that <br/>
<a id="pl.285.13"></a><var>285.13</var>home and community-based services could <br/>
<a id="pl.285.14"></a><var>285.14</var>not be provided to the person within the <br/>
<a id="pl.285.15"></a><var>285.15</var>appropriations or lead agency's allocation of <br/>
<a id="pl.285.16"></a><var>285.16</var>home and community-based services money. <br/>
<a id="pl.285.17"></a><var>285.17</var><b>Limit Growth in the Waiver for </b><br/>
<a id="pl.285.18"></a><var>285.18</var><b>Individuals with Traumatic Brain Injury.</b> <br/>
<a id="pl.285.19"></a><var>285.19</var>For the biennium beginning July 1, 2011, the <br/>
<a id="pl.285.20"></a><var>285.20</var>commissioner shall limit the traumatic brain <br/>
<a id="pl.285.21"></a><var>285.21</var>injury waiver to the number of recipients <br/>
<a id="pl.285.22"></a><var>285.22</var>served in March 2010. If necessary to <br/>
<a id="pl.285.23"></a><var>285.23</var>achieve this level, the commissioner shall <br/>
<a id="pl.285.24"></a><var>285.24</var>not refill waiver openings until the number <br/>
<a id="pl.285.25"></a><var>285.25</var>of waiver recipients reaches the March 2010 <br/>
<a id="pl.285.26"></a><var>285.26</var>level. Once the March 2010 enrollment <br/>
<a id="pl.285.27"></a><var>285.27</var>level is reached, the commissioner shall <br/>
<a id="pl.285.28"></a><var>285.28</var>refill vacated openings to maintain the <br/>
<a id="pl.285.29"></a><var>285.29</var>March 2010 enrollment level. To the <br/>
<a id="pl.285.30"></a><var>285.30</var>extent possible, waiver allocations shall <br/>
<a id="pl.285.31"></a><var>285.31</var>be available to individuals who meet the <br/>
<a id="pl.285.32"></a><var>285.32</var>priorities for accessing waiver services <br/>
<a id="pl.285.33"></a><var>285.33</var>described in Minnesota Statutes, section <br/>
<a id="pl.285.34"></a><var>285.34</var>256B.49, subdivision 11a. The limits include <br/>
<a id="pl.285.35"></a><var>285.35</var>conversions and diversions, unless the <br/>
<a id="pl.285.36"></a><var>285.36</var>commissioner has approved a plan to convert <br/>
<a id="pl.286.1"></a><var>286.1</var>funding due to the closure or downsizing of a <br/>
<a id="pl.286.2"></a><var>286.2</var>residential facility or nursing facility to serve <br/>
<a id="pl.286.3"></a><var>286.3</var>directly affected individuals on the traumatic <br/>
<a id="pl.286.4"></a><var>286.4</var>brain injury waiver. When implementing <br/>
<a id="pl.286.5"></a><var>286.5</var>the waiver enrollment limits under this <br/>
<a id="pl.286.6"></a><var>286.6</var>provision, it is an absolute defense to an <br/>
<a id="pl.286.7"></a><var>286.7</var>appeal under Minnesota Statutes, section <br/>
<a id="pl.286.8"></a><var>286.8</var>256.045, if the commissioner or lead agency <br/>
<a id="pl.286.9"></a><var>286.9</var>proves that it followed the established written <br/>
<a id="pl.286.10"></a><var>286.10</var>procedures and criteria and determined that <br/>
<a id="pl.286.11"></a><var>286.11</var>home and community-based services could <br/>
<a id="pl.286.12"></a><var>286.12</var>not be provided to the person within the <br/>
<a id="pl.286.13"></a><var>286.13</var>appropriations or lead agency's allocation of <br/>
<a id="pl.286.14"></a><var>286.14</var>home and community-based services money.<br/>
<a id="pl.286.15"></a><var>286.15</var><b>Personal Care Assistance Relative </b><br/>
<a id="pl.286.16"></a><var>286.16</var><b>Care.</b> The commissioner shall adjust the <br/>
<a id="pl.286.17"></a><var>286.17</var>capitation payment rates for managed care <br/>
<a id="pl.286.18"></a><var>286.18</var>organizations paid under Minnesota Statutes, <br/>
<a id="pl.286.19"></a><var>286.19</var>section 256B.69, to reflect the rate reductions <br/>
<a id="pl.286.20"></a><var>286.20</var>for personal care assistance provided by <br/>
<a id="pl.286.21"></a><var>286.21</var>a relative pursuant to Minnesota Statutes, <br/>
<a id="pl.286.22"></a><var>286.22</var>section 256B.0659, subdivision 11.<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.286.23"></a><var>286.23</var><br/>
</td>
<td colspan="3">(i) <b>Alternative Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">45,727,000<br/>
</td>
<td align="center"></td>
<td align="right">47,877,000<br/>
</td>
</tr>
</table><a id="pl.286.24"></a><var>286.24</var><b>Alternative Care Transfer. </b>Any money <br/>
<a id="pl.286.25"></a><var>286.25</var>allocated to the alternative care program that <br/>
<a id="pl.286.26"></a><var>286.26</var>is not spent for the purposes indicated does <br/>
<a id="pl.286.27"></a><var>286.27</var>not cancel but shall be transferred to the <br/>
<a id="pl.286.28"></a><var>286.28</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="12"/>
<tr>
<td><a id="pl.286.29"></a><var>286.29</var><br/>
</td>
<td colspan="3">(j) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">108,568,000<br/>
</td>
<td align="center"></td>
<td align="right">123,095,000<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.286.30"></a><var>286.30</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Grant Programs</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table><a id="pl.286.31"></a><var>286.31</var>The amounts that may be spent from this <br/>
<a id="pl.286.32"></a><var>286.32</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="12"/>
<tr>
<td><a id="pl.286.33"></a><var>286.33</var><br/>
</td>
<td colspan="3">(a) <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.287.1"></a><var>287.1</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.287.2"></a><var>287.2</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">8,715,000<br/>
</td>
<td align="right">8,715,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.287.3"></a><var>287.3</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">100,525,000<br/>
</td>
<td align="right">94,611,000<br/>
</td>
</tr>
</table><a id="pl.287.4"></a><var>287.4</var><b>MFIP Consolidated Fund Grants. </b>The <br/>
<a id="pl.287.5"></a><var>287.5</var>TANF fund base is reduced by $10,000,000 <br/>
<a id="pl.287.6"></a><var>287.6</var>each year beginning in fiscal year 2012.<br/>
<a id="pl.287.7"></a><var>287.7</var><b>Subsidized Employment Funding Through </b><br/>
<a id="pl.287.8"></a><var>287.8</var><b>ARRA. </b>The commissioner is authorized to <br/>
<a id="pl.287.9"></a><var>287.9</var>apply for TANF emergency fund grants for <br/>
<a id="pl.287.10"></a><var>287.10</var>subsidized employment activities. Growth <br/>
<a id="pl.287.11"></a><var>287.11</var>in expenditures for subsidized employment <br/>
<a id="pl.287.12"></a><var>287.12</var>within the supported work program and the <br/>
<a id="pl.287.13"></a><var>287.13</var>MFIP consolidated fund over the amount <br/>
<a id="pl.287.14"></a><var>287.14</var>expended in the calendar year quarters in <br/>
<a id="pl.287.15"></a><var>287.15</var>the TANF emergency fund base year shall <br/>
<a id="pl.287.16"></a><var>287.16</var>be used to leverage the TANF emergency <br/>
<a id="pl.287.17"></a><var>287.17</var>fund grants for subsidized employment and <br/>
<a id="pl.287.18"></a><var>287.18</var>to fund supported work. The commissioner <br/>
<a id="pl.287.19"></a><var>287.19</var>shall develop procedures to maximize <br/>
<a id="pl.287.20"></a><var>287.20</var>reimbursement of these expenditures over the <br/>
<a id="pl.287.21"></a><var>287.21</var>TANF emergency fund base year quarters, <br/>
<a id="pl.287.22"></a><var>287.22</var>and may contract directly with employers <br/>
<a id="pl.287.23"></a><var>287.23</var>and providers to maximize these TANF <br/>
<a id="pl.287.24"></a><var>287.24</var>emergency fund 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.287.25"></a><var>287.25</var><br/>
<a id="pl.287.26"></a><var>287.26</var><br/>
</td>
<td colspan="3">(b) <b>Basic Sliding Fee Child Care Assistance </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">36,067,000<br/>
</td>
<td align="center"></td>
<td align="right">37,342,000<br/>
</td>
</tr>
</table><a id="pl.287.27"></a><var>287.27</var><b>Base Adjustment. </b>The general fund base is <br/>
<a id="pl.287.28"></a><var>287.28</var>decreased by $1,490,000 in fiscal year 2014 <br/>
<a id="pl.287.29"></a><var>287.29</var>and $867,000 in fiscal year 2015.<br/>
<a id="pl.287.30"></a><var>287.30</var><b>Child Care and Development Fund </b><br/>
<a id="pl.287.31"></a><var>287.31</var><b>Unexpended Balance. </b>In addition to <br/>
<a id="pl.287.32"></a><var>287.32</var>the amount provided in this section, the <br/>
<a id="pl.287.33"></a><var>287.33</var>commissioner shall expend $5,000,000 <br/>
<a id="pl.287.34"></a><var>287.34</var>in fiscal year 2012 from the federal child <br/>
<a id="pl.287.35"></a><var>287.35</var>care and development fund unexpended <br/>
<a id="pl.288.1"></a><var>288.1</var>balance for basic sliding fee child care under <br/>
<a id="pl.288.2"></a><var>288.2</var>Minnesota Statutes, section 
<statute_ref>119B.03</statute_ref>. The <br/>
<a id="pl.288.3"></a><var>288.3</var>commissioner shall ensure that all child <br/>
<a id="pl.288.4"></a><var>288.4</var>care and development funds are expended <br/>
<a id="pl.288.5"></a><var>288.5</var>according to the federal child care and <br/>
<a id="pl.288.6"></a><var>288.6</var>development fund regulations.<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.288.7"></a><var>288.7</var><br/>
</td>
<td colspan="3">(c) <b>Child Care Development Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">232,000<br/>
</td>
<td align="center"></td>
<td align="right">232,000<br/>
</td>
</tr>
</table><a id="pl.288.8"></a><var>288.8</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.288.9"></a><var>288.9</var>increased by $1,255,000 is fiscal years 2014 <br/>
<a id="pl.288.10"></a><var>288.10</var>and 2015.<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.288.11"></a><var>288.11</var><br/>
</td>
<td colspan="3">(d) <b>Child Support Enforcement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">50,000<br/>
</td>
<td align="center"></td>
<td align="right">50,000<br/>
</td>
</tr>
</table><a id="pl.288.12"></a><var>288.12</var><b>Federal Child Support Demonstration </b><br/>
<a id="pl.288.13"></a><var>288.13</var><b>Grants. </b>Federal administrative <br/>
<a id="pl.288.14"></a><var>288.14</var>reimbursement resulting from the federal <br/>
<a id="pl.288.15"></a><var>288.15</var>child support grant expenditures authorized <br/>
<a id="pl.288.16"></a><var>288.16</var>under section 1115a of the Social Security <br/>
<a id="pl.288.17"></a><var>288.17</var>Act is appropriated to the commissioner for <br/>
<a id="pl.288.18"></a><var>288.18</var>this activity.<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.288.19"></a><var>288.19</var><br/>
</td>
<td colspan="3">(e) <b>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.288.20"></a><var>288.20</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.288.21"></a><var>288.21</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">45,654,000<br/>
</td>
<td align="right">45,654,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.288.22"></a><var>288.22</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">140,000<br/>
</td>
<td align="right">140,000<br/>
</td>
</tr>
</table><a id="pl.288.23"></a><var>288.23</var><b>Adoption Assistance and Relative Custody </b><br/>
<a id="pl.288.24"></a><var>288.24</var><b>Assistance Payments.</b> $1,661,000 each <br/>
<a id="pl.288.25"></a><var>288.25</var>year is for continuation of current payments <br/>
<a id="pl.288.26"></a><var>288.26</var>for adoption assistance and relative custody <br/>
<a id="pl.288.27"></a><var>288.27</var>assistance.<br/>
<a id="pl.288.28"></a><var>288.28</var><b>Adoption Assistance and Relative Custody </b><br/>
<a id="pl.288.29"></a><var>288.29</var><b>Assistance Transfer. </b> The commissioner <br/>
<a id="pl.288.30"></a><var>288.30</var>may transfer unencumbered appropriation <br/>
<a id="pl.288.31"></a><var>288.31</var>balances for adoption assistance and relative <br/>
<a id="pl.288.32"></a><var>288.32</var>custody assistance between fiscal years and <br/>
<a id="pl.288.33"></a><var>288.33</var>between programs.<br/>
<a id="pl.289.1"></a><var>289.1</var><b>Privatized Adoption Grants. </b>Federal <br/>
<a id="pl.289.2"></a><var>289.2</var>reimbursement for privatized adoption grant <br/>
<a id="pl.289.3"></a><var>289.3</var>and foster care recruitment grant expenditures <br/>
<a id="pl.289.4"></a><var>289.4</var>is appropriated to the commissioner for <br/>
<a id="pl.289.5"></a><var>289.5</var>adoption grants and foster care and adoption <br/>
<a id="pl.289.6"></a><var>289.6</var>administrative purposes.<br/>
<a id="pl.289.7"></a><var>289.7</var><b>Adoption Assistance Incentive Grants.</b> <br/>
<a id="pl.289.8"></a><var>289.8</var>Federal funds available during fiscal year <br/>
<a id="pl.289.9"></a><var>289.9</var>2012 and fiscal year 2013 for adoption <br/>
<a id="pl.289.10"></a><var>289.10</var>incentive grants are appropriated to the <br/>
<a id="pl.289.11"></a><var>289.11</var>commissioner for these purposes.<br/>
<a id="pl.289.12"></a><var>289.12</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.289.13"></a><var>289.13</var>increased by $1,134,000 is fiscal years 2014 <br/>
<a id="pl.289.14"></a><var>289.14</var>and 2015.<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.289.15"></a><var>289.15</var><br/>
</td>
<td colspan="3">(f) <b>Children and Community Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">54,301,000<br/>
</td>
<td align="center"></td>
<td align="right">52,301,000<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="11.799999999999999"/>
<tr>
<td><a id="pl.289.16"></a><var>289.16</var><br/>
</td>
<td colspan="3">(g) <b>Children and 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="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.289.17"></a><var>289.17</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.289.18"></a><var>289.18</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">15,770,000<br/>
</td>
<td align="right">15,772,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.289.19"></a><var>289.19</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">700,000<br/>
</td>
<td align="right">0<br/>
</td>
</tr>
</table><a id="pl.289.20"></a><var>289.20</var><b>Long-Term Homeless Services.</b> $700,000 <br/>
<a id="pl.289.21"></a><var>289.21</var>is appropriated from the federal TANF <br/>
<a id="pl.289.22"></a><var>289.22</var>fund for the biennium beginning July <br/>
<a id="pl.289.23"></a><var>289.23</var>1, 2011, to the commissioner of human <br/>
<a id="pl.289.24"></a><var>289.24</var>services for long-term homeless services <br/>
<a id="pl.289.25"></a><var>289.25</var>for low-income homeless families under <br/>
<a id="pl.289.26"></a><var>289.26</var>Minnesota Statutes, section 256K.26. This <br/>
<a id="pl.289.27"></a><var>289.27</var>is a onetime appropriation and is not added <br/>
<a id="pl.289.28"></a><var>289.28</var>to the base.<br/>
<a id="pl.289.29"></a><var>289.29</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.289.30"></a><var>289.30</var>increased by $42,000 in fiscal year 2014 and <br/>
<a id="pl.289.31"></a><var>289.31</var>$43,000 in fiscal year 2015.<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.289.32"></a><var>289.32</var><br/>
</td>
<td colspan="3">(h) <b>Health Care Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">150,000<br/>
</td>
<td align="center"></td>
<td align="right">150,000<br/>
</td>
</tr>
</table><a id="pl.289.33"></a><var>289.33</var>This appropriation is from the health care <br/>
<a id="pl.289.34"></a><var>289.34</var>access fund.<br/>
<a id="pl.290.1"></a><var>290.1</var><b>Surplus Appropriation Canceled.</b> Of the <br/>
<a id="pl.290.2"></a><var>290.2</var>health care access fund appropriation in <br/>
<a id="pl.290.3"></a><var>290.3</var>Laws 2009, chapter 79, article 13, section 3, <br/>
<a id="pl.290.4"></a><var>290.4</var>subdivision 6, paragraph (e), for the COBRA <br/>
<a id="pl.290.5"></a><var>290.5</var>premium state subsidy program, $11,750,000 <br/>
<a id="pl.290.6"></a><var>290.6</var>must be canceled in fiscal year 2011. This <br/>
<a id="pl.290.7"></a><var>290.7</var>provision is effective the day following final <br/>
<a id="pl.290.8"></a><var>290.8</var>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="12"/>
<tr>
<td><a id="pl.290.9"></a><var>290.9</var><br/>
</td>
<td colspan="3">(i) <b>Aging and Adult Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">18,734,000<br/>
</td>
<td align="center"></td>
<td align="right">18,910,000<br/>
</td>
</tr>
</table><a id="pl.290.10"></a><var>290.10</var><b>Aging Grants Reduction. </b>Effective July <br/>
<a id="pl.290.11"></a><var>290.11</var>1, 2011, funding for grants made under <br/>
<a id="pl.290.12"></a><var>290.12</var>Minnesota Statutes, sections 256.9754 and <br/>
<a id="pl.290.13"></a><var>290.13</var>256B.0917, subdivision 13, is reduced by <br/>
<a id="pl.290.14"></a><var>290.14</var>$3,600,000 for each year of the biennium. <br/>
<a id="pl.290.15"></a><var>290.15</var>These reductions are onetime and do <br/>
<a id="pl.290.16"></a><var>290.16</var>not affect base funding for the 2014-2015 <br/>
<a id="pl.290.17"></a><var>290.17</var>biennium. Grants made during the 2012-2013 <br/>
<a id="pl.290.18"></a><var>290.18</var>biennium under Minnesota Statutes, section <br/>
<a id="pl.290.19"></a><var>290.19</var>256B.9754, must not be used for new <br/>
<a id="pl.290.20"></a><var>290.20</var>construction or building renovation.<br/>
<a id="pl.290.21"></a><var>290.21</var><b>Base Level Adjustment. </b> The general fund <br/>
<a id="pl.290.22"></a><var>290.22</var>base is increased by $3,600,000 in fiscal year <br/>
<a id="pl.290.23"></a><var>290.23</var>2014 and increased by $3,600,000 in fiscal <br/>
<a id="pl.290.24"></a><var>290.24</var>year 2015.<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.290.25"></a><var>290.25</var><br/>
</td>
<td colspan="3">(j) <b>Deaf and Hard-of-Hearing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">1,936,000<br/>
</td>
<td align="center"></td>
<td align="right">1,767,000<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.290.26"></a><var>290.26</var><br/>
</td>
<td colspan="3">(k) <b>Disabilities Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">15,438,000<br/>
</td>
<td align="center"></td>
<td align="right">18,432,000<br/>
</td>
</tr>
</table><a id="pl.290.27"></a><var>290.27</var><b>HIV Grants. </b>The general fund appropriation <br/>
<a id="pl.290.28"></a><var>290.28</var>for the HIV drug and insurance grant <br/>
<a id="pl.290.29"></a><var>290.29</var>program shall be reduced by $2,425,000 in <br/>
<a id="pl.290.30"></a><var>290.30</var>fiscal year 2012 and increased by $2,425,000 <br/>
<a id="pl.290.31"></a><var>290.31</var>in fiscal year 2014. These adjustments are <br/>
<a id="pl.290.32"></a><var>290.32</var>onetime and shall not be applied to the base. <br/>
<a id="pl.290.33"></a><var>290.33</var>Notwithstanding any contrary provision, this <br/>
<a id="pl.290.34"></a><var>290.34</var>provision expires June 30, 2014. Money <br/>
<a id="pl.291.1"></a><var>291.1</var>appropriated for the HIV drug and insurance <br/>
<a id="pl.291.2"></a><var>291.2</var>grant program in fiscal year 2014 may be <br/>
<a id="pl.291.3"></a><var>291.3</var>used in either year of the biennium.<br/>
<a id="pl.291.4"></a><var>291.4</var><b>Region 10.</b> Any unspent allocation for <br/>
<a id="pl.291.5"></a><var>291.5</var>Region 10 Quality Assurance from the <br/>
<a id="pl.291.6"></a><var>291.6</var>biennium beginning on July 1, 2009, may be <br/>
<a id="pl.291.7"></a><var>291.7</var>carried over into the biennium beginning on <br/>
<a id="pl.291.8"></a><var>291.8</var>July 1, 2011.<br/>
<a id="pl.291.9"></a><var>291.9</var><b>Base Level Adjustment. </b> The general fund <br/>
<a id="pl.291.10"></a><var>291.10</var>base is increased by $2,425,000 in fiscal year <br/>
<a id="pl.291.11"></a><var>291.11</var>2014 only.<br/>
<a id="pl.291.12"></a><var>291.12</var><b>Local Planning Grants for Creating </b><br/>
<a id="pl.291.13"></a><var>291.13</var><b>Alternatives to Congregate Living for </b><br/>
<a id="pl.291.14"></a><var>291.14</var><b>Individuals with Lower Needs. </b>The <br/>
<a id="pl.291.15"></a><var>291.15</var>commissioner shall make available a total <br/>
<a id="pl.291.16"></a><var>291.16</var>of $250,000 per year in local planning <br/>
<a id="pl.291.17"></a><var>291.17</var>grants, beginning July 1, 2011, to assist <br/>
<a id="pl.291.18"></a><var>291.18</var>lead agencies and provider organizations in <br/>
<a id="pl.291.19"></a><var>291.19</var>developing alternatives to congregate living <br/>
<a id="pl.291.20"></a><var>291.20</var>within the available level of resources for the <br/>
<a id="pl.291.21"></a><var>291.21</var>home and community-based services waivers <br/>
<a id="pl.291.22"></a><var>291.22</var>for persons with disabilities.<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.291.23"></a><var>291.23</var><br/>
</td>
<td colspan="3">(l) <b>Adult 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.291.24"></a><var>291.24</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.291.25"></a><var>291.25</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">69,957,000<br/>
</td>
<td align="right">69,957,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.291.26"></a><var>291.26</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">375,000<br/>
</td>
<td align="right">375,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.291.27"></a><var>291.27</var><br/>
</td>
<td>Lottery Prize Fund<br/>
</td>
<td align="right">1,508,000<br/>
</td>
<td align="right">1,508,000<br/>
</td>
</tr>
</table><a id="pl.291.28"></a><var>291.28</var><b>Funding Usage. </b>Up to 75 percent of a fiscal <br/>
<a id="pl.291.29"></a><var>291.29</var>year's appropriation for adult mental health <br/>
<a id="pl.291.30"></a><var>291.30</var>grants may be used to fund allocations in that <br/>
<a id="pl.291.31"></a><var>291.31</var>portion of the fiscal year ending December <br/>
<a id="pl.291.32"></a><var>291.32</var>31.<br/>
<a id="pl.291.33"></a><var>291.33</var><b>Base Adjustment. </b>The general fund base is <br/>
<a id="pl.291.34"></a><var>291.34</var>increased by $813,000 in fiscal years 2014 <br/>
<a id="pl.292.1"></a><var>292.1</var>and 2015. The health care access fund base <br/>
<a id="pl.292.2"></a><var>292.2</var>is increased by $375,000 in fiscal years 2014 <br/>
<a id="pl.292.3"></a><var>292.3</var>and 2015.<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.292.4"></a><var>292.4</var><br/>
</td>
<td colspan="3">(m) <b>Children's Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">14,251,000<br/>
</td>
<td align="center"></td>
<td align="right">14,251,000<br/>
</td>
</tr>
</table><a id="pl.292.5"></a><var>292.5</var><b>Funding Usage. </b>Up to 75 percent of a fiscal <br/>
<a id="pl.292.6"></a><var>292.6</var>year's appropriation for children's mental <br/>
<a id="pl.292.7"></a><var>292.7</var>health grants may be used to fund allocations <br/>
<a id="pl.292.8"></a><var>292.8</var>in that portion of the fiscal year ending <br/>
<a id="pl.292.9"></a><var>292.9</var>December 31.<br/>
<a id="pl.292.10"></a><var>292.10</var><b>Base Adjustment.</b> The general fund base is <br/>
<a id="pl.292.11"></a><var>292.11</var>increased by $2,431,000 in fiscal years 2014 <br/>
<a id="pl.292.12"></a><var>292.12</var>and 2015.<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.292.13"></a><var>292.13</var><br/>
<a id="pl.292.14"></a><var>292.14</var><br/>
</td>
<td colspan="3">(n) <b>Chemical Dependency Nonentitlement </b><br/>
<b>Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">1,336,000<br/>
</td>
<td align="center"></td>
<td align="right">1,336,000<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.292.15"></a><var>292.15</var><br/>
</td>
<td colspan="3">Subd. 5.<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.292.16"></a><var>292.16</var><b>Transfer Authority Related to </b><br/>
<a id="pl.292.17"></a><var>292.17</var><b>State-Operated Services. </b>Money <br/>
<a id="pl.292.18"></a><var>292.18</var>appropriated for state-operated services <br/>
<a id="pl.292.19"></a><var>292.19</var>may be transferred between fiscal years <br/>
<a id="pl.292.20"></a><var>292.20</var>of the biennium with the approval of the <br/>
<a id="pl.292.21"></a><var>292.21</var>commissioner of management and budget.<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.292.22"></a><var>292.22</var><br/>
</td>
<td colspan="3">(a) <b>State-Operated Services Mental Health</b><br/>
</td>
<td align="center"></td>
<td align="right">115,286,000<br/>
</td>
<td align="center"></td>
<td align="right">115,135,000<br/>
</td>
</tr>
</table><a id="pl.292.23"></a><var>292.23</var>The commissioner shall close the Community <br/>
<a id="pl.292.24"></a><var>292.24</var>Behavioral Health Hospital-Willmar on or <br/>
<a id="pl.292.25"></a><var>292.25</var>before June 30, 2011. The commissioner <br/>
<a id="pl.292.26"></a><var>292.26</var>shall relocate the Child and Adolescent <br/>
<a id="pl.292.27"></a><var>292.27</var>Behavioral Health Hospital located in <br/>
<a id="pl.292.28"></a><var>292.28</var>the former Willmar Regional Treatment <br/>
<a id="pl.292.29"></a><var>292.29</var>Center to the facility previously housing <br/>
<a id="pl.292.30"></a><var>292.30</var>the Community Behavioral Health <br/>
<a id="pl.292.31"></a><var>292.31</var>Hospital-Willmar.<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.292.32"></a><var>292.32</var><br/>
</td>
<td colspan="3">(b) <b>Minnesota Security Hospital</b><br/>
</td>
<td align="center"></td>
<td align="right">69,582,000<br/>
</td>
<td align="center"></td>
<td align="right">69,582,000<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.292.33"></a><var>292.33</var><br/>
</td>
<td colspan="3">Subd. 6.<b>Sex Offender Program</b><br/>
</td>
<td align="center"></td>
<td align="right">70,416,000<br/>
</td>
<td align="center"></td>
<td align="right">67,570,000<br/>
</td>
</tr>
</table><a id="pl.293.1"></a><var>293.1</var><b>Transfer Authority Related to Minnesota </b><br/>
<a id="pl.293.2"></a><var>293.2</var><b>Sex Offender Program. </b>Money <br/>
<a id="pl.293.3"></a><var>293.3</var>appropriated for the Minnesota sex offender <br/>
<a id="pl.293.4"></a><var>293.4</var>program may be transferred between fiscal <br/>
<a id="pl.293.5"></a><var>293.5</var>years of the biennium with the approval <br/>
<a id="pl.293.6"></a><var>293.6</var>of the commissioner of management and <br/>
<a id="pl.293.7"></a><var>293.7</var>budget.<br/>
<a id="pl.293.8"></a><var>293.8</var><b>Minnesota Sex Offender Program </b><br/>
<a id="pl.293.9"></a><var>293.9</var><b>Reduction. </b> The fiscal year 2011 general <br/>
<a id="pl.293.10"></a><var>293.10</var>fund appropriation for Minnesota sex <br/>
<a id="pl.293.11"></a><var>293.11</var>offender services under Laws 2009, chapter <br/>
<a id="pl.293.12"></a><var>293.12</var>79, article 13, section 3, subdivision 10, <br/>
<a id="pl.293.13"></a><var>293.13</var>paragraph (b), is reduced by $3,000,000. <br/>
<a id="pl.293.14"></a><var>293.14</var>This paragraph is effective the day following <br/>
<a id="pl.293.15"></a><var>293.15</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="12"/>
<tr>
<td><a id="pl.293.16"></a><var>293.16</var><br/>
</td>
<td colspan="3">Subd. 7.<b>Technical Activities</b><br/>
</td>
<td align="center"></td>
<td align="right">92,206,000<br/>
</td>
<td align="center"></td>
<td align="right">79,551,000<br/>
</td>
</tr>
</table><a id="pl.293.17"></a><var>293.17</var>This appropriation is from the federal TANF <br/>
<a id="pl.293.18"></a><var>293.18</var>fund.<br/>
<a id="pl.293.19"></a><var>293.19</var><b>Base Level Adjustment. </b> The TANF fund <br/>
<a id="pl.293.20"></a><var>293.20</var>base is increased by $4,155,000 in fiscal year <br/>
<a id="pl.293.21"></a><var>293.21</var>2014 and increased by $4,582,000 in fiscal <br/>
<a id="pl.293.22"></a><var>293.22</var>year 2015.<br/>
<br/>
<a id="bill.10.4.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.293.23"></a><var>293.23</var><br/>
</td>
<td colspan="3">Sec. 4. <b>COMMISSIONER OF HEALTH</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.293.24"></a><var>293.24</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>132,589,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>123,237,000</b><br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="95px"/>
<col width="96px"/>
<tr>
<td><a id="pl.293.25"></a><var>293.25</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.293.26"></a><var>293.26</var><br/>
</td>
<td></td>
<td align="center">2012<br/>
</td>
<td align="center">2013<br/>
</td>
</tr>
<tr>
<td><a id="pl.293.27"></a><var>293.27</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">69,455,000<br/>
</td>
<td align="right">64,341,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.293.28"></a><var>293.28</var><br/>
<a id="pl.293.29"></a><var>293.29</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">45,387,000<br/>
</td>
<td align="right">45,376,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.293.30"></a><var>293.30</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">11,381,000<br/>
</td>
<td align="right">7,155,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.293.31"></a><var>293.31</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">6,366,000<br/>
</td>
<td align="right">6,365,000<br/>
</td>
</tr>
</table><a id="pl.293.32"></a><var>293.32</var>The amounts that may be spent for each <br/>
<a id="pl.293.33"></a><var>293.33</var>purpose are specified in the following <br/>
<a id="pl.293.34"></a><var>293.34</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.294.1"></a><var>294.1</var><br/>
<a id="pl.294.2"></a><var>294.2</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Community and Family Health </b><br/>
<b>Promotion</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.294.3"></a><var>294.3</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.294.4"></a><var>294.4</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">43,539,000<br/>
</td>
<td align="right">38,799,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.294.5"></a><var>294.5</var><br/>
<a id="pl.294.6"></a><var>294.6</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">1,033,000<br/>
</td>
<td align="right">1,033,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.294.7"></a><var>294.7</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">1,719,000<br/>
</td>
<td align="right">1,719,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.294.8"></a><var>294.8</var><br/>
</td>
<td>Federal TANF<br/>
</td>
<td align="right">6,366,000<br/>
</td>
<td align="right">6,365,000<br/>
</td>
</tr>
</table><a id="pl.294.9"></a><var>294.9</var><b>TANF Appropriations.</b> (1) $578,000 of the <br/>
<a id="pl.294.10"></a><var>294.10</var>TANF funds is appropriated each year to the <br/>
<a id="pl.294.11"></a><var>294.11</var>commissioner for family planning grants <br/>
<a id="pl.294.12"></a><var>294.12</var>under Minnesota Statutes, section 145.925.<br/>
<a id="pl.294.13"></a><var>294.13</var>(2) $1,790,000 of the TANF funds is <br/>
<a id="pl.294.14"></a><var>294.14</var>appropriated each year to the commissioner <br/>
<a id="pl.294.15"></a><var>294.15</var>for home visiting and nutritional services <br/>
<a id="pl.294.16"></a><var>294.16</var>listed under Minnesota Statutes, section <br/>
<a id="pl.294.17"></a><var>294.17</var>145.882, subdivision 7, clauses (6) and (7). <br/>
<a id="pl.294.18"></a><var>294.18</var>Funds must be distributed to community <br/>
<a id="pl.294.19"></a><var>294.19</var>health boards according to Minnesota <br/>
<a id="pl.294.20"></a><var>294.20</var>Statutes, section 145A.131, subdivision 1.<br/>
<a id="pl.294.21"></a><var>294.21</var>(3) $1,000,000 of the TANF funds is <br/>
<a id="pl.294.22"></a><var>294.22</var>appropriated each year to the commissioner <br/>
<a id="pl.294.23"></a><var>294.23</var>for decreasing infant mortality rates under <br/>
<a id="pl.294.24"></a><var>294.24</var>Minnesota Statutes, section 145.928, <br/>
<a id="pl.294.25"></a><var>294.25</var>subdivision 7.<br/>
<a id="pl.294.26"></a><var>294.26</var>(4) $2,998,000 of the TANF funds is <br/>
<a id="pl.294.27"></a><var>294.27</var>appropriated each year to the commissioner <br/>
<a id="pl.294.28"></a><var>294.28</var>for the family home visiting grant program <br/>
<a id="pl.294.29"></a><var>294.29</var>according to Minnesota Statutes, section <br/>
<a id="pl.294.30"></a><var>294.30</var>145A.17. $2,000,000 of the funding must <br/>
<a id="pl.294.31"></a><var>294.31</var>be distributed to community health boards <br/>
<a id="pl.294.32"></a><var>294.32</var>according to Minnesota Statutes, section <br/>
<a id="pl.294.33"></a><var>294.33</var>145A.131, subdivision 1. $998,000 of <br/>
<a id="pl.294.34"></a><var>294.34</var>the funding must be distributed to tribal <br/>
<a id="pl.294.35"></a><var>294.35</var>governments based on Minnesota Statutes, <br/>
<a id="pl.294.36"></a><var>294.36</var>section 145A.14, subdivision 2a.<br/>
<a id="pl.295.1"></a><var>295.1</var>(5) The commissioner may use up to 7.06 <br/>
<a id="pl.295.2"></a><var>295.2</var>percent of the funds appropriated each fiscal <br/>
<a id="pl.295.3"></a><var>295.3</var>year to conduct the ongoing evaluations <br/>
<a id="pl.295.4"></a><var>295.4</var>required under Minnesota Statutes, section <br/>
<a id="pl.295.5"></a><var>295.5</var>145A.17, subdivision 7, and training and <br/>
<a id="pl.295.6"></a><var>295.6</var>technical assistance as required under <br/>
<a id="pl.295.7"></a><var>295.7</var>Minnesota Statutes, section 145A.17, <br/>
<a id="pl.295.8"></a><var>295.8</var>subdivisions 4 and 5.<br/>
<a id="pl.295.9"></a><var>295.9</var><b>TANF Carryforward.</b> Any unexpended <br/>
<a id="pl.295.10"></a><var>295.10</var>balance of the TANF appropriation in the <br/>
<a id="pl.295.11"></a><var>295.11</var>first year of the biennium does not cancel but <br/>
<a id="pl.295.12"></a><var>295.12</var>is available for the second year.<br/>
<a id="pl.295.13"></a><var>295.13</var><b>Base Level Adjustment.</b> The general fund <br/>
<a id="pl.295.14"></a><var>295.14</var>base is decreased by $5,000 in fiscal years <br/>
<a id="pl.295.15"></a><var>295.15</var>2014 and 2015.<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.295.16"></a><var>295.16</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.295.17"></a><var>295.17</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.295.18"></a><var>295.18</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">10,395,000<br/>
</td>
<td align="right">10,023,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.295.19"></a><var>295.19</var><br/>
<a id="pl.295.20"></a><var>295.20</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">14,026,000<br/>
</td>
<td align="right">14,083,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.295.21"></a><var>295.21</var><br/>
</td>
<td>Health Care Access<br/>
</td>
<td align="right">9,662,000<br/>
</td>
<td align="right">5,436,000<br/>
</td>
</tr>
</table><a id="pl.295.22"></a><var>295.22</var><b>Medical Education and Research </b><br/>
<a id="pl.295.23"></a><var>295.23</var><b>Costs (MERC) Fund Transfers.</b> The <br/>
<a id="pl.295.24"></a><var>295.24</var>commissioner of management and budget <br/>
<a id="pl.295.25"></a><var>295.25</var>shall transfer $9,800,000 from the MERC <br/>
<a id="pl.295.26"></a><var>295.26</var>fund to the general fund by October 1, 2011.<br/>
<a id="pl.295.27"></a><var>295.27</var><b>White Earth Clinic.</b> Of the general fund <br/>
<a id="pl.295.28"></a><var>295.28</var>appropriation, $500,000 in the first year and <br/>
<a id="pl.295.29"></a><var>295.29</var>$200,000 in the second year is for a grant <br/>
<a id="pl.295.30"></a><var>295.30</var>to the White Earth Band of Ojibwe Indians. <br/>
<a id="pl.295.31"></a><var>295.31</var>If the White Earth Band of Ojibwe Indians <br/>
<a id="pl.295.32"></a><var>295.32</var>accepts this grant, funds must be used for <br/>
<a id="pl.295.33"></a><var>295.33</var>the White Earth Clinic under Minnesota <br/>
<a id="pl.295.34"></a><var>295.34</var>Statutes, section 145.9271. The base for this <br/>
<a id="pl.296.1"></a><var>296.1</var>program is $200,000 for each of fiscal years <br/>
<a id="pl.296.2"></a><var>296.2</var>2014 and 2015.<br/>
<a id="pl.296.3"></a><var>296.3</var><b>Comprehensive Advanced Life Support.</b> <br/>
<a id="pl.296.4"></a><var>296.4</var>Of the general fund appropriation, $31,000 <br/>
<a id="pl.296.5"></a><var>296.5</var>each year is added to the base of the <br/>
<a id="pl.296.6"></a><var>296.6</var>comprehensive advanced life support <br/>
<a id="pl.296.7"></a><var>296.7</var>(CALS) program under Minnesota Statutes, <br/>
<a id="pl.296.8"></a><var>296.8</var>section 144.6062.<br/>
<a id="pl.296.9"></a><var>296.9</var><b>Unused Federal Match Funds.</b> Of the <br/>
<a id="pl.296.10"></a><var>296.10</var>funds appropriated in Laws 2009, chapter <br/>
<a id="pl.296.11"></a><var>296.11</var>79, article 13, section 4, subdivision 3, for <br/>
<a id="pl.296.12"></a><var>296.12</var>state matching funds for the federal Health <br/>
<a id="pl.296.13"></a><var>296.13</var>Information Technology for Economic and <br/>
<a id="pl.296.14"></a><var>296.14</var>Clinical Health Act, $2,800,000 is transferred <br/>
<a id="pl.296.15"></a><var>296.15</var>to the health care access fund by October 1, <br/>
<a id="pl.296.16"></a><var>296.16</var>2011.<br/>
<a id="pl.296.17"></a><var>296.17</var><b>Loan Forgiveness.</b> $1,014,000 is <br/>
<a id="pl.296.18"></a><var>296.18</var>appropriated from the health care access <br/>
<a id="pl.296.19"></a><var>296.19</var>fund in fiscal year 2012 for the department to <br/>
<a id="pl.296.20"></a><var>296.20</var>fulfill existing obligations of loan forgiveness <br/>
<a id="pl.296.21"></a><var>296.21</var>agreements. This funding is available <br/>
<a id="pl.296.22"></a><var>296.22</var>through fiscal year 2014. In addition, prior <br/>
<a id="pl.296.23"></a><var>296.23</var>year funds appropriated for loan forgiveness <br/>
<a id="pl.296.24"></a><var>296.24</var>and required to fulfill existing obligations do <br/>
<a id="pl.296.25"></a><var>296.25</var>not expire and are available until expended.<br/>
<a id="pl.296.26"></a><var>296.26</var><b>Administrative Reports.</b> Of the general <br/>
<a id="pl.296.27"></a><var>296.27</var>fund appropriation, $82,000 in fiscal year <br/>
<a id="pl.296.28"></a><var>296.28</var>2012 and $10,000 in fiscal year 2013 <br/>
<a id="pl.296.29"></a><var>296.29</var>are for transfer to the commissioner of <br/>
<a id="pl.296.30"></a><var>296.30</var>management and budget for the reduction of <br/>
<a id="pl.296.31"></a><var>296.31</var>the administrative report study.<br/>
<a id="pl.296.32"></a><var>296.32</var><b>Base Level Adjustment.</b> The state <br/>
<a id="pl.296.33"></a><var>296.33</var>government special revenue fund base shall <br/>
<a id="pl.296.34"></a><var>296.34</var>be reduced by $141,000 in fiscal years 2014 <br/>
<a id="pl.297.1"></a><var>297.1</var>and 2015. The health care access base shall <br/>
<a id="pl.297.2"></a><var>297.2</var>be increased by $600,000 in fiscal year 2014.<br/>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.3"></a><var>297.3</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Health Protection</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="126px"/>
<col width="96px"/>
<col width="96px"/>
<tr>
<td><a id="pl.297.4"></a><var>297.4</var><br/>
</td>
<td align="center" colspan="3">Appropriations by Fund<br/>
</td>
</tr>
<tr>
<td><a id="pl.297.5"></a><var>297.5</var><br/>
</td>
<td>General<br/>
</td>
<td align="right">9,370,000<br/>
</td>
<td align="right">9,370,000<br/>
</td>
</tr>
<tr>
<td><a id="pl.297.6"></a><var>297.6</var><br/>
<a id="pl.297.7"></a><var>297.7</var><br/>
</td>
<td>State Government <br/>
Special Revenue<br/>
</td>
<td align="right">30,328,000<br/>
</td>
<td align="right">30,260,000<br/>
</td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.8"></a><var>297.8</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Administrative Support Services</b><br/>
</td>
<td align="center"></td>
<td align="right">6,151,000<br/>
</td>
<td align="center"></td>
<td align="right">6,149,000<br/>
</td>
</tr>
</table><br/>
<a id="bill.10.5.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.9"></a><var>297.9</var><br/>
</td>
<td colspan="3">Sec. 5. <b>COUNCIL ON DISABILITY</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>524,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>524,000</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.10.6.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.10"></a><var>297.10</var><br/>
<a id="pl.297.11"></a><var>297.11</var><br/>
<a id="pl.297.12"></a><var>297.12</var><br/>
</td>
<td colspan="3">Sec. 6. <b>OMBUDSMAN FOR MENTAL </b><br/>
<b>HEALTH AND DEVELOPMENTAL </b><br/>
<b>DISABILITIES</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>1,655,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>1,655,000</b><br/>
</td>
</tr>
</table><a id="pl.297.13"></a><var>297.13</var>Funds appropriated for fiscal year 2011 are <br/>
<a id="pl.297.14"></a><var>297.14</var>available until expended.<br/>
<br/>
<a id="bill.10.7.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.15"></a><var>297.15</var><br/>
</td>
<td colspan="3">Sec. 7. <b>OMBUDSPERSON FOR FAMILIES</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>265,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>265,000</b><br/>
</td>
</tr>
</table><br/>
<a id="bill.10.8.0"></a><table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.16"></a><var>297.16</var><br/>
</td>
<td colspan="3">Sec. 8. <b>HEALTH-RELATED BOARDS</b><br/>
</td>
<td align="center"></td>
<td align="right"></td>
<td align="center"></td>
<td align="right"></td>
</tr>
</table>
<table>
<col width="50px"/>
<col width="21.5"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.6"/>
<col width="12"/>
<col width="2.5"/>
<col width="12"/>
<tr>
<td><a id="pl.297.17"></a><var>297.17</var><br/>
</td>
<td colspan="3">Subdivision 1.<b>Total Appropriation</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>17,748,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>17,534,000</b><br/>
</td>
</tr>
</table><a id="pl.297.18"></a><var>297.18</var>This appropriation is from the state <br/>
<a id="pl.297.19"></a><var>297.19</var>government special revenue fund. The <br/>
<a id="pl.297.20"></a><var>297.20</var>amounts that may be spent for each  purpose <br/>
<a id="pl.297.21"></a><var>297.21</var>are specified 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.297.22"></a><var>297.22</var><br/>
</td>
<td colspan="3">Subd. 2.<b>Board of Chiropractic Examiners</b><br/>
</td>
<td align="center"></td>
<td align="right">469,000<br/>
</td>
<td align="center"></td>
<td align="right">469,000<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.297.23"></a><var>297.23</var><br/>
</td>
<td colspan="3">Subd. 3.<b>Board of Dentistry</b><br/>
</td>
<td align="center"></td>
<td align="right">1,829,000<br/>
</td>
<td align="center"></td>
<td align="right">1,814,000<br/>
</td>
</tr>
</table><a id="pl.297.24"></a><var>297.24</var><b>Health Professional Services Program.</b> Of <br/>
<a id="pl.297.25"></a><var>297.25</var>this appropriation, $704,000 in fiscal year <br/>
<a id="pl.297.26"></a><var>297.26</var>2012 and $704,000 in fiscal year 2013 from <br/>
<a id="pl.297.27"></a><var>297.27</var>the state government special revenue fund are <br/>
<a id="pl.297.28"></a><var>297.28</var>for the health professional services program.<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.297.29"></a><var>297.29</var><br/>
<a id="pl.297.30"></a><var>297.30</var><br/>
</td>
<td colspan="3">Subd. 4.<b>Board of Dietetic and Nutrition </b><br/>
<b>Practice</b><br/>
</td>
<td align="center"></td>
<td align="right">110,000<br/>
</td>
<td align="center"></td>
<td align="right">110,000<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.297.31"></a><var>297.31</var><br/>
<a id="pl.297.32"></a><var>297.32</var><br/>
</td>
<td colspan="3">Subd. 5.<b>Board of Marriage and Family </b><br/>
<b>Therapy</b><br/>
</td>
<td align="center"></td>
<td align="right">192,000<br/>
</td>
<td align="center"></td>
<td align="right">167,000<br/>
</td>
</tr>
</table><a id="pl.298.1"></a><var>298.1</var><b>Rulemaking.</b> Of this appropriation, $25,000 <br/>
<a id="pl.298.2"></a><var>298.2</var>in fiscal year 2012 is for rulemaking. This is <br/>
<a id="pl.298.3"></a><var>298.3</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.298.4"></a><var>298.4</var><br/>
</td>
<td colspan="3">Subd. 6.<b>Board of Medical Practice</b><br/>
</td>
<td align="center"></td>
<td align="right">3,866,000<br/>
</td>
<td align="center"></td>
<td align="right">3,866,000<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.298.5"></a><var>298.5</var><br/>
</td>
<td colspan="3">Subd. 7.<b>Board of Nursing</b><br/>
</td>
<td align="center"></td>
<td align="right">3,694,000<br/>
</td>
<td align="center"></td>
<td align="right">3,551,000<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.298.6"></a><var>298.6</var><br/>
<a id="pl.298.7"></a><var>298.7</var><br/>
</td>
<td colspan="3">Subd. 8.<b>Board of Nursing Home </b><br/>
<b>Administrators</b><br/>
</td>
<td align="center"></td>
<td align="right">2,153,000<br/>
</td>
<td align="center"></td>
<td align="right">2,145,000<br/>
</td>
</tr>
</table><a id="pl.298.8"></a><var>298.8</var><b>Rulemaking.</b> Of this appropriation, $44,000 <br/>
<a id="pl.298.9"></a><var>298.9</var>in fiscal year 2012 is for rulemaking. This is <br/>
<a id="pl.298.10"></a><var>298.10</var>a onetime appropriation.<br/>
<a id="pl.298.11"></a><var>298.11</var><b>Electronic Licensing System Adaptors.</b> <br/>
<a id="pl.298.12"></a><var>298.12</var>Of this appropriation, $761,000 in fiscal <br/>
<a id="pl.298.13"></a><var>298.13</var>year 2013 from the state government special <br/>
<a id="pl.298.14"></a><var>298.14</var>revenue fund is to the administrative services <br/>
<a id="pl.298.15"></a><var>298.15</var>unit to cover the costs to connect to the <br/>
<a id="pl.298.16"></a><var>298.16</var>e-licensing system. Minnesota Statutes, <br/>
<a id="pl.298.17"></a><var>298.17</var>section 16E.22. Base level funding  for this <br/>
<a id="pl.298.18"></a><var>298.18</var>activity in fiscal year 2014 shall be  $100,000. <br/>
<a id="pl.298.19"></a><var>298.19</var>Base level funding for this activity in fiscal <br/>
<a id="pl.298.20"></a><var>298.20</var>year 2015 shall be $50,000.<br/>
<a id="pl.298.21"></a><var>298.21</var><b>Development and Implementation of a </b><br/>
<a id="pl.298.22"></a><var>298.22</var><b>Disciplinary, Regulatory, Licensing and </b><br/>
<a id="pl.298.23"></a><var>298.23</var><b>Information Management System.</b> Of this <br/>
<a id="pl.298.24"></a><var>298.24</var>appropriation, $800,000 in fiscal  year 2012 <br/>
<a id="pl.298.25"></a><var>298.25</var>and $300,000 in fiscal year 2013 are  for the <br/>
<a id="pl.298.26"></a><var>298.26</var>development of a shared system. Base level <br/>
<a id="pl.298.27"></a><var>298.27</var>funding for this activity in fiscal year 2014 <br/>
<a id="pl.298.28"></a><var>298.28</var>shall be $50,000.<br/>
<a id="pl.298.29"></a><var>298.29</var><b>Administrative Services Unit - Operating </b><br/>
<a id="pl.298.30"></a><var>298.30</var><b>Costs.</b> Of this appropriation, $526,000 <br/>
<a id="pl.298.31"></a><var>298.31</var>in fiscal year 2012 and $526,000 in <br/>
<a id="pl.298.32"></a><var>298.32</var>fiscal year 2013 are for operating costs <br/>
<a id="pl.298.33"></a><var>298.33</var>of the administrative services unit. The <br/>
<a id="pl.298.34"></a><var>298.34</var>administrative services unit may receive <br/>
<a id="pl.299.1"></a><var>299.1</var>and expend reimbursements for services <br/>
<a id="pl.299.2"></a><var>299.2</var>performed by other agencies.<br/>
<a id="pl.299.3"></a><var>299.3</var><b>Administrative Services Unit - Retirement </b><br/>
<a id="pl.299.4"></a><var>299.4</var><b>Costs.</b> Of this appropriation in fiscal year <br/>
<a id="pl.299.5"></a><var>299.5</var>2012, $225,000 is for onetime retirement <br/>
<a id="pl.299.6"></a><var>299.6</var>costs in the health-related boards. This <br/>
<a id="pl.299.7"></a><var>299.7</var>funding may be transferred to the health <br/>
<a id="pl.299.8"></a><var>299.8</var>boards incurring those costs for their <br/>
<a id="pl.299.9"></a><var>299.9</var>payment. These funds are available either <br/>
<a id="pl.299.10"></a><var>299.10</var>year of the biennium.<br/>
<a id="pl.299.11"></a><var>299.11</var><b>Administrative Services Unit - Volunteer </b><br/>
<a id="pl.299.12"></a><var>299.12</var><b>Health Care Provider Program.</b> Of this <br/>
<a id="pl.299.13"></a><var>299.13</var>appropriation, $150,000 in fiscal year 2012 <br/>
<a id="pl.299.14"></a><var>299.14</var>and $150,000 in fiscal year 2013 are to pay <br/>
<a id="pl.299.15"></a><var>299.15</var>for medical professional liability coverage <br/>
<a id="pl.299.16"></a><var>299.16</var>required under Minnesota Statutes, section <br/>
<a id="pl.299.17"></a><var>299.17</var>214.40.<br/>
<a id="pl.299.18"></a><var>299.18</var><b>Administrative Services Unit - Contested </b><br/>
<a id="pl.299.19"></a><var>299.19</var><b>Cases and Other Legal Proceedings.</b> Of <br/>
<a id="pl.299.20"></a><var>299.20</var>this appropriation, $200,000 in fiscal year <br/>
<a id="pl.299.21"></a><var>299.21</var>2012 and $200,000 in fiscal year 2013 are <br/>
<a id="pl.299.22"></a><var>299.22</var>for costs of contested case hearings and other <br/>
<a id="pl.299.23"></a><var>299.23</var>unanticipated costs of legal proceedings <br/>
<a id="pl.299.24"></a><var>299.24</var>involving health-related boards funded <br/>
<a id="pl.299.25"></a><var>299.25</var>under this section. Upon certification of a <br/>
<a id="pl.299.26"></a><var>299.26</var>health-related board to the administrative <br/>
<a id="pl.299.27"></a><var>299.27</var>services unit that the costs will be incurred <br/>
<a id="pl.299.28"></a><var>299.28</var>and that there is insufficient money available <br/>
<a id="pl.299.29"></a><var>299.29</var>to pay for the costs out of money currently <br/>
<a id="pl.299.30"></a><var>299.30</var>available to that board, the administrative <br/>
<a id="pl.299.31"></a><var>299.31</var>services unit is authorized to transfer money <br/>
<a id="pl.299.32"></a><var>299.32</var>from this appropriation to the board for <br/>
<a id="pl.299.33"></a><var>299.33</var>payment of those costs with the approval <br/>
<a id="pl.299.34"></a><var>299.34</var>of the commissioner of management and <br/>
<a id="pl.299.35"></a><var>299.35</var>budget. This appropriation does not cancel. <br/>
<a id="pl.300.1"></a><var>300.1</var>Any unencumbered and unspent balances <br/>
<a id="pl.300.2"></a><var>300.2</var>remain available for these expenditures in <br/>
<a id="pl.300.3"></a><var>300.3</var>subsequent fiscal years.<br/>
<a id="pl.300.4"></a><var>300.4</var><b>Base Adjustment.</b> The State Government <br/>
<a id="pl.300.5"></a><var>300.5</var>Special Revenue Fund base is decreased by <br/>
<a id="pl.300.6"></a><var>300.6</var>$911,000 in fiscal year 2014 and $1,011,000 <br/>
<a id="pl.300.7"></a><var>300.7</var>in fiscal year 2015.<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.300.8"></a><var>300.8</var><br/>
</td>
<td colspan="3">Subd. 9.<b>Board of Optometry</b><br/>
</td>
<td align="center"></td>
<td align="right">106,000<br/>
</td>
<td align="center"></td>
<td align="right">106,000<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.300.9"></a><var>300.9</var><br/>
</td>
<td colspan="3">Subd. 10.<b>Board of Pharmacy</b><br/>
</td>
<td align="center"></td>
<td align="right">2,341,000<br/>
</td>
<td align="center"></td>
<td align="right">2,344,000<br/>
</td>
</tr>
</table><a id="pl.300.10"></a><var>300.10</var><b>Prescription Electronic Reporting.</b> Of <br/>
<a id="pl.300.11"></a><var>300.11</var>this appropriation, $356,000 in fiscal year <br/>
<a id="pl.300.12"></a><var>300.12</var>2012 and $356,000 in fiscal year 2013 from <br/>
<a id="pl.300.13"></a><var>300.13</var>the state government special revenue fund <br/>
<a id="pl.300.14"></a><var>300.14</var>are to the board to operate the prescription <br/>
<a id="pl.300.15"></a><var>300.15</var>electronic reporting system in Minnesota <br/>
<a id="pl.300.16"></a><var>300.16</var>Statutes, section 152.126. Base level funding <br/>
<a id="pl.300.17"></a><var>300.17</var>for this activity in fiscal year 2014 shall be <br/>
<a id="pl.300.18"></a><var>300.18</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.300.19"></a><var>300.19</var><br/>
</td>
<td colspan="3">Subd. 11.<b>Board of Physical Therapy</b><br/>
</td>
<td align="center"></td>
<td align="right">389,000<br/>
</td>
<td align="center"></td>
<td align="right">345,000<br/>
</td>
</tr>
</table><a id="pl.300.20"></a><var>300.20</var><b>Rulemaking.</b> Of this appropriation, $44,000 <br/>
<a id="pl.300.21"></a><var>300.21</var>in fiscal year 2012 is for rulemaking. This is <br/>
<a id="pl.300.22"></a><var>300.22</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.300.23"></a><var>300.23</var><br/>
</td>
<td colspan="3">Subd. 12.<b>Board of Podiatry</b><br/>
</td>
<td align="center"></td>
<td align="right">75,000<br/>
</td>
<td align="center"></td>
<td align="right">75,000<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.300.24"></a><var>300.24</var><br/>
</td>
<td colspan="3">Subd. 13.<b>Board of Psychology</b><br/>
</td>
<td align="center"></td>
<td align="right">846,000<br/>
</td>
<td align="center"></td>
<td align="right">846,000<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.300.25"></a><var>300.25</var><br/>
</td>
<td colspan="3">Subd. 14.<b>Board of Social Work</b><br/>
</td>
<td align="center"></td>
<td align="right">1,036,000<br/>
</td>
<td align="center"></td>
<td align="right">1,053,000<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.300.26"></a><var>300.26</var><br/>
</td>
<td colspan="3">Subd. 15.<b>Board of Veterinary Medicine</b><br/>
</td>
<td align="center"></td>
<td align="right">228,000<br/>
</td>
<td align="center"></td>
<td align="right">229,000<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.300.27"></a><var>300.27</var><br/>
<a id="pl.300.28"></a><var>300.28</var><br/>
</td>
<td colspan="3">Subd. 16.<b>Board of Behavioral Health and </b><br/>
<b>Therapy</b><br/>
</td>
<td align="center"></td>
<td align="right">414,000<br/>
</td>
<td align="center"></td>
<td align="right">414,000<br/>
</td>
</tr>
</table><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.300.29"></a><var>300.29</var><br/>
<a id="pl.300.30"></a><var>300.30</var><br/>
</td>
<td colspan="3">Sec. 9. <b>EMERGENCY MEDICAL SERVICES </b><br/>
<b>REGULATORY BOARD</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>2,742,000</b><br/>
</td>
<td align="center"><b>$</b><br/>
</td>
<td align="right"><b>2,742,000</b><br/>
</td>
</tr>
</table><a id="pl.300.31"></a><var>300.31</var><b>Regional Grants.</b> $585,000 in fiscal year <br/>
<a id="pl.300.32"></a><var>300.32</var>2012 and $585,000 in fiscal year 2013 are <br/>
<a id="pl.301.1"></a><var>301.1</var>for regional emergency medical services <br/>
<a id="pl.301.2"></a><var>301.2</var>programs, to be distributed equally to the <br/>
<a id="pl.301.3"></a><var>301.3</var>eight emergency medical service regions. <br/>
<a id="pl.301.4"></a><var>301.4</var>Notwithstanding Minnesota Statutes, section <br/>
<a id="pl.301.5"></a><var>301.5</var>144E.50, 100 percent of the appropriation <br/>
<a id="pl.301.6"></a><var>301.6</var>shall be granted to the emergency medical <br/>
<a id="pl.301.7"></a><var>301.7</var>service regions.<br/>
<a id="pl.301.8"></a><var>301.8</var><b>Cooper/Sams Volunteer Ambulance </b><br/>
<a id="pl.301.9"></a><var>301.9</var><b>Program.</b> $700,000 in fiscal year 2012 and <br/>
<a id="pl.301.10"></a><var>301.10</var>$700,000 in fiscal year 2013 are for the <br/>
<a id="pl.301.11"></a><var>301.11</var>Cooper/Sams volunteer ambulance program <br/>
<a id="pl.301.12"></a><var>301.12</var>under Minnesota Statutes, section 144E.40.<br/>
<a id="pl.301.13"></a><var>301.13</var>(a) Of this amount, $611,000 in fiscal year <br/>
<a id="pl.301.14"></a><var>301.14</var>2012 and $611,000 in fiscal year 2013 <br/>
<a id="pl.301.15"></a><var>301.15</var>are for the ambulance service personnel <br/>
<a id="pl.301.16"></a><var>301.16</var>longevity award and incentive program, <br/>
<a id="pl.301.17"></a><var>301.17</var>under Minnesota Statutes, section 144E.40. <br/>
<a id="pl.301.18"></a><var>301.18</var>(b) Of this amount, $89,000 in fiscal year <br/>
<a id="pl.301.19"></a><var>301.19</var>2012 and $89,000 in fiscal year 2013 are <br/>
<a id="pl.301.20"></a><var>301.20</var>for the operations of the ambulance service <br/>
<a id="pl.301.21"></a><var>301.21</var>personnel longevity award and incentive <br/>
<a id="pl.301.22"></a><var>301.22</var>program, under Minnesota Statutes, section <br/>
<a id="pl.301.23"></a><var>301.23</var>144E.40. <br/>
<a id="pl.301.24"></a><var>301.24</var><b>Ambulance Training Grant.</b> $361,000 in <br/>
<a id="pl.301.25"></a><var>301.25</var>fiscal year 2012 and $361,000 in fiscal year <br/>
<a id="pl.301.26"></a><var>301.26</var>2013 are for training grants.<br/>
<a id="pl.301.27"></a><var>301.27</var><b>EMSRB Board Operations.</b> $1,096,000 in <br/>
<a id="pl.301.28"></a><var>301.28</var>fiscal year 2012 and $1,096,000 in fiscal year <br/>
<a id="pl.301.29"></a><var>301.29</var>2013 are for operations.<br/>
<br/>
<a id="bill.10.10.0"></a><a id="pl.301.30"></a><var>301.30</var>    Sec. 10. Minnesota Statutes 2010, section 256.01, is amended by adding a subdivision <br/>
<a id="pl.301.31"></a><var>301.31</var>to read:<br/>
<a id="pl.301.32"></a><var>301.32</var>    Subd. 33. <b>Federal administrative reimbursement dedicated.</b> Federal <br/>
<a id="pl.301.33"></a><var>301.33</var>administrative reimbursement resulting from the following activities is appropriated to the <br/>
<a id="pl.301.34"></a><var>301.34</var>commissioner for the designated purposes:<br/>
<a id="pl.302.1"></a><var>302.1</var>(1) reimbursement for the Minnesota senior health options project; and<br/>
<a id="pl.302.2"></a><var>302.2</var>(2) reimbursement related to prior authorization and inpatient admission certification <br/>
<a id="pl.302.3"></a><var>302.3</var>by a professional review organization. A portion of these funds must be used for activities <br/>
<a id="pl.302.4"></a><var>302.4</var>to decrease unnecessary pharmaceutical costs in medical assistance.<br/>
<br/>
<a id="bill.10.11.0"></a><a id="pl.302.5"></a><var>302.5</var>    Sec. 11. Laws 2010, First Special Session chapter 1, article 15, section 3, subdivision <br/>
<a id="pl.302.6"></a><var>302.6</var>6, 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.302.7"></a><var>302.7</var><br/>
</td>
<td colspan="3">Subd. 6.<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="11.899999999999999"/>
<col width="2.5"/>
<col width="12"/>
<col width="2.5"/>
<col width="12.1"/>
<tr>
<td><a id="pl.302.8"></a><var>302.8</var><br/>
</td>
<td colspan="3">(a) <b>Aging and Adult Services Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(3,600,000)<br/>
</td>
<td align="center"></td>
<td align="right">(3,600,000)<br/>
</td>
</tr>
</table><a id="pl.302.9"></a><var>302.9</var><b>Community Service/Service Development </b><br/>
<a id="pl.302.10"></a><var>302.10</var><b>Grants Reduction.</b> Effective retroactively <br/>
<a id="pl.302.11"></a><var>302.11</var>from July 1, 2009, funding for grants made <br/>
<a id="pl.302.12"></a><var>302.12</var>under Minnesota Statutes, sections 
         <statute_ref>256.9754</statute_ref> <br/>
<a id="pl.302.13"></a><var>302.13</var>and 
         <statute_ref>256B.0917, subdivision 13</statute_ref>, is reduced by <br/>
<a id="pl.302.14"></a><var>302.14</var>$5,807,000 $3,600,000 for each year of the <br/>
<a id="pl.302.15"></a><var>302.15</var>biennium. Grants made during the biennium <br/>
<a id="pl.302.16"></a><var>302.16</var>under Minnesota Statutes, section 
         <statute_ref>256.9754</statute_ref>, <br/>
<a id="pl.302.17"></a><var>302.17</var>shall not be used for new construction or <br/>
<a id="pl.302.18"></a><var>302.18</var>building renovation.<br/>
<a id="pl.302.19"></a><var>302.19</var><b>Aging Grants Delay.</b> Aging grants must be <br/>
<a id="pl.302.20"></a><var>302.20</var>reduced by $917,000 in fiscal year 2011 and <br/>
<a id="pl.302.21"></a><var>302.21</var>increased by $917,000 in fiscal year 2012. <br/>
<a id="pl.302.22"></a><var>302.22</var>These adjustments are onetime and must not <br/>
<a id="pl.302.23"></a><var>302.23</var>be applied to the base. This provision expires <br/>
<a id="pl.302.24"></a><var>302.24</var>June 30, 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.302.25"></a><var>302.25</var><br/>
<a id="pl.302.26"></a><var>302.26</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">(3,827,000)<br/>
</td>
<td align="center"></td>
<td align="right">(2,745,000)<br/>
</td>
</tr>
</table><a id="pl.302.27"></a><var>302.27</var><b>ICF/MR Variable Rates Suspension.</b> <br/>
<a id="pl.302.28"></a><var>302.28</var>Effective retroactively from July 1, 2009, <br/>
<a id="pl.302.29"></a><var>302.29</var>to June 30, 2010, no new variable rates <br/>
<a id="pl.302.30"></a><var>302.30</var>shall be authorized for intermediate care <br/>
<a id="pl.302.31"></a><var>302.31</var>facilities for persons with developmental <br/>
<a id="pl.302.32"></a><var>302.32</var>disabilities under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.302.33"></a><var>302.33</var>256B.5013, subdivision 1
         </statute_ref>.<br/>
<a id="pl.303.1"></a><var>303.1</var><b>ICF/MR Occupancy Rate Adjustment </b><br/>
<a id="pl.303.2"></a><var>303.2</var><b>Suspension.</b> Effective retroactively from <br/>
<a id="pl.303.3"></a><var>303.3</var>July 1, 2009, to June 30, 2011, approval <br/>
<a id="pl.303.4"></a><var>303.4</var>of new applications for occupancy rate <br/>
<a id="pl.303.5"></a><var>303.5</var>adjustments for unoccupied short-term <br/>
<a id="pl.303.6"></a><var>303.6</var>beds under Minnesota Statutes, section <br/>
<statute_ref><a id="pl.303.7"></a><var>303.7</var>256B.5013, subdivision 7
         </statute_ref>, is suspended.<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.303.8"></a><var>303.8</var><br/>
<a id="pl.303.9"></a><var>303.9</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" valign="top">(2,318,000)<br/>
</td>
<td align="center"></td>
<td align="right" valign="top">(5,807,000)<br/>
</td>
</tr>
</table><a id="pl.303.10"></a><var>303.10</var><b>Developmental Disability Waiver Acuity </b><br/>
<a id="pl.303.11"></a><var>303.11</var><b>Factor.</b> Effective retroactively from January <br/>
<a id="pl.303.12"></a><var>303.12</var>1, 2010, the January 1, 2010, one percent <br/>
<a id="pl.303.13"></a><var>303.13</var>growth factor in the developmental disability <br/>
<a id="pl.303.14"></a><var>303.14</var>waiver allocations under Minnesota Statutes, <br/>
<a id="pl.303.15"></a><var>303.15</var>section 
         <statute_ref>256B.092, subdivisions 4</statute_ref> and 5, <br/>
<a id="pl.303.16"></a><var>303.16</var>that is attributable to changes in acuity, <br/>
<a id="pl.303.17"></a><var>303.17</var>is suspended to June 30, 2011 eliminated. <br/>
<a id="pl.303.18"></a><var>303.18</var>Effective January 1, 2012, the one percent <br/>
<a id="pl.303.19"></a><var>303.19</var>growth factor in the developmental <br/>
<a id="pl.303.20"></a><var>303.20</var>disability waiver allocations is eliminated. <br/>
<a id="pl.303.21"></a><var>303.21</var>Notwithstanding any law to the contrary, this <br/>
<a id="pl.303.22"></a><var>303.22</var>provision does 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.303.23"></a><var>303.23</var><br/>
</td>
<td colspan="3">(d) <b>Adult Mental Health Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(5,000,000)<br/>
</td>
<td align="center"></td>
<td align="right">-0-<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.303.24"></a><var>303.24</var><br/>
</td>
<td colspan="3">(e) <b>Chemical Dependency Entitlement Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">(3,622,000)<br/>
</td>
<td align="center"></td>
<td align="right">(3,622,000)<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.303.25"></a><var>303.25</var><br/>
<a id="pl.303.26"></a><var>303.26</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">(393,000)<br/>
</td>
<td align="center"></td>
<td align="right">(393,000)<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.303.27"></a><var>303.27</var><br/>
<a id="pl.303.28"></a><var>303.28</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">(2,500,000)<br/>
(1,414,000)<br/>
</td>
</tr>
</table><a id="pl.303.29"></a><var>303.29</var><b>Other Continuing Care Grants Delay.</b> <br/>
<a id="pl.303.30"></a><var>303.30</var>Other continuing care grants must be reduced <br/>
<a id="pl.303.31"></a><var>303.31</var>by $1,414,000 in fiscal year 2011 and <br/>
<a id="pl.303.32"></a><var>303.32</var>increased by $1,414,000 in fiscal year 2012. <br/>
<a id="pl.303.33"></a><var>303.33</var>These adjustments are onetime and must not <br/>
<a id="pl.303.34"></a><var>303.34</var>be applied to the base. This provision expires <br/>
<a id="pl.303.35"></a><var>303.35</var>June 30, 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.304.1"></a><var>304.1</var><br/>
</td>
<td colspan="3">(h) <b>Deaf and Hard-of-Hearing Grants</b><br/>
</td>
<td align="center"></td>
<td align="right">-0-<br/>
</td>
<td align="center"></td>
<td align="right">(169,000)<br/>
</td>
</tr>
</table><a id="pl.304.2"></a><var>304.2</var><b>Deaf and Hard-of-Hearing Grants Delay.</b> <br/>
<a id="pl.304.3"></a><var>304.3</var>Effective retroactively from July 1, 2010, <br/>
<a id="pl.304.4"></a><var>304.4</var>deaf and hard-of-hearing grants must be <br/>
<a id="pl.304.5"></a><var>304.5</var>reduced by $169,000 in fiscal year 2011 and <br/>
<a id="pl.304.6"></a><var>304.6</var>increased by $169,000 in fiscal year 2012. <br/>
<a id="pl.304.7"></a><var>304.7</var>These adjustments are onetime and must not <br/>
<a id="pl.304.8"></a><var>304.8</var>be applied to the base. This provision expires <br/>
<a id="pl.304.9"></a><var>304.9</var>June 30, 2012.<br/>
<br/>
<a id="bill.10.12.0"></a><a id="pl.304.10"></a><var>304.10</var>    Sec. 12. <b>TRANSFERS.</b><br/>
<a id="pl.304.11"></a><var>304.11</var>    Subdivision 1. <b>Grants.</b> The commissioner of human services, with the approval <br/>
<a id="pl.304.12"></a><var>304.12</var>of the commissioner of management and budget, and after notification of the chairs of <br/>
<a id="pl.304.13"></a><var>304.13</var>the senate health and human services budget and policy committee and the house of <br/>
<a id="pl.304.14"></a><var>304.14</var>representatives health and human services finance committee, may transfer unencumbered <br/>
<a id="pl.304.15"></a><var>304.15</var>appropriation balances for the biennium ending June 30, 2013, within fiscal years among <br/>
<a id="pl.304.16"></a><var>304.16</var>the MFIP; general assistance; general assistance medical care under Minnesota Statutes, <br/>
<a id="pl.304.17"></a><var>304.17</var>section 256D.03, subdivision 3; medical assistance; MFIP child care assistance under <br/>
<a id="pl.304.18"></a><var>304.18</var>Minnesota Statutes, section 119B.05; Minnesota supplemental aid; MinnesotaCare, <br/>
<a id="pl.304.19"></a><var>304.19</var>and group residential housing programs, and the entitlement portion of the chemical <br/>
<a id="pl.304.20"></a><var>304.20</var>dependency consolidated treatment fund, and between fiscal years of the biennium.<br/>
<a id="pl.304.21"></a><var>304.21</var>    Subd. 2. <b>Administration.</b> Positions, salary money, and nonsalary administrative <br/>
<a id="pl.304.22"></a><var>304.22</var>money may be transferred within the Departments of Health and Human Services as the <br/>
<a id="pl.304.23"></a><var>304.23</var>commissioners consider necessary, with the advance approval of the commissioner of <br/>
<a id="pl.304.24"></a><var>304.24</var>management and budget. The commissioner shall inform the chairs of the senate health <br/>
<a id="pl.304.25"></a><var>304.25</var>and human services budget and policy committee and the house of representatives health <br/>
<a id="pl.304.26"></a><var>304.26</var>and human services finance committee quarterly about transfers made under this provision.<br/>
<br/>
<a id="bill.10.13.0"></a><a id="pl.304.27"></a><var>304.27</var>    Sec. 13. <b>INDIRECT COSTS NOT TO FUND PROGRAMS.</b><br/>
<a id="pl.304.28"></a><var>304.28</var>The commissioners of health and human services shall not use indirect cost <br/>
<a id="pl.304.29"></a><var>304.29</var>allocations to pay for the operational costs of any program for which they are responsible.<br/>
<br/>
<a id="bill.10.14.0"></a><a id="pl.304.30"></a><var>304.30</var>    Sec. 14. <b>EXPIRATION OF UNCODIFIED LANGUAGE.</b><br/>
<a id="pl.304.31"></a><var>304.31</var>All uncodified language contained in this article expires on June 30, 2013, unless a <br/>
<a id="pl.304.32"></a><var>304.32</var>different expiration date is explicit.<br/>
<br/>
<a id="bill.10.15.0"></a><a id="pl.305.1"></a><var>305.1</var>    Sec. 15. <b>EFFECTIVE DATE.</b><br/>
<a id="pl.305.2"></a><var>305.2</var>The provisions in this article are effective July 1, 2011, unless a different effective <br/>
<a id="pl.305.3"></a><var>305.3</var>date is specified."<br/>
<a id="pl.305.4"></a><var>305.4</var>Delete the title and insert:<br/>

<a id="pl.305.7"></a><var>305.7</var>budget; making changes to children and family services, Department of Health, <br/>
<a id="pl.305.8"></a><var>305.8</var>miscellaneous provisions, health licensing fees, health care, and continuing <br/>
<a id="pl.305.9"></a><var>305.9</var>care; redesigning service delivery; making changes to chemical and mental <br/>
<a id="pl.305.10"></a><var>305.10</var>health; modifying fee schedules; modifying program eligibility requirements; <br/>
<a id="pl.305.11"></a><var>305.11</var>authorizing rulemaking; imposing criminal penalties; requiring reports; <br/>
<a id="pl.305.12"></a><var>305.12</var>appropriating money for the Departments of Health and Human Services and <br/>
<a id="pl.305.13"></a><var>305.13</var>other health-related boards and councils; making forecast adjustments;amending <br/>
<a id="pl.305.14"></a><var>305.14</var>Minnesota Statutes 2010, sections 8.31, subdivisions 1, 3a; 62D.08, subdivision <br/>
<a id="pl.305.15"></a><var>305.15</var>7; 62E.08, subdivision 1; 62E.14, by adding a subdivision; 62J.04, subdivisions <br/>
<a id="pl.305.16"></a><var>305.16</var>3, 9; 62J.17, subdivision 4a; 62J.495, by adding a subdivision; 62J.692; 62Q.32; <br/>
<a id="pl.305.17"></a><var>305.17</var>62U.04, subdivisions 3, 9; 62U.06, subdivision 2; 119B.011, subdivision 13; <br/>
<a id="pl.305.18"></a><var>305.18</var>119B.035, subdivision 4; 119B.09, subdivision 10, by adding subdivisions; <br/>
<a id="pl.305.19"></a><var>305.19</var>119B.125, by adding a subdivision; 119B.13, subdivisions 1, 1a, 7; 144.1501, <br/>
<a id="pl.305.20"></a><var>305.20</var>subdivision 1; 144.396, subdivisions 5, 6; 144.98, subdivisions 2a, 7, by adding <br/>
<a id="pl.305.21"></a><var>305.21</var>subdivisions; 144A.102; 144A.61, by adding a subdivision; 144E.123; 145.925, <br/>
<a id="pl.305.22"></a><var>305.22</var>subdivisions 1, 2; 145.928, subdivisions 7, 8; 145A.17, subdivision 3; 148.07, <br/>
<a id="pl.305.23"></a><var>305.23</var>subdivision 1; 148.108, by adding a subdivision; 148.191, subdivision 2; <br/>
<a id="pl.305.24"></a><var>305.24</var>148.212, subdivision 1; 148.231; 148B.17; 148B.33, subdivision 2; 148B.52; <br/>
<a id="pl.305.25"></a><var>305.25</var>150A.091, subdivisions 2, 3, 4, 5, 8, by adding a subdivision; 151.07; 151.101; <br/>
<a id="pl.305.26"></a><var>305.26</var>151.102, by adding a subdivision; 151.12; 151.13, subdivision 1; 151.19; 151.25; <br/>
<a id="pl.305.27"></a><var>305.27</var>151.47, subdivision 1; 151.48; 152.12, subdivision 3; 157.15, by adding a <br/>
<a id="pl.305.28"></a><var>305.28</var>subdivision; 157.20, by adding a subdivision; 245A.14, subdivision 4; 245C.03, <br/>
<a id="pl.305.29"></a><var>305.29</var>by adding a subdivision; 245C.10, by adding a subdivision; 246B.10; 252.025, <br/>
<a id="pl.305.30"></a><var>305.30</var>subdivision 7; 252.27, subdivision 2a; 253B.212; 254B.03, subdivisions 1, 4; <br/>
<a id="pl.305.31"></a><var>305.31</var>254B.04, subdivision 1, by adding a subdivision; 254B.06, subdivision 2; 256.01, <br/>
<a id="pl.305.32"></a><var>305.32</var>subdivisions 2b, 14, 14b, 24, 29, by adding a subdivision; 256.969, subdivision <br/>
<a id="pl.305.33"></a><var>305.33</var>2b; 256B.04, subdivisions 14a, 18, by adding a subdivision; 256B.05, by <br/>
<a id="pl.305.34"></a><var>305.34</var>adding a subdivision; 256B.056, subdivisions 3, 4; 256B.057, subdivision 9; <br/>
<a id="pl.305.35"></a><var>305.35</var>256B.06, subdivision 4; 256B.0625, subdivisions 8, 8a, 8b, 8c, 8e, 13e, 13h, <br/>
<a id="pl.305.36"></a><var>305.36</var>17, 17a, 18, 31a, 41, by adding subdivisions; 256B.0631, subdivisions 1, 2, <br/>
<a id="pl.305.37"></a><var>305.37</var>3; 256B.0644; 256B.0659, subdivisions 11, 28; 256B.0751, subdivision 4, by <br/>
<a id="pl.305.38"></a><var>305.38</var>adding a subdivision; 256B.0911, subdivisions 1a, 3a; 256B.0913, subdivision <br/>
<a id="pl.305.39"></a><var>305.39</var>4; 256B.0915, subdivisions 3a, 3b, 3e, 3h, 10; 256B.0916, subdivision 6a; <br/>
<a id="pl.305.40"></a><var>305.40</var>256B.092, subdivisions 1b, 1e, 1g, 3, 8; 256B.0943, by adding a subdivision; <br/>
<a id="pl.305.41"></a><var>305.41</var>256B.0945, subdivision 4; 256B.14, by adding a subdivision; 256B.431, <br/>
<a id="pl.305.42"></a><var>305.42</var>subdivisions 2r, 32; 256B.434, subdivision 4; 256B.437, subdivision 6; <br/>
<a id="pl.305.43"></a><var>305.43</var>256B.441, subdivision 50a, by adding a subdivision; 256B.48, subdivision <br/>
<a id="pl.305.44"></a><var>305.44</var>1; 256B.49, subdivisions 13, 14, 15; 256B.5012, by adding subdivisions; <br/>
<a id="pl.305.45"></a><var>305.45</var>256B.69, subdivisions 5a, 5c, 28, by adding subdivisions; 256B.76, subdivision <br/>
<a id="pl.305.46"></a><var>305.46</var>4; 256D.02, subdivision 12a; 256D.03, subdivision 3; 256D.031, subdivisions <br/>
<a id="pl.305.47"></a><var>305.47</var>1, 6, 7, 9, 10; 256D.05, subdivision 1; 256D.06, subdivision 2; 256D.09, <br/>
<a id="pl.305.48"></a><var>305.48</var>subdivision 6; 256D.44, subdivision 5; 256D.46, subdivision 1; 256D.47; <br/>
<a id="pl.305.49"></a><var>305.49</var>256D.49, subdivision 3; 256E.35, subdivisions 5, 6; 256G.02, subdivision <br/>
<a id="pl.305.50"></a><var>305.50</var>6; 256I.03, by adding a subdivision; 256I.04, subdivisions 1, 2b; 256I.05, <br/>
<a id="pl.305.51"></a><var>305.51</var>subdivision 1a; 256J.12, subdivisions 1a, 2; 256J.20, subdivision 3; 256J.37, by <br/>
<a id="pl.305.52"></a><var>305.52</var>adding a subdivision; 256J.38, subdivision 1; 256J.49, subdivision 13; 256J.53, <br/>
<a id="pl.305.53"></a><var>305.53</var>subdivision 2; 256L.01, subdivision 4a; 256L.02, subdivision 3; 256L.03, <br/>
<a id="pl.305.54"></a><var>305.54</var>subdivision 5; 256L.04, subdivisions 1, 7, 10; 256L.05, subdivisions 2, 3a, by <br/>
<a id="pl.305.55"></a><var>305.55</var>adding a subdivision; 256L.07, subdivision 1; 256L.11, subdivision 7; 256L.12, <br/>
<a id="pl.306.1"></a><var>306.1</var>subdivision 9; 256L.15, subdivision 1a; 260C.157, subdivision 3; 260D.01; <br/>
<a id="pl.306.2"></a><var>306.2</var>297F.10, subdivision 1; 326B.175; 393.07, subdivisions 10, 10a; 402A.10, <br/>
<a id="pl.306.3"></a><var>306.3</var>subdivisions 4, 5; 402A.15; 402A.18; 402A.20; 518A.51; Laws 2009, chapter <br/>
<a id="pl.306.4"></a><var>306.4</var>79, article 13, section 3, subdivision 8, as amended; Laws 2010, First Special <br/>
<a id="pl.306.5"></a><var>306.5</var>Session chapter 1, article 15, section 3, subdivision 6; article 25, section 3, <br/>
<a id="pl.306.6"></a><var>306.6</var>subdivision 6; proposing coding for new law in Minnesota Statutes, chapters 1; <br/>
<a id="pl.306.7"></a><var>306.7</var>15; 62E; 62J; 62U; 145; 148; 151; 214; 256; 256B; 256L; 326B; 402A; proposing <br/>
<a id="pl.306.8"></a><var>306.8</var>coding for new law as Minnesota Statutes, chapter 256N; repealing Minnesota <br/>
<a id="pl.306.9"></a><var>306.9</var>Statutes 2010, sections 62J.07, subdivisions 1, 2, 3; 62J.17, subdivisions 1, 3, <br/>
<a id="pl.306.10"></a><var>306.10</var>5a, 6a, 8; 62J.321, subdivision 5a; 62J.381; 62J.41, subdivisions 1, 2; 144.1464; <br/>
<a id="pl.306.11"></a><var>306.11</var>144.147; 144.1499; 256.979, subdivisions 5, 6, 7, 10; 256.9791; 256.9862, <br/>
<a id="pl.306.12"></a><var>306.12</var>subdivision 2; 256B.055, subdivision 15; 256B.057, subdivision 2c; 256B.0756; <br/>
<a id="pl.306.13"></a><var>306.13</var>256D.01, subdivisions 1, 1a, 1b, 1e, 2; 256D.03, subdivisions 1, 2, 2a; 256D.05, <br/>
<a id="pl.306.14"></a><var>306.14</var>subdivisions 1, 2, 4, 5, 6, 7, 8; 256D.0513; 256D.06, subdivisions 1, 1b, 2, 5, 7, 8; <br/>
<a id="pl.306.15"></a><var>306.15</var>256D.09, subdivisions 1, 2, 2a, 2b, 5, 6; 256D.10; 256D.13; 256D.15; 256D.16; <br/>
<a id="pl.306.16"></a><var>306.16</var>256D.35, subdivision 8b; 256D.46; 256L.07, subdivision 7; 402A.30; 402A.45; <br/>
<a id="pl.306.17"></a><var>306.17</var>Laws 2008, chapter 358, article 3, sections 8; 9; Laws 2009, chapter 79, article 3, <br/>
<a id="pl.306.18"></a><var>306.18</var>section 18, as amended; article 5, sections 55, as amended; 56; 57; 60; 61; 62; 63; <br/>
<a id="pl.306.19"></a><var>306.19</var>64; 65; 66; 68; 69; 79; Minnesota Rules, parts 3400.0130, subpart 8; 4651.0100, <br/>
<a id="pl.306.20"></a><var>306.20</var>subparts 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 15, 16, 16a, 18, 19, 20, 20a, 21, <br/>
<a id="pl.306.21"></a><var>306.21</var>22, 23; 4651.0110, subparts 2, 2a, 3, 4, 5; 4651.0120; 4651.0130; 4651.0140; <br/>
<a id="pl.306.22"></a><var>306.22</var>4651.0150; 9500.1243, subpart 3; 9500.1261, subparts 3, items D, E, 4, 5."<br/>
<table>
<col width="50px"/>
<col width="252px"/>
<col width="42px"/>
<col width="252px"/>
<tr>
<td><a id="pl.307.1"></a><var>307.1</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.307.2"></a><var>307.2</var><br/>
</td>
<td>Senate Conferees:<br/>
<span width="2em"></span></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.307.3"></a><var>307.3</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.307.4"></a><var>307.4</var><br/>
</td>
<td>David W. Hann<br/>
</td>
<td></td>
<td>Michelle R. Benson<br/>
</td>
</tr>
<tr>
<td><a id="pl.307.5"></a><var>307.5</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.307.6"></a><var>307.6</var><br/>
</td>
<td>Gretchen Hoffman<br/>
</td>
<td></td>
<td>Scott J. Newman<br/>
</td>
</tr>
<tr>
<td><a id="pl.307.7"></a><var>307.7</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.307.8"></a><var>307.8</var><br/>
</td>
<td>Sean Nienow<br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.307.9"></a><var>307.9</var><br/>
</td>
<td>House Conferees:<br/>
<span width="2em"></span></td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.307.10"></a><var>307.10</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.307.11"></a><var>307.11</var><br/>
</td>
<td>Jim Abeler<br/>
</td>
<td></td>
<td>Steve Gottwalt<br/>
</td>
</tr>
<tr>
<td><a id="pl.307.12"></a><var>307.12</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td><span>
                     							.....
                     						</span><br/>
</td>
</tr>
<tr>
<td><a id="pl.307.13"></a><var>307.13</var><br/>
</td>
<td>Mary Kiffmeyer<br/>
</td>
<td></td>
<td>Kathy Lohmer<br/>
</td>
</tr>
<tr>
<td><a id="pl.307.14"></a><var>307.14</var><br/>
</td>
<td><span>
                     							.....
                     						</span><br/>
</td>
<td></td>
<td></td>
</tr>
<tr>
<td><a id="pl.307.15"></a><var>307.15</var><br/>
</td>
<td>Thomas Huntley<br/>
</td>
<td></td>
<td></td>
</tr>
</table>